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. Glock Flecking, 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. Glock and flicking.com/healthcare Enjoy.
Kristin: Knock, knock,
knock, knock. Hi.
Will: Hello everybody. Welcome to Knock, knock. Hi, with the Glock [00:02:00] and Flein. I am Dr. Glock. And Fln.
Kristin: I’m Lady Glock Flein. Will
Will: and Kristen Flannery coming to you here, uh, for an episode of Glock Talk.
Kristin: That’s right.
Will: And, uh, we got some things to talk about.
Kristin: Let’s talk. Tell me.
Will: So I just got back from a speaking engagement
Kristin: Yes.
In Chicago. Uh,
Will: I was in Chicago. I went to talk with a, a wonderful group of medical staff. These are my favorite speaking engagements. Like, I like the, the keynotes of the, like the big conferences. Yeah. Like, those are fun. But this was like. A, a wellness event mm-hmm. That they were billing as a comedy night,
Kristin: right.
Where you’re just entertainment. Yeah.
Will: That’s, it’s all to worry about. They’re not education. I just have to entertain. I don’t have to like submit, uh, educational objectives, learning objectives and then and things. And most importantly, there was a nice cocktail hour before the show. Oh, that always
Kristin: helps a comedian, it was evening time.
Will: Uh, you know, people are
Kristin: in a good mood.
Will: A lot of times keynotes are like 7 30, 8, 8:00 AM and it’s, it’s, some people
Kristin: are not caffeinated yet. They’re
Will: not quite caffeinated [00:03:00] enough. Mm-hmm. And, uh, and, and then I have to try to like, make them laugh. And so it’s, it’s a little bit of a challenge.
Kristin: You, you do it though.
I’ve seen it. It happens. It,
Will: it, it does happen. Uh, but a couple things. One, I was curious about you, ’cause you also give talks. Mm-hmm. Um, what, what is your. In this situation where there’s maybe like a little bit of drinking that can happen beforehand.
[music]: Yeah.
Will: Do you, how do you operate in front of an audience after you’ve had a drink or two?
Do you think that helps you or hurts you? Well, let’s be
Kristin: clear. We are not drinking before our talks.
Will: Well, that’s what I’m asking you.
Kristin: Like, just hypothetically?
Will: Well, because like in the, in the comedy world, you know, I, I’ve been to a lot of comedy shows, a lot of, uh, comedy clubs.
Kristin: Yeah.
Will: And it’s not unusual for the comedian to even go on stage with a drink.
Kristin: Sure. A comedian. I’m not, I’m not going on in the capacity of a comedian. So for me it’s a little bit different, but, um. So in the keynotes also at 7:00 AM I have not had a cocktail prior to that. Well, no,
Will: no, not that, but like, but
Kristin: [00:04:00] like for our live show,
Will: yeah.
Kristin: I do like to have, um, one glass of wine. Exactly.
Yeah. Right before, because that’s just enough to take off the edge of any, like stage fried or Yeah. You know, getting in your head about things. And it makes me really, like, one glass of wine is the perfect amount of, I’m just like, I am not impaired, but I am just happy. So it helps, like it just relaxes me.
It takes the anxiety down.
Will: See, I, I am very, it would be very easy for me to have like drinks before I go on stage, but I don’t, yeah. I choose not to.
Kristin: Right.
Will: I don’t know why. I think it just. Like, I feel like it affects my comedic timing a little bit.
Kristin: Probably. Yeah.
Will: But then other comedians are not like that at all, so I don’t know.
And then, so like this one, I, after, right after I got off stage, I, like during the meet and greet, I just had people bringing me drinks.
Kristin: Yeah. Well, listen, has that ever occurred to you? That’s great that other comedians are functional alcoholics, so maybe that’s not the metric to measure yourself against. I think there’s a good
Will: amount of [00:05:00] functional alcoholism going on, but uh, also it’s, it’s not as, uh, you know, straight laced and.
You know, it can be a little bit more buttoned down. Right. But, uh, so it was, it was a great, um, a great event. Did a little q and a afterwards.
[music]: Yeah.
Will: And I had an interesting question. I want hear your answer too, as well. So, uh, one of the que it was, uh, a lot of like very serious questions. Some fun questions, but this one, how did you
Kristin: have serious questions at an, at an entertainment event?
You know, well,
Will: part of what I, I, I do, I do talk about the healthcare system in a fun way during my talk, and so it does bring up some like, questions about, you know. Like, uh, what the hell can we do to like actually make this thing better?
[music]: Yeah.
Will: Um, which is not the most happy-go-lucky conversation to have, but Right.
But the last question was, would you encourage your child to go into medicine?
Kristin: Mm-hmm. We get this a lot
Will: and, um, up until like a couple years ago, I would say, like, I, I would say yeah. [00:06:00] Yeah, it’s great. It’s a great field, you know, it’s very rewarding. Practice medicine, like I’m not so sure anymore.
Kristin: Yeah.
Will: I dunno.
What are your thoughts?
Kristin: I think if, let’s say her oldest was
Will: like, Ooh, I wanna, I think I wanna go to medical school. Well, first
Kristin: of all, that one would never, but
Will: probably not.
Kristin: That is not in the cards, uh, for her. But I think that they would have to really like not be able to do anything else and be happy.
[music]: Yeah.
Kristin: If, if that was the case, then I would, I would say. Go ahead with my blessing, but if there was anything else that they can do to earn a living, a decent living mm-hmm. And still be happy that is not medicine, I would definitely encourage them to go that way. Um, one of the, I mean, I just bring it down for a second, but like when I was doing CPR on you, I remembered thinking.
