Sex Education with Medical Doctor Dr Siyamak Saleh

KKH Trailer Wide

Transcript

Will: [00:00:00] Knock, knock. Hi,

knock knock. Hi. Hello and welcome to Knock-Knock High with the Glock Flecks. You are Kristin Flannery. That’s right. Lady Glock Plein. And I am Will Flannery. Mm-hmm. Dr. Glock Plein. I decided to switch it up and notice you first notice. I did notice that. Mm-hmm. Did I, did I, did I throw you off? No, 

Kristin: you can’t throw me off.

I can just roll with the punches. 

Will: You’re you’re with it. You’re with it. Yeah. We got a great show. We have Dr. Suk Salle. That’s right. Uh, it is a big deal on TikTok. And so, um, we’ll, we’ll get to that conversation here shortly. Um, what’s been going on in our lives? Oh, what 

Kristin: has been going on? Our, you know, we have, we’ve got these kids.

Will: Yes. Um, we actually, Last week was the first week of of track. Mm. I signed our youngest up for track. Right. Which, 

Kristin: by the way, she’s eight [00:01:00] years old. Uh, maybe it’s just a function of where I grew up. We didn’t have a lot of options and stuff, but doesn’t track usually start at like. I don’t know. At least junior high, 

Will: not high school.

Well, the, the, the program, it’s, it starts like, I think you can be seven years old, so it’s not even, she’s not even gonna be the youngest there, but seven up to, you know, 13, 14 or something. Mm-hmm. But the reason I signed her up for it is just because she is constantly wanting to race me. Yes. At all times.

She loves to run, she loves running and racing. And so I was like, oh, well this is perfect. Yeah. Um, uh, and, and, and 

Kristin: she’s very 

Will: competitive, but the problem is, With, uh, maybe it’s just our kids. Uh, but I, I, I feel like it’s, most kids, they change their minds, Ugh. Constantly about everything. Like, one day she was like, super excited about Trag, was like, oh, let’s, I’ll sign her.

Sign her up. It’d be great. Yep. And then like the day before, I told her, your first practice for track is coming up. [00:02:00] It was like, I don’t wanna do that. Whose idea was 

Kristin: that? 

Will: And then, But I signed her up, like I paid 200 bucks for this thing. And, and, and so I was like, like talking to her, like really talking it up.

Like this is gonna be great. It’s so fun to like race and, and run and, um, jump and there’s like, there’s javelin, there’s a sh shot put where you Right. Throw all the 

Kristin: things we tell her not to do in the house. Yeah. Exactly. 

Will: She can go do, like, you can do all these things and you’ll get to erase people and you’ll, you’ll, you know, you’ll get to, uh, it’s competitive and it’s, anyway, all the thing I was trying so hard to sell track mm-hmm.

To an eight year old and like from a 10,000 foot view, it sound, it probably sounded ridiculous. Like, why are you trying so hard? Like, he cares to make this happen. That’s how I feel about it. Yeah. Mainly it was just like, I thought this would be fun for her and, and so, Anyway, I got her, I got her excited again about it.

And so we went. And then the one thing though, I, I, I failed to really think about was the fact that [00:03:00] this is an organ. Mm-hmm. In the Portland area, uh, in April. And so there were three practices. That’s the other thing. This thing, this track program is 3, 3, 2 times a week we’re doing this. That’s, that’s really intense.

For an 

Kristin: eight-year-old, three times a week. That’s ridiculous. That’s too much. 

Will: So, so I was like, okay, well let’s, let’s just see how it goes. But it was pouring rain all week. Mm-hmm. And they made a point of saying, we’re having these practices, rain or shine. Right. That’s what we do 

Kristin: here. So because it’s 

Will: always rain, probably no surprise to anybody.

It didn’t go well the first week. Sure. Uh, and so this week we’re starting week two and it’s a beautiful sunny day. It’s gonna be nice all week. So I told her, we’ll see, let’s give it, let’s give it another week. And I was like, we gotta get through. We gotta get to the first like track meet because I think, I think she’ll really enjoy.

Actually competing as opposed to like just practice where it’s rain and cold and you’re running up [00:04:00] hills, right? For what seems like no reason in particular, I’ve got mixed 

Kristin: feelings about the whole thing. I mean, as you know, just kids this young in sports that are that much of a commitment. I don’t know what happened to just like setting ’em loose in the backyard and they run around all afternoon.

Will: Well, we, you know, we live in a different time. We don’t have a backyard. We don’t have much of a backyard. Uh, but also you don’t have a competitive bone in your body. I don’t, I grew up, no, I don’t. Playing all the sports and love 

Kristin: them. Well, I played them too, but they’re just supposed to be games. They’re supposed to be fun and you learn some things along the way about.

Teamwork and life, and I understand the educational value of athletics. Okay. But listener, 

Will: I can’t. She’s eight years old. I can’t tell you how many, uh, how many conversations we’ve had just like this over the years because again, there’s zero competitiveness in, in your core and your soul. Mm-hmm. I am quite competitive.

Right. But you 

Kristin: have to at least. I mean, see the [00:05:00] logic in the fact that this is supposed to be for fun. Yes. I, 

Will: especially at these ages. It is. And so I, I’m trying not to push it. I really am not. In fact, I, I’m like, I don’t want to go to track three times a week. I don’t either. 

Kristin: That’s the other thing, when are we supposed to be adults?

We’re just being chauffeur for all these 

Will: activities. So maybe we’ll just do like two packs a week. We’ll just like, forget about the third one. I think that’s more reasonable. I don’t know. We’ll see. But anyway, we’re gonna, we’re gave a shot. Uh, I think she’ll really get into the shot. Put. They’re like, oh, for the eight?

For the eight and unders, uh, these are your options. You can do, uh, sprinting, uh, you can do javelin or you can do shot put. So we’ll see. This seems like a bad idea. Let’s, I don’t know. I 

Kristin: mean, giving eight year olds long sticks to throw and heavy 

Will: balls, that’ll be fine. All right. Well, let’s, let’s get in.

Speaking of balls, let’s get into, uh, our guest who is an expert in, um, sexual health, an education about sexual health. In particular on social media. [00:06:00] So this is, uh, Dr. Cmx Salle. He is, uh, a medical doctor in South Africa, and he has a little niche online, uh, uh, with, uh, sexual and reproductive health. Has over 3 million, uh, followers on TikTok and does just great education.

Uh, debunking myths, debunking, lots of myths. There’s a lot of myths out there with regard to, to, to sexual and reproductive health. 

Kristin: So it’s right. There’s not a lot of great, you know, formal education about it. Around the world. I mean, even in America, there’s, there’s some, but it varies by location. So what he’s doing is really important.

Yeah. 

Will: We need it. We need it out there. So, um, and he’s also, uh, practicing in, uh, an area around Cape Town, South Africa. So we had a very fascinating conversation, uh, about a lot of different things. And so I know. Let’s get into it. Let’s do it. Here is Dr. Salle.

