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We sit down with Colby Spencer, a young firefighter and EMT living with severe hemophilia B, to talk about what it takes to do a high-demand job without letting the disorder write the rules. We get real about compliance, mindset, mentorship, and why building a life matters as much as managing bleeds. 

• deciding to pursue fire service after being told “no” 
• being upfront about hemophilia at work and finding real support 
• target joints, non-compliance lessons and keeping factor on shift 
• learning to love EMS and pushing for advanced skills 
• handling self-criticism after tough calls and tracking achievements 
• dealing with people who misunderstand hemophilia in health care 
• isolation in a small area and why community events matter 
• self-infusion anxiety and the value of true mentorship 
• purpose, providing for family and breaking the “safe job only” belief 
• mental health, addiction and what PTSD awareness looks like on a crew 
• training for fitness and a marathon while staying on prophylaxis 
• fatherhood, genetics concerns and teaching a partner to infuse 

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Thanks for tuning into the HemoLife Podcast. Be sure to subscribe, leave a review, and share this episode with someone who needs a spark of hope or encouragement. Follow us on Instagram @HemoLife_Podcast and YouTube for updates, guest highlights, and behind-the-scenes content. New episodes drop regularly—your story matters, and this is just the beginning.