Singers: [00:00:00] Knock, knock, hi! Knock,
Will: knock, hi! Knock, knock, hi! Welcome everybody to knock, knock, hi! With the Glockenfleckens! I have right here next to me, Kristen Flannery, also known as Lady Glockenflecken.
Kristin: That’s right, and you’re Will Flannery, also known as Dr. Glockenflecken. We are the
Will: Glockenfleckens, and this is an episode of Glock Talk.
Uh, and I’ve got something very fascinating and surprising, and I’m having trouble even talking about it, wrapping my head around this. I have something to share with you.
Kristin: Okay, I’m scared.
Will: There are more Subway franchises in the US than there are McDonald’s.
Kristin: I know, we learned that this morning. I looked it
Will: up.
You did? I looked it up. What are the
Kristin: numbers?
Will: There’s roughly, uh, 13, [00:01:00] 000 McDonald’s franchises.
Kristin: Okay.
Will: There’s like 24, 000 Subways.
Kristin: That is That’s what’s on my mind. Yeah.
Will: Do people love sandwiches that much?
Kristin: I, uh, I just You know, you hold McDonald’s up as the epitome of like fast food America, but apparently it’s Subway.
Will: Well
Kristin: It’s like
Will: a sleeper. And people are probably thinking, why are you talking about this? Well, It did occur to me on our trip to England recently that I don’t know if I, we saw one McDonald’s, but we did see at least two Subways, so it kind of makes sense that Oh, we saw
Kristin: more than that. The kids and I, yeah, we, I think we ate at three.
Yeah.
Will: That’s right, folks. That’s right folks, the Glockenfleckens went to another country, halfway around the world, and then
Kristin: Listen I
Will: did not eat any Subway. I had wonderful food from the great country of England. I know,
Kristin: people have really strong feelings about, [00:02:00] um, food and, and what other people are eating.
Yes. Which I don’t understand. Don’t Why anyone cares?
Will: Don’t direct your anger at me, okay? I ate the stuff I’m supposed to eat. I had I had I had so many beans. All you people from England, you’ll be happy to know I ate plenty of beans.
Kristin: Did you eat the black pudding?
Will: The one time I did eat black pudding.
Kristin: There you go.
Will: Can’t say I loved it. It’s not, I do love the, the bacon that you call bacon, which is just ham and the, the poached eggs. They love the poached eggs over there. Yeah. I love, I’m a big fan of poached eggs on English muffins. Yeah. Um, but so the English breakfast, the breakfast situation over there, fantastic.
Kristin: Yeah. I think everyone could get on board with that.
Will: The seafood. It’s good. Phenomenal.
Kristin: Yeah. We didn’t have any Indian food. That was a mistake.
Will: We did not. My brother did. We didn’t go with him. But, um, the afternoon tea. Oh, yeah. That
Kristin: part was, that’s the best.
Will: The little pastry things, [00:03:00] the, all the, the little, uh, scones, the scones, the skeins.
I’m not gonna, I’m not gonna try, I’m not gonna do it, but anyway, this brings me to, after telling you all the wonderful things we ate, fish and chips, wonderful, absolutely wonderful, I even had a little bit of lobster. I don’t normally eat lobster, but I got some lobster over there. Um, you decided, and the girls decided, you were going to partake in some Subway several times.
Listen, don’t
Kristin: shame us, okay? I have ARFID, as we may have discussed, and our children are picky eaters,
Will: and moms with
Kristin: picky eaters know what the deal is. When you’re traveling, and they don’t know what these restaurants are. Like, the kids, they want something they can count on, something they can, they know is the same, everywhere they go.
Okay. And I’m, I’m fine with that too.
Will: So the ARFID thing, though.
Kristin: ARFID. Uh, auto, oh, I’m gonna get [00:04:00] this wrong, it’s been a while since I looked it up. Auto restrictive? Auto I can’t remember exactly the R.
Will: It’s pathologic pick eating.
Kristin: Feeding intake disorder.
Will: Right.
Kristin: Yeah.
Will: So there’s only, there’s certain things you just, you can’t eat, and you don’t eat, and
Kristin: Right.
Will: It’s, there’s a
Kristin: I eat like a seven year old, the beiger the better, and I eat about ten things. That’s our fit in a nutshell.
Will: So anyway, yeah, I would say that the times when you did get Subway, it was like, we just had to get something.
Kristin: Yeah, that, right, none of, none of the times was it like, you know what I could really eat right now?
No, it’s just we’re out and about, we don’t really know where we’re going or what’s around.
Will: The best part.
Kristin: It was a familiar.
Will: It wasn’t any good.
Kristin: It wasn’t any good. It wasn’t. I mean, it was fine. Look.
Will: Did they call things weird? To the lovely
Kristin: Subway establishments. Did they have
Will: different weird names for things?
Did you notice? No,
Kristin: it was Subway. The chips were different. Like the, the, I guess in England they would be crisps.
Will: Right. It’s on point. Like, some of the sandwiches. The [00:05:00] sandwiches
Kristin: seemed the same. I mean, I didn’t like fully scrutinize the menu here, but they seemed the same. And then the only thing that was different at a glance were, uh, the brands of chips and drinks that were available.
