Transcript

[00:00:00] Today’s episode is brought to you by Microsoft dragon co pilot, your AI assistant for clinical workflow. Learn about how dragon co pilot can transform the way you work stick around after the episode or visit AKA dot Ms slash knock, knock high again. That’s AKA. Dot ms slash knock, knock. Hi. Hello, everybody.

Welcome to knock, knock. Hi. With the

glockens. I am Dr. Glaucomflecken, also known as Will Flanary. I am Lady Glaucomflecken and also known as Kristin Flanary, former all star cheerleader. Very relevant to this conversation from Dublin, Texas. We were just talking about. Uh, proper cheerleading for, you know, Texas is cheerleading country. So don’t make fun when you say you [00:01:00] were an all star cheerleader.

You mean like among, like who was in competition for being an all star other cheerleaders from your town? No, so there’s this, uh, I really don’t want to get into all this cause it’s been so long. I’m going to get some details wrong, but there’s like an organization that a regulatory body, I guess for cheerleaders.

Yes. And they go around and they would come in in the summers and like teach us, um, the next season’s like choreography and cheers and chance and whatnot. And so they really saw your talent. Yes. I was a very good cheerleader. I believe it. I mean, you were good in gymnastics. You were very, you know. Could do the splits really well.

I had very good form. And I had power. That’s where everybody always underestimated me because I was tiny. But my voice had power. My tumbling was power. Like, I was just powerhouse. You were [00:02:00] also the one that got flung up into the air. No, they tried to. They wanted me to be the flyer. Yeah, that’s why they wanted me to.

But I was like Too scared and shaky at the time I had like, I, I didn’t realize that I did, but I had blood sugar issues and so I was shaky like all the time and then I, on top of that, I was nervous to, but you weren’t flinging other people up. No, I was tumbling in front. Oh, I see. I was a star Tumblr instead.

You’re doing flips and turns. Which to be fair, like other people can be the flyers and I really was the best Tumblr. So that made sense. Do you still have any documentation of your wins? Hmm. Of your accomplishments? This was before the days that everything was documented on photo or video. You don’t have a plaque?

I might have like a star on my letter jacket or something. Oh, you still have the letter jacket. Somewhere. My mom kept it. Oh, I know exactly where it is. It’s in our, it’s in our garage. [00:03:00] Is it down there? Yeah. Yeah, we could check. I don’t know. I’m going to wear it next episode. I’m going to show up to our studio.

This is how small I was. Okay. Like I’m not, it was a baby’s exaggerating our 10 year old put on my old cheerleading, my varsity cheerleading uniform for the Superbowl. Yeah. She’s 10. Yeah. And she, it fit her like a glove. Yes. It fit her perfectly. I was freakishly tiny. You were like four foot nine as a high schooler.

Hmm. Good question. Maybe not quite that short, but I was also just like, yeah, you’re just very, very, very slight. Yes. Slight is a good word for it. Yeah. All right. Well, now we’ve gone through your history. Uh, this is not, this is, you brought it up, I love that I can still learn things about [00:04:00] you all these years later.

Yeah. Yeah. So like, there’s just, you know, so many things. You don’t know me. You know, I was in Boy Scouts.

Were you forced to be? Yeah. Yeah. There it is. I was a Cub Scout. Oh, Cub Scouts. Yeah. Wasn’t that the same thing? Unless for like the little guys. Yeah, I was like in elementary school and I think maybe even junior high. I never got up to we blow. I believe it I was not I didn’t have any survive enough survival skills.

No, you do not I did the pinewood derby That was the cars the cars. Yeah, that was popular. Yeah in the day. There was a big if they still do that I think there’s a big scandal in in our troop because uh, somebody Won but had their dad do all the work in building. Oh, yeah And word got out And that was, that was, [00:05:00] uh, scandalous and the cub scout community down there.

Don’t be Southeast Texas. All right. Well, I said, not planning on going into the whole thing about all this. Uh, I do have a, a life update for you. So, and, and the listener slash viewer, we, I talked several weeks back, probably like two months ago now about how I’m compensating our daughter. Yes, for basketball, monetary compensation.

So she was in rec basketball last year as a third grader and just had trouble with motivation. Just didn’t want to, I don’t know. I could tell she wasn’t trying real hard. So this season is the first time I’ve done this as a fourth grade. I was like, okay. If you’re going to do this, this, and this, I will pay you X amount for each thing.

So like rebounds, rebounds, assists, points, you know, whatever goals, uh, uh, or field goals. And, and field goals, they call them field goals. What you shoot, [00:06:00] uh, you, you make a basket from the field. It’s a field goal. Yeah. You think I don’t know? No, I think you’re make a field goal. Field goals are in football, yes, but field goal, a field goal.

I’ve played basketball. I never heard that term. Look at a box score on a basketball game and you know what you’ll see? A box score? Is that what you said? Okay, you don’t even know what a box score is. No, I don’t. So. I’m not, I’m not into like the. Anyway, a basket from the field. Stats of it all. From the field, from the court.

