Glauc Talk: How Would The Neurologist Fix an Internet Outage

KKH Trailer Wide

Transcript

Will: [00:00:00] Today’s episode is brought to you by Dax Co Pilot from Microsoft. To learn about how Dax Co Pilot can help you reduce burnout and restore the joy of practicing medicine, visit aka. ms slash knock, knock high. Again, that’s aka. ms like Microsoft slash knock, knock high. 

Margaret: I feel like Preston, your voice is more recognizable, so you should start.

Preston: Okay. So we have 90 seconds. Our producer said we have to run the clock out and tell everyone what the trailer is. 

Margaret: We also talk too much and get off basis, but I don’t think we’ll do that in 90 seconds. But what is, what is this podcast about? 

Preston: Margot and I are starting a podcast. 

Margaret: We’re psych residents. 

Preston: And also I run a TikTok channel.

Margaret: And I do too, less 

Preston: well. I do, I do POV skits of stuff in the hospital, but that’s not important right now. Because what’s important is we’re going to be talking about what it means to be a psychiatrist, and we’re going to guide you along through our training as we learn about therapy, as we learn about neuroscience, pharmacology, and get to air the stories of patients who talk about what it means to have these illnesses.

Margaret: And both of us know how [00:01:00] scary mental health can be. And we want to help shed light on that, make this a place where we can learn, but also you can learn and feel more open. 

Preston: Join us to learn about the nuances that make us therapists. 

Margaret: We’re going to be talking about all sorts of things that go into the soup of mental health from our perspectives of people learning.

Preston: After I told you, that I took a test and found out my attachment style, how did that inform your new hinge dating experience? 

Margaret: I did in fact go on hinge and practice my own attachment style. 

Preston: And did you attach to anyone? 

Margaret: No, I certainly didn’t. 

Preston: You can catch new episodes every Wednesday here on YouTube or listen wherever you get your podcasts.

And this is a whole new show, so what do you want to talk about? Who should we have on? What questions do you have for us? 

Margaret: What questions do you have for Preston to ask me that I won’t answer? 

Preston: Come visit us on our website, how to be patient pod.com. 

Margaret: www.howtobepatientpod.com. Nice. 

Preston: How to be patient. 

Margaret: How to be patient,

How to be patient, how to be patient. pod.com. On over to the podcast website, [00:02:00] how to be patient.

Will: Hi.

Hello everybody. Welcome to knock, knock high with the Glaucomfleckens. I am Dr. Glaucomflecken, better known, actually lesser known as Will Flannery. 

Kristin: I am Lady Glaucomflecken. Is it better, lesser, or equal known as Kristen Flannery? 

Will: Thank you for joining us for an episode of Glock Talk, we’re the Glocks Talk.

We talk, we talk Glock. I’ve got two unrelated questions for you here at the top. 

Kristin: Okay. 

Will: The first one is, have you ever heard This, have you ever heard of, um, uh, this fact that’s, well, it’s not a fact, but it’s, it’s a statement. Have you ever heard this statement, [00:03:00] women see more colors than men? 

Kristin: Hmm. I don’t know if I’ve heard that exact statement.

I, I. M of the impression that women are just better with color than men, but I don’t know if that’s because of a vision itself or something else. 

Will: Well, so partially, but that, first of all, that statement is false. I’d actually never heard of that. And then like I saw, um, uh, something on social media, like about that, like, you know, women just see more colors than men, which is not true because in order to see more colors, You’d have to have like a wider visual spectrum and your rods and cones don’t work that way.

So, so would 

Kristin: you not just have to have different kinds of cones or more cones or is that what you mean by wider visual spectrum? Yeah. 

Will: You’d have to have a different type of cone that saw a different wavelength of light 

Kristin: than 

Will: our visible spectrum of light, which is like 400 to [00:04:00] 700 nanogram. nanometer wavelengths.

Kristin: Does this come from the notion that more men are colorblind than women? Yes, 

Will: this is partially true. Yes. So when we’re looking at the red green axis, that’s where most colorblindness is, is on the red green type of cones. Okay. Um, some women, not all women, Some women have a variant of a gene that actually gives heightened sensitivity to red and green shades.

Kristin: Interesting. 

Will: Yeah, and it’s called, it’s called tetrachromatic. So you’re like a tetrachromat if you’re a person that can see more sensitivity to different shades. 

Kristin: Tetra would mean four, would it not? So then we still just have, you just said we have heightened sensitivity for red and green. I don’t know 

Will: why it’s called tetrachromatic.

Kristin: Because we still just have, we’re still trichromatic, right? Right, 

Will: you’re still trichromatic, it’s just like, the fourth is like, um, you’re just better at a particular [00:05:00] tri. 

Kristin: One of those types of colons is more sensitive. It’s just more 

Will: sensitive. And the reason is because That’s misleading. The reason is because you have that gene and you also have two X chromosomes.

So you have like two, you have just more of that, whatever protein that gene encodes, you have more of it. 

Kristin: Yeah. 

Will: That gives you heightened sensitivity. But only for red green. Only for on the red green axis. Yeah. 

Kristin: I wonder if I have that. How do you know if you have it? 

Will: Oh, I mean, you probably have to have some genetic testing, but why?

Kristin: Because it’s fun. 

Will: But it’s, uh, and, and yeah, because Men are much, much more likely to have colorblindness because we only have one X chromosome, and that’s where the 

Kristin: So it’s like the inverse of tetrachromatic, of this mutation, right? You only have one X chromosome, and maybe something is messed up on the red green gene on your one X chromosome.

Exactly, 

Will: so they’re 

Kristin: X chromosomes, and then something is, is like 

Will: Added. 

Kristin: Heightened [00:06:00] on one of our X chromosomes, or both. Both, I guess. 

Will: Yeah, it’d be both. So you have just more of it. So anyway, that’s, that’s really, that’s the only major difference in color perception between men and women. That 

Kristin: feels like, like opposite sides of the same coin, you know?

