Gun Shot Wound: A Trauma Surgeon's Grim Reality | ENDEVR Documentary

person shot [Music] so let's think you understand what happens when you shoot somebody and I had no idea until I started working here the devastation that is wrought by such a small piece of metal and I've seen the smallest caliber bullet destroy Flesh and Bones and dreams how many of our young people are either dying or going to jail let's do a nightclub Society whole society is under this delusion that it's okay over 33 000 innocent citizens to die for absolutely no reason assassinations and I've seen it mass shootings and dead children but you the mass shootings which are terrible don't be long but it's those mass shootings that really do get all of the attention and I think the rub for the trauma surgeon in a large city is that this is what we're seeing all the time and where is that outrage this is a public health crisis [Music] when it comes to gunshot victims I'm very proud of this Trauma Center I mean literally if you watch us we tilt the hospital up on its side and try to pour lifeblood into a dying gunshot victim I mean it's a it's a remarkable thing to watch in terms of society trying to save a life stay with me stay with me Jacoby Medical Center emergency department go ahead this is empress EMS I got a 34 year old male multiple gsws 90 over 12 respirations at 35 PTA is four minutes out this is the adult ed we have a level one trauma coming in we have a 34 year old male with multiple gunshot wounds blood pressure is 80 over 40. heart rate is 110. trauma please respond [Music] okay everyone we have a pre-notification for a 34 year old male with multiple gsws to the neck and chest the patient is hypotensive and tachycardic everyone please introduce yourselves bike survey residents guitar and blood Runner and c-spine I'm Heidi primary nurse Naomi trauma team leader I'm Brenda everyone knows their assigned roles we have a plan for what we're going to do we'll notify the operating room if we have to go upstairs patient's hypotensive can you get the Belmont ready to transfuse two units let's hear our Vital Signs check our inside we have 50 over 40 heart rate of 110. Mike give us a breath sounds like you're going with sex on the left side I have no sounds on the right Naomi what am I looking at our chest x-ray shows that the patient has the resolution of the pneumothorax on the right side so we got a bullet we don't see a bullet Chop Shop what's the status of the operating from the trauma surgeon's perspective bullets are all about real estate location locations that we have a projectile in the left pelvis that means that our arms temperament we're heading up for our neck exploration immediately exploratory anesthesia coming up on it I want to shoot one more x-ray of the neck before we go if there's any further negative let's go okay let's complete let's roll all right let's take them off the van and throw it away one of the reasons why we don't have 50 000 dead or sixty thousand dead in America is that we have organized a wonderful trauma system and we've been honing it for years all right everybody I just want to thank you guys all for participating in today's simulation uh it's obviously an ongoing effort to keep on practicing taking care of these really sick patients I just want to go over and get proper refund exactly what happened in the scenario and how you guys all uh thought you guys went yeah so thank you the first layer is you have to have a trauma system you have to have an EMS system so things have to be in place in terms of the medicine long before someone takes a bullet the more of this we do the better we'll be in the real world whatever walks into the door we are all going to band together and we're all gonna get it done holding three at this time in 2009 I was working late it was the evening and A call came over the radio that we had a 92 year old woman that had been shot it was a level one activation she was on the way to our Trauma Center she comes in she was this really elegant elderly woman you know she was your grandma and the story is that she was home in her living room gang members were having a fight and a stray bullet had gone through her living room or bedroom window as she was preparing dinner so I began the operation and you know as predicted the bullet had come across the midline and it had injured everything that's important for life but we tried we dumped the hospital into her blood and people and we tried so it's it's done you know her lifeblood is poured out all over the floor and all over me and her heart stops and try to get her back and I look up the clock and pronounce her debt [Music] and then I lose it I just sat down right there covered in her blood and I started to cry man did I Cry never happened to me before and Sadie Mitchell was just I don't know it's just too much it just said to me that this country had an illness that maybe we were just never going to get better from it just epitomized how messed up this thing was this this scourge of gun violence [Music] [Music] the temple has the dubious distinction of treating the most gunshot victims in the state of Pennsylvania what's this oh that is soon will you shop before ever sir you had to go yes in the trauma Bay there are no good guys or bad guys they're all patients that have sustained gunshot wounds that we need to to take care of and over the years there's no doubt that every patient that hits the trauma Bay has somebody that loves them so I never pass any judgment I never want to know anything at all about the circumstances of the shooting not at all I quickly look at the patient and look at the heart rate heart rate can tell you everything and and a good trauma surgeon will tell you that the color of a patient's feet can tell you everything because if they're really pale then that's a terrible prognostic indicator