Transcript
[music]: [00:00:00] Knock, knock,
Will: knock, knock. Hi,
welcome everybody to Knock-Knock High with the Glaucomfleckens. I am Dr. Glaucomflecken. Also known as will Flanary.
Kristin: I’m Lady Glaucomflecken and also known as Kristin Flanary.
Will: Alright, thanks for joining us on an episode of Glock Talk. Uh, I thought I could start out by, by telling you about an experiment that I undertook with our daughter.
Kristin: Oh boy. I haven’t heard this.
Will: So, uh, we just had 4th of July weekend Uhhuh and our, uh, oldest daughter had a, a, her best friend stay over for a sleepover. Mm-hmm. And when I went to go pick them up to bring them over to our house. Our daughter was like, oh, can you take us over to Fred Meyer, the grocery store?
Mm-hmm. Uh, for, um, a couple things like they, some like skincare stuff. They, they wanted to like Yeah.
Kristin: Like [00:01:00] sleepover, you know, they wanted to
Will: like do like the masks
Kristin: or something. Yeah. It’s thing, I
Will: dunno,
Kristin: when you’re a teenager.
Will: So it was like, well, okay. All right. So, and I assumed, you know, she’s 13, so I, I assumed that I’d be paying for it.
Yeah. Um. And so, which is fine. You know, just a couple things. So we go and we, we go to the parking lot, uh, and I, I realize, oh, I don’t have any cash. And also. I don’t, didn’t want to go inside.
Kristin: Mm-hmm.
Will: And I don’t think they wanted me to go inside either.
Kristin: Probably not,
Will: because, ’cause she was like, I’ll just, can I just go?
Yeah. Clearly it was like, it was like, what?
Kristin: Run, that’s where we are now in our parenting journey. We’ll just
Will: want run in real quick. Yeah. But I didn’t have any cash, so I was like, okay, well what am I, what do I do here? Um, and you know, she is like old enough that she’s, she understands the value of money.
[music]: Mm-hmm. Yes.
Will: Uh, and so I gave her the credit card and I was like, okay. That was
Kristin: first
Will: mistake. Well, hold on. Well, I, I was, I was curious, uh, how this would go because, [00:02:00] uh, I, I didn’t, I thought about giving her like a, a limit. Mm-hmm. Like, don’t spend more than X amount. Mm-hmm. But I also just wanted to see what kind of, what she would do with it.
[music]: Mm-hmm.
Will: So I told her, I was like, alright, you’re just getting a few things. Alright. Don’t go crazy.
[music]: Mm-hmm.
Will: She says, oh, don’t worry, don’t worry. I, I won’t. I just left it at that.
Kristin: Yeah. Well that’s a very subjective criteria. I, I know, I know. I, so
Will: I wanted to see like, in her mind, like, what is going, what is like too much.
Kristin: Right,
Will: right. Yeah. I was like, don’t spend too much. It’s like, I wanna know what’s too much for her.
Kristin: Mm-hmm.
Will: And so, um, I see the receipt and she spent $120 mm-hmm. At the grocery store
Kristin: on,
Will: on just
Kristin: things they’re gonna put on their face and throw away.
Will: And that, in my opinion, was going crazy. They officially went crazy.
Kristin: Well, hold on too
Will: much. It’s too much.
Kristin: I, I hear you
Will: For one night.
Kristin: Yeah. [00:03:00] 12 hours. Sure. But however, there’s, there’s more to this than just let, what is
Will: is more that, that’s all it is.
Kristin: You are, um, you were a teenage boy. I was a teenage girl. So I am a little more sympathetic to, um, just, you know, you get together, you wanna have a little, like a basket of options and things, and it’s just like a fun part of the sleepover.
It’s like, it’s like if, I don’t know, sort of comparable to video games for, for you when you were a teenager maybe. You know, like it’s, it’s something that you do and it makes a memory. And it’s part of growing up and feeling grown up. And, and I didn’t tell her
Will: at the, in the moment, like with her friend. I was like, yeah, you just been too.
I just like, I just kind of like drove in silence home.
Kristin: I’m just saying like, I think your definition of what crazy would be would even [00:04:00] be different from mine. A little bit because of just, I, you know, I’ve had those experiences, so I get it, I guess a little bit more. So if would’ve been in that
Will: situation, what would you have said?
Kristin: I mean. That’s to her, that’s, that’s still too much. I’m not disagreeing with you there. No, I
Will: know. I, I’m, I I just wanna know how you would’ve handled that.
Kristin: I think I would’ve given her a cap.
Will: What would you, what, what would the cap have been?
It depends on what they’re getting. If they’re getting makeup,
Kristin: makeup adds up.
Will: Yeah. Okay.
Kristin: Um, so first I would’ve asked what they’re getting.
Will: I would’ve said $50.
Kristin: I think I would’ve said 75. Thinking that they would be getting some makeup too, because that’s, that’s part of it, right? Like you, I’m
Will: glad we’re both underneath $120 threshold.
I think that’s where we year old we’re wrong though. Two two. Two kids. Our kid. And one other kid. Yeah. So it’s not like a bunch of kids too. It was just like, like two,
Kristin: also like 120 these days goes fast.
Will: Yeah. But, but like how
Kristin: many things did they come out with?
Will: But it was also, it was [00:05:00] also Fred Meyer. It wasn’t like I was sending ’em to Whole Foods.
There’s Right. You know, it’s not like the most expensive store in the world.
Kristin: Yeah.
Will: So anyway. Also, I love
Kristin: that you’re really doubling down on this, that it’s a grocery store. Like Yeah, they weren’t buying groceries,
Will: but that, I mean, Fred Meyer, that’s what it is. It’s a, yeah, it’s a
Kristin: supermarket. So it’s got the mega aisle and all that.
Yeah, yeah.
Will: Whatever you wanna call it. I
Kristin: just think it’s funny that this is happening. Do
Will: people still call it grocery stores?
Kristin: Yeah.
Will: You’re making me, making me seem like I’m, you’re like, gaslighting me into thinking What? I have no idea what a grocery store is called.
