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I came out the other side and it's unbelievable. I was so

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wrong. I was so wrong because I did

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resume not only a beautiful quality of life, but one

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that I will forever be grateful for. I mean,

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it makes me want to cry just thinking about it, but it

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was amazing. And I do have

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a greater appreciation, like you sort of mentioned,

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for the simple things in life, right? The things that I thought I

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was never going to get to do again. So

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I do have a renewed appreciation for those

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things. And then also being able to get back to my work and

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continue my community service and my cardiac screenings.

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I mean, wow, I just. I'm so blessed.

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Welcome to open heart Surgery with Bootst, the

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podcast that gets to the heart of what it's really

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like to go under the knife. I am your host,

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Boots Knighton, here to share the ups,

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downs and everything in between about

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heart surgery from the patient's perspective.

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Before we dive into this operating room of our

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shared experiences, please make sure this

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podcast stays on the healthy side of the

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charts. If you're finding this podcast helpful or

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inspiring, please subscribe and leave a

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review. Your support is the heartbeat

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that keeps the show alive. And

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if you want to be a part of an even closer knit

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community, come on over to our Patreon.

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Join us in the heart chamber. You can

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find us at the

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www.patreon.com

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openheart surgery with boots. There you'll get

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exclusive content, behind the scenes stories, and

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a chance to connect with other heart warriors.

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But for now, let's open up and explore the world

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of heart surgery from the other side of the

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scalpel.

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Holly, I am so glad we have

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connected over our hearts. And the amazing

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thing about this podcast is I have

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had the opportunity of meeting so many incredible

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souls who have taken their heart journey

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and turn it into something positive, which

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listeners today will get to hear from you. But let's

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first set the scene of how

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you became a heart patient. Okay,

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well, I would like to start off by saying thank you so

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much for including me. It's an honor

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to be included and I loved having the opportunity to

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meet with you and have some pre recorded

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discussions. I love your energy and I thank you for your advocacy,

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for sure. You're welcome. Thank you.

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So, boots, my story began quite

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a long time ago. My family has a genetic heart

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disease called hypertrophic cardiomyopathy,

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and our family was affected pretty

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extremely. Quite a few family members, I

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believe. Out of eleven possible family members, nine of

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us had the disease. Sadly, and tragically, six

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have died. However, three of us live thanks to

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interventional methods, including myself. This was

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happening a very long time ago. I think that's why there were so

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many deaths, because there hadn't been advancements in technology

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and medicine in order to save or protect

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their lives. So I had been dealing with this for most of

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my life, since I was a small child, actually. But

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then I started doing some community

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service work, heart related. And

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ironically, I wasn't conclusively diagnosed with the

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disease until a few years after starting my

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community service. So I did find out that I indeed had

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hypertrophic cardiomyopathy, and I had to have a

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defibrillator implanted to protect myself from sudden

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death. And that journey has

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been quite challenging, and that

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ultimately, the device in my body

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ultimately resulted in me needing emergency

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open heart surgery. So I'll be happy to share

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more details about that when you're ready. Yes.

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Yes. So you started a nonprofit

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called Heartfelt screening, and you did

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that in response to your family's

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journey, but prior to the

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defibrillator being implanted? Yes. And let me

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provide a little bit of clarification. So I actually

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began my nonprofit community service work

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in 1999. It was with

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another organization that I helped create,

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and I was the executive director. However, I wasn't a

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founder of that organization, and it wasn't called

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Heartbelt, but I did start my community service work

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at that time, which happened to be providing

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community based cardiac screenings in order to save lives from

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sudden cardiac arrest through early detection. And

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so that was in 1999, and you were correct. I wasn't

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conclusively diagnosed myself until

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2002, a few years after starting my efforts.

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Wow. So what I'm really

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struck by already, Holly, is

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you were moved by your family's

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journey, and you

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had the heart pun totally intended to help

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others. And I can't help but wonder

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how that has actually likely saved your life.

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And the reason why I say that is, you

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know, I'm in. I'm now in the sixties range of number of

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episodes I've released. And so I've

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interviewed quite a few heart patients, and I've noticed

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that the heart patients that

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have, that are more generous with their time

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and resources, I guess resources is time is

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resource, but are more generous and thinking of their

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fellow man and woman and wanting to leave the

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world better than they found it, have a better

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outcome in their health. That's interesting.

