What You Need to Know About Postpartum Cardiomyopathy | Lisa Schwartz

KKH Trailer Wide

Transcript

[music]: [00:00:00] Knock, knock, hi! 

Will: Knock, knock, hi!

Hello and welcome to Knock, Knock, Hi! With the Glaucomfleckens. Over here we have Lady Glaucomflecken, also known as CryptonPlannery. 

Kristin: And here we have Dr. Glaucomflecken, also known as Will Flannery. 

Will: That’s kind of nice, interviewing each other. 

Kristin: It’s like, 

Will: hi. It’s like a way for just to say hello to each other.

Kristin: Good to see you. Good 

Will: to see you. How have you been lately? 

Kristin: Doing alright? Tired. 

Will: You know what? One thing that’s contributing to your tiredness is the fact that I keep going on speaking trips. 

Kristin: It’s true. 

Will: Well, with, I mean, We do talk about them mostly as a family, but this one was a particularly difficult one because I was in Australia.

Kristin: Yeah, that was far. 

Will: Yeah, you know, I, I, it was, it was a wonderful trip. Wonderful people. So it was, um, the Australian [00:01:00] Uh, society of, they call them anesthetists, 

Kristin: that’s how they say it. Anesthetists. I would say 

Will: anesthetists. 

Kristin: Right. 

Will: Or anesthesiologists. Like the word anesthesiologist doesn’t seem, I never heard one Australian say it that way.

Kristin: Do they pronounce the 

Will: th? Anesthetist. 

Kristin: Oh. Because I kind of want it to be anesthetists. 

Will: I just think that would be really fun. Anesthetist. It’s 

Kristin: fun to say. 

Will: And so I was in, I was in Darwin. Darwin. I’m so bad. I’m so bad at accents. I’m so sorry. 

Kristin: Just say it normally. Up for you. 

Will: Darwin. Darwin. Just 

Kristin: Darwin. You were in Darwin.

On the top end. So, a 

Will: place that most people from the United States, like, don’t even know exists. But it’s like the, the top side, the top, they call it the top end of Australia. 

Kristin: Otherwise known as the northern side. 

Will: Otherwise known as the Florida of Australia. 

Kristin: Yes. 

Will: It’s full of crocodiles. I got to hold one, in fact, within minutes of arriving at the conference.

After 25 hours of travel, someone handed me an albino crocodile. Whole . [00:02:00] 

Kristin: That’s seems that’s what I knew. Unsafe. 

Will: That’s what I knew. I was in Australia. . I love There was a 

Kristin: snake too. You sent me a picture of you holding 

Will: a snake. Yes. There’s also a snake. Um, and uh, I just, I, I love it. I love the people in a, I just, they’re very like 

Kristin: casual and easy going.

Will: I, I, which is nice. I went there, I went there for like. It was, I was like, like two and a half days, and then I went all the way back. 

Kristin: Right. You basically took a weekend trip to Australia. 

Will: I did. Which is 

Kristin: insane. 

Will: But it was, it was, it was tough because you lose a day going there, and so it was 25 hours of travel.

Went to Portland, to LAX, to Sydney, and then by the time you get to Sydney, you’re like, oh, that’s enough. 

Kristin: Yeah. I’m done now. 

Will: Like, that’s like a 15 hour flight from LA to Sydney, and I was like, okay, I’m, I’m, I’m good now. It was an additional five hours to Darwin. That, that one almost broke me. 

Kristin: Yeah. 

Will: Cause it was.

It was a lot. And so, but then once I got there, the people were fantastic. [00:03:00] Um, maybe they’re just so happy that someone would travel so far to get the Darwin. I don’t know, but, uh, uh, wonderful hospitality. So shout out to all the anesthetists in Australia. I love you guys. Uh, you’re treating me very well. I got to, I brought home the Tim Tams.

Kristin: Yes, they did not last long. 

Will: That was the one thing. Um, And we’re ignoring the fact that we live in a modern society and we can just order them on Amazon. It doesn’t matter. 

Kristin: They’re better if they come from Australia. 

Will: That was one of the things that if I was to go to Australia, Kristen says, bring extra space in your suitcase for as many Tim Tams as you possibly can.

So I, I brought, um, four boxes of four bags. How many days do you think that lasted? Less than a week. 

Kristin: Yeah, it was 

Will: it was it was gone very quickly. I 

Kristin: mean there are four of us We 

Will: still have some that we’ve we’ve hidden away. Our secret parents 

Kristin: stash. Our 

Will: secret parents stash where the kids can’t don’t know where they are 

Kristin: Yep If you are a new parent you do not [00:04:00] yet have your secret parents stash place 

Will: You’re gonna 

Kristin: checked out like you need to get on that 

Will: and you’re gonna figure out that you need one 

Kristin: Yeah, 

Will: because the kids will sniff out anything with sugar in it 

Kristin: Well sugar or just anything that you would like to just stash 

Will: Be able to enjoy on your own 

Kristin: have for yourself.

Yes, exactly. Exactly. They’re not gonna break it or eat it or whatever You got to have a place. That’s right 

Will: So anyway, thank you for being okay with me going all the way to Australia for like three days You know, I didn’t invite you to come 

Kristin: I passed 

Will: you passed 

Kristin: on this one probably 

Will: because of the distance but also Crocodiles heat humid 

Kristin: heat humid it right.

I’m more of I’m more of an inside kid than you are. 

Will: Yeah And 

Kristin: then also, you know I don’t know how to say this. Not that you don’t do anything, but when I 

[music]: go, when 

Kristin: I leave, I feel like it’s a much bigger disruption to the family life than when you [00:05:00] leave. I don’t know if it’s because I just leave less and we’ve just kind of got a system down or 

Will: But you don’t know because you’re not here, so how would you know?

How disruptive it is. 

Kristin: Well, I’m not saying it’s not disruptive. I’m just saying, I feel like it’s very difficult for the children and one of them in particular when I go somewhere. 

Will: Okay, 

Kristin: so from the children’s perspective. And when you go 

Will: somewhere, 

Kristin: they don’t love it. They wish you were here, but it’s not the, the big, You know, emotional experience.

Will: I’m going to need some time to unpack that. But let’s talk about our guest for today. Speaking of 

Kristin: children and parents. 

Will: So, yes, we have Lisa Schwartz. So, uh, Lisa is an author, actor, and sometimes social media influencer. Oh, we didn’t even talk, uh, mention her books. Let’s do it now. We talked to her, it didn’t come up.

We had so many other things to talk about. She released her first memoir, 30 life crisis, navigating my thirties, one drunk baby shower at a time back in 2019. Um, [00:06:00] and, uh, uh, hilarious. Just essay collection, uh, she’s, you know, uh, been a content creator since 2007 on YouTube, uh, and, um, has appeared in a variety of different, uh, uh, TV shows and movies and just a really fun person.

Also had a, has a very interesting story, healthcare story to tell. 

Kristin: Yes. Very dramatic, um, story that I think patients and healthcare professionals alike can learn a lot from. 

Will: Especially cardiologists. Yes. 

Kristin: Yes. 

Will: Yeah. You guys, you guys like this one. All right. So should we get to it? 

Kristin: Let’s go. All right. 

Will: Here is Lisa Schwartz.

