Diagnosis Adventures with Dermatologist Dr. Muneeb Shah (DermDoctor)

KKH Trailer Wide


Knock, knock. Hi, welcome everybody to Knock, knock. Hi, with the Glock Flecking, I am Dr. Glock Flecking, also known as Will Flannery, and as, as as my like government name. Uh, and we have here Kristen Flannery, that’s me, also known as Lady Glock. Flecking. Not my government name. No, we are the Glock Flecks. And this is our first episode, very first one brand new podcast.

We’ve been wanting to do this for so long, we’ve talked about, so exciting podcast we have. And I, I, I, I mean, people tell me I have a, like, kind of a radio voice or, or, oh, maybe not a radio voice, radio face. But actually, you know, some of my videos, people say it’s, it’d be a good voice to fall asleep too, so, mm-hmm.

I hope that doesn’t backfire on us. Mm-hmm. , because if you’re driving, you might wanna pull over just in case. Yes. Well, that’s, so you could probably keep going. Just, you know, turn the, turn the ac ac up. Ac. Yeah, that’s, is that your go-to move? That’s my move. Is it? No, I use gum. Really? Yeah. A juice of gum. Oh, chew gum To keep yourself awake.

Mm-hmm. . Mm-hmm. . Okay. Uh, you know, going through medical education and training, you have to figure out ways to keep yourself awake. Sure. And, uh, and so that’s, uh, legal one, please. We, we don’t like. Oh, absolutely. Absolutely. So what are we. Doing this for? Yeah. What are we doing this for? Why do you wanna do this?

Well, um, you know, I, I, my, my big thing is, is I, I love introducing humor into healthcare, obviously. Mm-hmm. , uh, those of you who have seen my videos, uh, I, I like to dress up as different characters in medicine and record myself alone in my bedroom. Mm-hmm. , it’s a little weird, I’m not gonna lie. It’s a little strange, uh, for a hobby.

But, uh, and then I post these videos to TikTok, which is an app dominated by the 18 year olds. Teenage, yep. Mm-hmm. . And so, except I’m a 37 year old, it, when you put in like that position, you sound like you could be a criminal. Uh, well, it’s, it’s, we haven’t, uh, ruled it out. I haven’t, I have not broken any laws yet that I’m aware of.

Okay. Good. Please don’t. And, and so I, I have turned myself into this, uh, comedian slash ophthalmologist, which is a, a combination. That doesn’t make any sense. No. Um, but it is what it is. But that checks out for you. And, and, but I’m also, you know, want to do more than just, you know, one to two minute clips.

And so the podcast was born as a way to, uh, try to introduce a little bit of levity, a little bit of, of, um, uh, uh, personality to medicine. Mm-hmm. Uh, and as a way to really show people that that doctors can be like, normal people are humans. Yeah. Have normal conversations and tell jokes and have fun. And, and that’s what we’re gonna be doing on this podcast.

Yeah. And it’s like I always told you in medical school that before you are a doctor or medical professional, you are just, you’re a human. And if we need to honor our, our humanity before anything else Yeah. And so, and so we’ll be talking with each. Sharing laughs talking about our lives a little bit.

Mm-hmm. , uh, and also having lots of guests on from the medical community. Uh, some of them are doctors, some of them are people that played doctors on tv. Um, but what we’re gonna be doing is, is telling stories, uh, of, uh, about people’s experience in healthcare. You know, these, these stories are at times embarrassing, sometimes harrowing, sometimes just disgusting.

There’s, there’s a lot of, a little bit of disgusting, disgusting from someone who’s not in medicine. You know, Kristen is not, I’m not medical, medical whatsoever in any way by choice. What are you, what do you do? Uh, a lot of things. You wanna tell people what you do. I’ve had, I’ve had a very wan deep path.

Mostly I’m, I am in marketing and communications now, but by way of some other, Not in medicine. Not in medicine, not in any way. I’m mostly into like, um, well, still people though, just not their bodies. Yeah. More, more their minds . But what we’ll be doing is, is really kind of telling the stories that people don’t hear a lot about, uh, a certain side of healthcare and medicine.

Um, that, uh, is a little off the beaten path a little bit. So, um, we’re excited. Uh, it’s, we don’t know where this is gonna take us, uh, or, uh, you know, who knows what it’ll look like, you know, months from now. Um, but we’re just gonna kind of, you know, go with it. And we’re excited for you to be here with us listening to us on our first episode.

All. Yes. So, uh, we appreciate that you’re all here. Our, should we get to today’s guest? Sure. Let’s do it. Uh, so today we are very excited. We’re starting off with a bang here. Mm-hmm. , you guys. Mm-hmm. , Dr. Uh, Leib Shaw, the derm doctor. That’s what a lot of people know him as the derm doctor on TikTok. Uh, this guy’s, he’s everywhere.

He’s, uh, he’s got, uh, millions, uh, I think 15, 16 million, uh, followers on TikTok, maybe more. And, uh, he’s, uh, a practicing dermatologist in North Carolina. And he, uh, just is, has done a fantastic job over the last few years, uh, educating the public about skin, right? He really uses social media as, um, a tool for medicine to, you know, educate.

Patients outside of just the traditional clinic settings. And not surprisingly, he has garnered an enormous following because people are thirsting for skincare tips. Oh, yes. And knowledge. And, uh, and so we’re gonna talk to him about all that. We’re gonna hear some of his stories, uh, and have some fun doing this.

So why do you, why do you think, will that all dermatologists seem to be just beautiful people? What is, what are they drinking? I, I, they just, I, I think they really just know how. like what to put on their skin. They just know their stuff. People like me, like I, my skincare routine is, um, non-existent. Yeah.

Yeah. We share a bathroom. I know. I don’t, I don’t have one. Right. And so all dermatologists have one and Yeah. And, um, I think that’s the difference. Yeah. Sure. Take care of your skin, everybody listen to what the derm doctor has to say. Go check out his, his social media channels because, uh, uh, uh, maybe you too can have amazing skin.

Um, all right, well, should we get going? Yeah, let’s do it. Let’s do it. Here we go. With the derm doctor.

All right. We have Shaw, the derm doctor here. Thank you so much for joining us. We’re uh, so excited. Yeah. I’ve obviously seen you all over social media. It’s nice to finally get to see you face-to-face. This is great. Welcome. Well, first of all, thank you for having me on. You are, The leader of this, uh, this, uh, specifically the comedy, but the med space, I mean, I think everyone knows you and loves you, and I don’t think a lot of people know that you’re an og.

You, you’re before TikTok, before reels, before YouTube, um, I think Med Twitter and then even Gomer blog. Am I wrong on AM research? You’re going back to the Gomer blog days. Yeah, that was, and then I, I wasted a ton of time on, on Twitter before I realized that, uh, video was like the thing, right, which you were on, you know, you’re like, meteoric, rise on TikTok.

Uh, I mean, did you ever expect it to take off like this? No. Uh, you know, it’s, I had no idea. I, I was just having fun. I think a lot of us that make content are creative people, and so I was just having fun and then it took off and then my, it was actually my program director, cuz I was in residency at the time.

Who told me you need to really take this seriously because you can reach so many people with information that it would take, you know, decades for you to reach in real life. So you should really like buckle down and make a good content good for your program director. Yeah, that’s a pretty progressive attitude right now for Yeah.

Yeah. You know, cuz you see a lot of, of trainees, a lot of med students, they’re anonymous on social media. Right. Cuz they’re afraid of some kind of backlash from from, from doing it their programs. Yeah. Yeah. But, um, uh, that’s great. I’m glad you got that encouragement early on. I, I want to ask you something that, uh, Kristen asked me, um, just the other day, uh, about, uh, how much of your audience do you think is medical versus non-medical?

