Clumsy Doctor with Pulmonologist Dr. Rana Awdish

KKH Trailer Wide

Transcript

Will: Knock, knock. Hi,

knock, knock. Hi. Welcome to Knock, knock High with. The Glock flus. I’m Dr. Glock Fleck, and also known as Will Flannery and my, on my, uh, driver’s license. I 

Kristin: am Kristen Flannery, um, also known as Lady Glock Flecking, not on my driver’s license since has 

Will: Kristen. No. Uh, we’re, we’re excited for today’s episode.

This is, oh, this is gonna be great. It’s a fun one. It’s fun. But, uh, you have some exciting 

Kristin: news. I do, for sure. Yeah. So, um, So, you know, you have for, I can’t imagine that people listening to this don’t know this, but just in case you have, um, you know, your, your YouTube persona of Dr. Glock Fleck and TikTok and just all the places that it is, and it’s gotten rather large mm-hmm.

over, over the years, um, sort of like your ego and, um, that is 

Will: not true. Do I look like a general surgeon to you? I’m an ophthalmologist. Come on. Okay. You don’t have an ego. 

Dr. Rana Awdish: It’s true. Okay. But maybe just a little 

Kristin: one. Um, yeah. So it’s gotten big enough that like it’s taking up a lot of our time. Yeah. And especially like in the evenings and on weekends when I would rather be doing other things.

Will: So I’m drag you’re saying I’m dragging you into 

all 

Kristin: of this. Yeah. So I’ve, I have. That’s true. Quit my day job. I have left. My day job and, um, am doing glam flexin full-time now, and it’s just ridiculous that when people ask 

Dr. Rana Awdish: me, What do you do? What is this job, ? 

Kristin: I’m working, first of all, I have to say that that is the name of the company.

Okay. I am, I’m working at Glock Pleck and llc. I, I founded and, and own Glock Pleck and llc. That’s really embarrassing. So thank you for probably leads to more questions for that. Yes. So, oh, okay. What kind of a company is that? Will 

Will: um, Okay. Let, if I knew it would turn into this, I maybe I’d have chosen a different name.

I don’t know. I feel like 

Kristin: I’m wishing you had at this point. I mean, it’s too late now. That ship has sailed. It wouldn’t, yeah. But it is a little, I mean, I guess it’s on brand. It’s a little ridiculous. . 

Will: And you never thought you’d be working, um, for a, a company that was built on, on, uh, costumes and TikTok videos?

No. 

Kristin: I was like my children’s dress up toys . 

Dr. Rana Awdish: That, that is 

Kristin: now. How I earn a 

Will: living. Well, I’m, I’m so glad you do though. It’s 

Kristin: because I couldn’t leave it to you. I couldn’t trust you with all of these. That’s true. Important details of running this business now. So, um, yeah, I, I didn’t, yeah, I didn’t trust that you were gonna be able to, to handle that yourself.

I had to jump in and make sure that it all gets done correctly. Are you saying you’re gonna 

Will: be like, taking over 

Kristin: everything? Well, I did found it and I, I do own 

Will: it, so That’s true. I, I’m kind of secondary at this. Just you’re just the pretty face. I’m the, you know, you heard it first here, folks. . I am the pretty face of this operation.

All right. Have you seen the neurologist? I don’t know about that. Okay. You’re just the 

Kristin: face. I’m the face, 

Will: I’m the brain. Whether or not it’s, it’s pretty. That, that can be up to you. Let us know in the comments. All right. Who’s the, is my face, is it pretty, is it a pretty face or it’s just a face? I don’t know it’s face, but I, I’m so glad, like this is gonna be great.

Um, uh, just to be able to grow this thing. Yeah, I’m excited about it. 

Kristin: I’m excited. I think it’ll let us do more things. Like this podcast is one great example and 

Will: you’re much more organized than me. It’s true. I need help with that. Yes. It’s, it’s rough out there, uh, in my brain and in just in our home, the space around me.

Yes. Uh, I am somewhat, uh, of a whirlwind of non organized activity, 

Dr. Rana Awdish: so I’m, I’m. 

Kristin: Taking care of all of that, and I am coming up with all the good ideas. , the bad ones you go are yours, but, 

Will: all right. Well, that’s enough of that. Let’s, uh, let’s get to today’s guest. Uh, we have Dr. Ronna Agich, where really pumped about this one.

Uh, so a big 

Kristin: fan of her. Yes. As a physician, as a writer, and just as a human being, she. She’s a 

Will: pulmonary, a little gold nugget. She’s a pulmonary and critical care physician in Detroit and the author of an amazing book called In Shock. Yes. 

Kristin: And that book is really, um, important to me and I totally recommend it.

to everybody to check out. Um, but especially if you’ve had critical illness in your life or in your family, um, it’s a really, really good, um, story about, about her story really. And she mentions in the episode she’s died three times. Um, that’s not an exaggeration. That is. True fact. And, um, she tells her story from the perspective of both a physician and a patient.

And it’s super interesting even if you haven’t had critical illness in your, in your life. Yeah. Um, it’s just a really remarkable perspective to have. So, and we had 

Will: a great check out. Great conversation. Lots of good stories. So let’s get to it. Yes. All right. Here’s Ronna Agich.

All right. Ronna, thank you for joining us. It’s so good to finally get a chance to talk to you and see you. This is great. 

Dr. Rana Awdish: Hi. Thank you for being here. I’m thrilled to 

Kristin: be with you. I’ve been so excited about this one. Me too. Waiting and 

waiting. 

Will: Rona uh, we actually go back a few years. I, you know, and, uh, and getting ready for, to, to record with you.

You know, I actually went back on Twitter and oh my goodness. Found a receipt. I found. Before Times . This was back in, uh, 20, like early 2019. Ooh, wow. We, uh, we interacted with each other. You mind if I can I, can I tell you what we talked about? Tell me everything. Yes. Um, this is great actually. It was a story that, uh, is still probably one of the funnier things that I have.

I’ve ever read on Twitter. Uh, there’s actually a couple stories and then I interacted with you cuz I love them so much. So this is her tweet. This is her tweet. This is Ronna Ronna Agich MD in case you’re, you’re interested. Very, very funny. Um, so here, here it goes. I once hit my head on a fire alarm sticking out of the, sticking out of the wall.

She knows where this is going. I once hit my head on a fire alarm sticking out of the wall while teaching a class. The students didn’t notice. It was in the back of the room, so I called their attention to demonstrate what had just happened because it was funny, but did it so much harder the second time that I knocked myself out.

Cold . 