Like, it’s interesting. Kind of the same mechanism, but in opposite directions. 

Will: It makes sense. It does make sense because, you know, color, most of colorblindness, colorblind, um, disorders are, are X linked. So they’re linked to the sex chromosomes. And so, anyway, that’s why most men have it. So, 

Kristin: so in this gene mutation, is it a mutation?

Will: Uh, no, it’s just a variant. It’s a variant on a specific gene. 

Kristin: So not only do you have, but all women have too, and so for some women the gene on both of your chromosomes is just better. 

Will: That’s right. 

Kristin: Okay. 

Will: Yeah, you’re just awesome. You just, like, Chris mix comes around and you are just, wow, man, you are [00:07:00] nailing the yeah, the chartreuse or You 

Kristin: don’t even know the colors.

Well, I don’t know the colors, 

Will: you know, but I I’m, I’m, I’m thinking I’m probably just as good as you are no, you 

Kristin: are not. No? I’m, really? 

Will: That’s what you think? I’m just, I’m just saying that to get you riled up. 

Kristin: Oh. I’m good at color. You’re very I was gonna say, do you think I have this? Cause I’m pretty good at color.

Will: Okay, well what’s, like, the shirt you’re wearing, I would say is blue. 

Kristin: What? It’s like light 

Will: blue. It’s light blue, right? It is 

Kristin: most definitely not. 

Will: It’s a, yeah, it’s No, it’s gray. It’s 

Kristin: gray. Oh, it’s 

Will: gray. It’s gray. Okay. It’s very, it’s very gray. It’s the light from the window. It, it, it makes it look a little bit blue.

Kristin: Daylight is a blue color. It makes it a little bit look blue. A little bit. 

Will: But then I look down here and it’s definitely gray. And 

Kristin: it is a cool undertone gray. And it’s [00:08:00] being lit by daylight, which is a cool toned light. 

Will: I’m really glad we’re talking about this topic because, like, right before, uh, we started recording, I decided to do this, like, separately from you.

You were like, oh, did you hear what the color of the year is? Canton 

Kristin: color of the year 2025. Mocha Moose. 

Will: You say that like I’m supposed to know what Pantone is. So disappointed that you don’t. 

Kristin: People know this. This is a thing. Nobody 

Will: knows. Pantone 

Kristin: is a color company. It’s like the A 

Will: color company. 

Kristin: It’s like the A company 

Will: for the color, naturally occurring colors.

Kristin: Are you done? 

Will: Okay, go ahead. 

Kristin: It’s A color. It’s a company that is sort of the gold standard for describing colors. Okay. And it’s useful. You think this is nonsense because you’re a doctor and you don’t ever think about this stuff. But think about designers, you know, people like the fashion industry, the beauty industry, graphic design, interior design, like all For a lot of people.[00:09:00] 

It is a, it’s a, it’s a reference 

Will: point. I wanna hear from our audience. Do you guys, have you heard of Pantone? It’s a company you said Pantone? 

Kristin: Mm-hmm . 

Will: PANT. Like pants, ONE. Own Pantone? Yes. Okay. 

Kristin: Or Pantone. Oh, 

Will: oh, Pantone. That’s what, it’s all color. I really thought it was like pants. 

Kristin: My own pant. 

Will: Not two pants, not multiple pants.

Kristin: One pant. Just a 

Will: pant. 

Kristin: That is how it’s spelled. A single pant. Pant one. So 

Will: pantone, that makes more sense. 

Kristin: Pantone. 

Will: Um, alright, so what’s the color of the year? 

Kristin: Mocha mousse. 

Will: Can you show it to me real quick? 

Kristin: Okay. I want to see. This is not good for a listening experience, but. 

Will: Alright, so it’s, it’s brown. It’s a, 

Kristin: it’s a brown.

It’s 

Will: brown. 

Kristin: I would call it kind of a mushroom brown. Uh. What does that, 

Will: what do you mean mushroom brown? Mushrooms are, are like white, they’re all kinds of colors. There’s a mushroom. They are. 

Kristin: You’re correct, [00:10:00] but 

Will: mushroom brown please. 

Kristin: Mushroom in the color world, I would say is kind of a toe. 

Will: Which is a type of violet.

Kristin: No. Brown 

Will: toe. 

Kristin: Yes. Damn. Are you thinking of mauve or mauve? 

Will: Oh, sure. Yeah, that’s what I was thinking of. Mof. Is it mauve? 

Kristin: I don’t know. It’s mov. I’ve heard it both ways. 

Will: Mauve. 

Kristin: I’ve heard it both ways though, and I don’t know which. So anyway, one is correct. 

Will: Anyway, mocha moose, that is just straight up brown.

Kristin: It’s a, I would say this is, it’s hard, I, hmm, it’s a very, no it’s not, it’s a very, is that a color 

Will: from Pantone? 

Kristin: I doubt it. Fecal matter, 

Will: fecal brown, urine yellow, 

Kristin: uh, ew, 

Will: bile green, 

Kristin: oh yeah, blood red, 

Will: they probably have those. 

Kristin: There is a red called oxblood. It’s like a, it’s actually kind of a brown too. It’s like a brownish red or reddish brown.[00:11:00] 

Will: I want to, I want to be in the room when they’re trying to come up with the names for these, because oxblood is no different than any other blood. It’s just blood. 

Kristin: I mean, I don’t know where it originated, but then that specific shade of red slash brown got named oxblood. 

Will: Pantone. Just comes off a little pretentious, that’s all.

But it 

Kristin: doesn’t, because you only, it’s only pretentious if you think it’s like frivolous and not useful in any way, which makes you come off as pretentious, because it’s like, oh, I’m in healthcare, what I do is actually important. 

Will: I’m not saying that at all. I said I respect what they do. 

Kristin: But then you called it pretentious, so no you don’t, like you just negated yourself.

Will: Have I tanked our opportunity to get a Pantone sponsorship? 