that means that they're bleeding terribly I think one of misunderstandings the lay non-medical population is did you remove the bullet you know really what our jobs are is to fix all the damage that the bullets do you know whether it stop the bleeding whether it's take out the organs it's the fixing of those organs it's not necessarily looking for the bullets and removing them it's just trying to catch up to what the you know the destruction that the bullets have done [Music] and what we have seen over the years from 1993 to 2019 is that the caliber of the bullet is so much larger and the kinetic energy and the destruction that these bullets can do are so great and you know patients aren't shot just once or twice or three times you know they're shot like 10 and 11 and 12 times and more let's go when you're in the operating room particularly with a gunshot victim and they have a multitude of injuries it can really be a slug Fest it's how I feel in the operating room you know God you know way to go you're good trauma surgeon the devil you suck you call yourself a trauma surgeon what are you doing here and I had really struggled for all those years to understand what that was all about and that's exactly what it is God and the devil on your shoulder team members respond back so uh we just finished the case but we have another gunshot wound that's coming here being brought in by police yeah we did good we've got another gun shop will come in all right yeah yeah he's going to CAT scan first not yet we don't know yet yeah [Music] let's go okay [Music] shot two times in the right chest and once in the right neck and the BBS are where he's shot [Music] uh you know it's just shrapnel in there yeah and the jugular is okay yeah the floor of his mouth doesn't look so and there's shrapnel extending all the way up to his top Okay so anything lodged in the palette or anything like that yeah I mean that's what like these little tiny guys yeah but nothing larger but nothing larger I mean I suspect this was it like a buckshot or something no it was a big bullet oh he's a big wound in the right neck it's a large caliber we have one hole right and we're looking for a bullet I think that's in his top he was shot two times in his right thigh two times in his right chest it looks like both of those injuries were relatively superficial in that we don't think that there was any bones broken in the right thigh or any arteries or veins injured in the right chest we don't think that the bullets entered the chest so we don't think that the lung was injured he was also shot in the right neck and the bullet looks like it may have lodged in his tongue it's always very ironic because we sometimes say that these patients are lucky I don't know how you could think that a patient that gets shot one two three four five times with a bullet in his neck and his tongue is lucky but that's what we say that he's lucky in the moment it's all about taking care of the patient and the focus needs to be intense and you can't be distracted by anything and then when the moment passes you need to be distracted by everything because you you can't walk away not feeling that what you've just participated in in some way is so wrong you don't want to be taking care of patients who've suffered gunshot wounds my name is Scott Charles I'm the trauma Outreach coordinator and I work with victims of gun violence and that's essentially all I do out of curiosity do any of you know somebody who's been shot with a show of hands how many of you know somebody who's been shot do any of you live with somebody who's been shot okay so the reason why Scott and I wanted to create a program like cradle to grave was we felt that we needed to do more like preventing these patients from coming in we saw it as an education in that who knows better what bullets do to bodies than those that work in a hospital my job is not to freak you out but we are going to have a candid conversation about gun violence is that cool and we thought it was our responsibility to do that if we weren't talking then the students were seeing what was happening in movies or video games or TV and that was not real at all the goal of cradle degrade was to really humanize the experience of of gun violence to to deglamorize it in many ways I want to introduce you to Dr Amy Goldberg who is the chair of surgery here and so she's going to walk us through what she and her colleagues do in this space when she ends up with a gunshot victim and we're going to talk about Lamont and all the things that were done in an effort to save his life Lamont is going to have a bullet wound right here he's going to have a bullet wound right there he's gonna have a bullet wound right there when Lamont came in as Scott said the first thing that we did was to make sure that we take off all of his clothes and everything so we can identify where the injuries are and we can start thinking about what has been injured and when we first evaluate him he's not breathing at all and the first thing that we needed to do was put a breathing tube in his mouth so that we were able to breathe for him this issue of gun violence isn't really as much about living or dying as much as it is about suffering and we find that particularly when you talk about one of the things that leads to so much of the violence the sense of being disrespected the sense of shame that lies at the heart of so much of the violence that we see the kids after seeing the realities of being shot or more importantly pulling the trigger they see violence as a less reasonable reaction to being disrespected and what we what we did was we used our knife and we made an incision in his left chest where the heart is cradle to grave is not a Scared Straight program there's you know nobody raises their voices it's just narrating a story that is sad um but it is