Kristin: That’s not what I’m trying to do. Um, I’m just saying, well, they went there for makeup, not groceries.
And so calling it a grocery store is just kind of funny to me. Like
Will: you get,
Kristin: even though it’s true, it’s, if any of you have ever
Will: been to a Fred Meyer, you can, it’s, it’s like a little mini, uh, um.
Kristin: Market. It’s a super
Will: market that’s a mini, it’s kind of like a supermarkets in a way. Get all kinds of stuff [00:06:00] there.
I don’t know. Anyway,
Kristin: yeah, prices are high. All, all right. Well know makeup is expensive because of, you know, everything that women buy has to be more expensive, so, and they are 13.
Will: Well, so later on I did like, pull her aside and, and I was, you know, we’re not, not in front of her friend. Yeah. I don’t wanna embarrass her.
Yeah. I was just like, okay. $20. That, in my mind, that’s going a little bit nuts for a, you know, a one night, one person sleepover. Mm-hmm. So we just had a little conversation about it, so I, yeah, I, I just wanted to reset her. Barometer.
Kristin: Yeah. For, it’s good to know where it was.
Will: Yeah. So it’s
Kristin: a good test.
Will: No problem with spending over a hundred bucks, uh, of your parents’ money.
Of course
Kristin: not.
Will: I I mean, when you, when you put it that way, it’s like, okay, that makes sense. Do you remember
Kristin: being 13?
Will: I don’t know. I was kind of a weird kid. I was, I was, I was actually very concerned about like spending too much money.
Kristin: Oh my gosh, that doesn’t surprise me One bit. [00:07:00] God
Will: is that unusual for? I was like, I was like nervous about like at
Kristin: 13
Will: kinda.
Yeah. For your parents’ finances. Yeah. Little bit. You like I have to manage
Kristin: this carefully? Well, a little bit. Yeah. I mean, I
Will: think, you know, I don’t know. And maybe that’s not, maybe that’s, that is not
Kristin: normal. No. Yeah.
Will: Well, anyway. All right. So, uh, before the July weekend, other things that, uh, happened was I watched the, uh, the hot dog eating contest.
Kristin: Yeah. Did
Will: you watch that? I knew, I knew you were in the, in the No, you were giving
Kristin: me a play by play. Yeah. For part of it. Oh, you should have seen
Will: it. It was, it’s, it’s like patriotic and just horrifying at the same time. Yeah. Actually, it’s
Kristin: very American in that way.
Will: So, so I, so I looked at, uh, this contest has been going on since, uh, like the 1970s.
And do you, well, first of all, do you know, guess how many hot dogs the winning person?
Kristin: Oh eight. See, this is gonna be another like [00:08:00] 10 minutes. Where is my barometer? So
Will: 10 minutes. 10
Kristin: minutes
Will: to eat as many hot dogs as possible. How many do you think he ate? Joey Chestnut. He’s like the, he’s like the, the, uh, Michael Jordan of.
Hot dog heating. Hot dog heating a hundred.
Okay. That, that’s incredible. Uh, no. No, 70.
Kristin: Oh, okay. See 100 hot dogs. Our barometers are high.
Will: That would be 10 hot dogs per minute. I think that’s, um, only like, yeah, that’s, I
Kristin: mean, that’s the point of the contest. Rights could do that.
Will: Or hippopotamus. It’s,
Kristin: it’s impossible.
Will: Bear or hippopotamus in those two,
Kristin: those only those,
Will: uh, so, but in 1972. Uh, the, the winning and like the, the, you know, the first few years of the contest mm-hmm. It was like eight to like 12 hot dogs. So we have total Yeah. In 10 minutes. So we have as Americans Yeah. Innovated ourselves into being able to eat 70 hot dogs.
I [00:09:00]
Kristin: mean, I have to assume that they immediately go off to the side and throw up.
Will: So I, I, I saw the, in an interview with the guy afterwards and he said like, the rest of his day’s ruined,
Kristin: of course,
Will: like, like he has to just,
Kristin: the day,
Will: he just has to like
Kristin: digest, lay
Will: down. Not move like
Kristin: a male lion, like all
Will: the blood in his entire body.
It just in his stomach churning and eating and, and digesting and, and so it’s like, it like loses the, the function of his limbs.
Kristin: I wonder how many hot dogs he has eaten in his life to practice for all that.
Will: Well, he’s a like 15 time winner of this competition, and each time he eats about 70 hot dogs.
Kristin: And that’s just the competition.
That’s just Don’t you think he like has a Well, he
Will: practices by by doing they, they’re like on the eating circuit.
Kristin: Yeah. Okay.
Will: Like any food you can think of. Professional eating circuit. Yes. It’s called Major League Eating.
Kristin: For real. Real. I’m not, this is a real thing. I’m [00:10:00] not.
Will: I’m not kidding. Yes.
Kristin: Oh my goodness.
Will: And like every food you can think of, there’s a competition for it, for that thing.
Kristin: Wow.
Will: Yeah. There’s like pies. Yeah. Like chicken wings, uh, like eating I a broccoli, you know? Mm-hmm. It’s like there’s, it’s like a thing. If you had to
Kristin: do one, what would you, what would you do?
Will: Well, would I do the best at, um, I think chicken wings.
I could eat a lot of chicken wings. You eat chicken wings? Yeah. And I can eat ’em pretty quick too.
Kristin: Yeah. You eat fast.
Will: Part of it’s Thank you. Medical training. Yeah. And education for my, I I had a conversation with our kids the other day. They’re like, they always remarked about how fast I eat.
Kristin: Yeah.
Will: I was like, look, I, it’s training.
Yeah. You just, right. You get
Kristin: YouTube can aspire to eat. That’s right. This quickly.
Will: But what I was gonna tell you last thing about the saw dog eating contest is there was a, a huge innovation that happened around the year 2000.
[music]: Mm-hmm.
Will: Which really just skyrocketed the ability to, to eat. More hot dogs. What was that in 10 minutes?