Will: Like there
Kristin: were no Doritos over there. No Lays. It was all different.
Will: Really? Yeah. What is overall your impression, I don’t know why I’m asking you this, your impression of English cuisine?
Kristin: Uh, you know what? Most people don’t, they, it kind of gets a bad reputation for being like too plain and boring, but you know what?
Perfect
Will: for you.
Kristin: Great for me. Yup.
Will: I actually, I was, I was pleasantly surprised. Yeah? Um, yeah, I, I had the same impressions, like, everybody complains about it, it’s like, it sucks, it’s terrible, but you know, I was, I don’t know, I was fine with it, I thought all the seafood was really good, I love the fish and chips.
Uh, at Wimbledon, went to Wimbledon one day, uh, we had the strawberries and cream. Oh
Kristin: yeah, strawberries and cream.
Will: The [00:06:00] strawberries were very good over there.
Kristin: Were
Will: they?
Kristin: Strawberries! Sorry, I had to do one.
Will: Big into strawberries over there. Um, but anyway, yeah, I figured we should talk about the food.
Kristin: Yeah, we have a, uh, an interesting time eating as a family and it gets, uh, amplified when we travel.
I am just, I am just
Will: going to resign to the, I’m not gonna, like, no fine dining is going on with this family. Well,
Kristin: you can have the fine dining. I’m gonna go and
Will: sit by myself in a restaurant.
Kristin: Make a friend.
Will: I have done that a couple times.
Kristin: I think I could just,
Will: I could just tweet it out, like, hey, yeah, I
Kristin: think you could, like, I’m sitting at this restaurant right now, is anyone in the vicinity?
I’m in
Will: Sydney, Australia, uh, anybody want to come have dinner with me?
Kristin: Yes, I think you could do that, that would actually be kind of fun, it’d be interesting to see where the night takes you.
Will: Okay.
Kristin: Should try that next time.
Will: Yeah, maybe I will.
Kristin: Yeah.
Will: Uh,
Kristin: we were in this market at one point, like an open air market.
No, no, you weren’t here for this. This was the [00:07:00] day you went to Wimbledon and we went and did something else. You
Will: found a different market.
Kristin: Well, we were on a Harry Potter walking tour for Muggles and the tour ended at this market. And it was very, very crowded, like, you know, shoulder to shoulder and the whole thing.
Um, And, uh, we couldn’t stay, I wanted to stay and look around, but the kids were like, it was too much for the kids, they were freaked out about how packed it was, uh, but as we were walking through, I did notice there was like a full octopus with like all of its tentacles just spread out over the counter, it was like a display piece at somebody’s booth.
Will: It was a real octopus.
Kristin: Yeah, like it was, it was a food, yeah, mm hmm, street food. That’s
Will: one thing I don’t think I could eat. I’ve never had octopus. Well,
Kristin: to be fair, I’m not sure if it’s octopus or squid.
Will: I’ve eaten squid, but calamari is delicious. It’s fantastic, but octopus, I don’t think I’ve ever had octopus.
Kristin: Yeah, I did see it on the menu once.
Will: Yeah, probably. While we were over there. I don’t
Kristin: know. Anyway. [00:08:00]
Will: Alright, let’s take a break. And come back with some healthcare news.
Kristin: All right.
Will: Today’s episode is brought to you by the Nuance Dragon Ambient Experience, or DAX for short, to learn about how the DAX copilot can help reduce burnout and restore the joy of practicing medicine. Stick around after the episode. Or visit Nuance. com slash DiscoverDax. That’s N U A N C E. com slash DiscoverDax.
All right, we are back. Uh, you want to do a little healthcare news now?
Kristin: All
Will: right. This is when I bore Kristen to tears. With the happenings. So I talked on a Knock Knock Eye episode recently about, there’s, um, once a year, they come out with more, um, cuts to physician reimbursement.
Kristin: Mm. Mm hmm.
Will: Every year.
Kristin: It’s like a holiday.
Will: It is, yeah. One that we all celebrate with joy and happiness. [00:09:00] This time it’s just across the board, 2. 8%, which is big, more than last time. But this is like across the board. And so some, some got hit more, some got hit less. A few specialties actually got a pay bump. This is, these are CMS, so Medicare rates.
But overall, if
Kristin: it was across the board, a cut of 2. 8%, how do you get a pay bump?
Will: I mean, like it all averaged out. So some specialty has got a bigger cut. Some specialties actually got a little bit of a increase, but it all averaged out to a decline of 2. 8%. But what really irritates people, obviously it’s like sucks to like, you know, as you, when you work, the longer you work, you expect like a pay raise.
But it’s like, that’s the opposite is happening. Um, but what, what sucks and what really grinds a lot of physicians gears is that hospitals every year they get a pay raise.
Kristin: Yeah.
Will: So the reimbursement of Medicare to hospitals goes up [00:10:00] every year for physicians, it goes down every year. And so you wonder why there are like fewer physicians in private practice, because they’re all like less able to pay the bills and keep practices open.
