SPEAKER_00 0:00

It's Halloween week. And because of that, I thought a nice twist on top fives and conversations is scary things inside of medicine, healthcare, and what doctors deal with in their day-to-day lives. And there may be some twists on these scary ideas. And this is uh this is a casual but fun, playful thing to pay attention to on different scenarios that doctors and medical professionals have to deal with on concerns and questions and scary things.

SPEAKER_03 0:37

And if you're not watching this podcast, say you're just listening to it, you would know that this isn't serious because David's wearing a rhinestone cowboy hat.

SPEAKER_00 0:46

I'm a rhinestone cowboy.

SPEAKER_03 0:49

Some Mardi Gras beads, and I got a cool mask.

SPEAKER_00 0:54

I won't be able to So in my previous 400-pound life. Yeah, I won all these beads naturally.

SPEAKER_03 1:03

We got them at Universal Studios a lusher.

SPEAKER_00 1:06

All right, all right. I gotta, I gotta, I gotta bring this up. All right. So I donated blood. I won't tell you, tell people where. We're starting off with a tangent right off the rip. I start I donated blood yesterday. Does it matter? We're gonna talk about where because the story could be a little it's a little uh it's a little risque. So uh you know how there's a population of older, especially gentlemen, that their f that frontal cortex disappears and they just speak their minds. And oftentimes they mean well. They don't mean like mean mean things, but they say things that are just like very bold.

SPEAKER_03 1:41

Yes.

SPEAKER_00 1:42

You know what I'm talking about?

SPEAKER_03 1:43

I do.

SPEAKER_00 1:43

Like I'm sure back in the day, I mean a little too much, but I'm sure like older dudes were hitting on you in the and and uh exam rooms and stuff like that.

SPEAKER_03 1:50

There is a population. Yes.

SPEAKER_00 1:52

So I donated blood, I'm sitting in like the 10, 15 minute waiting area eating some processed snacks to make sure I don't pass out. I was eating what did I eat? I ate Cheez Its and some lemonade. Two things I literally would never eat. Actually, I do love Cheez Its, don't get me wrong. And lemonade. It's not a day-to-day occurrence. And I don't know how it came up in conversation. It started off because I was wearing a concierge medicine in West Michigan jacket, started talking to this dude, went into a this guy was in his I don't know, like early 70s, late 60s, early 70s. And somehow the conversation transitioned to my weight loss transformation. So then he asked if I had a picture, and I have that classic 10-year picture of the transformation and this old dude looking at his transformation, he's like, Oh my gosh, you had bigger tits than every girlfriend and wife I had. And he was gen like, he was actually thoroughly like, hey, your transformation's credible. Incredible, but at the same time, that takes balls to say. So going back to the bad. I'm glad you got a laugh out of it. Going back to my beads. Yeah. Oh, sure. If you kid my trip.

SPEAKER_03 3:06

Dave, we're called vitals and values. It said previous life. Okay, good. Okay, I can't do it. I can't wear this mask. It's gonna be a headache. Fine. There, I did it. I wore it.

SPEAKER_00 3:16

I'm gonna keep my rhinestones on, though.

SPEAKER_03 3:18

Yeah, I'll put a bead on. Because we got a whole we got a whole pile of more of these rhinestone beads or Mardi Gras beads.

SPEAKER_00 3:25

Too funny.

SPEAKER_03 3:26

All right, where do you want to start?

SPEAKER_00 3:28

Um, I think it's super important. It's like scary versus fear-mongering. Uh, this like health content online runs on fear, the toxin in your shampoo, the doctors that don't know what they're doing. But the real scary things are often very boring. And so some of the things we're gonna talk about on here, uh, it's the things where things fall and crack and nobody connects the dots, and uh, and how just subtle labs over an extended period of time are sometimes the scariest things. And so this is just gonna be a fun little countdown conversation on different things that Lara in particular or doctors in particular will find scary off the rip.

SPEAKER_03 4:04

And these are totally not uh in no particular order, and just not a complete list, just things that came to our came to my mind.

SPEAKER_00 4:11

Yes. What that is the scary that you dealt with recently, which I think is so perfect, is nothing scares a doctor more than I'll I'll say I'll say it, but then you give the story.

SPEAKER_01 4:24

Yeah.

SPEAKER_00 4:24

Uh of a of a younger person going, I have an 11 out of 10 headache and am not shaking it. What do I do?

