#1929 Fight Fire With Fire - Part 1
Fight Fire With Fire (Part 1)
Nick is 28, a professional firefighter, and has had type 1 for thirteen years. Part 1: diagnosis at almost-15, the teenage years he calls a rebellion, and how he turned it around in 2022.
Jump to a moment
- Diagnosed just before 15, with the family history to spot it. Three weeks of relentless thirst — an entire pitcher of water at dinner and still parched — until his mom saw how much weight he’d lost at a water park. An uncle with type 1 helped connect the dots fast.
- The teenage years were a stalemate. Nick describes clinic visits as being berated for numbers without being handed tools to change them — so effort and no-effort earned the same lecture, and he checked out. He’s candid that some of it was teenage pushback, too.
- 2022 was the turn. A new job he wanted, a rekindled relationship with the girlfriend he was dating when he was first diagnosed, a seven-year-old son to be present for, and an A1c he saw hit 9.4 — together they moved him from “better high than low” to actually dialing it in.
- Settings, a new pump, and a new attitude. A fresh nurse practitioner at the same practice gave him a clean slate. Scott reframes the base of it as timing, settings, and understanding food’s impact — with mindset as the thing that makes the rest possible.
- Type 1 doesn’t bar you from the firehouse. New York’s fifteen-week academy and annual physicals want stable glucose, an A1c under eight, and no severe lows — held to the same physical standards as anyone else. On shift, Nick often runs exercise mode all day and pre-boluses only a fraction, so a call never catches him with too much insulin on board.
- Hereditary Angioedema (HAE) — US HAEA — Background on the rare genetic condition Nick’s girlfriend manages, for listeners who want to understand it.
- T1D Exchange Registry — US residents 18+ with type 1 can complete the survey and help move T1D research forward.
- Diabetes Pro Tip series — The management foundation — settings, timing, and food — that underpins the changes Nick describes making.
Every word of the conversation
Cold open & sponsors0:00
Hello, friends, and welcome back to the juice box podcast. If you don't love today's episode, you can have your money back. Friends, we're back for another episode of the Juice Box podcast. This is a two parter. This is part one.
I don't forget to find part two. I think this one goes up on a Friday, so part two will be on Monday. What else I want you to know? T1dexchange.org/juicebox. Head over there now and take the survey.
Over eighteen US resident type one diabetes. I think that's what you need to be. Taking the survey does not take very long, but it does do a lot to help type one diabetes research. T1dexchange.org/juicebox. Check it out.
While I'm here, let me remind you that nothing you hear on the juice box podcast should be considered advice, medical or otherwise. Always consult a physician before making any changes to your health care plan. Today, we've got a great podcast, and it's sponsored by great advertisers. US Med, the Eversense three sixty five, and Twist. You know about Twist?
It's an insulin pump. I'll tell you all about it a second. I'm having an on body vibe alert. This episode of the juice box podcast is sponsored by the Eversense three sixty five, the only one year wear CGM. That is one insertion and one CGM a year.
One CGM, one year, not every ten or fourteen days. Ever since cgm.com/juicebox. This episode of the podcast is sponsored by the Twist AID system powered by Tidepool that features the Twist loop algorithm, which you can target to a glucose level as low as 87. Wanna learn more? Go to visit .twist.com/juicebox.
That's visit.twist.com/juicebox, and twist has two i's. Understand? Twiist.com. Visit .twist.com/juicebox. Hey.
US Med is a longtime sponsor of the podcast. It's where we get our diabetes supplies from. You could as well. Usmed.com/juicebox, or you can call (888) 721-1514. US Med, that's where my daughter gets your supplies.
Use the link or the number. Get your free benefits check today and get started with US Med. But Yeah. It's your life. So, test, test, test.
Say testing?
Testing.
You're good. Okay. I'm not gonna speak again. The next time somebody says something, it's gonna be you introducing yourself. So however long it takes you, and then just go ahead and start.
Meet Nick — firefighter, 13 years in2:47
Hi. My name is Nick. I'm 28 years old. I've had type one diabetes for thirteen years, and I am a professional firefighter.
Oh, cool. Nick, when you were 15, were diagnosed?
Actually, it was just before my fifteenth birthday.
Right there.
Not even a month before I had turned 15.
Oh, brothers or sisters?
I have two younger sisters. So I am the oldest of three.
Two younger sisters. Okay. Does anyone else have autoimmune issues in the family?
Yeah. So my mom has Hashimoto's thyroiditis. Mhmm. And her brother, my uncle, also has type one diabetes. And then we have some odd unrelated autoimmune in the family.
Like, my stepmom has MS. My step uncle actually had type one diabetes. But those are the my mom and my uncle are the big big two contending factors in the family.
Nothing on your father's son?
Not that I'm aware of. I think he has some minor psoriasis, but nothing else that really comes to mind. Okay.
Alright. Well, so let's talk about it. What made you wanna come on the podcast that I'm I usually don't start with that with people, but I get far fewer men. So I'm interested in what made you reach out.
Sure. So I actually only started listening about a year ago, I would say. And, when I started getting into it, I actually talked to my girlfriend about it and she
Nick? Nick? Hello? Nicholas? Nick.
Nick. Nick. Nick. Yep. Hey.
You started talking to your girlfriend about it, then you went blank. Sorry
about that. I must have hit something.
That's okay.
No. So I started talking to my girlfriend about listening to it and all about it. And then my birthday in March just rolled around, and she's like, so I didn't wanna do it, you know, without you asking you, of course. But she's like, I think it'd be really cool if you went on and shared your experience with how you've managed it and, you know, your job, and it's kind of a cool perspective. So
What did you think of that when she said that to you?
I was I don't wanna say really taken back. I was kind of surprised that she had thought of it that way, but at the same time, kind of not because she's actually really supportive of of me and my work and, you know, my diabetes. And she's honestly been somebody who's been in my corner with my care and making sure that, you know, I'm good about taking care of myself. And And she also lives with a chronic illness, so I think we both kind of understand the importance of being able to have space like, safe spaces to talk about these things and, you know, kind of feeling empowered to be able to function in normal society and still, you know, kinda kick butt while also dealing with all of her medical concerns.
Are you comfortable sharing her her illness?
I am. Yeah. It's funny. I actually talked to her about it before this all happened, and I'm comfortable with it. Yeah.
What what what is she dealing with?
