Aging and Facing Death, One Physician’s Experience | On Call with the Prairie Doc | May 4, 2017


>>WHILE DEATH CAN KNOCK ON OUR
DOOR AT ANY AGE, AS WE GET OLDER WE REALIZE THAT HE IS
CLOSER TODAY THAN HE WAS
YESTERDAY. AGING AND FACING DEATH, ONE
PHYSICIAN’S EXPERIENCE, TONIGHT “ON CALL WITH THE
PRAIRIE DOC.”>>GOOD EVENING AND WELCOME TO
“ON CALL WITH THE PRAIRIE DOC.” I AM DR. JIM ENGLEBRECHT
SITTING IN AS HOST TONIGHT. WE HAVE A SPECIAL GUEST JOINING
US WHOM WE WILL INTRODUCE
SHORTLY. FIRST, LET’S TAKE A LOOK AT
THIS WEEK’S PRAIRIE DOC QUIZ
QUESTION. WHAT DOES DR. HOLM THINK
POSITIVELY INFLUENCED HIS LIFE
THE MOST? A, THE LIFE OF HIS 19-YEAR-OLD
SISTER WHO DIED WHEN HE WAS 16? B, THE UNCONDITIONAL LOVE OF
HIS PARENTS? C, BEING ACCEPTED INTO MEDICAL
SCHOOL? D, MARRIAGE TO JOANIE AND THEIR
FOUR CHILDREN? E) ALL OF THE ABOVE? VIEWERS WHO CALL IN THE CORRECT
ANSWER WILL BE ENTERED INTO A DRAWING TO WIN A SIGNED
COPY OF DR. HOLM’S BOOK, “THE
PICTURE OF HEALTH.” EACH OF DR. HOLM’S ESSAYS,
ORIGINALLY WRITTEN FOR THIS SHOW, COMES WITH A WONDERFUL
ACCOMPANYING PHOTOGRAPH BY DR.
JUDITH PETERSON. WE WILL ANNOUNCE THE ANSWER AND
THE WINNER AT THE END OF THE
SHOW. REMEMBER, YOU ONLY HAVE 10
MINUTES TO GET YOUR ANSWER IN!>>>WE ANSWER YOUR MEDICAL
QUESTIONS ABOUT AGING AND FACING DEATH AS THEY ARE CALLED
IN OR SENT TO US VIA FACEBOOK OR EMAIL AT ANY TIME
DURING THE SHOW. CALL IN QUESTIONS TO
1-888-376-6225. OR SEND US AN
EMAIL TO THE ADDRESS ON THE SCREEN. OUR
SPECIAL GUEST TONIGHT IS THE PRAIRIE DOC HIMSELF, DR.
RICK HOLM. WE THINK YOU WILL ENJOY THIS
CONVERSATION ABOUT HIS LIFE, HIS MEDICAL CAREER, HIS
FORTHCOMING BOOK ON AGING, AND THE SPECIAL HEALTH CHALLENGES
HE HAS FACED IN RECENT MONTHS. RICK, I KNOW THAT YOU’VE BEEN
REALLY UP FRONT ABOUT THE DIAGNOSIS OF CANCER YOU GOT
LAST FALL. AND YOU’VE TALKED ABOUT IT ON
THE SHOW BEFORE. GIVE US A QUICK UPDATE AS TO
WHERE WE ARE WITH THAT RIGHT
NOW.>>RIGHT. WELL, I WENT TO MY
LOCAL DOCTOR WHEN I HAD
ABDOMINAL PAIN. I WAS ADMITTED TO THE HOSPITAL.
THE DIAGNOSIS WAS — ENDED UP GOING TO SIOUX FALLS, AVERA
McKINNON, THEY DID A ERCP WHERE THEY LOOK, WHERE THERE
WAS SOME BLOCKAGE IN MY BILE DUCT AND DID BRUSHINGS AND
FOUND CANCER. BASICALLY CANCER OF THE
PANCREAS. AND, SO, THE PLAN WAS TO DO
SOME CHEMOTHERAPY BEFORE
SURGERY. AND THE NIGHT BEFORE THE
SURGERY, THE SURGEON HAD BEEN REVIEWING AND DOING HIS HOMEWORK THAT
NIGHT AND CALLED ME AT 11:00
SAID, YOU KNOW, YOUR ANATOMY IS
WEIRD, I’M SENDING YOU TO THE
MAYO. BECAUSE YOU NEED TO HAVE
SPECIAL VASCULAR PEOPLE. SO I
WENT TO THE MAYO. AND THEY ADDED MORE CHEMO. AND
RADIATION. THAT OF WHICH I GOT
ALL THROUGH AVERA HERE, REALLY. AND
THAT WAS FINISHED. AND, SO, JUST MONDAY, I WENT
BACK –>>TWO DAYS AGO.>>THREE DAYS AGO. I WENT BACK
TO THE MAYO, AND THEY REPEATED THE C.A.T. SCAN
AND THE P.E.T. SCAN AND IT LOOKS LIKE IT’S A GO. AND
THEY’RE GOING TO DO SURGERY ON
WEDNESDAY. THEY DIDN’T SEE ANY EVIDENCE OF
SPREAD OF CANCER. THEY DIDN’T EVEN SEE THE CANCER
ANYMORE. AND, SO, I THINK IT WAS A VERY
POSITIVE RESPONSE. PANCREATIC CANCER IS A BAD
ACTOR. AND I REALIZE THE PERCENTAGES
AND ALL THAT, BUT RIGHT NOW THE PERCENTAGES ARE BETTER THAN
THEY WERE BEFORE.>>SO WE’RE GOING TO SPEND A
LITTLE TIME TALKING ABOUT CANCER AND PANCREATIC CANCER
AND GO INTO A LITTLE BIT MORE DETAIL ABOUT THE SURGERY YOU
HAVE COMING UP. BUT WE’RE JUST ALL SO HAPPY.
AND GREATLY RELIEVED.>>YES.>>WE GOT ANOTHER GREEN FLAG
HERE, WE CAN KEEP GOING.>>YEAH.>>AS I TOLD YOU LAST FALL,
WHEN THIS ALL CAME DOWN, YOU KNOW, I TRY TO BE UPBEAT,
BE,YOU KNOW, POSITIVE WITH YOU,
I SAID, YOU KNOW, WE’RE GOING TO
GET TO NEXT SPRING, WE’RE GOING TO GET THE LAST SHOW, I’M
GOING TO TURN THE TABLES ON YOU AND I’M GOING TO
INTERVIEW YOU.>>I WANT TO POINT OUT, IT WAS
YOUR IDEA. IT WAS NOT MY IDEA.>>I KNOW. BECAUSE I WANTED TO
BE SO POSITIVE WHERE I THOUGHT THIS
WAS GOING TO END UP. BUT I ALSO WANT TO TAKE THE
OPPORTUNITY TO HAVE YOU TELL PEOPLE ABOUT YOU. YOU KNOW,
YOU’VE DONE THIS SHOW FOR 15 YEARS. AND PEOPLE
LOVE YOU AS AN INTERNIST, THEY LOVE TO LISTEN
TO YOU ON TV AND ON THE RADIO. A FEW OF THEM. THEY DON’T KNOW
WHO YOU ARE. SO I WANT TO KIND OF START AT
THE BEGINNING. WHERE DID YOU START IN SOUTH
DAKOTA HERE, ANYWAY?>>RIGHT. WELL, MY FOLKS MOVED
TO DeSMET, WHEN I WAS 5. AND I GREW UP IN THE LITTLE
TOWN ON THE PRAIRIE, DeSMET, SOUTH DAKOTA. GO BULLDOGS. AND,
YOU KNOW, I HAD A WONDERFUL FAMILY. THEY LOVED
SOUTH DAKOTA. MY GRANDMOTHER AND MY
GRANDFATHER, I NEVER KNEW MY GRANDFATHER, BUT MY
GRANDMA,GRANDMA HOLM,
HOMESTEADED NEAR BOWMAN, NORTH DAKOTA. ON THE
EDGE OF NORTH DAKOTA/SOUTH DAKOTA. WAY OUT
THERE ON REAL TOUGH PRAIRIE
AREA. AND I HEARD THAT THEY HAD A
SODDY, A SOD HUT. OF COURSE, MY AUNT WOULD SAY WE
NEVER LIVED IN A SOD HUT. BUT THERE WAS APPARENTLY
SOMETHING ABOUT, YOU KNOW, YOU DIDN’T WANT TO ADMIT THAT YOU
DID.>>THAT’S RIGHT.>>BUT IN THE EARLY 1900s, THEY MADE GOOD SUCCESS IN THAT
AREA IN THE COUNTRY.>>SO THE HOLMES ENDED UP IN
DeSMET.>>MY FOLKS, THEY MOVED TO
MINNEAPOLIS. MY DAD WAS A MINNEAPOLIS KID,
AND HE WENT TO SPRINGFIELD DURING WORLD WAR II, VERY
BEGINNING OF WORLD WAR II, AND MET MY MOTHER FROM SPRINGFIELD,
MISSOURI. AND THEY CAME — BUT I WANTED
TO MAKE SURE THAT PEOPLE KNEW THAT I HAD THAT PRAIRIE
HISTORY, THAT MY GRANDMA AND GRANDPA HOMESTEADED.>>THAT’S THE PRAIRIE DOC.SO IT
ALL MAKES SENSE NOW.>>IT’S AN IMPORTANT THING. AND
I WAS THINKING ABOUT THE THINGS THAT ARE IMPORTANT TO ME
IS THAT THERE IS THAT UNCONDITIONAL LOVE THAT YOU GET
FROM YOUR PARENTS. I THINK ABOUT THAT A LOT. YOU
KNOW, MY MOTHER SAID TO ME, AND EXPLAINED WHAT
UNCONDITIONAL LOVE WAS AND DEFINED IT, I MEAN, I HEARD IT
OFTEN, WHEN I WAS 6, THAT NO MATTER HOW BAD OF A PERSON I
WOULD BE, SHE WOULD ALWAYS LOVE
ME. SHE WOULDN’T LIKE ME VERY MUCH, AND SHE DIDN’T WANT ME TO BE A
BAD PERSON.>>BUT SHE WOULD LOVE YOU.>>BUT SHE WOULD LOVE ME. AND I
THINK, YOU KNOW, GOSH, I THINK THAT NEEDS TO BE SAID TO
OUR KIDS. I DON’T THINK PEOPLE UNDERSTAND
THE VALUE OF THAT. I THINK THE OTHER PART OF MY
RAISING THAT WAS IMPORTANT TO THIS WHOLE IDEA OF GOING INTO
MEDICINE WAS THE COMMUNICATION IN OUR FAMILY WITH THE DEL FAMILY,
THE DOCTOR IN DeSMET, AND THE COMMUNITY FRIENDS THAT
THEY HAD, YOU KNOW. I MEAN, ALL THE CIRCLE OF
FRIENDS. ALL THOSE ARE VERY
IMPORTANT.>>SO, THERE WAS NOT JUST ONE
TIME THAT YOU SAID, GEE, I’M GOING TO GO INTO MEDICINE,THERE
WASN’T ONE EVENT OR ANYTHING. WHERE DID THAT COME FROM? HOW
DID THAT WORK?>>WELL, I CAN REMEMBER IN Mr.