unfortunately too often a reality of growing up in a City like Philadelphia since 2002 uh approximately 25 000 people have been shot in the city of Philadelphia the number one weapon of choice is the nine millimeter somebody was shot every six and a half hours last year in Philadelphia that 80 percent of people get shot in Philadelphia actually survive being shot gun violence is contagious it's like a disease when somebody gets infected with it it doesn't stay with them they pass it along right one of the goals is to really spell out the consequences of being a victim of gunshot injury and talk about the debilitating injuries that they suffer among those are amputations or the fact that we see so many young men who are paralyzed as a result of a shooting it is good that 80 of our gunshot victims live and if you don't dive down into what that statement really means then you kind of just move on but it's kind of what are they living with and how are they living so they're young they have their whole lives ahead of them and the wounds can be really devastating [Music] from you know traumatic brain injury to paralyzed from the neck down where they know they're paralyzed and they can't move their arms and they can't move their legs and they're 20 something years old [Music] I have a non-profit in honor of my brother Dante who was murdered in 2008 and we work with individuals who have been impacted by gun violence the majority of the people in the support group are individuals who have been shot so their gun violent survivors and they are paralyzed [Music] Leon how are you how has everyone been doing mentally physically emotionally Mo I know you were struggling a little bit from your operation how you doing I'm back and I couldn't do weight shifts and stuff like I normally do so now people who have been shot and paralyzed go through quite a bit a lot of them fight harder than they ever fought before before so getting shot was easy because now I'm trying to find housing trying to get employment trying to just do the basic things like driving your car is a challenge you know when I'm single I always have a wheelchair you know it's one of those things like like it's just always there you know for for all of us quite honestly you know the last thing we do is get out of a wheelchair and the first thing we do when we get up is kind of get into a wheelchair so it's it's always a constant in relation to our new lives you but they often times are forgotten about so that group that population of people um I always say they lived for a reason and they have a story and it's our responsibility and our duty to make sure that people hear it well back in August the 3rd of 2013 I was a victim of domestic violence which the gentleman that I was with at uh shot me in the back and when I got shot I felt that I had no movement down here so I knew I was going to be paralyzed and what saved me was that I had crawled underneath my car because he still was shooting only one bullet hit me in the back first and foremost it changed the life of my daughter she was just going inside of high school and now and I'm a single parent so now it's like her whole world changed as well so that was more stressed and just hardship on my mind my mom house he had to make her downstairs area into an apartment conda for me rails and lift for her front porch so that was hard I know it was hard on my mama because this was something different everything changed I I really honestly say everything changed and I was in a sunken place which is depression for me for about three years that I could not get out of [Music] I think the biggest obstacles that the individuals in our group who are paralyzed Space is really the mental struggle with paralysis and being paralyzed I think physically they're strong enough to get through it I think mentally they struggle when I was eight years old I had just got off of punishment I was uh an adventurous child um we decided to buy some firecrackers but I guess the guy who lived next door didn't like the sound of the firecrackers going off or something on that line then he had pulled out a sawed-off shotgun I thought I was running one way but the reality of it is I was running a different direction and the last thing I heard was my sh is the shot go off and I Loosely heard myself scream and then from there I don't remember anything and that was kind of what happened I wasn't supposed to survive because of the amount of damage even to this day I still have some of the Buckshot in my body for me shotgun I remember you know when the uh doctor asked if I could feel my legs and I had some feeling and he asked what I you know what I thought and I thought they had taken my legs off and replaced them you know all that child stuff don't know what I'm even crying about it right now but [Music] but that's what I remember [Music] I got into street photography by happenstance to be honest which is kind of like one of the easiest things to kind of do I guess you don't have to rely on anybody just go I thought that if I was really good and no one would care about the wheelchair but the reality of my situation is that I can't have one without the other and it's the very thing that has Divine my image and what I see and why I see what I see let me get one more I think people always are stereotypical about why people from urban communities or people of color are gunned down and I and they always kind of answer the question well maybe they did some things to get shot or killed um and that's not true in every case in every situation um I think it's the access to guns and it's it's like getting bubble gum you can it's easier to get a gun down than it is a driver's license and I think that's the problem hard-working single mom just did everything that I knew I was doing correctly to better myself and my daughter future and I got shot so