SPEAKER_03 4:32

It doesn't really matter what age you are. If someone tells you I had an the classic term for this in medicine that you learn is the thunderclap headache. Someone has a sudden thunderclap, 10 out of 10 pain headache. That is like, shoot, we have got to make sure that it's not something that is going to kill you relatively quickly. And so I got a message just uh three days ago. I was working through my inbox, and the patient just sends me a message, just kind of like, hey, so I know we talked about my headaches, and you told me to let you know if they changed. And so a couple days ago, and then yesterday, I had these 10 out of 10 thunderclap headaches, and I was like, No, she said the words. Uh she said all the words, and I was like, Oh shoot. So I sent her straight to the emergency room, actually to right care clinic. Uh, and so she went there and I saw her yesterday, and she's doing fine, but she I thought it was funny because she said when she went to Right Care Clinic, she's like, they were really worried, like they were all like kind of worried, and she was, I think, surprised by this. And I was like, Well, yes, um, I I I'm glad I wasn't alone in being concerned about this person. Um, but yes, that is something that's very scary that's actually for a physician.

SPEAKER_00 5:52

Like, because that's acute, dangerous.

SPEAKER_03 5:55

A group of things that when you as a physician hear it, bells start going off in your head, alarms, and you know that person has got to be seen now. Um, this worked out really well because she responded right away to my response back and took care of it. But sometimes it's like you can't get a hold of somebody and they're not responding, and then you're like freaking out, and that's all you're thinking about. And so those are not the most fun moments.

SPEAKER_00 6:18

Well, because not dissimilar, yeah, but very very uh very consistent with the same thing, which is instead of headaches, what's the other one that you just Well, I mean, this one's maybe not as scary, I would say.

SPEAKER_03 6:31

I don't know if this is where you're going, but whenever anyone, if you're gonna call your doctor or message your doctor that you're having chest pain, that's exactly where I'll go with it. It's like it's so hard because there are so many things that can cause chest pain that are harmless, but you have to get that checked out a lot of the times. There's certain things about chest pain if you can get the details about it's like, okay, that's not concerning. But just in general, if you are worried about chest pain and you call your doctor, just you may just want to expect them to send you to the emergency room or similar. So um, that is another one, yes.

SPEAKER_00 7:06

Do you have that in your list?

SPEAKER_03 7:07

Well, you mentioned this when we were kind of chit-chatting before. And this is, I think, is funny because this was something that was very scary to a lot of the people that I worked with. Much less serious, but whenever a person came in concerned about bed bugs.

SPEAKER_00 7:21

Terrifying.

SPEAKER_03 7:22

The medical assistants that I worked with would just like they would freak out and have to go like sanitize the entire room after the patient left.

SPEAKER_00 7:30

I I remember seeing so many like different like social media posts on that. And it was patient comes in with all of these problems, no one cares.

SPEAKER_02 7:39

But then all of a sudden, every nurse, every person's like, uh, I hazmat suit goes on because nobody wants to get that.

SPEAKER_00 7:47

Yeah, that's just when you think about the idea of little insects, kind of like spiders. They are hard to see skin. Yeah. Burrowing into you. Is that scary?

SPEAKER_03 7:59

Anytime there is another, I just don't like bugs. So any bug related. So if someone wants to come into other tickery move, they can do that, but I'd really rather they not. I don't want to see it. I can do it. I can be professional, but I'd I'm trying not to run out of the room too.

SPEAKER_00 8:16

Oh, that is funny.

SPEAKER_03 8:18

So that's one. Um, this is another one I thought of that does sometimes happen to physicians is you're you have a patient who comes in with a relatively long medication list, and they just kind of like threw all the pills into one jar. What? Yeah, I've had this happen. Like they're like, here's all my pills.

SPEAKER_00 8:37

They just threw pills into a jar.

SPEAKER_03 8:39

So there are there is people out there that are not very good at their medications, and I have seen this where like they're all kind of jumbled up together, and they're like, Well, I think this one's the blood pressure medication, and and you're just like, Oh my gosh, how have you not died?

SPEAKER_00 8:53

That's terrifying.

SPEAKER_03 8:54

Yeah. And there's other scenarios similar where it's like how someone comes in to talk about their medication, you're like, How have you been doing this and not had a problem? Because you don't understand, like, you can't even tell me what you're doing like at all. And so, how are you getting the correct dosing? It's very scary.

SPEAKER_00 9:14

I could I that is terrible. I can't even imagine just a bunch of pills coming. Because technically, every pill does have a specific, like you can look it up, right?