GRAMM’S SCIENCE CLASS, FRESHMAN IN HIGH SCHOOL,
DISSECTING A FROG WITH RON AND HE DIDN’T WANT TO MESS WITH
THAT FROG. AND I JUST LOVED IT. I MEAN, I CAN REMEMBER, YOU
KNOW, DISSECTING THE DARN FROG AND LOOKING AT ALL THOSE PARTS
AND GOING, MAYBE I’M MEANT TO
BE A DOCTOR.>>YEAH.>>WHAT WAS IT WITH YOU, JIM? I
MEAN, DO YOU REMEMBER THE TIME THAT YOU DECIDED — YOU
DON’T REMEMBER?>>WELL, YOU KNOW, SIMILAR
THINGS WHERE YOU COULD POINT TO THINGS WHERE YOU SAID, GEE,
YOU KNOW, THAT WAS — YOU KNOW, I GUESS IT WAS THE
RESPECT FOR THE FAMILY PHYSICIAN THAT I HAD. YOU KNOW,
WAS TERRIFIC. SO THAT WAS A ROLE MODEL. SAME
KIND OF THING WITH DR. BELL AND YOU, YOU KNOW,
YOUR FAMILY DOCTOR. SO, YOU HAD THIS TRAGIC EVENT
WHEN YOU WERE 16 YEARS OLD.>>YEAH.>>AND THAT ALSO HAD TO SORT OF
SHAPE SOME OF THIS.>>CERTAINLY.>>CAN YOU TALK A LITTLE BIT
ABOUT THAT?>>RIGHT. SO I’M AT BOY SCOUT
— I’M AT SUMMERS CANOE BAY, CANOEING IN
NORTHERN MINNESOTA. AND WE COME HOME AND THE TOWN
SEEMED — THERE WAS SOMETHING
WRONG. I MEAN, HAVE YOU EVER DRIVEN IN
TO SOMETHING, YOU JUST FELT A CLOUD WAS THERE? AND WHEN WE
GOT DONE, I MEAN, I COULD HEAR THERE WAS
WHISPERING GOING ON AND THEN SUDDENLY SOMEBODY PICKED ME UP
AND TOOK ME TO MY HOUSE, WHERE THE WHOLE TOWN SEEMED TO BE
THERE SUPPORTING MY MOM AND DAD AFTER MY SISTER’S DEATH.
SHE HAD KILLED — SHE HAD BEEN KILLED IN A CAR ACCIDENT. I
THINK THAT REALLY THREW ME INTO THE REALITY OF THAT LIFE
IS NOT FOREVER AND THAT WE BETTER ENJOY AND SAVOR AND MAKE
VALUABLE EVERY MOMENT. AND I REMEMBER ONE TIME I HAD
BEEN ASHAMED OF HER BECAUSE SHE WAS KIND OF A WILD AND
CRAZY, HAPPY, LOVING PERSON THAT TOUCHED EVERYBODY’S LIVES,
BUT SHE WAS, YOU KNOW, SHE MIGHT HAVE EVEN SMOKED
CIGARETTES, I DON’T KNOW, YOU
KNOW. AND I WAS ONE OF THOSE, WHEN I
WAS 16, SHE WAS 18 1/2, 19, TURNING 19, AND IT CHANGED MY
LIFE. YOU KNOW? AND, OF COURSE, IT
MADE ME CONSIDER MY PARENTS MORE, THEIR
NEEDS. BUT IT ALSO MADE ME REALIZE,
LIFE IS SO FRAGILE, I WANT TO BE ABLE TO HELP PEOPLE THROUGH
THAT. THAT WAS ANOTHER THING IN
MEDICINE. BUT IT ALSO HELPED ME ENJOY
LIFE. I’VE BEEN A PERSON WHO’S
ENJOYED LIFE A LOT.>>SO THEN YOU’RE ON TO MEDICAL
SCHOOL. THIS IS BACK WHEN IT WAS A
TWO-YEAR SCHOOL.>>RIGHT.>>SO, AFTER TWO YEARS, SOUTH
DAKOTA ALWAYS HAD THIS TWO-YEAR
SCHOOL.>>RIGHT.>>BASIC SCIENCE. AND THEN YOU
HAD TO GO ON. AND THAT LAUNCHED YOU, THEN,
INTO FINISHING MEDICAL SCHOOL
AT?>>EMORY. IN ATLANTA, GEORGIA.
SO, I MEAN, THE TWO-YEAR SCHOOL IN SOUTH DAKOTA, I MEAN,
IT STARTED EARLY IN THE 1900s OR IN THE LATE 1800s, I
MEAN, THEY HAD A TWO-YEAR SCHOOL LIKE A LOT OF
THEM AND THEN A LOT OF THEM
EVOLVED. BUT SOUTH DAKOTA DIDN’T HAVE
THE NUMBERS OR THE MONEY UNTIL AFTER I WAS GONE FROM MED
SCHOOL. AND, SO, WHEN WE DID
FIRST TWO YEARS, THEY WERE SERIOUS,
MAKING SURE WE WERE PREPARED TO
GO ANYWHERE. AND I REMEMBER GETTING TO
EMORY, YOU KNOW, HIGHFALUTIN, 20 MED SCHOOLS IN THE COUNTRY
OR TEN, SOUTH DAKOTA KIDS, THEY ARE ALWAYS WELL PREPARED,
I MEAN, THEY DID SAY THAT TO ME. AND THEY WERE HAPPY TO TAKE US.
AND I DID WELL IN MY CLASS. AND THEN I WAS TRYING TO DECIDE
WHAT TO DO, AND I HAD MENTORS THAT LIKED ME AND
WANTED ME TO STAY. AND, SO, THEY PUSHED ME TO
STAY. IN INTERNAL MEDICINE.>>INTERNAL MEDICINE. AND THEN
YOU HAD THE DECISION TO MAKE BETWEEN STAYING IN
ACADEMICS OR COMING INTO
PRACTICE. AND QUICKLY TELL ME HOW YOU
ENDED UP BACK IN BROOKINGS.>>WELL, THEY ASKED ME TO TEACH.>>YOU DID TEACH FOR A WHILE,
RIGHT?>>TAUGHT THREE YEARS. THEY
GAVE ME AN OPPORTUNITY TO TEACH
AT EMORY. AND THEN I WASN’T MARRIED AT
THE POINT AND I WAS LOOKING AT THIS ONE PARTICULAR NURSING
STUDENT.>>WAS HER NAME JOANIE?>>YEAH, HER NAME WAS JOANIE.>>AND, SO, POOR FLORIDIAN
GIRL, DRAGGED HER ALL THE WAY BACK TO SOUTH DAKOTA TO
PRACTICE. IF YOU’RE TEACHING,
YOU’RE SAYING TO THESE YOUNG MED
STUDENTS AND RESIDENTS, THIS IS WHAT IT’S LIKE TO PRACTICE.
