Will: [00:00:00] Today’s episode is brought to you by Microsoft Dragon Copilot. Learn about how dragon copilot can transform the way you work. Stick around after the episode or visit aka ms slash knock. Knock high. That’s aka ms slash knock. Knock high.
Kristin: Hey Will. Hey, what’s up? I’ve been thinking the US healthcare system.
It needs some improvement.
Will: Yeah, it’s, it’s, there’s room for improvement for
Kristin: sure. Yeah. It’s a confusing, scary place for everybody involved.
Will: Absolutely.
Kristin: Physicians, families, patients, everybody.
Will: Everybody. And I’ve experienced it from both sides, right. I’m a physician, I’ve also been a patient, so I wanted to use my platform to give people practical education.
Really the only way that I know how. By making, so Dr. Glaucomflecken really fun and super uplifting. Guide to American Healthcare is Out and it’s a free resource that includes all my videos from the 30 Days of Healthcare Series, alongside deeper [00:01:00] explanations, also reliable facts. Emphasis on reliable. Yes.
All right. Uh, uh, figures, uh, numbers, insights into how each of us can fight for a more humane, better healthcare system. I. Also it has jokes. Did you mention the jokes? I did. I jokes. Okay. Yes, definitely jokes. Well,
Kristin: this guide is great for anyone looking to learn more about US healthcare, but especially if you are experiencing it from the clinician side for the first time.
That’s right. We really hope you’ll check it out.
Will: Get the free guide sent straight to your inbox by signing up for our mailing list. Glaucomflecken flicking.com/healthcare. Enjoy.
[music]: Knock, knock.
Hi, knock, knock. Hi.
Will: Hello everybody. Welcome to Knock, knock. Hi. It’s a show. [00:02:00] We’re your hosts Will Flanary, also as Dr. Glaucomflecken.
Kristin: Kristin Flanary, also known as Lady Glaucomflecken. Flecking. People
Will: gonna don’t, don’t promote their podcasts like that.
Kristin: It’s a show. It’s
Will: a show.
Kristin: That’s what it is. Here we are,
Will: we’re talking, we’re doing Glock talk today.
That’s right. Um, got a number of topics that I want to discuss with you. Mm-hmm. Uh, later we’re gonna, I want to get into your AIT update ’cause you’ve been holding out on
Kristin: Okay. On
Will: that. We, we want the people want to hear, do they?
Kristin: I, that’s what I wanna know. Tell us if you, if you are interested in this or not.
Well,
Will: well, I wanna hear about it. Okay. Because I haven’t even heard about it and, and I live with you.
Kristin: Yeah. We don’t get a chance to talk about ourselves.
Will: Yeah. Just on the podcast.
Kristin: Yeah.
Will: Do we talk to each other? But, uh, first I have a question for you. Mm-hmm. And I need you to be honest with me.
Kristin: Oh, that’s not a problem.
Will: Um, okay. Have you ever, you’ve been lifting some weights, uhhuh, [00:03:00] have you ever not like
Kristin: to become bulky? Just like, no, but just like, so that I don’t, lifting some
Will: weights and like being, ’cause I’m
Kristin: getting to be of a certain age where that’s becoming important. Right.
Will: Like pushing, pulling, push, pull.
Kristin: Yeah.
Functional.
Will: Yeah. Have you ever accidentally pooped your pants?
Kristin: No.
Will: No. Have you. I’m just like, I’m not asking for nobody in particular.
Kristin: I feel like you’re asking for you.
Will: No, no. I will say, I feel like I might have had a close call the other day and I’ve been, I’ve been lifting a lot of heavy weights lately.
Yeah. Uh, I, so it just made me think like, how common is this? Do you think?
Kristin: Is it different in men versus women? I wonder,
Will: I feel like it might be worse for women.
Kristin: You, I could see an argument for that, right? But I only ever hear about men pooping their pants. And maybe that’s just ’cause the women [00:04:00] keep it to themselves.
But
Will: you only, I only ever hear about men shitting their pants. Uh, it, it’s, I mean, we are, but we are generally like lifting. Most men I would say lift heavier weights than women.
Kristin: Okay. But like proportionate to their body. Maybe not, I don’t know.
Will: You’re right. Um, but also women have, have birthed babies.
Mm-hmm. Which, which some
Kristin: women, some not everyone. Yeah, right.
Will: But, but that can also, uh, maybe predispose you to not being able to hold it in as well,
Kristin: maybe. But also, um, I think that women place a lot more, uh, well, attention and importance on their pelvic floor.
Will: Oh, okay.
Kristin: Than men. So
Will: you, you strengthen it, you work on strength, you’re aware of it a little bit.
Okay. And you strengthen
Kristin: it.
Will: Gotcha. I
Kristin: don’t know. It’s a good question.
Will: I have never once thought about my pelvic floor.
Kristin: Exactly. I have thought about it four times already today.[00:05:00]
Will: Well, I had no idea it was on your mind so often it’s
Kristin: not like on my mind, it’s just like, oh, there it is.
Will: Well, I’m an ophthalmologist. You wanna talk to me about it?
Kristin: About pelvic floor. Yeah. No, thank you. Maybe I can
Will: help. No,
Kristin: no. Okay. Uh, I think, um,
Will: no,
Kristin: you’re not the one suited to that.
Will: I just like, ever since my close call.
Mm-hmm. Mm-hmm. It, it. Now let me
Kristin: ask you, after your close call, yeah. Did you have to throw away a pair of underwear?
Will: I did not. No. I told you it was a close call. Alright. Uh, it’s, it was fine. Um, but I may like in the moment I was like, oh. I was, I was kinda like, Ooh, uh, just like, oh man, that was,
Kristin: this is how long we’ve been married, folks.
Will: And like, maybe I just had to check I, you know. But it was fine. It was fine. But also, like, every now and then I’ll see like weightlifting videos, like on, come on, social media. So now I’m always thinking like, all these like really big like [00:06:00] bussy folks. Hmm. Like how many times? Yeah. Have they pooped their pants on accident?
I
Kristin: bet,
Will: I bet. More
Kristin: than you would think.
Will: I bet. I bet. So. Mm-hmm. And but no one ever talks about it.
