Transcript
Will: [00:00:00] Today’s episode is brought to you by Microsoft Dragon copilot your AI assistant for clinical workflow. To learn more about how Dragon copilot can transform the way you work, stick around after the episode or visit aka.ms/knock knock high. That’s aka.ms/knock knock. Hi.
Kristin: Hey Will. Hey, what’s up? I’ve been thinking the US healthcare system.
It needs some improvement.
Will: Yeah, it’s, it’s, there’s room for improvement for
Kristin: sure. Yeah. It’s a confusing, scary place for everybody involved.
Will: Absolutely.
Kristin: Physicians, families, patients, everybody.
Will: Everybody. And I’ve experienced it from both sides, right. I’m a physician, I’ve also been a patient, so I wanted to use my platform to give people practical education.
Really the only way that I know how. By making, so Dr. Glaucomflecken, really fun and super uplifting Guide to American Healthcare is Out and it’s a free resource that includes all my videos from the 30 Days of Healthcare Series, [00:01:00] alongside deeper explanations, also reliable facts. Emphasis on reliable. Yes.
All right. Uh, uh, figures, uh, numbers, insights into how each of us can fight for a more humane, better healthcare system. I. Also it has jokes. Did you mention the jokes? I did. I jokes. Okay. Yes, definitely jokes. Well,
Kristin: this guide is great for anyone looking to learn more about US healthcare, but especially if you are experiencing it from the clinician side for the first time.
That’s right. We really hope you’ll check it out.
Will: Get the free guide sent straight to your inbox by signing up for our mailing list. Glaucomflecken.com/healthcare. Enjoy.
Kristin: Knock, knock. Hi, knock, knock. Hi.
Will: Welcome everybody to Knock, knock. Hi, with the Glock and Plugins, I’m [00:02:00] Dr. Glaucomflecken.
Kristin: I’m Lady Glaucomflecken
Will: Will and Kristin Flannery. That’s right. Doing a little Glock talk today.
Kristin: Glock and talking.
Will: Got a special guest later in the episode.
Kristin: Yes, we do. Very excited. Um, but it’s our first in-person guest, I think, right?
Will: Yeah,
Kristin: yeah.
Will: For a Glock talk.
Kristin: Well, for the whole podcast, isn’t it? Oh, oh
Will: yeah. It is our first in person. In person. Yeah, that’s true. Yeah. Unless you count Milo.
Kristin: Well, sure doesn’t
Will: much. He makes up appearance. Say appear every now then doesn’t He is. He is laying down back there in the background. Um, first. A let’s talk about AI
Kristin: just for a bit.
Okay.
Will: Just for a bit. You’re like all in, you’re like, well,
Kristin: no,
Will: let’s do, let’s go. Just hold your horse. Let we basically have another employee of part of our business, misrepresenting. That’s that GPT.
Kristin: I do use chat GPTA lot, but I have concerns about AI as a broad category. Okay. Okay. Alright. Alright. I want that noted for the record.
Sure. For
Will: the record, yes.
Kristin: Yes, I use Chad GPT. I’m pretty good at it. I think you were very good. [00:03:00] I very mean there’s a bunch of people that like, so
Will: I walked into the, your office Yeah. This the other day and like all for like hours. You had been having a conversation with Chad, GPT. Mm-hmm.
Kristin: Yeah.
Will: And came out with like a strategy for our business.
Kristin: Yes.
Will: Do you wanna elaborate?
Kristin: I’m waiting for the question here. We don’t have to
Will: go into like the strategy for the business, but, but just, um, this burgeoning relationship that you have with chat GPT.
Kristin: Yeah. I mean, you know, we’re still in the getting to know each other phase. Uh,
Will: I guess I don’t, ’cause I don’t use it.
Yeah, I probably should for like, I could probably find something in my life that I need it for. Yes,
Kristin: you could.
Will: But um, actually I would say I haven’t used it because I’m, I’m gonna. Present something to you here in just a couple minutes. Oh. But why are you like having conversa? Like I don’t understand like, well, because I just ask a question and then like, what do we [00:04:00] do?
What is, what is, what should g guac and fucking do for the next year?
Kristin: Okay. You know, when you’re doing well, I was gonna say, when you’re doing research, this isn’t gonna be the greatest analogy for you, but you’ve ever heard the the term garbage in, garbage out.
Will: Yeah, of course.
Kristin: Okay, well chat gPT is no different garbage and garbage out, right?
Like if you don’t have a good prompt,
Will: right, you’re gonna get, you’re gonna get
Kristin: something, but it’s like
Will: gonna get a crappy response. Questionable. Yeah, sure. Okay.
Kristin: So the better you are writing prompts, the better answers you’re gonna get. I see. And to write a good prompt, it’s. You know, and very specific.
Okay. And sometimes you even need to like do multiple level prompts of like, give it one situation, make sure you, it understands what you’re asking. Mm-hmm. You know, then Mo then okay, now that you have that, here’s my next set of instructions. And you know, so I mean there’s a bazillion ways to do it and there are people who are much better than me at it.
[00:05:00] I’m still learning. But it is really useful in helping to. Clarify your thinking and see, you know, you can ask it things like, what did I miss? You know, what opportunities am I not thinking about or
Will: mm-hmm. I see, you know,
Kristin: what, what would a critic of this position say? Gotcha. You know, so it’s, it’s not great for just like college students cheating on papers, obviously.
Will: How much of this though, is like, you’re tired of me not talking to you very much. Mm. And so you just want a friend and you have an, you’re developing a relationship with chat GPT.
