Rural Medicine with Family Medicine Dr. Rose Marie Leslie

KKH Trailer Wide


Knock, knock. Hi, knock knock. Hi. Welcome to Knock-knock. Hi, we are the Glock Flecking. I am Dr. Glock Flecking. I am Lady Glock Flecking, also known as Will and Kristen Flannery. And, uh, we are glad you’re here. We have a very fun, exciting show for you. Uh, we have Dr. Rosemarie Leslie. Uh, she is a family medicine doctor and also born and raised in Minnesota and she recorded today with us.

There’s a snowstorm, like a full on giant. Yes. Feet and feet of snow lizard, just yes. You know, things that happen in Minnesota. Uh, by the way, also has like a two and a half month old baby at home. Yes. I don’t know what she was doing talking with us, but we appreciate it because it’s cute. That’s a lot to deal with.

And she may have had other things that she could have been using that time for. So we appreciated her coming on and, uh, it got me thinking about our experience with snow. Mm mm-hmm. , because the two of. We grew up in Texas. I grew up in the Houston area. You’re a city boy? I’m a city boy. Uh, and, um, Kristen grew up in central Texas.

Yes. Very much. Not a city girl. Uh, well, city girl at heart trapped in the country. Yeah. Dublin, Texas. That’s right. Name of the place home of Dr. Pepper. There was a Dr. Pepper factory there. You worked there, didn’t you? No. No. My brother did. I didn’t. Oh, you didn’t? No. Okay. Did they, did they. Except your application, because I know you, I knew you tried, you know I was, did not.

What else are you gonna do in Dublin, Texas, doing other things. What? Lifeguard At the community pool. I was coaching gymnastics, a few must know, and also working at my parents’ dairy supply store. Well, that’s neither here nor there. But the point is, uh, we are, we’re very much not snow, uh, adjacent. We did not experience a lot of snow.

Mm-hmm. , we didn’t grow up with it. Mm-hmm. , uh, I played like summer sports year round in the Houston area. Yeah. And so when we left Texas, after we graduated college and went to Dartmouth for med school and grad school, yes. we were in for a surprise. Mm-hmm. , I mean, not really surprise, but more, uh, just a shock.

Well, and we had to look up where Dartmouth was first of all. Yes. Like we knew it was in the northeast somewhere. It was up there somewhere. It’s very far up there. And, and if you’ve never been to that area of a country, a lot of snow, New Hampshire. And needless to say, We and most, most, uh, more particularly me, um, oh yeah.

I was not prepared in general. You fare less well at things. You, you were better, you were better prepared. But I, uh, the first, the first big snowstorm we had, which is like three feet, um, I walk out of the, our front door of our apartment. I did say something to you on your way out, let the record show, and I probably said, and I’m gonna be fine.

Yep. That’s probably what I said. That’s what you said. That’s one of classic lies. I. Hey, are you gonna wear those shoes? So the shoes I was wearing were like sneakers, like something you play basketball in, like cloth. Yeah. And uh, I got, how far did I get? Oh, not even to the mailbox. Yeah, maybe, uh, we’ll say like 15 feet.

And then I, my feet were soaking wet and I turned around and I, I remember the, the sound too. It was. Kristen . I don’t think I was crying. Maybe I was. You were very upset. I was. I was. Probably. You were gonna be late to class because now you have to deal with your shoes and so it was, I hate being late to things you do.

So it was the, a note of desperation and you gave me a ride. I did, yeah. After we shoveled the car out and everything. Yeah. It took a while. and. Despite living up there for five years. Like we never, well, I did go skiing once. That’s a story for another day. That’s, yes. Another, but we, uh, we never really got used to the, the, it’s the volume of snow.

Mm. Like I can handle a little bit of snow, but it’s just the, the sheer amount. Yeah. Just adds up. That yet that you experience up there. And so, um, so we got the hell out of there as quickly as possible and moved, uh, as quickly as possible being five years. Five years. Yep. And, uh, moved to, uh, the Midwest where it’s also snowy.

It’s also snowy. Very, very cold, but not quite as much snow in Iowa. . So, uh, we fared much better there. It was more ice that’s true in Iowa, which brought its own challenges. And why are we talking about Oh, yeah. Uh, our guest is from, uh, new, uh, New Hampshire is from Minnesota, born and raised. And so we talked a little bit about snow and her experience and adventures living in a very snowy place.

Uh, and so let’s, um, I don’t think I really introduced her very well. Let me introduce her again, Dr. Rose Marie Leslie, she’s a family medicine physician, uh, who provides primary care and pregnancy care in rural Minnesota. She’s got a lot of really interesting things to say as well, just about. Um, uh, the state of pregnancy care and of pregnancy centers and, and, and rural areas of the country.

And so, uh, you know, uh, listen for that, you know, toward the end of that stuff, just those areas alone that she works in, that lets you know. Yeah. You know, family medicine, rural medicine, and pregnancy. On top of that, she has seen some stuff, you know? That’s right. Yeah. Like, probably nothing can surprise her anymore.

So let’s get to it. All right, here we go. Here is Dr. Rose, Marie, Leslie.

All right. We’re here with Dr. Leslie of, uh, TikTok fame and, uh, family medicine fame and, uh, fighting misinformation, fame. And uh, it’s so exciting to have you here. Thank you for being on. Thank you for having me. I’m really excited to be here. And this is an exciting time in your life, right? Yes, it is a very exciting time in my.

Tell us what happened. I had a baby about two and a half months ago. You had a baby? I had a baby. Congratulations, so that’s great. Thank you. Everything’s going well. Things are going great. I’m a new parent, you know. That’s awesome. I can’t believe we made you do this when you have like a, a less than three month old and so grandma’s next door watching him, so Oh, good.

That’s, you know, we got backup. What kind of a baby did you get? Did you get one that sleeps and eats and all of that, or did you get one that is allergic to all of those things like our. Good question. Um, we, uh, have been very lucky. Last night was the first night that our baby slept through the night. All night, two and a half months.

Wow. That is amazing. Fantastic. I incredible. I know. I’m like running on eight hours of sleep right now. I can’t believe it. Look at that. I know gosh much. I know. Yeah. Um, it’s like, it’s like he knew that you had something you needed to do today. He did. That’s is very thoughtful for your, of your baby. Yeah.