Kristin: No. I mean, that’s not surprising,
Will: is it? What is it embarrassing? So I’m, I’m a, I’m part of this, um, uh, I use the tonal thing that You got me? Yeah. Mm-hmm. Uh, which shout?
Kristin: Explain to the people.
Will: Oh, tonal is amazing.
Uh, so it’s, and by the way, no financial interest in this. No. This is just a, we just have one and love it. I, I truly love this thing, uh, because it goes, it’s expensive. That’s the downside to it. Um, like the machine itself is like. Two grand or something.
Kristin: Yeah.
Will: And then you have like a monthly membership.
They kinda like Peloton. It’s
Kristin: Peloton, but for strength training.
Will: Yeah, exactly. So it goes on your wall, it’s got this nice big screen. It’s got, uh, it’s a cable like arm. Cable arms, I dunno what you call ’em. They’re arms, they have cables that you can push and pull and it comes with like attachments and stuff,
Kristin: right?
You can [00:07:00] have bar, you can have, it
Will: reminds me of back in the day, um, the Boflex machine. Remember seeing infomercial for bole? Yeah. Kind. Uhhuh is kind of like, that’s what it reminds me of. Uh, so it does a lot. You can do a lot of different like movements with it. And, uh, and it’s actually, it really does work.
Yeah. Like, ’cause I just go down into my garage and I just do like a 45 minute workout. Right. And I’m done. And
Kristin: you’re watching a, a trainer.
Will: Yeah, it does. It feels like you have a personal trainer.
Kristin: Yeah. But
Will: you don’t. Uh, and so, uh, it’s, it’s honestly, if you can like afford it, it’s absolutely worth the money because you do get stronger.
It, it really does work. Um, uh, so anyway, I’m, I’m part of the, I I’m in the tonal Facebook group.
Kristin: Yeah. You’re really going all in.
Will: Oh yeah. I, I, I’m, I’m seeing like everybody, I’m doing a, my current program I’m doing is called 12 Weeks to Jacked.
Kristin: Oh
Will: yeah. 12 weeks, three month. What week are you in? I am, I’m now about to enter my last two weeks.
Kristin: Okay. Is this one you’ve been doing ever since we got it?
Will: No, no. I started it maybe about a month [00:08:00] after. Okay. But I’ve been doing it for like two and a half months now.
Kristin: Yeah.
Will: Um, and you tell me, am I jacked yet? Am I getting there? You don’t, can you, you don’t feel my muscle.
Kristin: Yeah. Your arms do maybe look a little bigger.
Your shoulders. Yeah. See, see, I see some evidence. See,
Will: that’s working folks. Yeah. And all I had to do was almost poop my pants once, maybe twice. Anyway, the But
Kristin: you’re in the privacy of your own
Will: home. Yeah, exactly. You don’t have to accidentally poop yourself in public, which would be so much worse. Mm-hmm.
Uh uh. So anyway, I’m in this Facebook group and I almo, I really thought, I think I’m gonna ask. Mm-hmm. I’m curious. I just wanna know. Hey folks. Any just, I’m just, just generally, I’ve just spin this out there. Just curious. Anybody doing the 12 Weeks to Jack program, have you ever accidentally or almost pooped your pants and see what people say?
Kristin: Yeah, keep us posted.
Will: I think I will. You’ll have to
Kristin: do it and give an update.
Will: The problem is like I’m doing it on with like my real name, so like, you [00:09:00] know.
Kristin: Well, what do you think you’ve just done?
Will: I trust these people.
I trust all of you. Of course. Uh, you know what our producers are gonna do?
Kristin: What?
Will: They’re gonna pull this out and post it on as a clip on social media. Of course. Which of course they should. You know, I, I’m, I’m not ashamed, okay? Uh, by the way, I didn’t, actually, no one’s gonna believe me that it didn’t actually put my pants
Kristin: out.
No, they’re not. But
Will: I, I, I, I don’t know if
Kristin: I believe you.
Will: I would, I would tell you, I would tell you, you know, I, I treasure the underwear I have.
Kristin: Oh boy,
Will: because I don’t have enough of it.
Kristin: Because you haven’t bought any since like college?
Will: No, that’s not true. I’ve bought underwear since, but, uh, uh, not
Kristin: much.
Will: Many a pair have holes in them.
Kristin: Mm-hmm.
Will: That’s, that’s a, a huge difference between men and women, obviously. Yeah. Rather
Kristin: than just go buy more, you’d like to stretch these wholly underwear as long as possible. Just because you
Will: have a hole in your underwear doesn’t mean it’s not still a functional pair of underwear.
Same thing with socks. There’s certain [00:10:00] locations for the holes that make it like super uncomfortable to wear. Yep. Can have it on your toe. Can’t have it on your toe.
Kristin: I don’t like it on the, on the bottom, on the ball of my foot. I, ’cause I can feel that as I walk.
Will: Oh yeah. With like, I don’t like that. You feel the difference in the Yeah.
The, the sole of the shoe Right. On your foot. Yeah. Um, but underwear is different. No one
Kristin: sees your underwear, no one sees it. Generally
Will: you can stretch that stuff out.
Kristin: They probably are stretched out at this point.
Will: Actually, they’re actually getting tighter because I am.
Kristin: Oh, ’cause you’re getting jacked
Will: because
that’s right, folks. That’s right. Folks, I’ll, those glute
Kristin: workouts are paying off.
Will: So hopefully I’ve convinced all of you that if. If you’re okay, I’m having a little accident every now and then, check out the tonal. It’s great. Otherwise, Jesus grace, uh, see
Kristin: that’s how you know this is not a paid advertisement because that would never pass any company’s like.
Approval [00:11:00] process.
Will: I don’t think I’m getting, uh, we’re getting sponsored by telling. I don’t think so. Actually, maybe we should. Maybe we should now, because that’s like dedication that shows, that actually shows that, like, I’m serious about this. Mm. I’m so serious that I’m willing to lift heavy ass weight
Kristin: enough to,
Will: enough to, to, to wear.
I I can. It’s like overcoming. Actually, you know what this is, this is a good question. It is. It does this show that tonal is, is very effective. Because I’m lifting so much weight that it’s overcoming the strength of my external sphincter. Your pelvic floor, or is this showing that, that I, it’s, I’m, I’m not actually strengthening enough because my pelvic floor, my, my sphincter is not.