Kristin: Are you wanting this to be like a, like her or something?
Will: Does it, does it have emotions? No. Does it encourage you? Does it. Is it, is it there for you emotionally? No, but you know what I
Kristin: do that you made fun of me for once is I do try to, um, use [00:06:00] manners with it.
Will: Oh, oh yeah. Because Well, thank you. That’s, that’s really thoughtful Chad, GPT.
Kristin: No, I do.
Will: Yeah, I know. You say you use it.
I’ll
Kristin: say, please do whatever, whatever. And then it’ll do, and I’ll say thank you now because. I don’t know if this is true or not. Who, I’m not a computer scientist by any means, but I, if the whole thing is that the, you know, I don’t even know how to talk about this correctly. It’s not an algorithm, right.
It’s a model like whatever. Yeah. LLMs, like if they’re using the language that is out there on the internet, uhhuh in the world to, you know. Yeah. Come up with whatever it is that they’re gonna say or do, or how, you know, the perspectives it’s gonna take. Like, I just feel like it, it’s probably good not to introduce things that are the worst of humanity.
Right. Like, probably good to put some of the nice things in there [00:07:00] too. Right. Because who knows? Like maybe it’s using people’s, I’m sure it is. Right? Hmm. Using people’s prompts and responses to continue to train itself.
Will: Can we have it, um, tell us its responses in Gen Z.
Kristin: Yeah. Could language you could
Will: and then use that to humiliate our children,
Kristin: um,
Will: because they hate it when we use their slang.
Kristin: Yeah. Only the one.
Will: Yeah. Only the one. Okay. Yeah.
Kristin: The teenager doesn’t like that. But, uh, we should do that. That would be, that would be funny. Funny. Would be pretty funny.
Will: Alright, so anyway, uh, I have, there’s, here’s one thing that it does not do well.
Kristin: What?
Will: Comedy.
Kristin: Yes, that’s true. It’s, it’s, no, it does dad humor.
Will: So I did dabble. That’s about it. In like, oh, could Chad GBT give me skid ideas?
Kristin: Mm-hmm.
Will: Well, I have something for you.
Kristin: Okay.
Will: All right. So this is for infectious disease. Okay. Skid idea quote. Here’s the, the title of [00:08:00] the skit. This is all Chad, GBT, the Disease Detective. Okay. Fair enough. Scene and by, and it was like.
Right skits or gimme a skit idea in the style of Dr. Glock flying. Mm-hmm. Mm-hmm. All right. Here’s the scene. An ID specialist holding a magnifying glass dramatically examines a whiteboard covered with disease names and connecting arrows.
Kristin: That sounds like you sure.
Will: That a colleague walks in asking, do you ever work on anything straightforward?
Weird question. Ask that is
Kristin: grammatically awkward.
Will: The ID specialist with a gleam in their eye answers. What’s the thrill in that? And proceeds to explain a complex rare diagnosis with intense enthusiasm. Punchline, because it decided that this gets, there will be one. Punchline. Punchline. The specialist.
You think Sherlock Holmes had it easy. At least his mysteries didn’t reproduce.[00:09:00]
Kristin: That’s pretty bad. Exactly.
Will: Okay, one more gastroenterology.
Kristin: Oh boy. Okay. One of the,
Will: I don’t have a lot of gastroenterology skits. Good idea. Quote the GI guy.
Kristin: Okay. It likes to rhyme and like iterate.
Will: Scene. Gastroenterologist sits looking zen, but a little wary as they explain to a resident how to handle sensitive topics.
A colleague sticks their head in and asks another colonoscopy. Is that all you do with a dry smile? The gastroenterologist replies, yes. Just another day in the glamorous world of colonoscopy.
Kristin: That’s the punchline. Oh, whew.
Will: But it’s more than that. It’s about the journey through the intestines.
Kristin: Oh. Oh, okay.
Will: Punchline. They dramatically pull out a fiber rich snack and add. It’s the journey and the fiber
Kristin: whoof that is awful. Had to stop. There’s [00:10:00] no humor in that. One
Will: had to stop there. That’s not, yeah, it’s bad. And so pretty bad. My job is safe.
Kristin: I have a question though. You like to, to pride yourself on your acting skills.
Will: Yeah.
Kristin: This. Stumped me for a little bit. At the beginning it said that the GI doctor was looking zen and wary. So what does that face look like? Let’s see it.
Will: Zen and wary.
Kristin: Yes. Like those seem like competing conflicting.
Will: Yeah. That I, I Facial expressions. You can’t do both. You can’t be zen and
Kristin: yeah. Lemme see your zen.
Will: Nervous.
Kristin: Let’s see Your zen.
Will: Zen would be,
Kristin: that looks a little bit smug actually. That’s still pretty sm Okay. Getting better? No.
Will: Oh,
Kristin: oh. Please go to YouTube and watch these faces. If you’re listening on audio.
Will: I got, I can’t just do it. I gotta like be in the moment. Yeah.
Kristin: Right.
Will: Yeah. I, I have a process. I’m, I’m, Hey, quick
Kristin: be funny.[00:11:00]
Will: Oh, that was the worst whenever people started finding out about my social media stuff. Yeah.
Kristin: Right. That’s why I said that that’s what people do. I
Will: know. I’m telling the people, um. Is like, tell me a joke. Really? Something’s funny. Tell me. That’s why I, when I was applying for residency, uh, I, I did in the hobbies
Kristin: mm-hmm.