EXCEPT I’VE NEVER PRACTICED.>>SO YOU CAME BACK TO –>>I DECIDED I’D COME BACK AND
PRACTICE. AND THEN IF I REALLY WANTED TO,
I CAN GO BACK AND SAY, I PRACTICED. THERE’S A TIP
CRATTIC — OR A LITTLE HYPOCRICY THERE, IF
YOU’RE TEACHING AND YOU HAVEN’T
–>>WHILE TALK A LITTLE BIT MORE
ABOUT THAT.>>>SOME TV PERSONALITIES ARE
DIFFERENT WHEN THEY ARE ON TELEVISION THAN WHEN THEY ARE
IN THEIR EVERYDAY LIVES.>>IF HE WAS UPSET, IT WASN’T
SOMETHING THAT HE GOT PHYSICALLY ANGRY OR EMOTIONALLY
ANGRY. IT WAS ALWAYS VERY THOUGHTFUL,
YOU KNOW. IF SOMEBODY WAS MISBEHAVING,
THE BEST WAY TO TEACH THEM A LESSON WAS TO MAKE THEM GO
THINK ABOUT IT, YOU KNOW, THINK ABOUT WHAT THEY DID WRONG.>>HE’S VERY HUMBLE, KIND,
LOVING, FUN GUY. GROWING UP, HE WAS A DOCTOR SO,
YOU KNOW, HE HAD THOSE LONG HOURS AND WE’D ALL WAIT
FOR HIM TO COME HOME AND EAT DINNER TOGETHER AT THE TABLE,
WHICH WAS, I THINK, A GREAT FAMILY THING TO DO. HEAR ABOUT
EVERYBODY’S DAY, BUT ALSO JUST KIND OF — THE
CLOSENESS OF THE FAMILY.>>IT IS KIND OF AN INTERESTING
THING TO LOOK BACK AND REMEMBER RUNNING WITH MY
DAD FROM A VERY VERY YOUNG AGE.>>HE GOT ME IN TO RUNNING
PRETTY MUCH, I WOULD SAY, I MEAN, I RAN MAYBE A LITTLE
BEFORE KNOWING HIM, BUT, YOU KNOW, NO, I’VE ALREADY RUN THIS
MORNING, I’VE BEEN RUNNING, YOU KNOW, ALMOST 40
YEARS, AND, SO, HIS HEALTH, HIS ASPECT OF HEALTH AND
EXERCISE AND FITNESS IS
EXTREMELY IMPORTANT.>>HE’S GOT SOME GOOD EMPATHY
AND HE KNOWS OFTEN WHAT PEOPLE NEED TO HEAR. TO MAKE THEM FEEL
BETTER.>>DR. HOLM HAS A PASSION FOR
WANTING TO EDUCATE EVERYONE ON HOW TO BE HAPPY AND TO LIVE
HEALTHY. AND IT’S MY IMPRESSION
HE’S BEEN DOING THAT SINCE DAY ONE
WHEN HE BEGAN TO BE A DOCTOR. AND THIS IS JUST ANOTHER OUTLET
FOR THAT PASSION THAT HE HAS.>>WHAT YOU SEE ON TELEVISION
IS WHAT YOU GET IN PERSON. >>THAT WAS A REALLY NICE
SEGMENT ON ENCAPSULATING WHAT WE’RE TALKING ABOUT, HOW, YOU
KNOW, GENERALLY YOU GOT INTO MEDICINE AND HOW YOU ENDED UP
IN PRACTICE. I WANT YOU TO TELL ME A LITTLE
BIT ABOUT YOUR PERSPECTIVE ON PRACTICE AND BEING A LEADER
AMONG PHYSICIANS AND CONNECTING WITH PHYSICIANS AND
THEN TALK A LITTLE BIT ABOUT THAT AS WE THEN MAYBE TALK A
LITTLE BIT ABOUT YOUR
EXPERIENCE IN MEDIA.>>I REMEMBER COMING TO
BROOKINGS IN 1981, ’82, REALIZING THAT THEIR PRACTICE
WAS THIS WAY. THE COMMON PRACTICE WAS TO
PROVIDE — EVERYBODY’S WAS ANXIOUS, EVERYBODY GOT VALIUM
AND EVERYBODY WAS, YOU KNOW, THEY TREATED IT THIS WAY, SO
ON, SO FORTH. AND I’M RIGHT FROM THE
UNIVERSITY. YOU KNOW, ON THE CUTTING EDGE
OF ALL OF THAT STUFF. AND, YOU KNOW, PART OF THE
THING IS, YOU DON’T TELL PEOPLE, THIS IS THE WAY TO DO
IT. YOU’RE WRONG. I MEAN, PART OF
THE DEAL IS THAT YOU TREAT PEOPLE WITH —
DOCTORS WITH RESPECT, TOO. I MEAN, THEY’VE GOT THE
EXPERIENCE. YOU’RE JUST A YOUNG WHIPPER
SNAPPER.>>RIGHT.>>SO PART OF WHAT I THOUGHT I
HAD TO DO AND I DID, I TRIED TO DO, WAS TO DO A LOT OF
LISTENING AND SHARING AND JUST LEADING BY EXAMPLE AND LET THEM
LEAD BY EXAMPLE, TOO. I REMEMBER BRUCE, ONE OF MY
HEROES IN MEDICINE, YOU KNOW, JUST SHOWING ME THE ROPES, AS
HE WAS SO COMPASSIONATE WITH
PATIENTS.>>RIGHT.>>SO IT WAS A –>>THAT CONNECTING THAT YOU
WERE DOING, WHEN YOU CAME BACK TO SOUTH DAKOTA ACTUALLY GOT
YOU OUT TO RAPID CITY, THAT’S HOW WE FIRST MET.>>YEAH.>>I WAS IN RAPID CITY, YOU
WERE HERE. WE JUST SORT OF HAD A — WE HAD
A MEETING OF THE MINDS, BUT
THEN –>>I WAS GIVING A TALK AND YOU
WERE GIVING A TALK AT THE SAME CONFERENCE ON LEGAL LAWSUITS.
REMEMBER THAT?>>YEAH. IT WAS SOMETHING. YEAH.>>AND I LISTENED TO THIS GUY,
AND I THOUGHT, MY GOSH, — [ OVERLAPPING CONVERSATION ]>>AND I WAS LISTENING TO THIS
GUY, I THOUGHT, MY GOD, THIS GUY’S GOOD. [ OVERLAPPING CONVERSATION ]>>WE OUGHT TO DO THIS TOGETHER. WE’VE GOT TO FIND A WAY WE CAN
DO –>>WE’VE GOT TO TAKE THIS SHOW
ON THE ROAD.>>I THINK IS EXACTLY WHAT YOU
SAID.>>SO I THINK THAT — YOU KNOW,
YOU AND I BOTH KIND OF ENGAGED WITH PHYSICIANS ACROSS
SOUTH DAKOTA. AND, YOU KNOW, I WAS GRATIFIED
MYSELF TO BECOME, YOU KNOW, PRESIDENT OF THE MEDICAL
ASSOCIATION, YOU WERE PRESIDENT OF THE MEDICAL
ASSOCIATION. THE INTERNAL
MEDICINE GROUP ELECTED YOU AS THEIR GOVERNOR,
WHICH IS A VERY IMPORTANT POSITION IF YOU’RE INTERNAL
MEDICINE. AND I THINK THAT — HOW DID ALL
THAT, YOU KNOW, HOW DID WE GET FROM THAT TO ALL OF A
SUDDEN YOU’RE ON THE RADIO AND THEN ALL OF A SUDDEN TV SHOW?
TELL ME ABOUT THAT TRANSITION.>>RIGHT. WELL, I WAS CHAIRMAN
OF THE INTERNAL AFFAIRS AND BLAH BLAH
BLAH COMMITTEE. I CAN’T REMEMBER. THEY DUMPED
THAT COMMITTEE. IT’S CHANGED ITS NAME. FOR THE
STATE MEDICAL ASSOCIATION. BEFORE I WAS PRESIDENT AND GOT
INTO A LEADERSHIP ROLE, I WAS THE CHAIRMAN OF THIS
SUBCOMMITTEE. YOU KNOW, THEY
ALWAYS NEED –>>OH, YEAH.>>– COMMITTEE MEMBERS OF
DIFFERENT THINGS.>>YEAH.>>WE WERE LOOKING AT TRYING TO
IMPROVE THE PUBLIC RELATIONS OF PHYSICIANS BECAUSE
WE’RE JUST — IT’S — IT WAS — YOU KNOW, DOCTORS ARE
COMING UP AS HEELS, YOU KNOW, AS PEOPLE THROWING
SCALPELS ACROSS THE OPERATING
ROOM. AND THEN I SAW ALL THESE GREAT
PEOPLE, I THOUGHT, YOU KNOW, WE NEED TO TRY TO FIGURE A WAY
TO DO IT BETTER. AND I SAID TO THE LEADERSHIP OF
THE STATE MEDICAL ASSOCIATION, WE NEED TO DO
SOMETHING TO IMPROVE PUBLIC RELATIONS FOR DOCTORS. AND THEY
SAID, WE’LL BRING SOME NATIONAL PEOPLE IN. THEY
BROUGHT TO MY COMMITTEE TWO NATIONAL PEOPLE WHO TALKED
ABOUT HOW TO DO PUBLIC RELATIONS. AND WE WERE TALKING
ABOUT, YOU KNOW, BILLBOARDS AND TV ADS AND
LOOK AT THE COSTS OF ALL THOSE THINGS, THEY’RE TERRIBLE.
HUGE, HUGE COST. AND I SAID, WELL, WE HAVE NONE
OF THAT MONEY. WE HAVE NONE OF THAT. WHAT
COULD WE REALLY DO? WELL, REALLY, THE BEST WAY IS
TO TALK TO YOUR LOCAL KIWANIS CLUB AND TO BE ABLE TO PRESENT
IN FRONT OF GROUPS WHENEVER ASKED, BE ON THE RADIO IF
ANYBODY ASKED YOU. SO THEY ASKED ME. ASKED ME TO
BE ON THE RADIO. AND THEN THEY ASKED ME TO COME
AGAIN. AND THEN THEY ASKED ME TO COME
AGAIN. THEN THEY SAID, LET’S DO THIS
REGULARLY. AND THEN THEY SAID, LET’S DO IT
EVERY WEEK.>>YEAH.>>AND I DID THAT FOR ABOUT 15
YEARS BEFORE WE STARTED THE
TELEVISION SHOW.>>AND THEN YOU JUMPED — THEN
THE TV JUST BECAME AN EXTENSION OF THAT.>>WELL, WE TRIED — REMEMBER
THE FIRST ROUND OF TV THINGS WE TRIED TO DO? BY THE WAY, I
REALIZED THAT THE BEST PUBLIC RELATIONS IS
GOOD PUBLIC SERVICE. IF YOU’RE JUST DOING THE RIGHT
THING, THAT’S BETTER THAN TO PUT AN ARTIFICIAL COMMERCIAL ON TV
AND SAY, LOOK HOW GOOD WE ARE.>>YEAH.>>JUST DO THE RIGHT THING.>>YEAH.>>AND THERE’S A HUGE NEED IN
HEALTH CARE EDUCATION FOR THE
PUBLIC. AND, SO, THAT’S KIND OF WHAT
DROVE THAT.>>SO, THIS SHOW HAS BEEN PART
OF THAT VERY HONEST ATTEMPT TO SAY, WE’RE GOING TO GET THE BEST
PEOPLE THAT WE CAN FIND, AND MOST OF THESE ARE GOING TO
BE FROM SOUTH DAKOTA DOCS.>>YEAH.>>AND WE’RE GOING TO GET TO
THE BOTTOM OF THE BEST SCIENTIFIC INFORMATION WE CAN
AND WE’RE GOING TO PRESENT THAT TO PEOPLE BECAUSE THEY’RE
NOT IDIOTS OUT THERE, THEY CAN UNDERSTAND THIS STUFF AND WE’LL
TALK ABOUT IT AND WE’LL ANSWER QUESTIONS. AND I THINK
THAT’S WHY THIS HAS BEEN SO SUCCESSFUL, BECAUSE
IT’S REAL. IT’S NOT ARTIFICIAL. THIS IS A
REAL DOC TALKING TO A REAL DOC TALKING ABOUT REAL
PROBLEMS.>>PEOPLE REALLY DIDN’T REALIZE
WHAT QUALITY PEOPLE WE HAVE IN THIS STATE PRACTICING
MEDICINE.>>WELL, YEAH. YEAH.>>AND, YOU KNOW, BRING THEM
OUT, BRING THEM TO TALK ABOUT HEALTH
CARE.>>SO, HERE YOU ARE, THIS GREAT
CAREER, AND, YOU KNOW, I’LL EMBARRASS YOU A LITTLE
BIT, IT CULMINATES IN BEING ELECTED TO THE SOUTH DAKOTA
HALL OF FAME AND PUT IN THE HALL OF FAME LAST — I MEAN,
THE SOUTH DAKOTA HALL OF FAME. IF YOU ARE TRAVELING DOWN 90
AND YOU STOP AT CHAMBERLAIN AT THE HALL OF FAME, YOU WILL SEE
DR. HOLM IN THE HALL OF FAME. SO, THAT IS REALLY THERE. AND
THEN, BUT HERE’S THE ROLLER COASTER PART, YOU KNOW,
LITERALLY WITHIN DAYS OF THAT HIGHLIGHT IS WHEN WE GET TO THE
ABDOMINAL PAIN BUSINESS THAT YOU WERE TALKING ABOUT.
