The Nurse Keeping Explorers Alive

Episode Summary

Karen Berry is the nurse at National Geographic whose job is to keep explorers safe and healthy while they are on assignments around the world. She tracks dozens of travelers at a time, contacting them to check on their health and prepare for any medical issues they may encounter. This preparation involves anticipating potential risks like disease outbreaks or injuries, and equipping the explorers with medical kits tailored to their destinations. One of her most frequent patients is biologist Brady Barr, known for his show Dangerous Encounters. He has sustained many injuries over the years, including broken bones, snake bites, and a python bite that required emergency care. The story behind the photo of him facing down the python that bit him is legendary at National Geographic. While in a cave filled with snakes in Indonesia, Brady was bitten on the leg by a massive python he was trying to capture. The bite left large, bloody wounds. After subduing the snake, he had to hike out of the cave in his underwear due to his shredded pants. Karen coordinated his care from afar, arranging transport and treatment once he made it out. Preparing explorers for the inherent risks of their work involves thinking through potential medical scenarios, advising them on precautions, and being reachable for emergencies. Karen's experience, care, and preparedness gives explorers like Brady Barr the confidence to take on dangerous encounters around the world.

Episode Show Notes

For 17 years, nurse Karen Barry’s office at National Geographic headquarters has served as an important stop for journalists, photographers, and explorers in need of vaccines and medical advice before they set out on expeditions all over the globe. We’ll head down to the medical office to listen to her stories of helping explorers out in the field—and we’ll hear from one of her most frequent “customers,” Dangerous Encounters host Brady Barr, who over the years has dealt with multiple animal bites, parasites, and even a lost finger. For more information on this episode, visit natgeo.com/overheard. Want more?  Here are some more tips from Nurse Karen Barry for staying safe while traveling,  The snake that bit Brady Barr is an amazing creature. The reticulated python is the longest snake species in the world. They are commonly measured at 20 feet long, longer than a giraffe is tall.  When isolated, female reticulated pythons are able to give virgin birth, a phenomenon biologists call parthenogenesis. Also explore: Pythons aren’t venomous, but the venom of other snakes, as well as ants, treefrogs, cone snails, and many other creatures might just hold the key to the next medical breakthrough. If you like what you hear and want to support more content like this, please consider a National Geographic subscription. Go to natgeo.com/exploremore to subscribe today. Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode Transcript

SPEAKER_03: This is a National Geographic map of the world. SPEAKER_02: We're in a basement office at National Geographic headquarters and Karen Berry is standing in front of a huge map that stretches from floor to ceiling. Like a military general, she points out explorers deployed all over the planet and the unique hazards each might face in that part of the world. SPEAKER_03: I have travelers in the Congo, right here on the border, and I'm very concerned about this and I want to know exactly where they were because over here, just across the border, we've got an Ebola outbreak. SPEAKER_02: Karen is the nurse here at National Geographic and her full-time job is making sure our explorers, photographers, writers, and all kinds of travelers are safe. SPEAKER_03: So I might have, you know, 20 to 50 travelers in the field at any given time. That's a lot. That's a lot of people to keep track of. It is a lot to keep track of. I remember a story, someone was out in the Pacific and a volcano blew up and I emailed and I said, how are you doing out there? He said, I didn't know anybody knew where I was. I'm good. SPEAKER_02: When something goes wrong, she's on speed dial for every explorer. Probably her most famous customer is Brady Barr, a biologist who hosted a show on National Geographic Wild called Dangerous Encounters. SPEAKER_01: You know, over the years at Geographic, I broke my right leg, broken right leg, broken right arm, broken right wrist. I lost my right index finger. SPEAKER_02: You lost your index finger? SPEAKER_01: Yeah, it's still there. They put it back on. Croc bite, snake bite, monkey bite, brain worms. That was my closest call was the brain worms. I got to pick those up in Cambodia. SPEAKER_02: I'm Peter Gwynn, editor at large at National Geographic magazine, and you're listening to Overheard, a show where we eavesdrop on the wild conversations we have here at Nat Geo and follow them to the edges of our big, weird, beautiful world. This week, when you're a National Geographic explorer and you've got an assignment to go diving in, say, the Amazon