So they sell to hospitals,
Singers: which are
Will: making more money in private equity and everything. But that’s not actually what the healthcare news I was going to tell you about. Oh, it gets better, okay. Absolutely, it gets even better. Um, so it was, uh, there was a report from the Wall Street Journal. Yeah. Yeah. That, um, showed that UnitedHealthcare members,
Kristin: Your best friends.
Will: My best friends, Are 15 times more likely to be diagnosed with diabetic cataracts than patients with traditional Medicare.
Singers: Oh boy.
Will: And so, what this basically showed is clearly, and the reason for this is because Medicare pays insurers 2, 700 more annually per patient diagnosed. So the finding is that, is that patients [00:11:00] who are on United Healthcare Insurance are getting diagnosed, not necessarily by ophthalmologists maybe, but just by healthcare professionals who are able to diagnose.
I don’t know exactly who it is. They’re getting diagnosed with these things that they don’t really have because some of these patients Were then following up with eye doctors and determine. Oh, wait. No, there is not a
Kristin: yeah
Will: diabetic cataract in this patient
Kristin: This is kind of the inverse of what usually happens where you do have a thing that they refuse to acknowledge pay for it
Will: Yeah, this is
Kristin: saying you have a thing so that
Will: they can get more money from the government, right?
And so, you know, it’s there’s basically united healthcare is Surprisingly to nobody, gaming the system.
Kristin: Oh, shocking.
Will: Amazing, right? And what kind of repercussions will they face?
Kristin: Probably
Will: none. None. Zero. So they’re going to get a little fine, a little slap on the wrist.
Kristin: So
Will: anyway, that’s what’s going on.
Kristin: We see you, [00:12:00] UnitedHealthcare.
We see what you’re doing.
Will: Any follow up questions?
Kristin: Many, but they mostly boil down to, why?
Will: How? Uh, the rules, yeah, they just don’t apply. If you, if you make enough money, if you’re a big enough corporation, this doesn’t be,
Kristin: you can buy off anyone that might, that’s
Will: right.
Kristin: Well, that’s a very exciting. Yep.
Will: That’s your healthcare news for the day.
We should have a little jingle that I go associates with it. Healthcare news with the glockenspiel. Do you have any healthcare news? Tell us what your favorite healthcare news of the month, of the last few months, if you have any healthcare news you want us to talk about. Love to hear it. Um, alright, so we could do a couple things here.
I thought it’d be fun, I was thinking back on, well because we have two kids. We have a business and we kind of like hire our, mostly our oldest kid to like do some things, right? We’ve talked about [00:13:00] that before. Her job, her biggest job that she did was, um, as a 12 year old,
Kristin: 11,
Will: 11 year old was to take down imposter accounts on social media.
Kristin: Yeah. I got to get her back on that. There’s been a few more.
Will: Yeah. So these, these fake accounts that are posting my content and trying to monetize my content, uh, removed by an 11 year old.
Kristin: Essentially. I mean, I was involved too, but yeah, she did all the,
Will: yeah, well, that was after we trademarked the Glockenflecken, right?
Before, before we
Kristin: trademarked it, you had to go individual video by individual video, do a whole like set of four steps per video. Here’s a spreadsheet involved. So she did all the work of like filling out that spreadsheet. And then I
Will: submitted, if I can give anybody advice, it’s, if you’re like a, If you have like a presence on social media, you have a business, a social media business, uh, I don’t know who this is going to apply to that’s listening, but, uh, trademark your stuff.
Kristin: If you can.
Will: Because then, [00:14:00] now what do you do?
Kristin: Well now I can, I can just show proof of trademark. Slap it down. It’s a lot easier. It’s not a, look, sometimes you still have some hoops to jump through, but you were Because
Will: it’s like legal. It’s like lawyering.
Kristin: That’s right.
Will: You feel big and powerful when you show up with the trademark?
You Do we have like a physical piece of paper? We
Kristin: do.
Will: We do? We
Kristin: do.
Will: Oh, does it have a seal on it? You
Kristin: can also just look it up online.
Will: Oh really?
Kristin: Yeah, it’s a seal. Do you see our trademark? The Glockenflaken trademark.
Will: USPTO. Dang, we are official. Because for a long time Facebook was like giving us the run around.
Kristin: Yeah.
Will: Right? They were like, weren’t taking it seriously. Well,
Kristin: all of them really. It’s, it’s hard to.
Will: YouTube was the only one that took it very seriously. They like immediately, as soon as I showed proof a couple years ago, They took down an account that had like 120, 000 subscribers.
Kristin: Yeah. I think Instagram is starting to try a new approach at least.
I don’t know if I was going [00:15:00] to say they may be taking it more seriously than they used to, but I don’t know if that’s true, but they’re trying a new approach of. You know, they’re basically, the algorithm is disincentivizing you to share other people’s con uh, content and it is rewarding original content.
That is one approach.
Will: People being incentivized to post other people’s content?
Kristin: Yeah, there are some accounts that’s just basically like curation accounts, you know?
Will: Oh, okay.
Kristin: So they’re not necessarily like posing as
Will: those
Kristin: people, but the idea is if Instagram detects that this is not original content, then the algorithm like
Will: squashes
Kristin: it a little bit.