SPEAKER_03 9:21

Well, sure, but it's not that I mean, I don't think it's that easy.

SPEAKER_00 9:24

Oh, especially well, I mean, yeah, take a picture and probably do it. Yeah.

SPEAKER_03 9:27

I mean, it's probably easier now with AI, but to figure out which pill this is terrifying. Don't do that. That's not a good strategy. Um, so that's another one.

SPEAKER_00 9:36

Now, uh I would I would argue from this is just from layman's from my father. I can't tell you how many times involving cardiology, dad obsesses over family history.

SPEAKER_01 9:50

Uh-huh.

SPEAKER_00 9:51

So I would say, how does your experience with someone comes in and it's just just doesn't give you any family history, how that kind of affects your ability to be a doctor.

SPEAKER_03 9:59

Well, family history is just one piece of the history that can be very critical for understanding a person's long-term health picture. Um, and I mean, there's people that are adopted. There are people that just don't talk to their families. There are families that don't talk about their health history amongst each other. And so it just is more difficult to know how serious some of their other concerns and complaints may be. So that would be my perspective. I don't know if your dad had told you anything different.

SPEAKER_00 10:32

My angle was every time I talk to dad on specific subjects or on uh anything involving cardiovascular disease, yeah, I can't tell you where the first thing he always goes is, well, what's their family history? That's just his first gut like go-to.

SPEAKER_03 10:44

Well, I mean, because there's those certain things. Oh, my my dad had a heart attack when he was 35. You know, there's like those rare early young uh cardiac events, and those like you do need to take very seriously. Absolutely.

SPEAKER_00 10:58

Now, I know this is a definitely a scary one for you because we've been talking we've talked about a couple times, and actually I think you just deal with it today. The un the unexplained lab result or or result that goes to the patient before you got your eyes on it, and you get a message in big bold concerns of what do you think about this lab result? Yeah. And you haven't even looked at it yet.

SPEAKER_03 11:23

I see my ultrasound results. Can you put this in layman's terms? But uh, we talked about this, I think, on another podcast where somebody saw their mediastinal mass on their CT scan. That's always terrifying because now you have a terrified patient, you're just getting this information, you have to talk to them on the phone, try to figure this all out. It's a very quick and you gotta be calm and try to quickly sift through the information that you have. So I would prefer not to have that happen. I wish patients didn't see their stuff before me. Yeah. But that's the way of the world. As we know.

SPEAKER_00 12:02

As we know.

SPEAKER_03 12:03

One thing that I always found terrifying, and I'm sure your dad experienced this too, was you get that lab result back at 455 and someone's potassium is 5.8. So there's certain lab tests like potassium, where when it is significantly out of range like that, it should be under five. That that is a oh shoot, this person needs to go to the emergency room. And I think the trouble with something like a potassium at 5.8 is you're gonna call this person and they probably feel totally fine. That is very typically the case. But they could have a serious cardiac incident event if they don't get seen right now. And so those are also different lab test results that come back that are very concerning, very scary.

SPEAKER_00 12:53

I don't recall the exact. I mean, maybe you remember because he brought it up. When my brother was going through kidney failure, his potassium was at six or seven.

SPEAKER_03 13:01

I would bet it's six, but I don't know.

SPEAKER_00 13:04

I'm trying to remember it was either six or six.

SPEAKER_03 13:05

I mean, either of those are awful.

SPEAKER_00 13:06

So it was one of the two. And I remember when we were in the ER, like there was the concern that at any point in time he could have a heart have an arrhythmia problem. Uh-huh. This is not good.

SPEAKER_03 13:16

Those are the kind of things that if you go to the ER, you will get back very quickly. Because it has to be taken care of right now.

SPEAKER_00 13:23

Yeah, and you want to talk about scary. You're sitting there going, well, I feel fine. What am what am I worried about? And it's right at the end of the day, no one wants to deal with it, and you gotta kind of take it on.

SPEAKER_03 13:33

I think I mentioned this on another podcast, probably too, but I had a patient that this is another scary thing, that his blood pressure was 200 over 100, whatever, on repeat visits. And there's a lot of patients that also get scared about by that, but this man was not scared by this. Oh, and so wouldn't take any blood pressure medication. And that is terrifying. Hypertension is such a big risk factor for cardiovascular disease. And this man did end up with a stroke about six months later. And so that is a very scary situation, and it's very sad too, because it's so preventable.

