Dementia - Episode 10

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Episode Transcript

(00:24):
Hi, I'm Tiania Barley along withMermr Weeks. Welcome to Psycho Babble Dash
Me. Happy New Year. Wehope that this upcoming year is better than
the last for everyone. Today we'regoing to be talking about dementia. But
before we start, we want toput out a disclaimer. This is episode

(00:44):
maybe triggering for some people and isin no way meant to replace mental health
treatment or psychiatric care. We havea guest today right later. Her name's
Lorie. Yes. Can't wait tohear from her and have her educate us
on a program that she does.And it's for first responders. Is that
right, Danielle, Yes, itis definitely for first responders. So before

(01:07):
we start, let's just put outa few statistics first, we'll just go
over some stuff related to first responders. Is that all right? Okay?
Definitely. So when I was researchingthis, I found in the Journal of
American Medical Association that they say thatone point four million patients with dementia go
to the er every year. Mostof those are over eighty five and female.

(01:30):
They say the number one reasons isaccidents, whether that be accidents at
home or car accidents. The secondis behavioral disturbances, acting out things that
you know, people can't explain generalweakness. Also, they say that these
people are more likely to get diagnostictests such as CTS, your analysis,

(01:52):
stuff like that, because basically peopledon't know what's going on, and also
their choice is likely to be prescribedantipsychotics, which we know in the I
mean Danielle and I know that canincrease their mortality risks or their death risks
because of increase in falls and thingslike that. Also, a study by

(02:15):
the National Institute of Health found thatcases are only increasing and police reported that
monthly they have eighty nine percent eightynine Wait, that doesn't make any sense.
Let me back up here. Theysaid that eight of the police reported

(02:35):
interacting with an older adult monthly,and only thirty two percent of those people
consider themselves knowledgeable about aging related healthcare. So what this woman's doing obviously is
really important because people don't know howto interact with these individuals. Right,
Yeah, definitely. I have alot of patients that I have menthal oness

(02:57):
but also have some dementia and talkingwith like the case managers and their family
and stuff. Oftentimes they're calling nineto one one, like continuous because they
don't know what to do. Yeah, and it's so important, like you
had said that people need to knowhow to react and appropriately help the individual,

(03:19):
how to interact with them. Yeseah. Right. So, in general,
the CDC says that five point eightmillion people in the US have alzheimer
related dementia, so that's a lot, and it's estimated that they fall between
the ages of seventy five and eightyfive. And of course, as the
older, you get the increased riskof developing dementia, right, yes,

(03:45):
And then they say Alzheimer's dementia accountsfor sixty to eighty percent of cases.
Next is vascular dementia, which isbasically when little microscopic bleeding occurs in the
in the brain and it blocks bloodvessels. And that's the second most cause.
And dementia is just a general term, while Alzheimer's is a specific disease

(04:08):
that we know what causes it.And they're all related to age related changes
that occur in the brain. Yes, right, they are. Okay,
So let's talk about some of therisk factors age, which mehor Mar had
mentioned, especially after the age ofsixty five. Family history. However,

(04:30):
many people with family history never developsymptoms, and many people without family history
do. There's tests to determine whetheryou have certain genetic changes that can increase
the risk. And they said downsyndrome is another risk factor. Some risk
factors, you can change diet andexercise, especially you want to eat more

(04:53):
fish, fruits, vegetables, oils, also exercising cognitive thinking. They say
that makes or you use your brain. If you don't use it, you
lose it. Drinking too much alcohol, large amounts of alcohol obviously is going
to change your brain chemistry, cardiovascularrisks, depression, air pollution, head

(05:15):
trauma, sleep problems, people withsleep apnea and other sleep services might have
a higher risk of developing dementia.And low vitamins, which you say,
it's so important, especially with mypatients, even with mental health, I
always am checking their vitamin levels,like vitamin D. They say with dementia,

(05:38):
vitamin D B six B twelve infull ag can increase the risk of
dementia. And I think that tiesin with the alcohol used too, because
vitamins, yeah, medicines that conwerce in memory, benaderne, ditropian and
again that's taking you know, largeamounts for a long period of time,
not if you pop a ben indraw every now and again. Yeah,

(05:59):
also limit sedatives and sleeping tablets,and always you want to talk to your
healthcare professional about whether any of thesemedicines might cause any type of memory worsening.
Just to backtrack a little bit whatDanielle was talking about. So they
now have in MRIs they can identifythe early changes in the brain by seeing

