Knock Knock, Hi! with the Glaucomfleckens

• Knock Knock Eye: What Happens When a Virus Decides to Eat Your Retina

  I worked a Saturday clinic. I know, shocking. Even more shocking: I saw something I’ve never actually encountered in real life until now—acute retinal necrosis. So in this episode, I walk you through what that looked like, how I figured it out, why it scared the hell out of me, and what happened next. Along the way, I also spiral into the difference between horses, zebras, and unicorns (yes, medically), why having shingles might come back to haunt your eyeballs, and what it’s like to be the doctor frantically reviewing textbooks between patients. Also: I’m writing a convocation speech during a morale crisis in oncology, so if you’ve got extra testicle jokes, send them my way. Takeaways: Yes, I Worked a Saturday Clinic. No, I Don’t Want to Talk About It. Except I do. Because a unicorn—or at least a zebra—walked through the door, and things got real fast. Vision Loss with No Pain? That’s a Trap. When someone says they’re going blind but they’re totally comfortable, I get nervous. This case reminded me why. Your Immune System Can Turn on You. Literally. Trauma to one eye can cause your immune system to attack the other one. Still haven’t seen it. Hope I never do. Retinal Necrosis Is a Fancy Way of Saying “This Is Bad.” The diagnosis sounds terrifying because it is. And it often starts with something as boring as a shingles rash. Sometimes I Leave the Room to Google Stuff. That’s Normal. And if you’re a doctor pretending you don’t, I have questions. The key is knowing when to pause, read, and come back smarter. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠ for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠⁠⁠⁠⁠aka.ms/knockknockhi⁠⁠⁠⁠⁠. To learn more about Pearson Ravitz go to ⁠⁠⁠⁠http://www.pearsonravitz.com/knockknock⁠⁠⁠⁠. Produced by⁠⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  44:54
• Glauc Talk: The Surgeon General Drinks Raw Milk—Should You?

  In this episode, we’re unpacking the appointment of Dr. Casey Means as the new U.S. Surgeon General and everything that’s wrong with politicizing public health. Kristin and I get into functional medicine red flags, why “root cause” messaging can actually be dangerous, and the bizarre rise of raw milk influencers. (Spoiler: bovine tuberculosis is real, and no, we don’t want it.) We also talk about how Mother's Day made us reflect on post-trauma rituals, parenting energy levels, and... potted plants. It’s chaotic, a little gross, and kind of philosophical. You know—classic Knock Knock, Hi! Takeaways: Our new Surgeon General left residency six months before finishing—and that’s just the beginning. Raw milk is trending again. So is tuberculosis. These two things are not unrelated. We invent “juice cleanses for your kidneys,” and no, please don’t do that. Kristin makes the connection between surviving Will’s cardiac arrest and suddenly keeping plants alive. And yes, we’ve reached the “bovine TB” phase of American wellness culture. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠ for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠⁠⁠⁠⁠aka.ms/knockknockhi⁠⁠⁠⁠⁠. To learn more about Pearson Ravitz go to ⁠⁠⁠⁠http://www.pearsonravitz.com/knockknock⁠⁠⁠⁠. Produced by⁠⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  52:43
• Knock Knock Eye: United Health Group CEO Stepped Down. The Stock Fell. My Mood Improved.

