Grady Memorial Hospital with Internist Dr. Kimberly D. Manning

KKH Trailer Wide

Transcript:

Will: [00:00:00] Knock,

knock,

hi! Knock, knock, hi! Hello and welcome to Knock, Knock, Hi! with the Glockenfleckens. No, I’m not doing it. I am Dr. Glockenflecken. I’m not doing it. And this is Lady Glockenflecken. She just spilled water all over herself. Her shirt is soaking wet and she’s trying to dry it off frantically and doesn’t want me to record this intro before she does.

I don’t want to wait that long. Taking quite a while for her shirt to dry off. And so we’re just going to keep going. How are you doing today? We have a fantastic episode for you today. Dr. Kimberly Manning, one of our social media favorites. She is on Twitter and, uh, is a storyteller. She’s also a professor of medicine and the associate vice chair of diversity, equity, and inclusion at Emory department of medicine.

She is a, an [00:01:00] education. Dynamo and, uh, is she’s just multiple teaching awards. Yeah. Um, and, uh, 

Kristin: Natural educator, natural storyteller, just super engaging 

Will: to listen to. And, uh, and she’s also got a great podcast as well, which we’ll talk about a little bit at the end of the episode. It’s called the human doctor, uh, and, uh, just talks a lot about humanity.

in medicine. Something that we talk about a lot. Um, and uh, and so we had a wonderful conversation. But are you, are you all set? Are you dry? I’m still mad at you. Oh, she, she’s, you know, I think it, I think it turned out 

Kristin: okay. I hope the dog poops some more and you have to 

Will: clean it up. Alright, we, if you want to hear more about that, go to the previous episode.

Um, let’s see, what’s happened recently? How are you doing with threads? Are you enjoying 

Kristin: it? Yeah, I am. So far, I mean, we’ll see what happens. It’s early days as we’re recording this, but you know, so far in the beginning it’s been pretty positive. They had a, like, it’s been a nice 

Will: place to [00:02:00] be. They had like 80 million people sign up for it.

Yeah. 

Kristin: think they really hit on something in terms of, you know, how to, how to make that happen. Well, they connected it to, right. I think 

Will: that was kind of key. Right. How did it, ’cause I wasn’t really on Instagram. Mm-hmm. , when Threads came out, did it, was it like a just, they just sent out something to every Instagram user to say, Hey, Just click this button and we’ll create your, your Threads account 

Kristin: immediately.

No, I think, I can’t remember if it said anything, but I heard about it in the news before I heard about it anywhere on Instagram. You know, it’s just people were aware. 

Will: It, it’s got, it’s not perfect. It’s, uh, it’s got problems. It feels like very early. Twitter. 

Kristin: Twitter, yeah. It’s like, it’s, it feels like a community already, even though it’s kind of hard to find people.

I hope they fix that pretty soon. That’s the problem. But once you do. Yeah. Then it feels more like that, that nice community feel. 

Will: When I first got on it, it was brand after brand after brand. Yeah. But once you do find the people, [00:03:00] and I hope they make it easier to search because it’s not easy to search, but once you find the people.

It’s, it’s just, uh, feels like a happier, 

Kristin: bubbly place. People are nicer over there so far. I 

Will: mean Just comparing it to, just, Twitter, which, you 

Kristin: know, I don’t know. Kind of a cesspool now. I mean, it’s always sort of been a cesspool, but there were, like, pockets of it that were nice, and now there’s 

Will: just It’s harder to find those I think my Yeah.

My problem With Twitter and I’ve been on Twitter. That’s where I had my audience initially. Uh, and so I, I still have, I’m not leaving Twitter completely. I’m still like, I’ll check it like once a day, but, um, the, the issue is that I, the way the algorithm changed or something, it’s just. Like I’m, I’m seeing more stuff I don’t like and I don’t want to 

Kristin: see.

Yeah. Like I don’t see the things that I followed and then I do see a whole bunch of stuff that I didn’t follow and I’m not interested in. So it has to do with the verification now, you know, 

Will: maybe. Yeah. And it’s just, it just makes it harder to [00:04:00] like, enjoy it. And I want to just have, I want to have fun. I want to like feel good when I’m on a social media platform.

Kristin: Which is kind of ironic that, you know, we’re talking about Twitter. Yeah, most people would say you’d you know Twitter is a place where people are angry and it’s accessible and all these things and yet that Is true, but there was that little pocket of med Twitter that for the most part or for a large good for a while Was good.

Yeah, and you know, we met a lot of people through that who are wonderful people and have been fun to interact with and collaborate 

Will: with Well, we’ll see. We’ll see where, um, where Threads goes. I’m not giving up on Twitter though, um, because a lot of you are over there and I still like you. And so, uh, I don’t want to cut off ties with you completely.

Um, I will But 

Kristin: if you do want to find him on Instagram and Threads, it would be at Doc Gluck. 

Will: Dot glock. Yeah, it’s kind of shortened it clock and fleck is a little hard for people Well, and 

Kristin: there are some imposter accounts out there that are using your actual 

Will: The way I described it on twitter was like I [00:05:00] wasn’t I wasn’t leaving twitter.

I was just dividing Splitting my social media soul into more horcruxes. I think that’s 

Kristin: accurate. 

Will: Yeah, so just you know I don’t I don’t know threads may it may collapse Under the weight of Mark Zuckerberg. I don’t 

Kristin: love the privacy issues around it I will say I kind of didn’t want to do it But then once everyone started doing it, I felt like I was gonna miss out if I didn’t so 

Will: I think that’s pressured Yeah, you were you were pressured into it me personally I’m on so much social media that everybody has my 

Kristin: and that ultimately that’s what I decide is.

I’m already on Instagram I’m already on Facebook. I don’t have any 

Will: difference We’re already there Everybody probably people watching us right now. No, 

Kristin: don’t say that. Oh, no, nobody be watching us That’s really creepy 

Will: except for this video on YouTube. We’d appreciate that. Yes, but not in person All right, let’s uh, should we just get into it now?

I feel like we’re 

Kristin: Hey, my shirt’s just about dry. [00:06:00] 

Will: There you go. It’s time. All right. So now that our shirts are dry, let’s get into the episode. So, uh, again, uh, let’s talk with, uh, Kimberly Manning. This is a good one.

Dr. Manning, thank you so much for joining us. You ran across the street from the hospital to get here to record with us. So. Thank you. Uh, you must be very physically fit because it is July in or it’s, it’s, it’s summer in 

Dr. Kimberly Manning: Atlanta. I mean, low key, you know, I felt like, you know, I was running to meet some famous people and I needed to, you know, I needed to get over here, but yeah, no, it’s, uh, it’s the most wonderful time of the year.

It’s July. So, you know, I had to, I had to be in clinic with our new interns 

Will: at Grady. And I, I want to say right off the bat here, um, I have to thank you because a couple of years ago I [00:07:00] was giving, I was preparing to give my first commencement address. Uh huh. It was at the University of Colorado. Uh huh.

And I was like, okay, well, let me just see like what other people have, have, what, what, what is a commencement address? Like what, I just tell jokes. Like, how do I, I have to like be inspiring. Like, what do I do? Do. And so I was like, well, who gave this last time, last year in Colorado? And sure enough, Kimberly Manning pops up on my computer screen.

And, uh, I watched your commencement address and it was so creative and wonderful, and I was like, well, that’s just great. This is what I’m supposed to try to do. Like, how is this even possible? So, so you gave me a lot of 

Dr. Kimberly Manning: inspiration. So I want you to know that, um, I watched your commencement address. Um, even though it was the next year.