Okay. It’s a field goal. As opposed to what? A free throw? Okay, a field goal is a field goal attempts. And that’s your, that’s your field goal percentage. Okay. It’s a thing. Is a layup considered a field goal? What is not considered a field goal? They’re all field goal. That’s just, you make it stupid. All right.

Anyway, anyway, so, so I, I didn’t know like how populous would be with our daughter, [00:07:00] but she has recently just like gone bananas with, with. With effort with, with filling up the stat sheet and so far for the course over the course of the season, which is like eight weeks, like eight games or something, uh, and we have one week left.

I am currently out, um, 58. Yeah. So. And it’s like 50 cents a rebound. I give her like a one, a dollar per bucket. Yes. Do you understand the field goal? Do you understand the word bucket? Yes. Why are there so many names for it? There’s just like slang terms. It’s just like, you know, colloquialisms. Okay. Anyway, I, I would, I did not expect it to.

So anyway, I’ve got to put your money where your mouth is now. Pay out. It’s going to be. And you know what? This last week has two games as a tournament. I know, I know, I shouldn’t get up to a hundred. Oh, no, don’t tell her. She’ll try to, uh, [00:08:00] and I told her like, if you score. Five buckets, I got, you’ll get like a 20 bonus this past week.

She went out and scored seven. She sure did speaking of power. She has power. She does. She, she, she Chuck, she’s a chucker. She’s a trucker. We got to work on that, but she can’t shoot it from further out than any of her teammates. She’s strong. Yeah. She’s strong and she can run fast. So we’ve been, I’ve been teaching pretty tall.

I’ve been, I’ve been teaching a soft touch around the rim, like layups. We’re, we’re trying to like. Like it’s okay to take it, take it, take it back a notch. So, but anyway, the point is, um, bribery works, bribery works. It really does. This, if you have a kid that’s motivated by bribery, which I think pretty much all kids are to a certain extent.

Uh, and now she’s a professional basketball player. I was going to say like, to what end, like why, what lesson will she have learned by this bribery? You know, I don’t know. Like, [00:09:00] uh, Or is it just for your own ego? No, no, it’s not at all. Like I, I want, I wanted her to, to, cause I know that she has like talent, like she’s athletic.

Right. And I want her to be able to see what happens if she applies herself. And not only has she like made the money, but I have heard no complaining from her all season. Yeah. Which is a huge, um, like last season halfway through her entire life. So far, halfway through it was like dragging her feet, crawling on the ground.

She didn’t want to go to practice, but now it’s like, she doesn’t get money for practices, but she enjoys going to practice. So I think it’s like, it’s. Tricked her brain into like enjoying basketball, but certainly the money helps. And after each game, she’s like, how much money does the first thing she says, how much money to make, but she’s also out with me.

She asked me to go out and practice and shoot baskets with her. Like she’s, she’s showing [00:10:00] interest, putting more effort into it. So, I mean, yeah, there’s some lessons that are like, you know, if you. Maybe it’s like, if you work hard enough, you’ll make more money. I, I, like, I don’t know if that’s great to, to teach her anyway.

I mean, there is something to be said for work ethic. Sure. But, uh, but then like expecting money for doing anything. Right. That’s kind of the backfire. The other day, the other day I was like, asked her to, to pick up something. She left a mess. She was like doing her nails or something. I told her to pick up.

She was like, how much money are you going to give me? Yeah. And I was, I was, I had my best, like astonishment face on nothing. You don’t get money for that. You just, you clean up after yourself, be a human being, be a member of this family, all that stuff. So, uh, it’ll take some time, but we’ll figure it out.

We’ll figure it out. All right. I have a quick healthcare [00:11:00] news for you. Okay. Uh, this is great news. It is really good news. Elizabeth Holmes. The disgraced CEO, former CEO of Theranos, remember this story kind of, yeah. Um, so Theranos, she like raised defrauded investors and, uh, defrauded patients, uh, of, uh, surrounding this company that, uh, I guess she, what she said, what she claimed was that.

She, you could do like all this blood testing with a very small amount of blood, like a pinprick, as opposed to vials and vials of blood, uh, which would, would be a quote unquote game changer and change health care forever and all this stuff. She raised like a hundred million dollars or something, uh, defrauded.

It was all a scam. Uh, and, uh, she got sentenced to 11 years in prison. The ninth circuit court of appeals just upheld her conviction. Okay, great. All right. A scam artist off the streets. Yeah, there you go. [00:12:00] Fantastic. Good. That’s my health care news for you. Okay That’s it. That’s all I got so There’s other stuff, but I thought that was interesting something we haven’t talked about yet.

Take a take a break from united healthcare for once Yeah Although there you go mentioning it again. You just can’t Go into it. All right, just you know, that’s that’s maybe when she gets out of prison they’ll hire her. Um Yeah That might be, I think maybe part of her, her conviction is that she’s not allowed to like lead a public company for a X amount, like ever, I don’t know, but Hey, I wouldn’t pat maybe as a, maybe as a medical director, they’ll hire anybody for medical, you don’t even have to practice medicine anymore.