All right, DRS. Welcome. Thank you for joining us. Such a pleasure to talk with you. [00:07:00] Thank 

Dr. Siyamak Saleh: you for having me. It’s an honor being on your podcast. 

Will: Oh, yeah. And so you’re coming to us from, uh, you’re in South Africa. You’re, you’re in Cape Town, is that right? Yep. True. And we, we established before we started recording that it’s, it’s evening time for you.

So it’s, uh, you know, you’re, You’re, you spent a whole day at work and now you get to talk to, um, a couple random people from the internet. Here you go. Random, 

Dr. Siyamak Saleh: very famous people. 

Will: Um, I, first off, just wanna say, so I, you know, I was, I was looking at, I’ve, I’ve seen your videos, um, come up, come across on TikTok.

Uh, you’ve got, you know, a a, a large following on TikTok. And, um, so, and I also Googled you. I, so I, I Google search myself every now and then just to see like what pops up. And I just want you to know that, uh, uh, one of the first things that popped up for you was, uh, five things you can do that’s bad for your penis.

I, I hope you don’t [00:08:00] mind, uh, that, that, that’s, that’s just one of your videos that popped up whenever I kind of was, was searching for your, uh, your social media presence. I’m sure your mother would be very 

Kristin: proud. 

Dr. Siyamak Saleh: I, uh, okay. So I agree with the first part. I’m not sure my mother is very proud. She is trying to talk me off speaking about sexual health and that is the reason why I’m doing it, because of all the stigma around it.

Mm-hmm. All the taboo, uh, so. I’m not sure if you have scrolled down my profile to very beginning. I used to raise awareness on various medical conditions, women’s health, h i v, COVID, and I used to debunk myths. I think I have like a 10 series of like medical myths and one day I, I was like, let’s meet debunk some period mets.

And that video got more than like almost 30 million views. Then it was then when I realized that, um, Actually, because of the comment and the question I used to get, I realized that not many [00:09:00] people are aware of their own sexual health. Mm-hmm. Until today I get questions of I kissed my boyfriend and my period is delayed and I pregnant.

Yeah. Um, so yeah. So I think I took this responsibility, or, or I’m, I’m on a mission to empower people about their sexual and reproductive 

Will: health. I think it’s fantastic. It really is. Like there’s, uh, I mean, it, it just, the response you’ve, you’ve received just over the last, cuz this has just been since the pandemic started, like 2020 is when you got started on this.

Yeah, yeah. Uh, and so it’s a, a fairly meteoric rise and, and clearly the, the public needs it. Right. This is, uh, a huge gap in knowledge because people just don’t like to talk about sexual health and reproductive health. And so, uh, I think it’s fantastic. So just right off the bat, everybody go, if you, not, even if you usually wanna know things other than the bad things to do with your penis, but anything there’s, there’s, you have so much content.

And it’s so informative and so, uh, I just want to [00:10:00] give you your props on, on, on really, you two need to do 

Kristin: a collaboration about testicles. Yeah. He can’t stop talking about his Yeah, he doesn’t even have ’em anymore. He still can’t shut 

Will: up about ’em. I know, I know. It’s, uh, you know, I, I’m sure I could probably learn a thing or two about the testicles I used to have from Dr.

Sale, but So did you, I mean, you never, it sounds like you kind of just fell into this topic. Um, just because you saw a need from the public, but, uh, what is your. Your typical job like, so I want to get into what you do on a day-to-day basis cuz you have a very unique job and a unique place in the world.

And so tell us what about your training and what your normal non TikTok related life is. Okay. All 

Dr. Siyamak Saleh: about. So first of all, I wanna apologize in advance if I. Say something wrong in English. English is my third language, so I am Persian. Oh, that’s all. Just just 

Will: a third, [00:11:00] third, uh, third wait. Third of how many?

Exactly. Because I have, I have a sense that four, four 

Kristin: languages. Oh my goodness. We should be apologizing to you that it’s the only one we know. Yeah, 

Will: I know. Ophthalmology. That’s the only other language I know. Um, that’s, 

Dr. Siyamak Saleh: that’s the best language to know. So I’m Persian. No worries. I was born, grew up in Kuwait.

I studied medicine in Moscow and I came to South Africa around 15 years ago to do research. Um, so my, I work in a primary healthcare facility in a very rough area in Cape Town, formerly known as Murder Capital of South Africa for like six, seven years in a row. So, On a day-to-day basis, we have stable patient in the outpatient department and our trauma unit, which is a 24 hour, we get to see lots of action.

And one reason I’ve stayed there for few more than few years is because I studied medicine to save lives and you can save lives on a daily [00:12:00] basis there. Lots of stab wounds, gunshots, um, patients come hafted, and that’s when you. Come in and try to stabilize and refer them to a tertiary hospital for further management.

How 

Will: did you. H how did you end up in South Africa though? So you, because you’re, you went to med school out in, in Russia you said, right? And so what is it that that brought you to that part of the world? 

Dr. Siyamak Saleh: So after I finished med school, I applied everywhere and, uh, university of Cape Town offered me a research post with.

Paid tuition fees and a scholarship and I Googled it. Cape Town is a say no more. Yeah. Very beautiful scholarship. Cape Town is, I’ve heard it’s wonderful. Yeah, it’s a very beautiful place. Is beautiful. It’s a very beautiful place. I wanted to study somewhere where I can also live and enjoy the beauty of this country.

So that’s how I 

Will: came. Yeah. At that time when you came, did you [00:13:00] know it was, uh, considered the murder capital of the world? So, 

Dr. Siyamak Saleh: Um, Cape Town is a very different, so Cape is not the murder capital. That small area that I’m in is the capital Oh, oh, the is capital of the South, South Africa, so, oh, I see. I didn’t know such places existed in my first few years of research because you live in one part and then you don’t know about the other part.

Like you don’t, it’s very. How to, it’s like very poor area and then mm-hmm. Outside of the road is a modern place. Sure. So, so once I start working in a clinical, uh, setting, then I was like, okay, maybe Cape Town is not the best place for everyone. Right. Because of those rough areas. 

Will: It sounds like you, how long have you been there now?

How many years have you been working in your current capacity? Six years. Six years and you’re enjoying it. It’s, it must be really fulfilling to be able to help, you know, so [00:14:00] many people from different 

Dr. Siyamak Saleh: backgrounds. It’s, it’s very fulfilling. But I think, I always tell myself, I think I’ve saved enough lives.

I really, I really, 

Will: that’s the way I, I tell myself that too, as an ophthalmologist. I, I’ve saved plenty of lives. I, I, you know, I think this, 

Kristin: I’ve saved more lives than you 

Will: have. That’s true. Yeah. Probably a 

Kristin: grand total of one. 

