Weekly Scrap #335 - Cody Maine, Mobile Integrated Health

Speaker 1: Front road gang, never do complain They rock up front, a merry bunch of cunts, and we love them everyone After party roast always a joke No one brings it and that's okay Because we love them all the same Front row Front row Crack a beer Let your ear, it's that time for the scrapboard game! Corley: I get asked all the time, what is a vigilante? What does it mean to be a vigilante? And so to explain that, I'm just gonna kind of explain where the vigilantes came from. When I started the group, I honestly thought there was gonna be like 10 or 20 people who really liked the scrap. That would want to be part of the behind the scenes, helping pick out the guests and make the questions and things. And I never dreamed that the vigilantes would grow into what it has grown into. Over 700 like-minded souls If you're a vigilante, you are never alone. We have members from across the country. We have members from across the globe. And it's just amazing what it's become. If you're in there, then you get to be in the Discord, and the Discord is where we do all of our dis discussions and people go live and they talk and they ask questions and we have a channel for bitching and moaning for presenting classes. It's just it's amazing the fellowship that is involved in being a vigilante. And it's not just that there's so many other benefits You get access to the Vigilante only swag shop. You get the 15% discount on all merch from Firehouse Vigilance. You get the after parties. You get the Vigilante get togethers when we're all at the same place and we get together and we raise a glass and do a toast and have the vigilante creed. You get the vigilante coin when you hit your one year anniversary with your number. The fireaways, the forums, the archives, all those quarterly projects that are coming that that you get to be a part of and get to be behind the scenes on, it's grown into something bigger than I ever imagined. And I want people to know about, I want people to be a part of. If you're not a vigilante, why not? I don't know. I don't know how how big it could be. I don't know.

Corley: I mean the vigilantes are are where the work is at. They're the ones who are getting stuff done and it's phenomenal to be a part of it. I wanted to get on here and explain where it started, how it, how it came to be, and ask you if you're not a vigilante, why not? It go to Patreon. That's where you sign up. It is $5 a month. I mean, it's you can't even get a cup of coffee for that anymore. Five bucks a month, and you get to be a part of this unbelievable group. Go to patreon. com Sign up, become a vigilante, and I will see you on the Discord. Corley Moore, Firehouse Vigilance. It is weekly scrap number 335. Let me get the right notes pulled up. My guest tonight is Cody May. Cody was hired as a firefighter paramedic in Walla Walla in two thousand seven. He was assigned to a ship for fourteen years and witnessed firsthand the limitations of old, outdated EMS traditions. Cody leverages his own lived experiences with PT, post-traumatic stress disorder, and depression to bring authenticity interactions with those he works with. He was one of the first 300 IAFF members to attend the Center of Excellence. He has been active at local, county, and state levels in the state of Washington, championing, championing mobile integrated health programs and the value they bring to the fire service and the communities they serve. That's a lot of what we're going to be talking about this evening. And I look forward to everyone's questions as we kick off 2026 with the first half of our double header to kick off 2026 here on the scrap. Welcome my brother Cody Main to episode number 335 of the scrap.

Cody May: Hey man, good to see you. Corley: It is great to have you on. Is there anything I missed? Anything you would like to add to the introduction? Cody May: No, I've been told a couple times in my career, you know, I'm kind of like Will Farrell and old school where I just kind of black out say some smart stuff and then kind of come to every now and then. So that's my boy blue. Yeah. Corley: Okay. I like it. Cody May: Yeah. Corley: Well, let's hope for some smart stuff tonight then. Cody May: Well, I I know. I accidentally got important at work. Corley: So accidentally stumbled into it. Kind of. All right, let's talk about those beautiful sponsors. Then we'll get to the scrap because when it comes to building your perfect attack package, you can't just slap any nozzle on any hose and hope for the best. That's a recipe for failure. com Brand new sponsor for tonight, you saw their video at the beginning. If you're a firefighter, you already know the uniform industry is broken So okay, that gets the sponsors who I love and I appreciate each and every week. Right out the gate. tomorrow. Ricody, as we kick off this scrap tomorrow, is a pretty solemn date for your department. Ryan Pleasants passed away two years ago tomorrow And unrelated, we happen to have the scrap tonight with you coming on. So we're taking a short moment here at the beginning for you to say a few words and talk about his the message from his wife. So go ahead.

Cody May: Yeah, man, I appreciate that. Yeah. Ryan Pleasants you know he died two years ago. just was found unresponsive in his rack at the end of his shift, forty-one years old. And you know, that was he was the ninth City Wall Wall firefighter to die in the line of duty, you know, the first since 1974. And Anyways, a lot of us, you know, obviously worked with him. his personal mantra is PMA, you know, positive mental attitude was his big thing. So yeah, he lived a healthy lifestyle, but you know, just kind of the the stresses of the job and you know the tones at night and everything. So talking to Rocky, his wife you know, she really wants people to advocate for your own health. You know, don't just take your provider's word. for it that you're okay, you know, like really kind of dig into those. And there's some there's some risk factors that are a lot higher for us, you know, that are in this job and everything So really do your research, get a provider that you can talk with, you know, advocate for some safety. equipment at your stations. We just recently switched all of our station alerting stuff. We're in the middle of implementing that, unit specific alerting systems and whatnot. Everything so, you know, sadly we're we're we have to be retroactive usually after good people die. And that's that's the case with with Ryan. And tomorrow, you know, he was he was always about getting together. He he liked to have a big get together. So we're doing a Big breakfast down at one of our stations. The whole department's gonna be there. And then Washington State Penitentiary, one of our guys worked with them and he was all about gathering together. You know, he was always the one that used to live in a cul-de-sac so he would like to throw a sack party he called it. And anyway so we did a memorial patio for him and the prison did a huge gas fire pit for us so that's all gonna be dedicated and everything.

Corley: Excellent. Well it's a great to honor him. like you said, we're good at being retro, you know, reactive after the after the fact. fact. But it is, you know, to spread the message and hopefully some people can be proactive towards their health, towards their alerting systems, towards the demands of this job, especially as the call volume keeps, I mean, it's not getting smaller. You know, people are they're getting less and less sleep. And that's part of what we're going to talk about here today as we move, as we transition from that. I'm going to check out the live audience Yes, there is a scrap tomorrow. Someone asked that. This is the double header to kick off 2026. Cody Maine tonight. James Nisbet tomorrow. The double header to kick off 2026. People are saying awesome. Here we go. Hump is in the house. We had someone show up for the first time for their live scrap in like five weeks. I saw that scroll by, but I don't remember. Remember who it was. yeah, the squirrels are running crazy tonight. These are all the stuff they're saying. Yo, yo, yo. So here we go, Cody. Let's get into it because what we're gonna talk about tonight, I don't want to say it's not a sexy topic, but I don't think it's a sexy topic when as as sexy as like fire attack or you know truck work. But what we're talking about, I think, is one of the most important topics For the future of emergency services. Now, I'm not an expert on it in any way, shape, or form. So when I got to talk to you in Walla Walla, I was super excited to bring you on and say, hey, let's have a conversation about this and start spreading as much as we can. At least get the conversations going. Yeah. So it's called, you call it mobile integrated health. In other places, it's also called community paramedicine. I've I've heard it called that. I've heard of nurse triage through through dispatch and and I I I don't know if some of these are similar or different or because I'm not an expert on this. That's why I'm talking to you. So tell me what mobile integrated health is and then we'll start digging into it and then the audience can start asking their questions about it.