ALL OF A SUDDEN YOU HAVE THE ABDOMINAL PAIN. YOU SORT OF
RECOUNTED IN YOUR OPENING ABOUT HOW ALL THAT SORT
OF WORKED.>>YEAH.>>BUT ULTIMATELY YOU HAD THIS
PANCREATIC CANCER. AND ONE OF THE THINGS YOU AND I
HAVE TALKED ABOUT IS ONE OF THE THINGS AS A PHYSICIAN, YOU
KNOW THESE DIAGNOSES. IF YOU’RE A LAYPERSON AND I
HAVE TO TELL YOU, YOU HAVE PANCREATIC CANCER, I CAN BRING
YOU INTO THAT A LITTLE BIT
SLOWLY. IF YOU’RE A DOC AND I SAY, YOU
HAVE PANCREATIC CANCER, YOU HAVE JUST HAD THE WHOLE THING
COLLAPSE RIGHT ON TOP OF YOU.>>YEAH.>>SO TELL ME ABOUT THAT. WHAT
SLAMMED YOU IN THE FACE IN OCTOBER THAT MADE YOU SAY,
OH, MY GOD?>>YEAH. WELL, I’VE BEEN A
HOSPICE DIRECTOR FOR 20 PLUS YEARS AT
BROOKINGS. AND I’VE WATCHED PEOPLE, YOUNG
PEOPLE, BABIES, YOU KNOW, BUT A LOT OF OLDER PEOPLE, TOO,
PEOPLE 68 YEARS OF AGE, TOO, COME DOWN WITH CANCERS THAT ARE
TERMINAL. AND WITH THAT, YOU KNOW, I
STARTED WRITING THIS BOOK ABOUT LET’S FACE OUR OWN DEATH.
IN FACT, I WROTE AN ESSAY ABOUT FEARING DEATH IS HARMFUL
TO YOUR HEALTH. IT’S DANGEROUS TO BE FEARFUL OF
YOUR OWN DEATH. AND I THOUGHT ABOUT MY OWN
DEATH A LOT AFTER MY SISTER’S
DEATH. AND REALLY, MY WHOLE ESSENCE
HAS BEEN, I BETTER BE DOING IT RIGHT, FULLY COMPLETE, AND DO
THE RIGHT THING AND LOVE YOUR FAMILY AND SAVOR EVERY MOMENT
AND PLAY HARD BECAUSE IT COULD BE ANY TIME. AND I’VE THOUGHT
ABOUT IT A LOT. AND, SO, WHEN IT CAME DOWN TO
IT, ALL OF A SUDDEN I COULD SEE, MY DEATH IS VERY CLOSE.
YOU KNOW, I’M ABOUT AS PREPARED AS ANYBODY SHOULD BE
BECAUSE OF THE HOSPICE EXPERIENCE, MY SISTER’S DEATH
EXPERIENCE. IT’S NOT BEEN A –>>AND YOUR FATHER.>>MY FATHER PASSED AWAY AND MY
MOM PASSED AWAY. I MEAN, I HAVE ONE COUSIN ON MY
FATHER’S SIDE AND I HAVE ONE COUSIN ON MY MOTHER’S SIDE.
I DON’T HAVE ANY SIBLINGS. I’VE GOT THEIR CHILDREN, AND I
HAVE MY CHILDREN AND MY WIFE.>>SO LET’S TALK, LET’S JUST
FOCUS A LITTLE BIT ON PANCREATIC CANCER, ON THE
CANCER, THE SO-CALLED EXOCRINE CANCER OF THE PANCREAS THAT IS
THE BAD ACTOR. BAD, BAD ACTOR. YOU GET THAT. YOU KNOW, THERE
WAS A TIME, WHEN YOU AND I WERE
IN MEDICAL SCHOOL, YOU SAID THAT WORD, AND
IT WAS THREE TO SIX MONTHS AND YOU WERE GONE. NO MATTER
WHAT THEY DID.>>THAT’S RIGHT.>>AND THAT HAS CHANGED A LOT.
AND YOU HAVE FORTUNATELY HOOKED UP WITH SOMEBODY THAT’S
DONE A LOT OF STUDIES ON THIS, THIS WHOLE THING WITH THE CHEMO
FOLLOWED BY RADIATION, DO WE HAVE IT CONFINED, NOW CAN
WE DO THE SURGERY, CAN WE POSSIBLY EXCISE THIS THING. AND
THAT’S WHAT YOU’RE GOING TO BE FACING NEXT WEEK. AND
THEN, YOU KNOW, AS WE WERE TALKING ABOUT EARLIER, YOU
KNOW, IF THIS COULD BUY SOME TIME, IF THIS COULD BUY FOUR OR
FIVE YEARS, THERE ARE SOME REALLY GOOD CUTTING-EDGE THINGS
THAT ARE BEING DEVELOPED. WHO KNOWS WHAT THE NEXT
TREATMENT’S GOING TO BE A YEAR FROM NOW OR TWO YEARS FROM NOW. SO, I MEAN, I THINK THAT, YOU
KNOW, I MEAN, IT’S BASICALLY, YOU KNOW, YOU’RE JUST NOT GOING
DOWN. YOU KNOW? YOU’RE ROCKY, YOU’RE GOING TO
KEEP ON GOIN’ HERE. I MAY NOT WIN THIS BATTLE, BUT
I’M NOT GOIN’ DOWN UNTIL SOMEBODY KNOCKS ME DOWN.>>YOU KNOW, LET’S FACE IT. I’M
68. I WON’T LIVE FOREVER AND
NEITHER WILL YOU. I MEAN, WE ALL PUT THAT AWAY.
WE SAY, WE’RE NOT GOING TO LIVE — YEAH, WELL, I KNOW, YOU
KNOW, TAXES AND DEATH, THOSE ARE THE THINGS. BUT NO
ONE — WE DON’T USUALLY FACE OUR OWN DEATH. AND MY
SENSE IS THAT THAT — FACING OUR OWN DYING PROCESS IS
SOMETHING THAT WE ALL SHOULD DO AND THINK ABOUT AND
THAT’S PART OF THE REASON I’M WRITING THIS BOOK, TOO.>>I WANT TO TALK A LITTLE BIT
ABOUT SOME OF THE ADVANCES IN TREATMENT OF CANCER. WE’VE
WORKED TO SOLVE CANCER SINCE MEDICAL RESEARCH BEGAN.
CHEMOTHERAPY, RADIATION TREATMENTS AND SURGERY HAVE
SHOWN PROMISE IN MANY WAYS. BUT IT MAY BE TIME FOR ANOTHER
DIRECTION OF ATTACK.>>IMMUNOTHERAPY IS THE IDEA
THAT YOU CAN ENCOURAGE YOUR BODY’S IMMUNE RESPONSE TO
RECOGNIZE AND DESTROY CANCER. AND, SO, IT’S ALL BASED ON
FOUNDATIONAL PRINCIPLES FROM INFECTIOUS DISEASES LIKE
VIRUSES. THERE’S ACTUALLY A VERY OLD
HISTORY ABOUT IMMUNOTHERAPY FOR CANCER. I DON’T KNOW IF
YOU’VE EVER HEARD OF WILLIAM COLEY, A
SURGEON IN NEW YORK. HE, IN THE LATE 19th AND EARLY
20th CENTURIES, PLAYED WITH THE IDEA, BASED ON
A SERENDIPITOUS OBSERVATION, HE HAD A PATIENT WHO GOT AN
INFECTION OF A SARCOMA AND THE TUMOR WENT AWAY BECAUSE OF THE
INFECTION. NOW WE KNOW, ESSENTIALLY ALMOST
ALL CANCERS HAVE MUTATIONS OR OTHER ALTERATIONS
THAT GENERATE WHAT MOLECULES THAT COULD BE VIEWED AS FOREIGN
FROM THE IMMUNE SYSTEM KIND OF LIKE A FOREIGN PATHOGEN
THAT CAN SERVE AS TARGETS FOR YOUR IMMUNE SYSTEM
TO RECOGNIZE AND KILL CANCER CELLS JUST LIKE YOUR IMMUNE
SYSTEM WOULD KILL VIRUS-INDETECTED CELLS. IT’S A
BIT OF A PUZZLE WRAPPED IN AN ENIGMA. YOU KNOW THAT
EVEN FROM A PATIENT, YOU COULD MAKE, LET’S
SAY, A TUMOR CELL FROM THEIR CANCER, MAKE A T CELL LINE FROM
THEIR BLOOD. SO T CELLS CAN BE LIKE THE
KILLER T CELLS, THE IMPORTANT IMMUNE CELLS THAT HAVE THE
CAPABILITY OF RECOGNIZING AND DESTROYING THE CANCER. AND YOU
COULD SEPARATE THESE, GROW THEM UP IN THE LABORATORY,
AND THEN YOU MIX THE T CELLS WITH THE CANCER
CELLS AND THEY’RE COMPLETELY KILLED IN THE TISSUE CULTURE
DISH. THIS PUZZLE HAS BEEN
UNRAVELED OVER THE PAST 20 YEARS OR SO.
