WEBVTT 1 00:00:35.200 --> 00:00:36.340 ... 2 00:00:36.340 --> 00:00:36.340 3 00:00:46.660 --> 00:00:47.800 ... 4 00:00:47.800 --> 00:00:48.680 ... 5 00:00:48.680 --> 00:00:48.700 ... 6 00:00:54.720 --> 00:00:55.860 ... 7 00:00:55.860 --> 00:00:57.480 ... 8 00:00:57.480 --> 00:00:59.620 ... 9 00:00:59.620 --> 00:00:59.620 10 00:00:59.620 --> 00:00:59.660 ... 11 00:00:59.660 --> 00:00:59.920 ... 12 00:00:59.920 --> 00:00:59.940 ... 13 00:00:59.940 --> 00:00:59.960 ... 14 00:00:59.960 --> 00:00:59.980 ... 15 00:00:59.980 --> 00:01:00.000 ... 16 00:01:04.100 --> 00:01:05.500 ... 17 00:01:05.500 --> 00:01:06.980 ... 18 00:01:29.980 --> 00:01:35.560 Of course he spoke of the injury as a bruise to the spinal cord and that doesn't mean anything to you. 19 00:01:37.620 --> 00:01:43.700 Then after a while it starts to come through to you in various little ways. 20 00:01:44.760 --> 00:01:49.880 And when it really hits, you fall into this bottomless pit. 21 00:02:09.960 --> 00:02:15.660 This is the Rehabilitation Institute of Chicago in which I serve as a staff physician. 22 00:02:16.100 --> 00:02:21.300 It is a hospital for the physical and emotional rehabilitation of physically handicapped people. 23 00:02:21.300 --> 00:02:29.020 Its purpose is to help the disabled person regain the highest possible degree of independence in daily living. 24 00:02:34.640 --> 00:02:43.060 When they took me from the hospital to the Rehabilitation Institute, well, before my accident I had no idea that it even existed. 25 00:02:50.640 --> 00:02:51.640 I was a very optimistic person. 26 00:02:51.640 --> 00:02:57.500 I didn't know what it meant to be paralyzed from the waist down. 27 00:02:58.000 --> 00:03:03.540 And even if I had known what it meant, I didn't think that the idea of rehabilitation would have ever occurred to me. 28 00:03:04.460 --> 00:03:08.220 When I finally entered the institute, I was very optimistic. 29 00:03:08.620 --> 00:03:11.280 I had heard about some of the things they had done for people. 30 00:03:11.280 --> 00:03:20.500 And I think that my family thought, and I guess maybe I did too, or at least I hoped that I'd walk out like I was before. 31 00:03:21.120 --> 00:03:24.780 You just can't imagine yourself never walking again. 32 00:03:47.600 --> 00:03:57.480 There are traces of quads and the hip flexor is stronger, a lot poorer than the hip extensors trace to hamstrings. 33 00:03:58.040 --> 00:04:01.100 There's some trace, but I, in other words, but... 34 00:04:01.100 --> 00:04:01.520 Scattered. 35 00:04:01.860 --> 00:04:02.180 Scattered. 36 00:04:02.180 --> 00:04:05.000 She didn't have any pain during the time that she did this evaluation, did she? 37 00:04:05.180 --> 00:04:09.060 No, but she was a little bit hesitant about sitting up and I had to do most of the support. 38 00:04:09.060 --> 00:04:11.200 You don't have any pain in your back, do you? 39 00:04:11.320 --> 00:04:11.540 No. 40 00:04:12.020 --> 00:04:14.880 Would you try sitting up for me and see if you have some abdominals? 41 00:04:15.040 --> 00:04:16.180 Try sitting up for me, would you? 42 00:04:18.440 --> 00:04:19.560 Tell me if you have pain. 43 00:04:20.400 --> 00:04:22.460 That's good. Gosh, that's very good. 44 00:04:22.620 --> 00:04:24.040 She did better for you than me. 45 00:04:24.520 --> 00:04:26.240 Fair plus. At least, good. 46 00:04:27.680 --> 00:04:29.140 I think you're going to do very well. 47 00:04:29.260 --> 00:04:30.400 The problem is a long one. 48 00:04:31.100 --> 00:04:34.540 The next patient we're going to discuss this afternoon is Audrey Peters. 49 00:04:34.540 --> 00:04:40.040 This is a case of a 27-year-old female who was involved in a car accident. 50 00:04:41.120 --> 00:04:45.040 I discussed Audrey's case with the staff during her first week at the Institute. 51 00:04:46.460 --> 00:04:49.680 Rehabilitation of any patient involves a coordinated effort. 52 00:04:51.080 --> 00:04:55.540 During these meetings, we evaluate each person's handicap, determine realistic goals, 53 00:04:56.800 --> 00:04:59.400 and then plan the patient's therapy program. 54 00:04:59.400 --> 00:05:02.040 Audrey has some scattered voluntary musculature in the lowers. 