To accommodate us like this . He, he, yeah. He was thinking of you guys when he did that, I think. Yeah. He’s already so, so how long are you taking off from work? I am taking off, uh, 12 weeks plus a week or two of extra p t o that I, well time off, not paid that. I, um, I was able to take off on top. , uh, the, you know, standard 12 weeks that you get, so, yeah.

Also unpaid. Yeah. By the way. Right. And, and tell me, so we know that you’re in, uh, Minnesota now. Are you a a a a Minnesota lifer? Is this, is this your home? Yeah. I don’t hear the accent, so I hear a little bit. Do you. Oh, there, it’s, I hear it. Yeah, we can do the whole thing like this if you guys want, I’ll bring over some hot dish and some walleye.

Oh, some hot dish. Remember? Hot dish. Oh, I remember. I mean, we, we’ve never, you know, lived in Minnesota, but, you know, we both lived in Iowa for three years, so we, you know, it’s close proximity in Midwest. You know? Yeah. I was just flying through a Minneapolis, actually, and the, the person at the gate, uh, said big about, oh yeah, about 50 times.

And so it was very classic. Don’t forget your bag. No . I love it. That’s great. So you like our code switching between your Minnesota Act. Scent. And can you, can you bring it out like if you got, like, you know, with, uh, with patients, do you do Yes. Do you really kind of play it up a little bit? Sometimes you, and sometimes if somebody has a thick Minnesotan accent, I will.

Yeah. Just without trying I, I’m like, oh yeah. Tell me about those kidney stones. . Yeah. You know, I can’t help it. It just comes out. There’s nothing I can do to stop it. Right. Um, you know, if I’m just talking normally. Then oftentimes people will have to kind of, you know, listen a little bit to, to know that I have a Minnesotan accent, but give me around somebody with a thick accent and I just.

I just slide right into it. Right back in. Yep. I did the same thing. Like I grew up in Texas and, uh, and I can, I can go back into it if I need to, but it’s, well, you just do an impression of your mother’s all you gotta do. It’s, that’s true. It got that, that the southern draw it, it comes out. So I, I get it.

But I love that the Minnesota accident, I’m sure your patients appreciate it too. They love it. How are the, um, uh, so how are your, your colleagues doing without you? Are they, are they surviving? I, I think so. I think so, yeah. Doing okay. Yeah. A lot of my How big is your, do you have a, do you have other partners or are you in a, what kind of group are you in?

Yeah, so, um, I work in a, a pretty. Big practice for working. I, I live in a more rural part of the state, um mm-hmm. , and, and we actually have quite, quite a big clinic. It’s actually bigger than the clinic that I worked at. When I was up in the cities doing my residency. And so it’s really great because we’ll have, you know, a cardiologist once a week that’ll come and an nephrologist that’ll come once a week.

Um, and then, yeah, so we have a lot of support there, which is really great. So yeah, I have a lot of colleagues who are taking care of my patients right now. And an ophthalmologist that comes never. Right. We, that’s, I can’t imagine. I’m optometrist in the clinic and ophthalmology nearby, but a little bit of a drive.

But mostly you just call them. Yeah. Where, where are, what part of the state are you in? I’m in Southern. This is Southern Minnesota. Southern Minnesota. Okay. All right. But still north enough that you’re like having a giant blizzard right now? You told us earlier. Yeah. Well, she is in Minnesota. Yeah. I got, I guess it’s applied, it’s time of year.

I think it’s all that part of the year. . And, and so you also, um, you have a focus though, because I know in, in family medicine, uh, obviously it’s all primary care, but, but you focus on pregnancy care as well, is that right? Yeah. So lots of. Family medicine is great, um, because we wear lots of hats. Mm-hmm. , so I do primary care from babies to.

And then I also work in a practice at the hospital with a group of family docs and OBGYNs, and we all deliver babies. And so the family docs kind of take on some of the patients who have more lower risk pregnancies, and then the OBGYNs will take on the patients who have the higher risk pregnancies. And we all kind of work together to take care of all of the pregnant patients in the.

It sounds So, I grew up in a very rural area, um, in central Texas. The whole town was like 3,200 people or something. Um, and so were all the other surrounding towns nearby, if not smaller. So, you know, in an, in an environment like that, I remembered that we all had to wear a lot of hats. Like at the school I had like 60 people in my graduating class, and so we all had to play all the sports or there wasn’t enough for a.

On all of them. You know, like it was just expected that everybody kind of does everything. It sounds like it’s kind of similar in medicine there of everybody kind of just chipping in and doing all the things, even though maybe you have like a main thing. Yes. Yeah. Do you have to, do you have to moonlight as the pharmacist from time to time, or, or are you, you know, you know, is it that you would think You gotta, you gotta, are you the, do you have a, a texa.

Mike are, are you, uh, you know, in a pinch, can you be the surgeon? Is that, is that how I wish? Is it, I wish. Um, luckily we have a pharmacist that works at the hospital, which we are very lucky to have because they fantastic save our booties constantly. Oh, I’m with you there. Yeah, absolutely. Yeah. Big love to pharmacists.

Absolutely. Um, and and, um, uh, and so you, so you went to residency, I guess in the, the same vicinity close by, or were you at the university? I was at the University of Minnesota. Okay. Correct. All right. And then the whole plan, the whole time, your plan was to, to stay in a, a rural area. How has the, your social media impact?

I, I’m so impressed because I, I love that you, I like the videos you do like, especially on these like products and like whether or not they’re useful and, um, um, I imagine that’s really helpful in your line of work, uh, seeing so many different. Types of patients coming in for all these different problems.

I’m sure you get asked questions about all these things. And so, um, do you draw on those experiences whenever you’re deciding what kind of content to make? Yeah, I do. I, I get asked a lot of questions, um, in the clinic, just general health questions and I think to myself, wow, that would be a good, you know, question to answer.

Yeah. On a TikTok post, um, sometimes it’s people asking me question. in TikTok. Um, sometimes it’s random things that I see like, uh, they just made. Really hardcore peppermint, tums and peppermint can make acid reflux worse. And so I’m like, why? Why do you have an acid reflux medicine that can make acid reflux worse because of the flavor?

unclear, right? So I get inspiration from everywhere, you know, like, I’ll , I’ll, I’ll, I’ll kind of find it sometimes when just walking down the aisle at, at target. So, um, yeah. Do your patients recognize. Because you live in a small town, like do they, do they know? Do does anybody know you from your social media presence?