Will: I put like standup. Yeah. Because I was doing standup comedy at that point and I had had some minor success, very minor. And um, and I still got that. It’s like, oh, can you tell me a joke?
Kristin: Yeah.
Will: God. It’s like, what a knock, knock joke. Like what do you, I know that’s not, like, that’s not standup
Kristin: has like a whole context around it and then, and a story that you’re weaving.
Some
Will: people are like, great, like do a lot of one liner. Mm-hmm. That’s like not my, like comedy. Yeah. So it’s, it’s really annoying.
Kristin: Yeah. Don’t,
Will: don’t ask people to, so the takeaway here
Kristin: is, is you can’t do jokes.
Will: I, I can do. No, I’m not, I’m not like a dad jokey type person. Yeah. I don’t [00:12:00] know. Maybe I should be,
Kristin: I don’t think I’ve ever heard you tell a straight up joke.
Will: No.
Kristin: Well, in your standup, I guess there are jokes that feels
Will: like real, very old fashioned.
Kristin: Yeah.
Will: It’s like I, whenever I’m seeing patients in the clinic, like they’ll like, tell me a joke. Mm-hmm. And it’s, it’s like it’s,
Kristin: is it because they know you’re into comedy? I don’t
Will: know for sure what cringe is, but that, that’s the feeling you get.
I know. That’s, I know that’s it. Is being in the exam room and like hearing like a set up punchline joke.
Kristin: Yeah. From
Will: a patient.
Kristin: See that feeling? That’s what you’d like to do to our daughter.
Will: And then I, yes, exactly. But, but I politely smile and Yeah,
Kristin: of course.
Will: And occasionally they are actually quite clever and funny.
But you should
Kristin: remember those then. And then pull it out. When someone says, tell me a joke, most of the
Will: time they’re wildly inappropriate.
Kristin: Oh, okay. Sure. A lot of these people come from a different time, a different,
Will: different generation. Uh, and, [00:13:00] and quite often at the va, that was where, that was where it was really at its height.
The height of like,
Kristin: yeah. The VA is not really known for like good behavior.
Will: Well, yeah. It’s, they, they’ve, um, you know, they struggle a bit at times. Yeah. So anyway, um, so I didn’t, I don’t think I did very well on the, the interviews where I.
Kristin: Someone
Will: asked me to tell them a joke.
Kristin: Right?
Will: Because I probably just fumbled my way and
Kristin: like, wait a minute, gimme 48 hours to write something and it’ll be a full scene hand.
Well, it’s,
Will: it’s also like kind of a, I mean, if they were just using it to try to get to know me, I guess it’s one thing, but it’s not like you need to have that skill to succeed in residency.
Kristin: No, I don’t think that’s what they were implying. I think they were just, Hey, this is unusual. We don’t get this a lot.
Will: What would you put on your hobbies and interests section on your residency application?
Kristin: Photography.
Will: Yeah.
Kristin: I like to read. [00:14:00] I like to learn for fun. You’re, that sounds like you’re trying to suck up, so you can’t put that, even if it’s true,
Will: you’re already at a disadvantage. ’cause you have to put hiking, you have to have some, it’s like a, it’s like a running gag.
It’s like. You’re gonna be a doctor, you’re gonna be, oh, you have to put something, some kind of physical activity mm-hmm. To make yourself seem like you care a lot about physical health.
Kristin: Right.
Will: So, oh, I,
Kristin: I see. Okay.
Will: Yeah. Hiking, running. No,
Kristin: see, my outdoor activities would be drinking a cocktail on a patio. I don’t think that’s gonna cut it.
Will: See, I think that would be refreshing though, to, to read, to read that in a, in a doctor application. Absolutely. Honesty. It, it, that means a lot. Alright. Should we take a break?
Kristin: Okay.
Will: All right. Let’s, uh, take a break, come back with our, um, with a special guest.
Kristin: Very excited.
Will: Hey, Kristin. Yeah. I’ve been, you know, grossing you out about these dex ides, although I’m not sure why they [00:15:00] look like adorable. Well,
Kristin: these are cute, but it’s the real ones that kind of freak me out a little bit.
Will: Yeah. But I have some new facts to share with you. Oh, great. About Demodex. Alright. These mites have likely lived with us for millions of years.
Oh. Yeah. Does that make you feel better?
Kristin: No.
Will: Like they’re passed down through close contact, especially between mothers and babies.
Kristin: Oh, wow. Such a special gift for our daughters.
Will: They’re born, they live, they crawl around and then they die on your eyelids and in your lash follicles. Their entire life cycle lasts about two to three weeks, all spent on your eyelids.
Kristin: Well, thank you for that. This isn’t
Will: helping, is it?
Kristin: No. How do I get rid of them?
Will: Well, it’s, it’s. It’s fun to gross you out, but we do have all of these, it’s really common, but there is a prescription eye drop to help with these now.
Kristin: Okay.
Will: That probably excites you.
Kristin: That makes me feel better. Yes.
Will: Any way to get rid of them, right?
Kristin: That’s right.
Will: All right.
Kristin: Sign me up.
Will: Visit Mites love lids to learn more about Dex bl, which is the, the disease that these little guys. Mm-hmm. Cause mm-hmm. Sure. Again, that’s [00:16:00] M-I-T-E-S. Love lids, L-O-V-E-L-I-D s.com to learn more about Demodex and Demodex blepharitis and how you can get rid of it.
Kristin: All right. Our guest today, I’m very excited about it. Uh, he’s in. A board certified emergency medicine physician. An old friend known him a long time. He was in Portland visiting, so asked him to stop by. Please welcome the emergency medicine physician.