AND THE BEGINNING OF THE FIELD WAS VACCINATION. ALL RIGHT.
MAYBE YOU COULD JUST IMMUNIZE PATIENTS AGAINST THESE
MOLECULES THAT MIGHT BE RECOGNIZED AS FOREIGN, GET A
STRONGER IMMUNE RESPONSE, SORT OF EXPAND THE ARMY, BOOST THE
OFFENSE, RIGHT, AND THEN YOU’D HAVE, YOU KNOW, MORE FOOT
SOLDIERS TO GO INTO THE TUMOR AND GET THE UPPER HAND
NUMERICALLY SORT OF AGAINST THE
CANCER. WHEN WE STARTED TO PROBE INTO
THE TUMOR, WE REALIZED VERY QUICKLY THAT PATIENTS FELL INTO
TWO CATEGORIES. ONE IS IT JUST KEEPS THE CELLS
OUT. AND, SO, YOU COULD BOOST
THE BODY’S IMMUNE RESPONSE AS MUCH
AS YOU WANT, BUT IF THE TUMOR DOESN’T — IT WALLS ITSELF OFF
IN A WAY, IF IT DOESN’T LET THE T CELLS IN, THEY CAN’T HAVE
ACCESS TO THE CANCER CELLS. BUT IT TURNS OUT, THE OTHER
CATEGORY IS A LITTLE BIT DIFFERENT, WHERE THE IMMUNE
CELLS DO GET IN BUT THEN
THEY’RE SHUT DOWN. SO, I THINK THERE’S REASON FOR
TRUE OPTIMISM IN TERMS OF IMPROVING CANCER OUTCOMES EVEN
FURTHER. OPTIMISM, THOUGH, IS BASED ON
INVESTMENT AND INFRASTRUCTURE AND PUBLIC AND PRIVATE SUPPORT
ALL WORKING TOGETHER. >>SO, THAT WAS AN INTERESTING
PIECE BECAUSE THAT REALLY IS THE CUTTING EDGE OF WHERE MANY
DISEASE TREATMENTS ARE GOING. IT DOESN’T MATTER WHETHER IT’S
RHEUMATOLOGIC, NEUROLOGIC, ONCOLOGIC, A CANCER –>>VACCINE.>>BUT TRYING TO EITHER MIMIC
THE IMMUNE SYSTEM AND ATTACK A CANCER OR STIMULATE THE IMMUNE
SYSTEM TO ATTACK A CANCER OR RHEUMATOLOGIC PROBLEM OR
WHATEVER. YOU KNOW, THAT’S
WHERE THE CUTTING EDGE OF TREATMENT IS.
AGAIN, THAT’S, YOU KNOW, I’M EXCITED LOOKING FORWARD. I
THINK THERE’S GOING TO BE A LOT
OF POTENTIAL.>>A DEAR, DEAR FRIEND OF MINE
HAD A CANCER, HAD LITTLE SPOTS POP UP. OF COURSE, OUR CHANCES
ARE GOING TO BE THIS
IMMUNOTHERAPY. I’M REALLY HOPEFUL FOR HIM.
I’VE SEEN IMMUNOTHERAPY DO
WONDERFUL THINGS. JIMMY CARTER’S BRAIN CANCER IS
ONE OF THOSE EXAMPLES. I WANTED TO MAKE A POINT.
THERE’S SOME PEOPLE IN MINNEAPOLIS WHO ARE AFRAID THAT
VACCINATIONS ARE GOING TO CAUSE DIFFERENT PROBLEMS AND
THEY’RE NOT VACCINATING THEIR
CHILDREN. AND THERE’S A HUGE POPULATION
OF THESE PEOPLE WHO HAVE IMMIGRATED FROM A DIFFERENT
COUNTRY THAT ARE ALL TALKING WITH EACH OTHER, THEY DON’T
TRUST THE DOCTORS, AND THEY’RE NOT GETTING THEIR KIDS
IMMUNIZED. AND IT’S JUST —
IT’S THAT SAME IMMUNOTHERAPY.>>RIGHT.>>IT’S THE SAME, LET THE BODY DO THE TRICK RATHER THAN AN
ANTIBIOTIC OR SOMETHING.>>RIGHT. AND THERE’S THE WHOLE
ISSUE WITH VACCINES AND AUTISM AND
ALL THAT. AND, AGAIN, A LOT OF — THERE’S
JUST A LOT OF NONSCIENCE THERE.>>IT’S NOT TRUE.>>IT’S JUST — EVERY STUDY HAS
— YOU KNOW, BUT THESE THINGS GET AHOLD, JUST LIKE
ANYTHING, PEOPLE START SAYING THEM ENOUGH, EVEN THOUGH THEY
DON’T KNOW WHAT THEY’RE TALKING ABOUT, THEY SAY THEM
ENOUGH, PEOPLE START TO THINK IT’S TRUE, IT’S NOT TRUE.>>IT’S NOT TRUE. AND THEY SET
THEMSELVES UP FOR TROUBLE.>>RIGHT.>>PARTICULARLY WHEN MORE AND
MORE ARE NOT IMMUNIZED.>>SO LET’S GO BACK — LET ME
TAKE YOU BACK TO, NOW YOU’VE GONE FROM OCTOBER ALL THROUGH
THE WINTER MONTHS TO NOW. YOU WERE AT MAYO. YOU KNOW,
WE’VE GOT THE ALL CLEAR AS FAR
AS –>>READY FOR THE SURGERY.>>– FOR THE SURGERY.>>I WANTED TO MAKE SURE THAT
PEOPLE UNDERSTAND THAT I WENT TO MY LOCAL DOCTOR, WHO SENT ME
TO AVERA, SOUTH DAKOTA DOCTOR, AND THE SOUTH DAKOTA
DOCTOR SENT ME TO THE MAYO BECAUSE I HAVE THIS UNUSUAL
ANATOMY.>>RIGHT.>>AND THEY’RE ON THE ABSOLUTE
CUTTING EDGE, WE’RE GOING TO HAVE THAT DOCTOR ON THE SHOW
NEXT YEAR, I THINK.>>RIGHT. AND, YOU KNOW, THE
IMPORTANT THING THERE IS IS THAT YOU —
YOU KNOW, YOU’RE A DOC, PEOPLE THOUGHT, YOU GOT ON THE PHONE
AND CALLED –>>NO, I DID NOT. I WENT
THROUGH MY DOCTOR.>>THAT’S WHAT WE ALL DO. [ OVERLAPPING CONVERSATION ] WE’VE GOT A PERSONAL DOC, WE GO TALK TO THEM. AND THEN WE
DISCUSS IT WITH THEM AND THEN THEY SUGGEST WE
GO ON OR THEY SUGGEST WE DO
THIS. AND, YOU KNOW, THAT’S THE WAY
IT SHOULD WORK BECAUSE HAD YOUR ANATOMY BEEN SUCH THAT IT
WOULD HAVE BEEN A SLAM DUNK RIGHT THERE, YOU COULD HAVE HAD
THAT, YOU KNOW, I MEAN, YOU KNOW, IT WOULD HAVE BEEN
TAKEN CARE OF. BUT THIS GUY LOOKS AT YOU AND
SAYS, THIS ISN’T RIGHT. I NEED HELP. I NEED SOMEBODY
THAT’S A CUT ABOVE ME IN TERMS OF THE
REFERRAL AREA. AND EXPERTISE. SO YEAH. SO TELL ME ABOUT — I
WANT TO TALK A LITTLE BIT ABOUT
–>>THE CHEMO.>>I KNOW YOU WENT THROUGH THE
CHEMO AND THE PHYSICAL STUFF. BUT, YOU KNOW, THE SPIRITUAL
SIDE OF THINGS. I MEAN, HOW DO YOU — YOU KNOW,
YOU’RE FACING — YOU KNOW, YOU DON’T KNOW WHAT
YOU’RE FACING THERE. YOU MIGHT BE FACING DEATH IN
WEEKS, MONTHS, MAYBE YEARS, HOPEFULLY YEARS, THAT’S WHAT WE
THINK.>>SIX DAYS.>>BUT DID YOU GET YOURSELF
RIGHT WITH THE LORD? HOW DID YOU — WHAT DID YOU —
TELL ME ABOUT THAT A LITTLE BIT.>>WELL, I THINK MY FAITH REALLY — I MEAN, OF COURSE, I
WAS RAISED IN A SOLID CHURCH
FAMILY. YOU KNOW, MOM AND DAD WENT TO CHURCH, I WENT TO SUNDAY SCHOOL
AND ALL THAT STUFF. AND LEARNED THE LORD IS MY
SHEPHERD, I SHALL NOT WANT. BY MEMORY, WHEN I WAS 7 OR 8.