Corley: Go ahead. Cody May: Yeah, so mobile integrated health really tried to bring the right care to the right place at the right. time you know i think one of the easiest examples that i can use is in washington An ambulance, any call that goes through dispatch has to be through a 911 system has to be dispatched. So say somebody calls for dental pain and it's not dental pain related to trauma. You know, they didn't get their teeth knocked in you know, or anything like that. It's just pretty chronic pain, right? So an ambulance has to get dispatched in the state of Washington. If somebody wants to go to the ER, we can't tell them no. I imagine that's the case. you know for that's my experience for everybody. Right. You know, and that's just not a good place. That's not a good use of our system. It's not a good place for that person to get care. So Things like mobile integrated health can actually show up and facilitate taking somebody to an alternative destination and actually getting them some help that they need without using emergency services. So a million dollar rig and five guys to come and take a blood pressure and an ambulance and it's basically being a good steward of limited resources and building capacity and capability into your system. So in Washington State, we have legislation, specific RCW, we call it revised code of Washington, that allows for CARES programs to be made. And CARES stands for Community Assistance Referral Education Service. So that's where mobile integrated health lies within Washington. Washington State is under that carrier statute. Community assisted community assistance service you know educational service okay okay got it cares yeah yeah so that we'd use that and then there's you know kind of those words those terms cares community paramedicine, it's all lumped together within a mobile integrated health. And then we use more of the community risk reduction model in order to help us inform kind of what we're gonna do.

Corley: So So what so let me just dig in and ask right out the gate, what does that look like on the on the example you just gave, the toothache, the the dental pain? Yeah. You get dispatch di the the call comes into nine one one. I've got my my face hurts, my teeth hurt. Cody May: Yeah. Corley: How does this handle it? Walk me through it. Cody May: Yeah, so like really what you would do is so looking at it from a community risk reduction standpoint. is there's five E's in community risk reduction, right? You have education, you have engineering, economic incentives, and what is the other one? I got it right here. It is, I always forget this one. Enforcement. We just recently got an enforcement one. Okay. And then so you try to use those four in order to limit the number of emergency responses. So you take the dental pain, somebody's done this before, you educate them. Hey, this is an appropriate use. you engineer a solution, maybe you give them so we're able to actually transport people to a better alternative destination. Or you can help somebody, maybe somebody needs to be taken to the free dental clinic or whatnot So we can help him with those things.

Corley: And then So it's not always just ER and dump. Cody May: Nope. Nope. You can take him to urgent care. I mean I've called I've called the a dentist before and just said, Hey, do you happen to have an opening? And yeah, I just had a guy cancel and he'll they'll be open at three o'clock, you know, so we can free up rigs doing that or whatnot. so there's lots of different ways to look at it. And then we get down into the enforcement mechanism and one of the things that we were missing in the city of Walla Walla for quite a while was an hour actual enforcement or misuse and abuse of 911 ordinance. And that was something that we were able to get through city council this year. And our starting to be able to maybe leverage that when we need to, not in a punitive manner, but in more of a behavioral modification tool to limit people's use of 911. We had one guy in particular here in town who our service saw three hundred and sixteen times in two years. So Okay. Corley: So every other day he was basically punching those three magic numbers and and getting a counseling session from the firefighters.

Cody May: Yeah easy. Easy. So Corley: Okay. Cody May: Yeah, now we're he's out of town and in a better system. Corley: And you know, we've removed that from now was that now I I again I'm gonna ask you a ton of questions because I'm I'm so enamored with this. Was was him being moved out of town or into a better system? Was that part of the result of this? Or was that just that just finally happened and everybody said, woo Cody May: So really, I mean, it it was kind of one of those things where we started working on that. I've been in this role for almost five years now, and that was one of the that was one of the bigger issues to work on was him, and it was really taking somebody such as myself that could collect some statistics and everything and start actually showing information to providers as to, hey, this is what this person's actually doing. And then it got down to the point where he started threatening or assaulting our staff. So finally it had to hit a legal matter. Sure. And then, you know, all the detainment and all those different things like that. So so na at one point, you know, we were talking to prosecutors saying, hey, you can't let this guy out. He's gonna risk hurting our people. You know, so really trying to advocate for our people. And Now he's in a better place getting the help he needs and our people are safer, our systems more available. You know, I think I took it I took his calls and I added them up and He took a City of Walla Walla resource out of service for seven 24-hour periods when you add up all the different weeks, 24-hour days.

Corley: Wow Wow. No, that's a that and and that's now now I guess that kind of takes me to your what is your actual role? Like what like explain your role in the in the in the system. Like Cody May: Yeah, no, so I started out by myself in the office on a grant and had the local hospital system gave us a grant and said, hey, we're wanting to try to find ways to divert people from our emergency department. And had a local champion within that hospital system that she and I had a similar idea and long story short we got some seed money to start our program and we were able to show, you know, and we're talking about medical expenses, we're not picking up popcans to pay off debt here. You know, we're s we're picking up thousands of dollars at a time. You know, they told us just a bare minimum expense to the hospital. is if a patient shows up, no studies done, no no procedures, no medications, anything. They just showed up to the ER and the doctor looks at them, their name's on the computer. That's a $2,400 hit to them. hospital so if we can divert those away it doesn't take long to reach over 110 000 and now you're all of a sudden you're showing a return on investment and that so today you know in five years I've done some some math I figure about 1. 8 million is diverted from the local hospital system through our program.

Corley: So that's a huge incentive for them to try and and get some skin in this game. Cody May: Oh for sure. Yeah. Yeah for sure. Corley: And but you said you mentioned that there was a advocate that was much very much so on your side, passionate about this? Cody May: Yeah, yeah, no, we had a lady here, local lady, Becky Betts. I call her Aunt Becky. she was running a an organization within our local Providence hospital called Population Health. And their whole deal was trying to divert people from the ER or cut down on readmissions And anyways, with the hospital, our high utilizers are usually by default high utilizers of the emergency hosp emergency department too. So her seeing, well, if I partner with the fire department and help them put somebody on the street that can deal with their high utilizers, the downstream Corley: Second order consequences is we deal with them less. Yeah. Cody May: Yeah, exactly. Yeah. So we worked with her and now we've grown over the previous four and a half years and now there's yeah four of us in our cares office. There's myself, I'm a paramedic, also a firefighter. We have a firefighter EMT, social worker and a nurse navigator. And then we also have coming on, we have $500,000 from the Washington Healthcare Authority to bring on shift-level guys that will be dual rule firefighter community paramedics, EMTs that will be actually able to go out and respond to, you know, either low acuity calls in place of ambulances or trucks. Or they can be requested by units that are out if maybe there's more of a specialty social need that needs to be done. Or Those people can also respond to more critical, more complex incidents as a way to augment as the dual role.