Dr. Rana Awdish: Amazing. My poor students. Imagine your teacher. This was an S A T prep class. I was teaching at U of M. And I said, you guys, you missed it. I was just walking back here and I whacked my head and just as I said it, I knocked myself out and I’m sure they were like, what is wrong with you, ? What? Ha, so 

Will: these were all, you said this is a S A T prep.

So these are all high school students? Yeah. Yeah. What, what happened then? Well, what? Well, 

Dr. Rana Awdish: I went, I went onto the floor, will and laid there making her spell that out. . 

Will: Oh man. Who helped you? What was the first thing thing you remember when you woke up? They were 16 

Dr. Rana Awdish: year old boys. They sat there and stared at me.

They stared exactly, no one did anything. I think someone pushed their backpack closer to the chairs cuz they thought maybe I had tripped on their backpack. But it was all. Like, 

Will: I just, I love, it’s like, so no one helped. And you eventually woke up, you stood up and you’re like, okay, so the rine, theorum, , . 

Dr. Rana Awdish: So back to class.

Will: So let’s keep going. All right. So that was, oh my goodness. That was the first, and I think, I think we were, we were talking, I was, I was like responding to your whatever. And then, um, another, uh, story came. Uh, this is perhaps even better. Oh dear. I once dropped a hand blender. Oh yeah. And caught it at the blade end with my left hand safely.

Then promptly turned it on with my right hand macerating my left index finger. I held it together with the rubber bands and lieu of stitches. 

Dr. Rana Awdish: Oh my goodness. I remember calling my boyfriend at the time and being like, Hey. Can you stop at the CVS and grab some rubber bands? He’s like, what do you need rubber bands for?

Like, so urgently. I’m like, oh, I just, I have to put my finger together. And he’s like, you’re in med school and rubber bands is your go-to. I’m like, and you’re sending 

Kristin: him to cvs of all places, like there’s other supplies there that make 

Dr. Rana Awdish: it more useful. No, I, it was, has this been a 

Will: thing with you for, for most of your.

Dr. Rana Awdish: I am prone to self-injury. You know, gravity works and I’m small, so I have a low center of gravity, so I’m frequently pulled to the ground and there are lots of sharp objects. But, um, I have passed this on to my son. Oh boy. So he. When he split his finger, his cousin slammed it in the door and we had to take him to the ER for stitches.

They gave him intranasal fentanyl, and he was immediately high. So he was a high five year old, and the orthopedic surgeon came to look at it. and he was examining his finger and Walt said, do you wanna see what it used to look like? Because I brought an example and he held up the non-injured pinky finger , and the surgeon was like, is he for real?

I’m like, he’s high. You gave him fentanyl, . Like, this is what you can expect. I 

Kristin: don’t know. That does seem though, from the other stories you’ve told about Walt, it seems like that was an early indicator of his sense of. Some 

Will: people are just very prone to accidents though. Yeah. I’m one 

Kristin: of ’em. You’re you’re that way?

Yep. Mm-hmm. , 

Will: she’s never like all the time, turned a blender on while she was holding onto it. 

Dr. Rana Awdish: No. Give time. 

Kristin: I did pierce my own tongue once though. No. With my teeth. No. Yeah, cuz I, I was a gymnast when I was younger and I fell one time and bit my tongue and it went all the way through. 

Dr. Rana Awdish: That sounds very painful.

Will: That’s very, that. 

Kristin: Awful. Yeah, it didn’t, it wasn’t my favorite time, for sure. But did you, I at least, well, that was, 

Will: did you keep doing gymnastics after that? 

Kristin: I did, yeah. Yeah, for like a decade. . 

Will: Okay. All right. That’s good. Didn’t throw off the game. . Yeah. Um, okay, so Ronna, there’s one more. Tell me one more.

Twitter, Twitter thing. Actually, I don’t know the details of this one because it was just like an offhanded comment as if like, this is a normal thing that happens to people . Um, and so I, I, I tweeted something. This was now, yeah, this is back October in of 2019. Um, You know, there was a, a TikTok trend that, that, that was happening.

Uh, actually this must have been like the very beginnings of TikTok, cuz this is actually before I was even on TikTok. I saw this headline that said New TikTok challenge asks users to place bag of bleach near eye. What, okay. I have no idea what this is. All right. But this was obviously enough bad idea, enough to make it into, to Newsweek.

And then, so I said, okay, obviously this is a terrible idea. Uh, perhaps the worst idea, uh, but now I have an excuse to talk about chemical burns to the eyes. And so I did like a whole like, thread on it. And then you responded to me. You said, wow. I had no idea how on trend I was when I splashed bleach in my eye.

So I remember. Would you care 

Dr. Rana Awdish: to elaborate on this? Did I post the picture because there was a picture? No. Okay. I’ll find it. I, and I’ll send it to you picture. It was horrifying. So it was just stupidity. I was pulling the jug of bleach down from the cabinet that’s above the washing machine, and when I pulled it down, , it like fell more than like setting it down and the cap was loose, so it splashed up into my face.

Ooh. It was as stupid as that. And so then I’m standing there just covered in bleach and I was like initially concerned about what I was wearing. And then I realized I had bleach in my hair and I had black hair. And so then I got really worried and rinsed it out, but I didn’t really get my. Oh good. Oh good.

I saved the perfect organ. Don’t worry’s. 

Will: The, the most important organ. Yes, actually, you know, bleach is, is there’s a lot worse things actually to get in your eye than bleach, to be honest. So yeah, it’s the, it’s the acidic, I believe bleach is an acid. . I, I think it’s been a long time since I’ve thought about like the chemical structures of these things, but like sodium hydroxide, like the basic things are infinitely worse for your eyes.

See, I always find a way to incorporate ophthalmology into every one of these recordings so that, you know, I want, I would be, because obviously ophthalmology is the most important part of medicine, so I’m sure you, you 

Kristin: don’t imagine how fun it is to live with him. 

Will: Yes, absolutely. . Um, so anyway, you know, everybody should follow, uh, Ronna, uh, on Twitter because you never know when you’re gonna get a story about someone who’s clearly having problems just not injuring themselves.

which. That’s great. So, um, uh, but obvi, so you are a critical care physician and, um, you’ve also written a book that we both really love. Uh, and, uh, my question is like, how do, how do you do that ? Like how do you writing a book? It just seems really hard. like, and being a critical care doctor also seems really hard.

That’s like two hard things. And were 

Kristin: you doing these? It’s just she’s a superior human being. 

Will: Well, well obviously, well, hold on. Let’s hold on. She did macerate her own finger and a 

Kristin: blender. Well, okay. Everybody’s gotta have something. She’s, she’s so good at doing all these other things that, that is the price she 

Dr. Rana Awdish: pays.