Dr. Siyamak Saleh: So it’s, uh, It’s, it’s much more rewarding, um mm-hmm educating people on via social media.

So if I can, let’s say treat 20, 30 people a day, one video can get you like few million views and you educate at least few thousands. So that is probably, for me, is much more rewarding experience. And hopefully one day I can do that on a full-time because then I can give 10 times more, um, contents. Sure ways of doing it because after day of work, you are mentally drained and exhausted [00:15:00] and you still have to come home and you still have to research 4, 5, 6 hours to post one video.

Initially, I could post anything, but now when you are up there, you need to research properly. 

Will: I, Hey, I totally agree with you because I mean the fur, you know, as an ophthalmologist I know very little about other specialties and so the. The longer I’ve been doing this, I, I totally sympathize with you. I have to do a lot more research to like, try to make it seem like I know what I’m talking about.

Right. Uh, and so, um, uh, and you know, sounds like you, you have a stressful job, but, uh, you’ve also been on the front line of the pandemic, so I’m sure just the accumulation of the stress over since 2020, uh, has, has been very challenging. Um, was. And, and you did a lot of content surrounding, you know, uh, you know, public health and talking about the pandemic and your experience in South Africa.

Can you [00:16:00] speak a little bit about the toll that being on the frontline and a place that you’re in had on you? 

Dr. Siyamak Saleh: Of course. I mean if you look at my social media, you can see pretty much the whole of last year till now, I’ve been little bit more quiet, um, not producing that much content and I. I’d like to blame it on burnout.

Um, it was, so we were at the front line of the pandemic, and again, my area of work where at the area I work at, they were the epicenter of the Covid Pandemic in Cape Town. So we used to get, uh, Lots of very sick patients. We saw lots of patients pass away while waiting to be transferred to a hospital. Um, and my escape was I joined TikTok at that period and started educating people and within few months, w h O approached me and asked me to help them.

Collect, uh, more medical, uh, uh, more healthcare workers who can, [00:17:00] uh, fight the misinformation online. And that’s when we had a group of, uh, healthcare workers and we collaborated mm-hmm. In fighting the misinformation, which was great cause, but, uh, it was like, you wake up some days with 5,000 hate messages.

Hmm. It’s uh, yes. Yes. I think I’ve matured. I can imagine. Yeah. I’ve matured enough through the process and now when the hate comments come, I’m like, thank you for boosting my videos. 

Will: Yep.

Well, that’s, that’s a very like, mature way of looking at it, but it’s also, that’s a question I get asked a lot as well, is how do you deal with that? Because it, it never feels good to, you know, put so much time and effort into creating something and then to have, and have really 

Kristin: good intentions around it.

Yeah. And trying to do a good thing, just trying to 

Will: help people. Yeah. And, and then you, you’re faced with, with these, uh, these types of comments and so was that, was that hard for you to. [00:18:00] To get to the point where you’re at now, you know, where, where you’re able to let it roll off your back or does it still bother you?

I don’t know. How do you feel about all these? No, I think all the hate 

Dr. Siyamak Saleh: messages, it was, it was difficult. Um, initially I wouldn’t lie. Uh, I used to sometimes like get into argument with them and then once you get verified, you know, you can’t really go and argue with everyone. Uh, and w h O actually set up meetings for us to talk about such instances and how to deal with it.

Um, I think you have to go through it to mature up. It’s, it’s like a process. Um, now these days, You’ll get hate, whether you talk about covid or about smoking or about masturbation, anything. Medical myths. So much hate, I get just for telling them you don’t get flu from going out in the cold or having a wet hair.

Things that your mom tells you all the time. My mom told me that. How dare you? I’m like, I’m really sorry, but that’s how things are, [00:19:00] right? So, 

Will: so, or masturbation is gonna give you hairy palms or something. Exactly like all those, all those just crazy things that I have few of those 

Dr. Siyamak Saleh: videos you should watch.

Will: I know, I, I was scrolling, I was scrolling through your list of videos and it’s, uh, the, the, the myths you debunk are great. Thank you. 

Dr. Siyamak Saleh: So I just ignored them these days and if it really bothers me, I deleted, that’s it. I don’t go further discussions. I don’t argue. 

Kristin: There’s no point. And I mean, that’s, they’re not there to be convinced of anything else anyway, so.

Yeah. 

Will: Yeah. It, it’s, well, the first really, one rule that, that I try to tell people is, you never get mad online. It’s whenever I, I’ve, cuz I’ve been in situations where I, like, I just got so mad at something someone said to me and that, that it prompted me to engage and it never helped. It never made it better, and everyone left just even more pissed [00:20:00] off, um, uh, about the whole situation.

So it’s, um, you know, I, I think learning how to ignore that stuff is, is really important. Uh, and also just like trying not to read comments, period, uh, sometimes is also helpful. I don’t know. It’s tricky 

Kristin: though, when you, when you are doing something like trying to educate or advocate or any of these things, because you wanna see if your message is resonating, you wanna see if people are understanding correctly, you wanna see where they’re not understanding correctly.

So, you know, you know, like you’re doing a little bit of, you know, almost market research by looking through the comments. So I, I can sympathize it. Sometimes you, you have to wait into the comment section even when you don’t want to, you know, and, and so you see some of these things. Even if you don’t, you know, I try to just skip over them instead of read them.

But it’s, it’s hard to yeah, to do that 

Will: sometimes. How do you get your ideas? 

Dr. Siyamak Saleh: Oh, there is so much ideas. I have lots of, I have Googled ideas. I have [00:21:00] top 10 most asked question about sexual health. Uh, yeah. And, and most of my ideas generally comes from people asking me to talk about this, sort of about that.

I make a video about, Let’s say periods or dysfunction, then they wanna know the treatment. So there is no lack of ideas. Right. Just 

Will: needs do. Do you keep a, do you keep a list? Do you have like a whole list of, of things 

Dr. Siyamak Saleh: that you’re, I’m probably gonna steal your producer after this show so they can,

it’s been a one man show for me this whole time, so, yeah. I think I’m proud of myself, Rick, so far by myself, but I think I need a few other people on the team because it’s not something Well, let’s 

Will: talk, we, we got, we got, we got. I’ll do give you some tips. 

Dr. Siyamak Saleh: Yeah. Because I, you can’t trust somebody else to do your medical research for you, and that’s what takes most of the time.

Which is 4, 5, 6 hours. Sometimes you know [00:22:00] something and then you research the latest information and they’re like, oh, there’s a article came three months ago that says otherwise, and now you have to cancel your whole, like, script, whatever you wrote. Yeah. So 

Will: it’s um, and you’re, as far as, you know, doing, having to do a lot of research.

Because the, I mean, a lot of the, the things you’re talking about probably are not something that’s just at the forefront of your mind because you have such a wide breadth of things that you do in your day-to-day job as a physician. Um, and so just give us, gimme a just a little bit more, uh, background on your training.