Today’s episode is brought to you by the Dax Co Pilot from Microsoft. To learn about how Dax Co Pilot can help you reduce burnout and restore the joy of practicing medicine, visit aka. ms slash knock, knock, hi. That’s aka. ms slash Slash knock, knock high.[00:07:00] 

All right. We are here with Lisa Schwartz. Lisa, thank you so much for joining us. 

Lisa Schwartz: Thank you for having me and say my last name correctly. That’s wonderful. Oh, 

Will: what do you usually get? 

Lisa Schwartz: Swartz. 

Will: Swartz? 

Lisa Schwartz: Yeah. 

Will: There’s a, there’s an S C H in there. There is. You gotta get the sh. Yeah. You gotta get that in there.

Lisa Schwartz: That’s why you’re a doctor. 

Will: Right. Yeah. Definitely part of my, uh, my interview, you know, whether or not I could pronounce words correctly. Yes. Why do you think I chose Glaucomflecken as a name? Oh my God. 

Lisa Schwartz: You know? I’ve been working on that one for a while. We’ll make 

Will: you say it. Thank you. We will make you spell it later, but no, we will make you say it.

Um, well, uh, you know, it’s, I’m excited to talk with you and one of the reasons for several reasons, but the first is we talk to a lot of people in healthcare, a lot of like medical quote unquote medical influencers. And Yeah. Yeah. Pretty much across the board. It’s like the whole field of medicine discovered social media during the pandemic.

Uh, and [00:08:00] so like you hear it time and time again, like 2020 pandemic. And I think my theory is because all of a sudden doctors had time on their hands 

Kristin: to do 

Will: something else. Right. And so they discovered TikTok. Well, some of them, I, you know, ophthalmologists, others 

Kristin: were pretty busy with that little pandemic thing.

Oh, that’s 

Will: true. Little thing that happened, uh, but you, on the other hand, you, you, you were making content back in 2007, I think is roughly around the time you joined YouTube. So I’m curious as one of those people that started making videos and making a lot of content around the pandemic, uh, what was it like back then?

So in 2000s, when, 

Lisa Schwartz: when the dinosaurs roamed the planet. 

Will: It feels like a different world. 

Lisa Schwartz: It was a different world. It was completely different. It’s been so interesting to see this evolution of it and how it’s changed. Back then, um, it really was like just a hobby for most of us, uh, somewhere [00:09:00] to put our creative energy while we were trying to write or act or, you know, it’s something in sort of that Field.

Um, and it was so joyful. I choose the word joy. It was so joyful. There was so little pressure on it at the time when, when I started, no one was making money. I mean, you can fact check that, but like, it was, there was no such thing as influencers. I don’t even think they had the partner program yet when I started.

So it was really more about collaboration and just making crazy fun stuff. stuff 

Will: just for the joy of it, 

Lisa Schwartz: just for the joy of it. And then it started to kind of grow and evolve and trends started happening and more collaborations started happening. And then, you know, the ball just kept rolling and it got bigger and bigger and bigger.

And it’s been such a rollercoaster, um, of, uh, of a ride, but real fun. 

Will: Well, it’s like my other, my follow up question to that is like doing this now, I’ve been [00:10:00] Really making a lot of content since for the last like five years. How do you do this longer than that? Like what on, like, I don’t know. 

Lisa Schwartz: Insanity. Uh, I think it ebbs and flows, honestly.

Like I’ve taken, I’ve taken some really. Long breaks because the burnout is real. Um, and it just depends also like on the world and like what the temperature of people’s emotions are. Some, some months people are really angry and it, and it shows in the comments and then some months people are really hopeful and like that kind of sparks your joy and, and gets you moving.

But yeah, I think it’s just like not forcing it, which I forced a lot. You can tell when. When there were months when I was like, I don’t like this, but I’m doing it anyways. Like those videos never do well. So it 

Will: feels more like a job. It’s just an obligation that you have. That’s something that I’ve, I’ve struggled with at times.

And maybe you have as well of [00:11:00] like feeling Like, I, I have to make a piece of content because everybody is waiting on me. They are, they have put their own lives on hold until I put out a piece of content. It’s like such a And then I’m 

Kristin: here to remind him that like, um, no one cares. Yeah. The 

Lisa Schwartz: ego. The ego.

Totally. Totally. You know what though? Somebody does really care. You know what I mean? There’s at least one person out there that’s like waiting. Sure. Waiting. But like 

Kristin: this I have this sense that like, everyone is waiting for me. I’m like, no, they’re living their lives. They’re not even noticing you’re not there.

And then when you pop back in, they’ll be like, Oh, I haven’t seen one of those in a while. Hooray. That’s exactly right. Oh, she keeps you humble. 

Will: Oh, she’s my ego check for sure. Absolutely. 

Kristin: We’ve been together since we were like 20. So 

Will: No 

Kristin: kidding. Yeah. From the beginning. So I’m, I like, you know, I know who you really are, who you work for all of it.

You got to have some of those [00:12:00] people. Yes, you do. 

Will: Well, how has your content changed over time? I mean, over the 15 years, you know, what, what were you doing, what were those first couple of YouTube videos like? 

Lisa Schwartz: You know, back in the day it was like sketch comedy was the thing. I think that’s how I started.

And the videos were really short. They were like. Two minutes tops. Oh, really? Three minutes tops. This short was like really where it was at at first. And then after the comedy sketches, then started doing like, um, challenges, what’s the thing? You know, we’re all eating cinnamon. And then the vlogging started.

And then all of a sudden it was like, no, it needs to be like so well produced. This is, I think when I met Rob is when, um, we started doing, working with companies and making like. Big parody videos. I was really into doing the parody videos. And then it was like, no, no longer. People just want to see the real you.

So like it was, it’s just been following all these like trends and now I have a baby, so I’m not family blogging. Uh, I’ve made the decision not to [00:13:00] share my child on the internet. My own personal decision. We’ll talk 

Will: about talk about that if you would because that’s that’s actually I think a big problem now And I think we’re probably very much aligned with 

Lisa Schwartz: yeah We do 

Will: we have two kids and we take privacy very seriously.

Kristin: Yeah Twelve and nine 

Will: no 

Kristin: and so far we’ve managed 

Will: I’ve had one video where I kept her face Um, uh, you know, uh, 

Kristin: you just see the back, you can just 

Will: see the back of her, the back of her head, because it was, I was, she, I took a splinter out and, um, and charged her, uh, 900 as a fee, as a professional fee. And then she couldn’t pay it.

I had to send her to collections. It was a whole thing, still paying that off. But anyway, that was the only video where I had one of my kids in it and then it was only from the back. So yeah, we’re, we’re very careful about that. I’m just real 

Lisa Schwartz: paranoid. So I’m paranoid too. I mean, are people upset about it?

Do people [00:14:00] say things like, why won’t you share them? No, 

Will: no. People actually very, feel very good about like they’re, they compliment that kind of thing. 

Kristin: But I wonder if it’s a factor of that your audience is mostly healthcare workers. So I think, you know, from, from that side of things, they kind of. But, 

Will: but I see it’s interesting because.

You see a lot of that, right? You see a lot of people that have their kids and their content and it’s, it’s, it’s not all like bad. It’s not like they’re, they’re doing bad things with their kids on social media. A lot of times it’s just like family, they’re just laughing and you know, it’s like comedy type stuff.

And then you’ll see two different types of comedy. You’ll see some people that are really like, Oh, like I don’t. It feels bad to like put children who can’t consent to social media, don’t know what that means to have their face on social media. And then you have other people, they’re like, Oh, look, they’re just, you know, it’s a fun way to, to 

Kristin: include the children, 

Will: spend family time.