Why did we do [00:07:00] all that? ’cause now that
Will: was like, honestly in your head. Yeah. Because you were doing it because
Kristin: what was happening is like, our life together was sort of flashing before my eyes as I, I was just thinking about us as, you know, college students. All, a lot of time to think about it was 10 minutes.
Um, so. I was thinking if I could do it again knowing that, you know, if this is how it ends, I would not do that again. I would not want us to do medical training again. Mm. Like just, I don’t blame you. Enjoy your life.
Will: Yeah.
Kristin: Uh, but I mean, that is a very dramatic example. Not everyone tries to die in their thirties.
Um,
Will: here’s where I’ve settled on this. Okay. She. Absolutely dead set. Like, I know this is what I wanna do. Yeah, yeah. I’m gonna support
Kristin: whatever it is. Yeah. I’m gonna support,
Will: but here’s, here’s what I’m gonna, uh, what I’m gonna recommend, I, I want her to, um, go through a prior authorization process. [00:08:00]
[music]: Yes.
Will: First,
[music]: right before she
Will: makes that decision, uh, we could set it up.
Obviously she doesn’t have any like medical, you know, training or anything. Mm-hmm. But even if it’s like, um, like she wants to, if there’s something she wants to do, like she wants to go on a, like, she’s like 18 and wants to go on a trip with her friends. Yeah. She has to like get prior authorization, get for that,
[music]: and I get to put
Will: her through.
The prior authorization get a peer to peer review, Uhhuh, uh, she’ll get it. A denial. Who would,
Kristin: who would the peer be? Because it’s never actually a peer. So who would you hire as the peer?
Will: Um, it would probably be her younger sister.
Kristin: Okay.
Will: Yeah. And, um, and so, and it, she’d get a denial Of course. Of course. Uh, and she’d have to figure out how to appeal that denial.
Yes. There would be a step by step process or how to make that work.
Mm-hmm.
Um, she’d, there’d be a lot of time on hold.
[music]: Yes.
Will: Um. And by the way, she also, while doing that, will have a list of other tasks she has to complete. Mm-hmm. While. [00:09:00] She’s right. Having to do this, she’s having
Kristin: to do her homework or something.
Yeah, exactly. While she’s doing that. Yeah.
Will: Like a, to have like a test for her to mm-hmm. To, to, to do while she is having to figure this out.
[music]: Right.
Will: Um, and then, uh, during that she’s getting, you know, a negative reviews on
[music]: Yeah.
Will: From, from other people in her life. Uh, so anyway, I, I think that’s fair. Oh, wait.
Oh,
Kristin: don’t forget that there’s, there’s a time. Crunch too. She’s got 15 other people waiting for her attention. Oh yeah, absolutely.
Will: Yeah, yeah, yeah. And they’re complaining mm-hmm. To, to the staff.
Kristin: Yep.
Will: Uh, and, um, I I, I, it’s reasonable right? If
Kristin: she, yeah. If she can do that for a week and she’s like,
Will: yeah. And she’s like, I, I still wanna be a doctor then.
Hey,
Kristin: more power to you.
Will: Absolutely. We’ll, we’ll do what we can. We’ll pay, we will try to get the tuition covered and, and just really just let her go all in.
Kristin: Yeah. I.
Will: As long as she becomes an ophthalmologist, that’s all.
Kristin: Ah, there it is. That’s the catch.
Will: I mean, she, she [00:10:00] can do other things, but that’s the only way I think I would, I would influence, try to influence her.
Like it’s okay. Yeah.
Kristin: Like what kind of doctor do you like? She can, she
Will: can go to med school.
Kristin: Mm-hmm.
Will: But, um, uh, I will use my incredible amount of bias
Kristin: Yes.
Will: Toward eyeballs to really try to, her would decision, would it be balls
Kristin: or would it be work life balance? Because that, that was actually the deciding factor for you when you were making the decision is work life balance.
And then of the ones that offer work-life balance. Which one did you like best?
Will: Well, I think it needs to be something that has a, a, a, a rich comedic tapestry.
Kristin: Okay. Eyeballs are clearly it then.
Will: Oh, there’s so much you could do with eyeballs. Absolutely not Urology. Urology is a good one. I would probably be okay with urology.
Yeah. Yeah. Urology. Um, radiology would be good
Kristin: there. There’s comedy and radiology. I think
Will: you could find. I’m not good at it because I, I haven’t spent a lot of time in radiology, but, um, yeah, [00:11:00] you know, you
Kristin: know what you need, you know what you need to do, what you need to shadow some people.
For content research
Will: shadow go as a, as a 40-year-old practicing ophthalmologist, go shadow a radiologist.
Kristin: You do?
Will: Oh my God. If anybody out there wants him to
Kristin: come and shadow you, yeah. Can I shadow send an email to knock knock com? Well, we
Will: could do that for some of some of
Kristin: human-content.com.
Will: Some of these specialties that I haven’t covered, I could shadow a, yeah, like a plastic surgeon,
Kristin: right.
Will: Um,
Kristin: because that’s the reason when you don’t cover things, it’s just because you don’t have any material. You don’t have, uh, the foundational knowledge to be able to do it.
Will: Part of what I did at, at the show in Chicago was at the beginning I was just like trying to figure out who the audience was. So I was like, shouting out the different specialties.
Mm-hmm. And I’d make jokes about them.
[music]: Right.
