Prescribing Laughter with Will Flanary (Dr. Glaucomflecken)

Dr. Glaucomflecken: [00:00:00] And then you make a video about it, talking about all the terrible and externalize it, all the terrible St stereotypes. Funny that Glaucomflecken comes up with 

Margaret: Ukulele Apology. Now. Now 

Preston: I'm sorry. 

[music]: How to

Preston: and welcome back to How to Be Patient today. We are not gonna make you wait for the jokes because we're gonna start right now. We have, uh, Dr. Will, who's here, Flanary or Glaucomflecken joining us today, and also Margaret, who's usually a guest here, or I guess co-host. She, she's on the podcast most days.

Dr. Glaucomflecken: I'm so excited to be here on your comedy psychiatry podcast. This is great. 

Preston: Yeah, so I mean, we're, we're dipping our toes into the comedy section today, so. Before, uh, we have a lot of stuff that we wanna talk about, so I'm really curious about, uh, Glaucomflecken General. And I also [00:01:00] want to hear more about your, um, es escapades and antics in becoming a producer and really mentor of other content creators in the medical comedy space.

But before we get into that, we have to start with our icebreaker 'cause we always have to introduce everyone with an icebreaker. So since, since the theme today is comedy based and a lot of us have made people laugh both in the hospital and outside of the hospital, we're gonna start with a time when you did not make someone laugh.

So, oh, I, oh my God. The icebreaker for today is what is a time where you made a joke either in the clinic or outside that totally landed flat and you just had to kind of eat it or sit with it. And it's okay if you think it's funny 'cause 'cause mine I think is funny. Oh man, it's 

Dr. Glaucomflecken: hard because I am so outrageously funny.

He's, he's 

Preston: like, this is a problem I don't have 

Dr. Glaucomflecken: at all, at all times. It's, um, it's just so, so difficult for me. I think probably, uh, so when I was an [00:02:00] intern, I, uh, I was at a small community hospital and I had to do like nights on the, in the ICU by myself. Mm-hmm. And all I had was some mythical fellow who was like, somewhere, like I was told Yeah.

They live in the vents. I don't know where they're, yeah, I'm not sure where they live. But, um, it's 

Margaret: an fellow, 

Dr. Glaucomflecken: uh, it was, um, no, I don't know what kind of fellow it was. I assume they had some kind of training and in critical care medicine. But anyway, just here wa I was as a, as a, as a burgeoning ophthalmologist, uh, you know, intern, uh, who had no interest in critical care medicine.

I was like, manning this, this like 30 bed ICU like sicu micu together, like by myself at night. Uh, and, but I, I do remember, um. In the morning after my night shift, my first night shift was the, like the most crotchety [00:03:00] old attending. He'd been there for like 40 years. Like everyone was kind of scared of him.

Uh, and, um, uh, and so we were on rounds and he had already gotten mad at me a couple times, I think, uh, because I, I remember specifically, he just laid into me for not checking a winter's formula on a patient at like, you know, in the middle of the night when I'm just trying to make sure people don't die.

Uh, and so we were already kind of butting heads and I, I was like on no sleep, right? I'm just like, I just get me through rounds. This is when I had to like work all night and then stay for rounds the next day. Mm-hmm. And so like, it's like three hours of rounding after you've been up all night. It's miserable.

And, and I remember, I don't exactly remember like what the scenario was, but on rounds. In this ICU, they also had the, the remote monitoring system, you know, know what that is. Mm-hmm. It's like, you know, in some places somebody in some, some place somewhere in [00:04:00] the world is like watching these fellow probably where, I don't know exactly the fellow and my, the fellow, but who know?

What country are they in? Who knows? I don't know. Uh, Canada, uh, maybe. But um, anyway, there were, so like, I would go in the middle of the night to a room and then sometimes you'd hear like the voice of God, like over, over you. Like, like chuck a lactate. I was like, the hell's going on here? Winter's formula you wore on.

Yeah, right. You're gonna get pimped on this. You need to do that. So, so this kind of thing just happens overnight and then we're in like toward the end of rounds and the attending this old angry attending is like, ask me like, did you check? Did you do this? I was just looked right at him. I was like, um, no.

The voice of God told me not to, or something, something like that. Something, the voice of God didn't tell me to do that. And um, uh, and that was meant as a [00:05:00] joke and he did not find that funny that I was, um, you know, making fun of the idea that we have this remote monitoring system and that how unsafe it is.

So I felt really, it did kind of like sit there for a bit and everyone ever got to chew on it, marinate it. I did. Yeah. And then, and then we just, he just went back, went right back to yelling at me. So I was like, I, I knew, I learned, I learned pretty quickly not to, not to play with that attending, you know, oh, some people, some people just don't.

Preston: That's nice. Like a good yelling sandwich. He's yelling at you. You guys both have space for the video monitoring system. And then he goes back to yelling. That was a wild, the 

Margaret: video ghost, 

Dr. Glaucomflecken: oh my god, that month. Uh, last time I spent a significant amount of time in the ICU and, and oof, man. I was, I was, I was, I was so, I was so like outta my mind that month, like, with just how hard it was.

I was the only hard month. I had an intern year. Like, I was like researching like single, you know, [00:06:00] the, you know, in the, the Matrix, they eat the slop. And yeah. Right. It's like it has all the nutrients. I was actually researching like, does that exist in real life? 

Margaret: Sounds right. 

Dr. Glaucomflecken: Like can you, is there a website?

I could like go and order this, like n nutrient dense slop. That's that all I would have to consume all month that this, this month on ICU was just making me go outta my mind. 

Preston: I think that exists in so much sense in 

Dr. Glaucomflecken: Silicon Valley. It's called Solen or something. The tech bros drink it. That's what I found.

I did, I did find, I learned about So Lent and I bought it and people thought I was absolutely crazy. Like they were, I'm sorry, I probably shouldn't say that word on a psychiatry podcast, but you know, whatever. It's okay. It's fine. Anyway, I don't get a free sea. I say some lie about 

Margaret: eyeballs later. 

Dr. Glaucomflecken: Get a free sea word 

Margaret: for your public beef.

This is what we, we'll start the drama here. 

Dr. Glaucomflecken: I so I, but anyway, to wrap it up, I did try Soylent. I bought it. I still have the container that you would mix it all up in. Uh, but the sulfur content was way too [00:07:00] much. I, I, it was awful. So anyway, I'll just leave it at that. 

Preston: Alright, well, Margaret, what have you, what have you got to follow Upland?

Margaret: I mean, not a lot. I do wanna say my brother did ICU fellowship and during that time, so did Preston sister. But during that time he got very, he was already like a CrossFit guy, but I think the ICU changed him so much that he started being like, food is about energy. It's not about. Having a good time. Yeah.

And it was like the rise of his like broccoli rice and like boiled ass chicken. Um, 

Preston: yeah. What is flavor but a distraction? It's 

Margaret: like, that's weak. It's weak if you need flavor. I'm also just laughing 'cause we did the Nutri two nutrition episodes the last two episodes before we like filmed this one. So I'm laughing at this.

But, um, yeah, I got 

Preston: grilled yesterday on having like soulless diets. 

Margaret: Was that yesterday? Nutritional psychiatrist. 

Dr. Glaucomflecken: Oh really? Oh man. Yeah. What's wrong with your diet? Preston? That's a, it's ultra process for 

Margaret: episodes one. 