His girlfriend’s HAE, and why he came on6:04
So she has it's a genetic illness. It's sort of rare. It's called hereditary angioedema or HAE for short. And, essentially, what that is is in most people with HAE, you have proteins in your blood. Your c one inhibitor is is the specific protein, And that essentially people with HAE have a deficiency in that protein, and it essentially causes extra fluid to leak into your tissues and it causes swelling.
Oh, yeah. Okay. And it can be anywhere. A lot of times people have it like airway swelling where it can almost mimic anaphylaxis, but it's not like an allergy based thing.
You know? You
can have it there. I mean, you can have it in your face. You can have it in your abdomen. You can honestly honestly have have it it anywhere. Anywhere.
Anywhere. Anywhere. And it's usually caused by either trauma or, like, stress or infections or things like that. So it can be sort of random sometimes, or I should say a lot of the time kind of out of their control when it happens. So it's kind of a a rarity.
Not many people have it. But
Does it impact her the same way every time? Like, you know, her abdomen, her face, or something, or is it different?
So she the way that she kind of explains it to me is that once you have a swell in a certain part of your body, you're more likely to have continuous or recurring or repeat swelling in that same area.
I see.
So she had has like, one of her tell signs is when she has a headache and she starts getting a little bit of, like, a droopy eye on her one side. And I'm like, hey. I think you might be starting to have a swell. You know? And she'll be like, okay.
And then she'll have to obviously watch it. And if it progresses, treat it.
I was gonna say what's what's what do you do for it? Is there anything? Here's what makes Twist different. It measures the volume of insulin delivered with every dose using Soundwave technology. That gives it the ability to recognize a blockage quickly, allowing you to step in and deal with it before things potentially get out of range.
It is also the only automated insulin delivery system that can be controlled from an Apple Watch so you can discreetly check-in, enter carbs, or deliver insulin right from your wrist. You can also set your glucose target anywhere from 87 to 180 and adjust it for different times of day. So if mornings, workouts, school work, or bedtime all need a little different approach, Twist can flex with that. And here's a real life example. You enter carbs then something changes and you do not actually eat what you planned.
With Twist, you can go back and correct or remove the carb entry, and the system adjusts based on the new information because diabetes doesn't always follow the plan, and your tech probably should not expect you to either. If you'd like to learn more, go to visit.twist.com/juicebox. That's visit.twist.com/juicebox. Don't forget, twist has two i's.
Yeah. So, there are prophylactic measures that she obviously takes. So depending on the patient and their severity, but she takes an injection, a subcutaneous injection once a month. It's a prophylactic, but when she does have breakthrough swells, she has different medications that are actually c one that that protein, they're like replacements.
Mhmm.
So almost think of, like, glucagon for us diabetics. Right? She can take a subcutaneous injection of that c one replacement. They also have an IV versions too that you have to go to the hospital for, but, but she can take those every so often, and that helps curb the swelling. It replaces the deficient protein, and then, you know, after some time, that swelling down.
As far as impact on her life goes, how does she describe it?
So, I mean, day to day, she does a great job. She, you know, has a busy job. She's busy, you know, helping take care of things at home. I I don't think day to day it has too much impact, but I think, obviously, when she has a swell, the day to day tasks can be, you know, very demanding because it takes a lot out of her Mhmm. Both physically and mentally.
Okay. So you think that somewhat based on her ex her health experience and she sees you interacting with the podcast and she thinks that it would be good for you to to come on and share? Do you think she thought that your story was just something other people would wanna hear? Like, do you do you see what I'm saying? Like, is she trying to help you by sending you here, or is she trying to help others by sending you here?
Honestly, I think a little bit of both, because there's been a lot of times that we've talked and, you know, she's like, you have a physical stressful job. A lot of people may or may not be comfortable managing, you know, a chronic health issue Mhmm. Working that type of job, or they might be selling themselves short because they don't necessarily feel that they could do it or might not even know that they're able to do it if they wanted to. You know? And I think kind of that whole overcoming adversity type thing for both, hey.
You know, you should be proud of yourself. You did this. But also sharing for other people, hey. If he can do this, you can do this.
Awesome. Know? Well, let's do that then. Also, I you will, at some point, undoubtedly hear me give you the tiniest bit of context that I have for the three years of volunteer firefighting I did between 16 and 19 years old. So I'm sure I'm I have my thumb on the pulse of firefighting.
I bet you. I'll know a couple of words, I guess, is what I'm saying. Okay. And and I'll I'll I'll I'll have had a few experiences.
Sure.
But okay. So let's go back to, you know, to right before your fifteenth birthday. Do you recall Mhmm. The diagnosis? And I'd like to know maybe not so much about the beginning, but what the next three or four years look like.
The three weeks before diagnosis12:17
Sure. Yeah. So, I just remember having this weird kind of new onset, you know, being 14, not really knowing too much, but, that I was, like, always thirsty and always having to, you know, pee or go to the bathroom a lot, especially at school. When I was in high school at the time, I felt like every period, I was going to the bathroom to fill my water bottle and to use the bathroom, like, once or twice in, you know, every forty five minute period. And I was just like, oh, I'm sure it's just, you know, me being dehydrated or something.
I kind of wrote it off. I really didn't think too much of it. So then at that point, it just kept kinda getting worse and worse and worse. And I remember as a family, we had gone out for dinner, and I was just beyond thirsty, you know, drinking so much water to the point where, like, everybody else was sharing pictures of, you know, drinks and water at the table. And I had my very own pitcher of water, and I drank the entire thing and was still thirsty, you know, just couldn't quench that thirst.
How long do you imagine this went on for?
Honestly, I think it had went on probably about three weeks Okay. Ballpark, if I can remember. The the tipping point to the to that story, though, is, it was February break during school, and we had went to a water park as a family because I was 14 and, you know, of course, no 14 year old wants to be around their parents all that much at that time. It was the first time that my mom had seen me, like, without a shirt on.
Mhmm.
And she had said to me, she's like, oh my god, Nick. Like, you look like you've lost so much weight. And I think once she had seen that and then started putting the other pieces together, she kinda remembered, I think, my uncle being you know, having those symptoms.
Okay.
So when we came home from the water park, we went to the pediatrician. They tested my urine and my my blood sugar, and, obviously, we were told right from there to go to the children's hospital, and I was admitted and
How is it? That. Yeah. Well, I thought you were gonna say you're at the water park and you're so thirsty you drank that terrible water.
But Oh, no. I I was thirsty, but I was that thirsty.