River or to hike up a remote volcano, who's your first call? That would be Karen Berry, our resident nurse. We'll hear how she prepares people for extreme assignments all over the planet where there is no medical aid. And we'll meet her most injury-prone patient, herpetologist and alligator wrangler, Brady Barr. That's coming up right after the break. Fuel your curiosity with a free one-month trial subscription to Nat Geo Digital. You'll have unlimited access on any device, anywhere, ad-free with our app that lets you download stories to read offline. Explore every page ever published with a century of digital archives at your fingertips. Check it all out for free at natgeo.com slash explore more. SPEAKER_02: A lot of the stories we pursue at National Geographic are inherently dangerous. Things like photographing wildfires, climbing remote peaks in the Himalayas or visiting countries with diseases like malaria and Ebola. Karen Berry has helped our explorers survive it all. SPEAKER_03: Hi, I'm Karen Berry and I'm the nurse manager of National Geographic Society. SPEAKER_02: Okay. And how long have you been here, Karen? I feel like you've always been here, at least in my tenure. SPEAKER_03: I have been here for 17 years. Wow. SPEAKER_02: 17 years. Yeah. Okay. What's that? SPEAKER_03: The one thing I remember that really stands out was the emergency preparedness team came to talk to us about what would happen in the event of a fire. I almost died in a fire. So that meant a lot to me. Really? Yes. Wait a minute, you almost died in a fire? In nursing school. I was in a room next to where the fire originated. Someone had left an iron plugged in. It was an old iron, caught the top of the ironing board, which caught the drapes and the room went up. And it was, I had just completed finals. And so I had been up the entire night before. So I was out cold, sleeping on the bed and my roommate came in to try and save me. And she said she kept calling my name, but I was in such a deep sleep. She grabbed me by the ankles and literally pulled me off the bed and I hit the ground and that's when I woke up. The room was full of black smoke and I had to crawl out and it was just very frightening. And so here all these nurses were standing in their pajamas out in the parking lot and the whole room was going up in flames. But it left me, you know, with the fear of fire. And on that very first day, I remember them talking about what would happen in the event of a fire. I eventually joined that emergency preparedness team as part of National Geographic. And I look at it with a very critical eye because of what happened to me. SPEAKER_02: Hearing your background as a nurse at a hospital, that sounds like a very hands on, like, here's the problem. It's right in front of me. I can put my hands on it and fix it. But what you do here is sort of prepare people to fix their own problems. Yes, that's exactly right. SPEAKER_03: But does that feel weird? SPEAKER_02: Like you're kind of far removed. So how do you how do you adjust to that? SPEAKER_03: So nurses are teachers. My plan of care is to keep them well and healthy while they're working and in the field. And I measure that by the healthy returning traveler that comes back. It's good to have a nurse on your staff. SPEAKER_02: You know, a lot of the assignments that we send people to go do are just risky by the nature of what they're doing. You know, we're sending people to the Arctic, we're sending people up hot mountains. You know, we're sending people we just sent a crew into the sandwich islands going to hike up a volcano, you know, in the middle of nowhere. You probably, you probably involved in this crew. I was helping with that. Right. So I mean, this is just not safe stuff by definition. How do you bring some level of safety to that? SPEAKER_03: What I do is I actually put myself in their place. What is going to happen to me if I'm in that exact position? You could have 15 foot waves. They were going to be in some pretty rough ocean conditions. And then they're hiking up this ice field. Right. So what would happen if they fell onto hard ice? They could have concussions, they could have deep wound lacerations. So I sent them out with bleed control kits. All right. And then they were up at the top of this volcano gathering gas samples and volcanic samples. So what could happen there? There could be a splash. So I sent them out with a massive burn kit. SPEAKER_02: We're asking people to do these really difficult things. And sometimes, you know, you get into a situation where you kind of feel like you got to push through the goal is just up ahead or you need to climb just a little higher. How do you tell, you know, an explorer where to find that line? SPEAKER_03: Right. So, you know, if they are in a malaria area and they've got a wicked headache and they've got fever and shaking chills, I'm telling them game over, get out. Malaria will kill you very quickly and we want you alive. But I will talk to them about the signs and symptoms of any of the