We're sunsetting PodQuest on 2025-07-28. Thank you for your support!
Export Podcast Subscriptions
cover of episode Glauc Talk: What Do NIH Cuts Mean for the Future of Medicine?

Glauc Talk: What Do NIH Cuts Mean for the Future of Medicine?

2025/3/4
logo of podcast Knock Knock, Hi! with the Glaucomfleckens

Knock Knock, Hi! with the Glaucomfleckens

AI Deep Dive AI Chapters Transcript
People
K
Kristen Flannery
W
Will Flannery
Topics
Will Flannery: 我在用金钱奖励女儿打篮球这件事上犯了一个错误,虽然短期内有效提高了她的表现,但这损害了她的内在动力。这让我意识到,外部激励虽然短期有效,但会扼杀内在动力。在女儿的篮球训练中,我发现她对金钱奖励的反应,导致她现在做任何事情都想着要钱。这让我开始反思外部激励和内在动力的平衡。 我过去学习的动力主要来自于外部因素,例如获得医学博士学位和眼科认证。一旦我通过了考试,我就停止了学习。这说明我过去主要依靠外部激励来学习,而缺乏内在动力。 在讨论NIH预算削减对医疗教育的影响时,我认为这将对医疗教育和住院医师培训产生严重负面影响。这可能导致私立医疗机构在医学教育中扮演更重要的角色,这可能会带来伦理问题。政府对医疗保健和教育的重视程度不足,导致了NIH 预算的削减。 我认为,政府对医疗保健的优先级和方法与削减NIH预算有关,这反映了他们希望医疗保健更像商业运作的意图。NIH 预算的大幅削减可能对医疗教育产生无法预料的负面影响。 Kristen Flannery: 外部激励虽然短期有效,但会扼杀内在动力。这在Will用金钱奖励女儿打篮球的例子中得到了体现。 你无法增强或提高一个人的内在动力,它只能来自个人本身。通过外部激励获得短期行为改变,但会扼杀内在的成就感。 我学习是因为我热爱学习本身,这是一种内在动力。而Will过去学习的动力主要来自于外部因素。 在讨论NIH预算削减对医疗教育的影响时,我担心这将对医疗教育和住院医师培训产生严重负面影响。这可能导致私立医疗机构在医学教育中扮演更重要的角色,这可能会带来伦理问题。政府对医疗保健和教育的重视程度不足,导致了NIH 预算的削减。 我认为,政府对医疗保健的优先级和方法与削减NIH预算有关,这反映了他们希望医疗保健更像商业运作的意图。NIH 预算的大幅削减可能对医疗教育产生无法预料的负面影响。

Deep Dive

Shownotes Transcript

Translations:
中文

Today's episode is brought to you by Microsoft Dragon Copilot, your AI assistant for clinical workflow. Learn about how Dragon Copilot can transform the way you work. Stick around after the episode or visit aka.ms slash knockknockhigh. Again, that's aka.ms slash knockknockhigh. Knock, knock, hi. Hi.

Welcome, everybody, to Knock Knock High with the Glockenfleckens. Over here we have Lady Glockenflecken, also known as Kristen Flannery. That's right, and you are Dr. Glockenflecken, also known as Will Flannery. Thank you for joining us on an episode of Glock Talk. Glock Talkin'. I think I made a parenting mistake. Uh-oh.

So this whole paying our youngest daughter to perform well in basketball. Yeah. Who could have seen that going wrong? Well, hold on. I think it's a good idea. I mean, it's worked. It has worked. She has never tried harder. It's true. During basketball games. Right now, as of now, we're now like six games into the season. I'm about 38 bucks in the hole. Mm-hmm.

I just told her that we'd keep a running tally and I'd just pay her some at the end of the season. The team is doing okay. They're like five and three or something. But she's performing very well. We're working on her jump shot.