I’m so glad you guys do this together. It’s such a nice balance of like insult and compliment. I love it. 

Will: But as someone who’s, who’s you? trying to do two things, like mm-hmm. , you know, you know, social media stuff and being a doctor. How did, did you do those, like, were you practicing when you wrote that 

Dr. Rana Awdish: book?

Yeah, yeah. It, they were, um, concurrent. I would usually write, like I wake up earlier than anyone in my house. The boys will sleep until. Far later. So if I got up at five, I could get a few hours of work in and then I’d send them off on errands that I had manufactured just to artificially keep them busy.

Um, wild goose chases for ingredients and things that I had no plans to make. Yeah, take notes everybody. This is great stuff, right? Like buy an alpaca, um, and they would go and it would take most of the day for them to find out that you needed permits to buy an alpaca. And by that time, I’d written enough.

And then the next day on Sunday morning, I would just revise what I had written, and that was on weekends where I wasn’t rounding. On weekends where I rounded, I didn’t write at all. But that way I could get in a good, you know, 10, 12 hours of writing a week. And I neglected plenty of things. I didn’t do a lot.

Let’s talk about that than 

Kristin: that. Yeah. What did you neglect? Because we never talk about that, and especially for women, like we’re just kind of expected to make it all happen somehow. What 

Dr. Rana Awdish: falls by the wayside? No, for sure. Like I intentionally neglected cleaning and laundry and grocery shopping, and probably sacrificing some friends and phone conversations that I would’ve liked to have.

It was just, Get the work done and have time for writing. And it turns out if other people you know don’t have clean clothes, they will eventually do the laundry themselves. what? I know. Follow me for more tips. , 

Will: does that work for like dishes and everything else 

Kristin: too? Yeah. How far do you have to take this?

How far? Yeah. 

Will: How far does it go? What? What kind of disrepair was your life in? really 

Dr. Rana Awdish: was wonderfully supportive. Honestly. He just, Also wanted me to do this. And so I think he saw it as shared work. And the piece of the work that I could do was the writing and the piece of the work that he could do was to support it by giving me those, those hours.

Will: And you were, what part of your career were you? What year was it when you wrote in Shock? 

Dr. Rana Awdish: It was, I was well into being a senior staff physician, so I was probably eight years out of fellowship. 

Will: Gotcha. And this was, um, and so I, I’m just comparing. You know what life in the hospital and practicing critical care medicine was like then versus like, you know, starting in 2020 when you know the pandemic hit.

Could you imagine writing a book now with the pressures of your job as they are 

Dr. Rana Awdish: it, you know, everything’s changed in so many ways. And the interesting thing is, I think so many more people have the same experience. Critical illness and post covid, you know, syndrome. What I was explaining then felt like something that most people would never get to experience.

So it felt really urgent and now it’s like a lot of people have had this, so I don’t know that an individual experience would’ve. The same to me. Um mm-hmm in terms of importance of getting it down, I feel like our communal awareness now is something we need to harness and kind of tap into. Yeah. 

Kristin: So I’m hearing that you are planning in your mind in shock too.

Dr. Rana Awdish: Ha, , I love your optimism. It’s funny cause after that book came out and people would be like, are you gonna write a second book? I’d be like, you. I died three times, had eight major surgeries, five ICU admissions. I can’t imagine what would have to happen for me to feel like I had enough material for a second book.

And then the pandemic happened, and then I had a new cancer diagnosis and I’m like, you guys, like I wasn’t serious. Like I don’t actually want more material. Right? We’re good. , 

Will: you could have stretched it out into a. You know, you think in shock, well, like after the second time you died you could like leave it as a clipping or find out if I survived the third time.

Choose 

Dr. Rana Awdish: your own 

Will: adventure, right? Yeah. Well, um, tell us, uh, you know, I’m sure you brought some stories with you from your time. , uh, you know, either in training or as a critical care physician, you know, because I’m sure that there’s a lot of things that happened that, uh, you never expected to happen and were kind of 

Kristin: interesting.

I feel like there must be a lot of really bizarre things you have to do. Yeah. As a critical 

Dr. Rana Awdish: care physician. Oh, always. What category of story are you interested in? Do you want one? Gimme something, embarrass myself? 

Will: Yes. That’s what I’m, that’s what I’m looking for. Let’s see, because we’re already, I mean we’ve, we’ve set the bar kind of high already with embarrassing yourself.

I was gonna say 

Dr. Rana Awdish: where you can go, we haven’t. Started . Um, we’re gonna, we’re gonna do time travel back to when I was, uh, a resident in New York in training and, uh, I was a intern actually in the cardio I C U and our job as interns at that time. Was truly to do post cath checks, like that was what we did.

And there was a schedule and you would check the groin and then you would recheck the groin and you would mark if there was a hematoma or if you were worried about a pseudoaneurysm, like that was your job. You lived in the groins. And so that’s the quote for this episode. living in the groins. So, I, I remember checking on this patient and feeling something in his groin that felt very circular, a little bit how I would think an aneurysm would feel, right?

It was kind of like squishy, like it felt like there was a lumen. And so I, I noted the circumference, which was very circular and how it felt, and I thought, okay, I’ll go back and I’ll check it in an hour. and I, I went back and I did the same sort of palpating that I’d been taught. I, of course, tried to listen for rui, um, because I was going for extra credit points, and I noticed as I was doing this that the patient was getting aroused.

It was a male patient and I thought, oh, there must be something wrong with my technique. I will ask my resident how they palpate groins and. Maybe mine is like too seductive, like my groin palpating 

Will: technique. Right. This is your mo your thought process as an intern about why, why this, why this might be happening.

Okay. Yeah. 

Dr. Rana Awdish: Um, so I’ll, I’ll tell you both pieces of it. The fact that my resident looked at me like I had two heads and then took me back, um, to the patient’s room to show him what I was talking about and examine the patient, him. and what we found out then was that the patient actually had, um, an implantable penis pump.

And what I’d been pressing on was the inflation valve that would create an erection for the patient without realizing it. And that was pretty much why I went into pulmonary instead of cardiology, because that story did not die. . Um, They were probably still telling it somewhere now, so it feels good to have agency over my story and tell it myself.

Kristin: It sounds like your technique was exactly correct. , 

Will: yeah. Yeah, that I’m sure that was the feedback you got. Well, it’s, it’s a good technique. I mean, did you, did you even know that those devices existed at that point? Because I learned pretty late, I feel like in my intern year that that was even a thing, that you could get 

Dr. Rana Awdish: an implantable.