Some people could be the other way around. What do you mean? I think when you live in a small town, everyone just knows everyone. Oh, you already, they probably knew her. That’s true. Yeah, that’s right. I mean, I, cuz I’ve had people come in and be surprised that they, all of a sudden they like see me as their eye doctor.

Like, oh, I’ve seen your tos. But uh, yeah. So have your patients generally seen yours or are they not? What do they paying attention to that. Some have, especially some of the younger ones, but I don’t really bring it up in clinic at all. Um, just because I wanna make sure I’m focusing on, on the patient and what they’re there for.

But every once in a while I’ll have somebody who says, I know you. I’ve seen you online before. You know? Um, and then we just kinda laugh about it. Yeah. You know, uh, uh, I, I get asked a lot, like, you know, are, do patients like it? Like are they, when that does come up, is it a positive experience? And, and, and because a lot of people are kind of concerned that they have, you know, that if they have this public social media presence as a physician, like it can get you into trouble.

I’ve only had really positive interactions with people, and I don’t know what your, what your. Uh, experiences with that. I, I have never had somebody be upset about it. Um, typically if people bring it up, they are excited to talk about it, or lots of times they’ll gimme like, oh, hey, you should make a post about this.

You know? Um, they’ll give me ideas and, and, you know, they’ll, or they’ll pull up and be like, oh, I showed my sister, you’re one about X, Y, or Z. You know? So I think that, um, yeah, in general I’ve had a really positive reaction and response. Well, I’m sure that you have probably, you know, working in the area of the country that you’re in and, uh, and what you do, you probably have a lot of of interesting stories for us.

Had you, uh, uh, have, do you have anything to share with us? Yeah, well I have a pretty good kind of family medicine story. It’s a very family medicine story. Um, but it was actually back, uh, when I was in residency. So I’ve been out in practice for one year. I ended my residency about a year and a half. and, uh, so my, my real like, oh yeah, this is what family medicine is like.

A story comes from then. Um, and so, uh, we, to gotta give you the setup, I went, I went to residency, um, and did my training at a hospital. It’s a quite a large hospital. It’s a level one trauma center, but we were the only residency program that was based out of that. And so we, wow. There were a couple of ER residents that would come in.

There were a couple of, uh, surgery residents that came, but we were the only ones that had the bait. We were based there, and so we had at a level one trauma center. Yes. Yeah. It was, it was quite unique. Wow. That’s, yeah. . That’s, that’s amazing. Okay. Yeah. So we, uh, were the only residents who staffed labor and delivery with the OBGYNs and the family docs and the, and the midwives and everything.

And we were the only residents who, uh, had, you know, an inpatient medicine team. Um, and so it was quite a unique setup. Uh, I feel like I learned a lot and that a lot of things that are very useful to know. Yeah. What a great experience. Like you could like really firsthand experience with every specialty there.

Yes. That’s awesome. . Um, and so I, I, this is actually when I was an intern, so that’s your first year for non-medical people. Your first year of residency, you don’t even get the title of resident yet, you’re still an intern. And, um, I was working on the team taking care of adults who were sick and admitted to the hospital and I was passing through the atrium of our hospital, which is this big open space.

There’s like the gift shop, the coffee. , multiple levels, kind of open to multiple levels where, where there’s like waiting rooms for certain clinics or people can wait while their family members are in surgery, that kind of thing. So it’s kind of this big open area. Mm-hmm. . And I hear somebody call out for help and someone kind of yell, yelling like, ah, you know, and I look over and there is a woman who is pregnant, who is sliding out of her.

Wh. , um, oh no. Kind of being assisted onto the ground and, uh, everyone’s like, I think this lady is gonna have a baby. So I, I run over, right? Uh, go help the person who’s about to have a baby. . And, um, this woman is, you know, her water’s broken. She’s about to have a baby. She’s in leggings, can’t have a baby in leggings, you know,

No, that won’t work. Nope. So we just look at each other and she’s like, you know, and I’m like, okay. And, you know, hold the leggings down and the, the baby comes out. And with quick births like that, as you know, right? Like they happen so fast and you don’t really do much. She just literally catch the. . Um, well, don’t, don’t give me too much credit.

Yeah. He doesn’t know . That’s, but that’s, but I, I do know that, but thank you for giving me that credit. There you go. Go ahead, . Um, but it happened, it happened very quick and, and it wasn’t like we could get this person somewhere else like the, when the baby comes and the baby comes, right. Yeah. And, um, and. I just was there and, and I was like, oh, what were you doing at the time when you, when you heard that scream?

I was, I was just kind of walking, walking through the atrium. Okay. Um, and, and I think I’d ordered a coffee or something Right. And I was like on my way to go see patients. Did you go back and get their coffee afterwards? No, actually I don’t, I don’t even remember at that point. You know, , it probably kind takes Yeah, takes precedence.

That’s right. . Um, the, the, the, the funny, I mean, there, there, obviously this was like a, you know, oh my gosh, right. And yeah, it was a big deal and there were all these people who had rushed over to the balconies of the atrium that were looking. and the next person to show up that was like a medical professional, was the medical director of the hospital who’s an internal medicine doctor in his suit.

And he stands about, oh man, you know, yards away. Yeah. They never take care of pregnant patients. Right. That’s not their thing. From a safe, from a safe distance, right? Yeah. And he’s like, okay, he’s just had a baby. And I’m like, yep, yep. Um, luckily there was a lovely, uh, uh, nurse who wa had worked in with newborns in the past who was waiting for a family member, came down and was like, helping dry off the baby.

I’m sitting here like, you know, helping massage this person’s uterus to help, help it stop bleeding, right? And, and he looks at me and she, he goes, well, is she. and, and this woman who has her eyes closed it, she’s very clearly breathing right. She just had, she just had a baby. She’s doing, she, she just doesn’t wanna open her eyes and look at all the people.