Will: Uh, and then one of them was a, an allergy specialist. Mm-hmm. And I
Kristin: just had nothing. Uh oh.
Will: Which was [00:12:00] funny in and of itself. Say I was just like, zoom tight. I was like, but I got nothing. I got nothing for you. Best of luck to you in your endeavors. That’s someone I need to be shadowing.
[music]: Yeah.
Will: Try to figure out what the hell to do with an, with an allergist.
Kristin: Right.
Will: So that’s a good idea.
Kristin: Yeah, you could, I’m
Will: never gonna do it, but, oh,
Kristin: you should. What? What am I? People would let you do that. Oh,
Will: I’m sure people would let me. Yes. Yeah. The only way you could do
Kristin: one every Monday afternoon,
Will: the only way that it would work and it would be worth it, is if I made that into content.
Kristin: Well, of course I
Will: had like a film crew that goes
Kristin: without saying
Will: like, you’ve
Kristin: always gotta repurpose, you gotta always be thinking that. But that’s,
Will: but that’s more challenging too, because then, yeah, you can’t get permission, patience involved and stuff, and there’s like protected health information and you gotta figure out, yeah, well we
Kristin: could figure out how to do it.
In accordance with all that, we could figure that out. Yeah.
Will: I mean, it, it could be more of like the behind the scenes mm-hmm.
Kristin: Stuff.
Will: So not just
Kristin: you not, not like, yeah. None of
Will: the patient interactions. Of course. Just [00:13:00] like going through like the, the backend
Kristin: Right.
Will: Tasks you
Kristin: trying to figure out the instruments they’re using, things like that.
Yeah.
Will: Or explain the pathophysiology of type four hypersensitivity reactions.
Kristin: Yeah, sure. Whatever that is.
Will: It’s an allergy. Alright. I think
Kristin: it’s a good idea.
Will: God, you’re like, you know, you’re always telling me like, stop trading time for money, sir.
Kristin: Well, this is an investment. It’s, it’s,
Will: oh, it’s an investment because making me work
Kristin: Well, yeah,
Will: you
Kristin: are.
Will: I don’t wanna work. I the one I always work. You’re the one
Kristin: that took on a whole second job with your free time.
Will: Gonna make me do all this.
Kristin: It’s, it would be good, it’d be fun for you, first of all. It
Will: would be fun, you
Kristin: know, it would,
Will: it probably would.
Kristin: And then you would have years and years of content to come from it and ideas, which also is fun for you.
Will: We live in a, in an area that has lots of different medical specialists we do. So, you know,
Kristin: if you’re in the Portland, Oregon metro area,
Will: don’t do that. Don’t, do not [00:14:00] open this up. Reach
Kristin: out. No, for real.
Will: People usually ask me if they can shadow me. I’ve never had to Yeah. Reach out and try to shadow. What would you do if someone
Kristin: shadowed you?
Don’t you think they’d be disappointed? Like they’re expecting Glock and Black. See, that’s the problem. And then they would come see Dr. Flannery all day. Okay. That’s, that’s the
Will: issue with all of this stuff we’re talking about is like in those type people expect me to be on Glock FL all the time. Yeah.
And like I still got a, a job to do. Right. I still got like 40 patients to see it. I can’t just be right. Mr. Funny man.
Kristin: Right. And I think something, I mean, maybe people know this, but, but maybe not a lot of comedians, you would think they’d be a happy, good time to hang out with.
Will: Oh, they’re very
Kristin: depressing.
And they’re very depressing and yeah, cynical say, and I’d
Will: say I’m cynical. I would say, I would say I’m not depressing in real life. Right. I’m just, I’m very, you’re quiet. I’m quiet.
Kristin: Yeah.
Will: I’m quiet. Quiet you cynical. Until I start making the content. Like if I was, if I was like making content, doing the shadowing,
Kristin: yeah.
Then it’d be entertaining. I could be on and entertaining.
Will: [00:15:00] Um, or when I’m on stage or something, I can be entertaining. Yeah. But, but in my real life. But
Kristin: that’s like a thing that you do. It is not like who you are in real life all the time.
Will: I’m real, like I’m very stoic.
Kristin: Yeah, you are. Would you call me stoic?
Yes, I would. Oh,
Will: thanks.
Kristin: I think you have buried your emotions deep inside of you.
Will: Okay, let’s, let’s stop at Stoic and not go into some of the potential downsides of being stoic.
Kristin: Alright.
Will: Alright, let’s take a break.
Kristin: Okay.
Will: Come back with some health news. Oh
Kristin: boy.
Will: Hey Kristen.
Kristin: Yeah.
Will: I’ve been, you know, grossing you out about these dex mites, although I’m not sure why they look like adorable.
Kristin: Well, 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.
Kristin: Oh.
Will: 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 [00:16:00] 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 ’em, right?
Kristin: That’s right.
Will: All right.
Kristin: Sign me up.
Will: Visit Mites love lids to learn more about Dex ble, which is the, the disease that these little guys. Mm-hmm. Cause mm-hmm. Sure. Again, that’s M-I-T-E-S. Love lids. L-O-V-E-L-I-D s.com to learn more about Dedex and Demodex blepharitis and how you can get rid of it.
All right. Some health news.
Kristin: Okay.
Will: I’ve actually got you get to choose. Ooh, I choose your own adventure [00:17:00] health news. I’m like, it’s like where like there’s, there’s so many things
Kristin: there are. So where do you even start?
Will: Exactly. Alright, so here we go. We got, uh, Walgreens selling to private equity. Okay.
Kristin: I’m a little surprised they hadn’t already.