So you do med school, at what age? Like do you start, did you go to Russia and start med school? Is that. I’m just trying to compare it to my experience here. 18 in the us. 18. So it’s 18. So it’s kinda, so we go to, you know, college or university, you know, for four years before we start med school, but I found that lots of places [00:23:00] out in the world kind of combine the two, right?

So I. And so you finished med school after X number of years and then, and then it’s just immediately start working? Or do you have additional training that you do after that? So 

Dr. Siyamak Saleh: I did a year of internship in Moscow and through, I’m not sure if I should tell all the stories, but halfway through my internship, I was attacked by Skinheads.

It’s a new Oh, wow. It’s a new Nazi group that attacks anyone that is not white. So I was black in Russia, but I’m white in South Africa, but we can talk about this later. So, 

Will: oh my gosh. Yeah. This is halfway through med school. 

Dr. Siyamak Saleh: This happened? No, halfway through internship, which is was something extra. I was doing it by my own, it wasn’t a compulsory one.

I see. Okay. So yeah, so I have few fractured bones in my face. Oh my gosh. Yeah. So. You can imagine how good I looked back then, you know?

Will: Well, I, I probably would’ve [00:24:00] seen you as an ophthalmologist. We, we get called for, for every, uh, you know, orbital fracture. For sure. Definitely. That’s, that’s terrifying. Was that, did that, um, were you, did you ever think about. Staying in Russia for to work long term or I imagine after that you were like, get me outta here.

Dr. Siyamak Saleh: No, I was strong enough to stay for a little bit more. And then I finished that and then I applied everywhere. And Cape Town University of Cape Town was the one that said, you can come to pay your tuition fees, you pay your scholarship, you can help us with research. And I was like, why not on my way? So here, um, So once you have internship, you can work straight away.

Mm-hmm. 

Will: And are you, so it’s mostly outpatient for you now? Yeah. Right. You’re, you’re doing primary care? 

Dr. Siyamak Saleh: Yes. Yes. Okay. So primary care at our clinic, we have an HIV unit because of the HIV epidemic. In South Africa, we have an outpatient department and we have an emergency unit where we [00:25:00] stabilize patients, and if they need, they need to be referred, then we refer them to a tertiary hospital.

Will: Oh, I see. So you’re, you’re dealing with some, some emergency types of things too, and so Yeah, of course. Okay. Yeah. That’s all That sounds harder than my job. Yep. 

Dr. Siyamak Saleh: I, I posted one weekend when I did, went to work to do rounds. Um, we looked at the monitor and list of the patients were triaged out of the 17, I think 16 of them were stabbed.

I posted that. Yeah. Took a screenshot, put it on my Instagram. I lost some followers afterwards. I think it was a bit too much for everyone. Yeah. But that’s the area I work in. So it’s, uh, yeah. People get. Lots of trauma and, uh, yeah. Start stabbing each other. 

Will: And you do have some, um, you do, you did share with us some interesting stories, you know, that are, uh, that are some trauma related.

Uh, I, I could tell you’re, you’re worried about like, uh, really scaring our audience, which [00:26:00] you probably could, you could probably scare us too, because, uh, you know, At this point in my career, I don’t, I don’t see a whole lot of drama, but, um, I do want you to tell this one story, uh, about your, you mentioned drunk patients that you tend to see a lot of those.

Oh. Um, and so there was a, a missing finger. 

Dr. Siyamak Saleh: Oh. So, yes, that’s right. I remember this patient. Um, it was, I think around three, four in the morning. And this patient comes and. I think he was stabbed in his hand and, uh, cut one of his tendons so he couldn’t use one of his fingers. Uh, so I sutured the finger, the wound.

We discussed it with a hand surgeon at the tertiary hospital and they accepted him to go there for, to sort out his ligament. So I’m trying to tell this patient that if you don’t go to the hospital with the ambulance, you might not be able to use your finger in the future. And he’s a 19, 20 years old and he’s like, no, I wanna [00:27:00] go home.

I’m fine. I’m fine. I’m gonna go home. And I’m like, no, you need to go to hospital because of this issue. And then, He stops for a second and start counting his fingers and he goes like, and he says, doctor, I have nine more fingers. I’ll be fine. 

Kristin: Oh my 

Will: goodness. I mean, he is got a point, you 

Dr. Siyamak Saleh: know, we both start laughing.

I’m like, good point. But no, 

Will: you could do a lot with nine fingers, I 

Kristin: suppose, depending on which finger. You know, like I feel like your thumb is pretty important, but maybe some of the others you 

Will: don’t miss. Do you have, you have access to all the different types of specialists where you are? Yes. Or do you find yourself really, you know, stretching your skills to the max?

Dr. Siyamak Saleh: think in Cape Town is a more, uh, the healthcare system is better than other, per other, other cities in South Africa. So we have access, we have, uh, we can pick up the phone and discuss any [00:28:00] case with a trauma surgeon, ophthalmologist, E n t. Nice. And they’re always helpful. Yeah. 

Will: And is it is the healthcare.

You know, I, I love when we have people from, you know, other parts of the world who come on this podcast because we get to talk about healthcare system a little bit. Um, obviously we got, we got a few problems over here, but, uh, what, how is it, how is it structured in South Africa? Is, is there a, a universal healthcare type option for people?

Do you have any privatization? What is it? How does that work? 

Dr. Siyamak Saleh: So we have public sector where it says government hospitals and it’s free for majority of people. And we have a private sector where you can have medical insurance and your insurance will help you pay. Uh, so lots of our patients, they have medical insurance and once they run outta funds in their.

Insurance, then they come to us, for example. So we have both, but there is, there is no one is [00:29:00] denied medical care because you can always go to tertiary hospitals and because they are teaching hospitals, uh, where go through residents and professors and so you get the public, one of the best cares in the public sector also.

Yeah. 

Kristin: Right. I imagine you have to stay on the forefront of what’s happening when you’re at a, a teaching hospital. Yeah. Seeing the new research that comes out and things like that. Or making the new research. Exactly, exactly. 

Will: Or making the toss the entire world. Uh, are you, do you have a teaching role in your current job?

Dr. Siyamak Saleh: Yeah, so we do have, uh, interns that come through primary care rotation and they come to us. So we have interns that come through and. I have a job of supervising them, teaching them few skills here and there, so, yeah. Yeah. 

Kristin: Do you, do you find that some of the stereotypes that will hear creates in his videos, do they hold true in South Africa as well?

Dr. Siyamak Saleh: Of course. I was showing my colleagues the videos [00:30:00] today and they were like, yes, it’s 

Will: good. I’m so glad all neurologists are the same everywhere. 

Dr. Siyamak Saleh: All neurosurgeons the same, or neurosurgeons. 

Kristin: Exactly. It’s so funny. I wonder why that is. I mean, just personality types attracted to different. Yeah. Skillsets, I 

Will: suppose.