These days you can even be head of the HHS. I mean, you could, I could do, you could do anything. Uh, that’s, uh, okay. That’s all I got for healthcare news. Do you have any healthcare news updates? You try to stay away from healthcare news. I try to news in [00:13:00] general, actually. You get enough of it from me. Yeah, I do.

Like, you hear, you hear about it. If it’s important enough, that’s the thing. If it is important enough, I hear about it in other ways. Like, just getting it on the, on like TV or social media is just depressing. I don’t like it. Who watches TV news anymore? My parents. Laughs. I can’t tell you last. Sometimes they fall asleep in front of the TV and when they do, I go in there and I turn it way down.

do you remember the ? Because I re I because that they used to be all, all like when we were kids, that was the only way you get news, like evening news. Do you remember your local news anchors? Well, my local quote, local news anchors were from two hours away. Right. But do you remember like other names Indelibly described into your memory?

I bet if I heard it again, it would. Trigger it, but I can’t just come up with it right now. The only one I remember was Dominique Soxa. Well, that’s a memorable name from, from Houston. Yeah. Cause she was super hot. [00:14:00] That’s predictable. Like, that’s like a thing in Houston. Like, Oh, okay. Yeah. Like everybody knows Dominique Soxa.

Right. She’s like Fox news anchor. Yeah. For like local news. Well, there’s the one and only thing that you probably have in common with Beyonce. I bet you both know who that is. Dominic socks. Yeah, she grew up in Houston. Yeah. About the same time. Are we? Is she, is she a millennial? Yeah. She’s a millennial.

Yeah. Yeah. That makes me feel old. Right. I’m pretty sure she is. You want me to look it up? No, it’s okay. Okay. Well, someone will tell me if I’m wrong. They always do. That sounds about right. That sounds about right. I’m sure she’s probably like late thirties, early forties. No, I think she’s in her early forties.

Early forties. Yeah, 1981. Oh. So she’s like. Elderly millennial. Yeah. Like the eldest. I think that’s. Queen millennial. Mm hmm. Right on the border or some people would call them Gen X. All right, let’s take a break, [00:15:00] then we’ll come back and I have, uh, a debate. Okay. And then we’re going to choose a crew to, um, uh, an ocean, oceans, 11 style crew out of my characters.

That’s going to be toward the end of the episode. Uh, but we’ll come back. Dominic socks. I get to be the lady. We’ll come back and, uh, and I’ll, I’ll bring up a, an ongoing debate on social media. Okay.

Hey, Kristin. I’ve been grossing you out about these little guys, Demodex mites for months now. Yes, you have. Thank you for that. Well, good news. I have more facts to share with you. Oh, great. Yeah. These mites have likely lived with us for millions of years. Passed down through close contact, especially between moms and babies.

You know that? That’s very special. Yeah, they’re, they’re born. They live, crawl around, and die on your eyelids and in your lash follicles. That’s lovely. The entire life cycle from egg to adult lasts about two to three [00:16:00] weeks. That whole time, they live right there on your eyelid. That’s, um, making me itchy.

It is fun to gross you out, but we do all have these. All right. It’s really common. It causes a disease when there’s an overgrowth of these mites called demodex blepharitis causes the eyelids to get red, itchy, irritated. You get this crustiness to the eyelids, but I have really good news. This is actually really good news.

Okay. We have a prescription eyedrop for this. Okay. That is, that does make me feel better. Visit mites love lids for more information about demodex blepharitis and ways we can treat it. Again, that’s M I T E S. L O V E L I D S. com to learn more.

So this is a thing that, that comes up like probably every like six months on like the medicine channels, like healthcare related, usually it’s physicians [00:17:00] really. Um, and it’s like one of those things, like we were really good. At physicians, I mean, at distracting ourselves from like actual important things to like, so we like come up with these things that really, like, honestly, it don’t really matter.

I think they don’t really matter that much to do a lot of like policing each other. Yeah, that’s exactly right. We love to police each other. Yeah. I wonder what that’s about. Like, I don’t know what that is. We’re all, we love like it, like we’re our own worst enemy. Yeah. Like, uh, Try to get all physicians to come together on one particular thing.

And it’s like impossible, even united healthier. You know, health care is like the one thing that unites us all, but, but like the day to day, like how to make a doctor, like, especially opinions about medical education and resident training is all over the place. So this one is, which I got, I got swept into like most [00:18:00] recently, I just like posted one thing, but, um, it was, it’s about whether or not.

Med students should be doing night shifts. Oh, so Brian Carmody, somebody, he’s a pediatric nephrologist who I, we’ve never had him on the podcast. We need to get him on, but he’s, I, I, I quote him in when we have these discussions, I think fairly frequently because he does a lot of work on like. Trends in medical education, he’s talked a lot about like step scores and like, you know, he does a lot around the match and like which specialties are getting more popular, which are getting less popular stuff around.

Is he kind of like IMG? Statistics in medication? Yeah, it’s like statistics ish. Like, it seems kind of like a hobby for him. Yeah. Um, I don’t know. Like baseball, but for medical education. Yeah, but he’s really good. He has a lot of really great insights. Um. I think, I know he’s on on X. I may have followed him when he was on Twitter, uh, when it was called Twitter.