Will: That’s good. All the grounds are so mysterious to me
Kristin: to everyone well good and ill
Will: anyway The reason I brought this up with our kid is because I was thinking Which of us between the two of us has had more jobs in our
Kristin: lives neat Little city boy. Oh
Will: stop. It’s
Kristin: rocket engineer father
Will: So I still had jobs.
All [00:16:00] right, let’s go through it All right,
Kristin: when what first of all what age were you at your first job? You
Will: Okay. I mean, you got me there. All right. But I was, um, 17. All right. Tell the people, so go from, let’s start with, you know, so what was your first job?
Kristin: My first job was working. I was hired by my parents in their small business, uh, which was a physical retail location.
And I was, um, sweeping floors. Dustin, Facing Merchandise, which means you pull it to the front so that everything is nice.
Will: Oh yeah. There’s a person that does that? Mm hmm. For Bovine Supply Line?
Kristin: Bovine Supply Line, Dublin, Texas. Dairy, dairy supply store.
Will: But how many hours were you working, honestly?
Kristin: Um, quite a few because both of my parents.
We’re starting this business and so they would pick us up from school and straight to the business. We would go.
Will: Okay. Okay. Let’s go Let’s [00:17:00] go job for job. All right, so you had that so my first job was As a textbook engineer
Kristin: that is not a real job Made that up.
Will: Sounds good, though. I I was it was a summer Crew and what we would do is we would go through all the schools in the school district And, like, sometimes we’d remove old textbooks, we’d bring new textbooks in, we’d label the textbooks.
There’s a lot of moving boxes in the books and stuff, and, um, also just screwing around is a big part of it. Yeah, tell the
Kristin: people what you really spent most of your time doing on that job.
Will: Well, we have, I mean, we were in these schools alone, like by ourselves, and, um, And
Kristin: you’re 17
Will: Oh man, it was so fun.
Like we, we would do all the things that you wanted to do probably when you were in school. Like we had rolly, rolling chair races
Kristin: down the hallways,
Will: um,
Kristin: and
Will: [00:18:00] you
Kristin: made up some games to play. We’re not
Will: going to talk about, but the point is I, it was a real job. I was getting paid 5. 15 an hour. And, um, we, somehow they decided to give us a truck to, to, to drive around, transport things in.
Show them
Kristin: around the town. Give them a good time. I’m
Will: amazed we didn’t like crash that thing. One of our, one of our, it was a kind of a large truck and one of our crew members, um, also 17 years old, just assumed that the truck was a diesel truck. And put diesel in the engine that was actually a gasoline engine.
And so that was a problem. Um, little things that we’d screw up here and there, but we never did get fired. So I don’t know
Kristin: what that says about one
Will: time. Oh, cause we, one thing we would do, we’d have these pallets of books and We were working in a, primarily in a warehouse that had all of the textbooks in it.
We were just left to our own devices. We had like a, a general [00:19:00] goal for the week that we had to do all the work by a certain time, but that left us plenty of time for naps and prank calls. I’m sensing a
Kristin: theme in your career choices.
Will: Prank calls too. We enjoyed those. But one day, um, we, I was getting shrink wrapped to a palette of books.
Of course.
Kristin: That’s one does.
Will: That’s one does. That
Kristin: work.
Will: Um, with lots of loud music playing, but I was getting shrink wrapped and it was in that moment that inexplicably, out of the blue, one of the administrators of the school district showed up with our boss. Like his boss. Like our boss’s boss. And like a couple other people.
Came in just to, I don’t know, tour the warehouse or something. And they walk in and they hear, uh, like, like hard rock music playing very loudly. And then, um, like four other 17 year olds shrink wrapping another 17 year old to a pallet of books. And I, like, I could not go anywhere. I was shrink wrapped to this point.[00:20:00]
I was just, I was sitting there like, what could I do? I just like, there’s no, I couldn’t go anywhere. I couldn’t hide. I was shrink wrapped. And I just remember the administrator saying, Oh, isn’t that cute? And then, and then they just looked around and then they walked out and left. And, uh, I don’t remember if there were any repercussions from that.
Kristin: And your own mom was also an employee of the school district as a teacher. It didn’t
Will: look great. It didn’t look great. But that was the kind of shenanigans we got ourselves into. But we did our job and it was fun. I had a good time. So if you
Kristin: had like only actually worked hard, how long would it take to do that job in a week?
How many hours?
Will: Oh, I mean, it was like a, you know, a two month, We worked for two months. We could probably could have gotten everything done in a couple of weeks.
Kristin: Yeah.
Will: Yeah. So, all right. So what’s your next job?
Kristin: Uh, next job I think would have been at the age of 15. What
Will: were you doing?
Kristin: And I was coaching, assistant [00:21:00] coaching, gymnastics, the gym where I had just retired as a gymnast.
Will: You were an ancient 15 years old. I
Kristin: was so ancient.
Will: Okay. My next job was delivering pizzas for Pizza Hut.
Kristin: Oh wait, but I have to go back. Those were not consecutive. Those are, I’m still working the first job when I get the second job, and I’m in high school. Those aren’t
Will: the rules of the game. All right. I’m
Kristin: just pointing it out
Will: in a timeline.
