Episode Transcript
Speaker 0 00:00:00 Welcome to a Wonder Care podcast with me, Sheena Mitchell, pharmacist and mom of three. This season is slightly different to what we've done before. I really hope you like our new intro music cause <laugh> it perfectly suits our new theme. Okay. It might be a little dramatic, but you know, you gotta have fun with it. I'll still be coming with regular condition episodes where I explain symptoms and treatments. But in addition to that, this summer we are bringing you health, news and chats. These will be delivered to you weekly and I'll be picking out four or five of the main healthcare stories affecting Ireland and the globe. I'll be discussing them each week with the new guest to the show. I'll introduce him in a minute. These episodes may vary in length depending on how much we have to say about the health news, which knowing me is quite a lot. Um, they are predominantly unedited. So yeah, you're basically joining in on a chat. I hope that we're talking about topics that you find useful. And if there's anything that you have seen in the headlines or in any of the papers or magazines that you'd like us to trash out on this podcast, send it to me by Instagram messages or on Facebook at Wonder Care underscore i r l. Enjoy this week's episode.
Speaker 1 00:01:19 It is the 8th of June that we're recording. Realistically, this will be the 9th of June that people are listening.
Speaker 2 00:01:27 Was it that quick?
Speaker 1 00:01:28 Well ni see it depends on how much <unk> talk. So like I have to edit it. <laugh>,
Speaker 2 00:01:34 Right? Okay. So today is the 12th of June. <laugh> <laugh>.
Speaker 1 00:01:38 It's like you get the
Speaker 2 00:01:40 Four
Speaker 1 00:01:41 <laugh>. Yeah. So yeah, I'm gonna introduce you Nile, because no one knows what random voice is coming down the airways at them. For the summer season, I decided to step away from doing purely, I suppose, nerdy episodes where I covered topic by topic. And we decided that we wanted to talk a little bit more about what's going on in the world around us and things we're noticing. And this is really, I suppose with a big focus on family health, but health in general. And yeah, lots of parenting chat as well. So that is the space that we're in. We'll still be doing, uh, releasing topic episodes. So by condition I'll still be doing that on a regular basis. But for now, when you see an episode that has title of healthcare news and chats and the date, you'll know that that is me and Nile on <laugh>. Uh oh
Speaker 2 00:02:37 <laugh>. That's the one to avoid. And skip that one over and just go on the proper healthcare stuff.
Speaker 1 00:02:42 Yes. So Nile is actually Nile Tulley of T'S Total Health Pharmacy Castle. He is a colleague, I suppose
Speaker 2 00:02:50 I got, I've got a wave, but then if you can't see me, you know that I'm giving you a virtual wave.
Speaker 1 00:02:54 There you go. And he is actually my brother. So this is gonna be very interesting, bringing
Speaker 2 00:02:59 In the big guns. <laugh>
Speaker 1 00:03:02 The only person who I could bribe to come on and talk health news to me.
Speaker 2 00:03:07 Bribe, am I, am I getting something else <laugh>?
Speaker 1 00:03:10 Um, no, well I'm, no,
Speaker 2 00:03:12 That's the after show notes. We can talk about that
Speaker 1 00:03:14 Later.
Speaker 2 00:03:14 Fair
Speaker 1 00:03:15 Enough. By bribe. Yeah, I mean you can have my portion of roast potatoes at Christmas. Oh,
Speaker 2 00:03:20 Score. Okay. There we go. Yeah, done.
Speaker 1 00:03:23 Okay. So Nile, first of all, tell everyone a little bit about you, where your pharmacy is and yeah. What your life is like. Cuz obviously for this, my audience all have kids in general. So I think you, you
Speaker 2 00:03:36 Can talk Welcome. I, I'll, I'll talking to like-minded people. So, um, my name is Nile Tulley. I'm from Tully's Total Health Pharmacy in Castle, the center of the world. That is county Ross. Common. Um, I have four boys, uh, ranging currently from 10 to four. Uh, and all escalating in um, energy.
Speaker 1 00:03:57 Can you tell me all of their ages? This is a test.
Speaker 2 00:04:00 Uh, well I can at the minute cause it's very simple cause we're 10, 8, 6, and four. Is that what? So we are steps stairs at the minute. And now actually I will question you to see, can you tell the difference if I'm telling the truth or not? <laugh>?
Speaker 1 00:04:11 No, I cannot. No,
Speaker 2 00:04:12 No, no. Yeah, there were ten, eight, ten eight, six and four at the minute and all, um, increasing levels of energy, uh, and uh, a lot of um, lowering standards as each child comes <laugh>. So,
Speaker 1 00:04:24 But to be fair, I think that your children, it's like the energy built up. So the youngest is a firecracker.
Speaker 2 00:04:32 He is a firecracker. And now I would say that they all have their moments. They all we say at our house, it's good to be different and each one of them is definitely different <laugh>.
Speaker 1 00:04:41 So you can definitely relate to the parenting stripes that people face.
Speaker 2 00:04:46 Yes, yes indeed.
Speaker 1 00:04:47 And also more
Speaker 2 00:04:48 Struggles than stripes, but
Speaker 1 00:04:50 Yeah. And look as both pharmacists and we have another brother who's a pharmacist who will try and rope in at some stage. And obviously our dad was a pharmacist. And that's the pharmacy that you're working in now?
Speaker 2 00:05:00 Yes, I am. I am in what I like to call headquarters hitch <laugh>. I'm think I'm the only person who calls it that, but I am in headquarters anyway.
Speaker 1 00:05:09 That makes, makes you the responsible one. So that's fine.
Speaker 2 00:05:12 <laugh>, that's, I still, I still have my mammy so I'm all right. <laugh>.
Speaker 1 00:05:15 You do, you do. And that is the pharmacy where I was back in the good old days throat. Like if I was sick in school, it was like yeah, woke up to your dad's pharmacy there and del mind there. And dad clearly had, you know, work to do. So one of the girls <laugh> mm-hmm <affirmative> would sit and mind me and feed me treats. So very fond memories of that place. Okay. With the context of our background, we have, you know, always grown up in an environment where health was talked about and the value of community pharmacy and also we are all people who like to be in a patient facing role. So I think all of that kind of summarizes where we're at and why we're now, now doing what
Speaker 2 00:05:57 We all you can imagine our Sunday lunches, uh, having uh, dad in the shop, mom who worked in the shop, three pharmacists, children as a shop, and then our one brother who has nothing to do with pharmacy. You can imagine his hatred for pharmacy has grown over the years was, and so a big chair out to non pharmacist brother also
Speaker 1 00:06:17 Who is very dependable and actually we'll happily come along to any pharmacy nights out. Oh, very
Speaker 2 00:06:24 Much. And also has three beautiful children. I'm sure he is listening. Well,
Speaker 1 00:06:27 I don't know
Speaker 2 00:06:28 Nile well I'm gonna, I'll send it to him. <laugh>. <laugh>.
