Glauc Talk: What Do NIH Cuts Mean for the Future of Medicine?

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[00:00:00] Today’s episode is brought to you by Microsoft dragon co pilot, your AI assistant for clinical workflow. Learn about how dragon co pilot can transform the way you work stick around after the episode or visit AKA dot Ms slash knock, knock high again. That’s AKA. Dot ms slash knock, knock. Hi. Welcome everybody to knock, knock.

Hi. With the Glock and

Fleckens over here. We have Lady Glaucomflecken also known as Kristin Flanary. That’s right. And you are Dr. Glaucomflecken also known as Will Flanary. Thank you for joining us on an episode of Glock Talk. I think I had made a parenting mistake. Oh, so this whole paying our youngest daughter to perform well [00:01:00] in basketball.

Yeah, who could have seen that? Okay, well, I think it was, it’s a good idea. I mean, it’s worked. It has worked. She has never tried harder during basketball games. Uh, right now, as of now, we’re now like six games into the season. I’m about, uh, 38 bucks in the hole. Uh, I just told her that we’d keep a running tally and I just pay her some of that at the end of the, uh, the season.

Um, the team is doing okay. They’ve they’re like five and three or something, but, uh, she’s, she’s. Performing very well. We’re working on her jump shot. Yeah, but she gives a lot of power. Oh, yeah Bounces right. She’s a very strong kid And so she’s something she shoots a little bit to it’ll work on her form a little bit get more of an arc on her Shot, but she’s very athletic and she’s much faster than the other kids and she’s taller than most of them Right, and so the tools are there she just needs to to value but and so I could it could be I guess [00:02:00] my point is it could be much worse Um, because she’s missed a lot of shots, uh, and so, uh, as she’s getting better, it’s, it’s, you know, I just don’t know where we’re gonna end up at the end of the season.

Um, but the reason I said it might be backfiring is because now, anytime I ask her to perform some kind of physical feat, she’s wondering how much I’m gonna pay her to do it. Just like, I mean, fair, that’s what you set up. So this is a game we play. It’s called, um, stick the landing, uh, where I have a chapstick and I throw it into the, kind of right above the bed and she jumps and like lays out on the bed and tries to catch it.

Okay. Before it hits the ground, before it hits the bed. Yeah. Stick the landing. It’s good, right? Okay. I would argue that’s not much of a, of a landing, but it’s semantics. It doesn’t matter. It’s a belly flop. But so we were going to play that [00:03:00] and why chapstick? It’s just what we had. I don’t know. It’s just, it’s just making up games for her.

Like you guys are on the same wavelength in terms of what’s a fun game. Yeah. Uh, but the other day, uh, as of yesterday, she, um, We’re going to play this and right before I threw it for the first time, she’s like, if I catch this, how much are you going to pay me for it? And I was like, nothing. And she seemed dumbfounded.

Like what? What do you, what do you mean? You’re not going to, I’m doing this thing. You’re like, if I do it, well, I get, I’m turning our, our daughter into a raging capitalist. And, um, I don’t know how I feel about it yet. I think I need to, to, to, to rein in the expectations a bit. Yeah, yeah. And, you know, there is a lot of psychological research on internal versus external motivation.

So, had you, had you consulted with me beforehand, I could have shared that with you. Okay. Now. [00:04:00] How else are we going to get her to like, want to play a basketball game at 815 in the morning at a school that’s 20 minutes away? I don’t know. I had to, I had to bump the price for that game. I doubled the amount of money she would make for, for, for baskets scored.

Yeah. I mean i don’t know you i feel like they just have to get a little older like you cannot induce internal motivation you just can’t that is something that comes from the person there’s gotta be some way to make that not internal motivation you can’t. You can’t augment or improve someone’s internal motivation.