Will: $880 billion cuts to Medicaid.
Kristin: Oh gosh.
Will: NIH Grant funding freezes, uh, justice Department investigating United Healthcare for Medicare billing fraud practices.
Kristin: Mm-hmm. Mm-hmm.
Will: Mm-hmm. Which direction you wanna go. Well,
Kristin: and there’s also USAID does healthcare news.
Will: Oh, usaid. Yeah, yeah, yeah. Just it’s under the, like the umbrella of all the funding cuts.
Kristin: Right.
Will: I would say the.
Like not being in a, in a government setting, university setting where I’m relying on grants and things, like I feel like, I feel like I’m not getting the, the full picture of what is happening.
Kristin: Correct. Right.
Will: And that’s frustrating. And we actually heard some feedback [00:18:00] from people because we, we’ve talked about this before.
It was like, uh, you know, you’re kind of not quite
Kristin: right. Understanding, got some of the picture, but
Will: not all of it. Yeah. What the whole thing is because. On, on social media, at least you, I mean, you get people, you see posts from people that are like, you know, had their, their, um, admission to grad school.
Rescinded,
Kristin: yes.
Will: Uh, or they’re just, they just found out they’re, the, the grant that they were awarded is now being taken away from them.
Right.
But then, and then you also see people, um, talking about how, oh, this only affects indirect funds, as if that’s not a big deal.
Kristin: Right. I’m not sure if those people fully appreciate what indirect funds fund.
Will: Yeah. I, I mean, and I’ve, I’ve heard before that like. As a point of frustration from researchers that Yeah, so much of a grant will go to the university to cover [00:19:00] indirects.
[music]: Right.
Will: But, um, it maybe the assumption is that, oh, if you’re gonna just cut, if you’re gonna cut indirects, then the university will shunt more the money jump in.
Kristin: Yeah.
Will: You know, to cover that lack of funding. Right. And instead that’s not, doesn’t seem to be happening.
Kristin: No. And what would they do to do that? They would increase tuition.
Will: Right. They’d have to do something to cover those costs. Yeah. Because
Kristin: there’s fewer and fewer state funds going to public universities, so Right.
That’s the, they have those three levers, right. Federal funding, state funding, tuition.
Will: There’s also, I mean also and donations, guess there’s also endowments. Yeah. But I think that’s like earmarked for a specific thing
Kristin: often. Yeah.
Will: I don’t know. I mean, just like most things, I’m sure it’s a multifactorial thing.
Yeah. Um, but what I do know is that the, the government. Halting, NIH funding, that’s like kicked all of this off. And anecdotally, you know, talking to people that we know mm-hmm. Public universities, like it’s a, it’s [00:20:00] scary.
Kristin: Yeah. Yeah. I think even people that, even researchers who had, you know, complaints with how the indirect funds were, how much of the money was going to indirect funds, I think even those people would not say, so let’s get rid of indirect funds, or let’s just, yeah.
You know. Really make these huge cuts to them because indirect funds are what allow the labs to exist in the first place. They’re like
Will: using all the electricity and the Yes. The facilities, the facility fees and Right. All of that stuff. So
Kristin: it’s, it’s really pulling the rug out from under research. It’s, it’s not skimming off the top, it’s pulling the whole rug out because that’s.
You have to have those things in order to do the research. So if there’s not enough funding for those things, then you have to make cuts somewhere else
Will: regardless whether or not you’re. A person on social media thinking, oh, this is great. It’s because that’s not money actually going to research. Well, it kind of is,
Kristin: right?
Will: It is, yeah. Maybe [00:21:00] indirectly because it’s indirectly it’s ally. Indirect. Yes. And but still,
Kristin: importantly, regardless of
Will: what you think about the cuts it is, it’s affecting researchers. Right. And it’s affecting like biomedical research, like important research. Right. And uh, we’re gonna fall behind.
Kristin: I was thinking about too, like all these departments that are unable to have grad students next year.
Yeah. That amount, the amount of progress and work that is not going to happen because there are fewer grad students. It’s, uh, it’s enormous. Like grad students are the ones that make the research happen. You know, like the, the PIs are steering the ship, but the grad students are the ones that, that are actually like doing the work.
So to not have them. Is gonna put everything so far behind.
Will: A, a great example that we heard, um, is with, um, PCR.
Kristin: Yeah.
Will: And how PCR which has, which is was a, a Nobel Prize winning discovery. Right. [00:22:00] And has just changed the game in so many different ways in medicine and research and
Kristin: Yeah. What all do you do that for people who are not familiar with, what is that?
Well, so pre
Will: chain s amplifying, DNA, so anyway, anything from like law enforcement with, with, uh. Genetic, like DNA testing forensic to be able to Forensics. Yeah. Forensics. And there’s, there’s so many industries that being able to, to amplify the amount of DNA that you have, you know, with, uh, gene therapy, with, you know, diagnostics, therapeutic, like ev it’s, it’s, it’s got its hand in so many different things.
PCR. Well, the reason PCR exists is because somebody got a grant. To go and just look for bacteria in the, like the, the, the hot springs at Yellowstone,
Kristin: like really inhospitable. Yeah. And just s discovered a
Will: bacteria that has tach polymerase, which is something that’s used in the process of CPR, no,
Kristin: PCR [00:23:00]
Will: cpr.