Or really the question she asked me was, or it wasn’t really a question, it was, um, something along the lines of, uh, why on earth would non-medical people ever listen to you that was for, and watch you. Yeah. So anyway, I would like to hear from you, like what do you have a sense for, for your, I totally understand for him.

I don’t get it for you. But for him, I mean, I’ll, yeah, tell us a little more. You answer and then I’ll see if it matches what I’m thinking. Yeah, I would say medical probably 1%, maybe of, yeah, that’s what I would guess for you. Um, you know, most, cuz I, I make my content for the public, right? Like, the way that I speak, the terms that I use, um, the way that I present information, uh, really starts at the basics and then builds on that.

So, so I total, I, I actually intentionally make content for the public and not the medical community. And there’s, there’s dermatologists that make content for the medical community. I’m not one of those people. So I, I would assume you, you get too many views for it to just be the medical community. So there must be people that love this genre of comedy that you have.

Well, yeah, and it seems like inside jokes to the medical community, so that’s why I’m always, um, interested when people outside of the medical community are such fans, because, you know, that, that I think is, is just, I don’t know. It’s interesting. Well, I came to it from, to dive into the opposite perspective from you, I, I, I just, I, whenever I make a video, it’s like, I, I’m thinking of it from the perspective of a physician and, and making stuff that I think that the medical community would enjoy, and it just so happens that people outside of medicine watch it.

And I, I’m still a little bit confused as to why that is, but, uh, I’m gonna, I’m gonna take this like, educational byproduct, right? For people, it’s like they get an inside peek into, you know, behind the curtain of the medical community in an approachable way. It’s, but I’m, I’m so impressed by what you do, uh, because Yeah.

Oh man. The, the amount of people you reach and, and the, the information that you give them, Uh, is like, we need more of that. Like, I really should be doing more like, you know, education, educational things, but I, I don’t think I’m, I don’t have that in me. Uh, I, I can tell people not to use Visa and stuff, but you, like, it’s really all the, like, the stuff about like, you know, cancer screening and wearing sunscreen and all that, it’s just like, it really fantastic.

Well, okay. And here’s my, not, I, I won’t go so far as to call it a beef, but as, um, a woman, a person identifying as a woman, um, I feel like there’s a whole, and you guys overlap on this little bit, but mostly for dermatology, there’s a whole beauty industry component to dermatology that I feel like you. Just, I just want somebody, I, what I go to, what I’m looking for products is not the beauty industry cuz they’re trying to sell stuff to me.

So I go to, you know, the dermatologists and I try to see what are they actually using and why. And, you know, do you need the fancy, you know, designer products that cost hundreds of dollars or more, or can you get by with the, you know, drugstore, cevi and, and all of those Neutrogena, um, you know, like what is the actual ingredient that’s doing something and what’s.

Just, you know, garbage. We need you to make us beautiful . We need you to make us beautiful. Help us. You’re both beautiful, so you, you need no help from me. No, no, you’re right. So I think that the beauty community is interesting because you have derms, you have aestheticians, you have just people that are enthusiasts that are making content.

And we actually need all of them because they all present differing opinions. Like, I may not be relatable to the average beauty consumer or a subsect of the beauty consumers. And so there needs to be somebody who can reach them and communicate good information to them. So I actually look at it as like the derms are part of this whole thing.

Like it’s not, they lead it. They, they don’t like, they’re not the ones that are the ones that are vetting the information. They’re part of this. And people like you, like they, you might find an influencer you like that recommends a product and then your check might be to see what the derms are saying about that product.

And yeah. And I think that makes it. A really good place to be. But it, it just so happens that beauty plays really well on social and it’s very visual. So as a derm on social media, I just can make, I have so many opportunities to make content and react to different things that people are doing. So I had this, I had this endless stream of content that people are giving me.

Yes, but also you guys are onto something because all of you are beautiful. So you’re doing stuff like look at, she’s talking about you not, not me. Yeah. No, it’s, look, it’s glowing. You do the lighting is what it is, it’s what’s happening, right. When you do seem to be glowing even through a computer screen.

Yes. Um, . And, uh, it, it’s, um, maybe one thing that you’ve also noticed is that it’s the same thing with eye care. Like people just don’t know anything about it. It’s, it’s this very, um, this area of medicine that’s, um, you know, even going, even as a medical professional, you know, you, you don’t get a lot of experience in it.

And so there’s this huge knowledge gap, you know, really with the general public, but also with medical professionals. It’s the same thing in my field. I’m sure it’s the same thing, uh, that you find in your field. And so even, you know, people in medicine appreciate all that. That, uh, beauty and, uh, the, even the non, you know, just anything, just give us, give us information.

Yeah. About, about the skin. The largest organ in the body, by the way. That’s what they is, is the eye the smallest organ in the body then? Ooh, question. It depends on what, what you, uh, think of the pituitary. Uh, I think that might, that might win, but, um, is that considered an organ also? I thought those, I’m not sure what the average testicle size is.

Oh dear. But, uh, that maybe comparable. Yeah. Very. I do know, I, no, I don’t know. They did radiology and we would measure the. Uh, before, before Derm, I was actually a radiology resident and we used to measure the volume on ultrasound of testicles. Okay, so I do have an idea of the volume of a testicle. Do you know the volume of an eye?

Of course, I know the volume of an eye. Okay, well here you can answer question. Which one’s bigger? About, about, we have about 2020 mills. 20 William, something like that. What do you got? I don’t know. I don’t know. I don’t remember . Oh, he doesn’t, I didn’t know I was gonna be quizzed on this. I, I can’t remember.

Neith, did we Somehow we always end up talking about testicles though. It’s all just, it’s all balls. It’s whatever. Anyway, um, I, I want you to, uh, to have time for you to tell a story. Did you bring a story for us today? I have stories. I have stories. I wanna continue the thought of the, the basic, I, I think basics for, for medical people that are listening to this.

It’s the basics that the public wants to know because like, yes, like I think if you’re like, think about you and me, like we don’t know anything about law. We don’t know anything about accounting. We don’t know anything about car. Maybe you know, something about cars. I don’t. Um, so it’s the basics like that I want to know when I’m approaching these experts, right?

And you can’t talk to me up here because I’ll. Get up here. You need to start here. So I think for you and me, like even like the simple things that seem simple to us are actually really beneficial to people. And that’s, that’s why I always start with the basics. But yes, I have some stories. let’s embarrassing stories.

Oh, let’s hear it. Let’s good. We all, we all love a good embarrassing story. Let’s, well, let’s start at like the low hanging fruit, um, you know, medical medicines. . Yes. The exactly. . And now onto, no. So, you know, one of the things is that a lot of us, like, you know, didn’t go to lecture potentially in med school.

I don’t know about you, um, but I used to read a lot. I, I used to re everything I learned, I learned from reading textbooks, um, and then diving deeper in those textbooks. And so a lot of things I actually didn’t know how to say, but I, I knew what I thought they sounded like. Right. And so getting into a third year of medical school where you actually start seeing patients and you have to now present what you’ve learned out loud to people for the first time.

I mean, there are so many instances I can think of where I got clowned on for, for the words that I said. You know, one of the things is I used to present like the lab values and when I would, I would say like, Instead of B u n and oh man, they, they got me on that one. They’re like, bun. And I’m like, oh, I’ve never realized this was an acronym for, you know, so, so that’s, that’s one.

Low hanging fruit. Another one is Spirochete. I, I thought was spt. Um, I don’t know. Like, you know. Sure. How would you know otherwise? Right? How would you Well, you make it sound fancier. It’s, that’s for sure. French Yes. By Roche . Exactly. make the tea Silence by Rochet. I don’t think that’s not, that’s not too bad.