But you don’t really work out your sphincter.
Kristin: Maybe you need to do some kegs.
Will: I’m doing ’em right now.
You can do male
Kristin: kegels. Why? Why do you have that look on your face [00:12:00] while you do them? Maybe.
Will: Oh, well, you can multitask your Kegels. Geez.
Kristin: Oh boy.
Will: Not every, not everybody’s as as multi-talented as you are, Kristin. Goodness gracious.
Kristin: Oh, I need,
Will: I need to focus on every single as, uh, aspect of my task at hand.
You know that I
Kristin: can see that in your face. You know that. I do know that you, you are a, uh. One track mind kind of person. I get, I get
Will: very, you know, I, I like do, that’s why I’m an ophthalmologist. It’s give me, I just, just the eyeball. That’s it.
Kristin: Yep. You have tunnel vision.
Will: You know what, that wasn’t
Kristin: even meant to be a pun.
Will: You know what kind of disease tunnel vision is?
Kristin: What? Uh uh Oh,
Will: you know,
Kristin: no, I don’t.
Will: Come on venture A guess.
Kristin: Well, what came to mind initially was macular degeneration, but that would be the opposite of tunnel vision. Correct?
Will: Correct.
Kristin: So I don’t know what it’s called when you have tunnel vision,
Will: it’s in my name.
Glaucoma.
Kristin: That’s glaucoma. [00:13:00] Yeah.
Will: So glaucoma is, is a disease where you have, I know
Kristin: it has like too much pressure.
Will: Well, you have, uh, not necessarily too much pressure. You can have actually normal pressure and still lose vision from glaucoma, which is a little bit terrifying. But, um, it’s basically a pressure in your eye that results in damage to your optic nerve.
Kristin: Hmm.
Will: That causes peripheral vision loss. So you won’t actually know. This is why it’s important to have like eye exams every so often because you don’t know you have glaucoma often until you have actually started losing vision. So, um, it’s, uh, it’s peripheral vision. If you lose enough of your peripheral vision, you can end up,
Kristin: yeah,
Will: kind of closing in.
You get a little tunnel, but there’s other diseases that’ll do it though, like inherited retinal diseases.
Kristin: Tell me more,
Will: man.
Kristin: This is why we gave you your own eyeball show on Thursdays.
Will: Oh, so I talk about poop in my pants. You’re interested The minute I, I actually show some, um, you know, intellectual [00:14:00] thought. That it’s, it’s, that’s
Kristin: right. Yeah.
Will: Out the lunch, I guess. So
Kristin: only about eyeballs. I like intellectual thoughts about other things.
Will: You really, you really haven’t ever done that.
Kristin: No, I really haven’t.
Will: Not even close.
Kristin: No. Yeah. Maybe men are just not paying as close of attention. Like I, I don’t know. That would be really, yeah. I feel like it’d be really embarrassing for anybody, but maybe extra embarrassing for women. Because of the way we’re all socialized.
Will: Well, a part of that might also be because your, usually your workout clothes are so tight.
Kristin: Yeah.
Will: That it’d probably be more noticeable.
Kristin: It would be quite noticeable.
Will: Yeah. I could, I could waddle over to the bathroom Oh, yeah. And hide it a little bit better, I think.
Kristin: Right. Yeah. All right. Let’s take a break.
Okay.
So Will,
Will: yeah.
Kristin: You’re always teaching me things about Dex, my two little friends there. Yeah. But let’s switch things up a bit.
Okay. How
about I ask you a [00:15:00] couple questions to see how much you really know?
Go for it.
Okay. Let’s do it. What are the only two main species of demodex mites found in humans?
Will: Oh, type one and type two.
Kristin: Hmm. Gotcha. On that one. Demodex. Follicular. Okay. Which are found in the eyelash follicles. And demodex brevis, which are found in the meibomian glands.
Will: Impressive. Alright. Next question.
Kristin: Why do people with demo blepharitis often feel itchy eyelids? First thing in the morning.
Will: Ah, I know this because I use it to gross you out.
Dex mites avoid light and they come out mostly at night to mate and move between your eyelash follicles. So many people will wake up with that itchy, irritated feeling along their eyelids. So gross. I’m surprised you even brought that up.
Kristin: I know, I know. I’m just trying to get used to these mites since Dedex blepharitis is such a common disease and we keep talking about it.
Will: Well, that’s a big step, and we know there’s a prescription eye drop available to treat [00:16:00] Dedex Blepharitis. I.
Kristin: A treatment makes me feel much more comfortable about this topic.
Will: To learn more about these mites and Deema Dex Blepharitis, visit mites love lids.com for more information. Again, that’s M-I-T-E-S-L-O-V-E-L-I-D s.com To learn more.
This ad is brought to you by Tarsus Pharmaceuticals.
All right, we’re back. And one last thought.
Kristin: Oh, I thought we were done. No, just one, one last
Will: thing. I just, in the defense of myself, ISII bet we’re gonna get some messages from people. Yeah. You’re like, Hey, I’ve, I’ve done it.
[music]: I’m not saying you’re the only one.
Will: So I wanna hear from the people here, uh, tell me to make me feel better.
Tell me about the time that you, uh, had a close call, uh, working out. Really firing those ab muscles, you know, just in increasing the intraabdominal, you know? Anyway, I wouldn’t belabor the point. We get it. Uh, [00:17:00] okay. Other news as if that was news. Other news you should know about in our lives. Um, our Portland show’s coming up.
Kristin: That’s right. Very exciting.
Will: July 20th.
Kristin: Mm-hmm.
Will: Revolution Hall. I love Revolution Hall. I do too.
Kristin: Best venue. In our opinion. We love it.
Will: We saw Guster.
Kristin: Yes.
Will: You went with me to that one. I did. Yeah. Yeah. Uh, we saw Guster there. Uh, that was probably the most recent show I went to. Uh, ki Kii Bai.
Kristin: Yeah. We saw Kii Bai.
Will: Um, lots of great, great shows that come through. Uh, revolution Hall. And there’s good parking. Love a good,
Kristin: yeah. I mean, is it that, are we just that old? Oh yeah. That like, that’s why we like that place. Are
Will: you kidding me?
Kristin: You can find a park,
Will: find a place in the Portland metro area. Any, any big metro area that has decent parking.