(06:21):
what are called amyloid plaques, andthese are plaque build ups in the brain
that occur with Alzheimer's. And we'lltalk about later on. There's a new
drug that actually targets these neurofibrial tanglesthat occur in the brain. And also
they've developed biomarkers in the blood whichcan identify people at risk for developing the

(06:42):
disease. So Alzheimer's developed slowly andworsens as it progresses, and there's certain
stages. So the first stages wascalled mild cognitive impairment. And these are
just mild changes in memory and thinking, but not enough to affect their life
for relationships, So people just mightbecome a little forgetful, but nothing that

(07:02):
you know, would send up redflags in the family quite yet. Yeah,
and that can last for years beforethey developed into mild dementia due to
Alzheimer's, and that's when the diagnosisbecomes more apparent due to the symptoms of
person's displaying. So this is memoryloss of recent events, trouble with problem

(07:25):
solving complex tasks, judgment impairments,personality change, trouble organizing, expressing thoughts,
getting lost, displacing things. Somy dad had the vascular dementia,
which is a different type, butwe started to notice this. He's deceased
now, but probably like four yearsago, he started, you know,

(07:47):
not being able to find his keys, leaving his wallet places, stuff like
that, and he progressed through thesestages. The next stage is modern dementia
due to Alzheimer's. This is forjudgment confusion, increase in memory loss.
At this point sometimes they need helpwith you know, bathing, dressing themselves,

(08:09):
significant change in personality. They becomeparanoid, unfound suspicion. Again,
a little personal story. One time, my parents were at the pool where
they live, and my mom hadgone into change out of her swimsuit and
my dad wandered off to go backto the apartment by himself, and she
was like looking everywhere for him,couldn't find him, went back up to

(08:31):
the house and he was in thestorage room and their condo outside their door,
and he became like enraged with herbecause he thought that, you know,
she had left him alone and hewas just it was just he was
just so confused, he didn't knowwhere he was. And then severe dimension
due to Alzheimer's. They lose theability to communicate, They need care with

(08:52):
everything, feeding, absolutely everything,and the decline of physical activity where they
can't even walk or sit up orsupport and then from there it's basically yeah,
the end, right, Yes,Now we're going to discuss some medications
that obviously doesn't cure Alzheimer's, butit does stop the it slows down,

(09:16):
the pro down the process of it. One met is air Acept, another
one is Excellent and these are someof the older ones, right and those
are so those are both approved Excellent'sapprooved for mild and water disease and Aircept
approof for all the stages. Ihave to say in my when you know
I had patients with this, firstof all, I usually refer them to

(09:39):
neurologist. I do too, Butwhen I did have someone and they'd even
been on aircept or excellent. Unfortunately, I really didn't notice that much of
a yeah change, neither of thefamily. The good news is they've come
out with a new drug, andI'm going to butcher this name, so
I apologize. It's called lu kenbe l e g E m b I

(10:01):
and it actually targets those plaques thatwe were talking about and helps break those
down. It was approved in Januarysix of twenty twenty three, so hopefully,
you know, that'll obviously slow downthe process a lot more than these
other old drugs that we have.Yeah, and also too, I think

(10:24):
it's really important to talk about thecaregivers that are you know, caring for
their their loved ones, whether itbe a parent or husband has Yeah,
that you know, if if youhave family members, just make sure that
you're being supportive, giving them,you know, time to themselves breaks.

(10:45):
Yeah, definitely. And also Ithink the you know, our guest is
going to talk about educating first responders, a lot of that can also probably
be applied to families. But Iknow that it's so hard because it's so
frustrated for the caregivers, and there'scertain things that just make the situation so
much worse, like saying, youknow, don't you remember for arguing with

(11:09):
the person about something we're saying Ialready told you I mean, And it's
hard to do because I witnessed itfirsthand. But you just have to unfortunately
keep repeating the same things over andover again to that, yeah, because
they're going to continue to forget questions, Yeah, questions. Yeah. So

(11:39):
today we have a special guest onLaurie mcglumpy. Hi Laurie, Hi,
Danielle, thanks for having me.Oh you're welcome, Thank you for being
on. So today we're going totalk about Laurie has a educational program called
Equipped Empowered in an Able, andshe's gonna tell us what that educational program

(12:03):
does and what she does and whather personal mission is. So go ahead,
Laurie, So Equipped to Power toEnable. It is our company in
the program that we wrote. Ihave a partner in West Virginia also named
JP Hunter. We wrote a programcalled Dementia Situational Awareness. And this program

(12:24):
is geared towards first responders are police, in home healthcare workers, professional home
care staff, assisted livings. Andwhat this does is we talk about the
program geared towards dementia, but gearedtowards what do you do in these situations.

