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. That’s aka. ms slash knock.
Preston: You ever have that attending who is just an absolute fountain of knowledge and you wish you could just sit down and have coffee with them and be that third person in the room while they discuss those things?
Margaret: Yes,
Preston: I am not that attending, but I do like to follow them around and I wish that there was a podcast where I could emulate that kind of energy and have this third person feel like they’re in the room with us.
Going into the nuances of what it means to be patient with someone, how to be therapeutic, but also being able to delve into off topic and candor things. Candid things about what it’s like to be a resident. Candor things? [00:01:00]
Margaret: Talk like humans do about, with candor. Do you hate Mondays like the Cat Garfield? I do.
I do
Preston: hate Mondays.
Margaret: Well, we want to make it better for you.
Preston: How can you make Mondays better for me?
Margaret: Maybe you can listen to our podcast, How to Be Patient, where you hear Preston and I be talking about psychiatry.
Preston: I have to be very patient with Margaret.
Margaret: Because I’m advanced. Because I’m, I’m a couple of years, I’m a PGY4 psych resident.
Preston, you are. PGY2. Which is two less.
Preston: Margaret and I are not normal residents. We’re cool residents. So if you want a boring podcast. I’m going to get it. Pleased for that . I would avoid our show, but if you want to tune in, check in with us every Monday and we’ll be posting new episodes where we talk about topics ranging from cognitive behavioral therapy to vitamin D, how I feel about Fortnite and everything in between
Margaret: Regan fall
Preston: and Regan fall.
Margaret: Lizzie McGuire of it all.[00:02:00]
Hi,
Will: hello, everybody. Welcome to knock, knock. Hi, with the glockens. I am Dr. Glaucon Fleck and also known as Will Flannery.
Kristin: I am Lady Glockenflecken, also known as Kristen Flannery.
Will: I did another event where someone thought my name was Dr. Glockenflecken.
Kristin: Yes, I think more people think it’s your name than people who don’t think it’s your name.
Will: I keep saying this. People don’t know your real name. Let’s just go to the courthouse.
Kristin: Get it changed. We’ll get
Will: it changed.
Kristin: I don’t know about that, but I think it’s all right [00:03:00] to let them think that it is your name. Sure.
Will: So it’s been a while since we recorded together.
Kristin: Yes, it has.
Will: And, um, already my body’s falling apart.
Kristin: It is. You, you thought you were younger than you are this weekend.
Will: I pulled a muscle in my back. You
Kristin: participated in some activities that a almost 40 year old man should not be participating in.
Will: That’s the thing. I, I, I wrestle with my, our nine year old.
Kristin: Yes.
Will: Frequently, she likes to wrestle,
Kristin: physical, active kind of a kid.
I
Will: think the problem was that I tried to jump into her style of like Greco Roman wrestling, like immediately after I was just like laying down. Uh, for, for hours, like watching TV, watching football or something.
[music]: Right.
Will: And so I didn’t want, I need to start warming myself up and I felt it. I turned the wrong way.
I tried to body slam her into the bed and, [00:04:00] uh, I, I, I felt it. Just some, something tore in my back. And, and now I’m doing, I’m doing the hunched over walk, like old man walk.
Kristin: Yeah. But it’s an improvement yesterday, you know, for the first part of the day, you were just on your back.
Will: Doesn’t feel better. Doesn’t feel any better.
Kristin: Yeah.
Will: At all. Just
Kristin: pushing through it. I just.
Will: I just like end it all. I’m just like, it’s terrible. And just everything. I
Kristin: think you need to clarify.
Will: I don’t know. I just, I’m like, I feel like, how am I going to go to work tomorrow? I don’t know. I have to figure that out.
Kristin: Yeah, you know, I think that you should perhaps go to the doctor.
Will: This is why I wore a Jonathan shirt today, because I’m hoping that my scribe will carry me around clinic tomorrow.
Kristin: It is always a little weird to see you wearing a shirt with your own face on it. There’s two of your face when I look at you.
Will: [00:05:00] Oh man, I just, usually it’s like my neck, like that’s when I’ll like a muscle, I’ll pull, this is the first, like, it’s been a while, especially since I’ve been like working out more, I feel stronger, but I don’t know,
Kristin: but it’s, you know, been the holidays.
I don’t know how much did you work out? I’m decompensated since
Will: the holidays,
Kristin: decompensated, decomposing
Will: my body. I was decompensated since the holidays. Um, but see, I’m supposed to be like, well rested, ready to go for the year. And now it’s like, I, I feel worse than ever.
Kristin: Yeah. Great.
Will: Ready to go another year.
Everyone, uh, do you feel arrested after the holidays?
Kristin: Arrested? Is it a restful time for you? No,
Will: at all.
Kristin: I’m Santa Claus. Santa doesn’t get to rest.
Will: That’s true.
Kristin: No, it’s also magical. Yes. And I am not. So. I, [00:06:00] you know, it’s just another example of a woman doing all the work and a white man getting all the credit.
It’s just what it is. Of Santa Claus? Yeah. Yep. Yep. At least this year, this is the first year that they did not believe in Santa, like both of them, everyone knows what the real deal is, but they still want to play the game. They still want to act like that was there’s a Santa.
Will: That was surprising to me.
Kristin: Yeah, they’re very attached to it. I’ve done a lot of work to make like some strong. Magic and tradition around the holidays, even like they didn’t want to let that go,
Will: putting out milk and cookies still like that was really important, even though they know. And then
Kristin: I forgot to have Santa eat the cookies and she completely noticed it.