Right? Yeah. Yeah. That’s awkward. Yeah. And, and so it’s a very public birth. Yeah, very public birth. Yeah. Yeah, yeah. And so he, he ends up, um, he says, well, you should check her heart and. and not typically something that I had that I associate with like what I had trained to do during births right? Was not like right immediately after the birth go check their heart and lungs.

But I’m sitting, I’m an intern, you know? I’m like, okay, this is, this is the medical director of the hospital. I’m gonna do what he tells me to, you know? Yeah. So I go, I do that and, and then right afterwards, and he’s not getting close at all, he looks up to the group and he goes, ladies and gentlemen, family medicine is here.

Everything is handle. And, and, and I’m like, I’m just this lowly intern. And he’s proclaiming to the group of people and finally the rapid response team shows up, which I had tried to get an OB stats to get, you know, the OBGYN down or one of my faculty or whatever. But it ended up being fine. But it was just this very, um, oh my gosh, kind of, uh, Funny moment with me and this medical director who, who, he’s like, I think everything’s okay.

Is everything okay? And, and I’m, I’m hoping that everything’s fine. It seemed like it was. . Um, but uh, it was just one of those moments where you’re like, yes, in family medicine, there it is chaotic. We wear many hat. I’m glad you were there and typically we can be helpful in most situations, , so, yeah. Yeah. I mean, they were internal medicine, but I was trying to think, okay, what would be a, a worse person?

To, to just show up and just stand there. I mean, what you, of course me. I, that’s, that’s my first thought was like, yeah, well, I’m glad that it was a medical director and not a, like an ophthalmologist or like a, a dermatologist. Even a radiologist would’ve been suspect, I think. Yeah. You know, but you know, That’s okay.

Family medicine, it’s a pretty good one. Family medicine’s a good one. That’s that. Looking over your accidental public birth, that person was very lucky to have you there. Right. And I think that the, the medical director was probably just trying to be helpful. Yeah. Like that’s all he could remember to say at that point.

By the time you’re, you know, in the suits in the hospital, I mean, I can’t imagine that you’re, um, high on your priority list is like cardiopulmonary collapse right after a healthy birth. You know, he was going to the. Organs of the body that he knew. Right. He was like, okay, that’s right. I know lungs, I know heart and that is what we’re gonna make sure that’s what you check is, is going well.

Um, oh. Trust me, I would’ve whipped out my ophthalmoscope and been doing a dilated exam right there. Right. Yes. Be like, I, I’ll help. We will make sure that this woman’s eyeball wrong kind of dilation. Right. That’s right. Different kind of dilation. That’s right. Yeah. Oh man, that’s, well, that’s a memorable way to start that is your residency, was that, that was at the beginning of your intern year, which was right at the beginning.

Yeah. Oh man. I just, that’s great. You know, you know, it’s also a very good metaphor for um, parenthood. That’s right. These kids are just gonna do what they’re gonna do. They’re gonna surprise you. Yeah. And probably publicly humiliate you. So welcome to parenthood. Have you ever had any other, uh, um, like public, uh, you know, where you had to respond to an emergency in public has never happened to you?

It’s never, actually never happened to me. I’ve never crossed my fingers. I have yet to have a plane ride. I. . I just, I hope that I don’t, is there a doctor on the plane? Yeah. Yeah. Well, yeah. I think you’re doing an okay job. I think you, thank you. I, one thing I was gonna ask you, whenever you had your baby, did you, uh, what, what were your thoughts about, about, you know, having that baby in a place where you knew a lot of people?

Ooh. Or did you, did you have it somewhere or did you have it somewhere else? So I had, I had. My baby about at a town like 20 minutes away. We live out in the country, so it’s like 15 minutes to where I work and then 20 minutes up to this other town. And I know that inner smaller communities, it’s very common to have people know, you know, be, um, your, you know, your primary care provider, your pregnancy care provi, like anybody, anybody, mm-hmm.

uh, in that community will know, you know, their doctor. Typical. And I am from a big city and I just hadn’t quite been able to say, I’m gonna have one of my close colleagues deliver my baby. Yeah. You know what I mean? I hadn’t quite gotten there. Right. Um, not even though I know many people have done that and that’s great.

I just hadn’t quite gotten there. So I did go to a town like just a little bit farther away. Um, so I had a little bit, I was a little bit removed. I didn’t wanna feel like I was at work, you know, when I was trying to like, relax with my new newborn. It’s just, That’s a, that’d be hard. A mix of, that’s a weird work-life balance.

Yeah, yeah, for sure. We had our first baby, I had our first baby while he was still in medical school and we were in a rural area, and so there was one hospital you go to and it’s a teaching hospital associated with his medical school. And so, you know, normally I liked. To let the med students come in if I go to the doctor, because I, you know, I was married to one and I understood the struggles of trying to learn, and not everyone likes to have a student come in, so I always try to be very generous about that.

But for that one, I was like, no, I draw the line here. I don’t want any of your classmates. To be delivering this baby or anywhere near the delivery of this baby. So I totally get that. Yeah. And the second baby, uh, I, we were in, I was in residency at his residency hospital and so I, so I told her, you know, you don’t have to have the baby in the eye clinic.

It’s okay. We can go somewhere else. That’s right. To have that. He was very kind to, that’s important to say that. Yeah, that’s right. As far as looking for a job after, cuz you got this unbelievable training. Uh, did you think about doing a fellowship before you went out into the workforce? It’s crossed my mind here and there.

Yeah. Um, the thing about people who go into family medicine is a lot of times we like to do a lot of different stuff and so, right. Yeah. I’m a fellowship. It gets me, it narrows me in a lot. You know, I did a lot of, In addiction medicine when I was in my training, um, there are fellowships for family docs who are going to be, uh, doing pregnancy care and, uh, doing deliveries.

Mm-hmm. , um, and, uh, there’s a sports medicine, geriatrics. There’s all sorts of different stuff that you can do fellowships in. And so I dabbled with the idea. I’m like, oh, addiction, you know? Oh yeah. Do I do more training and obstetrical work? Um, but. For now. No, I, I, I thought about it, it in, yeah, I mean for, you know, maybe you could’ve just been like me and be like, you know, I’m just tired of training.