(12:48):
We've had so many people come tous and say, if we just
had someone to tell us, likewhat to do in this situation, or
what if this person goes wandering,or what if this person calls nine one
one and is seeing people around theirhome? How do we respond and what
is the best way that we cancome in and help this person feel safe

(13:11):
and secure in their own homes.The caregivers especially because normally a caregiver,
when they're caring for their loved one, they know that they there's no one
else in the world that can carefor their care for their loved one like
they can't. They're the only onesthat, you know, know what is
going on with that person, whattheir needs are, what their wants are,

(13:33):
how to calm them down, howto help them cope through a day.
And you know when they say that, you know it's the longest day
it really is for caregivers. Soyeah, when they call nine one one,
that really is sometimes the last resultfor them. They've tried everything else

(13:54):
in their power, and when theycall nine one one. So when nine
one one is dispatched or be emsor police or quire when they come out.
Being aware of the person that's inthe house and what's going on with
them is intricate into diffusing a situationor just being able to have a better
result for different situations. Yeah,I could only I can only imagine because

(14:20):
whenever we started this, me andMayor and while we're talking, in the
beginning of our program, we didsome statistics on you know, dementia related
calls d MS, which is alarge amount of their calls, it is.
And surprisingly enough, different areas,different demographics have different amount of phone

(14:45):
calls when it comes to people callinginto nine one one for any kind of
assistance. We found, you know, as we've been traveling around and putting
on these trainings that the more ruralareas definitely have more calls. Oh and
for the simple fact that these peopleare living alone. You know, we

(15:07):
don't know how many people are livingbehind closed doors that are undiagnosed with any
kind of cognitive issue. Lack oftransportation, lack of healthcare in the area,
lack of just assistance for that reallyboost up the phone calls in those
areas because those are the people thatthey're going to call too. For the

(15:30):
help that they need. How So, whenever you go in, what are
your main points that you teach thefirst responders, police, MS, home
health people. So we know thatthese people, most of them are doctors
or going to be doctors. Sowe touch on the diseases and the true

(15:50):
that we touch on, you know, because with dementia, dementia is an
umbrella term underneath of dementia is Alzheimerdisease, vascular dementia, Louis body dementia,
frontember logo dementia, and so thoseare all the different types of dementia.
Yeah, we met me or Marktalked about those all we defined in

(16:14):
the beginning of the program. Sothat's good that you you know, explained
that umbrella again. Yeah, sowe really keep in on Alzheimer's and Louis
body dementia because there's such a differencebetween the two. So when we first
start out with the training, wejust want to tell them these some of
the symptoms of Louis body compared toAlzheimer's Louis body dementia. The ones with

(16:38):
that disease have a difficult time.They have a huge sensitivity to medications.
Most people don't even know that ifthey come out and they're very agitated.
If they are taken to an eror something. They may be given how
golf, while how golf can bedetrimental to someone who's louis body dementia.

(16:59):
Yeah, and so we kind ofbring that up and then we go into
what we offer for caregivers, becausecaregivers is going to be the lifeline between
the person that comes in for asituation and their loved one. So we
have some different tools. We havesome different cards that we put out,
and one of the cards might saythis person has dementia, may say or

(17:22):
do something unexpected such as misinterpretous situationor something you say, have difficulty finding
the right words, repeat things,and take longer to respond. We have
a magnet that you can put onyour refrigerator and it just says, my
blank has dementia. So my spouse, my loved one, my daughter,

(17:44):
and my son, his or hername is blank. In case of emergency,
please contact name relationship phone number,because there's so many times that we
don't have that available in a house. And if say a fire woman is
called and the house and they getin there and they don't know that that

(18:06):
person in there may have some formof dementia, and many people with dementia
are non verbal. Yeah, exceptthat mad can be very helpful. But
we have other cards too because wehad it an instance where my partner was
in a car crash and he caresfor a loved one and so the card