Yeah. She gives a lot of power. Oh, yeah. And it just bounces right back off that backboard. She's a very strong kid. And so sometimes she shoots a little bit too... Working on her form a little bit. Get more of an arc on her shot. But she's very athletic and she's much faster than the other kids. And she's taller than most of them. Right. And so the tools are there. She just needs to evaluate. But... And so I could... It could be... I guess my point is it could be much worse because she's missed a lot of shots. And so as she's getting better, it's...

You know, I just don't know where we're going to end up at the end of the season. But the reason I said it might be backfiring is because now anytime I ask her to perform some kind of physical feat, she's wondering how much I'm going to pay her to do it. Just like. I mean, fair. It's what you set up.

So this game we play, it's called Stick the Landing. Okay. Where I have a chapstick. Oh, okay. And I throw it into the kind of right above the bed. Uh-huh. And she jumps and like lays out on the bed and tries to catch it. Okay. Before it hits the ground, before it hits the bed. Yeah.

Stick the landing. It's good, right? Okay. I would argue that's not much of a landing, but it's semantics. It doesn't matter. It's a belly flop. But so we were going to play that. And why Chapstick? It's just what we had. Yeah. I don't know. It's just a stupid game. You're good at making up games for her. I love making up games. You guys are on the same wavelength in terms of what's a fun game. Yeah.

Uh, but the other day, uh, as a yesterday, she, um, we're going to play this. And right before I threw it for the first time, she's like, if I catch this, how much are you going to pay me for it? And I was like, nothing. And she seemed dumbfounded. Like what? What do you, what do you mean? You're not going to, I'm doing this thing. You're like, if I do it well, I get, I'm turning our, our daughter into a raging capitalist. And, um,

I don't know how I feel about it yet. I think I need to rein in the expectations a bit. Yeah, yeah. And, you know, there is a lot of psychological research on internal versus external motivation. So had you consulted with me beforehand, I could have shared that with you. Okay. Now, how else are we going to get her to, like, want to play a basketball game at 8.15 in the morning at a school that's 20 minutes away?

I don't know. I had to bump the price for that game. I doubled the amount of money she would make for a basket scored. Yeah. I mean, I don't know. I feel like they just have to get a little older. Like, you cannot induce internal motivation. You just can't.

That is something that comes from the person. There's got to be some way to make that. Not internal motivation. You can't augment or improve someone's internal motivation? I don't think you can. I mean, they can. They can choose like, oh, I'm really interested in this now. And so now they're really internally motivated.

I guess you could sort of indirectly affect it if you maybe like expose her to a bunch of different things and she finds what she's internally motivated. I don't know. But external motivation is effective in the short term, but it squashes any internal motivation. Well, that's just great. Yeah. But we're all externally motivated to do anything. Yeah. So, you know, you get paid to go to work. Right. So that's nice.

But then how do you feel about being at work and going to work? Everybody's like, oh, I don't want to go to work. Right? Like... So what do you... Like, the world's not black and white. I'm just saying these are the factors. I'm fascinated by this, though. So what's the... What would be an example of being internally motivated? High internal motivation to do something? You are internally motivated to write skits. Even if no one paid you anything, you would still want to write a skit. But...

I get reaction, positive reaction on social media for that skit. Right. Like I have an audience. Sure. And that reaction is internally motivating to you also. So that's a little bit of external motivation that feeds your internal motivation. So I don't know, maybe that's making your point from earlier, but. Like I'm internally motivated to eat food. Yes. You're internally motivated to watch Patrick Mahomes.

Oh, poor Patrick. Oh, man. Maybe I shouldn't have brought that one up. Now you made me sad. I'm sorry. Poor Patrick. My son, Patrick Mahomes. Yeah. I think he's got enough external rewards that I can't feel too bad for him. I tried to be excited about... So the Super Bowl happened a few weeks back, and our daughter, the same daughter we're talking about... Yeah, she loves to throw a party for a holiday. She loves holidays. Loves it.