Kristin: Probably, which is a real bummer. 

Will: Pantone, listen. 

Kristin: Look. 

Will: I, I just want to know where Oxblood comes from, like [00:12:00] how do you come up, I want to know how you come up with the names, that’s all, because they’re very, they’re very unique, I mean that Mocha Moose, that’s brown, it’s brown, it’s just brown.

Kristin: But there are many shades of brown. 

Will: Like light brown and dark brown. 

Kristin: And there’s cool undertones, there are warm undertones, there’s, there is hue, there is, oh jeez, I didn’t study for this, there’s saturation, there’s, like this is a soft, 

Will: soft 

Kristin: brown, it’s a medium brown, it’s not light, it’s not dark, it’s kind of a medium soft brown.

Will: Okay. 

Kristin: And I kind of want to say it might have kind of cool undertones in it. I mean, brown is a warm color, but you can have a warm color that has cool undertones. 

Will: Okay, so do you know what AI says about the difference between men and women and color perception? What? It says that women have, may have evolved to have better color perception than men to help them distinguish between safe and poisonous berries and fruits.

I have 

Kristin: heard that [00:13:00] theory before. 

Will: Because women were the gathering and we’re hunting, 

Kristin: right? If you buy into that, I feel like probably everyone did a little bit of everything. 

Will: I don’t know how that could, I mean, I don’t know, maybe who knows, but 

Kristin: I don’t know. It is an, it’s interesting to wonder about though.

I mean, I think in the modern world. Typically women are better at color than men, but I don’t know that that’s, I mean, clearly it’s not a biological difference, it’s more of like, maybe we’re just socialized to be more attuned to it, or we have more opportunities to practice distinguishing them. 

Will: Google, Google AI says men are better at processing contrast and rapid movements.

Hmm. I don’t know what that means exactly, but 

Kristin: Why would that be? Is this the hunting hypothesis? The hunting thing, the hunting hypothesis. But is that true? 

Will: Differences in testosterone levels cause different organization of neurons in the visual cortex of men and women. I, I certainly believe in, like, the possibility that hormonal differences [00:14:00] can change vision perception.

Kristin: Yeah, hormones do all sorts of things. They do all kinds of 

Will: crazy stuff. Yeah. I don’t know. Interesting. 

Kristin: I feel like I, and I know this is You’re not supposed to do this in science, right? But like, anecdotally, my N of 1 of myself, I’m pretty good at noticing little quick movements. You know? If a spider moves on the floor across the room, it catches my attention immediately.

Will: I think that’s anxiety. 

Kristin: Who knows what that is. You’re 

Will: always searching for threats. 

Kristin: I am always searching for threats. 

Will: All right, second question for you. The world is 

Kristin: full of threats. 

Will: Second question, let’s, can we move off of Pantones? 

Kristin: Do we have to? 

Will: I really do want to hear, am I the only person in the world who has never heard of Pantone?

It’s a big deal, 

Kristin: it makes the news when Pantone puts out their color of the year. Like, it’ll be on the Today Show and stuff like that, you know? I mean, it’s not like serious heavy news, but it is a thing. I believe 

Will: you. Uh, okay. I want to know if you remember your old personal [00:15:00] statement. 

Kristin: Oh, I try not to. I bet it’s awful.

Will: Do you remember anything you said in it? Cause this comes up usually around like application time and like, right, like, uh, you know, the match day is going to be coming soon. And so sometimes like you see people talk about like how they reread their personal statement like 10 years later. Oh, 

Kristin: that would be, you would have to pay me a lot of money to go back and read that thing.

It would 

Will: be painful for me too. It would be 

Kristin: really painful. I probably talked about, you know, coming from, 

Will: A rural 

Kristin: area where education was subpar. That’s a good one. And then working my way up to, to Dartmouth. 

Will: And how excited you are about research and scientific discovery. Probably. Cause I definitely put that in my.

Super cringy. 

Kristin: Yeah. You hate research and you’re like, well, I’ll just put it in, 

Will: what I’m supposed 

Kristin: to say. 

Will: No, there’s so much of that is, is part of personal statements for like higher education. And [00:16:00] like. This is, it’s stupid how we do these personal statements, like, 

Kristin: Do they still do them? 

Will: Yeah, they still do them, and it’s, it’s still like, what are your, what are your goals for your career?

Like, no one knows. 

Kristin: Right. 

Will: Like, I have no idea. 

Kristin: You want to know my honest goals? My honest goals are to be able to make a living for myself and not hate what I do every single day. You 

Will: can’t say that. 

Kristin: Exactly. 

Will: I think it should change. We should just change the goal. Like, I think it’s great to have, like, a writing sample of something.

In your life, like, I think that’s really good. Cause it helps to personalize the application. Right. So why can’t it just be like a story? Usually their stories are involved. Like you always tell something about your life, but why do we have to like say something that explains. Why does it always have to relate to, like, your purpose for why you want to do this program?

Kristin: Yeah. I mean, I can kind of see it from the admissions committee [00:17:00] perspective of, like, you know, everyone wants to be able to make a living and not hate what they do, so why do you want to make a living doing this specifically? 

Will: But, but the thing is, in my mind, you’re, you’re already applying. You are going through the, the time.

And money, and education, the prerequisites to get to this point where you can apply to this thing. 

Kristin: Right. I think, so I’ve been on the other end of these things sometimes, not for medical schools obviously, but just, you know, applications in general, and usually What I have been looking for when I have to be on those committees is, does it seem like this person is really actually interested and passionate and committed to this thing, in addition to having talent in it, or does it seem like their parents are making them do this, for example, or they just don’t know what else to do but they don’t really care that much so they’re probably going to end up dropping out after year two, or whatever, because when you have so many people, Applying for the same thing, and they [00:18:00] are all, to your point, they are all qualified or they wouldn’t be applying.

You have to have some distinguishing measure. But 

Will: I feel like if you’re, if that’s the goal for the personal statement, you’re gonna start, you’re gonna have people trying to tell the committee what they want to hear. 