(18:30):
that he keeps with him and says, I care for someone with dementia in
case of emergency, please check ontheir stafemy's great the name and relationship and
the contact name and information is onthere, so that that's on his person.
So then we go into sale.In sale means slow down and allow

(18:53):
time, lose correction. We starttalking about these things eye contact, how
to engage in the reactions that you'regoing to get. And then when we
talk about situational awareness, it isexactly that how do you interact with someone

(19:14):
with dementia. What is the bestway to direct or redirect this person to
get them to do what you needthem to do. So going back to
the fireman, come into the housewith smoke if he wants to help this
person get outside, and they don'tunderstand. So sometimes hand gestures are better
than speaking. Eye contact helps,but you validate and you redirect these people

(19:41):
to establish a calm, caring wayof dealing with the person in whatever the
situation is is going on. We'vehad very many times, you know,
and just a crime example is agentleman was at a house in he called
nine one one and he was outsideof the house. His wife had dementia

(20:07):
and she didn't recognize him anymore asher husband. She thought he was an
intruder, so she kicked him outof the house. And when the gentleman
went outside, he called nine oneone, and he was frustrated, like
he was at the end of hisday. He was just like, I
don't know what to do. Thisis happening more and more. She doesn't

(20:29):
recognize who I am. She thinksI'm an intruder or I'm a stranger,
and she tells me to get outof the house. She locks me out.
What am I supposed to do?And the frustration and him and having
the first responders come out and knowinghow to number one, be able to
calm him and keep him to thatpoint where we're here to help, and

(20:51):
then going in and trying to gether to realize that this is your husband.
So we teach all of those dynamicson the better way to interact with
someone with dementia. There's so manytimes that it can be handled wrong.
We we did a training with afire department, and the fire department at

(21:17):
the end it's the training said,oh my gosh, we had an incident
a couple of months ago, andI have to tell you now that we
handled it very wrong. Yeah.I'm sure that they look back and they
how many times that they've handled it, you know what I mean, just
because of lack of education and andand just the awareness. Like I said,
you know, we know everybody's notdoctors and they're not educated in this

(21:42):
in most points, and so bringingthat awareness to them and yeah, said
the light bulb goes off. It'slike, oh my gosh, like this
would be so much easier. Andwhat I noticed with because I have a
couple of patients that have Alzheimer's,or I have like caregivers that are taking
care of their mom and dad.Sometimes like they're still in the home by

(22:04):
themselves and family members are checking onthem because they won't leave, you know
what I mean. Sometimes it takesa while, doesn't it to get them
to either live with a family memberor get to like assisted living. Did
you notice any of that. Itreally does. So they could be living

(22:26):
alone or with their spouse and norand here's the thing, most of his
spouses think, like I said,nobody's going to care for him like we
need yeah, absolute, Yeah.We did one visit to an assisted living
and you know, he didn't likethis, and I don't think he's going
to be happy there, and I'mnot going to be happy with him here,

(22:48):
and I just want him to stayhere. Or the person is a
widow or widower or just a singleelder adult and they are living on their
own and if the kids or neighborsor significant other doesn't see them often enough,
it's very easy sometimes, especially inthe beginning, for someone with dementia

(23:10):
to get along just fine until theydon't. Yeah. So, And that's
one of the things we bring abouttoo with our caregivers, is you know,
let's talk about what's next, Likewhat happens if you decide that this
person can no longer live on theirown. Where can you seek help?

(23:30):
Where you know, what do youwant to do? There's so many options,
and so we go through all thatwith our caregivers. It's very important
because most of them don't know whenmy father in law was He was diagnosed
with Louis Vadi dementia at Cleveland Clinic. We were sent out of the clinic
with a diagnosis, with nothing elseexcept for a diagnosis on a piece of

(23:55):
paper, not where we could goto get help, who we could turn
to, what we needed to doabout the disease, how many years he
had, what comes next? Wehad zero information. And that was back
in twenty fifteen. And that reallyis the reason why I started doing what
I'm doing, is because I waslike, oh my gosh, like we

(24:17):
can't I can't even imagine. Butyou got to think that that probably happens
all the time, you know,and thank God that you put this as
your personal mission to you know,help and you know, educate and make
awareness. For sure, I can'teven imagine how many people probably leave a