Speaker 1 00:06:32 Are you gonna send it to the cousins too? Cause who loads those
Speaker 2 00:06:35 As well? Just, just a little tape of clip that we, um, that we mentioned him in and then that's fine.
Speaker 1 00:06:40 Right? That is your intro. You're not getting that every week. Okay. Okay. <laugh>. So the first news story, well obviously there's a few different things we wanted to do. We wanted to talk about news and then I have some random fun facts that I'm gonna see if Nile knows the answers too. <laugh> Ohoh. He's looking very scary.
Speaker 2 00:06:57 <laugh>. Ok, this wasn't part of the intro.
Speaker 1 00:06:59 No. So the first thing really is on a serious note and there is an article in the Irish Medical Times this week with information from the Irish Cancer Society just speaking about the impact of Covid and the pandemic on the level of cancer diagnosis that happened in the years of 2020 and 2021. And there is figures that show that I think it was 8% in 6% less cancer cases detected in those two years. And obviously the Irish Cancer Society made the very valid point that cancer didn't go away. So that just means that there's more people out there who haven't been diagnosed. And the problem with that is obviously that it is harder to treat more advanced cancers. So, I dunno, Nile do you know, do you find, cuz we were actually just talking before we came on that even in our own pharmacies, we're seeing maybe
Speaker 2 00:07:56 A lot, a lot, a lot more end stage or suddenly somebody finding out and not having, um, not getting that early treatment that can make a difference. And certainly during covid, a lot of people were scared to go to the doctor. I think a lot of people are still scared to go to the doctor, uh, about burdening them and they're finding out nearly when they're symptomatic rather than at the screening stages are that they're going on, they're going under investigation for something else and then suddenly they find out that they have a stage four growth or uh, something that's
Speaker 1 00:08:25 Not right,
Speaker 2 00:08:26 That's something that's not right and that is at that stage further down the road that they can, that they would've been able to turn back from.
Speaker 1 00:08:34 Yeah. And I think as well, people are afraid to go into hospital, which is very understandable because all we've been listening to all winter and particularly over the last kind of two and a half years is that hospitals are in crisis and people are getting treated poorly maybe mm-hmm. <affirmative>, um, at times. And to be very clear, none of that is the fault of the staff who are working in them. It is the fault of our health system as a wider concept. But,
Speaker 2 00:09:06 But even like, even even during the winter, they were talking about healthcare crisis. But I know the amount of people, depending on when this goes out, that um, last weekend was the June bank holiday weekend and the amount of people who came in beforehand prolonging of illnesses or something that they didn't want to go to hospital that weekend cuz it was a June bank holiday weekend and you're kind of going, well if people are scared to go on a June bank holiday weekend when our hospital system isn't in the middle of a winter E epidemic, yeah. What chance are we going to have this winter?
Speaker 1 00:09:38 Yeah. And like looking at the figure, the figures for R S V flu and all of that, that then led to the increased incidence of invasive group-based strep as a secondary consequence of increased viral infections this year. I cannot help but think that these viruses are going to be very opportunistic and realize, yes, we're back. You know, and I'd say more early peaks and hope, I'd say it could take us a couple of years to kind of get back from the pandemic where viruses just didn't get a chance to circulate. But anyway, I suppose the point to this is, Nile, like you're at home. You people are afraid to go to the doctor cuz if, if their problem isn't big enough. But what is your advice for people? At what level or stage should you go and actually seek help?
Speaker 2 00:10:31 I would say when something seems not normal, as in right, you can get a vomiting book and that's 24 hours or uh, 48 hours. But if it's with other symptoms or if something changes, if you notice something that there's been a change in your body, there's a reason for it. And you have to find out what that reason is. It could be the weather, it could be you have a bug, but it could be something that needs further investigation. And I would say listen to your own body as in what, how normal for me would be very different to what's normal for somebody else. So it's a change in, uh, something, whether it be bowel movement, a mole, a bug that's not gone away or just this niggle. I would say if it's, if, if it pops into your head that it's there long, and maybe this is, maybe I'm speaking as a male, that if it pops into my head enough for me to notice it's been there for a while. So any, any change then I would probably say it's worth checking out. Also, probably no harm for everybody to go for what I call an N C T once a year or every six months to get the bloods done. Um, just to make sure like if even if there is nothing, you have a benchmark
Speaker 1 00:11:32 And while there are maybe delays in GP access, that's something that you can wait a month for book it in and go when they can see a hundred
Speaker 2 00:11:40 Percent. Yeah. Uh, when, when, when they're free to see you. And it's, it's, although the small little things might seem little and you don't want to be burdening the doctors or the surgeries, but the more stuff that's caught earlier or the more stuff that flags earlier, the less of a bottleneck there will be further down the road. Yeah.
Speaker 1 00:12:00 Yeah. And just to mention there that obviously we're referencing the Irish Cancer Society a lot here, but they actually have this amazing resource which is called the early detection thing. So if you put in www.earlydetection.cancer.ie, or even just Google Irish Cancer Society early detection, you will find a wealth of information. Nile. I know because last month may was melanoma awareness month that you have some information on, I suppose melanoma and non-melanoma science took out for, and I think when it's summer we're a bit more skin conscious so it might be a good time for people to start thinking about symptoms.
Speaker 2 00:12:46 Well definitely. Um, and because it's summer now people are putting on sunscreen and to, to realize that the higher numbers are better when I'm going out it's, it's, it's nearly a 50 cuz they don't get out that often. But again, it's just any changes. So if you have a mole or if you have a, a little dot on your skin, so if, if one half is unlike another, if something changes in shape and only half of it changes, uh, so it becomes asymmetrical, that's a sign to make sure that you can get something checked out. Or if the edges of something changes. So the border color, if there's any kind of color changes, uh, in a mole or a spot that you notice, it's probably no harm to go get it checked out. Um, so if something looks like it's getting bigger and it shouldn't be like if it's not a cut, but if something changes in in width or diameter, it's definitely worth getting checked out.