Okay. All right. Well so far you’re up to two jobs. Okay. All right. And so am I because I was a delivery driver. It wasn’t Pizza Hut, it was Domino’s.
Kristin: Mm-Hmm. .
Will: It was a Domino’s for a failing Domino’s franchise. Mm-Hmm.
Kristin: no longer there.
Will: Shortly after I, I quit or I stopped working there. They did fold . I like to think.
Do you think that’s
Kristin: because
Will: I like to think I was the only one keeping it afloat.
Kristin: you and your, what was it? Balls of dough. Balls.
Will: Oh, yeah. I would make my own, like I would newfangled contract, like things I would just fill. Extra [00:22:00] dough with with toppings and cook them and then
Kristin: just like mash it into a ball.
Yeah.
Will: Yeah, it’s fun. It’s great So rather than a flat disc
Kristin: like I don’t know why you didn’t just make a pizza. It’s a dough balls Why not a pizza? I don’t know. This
Will: is like leftover dough that wasn’t gonna be used
Kristin: Yeah,
Will: I don’t know don’t ask this guy. Yeah, I’m
Kristin: just trying to understand how your brain works.
Will: All right next next job
Kristin: next job Well, there are so many how do I?
Will: Stop it. Come on. You couldn’t work that many jobs.
Kristin: Um, I work. Okay, that’s that that would have gotten me through high school Those were my high school jobs And then college. I’m not going to remember what order this word is going to break down, but okay.
I had, um,
Will: besides I
Kristin: had a lot of these jobs all at the same time. So there, so, okay. Uh, one of them was, I worked in the campus bookstore, which was a Barnes and Noble.
Will: I was a research assistant.
Kristin: I was also a research assistant in [00:23:00] one, two, three labs.
Will: I was three labs. Oh my goodness. Uh, I was an R. A.
Kristin: Yeah, which, I don’t know if they still call them that.
Will: They call them community advisors. I was called a C. A., but most people understand it as an R. A. I lived in the dorm and I was like the, you know, I held the keys to the kingdom.
Kristin: Yeah, you were supposed to be responsible. This is when, when I meet you. And I just remember that you’re, weren’t there like door decorations and stuff?
Will: Yeah, I had to do arts and crafts.
Kristin: And I remember, um, you didn’t always apply yourself to that particular task.
Will: That’s alright. You know, again, I’ve never been fired from a job, so I couldn’t have done that bad of a job. Um,
Kristin: what other job, research, see a lot of them were research assistantships. That’s all just one,
Will: one job.
Kristin: No. Um. I think that’s [00:24:00] it for college.
Will: Okay.
Kristin: Nope, nope, one more. I was, um, a first year experience mentor through the Honors College. Oh,
Will: come on. That
Kristin: was a job. It paid. I had to fill out the paperwork.
Will: Alright, so, for me, I’ve run out of college jobs. Um, so then, we’re going to med school. I got, uh, a stand up comedy.
Kristin: That’s not job. I,
Will: I was paid once.
Kristin: How much? Like 10 bucks.
Will: 20 . It’s okay. Still paid. Still counts.
Kristin: That’s a gig, not a job. . That
Will: was it. A gig worker. Gig economy. Yeah. There you go. Worker.
Kristin: Yeah.
Will: Okay.
Kristin: Um, I was a grad student, which is technically a job. Get a stipend and, okay. Mm-Hmm. .
Will: All that. Um, I was a writer.
Kristin: Again, you’re really stretching the definition of job.
Will: I was paid to write for a satirical magazine called Gomerblog.
Kristin: In your free time during residency. So that should tell the people exactly how much of a job, quote unquote.
Will: I had steady monthly income. [00:25:00]
Kristin: 200
Will: bucks a month, you know, something.
Kristin: I feel like it should, it has to, you have to fill out like a W 4.
That is the definition. The IRS has to be aware that you are performing this work in order for it to count as a job. Okay, I will then Moving now into residency then, I guess. I, nope, skipped one. I was an adjunct, uh, professor, adjunct instructor of psychology.
Will: Talk about working your ass off for very little pay.
Holy crap. I remember that.
Kristin: Yeah.
Will: Making the syllabus, like making all the lessons and yeah. I mean,
Kristin: you have to do all the work of teaching a course, which is a lot of work
Will: for like,
Kristin: like two bucks an hour is what it comes out to.
Will: It was rough. I’m glad you didn’t do that very long. Yeah,
Kristin: that was during your intern year.
So I just had, we were in a place for just a year. So I had to find something I could do for just a year.
Will: Okay. And then obviously internship was my first doctor job. [00:26:00]
Kristin: Right. Uh, and then I was a program director, um, at a center for gifted education.
Will: So
Kristin: I ran some programs for smart kids.
Will: I was a resident.
Kristin: Uh huh.
That is a, that is a job. Yeah. That’s a hard job. Um, What did I do after that? Oh, well then my job changed. Same, same place, changed positions into marketing communications.
Will: Okay, I was an attending ophthalmologist.
Kristin: Uh, and then my last job is this one, which I don’t know what you call this.
Will: Me too.