Dr. Glaucomflecken: Yeah. 

Margaret: Um. [00:08:00] I'm trying to think. I feel like the first four episodes, so when we started the podcast I assumed that I was very nervous for it.

I was like, how's Preston's audience gonna react to me? Preston is known for being funny. I like write sentimental things online, not about healthcare. So like I was very nervous going into it and then actually felt okay doing the episodes and I thought, I'm outing you, Preston. I thought Preston would have no nerves about doing podcasts 'cause he's like used to speaking to camera.

But because Preston was nervous, I feel like the first three episodes, whenever I made a joke, it was just like. Yeah. And because 

Dr. Glaucomflecken: he was, he was thinking about the next thing he was gonna say. Yeah, exactly. He wasn't listening to you and I was 

Margaret: like, okay, I guess I'll die then. But Abs 

Dr. Glaucomflecken: yeah. Uh, lady Glaucomflecken totally understands, uh, that dynamic.

It's like, but 

Margaret: now, 

Dr. Glaucomflecken: because you're like, because you're becoming like an old married couple, right? A little bit. Mm-hmm. Right. You're, you're getting to know each other [00:09:00] well and your tendencies and Yeah. So. 

Preston: And we're getting comfortable enough that I'm not just like thinking about the next thing to say, because I'll listen to the podcast back and I'm like, dang, that was a good zinger by Margaret.

And then, yeah, always 

Margaret: like, it's always, I'm just like, literally like two to three months later, it's like, 

Preston: that's kind of, I'm, anyways, 

Margaret: and then there's this like New York Times article of all my friends hate to see me use from like 2015. That's like a random, not even that real study, but it's like, do men hate funny women?

And every time Preston doesn't laugh at a joke and we get a comment or he like sends me something. Two months later I just send that screenshot like, 

[music]: why men 

Margaret: hate funny women? So that's mine. I still did think my stuff was funny. So let's 

Dr. Glaucomflecken: unpack that, Preston, why do you hate funny women? 

Margaret: More to come. 

Preston: I'm just, I'm, I'm intimidated by them.

I think. Yeah, last time we were unpacking why I like candy in the morning and it's apparently I didn't get, get enough of mommy's milk. Okay. 

Margaret: I said 

Preston: I thought that 

Margaret: was, 

Preston: I think that probably it plays a role too 

Dr. Glaucomflecken: in why I hate funny. W how, how much of your, uh, of your podcast is unpacking, like you're, there's, there's a lot of unpacking going.[00:10:00] 

Margaret: It's unpacking and cursing. We have not had a non explicit episode yet. 

Preston: Okay, gotcha. Yeah. Well, so sometimes they're non explicit and then when I'm like reading the show credits at the end, I just yell, fuck. Can we keep in line?

Margaret: Okay. Preston, what about you? 

Preston: Okay, so, um, IWI was proud of this joke, but it did not land. It was during my radiology rotation. Uh, when I was a fourth year, I was in like the neuro rads reading room because I was like, oh, psychiatry's the brain so I can like, look at pictures of the brain. Like, perfect. And like the neuroradiologist are, they're really fun, like quirky people.

Like they have like, they would bring like all of their tech stuff with them, um, to the reading room. Like one guy had like those like Best Buy coffee cups that would like it. Magnetic charging pad and then the cup will like self stir. You know what I mean? Yeah, 

Dr. Glaucomflecken: yeah, yeah, yeah. 

Preston: So anyways, that's like kind of the environment of the room.

It's really dark and then this guy walks in, [00:11:00] uh, he kind of looks like one of them, like a genius from Apple, you know? Mm-hmm. And I kind of look with a long ponytail and the beard and everything, and a guy leans over and he's like, he is one of the best like nasopharyngeal readers that we have in this whole department.

You know, he like, he knows the fascial layers of the oropharynx better than anyone here. And they were like calling him in to, to collaborate with ENT to look at an abscess. And I was like, wow, I guess he really is the throat goat. 

[music]: I knew it. You gonna 

Preston: fucking say that? And it was like, it was like a, I said it way too loud.

Oh my God. It was like a pin drop. And the radiologist texted me, was like. I just told back to re back 

Margaret: to dictating fucking psychiatrist in here again. 

Dr. Glaucomflecken: Jesus Christ. Oh my God. That's, that was, that's like a, that was, if if there was anybody [00:12:00] your, at your level in there besides you, you would've gotten like a spit take from something.

Like, just my God, thanks. You know? I'm surprised he's not a goat. He's a human.

Surprised the throat go. Didn't give you a spit take, but anyway. 

Preston: Yeah. We're gonna take a quick, quick break and then when we come back we're gonna get into the meat and potatoes of Bale's role as a mentor and a producer. And we're also gonna go through some different comedy bits. So sweet. Bye.

So I know that you, um. Will or Dr. Glaucomflecken you can call me Will please. Okay. Familiarly will. So Dr. Will one 

Margaret: year later after you, like Dr. Will, our podcast, 

Preston: um, you were say, uh, commenting on a post I had about how medical comedy is going stale. And, and I think we, we both realized that I, I think I [00:13:00] was kind of just highlighting a lot of the, um, everything I I to do trust that has started by you and then have been 

Margaret: Preston.

Can you hit some of your points you made 

Dr. Glaucomflecken: when you made that? Were you, did you have me in mind? Because I honestly, it felt like, like it was like, man, I'm so, I've, I see this guy everywhere. I'm so sick of this. Honestly. Was your frame of re there. 

Preston: It was, it was just like between Reddit and Instagram and TikTok, like, it's just like the same joke over again.

So like, because you kind of started the whole like, like ortho being a bro has been around, but like the whole like bone bro thing. Yeah. You know, as a person or a character that was like really distilled by you and then now it's just everywhere. And I'm like, uh, I know. I know. You know? And so I think that it was really just like you had planted all these seeds and they had germinated and then everyone was just kind of replanting them [00:14:00] everywhere.

And I'm like seeing the same crop everywhere I go. So I think it was that. And so it a way, it's like I couldn't get away from you, but it's not, it's not your actual thought. No, I totally, 

Dr. Glaucomflecken: but I hearing you, uh, say that and you, you went through like all the different stereotypes like nephrology, cardiology.

I do actually, I do feel like that is the one that I am like 90% responsible for. Like the cardiology versus nephrology. There were, that conflict has been simmering for like a long time, but as far as like the, uh, recognition by the general public, you 

Preston: put the spotlight on 

Dr. Glaucomflecken: it. Yeah. Right, right. So, but there are, like, there are some things that even I have never made a joke about because it's so overdone already.

Like, I have never once made a clinical correlation joke about radiologists. 

[music]: Mm-hmm. 

Dr. Glaucomflecken: Because that, that's just the most overdone thing that's Oh, clinical correlation required. Okay. That's not funny. That's just a, it's how many times have you heard that in the form of a joke and not laughed and so Yeah.

Like there are, there are certain things [00:15:00] that even I like won't touch because it's just not funny and I'm sick of it, you know? 

Preston: Yeah. Doctors we're, we're not always the best comedians. I mean, I'm, I'm surprised we're not veterinarians with how many dead horses we beat.