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Very interesting perspective. And I wouldn't deny it

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for my own personal circumstance or just generally speaking, I

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could have a. Have a clear understanding of how that would

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be possible. And yes, I began

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my efforts motivated by my

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personal story in terms of my family history

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and in memory of my loved ones lost.

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I was motivated by my father, who was still living at the

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time, who had already received a heart

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transplant, and he encouraged me to

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start my advocacy. But

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really, the initiation of

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the cardiac screenings were a result of

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continuing to hear about these young athletes dying

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on the playing field. I mean, it was. The Internet

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was in its infancy, so this was more like on the tv

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news or in the newspapers, but we would continually

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hear about these young athletes dying on the playing field. And as

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a family with heart disease, we felt

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we sort of understood the reason why they were dying, but

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the media made it sound like it was some crazy

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thing that, you know, couldn't be prevented or

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by some act of God or something, you know, that couldn't really

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be addressed. And we felt differently. So it was a

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combination of those two things, a personal

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family history, as well as just being,

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again, pun intended, heartbroken over continually

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hearing about these young athletes dying on the playing field and

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really believing that those deaths and

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tragedies were probably more often than not a

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preventable tragedy. And again, I

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wasn't diagnosed myself in 2002. My journey has

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been lengthy. It's been sort of simultaneous

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with my community service, my own personal health journey,

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because it's been broad over all these

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years and multiple surgeries and

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challenges and complications, again, all the while doing

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the community service work. And I do believe

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that the risk of sounding overdramatic,

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that my life was spared so that I could

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save others. And I believe it not

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only a blessing to do my work, but an

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absolute privilege. And so it kind of goes hand

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in hand with what you expressed. I mean, I gotta keep

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fighting and staying healthy because I know I can save others.

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And it does give me a whole nother

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level of gratitude, right, to be in a

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position where I can protect others and save lives

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while fighting for my own. It's an

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experience and a journey, for sure.

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Yeah, no, I love that. And where

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you and I have, and I hope this lands

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well. My intention is good, but I feel

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like because of what you and I, granted, our stories are

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different, but I. I sense that the outcome is the

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same and that we have a perspective

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that can't be learned in a book. Amen

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to that. And when you finally realize

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that you're not going to get out of here alive, and

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that you can't take all your wealth

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and successes with you, and

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that really all you can do is take

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the love you felt, the love you gave, that's at least what

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I learned through my journey, and that's when I

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really started to live differently. And I just aired

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an episode yesterday where a childhood friend that I

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interviewed, I'm going to think about this for the rest of my

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life, he said. And I ended up putting it in the title of the

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episode. He said, you know, am I loving? Well,

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I ask that every day. And he just put it in

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a way that, like, I had already been living, but there's

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just such power in words. And

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I'm going to say that now every day. And I think about

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you and what you're doing with heartfelt screening, and that's a

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way of loving. Well, because here you are looking

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to save lives that lives you've never even

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meth. You're just, you know, and if

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everyone could be that way, if we could be thinking

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beyond ourselves, imagine the world we would be

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in. So you're making a difference, but let's

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get back to your story. So you were diagnosed in 2002,

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so now you have this diagnosis, and

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things started to shift.

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Yes. So it was pretty

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astonishing to receive my

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diagnosis. And, and because I was already doing

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the cardiac screenings and the community service, I had a

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pretty large network of cardiologists on my medical

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advisory board. And, you know, I was connected with

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directly in doing these cardiac screenings.

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I did have quite, quite a bit of handholding, which I

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was blessed to receive, and some guidance

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and advice in terms of next steps for me.