55 00:05:02.580 --> 00:05:04.120 However, she's completely dependent. 56 00:05:04.760 --> 00:05:08.100 When she first came in, Audrey's hospitalization was covered by... 57 00:05:08.100 --> 00:05:12.720 Consideration and planning are provided not only for the physical rehabilitation, 58 00:05:13.760 --> 00:05:17.640 but for the social, emotional, and vocational needs of the patients. 59 00:05:18.600 --> 00:05:24.580 The therapists, the nurses, the psychologists, vocational counselors, and the medical social workers 60 00:05:24.580 --> 00:05:27.780 are oriented in every aspect of rehabilitation 61 00:05:27.780 --> 00:05:31.580 so that an effective team approach can be carried out. 62 00:05:34.400 --> 00:05:42.260 The family itself has been terribly frightened by this catastrophe to their daughter 63 00:05:42.260 --> 00:05:46.880 and really have not been able to give her any kind of emotional support. 64 00:05:47.500 --> 00:05:50.340 Audrey came down for evaluation on the cart. 65 00:05:50.340 --> 00:05:55.320 She was completely dependent as far as activities of daily living. 66 00:05:55.940 --> 00:06:00.200 We did a muscle test and this showed her to have normal upper extremities, 67 00:06:00.800 --> 00:06:04.520 normal trunk muscles, some weakness due to disuse. 68 00:06:05.240 --> 00:06:07.520 Our orders call for the tilt table. 69 00:06:07.540 --> 00:06:10.400 First of all, we'll start her on that. We'll get her up in a wheelchair. 70 00:06:11.400 --> 00:06:13.660 We'll start on a mat program for range motion. 71 00:06:14.180 --> 00:06:16.620 We'll do muscle reeducation to her lower extremities. 72 00:06:17.620 --> 00:06:19.140 And Audrey looks like a very good prospect. 73 00:06:21.800 --> 00:06:22.540 Rehabilitation 74 00:06:35.600 --> 00:06:40.000 Rehabilitation is a long and repetitious day-by-day affair. 75 00:06:40.000 --> 00:06:45.520 It is a tedious, often painful process of regaining strength in the hand. 76 00:06:45.520 --> 00:06:52.020 It is mastering the use of an artificial limb while facing the frustration of learning to do 77 00:06:52.020 --> 00:06:54.520 those things that were once so very simple. 78 00:06:57.000 --> 00:07:02.500 Rehabilitation is speech therapy and learning to say the words that disease or accident have made so difficult. 79 00:07:03.320 --> 00:07:06.220 At times, it can be something as simple as tying a shoe, 80 00:07:06.900 --> 00:07:09.620 or it can be as meaningful as a word of encouragement. 81 00:07:11.540 --> 00:07:14.760 The measure of rehabilitation is not taken in days or weeks. 82 00:07:14.760 --> 00:07:19.000 But in the succession of little physical and psychological victories, 83 00:07:20.100 --> 00:07:23.020 it is measured by the restoration of a sense of dignity 84 00:07:23.020 --> 00:07:26.080 that has been lost with the burden of a handicap. 85 00:07:27.660 --> 00:07:33.660 It is counted in the seemingly small victory of a little boy with a head injury regaining his coordination. 86 00:07:34.780 --> 00:07:41.320 It is the total of an endless number of times a stroke victim struggles from his wheelchair to stand in the parallel bars. 87 00:07:41.320 --> 00:07:45.400 It is the young girl learning to walk on a new leg. 88 00:07:46.900 --> 00:07:51.000 And for each of them, the victory is beyond any measure at all. 89 00:07:51.000 --> 00:07:51.000 90 00:08:05.980 --> 00:08:08.100 All right, lock your chair. 91 00:08:09.160 --> 00:08:11.680 Now, I want you to lift your legs. 92 00:08:12.860 --> 00:08:17.380 The physical therapy gym is one of the focal points of rehabilitation. 93 00:08:18.080 --> 00:08:30.960 It is here that the patients are asked to perform very specific exercises to build up strength, power, and endurance in those muscles and limbs over which they still have control. 94 00:08:30.960 --> 00:08:49.960 It is through the skill of the therapist and the use of hydrotherapy, exercise devices, heat treatments, and other special equipment that the patient begins to move again, whether it be in a wheelchair, on crutches and braces, or with artificial limbs. 