And yeah, I see that side of, of the argument, but man, it [00:15:00] still feels kind of exploitative. 

Kristin: Yeah, I mean, everybody’s, 

Will: yeah, 

Kristin: make the right decision for your own families. I don’t want to judge what other parents are deciding to do. We don’t have all the information that they have about their own families.

[music]: That’s just 

Kristin: what feels right to us, and it sounds like that’s what feels right to you too. 

Lisa Schwartz: Yeah, that’s exactly it. Like, I, I’m, I feel like I’m only a year in of parenting, but I’m already learning, like, you really can’t judge other parents unless they’re, like, terrible people, you know? Right. Because you just, like Everyone’s just, like, doing the best that they can and everyone needs to make their own decisions for their family, but, like, we knew even before she came along that this was just the choice we were gonna make, um, because I’ve really shared so much of my life and I’ve kind of pulled back in certain aspects because people feel like they have agency over you, um, and that they deserve this, this, and that, and, um, unfortunately, we’ve, I’ve had some security issues where people have 

[music]: Shows 

Lisa Schwartz: up to my house and, um, [00:16:00] that’s horrifying and I don’t ever want that to happen to my child.

And also, like, I want it to be her decision that her face is on the internet, so, you know. We’ll hold off as long as we can until she really, really wants it, but I’m hoping She’s reading books right now, what if she’s just I want her to be a doctor. 

Will: What if she’s just the most hilarious five year old though?

I mean, you might have to move the timeline up a bit. 

Lisa Schwartz: I know, right? I mean, she is pretty hysterical already. 

Will: So you want her to be a doctor? A lawyer. Um, 

Kristin: I didn’t, 

Will: you know, I, it, it’s, uh, it’s a long road doing the doctor thing, but it’s a, you know, I would actually still, I don’t know if I’d like, 

Kristin: would you want her daughter to be a doctor?

Will: Yes. 

Kristin: Yes. Absolutely. 

Will: No, I get that question a lot. Like, would you, would you, you know, do 

Kristin: you encourage your kids to go 

Will: to med school? And I, I don’t know. [00:17:00] I wouldn’t like push them to that, but I’d be definitely be fine with it because it’s a great career. We need, 

Lisa Schwartz: we need great doctors. We do. We need them.

Will: Absolutely. Well, let’s talk about, let’s talk about your experience in the healthcare world. Um, I guess, uh, yeah, just tell us the story if you would. 

Lisa Schwartz: Yeah. Um, so I am 41 and I was pregnant at 40. Shout out 40 year olds. I just turned 40. 

Will: Yeah, Kristen just turned 40. I still got a year to go, but. Happy birthday.

Lisa Schwartz: Welcome. 40s is great. I’m excited about it. Yeah, you just got more comfortable and like more like, I just, I can’t care as much about what other people think of me. And I think that’s really freeing. Um, so anyways. A little late in the the geriatric pregnancy, which is a real mean thing. Thing. Yeah. And also, right.

Can we come up with a better term for that? Please Do. They used to call it that there was another term that they used, which was a little bit kinder, maybe. 

Kristin: Like advanced. Advanced maternal age. 

Will: Advanced. Advanced. [00:18:00] Advanced maternal age is the one that I’ve heard. 

Kristin: Not, 

Lisa Schwartz: not better. I have 

Will: heard geriatric president or, uh, pregnancy and that’s not great.

So , 

Lisa Schwartz: it’s not great. . Uh. But I, knock on wood, like I, I know how hard it is for many women to get pregnant, um, I got pregnant right away, my husband’s real proud of that, um, and I had a very gentle sort of easy experience throughout pregnancy, I exercised pretty much the whole time, um, Not like everything just kind of went swimmingly other than now in retrospect I look back after this experience and I’m like, you know, I would have experiences where I was really dizzy.

Um, like if I turned when we were on, when I walked the dog and I would turn one way or turn the other way to the point where like I wouldn’t want to do that and or I’d have to sit down and sometimes I would call my husband to come get me. And I remember telling this to [00:19:00] my doctor and it was always just like, yeah, that’s just That’s just pregnancy.

It’s pregnancy, like, and I’ve, I mentioned it several times. Okay, cut to, um, the birth. I, because of my age, they were really pushing an induction. They really didn’t want me to go past 39 weeks, and I just had this, like, instinct, and this is where I’m, like, trying to be an advocate for, um, everyone to, like, If you have an instinct about something to just speak up.

I was, I think I was afraid to really speak up because I trusted my doctor and I trusted the people in the office and they just really wanted to push for this induction. Um, so I got them to do it on, on her due date. Let me just like at least try to get to the due date and see if it could come naturally.

I did everything. I ate the salad. There’s like a famous salad out here. Like I like, you know, walked on the curbs. I mean, I did it all. It was getting to the point where my back was really hurting and like, it [00:20:00] started to become like, okay, I, I guess the time is now. There’s a birthing salad? Yes. Okay. You’ve gotta go back.

There’s a birthing salad there. Famous salad. 

[music]: Okay. Alright. 

Lisa Schwartz: A famous restaurant that’s known for like the women coat and like within 24, 4 hours, four pregnant, just four pregnant 

Will: women. 

Lisa Schwartz: They have a wall of like, um, people come back in and like sign the wall, like if they go into labor. 

Will: Wow, okay. Yeah, and it’s like 

Lisa Schwartz: famous for that.

I ate the damn salad. Didn’t work. It wasn’t even that good. Um, so, and if this gets too, like, long, I’ll try to, like, condense it. Basically, I go in for my induction, and it’s, uh, almost a three day event. I have a failed induction. I get a balloon put in. I, uh, I mean, it just goes on and on. It was awful. And now, again, in retrospect, I should have just been like, this is, this doesn’t feel right.

And I could have said no to some of the things that were happening. I was pumped with so many drugs. Um, [00:21:00] fentanyl to get the balloon in. Um, I got my epidural, which didn’t take. Um, the experience, like, I think I’ve suppressed it because even now talking about it, I kind of get a little bit choked up about it.

It was awful. The whole birthing experience was awful. Anyways, finally, after two days of a failed induction, they’re like, let’s just do the C section. Okay, roll me into the C section. The epidural doesn’t take again and I can feel and I’m screaming to my doctor. So they drug me more. They give me fentanyl and they give me, um, propofol.

But is that the Michael Jackson one? The Michael Jackson special? Yeah, I got the Michael Jackson special. Yeah, 

Will: but that, that, that puts you unconscious and yeah. Do they give you a breathing tube? They 

Lisa Schwartz: didn’t give me a breathing tube. 

Will: So they must’ve done not, you’re just a little bit under. 

Lisa Schwartz: Everything was like in like blackout, like almost like I had way too much to drink, like I remember [00:22:00] now the birth in like at that point in segments, like I was kind of in and out, in and out, in and out.

The baby comes, she is healthy, happy, beautiful, great, um, and I’m alive. So they put me into postpartum and my blood pressure is like super low. And I’m really dehydrated, and so they’re pumping me with fluids, and I’m there for four nights, postpartum. Okay, they finally send us home, and I’m putting on my clothes, you know, you got like a cu I’m gonna get this cute outfit to go home in.

Yeah, yup. And I’m putting it on, and I’m like, this, like, does not fit. Like, holy shit, why is this not fitting? And I’m looking at my body, and I kid you not, you guys, my legs were like three times the size that they were when I went in. 