We say CPR so often. I know PCR. So it’s just like, it’s like people are not. People. I say, I mean, Elon is, is not, let’s call
Kristin: it who it’s
Will: is, thinking that like all of this innovation in technology. Mm-hmm. And biomedicine just comes out of. Thin air, like people, people just right think of, of ways to make things better and, and innovate, but like there’s a lot of basic science at the heart,
Kristin: right?
Will: Of all this innovation that’s happening. It’s a lot more
Kristin: stepwise and incremental than it looks when you have the finished product.
Will: And so it’s just, I don’t know, it’s a, it’s very, it’s a very myopic, it
Kristin: seems, right? Shortsighted is what I was gonna say. So yeah.
Will: I love it. I love it when you mention something I know about, about sightedness.
Kristin: It’s so weird. Gotta make it weird.
Will: Great. Gotta make it, gotta bring it back.
Kristin: Hmm.
Will: So, anyway, uh, I, I, I love to know from people though, because again, I’m not in that world.
[music]: Yeah.
Will: And so, [00:24:00] because I feel like we’re not getting a lot of real life experiences from people who are being directly affected by this NIH.
Spending freeze, whatever you wanna call it. So reach out to us, like, yeah, I
Kristin: would love to hear actual, I wanna hear some actual stories of what’s, what’s going on in people’s lives.
Will: Hear. Yeah. Let’s, let’s, let’s, let’s hear it. So knock, knock high@humancontent.com. Um, you can also go to our YouTube channel, by the way, while we’re talking about this.
Yeah. Uh, leave for, for knock-knock eye episodes. I look at all our comments on YouTube. Mm-hmm. And so you can leave, uh, your story or some comment on this, this episode. All our episodes are on any episode. Yeah. At Guam Flecking. That’s our podcast YouTube chain. That’s right. So, uh, leave a comment there. Uh, anything else to add?
Kristin: I just wanna know. Like, why, why does it have, because the, the, yeah, the narrative that I’m hearing
Will: gotta balance that budget
Kristin: is, yeah. And, [00:25:00] and is that okay? Yes, it’s going to hurt for a little while and then it will be better. But what I’m not hearing is one, why does it have to be done in a way that hurts so dramatically?
And two. How do you propose it will be better? Like what are you gonna do instead?
Will: Maybe the government could just use mint.
Kristin: I think that’s defunct now. Oh, mint is gone. Uhhuh,
Will: we used a mint. We did Once upon a time. Yeah.
Kristin: Yeah. Really? In residency. That was how we did
Will: get, did they get bought up by like, I don’t know what happened it TurboTax or something?
Kristin: Well, they already were owned by it. Oh. Intuit. Which owns TurboTax.
Will: Um, I’ve maybe a little budgeting software could help.
Uh, what’s, what’s the, what’s the, uh, one for business expenses.
Kristin: QuickBooks.
Will: QuickBooks.
Kristin: Yeah. You think the government just needs to
Will: get some QuickBooks. Used to get some QuickBooks. Get everything in order. They could hire an executive assistant.
Kristin: Yeah. Look at you using all the words you hear me [00:26:00] use.
Will: You did.
You taught me all those words. I don’t know what I’m talking about right now,
but it’s not just N ih,
right? It’s, no, it’s, I mentioned the spread, the $880 billion cuts to Medicaid. Mm-hmm. It’s just you got people making these decisions that I, I don’t think fully understand how interconnected our healthcare system is.
Kristin: Right. That’s the part that makes me nervous about all of this. Like, nobody wants inefficiency in anything. We’re all on the same page about that. Nobody wants wasted money. Right? Yeah. The, the disagreements are like, you know, what counts as wasted money and how, what to do about it, but I feel like it’s not a good idea to have people who don’t know anything about.
How any of this works,
Will: right. So, so we’re not
Kristin: really familiar with these industries to be the ones making the decisions about what gets cut. That doesn’t make sense.
Will: Yeah. So what’s gonna happen whenever we cut $800 billion for Medicaid, it’s gonna hurt [00:27:00] poor and rural communities.
Kristin: Yes.
Will: You’re not gonna be able to seek medical care
Kristin: women,
Will: um, you Exactly.
It’s gonna hurt women. It’s going to, um, put more strain on our emergency departments. Mm-hmm. Because all of a sudden it, it’s already hard to access primary care. Cutting that amount of money is gonna make it even worse,
Kristin: right?
Will: And, um, put strain on different areas that, that not just poor people use, but
Kristin: everyone,
Will: wealthy people use it too.
Right. And so it’s just gonna make it harder for everyone. And that’s what I mean with how connected we are. It’s not just like, and
Kristin: then it’s gonna be well, so if you, and you want good, you know, you don’t wanna have to deal with all of this. Well then there will be these private hospitals that you can go to.
Yeah. I mean to pay
Will: the Yeah. The weather quality there be disparity
Kristin: Yeah. Than there already is.
Will: Yeah, it’s, um, and you know, and looking at the way other countries do it, particularly Australia, which I’ve talked about on the podcast before, how much I appreciate the way they do it. They have a public option, but [00:28:00] it’s well funded.
Kristin: Yeah.
Will: So what, what makes you think that cutting that much is gonna make things run better? I just, I don’t know. It doesn’t make any sense, but let’s, let’s, um, we can stop talking about depressing stuff now. I, I just
Kristin: wanna know what, what the plan is to move forward
Will: QuickBooks. I’m telling you, just let’s get, let’s get it.
Did
Kristin: it, we solved it. Let’s just,
Will: you know, just get, you’re welcome
Kristin: everyone get
Will: the, the, you could get the, I bet the government could probably afford the highest level of quick QuickBooks,
Kristin: probably. Yeah. Highest tier, right? Mm-hmm.