Kristin: Yeah. Tell all your friends.
Will: Oh man. Just come for the parking.
Kristin: Yeah.
Will: Yeah. I see a show, but come for the parking while you’re there. Um, and, and so we’re excited about the Hometown show. I a little bit nervous about it.
Kristin: Oh [00:18:00] really? Because I, because people, you know, will be there. I’m gonna
Will: have a lot of people I know there and, you know, I wanna put on a good show.
I wanna make sure it’s, yeah. We’ve done this, we’ve done it so many times, so Yeah. Yeah. We
Kristin: do put on a good show.
Will: We do put on a great show. Uh, and so if you’re listening, you live in Oregon or Washington, you can.
Kristin: Or anywhere And you’d like to visit Portland? Yeah. Who are we to say,
Will: I wish we could do more shows more frequently, but occasionally I do have to see patients.
Kristin: Yeah. In
Will: clinic
Kristin: you have this pesky full-time job.
Will: I do. Yeah. And, um, and so, you know, it’s, it’s, it’s a Sunday. It’s a Sunday. Mm-hmm. So I do, even though I’m an ophthalmologist, I do have to work on the weekends occasionally.
Kristin: Yeah, but you chose this one. I did. This is, this is not your regular job. Totally
Will: my fault.
Uh, so, um, and by the time this is coming out, probably, you know, early June, I’d say. Um, and so we’ll probably still have a few tickets left. Hopefully. So anyway, check it out. We hope to see all there, get ’em all you
Kristin: canned.
Will: It’s gonna be a great time. [00:19:00] Uh, by the way, Portland amazing. In the summer.
Kristin: Yeah.
Will: Not so great.
Right now in the spring.
Kristin: Uh, well, I like spring here. You
Will: know, the saddest you get some
Kristin: days that are beautiful. You
Will: know what, the saddest thing what is, when I see people every spring this happens, people have moved to Portland in like the fall or the winter or this late summer. Mm-hmm. And then spring comes around.
Yeah. And they. Allergies. Oh, they’re just allergic to everything are miserable and they’re just, they’re just eyes like weeping.
Kristin: Yeah.
Will: Tearing, sneezing. It’s awful. It’s like, oh man, it’s gonna be like this so much.
Kristin: Yeah. If you have seasonal allergies, maybe reconsider living or just
Will: make sure you get a good medication regimen going where you can tolerate it.
It, it’s really like a, you know, it’s like a month or so. People should struggle with it. Yeah. But allergic conjunctivitis, you always bring it around. You always bring it back to always, always, always bring, you don’t have allergic conjunctivitis. You’ve never had that. Don’t.
Kristin: M
Will: Surprising.
Kristin: Why?
Will: I don’t know.
You seem like a someone that would have allergies for things. [00:20:00]
Kristin: Why? I
Will: don’t know. I, what does that
Kristin: even mean?
Will: I don’t even know. For some reason that felt surprising. As surprising as you not pooping while you’re working out anyway.
Kristin: Oh boy. If there are any listeners left at this point.
Will: Alright, I wanna hear, uh, I wanna hear about your eating.
Kristin: Can we talk about that? The An Arfid update?
Will: Arfid update. So tell it, first of all, tell the people that the baby don’t know about arfid. Tell ’em what that is.
Kristin: Okay. It’s called, um, auto Restrictive Food Intake Disorder. Um, kind of just what it sounds like. Um, it is an eating disorder, but it does not have anything to do with body image.
Instead, it’s about, it’s basically a food phobia.
Will: Hmm.
Kristin: So like putting things in intake, the food is the problem. It’s
Will: been all your life,
Kristin: all my life.
Will: Um, I’ve, I’ve definitely heard [00:21:00] stories of you growing up and your parents trying to make you eat and you would just sleep at the table.
Kristin: Mm-hmm.
Will: Because you refused.
They
Kristin: told me I couldn’t get up until I ate, and so I didn’t, and and it’s
Will: not picky eating.
Kristin: No, it’s different.
Will: It’s very different.
Kristin: Right. It’s a phobia. Yeah. It’s not just like, ugh.
Will: Yeah. So, um, so you started, and I wish we had done this sooner, but with your like, as far as like therapy for this, but it’s, it’s probably a relatively new thing.
Right’s. Yeah. There didn’t
Kristin: used to be, there. Didn’t even use to be a name for it there. Nobody knew it was a thing.
Will: Yeah.
Kristin: You just got labeled. Difficult, picky, right. Things like that.
Will: So how does, how’s this working? How’s this program working?
Kristin: Yeah, so it’s, um. A version of cognitive behavioral therapy, basically exposure therapy.
Um, I could tell that my psychiatrist really thought that I could move at a faster pace than I can, because I’m [00:22:00] still working on the first sets of food. And I think he thought that by now we’d be on like every, every time we met, we’d add additional foods, and we have not been able to do that yet. I think it’s been like three or four Gotcha sessions.
Um, but I have been trying things and it is getting a little bit easier to eat them. I still wouldn’t say that I love the experience. It’s kind of a fight or flight experience. So I’m working on strawberries, watermelon, sweet potato fries, banana almond butter. I feel like I’m missing one, but I can’t think what it, it’s so all pretty, pretty,
Will: all pretty mild foods.
Yeah. Right. That’s the point probably, right? Yeah.
Kristin: You start small, work your way up like any phobia.
Will: So what, what is, just to help people kinda wrap their head around like what’s going on in your head when you like try to eat like a strawberry. Like I think strawberries taste delicious, right? But what is most people do?
What’s [00:23:00] happening in your brain?
Kristin: So. The best way I I can explain it is just like these things don’t seem like something you should put in your mouth. Like that’s the experience of the disorder. Like it just genuinely seems, I mean, it’s not that different than maybe if you saw like a disgusting looking mushroom out in the woods, right?
Like, I mean, there’s some that are okay, but then some, like if it looks really gross, you probably will be like, Hmm, no, I shouldn’t eat that one. You know, that’s how most food, okay. That’s how I experience most food. Um, and then if I’m trying, as I’m trying to eat these, the reaction is a fight or flight response.