No one's that thirsty, Nick. Shocking. Do you remember what your reaction was to the news?
I think subconsciously, after the three weeks, I kind of knew something was up because the symptoms weren't getting better. Mhmm. I don't know if shocked was necessarily the word I would have used. I guess I was kind of surprised that it was that. Like, it wasn't necessarily on my radar.
Mhmm. But I don't remember feeling some big emotion about it. I think I was a lot more calm than people were actually thinking I was going to be, you know. I don't remember feeling, like, terribly sad or mad or upset about it. But
Did did the emotion ever come?
Maybe a little bit. You know, I I think it was more so later after the fact that it kind of came, that it kind of set in like this is a reality. Honestly, the first time I had had a true emotion after I had my hospital stay and I had come out after, you know, my my two or three days there, I remember my eyes were still adjusting from my sugar being so high. And I was so mad because I woke up in the morning, and I'm like, okay. I gotta count my carbs.
I'm learning how to do all that stuff. And I could not read the cereal box. My eyes were blurry, and I got so upset that I couldn't read the cereal box. And I remember I actually had to wear cheaters for a while until my eyes finally adjusted back to normal blood sugar levels. But that was, I think, the first time I'd actually had, like, a true heartfelt upset emotion about it.
And that's about your body not doing something you expected it to do?
Well, yeah. You know? And it was like it was almost like a like a crash out, you know, like, okay. I just got diabetes. I just got out the hospital.
Like, now my eyes don't work. Like, what the hell? You know? Again, being 14, 15 at the time, there was there was a lot of change.
Couldn’t read the cereal box16:53
Diabetes, as you know, comes with a lot of things to remember. So it's nice when someone takes something off of your plate. US Med has done that for us. When it's time for Arden's supplies to be refreshed, we get an email. Email just rolls up in my inbox.
It's like, hey. This is, you know, time for your supply order. I don't exactly know what it says. I open the email. There's a big button.
I click on it. I reorder, and I'm done. Finally, somebody taking away a responsibility instead of adding one. And boy, oh, boy, has US Med done that for us. An email arrives, we click a link, and the next thing you know, your products are at the front door.
That simple. Usmed.com/juicebox or call (888) 721-1514. I never have to wonder if Arden has enough supplies. I click on one link, I open up a box, I put the stuff in a drawer, and we're done. US Med carries everything from insulin pumps and diabetes testing supplies to the latest CGMs like Libre three and the Dexcom g seven.
They accept Medicare nationwide, over 800 private insurers, and all you have to do to get started is call that number, (888) 721-1514, or use my link, usmed.com/juicebox. Using that number or that link helps to support the production of the juice box podcast. This episode of the juice box podcast is sponsored by the Eversense three sixty five. Get 300 and get three hundred and sixty five days of comfortable wear without having to change a sensor. When you think of a continuous glucose monitor, you think of a CGM that last ten or fourteen days.
But with the Eversense three sixty five, it lives up to its name, lasting three hundred and sixty five days. That's one year without having to change your CGM. With the Eversense three sixty five, you can count on comfort and consistency three hundred and sixty five days a year because the Eversense silicone based adhesive is designed for your skin to be gentle and to allow you to take the transmitter on and off to enjoy your shower, a trip to the pool, or any activity where you don't want your CGM on your body. If you're looking for comfort, accuracy, and a one year wear, you are looking for Eversense three sixty five. Go to everensecgm.com/juicebox to learn more.
You know?
Yeah. Yeah. No kidding. So moving forward into high school, did you go to college afterwards? Did you go?
The vocational track into EMS19:16
So I did not. So I actually during high school, I didn't really love school, but I kind of knew kind of where I wanted to be, which is actually where I'm at now, which is cool. I actually went in my junior and senior year. Our high school does, like, a vocational program
Yeah.
Where half of the school day, you actually go to the vocational school and you learn the trade in which you picked. Mhmm. And then the other half of the day is, you know, standard typical high school.
We did we did two weeks on, two weeks off. It was fantastic.
Okay. Yeah. Yeah. That's that's sort of cool.
Yeah.
Because for us, it was your junior year, you went to vocational in the afternoon, and then in your senior year, you did vocational in the morning Okay. Half of your school day. So that's kinda how we split it up. So, when I was doing that, though, I was in the EMT program. We had an emergency medical technician class at our vocational school
Mhmm.
That I was interested in. So I took that, and then right out of high school between or just after my summer job of my senior year, I had, gotten employed full time, and I worked for an ambulance company a private ambulance company full time. So
Wow. That's awesome. But so going through high school, any trouble with your friends, your parents, your adjustments, your health, or was it smooth sailing, or how would you describe that time?
It was pretty smooth sailing. I actually had another sort of friend that before all this came about, we all were, like, volunteer firefighters together too. He actually had type one, so I was able to kind of see, like, oh, this is this is doable. You know? But there was a lot of other kids that knew I had it, but didn't necessarily really think anything of it.
Mhmm. And, obviously, it being around my family, like, hanging out with my cousins and stuff wasn't really a big issue. You know? But I don't think it necessarily affected too many of my friendships. I think it was more of a pain just trying to learn how to count carbs and, you know, having to take shots all the time because I was MDI back then.
Caused any issues for your I'm sorry. Did it cause any issues for your sisters? Did they feel, like, left out? Did they feel like you were getting more attention? Or did you Yeah.
That that's that's an interesting question. I remember my sisters, because they were younger, when I had gone into the hospital, I remember my mom telling me how upset they were because they thought something, like, terrible, tragic had happened. They really didn't understand. But I don't necessarily think that it affected them in that way. I think my parents actually did a pretty good job kind of keeping everybody in their own thing.
You know? Okay. Nick Nick has this, and we take care of this. But I feel like or at least I've never heard them say that they had ever felt left out because of it, you know, or or all the attention was was turned towards me.
Did you did you feel awkward because for that you had this thing and they didn't?
Not really. I mean, I also was a little bit older, so kinda being, you know, 15 years old, a teenager now, like, my parents were involved, but they definitely had a a more hands off approach, especially because I think they were well versed in it with the family history. And I don't know. I think I think it actually didn't cause as much issues because they did obviously help, especially in the beginning, but I feel like I kinda took on my own care a lot earlier than most people
in design, or do do you think you took it over yourself, or were your parents setting it up to to go that direction?