Will: Pro. US Government Edition, do they have
Kristin: Yeah. QuickBooks Government. Is that a thing?
Will: Whole government. Some quick QuickBooks. This is where you need to get into, get into the government handling. You’d like to
Kristin: sponsor Knock, knock High. Yeah.
Will: If you wanna get into the government economy. Uh, uh, part of society. It’s a great time to be
Kristin: in getting into that industry.
Will: Absolutely. Yeah. Just, I’m telling you, start with a smaller country and then move your way up to the, [00:29:00] the United States of America.
Oh boy. Anyway, alright. No
Kristin: one should listen to us.
Will: Okay. Let’s do, uh, uh, let’s see. It’s time for a break. Maybe one more break and then we have a special guest.
[music]: Okay.
Kristin: And we are back with a very special guest, ortho bro. Hi Ortho bro.
Will: What up later, bro?
Kristin: You know, I’m really glad you’re here. Yeah, I’m a little, I’m a little bit, uh, starstruck. Yeah. Do you know, do you know why?
Will: Because I’m holding a femur.
Kristin: Well, no, but my, my husband, you
Will: know, you have two femurs yourself.
Kristin: I do.
Hopefully only two.
Will: Yeah. Does
Kristin: anyone ever have more than one femur? What would that be? A
Will: double femur would be. Awesome. Awesome. First of all, but, uh, no, that does not exist yet.
Kristin: Okay. Okay. Well anyway, uh, people ask me a lot, which of, um, you know, Glock and Fleck in general.
Will: Mm-hmm.
Kristin: Doctors [00:30:00]
Will: love working there,
Kristin: that I would, you know, who’s my hall pass essentially?
Will: Oh. Oh my,
Kristin: I gotta, I gotta say ortho’s. Probably my whole pass
Will: lady, bro. Yeah.
Kristin: Did you know that?
Will: Oh my goodness.
Kristin: Because you, you are, um, kind,
Will: thank you.
Kristin: Uh, and you seem like you would not be intelligent, but in fact you are.
Will: I’m also, you know. Super strong.
Kristin: Uh oh. Yes. And you’re, you’re super strong. Yeah.
Will: Oh yeah, for sure.
Kristin: How could I forget? I’m so sorry. You have such large muscles.
Will: That’s, that’s amazing. Bicep. Yep. Absolutely. Mm-hmm. Well, thank you. I really appreciate that.
Kristin: Yeah, you’re welcome.
Will: Yeah.
Kristin: Well, you are here today to talk about something in particular.
Will: I did. I brought something to discuss with you later, bro. Okay.
Uh, what would you
Kristin: like to
Will: discuss? I am sick and tired of this all. There’s lots of being things being said about Glock and FLAG in general Hospital.
Kristin: Mm.
Will: And about the things that happened there.
Kristin: Okay.
Will: I’ve been there a long time.
Kristin: Mm-hmm.
Will: Uh, [00:31:00] and we need to discuss. Real bones versus fake bones.
Kristin: Oh, okay. ‘
Will: cause there are some things I don’t agree with.
Okay. And that are really frustrating me.
Kristin: Well, okay. What are they,
Will: bones are, are important.
Kristin: Mm-hmm.
Will: Alright. The, the most important part of the human body.
Kristin: Sure.
Will: Arguably, but I don’t think, uh, I think it’s not arguable.
Kristin: Okay.
Will: Alright. Name one thing that’s better than Bones
[music]: Eye.
Will: That’s not true. Okay. There are no bones in the eye.
Kristin: That’s true. Try
Will: again.
Kristin: Okay. Um, uh,
Will: what’s more important than a bone? A
Kristin: heart.
Will: A heart.
Kristin: You gotta have your heart and you gotta have your brain,
Will: but no. Okay. Okay. You’re just wrong and I’m not gonna explain why.
Kristin: Okay. I’m sorry.
Will: Um, but we need to talk about what is a real bone and what’s a fake bone.
Okay. All right. Teeth. Fake bones. Fake bones,
Kristin: fake
Will: bone. They’re not [00:32:00] bones. They’re what The Roman ancient Romans called. Faux bones. Faux bones.
Kristin: Interesting.
Will: Fa bones. They’re, they’re not real. Uh, they are like mineralized tissue. Enamel. That’s not a bone thing.
Kristin: Huh? That’s tissue.
Will: You’re saying it’s tissue? Yeah, but it’s different.
Okay.
Kristin: It’s
Will: different than a real bone because a real bone can heal itself. That’s what makes it amazing to be, to have to have bones. Look at the, this bone I’m holding right here.
Kristin: Yeah.
Will: If I broke it in half, yeah, I’d heal.
Kristin: It’ll heal on
Will: its own. Even outside
Kristin: of a human body.
Will: Absolutely.
Kristin: Wow.
Will: Probably, I don’t know.
I, there are studies, but they’re, you know, inconclusive. Well, they’re not, uh, you know, uh, they’re good studies anyway. We don’t have to go into detail. But the, um, the b the teeth do not heal. And once you lose your teeth, they’re gone.
[music]: Mm-hmm.
Will: That’s not a bone. All right. No. So teeth, fake bones, uh, real bones.
So,
Kristin: but if you lose a bone, it’s not gone.
Will: No. You’ll grow a [00:33:00] new bone.
Kristin: Okay. The whole bone
Will: probably. Yeah. Okay. Let’s stop asking questions like that. All I look, I’m not in, in
Kristin: medicine. I don’t know. Listen. All
Will: right, so here are the real bones. Okay. Alright. Arm bones. Arm bones. Alright. Uh, but they’re not quite the best bone.