That’s, that’s so, I mean, that’s, it’s obviously wrong, but it’s, it’s okay. Like, I, it’s not, I don’t blame you for that. It’s not too bad. Yeah, yeah. No, it’s not awful. Um, good stories wise is, can I, wait, can I give you, uh, can I, because I have a very similar, uh, experience in, uh, in a certain way. So, um, I remember just in relation to that, um, being in lecture, And I asked a question about contraindications for something, and so my whole class was there.

Um, or the whole class, probably like 20 people. Yeah. I don’t know. You know how it is like going to class, but, um, but instead of contraindication, I’d never heard that word spoken out loud. And so I said, contraindication, , oh boy, contraindication. And of course, of course the, the, uh, whoever the professor attending was, you know, called me out on it immediately.

Oh, you mean contraindication? It was like the most embarrassing thing that I’d experienced. Like, you should have just held your ground. Nope. I mean, contraindication. I did not have that much confidence as like a first year, right? You’re like, no, you’re wrong. You’re wrong. Yeah. Right To tell. Not a, not a road.

You want to go down when you’re telling attendings that they’re wrong as a first year med student, well now you’re bringing in words that are non-medical. And I could tell you one for me, um, you know the word disheveled, right? Oh yeah, I, I, you know, whenever I’m reading Harry Potter, you know, as a kid for the longest time, and I said this out loud, I thought disheveled was dis heled.

I thought the disk was separate from the s sh, so I thought it was dis heled, and I used to say it disheveled out loud to people. So that’s, that’s tough. That’s also tough. Well, it’s a, it’s a sign I of, you know, of a reader who’s of a reader’s advanced, right? Because you’re reading words you’ve never actually heard before in regular.

That’s fair. Sorry. And this is before you could, or maybe you could, where you could type in words on Google and say, how do you pronounce this? Right, exactly. Well, so what else do you got? You got something else? Uh, embarrassing. I, I love some stories. Let’s hear that The derm doctor who has like, you know, like, I don’t know, 220 million.

People following him. I’m sure all of your fans would love more embarrassing stories about you. Embarrassing. Well, I have a good story. It’s not an embarrassing story, but it’s, it’s a motivational story for those of you who are good, who want to achieve high levels of success in whatever industry that you’re in.

So, uh, I’m an intern. You know, we’re, we’re on rounds and you know, when people have strokes, sometimes they develop bowel incontinence, right? They can’t hold their stool in, right? And this is an expected outcome, right? Um, we always check for this to make sure that, you know, people have fecal continence or incontinence.

And, um, we’re on rounds and, you know, part of the rehab process is that, you know, we try to get these people walking as quickly as possible with physical therapy to, um, to get them better. Like, you know, you really have to get these people moving, especially after they have some type of stroke like this.

Um, so we’re on rounds and, you know, the, this gentleman is walking and he’s in a gown, but he’s not wearing under. and you know, so he is walking, he is walking and uh, he drops the perfect turd on the ground. And, and this is expected. So no one’s upset at him. Right. Like this is, you know, like, no, like this is what happens.

Right. And you know, actually he, he got much better and you know, was discharged soon after that. But he drops the perfect turd and it was like, it was like coin size. Like it was round, it wasn’t messy. It just sat it plopped on the ground and it popped in front of all of us. And there’s about 12 of us sitting there on rounds.

And we look down, we look up, we all kind of look at each other because now somebody has to respond to this. Somebody has to do something about this. Right? Right. Like, and, and there’s just one guy, he’s a fourth year medical student, and without hesitation, he puts on a. Picks it up, brings it to the trash, throws it in the garbage, and then just comes back.

And, and I thought to myself like, this is a guy who’s gonna go far in life. You know, this is the person who responds in, in the time of need. Uh, without hesitation, no one asked him to do anything. I wish I was the one who responded. Um, but, you know, this guy got fives across the board on my evaluation.

That’s quick. Thank you. Going on to be an e n T. Um, and so that’s my motivation for you, you know, when there’s a turd, um, be the first one to pick it up. Pick it up. Yeah, absolutely. I, I love that. That’s, and, and it’s funny as a, as a med student, like your, your, your mindset and your clinical rotations is always to just be helpful, right?

You wanna, because you don’t, you don’t have a lot of the knowledge base, so you just, you want to be able to do anything you can. Helping people, patients, in and out of chairs like that, that was my specialty. Well, you’re very tall on rotations. Like I was great at helping people. And at a wheelchair, you know, moving transition, like learning from the nurses, like how to do that, like safely.

Uh, I, I was great at that. Uh, and especially opening doors, opening doors for other people as, as, that’s another classic, but your point, um, is a good one. Uh, it, it just find ways to be helpful and, and to be, um, uh, and to, I just, I think I’m sure the patient probably appreciated that as well, right? Well, hopefully the patient never knew cuz that would be mortifying.

The patient didn’t know. I like that he just said it and, or did it and didn’t say anything. Yeah, the true never knew. No one laughed about that. You know, the patient was the patient, right. Like that there’s an expected outcome, but like you said, like being helpful, um, is, is really will get you far in life in any situation.

You know, as a, in, in residency, I mean, I can tell you. You know, just be, just trying to be helpful in doing your best and going above and beyond for your patients and listening to the nurses. Cuz you know, part of my training was at a VA hospital. Um, you know, of course there’s, you know, understaffing issues there and there’s issues with, you know, like communication and there’s a lot of, there’s a war between the residents and the rest of the staff.

And, um, ultimately if you just listen to them and do your best, you, you tend to succeed and they go out of their way to help you. And so, um, that’s something I learned super early on and it made my whole intern year and beyond much, much easier for me and everybody else. So I don’t fight the war. I just, you know, we try to, you know, create alliances along the way.

Wh where were you doing your intern year? Uh, at Albany Medical Center, which is, uh, it’s a level one trauma in like upstate New York area. Um, so we were busy. Uh, we were definitely busy, but it was actually probably my favorite year of residency, even though I worked the most, because after, after that I went into radiology and then I transferred into Durham.

And so it only got easier for me. Yes, this went along. Um, and so, so intern year was the toughest year, hour-wise, but it was actually probably the most fulfilling and fun year for me. And I learned a lot about myself, you know, so a lot of my, actually my good stories come from intern year. Oh yeah, it’s, I mean, it’s, it’s, uh, the biggest, uh, the biggest, um, way, what’s, what’s, what am I trying to say?

Like, learning curve. The biggest learning curve. That’s it. The biggest learning curve, uh, is intern year. Like, it’s because you’re just thrown into the fire, uh, all of a sudden, you know, just like last week you were a med student unable to order Tylenol, and all of a sudden now you can, and then, and among other things you can order.

And so it just, it’s this huge change, uh, pretty, pretty suddenly to be honest. Uh, also like in ophthalmology and probably derm, I would guess it’s probably the last time you do like real medicine, right? And then you transition into your cush jobs. She. Yeah, you’re, she knows, she, she knows, she, she, she knows what it’s like for me, like on call and, uh, I’ve heard all the calls along the way.

Yeah. So these ones are not bad. She also knows that immediately upon beginning my ophthalmology residency, uh, all the medical knowledge, the general medical knowledge below anything below the nasal bridge, I just, I was dumping that information. I don’t know you, but see, dermatology is different. I mean, they do have to do like the full body.

No, no. Yeah. Skin is everywhere. Right? Skin covers everything. And, and one of the, the, I think the, the coolest things about dermatologists is that there can be just some seemingly inconsequential little thing on the. Uh, and then all of a sudden a dermatologist would be like, oh yeah, that’s liver cancer.

Right. Is like, it’s like black magic. I don’t know how you do it. Yeah. It’s, it’s, and then it probably speaks to the fact that you still have to hold on to all of that general medical knowledge and know those systemic manifestations of things. Yeah. Whereas he can’t even like tell if our kid has. A cold or so.