I, I don’t think you can. I mean, they can, they can choose like, Oh, I’m really interested in this now. And so now they’re really internally motivated. I guess you could sort of indirectly affected if you maybe like expose her to a bunch of different things and she finds what she’s internally motivated. I don’t [00:05:00] know, but external motivation.

Is effective in the short term, but it squashes any internal motivation. Well, that’s just great. Yeah. But we’re all externally motivated to do anything. Yeah. So, you know, you get paid to go to work. Right. So that’s nice. But then how do you feel about being at work and going to work? Everybody’s like, Oh, I don’t want to go to work.

Right. Like. So what do you. Like the world’s not black and white. I’m just saying, these are the factors. I’m fascinated by this though. So what’s the. What would be an example of being internally motivated? High internal motivation to do something. You are internally motivated to write skits. Even if no one paid you anything, you would still want to write a skit.

But I, I get reaction, positive reaction on social media for [00:06:00] that skit. Like I have an audience. Sure. And that Reaction is internally motivating to you also, so that’s a little bit of external motivation that feeds your internal motivation. So I don’t know, maybe that’s making your point from earlier, but but like I’m internally motivated to eat food.

Yes, you’re internally motivated to watch Patrick Mahomes. Oh, poor Patrick. Oh, man. Maybe I shouldn’t have brought that one up. Now you made me sad. Poor Patrick. My son, Patrick Mahomes. Yeah, I think he’s got enough, um, external rewards that I can’t feel too bad for him. I tried to be excited about, so the Super Bowl, you know, happened a few weeks back and our daughter, the same daughter we’re talking about, Yeah, she loves to throw a party for a holiday.

She loves holidays. Baking the cookie. I think she’s like [00:07:00] sweets, but, uh, but she does love like the festivity of it all. And so this is the first time she did it for the Super Bowl because it felt like a thing because we’ve been, we’ve been talking about it. Yeah, she made cupcakes. They had little field goal posts on the cupcake.

And I’m a Chiefs fan. I mean. I wouldn’t even call myself like a real Chiefs fan. No, you’re a Patrick Mahomes fan. I’m a Patrick Mahomes fan and, um, because he went to Texas Tech and he’s the most famous, the most amazing thing that’s ever happened to Texas Tech you went to Texas Tech. That’s a, a crucial.

Well, it’s a, it’s a family, like my whole family went to Texas Tech. Uh, and so naturally anywhere Patrick Mahomes went to play football, I would be a massive fan of them. But I have grown to like the Chiefs, the people, the, for the Chiefs, the everything, like it’s a great organization, everything. Um, And, uh, but now I’m sad to think about Patrick Mahomes, not winning the Super Bowl.

Well, you can’t win them all. It builds character. What other tropes can I throw out here? All right. [00:08:00] Intrinsic versus extrinsic motivation. I mean, that’s like, So you’re intrinsically motivated to watch Patrick Mahomes, like nothing, no one pays you for that. And you will do, it’s like something I can attest.

You watch. Anything he is in. So, so, so it’s like, it’s like in my soul, like it’s something in my, my psychology that’s telling me that I want to do this thing. You need no external anything to push you to do that thing. Okay, like for you, you know, you’re obsessed with cleanliness and order. No, this is, this is not a good example because that is, that is more of a coping mechanism for neuro, my neurodivergence.

So, but I, okay, here, I’m internally motivated. To learn things I’ll just like to learn things I do it for fun gotcha even when I’m not in school. I’m not [00:09:00] getting anything for learning it. I just like to learn things gotcha. I was very daughter is internally motivated to eat sweets. I was very much.

Externally motivated to learn. Yeah. See, that’s the difference. I see that difference between you and me. And then I see that difference between our two kids. Yeah. You know, the older one is like me just loves to learn the younger one. She needs a little convincing. She’s very smart. Just like you, but like.

Yeah, there’s other fun things like I needed to be working toward getting my M. D. working toward receiving my board certification in ophthalmology in order to make me want to learn. And then once I passed my board exam, I was like, yes, finally, I don’t have to learn anything you like to turn your brain off.