YOU KNOW, HAVE YOU EVER THOUGHT OF THAT PRAYER? THAT’S
A WONDERFUL PRAYER. AND I WENT TO CHURCH CAMP AND
AT CHURCH CAMP, IT’S KIND OF A LIBERAL CHURCH CAMP, AND THEY
TALKED ABOUT, YOU KNOW, GOD IS
IN ACTION. LOVE AND ACTION IS GOD. THEY
TALKED ABOUT DOING RIGHT FOR OTHER PEOPLE, CARING FOR
OTHER PEOPLE. THERE IS WHERE OUR RELIGION
SHOULD BE. BRING IT INTO ACTION. AND A LOT OF ISSUES ABOUT
MEDITATION AND PRAYER HAPPENED IN MY HIGH SCHOOL YEARS. YOU
KNOW, MY SISTER’S DEATH, WHAT DID THAT MEAN TO HER AND
WHAT DID THAT MEAN TO US. AND I’VE ALWAYS BELIEVED — I’M
KIND OF IN A NONEXCLUSIVE
CHURCH. MY CHURCH IS — OF COURSE, MY
CHURCH SAYS OPEN DOORS, OPEN HEARTS, OPEN, YOU KNOW, OPEN.
AND IN MY SENSE, THAT’S THE MOST IMPORTANT THING, IT
INCLUDES ANYONE. IF YOU LOOK AT
THE JEWISH RELIGION, IT’S THE SAME GOD AS
THE MUSLIM RELIGION AS THE
CHRISTIAN RELIGION. I MEAN, I THINK IF YOU LOOK AT
ALL THE WORLD’S RELIGIONS, THEY TALK ABOUT COMPASSION AND
JUSTICE AS THE BASE. AND ALL THE REST OF THIS ARE
THESE LITTLE DETAILS THAT
HUMANS ADD. THE IDEA ABOUT HEAVEN, YOU
KNOW, AND PRAYER AND THERE’S A LOT OF UNANSWERED QUESTIONS
THAT I HAVE. BUT I WROTE AN ESSAY, AT THE
END OF THIS SHOW, I DON’T KNOW IF YOU KNOW WHAT IT’S ABOUT,
IT’S ABOUT LISTENING FOR GOD. AND MY SENSE IS THAT I LOVE MY
MOM AND DAD AND I SENSE THAT THEY’RE WITH ME. I FEEL THE
SPIRIT THAT IS WITHIN YOU. AND I FEEL THE SPIRIT ALL
AROUND ME. WHEN I WAS
SNORKELING IN THE BRITISH VIRGIN ISLANDS TWO
WEEKS AGO, I HAVE TO SAY, IT WAS A WONDERFUL EXPERIENCE, I’M
SEEING THE FISH AND I’M SWIMMING THROUGH THE WATER, AND
ALL THESE LITTLE MINNOW-LIKE FISH ARE IN THIS
PARTICULAR BAY CALLED MONKEY’S POINT, AND YOU CAN SWIM LIKE
THIS AND THE FISH WILL JUST ALL IN UNISON WILL MOVE WITH
YOU. I MEAN, THERE ARE SOME MAGICAL
CONNECTIONS BETWEEN THE FISH, BETWEEN THE BIRDS THAT ARE
FLYING IN THE AIR AND THAT MOVE TOGETHER. THERE’S SO MANY
MYSTERIES THAT WE DON’T UNDERSTAND, BUT A LOT
OF IT IS THE CONNECTEDNESS OF OUR SPIRIT. SO THERE’S MY SENSE
OF REASSURANCE.>>SO YOU HAVE BROUGHT THAT OUT
IN SOME OF THE THINGS YOU’VE BEEN INVOLVED WITH IN
TERMS THE CHURCH AND SPIRITUALITY AND, YOU KNOW,
SHARING THINGS THAT — THOSE OF US IN THE CHRISTIAN FAITH,
THERE ARE HYMNS AND THINGS THAT YOU WOULD BRING TO ME AND
YOU’VE DONE THAT IN THE
COMMUNITY. I’LL TALK ABOUT THAT A LITTLE
BIT BECAUSE MEDICINE DOESN’T ALWAYS COME FROM PILLS. IT MAY
ALSO BE JUST A GATHERING OF
PEOPLE WHO CARE. >>WE DID THAT ONE WHEN HE WAS
IN THE HOSPITAL. AND HE REALLY ENJOYED IT. IT’S A VERY NICE THING FOR THEM
TO DO.>>IT IS A GROUP OF
MULTIGENERATIONAL PEOPLE. WE’VE GOT A LOT OF FOLKS WHO
WORK AND SOME COLLEGE STUDENTS
AS WELL. WE MEET ON TUESDAY NIGHTS. AND
PRACTICE SINGING. AND THEN THEY GO SING TO A
HOSPICE PATIENT OR AN ELDERLY PATIENT OR SOMEONE WHO JUST
NEEDS A LITTLE BIT OF LIFTING
THEIR SPIRITS. WE SHALL MEET ON THAT BEAUTIFUL
SHORE>>OH, YES. A LOT OF PERSONAL
SATISFACTION, A LOT OF CAMARADERIE, NOT JUST WITH THE
PATIENTS BUT WITH EVERYBODY
THAT SINGS. AND IT’S A GREAT GROUP OF
PEOPLE. AND THERE’S A LOT OF AGE RANGE, YOU KNOW, FROM COLLEGE
STUDENTS TO RETIRED PEOPLE. SO I GET TO MEET A LOT OF NICE
PEOPLE, TALK WITH THEM, AND GO AND DO SOMETHING NICE FOR
SOMEONE WHO’S A LITTLE DOWN.>>YES, I’M NOT MUCH OF A
SINGER MYSELF, BUT I REALLY ENJOYED BEING, YOU KNOW, THE
DIFFERENCE THAT WE’VE MADE, ESPECIALLY FOR THOSE PEOPLE’S
FAMILIES. BECAUSE IT’S A REALLY ROUGH
TIME FOR THEM.>>IT’S SUCH A PLEASANT
EXPERIENCE.>>IT’S NOT SO MUCH ABOUT THE
SINGING, IT’S JUST ABOUT, YOU KNOW, GIVING UP THAT HOUR EVERY
TUESDAY AND DOING SOMETHING FOR SOMEBODY ELSE.
AND THEY REALLY APPRECIATE IT. I WOULD TOTALLY RECOMMEND IT.
WE SHALL MEET ON THAT BEAUTIFUL SHORE >>SO, TELL ME A LITTLE BIT
ABOUT THAT KIND OF AN EXPERIENCE WITH THE SINGING AND
THE GROUP.>>IT WAS PURE ACCIDENT THAT I
ENDED UP THE DIRECTOR. I’M NOT A GREAT DIRECTOR. AND I
HAVE TWO DIRECTORS WITHIN THE CHOIR THAT ARE MUCH
BETTER THAN I AM. BUT I’M THE HOSPICE DIRECTOR,
SO OFTENTIMES WE’LL SING FOR SOMEONE IN HOSPICE. SOMETIMES
WE SING FOR SOMEBODY WHO’S WELL. WE JUST SING FOR PEOPLE WHO WE
THINK MIGHT BENEFIT FROM IT. AND IT’S ONE OF THOSE THINGS
WHERE THEY FOUND THAT WHEN YOU’RE SINGING IN HARMONY OR
HARMONIZING, HEARTBEATS UNIFY. THE HEARTBEATS COME TOGETHER.
ISN’T THAT AMAZING? SO IT’S JUST — IT’S THE MOMENT
THAT I FEEL LIKE I’M CLOSEST TO GOD. AND WHEN YOU
HAVE HARMONY LIKE THAT, IT’S JUST A TRUE JOY. AND
TO BE ABLE TO SHARE IT WITH SOMEONE IN NEED, IN
PARTICULAR, YOU KNOW, IT’S
SOMETHING ELSE.>>YEAH. HAVE MUTUAL FRIENDS OF
OURS THAT HAVE BEEN OVER HERE, SAT
IN WITH YOUR CHOIR, THEY COME BACK AND THEY TELL ME WHAT AN
ENRICHING EXPERIENCE IT WAS. SO IT’S REALLY — IT IS
SPECIAL. I DID WANT, BEFORE WE
RUN OUT OF TIME HERE, I DO WANT TO TALK
A LITTLE BIT ABOUT THE NEXT CHALLENGE THAT YOU’RE UP
AGAINST HERE NEXT WEEK.>>YEAH. RIGHT.>>OKAY. SO, NEXT WEDNESDAY.>>RIGHT.>>NEXT WEDNESDAY, YOU’RE
SCHEDULED FOR SURGERY. THE PROCEDURE IS CALLED A
WHIPPLE PROCEDURE. AND, YOU KNOW, I DON’T MEAN TO
BE, YOU KNOW, OVERLY SEVERE ABOUT THIS, BUT WHEN I WAS IN
MEDICAL SCHOOL, WHEN YOU WERE IN MEDICAL SCHOOL, THE WHIPPLE
PROCEDURE CARRIED HIGH, HIGH
RISK.>>YEAH. I REMEMBER –>>40, 50% OF PEOPLE DID NOT
GET OUT OF THE OPERATING ROOM.>>YEAH.>>OKAY. NOW THAT HAS IMPROVED,
THE SURGERY HAS IMPROVED AND, YOU
KNOW, AND, SO, YOU KNOW, THAT PART OF IT, THAT HIGH IMMEDIATE
RISK HAS GONE DOWN TO REALLY MANAGEABLE NUMBERS.
BUT IT’S STILL A BIG DEAL. TELL ME JUST A LITTLE BIT ABOUT
WHAT’S GOING TO HAPPEN NEXT
WEDNESDAY.>>WELL, YOU KNOW, I CAN’T DENY
IT’S A LITTLE SCARY. BUT YOU HAVE TO TRUST PEOPLE.
AND, YOU KNOW, I’VE SEEN PEOPLE GO THROUGH TOUGHER
TIMES, I PUSHED THEM THROUGH IT. AND THEY DID IT WITH COURAGE.