95 00:08:49.960 --> 00:09:03.140 I remember one of my first weekends home, we took my little sister to an amusement park. 96 00:09:04.080 --> 00:09:11.680 They do that at the institute. As soon as you're physically able, they like to get you home on weekends, so you get sort of used to the outside. 97 00:09:12.100 --> 00:09:15.160 Or maybe it gets the outside used to you, I don't know. 98 00:09:16.100 --> 00:09:23.180 Anyhow, it was really my first time out since my accident, and I remember very well how people reacted to me. 99 00:09:23.600 --> 00:09:31.760 Some people would glance over and then try to act as if they hadn't seen me, and others would just plain stare. 100 00:09:32.780 --> 00:09:37.260 That's when I first realized what it means to be handicapped. 101 00:09:41.860 --> 00:09:52.720 The occupational therapy department complements the work in physical therapy through the use of various creative and manual activities such as weaving, printing, and woodworking. 102 00:09:54.040 --> 00:10:05.020 Depending on the patient's specific needs, projects are devised to contribute to strengthening weak muscles or developing coordination or building up endurance. 103 00:10:05.800 --> 00:10:15.620 This kind of therapy not only helps the patient physically, but gives him a sense of usefulness and the satisfaction of having something to show for his efforts. 104 00:10:16.960 --> 00:10:20.820 Okay, let's try the other one. 105 00:10:21.060 --> 00:10:23.340 Okay, I'll fix it there. Okay? 106 00:10:23.880 --> 00:10:30.700 Now, standing up, I want you to pull with your arm, keep your head forward, and once your feet are on the floor, pull your hips forward, okay? 107 00:10:31.520 --> 00:10:35.980 Do you think all these exercises are really going to pay off? 108 00:10:36.620 --> 00:10:38.880 Yeah! You want to, uh, ready? 109 00:10:38.880 --> 00:10:47.240 Okay. Now, pull. Ready? Let's go. One, two, up. Come on, pull. 110 00:10:47.660 --> 00:10:51.420 There. Come on. Now, get right. 111 00:10:51.860 --> 00:11:00.200 This time, pull on your arms and keep your head down, okay? I'll tell you when to get it up. One, two, up. Come on. There. Now. 112 00:11:01.100 --> 00:11:05.820 Get your hands forward. Get your arms. Slide your hand forward. Come on. 113 00:11:05.820 --> 00:11:07.260 Oh, my goodness! 114 00:11:08.900 --> 00:11:12.060 Oh, your feet are wide open. Okay? 115 00:11:14.940 --> 00:11:16.740 Have you got... 116 00:11:16.740 --> 00:11:18.020 Okay, just stand there one minute. 117 00:11:20.580 --> 00:11:26.420 I feel better if you just hang on. Well, we'll get your feet closer together, and just hold on. 118 00:11:28.620 --> 00:11:32.520 There. Just stand up one minute. Okay, now lift your hips forward and get your head back. 119 00:11:32.520 --> 00:11:39.640 I really think that the emotional motivation is one of the most important things in rehabilitation, 120 00:11:40.420 --> 00:11:48.220 because all the physical therapy and occupational therapy in the world aren't going to do you any good if you don't want to get better. 121 00:11:49.300 --> 00:11:55.820 Also, you don't start making any progress until you begin to accept the reality of your handicap. 122 00:11:55.820 --> 00:12:03.040 The first month, for instance, I was so sure I was going to walk out of there just like I was before, 123 00:12:03.520 --> 00:12:10.540 that I figured it was only a matter of time, and I worked like a demon. I decided to fight this thing. I wasn't going to let it beat me. 124 00:12:11.840 --> 00:12:22.920 But what you come to realize is that for most people who have physical disabilities, no matter how hard you work, you're not going to be the way you were. 125 00:12:22.920 --> 00:12:28.940 You might get a lot of return of function. You might even be able to do a lot of things for yourself. 126 00:12:29.640 --> 00:12:34.080 But the chances of being exactly the way you were really aren't very good. 127 00:12:35.580 --> 00:12:46.020 So after a while, I decided to quit kidding myself, and I fell back into my depression, and for a long time I didn't care about anything. 