But you talked about having to do a lot of research to stay on, you know, because a new paper could come out and, and so you have to like really do a lot of work to stay on top of that. Uh, me on the other hand, like every specialty in medicine has always been the same since the beginning of time. And so as far as their personalities, and so I, I, I, I, I get a, I’m a little off the hook there in terms of, uh, maybe it limits the amount of research I have to do.

Also, yours 

Kristin: are just, Fiction. So 

Will: there’s that, there’s a tiny bit of truth. I have to have a little bit of truth in there, but it’s all, yeah, surface level. 

Kristin: He’s doing much nobler work than you are. No offense, but 

Dr. Siyamak Saleh: you help people see, [00:31:00] 

Will: uh, yeah, I do. That’s, that’s, that’s, I, I, you know, I, I like doing that. I don’t save lives or anything, but I save eyes.

I’ll, I’ll, I’ll do that from time to to time. And 

Kristin: that almost sounds like lives 

Will: good one. How long, how long do you feel like, um, it sounds like this is really just getting, as far as your social media presence is, is just, you’re just getting started here, you know, it’s been less than, you know, barely three years that you’ve been doing this.

Uh, are you having more opportunities to branch out and try to do other things? Are, you said, obviously you need some help, right? That’s, that’s, that’s you’re growing the first job is to find someone that can help you expand this thing, cuz you have a lot of, of fantastic, uh, content things to talk about. I 

Dr. Siyamak Saleh: think there is, um, like a, like a, there is, I don’t think there’s anyone debunking or, so there are lots of people who talk about sexual health, but having more than 3 [00:32:00] million followers probably.

The biggest or one of the biggest sexual health platforms, um, or communities. I feel like I have this job to raise awareness and educate people, empower them. With their sexual health because once you’re empowered, you can take better decisions, um, to protect yourself. You can, once you have a confidence, you can communicate better with your partner.

You improve your sexual life, you improve your relationship. So it plays a big part in your life as a whole. So, and I want to have lots of ideas, lots of topics I want to talk about to. Give back. I’m not, am I giving back? Yeah. I’m, I’m giving this, this, yeah, yeah, of course. So take it back to society. Of course.

Yeah. So it’s, uh, I have lots of goals. Um, good. I just got married last month, so honey, I’m still in the honeymoon phase. Oh, congratulations. Thank you. Awesome. That’s great. So once I settle, I’m gonna [00:33:00] start, Producing contents and empowering. Oh yeah. 

Will: There’s, it’s a, it’s a, it’s a, it’s a marathon, not a sprint, but both, both marriage and making content.

All right, so take your time. All right. Enjoy your honeymoon phase. Well, let’s take a quick break and we’ll come right back with Dr. Sule.

Hey, Christian. Do you know why a stethoscope is so difficult to use because there’s no heartbeat in an eyeball? That’s actually a really good point, but also the heart is quiet. The sounds can be distant and you’re in a noisy environment trying to listen to all the beeps and boobs. Uh, but with Echo Health’s 3M Litman Core Digital Stethoscope, it’s easier than ever.

You get 40 times sound amplification, active background, noise cancellation. Even an ophthalmologist could hear the 

Kristin: heart. Yeah, you know, I really could have used that before I had to do 10 minutes of cpr. And it leads to earlier detection, better outcomes, definitely something that’s personally meaningful for us.

Will: We have a special offer for our [00:34:00] US listeners. Visit echo health.com/kk h in use code. Knock 50 to experience echo’s digital stethoscope technology. That’s Eko Health slash kk h, and use knock 50 to get $50 off, plus a free case, plus free engraving with this exclusive offer, which ends April 30th. Today’s episode is brought to you by the nuanced Dragon Ambient Experience, or Dax for short.

This is AI powered ambient technology. It just sits there in the room with you, just helps you be more efficient and it helps with, uh, reducing clinical documentation burden. Yeah, and that can 

Kristin: help you feel less overwhelmed and burnt out, and just kind of restore the joy to practicing 

Will: medicine. And we all want that.

So stick around after the episode or visit nuance.com/discover. Dax. That’s N U A N C e.com/discover dx.

Alright, we are [00:35:00] back with Dr. Salle and, um, Dr. So we, I decided to try to, uh, put together a little game for us to play. I hope you don’t mind. Um, this is something that I, I call sex collaboration. Sex collaboration. That’s the name of the game. So, uh, you as a, as a physician who talks a lot about sexual health and reproductive health, uh, I thought, okay, well, what if say you, um, as a, as a toker, uh, got in contact with a toker from another specialty, It could be any specialty, could be a cardiologist, could be a radiologist, could be an ophthalmologist.

And together, you and this other person had to create a, a, a piece of content that, uh, was at the intersection of those two. Specialty sexual health and whatever else it may be. Okay. And so, um, Kristen, it’s a collab video. It’s a collaboration video. Kristen is going to give us the name [00:36:00] of a specialty that you have to collaborate with, uh, with regard to sexual health.

And I’m gonna help you. We’re gonna do this together. Let do it and we’ll, Try to come up with, uh, with something that makes sense. Right. Okay. What would the video be? So, so, Kristen, what is our first, and I don’t know what she’s gonna say. I gave, she has a list of like every specialty. I just, I sent her. And so, um, she’s just going to randomly choose these things.

All right. So what is going to be our first sex collaboration? 

Kristin: Okay. I’ll start with a softball, uh, to get you warmed up here. Infectious disease. 

Will: Oh, well that’s, That’s easy, right? That’s easy. Yes. That’s it. It’s a softball safe sex. There you go. What, what, uh, what are the kind of, um, uh, infectious diseases do you come across that you ha that you see in your day-to-day life?

Uh, with regard to sexual health? 

Dr. Siyamak Saleh: Chlamydia and gonorrhea is very common. I’ve seen quite few of syphilis when they come with a, with [00:37:00] their rashes on their bodies. That’s, um, we get shingles, especially in the HIV community. Um, yeah, 

Will: so there’s a lot of, a lot of things we could do there. I could even talk about that from an I 

Dr. Siyamak Saleh: perspective.

Yes, exactly. Purpose. Yes, 

Will: absolutely. Um, which is for, I don’t think I see that as much as you do. Um, uh, but uh, fortunately, uh, in fact syphilis is something that we learn a lot about, but I did very rarely see that. So maybe you probably get a lot more syphilis cases. Yeah. You know, in your. In your neck of the woods 

Dr. Siyamak Saleh: then?

Definitely. Definitely. Cool. All right. Give us another 

Will: one. Okay, so we got, that was easy that we got that. That was a warmup. Okay. Yep. 

Kristin: That one was the warmup. Okay. Um, emergency medicine. Hmm. 

Will: Um, okay. Let’s see. Uh, sex emergencies. Can you think of any penis fracture? Oh, there you go. Tell uh, [00:38:00] I’m sorry because that, that might be something.