The best bones are the leg bones.
Kristin: Mm-hmm. Because they’re the biggest.
Will: They’re the biggest. They’re the strongest. All right. They’ve got a, a, a, a large cortical layer. Lots of fun. Contours,
[music]: Uhhuh.
Will: Alright, so Legg. Bones, arm. Bones, shoulder bones are real. Okay. Our shoulder bones are real hip bones.
Kristin: Mm.
Will: Anything that I can get my hands on?
Kristin: Yeah.
Will: And replace joint replacements. Any, any, all that. Those are real bones.
Kristin: Okay. How do you feel about the spine?
Will: Spine or real bones?
Kristin: Okay.
Will: Alright. It’s, they’re like second tear bones.
Kristin: Okay.
Will: Uh, uh, it’s a little
Kristin: smaller.
Will: Yeah. You know, there’s just, there’s, they’re fine, but they’re, they’re not leg bones. Ooh,
Kristin: leg bones are a gold
Will: standard.
Kristin: A question
Will: shoot. [00:34:00]
Kristin: Are there ear bones?
Will: Okay. You gonna bring up ear bones already?
[music]: Yeah.
Will: Listen, listen. Ear bones are, are. They’re, they’re
not quite fake bones.
[music]: Mm-hmm.
Will: But they’re second class bone. They’re poverty bones.
Kristin: Mm.
Will: They’re second class bones.
Kristin: So on par with the spine,
Will: the no spine’s, spine’s better.
Kristin: Okay. But
Will: ear, maybe third class. Have you seen how, how, how, how, how small ear bones are?
Kristin: They’re very small.
Will: You can’t x fix an ear bone.
Kristin: Probably not.
Will: You can’t bore a hole through an ear bone and, and stick a rod in there.
Kristin: What kind of a bone is that? You need some tiny instruments to get in there. No.
Will: And then if, if you’re just using tiny instruments, you might as well be an eye doctor.
Kristin: Right.
Will: Well that sucks. That sucks. Ear bones are not real. Alright. Okay. They’re real, but they’re barely real.
[music]: Okay.
Will: Okay. Uh, [00:35:00] alright, let’s, uh, other bones that are on the same level, maybe a little bit better than ear bones or your kneecap.
[music]: Mm.
Will: You really care about kneecap, it’s like floating there on top of the leg.
I don’t know. I’m not real impressed.
Kristin: Okay.
Will: Also, feet,
Kristin: feet, bones.
Will: No one likes the feet.
Kristin: What about finger bones?
Will: Fingers are they’re, they’re decent. Like you use those a lot. You use those to like lift heavy weights, so like there’s something there feet you don’t really need feet.
Kristin: Okay, well, but I have a question.
I mean, you need
Will: feet, but they’re, they’re not as important
Kristin: without your feet. Bones. How would you do leg day?
Will: Uh, your. Um, and femur can absorb a tremendous amount of weight. They’re not weight bearing. The feet are, are, they’re just, they’re kind of gross.
Kristin: Yeah.
Will: Uh, and just not as, uh, not as special. Okay. All right.
So let’s get to the rest of the bones.
Kristin: Okay. I’m sorry. Keep interrupting.
Will: Yeah, just It’s okay. These are all fantastic questions. Like, what can a bone grow back after you remove [00:36:00] it? Like, those are reasonable questions that, um, you know, science is in the process of answering.
Kristin: Okay.
Will: Uh, medicine bones.
Kristin: Oh,
Will: alright.
So these, these are. Are there bones but not, um, almost not even worth learning about.
Kristin: Okay.
Will: Like the skull
Kristin: uhhuh,
Will: you don’t even repair skull
fractures. Like you just kinda let it be, I think.
Kristin: And does it repairs itself as you said?
Will: Someone, someone maybe does something with ’em? I don’t know. Not me though. No.
I’m too busy operating on the most important bones. Okay. Ribs.
Kristin: Ribs. Yeah.
Will: You don’t need ribs?
Kristin: No,
Will: I mean, they’re, they’re, they, they, they, these are bones, medicine, bones protect your organs. Mm-hmm. And so just by virtue of that, you know that the bones are more important than the organs.
Kristin: Oh, okay. ’cause they’re protect, they’re protectors, withstand the, they’re protectors.
Right.
Will: Yeah.
Kristin: Okay.
Will: But the thing [00:37:00] is, don’t
Kristin: you think that something being protected No. No. Might be an indicator of importance? I think.
Will: No. I think the, the heart and the lungs are, they are not very appreciative of the protection that they get.
Kristin: I see. So who’s
Will: more important? The president or the secret service?
Kristin: Well, okay,
Will: let’s go on, uh, the other medicine bones. Uh, so we got the ribs.
Kristin: Yeah.
Will: The heart and.
Kristin: Got the sternum,
Will: the skull, the sternum. Yeah. It’s kind of, they’re basically, that’s a glorified rib.
Kristin: Okay. How do you feel about collarbone?
Will: Collarbone? No color. I’m cool with collarbone. Okay. Yeah. Yeah. Uh, the coy.
Kristin: Okay.
Will: That is, that’s, that’s, uh, barely a bone to even be worth considering. It’s a medicine bone. It protects your
[music]: butthole. Okay.
Will: I haven’t looked at that anatomy very closely. I was gonna say. I think, but that’s probably, that’s probably true. Okay. All right. Uh, and [00:38:00] then there’s another bone called a hyoid bone.