I like to have my brain be on. So I would argue you were not. What if you run out of gas? But it energizes me. [00:10:00] That’s the difference. Doesn’t your brain get tired? I mean, I sleep. Yeah, you do sleep very well. But I, I just like it. Internal versus external motivation. So you were not internally motivated to learn.

You were only externally motivated. And as soon as you no longer had external motivation to learn anymore, you stopped. I still will learn some things for my job. If you have to. Right, for your job. See what I’m saying? I see. Okay. Yeah. I’m understanding the difference now, so by providing external motivation for.

Basketball, you will get the behavior in the short term, but you squash the desire like to be great because you’re not doing anything that develops her internal she’s playing for the money just told me that there’s no way to make someone who they are. That’s what I [00:11:00] would say. If she doesn’t like basketball, don’t make her play basketball.

The thing is, she does like it. She likes to, I just think she needs She doesn’t like organized sports. She likes free play sports. She doesn’t want to have to commit to a schedule. She doesn’t want to have other people depending on her as a teammate. She just likes to play around. Look, if she’s going to be an Olympian, she’s got to start now.

And, uh, I’ve got a whole practice schedule set up where travel teams, it’s, it’s the whole, the real deal here. Oh my goodness. You know, you know, early. You got to get on it. I got it. I got news for you. You’re probably already too late. Anyway, probably she’s already nine years old. Yeah. 10. That’s right. About to turn 10.

Um, okay, let’s take a break. Then we got some health care news.

Hey, Kristin, I’ve been grossing you out about these little [00:12:00] guys. Demodex mites for months now. Yes, you have. Thank you for that. Well, good news. I have more facts to share with you. These mites. Have likely lived with us for millions of years, passed down through close contact, especially between moms and babies.

No, that’s very special. Yeah. They’re, they’re born. They live, crawl around and die on your eyelids and in your lash follicles. Lovely. The entire life cycle from egg to adult lasts about two to three weeks. That whole time eyelid. That’s making me itchy. Okay. It is fun to gross you out, but we do all have these.

All right. It’s really common, it causes a disease when there’s an overgrowth of these mites called demodex blepharitis, causes the eyelids to get red, itchy, irritated, you get this crustiness to the eyelids, but I have really good news. This is actually really good news. Okay. We have a prescription eye drop for this.

Okay, that is, that does make me feel better. Visit [00:13:00] MitesLoveLids for more information about demodex blepharitis and ways we can treat it. Again, that’s M I T E S. L O V E L I D S. com to learn more.

All right. Let’s talk about, uh, not exactly a fun topic, but the NIH cuts. This has really been a big talking point. Yeah. Everywhere. I feel like to the, at the pace that news moves in a Trump administration. This is probably going to be wildly outdated just by the time it comes out. Well, we’ll see, you know, at this point it’s been talked about for like at least a week or so.

And so I don’t know. Yeah, we’ll see. It could be different. But basically the NIH is going to be like research funding, um, will be cut by a tremendous amount. It’s like 15 percent or like a big, a big chunk of money is going to be taken out of the budget [00:14:00] for the NIH. And I guess a lot of it is. Geared more toward indirect payment cuts, so I’m not obviously I’m not a I’m as far from an academic.

Yes, you are no researcher Yeah, you’re you have more academic like knowledge of the system how it works than I do But I do know that you know indirect funds Basically go to like the institution, it’s like what’s supposed to pay for, like, keeping the lights on and security and rent overhead overhead stuff, right?

And then the so and that can be actually a very large percentage of of a grant. Can actually be like indirect funds, right? I mean, that’s the point of contention in and of itself. That alone is like, is that is that like the it’s the person, the researcher that’s doing all the work to to put the grant together to get the funding.