Yep. And I saw the one at Yale because I was preparing to give a commencement address this year. [00:08:00] And I was like, okay, let me look for people’s commencement addresses. And then yours came up. And I was like, dang, this is so moving, such good comic timing. Dang. 

Will: So we’re learning from each other. We should just compare notes next time.

We 

really 

Dr. Kimberly Manning: should. We really 

Kristin: should. Also, it sounds like all of you have imposter 

Will: syndrome. Oh yeah, I guess that’s, that’s one of 

Dr. Kimberly Manning: them. Well, remember real imposters don’t have imposter syndrome. So That’s 

Will: a good point. Yeah. So, so, um, the beginning of the medical year. You know, July 1st, you know, just happened not too long ago, and, um, and this is a very busy, exciting time in the hospital.

Now, one thing that just drives me crazy on social media, and I’ve been wanting to talk about this with you, is this, are all the jokes, all the things about, oh, July, in the hospital, like it’s, you know, Don’t have surgery in July. Don’t come into the hospital in July, which always just really… Irritates me, uh, because it’s kind of [00:09:00] an overdone joke.

It’s, I don’t even think it’s that funny and it’s not true. Uh, because, uh, I think it’s, it’s, it’s a wonderful time to come to the hospital, uh, with, you know, you having new people with new perspective. And so can you just give us an idea, like, uh, cause you’re at a, um, uh, a safety net hospital in Atlanta and, uh, you have a lot of trainees that are coming through there, a lot of students.

So just give us an idea what it’s like these first few months of the medical 

Dr. Kimberly Manning: year. Yeah. So first of all, I think you’re totally right. Um, that, that is a very big misconception. Just imagine, um, the most careful that you can possibly be. Uh, that’s July. Everybody’s careful. Um, all of the, all of the interns are new.

They just finished medical school. They’re at this place where they don’t actually think they know something yet. So they’re Triple quadruple checking everything. And then people don’t know them that well yet. So they’re triple quadruple checking everything. The [00:10:00] nurses are quintuple checking everything.

So, so, so that’s the safest time you can come to the hospital is actually July. What you better watch out for is like November, December. Because people have swaggered in, they think they know everything, they’re tired a little bit, they’re looking forward to vacation. Gotcha. So I actually find it to be a really special time of year because Um, you know, it’s, it’s, it’s this like magical time where, where you, you get to see people become what they’re going to become.

And um, it’s always exciting to me when I run into somebody that I remember as an intern and now they’re like, you know, uh, cardiology attending or something like that. I’m like, Hey, I remember when you were in clinic with me and you were asking me questions. Like, I had to turn your stethoscope around so that you could listen, you know, to the heart sounds on the right side.

Meanwhile, now you are, you are giving me all these recommendations of things I’ve never even heard of. So. 

Will: I laugh as if I know which [00:11:00] side of the stethoscope to listen to. Um, and it’s, uh, well, how are the, how are the, uh, the, the oral presentations on rounds this time of year? Is it, is it, does rounds, is it a bit of a struggle?

To get through rounds, sometimes the crowd at the beginning, you know what, 

Dr. Kimberly Manning: I think that, um, anything, um, that, that starts off with a good sort of level of expectation where you give people what the game plan is, they rise to it. So on my first day, when I’m on the hospital service, I tell the interns, look, this is what I want to hear.

Like, I’m, you know, I’m, I’m a, I’m a, you know, I don’t like redundancy and, um, and I’m sure anybody who’s ever worked with me, they would, they will say that I’ve said this to them. I’m like, this is not your Easter speech. I am not here to applaud you and say good job. And take your picture. I am here to know what is going on with this human being that you talked to before me.

So I am not going to come, I’m actually listening to you because I want to know what’s going on. [00:12:00] Not because I’m like trying to like quiz you to see if you found out what I already knew. So I do know that there are attendings out there who have like. Already seen the patient, reviewed the whole chart, and then they’re just standing in front of you, listening to you go through the motions of presenting the patient, even though they already know what they want to do.

I am not that person. I’m a mom who’s busy. I ain’t got time for all that. I think so. This is, this is the moment where I’m gonna find out what’s going on. So please, give it all you got. This is what I’d like to know. 

Will: Yeah, you don’t, you don’t follow my stereotype of the internal medicine doctors rounding for five or six hours every day.

That’s not, that’s, 

Dr. Kimberly Manning: you know, no, I am, I am an internal medicine nerd. I do like to talk about what we talked about, then talk about what we talked about, and then ask you what you thought about what we talked about. And then ask ID what they think about what we talked about. Oh yeah. Then I tweet about it.

Exactly. Just ask you what you thought about when I [00:13:00] 

Will: tweeted about what we talked about. You love it. You love a good hyponatremia conversation. That’s what I’m getting at. 

Dr. Kimberly Manning: You know what? So, you know, I, I was, uh, I’m just a spoiler y’all. I was asked about my, my favorite organ and least favorite organ, um, of the body.

I’m sorry. I don’t know that maybe you may have that timed out somewhere, but I’m sorry if I 

Will: jump the gun, but please, let’s get into it. I can tell you my favorite organ, but you probably guess. Anyway, 

Dr. Kimberly Manning: is it the eyeballs? Actually? No, 

Will: it’s the liver. No, it is. Of course. It’s the eyeball. Come on. 

Dr. Kimberly Manning: Well, what I would tell you is that I find the kidneys to be so disrespectful.

Um, just so disrespectful, like that is my least favorite organ. I just, um, you know, I, I find them to be intimidating. I find them to be the person, like, it’s like the girl that went to your middle school that you always trying to be friends with. And just when you think y’all are getting cool.[00:14:00] 

She sucker punches you. She tells somebody something about, like, not to sit by you in the cafeteria. You know what I mean? And you know how, like, the kidney has, like, all that little, like, those little loops in there? I think of that like a maze. That’s me walking through the kidney, trying to figure out what is going on in 

Will: there.

Trying to understand the nephron. Right. 

Dr. Kimberly Manning: And I know that there are people who love the, like, I’m sure like Joe top and all those people, they’re like, how dare she say that, but, but, but 

Will: say it, this is, this is your space here. You could trust me here. You’re not gonna, you’re not gonna offend us. 

Dr. Kimberly Manning: Like middle school me, I want to be the kidneys friend.

I want them to like me, but they just don’t, I think we would 

Will: all love to understand the kidney, but who has the time? I don’t know. You know, it’s sorry. So, so obviously it’s a kidney. Let’s go the other way. What, what do you love? What, what it just, just, uh, fills your cup, the organ system. You just can’t get enough of the spline.

Don’t say this. 

Dr. Kimberly Manning: No, not the [00:15:00] spline. Splines are kind of cool. Um, yeah. I like the skin. I love a good one. Yeah, I love a good rash. And you know what? The reason I, that one of the things I love about a good rash is that nobody around me loves a good rash. So today in clinic, true story. Um, one of our, um, clinical pharmacists came in and she was like, Oh, you know, somebody, there’s a patient in here who has this rash.

I’m seeing her about her medicines, but a rash, Crashes and everybody looked at me like, she’s so weird. . 

Will: So yeah, it was, the dermatologists are Love you, you’re we’re, we’re gonna gain a lot of dermatologists as, as fans of the podcast, and we’re gonna lose a lot of nephrologists. But I’m okay with that. 

Dr. Kimberly Manning: I think it’s fine.

I like, I like medical dermatology. I like me, I like dermatology, dermatologic manifestations of the things the internists like to stand around and talk about for eight hours. Mm. I, 

Will: I think that, That’s what to me makes dermatology so challenging [00:16:00] is because like you can have some insignificant little thing on the skin like a a red bump and then a dermatologist or someone who knows things about rashes will be like Oh, yeah.