Kristin: Of course, but here’s the thing, the committee is not stupid. They know when you’re doing that.

They hear 3, 000 times the same thing, then they know that that’s just the thing that everyone thinks they’re supposed to say. What actually stands out in applications is when you don’t say those things. 

Will: When you 

Kristin: say, 

Will: I just want a stable job, I just want to pay back my loans, I 

Kristin: don’t know that I would advise that, but it would certainly catch their attention, it would be different, 

Will: Yeah, I didn’t know you were on a committee, you’ve, you’ve read, you know, Yeah, I’ve 

Kristin: been on, you know, I’ve been on hiring committees and student applications for, you know, different programs and stuff, 

Will: I was never on that for, as a resident, [00:19:00] they didn’t trust me enough to, To select, 

Kristin: right, Lisa, probably you’d have some ridiculous criteria just to amuse yourself, get a lot 

Will: of good content out of it.

But, uh, I, I, the, I don’t envy the people that do that because I know in meds, like a residency programs, especially like the top programs, very highly, uh, competitive specialties, a thousand applications, 

Kristin: right? It’s 

Will: nuts. Like how do you, 

Kristin: that’d be, so I was, In a previous job, there was a program that high school students would apply to, and it was a very prestigious and competitive program.

And I was one of the people making decisions about who gets accepted and who doesn’t. And so what you do in those cases, we would get thousands and thousands of applications for like, 35 spots. So you first do all, anything automated you can do to filter out, like, you know, anybody who’s got an SAT score below, whatever.

Yeah. 

Will: You have to have some kind of cutoff. You gotta, [00:20:00] because 

Kristin: just for sheer numbers, there’s just not enough resources to evaluate. Now with AI, it might, maybe this will all be a little bit different. I don’t know. Cause now there are. You know better resources, but 

Will: find the right people. Yeah, 

Kristin: that would be interesting to see if that actually could work But anyway, so we we would filter out anything We could automatically and then we would go through and and we would just like the people that You can just tell the ones that are kind of like everyone else and then the ones that Rise above in one way or another and the way in which they rise above is individual But 

Will: you 

Kristin: know, it stands out to you.

Will: How quickly do you read a personal statement whenever you’re having to 

Kristin: skim? 

Will: You skim it, right? 

Kristin: Yeah, which is another thing, like if you’re telling me all the buzzwords, I’m just skimming right over that. Don’t even bother writing it. And 

Will: then if it’s, if it’s a personal statement where you find yourself like reading every word of it.

Yeah, then you’re like, okay, okay. 

Kristin: Like there was one student one year who had, um, [00:21:00] he was homeschooled by his parents and they sailed around the world on a sailboat. That was his, that was part of his education. Like they, they incorporated that into his. Curriculum, right? Like that makes you go, wow, interesting.

I want to hear more about that. 

Will: Yeah, 

Kristin: you know, 

Will: whether the parents went to jail Or not 

Kristin: for homeschooling 

Will: from us on a sailboat. 

Kristin: Well, if you’re still doing the curriculum, I’m 

Will: just kidding I’m sure it’s fine. Clearly it was a smart kid because they’re applying to this prestigious program, 

Kristin: right? 

Will: Did you guys accept it?

Except that one. I think, 

Kristin: I think he did. I think we did accept him, but I don’t think he accepted us. Oh, yeah. 

Will: Really? Some of 

Kristin: these kids get accepted into multiple of the same. 

Will: This whole different world. Kind of program. Giant, super smart kids doing summer programs. Interesting. 

Kristin: That’s, that’s become the thing, you know, I think what we see in med school with like step scores being pass fail and then you have to do other things to distinguish [00:22:00] yourself, right, is it trickles all the way down into high school too, like that same kind of thing is going on in high schools, so a lot of kids would apply to us.

Will: Well, now we know the blueprint. Sail around the world while you’re teaching your kids. 

Kristin: No big deal. 

Will: Get in wherever you want. Alright, let’s take a break.

Hey, Kristen, you just got disability insurance recently. 

Kristin: Well, I got it renewed. Yeah. 

Will: How does it feel? 

Kristin: It feels pretty great. 

Will: Yeah. It’s, it’s such an important thing. 

Kristin: It really is. 

Will: Especially for physicians, because 

Kristin: yeah, you need your hands. 

Will: I need my feet. 

Kristin: You need your feet. Most of the names. You need your eyeballs.

Will: Eyeballs too. Yeah. There’s like literally everything. Like there’s so many things that could happen and having that peace of mind of having disability insurance is really important. And, uh, so let me tell you about Pearson Ravitz. Tell me. This is a physician founded company by Dr. Stephanie Pearson, a disabled OBGYN and Scott Ravitz, a disability insurance expert.

Now they’ve come together and have helped more than 6, 000 physicians get disability insurance. 

Kristin: That’s pretty cool. 

Will: An [00:23:00] advocate for physicians as well to like help people not have this massive oversight of like thinking you don’t need disability insurance because you really do when you’re a physician.

It’s the 

Kristin: kind of thing you got to buy when you’re healthy for when you’re not. 

Will: That’s right. To find out more and get a free one to one consultation, go to P E A R S O N R A V I T Z dot com slash knock. Knock. Again, that’s www. pearsonravitz. com slash knock, knock to get more information and protect your biggest investment.

You.

All right. We are back and, uh, have a new segment, a new game for us to play. 

Kristin: Okay. I like games. 

Will: I don’t have a good name for this, so we have to come up with this, but this is something that I think we can probably do more than once. How would Glaucomflecken Cinematic Universe characters solve everyday problems?

[music]: Mmm, okay. 

Will: [00:24:00] So, um, basically you give me a character. And you give me, like, just, like, can’t find your car keys. 

Kristin: Mm hmm. 

Will: How would the psychiatrists deal with that? 

Kristin: Okay. 