Will: How’s it going?
Kristin: Hi. It’s been a long time since I’ve seen you a you.
It’s been a while.
Will: It’s been a while. Yeah. How you doing?
Kristin: Um, I’m good. How are you?
Will: Uh, pretty good. But I’ve, I’ve got a lot of things to do today, so if we could just, we gotta
Kristin: just get on with it. We could keep
Will: this, uh, okay. Keep this gut running.
Kristin: Do you, do you need some different headphones? Those, those look like they’re not gonna,
Will: uh, fit very well.
I think, uh, I think this works out just fine. I’m not taking my helmet off.
Kristin: Oh, okay. Well,
Will: do you have any idea the kind of threats that we, [00:17:00] we are
Kristin: here, here in my home.
Will: You never know.
Kristin: Oh,
Will: you never know.
Kristin: Okay.
Will: You got kind of tall ceilings. Yeah. Um, that helps. I’m not gonna hit my head on anything. Okay. But, uh, uh, I don’t know.
Got a lot of clutter. There’s some, there’s some, uh, area throw rugs. Uhhuh, what if, what if I trip?
Kristin: Okay. Do you have a gait problems?
Will: No, I don’t. My G is, is my G is is great. Okay. That’s great. You just never know.
Kristin: Okay. I mean, I, I can get on board with you never know. You can’t be too careful. So. All right.
Well, uh, I thought, are the headphones
Will: gonna be a problem for you?
Kristin: No, not for me. I just, they looked uncomfortable, so if you wanted something, you know, different. I’m good. I could, I could accommodate you.
Will: I think I can, I, I think this will work.
Kristin: Okay. Alright. Let’s, let’s go, let’s do it. We’ll do, you’re in a hurry, so I gotta, gotta move on.
No,
Will: I gotta sh I gotta, I gotta shift.
Kristin: Oh, okay.
Will: I gotta work.
Kristin: Well, you don’t live here. Why? Where are you working?
Will: Good question. Um. I’ll find one. They’re always looking. Oh, [00:18:00] okay. They’re always looking for emergency physicians. Yeah, that’s true. There’s always something to do.
Kristin: Alright. Okay. Well, as an emergency physician That’s right.
You must have seen it all. I mean, you’ve seen a, I’ve seen a
Will: lot of things. Lot,
Kristin: yeah. What’s the, the craziest thing that a patient has said to you while you were trying to save their life?
Will: Oh, sometimes they’re unconscious. Okay. But I guess, uh, the ones that are awake, uh, probably the most common thing they say in the middle of, um, in the middle of it.
It would be, why are you wearing a bike helmet?
Kristin: That’s a fair question. Mm. I bet you get that a lot.
Will: I do. Um, and it’s, uh, safety first at all times. All right. You know, I, I, I don’t know why more people don’t wear helmets. Uh, knee pads. Mm-hmm. Elbow pads. Mm-hmm. Um, safety wrap themselves and belt wrap safety,
Kristin: or I guess those are just sunglasses,
Will: but they act, everybody should be wearing glasses.
Kristin: Yeah. I, I like this touch. You have a, like a bespoke piece of tape. Um, on the, on the, mm-hmm. What do you call this? The joint?
Will: They’re falling apart. [00:19:00]
Kristin: And then, and then another one matching on the other side. That’s right. See, I thought it was just like custom. Mm-hmm. Like, uh, to show your personality a little flare.
Will: Uh, uh, no, I, I just, um, um, I could use some new ones.
Kristin: Oh, okay. Oh, I’ll keep that in mind when Christmas comes around.
Will: Yeah. Have an Oakley sponsorship.
Kristin: I, I’ll take one. Do you?
Will: No, I don’t.
Kristin: Oh, okay.
Will: I’m relying on you. I was
Kristin: hoping you knew someone.
Will: You’re the podcast genius. Yeah.
Kristin: All. Well, you know, I know a guy that can maybe get you some glasses.
I’ll, I’ll see what he takes. Oh yeah.
Will: The, the, the, the eye doctor.
Kristin: Yeah. Mm-hmm. Um, has, my God doesn’t like
Will: to come in,
Kristin: has, no, he doesn’t. He’s, I think he might break out in hives when he walks into a hospital, so I think he tries to avoid it.
Will: I already know when I call him, I already know what he is gonna say to
Kristin: me.
Yeah. He’s gonna say, put a hot compress on it. I’ll see him in clinic in the morning. Yep.
Will: Artificial tears.
Kristin: Yeah.
Will: Yep. See the patient in clinic. Uh, that’s about it. Is there an open
Kristin: globe? No. Did you, do you tell him that you ultrasound to find that out?
Will: Yes. No. No. Oh, okay. I keep [00:20:00] that to myself. I
Kristin: thought maybe you liked to mess with them.
Something. I keep that to myself. Okay. Well, back to your helmet has mm-hmm. Have patients ever complimented you on your helmet?
Will: Oh, yeah.
Kristin: Yeah. Oh, yeah.
Will: Oh, middle-aged men, they love me. Oh, they love it.
Kristin: Okay.
Will: They love the helmet. They love the sunglasses. Yeah. Uh, they, they love, they love biking.
Kristin: Okay.
Will: In general.
Kristin: Yeah.
Will: Expand. It’s, it’s like a, a classic middle-aged male thing. You pick up a hobby.
Kristin: Sure.
Will: Especially an expensive hobby.