That’s a lymphoma. Like what? How? How 

Dr. Kimberly Manning: do you, how do you know that? I think, you know, what it is is that my, my training, I’m an internist, but I’m med peds trained. So I did a combined internal medicine and pediatrics residency. You do not survive pediatrics unless you can get into some skin. And I think that the pediatrician is still in me, you know, always.

So I just, I just dig a rash. That’s a lot of 

Will: training. Medicine and Pete’s. Yeah. Where did you do that? Where’d you do your residency? I 

Dr. Kimberly Manning: did my residency in Cleveland, Ohio at Case Western Metro Health. 

And 

Will: then after it was right after training, you, you moved to and started working at Grady. Yep. 

Dr. Kimberly Manning: I, um, somehow, some way they thought I should be chief resident.

So I did a chief year. [00:17:00] I still think about when they asked me to be chief and I was, I thought I was in trouble and I was like, wait, what? Wait. Oh, I thought you were gonna tell me I need to do my dictations. I need to. Okay. Sure. I’ll meet you. Um, but no, I, I knew when I left, um, Ohio that I wanted to take care of underserved patients.

Um, and I knew I wanted to teach and I knew I wanted to be in a good city. Um, so that’s how I ended up where I am. 

Will: And you’ve been there ever since. Yep. 

Dr. Kimberly Manning: Twenty, twenty two, twenty one years. Yeah. 

Will: Twenty one years. That’s great. 

Dr. Kimberly Manning: Yeah, that’s incredible. You staring at my youthful glow like, really? I see you. 

Will: And, and when was it that you?

Uh, cause I know I’ve, I’ve known you from Twitter for quite some time. You’ve got a very sizable following on Twitter. And, um, when was it that you started getting into social media and, and, because I think it’s, I want to get into what, what it is you do on social media, because [00:18:00] it’s very. Unique in medicine.

Yeah, it’s beautiful. Um, and, and so when was it, when did you get into that? And most importantly, uh, what do you think of threads? 

Dr. Kimberly Manning: Oh, gosh, that’s, these are just two very loaded things. Um, so I will tell you like two days ago, I made a I made a threads profile. Uhhuh . Um, and if you’re asking, what do you mean you made a threads profile?

You just connected to your Instagram. Spoiler alert. I am not on Instagram. I’m not, um, because I know I’d like it and I don’t need to like any other form of social media . Fair enough. So I, I don’t blame you. I’m not even on ig. Um, I’m slightly annoyed though because, um, at Grady, doctor was taken. So, yeah, so I’m like at GradyDoctor, but you 

Kristin: are at GradyDoctor, like who, but not 

Dr. Kimberly Manning: on IG.

So there’s clearly somebody out there on Instagram, but 

Kristin: whatever. I know. I’m just saying you are the OG GradyDoctor. They need to move out of the way. 

Dr. Kimberly Manning: I guess. I’m just, I, so, so fast answer on threads. I don’t fully understand it [00:19:00] yet. Um, you know, see, um, I, you know, my, my sort of social media origin story is that I was One of these people that was like, I don’t want to be on social media.

I want to interact with people in real life. So I resisted Facebook for, for many years, actually. And, um, I, uh, I would come home from Grady and I would be telling my husband all these things. My husband is not a doctor. Um, he, uh, is, you know, he loves me, but he is not interested in every single story that I have at Grady.

And he’s like, you know, you need to like. Put these stories somewhere other than need an outlet. Yeah, we did another form of pillow talk other than what happened. So I started a blog in 2008 or 2009. It was called reflections of a Grady doctor. And that was started because I used to like, submit narratives to journals.

But, you know, there are all these rules, you know, people would be like, Oh, you know, we want to edit it this way, take this out, [00:20:00] you know, and I, I like to make people talk how they talk. And, and so it would get edited down and have to keep it at a certain number of words. And I started blogging because I could write without rules.

And because I like to write, uh, I almost thought of it like distance running, right? You know, if you want to be a distance runner run, um, if I want to be a better writer, right. And so, uh, it was really therapeutic and I sort of wrote about the things that I wasn’t seeing and that I wish that I could have read as a trainee or as a junior faculty and, um, I opened a Twitter account in 2010, but I.

It was really just because I thought I was going to connect it somehow to my, to my, um, blog. And, um, it wasn’t really until like 2018 that I began to really use Twitter. And it was because I was at a national meeting and I saw people tweeting and I saw people using it for educational purposes. And I started to kind of dabble with it and, uh, eventually just [00:21:00] kind of figured out that like, Oh, this is a really interesting way.

To push myself cognitively, because to tell a story over Twitter in little aliquots is just a really interesting exercise that feels much different than sitting down and writing a 1, 500 word essay. And you’re 

Will: going to reach a lot of people, right? And, and it’s, I think it’s a It’s a cool way to, to help.

First of all, no, one’s got an attention span anymore. It’s, it’s, you know, like very few people can, can sit there and listen, uh, to, or read something for longer than a few minutes. And they all go into internal medicine. Um, and so, and so And so, uh, yeah, I, I found you on Twitter and, and this, the, the stories that you tell just give us, and I, I had such a, a vibrant, uh, idea of what it’s like where you work and the patients that you take care of.

And 

Kristin: you really capture the [00:22:00] humanity behind all of the interactions and behind each 

Will: patient. And so I think it would be, can you just tell us a little bit about Grady? Cause it seems like, I mean, It’s almost like a character and I mean, I should relate things to my stupid, you know, characters on my thing, but, but Grady, the way you talk about it, it’s almost like it’s its own life form in a way.

Yeah. And you 

Dr. Kimberly Manning: know what? Um, I take no offense to you saying that because, um, one of my favorite essays that I ever wrote for a journal, um, was caught if these walls could talk and it was, um, I think it was in JAMA and it was written in the first person as Grady. as a person. Um, yeah. And it was, it was me speaking to, to a person who had, you know, who had come to, who had come to me, um, at, at her lowest time when she needed help and, and how we received her, even though she didn’t have insurance and then how she got back on her feet [00:23:00] and, and, and, and now kind of, do you remember me?

Like I was here for you. Um, and I do think of Grady that way. I, I, I sort of, really began writing about Grady because I think when people think of safety net hospitals, especially, you know, the, the legendary ones like Grady hospital and Bellevue, you know, and Cook County and those places, they have this idea of gunshots, people who are experiencing homelessness.

Immigrants, um, you know, people who are, you know, experiencing some sort of addiction, um, and all of these things, um, but, but it really is some of the most beautiful aspects of humanity. And to me, one of the most beautiful aspects of humanity is resilience. And, and to see that, uh, is awesome. And then Grady is uniquely special because it is smack in the middle of where the civil rights movement was happening.

We are like two blocks away from Ebenezer Baptist Church where Martin Luther King preached. And a lot of our patients are seniors who [00:24:00] were here. Remember Grady as a segregated hospital. It’s built in the form of H. One side was for white patients. One side was for black patients. One side had clean sheets, air conditioning, good food.

One side had, you know, windows open, flies, you know, use laundry, all kinds of things. And we have patients who lived to see that and they’re here and those folks, um, they, they, they come back to Grady over and over again because they love her too. And so, you know, when I, when I come to Grady every day, it is just such an incredible privilege to me that I get to be a person, a black woman who is a descendant of human beings who survived being enslaved.