It, it’s called the Solomon Method.
Kristin: Okay.
Will: So it’s, um, it was [00:11:00] Kobayashi, I think his name’s Aya. Yeah, Kobayashi. He was like before the most recent guy. He was like, he won, he was the champ. All, yeah, he was the champ. Um, and uh, he started to break the hot dogs in half. Okay. And then dunk the buns in the water to help it slide down your gullet faster.
Kristin: Oh.
Will: And he’d like, so he would break the hot dogs in half and eat both halves at the same time. Yeah. And I guess that made it him be able to do it faster.
Kristin: Interesting.
Will: Yeah. You know why they call it the Solomon method?
Kristin: Why?
Will: Do you know anything about King Solomon?
Kristin: Yeah.
Will: What do you know? I mean, that’s
Kristin: really a l your, it’s a long time ago now.
Will: Do you know, what do you, what do you know about King Solomon? Uh,
Kristin: which one was he? Gimme a, like a context.
Will: I don’t know anything about him except this one thing.
Kristin: Is he the, the guy with the hair? I dunno, just tell me. I can’t remember.
Will: King, king Solomon, um, decided. To split a baby in half.
Kristin: Oh, this guy? Yeah.
Okay.
Will: You’re, is this a Bible thing?
Kristin: Yeah.
Will: Okay. You know,
Kristin: it, he didn’t actually do [00:12:00] that. It was a, it was a parable.
Will: He, because two women were claiming to be the The mother. The mother of the baby. And so he was gonna split the baby in half. Yeah. I guess. And then
Kristin: it’s like the real mother is like, no, no, no. She could, you know.
Will: And the other fake mom would be like, the one’s like, yeah, let’s do it. All right. Yeah. I’ll take the bottom half.
Kristin: Yeah, I guess. I dunno.
Will: Or do you think he was gonna do it? Like side side? Oh, that’d be a lot. That seems harder anyway. Solomon, Solomon method.
Kristin: All right. Split in half.
Will: Splitting the baby hot dogs in half.
Um, it, it’s fascinating. I, I, I just, it’s something you just can’t look away from. It’s just a.
Kristin: It’s, you know, we have very different, um, approaches. You can’t look away and I can’t look at it.
Will: It, it’s just like, what compels somebody to, to undertake? How do you have a talent for that? I mean, it seems like there’s like talent that I’m saying
Kristin: like, he must practice.
Like there’s, there’s gotta be like it’s gotta training. Yeah. I’m saying
Will: absolutely. And the thing is like a lot of the people that were competing, they weren’t like [00:13:00] super fat people.
Kristin: Yeah.
Will: In fact, the Khi guy, he was like a skinny Asian guy.
Kristin: Hmm.
Will: So they’re, there’s like, you know, they must exercise.
Kristin: Yeah. To be able to eat.
Yeah. There’s gotta be like a regimen. All
Will: this thing, because like, some of, like, they’re eating like pancakes. There’s like a pancake eating cut. Yeah. How many pancakes could you possibly eat? Oh,
Kristin: someone’s out there eating
Will: 50 pancakes. Oh
Kristin: my gosh.
Will: Anyway,
Kristin: I could go all day about major league
Will: eating. I,
Kristin: I But you think they even like hot dogs anymore?
Will: Probably not right after that. But you gotta like it.
Kristin: Enough to do all that. Enough to do
Will: that.
Kristin: I can’t imagine. I don’t eating that many things. What I don’t know all the time,
Will: dunno, is how much money they made from like winning I, I can’t imagine. It’s like good point. A lot of money. But it was on like it’s on national tv, it’s on ES, ESPN every year and it’s like a big deal and right
Kristin: within their circle they become famous.
Kind of like you.
Will: Exactly, exactly. Alright, let’s take a break. Come back with some healthcare news.[00:14:00]
What should what you do in there, buddy? I’m so glad you asked. Oh, I’m being a Dex.
Kristin: Oh, are you?
Will: Yeah, that’s what they sound like. Those
Kristin: little mites,
Will: Uhhuh, I, if you put a microphone in front of them, I’m sure they would probably most likely maybe sound like that.
Kristin: You think so?
Will: I don’t really know.
Kristin: Oh, well, let’s see how much you do really know.
Will: Oh, you’re gonna quiz me? Yeah, let’s do it.
Kristin: What are the only two main species of dex mites found in humans? Uh,
Will: type one and type two.
Kristin: Uh, close Dex foor, which are found in the eyelash follicles. Okay. And dex brevis, which are found in the meibomian glands. Okay,
Will: sure. Yeah. Okay. Next one. Next question.
Kristin: Okay.
Why do people with Dex blepharitis often feel itchy eyelids first thing in the morning?
Will: I know this. And, uh, because they avoid light and come out at night to mate. Oh yeah. There’s, they’re mating on your eyelids while you’re sleeping.
[music]: Super.
Will: Is that, is that a, how does that make you feel? So gross. And so people wake up that itchy, irritated feeling ’cause they’ve been moving around and the eyelash follicles all night.
Kristin: [00:15:00] Mm-hmm. Yeah. Yeah. Great.
Will: I’m surprised you even brought that up.
Kristin: I know. I’m just trying to get used to these mites since Demodex blepharitis is such a common disease and keep talking about them, it’s
Will: And that’s a big step. That’s a big step. Thank you. There’s a prescription eye drop, though that’s available for Demodex Blepharitis.
Yes. To learn more about these mites and Demodex blepharitis, visit mites love lids.com for more info. Again, that’s M-I-T-E-S-L-O-V-E-L-I-D s.com To learn more. This ad is brought to you by Tarsus Pharmaceuticals. Kristin, I gotta tell you about a new podcast that every clinician should know about.
Kristin: Look, tell me
Will: this is the sepsis spectrum, okay?
It’s by the Sepsis Alliance and critical care educator, Nicole kic. This is really important. Each episode is about confronting blind spots and sepsis and antimicrobial resistance education. A lot of this stuff usually doesn’t make it into textbooks or compliance training.
Kristin: That’s weird because it’s super important.