I wanted 

Dr. Glaucomflecken: to leave that one 

Preston: hanging there for a second. I was proud of that. Okay. But that is a good segue into this next part. So I was, listen to one doesn't even 

Dr. Glaucomflecken: make sense pre veterinarians don't

Preston: continue on. Yeah. It's, it's a loose interpretation really. So you mentioned this idea for a medical comedy residency program in one of your podcasts that I was listening to recently. And I really liked that idea and I thought, what would it look like trying to match into a residency program? So Margaret and I, uh, took the liberty of trying to create that curriculum in a way.

Mm-hmm. And so we have some jokes prepared for you. [00:16:00] Um, we are gonna do weekend update style. Oh, I love it. Almost as like a segment or like a part of the, the in-house training that someone have to go through. Okay. In one of these, uh, medical comedy residencies. So I like it. So in, in this way, you're kind of like our attending and we're the Sure.

We're the med students on rounds presenting our jokes. I love it. Let's do it. 

Margaret: I'm so scared for this. Okay, 

Preston: so 

Margaret: Preston was like, we're doing this, and I'm like, excited because I'm like, yeah, let's make bad art. That's my thing. But now I'm like, you guys are like, here's always people are unfunny and I'm like, god damn.

Preston: It's always, I'm unfunny too. 

Margaret: I'm so 

Preston: cheesy. I can't wait for this. Okay, so this better be good. A new report came out recently that EM residency is officially being converted to four years long. Going to take effect in June of 2027. Currently, 80% of EM programs are three years long. So there are going to be several classes grandfathered into a four year program during the midst of their training.[00:17:00] 

While this is thought to be a problem for many of the AC A-C-G-M-E officials to get the EM residents to sign their contracts, when they presented them to many EM residents, they just wrote no STEMI on the contract and returned to the rock wall in their, in their work room. 

Margaret: Return this. Wait, wait. You gotta, we wait.

Are we doing feedback between each one or are we, uh, what do return 

Dr. Glaucomflecken: to the, the rock wall in the work room? I like, I like, I like that you just kind of slipped that in there at the end. That was good. I like that. That was good. It's, uh, uh, I would say you get a high pass on that one. Okay. I'll take it. Yeah.

Margaret: Oh, I don't wanna be great. Can I be pass fail? 

Dr. Glaucomflecken: Um, uh yes you can. You can. This isn't a pass fail med school, 

Margaret: is it? 

Dr. Glaucomflecken: You can, you can, you can be pass fail. There's no rules in Glaucomflecken and, uh, residency Program Academy. 

Margaret: Okay. Is this should be, 

Dr. Glaucomflecken: should it be more like a fellowship, you think? 

Margaret: Yes. 

Dr. Glaucomflecken: I think fellowship makes more sense.

Right. So we do. Mm-hmm. But then what ies do you before our do before you qualify for a, for a, a fellowship? Probably any of them. 

Margaret: And we could get into what is the [00:18:00] funniest specialty. The whole question's cardiothoracic 

Dr. Glaucomflecken: surgery. I don't think they qual there's, they, you have to have a certain level of humor to be able to even come in.

Mm-hmm. Into the, to fellowship program. So anyway, thank you. Alright, go ahead Margaret. 

Margaret: Alright. This week the FDA has issued a recall on a specific Celsius energy drink. Popular in both fitness and night shift communities due to a mixup in which some cans sold as Celsius were found to contain the vodka CELs high noon on such a mix.

One such mix up led to an intoxicated night shift psychiatry resident who after consuming two of the mislabeled energy drinks, wrote as a consult note to the ed. Patient vibe is bad, alert, oriented to the aura. Seems like a chill dude though. Let him go. When asked about the note consulting ed Doc said psychiatry finally got to the.

Dr. Glaucomflecken: I do like that one. These feel, these feel a lot like, uh, the old Gomer blog articles that we used to write back in the day. I, you, you guys remember Gomer blog? I have. 

Preston: I, I'm not familiar, so I'll have to, to read some of those. 

Dr. Glaucomflecken: I've done, I'm [00:19:00] aging myself right now, so Gomer blog was like before. Before, like any of the, the like video comedy that, that you and I have done.

Like there was Gomer blog, we, and, and there was started by a couple of anesthesiologists. It was basically the onion for medical professionals. Oh yeah. And so, and we should bring that back. It was, I mean, it, oh, maybe not. Well it was, I'm pretty sure some of the things I wrote for that website would've gotten me canceled.

But anyway, so let's not bring that one in particular back. Maybe some iteration of it would be fine. Okay. 

Preston: Alright. And with that, the New York Times recently broke a story about, um, close calls and skipped a waiting list with the organ donation process. After recent pressure from the Trump administration to increase the amount of organ donations, there was a case in Kentucky where a patient was able to, um, return to health after, almost after being brought to the OR and almost having his organs harvested on the table.

Other close calls like this have happened across the country, [00:20:00] raising, um, questions about whether people. Have actually had the organs hearts harvested when they could have returned to health. In response to this, the organ procurement organization said, oh my God, we're so sorry. And attributed the issue to a typo saying, we thought you meant, or we didn't realize.

You said eyeball organ donations not eyeball the organ donations. 

Dr. Glaucomflecken: Not sure about that one. Preston,

I tell you what, that would actually go well with an ophthalmology crowd. I would say the bar's a little bit lower there for, for, so I, that, that would've, that would've done really well. 

Margaret: Like, that's like the parks and rec part where Ben Wyatt is working in the accounting and he's like the funniest person.

Dr. Glaucomflecken: Exactly. Oh, that's a good, killed That's a really good way to, to, to, to describe it. 

Margaret: Um, 

Dr. Glaucomflecken: okay. I'm really impressed you guys. You guys are doing great. 

Margaret: With continued concern for medical treatments for mental health via the Maha [00:21:00] movement and finding root causes. RFK Junior's FDA ran a PA panel in the past week with reported experts to discuss concern about side effects of SSRIs in pregnant women.

After the discussion, it is reported that the secretary was asked about his thoughts on other negative side effects of SSRIs on women, such as decreased orgasms, to which the secretary responded. What's that? 

Dr. Glaucomflecken: Classic. That's good. 

Margaret: Classic. A classic. Very good. Maybe cheesy, see? 

Dr. Glaucomflecken: Yeah, exactly. Over 

Margaret: done. Sorry.

But you know, a woman's joke every once in a while. 

Preston: My interpretation, I, I thought it was, um, or my pitch for that one was RFK was praised by critics for being the first Kennedy to care about the female orgasm. 

[music]: Hmm. I 

Margaret: feel like that is not the vibe of, uh, JFK was like, he was a like, nevermind. I won't say that.

Yeah, I, maybe it depends. 

Dr. Glaucomflecken: Maybe it depends on the Kennedy. I don't know. But, uh, it's, uh, you got, I mean, it is, it is July in your, in your, your comedy, your medical comedy [00:22:00] fellowship. So you got, you got lot of room for, but these, this is a really good start. 

Margaret: Okay. One more Preston. 

Preston: I actually have two more.

Margaret: Great. You'll extra extra while we're waiting. 

Preston: The Los Angeles Times recently reported on the shrinking number of male obgyn OB, GYN applicants noting that there are now 80% females entering the field as of 2024. Um, though many people are not concerned about the shrinking number of male OBGYNs and critics say that males, males shouldn't even be an ob, GYN some people respond saying you can be a perfectly functional surgeon even if you don't have the anatomy inside your body.

Just take a look at Ben Carson and Dr. Oz.