diseases that are risk and when to step back and say, you know, your life is really in danger. Stop. SPEAKER_02: Have you ever had to tell somebody, look, this is just too dangerous an assignment. Don't don't do this. This is just not going to fly from a medical point of view. SPEAKER_03: So that happened once during COVID. SPEAKER_02: Once in 17 years. SPEAKER_03: Because, see, my job is not to tell them it's a no go, but there was one assignment that that happened and I just said, I'm not going to allow it. I'm putting my foot down. You're not going. This was at the start of COVID. And there was a whole group of employees that wanted they were ready to hop on a plane and go to Southeast Asia. Borders were closing. I was trying to get people out of Rome and bring them home. We had people in South Africa. And I just said, you're not going. How could you ever fathom a global pandemic this large, you know, and the effects that it had on the world. But that was the one time I just said, absolutely not. You're not going. SPEAKER_02: Yeah. Right. What's the most dangerous activity you think we send people to do? And how do you prepare for that? SPEAKER_03: I think the mega transits that we've done, like the Okanavanga Delta project that was incredibly. SPEAKER_02: So they're actually like basically crossing the entire thing on boat or foot or whatever it is. SPEAKER_03: Yes, they were in kind of like a dugout canoe. They were in areas that had not seen human beings for forever. So what made that so dangerous? SPEAKER_02: What was that was so dangerous about that particular assignment? There's no health care. SPEAKER_03: There was nothing around. They were charged by hippos and almost crushed. There were elephants around them. There were crocs in the water. What do you put in the kit for elephant charging? SPEAKER_02: What's the elephant charging treatment? SPEAKER_03: That's when you rely on the expertise of our group, our travelers. They know when an elephant, the way the ears flap, if they're angry or just curious. There was one dugout canoe that was flipped over by an angry hippo and they all ran for the land to just get to any kind of safety and they made it out. SPEAKER_02: Yeah, that's, that's, I've heard stories like that. That's pretty harrowing. So I would imagine that you send people to a lot of places where there's snakes, poisonous snakes, venomous snakes, I should say. Yes. How do you prepare people for that kind of stuff? SPEAKER_03: Okay, so recently I had a traveler going to India, to Northern India where there's really some venomous snakes there. And what they ended up doing, they were traveling with a physician and she was able to get the anti-venom for those snakes in India where it's manufactured and she carried it with them because they were incredibly remote. They would not have been able to make it out into health care in time. SPEAKER_02: But that's a physician. Would you send it with like a traveler or would you put it in the, in the kit? No, you can die from the anti-venom, from an allergic reaction to the anti-venom. SPEAKER_03: You really need to have your heart and lungs monitored and that to be given by a professional. It may take one dose, it could take 25 vials. You just don't know. And it really needs to be monitored by a healthcare. So that's absolutely not anything that I would do. Right, right. SPEAKER_02: Wow. Do you lose sleep over people with snake bite potential? I mean, I just wonder, but that's one of the things I think about a lot is like getting bit by a snake in the, somewhere out there. SPEAKER_03: I do. I do lose sleep. I lose sleep. You probably lose sleep for a lot of things. SPEAKER_02: I do. SPEAKER_03: That's why I have bags under my eyes. SPEAKER_02: Coming up, we'll meet someone who's probably caused Karen to lose a lot of sleep. Biologist Brady Barr, who was once attacked by a python in a cave on a remote island. We'll hear that story after the break. The medical suite at National Geographic looks like a standard doctor's office. There are stethoscopes and blood pressure cuffs, an examination table with that weird paper they make you sit on, and a full-sized refrigerator filled with vaccines. SPEAKER_03: So we have our hepatitis A and B, polio, tetanus. SPEAKER_02: But next to that refrigerator, there's one thing that's pretty unusual hanging on the wall. So, I think we wanted to ask you about this. Yes. SPEAKER_03: That's the python. The bit our traveler. Oh my gosh. SPEAKER_02: So basically we're holding a poster for Dangerous Encounters with Brady Barr, which is a National Geographic show. And it's signed. What does this say, Karen? So it says, thanks for keeping me in one piece. SPEAKER_03: You guys are my heroes, Brady Barr. Yeah, so he's holding this, he's, first of all, he's slimy in this cave. SPEAKER_02: He's like in a cave with a headlamp on, he's slathered in mud. Bat guano. That's the bat guano. And he's holding, there's a close-up of him holding open the mouth of this snake. I guess this is the python. Yeah. And a really