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Exclusive monthly for November '24 (Patreon)

Published:
2024-12-12 17:10:36
Edited:
2024-12-16 15:38:22
Imported:
2024-12
Tags:

Downloads

  • monthly_nov_24.mp3

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Content

When I was a kid, worrying about how long we had left on this mortal coil was never something that often entered our underdeveloped minds and our biggest fears were mostly from the likes of overhead power lines, the angry German Shepherd at no. 24 and classes with the somewhat "handsy" English Lit teacher. However, once you get on the other side of 50 years old, every headache, muscle pain and constipated shit makes you realise that you're inching ever closer to having a one-to-one with Mr G. Reaper. Anyway, what the point of this rambling? No idea, other than you should appreciate this here monthly as we've no idea how many more of these you may get as one of us may get hit by a bus or eaten by a bear or some such bollocks.Enjoy!This month along with the feedback we've recieved for the past months pods we also discuss:CrunchyrollLast ExileChainsaw ManAttack on TitanArcaneDune: ProphecyImmaculateSmile 2Tales of the UnexpectedLike a Dragon: YakuzaBlack Myth: WukongEvil WestHelldivers 2Worms Armageddon: Anniversary EditionHorizon Zero Dawn Remastered

Files

Comments

Cormoran Strike

I believe I shall measure my life in death not in months or years but how many cane and rinse monthly’s i got in my life.

TerrestrialExtra

I had the fat lip allergic reaction once. Never happened again. Very strange.

Tolkientaters

Got some connection to this monthly podcast because I'm recovering from sinus infection and recently I've been baking (and eating) a lot of bread because a coworker got me started on the sourdough "cult" which requires additional baking if you wanna use the discard.

Ben

Jay, I have watched all the ridiculous anime you mentioned (As a Reincarnated Aristocrat blah blah blah, etc) because I get bored and put them on in the background. Luckily you won’t have to try to convince any friends that those are worth watching. I just see them as filler between episodes of the good stuff like Dan Da Dan.

Pizza Hotline

Good luck with the social promo next year Leon. I actually started a Reddit for the pod ages ago and didn't do much with it. Id be more than happy to make you an admin. (Sorry for making an unofficial sub Reddit. Just me being a fan boy)

TerrestrialExtra

Thanks guys. I'd like to let you know how much I appreciate this show. Life is hard and when this show drops I get a little dopamine hit in anticipation of being able to switch off for a while and listen to some calm and intelligent chat about, stuff. Here's to another year!!

Dónal

Fantastic show, really appreciate the recommendations! Just wanted to offer a slightly different perspective on the Roald Dahl bit. Absolutely agree that he held awful views, but his behaviour towards children - both his own and his readers - was widely reported to be very kind and generous.

Cormoran Strike

I believe they’ve removed the terrible race from the Mafia remake, because the developers commented on it saying when they developed it, they used a proper gaming drivers wheel for it, and didn’t account for people just playing it on a controller!

Luke Grimbleby

Thanks for the show. I haven’t listened to Cane and Rinse for a while so it was nice to hear you guys again. I’ve got lots to catch up with