Kristin: Uh, you know, if Hmm. Spend
Will: ungodly amounts of money on a hobby,
Kristin: that is true. My husband does that.
Will: And then you give it up a few months later
Kristin: that because see, you maybe should reconsider being on a bike when you’re a middle aged man.
Like not everyone, but maybe give it a good think
Will: ladders. Yes, I’d agree with you, but bikes are okay. Okay.
Kristin: Alright. Uh, how do anything gets the blood pumping? How do you feel about tricycles?
Will: Tricycles?
Kristin: Yeah.
Will: Safer for sure. Yeah. Yeah. Uh, a little bit small. Sure. Um, I would [00:21:00] say, uh, if you’re gonna go extra wheel, just get four wheels.
Kristin: Oh, okay.
Will: Yeah.
Kristin: In an engine.
Will: In an engine. Yep. Uh, exactly. A little bit more stable. So
Kristin: like a, kinda
Will: like a car.
Kristin: Oh, I was thinking more like a, like an A TV. Those are fun.
Will: Oh, those are good.
Kristin: Yeah,
Will: absolutely. Drive one of those to work sometimes.
Kristin: Yeah.
Will: Mm-hmm.
Kristin: Got a little offroading?
Will: No, on the real road.
Kristin: Oh, like the highway?
Will: Yeah, just, it’s just a little bit, it gets my adrenaline pumping. Sure. A little bit more dangerous. I
Kristin: would think you’d get pulled over for that, but No,
Will: no. I’m an emergency physician. Oh,
Kristin: okay.
Will: And I’m wearing a helmet. Sure. Next question. Alright, well,
Kristin: alright. All right. I forgot you’re in a hurry. Okay. Uh, you’ve been noted as being born without a circadian rhythm.
Will: Mm-hmm. We think so at least.
Kristin: Okay. Well, has that made your life awesome or super awesome?
Will: It’s definitely, uh, on the spectrum of awesome. Um, it’s a, it’s a thing, you know, it’s just part of the job, honestly. There’s actually a [00:22:00] study that was done a few years back that showed that physicians within five years of practice completely lose their pineal gland.
Kristin: Really? It
Will: just disappears. Interesting. Yeah.
Kristin: What does the pineal gland do? I mean, obviously something related to circadian rhythm, but like, what’s it doing there?
Will: I don’t know. Ask a neurologist.
Kristin: Oh, okay. Excuse.
Will: I got one’s on call. Give him a call. A
Kristin: pineal gland?
Will: No, a neurologist. Oh,
Kristin: okay. Got it.
Will: Next question.
Oh,
Kristin: okay. You know, you’ve gotten a lot pushier since we first became friends.
Will: You know, it’s, uh, I, my attention span is very short.
Kristin: Well, that’s fair. I guess you’ve had a lot of training in that. Uh, what about your caffeine addiction? How’s that doing these days? That, is that more of like an official medical condition, a caffeine addiction?
Mm-hmm. Or is that more of like just a, a job requirement
Will: for you? It started out, it started out as a job requirement.
Kristin: Oh, interesting. Sure. That’s how you got into it.
Will: Well, you gotta, yeah. It’s the only way to keep up.
Kristin: Yeah.
Will: You know, and so you just [00:23:00] keep, keep taking more fast pace and eventually though it becomes physiologic.
So now my bone marrow makes Red Bull.
Kristin: Oh, wow.
Will: Yeah.
Kristin: You should patent that.
Will: I was in a case report.
Kristin: That’s pretty cool.
Will: Absolutely. I
Kristin: mean, I feel like you, there’s a way to capitalize on that, but you, do you, I mean, instead of giving
Will: blood, you give Red Bull.
Kristin: Yeah, sure. Or both.
Will: I think other people would’ve problems with accepting Red Bull in an iv.
Kristin: Yeah. That came from a bone, an
Will: emergency physician.
Kristin: Yeah, you’re right. That might not be the best. Um, well, so my husband, we talked about this a second ago. Mm-hmm. He’s an ophthalmologist.
Will: Physically very weak ophthalmologist.
Kristin: Yeah. I mean, he is got pretty strong fingers, but like little T-Rex arms. Yeah. You know, very tiny.
Um, yeah. So, but how do you feel about eye emergencies? Are you good with eyeballs?
Will: You know what? Eye emergencies don’t bother me. Hmm. As, as you just, you know, you go in. Ask what the vision is and then, uh, [00:24:00] regardless of what the answer is, you’d go ahead and call the ophthalmologist.
Kristin: Okay. Yeah. So super easy.
Will: Well, I mean, ’cause I know what they’re gonna say, right? Like we said, yeah. You see the patient in clinic in the morning.
Kristin: Sure.
Will: They’re always gonna want me to do a slit lamp exam.
Kristin: Yeah. Do you have one of those?
Will: Uh, we call it the torture device. Oh. Have you seen it? It looks medieval.
Kristin: Does it?
Will: Yes. And, uh, it’s, um.
I never remember how to use the slit lamp.
Kristin: Mm-hmm. Because
Will: I only use it every so often.
Kristin: Do you even, have you ever
Will: Oh, I’ve used it a few times. Oh, okay. I’ve used it a few times, but what I have to do is I, I sit down mm-hmm. At the slit lamp with the patient, and I, I tell the patient, um, who messed with this thing?
Kristin: While
Will: I try to remember what all the knobs and buttons
Kristin: do, okay. To buy yourself some time, make it seem like you know what you’re doing. Solid 30 seconds
Will: before I can
Kristin: Okay. Before
Will: the patient catches on.