I can’t stomach a single second more, you know, I wanted to like get out there and start paying off my student loans, but, uh, you know, that’s definitely part of it. People that wanna do fellowships fine, but, you know. Yeah. I think it’s nice to, it’s nice, uh, to, to just keep it broad. I think it, it keeps things interesting.

I don’t know about you. It does, but you know, you wanna narrow, narrow things in. Um, what, do you have anything else? What else, what else? Do you have any, uh, um, anything else in, uh, from your residency years? Because there’s so many things that, that just. Come outta nowhere in residency that you, you never expected you’d be doing, uh, and um, or that you never think that thought that you could do, and then you surprise yourself and you end up like, you know, um, just taking care of people and doing an incredible job.

And so, do you have anything else from residency that jumps out at you? That, uh, was an interesting experience. Yeah. Well, I, one thing I, I was thinking about as we’re in our, it, it’s literally four days of snow and, and sleet and such. And I was thinking when, when I was thinking about, you know, what stories, what stories do I tell, tell you guys on the podcast.

Yeah. Um, I just started thinking about all of the different creative ways I have seen people get to work, uh, in Minnesota , um, in the medical field, right? So like, yeah. , you can’t not come to work with snow. I mean, you gotta try. You, I mean, if it’s super unsafe, obviously you can’t come. Yeah. But as you guys know, living in Iowa, um, there are patients that have to be seen by somebody and mm-hmm.

nurses need to go to work, scrub techs need to go to work. Uh, pharmacists need to get there, doctors need to get to, to the hospital. And in Minnesota, people think of very creative ways to do that. Um, and I was thinking, um, I was thinking about this because they had recently set up the snowmobile. Uh, they have these like snowmobile markers and lanes in town.

Oh, really? So for people who I, it’s a direct traffic, like snowmobile traffic. Correct. So people can ride their snowmobiles. That’s awesome. Literally, I had a coworker who rode her snowmobile to work one day because there was so much snow and her car was in the shop and she was like, well, I gotta get to work.

He had trouble like, there you go. Yeah. Um, probably safer that way too. That’s right. That’s right. We all think of it as your wintertime motorcycle, and it’s cool. That’s all right. . Yeah. I’ve seen an atb, that’s another. So ATVs, you’ve got snowmobiles, right? And occasionally cars. Yes, occasionally cars. With, with, I imagine four-wheel drive is probably very important where you live.

Yeah. Four-wheel drive is a must. What else? Dog sled. I haven’t, is that a thing? I haven’t seen dog sled , but I’m sure up in northern Minnesota that has happened. . Um, is there a big, is there a big, uh, culture difference between Southern Minnesota and Northern m? Uh, Northern Minnesota, there’s just a lot more woods.

And so the southern half of Minnesota tends to be more like a mix of woods and farmland, but Northern Minnesota is where all the lakes are and, and the woods. And so it’s much more, you know, um, just, just woods and Korney. Outdoorsy and outdoorsy. It kind of messes you, Canada, you know. Right. Yeah. You can’t really, you know, separate the two, except you know, except that there’s a border.

There’s a border that separates the two . Except for that, is there, is there a snowmobile in your future? You know, we haven’t. What do you think? We haven’t come at it. Maybe. I could imagine get a little sidecar for the baby. That’s right. Oh, that’s right. I’m sure they have those Snow mobile sidecars. Right.

I feel like that would make like a good book. Like the snowmobile. We did not grow up in a very snowy place, . So it’s, it’s in fact we went, we went out to the East coast and to the, uh, you know, yeah. We went from Texas to New Hampshire, New Hampshire. We, we different, we wanted to get away as, as quickly as possible because it was too much snow.

And so I’m, I’m glad we have people like you that are not afraid of it. That’s know what kind of shoes to wear. That’s great. That’s, that’s important. Well, let’s, let’s take a, let’s take a quick break. Okay. And then we’re gonna come back and, oh, we’ll play a little game with you. Perfect, Dr. Leslie. We’ll be right back.

A big thank you to all of our listeners. This is a new show. Spread the love share with everyone. Leave a rating and review. Tell us what you think. Be honest. We want to hear from you later today. We’re gonna share some of your favorite medical stories. Share yours, knock, knock We also have a pat.

Come hang out with other members of the Knock-knock High community. Hang out with us. Yep. We’re over there. We’re there, we’re doing stuff. It’s, it’s great. We love it over there. Uh, and early episode access bonus episodes, including a whole monthly show with Kristen and I, where, I don’t know who else it would be, but uh, uh, called The Monthly Eye.

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All right, we are back with Dr. Leslie and Dr. We’re gonna play a little game here that, um, I just came up with, uh, this morning, . I love it. That we call, uh, it’s gonna be by the numbers Okay. Family medicine by the numbers. Okay. I’m just gonna, I think it’d be helpful for people to, who are listening who may not really have a great sense of what primary care, family medicine, what the extent to what you do, uh, on a day-to-day basis.

And so what I thought I’d do is, is I’m just. , um, say a, a phrase and then your, your job is just to give me a number, okay? Okay. Okay. So I’m gonna say something. You just, you just gimme a number. Sounds good. It doesn’t have to be totally accurate. Just whatever, as best as you can do. Ballpark, kit, ballpark, ballpark here.

All right. Buy the numbers first. One Number of patients you see per day. 1820 by full day. All right. Number of hours you work per week in clinic. , um, how many hours? She’s like, how many hours are in a week? How many hours are you, are you at your job? Are you at work physically there? So I work physically there.

I work 0.8. Um, okay. And so, but what that ends up meaning is that on my short day when my last patient is at 2 35, I’m still typically there from about seven 15 until four. . Okay. And then if I have babies to round on in the hospital or a patient who’s in labor, then tack an hour or two plus on to that.

Okay. Yeah. All right. And then my next question, number of hours that you work at home, , do you ever have to bring your home, your work home with you? Yes. I’m trying to get out of that, uh, doing that, but I do have to, we all try to not do that. Yeah, I would say that I probably chart per week chart at home.

Five plus hours a week. Five hours a week roughly. Okay. How many babies do you deliver per year? Well, this was just my first year of practice, uh, so I’d say probably about. Nice. It’s a lot of babies. That is a that. So it was like, what, 10 years from now all the babies will be delivered by you in the whole.