I think a little bit of both. I think my mom had knew that, you know, the only way that both her and myself were gonna overcome this, I think, was if if I kind of started leading in my own direction. I mean, don't get me wrong, 15 years old, I was not making choices that I'd be making now as an adult Mhmm. In terms of my diabetes, but, I think it was a little bit of both. I think she needed to be able to forcibly relinquish some of that to me Yeah.
So that she would have peace of mind that, hey. He's doing this. He can do it. He's gonna be okay. You know?
Berated at the clinic, no tools23:47
When when you say now that you're an adult, at what age do you think that that transformation began to happen? Do you have any idea what started it?
Yeah. So, I mean, I've always been on trying to to take care of myself, but I think I, like, truly kicked in to, like, high high gear only a handful of years ago, probably in 2022, which is when I got my current job and which is when I started dating my current girlfriend. So I think those are kind of the really big contributing factors. I mean, I've had kind of varying levels of success and varying levels of trying to keep things in line, but I think the the actual toughest, tightest that I've you know, Ben had started in '22.
Yeah. Do you have any context for what your outcomes were like fifteen, sixteen, seventeen, eighteen, nineteen, twenty? Like, do you know what your a one c's were, what your goals were, or how, you know, would how could you characterize or how would you characterize management?
Yeah. For sure. I I wish I remembered what my a one c's were, and I tried to look and I couldn't find them. My mom didn't remember either. Of course, she would take me to my appointments, but, I was MDI for a while, and I had always remembered just getting the normal talking to at the to children's clinic because we had gone to the clinic attached to the hospital for my endocrinology appointments.
And it was always, you know, you're not doing enough and, you know, your numbers look like this and like that. And admittedly, I do think that looking back, I could have done better. Mhmm. But I also think the environment wasn't really one of, like, education. They were kind of just you go in there, you know you're gonna get kind of berated for a half hour, and then it's over type thing.
You know? I didn't really particularly care for the endocrinologist that I used to see at the children's clinic either, but, so I don't think my outcomes were obviously as good as as I would like to have been or should have been. But, I mean, it definitely, you know, gets better with time and with age and, you know, practice and things like that too.
But your recollection is your recollection is going to the doctor, being berated. That's how you felt about it?
I mean, I think it was again, looking back.
Oh, Nick, you hit the button again.
Everyone's always yelling at you. Like, you know, it's always adults
first. Versus Nick, I'm stopping you because you hit the button again. You said looking you said that's okay. You said looking back, and then I didn't hear you again. So do that, though.
Like, you you should don't be sorry. Use your perspective now and tell me what you think was going on back then.
Yeah. Yeah. Definitely think it was just being a teenager, you know, it's there's always that that push against the authority. I definitely had some of that as a teenager. So I I think they were obviously trying to get me to have better control or control that they saw was better
Mhmm.
Than what I was doing. And I admit that even looking back, I remember feeling like, yeah, I know I can do better. But there was a part of it that, you know, was just kind of in that little bit of a rebellious state. You know, I knew I had to take care of it.
But So some some pushback against authority, do you think there was some shame? Like, the feeling of, like, I know I should be doing something. I'm not doing it, and then it just compounds on itself when someone points it out to you?
Yeah. For sure. I mean, especially sitting there in that office. Yeah. You know?
For sure that that feeling. You know? And there was also a lot of like, I look back though too and even even in terms of, like, adjustments, like, I don't feel like a lot of adjustments were made to my numbers. So then even when I was trying harder and I still wasn't having outcomes, they're like, well, obviously, you're not trying. And I was like, okay.
Well, I am. Mhmm. You know, I I am I'm trying, but I I feel like because they were always worried about, oh, the honeymoon this and, you know, you're still growing and all of that's very valid, but it was like, okay. I tried and still felt like I was getting the the speech, the talk. You know?
Yeah. And then I wouldn't try and I would get the same talk. So what was the point of putting in all the effort?
You know? So so you get the talk without any tools to make any changes?
For sure. Right. For sure.
And and now and and in fairness, you're not sure if you would have used those tools if you had them, but you are certain you weren't given them?
At in the beginning, absolutely.
Okay.
Yeah. Okay. Absolutely.
Alright. And then I'm sorry. You said there was a certain time a few years ago where you started to change how you how you thought of it and, I guess, how you stepped up for yourself. So do you have any idea what started that? Or is it do you think it's an age thing?
Or do you think it was meeting a girl? Or I mean, what do you think it was?
I mean, I I think it was honestly a combination of all those things. I think that I had finally grown up enough, I guess, personally, that I was like, this is kinda getting out of hand. You know? And, obviously, I had met her, which funny enough, not to backtrack, but my current girlfriend was actually my girlfriend when I was diagnosed with diabetes in high school.
The right person, the wrong time29:29
She was your 15 year old girlfriend?
Yes. So we were in high school and we you know, 15, it's nothing
Yeah.
Overly serious, but, like, we were, you know, dating in high school and I was diagnosed while dating her. So fast forward, we reconnect years later and here we are back again.
How do you reconnect years later?
Honestly, I think this was a really good case of the right person with the wrong time. Okay. I I think in high school, we definitely were just kinda hotheads and just, you know, young kids full of hormones, and I think she was definitely a good person. She comes from a great family. Mhmm.
But I just definitely think that it wasn't the right time. So we ended up kinda staying distant friends, and then down the road, we had just kinda reconnected
and again. Oh, when do the hormones stop asking for a friend?
I'm not really sure. I just feel like you wake up one morning and they're just different, I guess. I don't really know.
I know. I know. I felt like there's there's a time where you, I for me personally, like, I've had a couple of different seasons where I've woken up and thought, I'm just not as mad anymore.
Right. Right. Exactly.
You know?
Like Or or
I I just don't feel as aggressive anymore. Or Right. You know, I I don't
have to prove myself every waking moment anymore.
Yeah. Yeah. Yeah. I I I'm not I I mean, to be candid, like, I'm not spending an enormous amount of time trying to figure out how to see a boob. Like like Right.
When that goes away, man, when that goes away, it's, like, it's such it's it's such a it's such a relief. Right.
You're like, wow. That was actually low key a little crazy.
Yeah. Yeah. Yeah. Or or I'm just like, I guess I don't care that much what she thinks about me. This is awesome.
Right. She's mad. Okay. Okay. Yeah.
Got it. No. Yeah. You know, you you go through a ton. I mean, gosh.