[music]: Oof. 

Lisa Schwartz: Okay? Like, I look like I was in a fat suit. Like, for my body, okay, it was wild, but my doctor had come in and given us the like, go [00:23:00] ahead, you’re good to go, like, mazel tov, see you soon.

Will: Well, see, sometimes we do give fat suits out for people, so you gotta make sure. So, it’s the 

Lisa Schwartz: prescription. You just have to make 

Will: sure that that wasn’t actually what’s going on. No, okay. 

Lisa Schwartz: Okay, yeah, that’s, we’re just gonna hold up in the court of law, um, so I go home, and I’m just like, this is weird, but like, I guess like, I know after c section, people’s feet get like, kind of like, bloated or whatever.

Um, and then like, it’s like four night, four nights being at home, and then I take a nap, and I’m laying on my back, and I’m like, whoa, I cannot, like, I can’t breathe. I wonder if my pants are too tight. I undo my pants. This is really bizarre. I’m also like anxious, and I tend to run anxious, and I’m like, you know, postpartum, the whole thing.

That night I’m, I can hear fluid in my ear, but I can’t explain it to anyone because that makes, sounds insane to me. Um, but like, I was like, maybe it’s like post nasal drip. Like, I don’t, just something is off. The morning I wake up [00:24:00] and I’m like, there’s an elephant on my chest. Like, like none other. And I’m like, holding myself up, trying to like walk the dog outside.

Like something is, this is off. This is off. So I call a nurse friend and I’m like. You know, this is how I’m feeling. She’s like, I think you’re fine. I think it’s anxiety. Like, and bless her. She’s, she was amazing, but she was like, I think it’s anxiety. Why don’t you just hang tight? I can come over and take your blood pressure, blah, blah, blah.

I’m like, I’m just going to message my doctor. I messaged my doctor and she goes, honestly, I think it’s just anxiety, but you said the key words, short of breath and heavy chest. I have to tell you to go to urgent care, but don’t worry. I think it’s just anxiety. I hugged my dad. We know what this is, guys.

It’s just anxiety. Like. Everyone, God bless them, knew me very well, but they just kept telling me it was anxiety. My friend takes, picks me up and I go to her. I’m like, I’m so sorry. This is so stupid. I can’t believe we’re doing this. It’s fine. Let’s just go. We’ll tell you you’re fine. Now we’ll go home and have lunch.

We get there and they run all the tests and this place was awesome. It’s urgent care. It was [00:25:00] so awesome because they took their time with me. And they ran on this test and they said, let’s just do one more test. Um, they took an x ray of my chest and my lungs were full of fluid. I mean, there was fluid all over.

I was like, oh, you need to go to the ER. Like you have to go to the ER. I was 

[music]: like, 

Lisa Schwartz: no, I just had a baby. My husband’s home with a newborn, like crazy. So we go to the ER. I’m in the ER for 24 hours. They run a million bajillion tests. Um, and then they admit me, finally, back into the postpartum floor that I just gave birth in.

I’m the only one there without a baby. And then I come to learn that I have postpartum cardiomyopathy, which is heart failure. Um, that happens because my body could not pump out all that fluid that had gone in, is what they think. They don’t have, you might know this better than me, like, there’s, there’s, um, There’s no real reason why this happens.

They have some theories. There’s different things that could have happened. But for me, it happened. And my heart [00:26:00] broke. Failed because it just was, was taxed 

Will: too much. Yeah, it 

Lisa Schwartz: was too much. So I spent five nights in the hospital as they all sort of like basically deflated, deflated me. 

Will: They gave you a bunch of probably diuretics 

Lisa Schwartz: and 

Will: some other medications to help the heart pump a little bit better.

And 

Lisa Schwartz: oxygen tank. Um, 

Will: yeah. 

Lisa Schwartz: At one point they considered putting a big, um, like, um, syringe. Into my lungs and draining my lungs. 

Will: Yeah, which 

Lisa Schwartz: they didn’t end up doing. Thank God because that sounded awful. But 

Will: it’s yeah Decompress the lungs a little bit. Yeah 

Kristin: Right here the difference like this because I am NOT in medicine and he is and we have had our fair share of very scary medical events and When you when you’re telling your story, I am horrified and all of that sounds So scary.

And Will’s just like, yep, yep, [00:27:00] yep, yep, yep. I bet they did this and then they did that because not because he doesn’t have any compassion for you, but just, I want to point that out of like, 

[music]: yeah, 

Kristin: healthcare workers, you have to be so used to all of this stuff so that you, you know, 

Will: well, you’re, 

Kristin: you’re just surrounded by it all the time.

So you get used to it, but you also need to be able to not be freaked out by it so you can do your jobs, but then at the same time, like you have to remember this may be, Totally normal in the medical field, but for Lisa Schwartz or Kirsten Flannery or whatever, like, even having a normal birth is a big freaking deal that is like so weird and such a life changing thing, you know, so, for her to say like, they were gonna put this giant needle in my lungs and drain them and I’m like, that would be traumatizing, and they’re just like, yeah, yeah, that’s what they would do.

Will: Well, I’m used to delicately talking about. Needles and body parts. Cause we have to do that to eyeballs sometimes too. And that’s, yeah. That makes 

Kristin: [00:28:00] me want to black out. Yeah. 

Will: Can you imagine having that conversation with someone like, yeah, you know, it’s, it’s painless saying what you 

Kristin: people do is horrifying and in different circumstances would be considered torture, but in a hospital setting, it’s just like, yep, that’s what’s going to happen.

Lisa Schwartz: That’s so true. I actually just learned in general, like the more women I talk to about The more I’m like, Whoa, everyone’s had like a crazy story. Even like you said, like the normal ones are still kind of like 

Kristin: bananas thing that like a whole human will shoot out of your body. Right? Like 

Will: just shoot it right out.

Yeah. Yeah. Bang. 

Lisa Schwartz: Don’t I wish, don’t I wish it would have just shot right out. Well, I have, 

Will: I have a, a question for you about, about your story and thank you for sharing that. Um, the, the water sound in your ear, did it sound like a whooshing sound? Like, uh, like you could kind of hear your heartbeat. Like, 

Lisa Schwartz: that’s so interesting.

I’m trying to remember, I’m trying to describe [00:29:00] how, how it’s almost sounded like a crackling sound, 

Will: kind of 

Kristin: fluid in your ear, 

Lisa Schwartz: like after you were swimming. Yeah, it was just, you had 

Will: fluid everywhere. And that was, I mean, then you were like, what we call it, like third spacing, all this fluid. Cause, cause you’re, you’re, If your heart can’t keep up with it, the volume, then that the pressure of all that fluid in your blood vessels just causes it to just seep out into your tissues, so that’s why your legs, you know, it felt like you were in a fat suit, the fluid will just fill all the space outside your blood vessels.

You know all of 

Lisa Schwartz: these different 

Will: maladies and why? So there’s 

Lisa Schwartz: two of them. There’s the acid in the pitta, which 

Will: is like acid or 

Lisa Schwartz: like acid and 

Will: then there’s the water in the pitta for the exercise. And 

Lisa Schwartz: they have the acid in the pitta and then like the water in the pitta. Their bodies, their bones are in there.