massive set of fangs. SPEAKER_03: You can see how that bit into his thigh and just ripped because the teeth, it was, yeah, it was something. I will never forget it as long as I live. SPEAKER_02: Yeah, that's, I can see why. For years, whenever I'd go to nurse Karen's office to get a flu shot or a new vaccine for an assignment, I'd see that poster of Brady Barr facing down the python. It says, this could be you. But it also says, dude, this could be you. The story behind this image has grown into something of a legend around here. So I was excited to finally get to ask the man himself, the poster child of Python Bytes, to tell me his version. So tell me a little bit about how you start a career where you're catching things like snakes and alligators. SPEAKER_01: I was animal crazy and ended up getting a master's and a PhD working on alligators in the Everglades. So I'd go out at night in an airboat and cruise around Everglades National Park and capture big gators and then pump their stomachs. You give them, it's called the Holes-Heimlich maneuver to get them to vomit up their stomach contents just like you give a choking person. So I'd get these big old gators and give them the Heimlich and everything in their stomach comes out and man, it was like Christmas every day of the week, seeing what's coming out of the stomachs. But I took out a lot of film crews. Everybody wanted to go out with me and film what these alligators were eating and the procedure to get their stomach contents. National Geographic was one of them. About the time I graduated, they said, hey, how about coming to work for us, being a resident scientist, travel all over the world, be on TV and we'll pay you to do this. It didn't take me long to say, yeah, sign me up. SPEAKER_02: Okay. So, well, the iconic Brady Barr image sits in nurse Karen's examination room to this day and it's got this picture of you facing down a python. I want to hear from you. What happened in this cave with this python? SPEAKER_01: It took place in a cave on a small island in Indonesia, a cave called the Snake Palace. As soon as you step into this cave, man, there's one, there's two, there's three, there's dozens and dozens. I mean, for whatever reason. And the first time I got there and I was excited, but also horrified. I mean, this place is, it's the thing of nightmares. This is just awful. There's bats, there's scorpions, roaches all over the walls. SPEAKER_01: I don't know for sure, but I'm assuming that this is probably a health risk. The river of iguanas crawling with maggots from dead bats and other animals. And then you throw in giant pythons. Oh, and it's filled with poisonous gas. Oh yeah. By the way, so you got to wear poisonous gas detectors and you know, you're in the cave and this alarm will go off and you look down and it says, you know, at this level of CO2, you've got two minutes before irreparable brain damage occurs. So I mean, not only are we fighting for our lives with all the animals, I mean, you got to really watch these pockets of dangerous gas and it's a chamber of horrors, but it's SPEAKER_01: also a very, very special place for a guy like me. SPEAKER_02: Okay, so you make the questionable decision, if I can editorialize Brady, to go into this place. What happens next? SPEAKER_01: So we continue into this cave and man, we're finding pythons right and left, putting these things called data loggers in the snakes, which monitor temperature and trying to find out why they're using this, the cave. But we're also looking for the world's largest snake. We're in the cave and it's me, my cameraman and my producer. Looking over my shoulder, I'm talking to the camera about something and then I glance back forward and I see this giant snake swimming across this, across the river of guano. And it's headed for a crack in the wall. SPEAKER_01: I immediately, camera's rolling, frantically swimming, wading, staggering through the river of bat guano. And I grabbed the snake by the tail. Don't let go of him. Half of it gets inside the crack and then it's just a tug of war. And I mean, once we get the snake by the tail, man, it is not happy. It is, it is really, really not happy. I'm looking, I'm looking for the head and I see it down in the crack. And as I say, it's agitated. It is, it is repeatedly striking and biting the rock wall in this crack. So we're kind of teetering, you know, I'm worried I'm going to lose my balance and slip under the river of bat guano to never be seen again. SPEAKER_01: You know, I'm looking for the head. Okay, can you pull him? Whoa, whoa, whoa, whoa. Here comes the head. Here comes the head. Bang. This thing hits me. I mean, it hits me on the back of the leg. I mean, right, you know, bat on the left buttock. I scream and I'm not ashamed to say it, it hurts. SPEAKER_01: It's analogous to a shark attack. I mean, it is a vicious, bloody, open wound. So I'm screaming, it's pandemonium. We still have the snake. I can't remember how long it held on to me, but it finally releases. Man, I got a bad bite to