I, it's funny because, you know, your kids always you know, like you said, there's always a pushback against authority against your parents, etcetera. Mhmm. And when it's happening on the parenting side, you're like, I don't understand why this is going on. Then then you look back and see yourself at that age, and you're like, oh, I was doing the exact same thing as that.
Right.
But what is when you're on the other side of it, man, it's like your context is way different, you're just like, this doesn't need to happen. Like, we don't really have to do this. Like, we could skip this part if you want. You know? And Right.
And that's not how it works. No. But okay. So you met each other. That's great.
How old were you when you got back together?
Jesus. I was four four years ago now.
24.
So 20.
24.
Okay. Yeah. Yep.
24. Well, that's that's nice. And I'm sorry. Before we started recording, you said something, and I don't know if it's not a thing you wanna talk about or not, but I I'd like to contextualize it if I can in this in this section of the conversation. But you have a child?
A seven-year-old son at home32:22
I do have a child. Yeah. He is, seven.
Oh, wow. Lives with you, lives with his mom?
So he lives with me. That's kind of a story in and of itself. He lives with me and my girlfriend full time.
Wow. Okay. Well, that's crazy. That's not crazy, but it's it's it's nice. Yeah.
Do you have any concerns about him, type one? Do you find yourself looking a little closer when he looks thirsty or something like that, or have you had him tested?
No. I have not had him tested, and that's not for any particular reason, honestly. I mean, I'm not for or against it per se. I really don't have any sort of kind of feeling about it. I've thought about it.
Yeah. I mean, I definitely look towards those things, you know, keep very being very vigilant if there's any, you know, signs or symptoms that he's displaying. But, hopefully hopefully, he, you know, comes out of it unscathed. But I I always think, you know, you're you're just gonna be super cognizant
Yeah.
Of it having it yourself for your kids. You know?
So it's a fine plan. You'll know what it looks like when it comes. That's for sure.
Yeah. For sure.
Do you think if he were to get it, you think it would make you feel any sort of way? Do you think you'd feel responsible? Or, like or do have you considered any of that?
A little bit. I mean, I don't know if responsible would be the way I would feel. I mean, obviously, there's a pretty good shot if he gets it, he's gonna get it from me. But I don't know if responsible's the way to feel. I mean, I would obviously feel bad because diabetes is hard enough for adults, let alone for kids to go through Yeah.
You know, especially as they grow and that kind of changes their life, you know
Certainly does. 10 years old. Yeah.
But I think the the good thing is though is that having lived it myself, I think it really gives a good perspective on what's acceptable and what's not in terms of care from doctors, even in terms of technology. But I think the technology, even since I was diagnosed thirteen years ago, has improved tenfold. It's gotten better, and we've gotten better pumps and better CGMs. And
No. I'm sorry, Nick. You're wrong. Listen to the Internet. All this stuff sucks.
Yeah. It's just horrible.
Yeah. Just doesn't work. Yeah. So, your technology that you began with back then, do you remember what you had when you were diagnosed?
Pumps, pens, and starting over34:53
When I was first diagnosed, I came out of the hospital with, you know, a a test kit, a blood glucose meter, and, insulin pens.
Mhmm.
And then I don't remember exactly how long after, but a little while later, I had started on a pump. My first one was the Medtronic. I think it was the Paradigm pump,
if I remember that correctly.
And then I had moved to, I think it was the six thirty g from Medtronic. So I'd moved through those. I didn't really they didn't really groove with me. I didn't really care for those. I especially did not care for the CGM with them.
So then after kind of falling by the wayside and, you know, not really taking perfect care of myself, kinda going back to pens again, kinda came back to it. I started on the tandem t slim, and then I even actually trialed the Omnipod
Mhmm.
For a while not long ago. I actually used your link. I got my free month trial.
Thank you.
I yeah. I then refilled the prescription. So I did it probably for about two months, but couldn't really get behind the algorithm. So I actually came back to the tandem and that's where I'm
at now. Oh, nice. I'm I'm glad you tried. Thanks. What about CGM?
What are you using for CGM?
I got the Dexcom g seven.
Seven. Okay. It's gonna go to the fifteen day, I think, soon soon enough. And then I I just listened to their investor call about the about the g eight. There's some ideas in there that are seem pretty attractive.
We'll see.
Yeah. I actually just listened to your episode that you'd put out about it the other day
Oh, thank you.
About it. Yeah. Yeah.
Appreciate it.
So So okay. It's definitely definitely cool. Yeah.
Yeah. Yeah. No. When you get to a point where you're saying to yourself, I've gotta do something here. What Mhmm.
Is it is it a one c? Is it how you feel? Is it like, what what's the thing that like, when you think something has to change, what is the thing you're thinking of that has to change?
A 9.4, and the decision to change37:04
Yeah. I mean, I think it was a combination of those things. My, you know, a one c's and before 2022 were definitely elevated. I had actually looked in, like, one of them was, like, a 9.4. And I'm like, yeah.
That that's not good. And I obviously didn't feel great because my sugars were elevated. And, you know, I had kinda just sat down between my girlfriend, Angelica, you know, talking with me about it and even reflecting myself. Like, I'm an adult. I finally got the job I want.
I have a child that I wanna be here for. I have a good relationship that I wanna be here for, and I feel like garbage. You know? Yeah. What are we gonna do to kinda fix those things?
So that's kinda when I really strapped in and
And then
really honed in.
What did you do? Because I finally get to ask this question because you already you already said that you've only been listening to the podcast for a a year, which is great because, seriously, like, a lot of times I ask this question, and I really do wanna know what people did. And then a lot of people say, well, I started listening to the podcast. But you're not gonna say that because you started listening a year ago, but you've made this change for yourself further back in time. So when you when you had this epiphany that you wanted to live and be and feel I wanna live, damn it.
When you when you when you when you had that epiphany from an eighties movie with, I imagine, Denzel Washington and a nice lady, When you have that epiphany, like, what do you what do you do? Like, how do you how do you identify the things you need to change? How do you get the tools together that you need? How do you make the decisions? Like, where do you start?
Sure. Well, I I just kinda told myself, like, enough of the bullshit. Like, it's time to be accountable for yourself. I went to my endo, and I actually had seen a new practitioner when I went back in 2022. So that kinda helped bridge the gap because I had had the same office, but I had had a new nurse practitioner in there.
So I was like, okay. New person. This is kind of a clean slate all over the board. Right?
Mhmm.