Yes. I don’t know how big your town is. I don’t know. It’s like, I dunno how rural, it’s, it’s like 15,000. So it’s 1520. That’s a good size. That’s a decent size. Yeah, it’s a decent size. It’ll take more than 10 years. You probably like have a McDonald babies. That’s how I judge. What kind of restaurants do you Yes.

See? So that’s a very, that’s 15,000. That’s a good size town in the rural area. If you have McDonald’s. Yeah. You got, that’s a good size area. Um, you help. How about was your town growing up? It was like Texas. Two or three, 500 or something? 3,500. Okay. Yeah, that’s, that’s pretty small. All right. Um, number of children that you see in clinic in a week?

I would say probably like, we’ll just do a percentage of, of your patient population. That’s kids. Probably a third to a half. Okay. And so the rest of them are adults, I assume? Yes. All right. Yep. Do you like that percentage? Do you like that breakdown? I do. I like seeing kids. Is it ideal for you? Yeah. Yeah.

Yeah. It’s good. It’s good to see kids. They’re, they’re funny and healthy and they don’t have, you know, They’re, they’re, uh, they probably make you work for it too sometimes. Yeah. And they’re brutally honest. That’s what’s funny about it. Oh yeah. That’s a good thing about kids. Yeah. Yeah. Yeah. They are brutally honest.

Yeah. Number of times you consult cardiology in a month. Oh. Um, I would say three. Okay. Number of times the cardiologist has gotten mad at you for consulting them per month. Oh, yeah. That happens sometimes , that happens. Sometimes we, you know, we have this, we’ll say over the last year, over a year, how many times, how many, how many, uh, contentious, uh, uh, conversations have you had with cardiology?

Maybe, maybe three. Let’s say three. Okay. We have, we have a lovely cardiology nurse practitioner that works a lot at our. . Um, and so, you know, she’s incredibly kind. I don’t wanna get you in trouble with the cardiologist. . Sometimes we have the phone service happens and they’re like, ah, yeah. Okay. . All right.

Number of times you’ve said, I think we need to get you in to see your eye doctor over the last year. Oh, like daily? That’s fair because I frequently say we, I think you need to follow up with your primary care doctor about this, so we’ll, we’ll, we’ll call it even then. That’s right. Usually it’s my patients if they have diabetes and they, and it says a big red flag.

Yes. Due for diabetic eye exam. And I’m like, excuse me. Have you been in to see your ophthalmologist? Yes, yes. Yep. We do a lot of those. Is it easy to get in to see your local ophthalmologist? It’s pretty easy. Are they, are they nice to you? They’re nice. Are they Nice to you? Yes. Okay, good. Yes. Yep. I mean, it’s so many people, there’s so many nice people in Minnesota.

They really are. Yeah. It’s, it’s a great place. Yeah. Um, number of prior authorizations per. Oh, so many, um, that you are actively involved in. I would say that I actively am involved in maybe 10, but there’s a whole department at our mm-hmm. , um, at our clinic or the system that I work for who handle prior authorizations before they even get to me.

But then if they get to me, it’s usually takes me a good half hour plus to deal with each one of. Yes. Yes. Same thing with our, our clinic. We have, we have people that that’s what they do and Yep. Isn’t that depressing? It is. That’s like that we have to have entire departments dedicated to just proving to insurance companies that we know what we’re talking about.

That’s right. That’s kind of, that kind of sucks. All right. It cuts. So, um, that’s a so number of hours you’ve spent listening to health insurance company on hold, music over the last year. I can’t even count how many. It’s . Truly. A lot. Yeah. It’s on your Spotify playlist. It’s always probably. It’s always, yeah, it’s always there.

That’s right. Some sort of like the jazz fusion situation, but once you get to December, it’s always holiday music. Oh, that’s right. Yeah, it is. Mm-hmm. , . Um, which doesn’t make it better. I don’t know what they’re thinking. If that’s like lessening the blow of having to, to be on hold, but it doesn’t work well.

And at the, at that amount of time, it just becomes a unique form of torture. That’s right. So they’re probably doing it on purpose, hoping you’ll just hang up, hang up. It’s always the same, like five songs on repeat, which Yes. Is a unique form of torture. Yeah. Uhhuh . Yeah, exactly. Okay. Number of times this is your, you’ve basically finished your first year out in practice, right?

Correct. So, number of times, um, over this past year that you had to excuse yourself from the exam room to look something up because you weren’t sure what to do. Oh. You know what’s, you know, what I do often is I will check in the room with the patient. I’ll say, you know what, let’s look at these guidelines together.

Um, so I do that a lot because that’s for you because stepping out actually causes, it takes a lot of time to do that. And then you gotta log in somewhere else and whatever. I have done it and somebody might see you and be like, Hey, hey. I ask you a quick question. And patients actually like it. I think they like seeing you like, you know, do put the work in research right there in front of them.

I honestly, cuz they, they know that you’re dedicated to finding the right answer. I think it’s a good thing. Yeah. With family medicine, we can’t know everything. Right. Like we. We can’t, there’s too much to know. There’s so much. But we are very good at knowing where to look for things. And so I typically That’s right.

Am like, oh, yes, this topic, I’ve got this great flow sheet from the American Diabetes Association that I’m gonna pull up right now. We’re gonna look at the med you need together. Well, there you go. Yeah. There you go. Yep. And you have the knowledge, the background knowledge to be able to say, oh, this is good information.

This is garbage information. Yeah, that’s right. Number of gifts you’ve received in the last year from patients? You know, I, I, let’s see, I’ve been out for two and a half months and I know a lot of people do gift around the holiday time, but I did have a couple of gifts before I went on leave from very kind patients who wanted to give me something.

What’s, what’s like a classic? Yeah. How many of them are food-based? What’s like a classic Minnesota gift bars? Like what, what’s something that’s very Midwestern that, that you receive bars? Like, um, like treats, bars, you know, dude, like, okay, like baked, yeah, like baked bars, like, how do I describe this? But you know, there’s, it’s another minute.

It’s like hot dish, but dessert. Toffy bars. Marshmallow fluff bars, cashew bars, toffy bars. I mean, there’s endless numbers of bars, but that’s a big, I didn’t realize bars were such a big thing Indeed. Are they good? They’re probably pretty good. Huh? They’re delightful. They’re just a different form of a cookie.

