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hey guys so its the day after my hospital visit as Ive said I think before in previous videos I work in the ER now as you know Clark and about an hour before I was supposed to get off shift I realized that I wasnt feeling too great I really hadnt felt great to begin with because I was in a lot of pain the night before and I wasnt able to sleep and so I didnt fall asleep until 2:00 and then I didnt get our I went to sleep it - and I woke up at 5:40 so I was only working like three and a half hours of sleep or something like that and so one of the things that Ive noticed personally is that if I am sleep-deprived Im much more some symptomatic and if Im in pain Im a lot more symptomatic so it was the perfect storm when I woke up that morning I had a feeling that maybe something was gonna go down and I was just really hoping I was wrong and I was doing really well for the most part and then it always kind of went downhill so it was you know gravity getting heavier and my heart ra