This was not on my radar, and especially this one because. There was like a release valve underneath that you had to connect something to. And so imagine this poor man came in for a calf. He didn’t bring his penis pump release valve attachment with him to the hospital. So that was a fun urology consult that I got to call as well.

Will: I bet. See, that actually brings up a point about, you know, people that get admitted to the hospital. Obviously when you’re admitted to the icu, usually you don’t know you’re gonna get admitted to the icu, right? It’s not really a plan ahead type thing. So you don’t, don’t, you don’t like, bring all the necessary equipment with you?

No, and, and I think about it for, for, um, contact lenses. You do would frequently , 

Dr. Rana Awdish: that was 

Kristin: again, bringing it back to a lot of disdain underneath. Did you taste 

Will: that , bringing it back to, to ophthalmology here, because it must be brought back to ophthalmology. Um, you know, I would, in, in residency in particular, you know, I’d get, you know, con i c consults and, um, fairly frequently I’d go and find that the patient had been there.

You know, a month or two and they still had contact lenses Oh. In their eyes. And so, uh, uh, you know, it’s because obviously when you get admitted, you didn’t have time to, you know, take ’em out before something catastrophic happened to your health. So, uh, you know, that’s, those are, that’s tough. I think they, they’re supposed to check.

Do you check for contact lenses? I hope you do every single time. Every single time 

Dr. Rana Awdish: our nurses are on it, they usually get to them before we ever do. If you leave it to doctors it, it probably wouldn’t be . Yeah, it probably wouldn’t happen as well because they’re the ones who also, like you’re in there screaming and she’s like, do you want me to put in his hearing aids cuz I’ve got them?

You’re like, I didn’t even think about that. Of course we need hearing aids. Yeah, it’s 

Kristin: probably part of the checklist is kind. Gods. Yeah. They just keep everything running, I think. Yeah. From what I can tell. Also, I’m sure your insurance company would have said, you know, why didn’t you take your contact lenses out first?

They would certainly expect people to have 

Will: planned ahead. They expect people to do a lot of things before they have a potentially life-threatening 

Dr. Rana Awdish: accident, like a prior ath for the admission. Yeah. 

Kristin: Falla for sure that you’re treating 

Dr. Rana Awdish: physician that. The bill that we got for the resuscitation of our baby that had died because we didn’t take time to enroll her in our insurance plan.

That was probably my least favorite example of how insurance is toxic. . Yeah. 

Kristin: That’s horrible. That’s, do you still like inhumane 

Will: as are you, do you feel like you’re a little bit insulated from that whole process just in your day-to-day life, uh, working in the hospital? Are you, are you really involved in having to deal with a lot of 

Dr. Rana Awdish: that?

Because I do pulmonary hypertension and all of our drugs are, you know, bankrupting healthcare cause they’re so expensive. We have to get a lot of prior authorizations to do anything. , 

Will: is that on the outpatient side of things? Yeah. Okay. So you still do a lot of outpatient, I assume your Yeah. 

Dr. Rana Awdish: Every day is a lot of pulmonary hypertension clinic.

Will: You got any, you got any fun stories from the clinic? Oh 

Dr. Rana Awdish: my goodness, , 

Will: how long do you, so you’re, you’re, uh, you’re in clinic how many days a week? 

Dr. Rana Awdish: Usually? Three to four. Yeah. So I either am rounding or I have clinic. I don’t generally do both. But no, our, our pulmonary hypertension patients are, are quite sick and yeah.

Keeping them alive is, is really challenging sometimes. 

Will: Yeah. Well, you’re good at it though. That’s true. Well, thanks. You’ve managed to stay alive and you keep your patients alive. 

Dr. Rana Awdish: Yeah. That’s the goal. . 

Will: So I don’t, I don’t think you can, uh, top the, the story you just told about with the penis pump. That’s, well, 

Kristin: she seems like she might disagree.

That’s, that’s pretty. She’s got one in the, 

Will: I don’t know. I mean, well, we have to go 

Dr. Rana Awdish: back a little bit further. Oh, let’s do it. Um, to, when I. I was in undergrad and you know, pre-med and very much wanting to be a doctor and doing everything I could to try to position myself to get into medical school. Um, and I was taking this sort of advanced physics class because I thought that was a good idea, which it wasn’t, and I didn’t understand anything.

And we had physics lab where we were learning about electrical. and my poor lab partner. There were these metal discs and the only thing I had to not do was press the pedal that would electrify the metal discs while he was touching them. And so what did I do? I pressed the pedal. While he was touching the metal disc, and I like literally electrocuted my physics lab partner.

And because I was pre-med, my first thought wasn’t, is he okay? My first thought is, oh my God, I’m not gonna get into medical school . That 

Will: is, that is the most pre-med, 

Dr. Rana Awdish: pre-med thought I could have ever had. The poor kid. So he got sent to the infirmary like he had. Burns. His hair was sinned and he had to tell people Wow.

That I electrocuted him. So I’ve, I nearly failed the lab nearly. Okay. Nearly failed the lab. Oh, 

Will: I’m glad they passed you. I mean, that’s, 

Dr. Rana Awdish: yeah, that’s good. So 

Kristin: was it an accident? Did you trip? Absolutely. How did that, well, 

Will: of course it was an accident. Have you heard this woman talk to the last 20 

Dr. Rana Awdish: minutes person?

Kristin: But like, did you just forget not to touch that this 

Dr. Rana Awdish: is coordinated? I, no, this is literally like if you, I’m glad you’re doing 

Will: procedures on critically ill patients. 

Dr. Rana Awdish: The fellows do all the procedures.

Oh no. It was definitely an accident and to make up for it. When I turned 21, he came to my 21st birthday and he bought me the worst shot known to man, I don’t know if you’ve heard of it. It’s called a cement mixer, so it’s like it doesn’t sound Bailey’s and lemon juice, and you take them separately and when you put it in your mouth, it cur.

Yeah, and you did this so you feel like we’re even, I didn’t know I wasn’t a drinker. Someone bought, 

Will: but you in there for shot. It’s like, see how you like it? Exactly. 

Dr. Rana Awdish: That’s good. Revenge 

Kristin: plot. Like he had to wait that out. He had to Right. Plan that ahead of time. Pick the absolute worst possible experience for you, for your joyous occasion.

That’s 

Dr. Rana Awdish: pretty good. You’re a hundred percent even. Yeah. . 