You know, A square cookie. Yeah, exactly. That’s right. Number of days in an average month that you have to skip lunch every day. Let’s, okay. She’s got the bars. Let me, let me, oh, that’s right. Let me go back. I eat lunch always, but I’m working, enduring my lunch every day. Okay. So it’s never like a, like a real lunch break where you get to turn your brain off.

You’re always doing something. Yeah, it’s like maybe once or twice. I am actually sitting eating my meal without, currently, without actively being working at the same time, number of times per year that you think to yourself, man, I’m glad I’m not a general surgeon. I probably got that thought maybe. Maybe once.

Once every week or two. Yeah. Oh yeah. Mine’s, mine’s like probably about that. Maybe even a little bit more. Yeah, yeah, yeah. I’m with you on there. Okay. And last one. Last one. Yep. Number of times. In a year, in the last year that you have thought about quitting family medicine to pursue a career in ophthalmology?

Never be honest. Never ? No, never. Not once. Everyone has that thing in medicine where they, that gives them the like, ooh, that, that you, you know, we all get a little gross down jeebies. Yeah. By some things. And for some people it’s um, you know, they have a harder time taking care of Woo. And some people, you know, it’s.

Babies cuz they cool all over the place. Right. But for me, eyeballs. Mm-hmm. . Yep. That’s it. Huh? I can’t do eyeballs. I can’t do eyeballs. Okay. Well, I can’t, I think you ended up in the, in a great place, and, and I’m sure your, your patients need you and, and you have, uh, eye doctors that are readily available for you.

That’s right. By phone. By phone. Nine to five . Yep. No weekends or holidays. Yep. Nighttime. Potentially, but probably not. All right. That was, that was by the numbers. I think we learned a lot. I learned a lot about family medicine from it. Yeah. That’s great. Um, so before we go, before we wrap up, what are you, uh, what are you up to?

What are you doing? Where can we find you? Do you have any parting words you’d like to share with us? Yeah, uh, you could find me if I’m Dr. Leslie on, uh, TikTok, Instagram, YouTube kind of dabbling a little bit in other things besides TikTok, um, though not great at ’em yet. and, and I’m, I’m just continuing, continuing my work.

Uh, soon enough, once the holidays are done, I’ll be back to work. One thing I, I wanted to give a shout out about and make, I think medical professionals, but everybody aware of is the closures of labor and delivery units in rural America is just kind of astounding and it’s happening, um, about 9% every decade.

To the point where there are people who have to drive 2, 3, 4 hours, um, to have a baby. And so I think it’s not something that a lot of people are talking about, but it’s something that seriously impacts, uh, rural communities. And so I just, it’s something that I have been kind of working more, um, on and looking towards as somebody who does that, um, type of.

But yeah. Uh, we just something that I want people to be thinking about when they’re thinking about, you know, what, what types of, um, you know, projects in medicine should I be looking at? And, and where should we be putting our funding? Um, that’s something that absolutely, I wanna put on Bebo’s radar. Why, why are they closing?

Is there like finances? A couple of big reasons. It’s finance. They’re just financially not enough money. Yeah. Uh, it, mm-hmm. is, is the main reason I think because, you know, labor, labor and, uh, delivery units that don’t care for. Tons and tons of, tons of people don’t make hospitals tons and tons of money.

Right. I see. And so, gotcha. Those, um, units get closed. And then, you know, we have cities in North northern Minnesota where people drive two to three hours, um, to have a baby. And that’s, so it’s very dangerous. It increases risk of, you know, maternal and neonatal, uh, poor maternal and neonatal outcomes. Um, and so that’s something that, yeah, I think a.

Public health departments have been looking at, but it’s not one of the, um, more kind of hot button issues, uh, lately. Um, right. But it’s, but it’s, it’s not great . So I just wanted to bring that to people’s attention and, and so that people can think about it. And we, and we don’t need nine month pregnant people to be on a, um, snowmobile for no two and a half hours to go somewhere.

You’re right. No, don’t need that. Don’t need that. That’s wonderful. Thank you for bringing that up. Yeah, thanks. So, uh, you know, keeping working to keep rural hospitals, labor and delivery units in rural places, open and working for those communities. So, thank you, uh, Dr. Leslie. It’s been a pleasure talking with you.

Thank you. Um, yeah, we appreciate your time and good luck with the, the baby. Thank you that much. That’s so exciting. Enjoy those little potato snuggles. Those are the best. Yes. And the little arm rolls. And leg rolls. Yeah, I know. It’s, it’s fantastic. And apparently enjoy your full nights of sleep and I sort of hate you, but that’s okay.

Is this a congratulations? Maybe it was a one-off. I don’t know. We’ll see. I’m crossing my fingers for tonight that I go kid number two always comes along. I know it’s like, Anything that went well with Kim, number one, they just totally undo so well, thanks again. Maybe stop all, you’re ahead, . No, don’t do that.

Don’t do that. Keep going if you want. All right. Well, thanks again, Leslie. We’ll see. Thank you. Take care. All right, we’ll be, we’ll be right back to read your medical stories, so stick around. All right. Let’s take a look at some of our favorite medical stories that were sent in by you, the listeners. We’ve got some I’m already laughing at, at one of these, so, alright.

Uh, story number one comes from Cameron. I’m not a med student, but I was hanging out with my buddies that are med students and one of them was telling me a story where they had a patient with Bubonic plague. Oh, why Bubonic Plague, like from like the dark Middle Ages. Move on still. Apparent. Yeah, it’s still around, I guess.

Uh, I’ve never seen it in the eyeballs, but, well, you know, that’s not saying much anyway. Apparently this, this patient ate a traditional African dish prepared by her grandmother, and she literally caught yesinia. Pestos, which is the bacteria that causes Sure. Bubonic. Yes. Uh, she was okay after a course of antibiotics.

That being said, I thought it was interesting and shows how far medicine has come that she got the bubonic plague and recovered with zero. Issues. Yeah, it’s a good point. Just had to take a few pills for a few days and good to go. The thing that killed like half of Europe and like, you know, a thousand years ago, all of a sudden is not a big deal anymore.