Will: Yeah. Everybody needs to know about this stuff. You can listen to the sepsis spectrum wherever you get your podcast, or watch it on the Sepsis Alliance’s YouTube [00:16:00] channel. To learn about how you can earn free nursing CE credits just by listening. Visit sepsis podcast.org.
All right. Our, um, our producer Shanti just told us that Joey Chestnut, the winner of the contest, makes about $500,000 per year eating.
Kristin: That is insane.
Will: Yeah.
Kristin: But I guess that’s motivation to Hey, man, to try hard.
Will: That’s, that’s great. It is good for him. That’s
Kristin: a lot of money.
Will: Good for him. And it’s probably $500,000 in hot dogs.
We’re the hot dogs. It’s a lot of hot dogs. All right. Healthcare news. Uh, so I thought I’d just take a different tack this time. I just, um, uh, searched healthcare news. Mm-hmm. And, you know, there’s like a, the AI feed of like things that just like articles that just, you just scroll through ’em. Yeah. So I’m just gonna read some of them like,
Kristin: oh,
Will: quickly.
Kristin: Okay.
Will: Uh,
Kristin: just the headlines.
Will: Yeah, just the headlines. Okay. I, I, I didn’t read most of these. [00:17:00]
Kristin: Well, this is how most of America consumes news. Let’s do, so I suppose it’s appropriate. Lets, no,
Will: I opened up a few of these just ’cause I figured you’d have some follow up questions, but, um, okay. We’re just gonna just get a, get a general sense of what’s happening, okay.
In healthcare news. All right. US measles cases reached 33 year record high as outbreaks spread. Mm-hmm.
Newborn deaths related to malnutrition. Slow growth increased.
Okay.
Is this more depressing or less depressing? Talking about like this in like many,
Kristin: it’s just the hits. Keep coming. Think. Alright, here we is. How it feels.
Will: Alright. Morning workouts can boost weight loss. If one key habit is followed, experts say,
Kristin: okay.
So you’re anticipating, I would say, what’s the one key habit? Yeah. Okay.
Will: Sleeping.
I just click bait headlines to basically it’s like your morning workouts. Morning workouts are great. Um,
Kristin: if you [00:18:00] have enough rest,
Will: but you gotta sleep.
Kristin: Yeah. Cool. So thanks. Seven to eight, seven to eight
Will: hours a night. Uh, what would it take for you to do a morning workout?
Kristin: An act of God,
Will: I think you might be the least likely person on earth.
Kristin: I could be
Will: to do a morning workout
Kristin: very well possible,
Will: like 6:00 AM
Kristin: no
Will: ever, never in your life.
Kristin: I’m sure when I was a kid, like high school and stuff, we probably had early morning practices for things, but not now.
Will: Alright. Uh, new England is seeing one of its worst tick seasons in years. So be careful everyone bad tick season this year.
Um,
Kristin: your tick checks.
Will: Yeah. Remember when my brother came to visit us in? Up at Dartmouth in New Hampshire. Mm-hmm. And he went home with Lyme disease.
Kristin: Oh, I don’t remember that part. Remember part, remember that? No. Yeah.
Will: We went on a hike. Yeah. And he, he developed a rash
Kristin: oh boy. Like
Will: a week later. But he was in Texas.
Kristin: Oh. Maybe that’s why. I don’t remember. I didn’t, he [00:19:00] went, didn’t happen at our house.
Will: Well,
Kristin: the hike did.
Will: The hike did. But he left, he went home to Texas and developed a, a Lyme rash.
Kristin: Oh boy.
Will: And, um. And the thing is, like Texas, they don’t see Lyme disease, and so he was really, there’s
Kristin: so many ticks in Texas,
Will: but the, it’s very much a geographic thing.
It’s not, it’s not the a, a matter of like the ticks, it’s what diseases they carry.
Kristin: Oh, okay. So
Will: in certain regions they’ll carry different diseases. Right. New England is all about Lyme disease. Mm-hmm. There’s a couple other areas of the country that also have like a lot of endemic Lyme disease. Okay. Texas, not so much.
Kristin: Okay. And
Will: so he was like the patient of the day,
Kristin: oh boy, you never wanna be that guy. Oh
Will: yeah.
Kristin: That’s never good. He,
Will: he was like a board question.
Kristin: Yeah. It
Will: is. Like, you know, you only know you, you’ll bring in all
Kristin: the med students. Like
Will: you gotta get a good history. Any recent travel, he is like, oh yeah, I, I, you know, I went on a hike in New England with my, with my brother.
It was like, just so classic, classic, perfect. Like stem for a, [00:20:00] for a board question.
Kristin: Yeah.
Will: Uh, and so all the, the med students and everybody around was like, gather around everybody. Come see this lime rash. Uh, so oh boy.
Kristin: Well, all it turned out okay.
Will: Yes. Um, four things to know about the vaccine ingredient. Thy Marisol.
No, I’m not gonna,
Kristin: don’t click that.
Will: No, I don’t, I’m not, I’m not interested in that. Some of these are not the most reputable websites. Uh,
Kristin: yeah, you maybe that maybe should be. I think that’s good. Uh, naming the sites too, so people know the sources here.
Will: Oh. I mean, some of, some of them are like, like
Kristin: what’s the Thy Marisol one?
Will: Uh, that one is, uh, New York Post. Okay. Uh, anyway, it’s that just give real people talking about, you know, vaccines and measles and, and stuff.
Kristin: Yeah. Mm-hmm. And I mean, there’s. More, you know, with the stupid bill, the passed
Will: Oh, yeah, yeah, yeah. The bill. So I’m gonna be talking about that a [00:21:00] little bit more at length on a knock, knock eye episode.
Kristin: Yeah, I figured,
Will: um, been, I’ve been talking about the, the, the cuts to the, the, um, student loans.
Kristin: Yeah.
Will: So the, or not the cuts, but the caps on that. So I’ve got a lot of thoughts on that, but I’ll say that right.