So when I just went in and said, I know. I've I've been in this situation before. You can berate me. You can say whatever you need to say, but I'm here. I wanna be accountable.
I really wanna dial in on my, you know, all my numbers. I wanna improve my a one c, my time in range. You know, I explained my job and and how that's gonna be even more important to me now. And, she had just kinda said, okay. So we'd really kinda honed in and and tuned in all my my numbers and then got me onto the the tandem not long after that.
And
Settings, a new pump, and different attitude.
Yeah. For sure. I mean, those are probably the big three things. I mean, I know people have their feelings about pumps versus MDI, but I definitely think no matter what it is you're doing, it's having the right settings. And lot of it's mindset, though.
You're never gonna be able to change something that you're not willing to change yourself.
I think it's I think it's settings, timing, and understanding the impact of the food. And, I mean, obviously, your desire to do it and, you know, that stuff. But I just mean, functionally, I think those three things are kind of the base of it. And you found a doc you found a doctor who did so you made a switch. Would you if you had this epiphany with the previous doctor, do you think it would have gone as well?
Well, I didn't necessarily switch practices. It was the same practice, but I had had a new practitioner
Oh, okay.
Inside that practice. Does that make sense?
Yeah. Yeah. Yeah.
So I don't necessarily know if it would or would have changed my outcome. I mean and depending on what I had brought home too, I might have even chewed on it and thought about it and said, hey. Maybe there's somebody in the office that I could connect with better if I was not having a good, relationship with that that specific person Sure. You know, who I was dealing with constantly. So I definitely think that could have been something, but I think it sort of worked in my favor.
And now her and I have a a really good relationship, you know, patient provider relationship, and we're really open with each other about things, and it really helps with management and making decisions.
I would imagine your follow through and success probably even emboldens her or him. Yeah. Yeah. Yeah.
I definitely think so. And, you know, there's been a lot of things in in having the the medical background because I am a paramedic, you know, I think that also helps because there's a lot of things that we can kind of talk about that aren't just scraping surface level anymore. We can kind of dive into some more, you know, probably more advanced topics than she can tell the the regular kind of layperson, you know, which is cool.
I would also imagine that, you know, when you do this all day long with people who maybe are not having success, you could probably easily get to start feeling like, you know, I can say this stuff, but it's not gonna matter. And Oh, 100%. Yeah. Yeah. And then once you see it matter, you might it maybe gives you a little more energy to say it again.
You you know? So Right. Yeah. You might you might be helping more people than yourself by doing that is my point.
Right. Kinda breaking the the cycle per se.
Yeah. A 100%. Okay. So how old were you when you just I mean, it sounds like you wanted to be a fireman for a long time. But but what's the process of so did you start out volunteering?
From cadet to career firefighter42:30
Yeah. So when I was in high school, our local area had, like, you know, the the junior firefighter cadet programs or whatever just to get high school age kids interested in it. I had wanted to do it a lot longer than that, but that's kind of where I started. So I did volunteer, and then my volunteering kind of went by the wayside after high school only because I didn't go the college route. I started working full time.
But, obviously, that experience came back to benefit me in getting the actual career, you know, firefighter role.
So I I wanna ask a question, but I don't wanna put you in a bad position.
Well, you can ask it.
Go ahead. You seem like a really bright, thoughtful person. Did you you. You're welcome. Did did you was it hard sometimes?
My my experience was that I was around a lot of good guys and a lot of solid people, but Mhmm. There weren't a lot of conversations to be had sometimes.
Is that In the in the fire service?
Yeah. Yeah. Yeah. Is that is that is that and now I've interviewed a number of firemen that have all always have been, like, really thoughtful guys. And so, like, was that your finding, or did you find a lot of people did you find a lot of similarity in personality where you I'm trying to figure out a nice way to say this.
Or or did you run into, like did you run into a problem of, like, not being able to I guess I should just say it this way. I had trouble meeting other like minded people such that it was it felt valuable to spend that much time in that scenario. Sure. Yeah.
I I can get what you're saying. I honestly, I think the biggest drawback from all that is, like, the politics side of it.
Oh, yeah.
I think that being there and having an interest in your community, I think that already kind of brings people together, I think, even different walks of life. I mean, you have a guy who works a desk job, you give an electrician, and you have a guy you know, you have all these different people in the volunteer service that bring different aspects of their lives, but you kinda come together and have this this common thing together at the firehouse.
You know? I agree.
But I think that in the volunteer side, because a lot of it's just different than in the career division and there's politics in the career side too, but I think the politicking in terms of who your friends are, who you hang out with is the group of people you're automatically associated with at the firehouse. You know? I think that's that's kind of the challenge there.
Then the running for positions and and
Right.
Chief and battalion and those sorts of things. And then suddenly, there's it it does get well, you're right. I actually I should have thought of it more like that. The politics was crazy.
Mhmm. And that's the thing. It was all about who you know or who you hang out with and not, you know, who's actually qualified and and willing and and able to perform these jobs versus when you come to the career side, you have to take a promotional exam. You have to interview. You have to have certain Mhmm.
Training classes to be able to hold, you know, leadership positions.
You know? So I would imagine as a volunteer, did you did you go to fire school? Did you or were you too young for that? Because I I think I went when I was 16.
So Yeah. So you can go when you're 16, but I didn't have a car yet. So getting to be able to go to fire school while I was in high school was kind of a challenge. So I had set up going just after, but then my parents were kinda like, listen. You didn't go to college and that's fine, but you're either gonna go college or you're gonna work full time.
Mhmm.
So I started working full time and that's kind of again where that had gone by the wayside.
I see.
But
But but my point is you had some training. Like, you had worn a pack, you'd crawl through smoke, you'd done things like that as a younger person.
Yeah. For sure. I mean, I definitely was not, you know, baptized by fire.
Guess. Right. So but you knew enough about it that when you said, like, I'm gonna become a professional firefighter, you you had context for what that meant.
Yeah. I mean, I had, you know, I had been around the the tools. I had I had worn the gear. I mean, I I had done, you know, in house trainings and stuff like that. I definitely had enough to say, like, this is something I still like.
This is something I wanna continue to do and do more of. You know?
Did you have hands on when you were volunteering, or or were you in the background?
I think I had some hands on, you know, obviously, because of my ages, at the time, I say hour because my and I had a bunch of friends with me too. But I I think being that age, you kind of do get put into the background a little bit just because you're kind of restricted as to what you can do legally. But, I mean, I tried to be as hands on as I as I could have been.