Speaker 2 00:13:34 But again, it is any change that you notice, uh, is worth checking out, even if it is a spot that has begin to crusty, uh, that has begin to crust over now this is further than the kind of non-melanoma, but it's been there for a while, uh, or you haven't noticed it, or a lump that's smoothed curly or waxy. Um, these are all things that should get checked out. If there's not, if it's, especially if it's unexplained. Like if you're bumped up to something, that's fine, but if it doesn't go away or if it's becomes crusty or bleeding, it's definitely worthwhile following up with the GP
Speaker 1 00:14:03 Because we're all putting on sun cream and maybe seeing our skin more. Cause the fine weather, it's a good opportunity to have a little look and just make sure that everything is as expected. I don't wear anything other than 30 on my body. Like
Speaker 2 00:14:19 I wouldn't put the kids out nothing less than 50. Yeah.
Speaker 1 00:14:21 Like they can still absorb their vitamin D mm-hmm <affirmative> and actually my children wore 50 all last summer and you know, the one child who has the type of skin that may actually develop a tan <laugh> cause obviously got me married to a Scottish fellow, it's not like we've got a great jean pool for rocking a good tan. But the one child who has some hope did develop a tan and everything, you know, slowly wearing factor 50. And so it's just nonsense not to be putting it on on them.
Speaker 2 00:14:51 Well I have one who's a little bit more sensitive or a little bit more awkward only like certain sun creams. So we have certain sun creams for him, the texture of it, he is a sensory thing.
Speaker 1 00:15:00 Do you know,
Speaker 2 00:15:00 Um,
Speaker 1 00:15:01 Cause I, I have the same in my house and the product that is a big winner to have in, I'm gonna say handbag, but a man bag obviously as well. Oh obviously yes. Yeah. You know the Lara perse anus mist for the face.
Speaker 2 00:15:16 Yes.
Speaker 1 00:15:17 So it's an invisible mist and that is the only one that one of my girls who is a bit fussier, who I won't name will tolerate being put on her. So I find that brilliant in the handbag because even sometimes you can now it's too expensive obviously to be using it all over your body. And they do a body one which is in a much bigger can and more economical, but the face mis it is so small a can that it's really handy. You can, even if this shoulder's looking red, do you know, you get the paranoia you just
Speaker 2 00:15:42 Looks. Yeah. Well and that is that it is very handy to bring with you. Now my fellow wouldn't wear that at all,
Speaker 1 00:15:47 <laugh>.
Speaker 2 00:15:48 Uh, he'd find it too cold on his face. So he likes to have the cream in his hands for a few minutes, <laugh> to warm it up before he puts it onto his face. Yeah. Um, so a winner for us was obviously the last, um, well
Speaker 1 00:16:00 I'm just gonna get you to pronounce that again.
Speaker 2 00:16:03 I just <laugh> No, uh, you know the ground one? No.
Speaker 1 00:16:08 You sell this product. Can you know
Speaker 2 00:16:10 Anti what anti
Speaker 1 00:16:13 And
Speaker 2 00:16:15 Sake? Yes. I don't get out the sun that much, which is where the, the, the Greek influence comes from. I call it.
Speaker 1 00:16:25 Oh my God. Anyway, what
Speaker 2 00:16:28 Uh, it is name is just a name.
Speaker 1 00:16:30 Yeah. But how are people meant to find the product you're recommending me if they're like Auntie Lolls? Auntie Lala?
Speaker 2 00:16:35 Yes. Well the glass potato, the brown one, the brown one is fine. Come in and I'll give it to you. Come I'll, I'll physically hand it into your India.
Speaker 1 00:16:40 You can either go into Nile and Castle or if you're not in Ros common, which you know can happen unfortunately as greater places as it is, which you should be. Mm. So I'll put a link in the show notes. <laugh> people can translate what Nile is actually saying into product. Yeah. That
Speaker 2 00:16:57 Went down a winner this morning.
Speaker 0 00:16:59 I just want to interrupt this episode for one little second. Okay. More than one little second, but not a lot of seconds. Summer is here and it's definitely my favorite season. The only downside is all of the circulating dust spores and pollen that can make life miserable by affecting your sleep and respiratory health. That's why I'm so delighted that Salmon Plus are supporting this season of a Wonder Care podcast as the Salon plus device filters these Dustin pollen particles out of the air when used every night in your bedroom and circulates fresh clean air for improved sleep and comfortable airways. I cannot believe we're on season five. Where is the time going anyway, back to the pot.
Speaker 1 00:17:38 So obviously there is all of that. So we're definitely telling people Irish Cancer Society, the early detection is great. There's loads of resources and I didn't want to kind of just panic people and have them feel that it's really negative. So there is also another article which brings a little bit more joy on the same topic. So this was from the Irish examiner and it is from the 6th of June. And it said that obviously cancer still exists, but it's saying that there's basically been two major breakthroughs in cancer treatment as well as news over discovery that could hugely improve the health of women who have endometriosis. The first of the cancer dis discoveries concerns women with ovarian cancer and the revelation that a new drug treatment significantly reduces tumors in 50% of patients. And this came from a trial from the Royal Marsden NHS Foundation Trust. And you know, basically it's been shown that this new drug combination will block tumor tumor growth and keep the disease at bay for years. So obviously experts are saying this is fantastic and very, very exciting. Um, and the second cancer study showed that there is a now once a day pill that can cut the chances of dying from lung cancer by 50%. Wow. So that's, yeah, that's fairly astonishing. Lung cancer is the world's leading cause of cancer death, so doctors are very clearly hailing this as thrilling. So I just wanted, yeah,
Speaker 2 00:19:13 Obviously these are all clinical trials, so it'll take a while before the tablets come to market, uh, particularly
Speaker 1 00:19:21 For phase two. So that's Okay.
Speaker 2 00:19:22 Alright. Ok. They're ok. They're, yeah. Ok. They're at
Speaker 1 00:19:25 A quite advanced stage.
Speaker 2 00:19:26 Uh, and then obviously just from a diagnosis point of view, like breast cancer in 2011 was 22% of the diagnosis is in Ireland, which is a huge amount. Um, so anything that will, um, anything that can help reduce risk, um, will be, will be huge.