I’m like, you need a mom if you’re a parent. I’m not that bad. But yeah. Anyway, what do you think? Yeah, no, I, I agree. So derm is, yes, like, you know, even during residency, like the stuff they quiz us on, you know, we need to know every type of elder Danlos syndrome. You know, we’re still learning about like osteogenesis imperfecta, you know, every um, you know, glycogen storage disease.

They still test us on these things because a lot of conditions have skin manifestations and derms are sometimes the first people to recognize these things. So we need to know all the signs of neurofibromatosis and tumor sclerosis. You know, this, this is part of our curriculum because like you said, the skin is sometimes like a marker to something deeper, going inside that’s much worse.

And so, you know, a lot of, like, and you’ve heard the quote, I think it was like the first line of, of first aid for the boards, uh, which is, you know, you may be the only thing standing between a person and death, right? And so, you know, as a physician, like you do need to know everything you possibly can, like if you’re, if that’s your domain, right?

Because like if they come to see me, I’m the specialist in derm and I don’t know the skin thing, right? Or I don’t, I don’t have a plan of action of what I’m gonna do next. Like where do they go next? Right? Like, you know, like if someone comes to you about an eye condition and you’re like, well, I don’t know and I have no plan for you next, you know, that’s, that’s a tough, that’s a tough thing.

So I think, you know, we, we try to at least know the most of, of our domain as possible. Cuz it’s really important. What do you do? What do you do when you, because we’ve all had those situations where I really am not sure. what’s, what, what this is, what’s going on? What, what is your next kind of course of action?

This is such a good question because my, you know, where, where I trained, my, my program director was very like, like, you know, kind of going back, you know, he, he saw the writing on the wall for social media and the importance of what I was doing. He’s very forward thinking, very logical, very common sense based, and he kind of sat us down one day and he said, Listen, like there’s gonna be times, many times in your career where people are gonna come in and you’re gonna have no idea.

And he said, the number one thing you need to do is give them a plan for the future. And that’s it, right? Because you’re not gonna know everything. And so like, you need to know what you’re gonna do next. So he is like, I walk in, he goes, I give them a list of things we’re gonna do. I take, I take a biopsy, or I order labs to get more information to buy time.

And then I see them back in two weeks. And during that time, I have now more information to act on and I’ve given them some type of treatment. And so that patient knows during that two weeks that this is the plan. I’m gonna see you back in two weeks and we’re gonna discuss further steps after we have more information.

But at that confidence level, right. And not saying, you know, say, Hey, I’m not really sure. I think it’s these possible three things, but we’re gonna get more information and we’ll know more in two weeks. That gives them confidence, even though you don’t know. Right. And it’s, it’s how you present yourself.

And so that happens every day and, and for some reason, like as soon as I graduated, like it seemed to happen more. I don’t know if that’s, you just have more doubt in yourself. Um, or you’re seeing like a new selection of patients. But it’s like every patient that walked in my first week, I’m like, I don’t, yeah.

I’m not sure about this. Oh yeah. So I’m like, but then you just give ’em that confidence that you, that you’re gonna find out and you’re gonna be on their side through that process and coach them through it. And I think people appreciate that and they feel like they still have trust in you then, then lying and say, you know something and you don’t.

Right. How, how many years are you out of training? Like six months. Oh, . Okay. All right. Yeah, I, you know, I, I’m about five years out of training, but I still remember those that first like year really, uh, where you do have that doubt. Like, do I am, am I smart enough? Am I, am I capable enough to like have all these patients coming in and, and it’s up to me to find the answer.

And I was regularly like consulting. My, you know, textbooks, Google, you know, that be there’s, because there’s, you know, you, you know, you kind of know, but you want to just be sure. And so, you know, I always, and I tell residents this as like, you know, it, it, it’s okay to like, excuse yourself and go look at your, you know, for us it’s like this, the Will’s Eye manual or, uh, some other textbook or up to date or whatever it is, like it’s okay to excuse.

and go and, and make sure you know the right answer, whatever the dose is for that medication. You know what, how do you do that? I want to know, I want some tips here because Yeah, yeah. Do you say, Hey, I’m gonna look this up and then you leave? Or do you come? Cause I usually come up with an excuse, I’m gonna be honest, honest with the public right now.

Right. I’m usually like, all right, I’m gonna go, um, grab something very important, doctor. Things will be, I’ll be diving deeper or confirming. Right, because you don’t know the doses of everything. Well, that’s exactly what I, I usually said, I was like, listen, I, I, you know, it could be this, this, or this. Um, what I’m gonna do is, uh, I’m gonna do a little bit of research.

Or I’m gonna, you know, just consult, uh, one of my partners or, um, you know, do a little bit of digging to just make sure we have the right plan for you. And I’ve never gotten any like, negative feedback from saying something like that. Yeah. Because like you said, patients, they, they, they, they like knowing that you are doing everything in your power to come up with the answer and that’s, that’s what it, that’s what counts.

Yeah. And just speaking as a non-medical, Person who has been a patient continues to be a patient. It’s in the age of Google. Like, I do not expect anyone, doctors or otherwise, to just have everything memorized and, you know, downloaded to their brain. That’s just not the way the world works anymore. So I don’t think twice if somebody says, you know, I’m gonna go check something real quick, just I, in fact, if you’re honest with me about that, you, you don’t have it all memorized and you don’t have every answer top of mind, I’m gonna trust you more because you are a human, not a robot.

So, you know, if you’re pretending like you know everything, I’m actually suspicious. Yeah. That’s so good. So if you go and you say like, you know, here’s what I’m thinking. Here are the questions I still have. Let me. You know, find out the answer to those questions. What I’m coming to you for is I trust your ability to Google this better than my ability to Google this, because you have all the background knowledge to know what’s good information, what information might relate to other information.

Like those are the things about, you know, it’s not about do you have access to the knowledge. We all have access to the knowledge now it’s, you know, what to do with that knowledge. Yeah. And how to apply that knowledge in a way that I just don’t, because I don’t have the training you do. I also think it’s actually, I also think it’s super cool that you can, um, biopsy things that you’re not sure about because it’s harder to do on the eyeball

Yeah. Right. You can’t, you know, what they say is tissue is the issue. You, you can’t get the tissue. There’s not enough. There’s not a volume, like we said, right. For you to get the right sampling. But yeah, no, I think you have a good point. Everything is on Google. In fact, like everything that we know is on Google, and it really is being able to discern what is accurate and relevant.

to that particular patient, right? That is what our training is, right? And we’re practicing that art of medicine because otherwise, you know, like that information is out there in, in volumes, right? Like, you can find anything as a patient, and there’s more information on Google than there is in my brain.

But I can discern like, okay, this is relevant, this isn’t real, this is not cancer, right? You’re not gonna die. Um, you know, I think this is benign and, you know, I, I kind of like, you know, move through that information much quicker and are able to come up with. Good diagnosis or a good treatment based on that.

So yeah, a hundred percent. I, I like, I like that as a patient you can recognize, um, that we’re able to discern the information rather than Yeah. You, for your critical thinking, not for your memorization skills. Yeah. But, and, and then you also mentioned a really important point when you said, you know, you’re, you’re, this is in cancer, you know, kind of thing.

Uh, because very frequently I’ll say people, I’ll tell people, uh, you’re not going blind. And I, I like, it’s amazing how many people are like reassured by that fact they have something going on. They honestly think they’re gonna lose their vision. And just by telling them that, like that, it allays so much of their fear and, and so yeah, it’s human nature just to go to the worst case scenarios.

That’s, that’s true. When you don’t know mm-hmm. , when there’s uncertainty, you get scared and so yeah, it’s really important, I think, for doctors to realize some of the basic stuff that you guys know, that, okay, this is not a concerning issue. When that doesn’t actually get spoken out loud to the patient, they don’t know that, in fact, they’re still worried that it is a concerning issue.