The younger one just honed right in on that, that Santa didn’t eat the cookies on a diet and she left out like, you know, I don’t remember what it was, but something for the reindeer. The reindeer also didn’t eat it,
Will: the carrots and celery.
Kristin: Yeah. Yeah.
Will: [00:07:00] That’s my job.
Kristin: Oh,
Will: eat the carrots and celery.
Kristin: I’ll take the cookie.
Will: All right. So since it’s been a while, since we recorded, I went through some of the comments on our YouTube channel, all these episodes are up on our YouTube channel at Glock and Fleckens. Uh, we try to go through some of those YouTube comments. Uh, I love the comments you guys leave by the way. Uh, but I have an update on the last time we did a Glock talk that came out.
Was, uh, you did a tirade about the, um, all the paperwork that you have to fill out. And what’s the point of it all?
Kristin: Why do we not? What’s the point of the paperwork? But why do we have to fill it out multiple times for the same people
Will: when you’re checking in for an appointment?
Kristin: Yeah, and then they you fill it out and they just ask you the same questions.
Once you get it, that’s what it was. Yeah. Yeah.
Will: So I have a couple of comments from people.
Kristin: Okay.
Will: All right. So the first one from at mean 42 said I’m with Kristen read my damn chart.
Kristin: [00:08:00] Yeah. I already took the time to answer these.
Will: So I wanted to give you that one. I thought that was good. Uh, the next one at Lindsay K three nine one four said I wanted to comment about Kristen’s.
Comments about information
Kristin: sound like it’s going to be good for me. No, that’s fine.
Will: About information redundancy. I think the bulk of the issue is offices needing to cover their tails for MIPS purposes.
Kristin: What’s MIPS?
Will: It’s how Medicare basically decides how much they’re going to pay like a medical practice and the physician, their money.
So you have to meet certain criteria and that’s absolutely true, especially in our electronic health record. We have like Check boxes, things we have to like say that we have, we have that information.
Kristin: Okay, sure. But why do you need it twice?
Will: They put things in place to make sure that they meet MIPS requirements.
So they don’t get a pay cut. However, it often means redundancy. It’s annoying. So it’s, it’s just, we have to [00:09:00] have like an electronic version of these things.
Kristin: But why can’t you take what I wrote and put it into your electronics?
Will: They do.
Kristin: No, they just asked me the questions again and put it in there while I’m in the appointment.
Like, why do we not have people that are just entering this data? If you’re going to make me go to the trouble of filling it out,
Will: but it’s done later, like it’s not in real time.
Kristin: Okay. So I think what I’ve decided to do is I’m no longer going to be filling out paper forms. If they can hand them to me, then they’ve done there, but I’m not going to fill that
Will: out.
Oh, they’re going to love you.
Kristin: Yeah. I’m not
Will: doing this on principle. I’m not filling out your forms.
Kristin: I
Will: sit in the waiting room with my arms crossed, just staring at everyone. No, I’m not doing this. Oh, you’re filling out paperwork loser.
Kristin: As opposed to wasting my time, filling out paperwork. That [00:10:00] doesn’t matter. You’re just sitting
Will: there, right?
Kristin: No, I have a child with me that I’m trying to,
Will: right. These are like pediatrics. Yes. Do you notice this whenever you go to the doctor personally?
Kristin: No, I don’t know if I’m just not noticing or I don’t when I go to the doctor, the appointments are so fast that they don’t have time to ask me the questions.
So I feel like they that it’s that I’m happy. I’m happy to fill. I’m happy to give you the answers to the questions you need. I just feel like it’s disrespectful of my time and a poor use of an appointment to In the waiting room, have me answer some questions on paper and then in the exam room answer the same questions while the doctor types it in.
That’s just inefficient and, and just a poor use of everyone’s time.
Will: Okay, I agree. I agree.
Kristin: So if they’re just going to ask me the questions anyway, why fill out the paper?
Will: Well, this kind of leads into our healthcare news. Okay. [00:11:00] Because there’s lots of people in the healthcare system that are also fed up with the way things are done.
And that has led people in the Providence health system to strike. So now, by the time this comes out, maybe the strike will be over, uh, but as of today, January 13th, the, um, uh, the strike, so like a lot of the nurses, like thousands of, of nurses in the Providence system here in Oregon,
Kristin: which is the system yet that we, one of the systems that we
Will: have and use the Providence health healthcare system is the largest employer In all of Oregon.
So that just gives you the scope of, of this and, uh, two main hospitals. And then a few other smaller hospitals in the Portland area, um, Providence hospitals, lots of nurses are striking, but the reason this is historic is because it’s not just nurses this time,
[music]: right?
Will: There are about 125, [00:12:00] something like that, uh, physicians.
Hospitalists, internal medicine physicians who are also striking, I think this is the first time that there’s been physicians who have a physician union that’s also joined into something like this. So, um, uh, now there are four days in and there’s been no negotiation talks. And they’re wanting, basically the, the biggest issue is, is something that comes up really frequently, which is, uh, unsafe staffing levels.
That’s the biggest thing, both nurses and physicians are, are, you know, clued in on this as being a big safety issue for patients. So, uh, Providence, uh, is reporting that everything’s running smoothly.
Kristin: Yeah,
Will: we’ll see how long that lasts. I don’t know, but, uh, my office is one of my offices is right next to a Providence hospital, so I drive by and they’re all
Kristin: picking, holding their signs and, and [00:13:00]
Will: chanting things.