the baking, the cookie. I think she just likes to eat sweets. But she does love the festivity of it all. And so this is the first time she did it for the Super Bowl because it felt like a thing because we've been talking about it. She made cupcakes. They had little field goal posts on the cupcake. And I'm a Chiefs fan. I mean, I wouldn't even call myself like a real Chiefs fan. No, you're a Patrick Mahomes fan. I'm a Patrick Mahomes fan. And...

um, because he went to Texas tech and he's the most famous, the most amazing thing that's ever happened to Texas. And you went to Texas tech. That's a crucial. Well, it's a, it's a family, like my whole family went to Texas tech. Uh, and so naturally anywhere Patrick Mahomes went to play football, I would be a massive fan of them. Uh, but I have grown to like the chiefs, the people that root for the chiefs, the everything, like it's a great organization, everything. Um, and, uh,

but now I'm sad to think about Patrick Mahomes not winning the Super Bowl. Well, you can't win them all. It builds character. What other tropes can I throw out here? All right. Intrinsic versus extrinsic motivation. Yeah. So you're intrinsically motivated to watch Patrick Mahomes. Nothing...

No one pays you for that. And you will do... It's like something... I can attest. You watch anything he is in. Everything. So it's like in my soul? Yes. Like it's something in my psychology... Yes. That's telling me that I want to do this thing. Yes. You need no external anything to push you to do that thing. Okay. Like for you...

You know, you're obsessed with cleanliness and order. No, this is not a good example because that is more of a coping mechanism for my neurodivergence. So, but, okay, here. I'm internally motivated to learn things. I just like to learn things. I do it for fun. Gotcha. Even when I'm not in school, I'm not getting anything for learning it. I just like to learn things. Gotcha.

Our daughter is internally motivated to eat sweets. I was very much externally motivated to learn. Yeah, see, that's the difference. I see that difference between you and me, and then I see that difference between our two kids. Yeah. You know, the older one is like me, just loves to learn. The younger one, she needs a little convincing. She's very smart, just like you. Right. But like...

And there's other fun things. Like I needed to be working toward getting my MD, working toward receiving my board certification in ophthalmology in order to make me want to learn. And then once I passed my board exam...

I was like, yes, finally, I don't have to learn anything ever again. You like to turn your brain off. I like to have my brain be on. So I would argue you were not. What if you run out of gas? But it energizes me. That's the difference. Doesn't your brain get tired? I mean, I sleep.

Yeah, you do sleep very well. But I just like it. Internal versus external motivation. So you were not internally motivated to learn. You were only externally motivated. And as soon as you no longer had external motivation to learn anymore, you stopped. I still will learn some things for my job. If you have to. Right, for your job. See what I'm saying? I see. Okay. Yeah. I'm understanding the difference now. Okay.

So by providing external motivation for basketball, you will get the behavior in the short term. Yeah. But you squash the desire. Like to be great. Because you're not doing anything that develops her internal motivation. But if she's not wired. She's playing for the money, not for the sport. But you just told me that there's no way to make someone internally motivated. So let them be who they are. That's what I would say.

If she doesn't like basketball, don't make her play basketball. The thing is, she does like it.

She likes to, I just think she needs. She doesn't like organized sports. She likes free play sports. Yeah, right. She doesn't want to have to commit to a schedule. She doesn't want to have other people depending on her as a teammate. She just likes to play around. Look, if she's going to be an Olympian, she's got to start now. And I've got a whole practice schedule set up where travel teams, it's the whole, the real deal here. Oh my goodness. Yeah.

You know, you know early. You got to get on it. I got news for you. You're probably already too late anyway. Probably. She's already nine years old. Yeah, 10. That's right. About to turn 10. Okay, let's take a break. Then we got some healthcare news. Okay. Hey, Kristen. Yeah. I've got some friends I'd like you to meet. I see that.

You seem a little too friendly with them, I have to say. Aren't they cute? Sure. With the little beady eyes and their little hands. The hands? The claws? I don't know. Appendages. Okay. How about that? That works. Anyway, they just like, they'd like to say hi. Okay. They'd like to say hi. Okay. Wonderful. They're not, they, oh, look, the one's sticking around. It sure is. Right on my mic. These little guys are demodex and they live on your eyelashes. Yep.