Speaker 1 00:19:44 So people going for their mammograms and doing their monthly checkups. Yeah, exactly. And not being afraid to,
Speaker 2 00:19:49 Again, going to the screenings and, and getting in early so that all this can be can be treated at first signs.
Speaker 1 00:19:56 Yeah. But you don't actually get a mammogram till you're 50,
Speaker 2 00:19:59 So No. Yeah, no, true.
Speaker 1 00:20:01 Yeah. So I think the importance of, you know, like you said earlier, knowing what's normal for your body and actually for women, just checking in on a monthly basis and making sure that you're not feeling any pain or discomfort, any lumps or bumps that you shouldn't be. And if you do, just get yourself to the gp who of course will want to see you to help you investigate that. And it could be something as little as a little cyst, but it's very important to get it checked out.
Speaker 2 00:20:26 Definitely.
Speaker 1 00:20:27 Okay, so the next article that I brought up today and sent on to Nile <laugh>, and I think I may have wound him up completely with it, <laugh>, but it is also from the Irish examiner from the 5th of June. Sorry, Irish examiner because <laugh> you seem to be getting knocking off me today. But anyway. And this articles
Speaker 2 00:20:50 Getting good things. It's the articles, isn't it? <laugh>, they're getting good news out here. It's the, anyway, to be
Speaker 1 00:20:54 Fair, I think the positive cancer treatment story was from the Examiner. Yeah. So there we go. Excellent. Yeah,
Speaker 1 00:21:01 Very balanced. Yes. And this really was to do, I'm not sure if Katherine Conlan Roche or if she was interviewed first, so I just don't want to kind of make that claim. But Katherine Conlan is a public health doctor in Cork and she's the former director of human health and nutrition at Safe Food. So she's a very intelligent woman with, you know, obviously a huge ed education in health and wellness and public health. I was excited to see this story. I was like, right cuz it says six steps to take now to avoid a trolley crisis this winter. So I think what myself <laugh>, myself and Nile noticed about this is the six steps are, I just wanna put emphasis before we start talking are steps that we need to take right now to avoid the trolley crisis this winter. Nile, how many months away is winter?
Speaker 2 00:21:56 Um, where do we we're June, so we're talking five months.
Speaker 1 00:22:00 Okay. So in the article it goes on to say that the census 2022 showed that Ireland has a population of over 5 million for the first time in 150 years. And it also went on to say that we have an aging population and I have been harping on about this since December and that our health capacity needs to increase. It also has a quote from the president of the Irish Medical Organization, John Cannon, who said basically that because the capacity crisis, we are having avoidable deaths in essence and treatment is being delayed in primary or secondary care cause capacity can't meet demand. And obviously their solution is to get more gps. What's your view on that? Now that's, so that's, that's one of six steps. <laugh> more gps.
Speaker 2 00:22:51 Just, uh, before I go any further, I would say actually all the ideas are quite good, you know, well as in they, they will say they're a hundred percent, they will help and they're, they're great ideas whether they'll avoid by this Christmas. So the first thing they say is, is improve GP capacity. They mentioned 1100, also the number of 2000 has been banged around. Um, so to like to have 1100 GPS by this winter. I mean we're struggling to in rural Ireland at the minute to get GPS from anywhere. They've even opened up a, uh, a pathway for, um, non-European doctors to come in that will train with an Irish GP in the rural community for two years. So even access our past that they've already implemented will take two years to come to fruition. So I can't see where they're going to get 11,000, 1100, 2000 doctors in by this Christmas. I think it's, yeah, and it's, it's a great, it's a great medium to long-term plan a hundred percent, but it's not gonna help.
Speaker 1 00:23:51 And the I C G P document from last October predicted that they needed 1400 GPS by 2025. And even with the increased numbers, and by the way, I don't think doctors want to come to Ireland because you know, their quality of life and their say payment, everything is, you know, much better in other countries, let's be honest. Mm-hmm <affirmative>, so do you know, there's not much here for them. They can't afford housing, there's no houses and things are expensive and why would you when you've got other countries to go to. So I think that them saying even that they'll have by 20 26, 1300 is still not enough. So anyway, look, we are, I'm gonna say it, we're def flunking step one. It's not possible. It's not cheap, not
Speaker 2 00:24:37 Not, not possible. And as much as it's a great idea and a lot of these ideas are gold standard or, uh, unreal, they're all unrealistic <laugh>, uh, in this day and age, um, with the health system that we currently have,
Speaker 1 00:24:51 Step two in solving our crisis is nursing accommodation. So it's talking about building and making property available to accommodate basically, um, staff that are working in the hospital.
Speaker 2 00:25:09 Um, <laugh>, we can't, we can't even house those in emergency accommodation. We can't house our homeless, we can't house the Ukraine. Ireland I think I read this morning, are giving over 1.5 million to Europe because they can't house an extra 150 people that they said they would. So we're paying Europe at the minute, 1.5 million because we can't house anymore. But yet we're going to start housing our own nursing, like, sorry, nurses that deserve accommodation. They deserve to be somewhere close to their work. A hundred percent. We have great Ross Common Hospital down here, loads of commuting to get loads of houses, but up in Dublin.
Speaker 1 00:25:41 No emergency department though. Just saying no
Speaker 2 00:25:43 Emergency department, you're right, we can't house who we currently have. So creating more houses for people who need to access work, that's, that's a failure of the health system. But,
Speaker 1 00:25:52 And also that kind of gives a concept that we want our nurses to be all, I dunno, individuals bought in who have no intention of having a family and living in Irish society. Hundred
Speaker 2 00:26:03 Percent. And even my,
Speaker 1 00:26:04 You're not putting a family, like
Speaker 2 00:26:06 My memory of when I was in college and back in the day, uh, all the midwives or all the nurses in St. Vincent's used to be housed in accommodation in St. Vincent's and they got rid of all that. Um, so they had the oppor, they had the facility to do it years ago. Uh, they sold it on.
Speaker 1 00:26:23 But what happens if you want to have a family and children? So even so, like, it doesn't matter if you're from Ireland or if you're from the Philippines, if you come over and you're living in a country to work, you're entitled to a quality of life. And you know, I just don't understand how they're making affordable accommodation. And even some of the hospitals are apparently looking at doing it individually. Like unless you're making family suitable accommodation, all we're doing is adding to
Speaker 2 00:26:50 Price. And by this Christmas, like at, at the minute, at the minute, we're not even allowed tents in Dublin, nevermind and elses like it's,
Speaker 1 00:26:57 And look what we're doing to the ones that are there burning them in like absolutely horrifying stuff. So
Speaker 2 00:27:02 Very good. That's, I'm, I'm gonna defunct that one for you Gina. Sorry.