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And it pretty much became clear that,

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you know, not only because what my family had

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already endured, but also, you know, a doctor said

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to me, like, you're never going to be able to ignore this because

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you live it every day, you know, and I'm preaching

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early detection and intervention. It's not like I could ignore

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my own advice for myself and continue to try

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to educate, raise awareness and provide early

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detection. So at that time, I made a decision

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to have a defibrillator implanted in my

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body and boots. Just unfortunately, it

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didn't go well for me. The device was implanted

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incorrectly, causing me a tremendous

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amount of pain and suffering. And

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I didn't really receive any help or

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assistance from the doctor that

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put the device in my body. So I was

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left to basically navigate through, I

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mean, pain, unmerciful pain, pain

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that. I realize that this sounds quite

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dramatic and negative, but, I mean, I really do understand why

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people kill themselves that suffer with chronic pain because

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it was unbearable and I would never wish that

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on anyone. I pray to God I never experienced it again,

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but it was, like I said, unmerciful. And

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it was because the device was implanted incorrectly and

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it was wreaking all sorts of havoc within my body.

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So, basically, to spare you all the gory details, with

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every breath that I was taking, my device was

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ripping some major muscle groups in my chest and under

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my arm and so on and so forth. It was crazy. And

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it became really bad

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because no doctors were willing to

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address it. Be truthful. They were, I think, fearful

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of what was going on. They kept saying, we haven't seen this

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before. We don't really know what to do. So their choice at

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that time was just to basically let me suffer.

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And it was dreadful. So that was the beginning of

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my journey. I, thankfully, almost a year

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later, had a surgery to correct that,

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and I got my life back again and the use of my arm, I might

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say. And so I was grateful. You know, it was a. It

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was a rough start, for sure, but I was grateful to have

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my life back and the use of my arm. And I got out of pain

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and I recovered. And then, unfortunately, I was

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affected by, like, all the manufacturer

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recalls of the equipment that was implanted in my body.

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So that led to a few more surgeries. Then I

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had a. Some need for battery replacement

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kind of prematurely. But even though

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those were challenges, the surgeries went

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well. And so I didn't have any

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other than the, what, six to eight week

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typical recovery time. I didn't have anything more

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dramatic than that, so I was thankful. But then

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right around 2012, I found

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out that my leads, the wires,

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had been recalled by the manufacturer, and I

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knew that was potentially going to be

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dangerous. The recommendations at the time,

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depending on the use of your

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pacemaker inside the defibrillator, that was sort

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of set the recommendations of how quickly you

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needed the leads or the wires replaced. So mine

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were supposed to sit tight for a little while, but unfortunately, they

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fractured. And so that

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expedited the need for me to have surgery to

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not only replace them, but to have a few

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existing ones removed, which, again, I realized

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was going to be potentially dangerous. And I can

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keep going if you want. I have a question about that.

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So was the recall, because there was a

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risk of them coming apart, and then they came apart. You

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know, to be honest, I don't remember the

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exact reasoning for the recall.

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I think they were at risk of fracturing

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or just malfunctioning. Okay. But I don't

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remember exactly boots, if I. If I'm honest. But in my

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particular case, you know, I needed them out.

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And as you can imagine, I mean, as we get older and we have these

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devices in our body for a lengthy period of time.

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We run out of room for the wires, so

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the removal can be quite challenging. And

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so I once again sought the advice

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of many of my heartfelt cardiologists of

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who I might see to have this situation resolved.

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And I was guided to a very skilled

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cardiac surgeon in La county.

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And so I prepared to have that surgery.

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And that was in July of 2012. And

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again, unfortunately, it didn't go well for me.

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Yeah, it went really poorly.

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Yeah. So, basically,

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I. When I was in surgery, they

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had ruptured a vein under my

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clavicle, and I was bleeding out and

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dying. And so the surgeon had a very limited

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amount of time to open me up with open heart

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surgery to try to repair the vein, which I learned

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later is never successful or usually never

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successful, but here I am. So he

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obviously, with the 90 seconds that he had available

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to him, repaired the vein and saved my

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life. I remember

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waking up in the hospital, in the ICU,

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and to a sweet little gentle kiss on my forehead

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from my surgeon, and he sort of whispered in my

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ear, I'm so glad you're with us. And

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I remember, even though I was on probably a mega dose of morphine,

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I remember that, like, not really registering. What is he

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talking about? And then he told me, in the very

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technical terms, what had happened in terms of

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being cut open. And it was just too overwhelming. And I

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remember just closing my eyes and praying to go back to sleep

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for a while, which I did. And then I later realized,

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after I had the conversation with him, that part of the

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motivation for the sweet little kiss was to make sure that

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neurologically I was okay and that my senses, my

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hearing and my sight and all that kind of stuff were in good,

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good order. I'm just. That's just a

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lot. I have so many questions.