SPEAKER_00 14:15

Well, preventable. Yeah, and you sit there talking about as a physician. You want to talk about scary as seeing something that's pretty much inevitable and there's nothing you can do about it. And you see someone, I feel fine. My my blood pressure is 210 over 140. What's the big deal? I feel fine. And then they stroke out six months later. Yeah. And they can't talk and they can't move. And like, ugh.

SPEAKER_03 14:38

That is exactly it. Um, I had thought of a much light, I mean, lighter topic, scary thing. As a physician, when you go on vacation, it's really nice. Well, you know, it's really scary when you get back.

SPEAKER_00 14:53

Your inbox.

SPEAKER_03 14:54

Your inbox. And I'm sure people have this in like businesses and other fields, but with email and such. But when you come back and you have an inbox that you were hoping maybe your partners would help you out with, but they really didn't. That is terrifying.

SPEAKER_00 15:07

I could believe it. Like that. I mean, especially in medicine. Yeah. It's it's your job, basically.

SPEAKER_03 15:13

Uh-huh. And now there's how many things that you have to. I mean, I would sometimes need a full day prior to going back to work, like an extra day of vacation after the true vacation that I could just spend working through my inbox. That's very scary. Anything else on your list, David?

SPEAKER_00 15:32

I mean, that always I mean, I don't find it to be that like at this point in age, I don't think it's that scary. Uh, but it's something that's always gotta be something on your mind, which is the patient that comes in, I I Googled it, I oh yeah. AI'd it. Yeah.

SPEAKER_03 15:51

And now you have to unpack what this person said and how it's either accurate, unaccurate, close, but I think what makes that more towards the scary side is not that they've looked it up and AI'd it and Googled it, but it's when they've taken action on some of the things that they read that they just are like, well, AI said it. I'm gonna try this. That's scary because that becomes a safety issue. Even though apparently nowadays AI is gonna be diagnosing people and prescribing their meds. Apparently, in what, Utah?

SPEAKER_00 16:27

Utah.

SPEAKER_03 16:28

That's kind of scary.

SPEAKER_00 16:30

Future episode opportunity here. Yeah, that'll be interesting. Utah is looking to they've they're in the process of allowing dermatology in a couple places to take pictures of skin and they will prescribe medications based upon acne and miscellaneous stuff. Yeah. Fascinating.

SPEAKER_03 16:48

Curious to see where that goes. Yeah, definitely a topic for the future. Anything else on your list?

SPEAKER_00 16:55

The the one that I find fascinating because it's something that is terrifying that people do it. And there's a lot of reasons why it happens. But people using the ER as like their primary care physician is terrifying.

SPEAKER_03 17:11

There's a lot of people that do that though. I mean, in certain areas there are primary care shortages, and that's a part of it. And I think some people, there are people that I don't think they're well educated on how the healthcare system works, and that going to the ER for a problem that's not truly an emergency is actually worse for you from a financial standpoint, and it's not from a medical standpoint. I mean, you're gonna get acute care, but that's most of health is more is a long-term play. And so relying on a one-off here and there is not gonna be optimal for your health.

SPEAKER_00 17:52

Yeah, it's it's gotta be terrifying. They want the system to be ran the way they want to see it, which is I don't want to deal with a doctor until I need a doctor. The problem is what's terrifying is most of the scary scenarios in your life happen over decades, not days. And so that blood pressure of 210 over 130, you feel great for weeks and months and even years until you don't. Until you don't. And people that just use the ER or the urgent cares to basically deal with their kind of subtle medical problems while completely undermining all these little things that are compounding over decades, that's terrifying.

SPEAKER_03 18:42

I another thing that came to mind when you were talking about that was when this happened. It does not happen in my practice now, but it happened in my prior practice not infrequently when you'd see someone for an acute symptom or something that's been uh newer that's been going on. Like, for example, it would be something such as changes in, like say changes in stool and fatigue, and then oh, you do labs and they're anemic, and you're like, gosh, you really need to do a colonoscopy. And so you see them, you evaluate all that, you order the colonoscopy. And then in my prior practice, you wouldn't always have great follow-up, or it would be the follow-up would be many months down the road. So this sometimes would happen. I'd see people, and then literally they'd come back in a year for their next appointment, and you're like, Did you get that colonoscopy? No, I never did it. And you're just like, Do you realize like the importance of doing things like that? Like, we want to make sure you don't have colon cancer or something similar. Um, and so but you just ignored it for an entire year. And whether that be because they didn't understand the importance of it or they didn't feel bad enough or whatever it may be.