Margaret: Wait, what? I don't get 

Preston: so, so Ben, Ben Carson's a neurosurgeon. Yeah. And Dr. Oz is a car thoracic surgeon 

Margaret: is Dr. Oz. 

Dr. Glaucomflecken: Look, all I, all I have to say is, I don't know what [00:23:00] SNL is doing with their time, but if they haven't contacted you guys yet. Aw, thank you. Then I, I don't know, I don't know what Lorne Michaels is doing over this.

This is a compliment 

Margaret: sandwich right now we're waiting for the middle. Okay. I have one more. That's 

Dr. Glaucomflecken: it. Go ahead. Yeah. One more. Uh, 

Margaret: this week the administration announced wanting to launch a more non-biased medical journal with statements indicating distrust towards established journals such as jama, NEGM, the Lancet, which have been standard of care of research for well over a hundred years.

When inquiry was brought up about what other changes he felt would be necessary to medical journals, it was stated needs more pictures, less big words, and then they had just scribbled a picture of a doctor underneath. That's an Epstein joke that may not age well. Alright, Preston, you go. That was my like, I think my worst one, but 

Preston: I actually, one of these is the best though.

The CDC recently reported that [00:24:00] vaccines are at an all time low between measles, mumps, and polio. Now, circling 92%, which is 3% below the federal recommended rate of 95%, and there was a new measles outbreak in the panhandle, but the news is not all bad. McGraw Hill recently announced the excitement about this saying they can finally update their 50-year-old pictures of measles in first aid.

Dr. Glaucomflecken: That just seems like a reasonable thing to do. I dunno.

Preston: No, actually, it probably is something that's happening right now. So like, 

[music]: I think that's like real talk. People are probably actually 

Preston: taking pictures and like they're gonna include them. 

Dr. Glaucomflecken: Yeah, it is. Like, but uh, is, um, um, you know, I think, I think we're done with rounds now. I think you guys, you guys really, that was a good start.

Good start. But now, now I am kind of rethinking whether or not this is a good idea in the first place. 

Margaret: Was that bad? 

Dr. Glaucomflecken: No, no. I'm just, I'm just kidding. I'm just kidding. Just kidding. We just didn't have enough winters formula, or [00:25:00] Yeah. That would've, that would've count. No, you're good. Uh, I, I, I do. Um, let's see if I can get some funding.

You know, I recently heard that they're increasing funding for residency spots again, or at least there's a bill, like that's, they're, they're talking about this. Mm-hmm. And so maybe now's my chance to like, really get this program off the ground. And so, um, I just gotta figure out like, the rotation schedule for my comedy fellowship.

Not sure. 

Preston: Yeah. So, 

Margaret: okay. I have a serious question. It could be like a 

Preston: clown rotation, a physical comedy rotation. Yeah. Standup writing. Absolutely. You know, improv, 

Dr. Glaucomflecken: uh, uh, um, a multimedia, uh, comedy, uh, different media. Um, you can do impressions a whole thing, a whole six months just on stereotypes. I know Preston would really like that.

And, um, and you see where it goes. Anyway. Yeah. What was it? You had something Martin? Uh, 

Margaret: here's my question. I feel like the only type of comedy in healthcare that is encouraged and now kind of discouraged in the last couple years is like dark [00:26:00] humor and that people think that doctors are very unhuman for a number of reasons, but part of that is like not letting the mask break or professionalism.

So how would your fellowship seek to address, make doctors funny again? 

Dr. Glaucomflecken: I mean, if you, if you, if, if, uh, if you get out of my fellowship, um, with, uh, uh, your reputation intact, I think that's probably a, a great thing. You know, I, you know, it's, you, you joke, but it's, I bring up, um, you know, the, the issue of professionalism is like a, a big deal, right?

That's prevented I think a lot of people from, from, um. You know, trying to be funny, trying to tell jokes online. And so, uh, and, and back to Preston's, uh, point about, you know, sometimes these stereotypes, uh, you know, it can seem a little stale. Um, I try not to discourage people too much from at least exploring the comedy might not be good, you [00:27:00] know, it may not, may not make you laugh, but it's, I feel like we're in the grand scheme of like being doctors and like showing our sense of humor on, on social in such a public way.

Mm-hmm. We're in like, such the early stages of that, I feel like, just in terms of, of, of just how physicians have been presented in society to this date. And so it's like, I think it's, it's gonna get better over time. It already has. Like even going back to the beginning of the pandemic when I started Glaucomflecken to now, there are so many more people that are like.

Doing this stuff right. And yeah, I don't like all of it. Some of it I really like, like I loved what, what Preston was doing. That's, that's why I reached out to him in the first place to try to, you know, do some more content. And because I like those voices, I think need, we need to amplify those voices that are doing it in a way that's, that's, that's funny.

It's good, it's engaging, uh, it's educational, um, but also is ethical [00:28:00] and maintains a certain level of professionalism, which I think is a key distinction, right? Like, it's not just, it's not, you can't just blanket say all this stuff is unprofessional just because you're a doctor and you're trying to, you have a sense of humor.

But that's what a lot of people over the years have done. And that's unfortunate. 'cause I think it just prevents people from showing their true nature. 

Preston: And, and this is something you've taken a stance on in, in some degree. You're like, I saw you've, I. Created this project? Or is this like a, like a course that you can take to learn how to become a content creator as a physician?

Dr. Glaucomflecken: Yeah, yeah. You know, 'cause I, over the years, I've gotten so many questions about, you know, because one thing I'm always doing is I'm encouraging people to get out on social media. And some of that's just, you know, to combat misinformation and just increase our advocacy footprint as physicians. But, uh, people have a lot of questions like, how do you even do it?

Like, I'm scared. Like I, you know, I see people get [00:29:00] canceled or lose their jobs or get bad, you know, one wrong thing you say and all of a sudden you have a thousand negative Google reviews. Uh, and so that's why we made that course, uh, which you can find it on our website, Glaucomflecken.com. But, um, we made this, this course just as a way to help people understand why you should do this and how to do it ethically, you know, to to, to maintain that level of professionalism.

That we have to as healthcare professionals, but without sacrificing your self-expression, right? Mm-hmm. Your creativity, who you are as a person. Um, because I think patients need to see that side of, of healthcare. And so yeah. That's why we made this this course. And as I think people are finding it and it's, uh, gotten good feedback on it so far, and just kind of the start, like, you know, that's what I love so much about, and I'm sure Preston, you can speak to this too, about just exploring, you know, [00:30:00] this social media landscape and, and trying different things and some of 'em are, are gonna work, some of 'em are not gonna work.

Mm-hmm. But there's, there's so many avenues to, to, to put your creativity and expertise into, uh, now as opposed to even, you know, 10, 15 years ago that it's, it's exciting to be able to just like. Do this little course thing and see if it, see if people like it, you know? 

[music]: Yeah. 

Preston: I think one of the, the greatest things we have is the, the freedom to fail, at least in some with grace.

Hopefully. I, I think a lot of people think you're gonna get canceled the second you make some bad content, but Really, yeah. My take is it's gotta be pretty egregious. Oh, it does. It's gonna like lead to you getting canceled and, and people think that'll, they'll like accidentally like slip up or do something, but Yeah, it's, you can just keep making stuff.