Tbone254

Since you asked I figured I would reply. I’ve been a Firefighter/Paramedic for a little over 18 years and I have performed a single emergency cricothyrotomy on a patient. It happened a few years ago and I’m more than happy to share the experience if you want to hear it. BE FORWARDED. THIS MAY NOT BE EASY READING FOR SOME. I was initially dispatched to an apartment complex fire that was quickly updated/changed to a person on fire. The bystanders that called for the fire department had seen flames coming from a first floor balcony on someone else’s apartment. As they called for the fire department one of the bystanders grabbed an extinguisher from his apartment and ran over to put out the fire. He climbed over the balcony and extinguished the fire. After he finished spraying the extinguisher, he saw that what was on fire was a person and the fire appeared to have been intentionally self lit. This poor man had walked out to his balcony, tied a rope around the balcony and the other side around his neck. He the sat down to cinch the rope around his neck. Next he doused himself in lighter fluid and lit himself on fire. The department I work for runs both fire trucks and ambulances. On this day I was on the ambulance so I’m there for EMS purposes. It also means I get to the scene faster than most because I don’t have to take a slow fire truck. So I arrived on scene first. When I finally made it to the patient, he had 3rd degree burns over about 60% of his body and 2nd degree burns over about 20% more. He was also still tied to the balcony. GORE WARNING So there will be some gore discussed here. There will also be things that I refer to as funny or in a comedic way. NOTHiNG about what this person went through is funny and I hope that you understand that I am referring to some situations and decisions that I made are funny and not what is happening to our patient. I take my job very seriously and I would never belittle someone else's pain for a few chuckles. Also a little note to add, I’ve met a LOT of people in this field and I’ve found that we LOVE to tell stories about our experiences, so I’m sorry if this drags on too long. First thing we do on unresponsive patients is a rapid survey to determine if they are alive and how alive they are. Takes about 20-30 seconds. But before that, I have to take a 10 second personal pause to take in the madness I just got involved in. So I take my 10 seconds and then get to work. I cut the rope from his neck first. It was a nylon multicolored rope with charring around it, but still in surprisingly good shape. The rope was still hot. My partner remembers this part vividly as apparently I yelled “shit, he's still hot!” for all to hear. To this day, he occasionally pokes his head around a corner and yells “Shit, he’s still hot!” at me. So I cut him down and slide him to the ground to start my assessment. His clothes are mostly burned away but some have melted and stuck to his skin. I think to myself that there is zero chance this man is still alive. Then he gasps. It’s a week gasp, almost like a fish out of water. But a breath no less. This guy is still alive albeit barely. Since this person isn't dead on arrival I start mentally going through our treatment and transport plans while I wait for others to enter the apartment and bring equipment to help move him. Priority is the airway because of potential swelling in the throat caused by the burns. This guy also needs a burn center that’s over 2 hours away by vehicle, so we need to establish helicopter transport. The patient also needs massive fluid resuscitation, thermal management, vitals and EKG monitoring. As I’m going through this and requesting resources, my partner returns with a backboard, throws it on the ground and says help me log roll him. Log rolling is something we do to protect a patient's spine and neck while moving them to a long board after they’ve experienced a major traumatic injury. Which isn’t what our patient experienced. We’re just using the board to move him, not maintain spinal immobilization. So I slightly condescendingly tell him “Screw that, we don’t need to log roll him. Just grab his limbs and move him to the board”. He gives a confirmational “Oh yeah” and I grab the patient by the arms, and he by the legs. I yank the patient up but he doesn’t move. Instead, all of his skin from his arms slides off and I’m left holding what feels like overcooked chicken skins in my hands. My partner looks up in response to my slightly disgusted “ah really??” I can see the realization set in on his face as understands what happened. He slightly chuckled and says “See! Should have log rolled him”. I tell him he was right and grab the patient by his wrists and slide him onto the board to pick him up. So we get the patient into our ambulance and immediately begin prepping for airway management. We can tell our time is short because the patient’s breathing is slowing down and getting more labored by the second. This is one of the very few times where seconds actually matter. We use a video laryngoscope to view his airway and place an endotracheal tube but upon inspection we see his airway is almost completely occluded by swollen tissue. So I opt to forego trying to intubate and instead go straight for emergency cricothyrotomy. So my partner and I perform the procedure together. The device we used makes the procedure pretty simple. All that is required is cutting away the skin above the cricoid cartilage (It’s easy to locate. If you feel your Adams Apple, there is a notch at the top, follow the notch down about an inch until you feel a soft spot. That’s it) Once exposed we then use a very fat needle with an endotracheal tube around it to push through that membrane. This puts the tube directly into the trachea. Well on a normal patient these landmarks are easy to find but because of the massive amounts swelling around the patient's neck, the landmarks were all but impossible to feel. So we had to very carefully to cut away where we suspected this membrane to be. When I made the first incision a bunch of fat tissue erupted from the cut forcing me to make a second larger cut that revealed very little more information. After the third incision we were able to locate our landmark and insert the tube successfully. We briefly celebrated our minor victory only to watch our patient immediately go into cardiac arrest. So we begin CPR but it is obviously ineffective. The skin around his chest is swollen so much that it prohibited good compressions. It felt like pushing on a log. There was zero give to this patient's chest. We continue our CPR and transport down the road to the local ER and transfer the patient there. The doctor was impressed with our emergency cric and praised us for it. And of course I brushed it off like I do it every Tuesday afternoon. Ultimately the patient died. Really he never had much of a chance to begin with and personally, I think dying was probably the better option. Surviving high degree burns over 80% of your body comes with an incredibly long and painful recovery and a completely debilitating life afterward. Also, I don’t know the reasons for his suicide, or why he chose such a violent and painful way of doing it. Anyway. I hope you enjoyed the story and I hope the topic isn’t too of course. I just couldn’t resist jumping at the opportunity to tell this story to someone. Sorry if this was a little too much.

Cane and Rinse

Thank you for sharing this. What an incredible job you and your colleagues do.

Tbone254

Thank you for the kind words and comment. I really debated on whether I should post this so your thanks brings me some relief.

CilcoBaggins

Leon, you have my empathy on the acid reflux front. I've suffered with it since I was a kid, caused by a hiatus hernia. A daily dose of weapons grade prescription Nexium keeps mine at bay now, thankfully!