And they can cause flaky, red, irritated eyelids. See, that's not cool. That's a party foul. You just kind of want to rub them. You're not welcome here if you're going to do that. And it's caused sometimes by these little guys. Yep, that's rude. Demodex blepharitis. But you shouldn't get grossed out by this. Okay. All right, you got to get checked out. Yes, get checked out. To find out more, go to eyelidcheck.com. Again, that's E-Y-E.com.

L-I-D check.com for more information about these little guys and Demodex blepharitis. All right, let's talk about not exactly a fun topic, but the NIH cuts. This has really been a big talking point. Yeah. Everywhere. I feel like, too, at the pace that news moves in a Trump administration,

This is probably going to be wildly outdated just by the time it comes out. Well, we'll see. You know, at this point, it's been talked about for like at least a week or so. And so I don't know. Yeah, we'll see. It could be different. But basically, the NIH is going to be like research funding will be cut by a tremendous amount. It's like 15 percent or like a big a big chunk of money is going to be taken out of the budget.

for the NIH. And I guess a lot of it is,

geared more toward indirect payment cuts so i'm not obviously i'm not a i'm as far from an academic yes you are you're no researcher yeah you're you have more academic like knowledge of the system and how it works than i do but i do know that you know indirect funds basically go to like the institution it's like what's supposed to pay for like keeping the lights on and security right and rent the overhead that's like overhead stuff right and then the you

So and that can be actually a very large percentage of of a grant can actually be like indirect funds. Right. I mean, that's the point of contention in and of itself. That alone is like is that is that like the it's the person, the researcher that's doing all the work to to put the grant together to get the funding. And then the majority of it goes not to actually doing the research, but to overhead and all these other things.

So anyway, that's a separate issue. But the fact is that, you know, and as part of Trump's administration's, you know, what the, you know, Department of Government Efficiency or whatever, Elon Musk, whatever. This is like one of the cuts is this big slash NNH funding. So here's what I wanted to talk about is what could this possibly mean for medical education? Yeah. I feel like nothing good. Because...

Although we're talking about research funding. Yeah. But I feel like there's, especially in academic institutions. Those are closely tied to the institutional funding. Right, they're closely tied with resident education, with med student education. And I know, I don't know the ins and outs of where this money goes in a given institution. Yeah. But I imagine a lot of it, some of it at least, goes to supporting education programs.

residents and med students and everything. So sometimes you'll have like part of the grant will be I'm going to need three grad students to be able to work on this. So I'll need to be able to pay them. So it's kind of scary to think about. Right. Because is this going to mean fewer less funding for

for spots in med schools or, um, you know, what's it going to mean for funding of residency spot? People are already wanting more funding for more residency spots. Um, so is it, is the capacity of these institutions to train and educate going to be decreased because there's less funding for just to go around? Um, and what my concern is, is that

you're going to see more private institutions coming in as the educators. Yeah. Which we know how well that has gone in healthcare so far with private organizations like UnitedHealthcare, Aetna. These UnitedHealthcare are going to have a UnitedHealthcare School of Medicine. Right. So you're thinking it's going to be almost like a voucher system for med school, right? I have no idea what's going to... There's going to be these... But I can see a world where...

Where there's not enough money coming into academic institutions that educate med students, that train residents. And so where's the money going to come from? I mean, I think that would be consistent with what we're seeing with their healthcare priority, well, with their national priorities and their approach to changing the government. It's very much like make everything run like a business. Apply business principles, get the best business minds, so to speak.

supposedly, run things like a business. That's what Donald Trump knows how to do. Right. And so the Department of Education is not doing well under either Trump administration. So they're not prioritizing that. That's been made clear. And then they are doing all these funding cuts to

that do health research, that just funding cuts all over the place. They've put someone in as head of HHS that doesn't know or believe many scientific facts. Did you hear he was dosing himself with methylene blue the other day? Which in high amounts can cause seizures and stuff.