Will: I remember as an undergrad, my first, the first time I ever remember being like really sick was when I was, I was a freshman and I got mono, and I got really bad mono. Like it was like my throat was so swollen. I had never been in that much pain, and I remember going to the emergency room.

and, uh, you know, I was, it was probably like right at the beginning of college, and of course my mom, I was like, I called my mom. I was like, whoa, what’s going on? Like, I like this, this hurts so bad. Am I dying? and, and uh, um, I remember like. The doctor coming in, he didn’t do a great job like explaining to me like what was going on.

He just kind of, it kind of blew me off a little bit. And I was, I was on the phone with my mom. The doctor was in there with like four med students, like, you know, talking to me and I remember asking, uh, um, I was holding the phone up to my face. again. I was like ridden with, with mono and I was like, can you doc, can you, can you talk to my mom?

Just tell her what’s going on. And the look on that doctor’s face. When this kid who had all this mono was trying to give him a phone that he was like, he just was talking 

Dr. Rana Awdish: into. I 

Will: was like, no, he got out of there so fast. Like, 

Dr. Rana Awdish: I’m not touching your disease phone. 

Will: It is like, don’t, Nope. I think we’re good.

You know, just, you got mono, you’ll be alright. Aw, all right. Go home. Don’t play any contact sports. Which I didn’t. Tell me why. I just, I had to figure that, you know, why that was the case, but, uh, you didn’t think to like, put 

Kristin: it on speakerphone. 

Will: You know, uh, I, this is probably, I probably had that phone. I feel like that wasn’t a thing.

Yeah. Yeah, that was, I probably had a cell phone, speaker phone. Yeah. Three weeks at that point. Yeah. I think I got one. I just to show you how, I mean, we’re, we’re getting older. Yeah, it’s true. Uh uh, he, uh, so that was probably my first experience with like a cell phone, cuz I think I got one. Like when? Just, just for college to go to college.

Yeah. Yeah. I didn’t have one. I didn’t have one in high school. I don’t know. I had, don’t either. Mm-hmm. When did you get your first cell phone? . It 

Dr. Rana Awdish: was after medical school. Really. Like I might have had one in med school, but it was like the kind that you leave in your car and you’re not, you’re not really using it at all.

It’s attached to your car. Yeah. It wasn’t very, and it’s like 

Will: a, I was one of the first people, like I didn’t get a smartphone till residency. 

Dr. Rana Awdish: I was, yeah, we got it at 

Kristin: the same time. So we’ve only had smartphones 

Will: for like, I was, we were slow. We were slow on the 

Dr. Rana Awdish: take of that. Yeah. You didn’t miss anything

Will: All right, so, uh, you know what, let’s take a break. Um, and we’re gonna come back and we’re gonna play a little game, uh, that I call dear. Uh, that, well, I’ll tell you, I’ll, after the break, I’ll tell you what it’s called and, and how, what we’re gonna do. So it’ll be right back with Ron.

Big thank you to all our fans and listeners. Uh, spread the love. Tell everyone about this podcast, share it. Leave a rating and a review. Be honest. Let us know what you think. We want to hear from you. Uh, later today, we’re gonna share some stories of our own and also, um, yours, and we want to hear your stories.

Share yours at Knock Knock high@humancontent.com. Uh, we also have a pat. All right. Come hang out with other members of the Knock-knock High Community early episode access. Check out bonus episodes including a monthly show we’re doing, uh, called the Monthly Eye Exam, where we react to medical TV shows and movie clips.

Um, so check that out. Yeah, 

Kristin: lots 

Will: of fun, exclusive stuff. All right, now let’s get back to Dr. Ronna Agich.

All right. And we are back. And, okay. Ronna, here’s what we’re gonna do. We’re gonna play a game that I call the I C U Replacements. Okay? Now, during the pandemic, obviously, you know, there were stories about a lot of doctors who were redeploy. To different parts of the hospital, right? Yes. Did you experience that?

Yes. Like in your department? Yeah. You had different people coming in and helping out? 

Dr. Rana Awdish: Absolutely. Utilizing all available people in any way we could. 

Will: Okay. Well this is what we’re gonna do. Um, Just imagine a world, uh, instead of like the pandemic, maybe, uh, like the entire, um, all the staff except for you decided to go like on a cruise and, um, they all got norovirus.

And they’re, they’re like marooned in the Caribbean and they can’t come back to work. And so, um, now all of a sudden it’s just you. Okay? And now you need a new team. You need a new team. In the icu, you, you have nobody. You’re, you’re alone. You may, you may, you have like a nurse, all right? You maybe have a med student, but you need, you need help.

Okay? So here’s what we’re gonna do. Got it? I’m gonna give you some options. These are different doctors. Might be helpful, might not be helpful. I want you to tell me how helpful they’d be on a scale from one to 10. Okay. Oh, dear . All right. And, and this is okay. Like this is not meant to offend anybody. All right?

This is just, you know, how helpful you’d be to a critical care doctor taking care of critical care patients. Okay? Uh, and so, uh, the first one I present to you is a cardiologist. Oh, 

Dr. Rana Awdish: huge fan. Love it. We can put swans in, they’ll do echoes on all of my intubated patients. They’ll titrate all meds like literally nine outta 10.

Will: Awesome. Okay. So very, he helpful. Um, uh, we’ll, we’ll go to the cardiologist, um, arch nemesis. How about the nephrologist? Need 

Dr. Rana Awdish: them desperately? Yeah, they can do all the. And electrolyte derangement management. That’s super helpful. Um, they care about volume. I love that about them. They’re very anti salt, which I am too.

So like solid nine out of 10. 

Will: Do you, uh, would you try to separate the cardiologist from the nephrologist? Have you seen those arguments or is that just something I made up in my mind? Oh, no, 

Dr. Rana Awdish: absolutely. They can’t have the same patients. They have to have separate sides and all of the volume overloaded patients are on one side, ICU, a hundred percent, but, but they can be in the same space, just not talking.

Will: Okay. . All right. So you, you’d be the moderator between the two. Okay. But, but very useful. All right, so that’s, you got a good team so far. This is great. All right. All right. How about the ophthalmologist? What if I come to you? I say, listen, listen. There’s, I’m sorry. There’s nobody else. All right. We, we, we have an ophthalmologist, uh, who we haven’t told them yet that they’re gonna be working in the icu, but um, this is what we have.

What do you. 

Dr. Rana Awdish: So I had an ophthalmology intern this month named Jackie Hamadi, who was literally the best doctor I’ve ever had. She diagnosed, uh, literally things that attending physicians could not diagnose. So I am so pro ophthalmologist right now that she had a patient with leprosy. With Vericella. Like she could cover all the ID stuff at this point and I would have no fears.