Yeah. I put out a couple of pretty cool fires when I was doing that. So, like, by my like, you know, sometimes, you know, when you're volunteering, sometimes nobody shows up. Yeah. You know, and once or twice, it's like a driver and me, and they look at you and they go, alright.
Well, let's go. And Right. Next thing you know, I'm battling a a full on car fire by myself in the middle of the highway. Right. Yeah.
Like, I was running the truck, and I'm like, I'm 18. This is insane. So but but, nevertheless, my my point is that you had some you had context for it. You decide you wanted to do it. You've got type one already.
Type 1 and the fire academy rules47:46
So when you when you say to yourself, I'm gonna do this professionally, like, what are the steps you have to take to even, like how do you even make sure that that's a thing that's okay? And then from there, you know, are there extra hoops to jump through as a type one?
Yeah. There's not a ton. I mean, every I'm sure every state and department probably has different standards. But, I mean, diabetes is not a condition that it completely excludes you from being a a professional firefighter, but there's obviously stipulations. I mean, they wanna see good, you know, glycemic control.
They wanna see that your numbers are stable. They obviously wanna make sure that you're not having frequent or super symptomatic or super severe hypoglycemic episodes.
Yeah.
And then every year to be an interior firefighter, volunteer, or career, you have to get a physical done. So they obviously recheck your a one c. And then usually, because you're diabetic, a lot of times they'll ask me to do, other tests. Like, they'll have my doctor maybe write a note that's saying, like, you know, in her standpoint, I'm cleared for duty, a stress test, like a cardiovascular stress test just to make sure that there's no underlying cardiovascular disease from the diabetes too. Mhmm.
So just kind of extra things like that, but, I mean, we're held to the same, you know, standards in terms of medical and physical standards that somebody without that condition would, would be, you know.
So when you started actually training, how long well, first of all, how long was the the the actual training?
Yeah. So where I'm from, New York State, we have a a fifteen week long fire academy. So you actually drive to the fire academy. You live there for your four days that you're training, and then you come home for a long weekend. Weekend.
Mhmm. So that's fifteen weeks that you're down there.
And what was the first thing that jumped out at you that your diabetes was gonna be in the way of or needed adjusting for, or did that never happen?
Probably not down there because, again, I'd gone to training in '22, and I was still kind of on that tail end of I was on MDI at that point, but I definitely was kind of managing it a little bit
Differently.
Less aggressively. Yeah. I mean, you know, definitely taking less insulin to account for physical activity, but not necessarily as calculated as I probably would be doing it today.
Okay. So back back then, was it better high than low?
Yeah. Oh, a 100. I mean, that was that was the mentality. A 100%, I'd rather have a high blood sugar and just not have to waste my mental space worrying about it at that point.
So were you Then you shooting for blood sugars when you were working in a certain range? Like, what was the range you cared about?
So I was kind of on and off with a CGM back then too. I mean, my range was probably, you know, one fifty, one eighty. I mean, I'm I'm sure that there was times that I was operating and exercising with blood sugars that were in excess of one eighty.
Sure. And and their their whatever their rigor was for your health, an a one c in the sevens was okay?
Yeah. So, I mean, the the fire academy went off of the department's personal physician's recommendation. So Once you got the they want you to I think the the standard is that they want you to have an a one c of under eight, if I remember correctly
Okay.
Which obviously is not, you know, necessarily the the end goal.
Yeah. But Optimal for you. But
Right. Okay for this.
Okay. Okay. Yeah. Alright. So so you managed it within the rules and and did your did your learning and got out.
Mhmm. How long does it take to get a job after that? And does anybody do you get any pushback from houses because you have type one?
Sure. So I actually the way it normally works, unless you put yourself through it, you're actually sent from your employer to the fire academy.
Oh.
So, you take your civil service exam, which is your written exam. And then depending on how high you score is wherever you fall on your list, you then have to take, you know, an oral interview with whatever hiring board that that specific department has. Then you've also have to take your physical agility test to make sure that you're physically able to perform job related duties. Once you pass all that and you get offered a job, they hire you. And then usually a couple weeks after that, once they get you kinda oriented, you are then sent down there and start your academy experience.
And then come back. Do you do you is there positions or are everyone just a firefighter? Like, I mean, you have trucks that are are, I would imagine, pumpers. Right? And you probably have a ladder.
Like, did does somebody assigned to the ladder, or can people bounce between trucks? Does it not matter?
Yeah. So I think every department kinda does it differently. I work for a department in a little bit of a smaller city. I mean, we're only, like, just under nine square miles. We have, like, 20,000 people in our city.
Everybody needs to do everything? Correct. We
a lot of bigger career departments will have specific jobs where you do the same job until you bid out of it. For us, every shift we go in, it actually rotates. Sometimes you work in the ambulance as a paramedic. Sometimes you're driving the fire engine. Sometimes you're in the back of the ladder truck.
So Mhmm. It's kind of fluid, but it's also nice because it kinda gives you the ability to do it all. You're not just stuck doing one thing. You kinda get to do all the aspects of the job.
Riding to the call — dosing for chaos53:30
Yeah. Tell people how invigorating it is to drive fast in a giant truck while the horns are blowing and a siren's going off. It really does get your adrenaline going.
It does. Yeah. Honestly, sometimes sometimes driving is is more of an adrenaline rush than getting ready in the back because
Yeah.
When you're going there, there's just there's some like, things are just moving quickly. It's loud. It's chaotic. People are screaming at each other. You know?
Yeah. It's it's definitely an adrenaline rush for sure.
It it it it is a thing that I don't know that you could explain to another person about, like, you're sort of in your gear already, but you're on your way to something and you're not really sure what's happening. And then suddenly, like, the word comes in, like, something's happening. And you're suddenly you're you're you're putting on breathers and you're, you know, you're pulling your hood on and you're like, oh, this is really happening. Like, we've gotta do this now. And you're doing it in this tight spot riding in this truck and, you know, there's giant engine just screaming.
Nobody can hear anybody. And and you know, like, at some point and often, by the way, times, you're riding backwards, so you can't see when you're there yet, which I always, like, contextually, like, I was like, are we there? Like, how much more time do I have? You know? And then you roll up, and then you hop off that thing.
And sometimes you look up, and something's on fire. And you're just like, okay. And then boom. It just turns into a dance. People just go do a thing, and it's pretty magical actually that that, you know, a bunch of a bunch of people who are who are willing to do this to begin with, pull it together, and, like, make something like that go so well afterwards.