Corley: Right. So that makes complete sense. So let me I'm gonna kick it to the There's so much. We got a list of stuff to answer. Basically we have your fact, your commonly asked questions and critiques and things like that. But I don't want to just run through that. I want to involve the audience because I think they're going to hit on some of them. Plus, I think they'll open up pathways of conversation that I might not do it with my questions. So I'm going to start hitting you with these and yeah, and we'll just go from there. Robbie Lyle 4815 coming at you says, what is the makeup of your MIH crew? Paramedic and nurse, are they staffed on shift 24 hours? Cody May: Yeah, so what we've been doing the last year and a half since we were able to bring on some extra staffing is like i said we got myself as a paramedic, an emt nurse and a social worker. And one of the things we can do is we can kind of take and tailor the people that we're gonna send out to certain individuals. so if it's more of a social need our social worker needs to go. If it's more of a chronic health issue or more of a case management thing from a health standpoint and then our nurse goes. myself and our EMT, we can jump calls or respond in place of calls and sometimes one of our our nurse or a social worker are with us. there's been numerous times where our EMT and our social worker have been downtown and ended up being the first on scene on an overdose and ended up you know, doing Narcan, starting CPR and all different kinds of things. So so there's yeah just a whole host of things that we we can really stumble into.

Corley: And that was the original the that was the original four that you guys had going on, right? Or was it three? Did I get miscaped? Cody May: So we started yeah we started just with myself and then we just kind of built up and you're getting ready to add the five dual or is it five dual Three three guys, one per shift. Okay. So right now, you know I mean we're kind of working bankers hours just because we work so closely with other social services. Services and government agencies and stuff, adult protective services and aging long-term care, that in order to connect people to those resources, we have to work there same times. so we're currently, you know, we're really not staffing any nights the last four years, except when it gets really cold and maybe I flex my hours and work the warming shelter. Corley: or what do you do do you monitor and respond like this like like almost like a volunteer on call type thing or is it just strictly if they call you or strictly nine to five? Cody May: Yeah I mean nine to five is what we do. I'm known to pick up my phone and and answer answer some calls from guys, you know, if maybe they got some some questions or whatnot. You know, there was a day actually you'll so not living too far away, one of our guys knew where I lived He had a call. lady having a stroke is what we what he suspected. It was a Sunday, I believe. This lady was the primary caregiver of her older or her adult disabled son, she didn't want to go to the hospital because nobody was there to care for him. She really needed to go. Our medic called me on a Sunday, knowing that I only lived like three blocks away, told me what was going on. He's like, hey, can you come over here and help take care of her son so I can take this lady to the hospital and said sure so I showed up got a crash course and he needed dinner he needed his meds he needed this he needed that and brother and a sister-in-law were coming from like an hour away.

Corley: You know, so you were the stop gap for that hour. Cody May: Yeah, yeah. Okay. Yeah. So so and I think like that would have been, I mean, those are just the unique situations you get into Sometimes where you gotta help somebody, but there's a barrier here that we gotta think about. And that was how that medic figured that out. Corley: So keep on coming with your questions. If you have questions about this, throw the questions in so that Cody can answer them and dig in. C Warden61 says, who pays for MIH? Cody May: Who pays for it? So we're currently all grant funded. I, you know, we have a timely message. I think politically advantageous time came around. you know, this was We started with social justice stuff, kind of the the George Floyd fallout. We were coming out of COVID, lots of different things like that. There was some legal reform within Washington State I was talking about call diversion away from law enforcement and not sending cops to some of these more social related calls. So the state started funding some of those initiatives, putting some stuff out. Also you have opioid money that's coming out, settlement money that's being funneled into programs. In Washington state, we have sales tax and then Washington State actually allows for one tenth of one percent money be added to sales tax that then gets turned around and put back into communities for behavioral health initiative. So part of our programs funded by the county. Like I said, the hospital at one point funded us We also have what's called Accountable Communities of Health. That's where Aunt Becky is now at. And anyway, so they're big proponents of mobile integrated health systems. So they give us some grant money. And then actually we've worked with the University of Washington School of Social Work. and on fire initiatives. So there's some grant money that we did with that and we just received another 270,000 with them and with that money we're gonna start Embedding a psychiatric nurse practitioner, a family medicine nurse practitioner, so we can kind of carry people's primary care for a little bit that aren't connected Hook them up to services otherwise in that four to six weeks that it takes to see a brand new primary care provider, how many times are they going to call 911 for hypertension or seizures or whatnot?

Cody May: We can get them prescribed on medications through those providers, cut down on our lessen the burden on the 911 emergency response system and let it focus more on emergency Yeah, and then with the provider, the psychiatric provider, we're actually going to be doing long-acting injectable medications for behavioral health and substance use. Corley: Oh wow. Yeah. So more questions. So I'm just going to keep throwing them at you. And Logan Anderson, 6200, says, do you have a way for normal duty crews to refer individuals to MIH and other resources available and how does that referral work? Cody May: Yeah, so our report system is ImageTrend. our guys use iPads. So every time that they run a call, whether it's on the engine or the medic unit, they go in, they start, you know, the patient contact and the interview, they go through as they're adding the information they hit a hard question. is there an MIH referral? Yes or no? They hit the corresponding button. If they hit yes they get a brief drop down of I don't know, a dozen different topics that it could be, you know, abuse of 911, frequent falls, substance use, behavioral health. They click the the corresponding a topic and then that gets forwarded to our social worker. Our social worker comes in and then she goes through and she reviews all of the referrals that come through and then she divvy them out. She'll keep them to herself if if it's more of a social issue, if it's a chronic issue, she passed it to the nurse or you know, she'll look somebody up on the computer like, oh Cody, you've seen this guy before. He kind of, you know, came back on the radar, so to speak, and you go touch base with him again. And that's how we go through that.

Corley: So Perfect. No, great questions. Keep them coming. If you have questions about this, please ask. Gregory Van Ham, what's the percent of the calls for MIH that are dispatched? that are for the MIH crew and what's the percentage percentage that MIH calls turned into a transport to the hospital. Basically asking about the accuracy both ways or how many times they swap. Cody May: Yeah, so we're we haven't really we're we're starting to get more into the dispatched calls. that's been one of the one of the problems that we've had working the the you know the typical nine to five Monday through Friday type to time. So right now we haven't had any I shouldn't say any. we're not formally in the dispatch cards yet, just because we're kind of hit and miss with our coverage a little bit because we end up having to schedule out a lot of things with with clients so with patients so we don't typically have complete flexibility like an ambulance would or not. And that's one of the things we're looking at addressing with the MIH cares shift positions. Corley: The three dual roles. Cody May: Yeah, so we'll actually go in and we have a new dispatch software where we can go in and we can grab a certain call code And say, hey, cares is going to take this certain call code versus like all Bravos, right? Or all nurse line calls. Well, some of those nurseline calls might actually need an engine just because of the size of the person. You know, you can't send, you know, lift assists are obviously a a burden throughout the whole service, you know, nationwide, it's a trend you know, we're still gonna have to send a truck, you know, to do the lift assist because there's three or four people on a truck versus one person on a carriage. Right. You just need the people to muscle cars, you know, but cares can go along or MIH can go along with that and stay a little longer and actually get down to the root cause. You know, like we had this one lady who she kept falling a lot. Anyways, starting to re review the calls. Well, she was always falling in the laundry room close to her kitchen. So finally I noticed this after three or four, like our guys had documented where the fall was Reviewing it, I said, why are you always falling here?