But, um, so he posted a [00:19:00] thing that a graph that was showing that, uh, the trend is, is, is a downward trend for med students requiring or med schools requiring students to do overnight shifts on rotations. Which is, it’s like catnip for, for, it’s like you put something like that out there. Oh, everyone’s going to have an opinion.

Myself included. Yeah. Does it, does it break down predictably in any way? Like, is there a, no, it’s just like generally like, it’s, it’s been really a downward trend, I think, since like work hour restrictions were instituted. I mean the debate, like, does it, does it break down by demographic or anything like that?

Like what are the, what are the fractures? Gen X. Like age older millennia when you were trained and what it was like when you were trained. Yes. Absolutely. So here’s my thoughts. [00:20:00] I’m going to give you my thoughts. I’d love to know what your thoughts are. Um, so the arguments go like, okay, here’s the argument that’s like against.

Making students like work, usually it’s like in the context of working 24 hour shifts that it doesn’t, when you’re that tired, you don’t actually like learn things as opposed to residents who are, they’re like workhorses, like you got the work has to be done overnight. Like someone’s got to see patients.

Someone’s got to write the notes. Someone’s got to do the consults. And often that’s going to be a resident. So we’re not talking about residency education. We’re talking about med school. Well, and I will just point out, sure, someone has to work overnight, but then that means that that someone should be able to sleep in the day.

They shouldn’t have to work overnight and in the day. So that’s a whole different discussion on whether or not, like anybody should be working 24 straight hours. Right. When it comes to like meds, med students, you know, the [00:21:00] argument against having them do like night shifts is like, it doesn’t, it doesn’t, they’re not learning anything.

They’re not learning anything. It’s, uh, it’s not necessary for, for becoming a physician to learn how to practice medicine. Um, it’s. There’s just not as much value in it. And it’s more of like a, of a, um, uh, an abusive type thing. Like we’re making them do this. They’re not getting paid, they’re paying, you know?

So that’s, that’s the argument. And I’m not saying I, I endorse all of those arguments, but that’s what you hear. And the argument the other way around for like, yeah, med students should be working overnight is because like, well, that’s half of medicine is happening at night. You see things at night that you don’t see.

Otherwise you’re up, you’re working, you’re seeing the work being done in a more resource poor type of environment. Wait, what do you see at night that you don’t see otherwise? [00:22:00] Well, that’s, that’s when I, it’s not that you won’t see like certain emergencies at night, but it has a different context, there’s less help around there’s, um, it’s more of a bare bones team.

Uh, you’re, you, you build a little bit different camaraderie with your, with your, with your coworkers and, um, and so, and it’s just. If you’re also doing nights, then you’re, there’s just more time for you to, to experience things. Yeah, sure. Seems anyway, those are all the arguments. Okay. All right. So, so here’s, here’s my thought.

I actually do think med students should be doing some night shifts. Okay. There’s in my mind, there’s no reason a med student needs to work more than like 14 straight hours. Like why? Cause aren’t they supposed to be [00:23:00] like. Studying. Well, they gotta be studying. Exactly. They gotta be reading. They gotta be studying.

They gotta be learning. They gotta be able to pass their exams. All those things that, that residents, although they also have exams, there’s a different focus for residents. Med students, it’s more like understanding the medicine, understanding the pathophysiology, the knowledge. Yeah. Which. I think you would get a lot more of that type of not education during the day when you have all your attendings at night, it’s more flying by the seat of your pants, you’re just trying to get the work done.

And so I do think there’s limited usefulness for a med student working at night, but. I do think they should be working a night just to see what a night shift is like. Yeah. What if you had like you had a way rotations where you went? So what if you had like a night rotation? Just one rotation that you can experience all this.

Well, that I was saying is like, yeah, okay, so let’s, let’s, let’s make, let’s have students work [00:24:00] a night shift, work eight hours at night, but then give them the day off before and the day off after, like, why, like, they don’t have to work 24 hours like a resident does to work at night. You see the process of a hospital and what that looks like at night.

And in my opinion, and this is the point I made, I was like, you, you can, you can learn to understand what other specialties go through. So let’s say a med student is going into internal medicine and they’re on a surgery rotation, have them do a night shift on surgery so that they know, oh, this is what it’s like for a resident who’s a surgical resident on a 24 hour shift.

Maybe you’ll be a little bit more compassionate toward that person. Whenever you’re in attending, when you’re a resident and you’re consulting a surgery, surgical, so just like helps us to understand each other better. Okay. I put that thought out there on on X. No boy. And like, of course, nobody’s talking about my point.

[00:25:00] It’s like now every like the hundreds of comments and they’re just going on their own. Yeah. Like, well, this is what I think this is what I think exactly is. It’s like I had to mute the whole thing. And this is why I don’t really go on X anymore because it’s just, it, it was, it was he did, but, um, that’s neither here nor there.

It’s just, I’m just mad about it because it used to be fun. Um, so anyway, it’s, I think there is, students should be doing some work at night just to see what it’s like. But it doesn’t have to be associated with like this. Yeah. It’s like anything else. Why are we so extreme about it? Why does it have to be all or nothing?