So also the fungemia eye exams. Uhhuh, , I need her. Um, nine 

Will: out those dilated exams. Yeah. Nine out of 10. 

Kristin: Oh, no, this is gonna go to his head, Ron. No, no. You have to, no, you’re making my life miserable. You have to take 

Will: him down again. Just to, just to let everyone know that an ophthalmologist would be just as useful as a cardiologist, uh, in the icu.

No, I see. There’s a, there’s a clear distinction here. All right. This, you said this is an intern? 

Dr. Rana Awdish: Ophthalmologist. This was an intern, right? My favorite ophthalmologist. The nine out of 10. Yeah. You’re talking, 

Will: but this was an intern. 

Dr. Rana Awdish: Yeah, a transitional 

Will: year. Okay. All right. Yeah. Yeah. Okay. Yeah. That’s because they’re 

Kristin: still smart.

Dr. Rana Awdish: They still know things. They still know everything. And 

Will: they’re still, yeah, they still know body medicine. Ronna. Yes. All of it. All right. I love that. You know how much, 

Kristin:

Dr. Rana Awdish: know nothing, but you have fancy lasers. 

Kristin: Useless. Do you have fancy 

Will: lasers? Yeah. What good is that to you? Uh, I can’t, you can’t, you can’t put in a central catheter with a laser ronna, I don’t think.

Can you? I don’t 

Dr. Rana Awdish: know. Every time. Every time I tell Randy I need to buy more blazers, he thinks I say lasers. And he’s like, really? You still need more lasers at work, don’t you? And I’m like, I don’t have any lasers. What does he you doing at work every day? He admires me, so I’m not gonna burst it. I’m like, yep, lasers.

Will: That’s good. All. Okay, so ophthalmology intern nine out 10. Ophthalmology private practice attending slash com comedian, social media personality, we’ll say one out of 10. You could take the contacts out. What’s that? You didn’t take out the context. I’ll, I’ll take the context out. Yeah. Phia 

Dr. Rana Awdish: you guys. It’s huge.

I could do, that’s 

Will: huge. Yeah, I could do that. Although, you know, there, there’s, uh, the ophthalmology community is pushing back a little bit on whether or not, uh, those exams are necessary, 

Dr. Rana Awdish: is a controversy. I amed, I, 

Will: oh yeah. Let’s move on. Um, okay. So, uh, here’s the next one. All right. How about the general.

What do you think you got a general 

Dr. Rana Awdish: surgeon on your team? Can you My favorite consult I ever call the general surgeon for, of course, please. The patient seemed to have terrible small bowel obstruction where their, their abdomen was so tense and so distended, and we called them and they came and they said, unfortunately, when you guys placed a rectal tube, you glued his rectum.

and so we’ve unglued it now and that’s alleviated the obstruction. And I wanted to melt into the floor because of all the things a surgeon can tell you that our embarrassing, I think you glued the patient’s rectum shut is right up there. 

Will: Oh man. So anyway, such an easy fix. That was an easy fix. That’s guys, 

Kristin: when you call the IT department, right?

If you have an office job and they’re like, um, did you restart? It’s like that. Did you plug it in to make you feel 

Will: better though? To make you feel better? I promise you that surgeon was probably totally fine with it because if you’re gonna get a consult, like isn’t it nice that it’s, you know, a simple fix?

I don’t know. Here’s the 

Dr. Rana Awdish: problem. I’ve had so much surgery in my own. Hospital that these people know me . So they not just as a physician, but as a patient. So my, yeah, my mentor who didn’t have perfect English would see these surgeons in the hospital and would yell out in his Hispanic accent, has he been inside of?

Like in the line for coffee. Oh no. Oh my God. In the cafeteria. And I’d be like, that’s not how we say that. We don’t say, has he been inside of you? We say, is that a surgeon who has operated on you? ? It’s a disaster. But he’s at Mayo now. Hopefully tormenting someone else. 

Will: Oh man. 

Kristin: How do get through? Just, just your 

Will: life, right?

I dunno. This is, I love the direction this podcast question going , this is 

Dr. Rana Awdish: fantastic. I have like such vicarious embarrassment. Oh, it’s wonderful. It’s my life. My life. I’m glad you have about it. Surgeons, they come, they ung rectums for me. They go inside of me. They get an 

Will: eight out of 10, eight out 10.

There you go. Okay. I’ve got a couple more. Got a couple more. The only person that we have to help you today, uh, is my, my loyal scribe, Jonathan. Oh, Jonathan. Yep. Yep. Jonathan, a totally real person, uh, who just happens to look like me, but uh, yeah, you get a scribe. Could you use a scribe? What do you think? 

Dr. Rana Awdish: So yes, I would very happily have someone follow me around, write down everything I say.

That sounds wonderful. . Um, I would take Jonathan any day. Can you send him now? . 

Will: Okay. Brett? Just not as useful on the clinically, couldn’t probably do, no, you know, some, you know, rounding and doing some procedures for you, although, I don’t know, maybe it could learn, maybe, but, uh, so what maybe like a. For the, for the, for the, uh, for the documentation aspect of things.

I’ll 

Kristin: take it. Well, and it’s like, is this, is this a, is this a Jonathan or is this a non Jonathan scribe? Like, I feel like Jonathan brings extra qualities 

Will: because why? Because he is 

Kristin: magical. Yeah. Uh, yeah. Right. I feel like Jonathan could do anything. Jonathan is probably secretly like all the specialties.

He may. It’s like a Dr. House. Yeah. 

Will: Who doesn’t talk. Yeah, that’s right. . All right. How about, how about a. How about a radiologist? Oh, That was, 

Dr. Rana Awdish: she’s like, like they’re so to help the dark. It’s very bright. 

Will: Oh, you feel like it’d be, it would be mean to them to make them like 

Dr. Rana Awdish: they’d need glasses to shield their delicate retinas from the lights.

Oh, the ophthalmologist. Appreciate, 

Will: I appreciate you, uh, having concern for the retinas, . 

Dr. Rana Awdish: Thank I. Do I. You know, I would, I’d love to be able to show them the films and we could talk about it, and it would be lovely, and I wouldn’t have to walk down there. And so if they were there, that 

Will: would be great.

Because you’re doing a lot of, you’re doing a lot of imaging. Imaging, right? Yeah. I mean, Can you, can you transport critically care patients down to like MRI and ct? And I assume you can. 

Dr. Rana Awdish: Yeah. It’s not always the best idea. Sometimes there are codes when you do, but you know, for 

Will: the most part, if the, what if the radiologist came with a CT scanner up to the Ooh, up to the icu?