Kristin: What’s
that?
Will: I think it’s made up.
Kristin: Hmm.
Will: I don’t think it really exists. Have you ever seen
Kristin: it?
Will: No.
Kristin: Okay.
Will: No.
Kristin: Where is it? It’s somewhere in the
Will: neck area.
Kristin: Okay.
Will: I dunno. So anyway, that’s, that’s your, that’s your bone breakdown.
Kristin: Alright.
Will: Real bones. Fake bones. Gotcha. Thanks for letting me join.
Kristin: You’re welcome.
Anytime you can come back on and you can tell us more about, um, who hurt you,
Will: uh, uh, medicine doctors. Mm-hmm. But, but anyway, thanks. Yeah. Maybe next time.
Kristin: Okay.
Will: Bro,
Kristin: thank you Ortho bro for joining us on Knock, knock High, insightful as always. And thank all of you for listening. Um, tell us who else you wanna hear from, from Glock, Fleck in General Hospital. Anybody else you want us to have on to talk to, interview, have any thoughts about what we talked about today?
Send us your stories at Knock-Knock high@humancontent.com. Uh, lots of other ways to hit us up too. You can vi visit us on all of our socials. [00:39:00] We are on just about everything. Uh, make sure you go to our YouTube channel at Glock Flein, or kick it with our Human Content podcast family on Instagram and TikTok at Human Content Pods.
Will: Hey, I am back.
Kristin: Oh, good. Here you are. How?
Will: Yeah, I wouldn’t want you to have to do the whole outro yourself. I know
Kristin: it’s getting a little nervous.
Will: Did you enjoy your time with Ortho Oprah? I
Kristin: always do. You know that?
Will: I think you have a little thing for him.
Kristin: I have a little crush on ortho.
Will: Thanks to all the great listeners leaving feedback and reviews.
We love those. If you subscribe and comment on your favorite podcasting app or on our YouTube channel, we can give you a shout out. Like, uh, what do you know on Apple who said. I love it. God love it. I love when people use EYE in place of the letter. I fan you. You’re, it’s a surefire way to get me to shout you out on this podcast.
Kristin: Oh, great.
Will: All right. Uh, it says, I love it, not in the medical field, but I really enjoy listening and learning. The conversations been insightful and you’re taking insurance especially. Eyeopening. Oh, it’s
Kristin: two eyes in there. Brilliant,
Will: brilliant comment. Appreciate the work you [00:40:00] do. Keep the great episodes coming.
Thank you. What do you know? Uh, full Vito episode drop every week on our YouTube channel at Glock and Flexin. We also have a Patreon, lots of cool perks, bonus episodes, direct to medical shows and movies. Hang out with other members of this wonderful community. We’re there early ad free episode access.
Interact with QA live stream events much more. Lock infl.com. Uh um, Patreon, sorry, patreon.com/glock infl, or go to glock infl.com. Speaking of Patreon, community Perch, new members, shout out Hawkeye MD. You think they went to Iowa?
Kristin: Ooh. I would hope so.
Will: I hope so. Yeah. Love. Love everybody from Iowa. Shout out Iowa.
Thank you. Hawk IMD. Shout out to the Jonathans as usual. Patrick, Lucia, C, Sharon, S, Edward, K, Stephen, G, Mary and W, Mr. Granddaddy Caitlyn, C Brianna, L Mary, H, K, L, Keith, G, Jeremiah, h Parker, Muhammad, l David, H times two. Haley, a. Gabe, Gary, M Eric, B, Marlene, s Scott, m Kelsey, M. It’s Joseph, S Dr. Hoover, Sean, m Hawkeye, md Bubbly, salt.
[00:41:00] And
Kristin: Sean, a d. Sha D. Make
Will: your Arm roulette. Random. Shout to someone in the Emergency Medicine tier, Mr. Spock. Hey. Awesome. Mr. Spock, thank you for being a patron. Thank you all for listening. We’re your host Will and Krista Planer also knows that the Glock executive producers are Will Planetary. Kris Fla, Eric Port, Rob Gold, Ashanti Brooke, editor engineer is Jason Port.
Music is by OER Benzs v Emmy Winner.
Kristin: Yes.
Will: OER Bins V. That’s
Kristin: right.
Will: We got, we had a, we have an Emmy Wi Emmy,
Kristin: Emmy Women Emmy winner. We have two Emmy winners.
Will: Uh uh, who is involved in this podcast?
Kristin: Two of them. Right? Shanti Brooke. Yeah. And OER Benzs V.
Will: Yeah. We’re very lucky here on Knock-Knock High to learn about our knock-Knock highs program.
Disclaimer, ethics policies, mission verification and licensing terms and HIPAA release terms. Go to glock plug.com or reach out to us n high human content.com with questions, concerns, or any fun medical puns you have. Nik High is a human content production.[00:42:00]
Hey, Kristen.
Kristin: What?
Will: You want an assistant?
Kristin: I would 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.
Kristin: Okay.
Will: Have you heard of Microsoft Dragon Copilot?
Kristin: Oh, I have heard of this.
Yeah.
Will: 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. Yeah. 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: 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. Yeah, try to jog our memory about certain things. You know, there’s a lot to, to think about in medicine,
Kristin: right? And new stuff coming out all the time.
Will: Well, Microsoft Dragon copilot can just make that process [00:43:00] faster and give you citations that lead you, you can look up the latest evidence about things, guidelines.
It just, it just makes that whole process seamless.
Kristin: I like it.
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.