Like they’re gonna, they’re gonna do, they’re going to do the sleep deprivation. Like they’ll get there. They’re going to do it in residency. And that’s the argument. A lot of people say like, well, this is what medicine’s like. You got to learn how to work. Yeah. Sleep deprived. Well, that’s what residency’s for.

Right. Like we’re talking about med students. Also. Why, why do you have [00:26:00] to learn how to work sleep deprived? Why do you all have to work sleep deprived? Because we’re all, we’re all short staff. We don’t have enough doctors. Yeah. So let’s fix that problem. Rather than argue about. No, now we’re like, this is only supposed to be like a 45 minute podcast.

Kristin. Yes. These are all, these are all related. My point is like. Like, let’s just let them suffer when they’re going to suffer, like, why move the suffering up? And it’s not like they’re going to get into residency and students are going to be like, Oh my, I had no idea that they had to work this many hours.

You see it like, as a med student, you’re seeing, you’re watching everything, right? It’s like you’re a little kid watching their parents, like, you know, you see what’s happening. And so like the example I gave is that. As a med student on a night shift during surgery, I watched as this chief resident was operating all night and then fell asleep during the middle of a note [00:27:00] at the computer mid sentence, typing, stop typing, I looked over, she just, her head’s down and she’s literally asleep.

Like that left an impression, I didn’t need to do that. I don’t need to be that person. I don’t need to be that sleep deprived. Right. All that did was turn you away from surgery. Well, it’s like either that’s going to turn you away from surgery or you’re going to be like, man, look how hard that person’s working.

Like, I want to do that job. I want to be operating all night. Are you, is there anyone that’s going to come to that conclusion? Crazy people, Kristin. Yes. I don’t know. I don’t know. It certainly left an impression on me. And that’s not the case everywhere that, I mean, maybe that, maybe she had an narcolepsy, I don’t know.

Anyway, I don’t know. It’s just like a, and it’s an annoying topic because like what’s, I don’t know. It’s why are we arguing about medical, like med student education? Like they’re paying to be there. Let’s like give them the tools to like learn how to be a doctor. I don’t think that [00:28:00] includes making them stay up all night.

Yeah, I agree with you anyway. I have, I mean, you know, you can tell us what you think personally. I’ve been preaching it to you since you were in med school of why do these people treat you guys this way? And aren’t you supposed to be the ones that know how the body needs to be healthiest? Like, why are you doing these things to your bodies?

You’re going to get it in residency. You don’t need it in med school. I would argue, don’t even need to do it at all.

Now that we can disagree about a little bit, because I, you know, In the way that it is currently done. Of course, someone has to be working at nights, but again, name other professions. There’s not very many where they expect their workers to be there day and night without breaks in between. I know even pilots have hour limit.

I mean, we, that’s why we have workout restrictions. So it has gotten [00:29:00] better. Yeah. But it’s, you know, like people’s lives are in your hands. I don’t want you to be sleep deprived, whether or not those work out. Restrictions are followed. Yeah, it’s another thing. I don’t know. I think it’s just, I get that.

There are like logistical issues that result in this. That’s the issue. But again, let’s focus on fixing the logistical issues rather than just arguing with each other about who needs to have it the worst. We’re so good at that. You love it. We’re so good at distracting ourselves in that way. And you turn on each other rather than uniting against the actual problem.

It drives me crazy. Oh, we’re Well, like we could, that’s whatever the opposite of a Nobel Peace Prize is. That’s what we would get as a physician community. Like, imagine if you all came together and said, no, no, it doesn’t need to be that way. Here. We are working in medicine. We can’t all [00:30:00] agree, but you can agree that these.

Issues are not as important as what is causing them to deal. Yes. Ideally, we would see that what the underlying issue is that’s leading to us having this conversation and then work to make the changes necessary to make our lives better. But that would require all physicians thinking outside of themselves.

We’re not good at that, Kristin. Well, I’m going to hold my tongue right now. We struggle, we struggle with that. I’m just saying, no, I’m making physicians sound like they’re, they’re all selfish pricks and just some of them are, but it’s, I think there’s, I don’t, I don’t honestly know why, because you see this, it’s so hard to get us to come together.

uh, because we, [00:31:00] uh, to, to unite for certain causes and, and yeah. And that such change in healthcare, that is such a shame because if you did all come together, imagine the power you would have to make change for the better. I think that’s what the a MA is supposed to do. That’s a whole nother thing. Like no one can agree on how best to, to do that.

What change to make, what, what change to make. Um. And, and obviously this gets into politics because it’s, you know, there’s a wide range of politics among physicians, uh, and among and even just in different states, like physicians in one state have different limitations than physicians in others. Well, we’re not going to solve it today.

Any other arguments you want to hear about from the physicians like to complain about to each other? I just want to know, you know, what is more interesting to me about this is like. Clearly that argument, you said it happened on X or Twitter, [00:32:00] um, where, but the med Twitter community has really dispersed, right?

A lot of them are on blue sky. Yeah. So I’m just curious about like, Hey, where, where are we going guys? Like where’s med Twitter these days? I don’t, I think it got all split up. It’s all divided among all the different platforms now. One, one other, I think one thing that tipped off this particular argument was that there was like a, a med student.