And I am, I am caring for patients who share that identity with me, the majority of whom do. Or, or who, who would be turned away if they tried to go somewhere else and I get to meet those individuals and be like, what’s up, you doing? Tell me about your mama now. Um, and then, um, [00:25:00] find out where, where, what we have in common, see where we intersect in all ways.

If you hang out with anybody long enough, you’re going to find a place where

you about Grady. It is, it is, it is the very, very best. I think of, of what we can learn from human beings. 

Will: In a lot of ways, it also seems just like a, kind of a, one of the pure forms of practicing medicine, right? You’re you’re, you talk a lot about. Um, just about listening and I noticed that’s a, a common refrain and some of your stories is, is that as medicine gets more complicated, as healthcare gets more complicated, as we have these things pulling our attention in different directions, you talk a lot about, about just.

You know, listening and having patients who recognize when you’re actually listening to a, to a patient, can you speak a little bit about 

Dr. Kimberly Manning: that? Yeah, you know, um, so [00:26:00] as you’ve seen on Twitter, a lot of times when I tell a story, I, I just, you know. Show what each person is saying. And sometimes what I’m doing in the conversation is just listening, you know And and I realized that there was a it was hard to convey that so I just started putting me colon listening and You know and I think that was like trial and error right because I’m still a human being I’m a doctor and you know Doctors notoriously interrupt people We show up with what we think We want to do it.

And then, you know, yeah, yeah, we let you say what you have to say. But let me get on to my agenda real quick. And, you know, one of my favorite experiences and learning moments at Grady was a day that I came in to see this patient who was on my hospital service team, and she needed an echocardiogram. And I had, uh, you know, finished up rounds and was in the afternoon and ran into one of my interns who said, Oh, you know, Ms.

J didn’t get her [00:27:00] echocardiogram. She refused it. And I I’m cool with her. I’m going to go talk to her. I’m going, Ms. J, what’s up? Why didn’t you get your echocardiogram? She’s like, I told you, I wasn’t getting that test. I was like, it’s not even an invasive test. You need it. I need to be able to see how your heart is pumping and blah, blah, blah.

It’s like, this was busting my groove. Like, I needed this lady to get this test. And she looks at me and she said, you know, I told you I already have that test. I was like, no, you didn’t. And she said, yes, I did. But you were doing that thing doctors do where they look at you and they act like they’re really listening to you.

But what they’re doing is just thinking about what they want to say next. And I told you I had that test and that it was at one of the hospitals where you could connect to their hospital record and check and see, um, but I wasn’t doing that test again. I didn’t want that cold stuff on my chest again. I didn’t want to lift my shirt up.

I didn’t want to do that. And that was her way of telling me she didn’t care if it was invasive to her. It was, it was noxious and she didn’t want to do it again. And right in her room, I opened [00:28:00] up the chart and went over to care everywhere and boom, right there. Two and a half weeks ago was her echocardiogram that she told me she had, but I wasn’t listening and, and the, and the lesson that she told me, and she said, look, talk, when it’s your time to talk and listen, when it’s your time to listen, but you, but you can’t do both at the same time.

Will: So that’s, that’s so good. Wow. 

Kristin: Yeah. Yeah. So, yeah, I, that’s always a pet peeve of mine cause I’m not in medicine. Um, and I can always tell. I don’t know if it’s because I know what’s from being married to someone in medicine if I just kind of know what I’m not listening always, uh, but I can always tell when they’re in a hurry and I can tell they have another patient to get to or they need to go, you know, that they, they are done with me and my problems and, you know, I might have other questions or I might have some concerns or to me, this is like, Okay.

Really big news, but to them, it’s just a [00:29:00] routine day and, you know, and they’ve got one hand on the doorknob and just, you know, all the non verbals are saying, please shut up and get out of my office, you know, even if the face and the words are nice. So I love that. I love that she felt comfortable enough to share that with you.

Dr. Kimberly Manning: And that’s a, it’s a beauty of Grady. They’ll tell you what they think. 

Will: That’s a good environment to be in for sure. Especially for, for your brand new interns. Right. And, and it’s, you know, not having your hand on the door, that kind of thing. Like that, that’s, that’s the thing that we’re all taught. In med school, at least we should be, you know, like how to, you know, using open ended questions and, and using, um, uh, silence, using silence and it’s okay to just be sitting, sitting there in silence for a while, um, embracing that something we’re all taught, but then at some point during our career, we just.

Kristin: The pressures of the everyday kind of make it where you have to go so fast that you just 

Dr. Kimberly Manning: can’t get in and get [00:30:00] out. Yeah, I mean, it’s like systems issues, right? Because you, you know, we are, we are sort of called into a profession that’s like altruistic and we’re serving leaders and we want to serve everybody and we want everybody to be happy and we’re trying to do all the things, um, but, you know, you can only do so much.

And I, and I have just sort of learned that, uh, sometimes me taking a little more time, listening to what you have to say, it’s going to save me some, some time on the backend. It’s going to help me make the discharge easier. It’s going to help me know, um, you know, what’s upsetting you, what’s wrong with you.

Um, and also I think one of the other things is me realizing that I can empower other people. to do parts of this too, right? So if I have a team and I sit you down at the beginning of the month and I say, the most important thing is for the patients to know what is going on and what we talked about. So when I walk in the room, I’m going to say, what were you told?

And the patient should be able to tell me if they can’t, that means. You need to spend more time doing that. Um, and that empowers everybody, the [00:31:00] medical students, the, the, you know, whoever’s on the team, um, to be able to talk to the patient and hear what their concerns are, and it lets every person do the role that they, they’re supposed to be doing and not have to kind of double back all the time.

Will: Do you, um, do you encourage your. trainees, your, the, the, the, the, the, the team of med students and residents working with you, uh, to get on social media. What are you, what are your thoughts? What do you, what do you tell them? Cause they all, I’m sure know about your social media presence. Is that something that you would encourage other people to do?

Dr. Kimberly Manning: I think it depends on your personality. Um, you know, I’m a sharer. Um, and if you’re not a sharer, uh, then, then you probably shouldn’t, you know? Um, so like I’m married to someone who is very private. Um, I mean, I barely can get my husband to take pictures with me, you know, um, and I honor that, you know, he’s okay with me acknowledging that I have a husband and saying things [00:32:00] about him sometimes, but, you know, I don’t always put him out on social media the same way and I, and I think that if I walk somewhere in a conference and somebody walks up to me and they’re like, Hey, you’re Grady doctor, um, if you, if you don’t want that to ever happen to you, Or you don’t, you know, want that sort of vulnerable piece of people knowing a little bit about you.

That’s probably not a good space for you. However, I do believe that there are lots of ways to meaningfully use social media. Um, I think, you know, that, you know, you can be what I call a Twitter mitten faster, where you get on Twitter and you say a little something during a conference, and then you just go quiet again.

You can be just a voyeur, you know, you can just be somebody who consumes stuff, but you don’t. Create content. Yeah. Um, some of us really enjoy being content creators. Um, I know you enjoy being a content creator. I enjoy being a content 

Will: creator. I have a love hate re a love-hate relationship with being a content creator.

Dr. Kimberly Manning: Your content is, your content is [00:33:00] so good though. It’s so good. Yeah. 

Will: It’s, but uh, sometimes it’s, sometimes it feels like a chore. Sometimes it feels like a job, you know, whenever you like, create content and in whatever form it is, I feel like there’s. Like a part of you that starts to think that everyone’s waiting on you to post your next thing.

Like you have to like, and sometimes you have to like fight against that, like, no. People are living their lives. They don’t really care. You know, they like seeing what you have to say, but, but they have their own thing going on. And so it’s okay if you want to do what you say to be a, what’d you say? A Twitter, Twitter mint and fast.