So Right. I don't know how to another way to think of it. And when they're all volunteer too, man, it's not lost on you that a school teacher's driving the truck and some guy's grandfather is, you know, the chief on the scene and, like, these are not this is not their job. You know? Like, I we we used to have a guy like, there was an insurance salesman.
He was running most of it, and he was great at it. It was Yeah. Really something. And, you know but, obviously, different levels of professionals. But
Sure.
But but really I mean, it's in it's invigorating, man. You get there and you're at a 10. Now does your blood sugar jump when that happens?
Usually. Yeah. So, usually, it does a little bit, and then it kind of, you know, levels back out later because you got physical activity that you're doing. You know? So you're using your sensitivity for insulin goes up, and whatever glucose you got in your body is obviously getting used up.
So but definitely I mean, I've definitely looked at my graphs, like, after a fire. Mean, like, oh, yeah. That's exactly when we got sent to that. You know? If you're you're looking and it goes up and then it's coming down and you know?
Well, I mean, in a world where I can see on my daughter's graph when she's taking the test or she's arguing with a friend, like, you know what I mean? Like or something like that. Like, in a world where you can see that sometimes, I imagine this is something again, people, you have no idea that a truck is just it's a massive heavy thing, and it you are flying, and it is screaming, and people are talking. And it's it's all and you're putting on this stuff and, you know also, if you've never been inside of a burning building, it's something else. Like Yeah.
Yeah. There's it's this is another level of life you're not aware of if you've never done that before. It is intense.
Yeah. It's it's almost like sensory overload sometimes, you know, because you physically feel things, you hear things, you see things, then you're you're growing up on it, maybe you can smell it, and then you go inside and you lose half those senses. Mhmm. You know? And you come back out and you get them all back again.
So, like, even on a on a nine diabetic standpoint, just on a regular human body standpoint, like, having all of your senses come in and out at different times is is is kind of almost like a like a holy cow. Like, what did I just do?
Yeah. I had a lot of different impacts. And all of a sudden, you're climbing a ladder. You're hanging off I mean, you're half hanging off a roof, cutting holes and grooves, and, like, you're just like, what is like, man, this is this this got real, real fast.
Yep. For sure.
Or or then days can go by, I imagine, too. Like, so so how do you even balance your insulin for that? Because you don't know you're gonna get a job that day. And and Right. The rest of the day could be nothingness.
You could be riding from alarm system to alarm system all day long.
And Right. Exactly.
Right? So what do you do?
So I I mean, the best thing that I do is a lot of times I'll put my pump into exercise mode for my entire shift, just to kinda help cover the the demand. Because, again, like you said, it could be we sit around and have lunch and do some training and hang out
Mhmm.
Or we're busy taking call after call after call. Yeah. So kind of putting the pump in that that mindset of, hey. I wanna ride a little bit higher. I want you to be a little less aggressive with my basal insulin, you know Mhmm.
Is definitely, a big key contributor.
Do you ever do you ever eat and then get a call and think, oh god. I have a ton of insulin on board. Like, this is a bad time for this?
Yes and no. So that's kind of my one compromise at work is that I will still try my best to pre bolus because I know it's important, but I'll only pre bolus maybe a fraction or only take enough insulin where I, like, I know, okay. If I get a call right now, I can eat half this sandwich, let's say
Mhmm.
On my way downstairs to, you know, to go get my gear on and stuff. So I'll only take enough insulin to at least cover that so that at least I know, hey. I don't have a ton on board, and then I'll obviously finish my meal and take the rest afterwards.
Yeah.
Sometimes that works okay. Sometimes it's not as optimal as as being home and having a nice, you know, ten, fifteen, twenty minute pre bolus for food. Sure. But I would also rather be safe at work for myself and for the guys I'm working with.
Done yet.
Same app, same show, don't you fret.
Best parts come and you're not done yet.
Part two, right there in your app. Go on. We'll wait. Same app, same show, don't you fret.
The best parts come and you're done yet.
Same app, same show. Don't you fret.
The best parts come and you're not done yet.
To learn more and see if you might be able to get Twist from the pharmacy and try it for free, head to visit.twist.com/juicebox. That's visit.twist.com/juicebox. Or give them a call at 18774. That's +1 (877) 489-4478 and tell them Scott sent you. Twist requires prescription and is indicated for people with type one diabetes six and older.
Arden has been getting her diabetes supplies from US Med for years. You can as well. Usmed.com/juicebox or call (888) 721-1514. Many thanks to US Med for sponsoring this episode and for being and for being longtime sponsors of the juice box podcast. There are links in the show notes and links at juiceboxpodcast.com to US Med, Twist, and today's other awesome sponsor, the Eversense CGM.
They make, of course, the Eversense three sixty five, and that thing lasts an entire year. One insertion every year. Come on. You probably feel like I'm messing with you, but I'm not. Ever since cgm.com/juicebox.
Check it out. Let's face it. Diabetes is tough, but it's easier when you have a community around you. So if you're looking for a great community around type one diabetes, check out the juice box podcast private Facebook group. Juice box podcast type one diabetes, but everyone's welcome.
Type one, type two, gestational, loved ones, it doesn't matter to me. If you're impacted by diabetes and you're looking for support, comfort, or community, check out the Juice Box podcast private Facebook group. Juice Box podcast, type one diabetes on Facebook. I promise you it is the most unfacebook like experience that you'll ever ever find. What a great group of people.
I don't like saying this usually because it dates the ad, but right now, there are 86,000 active members. 86,000 people in there who might have your experience, know what to say, or just be a great shoulder to lean on. Don't be too proud to find a community. It really does help. And it's completely free.
Juicebox podcast, type one diabetes on Facebook. I just wanna say thank you so much for listening. I'll be back very soon with another episode of the juice box podcast. If you're not subscribed, please subscribe in a podcast app. It really helps Apple podcast, Spotify, or whatever your favorite audio app is.
Like and subscribe. You know what the kids say on the YouTube? Like and subscribe. It really does help. And if you're already subscribed, please tell a friend or your endo or somebody you think might enjoy the podcast as well.
Word-of-mouth is the only way that it grows. Once again, I've been Scott. You've been fantastic, and we'll be right back with another episode of the juice box podcast.
Read the full disclaimer
© 2007–2026 Juicebox Podcast. All rights reserved.