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So is that a risk? The vein

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being torn, ruptured? Like, did they. Did they prepare you

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for that? Going in, saying this could possibly happen, you

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know? Yes, and I was really

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grateful for that. In fact, I remember my

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initial consultation with the surgeon,

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besides just loving every bit of the vibe of their office,

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it had such a family feel to it. I think his wife was

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running the front desk, their dog was running around the lobby.

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He was so soft spoken and seemed so genuine,

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but, I mean, he laid it out on the table. He

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said, I could remove your heart, your lungs, with no

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problem, but this procedure that I'm going to do for you is

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the most stressful in my career.

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And he told me the risks, and he was super

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candid. And I remember sharing that conversation with my friends

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and family and them being bothered by it. Boots. I was

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absolutely appreciative because I didn't want anything

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sugar coated. I wanted to know, you know, what was going, what

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the risks were. I wanted someone to be real with me. And he definitely

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was. And I'm not sure that he illustrated

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that specific risk of the vein under the clavicle,

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but he talked about, you know, because the wires are fish

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hooked into your heart and running through your veins, there's a risk

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of shredding the vein or ripping a hole in your heart or something like

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that. And so I was prepared. But you

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never think it's gonna happen to you. No. No.

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So I'm like, you know, even though you

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already told me the story, it still. It just takes the

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breath away. Okay, so now you have this reality that

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you've now had open heart surgery. Did you have

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a new. Do you have, do you have a. Do you have a new device

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put in or did they just like, this woman has had enough. No more wires

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anywhere. I. No.

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So my open heart surgery was my

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6th surgery, heart related, all

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related to my device. And I don't

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know why, but

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my recovery from the open heart surgery was

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once again, unbelievably challenging. Like,

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I just didn't heal up in a few weeks and

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call it a day. And when I went into that

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surgery, my device was obviously on my left

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side because that's where they placed them. But because of those other

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six surgeries and this situation, my

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left side was just too, I don't know, mangled,

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for lack of a better word, to keep the device there.

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So they had to put the device on my right side. So basically,

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I mean, I was cut. I know you can't really see my hand gestures, but

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I was cut along my left side, my right

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side and down the middle and then all the tubes and everything else that goes

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along with open heart surgery. So I pretty much looked and

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felt kind of like Frankenstein. It was. It was quite a bit.

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And I think that, like, when it's an

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emergency situation, I don't think they handle things very

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gingerly. I think they're busy ripping you apartheid,

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trying to save your life. And so I think it was like a

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combination of so many things that

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just once again put me back in

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tremendous pain for a very long

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period of time. And I think the toughest part for

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me, because I was a very active and sporty person

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prior to the surgery, even through knowing that I had

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heart disease and having the device. I

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really got to a place where I just

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absolutely couldn't imagine any quality of life ever

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again. I mean, I was just so deep in it

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and dark and in so much pain. I

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just couldn't comprehend that I could come out

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of it any other way. And I think I shared with

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you, I got on social media

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platforms, I found the Zipper club Facebook

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pages. That's where I think you and I originally got connected. But

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I'm telling you what, that was my saving grace,

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because I got to connect with people who

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had similar journeys. Maybe not exactly the same, but

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similar. Some less than, some worse than. I mean,

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you know, just. But a lot of people that could relate and offered

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me tremendous support and

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advice and, you know,

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love. And finding those

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platforms were my first spark of hope.