the leg. We were able to stagger towards shore from this guano river and actually subdued the SPEAKER_01: snake. We got its head, we got it safely subdued. We got him. We got him. Let's go out. Let's go out. So my pants were just shredded. What was little, what was left of my pants, there wasn't much. So I dropped my pants. So now the real adventure begins. You know, I'm in this horrible river of bat poo with a gaping open wound on the front and back of my leg. We bag up the snake, we exit the cave. There's always a group of locals waiting around the cave, just curious, you know, see what we're doing, keep an eye on things. And they see me stagger out in my underpants and don't know what to think. And tell you what, it takes a brave man to hike a couple miles in his underpants in front of a big crowd of villagers with cameras rolling. SPEAKER_00: Finally we made it out and after several hours made it to a, I don't want to call it a hospital, an aid station. It was, if you saw it, you'd say, okay, it's a gas station. SPEAKER_02: Well I want to hear, how do you initiate that conversation with Karen? Okay, so here's the deal, Karen. I was in a cave. You know, she was, she didn't miss a beat. SPEAKER_01: She's like, okay, she asked me a few questions, you know, how big are the wounds? How, you know, is it, is it, is it, you know, into the muscle? Is it, how much blood have you lost? You know, all these kind of important questions and then said, okay, let us, let us start working on logistics and we'll get back to you. SPEAKER_02: Technically speaking, the goal is to avoid getting bitten by a snake in the first place. But you know, crazy things happen when you send people to look for dinosaurs in the Sahara, cross the Arctic on skis or venture into the snake palace on Flores Island. And over her career, Karen Berry has pretty much seen it all. What is the weirdest case that you've had? Like is there one that just stands out as like the most bizarre, like I can't believe I'm actually faced with these circumstances? SPEAKER_03: This was Brady again. So this is his rep- Brady has another one? SPEAKER_03: Oh, there's like several. Brady's the whole show. SPEAKER_02: He was like, uh, he relocated a croc that was in Africa and it was eating the peop- SPEAKER_03: literally eating them, um, as they came down to wash or to, to gather their water. Oh, so this was like a problem croc in this area. SPEAKER_02: It was a problem croc and Brady went down to relocate that croc and he trapped this SPEAKER_03: croc. He caught him, captured him and relocated him. And I said, when he came back, Brady, how did you know that was the right croc? He said, Oh, Karen, he said, gators don't get that big just by eating plants. Oh my gosh. And then he showed me a picture and I couldn't believe it. Wow. And it was just hilarious to hear his take about this. SPEAKER_02: Hilarious slash terrifying. Terrifying, exactly. SPEAKER_03: Yeah. So that was probably one of the craziest darn things, um, that Brady's ever done. I know he'd lost an index finger when he was working in Costa Rica. SPEAKER_02: This is not under your watch though. He hasn't lost any fingers while you've been his medical consultant. Let's just put that on the record there. SPEAKER_02: What's the last thing that you tell an explorer before they go out in the field? SPEAKER_03: That they're not alone out there and we're going to make sure that they come home safely. That's pretty good reassuring words to hear as you're walking out the door, I'd say. SPEAKER_03: Yeah. If you like what you hear and you want to support more content like this, please rate SPEAKER_02: and review us in your podcast app and consider a National Geographic subscription. That's the best way to support overheard. Go to Nat Geo dot com slash explore more to subscribe. The snake that bit Brady Barr is actually a pretty amazing creature. The reticulated python is the longest snake species in the world. They're commonly measured at 20 feet long, longer than a giraffe is tall. And that's not all. When isolated, female reticulated pythons were able to give virgin birth, a phenomenon biologists call parthenogenesis. We've included a link to the story in our show notes. Pythons aren't venomous, but the venom of other snakes as well as ants, tree frogs, cone snails, and many other creatures might just hold the key to the next medical breakthrough. All this and more can be found in our show notes. They're right there in your podcast app. This week's episode of overheard is produced by Brian Gutierrez. Our producers are Kyrie Douglas and Alana Strauss. Our other senior producer is Jacob Pinter. Our senior editor is Eli Chen. Our manager of audio is Carla Wills. Our executive producer of audio is Dvar Ardalon. Our photo editor is Julie Howe. This podcast is a production of National Geographic Partners. Michael Tribble is the director of Integrated Storytelling. Nathan Lump is National Geographic's editor-in-chief. And I'm your host, Peter Gwynn. Thanks for listening. See y'all next time.