So I like that, you know, to say it’s not cancer, you’re not going blind, whatever the issue is before you dive into what it actually is. The, that’s, you know, that’s really interesting that you say that because there are things I definitely took for granted when I was going through my training, which was, you know, we do, I, I do a lot of surgery on the face and in that process I always think about what type of scar this person is gonna have.

And part of my closing, when I, when I’m planning the closure to put the skin back together, I, I try to orient everything in a way to make the scar look as invisible as possible. And, A lot of times when I’m presenting information to patients, I’m like, oh, don’t worry, I’m gonna do the best job to make the scar look as small as possible because I know that this cancer is not bad.

And if I not that bad and if I remove it, it’s gone. And that they have nothing to worry about. But they actually don’t know that. And a lot of times I’m worried about the scar because I know I’m gonna get the cancer, but they’re actually worried about the cancer still. So a lot of people are like, I don’t care about the scar.

Scar. Right. Like I just want to know that, that I’m just get the cancer outta here, die, just get the cancer out. So Right. So I had to start to reframe cuz I actually took for granted that that missing piece of like, they just want to know that they’re gonna be okay. And so Exactly. I think you can learn lot from listening to your patients.

Yeah. A hundred percent. Great. Great conversation. Uh, we’re gonna take a break. Let’s do that and then we’re gonna come back with Shaw, Dr. Shaw, and we’re gonna play a game that I call adventure diagnosis. Ooh. Ooh. I don’t know if I like that . We’ll, love it. We’ll be right. We’ll be right back. Just wanna give a big thank you to all our listeners joining us right here at the beginning episode of our podcast, episode one.

You’re here. Uh, this is a new show. Spread the love, share with people, you know, uh, everybody just tell, tell everyone about Knock, knock High. Leave a rating. Uh, be honest. It’s okay. Like, we can take it. Tell us what you think we want to hear. We want, uh, to create a community here. Uh, that’s for you guys. Yeah.

For, yeah. For all of you. Uh, later today on this episode, we’re gonna share some stories, uh, some of your own medical stories from people in, uh, the community, the Nanka community. You can share yours, knock, knock high@humancontent.com. And, uh, we also have another episode out now. Yeah, like we do two episodes in one, basically first, listen to this one.

Yeah, listen to this one. Okay. And then go and check out our second episode. With, uh, Dr. Jen Gunter available now? Yes, she is amazing. We also have a Patreon. Come hang out with other members of the knock-knock high community, including us, and click we’ll be there. We’ll be there, uh, early episode, access, uh, check out, uh, bonus episodes there as well, including a whole Patreon exclusive called The Monthly Eye Exam, where Kristen and I react to medical TV shows and movies.

It’s gonna be a lot of fun. So come play. Now let’s get back to Dr. Shaw. We’re gonna play a game. This will be fun.

Alright, and we’re back and we are going to play a game. Hope that’s okay with you. This is, I think this will be fun because one of the things, uh, with dermatology, uh, from a healthcare professional standpoint is you have your own language for things. Okay? Right. Okay. Ophthalmology is the same way. We have this whole vocabulary that no one knows anything about.

Uh, it’s really the kind of similar, you know, with how you describe rashes and skin findings and things. And so, um, I thought maybe we could do something that might help the public a little bit, uh mm-hmm. and other medical professionals on, on describing, uh, things mm-hmm. . And so, um, what we’re gonna do is called mm-hmm.

I, I made up this name, adventure diagnosis. I don’t, it is stupid, but, uh, uh, we’re, again, I’m gonna tell a story, all right? Okay. And during the story, things will happen that, that will result in a rash. Mm-hmm. . All right. And, and it’s your job to, to tell us, describe that rash. Ooh, okay. Okay. You’re gonna describe what in like, this is gonna be super easy for you, although I did throw a, a couple different curve balls in here.

Okay, so, so here we go. Here’s the story. The three of us are going on a hike, aren’t you? , Kristen and myself, uh, because we like to hike, right? Do you like to hike? Do you go? Of course you do. If you, if you submitted a, a med school application, you, you, you love to hike. Um, I, I do like no form of outside activities.

actually. Okay. You’re gonna pretend that you, I’m an indoor kid that you like to hike. Okay. Honestly, I don’t really like hiking that much either. Okay? None of us like to hike. That’s what we’re, that’s what we’re doing. We’re going to hike. All right? And, uh, uh, so we’re starting on this hike and, um, and I, I realize that I need a walking stick.

I like to have a walking stick. So I, I weighed into some nearby bushes to obtain a, a hiking stick. Uh, and then Kristen points out that I’m actually walking through these very suspicious looking leaves of three mm. And, uh, and then pretty soon I notice some burning. Mm What? But what’s going on? What’s going on?

So, If it’s that quickly, uh, pro, probably nothing, um, other than maybe got, I was gonna say, is it when assume it’s happening immediately, is the burning when you immediately or you gotta be more specific? Um, it, it’s, it’s poison ivy , so I know, I know

what people out, there’s a type war hypersensitivity reaction. So it takes a little bit ti a little time to to react, but um, but for the story purposes, yes. What am I seeing? So it’s red. Um, you know, it’s, uh, you know, people say earth eus, but red is actually the right way to describe it, is based on the color.

So it’s red. Um, it’s red. It’s usually vesicular, which means that it has fluid-filled blisters, essentially small, fluid-filled blisters, uh, so red vesicular and poetic, also known as itchy. Um, and those are usually the way that you describe it, and it’s usually in a linear pattern in the way that the, the, the brush, the, the tree brushed up against you.

So a lot of times the way the pattern looks and the distribution of this rash point us in the direction of poison IV dermatitis. There you go. That’s, I could listen to you talk about rashes all day. Okay, here we go. All right. So I, unfortunately, I now have poison ivy. Uh, but, uh, we continue going, we walk into a large exposed area of this trail, like a large meadow, all right?

And the sun is beating down on us, and unfortunately, I forgot to wear my sunscreen and I’m, uh, know that I’m with a dermatologist, so I’m afraid to tell you. Uh, and I’m afraid to all of a sudden just apply sunscreen and, um, and I experience the consequences of that. Sunburn, right? So we’re talking about sunburn.

Sunburn. I got a sunburn. So what does this look like? Right? So a lot of times just red erythematous, a lot of times blanching, right? Like when you put your finger on it, the, the red, you know, disperses and it’s white that’s left behind. So that’s a blanching rash. Um, and it’s just diffusely red and homogenous in its red color, right?

So it’s not like little patches of red, it’s usually like fully red. And then it goes through this process where as your skin dies off, um, you start to peel a lot of times so your, your skin starts to peel off. Um, and you know, you get some scaling and flaking that occurs afterwards as that, as that epidermis lifts off of when the last, it sounds like in this story, I have never been more attracted to you.

Yeah. Yeah. That’s so now it’s, it’s gonna get, it’s gonna get, you now have poison Ivy’s worse. Oh, it’s getting much worse. Our daily. When was the last time you had a, a sunburn show? Sunburn? Um, probably, actually, um, when I was a radiology resident, um, in Morocco. No, you didn’t, you never went in the sun if you were a radiology resident.

I know, I know. We went on vacation and so my, my skin wasn’t prepped for the sun. Cause I had been in the dark room for so long and then, and then, yeah. Not bad sunburn, cuz I don’t really, I have a skin tone that doesn’t really burn that easily. . Well, I’m sure, I’m sure that would, that would be grounds for, uh, probably, uh, removal from your practice.