Speaker 1 00:27:06 Thank you. Okay, then we can move on to step three, which is recruiting carers. So according to this, home care services were recently reported as facing collapses because they can't recruit staff. More than 6,000 people have been approved for home care packages, but no carers to fill those roles.
Speaker 2 00:27:26 And it's the same all over the, again, where are you going to get the people from? Every sector that I know of talk, even within the hse, they can't get doctors, they can't get consultants, they can't get carers. Now it's the same private across the board. All sectors. There's no people. No, and certainly ev even when they have a recruitment drive, they only fill a certain amount of posts. So you can have a recruitment drive for 6,000 people. You won't have them by winter.
Speaker 1 00:27:50 I just want to add, because Nile's being really bleak, we actually have a solution at the end of this. So <laugh>, it's just that ours is better, ours is better cuz he's actually, I don't
Speaker 2 00:27:59 Mean to ble, it's just
Speaker 1 00:28:01 No people. Um, there are people, but we actually have full employment apparently and we have really expensive housing and rental markets. So look, we're gonna move on to our solution at the end. So I'm gonna move on to step four of the examiners, which is about sarcopenia. So according to this, from the age of 50, we lose muscle mass every year. We know this. And two-thirds of people over 70 have what's called sarcopenia, which is a progressive generalized aging muscle disease car characterized by loss and muscle, yada yada, right? So obviously it gets harder to treat where as it goes on. And the step four that is a, that's addressing this one basically says that we should have subsidized community supports to incentivize regular twice weekly strength exercise programs in local communities. And that this would've a huge impact in terms of building muscle mass and strength and increasing health, aging and keeping older people out of hospital. Nile, your feedback on this point?
Speaker 2 00:29:08 Who's going to do it? Is this gonna happen in the community? Uh, like I know certainly from talking to a lot of, um, a few other professionals, uh, you have the likes of, uh, OTs would be, our physios would be perfectly able to do it. But I know a lot of OTs are getting swamped up with people who can't get into, who can't get into mental health. They being sent to OTs for different things and it's, it's the bottleneck. It's they can't access, uh, schemes where they should do. Uh, and it's all further back up. I can't see there being people, I'm sorry. Definitely a willingness, uh, how it'll be implemented. Like once something's implemented, politicians have a great way of saying we'll do this. And then eight months to a year later they're still talking about how they're actually going to do it. Can't see this happening before Christmas.
Speaker 1 00:29:51 One thing that really stands out to me over 60%, no actually I think it's over 70% of that population are obese or overweight. Hundred
Speaker 2 00:30:03 Percent. They're also scared at home
Speaker 1 00:30:05 Trapped. Yeah. So we do need to get people moving and I look ultimately Nile, you're like me, you're a runner. We like her exercise, but it's not, you need to be realistic. If these people don't have carers, how are they gonna get out if they're struggling with mobility? So I dunno that one, I don't even know what to say about that one. I like you. I just don't think that there's any
Speaker 2 00:30:29 Exercise is a great idea. A hundred percent. And like in theory gold standard needs a lot more work. It's, it's an unrealistic unsupported. Um, whereas if you had the full support, but again, it needs a lot of thrashing out on how to do it.
Speaker 1 00:30:43 I think you're right. That's step four pretty much defunct. It's not
Speaker 2 00:30:47 Possible. Yeah, I think so. Yeah.
Speaker 1 00:30:49 Step five, I'm gonna try and read this without laughing fruit and vegetables on prescription. Yeah.
Speaker 2 00:31:00 Need to leave it there. <laugh>.
Speaker 1 00:31:01 I think so, I think, I think I'm done with that.
Speaker 2 00:31:04 No, sorry. Healthy diet, balanced diet the way to go. A hundred percent. Um, but it's unrealistic in the fact that sometimes we can't even get drugs on prescription. Uh, that you talk about the likes of caravan and um, it took how many years to get that actually allowed on the drugs payment scheme. Even now still it's very clunky. Um, very clunky. Like as in the paperwork involved, the, even even the health minister Steve Mad Donley has looked in it and said this, this isn't, this has to be looked at. Um, it's just way too clunky and like that's trying to get a drug onto a prescription. Yeah, fruit and veg. Sorry, also great idea. It is the way to go. Sorry. It's certainly a step forward. Um, but I can't even imagine the amount of o of waste or paperwork or bureaucracy or everything that will go involved in that.
Speaker 1 00:31:53 I feel I better explain because obviously they're not expecting community pharmacies to become Green Grocers. So Green Grocers out there, rest assured your job's safe. So in the UK last year they did this little pilot scheme. So they give low-income families vouchers to go and get kind of fruit and veg and stuff. But I'm not going to enter into this conversation too much purely because I have spent a lot of time over the last six weeks talking about obesity and ozempic and we know that obesity is coming at us like a train in the face as a healthcare crisis and it's gonna demand so much hospital space and so much primary and secondary care need and it's gonna be the biggest drain on our health system in the coming years. Clearly we need to solve obesity and yes, giving fruit and veg on prescription as they put it, is a lovely idea.
Speaker 1 00:32:55 But actually what I think we might be better do is to tax all the people who are producing all of the crappy processed foods, which I am not sitting on a throne talking about cuz I eat lala processed nonsense <laugh> if I'm in a hurry. But I do think that we should be discouraged from taking the easy option and for me, money would motivate me to go with fresh produce over something that's really expensive and processed. Cause they'll be like, right, well these fruit and veg have been subsidized by our government where they get the money, they get it from taxing, they're high salt, high fat, highly processed producers and they allow the likes of our dairy farmers and our veg and fruit producers to maintain a more sustainable model and also to follow, um, to encourage them to grow more healthy produce and then also make sure that the customer sees the price drop as well.
Speaker 1 00:33:55 So there needs to be kind of a, a clear policy on how that would work. But it should be incentivized to grow healthy food and it should be incentivized. You should be incentivized to buy it. And the the best incentive when you're making a choice when you're hungry is your wallet. I think hundred percent. Two or three there's, and you'll have had food dudes and I hear a lot of criticism, criticism about food dudes in the school. Does your school do food dudes? Yeah. Yeah. So I hear a lot of criticism about that cuz to be fair, sometimes the little plastic bags or fruit and fetch they got, first of all, it shouldn't be using plastic bags like get local producers to be providing that fresh fruit and ve Yeah, hundred percent. Yeah. And it's not exactly green to be put in a cazillion little plastic bags.