SPEAKER_00 19:52

Or my mother's case, what the idea of going through prep is just so well, people do not like that tough to wrap their heads around that they just don't want to do it.

SPEAKER_03 20:00

Well, there's plenty of people, yeah. They're like, that's just too much work, but then it's like, well, is getting is getting colon cancer, like, is that a better option? And so, I mean, I know that most people are assuming, well, I just I probably don't have it, which for most people is probably true, but you don't want to be that one that does. So that always terrified me.

SPEAKER_00 20:23

And people love cleanses nowadays. So it's just basically you're getting an insurance paid for colon cleanse.

SPEAKER_03 20:31

Uh huh. Well, and speak on that topic, like when people will come in taking like a list of 15 to 20 supplements from various sources for various reasons, that is somewhat terrifying too sometimes because you first of all have a hard time knowing with all these different supplements, what could be interacting with each other, what could be interacting with some of the medications you're on. Um, and to be able to run through that list and be able to figure that out.

SPEAKER_00 21:02

Supplements have like everything has the potentiality of influencing something else. For example, uh, if you are someone who has had a kidney transplant or a transplant, you were on anti-rejection meds. Those anti-rejection meds have a negative effect when you have pomegranate and grapefruit. And so the here's a thing that I had no idea. But obviously, when Rob went through it and hearing all this kind of stuff, like Rob can't have grapefruit, grapefruit or pomegranate. And it's so funny because if I have like the grapefruit frescas now, Rob's like, are you trying to kill me?

SPEAKER_03 21:40

I like the grape for Rob.

SPEAKER_00 21:42

But it's like so you're taking all these supplements, you don't know what is influencing something else you may be on. It could be the combination is harming this. That's terrifying. Like you take 40 supplements a day.

SPEAKER_03 21:54

Yeah.

SPEAKER_00 21:55

Do you even know where they're coming from? No idea.

SPEAKER_03 21:58

And we'll again we'll most. Those people be okay? Probably. But again, you don't want to be the person that's not. And that's always the scary part.

SPEAKER_00 22:06

Now, here's one that's popped into my head that is terrifying because it's putting because it actually goes off of what's happening right now. Uh we definitely have to do a full episode on it sometime, but uh Health and Human Services and RFK Jr. just basically gave the green light to basically allow any any f compound pharmacy to make whatever peptide they want, and there's they're not gonna go after them, they're not gonna do anything. And it's terrifying to know that there's gonna be a bunch of people that is buying stuff off the internet that some some 19-year-old girl who looks good who's going, I've been on this peptide for the last six months and I feel great, you should too. And we're gonna start just injecting ourselves with a bunch of stuff and you people have no idea what's this is actually like honestly terrifying to me. Well, because there are so many people that are inevitably going to be harmed for a lot of different reasons because of this just unvetted send the peptides off the off the cliff and go, hey, let's just let people take stuff.

SPEAKER_03 23:16

The amount of people that are so worried about what they put in their body, put on their body, their things they're exposed to, are sometimes the same people that are like, Yes, give me a not well humanly researched peptide that we don't know if it works and we don't know the safety data, that's okay.

SPEAKER_00 23:37

Don't know where it comes from.

SPEAKER_03 23:38

Right. And you can you can research compounding pharmacies and make sure you're getting it from the right one, and that's fine and all. And again, will you be harmed in the end? Maybe not. But I also have seen this where people are well, instead of doing the things that it should probably actually be doing, like exercising, eating well, I'm just gonna go take this peptide. And that's harming people in a whole nother direction where it's not about what they're taking, but the harm comes from the way that they're focused on the wrong thing, so they're not doing the things that are actually going to help their health. That's terrifying.

SPEAKER_00 24:17

We just had a conversation with someone close to us about that exact subject where they were coming in, struggling with their health, a lot of anxiety, a lot of all these problems, and comes to us and is asking for help, and you don't want to hear the the unsexy stuff. What is your sleep routine like? What is what is your nutritional routine like? How much alcohol are you consuming? You should eliminate alcohol, you should be doing this, do this, do these do these five lifestyle things. And then the response was, Well, my friend's been on this peptide for the last six months. He's gotten two sets of blood work done. His blood work now is incredible. I'm gonna take the peptide. And I remember just having this conversation with this person going, like, first off, I I I asked his point blank, like, first off, did he lose did this person lose weight on whatever peptide you're talking about? Yes. And the majority of those blood work benefits was because he had weight loss, not because of the peptide or whatever he was on. Most of this stuff is always comes back to is weight loss. And number two, like, there's all these tangible things that we can really work on that you know are bad, that we are all in agreement on, but you would rather take the illicit peptide from some Joe Blow you've never heard of because he had one great story over the well-founded information, and then I proceeded to go and say, dude, you don't even know where this peptide comes from. And then this person goes, Well, I put worse things in my body. It can't be that bad. And that's terrifying. Like, that's terrifying. We're in this, we're in this day and age now, and I'm all like it's it's weird because I'm also a free market. I lean that way. But simultaneously, you're just sitting there going, We're just gonna allow anyone and their grandma just to buy chemical compounds off the internet from fitness influencers and stuff like that. And who's being held accountable? It's that honestly, that is terrifying.