And, uh, that was the first day I haven’t been back since. Um, but I saw the first day of, of striking.
Kristin: Yeah,
Will: there was a lot of people out there.
Kristin: Yeah, and it seems like Providence, um, is trying to, you know, the PR spin for them is, is basically to make the doctors look bad, right? Like, how could you walk out on your patients?
Kind of a philosophy, you know, like they’re trying to put that forth to the public. They’re
Will: putting, they’re putting the The blame on, and not just physicians, but also the nurses and like, you know, they’re, they’re wanting, I guess the, the, the quote I heard or saw from the Providence side of things was they’re wanting all or nothing.
[music]: Yeah.
Will: So saying that they’re not willing to negotiate. Something, which, you know, who knows, who knows, I mean, that’s, you’re going to get, it’s bias on, on both the sides, you know, how, what kind of information you’re going to get, but I, I, you know, tend to [00:14:00] be skeptical of, of that kind of statement. So,
Kristin: yeah, also, we know that it’s a huge problem everywhere, including Providence.
Yeah, the staffing issues, right? Like this is nothing new and it’s something that everyone is already aware is going on. So for them to say, like, I don’t know, I just feel like they don’t have a very strong leg to stand on Providence, but they’re doubling down anyway.
Will: And how can you say like the other side wants all or nothing when there’s been no negotiation so far?
Kristin: Well, there was negotiation before the strike. Well, there were months of negotiations that that’s, that’s what led to the strike that the physicians and the nurses felt like Providence was not playing ball in those negotiations.
Will: Well, I know a lot of people are paying attention to this. And so, oh, I’ll give updates as, as, uh, I drive by and see them all.
Maybe I’ll go talk with them.
Kristin: Yeah.
Will: Ask some questions.
Kristin: Yeah. You should. You’re there anyway. [00:15:00]
Will: On my lunch break. I’ll just walk out there and, and uh, see if they want some pizza. I don’t know. Um, because it’s all healthcare workers love pizza. I don’t know. Candy. How about candy? Candy’s better, keeps their energy level up.
Kristin: I guess so, sure. Maybe some water. Bottles of water.
Will: Water.
Kristin: Get thirsty out there, I bet.
Will: Are there rules against that?
Kristin: Water?
Will: You know, like, like the standing in line to vote, you can’t get water in certain states.
Kristin: You can’t?
Will: Wasn’t that a thing? Like one of the, like one of the southern states, like you’re not allowed to, Larry David on Curb Your Enthusiasm did an episode on this.
He got arrested. If people
Kristin: cannot go give voters standing in line
Will: water.
Kristin: Water?
Will: Yeah. It was like a thing. Why? It was like a law. I think it was like, I think it was Georgia or something. That’s a stupid law. Yeah.
Kristin: Why would that ever
Will: be a
Kristin: problem?
Will: There was a Curb Your Enthusiasm episode about he got like the whole season, last season arc was he got arrested and he had to stay in trial [00:16:00] for a brilliant genius.
Kristin: But
Will: yeah, that’s like a thing. So who knows? Wasn’t the last
Kristin: or the last? Season of Seinfeld also, they were standing trials. That’s how Larry David likes to end his shows, I guess. That
Will: was part of like the meta kind of commentary. It was very purposeful. And I think it was a brilliant move because it’s like kind of like a F you to all the critics who said that, that
Kristin: that was a bad, that was
Will: a bad way to end Seinfeld.
Well, he just did it again. I loved it. All right. I’ve got a couple of fun things for us to do today. I figured let’s not be too serious. Because you and I, you know, we’re always very, very serious.
Kristin: Yeah.
Will: So, uh, because we’re, we’re getting back in the swing of, of recording, we still remember how to, it’s been a few weeks.
You guys, it really, we took a break. I think we’re still, we still remember how to do this. I
Kristin: think so. Here we are
Will: doing it. We’re like 10 minutes in. Yeah. All right. Hey,
Kristin: guess what though? You forgot an anniversary.
Will: All right. No, I didn’t.
Kristin: Yeah, you did.
Will: [00:17:00] Wait, we’ve been married for 15 years.
Kristin: No, not that anniversary.
Will: Anniversary of?
Kristin: This podcast.
Will: This, oh, two years? Two years. Has it been two years? Yes. I know we just had a hundred episodes not too long ago.
Kristin: Yeah, well, now we have our two year mark.
Will: Two years! Yeah. Our, our podcast is a toddler.
Kristin: Yes. It’s maybe potty training.
Will: Temperamental toddler.
Kristin: Yeah. Three was
Will: still
Kristin: cute with a bad back.
Will: All right. Well, congrats to you
Kristin: and you.
Will: Yeah.
Kristin: So there you go.
Will: You’ve done a good job.
Kristin: I hope so.
Will: That was a question. Did we have, we think so.
Kristin: I guess, I guess the listeners will tell us,
Will: let’s take a one, uh, let’s take a break and then I’m going to ask this question to you. Have I gotten funnier? So let’s take a break.
Hey, Kristen, you just got [00:18:00] 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: and my feet.
Kristin: You need your feet. You need your eyeballs
Will: eyeballs to.