  I was going to talk about corneas. Just a nice, focused anatomy deep dive. But then I found out UnitedHealthcare’s stock is down 20% and—what can I say? I got distracted by joy. So before we dig into layers of corneal meat (yes, I said that), we take a little detour into vertical integration, kickbacks, AI claim denials, and how a multi-billion-dollar behemoth is finally catching a whiff of accountability. Then it’s back to business: corneal nerves, LASIK, ulcers, transplant techniques, the great “your corneas are too thin” letdown, and why you should stop sleeping in your contact lenses. Also, I may have created a dating strategy that involves casually name-dropping Descemet’s membrane. You're welcome. Takeaways: UnitedHealth Took a Hit—And I Took a Victory Lap. Their CEO is stepping down. Their stock is down. Their karma might finally be catching up. I am… not sad. Your Cornea Is Clear for a Reason—Until It’s Not. It doesn’t have blood vessels. It doesn’t heal like skin. And when it gets cloudy, things get gross, fast. LASIK Isn’t for Everyone. Here’s Why Your Eye Got Rejected. If you’ve ever been told your cornea is “too thin,” I’m here to explain why—and yes, it’s as mathy as it sounds. Yes, I Called It ‘Corneal Meat.’ No, I’m Not Sorry. It’s the stroma. It’s thick. It’s important. And now you’re never going to un-hear that phrase. Please Stop Sleeping in Your Contacts. I’m Begging. Because you like seeing. And because I don’t want to have to dig bacteria out of your eyeball. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠ for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠⁠⁠⁠aka.ms/knockknockhi⁠⁠⁠⁠. To learn more about Pearson Ravitz go to ⁠⁠⁠http://www.pearsonravitz.com/knockknock⁠⁠⁠. Produced by⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  43:15
• We’re Burnt Out on Burnout Training | Dr. Jillian Horton

  If you’ve ever rolled your eyes at the word “wellness,” same. But this week, we sat down with Dr. Jillian Horton—physician, author, speaker, and actual expert on burnout and fulfillment—to talk about what wellness actually means… and why most organizations keep getting it very, very wrong. We talk about the burnout industrial complex, how “pizza-based wellness” is hurting morale more than helping, and why fulfillment might be a better goal than happiness. Jillian also shares why young doctors are reevaluating what medicine should look like—and how calling it a “calling” is sometimes just a fancy way to underpay you. Also: medical comedy fellowship, anyone? Takeaways: What even is wellness anymore? And why does it feel like another task? Pizza is not a wellness plan. Especially if it comes with mandatory attendance. Burnout isn’t your fault. But you’re probably being told it is. Jillian introduces us to the Stanford Fulfillment Model—and it actually makes sense. Humor isn’t just a coping tool—it’s resistance, connection, and sometimes survival. — Want more Dr. Jillian Horton: Twitter / Bluesky / IG: @jillianhortonMD To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠ for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠⁠⁠⁠aka.ms/knockknockhi⁠⁠⁠⁠. To learn more about Pearson Ravitz go to ⁠⁠⁠http://www.pearsonravitz.com/knockknock⁠⁠⁠. Produced by⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  1:09:46
• Knock Knock Eye: I Survived the U.S. Healthcare System. Barely.

  Five years ago this month, I died. I mean, not for long—but long enough. In this episode, I talk about it. The cardiac arrest. The four-year curse. The memory gaps. The part where Kristen saved my life on a mattress, then got told I was “end of life” and left in a hospital hallway with no cell service. I don’t usually get into this on the podcast, but it’s time. I also talk about what it’s like to return to clinic too soon, what empathy fatigue feels like when it hits you mid-exam, and why Australia’s healthcare system makes me want to scream and cry and hug a Medicare card. Oh, and yes, I checked—I did not get a single ophthalmology consult while hospitalized. Rude. Takeaways: I Gave the Saddest Talk in Australia—and They Thanked Me for It. Nothing like telling an entire country of surgeons: "Whatever the U.S. does, do the opposite." We’ve Got Trauma. We’ve Got Memory Loss. We’ve Got... Thai Food? My hippocampus was out to lunch, but at least I wasn’t. Shoutout to solo dinners in Sydney. Cardiac Arrest Might’ve Been the Easy Part. Kristen had to do chest compressions. Then fight a hospital. Then explain to our kids why Dad was suddenly gone. Empathy Fatigue is Real. And It’s Ugly. I went back to work too soon. And I knew it the moment I got irrationally annoyed by dry eye complaints. I Think My Wife Asked for Artificial Tears While I Was in the ICU. I can't prove this, but it feels on brand. I’ll confirm and get back to you. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠ for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠⁠⁠aka.ms/knockknockhi⁠⁠⁠. To learn more about Pearson Ravitz go to ⁠⁠http://www.pearsonravitz.com/knockknock⁠⁠. Produced by⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  43:22

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