Like it’s, I’ll get flushed, I get a little, you know, shaky and panicky feeling. I get the, you know, tightness in your chest. Um, it, and, [00:24:00] and just sort of wanna cry. So you’re having to overcome, you’re teaching your body not to have that response each time you’re trying the food because you start with like, like I’ll use strawberries for an example since you brought that up.
I, for, I don’t know. I think it might be the texture for strawberries. That’s a problem for me. But I am starting by eating strawberry ice cream.
Okay.
And normally if I were eating St straw, like I like the flavor strawberry, so I think it’s the texture. So normally I would pick around the little strawberry chunks in the ice cream, but, but now my task is no, eat the chunks.
And then as I’m eating them, I need, I’m supposed to be like noticing Gotcha. Different things about ’em. There’s an aspect of mindfulness to it.
Sure.
So you’re trying to like associate it with something positive. You don’t just wanna like start eating it. Yeah, force yourself through, you know, power through.
Will: So it’s, but [00:25:00] it’s not just texture or taste, it’s the appearance of it too. The
Kristin: appearance can be a factor. Smell can be a factor. Okay. Yeah. Yeah. It all just seems like alien
Will: stuff. Right. So, watermelon. Watermelon.
Kristin: I thought watermelon was gonna be easier than it is. Mostly water. Yeah. And everybody loves watermelon, it seems like.
You know, but I’m really struggling
Will: with watermelon. Yeah. I’m not a huge fan of watermelon, to be honest. Yeah, I I mean, that’s fine. I’ll eat it, but, but I don’t seek it out. Yeah. You know, as like a summertime
Kristin: right.
Will: Thing. Um, it’s, it’s kind of feels just like I, I actually, the textures kind of wickens, I understand the texture not being
Kristin: Yeah.
Will: Quite right for you. Um, but it’s just, it doesn’t have much, a whole lot of flavor to it. Well, that’s
Kristin: another difference. To me it does, and I have done these tests. I’m a super taster. So that’s another kind of issue that makes eating complicated for me is I’m tasting all these flavors [00:26:00] that most people either don’t really taste or they’re just like very mild.
And to me they’re very intense. So to me, watermelon tastes. I was expecting more sweetness in it. Yeah. But instead it tastes like, this sounds kind of weird, but it tastes like a cantaloupe. Smells. I haven’t tackled cantaloupe yet, but I, but I know how it smells.
Will: Okay.
Kristin: And that is the, the taste Hold on. That I’m getting from watermelon taste.
It’s just like this. Melanie
Will: Cantaloupe smells. Okay. I gotcha. Alright. You know
Kristin: how you can, you eat a food, you smell it first. Sure. And you’re like, I, I think I have an idea of how this is gonna taste based on the smell.
Will: It just doesn’t add up, doesn’t,
Kristin: it’s just,
Will: it doesn’t go together for you. It’s like,
Kristin: it’s like cantaloupe.
Will: Yeah.
Kristin: So,
Will: and what, okay. What were the other ones? Does a soup set of fries is another one?
Kristin: Yep. Well, sweet potato, but I’m, I’m using sweet potato fries. Okay, gotcha. Mm-hmm. Because that’s another thing you put like salt and pepper [00:27:00] on them, maybe, you know, but
Will: you ate sweet potatoes like thanksgiving, sweet potatoes.
No, no. Never have.
Kristin: No.
Will: Hmm.
Kristin: I mean, we have them on the table. Yeah. But you’ve never, other people eat
Will: them. You never eat them. Mm-hmm.
Kristin: So, yeah, it’s going, uh, it’s a slow and unpleasant for the most part process, but. It’s getting a little bit easier as I go.
Will: Is your goal to, to actually at some point enjoy the foods or just like
Kristin: Right.
Will: Eat it. Like it’s a, like a pill, right? Of nutrients. Or nutrient paste. Um,
Kristin: kind of the second one. I mean, I was just talking, I asked the same thing from of my psychiatrist the last time we met. I was like, what is, what do people accomplish with this? Generally speaking, yeah. Like, do you get to where you actually like these foods and like, maybe some, but no, that’s, I don’t think that’s the end goal, right?
It’s more like I can eat enough food to [00:28:00] get the n the nutrients right, that I need to have.
Will: Is there a food that you’re, you’re like, man, I really hope, I really want to be able to actually enjoy this food. Is there something that all
Kristin: food, is there anything I wish, wish I could? Yeah.
Will: Yeah.
Kristin: I don’t have the thing where, you know, you eat something and you’re like, wow, this is amazing.
And I don’t have the thing where I wanna share a meal with someone. Right? Like it just food is a chore for me. Right. That’s it. Plain and simple.
Will: You know what food, I would love for you to be able to. Which is a long way away.
Kristin: You’re gonna say seafood? Yeah,
Will: seafood.
Kristin: I don’t even know if I can do that on the therapy like that is
Will: right.
That would be like, you know, level,
Kristin: it’d be like, be like expert level.
Will: Yeah. I don’t, I don’t, I’m still
Kristin: in kindergarten here. I’m,
Will: I’m not getting, I’m not getting my hopes up. Uh, you know, you’re still, I don’t
Kristin: really even want to like seafood, to be honest with you.
Will: Let me ask you this. Do you ever get so [00:29:00] nervous eating these foods that you almost poop your pants?
Kristin: No.
Will: I just, I just wanted to ask, just, just, you never know. Uh,
Kristin: I think you maybe need to go see someone.
Will: No, I’m fine. You kidding me? I’ve got a sphincter of steel.
Kristin: Sounds like maybe not you’re, maybe this is something in your, as you age, well, do you, something you’re gonna be having to deal with? I don’t,
Will: I don’t wanna derail the convers.
I don’t You’re gonna be dealing with it, so, um, you’re married to me.
Kristin: Oh yeah. And that’s, I will be dealing with it.
Will: Um, so is this something that you’re. It sounds like you’re feeling positive about
Kristin: Mm, no. I mean, I don’t, I wouldn’t call it that.
Will: Well, it you’re optimistic in terms of like, you feel like it’s worth like the time and effort to do it.
Kristin: Yes, but it has taken me 40 years to feel that way.
Will: I thought it was just because the, you didn’t [00:30:00] have any options?
Kristin: Well, I didn’t. This was, yeah, I didn’t have that option as a child, so who knows what I would’ve felt. If that had been an option, but, but you’re gonna
Will: keep doing it. You’re gonna keep going.