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Because like you said earlier, it's hard to

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relate, right? Unless you find someone that's walked

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in your shoes and all our journeys are

Speaker:

different. And I just was so appreciative

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of finding my people that could help support me through

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mine, and they gave me hope and words of

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encouragement. And I think I posted

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frequently about, you know, all my struggles. And

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I connected with a couple people that encouraged me that it would get

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better, even though it was taking me a little bit more time. And I'm

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telling you, I will forever be

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grateful because it was wonderful. And

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then I think it took me about eleven

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months to get off all the drugs. I mean, I wore an

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opiate patch on my arm, I think, for like eleven months because of

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the pain, but I got off all the meds and the

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pain went away. I healed. My body was

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miraculous and I came out the other side

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and it's unbelievable. I was so wrong. I was

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so wrong because I did resume not only a

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beautiful quality of life, but one that I will forever

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be grateful for. I mean, makes me want to cry just

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thinking about it, but it was amazing. And I

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do have a greater appreciation, like

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you sort of mentioned, for the simple things in life, right?

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The things that I thought I was never going to get to do again.

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So I do have a renewed

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appreciation for those things. And then also being able to

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get back to my work and continue my community service

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and my cardiac screenings. I mean, wow, I just. I'm

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so blessed. Thank you for being so real with

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us. And I love my surgeon. I will forever be

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grateful to him and his team, but

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they unintentionally set me

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up to think that I would come out

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skipping. And I kind of did compare to a

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lot of people, but I ran into my fair share of complications,

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too. And it would

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have only benefited me to mentally

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prepare for the unexpected. And I don't want to

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sugarcoat it for heart patients listening to this

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now, like, you're in for a ride, but if you hang

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on like Holly has, like I have, you are

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in for the most spectacular life, but you have to be prepared

Speaker:

for. For it to suck for a little bit,

Speaker:

right? It just does. I mean,

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heart surgery is no joke. And, I mean, I

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was told that part, at least, but, like, I wasn't prepared

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for, like, the spiritual shifts, the emotional shifts.

Speaker:

Right? It's like, jesus, I'm like a whole new person, and I

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wasn't, like, I didn't know it was going to be, like, reborn

Speaker:

and, like, floating on a cloud. Like, I mean, that's how much I've

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shifted spiritually. I mean, I'm not really. That's a. Maybe a weird

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choice of words, but, like, I. I don't know about you, but, I mean, I

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have experienced such a radical shift in my whole soul,

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and it seems like you have, too. And it's just, like, be open

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to, like, the miracles that will transpire despite

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the challenge. That's a beautiful way

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of putting it. And I'm sure, you know, obviously,

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I can tell by your reactions that even though we have our own

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stories, it's hard to hear each other's because we

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have great empathy and compassion, because we understand

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the journey. And I'm sorry you had to endure what

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you had to as well, but it is

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magnificent, right? That we get to support each

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other. And that's why, once again, I thank you for your advocacy

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and doing the podcast and giving us an ability

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to share our stories with a broader platform, perhaps to reach the

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person that might not be on our Facebook group.

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All right, so, yeah, thank you. Yeah. So, in

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the little bit of time we have left, tell us about heartfelt.

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Okay, so even though my. My website

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is heartfeltscreening.org dot, that's not technically the name.

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It's just. It's just heartfelt or

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heartfelt cardiac connections is actually the official name. And

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I think I joked with you. I don't know what I was thinking because it

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sounds like a dating or something, and so I

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just. I just like to call it heartfelt. And it's.

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So I usually after I get to know

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someone or I'm talking about my work or my journey, or I'm

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dealing with a parent that's tragically lost their child

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or dealing with a family where we've saved their loved one's

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life, I usually say, I hope you understand why I named it heartfelt,

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because everything about it is absolutely heartfelt.

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But we're a 501 nonprofit

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organization dedicated to saving lives from sudden

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cardiac arrest through early detection, education,

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and increasing public awareness. So the other reason why

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I'm appreciative of today, Boots, is because

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anytime I have a chance to educate or raise awareness

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is all part of my mission in life and heartfelt's mission. So

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I appreciate that. I have entered my

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25th year of doing cardiac screenings in the

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community. This past Saturday, we returned to

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a school here in Orange County, California, where we've screened for

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over a decade and saved multiple lives. But we

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hit a huge milestone, and we screened our

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60,000th heart on Saturday, and

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that's pretty incredible. It's so incredible.