Kristin: That’s smart.
Will: And you find out little clever tips and tricks there. Yeah. Um, and then I, I call the [00:25:00] ophthalmologist.
What I’ve found is I just start saying terms about the eye. Yeah. And eventually the ophthalmologist gets tired of me talking about eyeball parts.
Kristin: It’s just too painful to listen to it and
Will: just takes over the conversation and tells me what time in the morning to send the patient to clinic.
Kristin: Well that makes sense.
Um. I think you’re here for, Portland’s a big bike city. Yeah. There’s like a bike race or something. Great
Will: bikes.
Kristin: Yeah.
Will: Great bikes. Running, biking.
Kristin: Sure. Hiking
Will: everything.
Kristin: Very emergency physician friendly here. Right
Will: here. Lots of emergencies too. Yeah, it’s good. Sure. It’s a good place.
Kristin: Well, how, what’s your fastest time?
Will: Oh, running, um,
Kristin: well running or biking I guess. I don’t know. Do you bike on a track or do you bike just Well,
Will: I don’t, I don’t, I don’t run laps. You don’t run laps, okay. Unless something’s chasing me.
Kristin: Sure.
Will: That’s the only time I run, you
Kristin: know? Same. We have that in common.
Will: Sometimes patients chase you and the emergency Oh, patients.
Eh, it happens. It happens. It’s the only thing that gets the adrenaline going.
Kristin: Yeah. Okay.
Will: Why? Why would I run? Why would you just run on a track in a [00:26:00] circle? I mean,
Kristin: I have that question too. Like a hamster. Yeah. Why would you do that? I don’t know. I’m, I don’t like it. There’s no
Will: adrenaline. There’s no, there’s, there’s no epinephrine pump.
Kristin: Yeah.
Will: To get you going way.
Kristin: Do you ever, like, you think, okay, okay, I need to go for a run, uh, but I gotta go find something to chase me. I. Like, do you ever set it up yourself? I do have something chase you. At
Will: times I have, uh, there’s a service that you can hire someone
Kristin: Oh.
Will: Who will, at random times, very unpredictable, will just start chasing you.
Kristin: Okay.
Will: Yeah. It’s really the only would terrifying thing that makes me feel alive lately.
Kristin: Oh. I’m sorry to hear that. That sounds, that’s okay. That, that’s like something you should probably unpack in therapy. That’s part of
Will: the job.
Kristin: Okay. It’s
Will: part of the job.
Kristin: Well, well, speaking of things that might chase you.
Yeah, I got a dog right here. My, my poodle Milo
Will: mm-hmm.
Kristin: Is in here. He is not gonna chase you. He’s way too lazy. Looks a bit
Will: blind too. And he iss blind. He
Kristin: can’t, well, yeah, he can see a little bit, but not much. Okay. I got a question for you. Yeah. I’m, I’m very [00:27:00] curious about this one. Mm-hmm. Do you think. The Batman would make a good emergency physician?
Will: I think he would, but I hope his suit is washable.
Kristin: Why is that?
Will: There’s a tremendous amount of body fluids involved in
Kristin: my work. Oh, okay. What’s the best, you know, material to wear, like neoprene?
Will: Uh, just, just straight vinyl. Whatever’s, uh, you just full on
Kristin: plastic.
Will: You remember those, uh, those cars Honda Elements?
Kristin: I do.
Will: Yeah. We had
Kristin: one of those and I hated it.
Will: Yeah, you could wash the inside of the car out.
Kristin: You could, you could just take a hose to it.
Will: Yeah. So whatever that the, in the interior of that car’s made out of Uhhuh, that should be Batman’s suit. If he’s becomes an emergency physician,
Kristin: okay.
Will: Then he’d be dead.
Kristin: All right.
Will: Otherwise, I feel like he’d
Kristin: be a good one. ’cause, you know, he’s, he seems like he’s got a.
Will: Physically very strong and imposing.
Kristin: Yeah. And he is always seeking [00:28:00] out some trouble. You know, I think he might be a little bit of an adrenaline junkie.
Will: Oh, I think he could take care of it. Yeah, for sure.
Kristin: Yeah.
Okay. Well
Will: one more.
Kristin: One more, then I
Will: gotta run.
Kristin: Oh, okay. Okay. Um, have you ever thought about starting a ride by medical. Consultation slash diagnosis, like side hustle to just like make your life more efficient. Seem like you would like efficiency.
Will: Go to the emergencies instead of the emergencies coming to me.
Kristin: Yeah, right. Maybe you have a route
Will: that’s incredibly inefficient.
Kristin: Oh, okay. That’d
Will: be a terrible thing to do.
Kristin: I’m glad to hear you say that because to me that it, I agree. But I, that one was kind of a test question because sometimes I worry about you a little bit.
Will: Oh, right.
Kristin: And so I just wanted to do a quick cognitive check.
What
Will: worries you about me?
Kristin: Well, as we’ve said, your, your, you know, lifestyle while you’re very physically fit. Um,
Will: clearly look at me.
Kristin: Yeah. [00:29:00] Uh, I do worry about your, your heart. Maybe your, you know, your brain health. Yeah. Just all the, all the caffeine and the. The, the Red Bull blood, you know, bone marrow.
Will: Don’t worry about me. Things like that. I mean this, so I’d
Kristin: just like to make sure
Will: this job will kill me eventually. Yeah. But not today. Not,
Kristin: not yet. Okay. Well that’s good to hear. Well, thank you for stopping by. Good talking to you. I appreciate it. I know you’re, you know, you don’t like to spend time any one place for too long.