Wouldn’t that be nice? Ooh, 

Dr. Rana Awdish: they’d be worth their weight in gold. 

Will: Okay. So that would push ’em up to like a 10 probably. Yeah, totally. Yeah, that’d be great. And then, uh, . One more. All right. We got, uh, how about a. 

Dr. Rana Awdish: I know nothing about rashes and everyone has a rash and sometimes it’s leukocytoclastic, vasculitis and sometimes it’s, they left their crocs on too long and they have fungus.

Oh no. And I literally don’t know the difference. So if they could come, that would be wonderful. 

Will: What? 10 cyto. 

Kristin: She just dropped that as, if anyone knows what that 

Dr. Rana Awdish: means, it’s a real problem when you don’t know how to recognize it. 

Will: Yeah. Cause it sounds bad. It sounds really bad. Yeah. And, and the thing is, yeah, like, uh, dermatologists, they, they can just look at a little tiny thing on the skin and be like, oh, this is, you know, some horrible thing that’s happening inside the body.

But first they 

Dr. Rana Awdish: translate it to Latin. So it’s macular popul. Right. Like they, right. Yeah. Yeah. There’s that intermediate step that makes it 

Will: fancy. Exactly. Same thing with ophthalmology. Right? You don’t understand 

Dr. Rana Awdish: anything. We, hundred percent. No. The notes. What is that? Like? What even is that? 

Will: I mean, it’s, you know, it’s why I chose the name Glock Flecking.

Like it’s, it’s like a, it’s a real thing. 

Kristin: They just have to feel important and so they had to make everything sound like a hundred times. 

Will: We do have complicated, there is a ro, a Rosetta Stone for ophthalmology. Yeah, for sure. Sure is. If there’s not that there should be, . Um, it’s just 

Dr. Rana Awdish: an ego thing. 

Will: Yep. So that’s, so that’s your team.

All right. I love 

Dr. Rana Awdish: it. I’m golden. This is gonna be, that’s 

Will: your replacement team, . You’re gonna do awesome. It will. Um, well that was, thank you so much for being here. Tell us, uh, where we can find you, what you’re doing, what are you working on, what are you doing? 

Dr. Rana Awdish: Um, I am often on Twitter despite the fact that it’s turning into a cesspool of destruction.

I rough these days. I can always be found at the hospital, which is really where I live. Hi, 

Will: please, please don’t try to find No, Dr. Agich at the hospital, either as a patient or as a fan. You don’t want to find her there. 

Dr. Rana Awdish: But, and the funnest thing I’m doing is, uh, getting to be the editor for our human.

Little exhalation section in chest, which someone on this podcast has submitted a piece to. And it’s not you guess who? It’s, yeah, not me. And I love reading those submissions. So if people have had experiences that they really wanna share, that’s a great place for 

Will: it. And how can they share? 

Dr. Rana Awdish: Gosh, there’s like submissions.

You 

Will: just go find it out. No, I’ll just Google it. Google it. You can find it. Yeah, let’s put it out there. That’s good. That’s, 

Kristin: can you talk a little bit about what Exhalations is compared to, you know, maybe some of the other sections in the 

Dr. Rana Awdish: journal? I feel like medicines just kind of waking up to the fact that, you know, stories are so important and narrative medicine is just growing and our awareness.

Really valuing first person narratives, not just of patients and providers, but also the family members of our patients. And so we really look for, um, thoughtfully written pieces that show an aspect of healthcare that might not be immediately available to providers that they might not have looked at in that way before, which is why I loved your piece.

So, Oh, thanks. 

Will: And then ob obviously everyone should check out your book in Shock. Yes. Um, it’s really a wonderful, wonderful story, wonderful book. And I know, uh, Kristen, you’ve, you really enjoyed reading it just with, um, the experiences we’ve had as, you know, in the medical system. And so, um, yeah, 

Kristin: and I would say, you know, you mentioned you don’t know how mu how valuable an individual perspective would be at this point, but I.

I think that it is still extremely valuable because if anything, there are just so many more individuals who have a similar experience, and even myself as not, not the patient, but the, the family member of the patient, um, I. Saw my own story reflected back so much in your story, and that’s what it was one of the biggest pieces of healing that I found.

It really helped me, you know, move along in my own journey because it just validates. Things right. That like, okay, I’m not the only one that experienced, you know, maybe the specifics are different, but the general problems are pretty universal across the healthcare system. Yeah. Um, and so it’s so nice to see somebody else that, you know, I mean, I hate to say it’s so nice cuz it all comes from, from these horrible situations, but to be able to see that, that.

you know, you’re not imagining it, you’re not alone and experiencing these kinds of things. So I think if anything, it’s more relevant than ever after the pandemic. I appreciate that. Um, and definitely everybody, you know, especially if you’ve, um, had experiences with critical illness or, or family members with critical illness, I think you should definitely check it out.

Dr. Rana Awdish: Yeah. It’s a shitty club to belong to, but the only thing that would be worse is if you were alone. And so it’s, it’s nice in that way. 

Will: Yeah, for sure. Having something good come out of it, you know? Yeah. Well, thank you so much for being here. It was a pleasure to talk with. 

Dr. Rana Awdish: Thank you for doing a fun podcast.

The world has been waiting. I’m so 

Will: glad you are . Thank you. Rhonna, Agich, uh, MD on Twitter in particular. I love you there. Uh, and thanks. Um, and so we will be back here in a a minute with some listener stories. Thank you again.

All right. Let’s take a look at some of our favorite medical stories sent in by all of you, the listeners. I really like these stories. These are great today. So our first one is an anonymous story. Um, okay, here it goes. As a third year med student at an urban hospital in Detroit, my surgery rotation, uh, was hands down the most memorable.

I can recall one evening after hours retracting incorrectly during a parathyroidectomy. It’s a, it’s like in the neck by the way. I. Okay. Should I explain something that’s good and nearly suctioning? The recurrent laryngeal nerve, which is would not, doesn’t, doesn’t sound good. You usually, you suction, you wanna leave those alone.

Usually you only suction blood. You don’t suction like nerves. That would probably hurt. I was finally allowed to rest in between cases, so I quickly went down to the medical student call room that I had meticulously prepped before the start of my shift. I went through a checklist in my mind, no items on the floor, trash removed from the room.