Yeah, none of it'ss gonna hit, right? It's not like, you know, 

Dr. Glaucomflecken: I've had, I've had lots of videos, um, that just flopped in Preston. You've [00:31:00] had so many more videos than me that have flopped and yeah, like, so, uh, you know it, but it's okay. You just come right back with something different. And, uh, it just, you know, I, I, there's some, some tiktoks I've made that I'm quite embarrassed by.

Uh, not that I said anything wrong, but there's just not funny. And so, but, you know, leaving them up for posterity, state and, uh, stake and, uh, Margaret, 

Preston: when a video flops, it means it doesn't do well. I know that hasn't happened to you. Oh yeah. Hey, 

Margaret: hey. 

Preston: But it's, it's when it doesn't get very many views, listen.

Margaret: I have a paid newsletter so you guys can take your half a million followers. So 

Preston: I, I dunno what you guys want on the substack paywall. 

Dr. Glaucomflecken: Oh man. Are you doing the sub? I'm the doing Are you doing the substack thing? 

Margaret: Yeah, I'm in that health and rising whatever. What? Rising and health and wellness mostly.

'cause just me being pissed off about things in like the, like lifestyle, wellness, girly world and being like, stop talking about cortisol based. [00:32:00] 

Dr. Glaucomflecken: Oh gosh, yeah. Yeah. That's bad. So that's, so I've 

Margaret: never had a video flop, so thank you for explaining that to me though, Preston, that was really helpful. 

Preston: No, Margaret's like, she's like Mike Tyson over there in the, the female wellness space.

Oh yeah. Like Pilates and you're taking people down and carve diets? Yeah, 

Margaret: a little bit. That's good. I feel like it's, that's awesome. They're like, oh, how? It's just I'm, you know, I Limb pro. I don't think you need to. There are people who do it and they really don't know, but the, when it gets to something where someone's like selling a product, it's like, this is gross negligence, and I'm not just gonna let it be like, she's a girl boss, let her sell her adrenal fatigue, supplement, whatever, Uhhuh.

Yeah. Um, also I'm like, good for you. Tired. I'm not gonna, I Preston like, likes to get me worked up about this because I get so mad about it. But yeah, that is, I'm honest. Well, that's exactly what we need though, right? '

Dr. Glaucomflecken: cause these people, like, if, if we don't have people like you, Margaret, that are out there doing, doing that, like holding these people, you know, accountable for what the things they say, [00:33:00] then it just goes unchecked.

And like it or not, like everybody's getting their information from a adrenal fatigue person on TikTok, right? So it's like, what are you, what are we gonna do? Just like, let it go, let it happen. And uh, we, we will write, we'll write a little paper to jama be like, oh, it never gets outta there. 

Margaret: It's like, cares.

Like no one's gonna read it. I'm sorry. Just information. 

Dr. Glaucomflecken: Adrenal fatigue. No, there's no evidence I'm gonna make a mean video dunking on you. Yeah. You're gonna, a million 

Margaret: people, 

Dr. Glaucomflecken: you're gonna make, make fun of that person until they, they wish they'd never made a TikTok account in the first place. Well, I didn't know about that enough bully that bully them until they stopped spreading this information.

Should killed 

Margaret: that. I'm like, whoa. 

Dr. Glaucomflecken: No, no. I stopped short of, of, of death and destruction. Violent. A little bit of destruction. 

Margaret: You're like, induce shame. Bring back shame. I mean like, come on, bring a little bit of it back. 

Dr. Glaucomflecken: It's just [00:34:00] a, it's just a different way of approaching these types of problems. 

Preston: It's, it's like the war on misinformation is, it's like, uh, in TikTok, will and I over we're on the eastern front and Margaret's on the western front, taking on the bloggers, different mediums.

The 

Margaret: Navy, Margaret Hold. She's 

Dr. Glaucomflecken: like, I can't take that much more. Well, I've, I've even gotten, they're using 

Margaret: Cha Bt they're using cha pt, they're a hundred percent. 

Dr. Glaucomflecken: Well, and then like I've, I've kind of gotten to the point though, like over the past year where, where I have to like weigh, okay, this person who's saying this thing, which obviously is, is wrong.

Like, for example, uh, you, you shouldn't put erythromycin ointment in a newborn's eyes because Erythromycin has stuff in it that it's gonna make your kid go blind. Like nonsense, right? 

[music]: Mm-hmm. 

Dr. Glaucomflecken: Like, do I take that thing that this person who has. A thousand followers. I 

Margaret: know exactly what you're talking about.

Dr. Glaucomflecken: Do I, [00:35:00] do I address it to my million person audience? 

Margaret: Right? Right. 

Dr. Glaucomflecken: Thereby like putting, elevating that person out there, elevating them, uh, to a place where they've never been elevated to before. Like, how much good is that actually doing? And so I, I, you know, I don't know, I don't know what the right answer is, honestly, because it's, it's um, um, you know, sometimes I just get so upset that I just have to say something.

Right. And, and I wanna think that it helps, but I'm honestly not so sure. I don't know. 

Margaret: I feel like that gets into some of the, and like we joke about your comedy fellowship and, but in terms of the resource and what you're talking about, of doing this in an ethical way, that the ethics of making content.

Like it can have a positive ethic in general and more people should be doing it. And the question you just said is a pretty nuanced, like does, are you true? Like I could see someone oversimplifying being like, you should battle [00:36:00] misinformation and you know, who care. Like not think about this part of how are you actually platforming them versus like if someone's talking to a specific audience of people with a specific diagnosis that isn't recognized in the healthcare system, is you dunking on them even if you don't mean to Right.

Going like, how will that be read by different audiences and by the people who are the most impacted by that misinformation. Like all of these go into like the ethical calculations of what we're doing. I think one of the things Preston and I talk a lot about is what both of us share here or write about separately or talk online in terms of being therapists or psychiatrists where there's.

Something I think a lot about is like, how safe do my patients feel around me if they see my public platform to talk about what they're feeling or thinking about issues in the world. I dunno if that is something you think about with your patients or if that's come up for you. 

Dr. Glaucomflecken: Um, it, it hasn't, but I I do feel like it's maybe a little bit different being an [00:37:00] ophthalmologist.

Right? Yeah. So 

[music]: fair. 

Dr. Glaucomflecken: But, so I think your, your, your point is very valid. Like, you know what a and I, I'll flip it around and as, as someone who's very public on social media, who most physicians know who I am. 

[music]: Mm-hmm. 

Dr. Glaucomflecken: It has actually stopped me from seeking therapy a couple times because like, it, it feels, it feels kind of strange to like to, to like, how do I find someone that doesn't already have like some.

Notion of, of who I am as a person. And, and so, and, and that's something I'm, I'm still like actively trying to figure out, 'cause I mean, if you see my content, you know, I probably need therapy and so Right. As, as probably most people do in the year 2025. Um, but, and so, you know, to turn it back to, to kind of where [00:38:00] you're coming from Yeah.

Like how do you, um, present yourself in a way that that won't color someone's impression of like, what it's, what therapy's gonna be like with you and, and whether or not you're, you're, you're, you know, gonna use your interaction with them as like content or, you know. So all those things are definitely, uh, something that we're all grappling with and trying to figure out.

And, um, and it's, it's like stuff that I think should be in med school curriculum. Should be, if not already, right? Because there's just gonna be more and more people that are developing a social media platform that are making content out there. Um, and so these are questions that med schools are gonna have to try to figure out residency programs and gonna be part of the curriculum is how to, um, what, what to [00:39:00] say, what's okay to say what's not okay to say?