128 00:12:59.360 --> 00:13:03.980 It's hard for me to describe how I felt during that time. 129 00:13:05.340 --> 00:13:11.140 All I can say is that as soon as you have a physical handicap, you have an emotional problem too. 130 00:13:11.740 --> 00:13:16.520 And sometimes the emotional problem is really more of a handicap than the handicap itself. 131 00:13:16.520 --> 00:13:26.740 When I think about the despair, the continuousness, sometimes I think to myself, 132 00:13:26.800 --> 00:13:34.320 if I could just get out of this, just be my old self for a weekend and get some release. 133 00:13:35.900 --> 00:13:40.100 But there was no release. It was just constantly with me. 134 00:13:41.100 --> 00:13:50.500 One of the things that hurt the most was, well, before when you'd walk into a room where there were men, 135 00:13:51.200 --> 00:13:56.020 or pass them on the street, you'd get those glances, the look. 136 00:13:57.040 --> 00:14:04.460 But when you're in a wheelchair, you get these piteous sort of, well, it's not the same. 137 00:14:04.460 --> 00:14:11.120 And it hurts. It really does. I guess it must be even worse for a man. 138 00:16:34.460 --> 00:16:35.360 I think I've seen this before. 139 00:16:35.380 --> 00:16:35.740 I think I've seen this before. 140 00:16:36.420 --> 00:16:39.280 I think I've seen this before. 141 00:16:39.760 --> 00:16:45.780 I think I've seen this before. 142 00:16:45.780 --> 00:16:46.480 I think I've seen this before. 143 00:16:48.320 --> 00:16:49.640 I think I've seen this before. 144 00:16:49.640 --> 00:16:50.280 I think I've seen this before. 145 00:16:50.280 --> 00:16:50.860 I think I've seen this before. 146 00:16:50.860 --> 00:16:55.500 I think I've seen this before. 147 00:16:56.300 --> 00:17:02.940 I think I've seen this before. 148 00:17:03.300 --> 00:17:03.300 149 00:17:04.060 --> 00:17:05.200 I think I've seen this before. 150 00:17:05.200 --> 00:17:06.200 I think I've seen this before. 151 00:17:08.960 --> 00:17:09.320 I think I've seen this before. 152 00:17:36.120 --> 00:17:41.480 I think I've seen this before. 153 00:18:05.200 --> 00:18:07.740 I think I've seen this before. 154 00:18:07.740 --> 00:18:08.600 I think I've seen this before. 155 00:18:35.200 --> 00:18:39.200 I think I've seen this before. 156 00:18:39.640 --> 00:18:39.640 157 00:18:40.860 --> 00:18:41.720 I think I've seen this before. 158 00:19:01.540 --> 00:19:05.900 You can't fight this thing alone. I'm convinced of that. 159 00:19:06.360 --> 00:19:08.240 You can't do it by yourself. 160 00:19:08.240 --> 00:19:11.540 I had a lot of people pushing me, really. 161 00:19:11.800 --> 00:19:13.980 Sometimes I'd wonder why they all bothered. 162 00:19:14.920 --> 00:19:17.800 All this time, the effort. 163 00:19:18.500 --> 00:19:23.180 When I felt so completely worthless. 164 00:19:26.120 --> 00:19:27.940 I remember once I said to my OT, 165 00:19:28.200 --> 00:19:30.680 Look, I don't care. I just don't care. 166 00:19:31.120 --> 00:19:34.900 Apparently there's something missing in my personality, but I just don't care. 167 00:19:34.900 --> 00:19:37.940 That's how I feel about it, so let's forget about it. 168 00:19:38.140 --> 00:19:40.380 But she didn't. She understood. 169 00:19:47.400 --> 00:19:50.900 The general atmosphere and the institute helps, too. 170 00:19:51.980 --> 00:19:55.040 It's very important to see people like yourself. 171 00:19:55.100 --> 00:19:58.940 Because when you're alone in this thing, you think you're the only one. 172 00:19:58.960 --> 00:20:00.280 And it's very depressing. 173 00:20:00.280 --> 00:20:04.260 But when you see other people who were also independent once, 174 00:20:04.860 --> 00:20:08.380 It sort of relieves the feeling that you've been singled out somehow. 175 00:20:08.960 --> 00:20:12.460 The thing that amazed me the most was everyone's attitude. 176 00:20:13.700 --> 00:20:16.680 There were people there who were a lot worse off than I was. 177 00:20:16.820 --> 00:20:19.160 Who somehow managed to live with themselves. 178 00:20:20.000 --> 00:20:21.740 And to be happy in their way. 179 00:20:22.980 --> 00:20:28.600 Under the circumstances, you'd expect a cloud of gloom to hang over the place, but it's really not like that. 180 00:20:28.600 --> 00:20:32.860 In this respect, the human spirit is a remarkable thing. 