And then the majority of it goes. Not to actually doing the research, but to overhead and all these other things. So anyway, that’s a [00:15:00] separate issue. But the fact is that, you know, and as part of Trump’s administrations, you know, what the, you know, department of government efficiency or whatever, Elon Musk, whatever.

Um, this is like one of the cuts is this big slash in an age funding. So here’s, here’s what I wanted to talk about is what could this possibly mean for medical education? Yeah, I feel like nothing good because Although it’s, we’re talking about research funding, but I feel like there’s, especially in academic institutions, those are closely tied, right?

They’re closely tied with institutional funding, with resident education, with, with med student education. And I know, I don’t know the ins and outs of how, how, where this money goes and in a given institution, but I imagine a lot of it, some of it at least goes to supporting [00:16:00] education of. Residents and messages and everything.

So, um. Sometimes you’ll have like part of the grant will be, I’m going to need three grad students to be able to work on this. I’ll need to be able to pay them. So it’s kind of scary to think about, right? Because, um, is this going to mean, you know, fewer, less funding for. For spots in med schools or, um, you know, what’s it going to mean for funding of residencies?

But people are already wanting more funding for more residency spots. Um, so is it is the capacity of these institutions to train and educate going to be decreased because there’s less funding for just to go around? Um, and what my concern is, is that You’re going to see more private institutions coming in as the [00:17:00] educators, which we know how well that has gone in healthcare so far with, uh, private organizations like United Healthcare, Aetna, United Healthcare, you’re going to have a United Healthcare School of Medicine, right?

So you’re thinking it’s going to be almost like a voucher system, but for med school, right? Like I have no idea what’s going to be these, but I can see a world where. Where there’s not enough money coming into academic institutions that educate med students, that train residents. And so where’s the money going to come from?

I mean, I think that would be consistent with what we’re seeing with their, with their healthcare priority. Well, with their national priorities and their, their approach to, um, changing the government. It’s very much like make everything run like a business, apply business principles, uh, get the best business minds.

So it’s. Supposedly, um, run things like a business. Cause that’s what Donald Trump knows how to [00:18:00] do. Right. And so the department of education is. Not doing well under either Trump administration. Right, right. Um, so they’re not prioritizing that. That’s been made clear. And then they are doing all these funding cuts to organizations that do health research, that, I mean, just funding cuts all over the place.

Um, they’ve put someone in as head of HHS that doesn’t know or believe many scientific facts. Did you hear he was, he was dosing himself with methylene blue the other day, which in high amounts can like cause seizures and stuff. So that’s great. So my whole point is, taken together. RFK by the way, if anybody’s not sure who we’re talking about.

Junior. Right. I bet. Yes. Um, but taken together that all [00:19:00] paints a picture. Yeah. That, yeah, they want to make healthcare even more businesslike. Right. I just, I’m trying to wrap my head around what an optive school of medicine is going to look like. I mean, it’s going to look like a business. It’s going to look like cut anything that’s, um, you know, not profit driven, maximize profit, minimize expenses.

So let’s see what part, uh, um, any, any required ophthalmology rotation out the door. That’s not going to be a priority. I mean, I don’t think that I don’t think anywhere has a required ophthalmology rotation. Iowa does. I mean, in med school. Oh yeah. Okay. Yeah. Two weeks. So one place. A whopping two weeks. I think there’s probably other places that have it too, but I don’t want to get sidetracked.

Yeah. Uh, so, uh, so that I think they’re going to have a class on billing codes. I think that’s, that’s probably going to, actually that would be a good idea. We need, we need to like, teach our [00:20:00] people. In this one I’m envisioning more like let’s come up with ridiculous billing codes that we can figure out how to deny more easily.

Or just, or have that be a focus, like how to, how to maximize your billing, uh, to the point where it maybe crosses like ethical boundaries. Yeah. Yeah. I don’t know. It’s, it’s, it’s wild. And I mean, surely, I’m sure there is a lot of waste in any government program is probably going to have some waste, but this is, these are like massive cuts.