Will: And these are not, like, actual psychiatrists, these are, like, my character. Your character. My version of Your 

Kristin: stereotyped Yes, exactly.

Exaggerated characters. 

Will: Alright, what do you think? Okay. Ready? Let’s do it. Okay, so, Give me a character and or give me the give me the the scenario that they’re they’re reacting to 

Kristin: okay 

Will: or trying to solve and then give me the character. 

Kristin: I’m just gonna pick like everyday issues that are top of mind because they happen to us.

Um, okay, so. Last night our internet went out. So internet goes out. Okay. All right. Um, how does the neurologist deal with it? 

Will: Okay. All right. The neurologist solving an internet outage. 

Kristin: That’s right. We’re just 

Will: okay 

Kristin: I don’t know if he has to solve [00:25:00] the outage, but he is there his internet has gone out now.

What? 

Will: Okay So, so first thing he’s got to do is, is he’s got to try to, to try to identify the lesion. 

[music]: Okay. So, 

Will: um, usually that involves a, um, uh, an extensive physical exam, but I don’t know if a reflex hammer can get a lot done, uh, or like two point discrimination or, um, asking the router questions. Might interrogate the router.

That’s like an actual thing you do with checking the internet. 

Kristin: Yeah, and just like go see what’s going on down there. Yeah, 

Will: yeah. Chat with the AI bot. And probably be absolutely like merciless, like ridicule. That’s, that’s what would happen. So he’d call, call the, you know, do a physical exam on the system.

[music]: Mm hmm. 

Will: You know, check the Ethernet cables. 

[music]: Yep. 

Will: Check, check the connection, make sure it’s plugged in. Can’t figure out [00:26:00] where the, uh, the lesion is. Uh, so hold, um, in lieu of ordering an MRI on the, on the, on the system, uh, call the internet company and, uh, be, uh, and be a bit condescending. Yeah. Talk about how, uh, um, you know, accused the, the customer service representative of running out of neurotransmitters, um, of not knowing where the routers neurotransmitters are in the system, uh, and, um, Eventually, though, he would get it done and also end up receiving a discount on his bill.

Just 

Kristin: to allow themselves to stop having to talk to this man. Yeah. 

Will: Exactly. 

Kristin: If it’s fiber optic internet, that’s, you know, those cables, that’s kind of like, uh, the nervous system. 

Will: Yeah, that’s true. That’s very, that was a good one. That was a good, that was a good connection between the two. Uh, yet, I, I think you hit the nail on the head, though, that the, the internet, Xfinity [00:27:00] or Verizon, whoever it is, would, uh, Give the neurologist whatever he wanted so they would never have to talk to him again.

Kristin: Yep. 

Will: So. 

Kristin: Squeaky wheel gets the grease. 

Will: There you go. Okay. That’s a good one. All right. Okay. Give me 

Kristin: another one. Another one. Um, oh, okay. So you know how kids learn math. Differently these days, like we learned it one way and then at some point 

Will: it’s been a, 

Kristin: they should completely overhauled how math curriculum gets taught.

Will: It’s been a big issue in our house. 

Kristin: Yes. Cause we’ve got, I try 

Will: to solve 

Kristin: kids in elementary school learning math, 

Will: long division one way, and apparently that’s not the way they’re taught to do it now. 

Kristin: Right. 

Will: And it’s, it’s, uh, 

Kristin: I don’t know about you, but I can’t always follow. When you’re just seeing, like, the kid’s homework, right?

Like, I can’t always follow the chicken scratch to figure out what it is. Anyway, so you gotta deal with that. You gotta help your kid 

Will: with math 

Kristin: homework, but they [00:28:00] have learned it completely differently than you. 

Will: Alright, what doctor am I? And 

Kristin: you are the anesthesiologist. 

Will: Okay, well Okay, this is, I think this is another good pairing because anesthesiologists are very cool and comfortable in stressful situations and math homework, sometimes there’s, uh, there’s yell, there’s tears, there’s yelling involved.

Yes, 

Kristin: lots of protesting. 

Will: The question is, in this situation, what is What is the surgeon and what is the patient? So is the child the surgeon? Cause in some ways that would make a lot of sense. 

Kristin: Yeah. 

Will: A bit of a, a bit of a hot temper, uh, 

Kristin: only concerned with 

Will: life 

Kristin: as they see it. Yes, 

Will: they, they want it done a certain way and are not able to explore other potential solutions.

Kristin: Okay. [00:29:00] 

Will: And the math problem being the patient, right? That would make sense. Yes. They are 

Kristin: trying to dissect this patient. 

Will: Yeah, they’re trying to, but, uh, you know, they have, they come from a different perspective than the, the, the surgeon. Uh, and their perspective is not wrong unless you’re the surgeon who understands that it is wrong.

The anesthesiologist knows that there may be a couple of different ways to come at this. 

[music]: Okay. 

Will: But the surgeon doesn’t see it that way. 

[music]: Right. 

Will: Um, the bed has to be at a particular height. Yeah. And the anesthesiologist. Doesn’t care. Doesn’t care. Doesn’t matter to him. Doesn’t matter. Whatever, whatever gets the surgery done.

Yeah. You know, um, and so I think the, the patients of the anesthesiologists in the midst of, of, uh, of high stress, Anxiety filled situation would very calmly and [00:30:00] comfortably, um, figure out a way to solve this math problem that is acceptable to the surgeon, otherwise known as the child. 

Kristin: Question. 

Will: Yes. 

Kristin: Would he be doing Sudoku well?

Will: Oh, well, he’d certainly have to take a break. Okay. Like, it’s like 15 minutes. Like, let’s, let’s take a break, go get some coffee, uh, chat a little bit, check, check investment portfolio, uh, some bank account stuff, uh, then go back to it, you know, maybe do a little crossword, um, you know, while, while the kid’s trying to figure out what nine times seven is.

Kristin: While the surgeon’s doing their thing. 

Will: While the surgeon’s doing their thing, exactly. And then eventually it’ll be time to wake the patient up. And you’re going to pay attention and go on to the next problem. 