Yeah, it’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 so let me tell you about Pearson rabbits. 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. Just
Will: an advocate for physicians as well. Yeah. 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, 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 [00:19:00] A V I T Z dot com slash knock knock again. That’s W W W dot Pearson rabbits dot com slash knock knock to get more information and protect your biggest investment. You,
okay. So here’s the origin of, of this, this, um, topic, because I was like, you know, wouldn’t it be funny if I like went back on Facebook as far back as I could go,
Kristin: like back to college
Will: and see like what our posts were like,
Kristin: Oh. Oh,
Will: no,
Kristin: I don’t think I want it.
Will: Unfortunately, it was actually not that easy to do.
It was like the earliest post. We’re all like other people saying things to me. Like I couldn’t see my own thoughts, my own post from like, did you
Kristin: consider that you probably didn’t make many?
Will: No, I did, but I feel like
Kristin: you’re more of a lurker.
Will: I was. [00:20:00] At first, yes, uh, but I, I do remember writing things. I remember like commenting on, on your Facebook thing.
Like we, we had some back and forth.
Kristin: I thought that was mostly on aim.
Will: It was initially, but then we did have some Facebook things.
Kristin: Oh, okay. I
Will: wish I had those aim conversations still, man. Oh, is there a way to get those back?
Kristin: I have no idea. I don’t even remember how to log in.
Will: Aim, AOL instant messenger tried to explain that it’s not, honestly, not that different from iMessage.
I was explaining it to our daughter.
Kristin: Yeah.
Will: Um,
Kristin: it was texting before there was
Will: much cooler. So anyway, the point is like, I, I couldn’t find anything that was really useful on like old Facebook. It used to be like when you’d write a, a, a post, it would be like, well, Flannery is, and then you’d write something
Kristin: right.
And the third person about yourself, very limiting
Will: and how you could like say things on the [00:21:00] internet. Uh, it, it just, so it just wasn’t interesting, but I was like, okay, what could I maybe. Like we could share some, like the first, um, jokes, the first things that I was doing as Glockenflecken, because I don’t know if you know this.
I mean, you know this, but if the people don’t know this, I started Glockenflecken, it was my pseudonym. When I was writing satire articles for a website called Gomer blog.
Kristin: That’s right.
Will: It’s it’s the onion for medical professionals. That was never anywhere near as popular as the onion. Uh, but it had its heyday.
[music]: Yeah,
Will: among medical professionals and everybody picked a name to write under and nobody picked their own name, by the way, because. Of course, this was like, uh, 2000, it was during
Kristin: residency. So it was like somewhere between 2014 and
Will: actually 2015 was my, when, when my first article was published, but back then it was like, oh, [00:22:00] doctors can’t be funny.
There were no funny doctors who were themselves and their real name on social media, because that was all scary. And you would get, well, not
Kristin: only doctors can’t be funny, but doctors can’t be writing on the internet. Yeah, unless you’re writing Dr. Stuff,
Will: right? Right. You couldn’t, you know, you can do the satire thing.
It was, you know, so anyway, um. And so let
Kristin: people know you’re a real person, right,
Will: right. But I, so I, I was writing under the name Dr. Glaucon Flecken, but it was only, it wasn’t on social media. It was just these articles. So I went through my old articles and I just thought I would give you the titles of the articles and keep going until you laugh.
Kristin: Oh, no. Okay. Okay. I feel like you need to give the people, the good people, some context so that I don’t get painted like a bad guy here because I know what they’re going to think.
Will: We’re not going to do it just until you, that was mainly a joke because you probably heard a lot of these, but you may, you probably don’t [00:23:00] remember them.
Kristin: I might. I don’t know. You may
Will: remember some of them, but I’ll just, I want to, I’ll go through like 10 of them.
Kristin: Okay.
Will: All right. These are, I’m really actually curious to find which ones you think are. Like give you and a laugh is not like, it’s like a, it’s like a,
Kristin: but again, will you please give the people some context because, because Kristen’s heard all my jokes, right?
When you say it like this, it sounds like I’m a real jerk, but no, no,
Will: no. You’re you’ve heard all my jokes and I actually, I run lots of things by you to see if they’re funny and if, uh, because you’ve heard everything I say, if I get any kind of reaction out of you,
Kristin: yes,
Will: then I know it’s probably really good.
Kristin: Yes, but we’ve gotten to the point where It’s like when comedians, um, I’m not calling myself a comedian, but you know, when comedians talk about sharing their material with other comedians or in a writer’s room or something like nobody is cracking up at things, generally speaking, like [00:24:00] maybe occasionally, but for a lot of it, it’s just like, oh, yeah, that’s funny.
That’ll work. So we have more that dynamic.
[music]: That’s true.
Kristin: With your comedy, because that has become our business. So I
[music]: just
Kristin: need people to know these things that I’m not just being a mean person if I don’t,
Will: not at all. Not at all. Okay. In fact, some of these actually, I wrote down that I don’t even think are that funny.
So, all right, this will be a good test. And the question we’re trying to end up asking. Have I gotten funnier
Kristin: over
Will: time? All right. So again, this was like my first foray into medical comedy. These articles that the titles I’m giving you. All right, here’s the first one. Attending loses perspective. Can’t find it anywhere.
Kristin: Okay. That got a chuckle.
Will: Attending answers telephone at nurses station immediately regrets decision. That was a. That’s from my own [00:25:00] personal life, like experience.
Kristin: You answered the phone or you saw someone answer the phone?
Will: Well, I both like, it’s so like a ringing telephone in a hospital, like, like attendings, physicians should not go near that thing.