I think it was a med student or maybe an intern that like said something about how, you know, med students shouldn’t be. You know, compelled or, or forced to like work overnight. And that’s usually how these things start. It’s like somebody with just who’s in it, but maybe doesn’t have like the years of experience.

Yeah, yeah. And then people take more advanced people want to say, [00:33:00] let me tell you little man. That’s exactly, that is exactly right. Yeah. And so that’s, that’s also a problem is that, as you guys are supposed to be mentoring them. Correct. We don’t, I don’t think we do a great job. Of sticking up for the next generation, trying to make things better for the people that are coming up after you’re passing on a lot of trauma.

Well, there’s just love intergenerational trauma. Yeah, there’s still terms of there’s still way too much like this is was hard for me. It needs to be just as hard for you. Yeah, because if it’s not, if it’s not just as hard for them. The next group, then why did you have to do it? Then it makes you face your own trauma in a different way.

Like, Oh, that wasn’t necessary. And that was really bad that that happened to me and now I don’t know what to do with, with those feelings. So I’m just going to pass them on. Not great. Nope. All right, let’s take one [00:34:00] more break. Well, we’re real uplifting today. Well, I got something fun next, all right? So we’ll finish off on a, on a high note.

Let’s take one more quick break.

All right, here we go. I thought why, what we could do is, um, you know, the movie Ocean’s Eleven. Yeah. Is that, that’s a millennial movie. Probably. Like our kids wouldn’t. I don’t think they know what that is. So should I tell people what Ocean’s Eleven is? Well, I don’t, I think a lot of our listeners are millennials.

It’s a heist movie. It’s a heist movie, right? Uh, Brad Pitt, George Clooney. I did see that one. There’s a lot I didn’t see. I did see that one. Okay, good. So what I thought would be fun to do is let’s put together a team made out of my characters. Okay. Based on like the oceans 11 cast, not the cast, but the, the roles, the roles, the characters.

Yes, exactly. Uh, but fill them out with my characters. Okay. So first of all, um, I thought that like, what are we stealing? That’s what I was just going to ask. So [00:35:00] at the stage we are, we are stealing, um, documents. Okay. From the depths of United healthcare. Okay. That would ruin the company for good. Like they, it would, it would make them go away.

Like United healthcare was responsible for the JFK assassination. I don’t like whether or not that would actually do it. I don’t know what it would take. I’m struggling to think of anything that would, if, if AI doing prior authorizations is not enough, like what is, or no, not prior authorizations, automatic claim denials, right?

I don’t know. Well, let’s assume there’s some smoking gun that if we stole it. No more United healthcare. All right. So first the ringleader. I’m going to tell you what I what I wait. Let’s say what the roles all are. I don’t know what. All right. So we have the we have like the mastermind behind the plan. So the George Clinton, the ringleader, then you have that person’s number two, like the partner in [00:36:00] crime.

They’re like right hand man. They’re Brad Pitt. This is the Brad Pitt character. Um, and then we have the financier. Okay, person bankroll in this whole thing, we have the inside man is always somebody that’s kind of on the inside, right? Yeah. So Bernie Mac was the, was the inside. He was the dealer at the, he’s kind of like on the inside, right?

Um, we have like the dirty work guy, the mechanic, it’s kind of like, you know, the handy guy, the handy guy, he’s like, he’s like going through the sewer. If he needs to do, we’ll do whatever. He’s just like, this is kind of what he does as odd job type of person. Uh, we have electronics, surveillance, explosives.

I know who that is. There was, then also there’s like the, the athlete acrobat guy. Oh yeah. There’s that, that Asian guy in the original Ocean’s Eleven, right? He was like, he was a gymnast. Yeah. All right. So we have that, that, that role and then the pickpocket. [00:37:00] All right, who was the pickpocket? I can’t remember Matt Damon.

Okay. What about the there was a woman? What about Julia Roberts? That was oceans 12. Really? Yeah. Dang oceans 11. She was just like the she was the ex of yeah George Clooney. Yeah, she didn’t like really didn’t have a role like she was just there for you know to be the token woman Okay. All right. So ringleader.

Here’s what I got. Okay emergency medicine because you need You need somebody who can, who’s good at interacting with different specialties so they can manage everybody else. There’s a general contractor. Yeah, right. Right. Um, uh, so that’s, so we’re going to have emergency medicine who’s, who’s in charge of everything.

All right. Okay. Number two is going to be someone that works really well with emergency medicine is always there who like, they just, they can, they can. They’re on the same wavelength. Okay. Is that ortho [00:38:00] trauma surgery? Oh, of course. Yeah. Trauma is always there. Always hanging around. Yeah. They, they, they feed off of each other.

They both have like the adrenaline thing going, but they do slightly different things. All right. Trauma surgery makes sense. The financier. So I went and Googled the highest paid specialties. Who do you think it is? Um, gonna be a surgeon, a surgeon, uh, ophthalmology neurosurgery. Okay, but yeah, well, I was thinking of road, right?