Kristin: Yeah. 

Will: So there you go. All right. That’s good. All right. Is that 

Kristin: how, is that how you feel? Uh, you handle it when our kids need your help with math?

Will: Oh, I am. I am definitely not an anesthesiologist. 

Kristin: I, [00:31:00] I’m not, I should have said ophthalmologist. 

Will: I am much more, it’s like a surgeon and another surgeon. So it doesn’t, 

Kristin: we 

Will: don’t. I try my best, but I also have a very one track mind, and I, I like, want my kid to like, do it the way that I think is most efficient, and the best way to do it, which is the way I learned, but it’s not necessarily the way the kid learned, so it’s hard.

It’s also 

Kristin: not necessarily the most efficient, it’s just the way you know how to do it. Oh, it’s 

Will: the correct way to do 

Kristin: it. 

Will: Okay. I’m absolutely correct. 

Kristin: Yep. 

Will: I don’t know what they’re teaching these kids these days. All right, let’s do it. Give me one more. 

Kristin: Oh, I’ve got a good one. Your toilet is clogged. 

Will: Another thing that happened yesterday.

Yes, 

Kristin: see, I’m telling you. 

Will: I had to have a conversation with the kiddos. The 

Kristin: surgeon clogged the toilet. 

Will: No, it wasn’t me. 

Kristin: No, in the previous Oh 

Will: yeah, that’s right. I had a, um, I’m very good about not clogging [00:32:00] toilets, uh, I had to have a talk with the kids about the concept of multiple flushes. 

Kristin: Yes, they use way too much toilet paper.

Will: Yeah, that’s, that’s a separate problem. 

Kristin: So we can’t get them to not do that. So the compromise is okay, then just flush more often. 

Will: Yeah, right. Yeah. 

Kristin: Anyhow, they’re going to love that we’re discussing this. 

Will: Absolutely. When they’re older and hear this. 

Kristin: So your toilet is clogged and you are internal medicine.

Will: Uh, Well, this is, this actually goes well because, um, an internist is, one type of internist would be a gastroenterologist. 

Kristin: Oh, okay. 

Will: Who would first peer into the toilet and examine the health of the stool. 

Kristin: Sure. What’s that chart? 

Will: Oh, what is that chart called? The, uh, yeah, there’s a chart that, that like, uh, yeah, like the shape and size and consistency of the stool and like how Bristol, the Bristol, 

Kristin: Bristol 

Will: chart, the Bristol stool chart.[00:33:00] 

Kristin: So yeah, one of those. 

Will: Yes. Uh, and then, um, as we know from my videos, internists are not the, um, The quickest decision makers. Okay, true. And so, they will, um, present a differential diagnosis on why the toilet was clogged. 

Kristin: Mm hmm. 

Will: Could be a number of reasons. 

Kristin: Put it forward as a hypothesis. Too much 

Will: toilet paper?

Kristin: Mm hmm. 

Will: Too much other things? 

Kristin: Mm hmm. 

Will: Toilet not working right? 

Kristin: Mm hmm. 

Will: Tree roots in 

Kristin: your plumbing? 

Will: Tree roots in your plumbing, septic tank overflowing, um, Act of God, I don’t know. The little handle, the the thing that lifts the the flapper. 

Kristin: Uh huh. I 

Will: guess that’s broken. I don’t think that would clog 

Kristin: your toilet.

I think it would just prevent it from flushing. Oh, it wouldn’t clog it. That’s 

Will: true. Bugs. 

Kristin: Oh. That’s [00:34:00] out there. Don’t 

Will: tell me you’ve never been scared that something’s gonna swim up. 

Kristin: I never think it’d be a bug I think it’d be a snake. 

Will: Okay, snake. 

Kristin: Snakes in your pipes. 

Will: Snakes in your pipes. Pipe snakes.

Toilet snakes. 

Kristin: That should have been the sequel to Snakes on a Plane. Snakes in your pipes. 

Will: Snakes in your toilet? 

Kristin: Yeah, 

Will: I think toilet snakes is a good name. Anyway, so and then after Deliberating on the potential causes of this problem, they would come up with a course of action that is just plunging it.

There you go. 

Kristin: What if plunging it doesn’t work though, like what if that’s, plunging is not going to do anything if you got snakes in your pipes, you’re just going to get a snake bite. 

Will: If plunging doesn’t work, if first line doesn’t work, then you refer the toilet to the university.[00:35:00] 

I’m good at this. All 

Kristin: right. Is that when you call the plumber? Is that the university? 

Will: Exactly.

Send it up the chain a bit. 

[music]: All right. 

Will: All right. Let’s take one more break.

Hey, Kristen. I know you’re a big fan of Demodex mites. 

Kristin: Uh huh. 

Will: You know the eyelid mites? Yeah. They’re on your eyelid. 

Kristin: Uh huh. They’re 

Will: just right there in your eyelid. Yeah, 

Kristin: thank you. 

Will: Uh, well, what if they flew at you? 

Kristin: Oh, God! 

Will: What if they jumped? What if they jumped? Would that bother you even more? Oh, it’d be even worse.

Would that be better? 

Kristin: Jumping bugs are always worse. Well, I have 

Will: good news for you. They, they’re not jumping. Oh, that is good. They don’t jump at you. But they are there and they can cause like crusty, flaky, itchy, red, 

Kristin: irritated 

Will: eyelids. So I can tell you’re a little bit grossed out. 

Kristin: Yeah, it’s a 

Will: disease. It’s called Demodex 

Kristin: blepharitis.

It sounds like no fun, 

Will: but it’s pretty common. And a lot of people don’t really know [00:36:00] about it, but I mean, these like they’re, they’re, they are kind of cute. I gotta admit just a little, just a little cute, 

Kristin: maybe a little cute. 

Will: Regardless, you shouldn’t get grossed out by this. You should get checked out, 

Kristin: okay?