I think I I’m just afraid that. We don’t know because I’m I’m talking in speculation, right? I don’t know how medical education is going to be impacted by this But man, like I think a lot of people who are making these decisions, they don’t know either Well, and I think they don’t value either education or Healthcare, all they’re thinking is this is a high number.

We got to bring it down to a lower number. [00:21:00] Yeah, and I don’t know. I don’t know. Maybe we just need a glaucoma, like open a glaucoma fucking school of medicine. What would they learn there? Uh, it would be, it would be, The Jonathan Nod, that’s a wholesomeness, perfecting that. It would be nine months of ophthalmology.

You can have three months where you combine all the other specialties. Okay. I think that’s probably a fair distribution. That’s generous body medicine coming from you. Yeah, body medicine gets three full months. Yeah. You could, uh, do, uh, a month on every part of the body, lower body, middle body, upper body.

And then eyes, the whole rest of the year. I think maybe Optum should fund my school of medicine. Maybe the Department of Government Efficiency should give me some of that money that they’re cutting. Oh, I don’t know about that. I think I could do a lot with it. That’s all I’m saying. I mean, since we’re talking about, like, our, uh, a Glockenflecken hospital, or sorry, a Glockenflecken [00:22:00] medical school, how would you, having seen me go through med school, how would you change my bed?

Like, what, what were, what were your favorite parts of my medical school experience? Like, first year, second year, third year, fourth year? Do you have a preference? Graduation.

Like, did you find the first and second years to be harder? Yeah, I did not like those. Why? Um, Because that was actually the most consistent schedule that I had. Yes, that’s true, but you We’re stressed out all the time and I hardly ever saw you because most of the time you were either in class in the library studying.

Yeah, I think that’s it, but not home. Um, we had tests. We were taking tests like every all the time. Yeah. And you were learning so much material all at once. Yeah. Um. It was rough. It was like all a blur too, like, [00:23:00] honestly, like those first couple of years. I just remember like, there were like these like, because I was in grad school at the time and there were, you know, my program had like events that they would throw at certain times of year and different holidays or whatnot.

And everybody would like bring their Significant others or a friend or whatever, and I was always there alone, and if you did go, you stayed for about 10 minutes, the entire time of which I could see on your face that you were just thinking about how much studying you needed to be doing right now, and then you would leave and go to the studying sounded like you.

Had a lot of fun being married to me during, during med school. That’s what I’m saying. I did not, I did not like those years and grad, graduation was my favorite part. The first year and a half, it was, we weren’t even married yet. That’s true. So you still stuck with me even though that was my behavior.

Yeah. That was also bad. The one thing, one thing I remember vividly is how bad that, those first two years were for my back. Yeah, all the hunting over a desk. I was sitting so much in class, studying, all [00:24:00] constantly sitting. I know I joke about how much ophthalmologists love to sit. Well, now I sit in moderation.

Now you sit and stand alternating. Yes. I think that makes the big difference. That makes a difference. Yeah. But then you just sat all day long. Yeah, I was like, it was, man, to have a, I feel very fortunate now that I’m in a job where I don’t have to just sit constantly. Yeah. Like that, man, that’s, that’s hard when I had an office job that I had to like go to physical therapy and I had a surgery and a lot of it was at least that was a contributing factor.

Working kills you, everybody. That’s right. Your job is slowly murdering you. I don’t know what to do about that information. But were you asking what changes would I make to a med school curriculum? Oh, I know what that’s this. Oh, what do you think it would be? Oh, it’s gonna be all the humanism stuff. You just roll your [00:25:00] eyes.

And no, no, I didn’t roll my eyes. I just like your hand. You want to make it to where people can connect with patients better. And, um, that’s not what I was going to say. Exactly. I was going to say I would teach. The students. Mm hmm. How do you use chat GPT? No. Um. It’d be almost like kindergarten, it’d be how to feel your feelings and how to regulate emotions in a healthy manner using rather than suppress don’t compartmentalize.