Um, you know, do you try to create a framework of rules for yourself? Which I do. I have like certain things I will not talk about. I will not say I don't have patient characters in my content, because that's the easiest way to get yourself into trouble as a, as a physician is, you know, being, uh, people thinking that you're making fun of patients, right?

And so that's why I do that. And that's just a, a, a. Ethical rule that I have for myself and what's, what I tell people to do as well with anybody I'm mentoring or, you know, talking to about building a social media presence is like you have to as a healthcare professional where people are coming to you and expecting you to, to have their, you know, lives in, in your hands.

Mm-hmm. You know, not, not me eyes, I, I'll say, but, you know, um, you, you have, you have to set boundaries for yourself as [00:40:00] a content creator, depending on the job that you have. 

Preston: You know, I think that's, those boundaries have actually maybe been why I've been a little bit frustrated with, like, medical comedy for me at least.

Mm-hmm. So recently, like now I'm an outpatient, I'm doing therapy. The, the amount of inspiration ideas I have hasn't like, changed, but like I, I've written some, like good bits just for myself where, but the characters are like a therapist and a patient and I know, like, I'll never. I'm never gonna put that out there, you know?

So I'm like, ah, I can't do this, I can't do that, I can't do that. And I'm like, well, you know, my original content was kind of like making fun of the toxic personalities within medicine. But I, I don't really work with toxic personalities anymore. Like, I'm just kind, I 

[music]: just do my own thing. Just not here.

Preston: Yeah. I have to go. No, I have to put on a, a headphones and arrest Margaret. 

Dr. Glaucomflecken: I think it, it depends on the, on the, on the medium. I, I, I really think that [00:41:00] because some things just require more nuance. They require more long form. Like that's probably something that you could work into, uh, a piece of writing.

Mm-hmm. A lot easier than you could a 92nd skit where, you know. There's less nuance, it's just more like in your face. These are the jokes kind of thing. So, but I, I totally see what you're saying. Yeah. It's, um, but, but, but I think that's, that's how I think about it sometimes. 'cause I'm, I'm with you. I come up with some ideas that's like, oh, well that's, I think it's funny, but that's probably not, not good for.

And it's 

Preston: easy to feel like self defeated, where like, I don't almost feel like a child sometimes where like I think I have a really good idea and then I'm like, I can't post that. And then I'm like, I can't post anything. And I get like, then you make a video again 

Dr. Glaucomflecken: is all stupid. Then you make a video about it, talking about all the terrible externalize it, all the terrible funny stereotypes.

Funny that Glaucomflecken comes up with 

Margaret: Ukulele apology now. [00:42:00] 

Dr. Glaucomflecken: Now I'm sorry. Oh, it was so funny watching that you guys, uh, uh, your listeners should go if they haven't already seen that TikTok you posted, but, uh, it's like you were, as you were going, you were listing all these stereotypes and I was like, I started at first listening to you.

I was like, okay, the med student who is, you know, presenting and the, the angry surgeons like, oh, this is all sounded pretty familiar. And then you got to nephrology and cardiology, you know, you know, arguing with each other. It's like, okay, he's clearly talking about me here. 

Margaret: And you could see him scrolling through your page and his glasses.

That's right. 

Dr. Glaucomflecken: Oh, that would've been a hilarious bit. Oh my God, Margaret. That's, that's actually genius. Like you, what? That's, that's, you should have done that. Yeah, that would've been really funny. Be wearing sunglasses and you just, just seemed like, that's what I'm saying. 

Margaret: I think a public beef between you guys would be great.

For everyone in bot platform started. Should start a fight. I told Preston, I said, Hey, Dr. Mike does boxing. You should, he has not responded [00:43:00] this text from me yet. And I go, what have you got into boxing as your next fitness thing? And then you guys have a YouTube, you versus Dr. Mike special, the octagon. 

Dr. Glaucomflecken: I don't know if I want to get into a boxing match with, with with Preston.

You, you seem pretty strong these days, so Yeah. Not whatcha compensating for Kristin. I've got a lot of, uh, compensating for we on the last 

Margaret: episode. 

Dr. Glaucomflecken: Okay. Alright. See, I'm, I'm trying to get the psychiatry vibes going here. You Yeah. Keep it on track. Well, we already unpacked. 

Preston: I feel about my humor.

Yeah, I think may, maybe it's like, I feel trapped, but then like it's, you know, yeah. It's, it's a glass prison in a lot of ways and it's in, in my own mind. So I'm taking notes. I don't know if you know this, so I'm trying to lift taking notes so I can like, break out of it. But like, it's ironic 'cause no amount of bench pressing is gonna, is gonna break out of these moral lines of put for myself, 

Margaret: it's just psychiatry who wants to be an ortho bro so bad.

But he's secretly drawn back to plants and coffee the entire time and he looks down, he is wearing tweed at the gym. [00:44:00] 

Dr. Glaucomflecken: I've, I'll cut off the sleeves on my jacket. So it's a sleeveless tweed corduroy. 

Margaret: Okay. We're gonna take a really quick break and then I think we wanna talk about Glaucomflecken General when we get back.

Preston: Yes. We'll thank you for keeping us on time, Margaret. You're 

Margaret: welcome.

Preston: So before we get into Glaucomflecken flick in general, we're gonna take about a minute and a half to do another aspect of the medical school or medical comedy residency curriculum. And this time we're gonna tackle improv. So we're gonna do one of those, one of the old improv games where we alternate words that we say, and we try to form a coherent sentence.

And in this case, Margaret and I are gonna alternate every other word. And the prompt is gonna be informing will that he has a yeast infection. Oh, good. We're not 

Margaret: gonna include will, I guess we can't, yeah. 

Preston: Yeah. So, so like, you're, you're the fake patient in this scenario. 

Dr. Glaucomflecken: Uh, doc, [00:45:00] I, I need help my, um, I've got, I've got a rash.

It's, um, it's gooey. It's in my, my skin folds, which is, which are words I think a patient would say if they had a yeast infection that I haven't ever seen. So go ahead. We 

Margaret: are going to run you

a quick new exercise.

Great. Don't worry. This will only permanently feel like [00:46:00] cottage.

Core. I feel like permanently I'm not. Yes. Like derailing me. I'm not. I'm having fun. Do you wanna do every other sentence 

Preston: permanently? Feel like cottage core does only feel permanently? Feel like cottage core. The 

Margaret: important step two, hearing yeast infections is two, remember two never stick actual for 

Dr. Glaucomflecken: Oh, okay.

Margaret: I don't like participating. Why do you [00:47:00] always have to do this? That's, that's 

Dr. Glaucomflecken: not, and that's how, how improv works. Margaret, you have to keep going. 

Margaret: Yes. 

Dr. Glaucomflecken: And 

Margaret: over a relatively small area of

your, my 

Dr. Glaucomflecken: yeast infection. I'll finish that up for you. 

Margaret: He's like, you're not, he's like, okay. That's a minute and a half. Okay. I, 

Dr. Glaucomflecken: and that's and we're should do and a 

Preston: half. 

Dr. Glaucomflecken: That was tough. Can I ask you guys a follow up question? Yeah. As the patient. 

Margaret: Mm-hmm. 

Dr. Glaucomflecken: Um, did you go to medical school? 

Margaret: We went to a school.