No, this is good. This is good. But it might be something that a lot of people don’t realize is a thing. Uh, uh, because there’s no, like, there’s no actual bone in the penis. Um, uh, but so can you tell us what that is? What is that exactly? 

Kristin: Yeah. What’s happening? In that 

Will: it’s just something that you call a urologist for, is my understanding.

Dr. Siyamak Saleh: I’m not a radiologist. Yeah, yeah. Right. That was actually my idea. If you say, if you, if you would say radiology, then would’ve said penis fracture, and then we would explain that there is no bone. That 

Kristin: would actually be a good video. 

Will: That’s true. You could go with that. 

Kristin: Radiology is on the list, so there you just knocked one off.

Will: But that does sound like an, I think that probably is an emergency. If I happened to fracture my penis, I would probably go to the emergency department, 

Dr. Siyamak Saleh: so I would imagine it would be a very painful experience. 

Will: Yes. Um, let’s hope that doesn’t happen. Okay. Okay. Let’s, we got it moving on. [00:39:00] Emergency medicine.

All right. 

Kristin: Okay. Um, that was a good one. That was a good one. Ooh, okay. This one might be tricky. Neurology. 

Dr. Siyamak Saleh: Syphilis. Neurology. Syphilitic. Syphilis. Syphilis. 

Will: Yeah. Neuro syphilis. Neuro 

Dr. Siyamak Saleh: syphilis. Yes. Yes. That’s, again, you don’t see it often. Um, 

Kristin: That sounds 

Will: horrifying. I think that’s why actually I don’t see syphilis very much in ophthalmology, go to neuro because it’s, it’s, it takes a long time to get neuro syphilis.

True, true, true. And so by the time we have symptoms in the eye, It that, that if you have intraocular syphilis, then it is by definition neuro syphilis because the eye is just an extension of, it’s part of the Right, the nervous system. Um, and so, uh, uh, how long does it take to get neuro syphilis? I, I don’t even, I think 

Dr. Siyamak Saleh: like five to 10 years, I think.

Yeah. It has something like that 

Will: untreated. Yeah. It has to be untreated for a long time before it actually can [00:40:00] extend to the nervous system. Yeah. 

Kristin: That this does not sound 

Will: like any fun. So if you, a neurologist comes to you and be like, Hey, let’s put a TikTok together, uh, let’s combine some sexual health with, uh, neurology, neuro syphilis.

There we go. Okay. Okay. Maybe you 

Kristin: use that to convince people to go get their syphilis treated sooner than very go. 

Dr. Siyamak Saleh: Definitely, definitely. I mean, once you have a rash that’s already quite some time has passed. Yeah, so, right. And these are the things you see in, uh, rural communities where I work. People don’t come when they mm-hmm.

They have a, a pimple. They come with that. Pimple has grown into like a five by five centimeter cancer. So you, we get to see all these, uh, rare conditions and things. 

Kristin: Right. Sounds like the farmers 

Will: out here. Yeah. It sounds like the, the, the rural medicine videos that I put together, kind of, it’s gotta be a 

Kristin: really big problem before.

Yeah. It’s important enough to go and get it treated, but, uh, okay. Let’s see. [00:41:00] I honestly have no idea how you will do this one orthopedic surgery. 

Will: Oh, we already did the, the, yeah. Already did 

Kristin: that. Um, also that’s, there’s not actually a bone 

Will: there. Bones, uh oh. Um hmm. Uh, ooh. Let’s see how, 

Dr. Siyamak Saleh: I don’t know. Sexual health, 

Will: uh, maybe, um, Uh, there, there may be some positions that are, are, don’t have sex on a ladder, probably a bad place.

Uh, because probably just good advice in general. Sure. Break a leg. Uh, erect 

Dr. Siyamak Saleh: dysfunction. Bone. Bone? No. 

Will: Maybe I don’t, your bone just doesn’t work.

Dr. Siyamak Saleh: Okay, next. All kinds of 

Kristin: things. Oh my goodness. I’m gonna go with, let’s go with ladders. No 

Will: sex 

Kristin: on a ladder. Yeah, no sex on a ladder. All right. All right. Let’s that, let’s do how many more you wanna do? One more, two more. Let’s 

Will: [00:42:00] do, let’s do like, uh, one or two more. Okay. Okay. Um, 

Kristin: okay. Let’s do cardiology.

Will: Cardiology. Okay. Cardiology and, and sexual health. Let’s see. How about, I mean, you know, you always hear like you’re not healthy enough for sexual activity. Yeah. It’s like exactly. Phrase. A lot of that has to do with, with cardiovascular disease. Do you have that, have you ever had that conversation with people?

Uh, 

Dr. Siyamak Saleh: we do. Uh, I was thinking of Viagra also, uh, use of Viagra and uh, cardiovascular. That’s good. What kind of conditions do you have? Do you qualify for Viagra or not? 

Will: What kind of, what kind of people would not qualify for Viagra from a cardiovascular standpoint? Oh, 

Dr. Siyamak Saleh: you had the cardiologist already should have asked that question.

That’s true. I dunno about the exact criteria. And the other thing is like, I wanted to use some stats in my, this podcast, but I see like for like pap smear, you guys have different guidelines than us, so Oh yeah. It’s, uh, so I’m not sure the [00:43:00] criteria, um, but if you have cardiovascular. Conditions, then we usually go through.

Yeah, sure. Something to think about. We go through, uh, list of conditions, um, measure the risk 

Will: because that medication itself is a. The vasodilator, right? Yeah. Yeah. And so it could, it could cause a, a drop in your blood pressure and or something like that. Yeah, of course. Yeah. I’m really out over my skis here.

I, I don’t, I don’t talk about blood pressure very often, but, uh, or Viagra, I believe that, or Viagra, this is probably the first time this has ever come up on this podcast. All right. We got That’s a good collaboration. That’s a good sex collaboration there. Okay. Let’s do one more. Okay. One 

Kristin: more. Let me think.

Okay. Well, we got no, we kind of already did ophthalmology with the neuro. Yeah, we get, ophthalmology is easy. Um, 

Will: okay. Don’t get, don’t get gonorrhea in your eye. That’s, that’s, that’s all I’ll tell you. 

Kristin: Okay. This one is, do you want, this one’s kind of hard. You wanna end on a 

Will: hard one or a, a hard one. Okay.

Let’s do it. 

Kristin: [00:44:00] Anesthesiology. 

Will: Oh. Anesthesiology and sexual health. You’re the one that wrote that list. So I did. I did. I did put that on that list. I wasn’t thinking about what we could do, 

Dr. Siyamak Saleh: to be honest. We do, uh, I do sexual and reproductive reproductive health where we can talk about pregnancy. There you go.

Kristin: Perfect. Yes, there you go. I imagine there are probably a lot of misconceptions about everything related to pregnancy a lot, but uh, specifically maybe some epidural information. 