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So, you know, again, it's not only a blessing, but a

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privilege to do the work. I think I shared with you that

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I believe that often the gift of purpose is

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found through great adversity. So that

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goes along with what I said. I believe my own life

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was spared once again through emergency open heart

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surgery so that I could save others. And it's just

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been magnificent. I'm going to be super

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transparent. I wish that it wasn't so challenging, because

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we do huge work, but we don't have the funding that we're

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so worthy of and so deserving of, and

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that makes it super challenging. I mean, imagine we've screened

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60,000 individuals with no funding,

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so imagine what we could do with funding.

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Right? Right. And why is that such a challenge, you think?

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Well, I. You know, I'll take personal responsibility. I never

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entered into this sector thinking that I was

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skilled at fundraising. I didn't even know that I was skilled at

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screening hearts, but I figured that part out, but not quite

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the fundraising effort. And, you know, to be real,

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we know that there are some other much larger national

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organizations that are highly visible that are receiving

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funding and, you know, they do some great

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work. But that means that a lot of times the smaller

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grassroots organizations that their boots on the

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ground are missing out on the

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funding because it's not being directed our way. And I haven't

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really figured out how to really get that message

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across because there's plenty out there for all. Yeah,

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that's what I'll say about that. Okay. What if

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I wanted to have heartfelt in the

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tetons where I live? Like, do you?

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Is there a way for folks to bring

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heartfelt to their communities, or do you have to

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travel? Short answer to that is not at this

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moment, because I've been doing it for 25 years,

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obviously. Well, not obviously. I'm just going to say that within

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that timeframe, I certainly have traveled to multiple

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states, you know, lots of different areas to provide the screening,

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but we just don't have the financial resources to support that right

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now. So the longer answer is if there

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were specific funding available,

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that could be a possibility. But right now, I'm

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trying to really stay focused right here in southern

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California, in Orange county and the bordering

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counties, La County, San Diego County, Riverside

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county, because just logistically and

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financially, it just makes more sense at this particular point in

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time. Yeah, well, every person you help,

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it has a ripple effect, whether, you know, it's across the country

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or in Southern California. So every life,

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it counts and every life matters. And you are doing such

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incredible work despite your six

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surgeries. Well, now I've had seven

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because I had another one in

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2019 because my device had

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come out of its pocket and I had to have it

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revised. But you're okay now?

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I am okay now, but my device is once again out

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of its pocket. And that happened a little over,

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I think, gosh, already a year ago and

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same thing. I mean, because I've been down this road before I started having the

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pain, it was causing havoc with my right shoulder because again, it's on

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my right side now. It's definitely

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protruding out my chest wall. I don't know if you

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call it a chest wall, but you know what I mean visually. I mean, it's

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so you can see it so clearly. It was never like that.

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But I did make a commitment to myself

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that I would try to see if somehow

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my body would miraculously acclimate to

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wherever it's landed now. And I'm happy to say

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that I'm okay for the moment. So I'm

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leaving it as is, and I'm comfortable and

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so I am okay. Okay, Holly,

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thank you. And I wish I could give you a hug.

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You're making a difference. I will have in the show

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notes how to find Holly, how to find heartland felt.

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If you have it, if you have the resources,

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show Holly some love and her nonprofit. She's obviously

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doing amazing work. And as for this podcast,

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have you subscribed yet? Have you followed? Be sure

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to follow this podcast and share it with a

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friend today. And what will really make my day is, if

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you haven't already, if you would, please leave a review,

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because independent podcasters like myself

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heavily depend on reviews. It is

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amazing how valuable they are. And all the big

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name podcasts out there with thousands of reviews

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guess what they likely paid for those. So if you

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could please just take a moment of your day,

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fellow listeners, and leave a review that would mean the world.

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And then finally, if you've made it this far, thank you.

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And be sure to go into the show notes and check out the

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Patreon community I am launching. And if

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you donate $10 or more, you get to

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join a monthly Zoom heart

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chat. I'm naming the community the heart

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chamber, which was the former of this podcast

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and it is going to be amazing and I'm so

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excited to connect with listeners and hear

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how things are going. And hopefully Holly will be part of it

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too. So until next Tuesday, I

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love you. You matter and your heart is your best friend.