SO DOGGONE IT, I BETTER DO — BE A GOOD EXAMPLE. THEY’RE
GOING TO CUT OFF A THIRD OF THE STOMACH, THE HEAD
OF THE PANCREAS, HALF OF THE BILIARY TRACT, THEY’RE GOING TO
SCOOP ALL OF THE LYMPH NODES OUT OF THERE, HALF A FOOT
OF SMALL INTESTINE, AND THEN THEY’RE GOING TO RECONNECT
ALL OF THESE, HOPING THAT THEY WON’T HAVE A LEAK IN
THE PANCREAS, WHICH IS A DIGESTIVE ORGAN,
DIGESTS ANYTHING ITS JUICES
TOUCH. THAT’S THE BIG BUGABOO,
OPERATING THE PANCREAS. AND HOPEFULLY, YOU KNOW, WE’LL
JUST RECOVER. I THINK THE MOST IMPORTANT
THING IS, I’M TRYING TO STAY IN SHAPE, I’M DOING MY — MY
WIFE IS FORCING ME TO DO SITUPS TO STRENGTHEN MY
MUSCLES. AND, YOU KNOW, I WAS
RUNNING BEFORE THIS. I’VE STAYED
RUNNING. MY WIFE AND I WERE AT THE MAYO,
SO WE BIKED DOWN TO PRESTON, MINNESOTA, AND BIKED
22 MILES ON THEIR TRAIL ALONG THAT TRAIL THERE.>>YOU’VE MAINTAINED YOUR
WEIGHT VERY WELL, TOO. I’VE BEEN WATCHING YOU VERY
CLOSELY. YOU’VE MAINTAINED YOUR
WEIGHT, SO THANK YOU VERY MUCH, JOANIE.
WHATEVER YOU’RE DOING.>>PUSHING THE FOOD DOWN ME.>>I MEAN, YOU HAVE STACKED THE
DECK AS MUCH IN YOUR FAVOR AS YOU POSSIBLY CAN. IT’S A BIG
DEAL. THIS IS A BIG SWATH THAT
SOMEBODY’S GOING TO TAKE OUT OF
YOU.>>YEAH.>>BUT YOU’RE — YOU KNOW. AND,
SO, –>>AND I WANTED TO MAKE THIS
POINT. I THINK I’VE LIVED A PRETTY
GOOD LIFE. I MEAN, I MEAN, I’VE HAD A
GLASS OF WINE OR TWO EVERY
NIGHT. BUT I’M NOT EXCESSIVE IN
ANYTHING. I HAVE NOT BEEN A
SMOKER. I’VE STAYED EXERCISING. I MEAN,
WHAT DOES A GUY — WHY DO I DESERVE THIS? THE ANSWER
IS, I DIDN’T DESERVE IT. AND PEOPLE WHO GET
CANCER DON’T DESERVE THIS. WE SHOULD
NEVER — NOT EVEN THE SMOKERS WHO GET LUNG
CANCER, YOU SHOULD NEVER THINK, YOU DESERVE — YOU KNOW,
WHAT DO YOU EXPECT THAT TYPE OF A THING? FORGET IT.
IT’S NOT A FAIR DEAL. IT’S JUST THE SHAKES OF THE
DICE THAT HAPPEN. AND I’VE LIVED 68 YEARS, IT’S WAY MORE THAN MOST PEOPLE USED
TO LIVE.>>RIGHT.>>AND I’VE HAD THIS GLORIOUS
LIFE. HOW COULD A GUY BE HAPPIER?>>RIGHT.>>BUT I’D LIKE A FEW MORE
YEARS.>>WE’LL PLAN ON IT. YOU KNOW,
YOU HAVE A LOT OF FRIENDS WHO PRAY FOR YOU EVERY
DAY. YOU KNOW THAT. SO, WE’VE JUST GOT A COUPLE
MINUTES LEFT. AND I DO WANT TO TOUCH ON THE
BOOK A LITTLE BIT BECAUSE I WANT PEOPLE TO BE AWARE OF THE
FACT THAT YOU’VE WRITTEN THIS BOOK AND IT’S REALLY, YOU KNOW,
FROM THE PARTS THAT I’VE READ, WHICH IS — REREAD,
REREAD, IT’S VERY GOOD, AND IT’S VERY HELPFUL, AND I THINK
THAT PEOPLE NEED TO BE LOOKING OUT FOR IT. SO TALK JUST A
LITTLE BIT ABOUT SOME OF THE CONCEPTS THAT
YOU’RE FLUSHING OUT IN THIS
BOOK.>>SO ONE OF THESE YOUNG DOCTORS CAME UP TO ME, JIM, AND
HE SAID, I’M WALKING OUT THE BACK DOOR ONE MORNING AT THE HOSPITAL,
AND HE SAID, RICK, YOU’VE GOT TO WRITE A BOOK
ABOUT HOW TO TAKE CARE OF OUR
PARENTS. AND I DON’T KNOW WHY HE SAID
THAT. AND I SAID, YEAH, MAYBE I SHOULD DO THAT. AND I STARTED
FORMULATING IT AND, OF COURSE, TALK ABOUT WHAT
YOU CAN DO TO TRY TO GIVE YOURSELF THE BEST SHOT AT IT.
AVOIDING EXTRA MEDICINES AND HERBAL SUPPLEMENTS MAKE ANY
DIFFERENCE. YOU KNOW? WHAT ABOUT THE BABY BOOMERS,
ARE WE REALLY A TOUGH GROUP? AND IS THERE A REASON TO WORRY?
AND THERE IS A REASON TO WORRY. THE BABY BOOMERS ARE — WE’RE
SPOILED. WE’RE SPOILED.>>YEAH.>>AND WE WANT WHAT WE WANT.
AND WHAT WILL HAPPEN IS THAT BABY BOOMERS WILL COME TO THE
END OF THEIR LIFE AND IF THEY DON’T WATCH OUT, THEY’RE GOING
TO GET ALL THAT THEY WANT, WHICH IS TOO MUCH.THEY’RE GOING
TO BE DRAGGED THROUGH SUFFERING AT THE END OF
OUR LIVES. AND WE NEED TO BE ABLE TO
EMPOWER PEOPLE TO KNOW HOW NOT TO BE DRAGGED THROUGH CRAP. AND
THAT WHEN IT’S TIME TO DIE, IT’S OKAY, AND TO MAKE IT
EASY RATHER THAN TO BE — I’VE JUST WATCHED SO MANY PEOPLE,
AND YOU HAVE, TOO, HAVEN’T YOU, THAT AT THE END OF THEIR
LIVES THEY HAVE A TUBE IN EVERY ORIFICE AND THAT’S WHEN
THEY GO. YOU KNOW, THEY DIE
WITH TUBES IN EVERY ORIFICE INSTEAD OF AT
HOME.>>RIGHT. RIGHT.>>SO, THAT BOOK SHOULD HELP
US, THE BABY BOOMERS AND OLDER PEOPLE TO AVOID THAT DILEMMA
AND IT SHOULD HELP THEM FACE THEIR OWN DYING PROCESS. BUT,
YOU KNOW, IT TALKS ABOUT LIVING WILLS, IT TALKS ABOUT
ABUSE OF THE ELDERLY, IT TALKS ABOUT WHAT DEMENTIA IS AND HOW
YOU DEFINE IT AND RESOURCES IN WHICH TO DEFINE, PLACES TO GO
IF YOU FIND THAT YOUR LOVED ONE IS GETTING DEMENTED AND HOW
TO HELP YOU THROUGH THIS AS A CARE PROVIDER OR THE
DEMENTED PERSON, HOW TO HELP
THEM THROUGH IT, TOO.>>AND ONCE AGAIN, YOU’RE
EXPECTING PROBABLY CERTAINLY WITHIN THIS YEAR, BY THE END OF
THE YEAR, YOU THINK YOU’RE GOING TO HAVE A PUBLISHER AND
BE READY TO GO WITH THIS.>>I’M HOPING THAT I’LL HAVE A
PUBLISHER.>>HOPEFULLY WHEN WE DO THIS
SHOW, WHEN WE KICK OFF THE FALL
SEASON.>>YEAH, IF WE DO –>>IF WE DO –>>OR THE NEXT YEAR’S SEASON.
ONE OR THE OTHER.>>ONE OR THE OTHER, WHATEVER
WE’RE DOIN’, WE’LL TALK ABOUT THAT BOOK AND WE’LL HAVE IT SO
WE CAN HOLD IT UP.>>BETTER BE THE END OF THE
NEXT YEAR. BUT I’VE GOTTEN — I’VE GOT
EIGHT OF THE 12 CHAPTERS DONE.>>YEAH.>>AND THERE’S FOUR CHAPTERS
THAT ARE FORMULATED.>>WELL, I THINK IT’S IMPORTANT
THAT, YOU KNOW, YOU HAVE — YOU HAD A GREAT BALANCE
BETWEEN OPTIMISM AND REALITY IN DEALING WITH THIS.
I’VE BEEN VERY IMPRESSED. I’VE WATCHED YOU CLOSELY OVER
THE LAST SIX MONTHS. AND I THINK THAT BALANCE
COUPLED WITH JUST DOING THE RIGHT THING, LIVING YOUR LIFE, I’M NOT DEAD,
I’M LIVING IS THE THING TO DO AND I’VE
BEEN VERY IMPRESSED. AND IT’S AN HONOR TO BE YOUR
FRIEND.>>WELL, IT GOES BOTH WAYS,
JIM. I WANTED TO SAY THAT
PUTTING YOURSELF ON THIS SPOT IS A
THING THAT IS TO BE BENEFITTING THE PEOPLE WHO GO
THROUGH THIS, TOO. IT’S VERY HUMBLING. I DON’T
MEAN TO BE, LOOK AT ME, I DON’T WANT THAT.>>THAT’S NOT WHAT WE’RE DOING.
THIS WAS A CONVERSATION WE THOUGHT WOULD HELP PEOPLE AND
THEY KNOW WHO YOU ARE.>>>AND NOW, FOR THE WINNER OF
TONIGHT’S PRAIRIE DOC QUIZ
QUESTION. WHAT DOES RICK THINK POSITIVELY
INFLUENCED HIS LIFE THE MOST? A, THE LIFE OF HIS 19-YEAR-OLD
SISTER WHO DIED WHEN HE WAS 16? B, THE UNCONDITIONAL LOVE OF
HIS PARENTS? C, BEING ACCEPTED INTO MEDICAL
SCHOOL? D, MARRIAGE TO JOANIE AND THEIR
FOUR CHILDREN? E, ALL OF THE ABOVE? AND OF
COURSE IT’S CLEAR, IF YOU’VE LISTENED TO A LITTLE BIT OF THIS CONVERSATION, IT’S
ALL OF THE ABOVE.>>I DIDN’T SAY ENOUGH ABOUT
JOANIE AND OUR KIDS.>>YOU DID. IT WAS JAN McDOWELL
FROM MONTROSE, SOUTH DAKOTA, WHO CORRECTLY ANSWERED THIS
QUESTION. THANK YOU, JAN, FOR
PARTICIPATING AND A BOOK WILL BE IN THE MAIL TO YOU SOON.