Dr. Kimberly Manning: I mean, I’m sure there are a lot of us who are like troubled right now, you know, depending on what your values are and everything. I mean, I, I, I am. Openly, we’ll tell people I’m a little on a struggle bus right now with Twitter. I don’t, I don’t know. I don’t, I don’t know what, what is right right now with this.

I do know that it’s a place where I can reach a lot of people. And I do think some of the messages [00:34:00] that we share, they make people think in ways they didn’t think before, um, and in uniquely special ways. But, but then there’s a part of me that I’ll be about to tell the story and I’ll be like, well, wait a minute.

Do you get to have this story of mine? I don’t know. Maybe I should put this somewhere else, you know, so it’s a, it’s a tough space, but But I feel you. I do feel you, um, on that, on that. 

Will: It is. Twitter is, it’s, it’s, it’s tough. 

Kristin: Yeah. And it’s, I mean. I’m sad about it because it used to be such a… At least our little corner of it in MedTwitter, you know, was fun and positive overall, and, you know, I mean, it’s not perfect or anything, 

Will: but It’s less positive than it was.

Kristin: It’s I don’t even see MedTwitter anymore, even though that’s all I follow, you know? It’s just become a whole different 

Will: App, not to get too into the weeds on why, but, uh, there’s a clear change whenever management switched hands. That’s 

Dr. Kimberly Manning: yeah. Yeah. I get some comments sometimes I’m like, wow, that really [00:35:00] went through.

Okay. Oh, you know what? We have something in common. Um, it’s actually like, it’s not like a happy thing in common, but I’m still tell you, um, it’s not bad, but I should tell you, um, so one of the things I loved, um, um, about your, your commencement address that you, the commencement addresses that you get, but also things that you’ve shared, um, I think your, your viewers and listeners know a lot about the fact that you experienced a cardiac arrest.

Um, yeah. I mean, dang, thanks for making it hard on the other wives. You know, you just, I’m like, damn, I need to do better as a wife. 

Kristin: But, um, look, we had just gotten a mortgage and we have two kids. I wasn’t letting him go that easy. 

Dr. Kimberly Manning: So you know what? I have, um, my older sister in 2012 had a sudden cardiac death and passed.

And, you know, she lived alone. She lived alone. And I love the messaging that you’ve had around like, hey, getting people to. You know, know how to do CPR, know what to do if [00:36:00] something happens. Um, and you know, I, I don’t, I wasn’t there, so I don’t, you know, and it’s been some time. My sister was super awesome.

Um, but I do love that you all chose to be vulnerable and share that because truth is that this is like one of those things, like how, when you asked about, what do I say to people about being on social media? I think it works really well when you agree to be vulnerable to some degree. If you don’t want to be vulnerable at all, it probably doesn’t work that well.

It probably will seem a little phony. 

Will: So I totally agree. Yeah. Yeah. And it’s, you know, it’s not for, and there, there are certain aspects of my own medical, um, experiences in healthcare that, that I don’t share, you know, I don’t, it’s not like I share all of it, but, uh, We’d certainly share what we feel comfortable doing and, and 

Kristin: it feels like maybe we could help, you know, make a difference in some way.

Yeah, 

Dr. Kimberly Manning: and I, and I [00:37:00] think, and I think you did. I really think you did. I think I, like, I think I think to myself, like, okay. So now what would I do if, you know, cause I, I think that people don’t really think about that you freeze and, um, hearing that, that story, I think, I think you impacted a lot of people. So I appreciate you sharing that.

Well, thank 

Will: you. And you said your husband’s not in medicine. Oh, no. Is he? Is he CPR, uh, certified? 

Dr. Kimberly Manning: You know what? He has been CPR certified before. He’s an army veteran. Um, so he can, you know, he’s got it covered. Yeah,

he can do a lot 

Will: of things. Before we take a break, I wanted to just touch on one other thing, which, with your penchant for storytelling, how does that translate into education for you? Because you are, I mean, the, the list of, like, teaching awards you’ve received is, is impressive. And even just, you know, 

Kristin: hearing you talk, I’ve listened to your podcast and talking to you right now.

It’s just very clear that you are [00:38:00] an educator and a storyteller. 

Will: So does this, does it translate into, I say real life, like social media is not real life, but, but does it translate into your day to day interactions? Like with the, with your train, with the trainees and students? 

Dr. Kimberly Manning: Yeah, I think so. You know, um, because I think that everything is about relationships, like, I don’t care what it is, whether you want to be a good partner, whether you want to be a good doctor, whether you want to be good in your community, whatever.

It’s really about relationships, and I think that stories, um, kind of stick to people in ways that just facts don’t, right? Um, so if, if I’m trying to tell you that Um, you know, like today, speaking of disrespectful kidneys, if I’m talking to somebody today about how their creatinine or their kidney function number is elevated, um, I can just tell you what the value is and what the, you know, this is the point where you should go to nephrology.

And this is what level your chronic kidney disease is. [00:39:00] Or I can talk to you about how this, what this would mean to your day to day life and how, you know, you told me you get ready to go to your family reunion. And if you go to your family reunion, you can’t go to your family reunion as you would like to, if you are on, you know, dialysis for three hours.

And let me tell you a story about somebody I know who, you know, and so, so I I’ll do that with patients. I’ll do that, you know, with, with all kinds of people, because I find that it, It, it shows in a way that is, is different than just telling, um, and I come from a family of storytellers, you know, my late father, like had 500 million stories every day.

And um, yeah, I just find that it’s a, a good way to make things stick and, um, make them unforgettable. 

Will: So whenever the, when I’m on call and emergency medicine doctors, they page me about, you know, and I’ll just tell [00:40:00] them a story. To help them learn a little bit about glaucoma at two o’clock in the morning.

Yeah, you should. You should know that. I think they’d appreciate that, right? 

Dr. Kimberly Manning: Don’t you should tell, you should, you should tell them a story about, um, one of those things, 

Will: scotomata. Scotoma. That’s pretty good. Oh, did I say it wrong? I think we just say scotomas. You do sco, scotoma, Doto? I don’t know. They’re, I’m not who I, because you’re 

Kristin: the ophthalmologist, it doesn’t come up.

She’s smarter than you. So I’m not sure who to believe here. No, but you know, but 

Dr. Kimberly Manning: you know what, you know what though? I’m gonna feel so smart if I’m right, and I’m a, I’m a middle child. I’m a middle child, and it’s. Taking everything in my soul, not to Google this right now, but I’m not going to do it. I’m not going to do it.

Will: You can tell me later. Our 

Kristin: producers can do it for 

Dr. Kimberly Manning: You know, middle children, we’ll try to, uh, we’ll try to one up you real fast. 

Kristin: We’re both middle children, so this could go real bad. 

Will: We could be here forever. All right. Well, I think also we’ve established you got, you got pretty good ophthalmology [00:41:00] chops, just, you know, I can tell.

Yeah, you got it. You got a pretty good eye exam going on. What do you think? Um, so you know, can you handle an 

Dr. Kimberly Manning: ophthalmoscope? Oh, let me tell you, let me tell you the best thing you can do with an ophthalmoscope if you’re an internist. Now I know some people are going to get upset when I say this. Don’t say check reflexes.

No. Oh yeah, they are. It’s heavy though, . It’s like you can get a good reflex. No, you need to, you need to know when you need to call ophthalmology . 