Kristin: Circus ringleader.
Will: Is your CEO of Glockenflecken Incorporated.
Kristin: Yeah.
Will: And I am the, the, the director of content. Content. Yeah, that’s what I said. The content director. That’s what I
Kristin: said.
Will: I don’t have an official title in my own company that I’m an owner in.
Kristin: I mean, I feel you do.
Will: So anyway, I.
Kristin: We’re co owners, co founders.
Will: So I think that’s.[00:27:00]
An equal number of jobs that we’ve had. I don’t think so. I do believe that’s what I heard. So ,
Kristin: someone will have to go back and check.
Will: Now you do have, however, you do have more years of I have
Kristin: more years. Did you get a I have more jobs at the same time.
Will: Did you get a pension at bovine supply line? I
Kristin: did not,
Will: no.
Did you get, did you get any care? I got the heck outta there. Retire is what
Kristin: I got.
Will: Don’t soon as I graduated from
Kristin: high school. All right,
Will: let’s take a break and we’ll come back and do one more thing.
Kristin: Okay.
Will: Hey Kristen. I see you. Found my friends.
Kristin: Well, you sort of forced them on me. Did you ever think
Will: eyelid mites would be so cute?
Kristin: No, I did not. Look at
Will: these little guys with their little legs.
Kristin: These ones are pretty cute. Crawling all over your eyelids. These little stuffed animal guys.
Will: Yeah. You don’t
Kristin: think the real ones would be as cute.
I don’t want them on my eyelids.
Will: Almost though. Close. I mean, the one problem is they do cause a disease called demodex blepharitis.
Kristin: That is a problem.
Will: Yeah, you get red, itchy, irritated eyelids.
Kristin: [00:28:00] Yeah, and all crusty. Yeah,
Will: it’s kind of uncomfortable. You just want to just rub your eyes.
Kristin: Yeah, no thank you.
Will: Well, but it’s not something you should get freaked out by.
You got to get checked out.
Kristin: Oh, well, okay. Yeah, that’s
Will: right. Eye doctors, we see these little guys sometimes, all right? Nothing to be scared of. Just gotta get checked out. To get more information, go to eyelidcheck. com. Again, that’s e y e l i d check. com to get more information about our little friends here and demodex blepharitis.
Alright, we gotta go back and uh, we gotta actually talk about some medicine related things. So let’s do, um, we’ve done a number of things. Let’s do seven, like, degrees of eyeballs.
Singers: Okay.
Will: So you, I want you to give me like a body part and I’m going to try to connect it to eyeballs in some way.
Kristin: Okay. Um, fingernails.
Will: God. Okay.
Kristin: Just the first thing that popped into my head.
Will: Oh [00:29:00] man. Okay. Okay. All right. Okay. I think I got it. I got it. Okay. So, um, fingernails. Okay. You can get psoriasis that affects the fingernails, like makes them brittle, and psoriasis can also give you arthritis and also inflammation, uveitis inside the eye.
Kristin: All from psoriasis. All right. There you go.
Will: Um, as a, as an extra bonus, you can have, um, uh, a melanoma that can occur underneath the fingernail.
Singers: Oh. All right.
Will: And which is always a bad thing. And then, um, but you, and you can also get melanoma in the eye,
Kristin: but not because you got it.
Will: Right. So that’s kind of a, not quite right.
Give me another one.
Kristin: Okay. Uh, the spleen. [00:30:00]
Will: You know how, you know how I feel about the spleen. I do. Um, oh, the spleen. So, okay. Sickle cell disease. When you have sickling that can cause and, uh, result in an enlarged spleen. Um, and it can also, um, you can get when you’re having a sickle crisis, uh, and you have a bleeding in the eye from a hyphema that can result in high pressure in the eye.
Okay.
Kristin: Okay.
Will: Then sometimes you have to do surgery. So sickle cell, sickle cell disease can affect the eye and it can, and you can also have areas of ischemia.
Singers: Mm-Hmm. .
Will: A lack of blood flow to the back of the eye, to the retina.
Kristin: Mm-Hmm. .
Will: And it can also affect the spleen.
Kristin: Mm-Hmm. . Yeah. I feel like these are stretches, but , you’re taking advantage of the fact that, I have to take your word for it.
This ,
Will: the spleen, the spleen’s a tough one. [00:31:00] Um, because it’s so useless. Like what do we need the spleen for? It just causes problems. I can’t think of a better thing than that. Spleen, because like there’s things that cause enlarged spleen, but then what like splenic disease also affects the eye? I can’t, I can’t think of one.
All right. I’m going to come back next time. Okay. And then do a little research. Okay. So you stumped me. It only took you two things. Ah, that’s unfortunate. Um, Alright. What
Kristin: were you hoping I would ask?
Will: I wasn’t hoping for anything. It’s something like, easier to make me seem really smart. That’s all. You’re smart.
No, I feel like sometimes you think I’m dumb.
Kristin: I don’t think you’re dumb, you’re smart.
Will: You sure?
Kristin: You’re almost as smart as me.
Will: Uh, I think one of us, I mean, we have equal number of skills because we have equal types of jobs.