Kristin: You know what my, ’cause I won’t be on a knock, knock eye. Mm-hmm. But my. The thing that I am taking away the most, like the thing that just really twists the knife for me.
All of it does horrible things for healthcare, but a lot of the like tax cuts for the wealthy are implemented. Right away, basically.
[music]: Mm-hmm. And
Kristin: then a lot of the things that are gonna screw over all of the rest of the population, that doesn’t happen until after midterms.
Will: Yeah. 2027. So they’re
Kristin: going to the, I guess the thinking is let’s get our election under our bill.
Let’s get reelected. Yeah. Congress, and then all the bad stuff will be happening. It’s just,
Will: yeah. The me, the medic, the Medicaid cuts in [00:22:00] particular Yeah. Are the ones that kick in.
Kristin: Yeah.
Will: Later.
Kristin: So, uh, just the amount of thought and strategy that has gone into like is such a very intentional mm-hmm. Obvious play to me.
It seems that way to like,
Will: yeah.
Kristin: Help rich people and hurt people who are not rich. So like, not even necessarily poor, like middle class too, so I don’t get it.
Will: Yeah. I wish they would’ve, it just maybe tried to fix Medicaid a little bit rather than just.
Kristin: Cut it.
Will: Like, cut a lot of it. Yeah. Because like that was a problem.
I mean, there’s a reason that a lot of physicians don’t see Medicaid patients.
Kristin: Yeah.
Will: Like we, our practice does, like, we’ll, we see everything, everybody that comes in, but it doesn’t reimburse what you’re worth, right? What the, what the services are worth. It just, you, you don’t, as a physician, you don’t make, so if you’re in private practice, you, and especially if you’re like a solo pra practice, um, it can be hard to like have a lot of patience.[00:23:00]
Uh, who have Medicaid. Um, uh, but, uh, and so, you know, and the, the, the problem is, and a lot of docs who do see Medicaid we’ll say, talk about this, is that so much of Medicaid money goes to hospitals.
Mm-hmm.
As opposed to like the people who actually like, you know, do it with the majority of the work of, of medicine.
Mm-hmm. You know, so it, the, the distribution of where that Medicaid money,
Kristin: well, hold on. When you say it goes to hospitals and then you contrast that with the people that actually do the work, like the, there’s a lot of people in a hospital. So what do you No, I’m talking talking about, about
Will: like ho like the hospital administration.
Uh Okay. Just the way they, they divvy up the money, uh, the Medicaid.
[music]: Yeah.
Will: Is is not, it’s very, it’s not great for practicing professors.
Kristin: Like it doesn’t go to the care itself. It goes to the overhead.
Will: Yeah, exactly. And, you know, and [00:24:00] that’s, that’s a problem that people have with it. Um, nevertheless, a ton of like, it’s, it’s a lifeline for a lot of people, especially kids.
Yeah. Yeah. Uh, and so it’s, it’s really awful that, that we’re gonna be having all those cuts, but, you know, I dunno.
Kristin: Yeah. Okay. This was thoroughly depressing healthcare news. So we have to do something to healthcare news. That was healthcare
Will: news. To be
Kristin: hopeful like, like where is the good, where’s the silver lining in any of this?
Will: You some good? You want some good healthcare news?
Kristin: Yeah. Let’s uplift the people.
Will: Hmm. You want me to try to find something? That’s good. Yeah.
Kristin: Do positive healthcare news.
Will: You listener are healthy.
Kristin: Well, maybe, maybe not.
Will: Maybe not. Maybe that just made it worse. Yeah. I dunno. Um, you’re
Kristin: like kind of in a mood today.
Will: What kind of a mood am I in? You’re,
Kristin: you’re a
Will: whatcha talking about,
Kristin: you’re a little down.
Will: I’m okay.
Kristin: But in a cantankerous fashion.[00:25:00]
Will: Well, that’s ’cause I’ve been researching healthcare news for the past healthcare news. Yeah. And Solomon Method. Um, I guess we can, no, I’m, I don’t have anything good. I don’t have anything positive.
Kristin: Nothing. Good. Well, you know what? Oh, here’s one, here’s
Will: something positive.
Kristin: Okay.
Will: Uh, I didn’t hear about, uh, you know, our practice.
I didn’t hear about any, uh, open Globe injuries
Kristin: for 4th of
Will: July. From 4th of July. Oh, everybody, uh, for the most part took care of their eyeballs.
Kristin: That’s good. That is
Will: can say, and I, do you
Kristin: ever see Open Globes, though? I thought those all go to OHSU.
Will: Yeah, they do for the most part. But, you know,
Kristin: oh, that’s not even
Will: well, you know, uh, eye burn.
There’s lot, you know, I live lacerations, other things, not No. 4th of July related injuries. Yeah. Yeah. So it was a, it was a fairly, um, if I can use the word quiet, fairly quiet. 4th of July.
Kristin: You can use it in retrospect. Right, exactly. Because it’s already done.
Will: Right. Um. And so I can’t say the same. I don’t know about hands.
I don’t know how people did with [00:26:00] hands. Yeah. How
Kristin: many fingers were lost.
Will: Yes. Um, but I also, you know, my kids wore their safety glasses.
Kristin: They did. And the other kids like you’re, you’re influencing on the culture.
Will: Yeah. But yeah, exactly. At least
Kristin: among the parents. Like I don’t think any of them voluntarily wore safety glasses.
I think it was parents saying, wear these ’cause they knew you were coming.
Will: I was like, the optimal, we’re gonna be in a TikTok if we don’t do it. Yeah.
Kristin: Exactly.
Will: Well they are and, and they, you know, we didn’t light off. It was like sparklers and like little spin things you
Kristin: can’t buy very, you know. Yeah.
Will: The heavily, very big fireworks.
Heavily restricted. That doesn’t stop people though.
Kristin: Yeah. They find a way. So plenty
Will: of it. But, um, so we don’t, we don’t do big I did, I did see, uh, um, photos of the first drone show Uhhuh in Oregon, in Lincoln City, Oregon. In Lincoln City. On the coast.
Kristin: Mm-hmm.