Cody May: Well, the lady had a cat, right? And she would bend over to pick up the food dish. And she would fall over as she picked up the food dish. Well, this cat was a nimble looking cat. It's not like this big, huge, fat cat. Like, and I said, can the cat jump onto the dryer And she's like, oh yeah. So we just literally moved the dish from the floor and the lady would feed the cat and keep the dish on top of the dryer now. Ladies never falling again, you know. So it's just trying to identify those. And that's the cool thing about I think MIH is, you know, in Walla Walla, we have We got 11 guys on duty. We got a battalion chief, two three-man trucks, and two ALS ambulances, right? It doesn't take long to to tax that system So one of the big things that we can do is try to try to build capacity in that, right, by saying to people like Hey, here's another resource for you. Because one of the things that we're always doing is being a busy system, we're thinking about the next call. The call I'm on right now might be legitimate. It might be something that's you know, kind of borderline or it just might be an inappropriate use, but still I'm thinking like I need to finish this quickly so I can be ready for the next call. So we're not dumping a truck crew on the next ambulance, right? So Sometimes when you think quick and efficient in these calls, sometimes compassion can be sacrificed in that a little bit, right? So, you know, that's that's just part of the the nature of the beast. And so if we're able, if we're thinking quickly and efficiently On calls, you're not able to get all the information versus carers can show up and actually spend time kind of digging down into those root problems as to why this keeps happening. You know, oh it is the cat dish on the floor versus just moving it up here.

Corley: Love it. No, no. No, it's it's a it's problem solving, but with that the with the ability to focus the resource on the the the time management, like it's just able to spend more time on it. Wes Wes Graneth. West Granoth. I don't know. I get to pronounce it however I want. West Granite says, is there a benefit to the crews or does it mainly help the hospital? Cody May: Oh, I think there's a benefit to the cruise. I think, you know, just the fact that, you know, I think one of the biggest compliments I get sometimes is just our guys saying like Hey, what happened to so-and-so? Like we haven't seen them for a while. I'm like, oh hey, man, they're you know at a family group home up over here or they're doing this or they're doing that. So I mean our guys start to notice that they don't see people you know, one of our younger medics started, you know, shortly before I came into the office and he would always go to he would say, Man, I every shift, every shift I go to our low barrier shelter here in town. He said, man, since Cody started working there, he goes, I hardly ever go there. You know, so that's that's one of the benefits. The other thing is There's just some of those individuals that I'm not going to be able to change. But if I can take and actually make a care plan and I can put out to guys. And they can sit there and actually have a starting point and know the different things that are being done or the proper way to maybe interact with this person or I can give them some nuggets to help ensure safer interactions with people. That's a huge benefit. for people, you know. So so I think there's lots of different trickle down effects throughout the department. You know, there's times where our guys, and I'm pretty sure this is just the way it is, we don't mind running calls. It's the paperwork that sucks. you know like the paperwork just sucks one of the things that I can do man is like I'll show up as an ambulance is coming and yeah, this person needs to go to the hospital, but I've already established patient care. I've already started some procedures or whatnot.

Cody May: They'll show up. bring the cod up to me, we'll take the patient out to the medic unit. I'll toss them the keys to my truck and then I'll ride in the back with them. You know, I'll do all the patient care. I'll write the report and everything. So all they're doing is just coming to the call and helping me move the patient You know, so there's there's lots of different benefits. Corley: No, and there and like you said, there's the compassion fatigue, which which there's I think most people get in this job with a high level of compassion They want to help people, generally speaking, and I'm you know again that's a broad stroke because there's some that don't, but generally speaking, but the and I don't know if it's the right term or not, but the BS calls stack up and eat up that compassion over time time to where you just don't have as much to give. And it sounds like yeah. Cody May: Yeah. I'm a I'm a guy that was at the Center of Excellence man for forty days Fair. Because of that. Because of that. Okay. That's it. And I I think one of the things, you know, like one of the other questions I get, and maybe this is there, but I'm just gonna throw it out, is yeah, who's a good person for this position within your department I think that I'm living proof that one of the more cynical people within your department Is a really good person for this role, you know. I think that sometimes there's people that there are people that have bad attitudes, right? There there they are out there. But I think a lot of times Those of us that are said that we have a bad attitude at work, well, let's hold on a second for a minute. Like if I have a bad attitude, it's probably more like frustration that hasn't It was passion that or that I need to fulfill somewhere. And I found that I think I had so much frustration from just seeing the system burdens Not for my department, just the healthcare system in general.

Speaker 1: Yeah, absolutely. Cody May: I created this, I I have this huge stockpile of fuel. that I needed to burn somewhere and then being given the opportunity to build a a mobile integrated health system has given me a place to burn that fuel. And I I've been successful with it. So Corley: No, I love the fact that you said we've talked about the most cynical, you know. Yeah. Yeah. Yeah. Robbie, Lyle, coming at you again. How do you identify high frequency users that may be MIH patients? A couple calls a week, referrals from crews, how does it work exactly? Cody May: So you know it it varies between different organizations. There's some places that say somebody that has three calls in 30 days. Would be a high utilizer. One of the things that we really want our people to do out on the shift is just when in doubt, man, refer it And you know, I want them to s to use judgment. I mean, these are people that are paid to make life and death decisions. I can I can really sit there and say, you know what, I I trust that this person believes that if I don't go see this person within the next 48 hours, that they're gonna call again, right? So I'd rather try to actually stop the the train, you know, before it really gets going. And we one of the things we use is image trend has a community health module And we can go into this community health module. We can actually pull up an enrollment tool, and then we can weight things between one and a hundred between frequency of call and their medical history. If we weight it to 100% on their frequency of call, we can select a time frame. You know, it's usually 30 days, 60 days, 90 days, six months, and a year And then we hit generate and it makes a report and it will show people in categories, red, high burden, yellow, moderate burden, green. low anyways. I was actually just looking at the stats before we came on and we have one person that's considered high.

Speaker 1: Okay. Cody May: actually I'm sorry, he's actually moderate. And before you know we were able to add the nurse, the social worker we would have red and yellow intermixed throughout there. But now we're down to green throughout the board. It took us a little bit of a it's made an impact. Corley: It's made an impact a visible impact. Cody May: Yeah it took us a year and a half to to manage all those people. So now we're down into trying the management. You know, like I I remember going to medical school. I went to Oregon Health Science University in Portland and they talked about the Byzine principle when it came mass casualty, right? Get the red out. So that's the thing I want to do in our mobile integrated health program when we look at the enrollment is I want to keep the red out of it, right? We want to keep the red out. We want to manage the yellow, keep everything green. And right now we're doing that. It took us a year and a half to get to that point with four people in here. So now we just need to stay on top of those people as they start calling.