Kristin: Um, I think maybe I Weren’t
Will: you a lifeguard [00:32:00] or
Kristin: something? A lifeguard?
Will: Were you never a lifeguard?
No. That was like the only job you could do in Dublin.
Kristin: Uh, no, I was a gymnastics
Will: coach. Oh, okay.
Kristin: Yeah I mean people were people my peers were lifeguards. That was a teenager kind of job.
Will: Okay. No, not for you, though
Kristin: No, it wasn’t me.
Will: Um,
Kristin: I would have burned like a crisp. Are you kidding me?
Will: That’s right. You have a you’re a Negative.
Kristin: I’m very pale on
Will: the Fitzpatrick scale. Yeah That’s right. Okay, that’s all I got.
Kristin: Alright, well, you know, try harder next time, I guess.
Will: The spleen, you guys know any spleen connections? The spleen, that’s, that’s, that’s cheating.
Kristin: Oh.
Will: That’s cheating.
Kristin: Why’s that? Because, like, this The spleen doesn’t do anything.
Will: All it does is get big, and you can get it injured. So, I protest.
Kristin: Right. Well, would you prefer I say elbow?
Will: Um, elbow would imply a, one of the long [00:33:00] bones, which would be your, I think it’s your radius that, or it’s the ulna, I think it’s the ulna that, that encompasses your elbow. I mean, your elbow’s a joint, so it’s got to be both.
But, um, long bone fractures can send little, uh, bits of fat. to the eye and what’s called like a fat emboli. Perture retinopathy is the disease that it causes.
Kristin: That sounds horrible.
Will: So you get, you get basically fat emboli that go through your bloodstream, get into the eye and cause ischemia of the retina.
Kristin: I’m glad that
Will: some
Kristin: people like to do that job because someone needs to. It’s one of
Will: the only connections that, that I have with ortho. So, we don’t, we don’t have a lot in common being ortho,
Kristin: but
Will: that’s one of them. And then orbital fractures, but they don’t really care about the orbit. No, because it’s, it’s not something that they [00:34:00] repair.
It’s a lesser
Kristin: bone
Will: to them. It’s a lesser bone, it’s an inferior bone, the orbit, uh, it has no marrow. It’s not that they care about marrow, but it’s just not fixable through hammering and nailing.
Kristin: How do you fix it?
Will: Yeah, orbital fracture repair is pretty specialized. So, sometimes it’s done by oculoplastics, which is a subset of ophthalmology, but there are other specialties that can do it, like there’s like Max, Maxillo facial people who I think can get into that from dentistry, but also from like trauma surgery.
Like you can specialize in like that part of it.
Kristin: I’ve had a maxillofacial surgery or the multiple actually,
Will: I don’t want to talk about Come on now. But anyway, what you do, most of the time, it’s a, it’s a orbital floor fracture. And so what you do is you put a [00:35:00] little plate to cover the fracture line.
Because what can happen is if the bottom of your orbit fractures and remains open, it’s like too big of an opening, the eye will sink down into it. Does it ooze
Kristin: in like
Will: goo? Yep, exactly. Just like that. It makes that little sound too. And so, uh, but it can cause double vision and all kinds of problems. So we don’t always have to fix orbital fractures, but if it’s a big enough fracture, then we’ll go in and plate it.
Basically create a new floor.
Singers: Yeah.
Will: Yeah.
Singers: Alright.
Will: Anyway, the more you know. And that’s all we got for today.
Singers: Alright!
Will: We did it, so we did , we did it. We talked, we talked, we talked to each other, , and I kind of enjoyed it. Yeah. Did
Kristin: you? I did.
Will: That’s great. I
Kristin: did a little, a little walk down memory lane with our, with
Will: our chops.
So tell us, uh, uh, what you guys want us to talk about. Do you have any, uh, or what you thought of this episode or, uh, any other eyeball connections you want me to try to make with other very [00:36:00] inconsequential organs? I’d love to hear it. Should we do a story real quick? So this is a story from Lori. It says, Hey doc, because you’re a slow talker does not mean you’re quote unquote, dumb.
Kristin: Thanks, Lori.
Will: That’s so nice for starters. I don’t know any dumb people who got into med school.
Kristin: It’s true.
Will: That’s true. My son is a slow talker like you, but brace yourself. He’s a general surgeon. Hey, someone’s got to do it. All right. But wait, it gets worse. He’s getting married to another general surgeon this summer.
Kristin: Whoa,
Will: two general surgeons,
Kristin: double surgeon household. I bet it’s, I bet it’s a fascinating house. Yeah,
Will: well kept.
Kristin: Yeah. I feel like surgeons are meticulous. I don’t know.
Will: Uh, uh, they’re, but they’re working all the time. Yeah, so they’re not
Kristin: there to mess it up.
Will: That’s true. Thank you for that, Lori, and thank you for telling me I’m not done just because
Kristin: I
Will: talk slow.
You’re very
Kristin: smart. I
Will: do know that people are, are listening to me on one and a half speed and listening to [00:37:00] you on normal speed probably.
Kristin: Going
Will: back and forth.
Kristin: It would be, it’d be tricky for people because yeah, you’d have to do that. You have to go back and forth.