Speaker 1 00:34:38 And also the fruit fruit in some cases, I believe I have read on the interweb, it was very soggy by the time it reached the child. So of course the not couldn't enjoy that. No. However, we are clearly investing money and making an effort in educating our children about healthy diets, yet we're not willing to educate their parents who are the ones who are actually preparing the food at home. And I think it would be much better to have big public health awareness and be handed out loads of free simple recipe books of healthy foods and maybe doing up like do you know now, sorry, this is just something that's occurred to me, you know, now like hello and sorry to this company, but hello fresher spamming my Instagram and everywhere they're every influencer's getting one where they're providing fresh food and a recipe. But maybe the government should be bought like offering some sort of similar model where in your supermarket you can buy a value pack that comes with a recipe and say, are you making a healthy chicken curry for your kids tonight?
Speaker 1 00:35:34 Here's the ingredients you need to do or whatever like we and subsidize it. If they could get a company to state funded, you know, get the state to, to kind of subsidize it. Someone you have to pay something for your food mm-hmm. <affirmative>. But let the, let the state kind of maybe subsidize the packaging and the leaflets and the health promotion beside it but have it incorporating portions. So say for a family of four or a couple of two or a single person and have kids where you're like, okay this is a lovely beef casserole or this is a lovely blah and everything is there. Or even your list of ingredients just and your, do you know, vouchers off the, the say the products there? Look, I dunno, it's just an idea. Yeah. It's just people are paying privately to other companies to do that. And I'm not sure, and I don't know, they probably are very healthy, but maybe the government need to look at that people are buying convenience, let's give them convenience, but let's give them healthy convenience.
Speaker 2 00:36:29 And I also like to say teaching children to cook is excellent. Last night I had chicken nuggets made by number three and number one I had pasta with afer as in I had pasta with sauce made by number one. And it, I must say it was very nice
Speaker 1 00:36:42 You had two
Speaker 2 00:36:42 Dinner and I'm still here. Well we got the chicken breasts and they, they breaded it And um, I have children and apparently we should be opening a restaurant according to my own children.
Speaker 1 00:36:51 Well it's good that they think highly of themselves. Mm-hmm.
Speaker 2 00:36:54 <affirmative>, yeah. Mm-hmm <affirmative>. Yeah.
Speaker 1 00:36:55 Yeah. Just all I have manage, well my children can make like scrambled eggs and beans and waffles, so that's good. But they can also make me coffee in the morning, so that's good. Oh
Speaker 2 00:37:03 Yeah. I haven't mastered that yet. Now that is, that's
Speaker 1 00:37:05 You need to travel cup that can't spill so they don't hurt themselves. Yeah. And you need the older one toward the kettle. There's a lot of hazards there. Be careful people. Yes. Yeah. Okay. The next step then is step six, which is loneliness. And I'm not gonna talk about this for too long, but obviously it is saying that healthcare workers and policy makers, um, are becoming more and more worried about loneliness. It's very clear that it's a huge problem because do you know a lot of people are living alone, especially as medical intervention kind of continues. People are living longer, but obviously you could have one part, one partner live longer than the other and living alone doubles the likelihood of experiencing loneliness. And obviously that affects a lot of younger people as well who maybe aren't getting the opportunity to meet their life partners for whatever reasons.
Speaker 1 00:37:53 And loneliness can significantly increase the risk of an nearly death. It's associated with Alzheimer's dementia, chronic diseases like heart disease, stroke type two DI diabetes and cancer. So I can absolutely see why she is addressing this. And I actually really like this one because this is something community programs, maybe we do more like do you know more community events, whether it be bingo or whatever, maybe fund the councils to provide events that are of interest in the county that you're in because you know, the demographic is different in every town, but maybe give a bit of funding to get people together.
Speaker 2 00:38:31 Yeah, and I mean you've, you've the family resource centers, you have two sls you have agencies there who could take that on, uh, whether they want or not. <laugh>, that's not up for me to say, but it'll be like, it, it's, it is an issue. Um, it's one that's all recognized, but again, and there are, there are community-based companies out there who would provide that, again, like the, the family resource center is a perfect opportunity to run classes to, to get people to talk to each other. The men's, men's shed, men's shed, uh, is is another one.
Speaker 1 00:39:02 The g the G is very organization at this
Speaker 2 00:39:05 Point. But, but that does involve people getting up and attending them. Whereas the other side is that they have to feel like they're able to get up and attend the people who, who wouldn't attend those kind of things that might fall through the gap. Carers are already there. They're, they're certainly not in it for the money. Uh, you know what I mean? They're there for that to help people and that kind. So maybe through uh, a home care agency or something that might be able to
Speaker 1 00:39:30 Do. And actually anyone who has existing carers may be having their hours subsidized so that for the people who could potentially be brought out, could be brought out or for the people who can't be brought out that maybe they can be interacted in a way like board games or cards or Yeah. Listening to music, whatever. Just hanging out. And
Speaker 2 00:39:46 Like as in when you get somebody who's been allocated hours and they get 45 minutes, there's not a huge amount they can do within 45 minutes apart. Getting the person up, getting dressed, get the shower, get the ready for the day, but that's it. Whereas by extending that out to actually stop and have a cup of tea or have breakfast with them or just have that extra few minutes, you don't have to be even worried about the traveling time. Just extend the people that they're calling to on certain hours would be an idea. But I don't know how well that would work.
Speaker 1 00:40:11 I think they should do that. That's what I think. I think all the players should be paid more. Cause as you said, they already obviously, look,
Speaker 2 00:40:18 I think they're, they're in it for the heart. They're not having the money. Like as in they're going out, they're helping people. That's what they're doing
Speaker 1 00:40:23 And they know if, if someone can go to the shops or go to the post office or whatever or if they can't. Yeah.
Speaker 0 00:40:30 Okay. So what you're saying Nile, is that you don't think that those six steps are an instant fix to this winter's hospital crisis while on their own are maybe very good.
Speaker 2 00:40:42 So some of them, some of them are, have a lot of merits. Some of them need more thrashing out. Uh, so, and some of them are very good plans for medium to short, medium to long term. A hundred percent.