Will: Very underwhelming.
Kristin: It needs a little more,
Will: did you see it?
Kristin: Yeah. Did you see like, a little bit? Yeah. Yeah. I mean, it was, it was, it made some cool shapes. [00:27:00] I’ll give them that. Um, if
Will: you could see it, if you were, if you were at the wrong angle. Yeah. You just saw like the side of it. It was like a 2D
Kristin: drone show. Yeah.
Will: And so, well,
Kristin: they’ll get there. It was the first one.
They’re working out the kinks.
Will: So I, we, I briefly considered like all of us going out there Yeah. To watch that thing. Mm-hmm. Very glad we decided not to because yeah, maybe give
Kristin: him a few years to really perfect it.
Will: Anyway. So
Kristin: do we need to talk about puppies? I feel like we’re just, just
Will: I can’t
Kristin: making everybody No, I mean, just not our, not
Will: You have good news about pu ins, andies outs
Kristin: of living with the puppy.
Just, uh, how cute they are. Oh, little nuggets. Just little. They’re a little fluffy.
Will: Australian Shepherd pp puppies.
Kristin: Little fluffy potatoes with legs and they try to wrestle with each other and they tumble all over each other. It’s very cute. Are you trying
Will: to admit, are you trying to get me outta my cantankerous mood?
Kristin: Well, I’m, I’m talking how cute the [00:28:00] pus are. I’m concerned with, yeah, we, I’ve given up
Will: outnumbered. The puppies could, they could turn on us at any time. All the dogs, it’s true.
Kristin: If
Will: they were hyper intelligent, they would destroy us.
Kristin: It’s true. We’re very far outnumbered.
Will: 1212 dogs right now living here.
Kristin: If you’re in Portland and you want an Australian Shepherd Puppy email, knock knock high@humancontent.com.
Will: Alright, let’s, uh, let’s take another break. Um, come back with some, uh, game. We’re gonna play Dr. Oh good. We’re gonna to play Dr. Slang.
Kristin: For those of you who stuck around for all of that, we will reward you with a game.
Will: Okay, we are back. And I am, I decided I’m gonna be in a better mood.
I’m, I’m stuck on it. I think part of the problem is like I’m, I am stuck creatively on a thing I’m trying to do, and it’s, it’s irritating me. It’s like GNA at my brain. [00:29:00] It’s like, like, not not quite writer’s block, but just like trying to. Figure out a problem. Untangle the
Kristin: knots.
Will: Yeah. Mm-hmm. And I don’t like it.
I don’t like that feeling. Anyway. Um, do you have any suggestions on how to untangle knots? Brain nuts. You, the surgeon. How do you untangle? Brain knot.
Kristin: You go for a walk,
Will: walking. Uh, the exercise does help. Yeah.
Kristin: I’m not kidding. That’s what you do as long
Will: as you get enough sleep, apparently.
Kristin: Yeah. But if you exercise in the afternoon, maybe it doesn’t matter.
That was just for morning exercise.
Will: That’s true. I, you know, I did exercise in the morning, like, uh, for the first time in a long time. I did feel better throughout the day. You
Kristin: do love a good morning exercise, but
Will: I, it’s hard. It is because then you case, ’cause you also
Kristin: love the sleep.
Will: Well, I, it’s like I keep myself up too late sometimes.
Yeah. And it’s like you kinda go to bed early and that’s, that’s the hard part for me actually is going to bed early enough. But anyway. Yeah. Alright, so we digress. Yes. Uh, medical slang.
Kristin: Okay.
Will: I’m gonna, so the way this works is I have [00:30:00] a handful of phrases, acronyms, medical slang. Okay. All right. Not like.
True. These are like things that we write in notes or we talk about with each other, physicians and, and, um, you know, when, when we’re discussing patients
Kristin: Yeah. Like stuff you learn in med school,
Will: oral presentations, and we’re presenting on rounds. We’ll say certain, you know, some of these things. Okay. Uh, and so, um, uh, what we’re gonna do is I’m gonna give you some and you’re gonna try to tell me what it
means.
Okay. Ready? I’m ready.
Code Brown. That makes me think of poop. Is it poop? What do you
think of? Code Brown would be
poop everywhere.
Kristin: Get the janitor,
Will: correct? Correct. Oh, you did it. Is it really? Yes, it is a poop emergency.
Kristin: Oh, but what, what, uh, what counts as an E.
Will: Well, it’s not really embraced, [00:31:00] like, uh, the, the, there usually, the way I have heard it in clinical context is, um, during a surgery,
okay,
sometimes it happens. Um, like after the sur the patient’s put to sleep and they have an accident and.
Kristin: Oh,
Will: patients have varying levels of rectal tone. Right. And you can, so sometimes
Kristin: you need someone to come clean that up. Yeah. Yeah. Well,
Will: I mean, usually like they’re, they’re already on like these disposable like chuck type things. Mm-hmm. You can just throw ’em away. Yeah. So usually it’s not too big of a problem, but, uh, okay.
Anyway, code brown.
Kristin: We ever hear that over the inter intercom? No, that is not an
Will: overhead intercom announcement type of thing. Yeah, that is a, oh, I found some poop and need to let the team know what we’re dealing with here. So just call it a code brown.
Kristin: Alright,
Will: go about your business. Uh, all
right. Banana bag.
Banana bag.
What do you think a banana bag is? Is that
Kristin: something to do [00:32:00] with an IV pole?
Will: Yeah, something to do.
Kristin: Uh. Oh, oh, I bet. I know. Is it. Um, I don’t know the medical language, but when you have to have a catheter, is it where the P goes?
Will: It’s a really good guess, actually, but very wrong. No, we’re just talking
Kristin: about code brown. So
Will: banana bag. Banana bag. It could be the urine catheter bag. Yeah. Yes. But it is not, no.
Kristin: Oh, okay. What is it?
Will: It’s an Ivy bag.
Kristin: Yeah. You
Will: got that right. That you would give to someone who’s, um, who’s. Extremely hungover.
Kristin: Oh, or potassium.