it ain't about oh cause you live in an urban community that this is what happens no it happens to the innocent too in these kind of communities all the time we hear about these things about people's rights and it's like but at what point in time does does your idea of what this right is infringes on on my right to live [Music] my life has changed because of because of this because of how easy it is I worry I may never be married I may never have children these are things that are taken from me that I've lost things happen and if you're not a responsible gun owner listen you should have one period so I think we have to do a better job at Society at educating young people educating our communities on how to handle conflicts so that it doesn't result in in a gun [Music] oh here in Baltimore we have young men dying every day from Farm injury and those stories often go Untold here at Hopkins 80 percent of our patients come within a five pound radius [Music] when Brendan arrived to the trauma Bay he was nearly dead his blood pressure was 50. [Music] during the initial operation his heart actually stopped multiple times so this is as close as you can get to dying without dying one of the things that we had to do was reconstruct his chest because we had to not just open up this chest but take down a certain muscle called the diaphragm that helps with breathing in order to get access to some of the very difficult areas he was bleeding in when you look at how complex it is delivering care to these really critically injured patients you know specifically Brendan who was shot over 13 times and had injuries in almost every cavity in his body he went to the operating room over 15 times with not just myself but I'm multi-disciplinary group of surgeons and it's that type of care that allows us to bring these patients from nearly being dead to now being able to you know work with physical therapy and hopefully make it out of this Hospital at the age of 17 my life really changed it's almost like my second birthday where I went from being a healthy high school student to someone that was nearly killed after being shot in the throat with a 30 caliber bullet [Music] tonight I was shot it was after the first High School football game of the year the game like you know typical high school students we were hanging out we were actually at a playground those close to an elementary school and a fight had broken out that we had nothing to do with and a guy pulled out a gun and started firing to the crowd [Music] and I remember distinctly that night the flashes of light everything kind of went into slow motion [Music] so as I was being transported to the hospital it was a very kind of surreal experience because I felt like I was watching myself as everything took place [Music] and I couldn't lie flat because I was choking on my own blood because my injury that experience profoundly changed who I was as a person and I remember distinctly it was a couple months after I left the hospital and I was standing uh in the bathroom I was looking at the mirror and I had these beet red scars all up and down my neck and I had a tracheostomy tube at the time and what I didn't realize is my father was standing in the doorway and I think he saw the look of Devastation in my eyes and he walked in and he said I know what happened to you is horrible but you really have two options the first is you feel sorry for yourself but the second is you take this horrible experience and you turn it around and you try to impact the lives of other people [Music] and so it's really that moment that inspired me to you know go into medicine inspired me to become a trauma surgeon what could be more gratifying than being able to give someone else that same second chance that I received how's it going it's good to see you Brendan how you doing good hey how are you how are you good good good how you doing how you feeling great yeah yeah it's good to see you finally in rehab huh yeah thanks to you man team effort for sure right right it's amazing to think about where you were and how right critical you were and just to see you sitting here uh in this chair right and just talking to me is unbelievable yes I think there's 20 21 entry and exit wounds and I think I got five bullets still in my back four or five the only thing you can do is now you know try to take that horrible incident and turn it into something positive right right and I think you know everyone here knows how much you know your family knows how much you care about them and how much you love them and obviously I have no doubt that you're gonna try to do everything you can right to ensure that you're there for them as well yes but first we got to get you back right back to Baseline huh yeah all right bye see you later yeah all right keep up the good work definitely all right man if the human toll of gun Vance is not enough there's also an economic burden that exists there are some estimates that look at the total economic burden to be over 220 billion dollars yeah thank you in November of 2018 the NRA came out with a communication that essentially said that doctors have no business being part of the solution of firearm-related injury and death in America and they essentially use the phrase that we should stay in our Lane foreign [Music] [Laughter] I was just incensed that an individual an organization would think that we as Healthcare professionals the people that are literally on the front lines of caring for these patients day in and day out have no business in being part of the solution and so that's why I ended up starting the handle this is our Lane [Music] and that initially caught a lot of attention and went viral and what I started noticing is there are so many clinicians not just doctors clinicians from all walks of life that are wanting to have a voice on this issue [Music] [Music] foreign [Music] [Music] New York city with the highest rates of people living below a federal poverty line the highest rates of children living below the federal poverty line and one of the boroughs New York city with the highest rates of immigrant population foreign the majority of our neighborhoods comprise different public housing projects within our neighborhoods probably one of the most diverse communities in Bronx matter of fact probably in New York City we have albanians we have African Americans we have the West Indians we have the Hispanics the Italians you name it we have it stand up the violence is based on the Cure violence model we're anti-gun violence we want to put the comment back in unity to make this a stronger community so this program was to try to provide you know culturally syntonic culturally appropriate people to speak to these kids and of course I say kids because gun violence is a disease of the young right if you look at who's who am I taking care of who me and my colleagues are taking care of here at Jacoby the young people it's in squarely in their 20s by and large so who's going to talk to them who's going to have street cred with them so people that have lived their life and have gotten out so we had to hire former gang members and former criminals well I was I was incarcerated at a young age I grew up in foster care you know I was I had all my life going on I wanted me to give up uh when I became an actual victim it just let me know that this is not something that I like not something that I want anybody else to go through and if I could change it why not do it you know yo what's up bro [Music] whenever a person comes in as a victim of violent trauma they're in the hospital they're not around their friends they're not around their family they're just here getting their medical treatment so it really is a golden moment for intervention because they're sitting there in a hospital bed healing from their injuries or getting Medical Care and they're just thinking they're thinking about what happened they're thinking about who did it to them and they're probably thinking about what they're going to do to get back to them that's the whole thing we do deal with violence like it's a disease so basically it spreads from the perpetrator to the victim and then the victim becomes the perpetrator if I go in there and talk to people about retaliation alone you know I'm a guy going in there with a stethoscope around my neck and a doctor so they don't view me as somebody they can identify with they're like sure okay yeah you're gonna tell me not to think about retaliation but somebody who comes in who looks like you who talks like you who's from your same neighborhood who's been through the same thing you've been through that information and that counseling carries a lot more weight and has more of a potential to influence your behavior those patients that we also intervened in had a 60 less likelihood of coming back with a re-injury compared to those patients that we did not see I guess I just know how to engage with people in the community because I come from the community you know I want the streets to be saved I want my kids to grow up as well so what we do SUV is stop the shootings and homicides in the community the way we do it is by mediations and reaching the highest risk individuals in the community that's most likely to shoot someone or be shot so what we do what we're doing now is we walk around the canvas Community get a post on what's going on out here let people know that we're out Tasha what's up boo I know why you didn't want to see me all right [Music] hey Chris yes every time there's a shooting we're out here making sure um there's no retaliation for that shoot making sure we mediate any beefs that might get out of him and you know it's a tough job it's a very tough job because these kids have to trust you this community has to trust you your parents has to trust you we work with some of the most hardened criminals in the streets any day we go through with somebody and shoot somebody that's a good day and that's what the team has been able to do they're very successful what they do we use each other's shrimps we correct each other when we need to and we get the job done [Music] by your side [Music] this is what it's about our community music over violence and when we can bring a community together like this we are better together not everybody is trying to kill everybody but we have to show that love for one another yeah [Applause] [Music] just to give a few words let me just drop this on you in one minute and I know y'all hear preachers say one minute that's like two hours or give me one minute the leading cause of death in our African-American Community for our young males between the ages of 14 and 25 is gun violence it's the second leading cause of death in that same age bracket in that demographic of our Hispanic no longer can we stand by but it's time for us to stand up to the violence it's time for us to take back our communities put the guns down one shot side is one shot too many God bless you [Applause] thank you likewise [Music] [Music] so the individuals came in there was two 17 and 21 year old young men that came in from our Target area who were Dead on Arrival so they came in in cardiac arrest and uh they weren't not able to do anything for them actually by the time they got here because they were already far gone and they had they died pretty properly instantaneously so tomorrow and if you want the logistics of it but we're going to be starting right where it right with the shooting or the response the police came to when they were going to go around uh just uh the housing area doing acting a chance and then ending back on White Plains we had gone 103 days a lot of shooting and uh we were getting quite proud of ourselves and you and you