181 00:20:34.700 --> 00:20:38.900 People have their ups and downs, but everybody sort of jollies everybody else along. 182 00:20:38.920 --> 00:20:41.320 And that becomes part of the therapy, really. 183 00:20:42.200 --> 00:20:46.500 I mean, it's inspiring to see other people fight. 184 00:20:48.480 --> 00:20:50.840 And it's a contagious thing. 185 00:20:51.120 --> 00:20:55.440 To watch someone else make progress. And it gives you a great incentive. 186 00:20:55.440 --> 00:20:59.440 You feel, if they can do it, so can I. 187 00:21:09.980 --> 00:21:13.440 One of the hardest things to do is to forget yourself. 188 00:21:14.840 --> 00:21:18.060 I saw myself not as me, but as a cripple. 189 00:21:18.460 --> 00:21:24.060 Of course, that's past now. I don't think of myself as being different anymore. 190 00:21:24.060 --> 00:21:32.660 In other words, the consciousness of me is not the consciousness of me the paraplegic, but of me, Audrey. 191 00:21:33.960 --> 00:21:39.620 But me the paraplegic lasted for a long time, and I only lost it very slowly. 192 00:21:40.640 --> 00:21:44.840 In fact, I still remember the first time I really forgot myself. 193 00:21:45.700 --> 00:21:48.000 One of my roommates was a quadriplegic. 194 00:21:48.440 --> 00:21:53.700 And when Peggy first came in, she had no control over anything below her shoulders. 195 00:21:53.700 --> 00:21:55.660 And of course, she had to be fed. 196 00:21:56.760 --> 00:22:04.260 Well, we always talked about the time when she'd get enough muscle return so that OT could make her a splint and she could feed herself. 197 00:22:25.860 --> 00:22:36.640 Well, it might not seem like much to someone on the outside, but for Peggy, it was a step on the way back. 198 00:22:37.120 --> 00:22:39.660 She was able to do something for herself. 199 00:22:40.720 --> 00:22:45.960 And I remember that I suddenly realized that I'd forgotten I was me standing there in my braces. 200 00:22:46.600 --> 00:22:50.640 That was the beginning of forgetting me, the handicapped person. 201 00:22:54.080 --> 00:23:00.940 In essence, I feel we can think of rehabilitation as the restitution of the feeling of personal dignity. 202 00:23:01.740 --> 00:23:04.360 This only comes with being able to do things for yourself. 203 00:23:05.600 --> 00:23:11.420 From the time a patient enters the Institute, he is encouraged to do as much for himself as possible. 204 00:23:12.080 --> 00:23:19.540 It may seem a small thing to push a tray through a cafeteria line, select your food, and to eat with other people. 205 00:23:19.540 --> 00:23:26.200 But this allows a patient to resume as near normal a situation as can be created in a hospital. 206 00:23:26.880 --> 00:23:37.800 Various social and recreational activities and the mere presence of other patients, staff and volunteer aides, are part of the total effort to bring a patient out of himself. 207 00:24:19.560 --> 00:24:22.480 Audrey has shown very good progress in physical therapy. 208 00:24:23.540 --> 00:24:30.720 Her grades have gone up to fair plus and better on the right side, particularly the right side, right lower extremity. 209 00:24:31.120 --> 00:24:35.600 And we are considering cutting down that brace to a short leg brace. 210 00:25:35.620 --> 00:25:40.500 Activity of daily living is perhaps one of the most important areas of treatment and rehabilitation. 211 00:25:40.500 --> 00:25:49.860 Its purpose is to help the patients overcome the feeling of dependency by giving them a chance to practice routine daily activities. 212 00:25:51.760 --> 00:25:55.460 Along with this program, a series of pre-vocational examinations are conducted. 213 00:25:55.540 --> 00:26:06.500 We try to simulate on-the-job tasks, which are used to determine the level of complexity of work that can be performed as well as the physical demands that can be tolerated. 214 00:26:07.410 --> 00:26:17.370 Patients who have been less seriously handicapped or who are able to regain a great deal of function often are able to take over the household chores again. 