So you want
Will: these back?
Kristin: Oh, you could headphones, you could just give them to the producer on the way out.
Will: I don’t really know what they do.
Kristin: Okay. It didn’t
Will: seem to be very functional for me.
Kristin: Oh, okay.
Will: Have a good day.
Kristin: Thanks, you too.
Will: All right. I am back.
Kristin: Oh, good.
Will: Uh, sorry. How was the guest?
Kristin: Oh, he was good. I’m sad that you didn’t get to be here. We had a a, I know, child emergency that you had to go deal with. Did he say any
Will: good, any uh, good things about me?
Kristin: Um,
Will: yeah. We’re good. He mentioned you. I think he likes me. I think he likes consulting me.
Kristin: Yeah,
Will: for sure. You
Kristin: get good vibes [00:30:00] from that.
Will: Absolutely. Yeah. Okay. Yeah. Well,
Kristin: good,
Will: Sterling, not just his job to make me seem like we’re having a Yeah. Like
Kristin: your equal peers.
Will: Yeah, exactly. Yeah. All right. Well, um, so I thought we could close out Glock talk. Okay. This episode with a, uh, um, a story from a listener.
Kristin: Okay.
Will: A proposal story.
Kristin: Oh. Because of the story you told. Right.
Will: I don’t remember why.
Kristin: Because you got a marriage proposal.
Will: Oh, that’s right. Yeah. From a patient. From a patient. A
Kristin: sedation. Yeah.
Will: Okay. Now it’s all clicking. Seems like
Kristin: somebody else has.
Will: I thought it had the same experience. Somebody that was like wanted us to know about a proposal story.
I forgot that we asked for those. I was like, oh, cool. Someone sent us a proposal story. Let’s read. Well, I think it’s a good story. Okay, dear lady and Dr. G, I have a story about also being proposed to in a healthcare setting that is a little silly that just recently happened. I’m a physician assistant student right now, and I’m currently on my ER rotation.
I got a patient who is a regular in this emergency er. Within this particular [00:31:00] er, but since I am a student who just recently started this rotation, he had not met me yet for some backstory. I’m a 23-year-old woman who is engaged and this patient was a 54-year-old male.
Kristin: See,
Will: it’s telling
Kristin: you don’t go to the grocery store.
Will: Go. He came in for alcohol intoxication, so his filters were super
Kristin: pretty
Will: much gone.
Kristin: Mm-hmm.
Will: Uh, he got, we got him situated in the bed and then he asked me where my man was. Probably a fun question to get. Yeah. I told him, he was out of state. He then said, well, you should leave him and marry me.
Kristin: Oh.
Will: I go about my shift and he sleeps his alcohol off a little.
I go back to check on him and he notices a ring on my finger, to which he says, wait, are you married? I said, no, I’m engaged. He says, well, take that ring off your finger. Geez. I said, why? He said, because you’re gonna marry me.
Kristin: Okay, now he is gone from asking to [00:32:00] telling
Will: you never know what you’re gonna get in the er.
He was a funny guy and we were able to laugh about it. But one difference between your story About my patient, I guess. Yes. And my story is that he does remember all of this. Oh boy. Since he is a regular in this er, he might be back before my rotation is done. Oh
Kristin: no. That’s awkward for all involved.
Will: That’s from Sophie.
Thank you, Sophie. Um, what would you do in that situation?
Kristin: Look, uh, you’re at work. You have to be professional. You just try to kinda shrug it off. Try to Yeah. Minimize it and move on. You know, don’t make a big deal out of it and just try to steer the ship a different direction
Will: and just hope it doesn’t escalate.
Kristin: Yeah.
Will: You know? Right.
Kristin: Because that’s the thing. Like if you, if you would. Address it. Sometimes that is what happened. It kind of backfires like it. It can make them
Will: embolden them to embarrassed
Kristin: or angry or something. Right. Oh yeah. So then they react badly or encourage
Will: them to keep going with it. Right? Yeah.
Since you’re talking about it and thinking about it, yeah. [00:33:00] Maybe
Kristin: they take that as a sign that you’re into it. ’cause you’re talking.
Will: I would guess that something like that, just maybe not for everyone, but they experience that a lot in the emergency department. I’m. I mean, and people who are intoxicated come in mm-hmm.
Pretty frequently. And so, right. Those filters are gonna be off just like my patient with the verset, you know? And so at up to a certain extent, you can’t really hold it against the patient that Yeah. They’re saying somewhat inappropriate things.
Kristin: Right.
Will: Um, uh, as long as everyone’s safe,
Kristin: you get really silly.
That’s the deal.
Will: I get silly under when I have some sedation on. Yeah.
Kristin: Like when you’re waking up from it, you know? Yeah. Like, I. Been with you a couple times after a surgery and you’re, you’re very giggly and you do a lot of like kinds of things. Really? Yes.
Will: That’s funny.
Kristin: Uhhuh. Yeah. You have a whole separate identity when you’re like unconscious or I feel [00:34:00] sed feel not
Will: like a super giggly drunk though.
No.
Kristin: I mean, you barely. I wouldn’t use giggly to describe you at any time other than
Will: whenever
Kristin: sedation,
Will: whenever I’m coming outta surgery.
Kristin: Yeah,
Will: you should. Next time I have surgery,
Kristin: I should video. Yeah,
Will: definitely videotape it.
Kristin: Yeah. See, back then we didn’t, this is gonna age us, but we didn’t have. Smartphones at, have recording devices at Yeah.