Will: Thank you for that. No, Laura, you can reach out to us.
Email us knock, knock high at human dash content. com. You can hang out with us on our social media platforms. Uh, we have all our content there. You can hang out with us in our human content podcast family on Instagram and TikTok at human content pods. Uh, thank you to all the people leaving feedback and reviews like at Tony P eight, one, five, nine on YouTube.
By the way, our YouTube channel.
Kristin: At Glockenfleckens. At
Will: Glockenfleckens. Uh, Tony said, another delightful interview. I learned a lot about L and D. Also, the ads for Demodex blepharitis are so stinkin cute. People like the stuffies. I enjoy your chemistry with Lady G. Me too, because I would not be here without her.
I also like that you made a second channel for just podcasts. Makes them easier to find when I just want to listen. Yep. At Glockenfleckens. [00:38:00] Glockenfleckens. At Glockenfleckens. Uh, we also have, that’s where you can find full episodes. All right. Again, at Glockenfleckens, that’s different than my YouTube channel.
Uh, Patreon, we have lots of cool perks, bonus episodes, or react to medical shows and movies. Hang out with other members of the community we’re building. Early ad free episode access, Q& A live stream events. I love doing those. Those are fun. Those are really fun to be able to connect with people. Patreon.
com slash Glockenfleckens, or go to Glockenfleckens. com. Speaking of Patreon Community Perks, how many times in your life do you think you’ve said Glockenflug?
Kristin: Um, less than you, I feel like. I think I’ve said it a lot, just in these podcasts. I think I’ve said it
Will: more than my own name.
Kristin: Probably, yeah.
Will: New member shoutout on Patreon.
We have Britt Kaye, Jessica S, Eric B, Barbara M, Jeralyn R, and Julie B. Thank you all for joining. Welcome to our little growing enclave. Where’s that? Is that like a?
Kristin: Hmm. I don’t know if that does have a negative [00:39:00] connotation. Like a cult? That’s what I say.
Will: They just call us a cult. We’re not a cult. We are not a cult.
It’s absolutely not. I don’t think. I don’t know. What’s it? We’re not the
Kristin: best of our knowledge. We are not a cult. Shout
Will: out to the Jonathans. Patrick, Lucia C, Sharon S, Omar, Edward K, Steven G, Jonathan F. Marion, W, Mr. Granddaddy, Caitlin C, Brianna L, KL, Keith G, JJ H, Derek M, Mary H, Susanna F, Jenny J, Mohamed K, Aviga Parker, Ryan, Mohamed L, David H, Jack K, the other David H, Gabe, Gary M, Eric B, Medical Meg, Bubbly Salt, and Pink Macho.
Ooh, I. Did that really well. You
Singers: did. Patreon roulette,
Will: random shout out to someone on the emergency medicine tier, Caitlin S. Thank you Caitlin for being a patron. And thank you all for listening. We are your hosts, Will and Kristen Plannery, also known as the Glockenplegons. Thanks to our executive producers, Will Ferren and Kristen Plannery, Aaron Korney, Rob Goldman, and Shahnti Brooke.
Editor, editor, and engineer. The only person that has two jobs, editor and
Kristin: engineer.
Will: Jason Portizzo. Shout out Jason. Our music, music is by Omer Ben Zvi. To learn [00:40:00] about our knock knock highs, program disclaimer, and ethics policy, submission verification, and licensing terms. Two things, and the licensing terms, don’t forget those.
But
Kristin: don’t forget about the HIPAA release terms. Oh, HIPAA
Will: release terms. Amazing. You can go to Glockenflicken. com or reach out to us at knockknockhi at human content. com with any questions, concerns, or fun medical puns. Knock Knock Hi is a human content production.
Singers: Goodbye.
Will: Hey Kristen, would you like to have a Jonathan in your life?
Kristin: Would I ever.
Will: What do you mean you have me? That’s something, right?
Kristin: Uh, yeah, yeah, that’s something. That’s something. Yeah. But do you have a Jonathan are you offering?
Will: I, no, I do have the Nuance Dragon Ambient Experience, or DAX for short.
Kristin: All right, that’s kind of like a Jonathan.
That’s great.
Will: It’s AI powered ambient technology. Sits down in the room with you. It helps you. Decrease admin burden,
Kristin: could
Will: all use a little [00:41:00] help with admin work. Definitely.
Kristin: No one needs more paperwork.
Will: It reduces burnout and improves the patient physician relationship.
Kristin: Yeah, we really need that these days.
It
Will: helps physicians get back to what they love to do, which is taking care of patients. Yeah. Right? I mean, 79 percent of physicians also say their work life balance improved. I’m in
Kristin: favor of work life balance.
Will: I’m an ophthalmologist. You know I love me some work life balance. Alright, today’s physicians are feeling overwhelmed and burdened.
So much that work life balance feels unattainable.
Kristin: Yeah.
Will: Well if DAX can help. That’s great, right? Yes. All right. To learn more about how the Nuance, Dragon, Ambient Experience, or DAX Copilot, visit nuance. com slash discover DAX. That’s N U A N C E dot com slash discover D A X.