Kristin: Yeah. Because I want to be able to be more normal in the world, and I want to be able to eat healthy food. You’ve, you’ve hit and, and I do eat healthy food. It’s just, I have such a limited number of
Will: them. You just don’t have a lot of options. Yeah. You’ve, you’ve, and you and I together have done a good job of trying to hide this.
Kristin: Yeah. I don’t want it to. Like, not hide it necessarily, but just like, not call,
Will: not call attention. Attention to it. Yeah. ’cause
Kristin: I don’t want the kids to pick up on it if they don’t have it themselves. I don’t wanna like give it to them. I don’t even know if that, if that’s how it works. I’m more so
Will: not even from the kids standpoint, but more like just in socially situations.
Kristin: Yes. It’s awful socially. Like you’ll,
Will: you’ll like, you know. Pass things off to me, and yeah, you eat
Kristin: so fast that your plate is [00:31:00] completely empty before some of the people have even finished sitting down at the table. And so then I’ll eat what I want to eat. I
Will: do have manners, by the way. I will wait until people start eating before I start eating, but yes, I do very fast if you to.
Yeah, I do eat very fast.
Kristin: So then I take what I want off my plate, and then we just, when no one’s looking, we discreetly switch plates so that it looks like I’m done. And then you eat the, the rest of what was on my plate.
Will: Yeah. ’cause we, we end up, especially when we like, do speaking gigs Yeah. Places, there’s dinners usually there’s like dinners and stuff.
And, and so we’ve, we’ve figured out a, a method
Kristin: Yep. Of,
Will: you know, we’re, we’re in the buffet line, you know, both, both getting things on our plates and then, and you’re. Yours is the, the, the like beef steak type stuff.
Kristin: Sure, yeah. Mashed potatoes, something. You get some chicken. Chicken, sure.
Will: Uh, maybe a little green beans.
No, potentially. Potentially. And a roll. You gotta, I, I love a roll. You love a good roll. Uh,
Kristin: if there were one food that [00:32:00] I have zero problem with bread. It’s bread. Yeah.
Will: Yeah. I love bread. Well, I’m hope, I’m, I’m hopeful that, you know, this is gonna, um. You know? Yeah. Just help you. I mean, look,
Kristin: I don’t think we can expect miracles here, but like some progress, so that’s
Will: absolutely.
Kristin: That’s not nothing.
Will: Good job. All right, let’s take one more break. Okay.
Hey Kristin. Yeah. Why did we not get life insurance sooner?
Kristin: I don’t know, but it’s a decision. I regret. What was
Will: I like, did I think I was gonna live forever?
Kristin: Apparently. I think we just didn’t really know about it. Didn’t
Will: think about it. Yeah. You know, it’s, it’s, it’s never too early to get life insurance.
That is true. That’s something I’ve learned. And lemme tell you about Pearson Rabbits. Tell me, because this is great for physicians. This is a physician focused, physician founded company. By Dr. Stephanie Pearson, former OB GYN, and Scott Rabbits an insurance expert. They understand the unique needs. Offer support built specifically for physicians.
Kristin: [00:33:00] Yeah. Pretty cool.
Will: Yeah, it really is. They have years of experience serving physicians and they help guide you through the process of ensuring your family’s future is safe and secure. That’s the it’s, that’s so important. To find out more, go to www.pearsonrabbits.com/knock knock. Again, that’s p. R-A-V-I-T z.com/ knock-knock to get more information on life insurance for physicians that you can trust.
Alright. Follow up question to your RFI journey. Okay. What about whenever you’re not, we’re not traveling together and you have to eat, like, how do you manage that?
Kristin: Um, like if you’re going
Will: on, like you’re going to a, uh, do a keynote in Washington?
Kristin: Yes. I’m,
Will: uh, coming up. Mm-hmm. Like, are you, how much, I guess my question would be what, how much anxiety is there around [00:34:00] just having to share a meal with a group of people?
Kristin: A ton, because people really take that very seriously, like people are. AB just,
yeah,
just unduly interested in what other people are eating. Like I think there’s something
Will: that’s true.
Kristin: I don’t know if it’s we’re socialized that way, or we’re just naturally that way. There’s nothing wrong
Will: with your food, dear.
Exactly.
Kristin: What?
Will: Are you okay? Is it is? Is it, you know, is that what you ordered? Do you want this
Kristin: instead? Like a lot of attention then goes to the fact that you are not eating your food
Will: and you’re just like, don’t.
Kristin: And I’m like, please just don’t see me. Don’t see me until this plate is cleared. Like. Until it’s, until we’re done eating, I don’t want any attention.
But what I will do is I will get, you know, if there’s anything I can eat, I will get, you know, a decent amount of that so that I’m not hungry. But then I will get a few of the other things, but not too much. And then I just sort of push it around on my plate.
Will: Yeah, make it seem like you, and then it
Kristin: seems like I had like a decent portion and ate most of it.
Will: Did you ever do [00:35:00] ghost bites?
Kristin: Don’t really
Will: have anything on your fork or stone, but put it in your mouth. No, I never done that. There’s another option for you. Well, but
Kristin: I don’t know if that’s,
Will: people think you’re, they, they have the illusion in their, in their peripheral vision, like you’re putting food in your mouth.
Kristin: But then it’d be easy to see that I’m not, so that kind of feels like it could backfire easily. They’d be like, what are you doing?
Will: Alright. That I think you would’ve liked. Actually, no, I, I’ve been thinking about, you know, the going to Australia because we, we went there, you tried some of the food there.
Mm-hmm. Did you ever try the kangaroo?
Kristin: No,
Will: no, no.
Kristin: It’s like
Will: jerky. That’s
Kristin: too, I know, but that’s too far,
Will: too, too far out. Too far out the, okay.
Kristin: Yeah. Maybe someday.
Will: You definitely didn’t try the um, uh, the Vegemite. That’s
Kristin: No, I didn’t, no. I did like, I, I was curious about it. I wanted to see what the deal was, so I like looked, I opened it up and I looked at it and I smelled [00:36:00] it and
Will: yeah.
Very yeasty.
Kristin: Very. Mm-hmm.