Radiology, ophthalmology. And I see you’re the only surgery in there. I’m not good enough with money to figure out how to finance this kind of thing. Ophthalmology is wife. We’re gonna say, we’re gonna say neurosurgeon. Okay, he’s bankrolling this whole thing. All right. The inside man. Come on inside, man.

Well, at UHC, that’d be Jimothy. Jimothy. Yeah. Jimothy’s our guy. He’s feeding us the, the, the inside [00:39:00] details, how to get into the building, where the, where the documents are kept. Yeah. Absolutely. Jimothy is in on it. He was, he’s, he’s the one that told us it was there to begin with. That’s right. The, uh, yeah, he came to us with the, like, you got to do this.

This is the spoken gun. This will get rid of, this will take care of UnitedHealthcare. All right. So the, the, the dirty work, the person is kind of just does everything, knows how to do everything. I got family medicine. Oh, yeah. Family medicine. For sure. They’re just all like generalists. Yeah, generalists. Uh, they could do a little bit of everything.

Uh, also people just want to like dump things on there. They do crawl through the figurative sewers of healthcare. Exactly. Exactly. All for family medicine. We love family. But they’re also the more some of the most beloved, like in the original ocean’s 11, that was a Casey Affleck and his brother. Yeah, they were kind of.

They would fight each other all the time, but they were like, they’re fun. They’re fun. Um, electronics, surveillance [00:40:00] camera. I mean, that’d be radiology. Yeah. Got it. Absolutely. Perfect. Explosives. See, I would think ortho for that because they want to know they want to just bank. How do you make bombs? How do you make bombs?

Chemistry. Oh, chemistry. Well, anesthesia, anesthesia, chemicals. You don’t think author would like to blow things up? They would love to, but they’re, I don’t. You don’t see them making them. I don’t think that I don’t see them making them. Like they’d love to explode the bombs, detonate the bomb. Okay, that’s they’re not gonna, you know, they don’t have the patience for that.

They don’t have the patience for that. Um, but we do have the athlete acrobat. See, I would have put that as emergency probably. But, um, have you ever seen a non strong orthopedic surgeon? Like they’re always very physically counterpoint. You joke all the time about how they’re huge, got huge muscles. Yeah.

This [00:41:00] is, this requires a tiny person. Well, I don’t think it’s, it’s not necessarily, I think they’re just physically very strong. Okay, but. They don’t have to have big muscles. You need agility as well. Who would you recommend? And grace and precision to be an acrobat. Who would you recommend? Who would I recommend?

That actually sounds kind of like an ortho, an ophthalmologist. Maybe. At least for the hands, uh, the rest of you, no, but plastic surgery, plastics. Okay. Plastics would be a good option. Yeah. Cause you, you need somebody who is both things who is strong, but also, yeah. All those other things. Okay. So maybe OB OBGYN.

Yeah. I could see that it’s a good, uh, it’s a good idea. And then finally we have the pickpocket, pickpocket, Jonathan, hospital admin. So I, here’s what I wonder. They’re, they’re, they’re surprise. It was a surprise edition of the cast. They come in, they come on screen. You’re like, [00:42:00] whoa, admins a part of this crew turning over a new leaf.

Maybe. But then they did, but then that’s the person that’s going to double cross them later. So got it all in the head. That makes sense. So then I guess that leaves Jonathan as the treasure that you are going in to extract. The smoking gun. Oh, John, like it’s a person who knows all the things. Maybe. We got to find a.

Jonathan, I know we gotta find something for Jonathan. Maybe he comes in as in the sequel and he’s the love interest. Jonathan could go to a lot of different directions with we could get like some of the subspecialty internal medicine, but the thing is, but internal medicine doesn’t. Intensive is maybe, but like hospitalists.

I don’t think they’d be good for this because you got to think fast, you gotta act quickly, tread carefully. Well, what are you saying? Oh, no. And [00:43:00] I suppose they’re great at thinking like they’re the best thinkers out there. But they don’t think fast. Oh, okay. ’cause they wanna, they wanna consider it from all animals and beta.

Yeah. They don’t, they act, they don’t act quickly. Okay. They’re rounding for four hours. Right. You can’t like, you can’t just sit there and think about how they’re gonna do it for that long. It’s internal medicine and hospitalist are those. It’s synonymous. Internal medicine isn’t, I think, be a hospitalist of any.

Not any but many. No. When you say hospitalists, it’s basically like a general, general internal medicine uhhuh that that works in a hospital that does hospital medicine. So they’re kind of like, it’s, it’s like almost like a square is a rectangle. Yeah. So in like internal medicine encompasses all the different subspecialties within internal medicine.

Hospitalist is specifically like general internal medicine. Okay. Not a subspecialist. Got it. That’s, that’s my, what I think of when I think of hospitalists. So anyway, that’s my team. What think we’ll succeed? I think it’s good. Yeah. Okay. Good shot. [00:44:00] Although we do have a disagreement on, we, we had, or you put a ortho, I put OB for the athlete acrobat, which if we’re not doing ortho for that, he does need a job, so.