Without circling back and processing. What do we say, cross legged in a circle? If you need, if that makes you more comfortable to feel your emotions, you could have your blankies and stuffies. I can’t sit like that anymore. You could have soft music. My back hurts too much.[00:26:00] 

All right, so you have more, you know, to be honest, med schools do have feelings time. Like, we have feelings. What did that look like? It’s not med students you have to worry about with, with having Well, it just gets worse along the way. Right. So what does that tell you? It’s not med school. Well, it starts in med school.

It’s practicing medicine. Sure. That beats it out of you. I know. Look, we’re talking right now about med school. Yeah, right. I didn’t say I would only do it in med school. But you asked me about med school. I would start there. Well, I’m saying we do have kumbaya circles in med school. Like, it does happen.

What did you do in them, though? We talked about it. We had like these, um, these, there were, we called them rounds where we actually would be able to talk about some of the like patient deaths and some of the more challenging things and patient interactions. That is good. Like that happened pretty regularly.

That is good. And I wouldn’t want to take that out. I would add emotion education. No, just just learning about emotions and [00:27:00] what to do about the learned about the limbic healthy regulating versus unhealthy, not just the which neurons attached to which parts of the brain. Yes, I hated that when we learned about the limbic system.

That thing is complicated. It is. That is way too complicated. In fact, if anything turned me off of neurology, like as a, as Patsy, I was learning about the limbic system. Actually, that, now it’s all making sense. Yes, and the limbic system, I studied that heavily while I was in grad school. Man, you’re right about everything.

Our lives would be so much simpler if you could come to that conclusion more quickly every time. Oh, God. All right. Let’s take one more break.

All right, let’s, uh, let’s finish up with some, um, what would you do scenarios? Okay. I got one for you.

You [00:28:00] pour your cereal into a bowl. Okay. What cereal? You can choose. Um, I, every morning I have a bowl of Honey Nut Cheerios. Let’s, let’s just go crazy. What, this is, you can pick anything. I, I like Honey Nut Cheerios. A little CTC? Oh yeah, I do like that too. Some Apple Jacks? That’s okay. Honeycomb? I think, I think Cinnamon Toast Crunch would be my favorite.

Sugar Smacks. You know, I did not like those frosted flakes. Yeah, tricks like your charms. Cocoa. Are we just going to name cereals or is there a scenario here? I’m trying to get to know you better. Okay, I just learned that you for two decades. You don’t know my cereal preferences. Well, I know. I know you’re a big, uh, honey nut Cheerios and grape nuts.

I wouldn’t say I’m big on those, but I can eat them. But I have to warm them up and put a ton of sugar on it. Grape nuts is the most horrifying cereal. All alone, it is disgusting. That’s what all the sugar is for. Hot [00:29:00] milk. But, oatmeal, okay? Hot milk and oatmeal, hot cereal versus cold cereal. It’s a thing.

And the reason I warm it is because it makes it softer. Grape nuts on their own are so hard that they hurt my teeth. So you can break your tooth on any of those. What is your like thinking when you’re like going to the store and getting grape nuts? It seems healthier. But then it’s not because I add a bunch of sugar.

So you’re, you’re intrinsically motivated, you’re internally, what do we call it? Intrinsically motivated? Intrinsically or internally will work. Intrinsically motivated to, to get grape nuts. Because you think it’s healthier. No, that’s external. Because you feel like you’re getting health benefits. Yeah. And then the little demon inside you is, no.

Yeah. Put sugar on it. Sugar, all the sugar. How many spoonfuls? [00:30:00] Probably two minimum, two to four.

So you turn grape nuts into sugar with some fiber in it. It’s basically, okay. All right. Uh, yeah. Cinnamon toast crunch, I think is, that takes, I knew you were a big fan of that. That’s probably my favorite. Overall, like deliciousness wise. So eventually I’m going to get to why I brought this up, but the last thing is, since you feel like you, you pride yourself on knowing all of us very well.