So that's great. So my whole point is taken together. By the way, if anybody's not sure who we're talking about. Junior. Right. I bet. Yes. But taken together, that all paints a picture that, yeah, they want to make health care even more businesslike. Right. I just I'm trying to wrap my head around what an opt of school of medicine is going to look like. I mean.

It's going to look like a business. It's going to look like cut anything that's, you know, not profit driven. Right. So maximize profit, minimize expenses. So let's see what part. Increase revenue. Any required ophthalmology rotation out the door.

Probably. That's not going to be a priority. No. I mean, I don't think that all, I don't think anywhere has a required ophthalmology rotation, do they? Iowa does. In med school? Oh, yeah. Okay. Yeah, two weeks. So one place. A whopping two weeks. I think there's probably other places that have it too, but I don't want to get sidetracked. Yeah. So that, I think, honestly. They're going to have a class on billing codes. I think that's probably going to, actually, that would be a good idea.

We need to teach our people how to bill. In this one, I'm envisioning more like, let's come up with ridiculous billing codes that we can figure out how to deny more easily. Or have that be a focus, like how to maximize your billing to the point where it maybe crosses ethical boundaries. Yeah, I don't know. It's wild. And I mean, surely, I'm sure there is a lot of waste.

And any government program is probably going to have some waste. But this is these are like massive cuts. I think I'm just afraid that we don't know because I'm talking speculation. Right. I don't know how medical education is going to be impacted by this. But man, like.

I think a lot of people who are making these decisions, they don't know either. Right. Well, and I think they don't value either education or health care. All they're thinking is this is a high number. We got to bring it down to a lower number. Yeah. And I don't know. I don't know. Maybe we just need to open a Glockenfleck at the School of Medicine. Yeah.

What would they learn there? It would be... The Jonathan Nod. That's a whole semester. It would be nine... Perfecting that. It would be nine months of ophthalmology. You can have three months where you combine all the other specialties. Okay. I think that's probably a fair distribution. That's generous body medicine coming from you. Yeah, body medicine gets three full months. Yeah. You could do a month on every part of the body. Lower body, middle body, upper body. And then eyes. Eyes.

The whole rest of the year. I think maybe Optum should fund my school of medicine. Maybe the Department of Government Efficiency should give me some of that money that they're cutting. Oh, I don't know about that. I think I could do a lot with it. That's all I'm saying. I mean, since we're talking about like a Glockenfleckin hospital, or sorry, a Glockenfleckin medical school, how would you, having seen me go through med school, how would you change my medical school? Like, what were your favorite...

parts of my medical school experience like first year second year third year fourth year do you have a preference graduation like did you find the first and second years to be i hated harder yeah i did not like those why um because that was actually the most consistent schedule yes that's true but you were stressed out all the time and i hardly ever saw you

Because most of the time you were either in class, in the library studying. Yeah. And I think that's it. Yeah, that was a tough time. But not home. We had tests. We were taking tests like every two weeks. All the time. Yeah. Every two weeks. And you were learning so much material all at once. Yeah. It was rough. It was like all a blur too. Yeah. Like honestly. Like those first couple years. I just remember like there were like these like, because I was in grad school at the time and there were, you know, my program had like,

events that they would throw at certain times of year and different holidays or whatnot. And everybody would like bring their significant others or a friend or whatever. And I was always there alone. And if you did go, you stayed for about 10 minutes and

The entire time of which I could see on your face that you were just thinking about how much studying you needed to be doing right now. And then you would leave and go do the studying. Sounded like you had a lot of fun being married to me during, during med school. That's what I'm saying. I did not, I did not like those years and grad graduation was my favorite part. The first year and a half, it was, we weren't even married yet. That's true. So you still stuck with me, even though that was my behavior.

Yeah. That was also bad. The one thing I remember vividly is how bad those first two years were for my back. Yeah, all the hunching over a desk. I was sitting so much in class, studying, constantly sitting. I know I joke about how much ophthalmologists love to sit. Well, now I sit in moderation. Now you sit and stand alternating. Yes. I think that makes the big difference. That makes a difference. Yeah. But then you just sat all day long. Yeah. I was like, it was, man, to have a...