Every object bathed and hand sanitizing foam. I excitedly. Peeled back the covers to my freshly made bed. Those rough paper thin sheets were calling my name, which is a really good explanation for what it’s like in a call room, especially in med student call room. Mm-hmm. . It’s like kind of like a, it’s 

Kristin: like the one play, it’s a Bitly toilet paper, but for sheets 

Will: exactly as I lifted the well worn sheets, I saw a flurry of movement seemingly in all directions, what seemed like an entire generation of cockroaches.

scurried off my. My one bed. The only option, needless to stay, say I stayed awake that night in the preoperative lounge watching news reruns and infomercials. Oh my gosh. Wow. That is the worst call room story I’ve ever heard that made 

Kristin: my skin crawl like, ugh. 

Will: That’s, so, I hope the cockroaches are okay.

that’s, that’s rough. That’s, oh. Talk about a letdown. Like you’re so, I know. So excited. I mean, it’s, it’s been a while since I’ve like, been awake all night, like in going to a call room. I haven’t been in a call room in years, but that’s true. The, uh, just that feeling of like finally getting to go and rest right.

Is such a good feeling. Yeah. And so that letdown of all of a sudden your bed is full of bugs . Um, not great. Ah, not great. Okay. Thank, thank you for that story and for freaking Kristen 

Kristin: out. Yeah. I’m gonna have trouble sleeping tonight. I’m gonna 

Will: be checking the bed. You’ll be checking our bed for cockroaches.

We have a little bit better than a call room. That’s true. Situation going on. True. Okay. So, uh, number. This is from Collette h Uh, the title is Why I’m Not a Nurse. One summer I had a chance to work as an aid at a critical access medical center, uh, which is larger than a clinic, but smaller than a hospital.

It was a three month contract, mostly working with kids in the community. Towards the end, they offered to pay for my CNA training and a permanent position on the. As a trial, I went with an experienced home health RN who happened by chance to be my mother to assist with some wound care. My mom is doing her super professional, dignified, respectful thing.

She goes to clean the packing out of a wound and I go weaken the knees. I sat down on that poor patient’s couch so fast. Put my head between my. And fled for the car. The second I was steady enough, my mom was embarrassed, the patient was embarrassed. I declined the training and position Lord, even thinking about the things my mom does every day, makes me want to hug her after spraying her with Lysol , that that happens.

A good number of med students as well. Yeah, I’m sure. Any, any part of, of medicine, internet, or in healthcare, because you gotta deal with bodily fluids. Yeah. Wounds, you know, the insides of bodies, things that are 

Kristin: outside that should be inside. Yeah. 

Will: And so, uh, you know, I, I certainly know, uh, some of my classmates who, um, decided against a career in surgery because, You know, they passed out in the operating 

Dr. Rana Awdish: room.

Kristin: Right? Well, and, and most people declined a career in ophthalmology because of the same reason for eyeballs. It’s 

Will: true Eyeballs. I have, I have made a number of patients, um, pass out, uh, just by, uh, like saying, okay, we’re gonna do your eye exam now. Yeah. Like, it’s, it’s a thing 

Kristin: like, I, I don’t, I mean, I haven’t passed out on you, but I.

Yeah, coming to see you at the clinic. You and all of your colleagues, like lovely people. , don’t want ’em anywhere near my face. Okay, that’s fair. I don’t like, it’s just, yeah. You know, the eyeball. So packing in a 

Will: wound. Oh, yeah. Yeah. I, I don’t blame, I, you know, I’m glad that that, uh, she realized it. At that point, it’s good.

Right? And God, it’s good to have an list. Check that off your list. You know what? Nope. Uh, not for me. Right. I don’t wanna be part of that. And that’s, that’s fine. You know, and God bless that mother . That’s right. Exactly. Great stories. Thank you for those. Uh, send us your stories. We want to hear you. Um, knock, knock high@humancontent.com.

That was a great episode. 

Kristin: That was great. Ron is great. She’s so funny. 

Will: She is. Really funny. She’s got good comedic timing. She does, I, I, I loved, uh, what she had to say. And then, uh, she really is funny on Twitter. Like I, I enjoy, she is, enjoy 

Kristin: hearing her thoughts. Family is why she talks a little bit on Twitter about her family life as well as her professional life.

And her son cracks me up. The story she tells about him. He’s amazing. Definitely worth a follow just for 

Will: entertainment purposes. Absolutely. Um, and let’s see. Anything else? What else should we talk? That we cover everything. Did you guys, I hope you guys liked that episode. Uh, we just, uh, had a blast, uh, talking with Ronna.

And, um, uh, if you have ideas for who you want us to talk to, then let us know. You know, there’s lots of ways to reach out to us. Uh, you can email us, knock dot high human-content.com. Uh, we are on. TikTok Twitter. You can also hang out with us and our Human Content Podcast family on Instagram and TikTok at Human Content Pods.

Thank you to all the listeners leaving wonderful feedback and awesome reviews. Uh, if you subscribe and comment on your favorite podcasting app or on YouTube, uh, we might give you a shout out. At the very least, I’d give you a Jonathan Head nod. You may not hear it, but it’s, it’s there, um, a alike. Right now, uh, when we announced we were doing this podcast, uh, one of the, uh, one of the, the people that, that follows me, Sarah h said, best news I’ve gotten all day.

So excited to enjoy more Glock flecking content. Enthused head nod. Thank you for that. I’ll give you a Jonathan Head dog that, that’s, that’s not gonna make any sense to people that are just listening, but it was a good one. Yeah, it was there, 

Kristin: it was all five outta 

Will: 10, so thank you for that. Um, Full video episodes are up every week on YouTube at d Glock plucking, um, and we have a Patreon.

Go check out our Patreon. Yeah, tons of cool perks, bonus episodes where we react to medical shows and movies. Hang out with, uh, the knock, knock high member community. We’re active there. We’re responding. We’re hanging out. Uh, early ad free episode access, interactive q and a live stream events. Much more.

Lots of. That’s gonna be there. Uh, and, uh, that’s at patreon.com/glock flecking, or you go to our website, glock flecking.com. All the information’s there. Thank you for listening. We are your host, will and Kristen Flannery, aka the Glock Flecks. Special thanks to our guest, Dr. Ronna Agich. Our ex executive producers are Will Flannery.

Kristin Flannery. Aron Korney. Rob Goldman. Shanti Brooke. Our editor and engineer is Jason Portis. Our music is by Omer bin. To learn more about our Knock-knock highs program, disclaimer and ethics policy submission verification and licensing terms and HIPAA release terms. I’m getting better at saying that quickly.

Mm-hmm. Yeah. Uh, you can go to glock plein.com or reach out to us at Knock-Knock high@human-content.com with any questions, concerns, or fun medical jokes. Always need more jokes. Kristen told me recently that mine are getting stale, so, so please help me out. Knock-knock High is a human content product.