WE’LL BE RIGHT BACK AFTER THIS.>>ALL AROUND TOWN, FROM STORES
TO PLAYGROUNDS, BABIES ARE ON THE MOVE. AND THERE ARE
DISEASES THAT ARE ON THE MOVE, TOO. AND SOME
OF THESE SPREAD EASILY. TO BEST PROTECT HIM FROM 14
SERIOUS DISEASES BY THE TIME HE TURNS 2 YEARS OLD, VACCINATE
HIM ACCORDING TO THE RECOMMENDED SCHEDULE. SO HE CAN
GO ON ABOUT HIS BUSINESS AND YOU CAN HAVE PEACE
OF MIND. FOR MORE REASONS TO
VACCINATE, TALK TO YOUR CHILD’S DOCTOR OR
GO TO CDC.GOV/VACCINE.>>HOW DO ANY OF US COPE WITH
THE CATASTROPHES OF LIFE? YEARS AGO, A COUPLE FACED THE
TRAGEDY OF AN ACCIDENTAL DEATH OF THEIR ONLY YOUNG CHILD. EVEN
THOUGH MOST MARRIAGES DON’T SURVIVE SUCH AN INSULT,
THIS ONE DID. BETWEEN THE WOMAN AND MAN,
THERE WAS LOVE AND FORGIVENESS WITH THE HELP OF THE CHURCH.
THE PEOPLE OF THE CONGREGATION, LIKE THE WINGS OF
A MOTHER HEN, SURROUNDED THE COUPLE WITH SUPPORT,
COMFORT, AND WARMTH. SOME CRITICS OF ORGANIZED
RELIGION SAY THAT WE ARE HARD-WIRED TO BELIEVE IN GOD.
THEY SAY THAT IT EXPLAINS WHY RELIGION EXISTS BUT NOT WHY GOD
EXISTS. THEY POINT OUT THAT NO SOCIETY
HAS SURVIVED MORE THAN THREE GENERATIONS WITHOUT A RELIGIOUS
FOUNDATION INCLUDING BELIEF IN PRAYER, THE
AFTERLIFE, AND RITUAL, BUT JUST BECAUSE WE NEED GOD
DOESN’T MEAN GOD EXISTS. I CONTEND THAT THE OPPOSITE IS
TRUE AND AM REASSURED OF GOD’S PRESENCE BY THIS AND MORE
OBSERVATIONS. I AM REASSURED OF GOD’S
PRESENCE WHEN WATCHING A RELIGIOUS-BASED REHABILITATION
PROGRAM HELP MEN FIND THEIR WAY BACK FROM DRUG OR ALCOHOL
ABUSE. THE LEADERS, WHO FILL A MENTOR
ROLE, TEACH “IT IS NOT ABOUT
YOU. IT IS ABOUT LOVING OTHERS AND
LOVING GOD.” I AM REASSURED WHEN STUDYING
THE COMPLEXITY OF THE HUMAN HEART AND THE WAY THE HEART
MUSCLE, VALVES, AND ARTERIES INTERACT WHILE SENDING BLOOD
WITH OXYGEN AND NUTRITION TO EVERY CELL IN THE BODY. I AM
REASSURED WHEN OUR HOPEFUL SPIRIT CHORALE SINGS AND BRINGS SPIRITUAL
CONNECTION TO THE HEARTS AND TEARS TO THE EYES OF THOSE
LISTENING AND SINGING. I AM REASSURED WHEN A CHURCH,
MOSQUE, OR SYNAGOGUE FULL OF PEOPLE SAYING THE LORD’S
PRAYER, OR ANY PRAYER IN UNISON, VIBRATES, IN SYNCHRONY,
THE SOULS OF THE CONGREGATION. I AM REASSURED WHEN WATCHING A
FLOCK OF BIRDS OR A SCHOOL OF FISH MOVE TOGETHER AND CHANGE
DIRECTION AS IF ONE ORGANISM, IN SYNC BY SOME ANCIENT AND
HOLY SPIRIT. AS A MEDICAL DOCTOR CARING FOR
PEOPLE THROUGH THE YEARS, I HAVE HAD TO RELY ON SCIENCE
WITH WHICH TO TRY TO HELP RESOLVE THE HEALTH PROBLEMS
PEOPLE FACE. IN CARING FOR PEOPLE,
ESPECIALLY AT THE END OF THEIR LIVES, I HAVE REALIZED THAT OFTEN SCIENCE IS SIMPLY NOT
ENOUGH. THERE IS ANOTHER PLACE TO WHERE
PEOPLE NEED TO GO FOR HELP WHEN THE FINALE IS NEAR.
THE SPIRITUAL REALM, IN MY VIEW, IS ALL AROUND US, IF WE
LISTEN VERY CAREFULLY FOR IT, AND THIS DIVINE ESSENCE
PROVIDES, FOR MANY, GREAT MEANING AND HELP. IN ONE FAMOUS
INTERVIEW OF MOTHER THERESA THE INTERVIEWER
ASKED HER HOW SHE PRAYS. “I LISTEN.” WAS HER RESPONSE.
“WHAT DOES GOD SAY IN RETURN?” WAS THE NEXT QUESTION. “HE
LISTENS” WAS THE ANSWER. >>A BIG THANK YOU TO OUR
SPECIAL GUEST, DR. RICK HOLM.>>WELL, YOU’RE MOST WELCOME.
IT’S A BIT DIFFERENT SITTING ON THIS SIDE OF THE TABLE, JIM.
I WOULD LIKE TO MENTION THAT THIS IS OUR LAST “LIVE” PROGRAM
OF THE SEASON. I MOST HUMBLY THANK ALL OF YOU
AT HOME WHO HAVE INVITED US INTO YOUR LIVING ROOMS EACH
THURSDAY. AND, WE WILL BE
RETURNING NEXT FALL WITH OUR 16TH SEASON OF
“ON CALL WITH THE PRAIRIE DOC”. WE’VE ALREADY STARTED TO
SCHEDULE NEW GUESTS AND FIND
THE BEST TOPICS. AND YOU’RE GOING TO BE ONE OF
THEM, YOU KNOW. THERE WILL BE SOME NEW PROGRAMS
THAT WE HAVE RECORDED THIS SEASON THEN, OVER THE
SUMMER, SOUTH DAKOTA PUBLIC TELEVISION WILL BE SHOWING SOME
OF OUR BEST PROGRAMS FROM THE PAST TWO SEASONS AND I HOPE
YOU ENJOY THOSE AND LEARN THE GOOD, SCIENCE-BASED
INFORMATION THEY HAVE. A BIG THANK-YOU TO OUR FRIENDS
AT SOUTH DAKOTA PUBLIC BROADCASTING FOR THEIR
WILLINGNESS TO HELP US ON AIR AND TO YOUR FRIENDS AT SOUTH
DAKOTA STATE UNIVERSITY DEPARTMENT OF JOURNALISM AND
MASS COMMUNICATION, THE STAFF AND CREW WHO MAKE THIS SHOW
WORK. IT HAS BEEN A WONDERFUL 15
SEASONS AND I CANNOT WAIT TO
START OUR NEXT ONE.>>HERE AT “ON CALL WITH THE
PRAIRIE DOC” OUR STAFF AND CREW WORK TO PROVIDE HONEST,
SCIENCE-BASED INFORMATION AIMED TO HELP YOU MAKE GOOD
HEALTH CARE DECISIONS. IF YOU BELIEVE IN OUR EFFORTS
PROVIDING GOOD INFORMATION IN A WORLD OF MISINFORMATION AND
WOULD LIKE TO HELP CONTINUE THIS QUEST FOR TRUSTWORTHY,
REAL INFORMATION, PLEASE GO TO PRAIRIEDOC.ORG AND CLICK ON THE
‘DONATE’ BUTTON. ANY HELP YOU CAN GIVE WILL BE
PUT TOWARDS PROVIDING AUTHENTIC INFORMATION TO
THOUSANDS OF VIEWERS. THANK YOU. THAT DOES NOT IT FOR TONIGHT.
FROM ALL OF US HERE AT ON CALL WITH THE PRAIRIE.COM”AND UNTIL
NEXT TIME, AND AS THE PRAIRIE DOC ALWAYS SAYS, STAY HEALTHY
OUT THERE, PEOPLE. [ Laughter ]>>THE AVERAGE PER CAPITA
LIFETIME HEALTH CARE EXPENDITURE IS OVER $316,000.
BRINGING SKY-ROCKETING HEALTH CARE COSTS BACK TO EARTH, NEXT
TIME “ON CALL WITH THE PRAIRIE
DOC.” >>MAJOR FUNDING FOR “ON CALL
WITH THE PRAIRIE DOC” HAS BEEN
PROVIDED BY: >>AVERA IS A PROUD SPONSOR OF “ON CALL” ON SOUTH DAKOTA
PUBLIC BROADCASTING.>>LARSON MANUFACTURING IS
PROUD TO SUPPORT “ON CALL TELEVISION” AS IT CONTINUES TO
OPEN DOORS FOR IMPORTANT
MEDICAL INFORMATION.>>AND BY THE SOUTH DAKOTA
FOUNDATION FOR MEDICAL CARE, THE MEDICARE QUALITY
IMPROVEMENT ORGANIZATION FOR
SOUTH DAKOTA.>>AND WITH THE ONGOING SUPPORT OF THESE INDIVIDUALS
AND INSTITUTIONS.

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