Will: Yeah. Um. I didn’t tell you about my trip to Australia. I dunno if we’ve talked much about, um, the reaction to my talk, my new talk. No,
Kristin: we haven’t. I’m very curious because this is a new one.
Will: Yes. So I gave, uh, you know, most of the time when I, when I do keynotes, you know, they talk about a variety of different things, but a lot of it’s centered on our story with the cardiac arrest, the cancer diagnoses.
Talk about like social media, the birth of Glaucomflecken, flecking. Um, that
Kristin: was a hard labor, the.
Will: Extremely long, hard labor, lots of pooping involved. Um, and, uh, and, uh, and so, but this time, uh, they wanted specifically a talk about US healthcare.
Kristin: Yeah. Because they’re kind of,
Will: well,
Kristin: their system is like,
Will: so your, their system.
And, uh, I do, I think I maybe talked about this on a knock, knock eye episode, [00:37:00] but uh, it’s. The way it works is they have a, they have Medicare, a publicly funded system,
Kristin: but everybody has it. Right? Everybody
Will: has access to it, but they call it Medicare.
Kristin: Mm-hmm.
Will: Uh, and then on top of that, they have a private system that if you can afford it, then you, you’re in the private
Kristin: system.
It’s like secondary insurance kind
Will: of. Yeah.
Kristin: Okay.
Will: Um, and it just helps to decompress the, the public option. Okay. Uh, but they have, there’s some, some things that. People are trying to kind of interested in moving toward privatization a little bit.
Kristin: Like what?
Will: Like increasing the, ’cause they have insurance companies because they have a private
Kristin: mm-hmm.
Will: You know, option. Uh, and so, you know, expanding that a little bit, expanding the role of insurance companies. So is this
Kristin: push coming from the insurance companies?
Will: Uh, well, I don’t know for sure, but I do know like they’re just some, uh, you know, politicians mm-hmm. You know, certain people that are kind of.
Thinking, oh, let’s, let’s, you know, kind of see what we can do with this. You know? ’cause there’s more money involved in that. You can bring in more capital, more investment, more. Um, and so [00:38:00] my goal with this talk, which I called the, the really fun and incredibly uplifting guide to US healthcare mm-hmm. Was just to show people what happens when you.
Embrace extreme privatization,
Kristin: right? Like this is the road. Yeah, this is where you end up. If you go down that road.
Will: And they were horrified. I told ’em all about prior authorizations. Yeah. And peer-to-peer reviews. And how, uh, your, um, you know, that your peer that you have to, to convince to pay for this thing that your patient needs isn’t sometimes, hasn’t even practiced medicine in 30 years.
Kristin: Right. Or they’re not in your field, not even in your specialty. Mm-hmm.
Will: Yeah. That, that threw people forward. They were like, they cannot Yeah. Wrap their heads around that.
Kristin: Right. Because it’s ridiculous.
Will: Which is, it is absolutely absurd. And so, um, talked a bit about private equity ’cause they’re having some, they’ve got some private equity involvement
Kristin: snooping around.
Will: Yeah. And, and really my, my point [00:39:00] was, is not that privatization is bad.
Kristin: Mm-hmm.
Will: Because. I, I, I think there’s a role for it. I, I’m in a private, you know, I, I, I have a private practice. Mm-hmm. So I, I think it’s, it can be good in that, um, it affords more autonomy for people who are practicing healthcare. It, it allows people to get in to see doctors a little bit faster.
Mm-hmm. Um, you have more choice of who you see. Right. You can, you can have more choice as a, as a patient. Um, but it, it’s, it gets really tricky when you Right. When you let that type of system go unchecked and unregulated.
Kristin: Yeah.
Will: I think that’s part of the, the big problem here, so Right. What I told them was like, look, privatizations okay, but you have to like rein it in.
Kristin: Yeah.
Will: You have to have, you can’t
Kristin: let it go unchecked.
Will: You have to have to have the checks in place to be able to like put a stop to it whenever it starts to get too far into the for-profit. Like, we’re just here to make money and not to [00:40:00] take care of patients. Right. When the, when the, the. The vision is not aligned with actual patient care.
Kristin: Right.
Will: That’s when you get into trouble.
Kristin: Yeah.
Will: Because now like we’re trying to, with like trying to pursue prior authorization reform in different states, uh, now trying to like scale back, uh, PBMs
Kristin: mm-hmm. Trump
Will: actually is like an executive order, uh, around pharmacy pricing, which I’m actually kind of optimistic that it might actually help.
Take some power away from PBMs.
Kristin: Hmm.
Will: So, but all these things are like putting toothpaste back in the tube.
Kristin: Right?
Will: Right. Like it’s already so far gone that now we have to try to legislate our way out of it.
Kristin: Right.
Will: So I was like, Australians
Kristin: prevention would be easier. Yeah.
Will: Just have it. Already regulated mm-hmm.
In place so that, so that you can, you, you limit the, the, the, the amount of, of greed, right. That can come from this.
Kristin: Yeah.
Will: So anyway, [00:41:00] I guess I got a lot of good, good feedback on it. Did, did they
Kristin: like it?
Will: Incredibly depressing talk. Uh, I did. I I put in some videos in there, tried to lighten the mood up a little bit, but Right.
In the end it sucks. Uh, but, um, but I got the point across and, um, yeah. And so I. To expand on this particular keynote for like Yeah. International audiences.
Kristin: Mm-hmm.
Will: Um, because
Kristin: I, you know, Canada is kind of a similar boat. They have a private and a public Yeah. And they, yeah. Yeah. They have these conversations about, well, Canada’s
Will: actually very much like, almost completely public.
Kristin: Right. But they do have private options.
Will: Yeah. Yeah. They’re
Kristin: just like really expensive. Right.
Will: I, I, I’m not sure. What, what Canada’s situation is. I I think they’re like very, as opposed to like Australia, which is very balanced. Mm-hmm. I, I think Canada’s much more really, really heavy beyond the public. On the public.
But yeah, your point is, is, is a good one. Um, so I don’t know. We’ll, we’ll see it, it’s fun to, to give like a brand new talk I never give them before.
Kristin: Yeah.
Will: Kind [00:42:00] of like I, ’cause I don’t get nervous for talks anymore, but this one I was like, right. Flex your muscles again. Yeah. I gotta, gotta get
Kristin: jacked,
Will: jacked.