215 00:26:18.790 --> 00:26:30.310 Some patients who have been upgraded very significantly can go back to their old jobs and in many instances can go home again with the prospects of leading an almost completely normal life. 216 00:26:30.310 --> 00:26:37.510 I think there are two things on the outside that always remind a disabled person of his handicap. 217 00:26:38.590 --> 00:26:43.310 One is doors that are too small to push a wheelchair through and the other is stairs. 218 00:26:45.030 --> 00:26:55.970 Well, in the PT gym there were four practice steps and I knew that if I was really going to make it back, I was going to have to be able to climb those steps. 219 00:26:59.050 --> 00:27:06.830 Before my accident, I don't think I ever thought about how many places there are that you just can't get into unless you walk up a few steps. 220 00:27:07.530 --> 00:27:14.570 Maybe it's only a curb, but for a person in a wheelchair or a person in braces, it becomes a mountain. 221 00:27:15.730 --> 00:27:22.050 I remember saying to myself, you've always wanted to climb mountains, so here's your chance. 222 00:27:22.050 --> 00:27:25.630 And that's exactly what I felt like I was doing. 223 00:27:44.790 --> 00:27:47.470 I think this patient has done extremely well. 224 00:27:47.470 --> 00:27:53.470 I think her ambulation is quite efficient. Her efficiency can be improved with further practice. 225 00:27:54.550 --> 00:28:02.750 However, at this point, I think she has essentially reached a plateau and has tapped our resources for the most part and is ready for discharge. 226 00:28:03.310 --> 00:28:07.330 A physical handicap is something you never get away from completely. 227 00:28:08.370 --> 00:28:13.510 And I knew before I left the institute that I'd never be able to do the things I really love to do. 228 00:28:13.510 --> 00:28:21.930 Tennis, swimming, walking in the sand. These are things I've told myself don't matter, yet I know they really do. 229 00:28:22.390 --> 00:28:29.030 But you find other things and you begin to have longer and longer periods of happiness. 230 00:28:30.330 --> 00:28:39.230 The first summer after I left the institute, I went back to finish my master's degree at Illinois, and I think that was my first period of any sustained happiness. 231 00:28:39.230 --> 00:28:48.330 There were other handicapped people there and I started meeting fellows and I was going out on dates and I really felt like a girl again. 232 00:28:48.770 --> 00:28:51.570 You know, I didn't feel like a parrot. I felt like a girl. 233 00:28:52.310 --> 00:28:55.370 And from there it became longer periods of happiness. 234 00:28:56.470 --> 00:29:00.350 You learn to do things for yourself. You learn to drive. You get your own apartment. 235 00:29:01.370 --> 00:29:06.170 And finally when you get a job, well, this is really it. 236 00:29:06.170 --> 00:29:10.470 You're doing something. You've really made it back. 237 00:29:37.630 --> 00:29:40.190 I'm going to go to the gym. I'm going to go to the gym. 238 00:29:40.190 --> 00:29:49.970 I'm going to go to the gym. I'm going to go to the gym. 239 00:29:51.070 --> 00:29:52.430 I'm going to go to the gym. I'm going to go to the gym. 240 00:29:52.430 --> 00:29:52.430 241 00:29:52.430 --> 00:29:53.050 I'm going to go to the gym. I'm going to go to the gym. 242 00:29:53.350 --> 00:29:56.050 I'm going to go to the gym. I'm going to go to the gym. 243 00:29:56.170 --> 00:30:01.070 I'm going to go to the gym. I'm going to go to the gym. 244 00:30:01.070 --> 00:30:04.490 I'm going to go to the gym. I'm going to go to the gym. 245 00:30:04.890 --> 00:30:11.110 I'm going to go to the gym. I'm going to go to the gym. 246 00:30:13.190 --> 00:30:14.070 I'm going to go to the gym. I'm going to go to the gym. 247 00:30:14.070 --> 00:30:14.070 248 00:30:14.070 --> 00:30:14.370 I'm going to go to the gym. I'm going to go to the gym. 249 00:30:14.370 --> 00:30:14.770 I'm going to go to the gym. I'm going to go to the gym. 250 00:30:17.510 --> 00:30:18.970 I'm going to go to the gym. I'm going to go to the gym. 251 00:30:18.970 --> 00:30:21.430 I'm going to go to the gym.