Corley: I love it. since we're on Image Trend, Robbie Lyle wants to know, did you write the Image Trend questions? If so, I may need to reach out to improve ours. Cody May: Hmm, where do we get ours? so I gotta give a shout out here. Like I'm I'm not the Washington State OG community paramedic here. Captain Frank up in Bellingham. he's he was the guy that was like, hey, if you're doing this, everybody kept pointing Captain Frank and Bellingham. Corley: Okay. Cody May: And they're using ImageTrend up there. And we stole a lot of their stuff. You know, that's the cool thing about the fire service is you know we're always willing to share back and forth with how we do things. I know Image Trend, you can get in and you can actually take different departments templates and put into your own and everything. But yeah, if he reaches out to me, man, I'll I'll help him as much as I can. Corley: There you go. So you can reach out to Cody. He will he will give you whatever he's got. Gregory Van Ham, the Hammer, says, what's been the feedback from both the patients and the city and local hospitals? What's been your feedback? What's their take on it?

Cody May: the hospital, they gave us our seed money and they gave us some some tech help with epic access to their epic chart, their patient care records. That was really helpful. They had a a deal that kind of went system wide throughout all of Providence. They pulled non-employee access to Epic and we didn't get much help from them because that Becky Aunt Becky left Providence, went to a different place. So we didn't really have a good advocate at the at the hospital level. So we're starting to get back into the hospital being more of a partner. Corley: Okay. Cody May: But as I think they kind of understand that they are downstream of us, even if even if we work in a 100% selfish capacity to just manage the high utilizers chart. Corley: service the hospital still benefits benefits downstream yeah if you stop them from falling in the river the hospital don't have to pull them out for sure right for sure so anyway it's not that we work in a selfish manner, you know, right, but even if you did. Cody May: Yeah. Exactly. Exactly. So that that's something that we're working on. The city has just been phenomenal partners for me. you know, I the city council, the department administration. man the city administration, they've all been super supportive of everything we're wanting to do. So you know, I think with that though, they're seeing that there's it is timely, you know. We're looking at bringing in I I think we've written close to three million dollars worth of grants you know over the five years so I mean that's a that's a big influx of of capability into our department for that and then the community the community's been great you know our our community partners are pretty steadfast you know we're Walla Walla is a it's a it's a conservative town for the most part. Like most of our representatives around here are conservative, but we do got some Got some liberal arts colleges and different things around. So when it comes to some of the programming that we got to do, we and talk to some of the elected officials. you know, especially when it comes to like harm reduction and narcan and distribution and those things, we got to get down into like we we kind of have to bypass the philosophical aspect of what we're doing and get down to the nuts and bolts and more of the the fiscal benefits of that.

Cody May: So versus if we were in Seattle, they would just be super happy that we're out doing that. Right. Corley: No, no, I I track I track on the on the political side of things. what about the unhoused the what whatever the proper term is? Has it had an impact on the on that population in general, would you say, or is it has it not has the year and a half not been enough to see an impact on that? Cody May: Yeah, I I I think we're in a in a COVID like hangover really when it comes to a lot of that. I think that we you know, lockdowns and COVID and everything just really We're gonna we're gonna be dealing with that for quite a while. And I think the unhoused population is is part of that. you know Washington State, we're obviously a liberal state. There were some laws or some lawsuits in the Ninth Circuit that has actually really kind of made our ability to to work with the unhoused population a little bit more difficult. There was a I think it was Martin versus Boise. there was a gentleman, homeless individual in in Boise who basically was walking around with pockets and pockets and pockets full of of tickets, vagrancy tickets, just for he was basically getting like human parking tickets So to speak. And that went all the way through the court system to the Ninth Circuit where they said that that was actually the that was a violation of it was cruel and unusual is what it was. So with that came in Washington State, any any state within the Ninth Circuit. That's kind of where our our home or homeless camp came from our sleep center came from was we didn't have an enforcement mechanism to tell somebody that they couldn't camp in a city park for instance. because we didn't have another place for them to go. So homeless camps and those types of shelters came up as an enforcement mechanism to actually get people to go to places. like that. So so I think that we're gonna be dealing with this for a long time. There's a lot of people, man, that I I work with that, you know, had many, many, many years, even decades of sobriety and then COVID happened and they couldn't go to their their meetings, you know, their four or five meetings a week and they couldn't get together with a friend and everything and they relapsed on more harder, deadlier substance.

Cody May: And then substance use in Washington states. It's harder to get people into treatment. Oregon recently on their I was just talking about this today. Oregon got rid of the word intimate or imminent in their detainment in their involuntary detainment law. So Washington State still has that in it, right? The person has to be in imminent risk of harming themselves or something somebody else. So we're talking about a snapshot of time. Corley: Right. Cody May: Right. Versus getting rid of that word imminent. Corley: Now we can look at the holistic right. Cody May: Yeah. So and look at more of a trajectory that this person's on. versus just this one little snip at a time. So I'm interested to see you know how that plays out. Oregon and Washington are kind of lockstep politically when it comes to that is you know how does that help Oregon and then hopefully that trickles into Washington. Corley: I'm gonna get a little granular here because I like Hump's question. Jeremy Humphrey is coming out. He says, in our area, the fire department does not transport and ambulance services are hospital funded. What approach would you recommend for implementing this program? Cody May: I think you could still, you know, pick out I I think that's the kind of the neat thing about community risk reduction is you can get into you know your own community needs. assessments and everything, what type of calls are your trucks going on? I would assume that that pretty much in this day and age, man, nearly any fire department could implement a fall risk per you know prevention program you know so i think it's really down into into your data as to what types of calls are chewing up your resources.

Corley: You know, that's really is that really the place to start is just in the data of where what is eating up the bandwidth of your rigs and resources? Cody May: I think so. Yeah, I think there's that. And I think there's also just the anecdotal data of setting around with your your crews at the table and just being like, hey man, what are the stresses of your job? You know, I mean Mobile and Great Health isn't going to get rid of everybody's professional inconvenience, right? I mean, I'm not going to get rid of everybody's burden type call. I think that honestly like I think that's where seniority comes in and you should actually be able to bid addresses you don't want to go to. You know, like, hey, I don't get to go to that place because I'm on seniority. Like, that's where I think seniority would be awesome. Right? That's not my address to go to here, bud. You got to take that one You know, but sadly we don't do that. The tone goes, we go. Right. so I think, yeah, you got to get down into the data as to what's going on. And I and in this day and age too, I think, you know, just the amount of overdose and drugs and everything are is certainly fertile ground to to look at as well.