I’m sure it is a big deal. That’s, I’m probably, well, yeah, if you don’t have access to antibiotics and stuff, I’m probably, there’s a, probably a big public health like reaction too because of, I don’t know. I, you don’t want that floating around in the community. You, you don’t, you don’t want an epidemic of bubonic plague.

Um, That’s happened before, I believe and, uh, it didn’t go over well, didn’t go well, and he finishes up with saying, thanks for all you do as physicians. I’m going into genetic counseling. I’m currently a medical scribe. We got a Jonathan. Oh, Cameron is a Jonathan. I’m giving you a, a Jonathan Head nod right now.

Cameron, you. Couldn’t see it. It was silent, but it was, if you watch on YouTube, you, you’d see it. Uh, and so I have seen the stress that comes with health, healthcare, and Well, good luck to you, Cameron. Uh, and thank you for the story. All right. Fan story number two comes from Ringa Rona. I’m sorry if I said that wrong, as an ortho bro in training.

Ortho what? Um, he was feeling a little bit unwell that day, but no such thing as a sick day in ortho. That’s a whole nother issue. So scrubbed up in a space suit. , they actually do wear those. So an act, a literal spacesuits or just like the, the hazmat. Yeah, because I think it’s because they, um, they’re sawing bones, uhhuh and like there’s bone dust.

Disgusting. And so in order to like, not inhale the bone dust, Uhhuh, , they wear like a big hood. Please, people, if you’re listening and like, correct me if I’m wrong, I’m just a, this is just what I, they’re trying not to inhale their, Yes, correct. And so they wear the hood and the, the suit. So it’s all like airtight, I believe.

Okay. And there’s like a, there’s like a fan inside there because it gets hot. Mm sure. And so they have like, air coming through it, that, that keeps them comfortable. Do they have to wear the helmet? Um, the like round spacesuit helmet. It’s not round. I think it’s more square ish. Oh. Maybe like a cylinder.

Kind of, there’s a big shield. I don’t know how they do what they do in a spacesuit, but I guess you can lift weights anywhere with anything wearing anything. All right. So anyway, so scrubbed up. So Ringa scrubbed up in a spacesuit, not feeling well for an arthroplasty, which is a, uh, like a joint replacement.

Mm-hmm. , and started feeling unwell. More unwell, uhoh. But before he could describe, oh, no, I’m afraid. I know this is going, he hurled into his space. Space. Oh my god. The chunks then started getting circulated by the fan? No. Oh no. Which, Which I then offered to clean up before being rapidly banished from the operating room by the lead nurse.

I mean, can’t blame her. , those are the types of stories we wanna hear on knock-knock high. So thank you for that so, so bad. You never know what’s gonna happen when you walk into the hospital for a day of work. Everybody. All right, thank you to Cameron. Can we just get ortho some sick days? Yeah. That, that’s, you know, that’s probably a, a lesson learned.

Um, yeah. Is, uh, you know what, there, there are sick days. I think legally you have to be able to have a sick day. I know it doesn’t seem like it, you know, in, in residency, but you guys don’t, it’s either you take the day off or you throw up in a space suit. You just make your choice. Okay? What sounds more reasonable to you?

Anyway, send us your stories. We wanna hear your. Send us at knock knock high human

Well, that was a fun episode. Yeah. I, I love Midwestern people. I know. They’re, they’re just, they’re, they’re so nice. They’re, they’re very nice. They’re just down to earth, very, uh, especially Minnesota. Like out of all of the Midwest, they’re like, And, and not only Crown Jewel , not only mid a Midwestern guest, but um, uh, a family medicine doctor.

Yes. Family medicine doctors, rural medicine. At that rural medicine, family medicine. Just brilliant. Yeah, absolutely brilliant. You have to know so many things and have such a wide skillset to do all that. I mean, I, I just, I compare it to myself. Oh yeah. No contest. Like, like, like Dr. Leslie got to the end of med school and was like, oh, I wanna do everything, all of it.

Like give me all of it. And I got to the end of med school and I was like, Nope. I wanna do two centimeters. Yeah. I just, I the back of the eyeball, all that other stuff, uh, below the nasal bridge. Ah, get rid of it. That’s fine. Someone else can handle that. I took the easy way out. Yeah. Uh, and so that was, uh, really fun talking with her and kept hearing about family medicine and some of the interesting things she has been through.

Uh, do you know a doctor who should come on the show? Let us. Do you? Do you have an idea for guests? We’re always up for ideas. All right, so let us know. There’s several ways you can reach us. You can email us, knock knock high human Visit us on TikTok, YouTube, Twitter. Twitter. Why did I say it like that?

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Uh, we also have a Patreon, lots of cool perks, bonus episodes where we react to medical shows and movies. Hang out with the knock, knock, high member community. We are there, we are active. That’s we are interacting. Uh, you also early ad free episode access, interactive q and a livestream. And a lot more coming. and Flecking, or go to our website, Glock and I, I realize I never, uh, tell people how to spell Glock and Flecking. I just to assume that doing well, it’s just like, it sounds, it shouldn’t be a problem. That’s not helpful. All right. Speaking of perks, uh, some shoutouts to our Patreon community.

Shout out to all of the Jonathans, Patrick, you are one of them. The Jonathans is a, is a level of our Patreon and, um, and John, the Jonathan. Obviously my loyal scribe and also perhaps the backbone of. Maybe society, maybe the most important, uh, uh, uh, uh, society. Yeah, let’s not, let’s not sell ourself short here, Jonathan.

Really, Jonathan could probably do everything. Keeps the world turning and so we appreciate our Jonathans, so thank you, Patrick. Thank you for listening. We’re your host Will and Kristen Flannery, also known as the Glock Flecking. Special thanks to our guest, Dr. Rose Marie Leslie. Our executive producers are Will Flannery.

Kristen Flannery. Aron Korney. Rob Goldman, Ashanti Brooke. Our editor and engineer is Jason Porto. Our music is by Omer Ben-Zvi. To learn about our knock-knock highs program, disclaimer and ethics policy submission verification, and licensing terms and HIPAA release terms, you can go to glock or reach out to us.

Knock, knock with any questions, concerns, or fun medical puns, jokes, stories. I did all of that in words. Word breath. I thought, I thought I could do it, and I breath did it. Wow, you are full of hot air. Knock, knock. High is a human content production.