Cause usually it’s like some kind of logistical thing that is more like on the nurses. Like they know how to do
Kristin: answers to the questions and you do
Will: not. So I just like answer a ringing telephone as a random doctor who might not even be honestly working on that.
Kristin: Why would anyone pick up that phone then?
Because it’s a ringing
Will: telephone.
Kristin: You don’t have the mental capacity to go, Oh, that’s not my telephone. I don’t need to be.
Will: If no one’s around.
Kristin: Oh, see you left that part out.
Will: If no one’s around. And it’s just a ringing phone. There’s a strong societal urge to answer that phone.
Kristin: I get that
Will: because that poor person on the other line.
Kristin: Yeah,
Will: they’re, they’re, they really need someone to talk to that person. It might be useless. They need to talk to someone. Okay, here we go. Start enough [00:26:00] strong, um, ophthalmology. Uh, ophthalmologist dresses up as doctor for Halloween.
Kristin: Okay. That was pretty good.
Will: That one pediatric anesthesiologist can’t even put own kids to sleep.
Kristin: Okay. That’s good. I feel that one in my soul. There’s pain in there that that one touches.
Will: Uh, that was, um, that was one of a very, I remember that one taken off on Facebook. Yeah. People like that one. Uh, okay. This is a dated one. OJ,
OJ and neurosurgery resident, both released from prison after nine years.
Kristin: Oh, dear. Uh,
Will: I remember I was at the park with, uh, one of, with our kids when I saw that news broke that he was getting released from jail and then I [00:27:00] had that idea and then I came home and wrote the article for that one. Um, okay. Med student with crushing debt, terrified.
He will like family medicine.
Kristin: Okay. That’s maybe a little too real. It’s
Will: a little bit too real. Uh, Confrontation visual fields ends in triple homicide.
Kristin: What? I don’t even know what that means.
Will: Uh, so a confrontation visual fields is, this is a very nerdy ophthalmology joke, uh, is where you, you like say, okay, how many, how many fingers do you see?
You’re mapping out someone’s peripheral vision.
Kristin: Okay.
Will: And it’s called confrontation visual fields.
Kristin: Why?
Will: Because you’re confronting them with numbers.
Kristin: Okay.
Will: And saying, do you see these out of your, in your peripheral vision?
Kristin: Yeah. Ends in triple homicide
Will: because it’s confrontation.
Kristin: Okay. I feel like that’s maybe not your strongest [00:28:00] because then my next question is, well, who were the three people?
All right. Why are there three? Okay.
Will: That’s just,
Kristin: yeah,
Will: that’s good. Um, ophthalmologist reports, hindsight, more like 20, 80.
Kristin: That one is a little bit of a pity laugh.
Will: I told you not all of these are good. Um, that one did not do well either. Uh, dermatology resident violates work, our minimums,
[music]: man,
Will: resident temps fate sits down at nursing computer.
Kristin: Yeah,
Will: that one was popular.
Kristin: That’s relatable.
Will: Study shows quote, hold on. I’ll get your nurse. Most common thing doctors say to patients. That one was also very popular.
[music]: Yeah.
Will: Um, and then the last one I have here was actually my very first one. Do you remember it?
Kristin: No. Not, [00:29:00] not by free recall anyway. Maybe I’ll remember when you say it.
Will: Ophthalmologist accidentally agrees to see inpatient consult.
Kristin: Yup. Okay. Classic.
Will: Yeah.
Kristin: Yeah. So, so what I’ve taken, I see a lot of, um, your later comedy in these titles, right? Like. You have used some of those ideas and they have become tropes for your characters.
Will: I used to mine my old, yeah, so I was like going through my old articles because no one, they’ve been gone from, basically gone from the internet for quite a while.
Kristin: Right.
Will: And I would use those articles. I’d go through them and see if I had any good jokes. And then, I’ve long since, you know. Run out of that kind of material. I’ve had to come up with new stuff, but
Kristin: yeah. So in one sense you have not gotten funnier because a lot of it, you just recycle.
10 years later, you’re still using the same. Well, I
Will: was, I would [00:30:00] say, I think my, my writing has definitely gotten sharper, uh, and more concise. Like I w I was going through these articles, like, Oh, I would have framed, I w I would have reworked the title to this one, just something that works a little bit better.
And so I think the main thing is like the writing, the, like the sense of what I find funny, it hasn’t really changed. It’s more. The sharpness of the Yeah. Of the writing.
Kristin: That’s, so that was what I was gonna say next is, but then on the other hand, you have 10 more years of practice at this mm-hmm . And so inevitably you have improved after 10 years practice.
I would hope so. Yeah. So yeah, you’ve learned things, you’ve, you have 10 years more feedback of what works and what doesn’t work, you know? Yeah. Because that’s one of the things about writing on the internet, you get immediate feedback of do people like this or not? Was this funny or not?
Will: Yeah. I would, that was the, the first time and you know, all of these articles were, I wrote them from like 2015 to probably to [00:31:00] 2017.
So it was like within like a year and a half or so before I just started doing my own thing as Glock. Yeah. Yeah. And
Kristin: then you took these and went to Twitter and that’s, I think, where you learned to be more concise.
Will: Yeah, because you could, you only had like 120, 140,
Kristin: 140
Will: characters. Um, but, uh, it was, it was good.
I’m glad I think because I was, I remember I would spend like hours trying to come up with. One of these articles.
[music]: Yeah.
Will: And, and thinking about taking a specialty and be like, okay, what can I use with this? It was the first time I was like trying to get outside of ophthalmology. Right. And that really set me up for doing all the character stuff later, because it was like I had already thought about things from the perspective.
