Robb Milano (Telehealth, Addiction and the Power of Community) - Episode 969

Behind The Shield

James Geering

Health & Fitness, Mental Health, Fitness

4.9 • 667 Ratings

🗓️ 21 August 2024

⏱️ 125 minutes

🔗️ Recording | iTunes | RSS

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Summary

Robb Milano is 30 year veteran of the Fire Service. He is currently the Division Chief of EMS for the Vancouver (WA) Fire Department.

We discuss his journey into the fire service, the impact addiction had on his family, the progressive solutions his department has in place to combat the opiod crisis, the innovative 911 Telehealth integration they've employed to reduce non-emergent calls, leadership, shift work and so much more.

He has had the privilege of serving in multiple departments as a high school fire explorer, volunteer firefighter, career firefighter, Engineer, Captain, Battalion Chief and Division Chief. This journey has afforded him the opportunity to gain multiple experiences and education.

In his home life, he and his wife have blended four bio kids and foster/adopted four additional kids. The trauma from addiction in all of their kids lives has led his passion to battle the opioid crisis in his local community thru innovations of leave behind narcan and medication assisted treatments in the field.

As the EMS Chief of an urban fire department he has worked to find alternatives to lower acuity medical calls thru response changes, BLS ambulance response and nurse navigation / tele health at the 911 dispatch center. Thus allowing ALS resources to be available for life critical calls. Thru these innovations his department has ALS treatment and transport within 9mins 90% of the time.

Transcript

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0:00.0	This episode is sponsored by Transcend, a veteran-owned and operated performance optimization company
0:05.9	that I introduced recently as a sponsor on this show.
0:09.5	Well, since then, I have actually been using my products, and I have had incredible success.
0:14.5	There was initial blood work that was extremely detailed, and based on that, they offered supplementation.
0:20.6	So I began taking DHEA, BPC 157 for inflammation
0:25.3	based on the fact that I've been a stuntman, a martial artist and a firefighter in my whole life,
0:29.9	lots of aches and pains, dihexa to help cognition after multiple punches to the head and shift work
0:36.1	and peptides. Four months later they they did a detailed blood work again,
0:40.1	and I was actually able to taper off two of the peptides
0:43.2	because my body had responded so well to just one of them
0:46.3	that it was optimized at that point.
0:48.5	So I cannot speak highly enough of the immense range of supplementation
0:53.4	that they offer, whether it's male health,
0:55.6	female health, peptides to boost your own testosterone, which I would argue is needed by a lot of
1:00.7	the fire service, or whether it's exogenous testosterone needed, especially after TBI's or advanced
1:06.5	age. Now, as I mentioned before, the other side of this company is an altruistic arm called
1:11.9	the Transcend Foundation, which is putting veterans and first responders through some of their
1:17.2	protocols free of charge.
1:19.9	Now, Transcend are also offering you the audience 10% off their protocols, and you can find
1:25.2	that on Jamesgearing.com under the products tab.
1:28.8	And if you want to hear more about Transcend and their story, listen to episode 808 with
1:34.5	the founder, Ernie Colling.
	...

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