I took the kids to the grocery store the other day and, um, to bribe them to extrinsically motivate them to come. I told them they could pick out a cereal. What did they pick? Um, The younger one, well, I saw this, so it’s cheating. She picked Cookie Crisp, which is no surprise. She’s got cookies for her cereal, which is very on brand for [00:31:00] her.

I hope people remember that commercial. You remember that commercial? I do. Okay. Um, the older one would probably pick She really loves frosted flakes right now. She’s on a kick. Yeah. Frosted flakes and cookie crisp. Okay. So anyway, you pour your cereal into a bowl and then realize that you don’t have any milk in the fridge.

I hate it when that happens! How do you react? That has happened to me so many times. You know, what is, hmm, I get mad. That’s how I react, obviously. You know what I really hate is when there’s no Milk, but you think there is because one of you people has put the empty milk carton back in the fridge. I never do that.

I never do that. I know better. I know better. You used to do that. By 39 years of age, I’ve learned. And now, like, we get a kind that’s not, um, see through. Like, I can’t tell whether it has anything in it just by looking at it. And so I pick it up. And I’m expecting some, some heft, you know, [00:32:00] so, so, but put me into your mind space.

So you’re opening up the fridge, you, you, the, the moment you realize there’s no milk, I, here’s what I imagine. You go, Oh man,

that’s more like it. That sounds, yeah. William. Uh, No, you’re always gone by the time I have breakfast. I have to wait a bit and you don’t call me William only when you’re in trouble. I do sometimes

and then what do you do with the bowl? The cereal? Then you have to either pour it back in, which because we have the, um, Not, I’m not talking about putting it back in the bag that comes in the box. I’m talking about we have, we put them in the, what do you call those? They’re containers. Yeah, plastic containers.

Yeah, with a lid on it. So it’s easy. You can just pour it right back in or you push it off to the back of the counter and wait for. That’s what [00:33:00] you do. I do that. I’ve seen you do that multiple times. Like I still want this. I claim this bowl of cereal.

I’m not giving it back to you people. No one’s taking your grape nuts, girl. I wouldn’t do that for grape nuts. Ugh. Straight in the trash with grape nuts. Grinding your teeth. Yeah. Down to nubs. I know. On grape nuts. But they’re healthy. Same with your, when I first met you, you had Malt O Meal, yeah, but again, the most vile product ever devised by man.

All by itself, yes, but then I put a bunch of butter and a bunch of brown sugar. And a bunch of milk in it, and then it was edible.

Listen, as a person with ARFID, you gotta do whatever you can do to get certain things into your body. I, I, I [00:34:00] even think with all that, like, Grape Nuts taste like crap, so I don’t, like That don’t taste like grapes at all. Then you’re not putting enough sugar in them. Okay. And no, they don’t taste like, I don’t know why they’re called grape nuts.

All right. Well. This is fascinating. I’m, I, I knew exactly how you’d react to all those things. And I just wanted you to put it out there, you know, to, you just trying to make fun of me? Are you mocking me? A little bit. Shaming me publicly? Just a tiny bit. I mean, that’s not nice. You know, when I do that stuff to you, I hear about it in the comments section.

Well, people, can you guys, if I’m, I want you to tell me what you think of me, how mean I am. All right. Do you have anything to add about cereal? I think we have bashed that horse. How big of a, how big of a cereal bowl of cereal do you get? Gosh. Small bowl, medium bowl, standard. Medium. Yeah. We have small, medium, large.

I get, I go for medium. That makes like the three little bears, mama size [00:35:00] bowl, daddy bowl, baby bowl. It’s Three Little Pigs, and Goldilocks, and the Three Bears. Three, is that Three Little Bears? No. Goldilocks and the Three Pigs? Just Three Bears. They’re not all little. One’s big, one’s medium, one’s little.