Corley: Sure. How do you sell community health to city management? What's your what's your selling points? Cody May: Oh, selling points to city management. I think one thing I can look at, you know, kind of personally, being a guy that that was burned out and a guy that was you know, they had to that had to leave and go somewhere for 40 days because of burnout. You know, you look at that. I used what twelve shifts of sick leave, you know, so twelve shifts shifts of sick leave covered, you know, let's just say Easy math, right? A thousand bucks a shift. You know, that's twelve thousand dollars right there. The city has to pay just to backfill me while I'm gone. You know, yeah, I think you can really put mobile integrated health into almost a crew and wellness type thing, you know, I think there's a lot of hopelessness with that I felt on the medic unit where I would go on a call and I didn't have a dependable community partner I felt to actually refer somebody to where I knew that they were gonna get get the help that they needed. having that in house, I think, is is really good. You know, like you can tell people like, no, I I work with these these people. It's not just a number that you call and you hope they follow up with like you know that it will actually be done so is is a good thing. Yeah, so no, I see it.

Corley: I see it. Because I I know this is that the the frequent flyers, the the nuisance calls, the non-emergency, and I don't I don't want to just say BS because some of them they're an emergency for the person calling at at times. And but they they are a extreme drag on the morale and psyche of of the men and women on the rigs. They are. Speaker 1: Yeah. Corley: And and if you if this makes a even a smidgen of a dent in in relieving that burden, then now we're, you know Yeah, sorry, lots of oh you got more stuff coming here. do you have any? Oh that last one was from Tanner Jones. I want to give credit where credit is due So thank thank you, Tanner, for the question. Gregory Van Ham, the Hammer, coming once again. Do you have any other cities reaching out to you to help them bring MIH to their cities or asking you to get theirs up and running? Cody May: Yeah, I know we've been considered a mentor program, especially in Southeast Washington State. our accountable communities of health that we work with and receive grants from. that was One of the last grant cycles we did with them was as a mentor program. So we I I'm a big believer in, hey man, like I'll sit here and talk with you about mobile integrated health, but you know, come ride with me. I'll I'll take you around town. I'll I'll show you the things and we'll we'll talk about the stuff why we do it. you know, I've I've had other people from other departments. You know, my I grew up in Pendleton, Oregon, which is only forty five minutes south of Walla Walla, and you know, the the unhoused population in my hometown in Pendleton's has gotten bigger. And anyways a bunch of the guys. It was it was really pretty cool. Like, you know, I started out as a student, as a resident in Pendleton And some of the old retired guys there saw how things had changed, heard what I was doing, and some of my former mentors came up and hung out with me and are now replicating what we're doing in Walwall in Pendleton. And of course, there's some different legislative barriers that they have and whatnot, but I mean the the theory is the same.

Cody May: You know, and I know one of the things when Corley was up here in Wawa at dinner we were talking, you know, I where do you start? Right? That's usually the question. Where do you start? Corley: Yeah. Cody May: Again, unlike it, unlike if I decided I was going to start a new business, whatever business that is. I would have to do marketing. I would have to maybe talk about, you know, is the market oversaturated in this? You know, what am I gonna price comparable to other people doing similar work? Like The fire department in your communities don't have that. Like what we're trying to do is bring a modern spin on the things. So the City of Walla Walla fire department has been around since 1867, right? So I already had really good history and I had good Man, all the things. You know, well actually like the the symbol, Multis Cross, right? Like what does that mean in your community? It means duty, it means integrity, it means trust, it means dedication. It means all those things, right? So now if we put that symbol with people that work in that in a different capacity, you already have community buy-in on that right so I think like that's the starting point is you have history throughout your community to start right like one of the things is guess what We got motorized engines here. We don't have horses. We got SCBAs. We got all this stuff. Like we've modernized, right?

Corley: Sure. Cody May: Up to the point where we became one of the first ALS agencies in the state of Washington to be certified. to have paramedics, you know? So now here we are. I think mobile integrated health is the next way that you've modernized the fire service you know and one of the things we're showing is that that's I I I think it's really like the way to add staffing to places right now. now. Right. Corley: Especially if you can dual roll them and make it dual roll because then you're adding to both you're adding to your emergency response as well. Cody May: Well yeah. Like in my truck, I mean I have outreach gear, I have ALS gear, I have a ballistic kit, all that kind of stuff. stuff right so how can we augment and supplement i mean it's i really think that person can be used as like a value based multi-tool Right. And can be fit into all the different places. Right. You show up. There's been times where I was just out doing my job and the tone set for a structure fire and I was able to look towards that part of town and saw this huge black column of smoke. You know, before the first engine or first battalion went in route I was able to say to dispatch, hey, get a second alarm going right now. Right. And then when they pulled up, I was standing by the plug ready for the truck to come up. And so they didn't have to drop their hose men or anything. They could get out, they could deploy the f the the hose, you know, without you know, I mean there's so many different ways to go on and use this person over and over and over, you know, you can help them stretch the line. You can set up rehab. Or maybe you have somebody that got a little bit of smoke, but you don't want to drop your medic unit because you got another hose line that needs to be pulled by those two guys. Well Use this guy that's coming in to check out your patient, right? Right. You know, or even like I mean you even think like modern stuff, like drone stuff, like We're talking about how do you put drones in service, right? We're not able to just put a bucket up and give a roof report, but now you show up and you tell your community medic or your medical resource tech or whatever you want to call them, like, hey, everything's cool here right now, but I want to see what the roof's like.

Cody May: All right, cool. You go get the drone out and there's the roof gap, you know? So no, there's options. Corley: There's definitely it's definitely a way to get more staffing. Jeremy Humph, last final question I think from the but it's and unless there's just a ton that come Since the implementation of this program, have you observed a measurable positive impact on the mental health of your crews? Cody May: Oh, I think so. Anecdotal more than anything or Yeah, yeah, I think there's I think there's that. You know, I mean The fact that, you know, I was I was the first one in our department that went through the Center of Excellence. We have one other guy that went. you know, we took some took some hard knocks and you know, I think we've We're we're lucky we didn't lose some people, I think, along the way. We're fortunate. you know, but we've we've really upped our game, not just in Walla Walla, but industry wide when it comes to mental health of sure of our people. And you know, that's certainly to applaud everybody for doing Corley: Do you think because to me outside looking in and and when and when I was there there was seemed to be a pride about the crews when they talked about you and your Not I mean you're part of 'em, but they when they talked about it they were proud of it. You know what I'm saying?

Cody May: They took a pride in the that's my face, man Corley: But what I'm saying is is do you think that that plays into it from the outside looking in, it seemed to play into it is like look, our department cares about the fact that these calls are a problem and they're trying to do something about it. Just the fact that the effort is there seems to play a part in it. If that makes that if that makes sense what I'm trying to articulate. Cody May: Yeah, no, I think it does. You know, I I I think that there's you know, I I think one of the big things, I mean, I go back to, you know, kind of some hope, you know. I think you get in the fire service because you care about people. And a lot of the individuals we tend to hire, you know, are fairly local people. This is, you know, not just a place they came for a job. This is a place that, you know, they were rooted for a long time or now they're really rooted. They're they're here and they care about it. And they want to do the best job that they can for the citizens. Right. And I think that's, you know, ultimately that's what we should all be here for. You know, there's some cool stuff that we get to do along the way. We're fortunate to be able to do the things that we do. you know, but ultimately I think giving people our people that are going on some tough calls or maybe those those calls that wear you down, just, you know what, there's actually somebody here that I can call and hopefully they'll be able to take care of it. It might take a little bit of time. Sure. But eventually, you know, we'll be able to, you know, get this taken care of. You know, and I think one of the things that drew me back to this is Going through medic school, like we were taught to do all this cool stuff. And there's undoubtedly calls I was on with other people where we did Some really advanced medical stuff and save people's lives. But those are that's what was expected of us because we were trained to do those things. And I think Some of the more fulfilling calls I can look back at throughout my career prior to coming into this role was just having a unique social situation where I had no formal training in it.