Mm-hmm . Of an orthopedic surgeon. Orthopedic specialty. Yeah. And
Kristin: you were doing that, you know, only at. A couple [00:32:00] years or one or two years removed from doing things that were not ophthalmology.
[music]: So,
Kristin: you know, back when you still remembered. Some of the body medicine stuff. That’s right. So lucky for you that that was the timing, because if you tried to do the same thing now, do you think you could like come to anything at this point?
It would be
Will: harder, but no, I think I probably, but it would be much more difficult. Yeah. So
Kristin: like all the specifics start to fade over time. So lucky you. What have you gotten better
Will: at over 10 years?
Kristin: I don’t know. What have I gotten better at over 10 years? What do you think?
Will: Dealing with me?
Kristin: Well, arguable.
Have I gotten better?
Will: Uh, organizational skills.
Kristin: Do you think those have gotten better?
Will: You’re always good at it.
I don’t know.
Kristin: Yeah.
Will: What do you do it like a [00:33:00] self?
Kristin: Okay. You’re putting me on the spot. It’s hard to think of things on the spot. Let’s see. What do you
Will: call it? A self, uh, self assessment.
Kristin: Yeah.
Will: Here’s your self assessment. What have you gotten better at? Usually
Kristin: you get some time to think about that. 10
Will: years ago, what were you really bad at?
And now you’re not so bad at it.
Kristin: Uh, I don’t know. This is too hard.
Will: All right. You think about it. I
Kristin: need an outsider’s perspective. Give me, give me some options.
Will: Um, okay. Uh, you have, um, writing, uh, I’ll give you, how about, um,
I, I’m, I got nothing. See,
Kristin: I
Will: guess I’ve gotten better
Kristin: at, at, um, public speaking.
Will: No, I always, I always like
Kristin: kind of liked it. I wasn’t one of those people that was like super afraid of public speaking, but for the same reasons of just practice over the years, hopefully I’ve gotten better at that. [00:34:00]
Will: You ever embarrassed yourself on stage?
Like, had your, like, zipper down or fallen. Not that
Kristin: I know of. Tripped
Will: over your something. Oh,
Kristin: I might have tripped. Yeah, I was about to say,
Will: seems like something you would do. I’ve done that before, actually. Especially
Kristin: because I’m, I have to be in heels. I
Will: almost fell off the back of a stage once.
Kristin: That’s yeah, someone
Will: caught me,
Kristin: someone like physically caught, there was like
Will: a curtain behind the stage and I was trying to go behind some chairs and then, and because it was like a panel or something and I wasn’t, I was like talking to someone and I took a half step off of the stage and I was, I would have, I would have just disappeared behind the curtain, like a, like a six foot drop, I kind of
Kristin: wished that you had, like, I don’t want you to have gotten hurt or anything, but that would have been really funny.
Would it have
Will: been funny in the hospital when I was recovering
Kristin: from a terrible skull fracture? But
Will: yeah,
Kristin: just think about it. Somebody up on [00:35:00] stage just disappears. Not just a
Will: six foot four inch man. Super lanky. Yeah, exactly. Uh, right. It would have been very funny. It would have been. All right, let’s take one more break.
Hey, Kristen.
Kristin: Yeah.
Will: I’ve got some friends. I’d like you to meet.
Kristin: I see that you seem a little too friendly with them. I have to say,
Will: aren’t they cute?
Kristin: Sure.
Will: But the little beady eyes and their little, little hands, the hands, the claws.
Kristin: I don’t know.
Will: Appendages. Okay. How about that? Yeah, it
Kristin: works.
Will: But anyway, they just like, well, they’d like to say hi.
Okay. Like,
Kristin: okay. Wonderful.
Will: They’re not, they, Oh, look, one’s sticking around.
Kristin: Sure is. All right. Right on my mic.
Will: These little guys are, uh, Dima decks and they live on your eyelashes.
Kristin: Yeah.
Will: Uh, and they can cause flaky, red, irritated eyelids.
Kristin: See, that’s not cool. That’s a [00:36:00] party foul. You just kind of want to
Will: like rub them.
Mm
Kristin: hmm. You’re not welcome here if you’re going to do that.
Will: And it’s caused sometimes by these little guys.
Kristin: Yep. That’s rude.
Will: Uh, demodex blepharitis. But you shouldn’t get grossed out by this.
Kristin: Okay.
Will: All right. You got to get checked out.
Kristin: Yes. Get checked out.
Will: To find out more, go to eyelidcheck. com. Again, that’s E U I E L I D check.
Dot com for more information about these little guys and Demodex blepharitis.
All right. I got one more thing for you. So I was talking with one of our kids the other day and I used an expression that was just like blank face, like what on earth are you talking about? And it was barking up the wrong tree.
Kristin: Oh, okay.
Will: I don’t even remember the context that I used it for, but I just used that expression and just had no idea.
I had never heard that. And so I. [00:37:00] It made me like, wonder, like, what, what is that actually? Like, where did that come from? What’s the origin of it? Why do we still use it? So I found the origin of it as well as the origin of some other popular sayings that old people say to not just really anybody, but, you know, probably other things that our kids would be like, what are you, why are you saying that to me?
Kristin: Yeah. Can I guess at barking up the wrong tree?
Will: Yes.