Will: Alright. Go to eyelid check.com for more information. Again, that’s E-Y-E-L-I-D check.com to get more information about these little guys and Dex Blepharitis.

All right, my final segment for you today. Okay. I think we’re gonna I want to try to do this for most of our Glock talk episodes. 

Kristin: Okay, 

Will: because I think we got a lot of material 

Kristin: Okay, 

Will: I call it parenting rounds. 

[music]: Oh Just 

Will: like on rounds you present a patient. Uh 

Kristin: huh. 

Will: Well in this case our patient is a parenting thing 

Kristin: Okay, so when you’re on rounds you’re presenting the patient but to what end?

Will: Oh, just, I mean, uh, you’re trying to take care of them, of the patient. So 

Kristin: you’re [00:37:00] discussing best course of action? Yeah. On rounds? 

Will: Yeah, yeah. Here we’re just either telling, like, a thing that taught us about parenting or, um, a difficult situation that we had to navigate. 

Kristin: Parenting case study. 

Will: There you go.

Parenting case of that. Parenting rounds. That’s what this is. Alright. So, um, This, what I have for you, and if you have one, then, you know, we can hear yours as well, but 

Kristin: Gee, thanks. 

Will: I don’t want to put you on You’re always mad when I put you on the spot. Well, 

Kristin: that is true. That’s true. 

Will: Can’t have it both ways here.

Kristin: Okay. 

Will: Okay? 

Kristin: Fair enough. 

Will: Uh, but mine is, um, the, uh, the concept of carpool eavesdropping. So, this is, uh, something I learned recently, I’m sure you probably knew about this long before me. Uh, the fact that if you’re in a car with your, we have a 12 year old daughter. 

Kristin: Almost 13. 

Will: Almost 13, so pre teen. Um, if you’re in, uh, she’s at the age where she doesn’t like to [00:38:00] talk about her life that much.

Kristin: Right. 

Will: Right? It’s hard to get her to kind of open up about, you know, just anything, anything happening in her life, right? 

[music]: Right. 

Will: Um. Well, what I figured out was if you’re the parents that like do a lot of the 

[music]: carpooling, 

Will: transporting the 12 year old and the gaggle of 12 year old girls, or 12 year old boy, whoever it is, the key.

You 

Kristin: gotta have the gaggle. 

Will: The gaggle. You gotta get them together. car. Get a big ol car, get your minivan, that’s another good thing about the minivan, you know, I pushed back on the minivan, but you’re, I, I, I, 

Kristin: I told you, 

Will: good idea, good idea, uh, you get them together, and then as you as the parent, if you are, if you try to be as invisible as possible, so you just, you don’t move too much, you just drive, 

Kristin: you 

Will: don’t say anything, 

Kristin: don’t call attention to yourself, don’t 

Will: chime in, you just listen, just listen, you will hear things.

About your child’s life. You will hear [00:39:00] things that you otherwise it would be hard to hear. 

Kristin: That’s right. Like, uh, would never offer up. They would never offer up. Voluntarily. 

Will: Like, you know, even just like simple stuff. Like the types of music she likes to listen to. The, uh, 

Kristin: Her favorite song these days. Her 

Will: favorite, her, the what’s going on in class.

Uh, you know, the teachers she doesn’t like. Um, whatever. It’s usually, I mean, at 12 years old, it’s not deep stuff they’re talking about. No, no, no. But it’s just an. That, and I don’t need that. Sometimes 

Kristin: you might hear about crushes. Yeah. Who’s got a crush on who? That’s 

Will: the kind of stuff I want to hear about.

Kristin: You need to know. 

Will: And I think it’s also good that somebody in this, in your, your child’s friend group, some parent has an idea of what’s going on. Right. 

Kristin: Yes. 

Will: So, so, so it’s, it’s the coolest thing because like, it’s like they forget you. Like you disappear. How? Why? I know. What is the psychology here? Because you’re 

Kristin: sitting seven feet away from them, even if they are as far away from you as they can get.

I’m not 

Will: trying to hide from them. I’m [00:40:00] in plain sight. 

Kristin: Exactly. I’m a large 

Will: band. I can’t, I can’t hide. But they just like, it’s like you’re not even there. And they’ll just 

Kristin: talk, talk, talk, talk, talk, talk. 

Will: And I just sit there and listen. 

Kristin: It’s a magic 

Will: trick. And I learned things. 

Kristin: Yeah. 

Will: That’s great. 

Kristin: It makes me rethink, uh, my own childhood though, you know?

Oh yeah. Cause I think when I was at, like, you just think they’re not listening for some reason. 

Will: Right. Yeah. But of course they’re 

Kristin: listening. Of course, exactly. 

Will: And uh, but it’s like kind of bittersweet coming to this conclusion because once they become driving age, it’s like, it’s all 

Kristin: Yeah, you only have a few, there’s a window, just a few years there where you can 

Will: do 

Kristin: all this.

Will: We’re going to be taking a lot of road trips. 

Kristin: With our friends. 

Will: Oh god, actually, I don’t know. 

Kristin: Maybe not a road trip, but you know, outings. Long 

Will: trips, yes. 

Kristin: Things where you need to drive somewhere. 

Will: At least 30 45 minutes an hour really give them plenty of time and then 

Kristin: I want to know what you learned You have to tell me off air if you learned anything good Yeah, I’ll tell you later [00:41:00] But 

Will: I also excited because I had mentioned this on blue sky and I got a good tip from somebody They said if you because what what they’ll do is if I have the music 

Kristin: on 

Will: It’s something that’s hard to hear him because they’ll like start kind 

Kristin: of whisper.

Oh, yeah Turn it on back there 

Will: Put it on the back speakers Talk louder Oh, man, 

Kristin: genius. That’s somebody who’s been through the ranks already. I 

Will: know, I know, and I did get one person that was like, told me that I was a bad parent. 

Kristin: Oh, please. No. What are you supposed to do? Put it like noise cancelling headphones to give them their privacy?