So it’s like the acid, yeah. It’s acid in [00:30:00] the skin 

[music]: on 

Lisa Schwartz: your legs, so they have the acid in the skin. Still there, still there, and like, I’m like, you know, this, like, I just wanted to shout, like, there was like one time I got to, I did, I, um, A spread in Playboy, um, but it was clothed. It was like, um, an influencer spread.

They did like 25 of us. And I want it. I remember like, I’m so drugged out and they kept being like, still, they were still there. And I wanted to be like, I was in Playboy. They felt so gross and ugly and like so dirty and like the whole thing. And I’m just like, Oh my God. 

Kristin: Yeah. It’s a whole just I don’t even know an appropriate term for it, but it just really messes with your mind.

To feel like you’re in a body that is not your body. That’s right. Postpartum in general. Yes, 

Lisa Schwartz: yes, 

Kristin: yes. 

Will: That, that reminds me, uh, I just got an email from Playboy. Is that, I think it was for me. I don’t know. I support you. Maybe they’re doing a [00:31:00] new medical influencer edition. I don’t know. Okay. 

Kristin: Dad bods. I don’t know why Playboy would be asking 

Will: me though.

That doesn’t make any sense, does it? 

Kristin: Well, you know, it’s an, it’s a new world out there. It’s a new 

Will: world. All right, let’s take a break and we’ll be right back.

Alright, we are back with Lisa Schwartz. Uh, so I have some more questions about your experience. Um, uh, one, you mentioned being woken up at all hours of the night. Did you have a lot of med students and people coming in waking you up? 

Lisa Schwartz: Oh my God, we had so many. So many residents and there was this one chick, my dad was there to experience it and we like still laugh about it, who she came in for the first time and I don’t know if she was like really nervous or whatever but she just like busted through the room and she was like, congratulations.

I literally was like, For what? I was so pissed. And I’m like, I’m a people pleaser. I’m very nice to people, like almost to a fault. But at that point, I was just like, for what? You’ve lost 10 

Will: liters of fluid in the past [00:32:00] 24 hours. Congrats. 

Lisa Schwartz: She’s like, you had a baby. And I was like, oh, chick, you were like, yes, I did.

Thank you. But I don’t know. Read the chart. Catch up. 20 steps behind. 20 

Will: steps behind. I’m 

Lisa Schwartz: in a whole nother planet right now. That’s funny. Yes, there was so many of them. 

Will: Yeah. And, um, that’s one thing I always make fun of is the whole pre rounding, you know, I don’t know what kind of hospital, if you were in like a teaching hospital, but sounds like you actually, you had some, some trainees and people coming in and it can be, especially if you’re, did anybody tell you you were an interesting case?

Or like they brought in other people say you have to look at this. 

Lisa Schwartz: It did feel like that, like often. It felt like that 

Will: a little bit. Because I 

Lisa Schwartz: wasn’t on the cardiologist, uh, cardiology floor. I was in postpartum. So I think everyone was a little confused as to like what to do with me. Right. Yeah, so. 

Kristin: Yeah, why, I wonder why they wouldn’t have taken her to 

Will: cardiology once they know what’s going on.

Yeah, tell me [00:33:00] why. It’s because, um. Anything that could be pregnancy related. Is like, um, you might as well have Ebola virus, like for all the rest of the medical field specialties, like everybody is so terrified of getting anywhere near a, a, is someone who’s pregnant or just had a baby or is in the peripartum zone.

[music]: It’s, 

Will: it’s because that just speaks to how subspecialized the medical world is, right? Like I would, I would put myself in that camp, like, 

Kristin: yeah, well what business would you have as an ophthalmologist being anywhere near, 

Will: actually, the 

Kristin: labor and delivery floor, 

Will: you’d be surprised, there’s some eclampsia, pre eclampsia where you can have major vision problems, I’d be like a tertiary, ordinary, like, I’m like, you know, back of the room type of person, I’ll come in, is it okay if I check the pupils, you know, kind of thing, but, um, uh, it’s, yeah, basically anybody outside [00:34:00] of OBGYN, They just don’t have the type of experience that maybe just all doctors had in that area, you know, 20, 30 years ago.

And so we’re just the same thing with eyes. I see the same thing, like any kind of eye problem immediately go to an eye doctor, like we, we, I don’t know, don’t know, don’t, don’t want to mess anything up, so I’m just, I’m just. I’m speaking extemporaneously, but I, so I don’t know if that is in fact why you were still on the labor and delivery, uh, area, but, um, that could have been why.

Kristin: Yeah. Just because it’s, because 

Will: you know, just in case 

Kristin: let’s keep her in labor and delivery so that she’s near the experts. 

Will: Yeah, exactly. And the cardiologist can come in and see you, which is, I’m sure what happens. So yeah. So how long, so you slowly started, did you feel lighter as the medications were starting to work and you were starting to lose all that fluid?

Lisa Schwartz: Yeah, I was there for five nights, but you start to get a little, like, crazy in the hospital. Like, it’s like Vegas. [00:35:00] There’s no sense of time. Yeah, it’s like Vegas, there’s like no sense of time. The lighting is like really bizarre, and like, I also was Like, deep in postpartum, like, I had just had a baby, and my baby was at home with my husband, and like, he was going through his own shit, because he probably thought I was gonna die, and he now all of a sudden has like a newborn to keep alive, like, it was just such a weird, 

Will: it was 

Lisa Schwartz: such a weird whirlwind experience, but yeah, slowly my body started to feel like, oh, whoa, okay, this is like, here she is, here’s my body again.

Yeah. Yeah. 

Will: How’s your, did you, how do you feel about, just in general, your gut reaction, just the medical system in general? I’m curious as someone who’s not in healthcare at all, it’s hard for us in healthcare to like be able to look at it from, And you can be 

Kristin: honest because we’ve seen it from every which way.

I’m just as critical of our 

Will: health care system as the next person. Well, and he’s 

Kristin: also a patient [00:36:00] of 

Will: Yeah, I’ve had my own issues. We get it. We’ve had 

Kristin: some not great experiences. 

Lisa Schwartz: But, yeah, 

Will: what are your thoughts? I’m just curious. 

Lisa Schwartz: I’m trying not to, like, have anger. I think that’s part of, like, the processing, but I’m angry.

I’m angry at, like, certain things that happened. I also have so much debt. Like, I owe so much money still, and I’m like, you guys almost killed me, and now I have to, like, slowly pay you back. And I’m mad about that. I have insurance, and I still, like, owe so much money. Um, so that’s frustrating, but, um, I also learned That knowing people is super helpful because one of my best friend’s dad worked at that hospital, so he had the connection, so I got the best cardiologist, and I felt really blessed for that, and he saved my life, and he is such a mention, a lovely man, and I’m like, I’m so grateful for that, had I not had that connection, I wonder if my experience would have been significantly different, I had an advocate for me, um, I also learned that you have to be your own advocate.

For All that negative aside, the positive is, there are, there were so many [00:37:00] angels along the way that I met, so many healthcare workers that took the time or that I connected with on like, some sort of weird ass spiritual level where they just like, kind of looked over me and took their time with me and like, made me feel human, so I think it was really a mixed bag, um, feelings of the, of it, but I’m, I’m grateful for the technology and I’m grateful, um, ultimately for what they all did for me because I’m here and I’m fully recovered.

Will: I’m sorry to hear about the, the, uh, billing and that’s, that was actually, yeah, when I, when I had, I had a cardiac arrest in 2020 and, and Kristen here saved me and I got to the hospital and got all the things and all the tests and then the, but despite all that, one of the most challenging things. was just dealing with the health insurance company and the bill and trying to figure all of that out.