Dr. Glaucomflecken: Okay. Okay. Alright. Alright. Don't, yeah, that's fine. Okay. I think there was medicine 

Preston: around there. 

Dr. Glaucomflecken: See, also something we could work on. We're early in your fellowship training. That's, that's, it's, I think mm-hmm. Uh, we could, uh, definitely improv's a good, a good thing to, to discuss. 

Preston: Yeah, I think, you know, the, the next place I'm seeing this is like [00:48:00] palliative care would be a good, a good home for improv.

Dr. Glaucomflecken: Absolutely. You wanna be speaking off the cuff whenever you're, when you're talking to patients, don't worry about it. Care. Just throw it out there. Just throw it away, you know? Talk about a 

Margaret: yes and mindset in palliative care, 

Dr. Glaucomflecken: right? Yeah, exactly. Exactly. 

Margaret: It's like, stop, stop knowing me. Right. 

Dr. Glaucomflecken: That does kind of seem to, maybe it would work in psychiatry though.

Margaret: Okay. No, no, no, no. 

Preston: Okay. Alright. So I, I do know at the Mayo Clinic they were doing some improv class for their, like, preclinical students to help them like get into like osci type scenarios. I have, or maybe a lot of, a lot of patient care is really like knowing how to respond on the fly to things. Oh yeah.

No, I think improvs actually 

Dr. Glaucomflecken: would be a good thing. Okay. 

Margaret: One time I had a friend in med school when we had to do the breaking the hard news osce, and she accidentally said it was, we were telling a patient they had cancer and she was like, she got so nervous that she said Cancer is a lot like the lottery.

And [00:49:00] unfortunately, um, you won. 

Dr. Glaucomflecken: Oh, telling, oh my god. Bingo. Holy shit. 

Margaret: I'm like, our preceptor. And the patient just broke and started laughing. 

Dr. Glaucomflecken: Oh, well when that, when that kind of joke hits, then it's, that's your, that's gold right there. Yeah. That's fantastic. 

Preston: We, we had one, um, where, so when my class, they were doing this sexual history and the, the OSCI patient was like, um, in a homosexual relationship.

He was like, oh yeah, I live at home with my husband. And then there's a pause and they were like, so are you a top or a bottom? Mm. I dunno if that's clinically relevant. I mean, I mean, you could make an argument that it is, but I guess I'm just curious, you know, I suppose just wanna learn more about your personality.

Dr. Glaucomflecken: Oh my God. Wow. Uh, maybe I should be taking note notes on this for our, for guac and flake in general. Yeah. Something 

Preston: Speaking of, I, I saw the first two [00:50:00] episodes are out and it's your very own cartoon show. 

Dr. Glaucomflecken: All three are out now? Yes. All, all three. Okay. Wow. And, um, it turns out what, uh, animation is very expensive, I've learned.

Mm-hmm. So, yeah. You know, I've, I've always thought of these characters that I've created as, as, uh, as kind of, they're cartoonish in a lot of ways, right? Mm-hmm. Like the emergency doctor, like wearing all the, the gear, the bike gear, and, and so, um. It's been something I've been thinking about doing for, for a while.

And, uh, we finally did it and we did, uh, three short episodes and they're short, mainly because it's all the money we had to put toward this project. We're self financing it, which is not something that's commonly done, I think, for animation, just 'cause it's, um, turns out it's a lot of money. But, um, it's been a lot of fun too.

So just seeing the whole process, man animation is, seems very challenging. And, uh, we found an incredible group of animators that are, have done a wonderful, wonderful job. And so our idea is, uh, we just released actually this morning of the third of [00:51:00] three. And, uh, the res everybody, people are really liking it.

I think some people just don't like animation in general, but, um, the overwhelming majority of people are just loving it. And, uh, so we're hoping to, to get the, the, um, to package, you know, the, the response and some of the, some of the comments that we've had and, and just pitch it to. People with lots of money.

So streaming services, I don't know the random, the random billionaire that enjoys medical comedy, who knows? I don't know. Mm-hmm. If you know any, please send them my way. Okay. And, uh, see if we can get some funding to keep it going. United Healthcare 

Margaret: New CEO. You 

Dr. Glaucomflecken: right. Well, you know, I, you're like, well, yeah, I dunno.

It wouldn't, it wouldn't be an immediate No, but, uh, I dunno, that's your sellout point. Yeah. Right. It might. I dunno. We'll see. Um, but, uh, it's, it, this is just one of those things we were talking about, like just taking swings, right. Like, just trying different things. And this is one of [00:52:00] those things, like, I have no idea if this thing, if it's going to pan out, if we're gonna be able to make more episodes.

But it's, it's been a, a really fun, creative journey and we're really proud of the, of, of what we've made. And, um, and so if it doesn't go anywhere, then it's something I could. Show 'em my grandkids someday, you know? And, uh, and we tried it, you know, we, we just, we put ourselves out there. And that's, that's a part of, of doing content creation, right?

You just, you just gotta put it out. Yeah. It's creation. You're not gonna know, you're not gonna know what's gonna hit with people, what's, what's not, and until you just do it. And so, um, but we're, we're, we're hopeful, uh, that, that we can keep going because a lot of people have really enjoyed the animation so far.

Mm-hmm. 

Preston: Uh, someone I knew once said that making bad art every day can be really good for your soul. Did you say that? 

Dr. Glaucomflecken: Did. Did Margaret say that? 

Margaret: That's my account name on Oh, room. [00:53:00] 

Dr. Glaucomflecken: That's very insightful. That's very good. 

Margaret: Hey, I've been, listen, I'm in the wellness girly space, so you don't, you don't see my content, but it's, it's out there.

It's, it's, you definitely don't look like 

Dr. Glaucomflecken: someone with adrenal fatigue. I'll tell you that. 

Margaret: Hey, my adrenal is you. Good? It's 

Dr. Glaucomflecken: pumping away. It's working overtime. Yeah, it's working amazingly. Do adrenals even pump? I have no idea anyway. 

Margaret: I don't, I don't dunno. 

Preston: So did you always picture like a cartoon or some kind of show when you were creating these characters?

Dr. Glaucomflecken: No, I didn't. Uh, it was just, um, you know, I, and I think there's some psychy psychology behind this. Like, I, maybe I'm just, I'm hiding myself, my true self. I can like, you know, hide that part of me. That's why I bristle when people call me an influencer. Because I, I don't do that kind of content. Right. I, I'm not showing you my life.

I am, I am making these characters. I'm wearing costumes. I'm writing skits. And you're not 

Margaret: like flexing at the [00:54:00] gym. 

Dr. Glaucomflecken: Yeah. I'm not flexing at the gym. I'm not, I'm not just like posing with my, my cats, which is nothing wrong with that, but it's just not something that, that I do. And, and, and so, um, I think, uh, sorry.

So yeah, and, and so I, I didn't, I didn't start it thinking, oh, this will make a good animated show. So, uh, you know, eventually, but it, it just, yeah. As my kids got older and they started watching cartoons, I was like, man, like these characters are kind of cartoonish, right? This is, it's not 

[music]: mm-hmm. 

Dr. Glaucomflecken: It just lends itself very easily to, to that.