Kristin: Okay. My guess would be, it’s about a dog and a cat
[music]: and the
Kristin: cat runs up a tree. And the dog is chasing the cat goes to the wrong tree, thinking the cat is in that tree, but the cat is not in that tree. And so the dog is literally barking up the wrong tree.
Will: Correct. Correct. Hunting dogs chase their prey up a tree. The dogs bark, assuming that the prey is still in the tree when the prey is no longer in the tree. Okay, so it’s
Kristin: probably not cats. It’s probably more like birds.
Will: Yeah, probably not cats. I think it’s like. Cartoons. Yeah. You know, I don’t think dogs really [00:38:00] like hunt down cats.
Kristin: Ours does. Well.
Will: Yeah, I guess so. . Uh, but the meaning of it is to have misguided thoughts about an event or situation, a false lead. All right. You wanna do some more of these?
[music]: Yeah. Okay.
Will: Uh, how about, um, to butter someone up? I remember us saying this, but I think our kids also have asked about this one too, because I think we’ve said this before, buttering someone up means to impress someone with flattery.
This is a customary religious act in ancient India.
Kristin: Oh,
Will: the devout would throw butter balls at the statues of their gods to seek favor and forgiveness.
Kristin: Interesting. Now
Will: these, this is like half assed internet research.
Kristin: Okay.
Will: So.
Kristin: Is this like Chad GPT’s answers?
Will: Uh, I honestly don’t know, but it’s, you can find these on the internet.
Kristin: Okay.
Will: So nobody get mad at me if they’re wrong.
Kristin: Yeah.
Will: You can also correct me if I, if we are wrong here. Okay.
Kristin: But I [00:39:00] wonder why the gods would want butter just cause it’s yummy. It was maybe like a delicacy back then.
Will: Uh, I don’t know. Butter was, I don’t know, I feel like butter, just turn up some butter, make some butter.
All right, here’s a good one. Giving the cold shoulder. You’ve heard that, right?
Kristin: Yeah. Where would that have come from? So being
Will: unwelcoming or an antisocial behavior towards someone or
[music]: just
Will: kind of be like, I don’t want anything to do with you.
[music]: Right.
Will: So the origin. The first recorded use of this phrase dates back to the early 1800s.
It refers to an old custom of giving an unwelcome guest a cold piece of meat from the shoulder of mutton, pork, or beef chop, as opposed to a welcome guest receiving warm meat.
Kristin: I is, I don’t know, is the shoulder like. Less good meat can you it’s tougher or something?
Will: I don’t, [00:40:00] I don’t know, but can you imagine how devastating it would be to like, so what if, like, you think someone’s a friend of yours?
Yeah. And they give you some cold
Kristin: meat
Will: and they give you some, Hey, let me give you some meat and you put it in your mouth and it is cold. Like a dad, just like, just put yourself in that situation and then you just get up. You don’t say anything. Just walk out.
Kristin: Yeah.
Will: Never talked to that person again. The cold shoulder.
How about, uh, to let one’s hair down?
Kristin: Yeah. To relax.
Will: Be at ease.
Kristin: Yeah. I feel like that probably has to do with, like, women and how they were required to wear their hair and that you can only let it down in certain familial
Will: situations.
Kristin: In public,
Will: the aristocratic women of medieval times were obliged to appear in elegant hairdos that were usually pulled up.
The only time they would let their hair down was when they came home and relaxed. Hard to be a woman. Now it’s more [00:41:00] like take your
Kristin: hard pants off.
Will: That’s right. Uh, turn a blind eye. You heard that one? Oh,
Kristin: yeah. To
Will: ignore situations, ignore facts, ignore reality. Right. So the origin of that, the British Naval hero, Admiral Horatio Nelson had one blind eye.
What did he
Kristin: wear an eyepatch? So he’s like, uh, he’s on Naval probably eyepatches were very popular back pirate. Like
Will: probably
Kristin: guy with an eyepatch on ship
Will: once when the British forces signaled for him to stop attacking a fleet of Danish ships, he held up a telescope to his blind eye and said, I do not see the signal.
He attacked, nevertheless, and was victorious Horatio Nelson. Yeah. It’s a, this little sarcastic fellow. Yeah.
Kristin: It’s a good thing he was victorious or I think he would have been in some trouble.
Will: How about, uh, breaking the ice? Let’s do one more. Break the [00:42:00] ice.
Kristin: Breaking the ice. What do you think?
Will: To break off a conflict or commence a friendship.
I’ve never heard it as something to break off a conflict. Breaking the ice? Well, like,
[music]: yeah. The
Kristin: icy relationship. Like there’s tension in the room. You’re breaking the ice. And so you come in and you break the ice. Uh, I don’t know.
Will: Okay. So back when road transportation was not developed, ships Would be the only transportation and means of trade.
And at times the ships will get stuck during the winter because of ice formation, the receiving country would send small ships to break the ice to clear away for the trade ships. This gesture showed affiliation and understanding between two territories. That’s so nice.
Kristin: Yeah.
Will: Can you come break the ice for me?
Kristin: Yeah.
Will: We’ll send you a little tugboats come break. It
Kristin: used to be a favor or a gesture of goodwill. Now it’s a conversation starter is taking a turn. [00:43:00]
Will: All right. That was it. Those were, um, um, expressions.
Kristin: Oh, that’s kind of fun.
Will: Yeah. I got more too. We could do this more another time.
Kristin: Always come
Will: up with some more expressions that That old people use that, that confound and confuse the younger generation.