And it was hard for me and I’m a, I’m a doctor and you know, it’s, it’s, it’s even harder for [00:38:00] people that don’t have that inside knowledge like you, you know, and so, uh, it’s, and that’s the kind of thing that. So many of our patients are going through and and 

Kristin: you said something really key or that stood out to me Anyway, which is those the the positive experiences you had they made you feel Human 

[music]: and 

Kristin: that is something I talk about all the time After our experiences too is there is so much about health care both for people working In it and for patients, you know, being treated by it, that is just so inhumane and it’s sort of one of these things that we just feel like, well, that’s just the way it is and it’s way too hard to change it.

But, but I just don’t, I don’t know. I can’t. Get on board with that. I refuse to believe that that is true. That it has to be that way. And then it’s just so profound. I think that it’s just small things like paying attention to the fact that you [00:39:00] are human and you have normal human needs and emotions. Just attending to those things.

Makes all the difference. It’s so simple and so easy sometimes, but it still doesn’t always happen. So that’s 

Will: Always frustrating reassuring you sometimes that you’re not wearing a fat suit. This is But now 

Lisa Schwartz: you’re 

Will: you’ve turned this into some advocacy work, so once you talk a little bit about that 

Lisa Schwartz: Yeah, actually, when I was in the hospital bed, I was like, I, like, nobody knows what this is.

Like, even the people that were there, like, they didn’t really know what this was, so I was, like, quick to, like, get to Facebook and try to find a group, which sounds so silly, but there was one, only one group for this, um, for postpartum and peripartum. Cardiomyopathy and so I joined it and it was helpful to just see what other people were saying [00:40:00] and like understand that this is a thing and this is a community and so it started there and then recently I made, then I made a video when I got out and sort of started talking about it on my YouTube channel and then I had this woman reach out to me and she founded this non profit called Let’s Talk PPCM.

And she was like, Hey, I would love to like do an interview with you. I said, Oh my God, I’ve actually seen your stuff because when I was Googling this, you’re the only nonprofit about this. And she was the one that started the Facebook group. So she got me kind of wrapped in. And as soon as I talked with her, I was like, I got to get, I want to get involved with this.

Like, she’s like, join the board. Like we’re happy to have you. And so I just. Started working with them, but their mission is to educate people, um, both like just women that are getting pregnant, but also the medical field about this and doulas about this and signs to what, what signs to look for this. Um, there’s actually a blood test that you can take, but they don’t offer it.[00:41:00] 

That would give you a sense of, um, and I can look it up. It’s called, because I got it afterwards. BNP test. You know what that is? BNP. 

Will: Yeah. What 

Lisa Schwartz: is it again? Like what is it? It’s, 

Will: it’s a, it’s a, it’s a test that can be done. Um, looking at, uh, uh, your heart failure, blood, it’s heart failure. It’s a sign of heart failure.

It’s, I, I think it’s not something you can use just by itself. It’s, it’s kind of a, a what we call a it nonspecific test, so it can mean a number of different things, but in the right clinical context, I think it can be helpful. 

Lisa Schwartz: Yeah, they’re kind of like pushing for, for that if, if there’s, if you’re seeing signs of.

So I’m just starting to get into it because I feel like everything happens for a reason and if I can help someone else. If you want to help us out with this, then I’m happy to share my story. 

Will: I think that’s great. 

Lisa Schwartz: Yeah. 

Will: Well, I have one more thing for you before we go, but let’s take one more break.

[00:42:00] Hey, Kristen. 

Kristin: Yeah? 

Will: I’m full of Demodex mites. 

Kristin: Oh, I see that. 

Will: Are you? 

Kristin: I have no Demodex Thank you. 

Will: There you have another one. 

Kristin: Okay. 

Will: Alright, this one goes on your head. 

Kristin: Oh, okay. 

Will: Alright. I’ll put that there. Keep em, keep em on. 

Kristin: Okay. Yep. 

Will: Do you know what those guys do? 

Kristin: They cause red itchy eyelids. 

Will: Yep, they’re, well, sometimes they do.

They can cause demodex blepharitis. Oh. Red, itchy, irritated eyelids, crusty, flaky buildup on your eyelashes. You look a little grossed out by that. 

Kristin: Well, it’s not my favorite thing. 

Will: But they’re so cute though. Look at em. 

Kristin: Yeah. Is this what they look like? They do look 

Will: like this, they’re not like soft and squishy, they’re probably a little bit more sturdy and crunchy, but don’t get grossed out, alright, get checked out, that’s what you need to do.

To find out more, go to eyelidcheck. com, that’s E Y E L I D check. com to get more information about these [00:43:00] guys, Demodex and Demodex Blepharitis. Alright, so, uh, Lisa, I’ve In doing some research, um, just about you and trying to, no, no, just trying to, um, you know, learn a little bit about your life and the things you’ve done a lot of things in media.

Uh, so we’re kind of going back into media world here. Um, so while doing some research for this, we found out that you’re a huge bachelor and bachelorette fan. 

Lisa Schwartz: Is that, is 

Will: that still the case? 

Lisa Schwartz: This is the first season I didn’t watch. We had a few things going on. You’ve been busy. You’ve been busy. You guys, I sit down on the couch after I put my daughter down and I fall asleep.

My husband’s like, can you like stay awake? He’s like, he, every night he goes, do you want to sit up a little bit? So, I’m so sad. I I don’t know anything about the season. Was it great? 

Will: You, I, [00:44:00] I’m not sure We also also don’t have time to Yeah, but you, you even, I’m just setting the stage for this ’cause you even hosted a show.

I did. Will you accept this ride, right? Yes, I did. Which is where you interviewed different contestants. So we’re gonna play a, a, uh, 

Kristin: wait, wait. So you got. 

Lisa Schwartz: Tell us what that was. So, this was like right when the Bachelor franchise wanted to start doing social media, but they hadn’t built anything out yet. And so they were like, oh, we want to have a YouTube channel.

And so they hired me to be the host of this show. So it was actually their show. Um, and so I got to work with like ABC, um, on it. And I would host, um, you know, A show in the back of a limousine, and I would just have champagne with contestants that recently got kicked off, and I would ask them a bunch of questions.

And it was 

Kristin: so fun. So wait, is it like as soon as they get kicked off and they get in the limo and they have their little monologue to the camera, is it like during that period of time? It’s not during that. The 

Lisa Schwartz: show had already been like, it was just like, 

Will: yeah, every week. They had time to [00:45:00] process. Yeah.

Lisa Schwartz: Every week when it aired, then they would come and do the show. So it was 

Will: like, Oh, that’s cool. But 

Lisa Schwartz: it was so fun. It was awesome. 

Will: Okay. Well, so in honor of, of that and your, your expertise and Bachelor and Bachelorette, I, we have some trivia questions for you. 

Lisa Schwartz: Oh no. All right. Okay. Here we go. Okay. 

Will: All right.

What year did the Bachelor and the Bachelorette first air respectively? Okay. Okay. Let’s see if you can come up with the year. 

Lisa Schwartz: I’m like, when did I graduate college? I won’t say it out loud because it’s so long ago. Um, 2012? 

Will: Oh, you gotta go, you gotta go way back. Way further than that. It was way before that?