I feel very fortunate now that I'm in a job where I don't have to just sit constantly. Yeah. Like, man, that's hard on your body. Me too. When I had an office job that I had to go to physical therapy and I had a surgery and a lot of it was, at least that was a contributing factor. Working kills you, everybody. That's right. Your job is slowly murdering you. I don't know what to do about that information.

But were you asking what changes would I make to a med school curriculum? Oh, I know what that is. Oh, what do you think it would be? Oh, it's going to be all the humanism stuff. You just roll your eyes and... No, no. I didn't roll my eyes. Flip your hand. You want to make it to where people can connect with patients better. That's not what I was going to say exactly. Okay, go ahead. I was going to say I would...

Teach the students. How to use chat GPT? No. It'd be almost like kindergarten. It'd be how to feel your feelings and how to regulate emotions in a healthy manner. Using some kind of sing song. Regulate rather than suppress. Don't compartmentalize.

Without circling back and processing. Would we sit cross-legged in a circle? If that makes you more comfortable to feel your emotions, you could have your blankies and stuffies. I can't sit like that anymore. You'd have soft music. My back hurts too much.

All right. You have more. You know, to be to be honest, med schools do have feelings time. Like we have feelings time. What did that look like? It's not med students you have to worry about with with having. Well, it just gets worse along the way. Right. So what does that tell you? It's not med school. Well, it starts in med school. It's practicing medicine.

Sure. Beats it out of you. I know. Look, we're talking right now about med school. I didn't say I would only do it in med school, but you asked me about med school. Well, I would start there. Well, I'm saying we do have a kumbaya circles in med school. Like it does. What did you do in them though? We talked about it. We had like these, um, these, there were, we called them rounds where we actually would be able to talk about some of the like patient deaths and some of the more challenging things and patient interactions. That is good. Yeah.

Like that happened pretty regularly. That is good. And I wouldn't want to take that out. I would add emotion education. No, just learning about emotions. And what to do about the healthy regulating versus unhealthy. Not just which neurons attach to which parts of the brain. Yes.

I hated that when we learned about the limbic system. That thing is complicated. It is. It's way too complicated. In fact, if anything turned me off in neurology, like as a specialty, it was learning about the limbic system. Actually, now it's all making sense. Yes, and the limbic system. It's all coming together for me. I studied that heavily while I was in grad school. Man, you're right about everything. Our lives would be so much simpler if you could come to that conclusion more quickly every time.

Oh, God. All right. Let's take one more break. All right. Let's finish up with some what would you do scenarios. Okay. I got one for you. Okay. You pour your cereal into a bowl. Okay. What cereal? You can choose. Every morning I have a bowl of Honey Nut Cheerios. Let's just go crazy. You can pick anything. I like Honey Nut Cheerios. A little CTC. Oh, yeah. I do like that, too. Some Apple Jacks. That's okay. Honeycomb.

I think Cinnamon Toast Crunch would be my favorite. Sugar Smacks. Ew. You're not a Sugar Smack? I did not like those. Frosted Flakes? Yeah, love those. Trix? Sure. Lucky Charms. Yeah. Cocoa Krispies? Okay, are we just going to name cereals? Or is there a scenario here? I'm trying to get to know you better, okay?

I have known you for two decades. You don't know my cereal preferences? Well, I know your big Honey Nut Cheerios and Grape Nuts. I wouldn't say I'm big on those, but I can eat them. But I have to warm them up and put a ton of sugar on it. Grape Nuts is the most horrifying cereal. All alone, it is disgusting. That's what all the sugar is for. Hot milk. But oatmeal, okay? Okay.

Okay. Hot milk and oatmeal. Hot cereal versus cold cereal. It's a thing. And the reason I warm it is because it makes it softer. Grape nuts on their own are so hard that they hurt my teeth. So you can break your tooth on one of those. What is your, like, thinking when you're, like, going to the store and getting grape nuts? It seems healthier, but then it's not because I added a bunch of sugar.