Speaker 0 00:40:51 So there is clearly one solution that is available with the infrastructure in place already. And that is something I've been harping on about since the 15th or 16th of December last year. Really.
Speaker 2 00:41:03 Have you <laugh>? I might, I must have missed that one.
Speaker 0 00:41:07 Did you, did you miss that one? Yeah, no, anyway, I was on all sorts of radio and I you should really listen talking about it and obviously I wrote a letter to Leo Brad and subsequently received one back from Steven Donnelley who obviously does say, to be fair to him that he sees the merit and the use in an expanded role of community pharmacists because we are available and you know, over 90% of the population are, are living within 5k I think it is. Yeah. Of a community pharmacy. So we're accessible and we have a lot more expertise than we are able to use. And for example, both myself and Nile trained in Scotland and over there we were able to give conjunctivitis medication and whatnot Over the
Speaker 2 00:41:51 Counter. Over the counter, over pg. Yeah.
Speaker 0 00:41:53 And here obviously there is talk instead of using pg ds, which are uh, again another clunky legal mechanism that we would just embrace pharmacists prescribing and eHealth, I'm not gonna Twitter on about that anymore, but there are options that are available right now for this winter that will stop.
Speaker 2 00:42:12 Just cause the infrastructure's. The infrastructure's there. Yeah. Like with a lot of Miss Conlan, you're having to create infrastructure, like there's a, a current infrastructure already set in place and all it needs is a little legal framework. Yeah.
Speaker 0 00:42:25 And we've seen legal frameworks change during the pandemic very rapidly. And all we ask and what I asked last winter, hoping I was naive enough to think that you know, by January we <laugh> we might actually be able to do our jobs and you know, it's now six months on and I am fearful for this winter.
Speaker 2 00:42:43 You don't have to worry, it's the summer we're not in a healthcare crisis anymore.
Speaker 0 00:42:46 Tell that to the hospitals <laugh>. So, so we want to keep people outta GPS by not out gps basically we want the GPS to be able to see the more complex cases who need to see them. A lot of people accessing GPS because there is no other avenue or gateway into the healthcare system. And we are there to provide care in the community for those people. So look, we'll see what happens, but that's another topic for another day.
Speaker 1 00:43:13 Okay. I'm very conscious of time because we tend to rant and ramble on. We're gonna touch up this really quickly, but Harvard Health Publishing, um, Harvard Medical School had an article on the 7th of June, which was yesterday in recording World oh
Speaker 2 00:43:31 Two or three days ago,
Speaker 1 00:43:32 <laugh>. And it says play helps children practice key skills and builds their strengths. So it goes on,
Speaker 2 00:43:41 My wife does happen to be a play therapist <laugh>. So the importance of play, um, is huge in my house.
Speaker 1 00:43:49 Do you know what though? It's, it should be more important everywhere and especially we're in an increasingly digital world and according to the article it's not surprising that children are spending more and more time on a device. And certainly I have known as a parent myself that obviously we have two working partners in our house and it's very difficult to hold town two full-time jobs and parent to a very good or even reasonable sometimes standard all of the time because you're doing the laundry, you're cooking the dinner, you are trying to bring one child to football, the other child to drama group and the other child has soccer and you're trying to figure out all of that and find their clothes and pack the lunches for tomorrow. Like I'm tired even talking about what we do on a daily basis. Yeah.
Speaker 2 00:44:39 Feeling you're sing how I doing?
Speaker 1 00:44:41 So very often and actually we had to have a family meeting about the other night, which sounds much more impressive than it was where we had to sit down and say like, no, the iPads are whatever devices have got to go because you aren't in great behavior, you know, you're not doing great behavior after it. You're tired, it's making you aggressive and a little bit obsessed with logging in. They're obsessed with logging in daily. And I'm like, no, they're gone. It's summertime. The daylight is here, we're gonna go play, we're gonna have so much fun. And the response I got was, I can't wait for winter
Speaker 2 00:45:14 <laugh>. Wow. Okay.
Speaker 1 00:45:18 Yeah. Anyway,
Speaker 2 00:45:19 So that's, that's where we have um, like we, we don't, I have four boys, um, so we don't, we don't fit in our house. Uh, so we had uh, a grass area out the back like, but you'd dress all four of them out. You, but, and you'd kick one of them out and then get the next one dressed and by the time you have the fourth run dressed, the last one was, the first one was going back in head to toe in muck and you're going, oh good god. So we actually changed it over to fake grass. But now you can send them out in all whether it's not like their football has become a big thing in our house recently
Speaker 1 00:45:48 There's an interesting line in this article and it says parents and children are literally forgetting how to play and it's just trying to encourage people to get out there. Cause children's, um, emotional regulation and physical skills all come from that. And there is a few suggestions of games here, so I'm just gonna read them out. So obviously red light, green light, Simon says duck, duck goose, uh, free dance ice by bingo, starting a story and having others add twi. We like to do that when we go out and walks actually, so Oh, we
Speaker 2 00:46:19 Do that too. Yeah.
Speaker 1 00:46:20 Yeah. And that's a big way cuz walk, oh my god, my legs are sore, my legs are sore. So you have to find a way or or humming songs and trying to get them to get well like
Speaker 2 00:46:29 During, during, during covid we, I won't say we forgot about homework having the, the two younger ones at that's at the start of covid weren't in school. So homework was a, was a struggle. So we just went on lots of walks and we did Lego and we did sums and all that kind of stuff. But the walks really helped. We find if we don't get outta the house at least once a day, all that pent up allergy is just built up and it makes for not an easy afternoon.
Speaker 1 00:46:51 Yeah. I find my children now, they don't wanna go outside unless say like they will eventually, but sometimes if you, they're like, come play with me Mommy, can we actually, we were down in Casare at uh, at the weekend we got water guns and they're like, have a water fight and I left our mother minding our children. I went off my run. So when I came back I was hot and they had been watching tele and I was like, right guys, no water fight. And they weren't, they wouldn't go and do it on their own but they were quite happy when I went out with them. So they, Julie soaked me and that was fine, but then I wandered off and snuck back inside for my shower and then they were running around for ages. It's like they just need you to get them started.
Speaker 2 00:47:29 Yeah.
Speaker 1 00:47:30 Get them out the door. It's hard and I think it's hard
Speaker 2 00:47:33 The kid at the end of the day, they're children, they will play but it's just when there's no other distraction and then like that when they're out playing warfighting, they need a reason to go in.