Yeah. So the bachelor was 2002. 2002, yeah. 2003 for The Bachelorette. It was way back. Guys, 

Lisa Schwartz: I was smoking too much weed in college at that point to pay any attention. All 

Will: right, 

Lisa Schwartz: who, 

Will: uh, who were the featured, who was the bachelor in the first [00:46:00] episode? No, first season. Sorry, first season. Do you remember? 

Lisa Schwartz: Was his name Jason?

I think I’m not going to get any of these right. What, I feel like all their names were Jason. 

Will: Kristen, do you remember? Well, I just saw 

Kristin: the answer, but no, I would not have known. 

Will: Alex? Alex was the name of the, who was the first bachelorette? Maybe 

Kristin: she started watching in 2012. I’m really going to write Maybe we should go to there.

Will: Okay, that’s alright, I don’t know any of these. Um, let’s see. Alright, here’s one we can all kind of guess here. What percentage, what percentage of the couples over the, over both shows have stayed together? 

Lisa Schwartz: Both shows. Both shows. Combined total. Combined 

Will: total. What percentage of the couples stay together?

I’m going to give you a multiple choice. 

Lisa Schwartz: Okay, but wait, the proper question 

Will: to add 

Lisa Schwartz: is, does this include a paradise? 

Will: Cause I think 

Lisa Schwartz: they’ve had the most success in paradise. 

Will: Oh really? Interesting. No, I think this is just the bachelor and bachelorette. Okay, okay. So 29%, 7%, 16%, 38%. 

Lisa Schwartz: What’s your guess? I feel like I’m guessing seven.

Kristin: [00:47:00] I was thinking the same thing. Like, surely it’s not high. You guys 

Will: are low balling them. It’s 16%. 

Lisa Schwartz: Oh, excuse me. Still pretty 

Will: awful. Pretty bad. Still pretty, 

Lisa Schwartz: pretty awful. I feel like this latest one, she didn’t. 

Will: Not great. 

Lisa Schwartz: No, no good. No good. 

Will: Do you know the name of the mansion where both shows are usually filmed?

Lisa Schwartz: I know it’s in Malibu, and I know it was recently sold, and I know you can, you can Airbnb it, but I don’t know you really? You can. I bet that’s an expensive one. You can Airbnb it for a night. Yes, yes. Um, but I don’t know what it’s called. 

Will: Villa de la Vina. Villa de la Vina. 

Kristin: Winehouse. 

Will: Winehouse. That’s exactly it.

All right. Where was the first season of Bachelor in Paradise filmed? Do you remember? 

Lisa Schwartz: Paradise? Yes. Okay. Have you ever seen the special 

Will: in paradise 

Lisa Schwartz: paradise is the best. It’s so fun. Is 

Will: it? Yeah, that’s good. Yeah to loom Mexico, Mexico That’s very 

Kristin: Instagrammable Makes [00:48:00] sense then, you know 

Will: Okay, and I guess oh the last question was can you tell us who’s the featured bachelor for the upcoming season?

But 

Lisa Schwartz: I’ve seen a picture of him and he looks really cute and I could not tell you his name. Is his name Will? 

Will: It is not. It’s a great name though. Uh, Grant Ellis. Grant Ellis. 

Kristin: Oh, I think she might know this one. 

Will: Which one? 

Kristin: You guys, I’m so sorry I let you down on this. 

Will: Who was the first, you know more than we do, the first female bachelor contestant to win Dancing with the Stars?

Do you know who won Dancing with the Stars? Cause this 

Kristin: name even I recognize. Is it Gabby? Yeah. No. What do you think? Starts 

Will: with an M. 

Kristin: You were close with Jason earlier. Jason, Mason, Mary. 

Lisa Schwartz: No, except this one’s a, this one is a woman. 

Will: It’s a woman. 

Lisa Schwartz: Maria, Mary. I’m like, what’s a basic M name? 

Will: Melissa. 

Lisa Schwartz: Melissa Raycraft.

Will: Melissa Rycroft. 

Lisa Schwartz: Melissa Rycroft. I’m not a great fan. You know what? I’m a mom [00:49:00] now, so. Yeah. I get it. All 

Kristin: that has left your head forever. It’s wild. I 

Will: can totally, obviously I’m not a mom, but, um, I could totally understand this because whenever I. Yeah. Left med school and went to ophthalmology. I just forgot so much stuff.

Like maybe I learned about peripartum cardiomyopathy, but it’s since gone out of my brain. So 

Kristin: you can’t keep it all in 

Will: there. Oh, there’s way too much stuff to our brains. You 

Kristin: could tell us the minute, the last time your kid pooped. Oh, sure. And exactly what it looked like and smelled like. 

Lisa Schwartz: All 

Will: right. Well, Lisa, where can people find you?

Lisa Schwartz: Oh, um, I just gave out my address. Where? Come on over. No. Do not do that. Don’t do that. That’s not appropriate in any situation. Against the law. In any case. It is against the law. Um, you can find me on Instagram at, uh, how do I think about that? Lisa Schwartz. At Lisa 

Will: Schwartz. 

Lisa Schwartz: Okay. [00:50:00] YouTube. At least bug. 

Will: All right.

Yeah. A veteran of YouTube. 

Lisa Schwartz: 2007. 

Kristin: An old lady. OG. OG. When did it start? 

Will: When did YouTube like, it must have been around, you must have been like an early adopter of that website. 

Kristin: 2005 maybe? 

Will: Yeah, it was like, you must have been in the early wild west days of 

Lisa Schwartz: YouTube. It was a wild, wild west. She’s a visionary.

Will: And then, um, that, uh, and then the advocacy part, I just want to mention that again, peripartum cardiomyopathy, uh, is, uh, the, the condition that you’re raising awareness for and, yeah, if you guys want to 

Lisa Schwartz: visit, yeah, let’s. Top PPC M mm-Hmm. , that would be great. I wanna, it’s, let’s talk ppcm do org. 

Kristin: I know it’s not, uh, our usual to end with the question here, but I, since we have a large healthcare worker audience.

Mm-Hmm. , is there anything that you would like for healthcare workers in particular to know about? Peripartum cardiomyopathy or delivery or anything that, anything related [00:51:00] to your experience. 

Lisa Schwartz: Oh, well, thank you for all that you do and like just taking the time to check in. And I think it was the, the healthcare workers that empowered me to speak up and like give me the space to do so and encourage me to do so, uh, are my heroes.

So the more you can, um, encourage your patients to. Give them a safe space to speak. 

Will: Yeah, that’s a great message. 

Lisa Schwartz: Well, 

Will: thank you so much, Lisa, for coming on. 

Lisa Schwartz: Hey, thanks for having me. 

Will: Alright. I think my favorite takeaway from her story and what she said was was, um, feeling comfortable speaking up. 

Kristin: Yeah.

Will: Cause that, that is, it can be a very, um, uh, intimidating situation to find yourself in, you know, you’re surrounded by all these doctors that know so much more than you and maybe aren’t taking the time to, to, to educate you as much as they, they could or [00:52:00] should. And so what do you do as the patient? Um, and do you say something, and you always say something.

Well, and 

Kristin: medicine feels, from the patient’s side, it feels so algorithmic, right? Like, like if, it almost is, is as if you are consulting a flowchart on the computer while you’re typing while I’m talking, right? Like, it just feels like that, of, of like, no, if I say this, they’re gonna automatically go this way, but, you know, but if, if I’m actually over here, I’m not explaining it very well, but it does just feel like if you don’t say exactly the right word to get to exactly the right diagnosis, sometimes it, you can end up on a path that’s not really the one that’s appropriate for you.