(24:38):
place and just gets a piece ofpaper like you did in your family well,
and a lot of times people justgo and to their GP or you
know, their pay and they justget a diagnosis of cognitive decline. And
I tell everyone, take that tothe next step and find ateriatric specialist or

(25:03):
someone who can help you with thatdiagnosis. Because there are different demensions and
you handle each one of them differently. Yeah, and so that's very important.
And then, like I said earlier, the people that you have living
behind closed doors that think I'm justa little forgetful, you know, I'm
fine, And then you go outand look at their card and make my

(25:26):
father in laws and it was dingedall the way around, like he shouldn't
have been driving for many months previousto that. And we had no idea.
That is a thing they you know, most of our elderly population,
we are all very proud people andwe don't want anyone to know that we're

(25:49):
not feeling well, or that we'revulnerable, or that things aren't going the
way that they should be. Andyou know, you kind of like put
it in the background. It's likeif you have a bat too, you
know, you put it off untilthe last minute. What's the same with
this kind of a disease. Aswe get older, a lot of people
wait until you know, all blown, and then it's where do we get

(26:14):
the help? What do we do? And some of it, like Louis
body dementia compared to Alzheimer's, Louisbody dementia is very early on set.
It's very progressive. And you know, I have found in my experience since
twenty fifteen working with careaciters and peoplewith dementia, the longest that I've known

(26:36):
someone that's lived with dementia Louis bodyhas been ten years. That's in my
personal experience, And someone with Alzheimer'scan have Alzheimer's and have it for thirty
years. Yeah, it's just thedifferences in the diseases. Louis body dementia
affects your whole body, so itcan affect them. Aymous Autnonymous, I

(27:04):
can't talk today autonomically, and soit secks like the blood pressure fluctuates,
answer, their temperature fluctuates, andso heat and cold are differ for them.
And the sensitivity to medications is reallyyou know, I do a caregiver

(27:26):
support group every month, and Ido it nationwide now because I do it
via Zoom, and the people thatare on different medications and how they interact
with their loved ones with Alzheimer's andLouis body er are just crazy. Well,
thank you for doing that. That'samazing. Yeah, we we feel

(27:51):
very much that, you know,what we are doing is kind of,
you know, our god mission.Yeah, that's awesome. You know,
I got trained, I cared foryou know, I loved one who had
Alzheimer's and then with the Louis bodydementia with my father in law, and

(28:11):
then the training that I have gonethrough. That's why we wrote this training.
And we were the first ones inthe West Virginia to be Let's approved
through the West Virginia State Police Academyto train all police you know in cadets
to come through there. So wefeel blessed to have that relationship with them

(28:33):
and every time we go down.I partnered at a training down there with
cadets yesterday and these people are amazingand what they're doing on a daily basis,
and then be able to interact withthem and hear the stories and then
be able to give them the toolsthat they need to go out into the
public and interact with people. Youknow, whether it's them coming upon somebody

(28:56):
who was lost and how to dealwith that, to somebody who's combative or
somebody who just is scared out oftheir minds it's home alone. They're able
to deal with all of it.How does an organization get a hold of
you in your program? Do youguys have like a website, a Facebook

(29:17):
page, so we do have aFacebook page, equipped, empowered and enabled
people can get a hold of uson the air. We also our training
has now been because to go backto the training, it is a two
and a half hour training, butwe can make it an eight hour training,

(29:37):
but we stuck with a two anda half hour training. Most people
want to combine that with other trainingsin a daytime, so the two and
a half works out really well.So we had it video page and we
are now selling our training on podiumand we are selling the training nationwide because

(30:00):
there are so many fire departments andpolice agencies in our country and JT and
I are only two people and wecannot get everywhere. So we started we
started selling the training because it's justthat important and many many people are putting

(30:21):
through cenecills. Now you know thatthat has to be part of the training.
Yeah, that's great. Yeah,So we're selling it on Podia nationwide
and it went on stale November seven, and so that way police agencies,
fire departments, ems, they canbuy the video off of there. They

(30:41):
can have it for their whole departmentfor forever. They can train them whenever
they want. To so they consider, you know, people in front of
a computer, and you know,they can all go through the training that
way and give them a certification orthey can call less and I'd be more
than happy to go trainers. Yea. And because you know that us is