SPEAKER_03 26:15

It's amazing to me that this is where we've gotten to in the world. I don't it doesn't really make sense to me how this all has become okay.

SPEAKER_00 26:23

Yeah, and then you sit there and go, same thing that you're dealing with the practice all the time, where with peptides and GLP1s, you have a patient that you know shouldn't be on one, but they you know they can just buy it off the internet. So it's like, do I prescribe it to control it instead of allowing this person just to buy it off the internet?

SPEAKER_03 26:44

And depending on which men we're talking about and the person, we do sometimes do that.

SPEAKER_00 26:48

That is scary.

SPEAKER_03 26:49

Yeah. And I mean, it it may turn out that there's research done on some of these peptides, and wow, they truly are amazing. Great. That's great. I'm gonna wait till that day. I mean, to me, gambling on your health this way is not because I think it's a gamble. It's a gamble. Is not where I would want to gamble.

SPEAKER_00 27:06

And there's something to be said. This is this is not necessarily a reasonable argument, but there's something to be said about just taking some multivitamin like supplement. I'm taking goji berry extract, whatever, versus I'm injecting a chemical compound into my left butt cheek, trusting it does and it's from where I think and says it's from. Buying a supplement that came from Barbados or wherever, okay, fine, whatever. But injecting into my left butt cheek this chemical compound just everyone's got their own risk tolerance. But well, I think a lot of times it just becomes normalized. So there is something to that. But now are becoming because like it's just being so normalized now that's, oh yeah, I mean, I already did this or I see this.

SPEAKER_03 28:02

There's some people like your mom who's like, well, my dad had Alzheimer's, I'm gonna get it one day. That could but there's I feel like a majority of people are in the mindset of, oh, that will never happen to me. And that's kind of the attitude. And I mean, I understand kind of where that comes from, but I don't know that that's the safest way to live.

SPEAKER_00 28:21

It's the same thing with the scary thing of a guy coming in with a blood pressure of 200 over 150. Exactly. And he's like, I feel fine, everything's good. I'm not worried about it. That's a terrify, terrifying applause.

SPEAKER_03 28:32

So I think what a good primary care doctor can do well is to say, hey, these things exist. There are risks and benefits to everything. Now, there's some things that are way riskier than others, and there's some things that are probably like a toss-up. But I think navigating all the different things that even with or nowadays with social media are so prevalent. I think that's one thing that we do well at our practice is that we can walk through that choice with our patients.

SPEAKER_00 29:03

Yeah, we're we're most people in uh insurance-based primary care, they get they get shut down and then they get left of their own accord.

SPEAKER_03 29:12

Well, because what I hear a lot is that patients with like my doctor said X. Like they said this about whatever I wanted to do. Um, and they are they're upset by this because they just said yes or no, like you shouldn't do this. And the doctor had a very good reasoning for telling them that. And then when I sit down and I had the time to explain why the doctor might have said that, they're like, Oh, I guess that makes sense. And so that time is really important.

SPEAKER_00 29:40

So scary things in healthcare. Some of it was fun, some of it's kind of serious. We'll put the mask back on as we close out this episode. I'm back. Who are you? Where'd where'd my wife go?

SPEAKER_03 29:50

She's a mystery.

SPEAKER_00 29:52

Mystery woman. Thoughts, last comments.

SPEAKER_03 29:56

There's a lot of scary things in the world. We I don't want people to live in fear for their in their health, but be careful. And talk to a good doctor.

SPEAKER_00 30:05

And please, honestly, out of everything I just heard, please don't put all your pills in a jar and then bring it to your doctor and say, Here's what I'm taking.

SPEAKER_03 30:12

Yeah, that's not a good idea.

SPEAKER_00 30:13

All right, beautiful people. Have a phenomenal day and we'll talk to you all later. Bye.