Like there’s things that they’re looking for that patients don’t know what the keywords are. 

Will: Yeah. That’s one of the hardest things, honestly, is, is. I mean, you gotta listen to the patient and what they’re describing and try to figure out what the symptoms are really telling you and what kind of symptoms they’re, because I’ve [00:53:00] had, you know, patients don’t use the, the keywords from the textbook, right?

Yeah. And so, you know, and part of that’s just experience. Like the longer you practice, the more you you’ve heard people describe symptoms in different ways. Um, and I, like the classic example in ophthalmology is, is floaters. Now, if you describe floater as a curtain coming over your vision, well, that’s is like the textbook definition of like a, A retinal detachment, and we’re worried about that, but people don’t describe floaters, they could describe them in all different ways.

And sometimes it’s not, it’s just like a little spot, spots and dots and strands and worms and I’ve had the spider webs and that’s that content, like portrays a little bit more severity. And in our assessment, if it’s like spider webs versus like other, so it’s like all the language is just something that experience and actually listening to the patient are really important.

And trying to start with [00:54:00] a, your broad differential and then narrow it down based on what you’re hearing and seeing. Yeah, 

Kristin: and I guess what I’m trying to get at too is that like, it feels like they’re so certain once they make a decision that they’re going to go this way with what they think you’re saying.

It’s really hard once they’ve made that decision, like what she was saying, oh it’s just anxiety, or that’s just pregnancy. Yeah, but that’s, 

Will: that, that, that I meant to ask, you know, mention that and it’s. 

Kristin: Yeah, 

Will: that’s a big pet peeve for a lot of people, both in healthcare and outside of healthcare. Even 

Kristin: if you do think it’s just normal pregnancy related or normal anxiety related, what is the harm of saying, but it could be X, Y, and Z, and so let’s just make sure it’s not that before you say, oh don’t worry about it, it’s just anxiety, and you dismiss the patient.

Will: Yeah, it definitely feels dismissive. 

Kristin: Yeah, and you didn’t bother to think about. All the possibilities, you know, I don’t know. That’s a pet peeve of mine. 

Will: That’s why [00:55:00] I love talking to people like Lisa who are not in healthcare and organically they just have these experiences that we know are sometimes, you know, a problem with how we Treat patients and address patients and talk to patients.

And so it’s good to have that perspective. Yeah. So let us, let us know what you think. You can email us about this episode, about any of our episodes. Knock, knock high at human content. com. We’d love to hear what you thought. You can also visit us on our social media platforms. Hang out with us in the human content podcast family on Instagram and TikTok at human content pods.

Thank you to all the listeners leaving feedback. We know you’re out there and you have awesome reviews for us. So let’s hear them. If you subscribe and comment on your favorite podcasting app or on YouTube, we can give you a shout out on our YouTube channel at Glaucomfleckens. So we have today, we have at EmbersAssembling939 on YouTube said, I want to be on whatever Lady G is on.

Sometimes you’re a very energetic person. I’m [00:56:00] excited. It’s 

Kristin: true. I do. I’m curious what episode this was in reference to, but I do have a guess. There was one day that I was just real punchy, like recently, and I bet it was that one. Here’s 

Will: another one. At Kyle Kane, 5727 on YouTube, uh, reply to that comment.

Saying, she’s on that happy juice too, lol, I also want some. Goes to meet CD, anesthesiologist on the side of building, hey, you got a good 20 of that happy juice? Yes, Hans, over 20. Receives baggie, we’re all happy on the happy juice. 

Kristin: I think that day I love YouTube sometimes. 

Will:

Kristin: know. I think that day I just had a real good sleep and some, some caffeine in the morning is all that was.

It’s 

Will: all it takes. Full video episodes are up every week on, uh, our YouTube channel at Glaucomfleckens. We also have a, uh, a Patreon, lots of cool perks. You can come, uh, get bonus episodes or react to medical shows and movies, hang out with other members of our wonderful growing little community. We just [00:57:00] added a new township.

Um, uh, we incorporated them from another, um, uh, area of the county. Yep. Now they’re part of us. So, um, whether you like it or not. Interactive Q& A, live stream events, early ad free episode access, much more. Patreon. com slash Glaucomflecken, or go to Glaucomflecken. com. Speaking of Patreon, community perks, new member shout out, Lindsey, H, Jerry, and Adam R.

all for joining. We’d love to have you. Love the support. Thank you. And shout out to all the Jonathans as usual, Patrick, Lucia C, Sharon S, Edward K, Steven G, Jonathan F, Marion W, Mr. Grindetti, Kaitlyn C, Brianna L, Kay L, Keith G, JJ H, Derek M, Mary H, Susanna F, Jenny J, Mohamed K, Aviga, Parker, Ryan, Mohamed L, David H, Times 2, Gabe, Gary M, Eric B, Marlene S, Scott M, Bubbly Salt, and Pink Macho!

If Pink Moncho ever cancels her Patreon subscription, we 

Kristin: are going 

Will: to lose it on this podcast. Patreon [00:58:00] roulettes, I’m Random, shout out to someone on the emergency medicine tier, Corin B. Thank you for being a patron. Thank you all for listening. We’re your hosts, Wilton Christopoulos, Special thanks to our guest, Lisa Schwartz.

Our executive producers are Will Finnery, Kipton Flannery, Aron Korney, Rob Goldman, and, oh, that’s Shahnti Brooke. She’s fantastic. Our editor engineer is Jason Portizo, our music is by Omer Ben Zvi. To learn about KNOCK KNOCK, HIGHS, PROGRAM, DISCLAIMER, ETHICS, POLICY, SUBMISSION, VERIFICATION, and those licensing terms.

Also, those HIPAA release terms. Have you freshened up on those lately? 

Kristin: Uh, no, I need to do that again. 

Will: I put little, um I have a little typos in there to see if you’ll notice if you haven’t yet. I have 

Kristin: not. You 

Will: can go to Glaucomflecken. com or reach out to us at knockknockhigh com with any questions, concerns, or fun medical puns.

Knock Knock High is a human content production.

[music]: Goodbye![00:59:00] 

Will: Hey Krista, what would you like Jonathan to do for you? 

Kristin: All of my chores. 

Will: All of them? 

Kristin: Yes, every last one. 

Will: Yeah? Yep, I want 

Kristin: him to make my bed, clean my house, parent my children. Yes. 

Will: Well, I don’t know if he can do all of that, but let me tell you about an alternative. 

Kristin: Okay. 

Will: The DAX Copilot from Microsoft. 

Kristin: Oh, it can do many things.

Will: It can’t do all your chores, but it can help physicians with their documentation, all the administrative burden that just sucks the joy out of practicing medicine. 

Kristin: Yes, and makes the doctor patient interaction worse. 

Will: Exactly. 85 percent of patients say their physician is more focused when they use DAX Copilot.

93 percent of patients say their physician is more personable. And conversational. 

Kristin: Yes, because you can be a human and actually look them in the eye and talk to them. 

Will: It just allows you to obtain work life balance that is becoming harder and harder to obtain these days in healthcare. Learn about how DAX Copilot can help you reduce burnout [01:00:00] and restore the joy of practicing medicine.

Visit aka. ms slash knock knock hi. Again that’s aka. ms slash knock knock hi.