(31:03):
is so it just does wonders forus too. We learned so much off
of the people that we're training aboutthis disease, even more than we could
ever imagine. I'm sure you hearstories too of things that you know they've
done good or you know, thingsthat they have done that they look back

(31:25):
and think, oh, we couldhave handled that a lot, you know
differently. So I'm sure side ofthe day it's it's so eye opening even
for us to, like you said, to hear their stories. Some of
the stories just blow your mind andthen you know how they interacted. Even

(31:45):
it has given us ideas of differentthings that we can key off on,
because you know, everyone has greatideas and everybody wants to do really well.
And so the presentations you know,to these professionals and families just really
boosts us too. Okay, Sosome of the you know a couple of

(32:07):
the things that you know really haspushed me is you know. When I
was pulling up data, there's onlytwo states that require training in dementia for
like registered nurses, licensed practical nurses, and licensed vocational nurses, and only
twenty three states require training in dementiafor staff of nursing homes, and the

(32:29):
majority of the states that did requirethis training did so for personnel only in
dementia special care units. Some ofthe statistics, less than three percent of
medical students choose geriatric electives during theirtraining, which means that most will enter
the healthcare workforce with a little exposureto needs of older adults. And as

(32:52):
I'm getting older, that scars.Yeah, definitely, because it doesn't matter
which department you work in. Imean, you are, whether you know,
a doctor's office or your dentist.You know you're going to come across
people that have, you know,the Alzheimer's dementia, the different forms,

(33:14):
and so I think training is huge. Hopefully it expands more out to not
just like first responders, you know, because any situation can turn bad,
you know what I mean. Justthink of someone agitated at the dentist or
you know what I mean. Idon't know, I just you know,
just thinking ahead hopefully, especially nursinghomes. You know, I had a

(33:39):
group call me and ask me tocome and speak, and I always asked
everybody, like, why would youdid you ask me to come speak?
And they said, we are seeingmore people in assisted living homes with early
onset dementia than ever before. Solike I have peoplety seven years old,

(34:00):
oh wow, forty six years old, fifty one years old, and it's
getting more prevalent. And so theysaid, you know, we can't.
We don't have the staffing or thefacilities to care properly for our seventy eighty
and ninety year olds. And everybody'sliving well now, but then to think

(34:22):
what are we going to do withour thirty, forty, fifty and sixty
year olds that are dealing with earlyonset dementia. I've been shocked at the
numbers that are coming through for that, and I'd love to get a great,
you know, a good number,but there's there's not any going around
right now. But just think aboutthat, the early onset demnsia. And

(34:47):
I think that's coming around now becausediagnosis are getting better and so, which
is a good thing because then peoplecan get the proper care that they need
so. But over five million olderAmericans you know, live with dementias,
so the numbers are growing every day. Yeah they are. Well do you

(35:13):
want to do? You have anythingelse you want to add? I think
you covered everything you did such afantastic job, and I'm so proud of
your mission and everything that you're you'redoing. Oh, thank you. You're
welcome. The only other you knowwith on my Podia account. We are
going to start putting on more andmore like small talks just to empower our

(35:39):
caregivers and anyone else that needs,you know, to know about the disease
and how to interact with it.So that's going to be growing process.
Yeah, because caregivers, uh likethey need a lot of empowerment. They
need people like if you have aloved one that you know, you're mom

(36:00):
or dad is taking care of them, please go and give them some respec
care. Please go over and letthem go shopping for the day or the
grocery store, or spend the nightand stay up with mom or dad or
whoever they're taking care of. Becausecaregivers really really need that care too.

(36:20):
They do. We find many timesthat our caregivers are worn out. They
don't care for themselves at all.They don't you know, go to their
doctor's aputmans because it's not easy toget their loved one to get you know,
to go with them, or theycan't lead them by themselves, so
they don't get their hair done,they don't go to the dentists, they
don't do anything with their healthcare.And we don't have the resources to really

(36:45):
help our caregivers much. So anyway that I can give the caregivers help,
I try to push information through allthe time. It's imperative because you
know, there are our angels forsure. Yes, definitely. Okay,
well, thank you for coming on, thank me, Okay bye. That

(37:14):
was really educational and informative with ourguests. Thank you. Yeah, she
was a great, great uh sourcefor people to Yes, definitely, we're
so glad to be back into thestudio. A little rusty, but we'll
get there, we will. Butwe appreciate all of your sports and just
remember you're never alone. Take careof yeah,