Will: It has no, not a bunch of potassium. Oh, that would kill the patient? Uh, no. Well, then
Kristin: why is it called banana
Will: th thiamine and vitamins? Oh, the combination of things it can give, it like, gives it like a yellow color.
Kristin: Oh, okay.
Will: Yeah. So got. It’s, uh, just a, like a, a [00:33:00] vitamins and hopefully not too much potassium.
Maybe a little bit, but, you know. Yeah. Too much past potassium could be bad.
Kristin: What do you think they call the urine catheter bag? If it’s not banana bag? It’s
Will: just a urine bag.
Kristin: Oh, that’s, see, that feels like
Will: that’s a Foley. They call it the Foley. That’s a foing.
Kristin: It feels like it’s a missed opportunity. You feel like that
Will: should be the, that?
Yes. Okay. Fair enough. Alright.
LOL in, in ad.
Kristin: In As in the word in IN as in the word I-N-O-L-N-N-A-D-N-A-D. Okay. Is this like in a chart or is this just colloquially would be this?
Will: No, this would be, well, you probably wouldn’t actually. The LOL,
you are more likely to probably say that than write in a chart.
The NAD. Yeah. You see that everywhere.
Kristin: LOL cannot be Laugh out loud because that’s too obvious. Correct. It’s not. Okay. [00:34:00] Um, LOL in NADI have no idea.
Will: LOL is little old lady.
Kristin: Oh,
Will: so it’s more of like a, you know, you’re. You know, more, more like casual conversation. Mm-hmm. We have an LOL over in room nine, A little old lady.
Okay. Usually it’s kind of more a more frail like, you know, elderly woman. Mm-hmm. Um, tiny, you know, you know these, so you gotta be careful not to give too much of a certain medications ’cause they’re, you know, very, yeah. You know. Um, and then NAD is no apparent distress.
Kristin: Oh, okay.
Will: So you got a little old lady and no apparent distress.
Kristin: What’s she doing at the hospital? Well, just getting checked out.
Will: Never know. She had some chest pain, a little, I don’t know. Alright. Right. A little headache going on.
Kristin: So why do you say no apparent distress? Is that to indicate like is it a triage situation that’s this, this one can wait, that’s
Will: no apparent distress is like Yeah, it, it’s like, um, [00:35:00] just gives you a general sense of okay, how.
How, um, severe is mm-hmm. The problem.
Yeah.
You know, I mean, you know, it, it just raises or lowers your level of, of concern. Right. I, I should say, you know, about, about what’s going on with this patient. Okay. If they, if they seem like they’re very comfortable, you know, chances are they’re, they’re doing okay.
Right. Okay.
LO, l and N ad. Alright. Now I know. Um. This is a term that has gone out of favor and is really looked down upon, but it used to be used a lot, probably. Is this
Kristin: politically incorrect? Is this why? Okay. No, it’s uh, you’re not getting me in trouble by saying something here. No, I’m not. Okay,
Will: so frequent flyer.
Kristin: Oh. I know this one, somebody that comes by a lot
Will: Yeah. Comes into usually an emergency, a
Kristin: hypochondria there
Will: for non-emergencies type things. It is frowned upon now, so it’s rightly so. Yeah. Yeah. It’s not, not really a nice, uh, way to describe [00:36:00] patients. No, because, you know, people, people don’t come to the emergency room like.
Just for the heck of it, you know?
Kristin: Right. Like, something is going on, something’s going
Will: on. Maybe it’s physical, maybe it’s mental. Right? Maybe it’s who knows. But anyway, so that’s one that’s, that’s really, um, I would encourage, uh, uh, all of you not to use that term anymore.
Kristin: Yeah.
Will: Okay. Uh, I’ve got a couple other ones.
Bounce back.
Kristin: Bounce back. Somebody that was really super sick and now they’re doing better.
Will: Good guess.
Kristin: Okay. No. Okay.
Will: The other guesses,
Kristin: um. Something hits you in the eye during surgery?
Will: No, that would be an ophthalmology consult. Uh, bounce back is a patient who was recently discharged but returns shortly thereafter, and it’s usually a negative metric. It’s something that
Kristin: feels a lot like frequent flyer to me.
Will: Well, no, like,
Kristin: like in [00:37:00] connotation
Will: it’s, I’d say no, the connotation is different.
Kristin: Okay. A
Will: bounce back is, is more like the, the, the blame is, is shifted onto the hospital. Like you shouldn’t have discharged that patient because Oh, they needed to come right back to the hospital.
Kristin: Okay.
Will: So that’s why it’s like. You, you don’t want a lot of bounce backs because that just indicates, well,
Kristin: why are you discharging all these people that are still sick?
This
Will: exactly right. So, uh, bounce back is still used a lot. That one’s okay.
Alright.
Um, disco biscuit.
Disco
Kristin: biscuit. I feel like I should be getting like a clue of which specialty these things belong in. No,
Will: this would be emergency medicine
Kristin: Disco biscuit. Yep. I mean, it’s gotta be something that comes out of some orifice.
It can’t be good a SL
Will: term for a drug, you guess which drug it is?
Kristin: Uh, I don’t know what drugs look like. [00:38:00]
Will: What kind of drug might you take? In like a,
Kristin: a disco setting. A disco. Oh, see, this is gonna club setting. This is gonna expose me as like super lame. It’s,
Will: it’s a club drug. Um, ibuprofen.
Kristin: Yeah. For women above 40.
Um, uh, LSD.
Will: Ecstasy.
Kristin: Ecstasy. Okay.
Will: Ecstasy. MD.
Kristin: That, see, I should have guessed that that was in, in retrospect, that one was obvious.
Will: All right, here’s another one.
Kristin: Okay.
Will: WNL.
Kristin: WNL Uh, see with these, can I have like, just a teeny bit of context?
Will: This one, um, has to do with, you would see it in a chart. You don’t ever say this.
Kristin: Mm-hmm.
Will: Uh, and it’s, so it’s
Kristin: probably Latin or something. You don’t ever say it. It has to
Will: do with lab values.