Will: That’s true. Absolutely. But 

Kristin: I put that into the ophthalmoscope just like a phone because 

Dr. Kimberly Manning: True. It’s just like straight up, like the whole nerd thing on how you master something, right?

Like mm-hmm. , like people, just, ophthalmologists are the ones. Who got the 10, 000 plus reps in, we don’t have those reps in. And if you don’t have the reps in, you’re going to look and you’re going to think you see something and you’re going to start trying to flex, but you’re not sure. And I’m like, you know what, I don’t, I would rather you come over here and laugh at me and say, girl, there ain’t no papillodema.

[00:42:00] Um, then, then for me to be like, that’s not, you know, and our ophthalmology folks, they are like, I’m not trying to gas your head up either. Our ophthalmology people at Grady Hospital are some of the coolest. Most easygoing. It’s probably ’cause y’all go home and be chilling, but That’s right. . 

Kristin: Yeah. 

Will: We come home and, and make podcasts and, and record ourselves alone in our 

Dr. Kimberly Manning: bedrooms.

Fun, fun fact. The busiest clinic in all of Grady Hospital is Aho. Hmm. Oh, is that right? It’s the, yep. I believe is It is off the chain. 

Will: Yeah. . Well, let’s take a quick break and we’ll come back with Dr. Manning.

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All right. We are back with. Dr. Manning and you know, you mentioned that well, we’ve established. We’re all middle children. And so We’re actually gonna have a little competition here Kristen’s going to explain to us what we’re gonna be doing. Yes 

Kristin: Okay, so we play this a little game in In our car on road trips with our two kids where, you know, you go through the alphabet and you say, you know, you gotta find, we pick animals usually, right, where you have to pick an animal that starts with A, then the next person picks one that starts with B.

So we’re gonna do like a variation of that. We’re gonna do, not necessarily in order, right, it doesn’t have to go A, B, C, D. I’m gonna throw out some letters, one at a time, [00:45:00] and then you guys are gonna race to… Name. An anatomic structure. An anatomic, yeah, structure. Oh gosh. With that letter. 

Will: So if you say, E, 

Dr. Kimberly Manning: we.

Wait, can I be pathologic? It can be 

Will: anything. In the human anatomy. Okay. It’s, it’s gonna have to be a noun, I guess. Yeah. 

Kristin: Okay. This game is called a is for anatomy, so it’s gotta be Okay. Anatomical. Okay. 

Will: Okay. You got it. I think I got it. Yes. Yes. 

Dr. Kimberly Manning: I’m having everybody, I’m having my middle child palpitations ’cause I’m so editing now.

Will: Everybody. Keep in mind though, I, I have a very narrow scope of practice. 

Kristin: Yeah. And so you’re gonna know 

Will: way more than me. So let’s just, uh, you know, I’m really digging deep into my hippocampus on this one here, so, okay, here we go. I didn’t even say H. Well, there we go. You can’t use that. We’re ready. I… I’ll stop talking now.

Alright, alright, let’s do this. [00:46:00] Okay. G. 

Dr. Kimberly Manning: Um, ganglion cyst. 

Will: Oh, oh, I was about to say gray matter . Oh, okay. But she beat me. Okay. 

Kristin: Yeah, she did. She wins. That’s one for, what about GoGy body? Is that an anatomical structure? 

Will: I mean, technically it’s 

Dr. Kimberly Manning: in all of our cells. It’s all the way inside of, like the cell. Yeah.

Will: I like it. GoGy body. Oh, it’s 

Kristin: like, wow. Look at that 1 0 1. There you go. Okay. Um, N. 

Dr. Kimberly Manning: Nose. Of 

Will: course, nose. Alright, I’m keeping score here. Oh, you’re keeping score? Oh, good. I’m keeping score, of course 

Kristin: I’m keeping score. I should probably keep track of which letters I’ve called out. I got it down, I got it. Okay, um.

Let’s go. Let’s see, R. 

Will: Retina. Retina. Oh! God, she’s so fast. God. That’s 

Kristin: embarrassing for you. That 

Will: is very embarrassing. Oh my gosh. Okay. No, you, you 

Dr. Kimberly Manning: were, you were like a, you were like a tooth. I was, I 

Will: was, [00:47:00] I was almost there. All right. I’m not. Should be the tip of your tongue. Well, you know, she’s worked all day.

I haven’t worked all day. And so, like, she’s already in medicine. Excuses. I’m, I’m just making excuses 

Kristin: What? Oh, okay. Okay, very good. I mean, sure, but I threw that to you as a softball for eye. Oh, . I, 

Dr. Kimberly Manning: I, I like that. I like that you said esophagus. That’s good. Yeah, it’s good. I’m trying to think outside the 

Kristin: box here.

There you go. Okay. Okay. Uh, 

Dr. Kimberly Manning: J Jay, June 

Will: J Oh, what was ? 

Dr. Kimberly Manning: So close? 

Kristin: I heard the two J’s coming out of your mouth. I couldn’t get 

Will: to red. I couldn’t get it. I mean, ugh. Alright. Okay. 

Kristin: Um, oh. 

Will: Of, 

Dr. Kimberly Manning: um, oral cavity. Um, does that count? 

Will: Omentum? Ophthalmic nerve. . Omentum. Oh, 

Kristin: what is [00:48:00] omentum? Omentum. 

Will: Omentum. That’s a thing. What is it?

Yeah, that’s, it’s like a, it’s like a fat curtain in your abdomen. 

Dr. Kimberly Manning: Oh, that is a very good description of it too. I like that. Is that right? It is. It’s like a fat curtain in your abdomen. Yep. . 

Kristin: I was waiting for someone to say ovary. 

Will: Oh. Ovary though would’ve been good too. Oh, okay. Ovary, 

Dr. Kimberly Manning: ovary.

Kristin: It’s funny the difference that I’m thinking of stuff versus you guys, like you guys are all thinking of like the obscure 

Will: stuff. I know we’re like skipping over the obvious things. Alright, I’m still losing 42 here. 

Dr. Kimberly Manning: I thought you were going to be like oculomotor nerve or something. 

Kristin: That would have been another one that you should have known.

You got to get your head in the game. Seriously. 

Will: Okay. 

Kristin: I’m not. Okay. Okay. Okay. 

Will: K? K knee. Oh, knee, 

Kristin: yeah. Oh, nice. See, there I was predicting kidney, but nobody. 

Dr. Kimberly Manning: We’re mad at the kidneys.[00:49:00] 

Kristin: Okay, S. Spleen. There we go. 

Dr. Kimberly Manning: I was gonna say scotoma. I was gonna say scotomata. Scotoma. Scotoma. Oh yes. 

Will: It’s a blind, it’s a blind spot by the way. A blind spot. Is it? Yeah, it’s just a name for a blind spot. 

Kristin: Any kind of blind spot? Any kind of blind spot. Not like where the, where the nerve goes 

Will: out of the eye?

That is a type of blind spot. That’s your physiologic blind spot. But you can have a scotoma. 

Dr. Kimberly Manning: Oh really? Is that for real? I just thought it was those little like spots after you like squeeze your eyes really tight and they like, Oh yeah, 

Kristin: the little flashes. 

Dr. Kimberly Manning: You know, I might have been right now years old and I learned your definition.

People think we’re smart and they’re like, yeah, no, they are not. 

Will: We’re smart in very specific ways. That’s the thing. Within a context. All right, I’m trying to come back here. It’s five to three. All 

Kristin: right. Let’s do just a few more. [00:50:00] 

Dr. Kimberly Manning: Uh, okay. P. Um, um, um. Pterygoid fossa. Hello? 

Will: I was just gonna say penis. But that works too.