So you're intrinsically motivated. You're internally, what do we call it? Intrinsically motivated? Intrinsically or internally will work. Intrinsically motivated to get grape nuts because you think it's healthier. No, that's external. That's external. External because you feel like you're getting the health benefits. Yeah. And then the little demon inside you is like, no. Yeah. Put sugar on it. Oh, sugar. All the sugar. Yeah. How many spoonfuls? Probably two.

Two minimum. Two to four. So you turn grape nuts into... Sugar with some fiber in it. It's basically... Okay. All right. Yeah, Cinnamon Toast Crunch, I think, is... I knew you were a big fan of that. That's probably my favorite overall, like deliciousness-wise. So eventually I'm going to get to why I brought this up. Okay, good. But the last thing is...

Since you feel like you pride yourself on knowing all of us very well, I took the kids to the grocery store the other day. And to bribe them, to extrinsically motivate them to come, I told them they could pick out a cereal. What did they pick? Um...

The younger one, well, I saw this, so it's cheating. She picked Cookie Crisp, which is no surprise. Cookie Crisp. Cookies for her cereal, which is very on brand for her. I hope people remember that commercial. You remember that commercial? Yeah, I do. Okay. Older one. The older one would probably pick, she really loves Frosted Flakes right now. Frosted Flakes, that's what it was. She's on a kick, yeah. Frosted Flakes and Cookie Crisp. Okay. So anyway.

You pour your cereal into a bowl and then realize that you don't have any milk in the fridge. I hate it when that happens. How do you react? That has happened to me so many times. You know what is, I get mad. That's how I react, obviously. You know what I really hate is when there's no milk, but you think there is because one of you people has put the empty milk carton back in the fridge. I never do that.

I never do that. I know better. I know better by 39 years of age. I've learned. And now like we get a kind that's not see-through and like, I can't tell whether it has anything in it just by looking at it. And so I pick it up and I'm expecting some, some heft, you know? So, so, but put me into your mind space. So you're opening up the fridge. You, you, the, the moment you realize there's no milk, um,

Here's what I imagine. You go, oh, man. That's more like it. That sounds. Yeah. William. No, you're always gone by the time I have breakfast. I have to wait a bit. And you don't call me William. Only when you're in trouble. I do sometimes. And then what do you do with the bowl, the cereal? Then you have to either pour it back in, which because we have the –

I'm not talking about putting it back in the bag that comes in the box. I'm talking about we put them in the, what do you call those? They're containers. Yeah, plastic containers. Yeah, with a lid on it. So it's easy. You can just pour it right back in. Or you push it off to the back of the counter and wait for... That's what you do. I do that. Because I've seen you do that multiple times. I have, yeah. Like I still want this. I claim this bowl of cereal.

I'm not giving it back to you people. No one's taking your grape nuts, girl. I wouldn't do that for grape nuts. Straight in the trash with grape nuts. Grinding your teeth down to nubs on grape nuts. But they're healthy. Same with your, when I first met you, you had malt-o-meal. Malt-o-meal, yeah.

But again, the most vile product ever devised by man. All by itself. Yes. But then I put a bunch of butter and a bunch of brown sugar and a bunch of milk in it. And then it was edible.

Listen, as a person with ARFID, you got to do whatever you can do to get certain things into your body. I even think with all that, like, grape nuts taste like crap. So I don't, like, they don't taste like grapes at all. Then you're not putting enough sugar in them. Okay. And no, they don't taste like, I don't know why they're called grape nuts.

All right. Well. This is fascinating. I knew exactly how you'd react to all those things. And I just wanted you to put it out there, you know, to the world. Are you just trying to make fun of me? Are you mocking me? A little bit. Shaming me publicly? Just a tiny bit. I mean, that's not nice. You know, when I do that stuff to you, I hear about it in the comments section. Well, people, can you guys, if I'm, I want you to tell me what you think of me. How mean I am.