Will: Perfect. That’s great. I love it. There you go. I just trying to give you some content ideas here, Dr. Solly. So anyway, thanks.

Especially 

Dr. Siyamak Saleh: the pregnancy one, especially people need to know that there are no ways to choose sex of your baby in advance. I’ve had a question when, uh, somebody messaged me, DMed me, asking what she must do to get a twin, and I told her to pray and she was very [00:45:00] offended. She’s like, you don’t wanna tell me, I’ll go to someone else.

I’m like, there is no way. Right. So, yeah, so 

Will: can’t plan that out Uhuh. Yeah. Yeah. Yeah. That’s a probably a big source of, of con man. I, I can’t imagine that you get these comments and you just never thought that that would be something that, that, that you would, that would be helpful for people to, to have information from a, from a professional, you know, about this.

And so it’s, um, it must be kind of fun for you to like to, to find these little. Uh, these little things in society, these little gaps in the education, uh, of, of anybody, really Just the public, public education. And so, uh, to be able to shed light on, I think that’s great. 

Kristin: What would you say for, for how can we close all the these gaps?

Like why are they there in the first place? What can we do to better inform people? 

Dr. Siyamak Saleh: I think we need to start the conversations about sex. [00:46:00] It’s like a, it’s like a taboo, uh, that people, many people avoid it. And, uh, once I think there are like few TV series that is out there that’s starting to talk about sexual health and sex in general, even in South Africa.

Mm-hmm. Uh, I think these are good because, uh, make people, let people open the conversation and talk about such, uh, conditions. And then, Uh, then you’ll be more confident to communicate with your own doctor, with your partner. Uh, most of these questions I get, so I think, I’m not sure sex education in us, how good it is, but I can imagine like some poor countries in Africa or Asia where there’s no sex education.

That’s probably most of my questions are coming from. Yeah. And I usually ask like, how old are you? Um mm-hmm. Obviously, uh, I’m generally surprised when at 17 years old said, I kissed my boyfriend and my period is delayed. So I’m like trying to calm them down. Right. [00:47:00] Educate a little bit. Um, so yeah, so it makes me happy that I can, even if my video educates one person that’s.

Gives me like a, a feeling of, uh, yeah, a rewarding feeling. So 

Will: I think you can, you can bank on the fact that you’re educating far more than one, one person, for sure. Yeah. Do 

Kristin: you think that social, social media as a way to educate people is, is maybe more effective right now than, um, than a formal education system?

Or at least a good alternative if there, if there doesn’t exist a formal education system. Do you think social media is a great way to go 

Dr. Siyamak Saleh: about doing that? Definitely, definitely. I mean, I am member of few sexual health organizations and uh, the way they educate is like through webinars and Zoom meetings.

I don’t think many people attend those things. It’s not, especially not our teenagers and young people. So, yeah, so I try to, even to do it on social media, it’s not something that, Anyone, [00:48:00] like if you, if you come on social media and start talking about a lecture, nobody will listen. So it’s very difficult.

Mm-hmm. Even for me to like simplify the words, um, in a short, fun video because nobody had the attention span of like two minutes unless watching your amazing videos. But otherwise I might try to make them short, simple to the point. To educate and, uh, to ignite some curiosity. Like if you’re curious about this thing, go read about it and learn.

Yeah. So social media is definitely the way to go and, uh, yeah, completely 

Kristin: agree. Back to what we always say, we need more doctors on social media. Um, yeah. You know, putting, putting factual information out there where it’s easily digestible 

Dr. Siyamak Saleh: for people. Exactly. That’s the word. Easily digestible. 

Will: Well, let’s take a break and we’ll come back, uh, with a few listener stories.

All right, we are [00:49:00] back with Dr. Uh Salle, and we are going to take a look at some of our favorite medical stories that were sent in by the listeners. All right, so we have Stephanie. Stephanie says, I was at the OBGYN’s office to check on my I u D. As I was nervous, it might have moved. This was the first time visiting this ob gyn.

She was taking some medical history and asking where I had my i u D placed. I nervously repeated the question to her and responded with in my uterus. While, while while pointing really 

Kristin: hammer the point home, she 

Will: started laughing and said, no. Where were you when you had the IU Deep? Are you you? I. Iud, I U D I I U placed everything ended up being fine with i u d and I’m just happy I responded with medically accurate information.

That’s aing. I mean, 

Kristin: it’s not a wrong answer. You gotta be careful how you word your question. 

Will: I just, I like that, that, that she pointed right to like let the OB [00:50:00] right here. 

Kristin: Well, I would imagine if your ob, if you think your OB is asking you where an i U D goes. You know, you might have some questions about their qualifications.

Yeah. Maybe she’s trying to help. 

Will: All right. That’s good. I like that one. Thank you, Stephanie. All right. The second story comes from Tim. My name is Tim and I am third year medical student applying to Ortho. So maybe I ought to address this email to I tending bro. And Mrs. Bro. There you go. In any case, I just wanted to share a story I heard from one of my, uh, clerkships this year.

This. Psychiatry. Attending I had was European, so she had to frequently fi fly back and forth between Europe and the and the United States for personal as well as professional reasons. One trip, she was just sitting there when the dreaded is there, a doctor on board, calm came. Have you ever been that in that situation?

Yeah, Dr. 

Dr. Siyamak Saleh: Sully coming back from my honeymoon. Really? Oh, yes. 

Kristin: Oh, no. That’s not how you wanna end that 

Dr. Siyamak Saleh: track. No, I enjoy it. Oh, man. I was like, as soon, actually, I was making a video [00:51:00] for my TikTok. You know, there’s a TikTok trend is any medical, uh, professional on the board, and then you stand and sit down and halfway through it, the announcement came.

I, oh my goodness, a student and the lady had many years disease. I knew something about vertigo. I was like, I need to. Google this first, but 

Will: yeah. Do you, do you know, do you know who started that trend, by the way? Who? No. 

Dr. Siyamak Saleh: It was me. Really? 

Will: Wow. The, the, uh, the, I made the, I made the video like over a year ago and, and it’s the audio I think a lot of people use Yeah, yeah.

Is coming from my original video. But anyway, my, my claim to fame is a, as a meme on, on, on Twitter, on TikTok. Well, I 

Kristin: think he would be a lot more useful in a medical emergency on a plane. He’s a lot. That’s what I think we’d be in good hands. Absolutely. 

Will: Yes. All right. Let’s get back to the story here. So, uh, is there a doctor on board call?

Uh, nobody responded. And it came again. Is there a doctor on board sensing it [00:52:00] was her duty as a physician? She went up and offered help, but did preface it by saying she’s a psychiatrist. Turns out that’s exactly what I would do as well as an ophthalmologist. Turns out it was an older gentleman on a beta blocker, dehydrated at a high altitude, so he just passed out likely due to orthostasis.