Speaker 1 00:47:42 Yeah. And then they need to be not asking for screen time. So like having a meeting with kids, like anyone from kind of five or six up where you say, look I don't want you to ask for it cause that means you're not gonna get it <laugh> I'll give you when there's a right time so don't worry. So that they just lose that obsession. It's almost a relief to them cause they're like, okay, she's being away. Yeah, we're,
Speaker 2 00:48:04 We're, we're we're in the tough battle now cause we've slapped a lot of the iPad time, but some of the homework is coming in on tablets, uh, and they have to do spelling on tablets and so at eight o'clock in the morning they're going, can I do my spelling homework? And you're gonna go, eh, I'm pretty sure we did that yesterday <laugh>. Yeah. And it's a tough, a tough balance to do it.
Speaker 1 00:48:21 Reading eggs and athletics, they always and
Speaker 2 00:48:23 We're I Ls something or another and spelling something or another. I don't even know what they're, but I, I, I know the love for them and I know how to get into them. But
Speaker 1 00:48:31 Yeah anyway. Right, there are a lot of challenges and I'm sure we'll talk about more of them next week cuz we have actually harped on for a whole hour now and I never even got to ask you fact. Hold on fact.
Speaker 2 00:48:44 Fun fact. Oh yeah. Okay. Can we stop recording now in case I don't know it <laugh>?
Speaker 1 00:48:49 No, I'll give you an easy one first. I'll give you two. Okay.
Speaker 2 00:48:51 What's it about?
Speaker 1 00:48:53 What is the largest organ in your body?
Speaker 2 00:48:56 Skin.
Speaker 1 00:48:57 Okay fine. You are always gonna know that is okay. Laughing is good for your heart. It can increase blood flow by how many percent?
Speaker 2 00:49:09 Ooh, I am blood flow. I'm going to say 12. I have no idea why.
Speaker 1 00:49:18 Insert a, a noise
Speaker 2 00:49:21 <laugh>
Speaker 1 00:49:23 20%. Oh wow.
Speaker 2 00:49:25 Okay.
Speaker 1 00:49:26 Yeah that, that's impressive. So
Speaker 2 00:49:28 Your heart must be really good with all those laughter lines.
Speaker 1 00:49:30 See I'm not laughing at you <laugh>. He laughs at himself all day so he's laughing.
Speaker 2 00:49:37 No one else laughs at me so I have to
Speaker 1 00:49:38 No, we laugh at you would not wait to Oh yeah, yeah. Anyway, I'll let you get back to your customers in Cassie. How did you enjoy your first experience? It
Speaker 2 00:49:47 Was great. I'm glad I got, was technologically able to do it <laugh> so I'm glad we're there saying that I have to wait for the finished product and see just
Speaker 1 00:49:56 Before we go, this podcast is sponsored by Salon Plus, as you will have heard at the start of this episode. Nile, are you a Salon Plus fan?
Speaker 2 00:50:05 I am a salons plus fan. Uh, I am a big reliever. I have an in my own room, um, and I have the age old trick of a timer plug. Um, so I literally just have a timer plug so at 10 o'clock at night it turns on and it turns off again at seven o'clock in the morning. So I put it in, just leave it there and then six months later I'm alarm on my phone to tell me to do the filter. It is, should be four months. Very
Speaker 1 00:50:29 Handy. You should do more
Speaker 2 00:50:31 During the winter, during the summer.
Speaker 1 00:50:33 <laugh> you don't get sick. Excited someone months out of it if you're using it every day. So four months. Um, but I actually lately I think it's the heat the room was feeling really stuffy hot. I was hot and bothered. I wasn't sleeping and it felt moldy ju it just felt gross in my room for whatever reason. And we live in a dormer and I dunno what's going on. Anyway, I moved to the salon plus right up onto my bedside locker and I've started, I used to just turn on when I was in bed, I've started turning on about two hours before I go to bed, which is way too late. So normally I turn around <laugh> around half nine 10 and I'd be in bed for kind of half 11, 12 ish and I dunno, I sleep in amazing. It's very late. Too late. Yeah. Anyway, it's amazing. So
Speaker 2 00:51:15 It's it's, it's funny I've have um, currently when we put all the kids to bed we don't, they're not all in separate rooms rent and so we separate them and number three goes to sleep. It's, it's his turn at the minute to go to sleep in our bed. Uh, and I left and we had one or two at different times but they just got too big to move. Yeah. Um, so number three currently goes to sleep in my room and we found that his, his sinuses and his uh, he had a couple, a lot of sinus issues and stuff, but it's actually really started clearing up um, since we've started that. So we'll probably leave him there for a while though. He's already given out cause he doesn't like going to sleep in our room. Yeah, we have them mono's going bed otherwise.
Speaker 1 00:51:52 Yeah, because the, we've dust allergies in our house and I have hay fever and it's just all go. Um, but I just couldn't believe the difference in the quality of sleep with the heat cuz obviously it's circulating the air, it's just freshening it up a bit and cleaning it anyway. Yeah, I'm not gonna harp on about that. That's for another time. Nile, thank you so much for joining me today. Thank you for having me. Everyone. We promise not to take full hour next time you don't promise it won't
Speaker 2 00:52:18 Be a full hour with all the editing, so it'll be fine.
Speaker 1 00:52:20 Remember, go for a walk while you're listening to this every week and we will keep you up to date with all
Speaker 2 00:52:27 Uninformed.
Speaker 1 00:52:28 Yeah. And we'll be covering everything, so anything health orientated that's in the papers from anywhere in the world.
Speaker 2 00:52:34 And if you see anything, make sure you spam Sheena with all the stuff. <laugh>. Yes. That, um, you can send her all the stuff and she'll, she'll filter through it and she'll tell me what we're talking about.
Speaker 1 00:52:44 Yes. And actually the next episode that'll be out will be all about travel tips for kids, which people on Instagram give me loads of info. So do jump on to Wonder Care underscore i r l on Instagram. And I will be putting question boxes up there on particular stories. And you can give your example or, you know, share a recent experience with us and we will read it out and discuss it. <laugh> on God. Thank you, whoop.
Speaker 0 00:53:12 If you enjoyed this episode of a Wonder Care podcast, health news and Chats, then please do subscribe to our show wherever you get your podcast. And even better, you can give us a little review on Apple Podcasts or on Spotify. Let us know what you thought of the episode over on Wonder Care underscore i r l on socials.