Kristin: It’s, it’s becoming more and more apparent that we are now the old people.
Will: If you have any expressions that you, you, you have found interesting origin stories for, I’d love to hear them.
[music]: Yeah.
Will: It’d be fun. Uh, you can send us those or any other stories you might have. Knock, knock high at human dash content.
com. Uh, that’s it for knock, knock high.
Kristin: Yeah,
Will: for
Kristin: today,
Will: for today, year three now we are on year three,
Kristin: right? We have year three has commenced.
Will: That’s right.
Kristin: We’ve broken the ice on year three.
Will: We’ve done it. Uh, so lots of ways you can hit us up. You can reach out, knock, knock high at human dash content. com.
Visit us on our social [00:44:00] media platforms, hang out with us and our human content podcast family on Instagram and Tik TOK at human content pods. Thanks to all the great listeners, leaving feedback and reviews. We love to see those reviews, especially on our YouTube channel at Glock and Fleckens. All the episodes are there.
Knock, knock, knock, knock, knock. Hi, knock, knock,
Kristin: talk. Bye.
Will: We haven’t, we haven’t done that
Kristin: one yet. Let’s be our very last. That would be
Will: our very last. Oh
Kristin: yeah.
Will: Yeah. Uh, so if you give a, leave a review on the YouTube, on, on the ,
Kristin: on the
Will: YouTube, on the YouTube on YouTube, or on your favorite podcasting app, we can give you a shout out.
Like today at someone tone deaf. 1, 2, 3 on YouTube said I changed my podcast from audio to video just to see the Mites dance.
Kristin: Ah, . Good. Alright.
Will: That’s a good one. I like that. Yeah. Yeah. I, we still gotta get that might suit.
Kristin: Oh, yeah,
Will: big life size, who’s going to wear it? You or
Kristin: me?
Will: I think it’s more likely to fit you.
Kristin: [00:45:00] Okay.
Will: You’re a bit smaller. Like a mite.
Kristin: Like a mite. Gee, thanks.
Will: Well, mite sized. It’s
Kristin: like bite sized.
Will: Full video episodes drop every week on our YouTube channel at Glockum Fleckens. Check that out. We also have a Patreon. Lots of cool perks, bonus episodes, react to medical shows and movies. Hang out with other members of our little knock, knock high community.
We’re all back from holiday vacation and ready to just keep the community going.
Kristin: What if this is airing like in April?
Will: It’s not, I know it’s airing end of January.
Kristin: That’s not too dated.
Will: Early ad free episode access, interactive Q and A live stream events, much more patreon. com slash.
Kristin: Go to glockenflecken.
com.
Will: Go to glockenflecken. com. Speaking of Patreon Community Perks, new member shout out Phil R, Jennifer F, Diana K. Thank you all for being patrons. Thank you for joining our little community. Shout out to the Jonathans as usual. Patrick the CSE, Sharon S, Edward [00:46:00] K, Stephen G, Mary and W, Mr. Garandetti, Caitlin C, Brianna L, Mary H, K L, Keith G, Jeremiah H, Parker, Muhammad L, David H times 2.
Kaylee A, Gabe, Gary M, Eric B, Marlene S, Scott M, Kelsey M, Joseph S, Dr. Hoover, and Bubbly Salt. Virtual head nod to you all. And Patreon roulette time. Random shout out to someone on the emergency medicine tier, Sherry R. Thank you, Sherry R, for being a patron. And thank you all for listening. We are your hosts, Will and Crystal Planetary, also known as the Glukkon plugins.
Executive Producers are Will Fedinger, Dolan, and Shanti Brook. Editor and Engineer is Jason Portizzo. Our Music is by Omer Binzvi. To learn about Knock Knock High’s Program and Disclaimer, Ethics, Policy, Submission, Verification, and Licensing Terms, and HIPAA Release Terms, go to glockandfleckin. com or reach out to us at knockknockhigh at human content.
com for any questions, concerns, or fun medical puns. Or if you have fun medical puns about the HIPAA release terms.
Kristin: Oh, that’s [00:47:00] a tough ask.
Will: Please. It’s a guaranteed segment on this, on this podcast. If you can do that, nine, nine high is a human content production.
Hey, Kristen, how’s the eye contact with your doctor?
Kristin: Um, like when I go in for a visit and we’re having a conversation, it’s hit or miss, you know, sometimes they look at you, but a lot of the time they’re looking at their computer because they have to write down all the things.
Will: You’re a big eye contact person.
Kristin: I am. It’s a pet peeve if you’re not making eye contact when someone is talking.
Will: You’ve told me several times.
Kristin: Many, many times.
Will: You know what helped though?
Kristin: What?
Will: Dax Co Pilot from Microsoft.
Kristin: That would help.
Will: It makes a big difference.
Kristin: Yeah, you’re right.
Will: Reduces administrative burden, lets physicians focus on patients, make that eye contact, form a connection.
[music]: That’s [00:48:00]
Kristin: right. Not
Will: having to look at the computer all the time. Right. 90 percent of patients say their physician spends less time at a computer. When they’re using Dax Copilot,
Kristin: that’s what I want.
Will: It’s a big deal. 85 percent of patients say their physician is more focused with Dax Copilot. You like focus.
Kristin: Sure. Focus on
Will: you, focus on the patient. That’s right. Learn about how Dax Copilot can help you reduce burnout and restore the joy of practicing medicine. Visit aka. ms slash knock knock. Hi, that’s aka. ms. Slash knock, knock.