Long story short, my attending, uh, stayed with the guy the entire flight, made sure he got hydrated and everything, uh, turned out okay. When the plane landed, one of the flight attendants came up and asked my attending for her medical license, just so the hairline can properly document it. At the very moment, at that very moment, this older gentleman who’s been sitting next to the passed out gentleman, the entire time goes, oh, here, you can use mine.

What? Only to find out that the other guy was an orthopedic surgeon, and when asked why he didn’t respond to the physician on board call, he goes, oh, I saw him pass out and checked right away. He didn’t break a bone. Oh.

Dr. Siyamak Saleh: Very good. [00:53:00] Exactly. Exactly. 

Will: That’s good. I love that. I’m 

Kristin: not sure if that’s true or just a really, 

Will: you know, it’s a good joke. Long joke. I could totally see, uh, uh, uh, you know, maybe a little embellishment. Yeah. But you know, you could see it happening. Oh my goodness. Thank you for those stories. Send us yours at Knock-knock high@humancontent.com.

Dr. So thank you so much for joining us. Uh, it’s, it’s really been a pleasure to. Hear your perspective on all things medicine, social media, sexual health. It’s been really great. Um, tell, we wanna know, I’m sure our audience wants to know where they can find you. They can, what 

Dr. Siyamak Saleh: you’re working on. So I go by Dr.

CIA on my social media, so Dria on TikTok and Instagram and DRS on YouTube and 

Will: Facebook. Awesome. Right. Definitely check out, uh, the TikTok and, um, I always encourage people to go check it, uh, out the videos on YouTube as well. And so, um, have a good look through all your content, everybody. It’s um, it’s really [00:54:00] great stuff.

So thanks Aki. Yeah. Keep up the great work. Yeah. Keep it up. People really need what you’re putting out there and so, um, yeah. You’re, you’re doing awesome work. 

Kristin: But first, enjoy, enjoy your new life. Yeah. Newly wet. 

Will: Don’t make any content for, don’t worry about it. The audience. They’ll be there. You’ll be there when you get back when you’re ready.

Exactly. Exactly. So, thanks again for 

Dr. Siyamak Saleh: joining us. Thank you guys for having me. It was a pleasure.

Will: Well, what a fun conversation with Dr. Salle. What’d you think of sex collaboration? Kristen, do you like it? That was a pretty good game. Yeah. You, you were a little nervous about, uh, whenever we had to come up with like a, some kind of sexual health related game. The ski can be a 

Kristin: dicey topic. 

Will: Sure. I think it was fun though.

Hopefully we gave him some content ideas too, some collaborations that he can do with other types of topics. Yeah. Maybe 

Kristin: other people have some thoughts too. They can leave you the comments. 

Will: Yeah, let us, let us know if you have any, uh, what you thought about that. Um, [00:55:00] and if you have any other suggestions for guests or games or anything, there’s lots of ways to hit us up.

Email us, knock-knock high human content.com. Visit us on all the social media channels, TikTok, YouTube, Twitter, Facebook, all the things. Uh, and uh, you can also hang out with us and our Human Content Podcast family on Instagram and tint and TikTok at Human Content Pod. Thank you to all the listeners who are leaving feedback and great reviews for us.

We really appreciate it. If you subscribe and comment on your favorite podcasting app or on YouTube, we can give you a shout out. Like right now, we got, uh, Zen Vibes 9 18 92 on YouTube, who said, very fun and enjoyable to watch. Thank you Zen vibes. That’s a very zen of you. Uh, and, uh, keep sending us, um, you know, all your, uh, stories.

We love hearing those as well. We’re also on YouTube full episodes, video episodes are up every week on my YouTube channel at d Glock and Blacken. We also have a Patreon, [00:56:00] lots of fun perks, bonus episodes where react to medical shows and movies. Come spend some time with the other members of the Night Knock High community where we are.

We’re there. I’m gonna check on it just right after we’re done. Uh uh, recording here. A early ad free episode, access interactive q and a live stream events, and a lot more. patreon.com/glock flecking, or go to glock flecking.com. Speaking of Patreon, community Perks, new members, shout out to Ray W. Thank you, Ray.

Hi Ray. Hi Ray. Uh, shout out to all the Jonathans as always. We got Patrick, Briana, l Edward, k, Caitlin, c k L, Lucia, C. Mary h Mr. Granddaddy Omer, Steven g Jonathan, h a w, Jonathan f Leah, Marion w Mark, Robox, 

Kristin: and Sharon. I love that we now have two Jonathans in our Jonathan 

Will: here. It’s wonderful, isn’t it? Yeah, I really, I’m getting very metto over there.

If anybody, any other Jonathan’s out there, you [00:57:00] want to be a Jonathan Patreon? That would be it. It would work really great, uh, on this podcast. Uh, also Patreon, roulette time. All right. This is for a, uh, someone in the emergency medicine realm of our Patreon. So let’s do a drum roll. Whoop. Oh, I did it like a little thing.

Like a little trip. Yeah, a little, 

Kristin: little horn at the 

Will: end. Shout out to Tupa Mouse for being a patron. Thank you. Thank you so much. And thank you all for listening. We’re your host Will and Kristen Flannery, aka a the Glock Pluckings. Special thanks to our guest, Dr. Cek Sal. And our executive producers Will Flannery.

Kristin Flannery. Aron Korney. Rob Goldman. Shahnti Brooke. Our editor and engineer is Jason Portio. Our music is by Omer Ben-Zvi to learn about our night knock highs program, disclaimer, ethics, policy submission verification, and licensing terms and HIPAA release terms. You know, I don’t have to say this every, you can say it from time to tonight.

No, you, you’re doing, doing just fine. You can go to glock flecking.com or reach out to us at Nan [00:58:00] knock high@humancontent.com with any questions, concerns, or any like fun medical. Puns or other like better jokes than puns? Na Nakai is a human content production.

Hey, Kristen, do you know why I got into medicine in the first place to spend 

Kristin: your evenings on documentation? Of course. Uh, 

Will: no, actually that never even crossed my mind. Hmm. Weird. I got into medicine to actually take care of patients to, to be able to form relationships with them. That is a better reason, and take care for them to listen to them, to actually look at their eyeballs while I’m treating their eyeball.

Well, 

Kristin: I would hope that you look at where you’re treating. It’s an 

Will: important part of being an ophthalmologist and it’s easier than ever with the nuanced dragon ambient experience, or Dax for sure. This is AI powered ambient technology. It’s just in the room with you and it helps you be more efficient and [00:59:00] reduce clinical documentation burden.

Uh, it basically lets you get back to being a physician and practicing the way you wanna practice. So it’s 

Kristin: like having a 

Will: Jonathan. It really is. To learn more about the nuanced dragon ambient experience or Dax, visit nuance.com/discover. Dax. That’s N U A N c.com/discover. Dx.