At all times. With this, there’s no, it would’ve been weird if I had brought in like a video camera, you know, the handheld,
Will: I think that’s a thankful, that’s a good thing for most people. Yeah. I’m
Kristin: very happy
Will: going through your twenties. Happy about that.
Kristin: Yes.
Will: I like,
Kristin: you don’t need to document that. You
Will: gotta feel for the young people nowadays, it’s like, I mean, I know you just, part of part of your twenties is making bad decisions and doing things You.
Shouldn’t do. Probably just like
Kristin: having fun and letting loose and you know, you maybe don’t want that on the internet.
Will: Then it comes back regardless
Kristin: of what you’re doing.
Will: And then you gotta try to apply for med school.
Kristin: Exactly. I know. It’s, it’s tough out [00:35:00] there.
Will: That’s it. That’s Glock talk. Good talking to you.
Kristin: Yeah, you too.
Will: Uh, let us know what you thought. Do you have any other, uh, special guests that you’d like us to, to bring out and chat with, uh, during Glock talks? I’d love to, to hear from you, um, or any topics you want them to discuss. Any questions you have for them.
Kristin: Yeah,
Will: let us know. Email us knock-knock high@humancontent.com.
You can visit us on our social media platforms or visit us. Uh, or human content Podcast family? Yes. On Instagram or TikTok at human content pods.
Kristin: Do you think that we’re like the oldest child in the family? I mean, they had, they had a couple podcast before us. Love, but, so maybe not. Maybe.
Will: I don’t know.
We’re
Kristin: definitely like
Will: the elder states, like one of
Kristin: the elders. Yeah, I think so.
Will: Sure. Uh, also leave some reviews. Go, uh, wherever you, uh, listen to your podcast. Uh, um, apple, apple podcasts would be great. We love seeing reviews. It helps people find us and yeah, and, and get this to keep the show going. Uh, you can visit us, uh, on YouTube.
Full [00:36:00] video episodes are up every week on our YouTube channel at Glock and Flecking. Probably this episode. Maybe a good one to check out on YouTube.
Kristin: I think so, yeah.
Will: Also, have a Patreon. Lots of cool perks. Bonus episodes of React to medical shows and movies. Hanging out with other members of the community we’re there.
We’re active in it. Early at Free episode. Access in interactive q and a. Livestream events, much more. patreon.com/glock. Ifl or Glock like.com. Patreon Community perks. Shout out to the Jonathans. Woohoo. Patrick ccc. Sharon s. Oh, Edward K, Stephen, G, Arian W. Miss your granddaddy. Caitlin. C. Brianna. L. Mary, H, K, L.
Keith, G, Jeremiah, h Parker, Muhammad, L David, H times two. Kaylee, A Gabe, Gary, M I’m partial to the first. David H
Kristin: personally. Are you second H? That’s funny. ’cause the second one’s my favorite.
Will: Oh really?
Kristin: Yeah.
Will: Well, teaches his own well. Okay. Gabe, Gary, M, Eric, B, Marlene, S Scott, M Kelsey, m Scott, Joseph. S I’m struggling.
You are? Dr. Hoover, Sean and bubbly Salt and Sha [00:37:00] Pat roulette ran. Shout to someone on the emergency medicine tier. Lori C, thank you for being in a patron and thank you all for listening. We’re your host, Will and Kristin Flanary also known as the Glaucomfleckens, our executive producers of Will Flanary Aaron, corny Rob Goldman and Shanti Brook and Kristin Flanary.
Kristin: Geez. You know, you said a couple things. I dunno why I put your name this time. Right. Better. A little questionable.
Will: Our editor engineers Jason Portizo. Our music is by Omer Ben-Zvi to learn about Knock Knock Hi’s program, disclaim and ethics policy, submission verification, and licensing terms and HIPAA release terms, you can go to Go plug.com.
Reach out to us, knockknockhi@human-content.com with questions, concerns, or medical puns. Okay. Content is a human content production,
Kristin: knock, knock.
Will: Hey, Kristin.
Kristin: What?
Will: You want an assistant?
Kristin: I would [00:38:00] love an assistant. I bet you would. I don’t want just one though. I want many,
Will: many assistants.
Kristin: Yes. I’ve got a lot of work.
Will: Well, I can give you something that does the work of many assistants. Okay. Have you heard of Microsoft Dragon copilot? I.
Kristin: Oh, I have heard of this.
Will: Yeah. This is an AI assistant for clinical workflow.
Kristin: Mm-hmm.
Will: It’s amazing. It’s, it transforms the way clinicians work. Uh, it’s like a little Jonathan.
Kristin: Yeah.
Will: Doing lots of things for you. Uh, one of those things is, is helping you get information faster.
Kristin: Oh yeah. That’s nice. Yeah.
Will: I, this is what I, one of the things I love most about it, like you just ask and you can get answers on a wide variety of clinical topics mm-hmm.
With citations, sometimes, like we don’t, we have to like do research to like, try to Yeah. Jog our memory about certain things. Yeah. There’s a lot to think about medicine,
Kristin: right. And new stuff coming out all the time.
Will: Well, Microsoft Dragon copilot can just make that process faster and give you citations that lead you.
You can look up the latest evidence about things, guidelines. It just, it just makes that [00:39:00] whole process seamless.
Kristin: I like it. Uh,
Will: to learn more about Microsoft Dragon copilot, visit aka ms slash knock knock high. Again, that’s aka ms slash knock knock high. 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 podcast or join the party over on Patreon 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.