Dr. Kimberly Manning: God, what a nerd. Who says 

Will: that? Pterygoid fossa. Oh my 

Dr. Kimberly Manning: god. Well, I went to the dentist a few weeks ago. You’re such a doctor. And I asked the question like, so are you going to… Where is that block? He’s like, could you lady, could you just open your mouth and be I’m asking questions. How do you like manage to get all this?

And he’s like, listen, lady, 

Will: is that the type of patient you are now as a physician? You’re, you’re, you’re always, you want to know everything. Not really. You’re always asking 

Dr. Kimberly Manning: questions. Not when it comes to me. When it comes to my loved ones, I got, I’m, I’m the like, you know what? I would be like a really like one of a good, like one of your videos, like as the, the, the loved one on the side with the Steno pad, who’s like, and your name is like, I’m, I’m that [00:51:00] person when it came, when it comes to my family.

Will: You’ve already, you’ve already given me some, some skit ideas about, about, about your hate for the kidneys. But you know, that’s, I’ll figure that out later. The disrespectful kidneys. I’ve written down that phrase. 

Kristin: Okay. I’m going to give you a hard one. Ready? Okay. I’m not even sure if there is an answer to this one.

X. X. X. 

Dr. Kimberly Manning: Xanthoma. 

Kristin: Oh! Two answers. 

Will: Xanthoma’s good, too. What’s 

Dr. Kimberly Manning: a xanthoma? good. 

Will: Zyphoid, yeah. You know what the zyphoid is? It’s like the bottom of your sternum. Oh, that soft, that 

Dr. Kimberly Manning: little soft spot right there. Okay, so as a, as a true, like, gunner middle child, let me ask you this question. Did you think in your head about what your X answer would be in advance?

I did not. Oh, I did. Was I supposed to? You did! I was like, and if she asks me X, I’m going to say Xanthoma! See, that’s why [00:52:00] 

Will: that’s so sad. Man, that is, that’s, that’s next level there. I know, next level. You’ve got, you’ve got some issues. That’s, that’s what 

Dr. Kimberly Manning: I’m saying. I do. I do. And you know 

Will: what? I mean. You must have done very well on your step one exam.

All right. Oh, 

Dr. Kimberly Manning: yeah. That’s not true.

Will: Let’s say, I will, I will say if we both took that test right now, you’d probably have a better chance of passing it than I would. So, all right, let’s do it. Let’s do two more. I, I, I’m, I’m too behind, so I’ve, I’ve gotta, I’ve gotta see if I can catch up here. 

Dr. Kimberly Manning: Okay. Let’s go. All right. B. Brain. 

Will: Bone. Brain. Brain, bone.

Kristin: All right. She won that one. 

Will: She just thinks faster than me. Yeah, that’s 

Dr. Kimberly Manning: because she’s smarter. I didn’t think of that one in advance. X is the only one I thought of in advance. 

Will: She thinks faster than me even though she rounds like six times longer than I do. [00:53:00] Okay. Alright. Last one. Last one. 

Kristin: T. 

Will: Tongue. Uh, tongue.

Kristin: Very good. See, I Simple. I thought throwing it to you, a soft one, and you never get them. 

Will: The first thing that flew into my mind was Tyrannosaurus Rex. I don’t, I don’t like What? The kids, they’re just, it’s this game, it’s just kinda messing with my head. 

Kristin: Tyrannosaurus Rex before testosterone. I don’t 

Will: have any.

Oh, wow. Man. 

Dr. Kimberly Manning: Oh, yeah, I forgot about that part of the story. 

Will: That’s right. Yeah. They’re in a jar somewhere. 

Kristin: Are they? Do you think? I don’t know what they 

Dr. Kimberly Manning: do with them. I don’t know. They’re not on that shelf behind you. Please. They’re 

Will: not. We just know. They’re not on our shelf. No. That was… Awesome. Um, alright, let’s take one more break and then we’ll come back and we’ll wrap things up with Dr.

Manning.[00:54:00] 

Alright, we are back after I just got spanked in this game we just played. This is embarrassing. I couldn’t come up with the word I. All right, I have to do some soul searching after that one. Okay, well, let’s let’s uh, I want to read one of the stories sent by our listeners. So we have a story today from Lindsey.

Lindsey actually just listened to one of our podcasts recently where we talked about the smoking baby. I don’t even remember. Oh, 

Kristin: yes, I remember that. People were speaking Spanish. Someone who wasn’t a native Spanish speaker. Oh, yeah. We 

Will: have a similar story. So let’s, let’s read this. I bet this is gonna be good.

Okay. All right. It says my wife. Uh, so Lindsay says my wife and I are in vet med and she used to work in a low cost spay and neuter clinic. They had a lot of Spanish speaking clients, but at the time none of the staff spoke Spanish. Spanish speaking clients. I think [00:55:00] that’s. Not the humans. The humans who own the animals, I have to assume.

Uh, the not very patient veterinarian was trying to communicate that the cat had a fever, but kept telling the clients that el gato es fuego. Gosh. Do you know what that means? Yes. You know 

Kristin: Spanish. Well, I used to. Some of it. The cat is hot. Fire? The cat’s on fire. Fire. Oh no. 

Will: Instead of trying to work through the client’s obvious distress and confusion, she just kept repeating the same phrase more slowly and more loudly.

Oh no. Thankfully some of the other people stepped in to translate for the poor person who thought their cat was indeed on fire. Hey, that worked out. That’s actually a good, uh, good thing with the conversation we had earlier about, you know, listening. That’s right. Paying attention and all the things. 

Kristin: This seems to be a common problem that people do not know how to tell someone that something has a fever in 

Will: Spanish.

Well, you know what? I think just [00:56:00] translation in general is that we can have a whole podcast episode just about the issues surrounding translations and. In person translation versus video translation, or just like having translation period for patients and the health effects and outcomes surrounding translation.

Uh, and so, um, if you’re an expert in that, then, then let us know, we’d love to have you on, right? I’m sure you can attest to that. Our 

Dr. Kimberly Manning: interpreters at Grady are amazing and they, they have really taught me a lot about how to. How to let them melt melt away and interact with the patient. 

Will: Yeah, absolutely.

Well, thank you, Lindsay, for your story about the cat who was not actually on fire. Send us your stories. Knock, knock. Hi, at human dash content dot com. Dr. Manning. Thank you so much for joining us today. Before you go, though, we want to talk about your podcast. So can you tell us a little bit about it? 

Dr. Kimberly Manning: Yes.

Um, uh, thank you for allowing a [00:57:00] shameless plug. Uh, so Oh, it’s not 

Will: shameless. We want, it’s not shame. People wanna Shameless . People are gonna wanna hear you. Yeah. Yes. 

Kristin: Oh, that’s kind. Everyone stop listening to this podcast and go listen to . 

Dr. Kimberly Manning: No, it’s called The Human Doctor Podcast. Um, it is, uh, my co-host is Dr.

Ashley McMullen. And, um, back in like 2019, I met Ashley when I was doing a visiting professorship out at U C S F. And she was just one of the people on my meeting list, and we just got on really well, and then we had an opportunity to work with Emily Silverman on, um, a special series for the Nocturnists called Black Voices.

And we realized when we were working on that together, we were like, you know what, we should just, we should just make a podcast where we talk to each other. Because. conversations are hilarious. Um, and so, um, but, but in all seriousness, the, the podcast is really, um, a space for us to welcome people into conversations that they usually wouldn’t hear.