Cody May: And it was just me relying on my morals, values, and ethics to figure it out and actually help somebody, you know, and I think those those were the calls that really kind of I I felt most proud about. So Corley: No, I I think back on my own and and and both sides of the coin, some of the ones that I felt the worst about was the ones where I could not. Yeah. Yeah, exactly. So that on the other side of that coin. So yeah, I absolutely get that metric. No, it's been phenomenal, man. I think you've spelled, I think you've laid out a beautiful case for the MIH, the community paramedicine, whatever it's called in your area. And I absolutely am going to get your info to everybody who's listening as far as how to get more info if they want to reach out to you. But right now we're going to do one of my favorite things to do, which is to talk about book or books. That you think firefighters should be reading? Cody May: Book or books. So I'm gonna go with David Brooks, the second mountain. I know I talked about the second mountain by David Brooks. that's that's pretty awesome. He talks about everybody's first mountain is usually one of ego that they want to climb. You get up there, you realize that maybe the view is not as nice as it was. Or you're doing okay up there and you're enjoying it and then a storm rolls in and blows you off your mountain down into the valley and you wander around down in the valley, you know, kinda go through some growth. You stumble across your second mountain, you decide I'm gonna climb that mountain and is usually one of passion or purpose, you know, love. You get up there and your second mountain is usually, you know, where where you're most beneficial to society. Okay.

Corley: That's where your value's at. Yeah, I think that's you told me about that while I was at we talked about this book. It's in my pile of to be read. Nice, nice. The never-ending growing pile of to be read books. Cody May: Yeah, and then why is that the center of excellence? I had a young therapist there, her name was Siobhan, and she said, Hey, I read this book. It's called The Subtle Art of Not Giving Up. Right. And You can say fuck, it's okay It's the internet. No, I'm I'm sure. So Okay, go ahead, go ahead and anyways, but man, I read that too, and that was a that was a really powerful book. You know, it really talks about basically budgeting your emotional bandwidth and caring about what you you can actually do something about or you know or not. So that was a good one. And then the last one I would I would throw out there, I gotta throw this one out, is Code 4 Surviving and Thriving in Public Safety by Dr. Tanya Glenn. She's a therapist down in Cedar Park, Texas. And anyways, man, I went and saw her, went through some EMDR down there after my time in Maryland. And Center of Excellence and that was that was awesome. I just I was needing some extra pick me up one night at work and I stumbled across this book, read it in a night, and I was looking through the the pictures in the middle and there was a picture of a peer support team from Travis County, Texas, outside of Austin or Austin area. And there was a lady in this peer support Cassie was her name. I went to school in Portland with her and here she is. And I looked her up on Facebook and I said, Hey, why are you in this picture? And she said, Why are you reading this book? And I was like, because I'm messed up, man. And I said, well, tell me about Dr. Glenn. She goes, man, she's the real deal. And went down there and saw Dr. Glenn. So one of the things we did, our local, we took some of our money Just like you go to a hotel, you know there's gonna be a Bible in a hotel, but we bought these books and put all of them every bedroom in our in our stations had one of these books put in there.

Corley: Like the Gideon for the fire service Cody May: Yeah, and you could tell the conversation was actually changing around the station. You would hear guys start talking about things a little bit different. And then those books started disappearing while they were going home. Right, right. Spouses and girlfriends and Wives and whatever we're reading these books. Corley: And that's code four, the code four book you referenced. Okay, code four. Surviving and thriving in the emergency services Cody May: Public safety, yeah. Corley: Public safety, okay, okay. So I was I was bastardizing the the the title but I thought I had a copy there, but I Cody May: Gave my last. Corley: It's been loaned out. Okay, well we do a thing here on the scrap. It's called the Five Questions for Firefighters. And we do it every scrap. There are no correct answers. There are just your opinions And then I pass out the points completely arbitrarily with the help of the audience. So Cody Main, are you ready for the five questions for firefighters? Let's do it. Cody May: it you can be anything in the world except be a firefighter what would you choose to be my selfish answer is i want to i'd be an mlb baseball umpire ballpark just

Corley: go to a ball game hang out but if it's one of service man and like probably high school history teacher oh a history that's that's a couple history teachers I know man yeah absolutely I love I love both answers so easy history teacher will always get max points. I love the I I love history and I love people that teach. So combine those two, you get max points. Number two, it's job town, it's time. You're in route and responding, just like the scene from Backdraft where he slaps that cassette tape into that cassette deck. What song are you playing while you're in route? Cody May: Out of my way by Cedar. Corley: Out of my way by Cedar. Is that our first Cedar or do we have some Cedar? That is the first Cedar. Okay. Nice. Our first Cedar. That's like a 2000s rock, man. Oh yeah. Cody May: I love no course stuff. Corley: Yeah. Yeah. Out of my way by see. There's that just for the just for the driving aspect of it or Cody May: You actually I saw so the first time I saw that video when the war in Iraq was going on the Marines were pushing to Fallujah, Operation Phantom Fury, and I saw a YouTube video and it was Marines going in there and that was the song. The soundtrack for that? Yeah, to that video.

Corley: Gotcha. It was stuck with you ever since. Cody May: Oh yeah. Corley: Max points for Out of My Way by Cether and referencing the war on terror and Fallujah in Marines. So absolutely no. It's a cold weekend at the station. Rig checks are done, training is done, PT is done, food is cooking in the crock pot, the town is silent, and you are getting to relax, and you're sitting there clicking through the stations, the the TV, the streaming services What is the movie that you click on that you finish no matter what where it's at, no matter how many times you've seen it? What's that movie for you? Cody May: Fury. Corley: Ooh. Cody May: Yeah. Yeah. Fury got it. Got it. I I was job I ever had. Best job I ever had, man. I was in I was in Maryland. And I actually use that as a metaphor. She asked me how I was feeling. I was like, man, I feel like that, I feel like that little Sherman Tank from Fury, man, just beat up and just Pulverized and you know, I mean if you think about it, like the only thing that kept that tank going was the people inside of it. Yeah, right. Oh, 100%. So so like the people in my life were the things that were kind of keeping me going at that point and everything. And like we you know, you have to stop and take care of your tank and take care of your battle damage and all that kind of stuff. And I I just, it was, it was this metaphor for me. And I go walking down to the station house that I was assigned to, and I go through the day room, and all of a sudden, man, somebody turned on Fury. So it was just kind of one of those things.