Okay. You have to think about, think about that one. All right. You guys let us know if you have any suggestions, any changes that you’d make to that. Um, I think, I think he’s the one blowing up the stuff. He gets the bomb after anesthesia makes it, he. So as a tag team situation, he places the bomb, I guess, or he pushes the button.

Ortho gets to push the button. Yeah. There’s no specialty I can think of that like, or is like ortho is the, um, what’s the thing also anesthesia. Like they’re, they work really well in a very chaotic environment. Like explosive so then ortho is just the thug he comes, he’s, he’s the watch out guy that knocks people over the head if they get too close.

Oh, he’s, he’s, he’s the, [00:45:00] the muscle. Yeah. He’s the muscle is the muscle, but that doesn’t, that’s not like in, in these storylines, it’s, it’s, you, you H C that would have the muscle that you got to take out and ortho is not the bad guy. So I don’t know. I don’t know how ortho exactly would fit. I mean, you don’t have muscle of your own if you’re the like.

The guy sitting in the truck with the computers, like they don’t need a lookout guy. Oh, because yeah, see, maybe, but I don’t know is that you don’t really see that because they’re trying to be stealthy. They’re not trying to have like big giant muscle. You guys out. Well, you gotta be stealthy. Sure. I can tell you haven’t seen that many videos.

Heist movies. I think it’s an oversight is all I think in real life, you would need some muscle. How much money is this making? Oh, five bucks.

I guess the question is, are all these characters my face? I mean, because then probably not that much money. I [00:46:00] don’t need anybody that could watch me for two straight hours. Let me tell you, 90 seconds is plenty, at least based on social media. Yeah, well, you’ve never made it longer, so you don’t know. Uh, we should do this for other types of movie.

We could do like, uh, we could do like a, um, like a horror movie. Like, yeah, like who dies first and what ways do they die? Like, you can do it for all kinds of different movies. Oh, yeah. All right. That’s our show. That’s Glock talk for today. Thank you all for listening. Let, let us know what your thoughts are.

Uh, if you have any, um, suggestions or additions to our heist, um, cast. Yeah, you can email us not knock high at human dash content. com. Uh, hang out with us and our human content podcast family over on Instagram and Tik TOK at human content odds. Thanks to all the great listeners leaving feedback and reviews.

We love those reviews. If you subscribe and comment on your favorite podcasting app or on YouTube, we can give you a shout out like at Andrew Spoyer, [00:47:00] Spoyer, sorry, Andrew 7, 1, 8, 3 on YouTube said, I miss pink macho. You spelled I E Y E, which I really appreciate. We miss pink macho also. Come back pink macho.

If someone knows pink macho, tell her she’s missed. I hope she’s okay. Uh, full video episodes are up every week on our YouTube channel. Glockum patreon lots of cool perks bonus episodes react to medical shows and movies Hang out with other members of the knock knock high community. We’re there. We’re active in it Oh, we also did a new thing recently.

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New member shout out to Christine L and Elizabeth M. Thank you both. Welcome to our little growing community. Shout out to the Jonathans. A virtual head nod to you all. Patrick, Lucia C, Sharon [00:48:00] S, Edward K, Stephen G, Marion W, Mr. Grandaddy. Kaitlyn C, Brianna L, Mary H, Kay L, Keechie, Jeremiah H, Parker, Muhammad L, David H times 2, Kaylee A, Gabe, Gary M, Eric B, Marlene S, Scott M, Kelsey M, Joseph S, Dr.

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I tried to cut Aaron out of there for some reason. No, you cut me out and put Aaron in. Oh, that’s what I did. Okay. Sorry. Our music is by Omer Bensfield. To learn about our Knock Knock Highs, program disclaimer, and ethics policy submission, verification, and licensing terms, and oh yeah, the HIPAA release terms, don’t miss those, go to glockenflecken.

com or reach out to us knockknockhighathuman content. com with questions, concerns, or any fun medical [00:49:00] puns you might have. Knock Knock High is a human cocktail production. Hey,

Kristin. What’s up? You know what character people like the most? Easily Jonathan. Yeah, 100%. Everybody loves Jonathan. Everybody wants a Jonathan as part of their healthcare team. Yeah, who wouldn’t? Well, I can’t give you Jonathan. Well, that’s too bad. I can give you Microsoft Dragon Copilot. Okay, well, that might be even better.

This is your AI assistant for clinical workflow. It’s incredible. It helps to streamline documentation, which is one of the hardest parts of being a physician these days. It’s, it allows you to automatically convert conversations. Into specialty specific notes. That’s pretty cool. It really is. You can customize commands and templates, and, uh, it also helps you to summarize notes and evidence and just makes your job [00:50:00] so much easier by taking away some of that, some of that administrative burden.

Yeah. To learn more about how Microsoft Dragon CoPilot can work for you. Visit aka. ms slash knock, knock high again. That’s A K A. Dot ms slash knock, knock. Hi. Thanks for watching the episode. You can find more on that playlist over there. If you prefer to listen, or you just had your eyes dilated, you can binge full episodes, wherever you get your podcasts or join the party around Patrion, where you get early access episodes, hang out with us, get lots of exclusive bonus content, help you subscribe, leave a comment below, let us know what you think.