[00:58:00] Um, you know, we’re, we’re both black women. Um, I’m older than her. And, um, but still are the way we navigate through medicine There are sometimes these conversations that people don’t really get to know what it’s like to be a person from a historically excluded group in a space that wasn’t built for you.

And, um, you know, we, we created the, the, the, the podcast that we wanted to hear. And I say that kind of a lot because, um, one of my favorite authors, uh, Toni Morrison wrote her first book because she said it was the book she wanted to read. And I try, if I’m going to make a talk, if I’m going to write a story.

If I’m going to really do anything creative, I try to create what I would want to consume, um, or what I would need to consume. So the premise of the show is that we come on, we talk a little bit to each other, just a little bit of banter, and then one of us tells the other a story. And, um, it centers usually on the what.

So we ask each other, what’s the what? And the what is a word. And then you tell the [00:59:00] story and then the other person reacts to it. And We are, we are just not organized enough to have had a whole game plan. So literally, we get on zoom, we hit record, and I have no idea of the story she’s going to tell me, and she has no idea of the story I’m going to tell her.

And the reaction is totally real. And Ashley is the person who does the editing for us. So our favorite joke on the podcast all the time is, yeah, if we had show notes, this will be in the show notes.

But here recently, we actually just had a. A resident physician who heard our podcast, heard us say that too many times, volunteer to make show notes. Oh, that’s so nice. We’re like, okay. But look, if you want an ICU month, you ain’t got to do it, girl, because we, yeah, but it’s fun. It’s therapeutic. It’s good. 

Kristin: I love that too, like just that representation is so important, you know, to have two black women in medicine in your ears.

Telling stories about, you know, life and medicine and all of that stuff that’s so 

Dr. Kimberly Manning: important [01:00:00] and then relax as you’re as yourselves Because I think the thing that I took me a long time to figure out is that people just want you to be yourself And you know, I definitely spent many years code switching.

I would come to work. I would become a whole different person, talk a different way, act a different way. Then I would go home and as soon as I was around people who looked like me, I would relax and be myself. And that takes up a lot of emotional and cognitive energy. And hopefully we will permit people, whoever they are, you know, not just black women, but whoever you are to just do you, if you’re a nerd, if you, you know, secretly really love country music on the side, but don’t nobody know you do.

Um, if, if you are really happy that you got tickets to see James Taylor, like, you know, maybe I’m talking about myself, but you know, these are things we want people to be able to just be their whole selves so that we can spend our, the rest of our cognitive energy on learning about the disrespectful [01:01:00] kidneys.

That’s great. That’s 

Will: right. Absolutely. I love it. On that, on that note, we should, thank you so much again for joining us. And then you can, we can find, uh, uh, Dr. Kimberly Manning on Twitter at Grady Doctor. Definitely check her out on social media. Thank you again for coming on. It’s been a pleasure. 

Dr. Kimberly Manning: Likewise, I enjoy it, y’all.

Will: Well, that was a fun, fun conversation. 

Kristin: So fun. She is so much fun to talk to, and so smart, and just has such a beautiful way with words. I could just do it all 

Will: day. Yeah, it’s like, you know, some people you just, I would have loved to have her as my attending. Oh, yeah. Those lucky interns. You know, because, because internal medicine, for me, was just painful.

But if I had a, an attending like Dr. Manning, like it would have, it would have been better. [01:02:00] I still, I still would have gone into ophthalmology, let’s be honest, but it would have been much better. So, um, I, I just, I appreciate people that really embrace education, especially the next generation of doctors that are coming on.

Kristin: And you can tell right away who those people are, you know, when you’re interacting with them. Yeah, they make such a 

Will: big difference. And uh, thank you also for the, the, that cat on fire story. We love, you know, let’s, let’s get more of those. Uh, maybe not cat on fire stories, uh, but just to send 

Kristin:

Will: story in. So if you have story ideas or guest ideas, let us know.

You can hit us up in a lot of different ways. You can email us. Knock knock hi at human content. com. We’re on all the social media networks as well. Dr. Glockenfleck and Lady Glockenfleck and just search for us. 

Kristin: There’s some impersonators though. Watch out that you’re getting the right ones. You can find on our website which ones are the right 

Will: ones.

Exactly. That’s glockenfleck. com You can also hang out with us at our, in our human content podcast family on Instagram and TikTok at [01:03:00] humancontentpods. Thanks to all the wonderful listeners leaving feedback, not just any feedback, like the good kind of feedback, and awesome reviews, like great, really top notch feedback.

That’s what we’re looking for. Um, if you subscribe and comment on your favorite podcasting app or on YouTube, we can give you a shout out. Like Boshaft2013 on YouTube said in regards to our Scooby Doo bonus 

Kristin: episode. Yes, where we interviewed our eight year old. 

Will: That’s right. Boshaft2013 said, as someone hoping to pursue a career in pediatrics, I love the term Kidiologist.

Thank you, Scooby Doo. Yes. So she calls your pediatrician. That’s what she calls the pediatrician, the Kidiologist. Full episodes of this podcast are up every week on my YouTube channel at DGlockenflecken. We also have a Patreon! Lots of cool perks, bonus episodes, where we react to fun medical shows and movies, hang out with other members of the Knock Knock High community.

We’re there. We’re interacting with you. Early ad [01:04:00] free episode access, interactive Q& A livestream events, and much more! Patreon. com slash Glockenflaken or go to Glockenflaken. com. Speaking of Patreon, Community Perks. New member shoutout to Marcus K and Tariqa M. Welcome! Shoutout, uh, virtual Jonathan head nod to all the Jonathans, as always.

Patrick, Lucia C, Sharon S, Omar, Edward K, Steven G, Rossbox, Jonathan F, Marion W, Mr. Grandaddy. Katelyn C, Brianna L, Dr. J, Chaver W, Jonathan A, Leah D, Kay L, Rachel L, Ann P, and Derek N. That’s a lot of Jonathans. Patreon roulette, random shoutout to somebody on the emergency medicine tier. So shout out to Blake B for being a patron.

Thank you, Blake. Thanks to all of you. Thank you for listening. We’re your hosts, Will and Kristen Flannery, also known as the Glockenflecken. Special thanks to our guests, Dr. Kimberly Manning, our executive producers are Will Flannery, Kristen Flannery, Aaron Corny, [01:05:00] Rob Goldman, and Shanti Brooke, editor and engineers, Jason Portizzo.

Our music is by Omer Binzfi. To learn about our Knock Knock Highs program, disclaimer, nothing’s policy submission, verification, and licensing terms, and HIPAA release terms, you can go to Glockenflecken. com or reach out to us. At Knock-knock high@humancontent.com with stuff. I don’t know. Whatever. Whatever you wanna tell us, , just, just tell us.

Just tell, tell it to us. Alright. Knock, knock high is a human content production.

Hey, Kristen, let me tell you about Dax. Who’s Dax? Yeah. Dax is a nuanced dragon ambient experience. They call it Dax. I like, kind of like the name, it’s AI powered. Ambient technology. It sits in the exam room with you and does so much. Uh, most importantly, I think it helps the patient physician relationship.

How so? Well, it’s, have you ever been [01:06:00] in the room with your doctor and felt like they were more focused on the medical record system versus you? Yeah. Like if 

Kristin: I’m talking and they’re looking at the screen and typing instead 

Will: of looking at me. We just have so much to do so much documentation that it just makes our attentions pulled in different ways, but DAX, it captures all the relevant information and helps with.

Your administrative burden and, and just allows us to talk with each other. I like that. Yeah. To learn more about the Nuance Dragon Ambient Experience or DAX, visit nuance. com slash discover DAX. That’s N U A N C E. com slash discover D A X.