Corley: It was meant to be. Cody May: Yeah. And I gotta throw Patams out there too though. Corley: So you have the max points on Fury. So what was I gonna say? Well, I one thing I like there's certain movies that I thought I want to build a class, just a leadership class, but or not maybe not even be leadership class, just a class based around the lessons you can pull out of it And like you said, Fury is one of those. Cody May: Remember the part where they were trying to shoot that tiger tank in the in the butt? Yeah. And I was in I was I was in the theater with my wife and I was holding on and my wife said I was like Corley: Like trying to like get like lean around with the turret. Yeah. Cody May: Oh, absolutely. Corley: They're pop that they're popping the lids off the other Shermans. And yeah, it's just dude. It's a great movie, man. Oh yeah. Max points. three for three Number four, and I think it's the first time anybody said Fury, which is one of my favorite movies. On the clock. If you go over, no points. No points. So if you talk after, no points.

Cody May: I'm gonna lose points. Corley: Who is the four people you would put on your Mount Rushmore of the fire service? Cody May: So it's my buddy John Red Dog Richardson. he's also a mentor, my worst best friend, I call him. My worst best friend. Anyways, buddy I grew up with in the fire service, Deputy Chief Sam McCall out of Clackmas County, Oregon. Dr. Glenn, she's the one with the book. If it wasn't for her, I think I probably wouldn't be in the role I'm at or anything. And then I'm gonna throw Ben Benjamin Franklin on on there man i like it going old school i mean he's he's the he's the granddaddy of the american fire service and a lot of people just don't realize that the og Corley: Yeah. I love it. There it is. 34 seconds. Richardson McCall was it Glenn, Dr. Glenn? Is that right? Am I saying right? Okay. And then Ben Franklin, the man himself. Yeah. Cody May: Yeah. Yeah, I know. Corley: That's a heck of that's a nice mixture of OG and your personal influences. I love it. Max points four for four. Final question. Heavy Fire Searchable Space. Would you rather be assigned to that nozzle or first in on the VES?

Cody May: I I'm just gonna say that I think it's where I'm most competent and where I can help out the most. I'm gonna go with the nozzle. That's just where I'm that's where I'm most confident right now. I think, you know, I got I got two bad shoulders that need replaced and whatnot. I think I can control that control that nozzle a little bit more and not want to Have one of those bust out while I'm trying to pull somebody out of a I like it. There you go. Corley: Five for five. The five questions for firefighters according to Cody Main. And that officially puts Episode number 335 in the books. If somebody wants to reach out to you, find out more about mobile integrated health, to get more information, to ask you and pick your brain, what's the best way to do so? Cody May: probably I mean work related man just hit me with an email at work. So C main, C M A I N E, just like the state And then I'm going to throw a bunch of W A's and L's at you. W-A-L-L-A, W A L L A, W A. gov. So walla walla walla.

Corley: Wallawalla. gov. That's a at least it's memorable. Cody May: It is. The city's so nice they named it twice. Corley: Cmain at wallawallawah. gov. Okay. There you go. one thing I like to ask is what is your challenge to the scrappers who are listening, who listen to this episode? What is your challenge to them to get done before next week? Cody May: I guess I'm gonna throw maybe two at you real quick. So one is just research whether you liked what I said or not. So everything changes within States, if you're skeptical, just Google mobile integrated health programs in your state. Just see what's out there, see what other people are doing. That's really what it is. Just trying to inspire people to research it, see if it's something that'd be useful is the main thing. And then the other thing too is, you know, I'm a big Believer in peer support, I appreciate all that stuff. you know, we're all into pre-planning and pre-fire plans and all that stuff. Like Please do yourself, do your brothers and sisters a favor and pre-plan what you would do in your community, you know, should one of your brothers or sisters come to you in crisis. So you're able to navigate them to better resources and and help them in their time.

Corley: Cody Maine does not follow instructions. You now have two challenges for before next week. And here's the thing, Nisbet comes on tomorrow on the doubleheader and you're going to have another one to get done before next week. So you're gonna have challenges galore. Great challenges, Cody. final question of the evening for you is guest suggestion. Who would you like to see come on the scrap? Who's a firefighter that you think would have a would that needs to come on or come back on the scrap? Cody May: Who is I'm gonna throw out my buddy James Hawkins out of Murphy, Texas He's a guy that's you know, I mean you talk about a guy that's been through the ringer in his career and kind of resurrected his career. I mean, he's a he's a Phoenix kind of kind of guy, you know. I think there's probably a lot of people out there that can relate to his story and get some hope and some out of what he has to say about just navigating his career and some of the challenges he's had. And Corley: Okay, good deal. Good deal. excellent. Well, it's been a good time, so I'll get to my housekeeping. Go to patreon. com slash the vigilantees. Become a vigilante because it's where all the cool kids hang out The Discord is up and running. We got forums going in the Discord now and it's made it even better. I'm really loving our current V50. We're on day six. I think I last count there was 28 of us doing this V50 together and it's a it's a great commitment. We kicked off the new year with it. We're on day six and it's going strong. If you're looking for a place to connect with like-minded firefighters, come and be a part. Go to patreon. com slash the vigilantes. One of the best parts of it is you get to come to the after party, which Cody's invited to. He's not required to come, but he's invited to come hang out in the after party where we roast him on how good he did on the scrap. And so, of course, Sam is posting that link and the vigilantes are already showing up for the after party. It is the doubleheader to kick off 2026. So tomorrow night, you got you got mobile integrated health, you got Cody Maine tonight.

Corley: Tomorrow night you get James Nisbet coming on. And so we got we got some of the community paramedics and we got mobile and ready health. So we gotta go with a dose of like hose work, engine work, stretching hoses, and the and the physical stuff tomorrow night. So we get both the the the dichotomy or not that's not The balance. Let's put it that way. Next week, Zach King. That's a scrap's been a long time coming. So Zach King is coming on. And man, I can't tell you, I really do believe that this is the future of emergency medicine. And it it's something that the fire service needs. So I really can't say thank you enough, Cody, for coming on and sharing your knowledge and what you got going on and and the challenges and the different things you overcame getting it Started and now to see it grow. Cody May: Yeah, thank you. I appreciate the opportunity. And I know it's not the sexy topic that lots of your audience likes, but I think you know. we can make those jobs easier for those guys and keep them available so they can go do the go do the things they want to do, whether that's take a call for them so they can stay on the training ground a little bit longer and I have to go pick somebody up or or whatnot.

Corley: Hey, if it lessens the load on the shoulders that that that the tr the current trend is just piling more and more on the shoulders of the men and the of the minimum of the line. And so if it lessens that load and if it if it's a path forward to do that, I think it's one of the sexiest topics you can talk about. So thank you for doing it. I mean that. I do mean that. So all that being said, audience, thank you for tuning in live. Thank you for your awesome questions. Because of you, the scrap exists. Without you, it's not what it is. It's not the chaos and fun that we have each and every week. Cody, thanks for being such a phenomenal guest. Audience, I love you all. Remember, mutts don't scrap. I hope the tones stay silent unless it is burning. This job is not safe. So stay smart out there.