should be well should be could you guys have been doing a fantastic job but every once in a while things like this will happen and it's it's not it's no one's fault it's not nobody did anything wrong there was a lot of grieving out there but just seeing my um friends crying and stuff like that I felt it too so it is personal for me and um yeah so we all feeling it so whenever a shooting happens in one of our target areas one of the biggest things we do is we do something called a shooting response and what that is is the SUV team goes out to the exact location of where the shooting happened and this is just really a way to kind of showcase the community that a shooting happened here and it's a big deal and it's not normal two young men were shot and killed in this community right here and so tonight we have gathered here as a community to let this community know that we stand with you where there is hate tonight we've come in the spirit of love where there is confusion tonight becoming a spirit of peace in our streets as I said there's no words for parent that loses a child with some pain so we're praying for this family tonight we're going to hear from the mother that's not sure hello I'm not going to say too much because my heart is broken Buddha was the love of my life he was beautiful he's honored to be his mother I I can't say too much more because my heart hurts a lot thank you all for being here I love you all [Music] [Applause] I've been living in this neighborhood for 20 plus years and every year I see candles from kids being killed kids and it hurts it really really hurts and unfortunately this time this is my key it's not words for that it's just no parent deserve to bury their child no he's 17 17 years old 17 17. you know his life is gone and my heart is broken that's the only thing I take my heart is really and truly broken I help raise them him and his brother are now everybody called him Buddha which was a nickname that I gave him when he was born you know because he was such a chubby little baby my love for that for that boy it's like I gave birth to him like himself [Music] and that's that's how much I loved him [Music] that day that day I gotta knock at the door you know he did what he did uh normally would do throughout his day I I was doing what I normally did and then that day came I got to knock out the door and that was it that was it for that day that was it that was it [Music] but sometimes a suture and a scalpel is a poor match for the lethality of a bullet and sometimes we can't fix it and it is so I said the worst day of a trauma surgeon's life is when he has to go out to a mom and say your son's never coming back to you you know you have to use the word they teach you that medical school you have to use the word your child has died you need the the finality and the thud because they have to hear you my grandmother who was from a small village in rural Mexico and her Infinite Wisdom would always say you know when when a woman loses a husband they call her a widow when a child loses a mother the common orphan but when a mother loses a child there's just no name for that and I think about that a lot because it's true you remember every single face of every single mother who you've told that to and I dread it I absolutely dread it in fact I've told people that what will make me leave trauma surgery won't be the hours and the fatigue it'll be that I just can't tell another family member that their loved one has died [Music] as nurses we need to create the space to have the difficult conversation about the patient that you took care of yesterday that you weren't able to save we do have that emotional component about our jobs and how we feel and that I do well should I have done better and a lot of us struggle with that [Music] any request at least 13 and animals [Music] at the end of the day firearms as we've come to embrace them in this country are at odds with human life [Music] we're happy to talk about the great aspects of guns we just are unwilling even those who are opposed against don't want to hear about what bullets actually do to bodies and I think it's why we're kind of Trapped in this kind of intractable debate right now [Music] when you look at for example motor vehicle crashes fatalities were high in the 60s and 70s we didn't say okay let's get rid of cars no we came up with things like seat belts and airbags and we tried to make roads safer [Music] type of approach that we have to take with firearm injury and death in America [Music] just like lung cancer is preventable just like you know dying in a car accident is preventable just like hypertension high blood pressure is preventable it's preventable [Music] if you want change to be made have a voice speak on it we want the gun violence to stop in our communities these are the times that we need for you to speak loud and clear for everybody to hear it can stop and it starts with important for hospitals and Trauma Centers throughout the United States to think about incorporating programs like this that maybe a little bit outside the box it can be sometimes more powerful than what we can do within the hospital Wells for so many years people have looked at this as a third rail issue but no more you know we cannot keep ignoring the injuries and deaths that are happening in communities all across this country [Music] thank you [Music] thank you [Music] thank you [Music] thank you [Music]

Channel: ENDEVR

Views: 143,293

Keywords: Free documentary, documentaries, full documentary, hd documentary, documentary - topic, documentary (tv genre), Business Documentary, trauma unit, medical documentary, trauma unit usa, trauma unit nurse, emergency department, hospital trauma unit, medical documentary youtube, medical documentary films

Id: mLRqJHdXR8Y

Length: 52min 1sec (3121 seconds)

Published: Sun Aug 06 2023