Kristin: Lab values, okay. WNL
Will: with [00:39:00] no. Uh, I dunno, it’s gonna get boring to listen to me think within, what is it? Within
normal
limits?
Kristin: Yeah. Okay.
Will: With the normal limits. Uh, a, a, a another. Way to use that is, uh, we never looked.
That’s how you, we never looked. That’s how you, that’s how you can use it sarcastically.
[music]: Okay. To make
Will: fun of somebody. We never looked, you know, w nl we never looked. Uh, okay. Let’s do one more.
Kristin: Okay.
Will: Um, oh, actually two more. Zebra.
Kristin: Oh, I know what that is. ’cause I am, one
Will: was a zebra.
Kristin: It’s, uh, somebody that has like a rare thing or something that would not be the, the obvious thing to look for.
Will: A rare diagnosis.
Kristin: Yeah.
Will: You got it. Um, TikTok trauma.
Kristin: TikTok Trauma. They saw something on TikTok, never heard this, and they tried it. Never. And now they’re in the hospital
Will: injury injury resulting from a TikTok challenge. Yeah. Or [00:40:00] stunt. Uh, I’m happy to report that my kid, our kids are my kids. Our kids, they’re kids that we have together.
Kristin: I, I made those
Will: our are, uh, unaware of the um, yeah. Tide Pod challenge.
Kristin: Oh, really? Have you? I’ve never
Will: heard of it.
Kristin: You had a, you asked from It was in
Will: a game we played.
Kristin: Oh yeah.
Will: And remember it was, we have a game called, are you old? What is it? Are you old?
Kristin: I’m too old to remember.
Will: Too old. It’s like, it’s a, yeah,
Kristin: it’s an aging millennial game.
That’s the sub title. It’s a
Will: game for like Gen Z. To play with millennials and it, the whole point is to make millennials feel bad for how old they’re, yeah. Feel very old. So, you know, we, and one of, we love that game right now. One of the game
Kristin: pieces is avocado toast.
Will: Yeah, yeah, right. You know,
Kristin: things like that.
Will: Yeah, exactly. Anyway, but they had no idea about the Tide pods,
Kristin: which is good. So we educated them.
Will: Yes, absolutely. Inform them, uh, to horrified [00:41:00] expressions that you should not consume Tide Pods.
Kristin: I am very happy to know that they, they thought that was a bad idea.
Will: Alright, that’s all we got. Good job. Okay. You did.
That
Kristin: wasn’t awful. You got
Will: some of them? Yeah. Yeah. The ones that I’d expect you to get. I
Kristin: still, I, I’m gonna die on the hill. A banana bag.
Will: Banana bag. That’s good. Should banana bag be switched to, uh, be referred to, uh, as a urine? The problem is some urine is not yellow.
Kristin: Well, some poop is not brown.
Will: Good point.
Good point. That is knock, knock. Hi, uh, thank you all for, for being here with us today. Let us know what you thought of the episode. If you have any healthcare news you want us to touch on, uh, preferably, I guess if you know of
Kristin: anything good at all of lifting
Will: something wonderful happening in healthcare, please let us know.
We’d love to touch on it. Uh, on these episodes. Thank you. Uh, you can reach out to us, hit us up. Email us, knock-knock [00:42:00] high@humancontent.com. Visit us on our social media platforms. You can hang out with us in the pod, human Content Podcast family. Over on TikTok and Instagram human content pods. Thanks to all the listeners leaving feedback and reviews.
We got, uh, um, a good comment here from Okay, at lm. Oh, mama, mom on YouTube. Uh, said Bloodletting as a blood donation is an awesome idea. Remember that was the Yes. Uh, we talked about that with, um, uh, or the Renaissance Fair.
[music]: Yes.
Will: How, you know, they should have like a medieval medicine thing. Mm-hmm. And, and where they’re doing bloodletting, but it’s, it’s just, just a blood drive.
But it’s a blood donation. It’s a blood drive.
Kristin: It is a really good idea. This is fantastic. Maybe you need to reach out to the Renaissance Fair people.
Will: This is the best idea I think I’ve ever had in my life. Um, so anyway, thank you for that. What about
Kristin: leches?
Will: Um, too far, you know, you could, here’s what you do.
You just, you pretend you can put like a couple leches on people Uhhuh, uh, but then you still just collect the blood the normal way.
Kristin: Oh, okay. [00:43:00] So they’re just, the leches are just sucking their blood
Will: just for a fact, for
Kristin: funsies.
Will: Yeah. Uh, you know, people would go for, I dunno if how popular that would be. Oh, are you kidding me?
Uh, talk about like Instagram worthy, I guess you posts and there is
Kristin: drinking at those fairs. Oh, yeah. Oh, people’s people would totally
Will: get into leaches,
Kristin: but they, you wouldn’t be, you wouldn’t be, uh, donating your blood if you were drinking, so that, that is a little hiccup.
Will: Oh, that’s true. You can’t be drunk.
Yeah. They don’t want, they don’t want drunk blood. Nah. Uh, nobody wants that. Interesting. That’s a, that’s, and there’s a lot of drinking happening at there. Is at the, yeah. Grand Fair. So it would
Kristin: need to be like at the entrance.
Will: Yeah. Yeah. Then, or they go in, but then, but then you’re talking about then they’re
Kristin: gonna get real drunk up if they lost all the blood, taking a
Will: pint out of people and then having their less amount of blood be, uh, you know, I, I don’t know what the, what the multiplier is on that, but I imagine you get drunk really fast.
Kristin: I would think so. All right. If you have less luck. So it’s got some work shopping to do. [00:44:00] All
Will: right. We’ll, we’ll, we’ll, we’ll think about this. Yeah. Uh, anyway. Full video episodes are up every week on our YouTube channel at Glaucomfleckens. Go check it out. We also have a Patreon. Lots of cool perks, bonus episodes, react to medical shows and movies, hanging out with other members of the Knock Knock, high community, early ad free episode, access Interactive q and a livestream events, much more.
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