All the pigs are little, though. Uh, that’s our show for today. If you have any other nursery rhymes you want us to butcher Specifically, let us know. You can reach out to us, knock, knock, high at human dash content. com. This is on social media platforms. Hang out with us in the human content podcast family on Instagram at human pods

at human content pods, human pods would be a totally different experience. Thanks to all the listeners, leaving feedback and reviews. If you subscribe and comment on your favorite podcasting app or on YouTube and give you a shout out like at. Keroi XHF on YouTube said Dr. G needs [00:36:00] to wrap the HIPAA release terms.

Then we can finally call it the HIPHOP release terms. Oh, are we gonna do it? Oh my god. All right. We’ll see when we get there. Full video episodes are up every week on our YouTube channel at GlockumFleckens. Lots of cool perks over on Patreon too. Bonus episodes, react to medical shows and movies, hanging with other people in our little community.

We’re there, we’re active in it, early ad free episode access, interactive Q& A livestream events, much more, patreon. com slash glockenflecken. Alright, speaking of Patreon community perps, per perps? Perps? I don’t think we have any perps. These are all our perps. No, our perps go to Patreon jail. No one’s in it right now because everyone behaves.

Shout out to all the Jonathans. Patrick, Lucia C, Sharon S, Edward K, Steven G, Marion W, Mr. Grandaddy, Caitlin C, Brianna L, Mary H, KL, Keith G, Jeremiah H, Parker, Muhammad L, David H times 2, Kaylee A, Gabe, Gary M, Eric B, Marlene [00:37:00] S, Scott M, Kelsey M, Joseph S, Dr. Hoover, Bubbly Salt, Dr. And Seanadie! Patreon roulette time!

Random shoutout to some of the emergency medicine tier! Joyce C! Thank you for being a patron! And thank you all for listening! We’re your hosts, Willie and Kristin Flanary, Glockenfleckens. Our executive producers are Will Flanary, Aaron Courtney, Rob Goldman, and Shanti Brick. Editor, engineer, Jason Porteza.

Our music is by Omer Bin Zvi.

To learn about or not, not, not. Is this Fresh Prince? Program disclaimer and ethics policy submission verification licensing terms and those HIPAA release terms. Is this what cringe is? Is this what cringe is? Yeah. Got it. You can go to GlockandFleckin. com or reach out to us. How am I doing? You’ve given me no beat to do this to, alright, next time you’re giving me a beat.[00:38:00] 

Reach out to us at knockknockhighhuman content. com for any questions, concerns, or fun medical puns. Mercifully, Knock Knock High is a human content production.

Knock knock, goodbye.

Hey Kristin. What’s up? You know what character people like the most? Easily Jonathan. Yeah, a hundred percent. Everybody loves Jonathan. Everybody wants a Jonathan as part of their healthcare team. Yeah, who wouldn’t? Well, I can’t give you Jonathan. Well, that’s too bad. I can give you Microsoft Dragon Co Pilot.

Okay, well, that might be even better. This is your AI assistant for clinical workflow. It’s incredible. It helps to streamline documentation, which is one of the hardest parts of being a physician these days. It allows you to automatically convert conversations. Into specialty specific notes. That’s pretty cool.

It really is. You can customize commands and [00:39:00] templates. And, uh, it also helps you to summarize notes and evidence and just makes your job so much easier by taking away some of that, some of that administrative burden. Yeah. To learn more about how Microsoft Dragon Copilot can work for you, visit aka. ms slash knock, knock high again.

That’s A K A. Dot ms slash knock, knock. Hi. Thanks for watching the episode. You can find more on that playlist over there. If you prefer to listen or you just had your eyes dilated, you can binge full episodes wherever you get your podcast or join the party over on Patrion where you get early access episodes, hang out with us, get lots of exclusive bonus content, help you subscribe, leave a comment below, let us know what you think.