Have accidents on stage, which I didn’t. Everything went great. Yeah, it was nothing. That’s
Kristin: wonderful. I don’t
Will: know what would happen if that happened in the middle of a talk. Would you just power through?
Kristin: I guess it’s a great question. You would have to like be very careful about how you, how you stood. A good question.
Will: Appreciate that. How you stood. Would you, you wouldn’t wanna sit down, but you can’t
Kristin: turn your back to the audience. You would not wanna sit down. You can’t sit down. Sit down.
Will: You cannot sit down.
Kristin: Right. Maybe just stay behind the podium.
Will: And the
Kristin: good thing is you’re the only one on the stage and there’s space between you and anyone else, so hopefully no one notices the smell.
Will: Right. And you have to get backstage. You can’t just leave the stage and then have a meet and greet. No. Right afterwards.
Kristin: No.
Will: You just, you finish your talk and then you slowly back away from the podium. Real awkward, like,
Kristin: yeah. [00:43:00]
Will: You can’t move very much anyway if you want. What’s the other
Kristin: option? You excuse yourself and in the middle of
Will: talk.
Yeah. No, you can’t do that, right? No. You got just like power through. Just like the time that we were giving a keynote and we had two people in the audience pass out during our keynote. Remember that?
Kristin: I think there may have been three incidents.
Will: Was it three? Three in
Kristin: and two of them passed out. It was, and I think there was a third thing that happened.
Will: It was always while we were like, I think I was talking about my testicles.
Kristin: Yeah.
Will: It was like that was too much for somebody. I felt really bad. Yeah. They had like vasovagal responses. Yeah. There were two, at least two vasovagal. Yeah. The same talk. Yeah. In the same audience. And
Kristin: that has never happened before.
Will: So bizarre. Yeah. I don’t know
Kristin: what it was about that.
Will: Anyway.
Kristin: Particular crowd, but woo.
Will: But we, I don’t
Kristin: think we’ll be invited back.
Will: And in the mo in the moment we did, we did stop. But we did, we ended up finishing the talk once we found out the person was okay. But, uh. Man, that was, that was a challenge.
Kristin: Yeah.
Never
Will: know what’s gonna happen when you’re on stage. I was, I feel bad
Kristin: about that. Sorry. Yeah. Whoever you were.
Will: Yeah. Hopefully you’re, you’re [00:44:00] fine. I
Kristin: doubt they’re listening to this. They probably don’t like us.
Will: He’s like, oh no. He is talking about his testicles again.
Kristin: Yeah.
Will: Um, that’s it. That’s all I got.
Alright. Buck talk.
Kristin: Yeah, we did it.
Will: Um. Thank you all for listening and for powering through all of our talk about poop accidents today. I don’t know what into me, oh, it’s just second into second. If
Kristin: we record two in a day, we get a little punchy at the second one. That’s true. You never know.
Will: Uh, you can always, uh, you can reach out to us.
Uh, email us. Knock knock high@human-content.com. Remember, I want to hear your workout stories. Uh, you can also hang out with us in the Human Content Podcast family on Instagram and TikTok at Human Content Pod. Check out all the offerings. Lots of cool podcasts. Thank you to all the listeners leaving feedback and reviews.
Go on YouTube at Glaucomflecken flein. Leave a review. Uh, here we go. At who? Oh gosh. Who you with? Yeah. Nine four. Nine four on YouTube. Said If you have anesthesia, come on. He could show Lady G how [00:45:00] to make coffee during one of his breaks.
Kristin: Oh.
Will: And then he could give us all some Sudoku tips. Thanks for the smiles.
Kristin: This was from when I attempted to make you coffee, but I don’t ever drink coffee.
Will: Oh God, you were so mad at me. You, you were, I,
Kristin: I was like, was, I’m trying to do something so nice. That was first time you’d
Will: ever made me coffee. Not the first time, not the, but with
Kristin: this machine that works differently than our other machine.
And
Will: then all I did was make fun of you Yeah. For it. So I totally justified
Kristin: in your thoughts. I just felt a little vulnerable.
Will: Whole video episodes up every week on our YouTube channel. At Glaucomflecken Flexin, I also have a Patreon. Lots of cool perks, bonus episodes. React to medical shows and movies hanging out with other members of the Knock, knock high community early.
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Kristin: I hope you are not pooping your pants.
Will: Oh yeah. Please don’t. Uh, [00:46:00] if you have to, you have to.
No judgment. It’s the thing. Shout out to all the Jonathans, Patrick, Lucia. C, Edward, K, Mary, and W bi. Granddaddy Caitlin. C Brianna, LPM, MP, Cole, Mary, H Keith, g Parker, Muhammad, L David, H Kley, A, Gabe, Gary, M Eric, B Marlene, s Scott, m. Kelsey M, Dr. Hoover, Sean M. Ryan, s Hawkeye, md, bubbly, salty, Patreon, roulette time.
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Hey, Kristin. Yeah. Am I a good multitasker?
Kristin: Sure.
Will: I don’t believe you. Oh, that was not very convincing.
Kristin: No,
Will: that’s okay. I, I fully admit I’m not the best at it. And the problem is physicians have to do a lot of multitasking.
Kristin: Yeah. That is a problem.
Will: Like, I’m sitting there, I, I talk to the patient, I hear all the things, synthesize all the information.
Mm-hmm. Come up with a diagnosis. Sometimes order medications, and then maybe they, it has a, an interaction with a different medication. You gotta like figure that out. You know, what can help. Microsoft Dragon copilot. Mm. Yeah. This is great. You don’t have to, you can just use Dragon Copilot, like in your workflow.
You can access information right at the point of care right there with the patient. And like if I wanted to look up a code, [00:48:00] a diagnostic code mm-hmm. For the encounter, I can use Dragon copilot. It’s, I can look up drug drug interactions. There’s, there’s an endless number of applications that you can use drag and copilot for.
That’s true. Very true. I think it’s good for you as a patient too.
Kristin: Yeah. I mean, because
Will: it seem, it’s stream, it’s streamlined and it’s it’s
Kristin: streamlined
Will: and you get accurate information. Right. That’s more quickly.
Kristin: Yes, exactly. You’re taking the words right outta my
Will: mouth. 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.
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