Have you ever showed up with a sunburn? Mm-hmm. . Right. Um, okay. So I, I got a sunburn now after a couple hours. All right. We take a break. All right. Much need a break. Unfortunately, I choose to sit on a log that’s directly underneath a beehive. All right. Bad, bad news. The bees start chasing me. I’m running wildly down the trail.

I’m shouting help, help. I’m allergic to bees, despite all my evasive maneuvering and angry bee catches up to me and stings me right on the face. What happens next? What happens next? Yeah, I mean, you’re allergic to bees. So this is opposite of the poison ivy situation where it’s a type one type of reaction, type one hypers.

So it’s immediate reaction. So what ends up happening, a lot of times you get pain, you get swelling, you get a little nodule at the sight that’s red, um, and sometimes indurated or hard. And then the rest of you, you get a vasodilatory response. So you get flush. Um, you know, you, you basically start, you know, your blood pressure drops.

Um, you, you get swelling, um, inside your throat. You can’t breathe. Your face starts to get really swollen. Your eyes get swollen and emis. Um, which is another word, just kind of fluid leaking out into the tissue. Um, and then, you know, you can’t breathe. That’s, we hit you with the EpiPen, uh, to save your life.

Fortunately you did bring an EpiPen, so, so you hit me with the EpiPen and I’m Okay. Uh, and then, but despite the poison ivy, the sunburn, and now, uh, like an anaphylactic reaction to a beasting, we continue on . You, we can do well. Okay. Yeah. Oh, we’re, we’re, I don’t go outside. We’re, this is exactly, we’re motivated.

Outside is dangerous. We’re motivated hikers. All right. All of a sudden we come across a second group of hikers. One of the, the, the people in the second group is a non dermatology physician, we’ll say an internist. Uh, and once they find out that you, Dr. Shaw are a dermatologist, they begin telling you all about a rash that they saw recently.

How did the person describe this rash? This is a trick question. It’s alar. Yeah. Macula. Pular. . Yeah. Which is, you know, I don’t hate that phrase. Like most times, really you don’t, because it’s, because I think we’re all conditioned to assume that that’s something you never say in the presence of a dermatologist.

Yeah. Well, because we don’t necessarily describe, but it’s pretty accurate. , you know, as far as like a description of the rash, right? It’s raised and flat. There’s popular component and then there’s a macular component and like, I’m like, well, yeah, I kind of know what you’re talking about more than morbilliform.

You know, morbilliform doesn’t sound as descriptive to me as maul. So Morbilliform is worse than maculopapular. I mean, I, you know, I think they both are equivalent. I wouldn’t be sad. Okay. I’m more upset about the bilateral. The bilateral cellulitis gets me more upset. Okay. Oh, bilateral cellulitis. Why is that?

Yeah, always for a non-medical. So, so, so a lot of times, a lot of people have issues with their legs due to circulation, right? So we see a lot of rashes on the lower leg, um, whether it’s due to venous stasis where you’re not, your, your veins don’t work as well to pump back to the heart, so you get almost this stasis dermatitis or like redness and ruiness of the legs.

Um, and a lot of times, you know, we would get consults in from the ER about bilateral cellulitis, which is, which is an infection. Cellulitis is a type of infections and, and infections usually only affect one area, right? Uh, like they, you know, you get an, an infection on one leg and not both legs, right? So it’d be very uncommon to get two legs to get infected at the same time.

Uh, and so we would get consults for bilateral cellulitis when we would know. In fact, it, it’s nearly impossible. Your bilateral cellulitis, you’re most likely gonna get something that’s more systemic if it’s affecting both legs. There you go. We’re learning so much dermatology today. This is great. Okay. We all decide.

The two groups decide to hike together. All right? We’re enjoying each other’s company. We meet friends. We’re having a great time. All right. Unfortunately, we’re not paying attention. We soon realize that we’ve lost the trail. We have lost the trail instead of retracing our steps, I as the leader of the group, uh, decide to make an executive decision that we will continue hiking straight ahead.

All right. My reasoning decision is that eventually we will find civilization. Um, right. What kind of rash was this? A rash decision? A rash decision. got. Its good. Totally thought. I it, that one. Oh man. Okay. All right. We’re over halfway through here. Um, now the good news is that one of the hikers in the other group, uh, brought a compass with them.

So they handed me this compass to ensure that I continue walking in a straight line and not, you know, go around in circles. Uh, the bad news is that this compass is made of 100% nickel. Something I am also allergic to. Ooh. Okay. So, okay, so nickel, nickel dermatitis. This is sort another type four type of reaction.

It’s very similar to the rash that you see with poison ivy, and it’s actually the most common contact allergen, uh, that exists. So, you know, it’s, most people are allergic to like, not, it’s the most common thing that people will develop this type of allergic reaction to. And, um, usually red again, usually itchy.

Again, poetic, um, usually, and if it gets bad, it can be vesicular and weeping, um, where you get fluid coming out of it. Um, and then over time a lot of people will, you know, the way that nickel works, a lot of times allergens is like it’s in your belt buckle or it’s in your watch mm-hmm. or it’s in your ring.

And so you develop more of like a chronic type of issue with this, where it’s like thicker skin, where we call lichenification of the skin, where the skin becomes thickened in this area of contact dermatitis. Gotcha. How often do you see it when someone is lost hiking and has a, and uses a compass ? Have you ever had that situation, this type of encounter?

Right. If you came to me with this story, , I don’t even, this would be a long, this would be a long appointment. This would be a long visit. I take a long time in my, I’m, I’m a, I’m a chatter, so all my appointments run over because, uh, I love talking to patients. It’s the best part of my job. All right. So, so, uh, now, so we, we diagnosed that I, now I’m, again, I’m leading this group, uh, because this is all my idea in the first place and we’re all now yelling at each other.

Like we’re all just angry or unhappy. And again, I’m not paying attention. I walk right into a thorn bush. I cut up my hands and my arms and then fall into a decaying pile of plants and logs. And, uh, one of the people that’s hiking with us, who happens to be a gardener, Says, I’ve done this before. Ooh. Okay.

So this is something we call Spero Osis, um, where mm-hmm. , I’m afraid, uh, fungus or mold that I organism that punctures the skin and then sort of spreads. Um, and, and actually, um, Spero, OSIS spreads in a very interesting way. It spreads like almost linear up through the arm and through the lymph nodes in the arm.

And we actually call that pattern apo trick pattern, which a lot of other organisms actually cause a OID pattern. Um, but the, it’s actually named after Spiro’s, the og. Cause it’s the most classic exactly. Og oid pattern that we see. . Um, so Spora Trosa from, from thorns. Um, you knowing the skin. Classic.

Classic. Alright. So we’re exhausted, we’re all angry. I am covered in rashes, uh, and, uh, deservedly. So again, right? We decide to rest and pretty soon we realize that it’s been about 12 hours and, um, and we’re all hungry. And, but because nobody brought food on this hike, we thought it would just last an hour.

But we got lost and it’s been 12 hours now. So in order to survive, we need to find some food. Uh, as the self-appointed leader of the group again, uh, and somebody who has watched several survival videos on TikTok, I decide to venture deep into the woods and search for something to eat. After some time passes, I emerge from the woods triumphantly carrying a nine banded armadillo.

That’s not where I thought that was gonna go. Yeah, a nine banded armadillo, classic finding . Um, so this is, do I, are you getting flashbacks to Yeah. Are you getting flashbacks to first aid here? To, to studying for step one? So actually not first aid, like this is still relevant to our boards. So, you know, I took boards, you know, six months ago for dermatology and these types of questions, we know everything derms actually treat leprosy.

So that’s, those are the, those are the people that you would go to. You know, there’s, there’s a few leper colonies I think still left in the United States. Um, yeah. Um, I think there’s two left, or maybe only one left, but there’s certain, you know, derm residencies we used to like, um, Do grand rounds with that would see a ton of leprosy, so, so leprosy, um, you get from nine, nine banded, armadillos, whatever that means, uh, whatever that means.