Well, the guy 

Will: was like, well, do you read your daughter’s diary? 

Kristin: That is not the same. Like, not 

Will: the same thing. Right. This is public, she 

Kristin: sees you’re there, she’s choosing to say things in front of you. I can’t 

Will: help it if I hear it. 

Kristin: Right. 

Will: I’m not coercing anything. And, and what am I going to do? Be like, oh, children, I also love Taylor Swift.

Let me tell you what I think [00:42:00] about, like, people are like, maybe you should just talk with your daughter. 

Kristin: No, they don’t want that. Like, 

Will: do you know, that’s coming from someone who doesn’t have a preteen daughter. That 

Kristin: is true. That’s gotta be true. And never has. Yup. Yup. Yup. Yup. They do not want to be made aware that you are there.

And for the love of God, do not let your friend know. If they 

Will: invite you to chime in, that’s something different, but no, you got to be invited into the conversation. 

Kristin: Yeah. You are a shameful blight on their social life. Myself included. Parents, right? On, until told otherwise. That’s 

Will: right. That’s right.

Parenting’s fun. It’s so fun. It’s the 

Kristin: best. It’s an enriching life experience. 

Will: All right. Well, uh, we’ll do that again next time. Just parenting rounds each time. I already have like three or four other ones that I can do. So I’ll save it for next time. Uh, [00:43:00] thank you all for, that’s it. That’s our episode.

That’s Glock Talk for today. Let us know what you thought of the episode. If you have any other topics or whatever you, do you have any parenting advice? Other things that, other hacks? Should we call it, can we call that a hack? It’s kind of a hack. A little bit. I don’t know. Other ways to like, figure out what’s going on in your children’s lives.

I’m up for 

Kristin: Particularly, uh, the teenage kinds. I’m up for 

Will: suggestions. Exactly. Yeah. Uh, you knockknockhigh at human content. com. Hang out with us on our social media platforms. Hang out with us and our human content podcast family over on Instagram and Tik TOK at human content pods. Thank you to all the listeners, leaving feedback and reviews.

If you subscribe and comment on your favorite podcasting app or on YouTube at Glaucomflecken by the way, that’s where all the, these episodes are going up. We can give you a shout out like at my tube seven, eight, five on YouTube said, hi, Dr. And Mrs. Glaucomflecken. Would you be open to doing a knock knock high show with a guest to discuss resident burnout and resident well being?

This topic has drawn a lot of attention these [00:44:00] days. The Wall Street Journal article is an example. I’m not sure I’m aware of that article. I’ll have to look at it. Yeah, 

Kristin: I’m not sure which one there. I have a couple ideas of which one that might be and I’m not sure which one it is. 

Will: And also much more on the social media obsession versus competence would be a great theme.

Oh, interesting. Obsession versus competence. 

Kristin: As it relates to social media. I think like 

Will: if you’re obsessed with something, does that necessarily make you competent? Like if I’m obsessed with a topic in healthcare, does that necessarily make me competent if I’m just talking about 

Kristin: it? That kind 

Will: of thing. We also have a, so check out our YouTube channel.

Uh, full video episodes are up every week at Glaucomfleckens. We also have a Patreon. Lots of cool perks, bonus episodes where we react to medical shows and movies, hang out with other members of the Nutmeg High community. We’re hanging out, we’re doing stuff, we all got chores to do every day, but we do it together.

Kristin: don’t think that’s uh, gonna entice people to join. No? Oh. To tell them they’ll be assigned chores. No 

Will: chores, just fun. Just fun! Just activities, [00:45:00] it’s great. Early ad free episode access, interactive Q& A, live stream events, much more. Patreon. com slash Glaucomflecken or go to Glaucomflecken. com. Patreon community perks, new member shout out Joseph S.

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We are your host Will and Christopher Planet also knows the Glock and plugs. [00:46:00] Our Executive Producers are Will Fennery, Krista Flaherty, Aron Korney, Rob Goldman, and Shahnti Brooke. Editor Engineer Jason Portizo. Our music is by Omer Ben Zvi. To learn about our Knock Knock Highs, Program Disclaimer, and Ethics Policy, and wait for it, Submission Verifications, Analyzing Terms, and HIPAA Release Terms.

Kristin: Don’t forget those. Kristin, you know 

Will: where you can go? 

Kristin: You can go to our website at glaucomflecken. com 

Will: or you can reach out to us at knockknockhighathuman content. com with any questions, concerns, or if you have them, fun medical puns. Knock Knock High is a human content production. Goodbye.

Hey, Kristen. 

Kristin: Yeah. 

Will: You know we love Dax Copilot here. 

Kristin: We sure do. 

Will: It’s great. 

Kristin: Love 

Will: it. Little Jonathan in your pocket. Yeah. I know, right? Cutesy. Yeah, helping out with admin burden documentation. One of the things I really like is it can like organize your notes for you. 

Kristin: Yeah. 

Will: Like, [00:47:00] I, I don’t know if this might come as a surprise.

Do you like my notes? Sometimes not the most organized. Yeah. I mean, you know, I could use a little help and Dax is there to help me with that. 

Kristin: That’s right. 

Will: While also, by the way, like looking at my patients when I’m talking to them, 

Kristin: I love it when my physicians are using Dax in my appointments because they just have a better conversation and report.

It’s just a better overall appointment. 

Will: And one thing that people might get a little bit concerned about with AI products is safety. 

Kristin: Yeah. 

Will: But DAX Copilot is backed by Microsoft’s robust, like, security. I feel great about their security, uh, and, um, uh, HIPAA compliant. HIPAA compliant. And, uh, so it’s, my patients are safe.

I know the documentation is safe and it’s just a great thing. 

Kristin: Very helpful 

Will: to learn about how Dax copilot can help you reduce burnout and restore the joy of practicing medicine. Visit aka ms slash knock-knock high. Again, that’s [00:48:00] aka ms slash knock-knock.