All right. Do you have anything to add about cereal? No, I think we have bashed that horse. How big of a cereal bowl of cereal do you get? Small bowl? Standard bowl? Medium. We have small, medium, large. I go for medium. That makes like the three little bears.

Mama-sized bowl, daddy bowl, baby bowl. It's three little pigs and Goldilocks and the three bears. It's not three little bears? No. Goldilocks and the three pigs? Just three bears. They're not all little. One's big, one's medium, one's little. All the pigs are little, though. That's our show for today.

If you have any other nursery rhymes you want us to butcher, or me specifically, let us know. You can reach out to us. Knock, knock high at human-content.com. Visit us on our social media platforms. Hang out with us in the Human Content Podcast family on Instagram and TikTok at humanpods.com.

At human content pods. Human pods would be a totally different experience. Oh, that's different, yes. Thanks to all the listeners leaving feedback and reviews. If you subscribe and comment on your favorite podcasting app or on YouTube and give a shout out, like at KuroiXHF on YouTube said, Dr. G needs to rap the HIPAA release terms. Then we can finally call it the hip hop release terms. Oh.

Oh, God. Are we going to do it? Oh, my God. All right. We'll see when we get there. Full video episodes are up every week on our YouTube channel at Glockenfleckens. Lots of cool perks over on Patreon, too. Bonus episodes, react to medical shows and movies, hang out with other people in our little community.

We're there. We're active in it. Early ad-free episode access, interactive Q&A, livestream events, much more. Patreon.com slash Glockenflecken. All right, speaking of Patreon community perps. Perps? I don't think we have any perps. No, our perps go to Patreon jail.

No one's in it right now because everyone behaves. Shout out to all the Jonathans. Patrick, Lucia C., Sharon S., Edward K., Stephen G., Marion W., Mr. Granddaddy, Caitlin C., Brianna L., Mary H., K.L., Keith G., Jeremiah H., Parker, Muhammad L., David H., Kaley A., Gabe, Gary M., Eric B., Marlene S., Scott M., Kelsey M., Joseph S., Dr. Hoover, Bubbly Salt, and...

Sean and Dee. Patreon roulette time. Random shout out to someone in the emergency medicine tier. Joyce C. Thank you for being a patron. And thank you all for listening. We're your hosts, Will and Kristen Flannery, also known as The Glock and Fleckins. Our executive producers are Will Flannery and Kristen Flannery, Aaron Courtney, Rob Goldman, and Shanti Brick. Editor and engineer is Jason Portiza. Our music is by Omer Bensfi. To learn about or not know us,

It says Fresh Prince. Program disclaimer. An ethics policy. Submission, verification, licensing terms. And those HIPAA release terms. Is this what cringe is? Yeah. You got it. You can go to Glock and Flecken.com or reach out to us. How am I doing? You've given me no beat to do this to. Next time you're giving me a beat.

Reach out to us, knockknockhighhuman-content.com for any questions, concerns, or fun medical puns. Mercifully, Knock Knock High is a human content production. Hey, Kristen. What's up? You know what character people like the most? Easily Jonathan. Yeah.

Yeah, 100%. Everybody loves Jonathan. Everybody wants a Jonathan as part of their healthcare team. Yeah, who wouldn't? Well, I can't give you Jonathan. Well, that's too bad. I can give you Microsoft Dragon Copilot. Okay, well, that might be even better. This is your AI assistant for clinical workflow. It's incredible. It helps to streamline documentation, which is one of the hardest parts of being a physician these days. Yeah. It allows you to automatically convert conversations into specialty-specific information.

That's pretty cool. It really is. You can customize commands and templates, and it also helps you to summarize notes and evidence. And just makes your job so much easier by taking away some of that administrative burden. Yeah. To learn more about how Microsoft Dragon Copilot can work for you, visit aka.ms slash knock, knock, hi. Again, that's aka.ms slash knock, knock, hi.

Knock, knock, hi.