No one’s ever seen that before. Um, and basically actually causes you to develop these like white patches on the skin that are, that, that, that you actually, that you can’t feel anything like, cuz it damages the nerves. So they’re, they’re anesthetic patches basically. Like they, they’re, you can’t feel anything.

So a lot of times they affect like the nose, the ears and things like that. And, um, they affect the nerves. So they’re, they, you don’t feel anything in those patches. Hmm. Well, how un unlucky of me to come out of the woods with an armadillo. I don’t know. It sounds like you could use some anesthetic properties about this point.

Uh, and so you realize exactly what’s happening and you decide to let me down g. All right. You use your, like, delivering bad news skills, uh, to let me know that I now have leprosy. Mm-hmm. . And, um, um, this has made me distraught and the immense amount of stress from this whole experience has now caused me to develop a strange, painful rash, uh, across my midsection.

A painful rash across your midsection from stress in a somewhat derma to. Distribution. Oh, so you developed shingles. I see, I see. So now you have shingles. Hey, what? You weren’t thinking about it because I’m not in the classic shingles demographic, right? You’re not in the shingles demographic. But also you didn’t say it stopped at midline.

You know that was That’s right. That’s the key. Oh gosh. That’s the key. I screwed that up. I am an ophthalmologist. So, which is actually, you know, I, um, saw my first shingles case as an intern and affected the eye. So we, we called out. Yeah, we do see that This is something disgusting. Yeah. You have, this is something you should know.

This is, this is your wheelhouse for sure, for sure. Uh, but Perfect. It was perfect right down the middle, um, right down the middle, like classic like textbook, um, presentation. So, so those of you don’t know, shingles is a reactivation of the, um, the chickenpox virus and it stops, it reactivates in the nerves, so it stops right at the midline, um, before crossing over to the other dermatome on the other side.

So, um, so yes, so that’s shingles, which a lot of times is a painful. and vesicular rash again, of fluid-filled blisters that are red and painful in a very, very specific distribution along a nerve root. And it can be anywhere on the body. Right? Anywhere on the body, correct. And um, that’s, yeah, knowing the nerves, cuz it, if it affects the forehead, there’s a higher chance that it can affect the eye.

If it affects the nasal tip, there’s a. Chance that it can affect the eye. And so That’s right. Doctors need to know the distribution, uh, . So Yeah. And you, you got this down with the, the eye involvement. Yeah. We see, we pretty much anybody who has shingles in a, a forehead, kind of the first distribution of cranial nerve five, um, any shingles in that distribution is gonna end up seeing an ophthalmologist to make sure that, uh, the eye is okay.

And most of the time it is, but sometimes we do get a lot of eye involvement. And it’s always a tricky situation. It’s not a place you want to get shingles. Uh, yeah. Kristen’s really struggling with, well, fortunately for you, we are almost done. I’ve got one more left. All right. You’ve done a great job so far.

So eventually though, we are discovered by a woodsman. Mm. Okay. Or Woods woman. Or Woods woman. A woods this point. A woods person, um, who finds us, um, and finds me, and I’m in pretty rough shape at this point, having now had shingles and leprosy among other things. Uh, and, uh, they lead us. This person leads us to safety.

We finally get to go home after an extremely unsuccessful hiking trip, uh, and aching and sore and bleeding. I decide that I’m gonna soak in my hot tub, which I haven’t cleaned in five years. Oh, uh, so is this like a hot tub? A hot So pseudomonas, uh, can oh my develop you, you end up with, you know, hot tub reaction rash and bad badness.

It’s, uh, it’s a reaction to pseudomonas being in your hot tub. Um, and then you end up with, it’s always about pseudos with you, pseudomonas, pseudomonas, , whatever. We see a lot of pseudomonas ourselves. And, and do you really? In the, in the eye world. Oh yeah. We get, uh, really, um, ulcers, corneal ulcers of pseudomonas, and it’s, it’s bad news.

What, what does it look like when it gets on the. Uh, usually, uh, um, purulent, uh, post, so, uh, VAs vesicles are fluid-filled blisters that are clear and, and pules are blisters that are full of puss and Oh, yeah, by the way, God, tell me more. . The, by the way, uh, the, the plural for puss is purulent. Purulent opposed to important to pussy.

Pussy, correct? Right. Yes. It’s important to know, especially back, we’re just full circle back to when we were reading things before we knew how to pronounce them. Yeah, that’s a rite of passage. I think a lot of passage trainees, uh, you know, across all of medicine is, um, learning that fact. Right. And pussy looks fine.

It sounds fine when you say it out loud, when you write it, when you write it in a note, it doesn’t sound. And then a M one, no, M three. Says it in the clinic. Right, exactly. Exactly. Something you wanna avoid. So usually, usually ululate. Well, I think you got pretty much all of these. Uh, I’m impressed. Um, I mean, I shouldn’t be because you are a dermatologist after all, but you nailed all of, he’s six months outta training, so he’s still like peaks smart.

You are peak brilliant. Yeah. You got it all still up in your head and then just, you know, it, it, you lose a little bit every year, but you know, you’re, you’ll, it’s a Google sport a little bit. So that was adventure diagnosis. Um, uh, and so, we’ll, we’ll see how successful that, uh, if people like that, that game, I might play it again with, with, uh, other people down the road.

But, um, That was a lot of fun. Did, did, was fun. Does this make you want to go hiking ? Like, are you, are you still, still You’ve convinced me that, um, my choice to avoid hiking in nature is, is in, is a good idea. Ultimately . So now I avoid the sun. Um, and I have good reason to. I have other reasons. And you avoid leprosy.

Right, exactly. That’s good. Don’t pick up. And the big lesson for everyone listening is just to, nature is trying to kill you. That, but also stay away from armadillos. Just in general. In general. You don’t know. You don’t, you dunno how many bands they have. . Well, Dr. Shaw, this has been a pleasure. Thank you so much for, uh, being on with us and chatting with us and teaching us some things about dermatology are so impressed with kinda what you’re doing and, uh, and, and educating and, uh, people need to know a lot of stuff about their skin and you’re right there to provide it for them.

Well, thank you and thank you for having me on and, and keep making people laugh. You know, I think we need that now more than ever. Um, you know, your approach, I, I’ve always appreciated you never criticize patience. You always make the joke on us. You never single out like a particular specialty anymore than you would single out yourself.

Mm-hmm. . Um, you know, I, I, I’ve always appreciated what you do, so keep doing it. You know, I think it brings some joy in, in times that were tough and, and continue to be tough for a lot of people that work in healthcare. Well, thank you. There’s, there’s so much to make fun of, uh, among doctors. It really is. I mean, we, you can, I mean, we have fun at work and we laugh at each other and we laugh at ourselves all the time.

And, um, yeah. I think that’s what makes, makes it worth it. So definitely keep doing it. Absolutely. Before you go though, what are you, what are you up to and, and where can people find you? Hmm, yeah, I mean, a lot of stuff. A lot of stuff, you know, to look out for. Um, you know, I have some exciting things coming out, um, educational wise, um, that’ll be dropping in the next couple months.

So beyond the lookout for that for sure. We have a lot of things we’re, we’re rolling out and we’re gonna continue to expand the YouTube channel. Right now we. Different stuff on YouTube than TikTok. So we do like 20 minute videos on acne education and hyperpigmentation education, but we wanna roll out some more information there and really try to expand on what we’ve already built.

So yeah, continue to do that. We’re building our practice out. You know, I, uh, we’re ex expanding. We’re rebranding, big rebrand, coming for the practice soon. All right. In the next month or so. Um, and, you know, we’re really excited about all that. So a lot of good things happening. A lot of it because of social media, you know, has really changed my life in a lot of ways.

Um, and you know, a lot because of the audience has been really supportive, so, yeah. And you’re the, you’re the derm doctor on pretty much all platforms, right? Derm doctor on TikTok only. Um, there’s story there for sure. Um, and then Dr. Lee on, on, on Instagram and YouTube. So different names. Gotcha. Yeah. Well, I’m sure they can, they can find you.

You’re easy to find. You’re, you’re, you’re everywhere. So keep up the great work. Thanks again for, uh, coming on. Thank you for having me.

All right. Let’s take a look at some of our favorite medical stories sent in by all of you, the listeners. Uh, we have a couple really good ones here. So this first, uh, fan story comes from, uh, Nancy h uh, and, um, I like this cuz it really speaks to, uh, the, um, the, uh, a relationship that, uh, the very close knit relationship that patients can have with their healthcare team here.

So, uh, here’s the story. I am a hospice nurse and was pronouncing a patient in a nursing home. I was sitting at the nurse’s station and mag, one of the cranky patients, was sitting in her Broda chair. It was change of shift and Bob, who’s a rather large nurse, walked by and mag piped up. You smell like ass Bob.

So Bob replied, screw you Mag. Although didn’t use the word screw and without missing a beat, she replied, you wish fat boy and shuffled off down the hall. . Comedic timing was on point that night. I love that because it’s, you know, it, it’s, it’s like a, like, it just shows like there’s, there’s a little bit of a, it’s like an affectionate kinda loving relationship right underneath the surface.

Yeah. Uh, and so, and that’s, you’ve gotta be secure in that to be able to just Oh yeah. You can tell they’ve been around each other a long time. Yeah. Kinda like us and Exactly right. . Um, alright. Thank you Nancy, uh, for that, for that story. Okay. Here’s our second one. Uh, this is from Anonymous. Anonymous. Um, uh, it’s uh, called a Mysterious Downtime at the hospital.

So for a month, one of the medical centers we served, experienced a downtime at about one 30 every morning. The IT team looked into it, but found nothing and called us. We looked into it with the IT team, but found no suitable cause. After a few weeks, the hospital decided to fly us out there to investigate further, but still, Nothing came up running out of ideas.

The team decided to just park themselves in the server room and see what was happening at one 30 in the morning. The clock struck half past one, the door opened. It was just the custodian though. who proceeded to unplug one of the servers and use the outlet for his vacuum . Oh. Oh. I love it. I love hospital stories, especially ones that happen in the middle of the night.

That’s great. Well, it just makes me wonder, like, were there no other outlets available? Like why, what if you’re the janitor, what makes you think like, you know, where I’m gonna go is the server room? Well, he is just, I don’t know, maybe his, uh, vacuum cord wasn’t long enough. I guess. I don’t, I I feel like that one’s not on the custodian though.

I think it’s, uh, I mean, he’s just being resourceful probably. Exactly. There should have been signs or tape or something. Yeah. You know, that says, anyway, do not unplug the hospital. Who knows? But I love that. That’s a good one. All right. So if you have a story, uh, uh, from your experience in healthcare as a patient, as a doctor, nurse, whatever it may be, uh, send it to us at Knock Knock high@humancontent.com.

We’d love to hear from you.

Well, that’s our, that’s our show for, uh, today. That was great. Yeah. That a lot of fun. That was super fun. It was, uh, it was awesome talking with Dr. Shaw. Mm-hmm. is a someone who’s not you. Right. Who actually knows something that I don’t know anything about dermatology. Mm-hmm. Despite it being the largest organ in the human body.

Mm-hmm. , I feel like I should know more, but you can say that about any, any organ. Right. And we all have it, so That’s exactly right. Know something. And that was a lot of fun. Um, and thank you again for the stories. Uh, don’t forget to share with us, um, your thoughts. Uh, you know, what we talked about today, what you liked.

Did you like adventure diagnosis? I, I thought that I had a lot of fun doing it. I didn’t tell you ahead of time. No. I was afraid of where that might go. So it, it sounded like you had a rough hike. I, I, I did. And, um, I also, we didn’t let Dr. Shaw know that we were, uh, I was planning that. Yeah. That was a big pop quiz.

And so, and he did phenomenal. Did great. Yeah. Yeah. It’s, it’s, uh, you know, no one can talk about rashes like a dermatologist. It’s true. It’s, yeah. Could honestly listen to it. Uh, probably like 30 minutes before I’d get tired of it, but honestly, it’s, it is good. I think my threshold would be a little sooner than that.

You, you were, you were a little bit more nervous about it because Yeah. I didn’t know where really, I mean, really any medical stuff, any medical stuff, bodies are gross. I mean, they’re cool, but they’re gross. . Um, alright, well, and, and so let us know, uh, you know, do you, is there a doctor that we should invite, uh, an influencer, anybody that we should invite onto our, um, onto our show here?

Uh, there’s lots of ways to hit us up. You can email us, uh, knock dot high human content.com. Uh, visit us on, um, uh, our social media platforms. We’re on Twitter, Kristen and I, uh, Dr. Glock Flecking. You can find me on, uh, TikTok, YouTube. Um, we’re all over the place. I’m Lady Glock Flecking mostly on Twitter.

That’s right. Uh, and, uh, kick it with us and our Human Content Podcast family on Instagram and TikTok at Human Content Pods. This is a brand new podcast, so leave us a review. You know, we always appreciate it. We want to hear what you think, uh, give us, uh, your feedback and, um, uh, if you, what are you hoping to see?

And please, you know, subscribe and comment on your favorite podcasting app, wherever you’re listening to us or on YouTube. Uh, and we might give you a shout out. Yeah, yeah. So let us, let us know what you think. You can see us every week on YouTube if you, if you’d rather watch us, uh, than, than listen to us.

Um, and, uh, but yeah, if you’re joining us now, you’re getting in on the ground floor. They’re, these were our OG listeners. This is it. You’re, you’re, you’re our right here at the beginning. Yeah. Uh, and it’s, uh, a lot of work’s gone into getting this to work and most of it’s just me trying to figure out our technical setup.

That’s true. Fortunately, I have Kristen here to help me with that. Um, and, and just a reminder, we also, we have a Patreon. Uh, tons of cool perks. Bonus episodes are coming, um, where, you know, we react to medical shows and movies. Come hang out with us. Uh, come hang out with the knock, knock high member community.

We are active in it. Uh, and, uh, we, we wanna see you there. Uh, early ad free episode access for Patreon members, uh, interactive q and a livestream events. Who knows we’re, we may come up with more stuff. Yeah, we have a lot of fun. I don’t know, it’s just like, this is what we do. Just come up with things and, and, uh, we want to, uh, we will be creating this, uh, just awesome community.

I’m excited about it. Yeah. Uh, and so that’s patreon.com/glock flecking, or you can go to our website, glock flecking.com. You can find all the information there. Thanks for listening. We are your host, will and Kristen Flannery, also known as the Glock Flecking. Special thanks to our guest today, Dr. Shaw. The Derm doctor, our executive producers Will Flannery, Kristen Flannery, Aron Korney, Rob Goldman, and Ashanti Brooke.

Our editor and engineer is Jason Corzo. Our music is by Omer Ben-Zvi To learn about knock-knock highs program disclaimer and ethics policy submission verification and licensing terms, and who HIPAA release terms. It’s a lot of legal stuff there. Uh, you can go to our website, glock collecting.com or reach out to us at Knock Do high@humancontent.com with any questions, concerns, we’re fun, medical puns, or if you have a pun, yeah, we’d love to hear it.

I, we love jokes. A puns, eh, they’re okay. But Kristen loves the puns, so please give the puns to us. Um, knock-knock High is a human content production, knock, knock.