And so, um, 

Preston: yeah. Like how Voldemort hides his soul in those who cruxes. That's, that's what you do with your cartoon characters way. All my character, yes. I 

Dr. Glaucomflecken: have 38. Who cruxes. And um, 

Margaret: did you put a crux in Preston? A husk of a man? Is that gonna be the end? Our podcast is like, I have to kill Preston 'cause he's secretly

Preston [00:55:00] a long time. 

Dr. Glaucomflecken: Preston is one of my horse Crues. He is? Yes. You're 

Preston: what's, 

Dr. Glaucomflecken: what's a snake? You 

Preston: called 

Dr. Glaucomflecken: Nini? Yeah, 

Preston: you're 

Dr. Glaucomflecken: my Nini Roche.

Margaret: Um, no, I was gonna say, I think it's like part of this, like not just having physicians or having people in healthcare advocate more and fight misinformation, but like getting things out into the cultural like water that like, it's like the pit being now also integrated with. The actors' work in terms of different healthcare legislature.

And I think like making, expanding beyond the TikTok platform, which you've had and other social media mm-hmm. Which is huge, is creating these different ways people can encounter healthcare and not un evidence-based information as well as understand more about works in a way that makes it fun and attractive.

Which, yeah, I don't think we've tried to do, we didn't try to do till in the last couple years in healthcare now we're kind of [00:56:00] reaping some of the rewards of that. 

Dr. Glaucomflecken: Y Yeah. I, I, um, and that, that's a big part of it too is like, you know, with animation, I can reach people if I can get this stuff on a bigger platform mm-hmm.

Than my own. And, uh, and see who it can resonate with and, and slide in some of my anti, you know, corporate medicine talking points into some episodes and just get, get it out there. Well that's people produced by 

Margaret: United 

Dr. Glaucomflecken: people. Well yeah. That might be a conflict of interest, I guess, but. And 

Preston: honestly, I think you, it could be more potent when you put it into a package like a cartoon where people are more willing to accept it as satire or, or feel like they're, they're drawing their own conclusions from it rather than mm-hmm.

Even though it's a cartoonish like caricature that you're making, it's still your face as a physician talking right on the screen, you know? But when someone's like, oh, I was watching this cartoon and I, and, you know, came to the conclusion that insurance is [00:57:00] evil, right. They certainly weren't trying to lead me to that.

I, I surmised it as the astute viewer. You know, 

Margaret: I saw this episode of Ed, ed Netty and, you know, suddenly I thought abortion is healthcare. 

Dr. Glaucomflecken: I know. And, and see the other thing is, as far as I know, like I am not aware of a, a medical cartoon like this, like it, that's like based in a medic in, in the healthcare world.

And so I, I do feel like, um, it's kind of a first of its kind type of animated show. 

Preston: Well, if, if you want a, a guest appearance, I have an idea for a character of a consult, liaison psychiatrist. It'll, it'll be me and Margaret. But we're, uh, Siamese twins, no. That are attached to the hip. We have, we have two separate spines and brains and lungs, but we, the people 

Dr. Glaucomflecken: are, the people are clamoring for a consult, liaison, psychiatrist, especially one twin who's a Siamese twin With twin.

Yeah, absolutely. 

Preston: And the, the bit could be that patients split on us, but [00:58:00] we 

[music]: never know this. That is a good bit, actually, I've proved this. I, this message Preston,

Margaret: I be like, just the character to like, turn around and be like, oh, don't worry, I'll hide him. That 

Dr. Glaucomflecken: is, that is not a bad. A bad, uh, a bad bit. Right? There's moving to year 

Margaret: two and he's now a PGY two in comedy fellowship. You're 

Dr. Glaucomflecken: growing so quickly right before my eyes. Yeah. Little, little 

Preston: Nini little, so yeah.

Transference, countertransference and the interference like a huge triangle. 

Dr. Glaucomflecken: Oh, man. Uh, but please, um, I know we're wrapping up here, but, uh, just, um, Preston, please air any other grievances you're having. It's my content on TikTok. I'm, I'm happy to, to entertain. Well, Preston Projects a 

Margaret: father figure onto you, so I, that's part of what 

Preston: is happening.

My letterbox review of Glaucomflecken General will be coming out soon. Don't worry. Oh man. Can't wait to read it. [00:59:00] Okay. Well, thank you so much for being here. We, we look forward to having, um, both you and Lady Glaucomflecken back in the future. Sorry that she wasn't able to make it today.

I know. Yeah. Yeah. She, she wanted be here, but women, we do it. Not 

Margaret: funny, so they can't 

Dr. Glaucomflecken: Oh, 

Preston: she, she's the only one who managed to 

Dr. Glaucomflecken: slip through. Don't, yeah. Don't, uh, uh. That's, that. She would not have let that fly. 

Margaret: And to be fair, Preston spans. He did not say 

Preston: that. I know, I know, I know. We'll be a little bit farther along in our medical comedy fellowship by then.

We'll have some, some better jokes prepared for you. Well, problem. Thanks guys.

Well, that was fun. I felt, I felt like it, it felt like our guest was kind of like our dad and our boss and also our idol at the same time. A little bit, 

Margaret: I think. Yes. And I think that was okay. I'm gonna say something sentimental, which is, I think Lock and Fecking to you, before you knew him, was you to me.

And so I'm like, you're like, that was my [01:00:00] dad. And I'm like, I didn't think you were my dad in my, I won't get into my projections, but I feel like that's how I felt. First ped, we talked complexes 

Preston: aside, 

Margaret: mom and dad complexes aside. But yeah, I mean, I remember you texting me last year and being like, um, Glaucomflecken reached out to me and wants to mentor me and all these things, and so it kind of feels full circle.

Preston: Mm-hmm. Yeah. It's cool. It's like, it's like three generations. You're, you're kind of like his grandkid in that way. 

Margaret: Are you saying you're my dad? 

Preston: Well, I mean, I know, I know you said that I'm not your dad, but I'm not your dad. 

Margaret: You're not my dad. You're the dad that stepped down. 

Preston: Yeah. And okay, wait, it's called the electric complex, right?

That's the female version of the mm-hmm. Oedipal complex. 

Margaret: Yes. 

Preston: Interesting. Okay. Well, with that, let's get to the outro. Thank you guys so much for listening. It was fun for us to have, uh, will Flanary on here, please go check [01:01:00] out. Lock Luck in general. God Godfather's got three episodes of his cartoon out. If you are in medicine thinking about creating content, go to dr Glaucomflecken.com and he has that, um, wonderful guide.

And, and like we said, it's, it's important to have rules for yourself. It's not all blanket unprofessional. Like some people will lead you to believe. There are like a lot of good ways that you can advocate and fight the good fight out there. If you have any thoughts about like creating content or we're curious about other things from this episode, please write us at how to be patient on our Instagram.

Or you can find us at how do patient pod.com. You wanna find more from me and Margaret? Margaret's at Badar every day on Instagram and TikTok. I'm at its pre row and there's also gonna be full video versions of the podcast on my YouTube at its pre row. Thanks again to everyone who leaves all the nice comments.

We really appreciate them. And then sometimes we use them to pat our egos and we send screenshots of them to each other lot. 

Margaret: Sometimes we bully each other with the mean ones. It means a. Yeah. Yeah. 

Preston: You 

Margaret: say, this is something mean to 

Preston: Margaret. I'm like, [01:02:00] ammunition for later. Pisses me that one comment On 

Margaret: September 20th at 11:54 PM 

Preston: Preston sounded nasally wooky.

I did say that last episode. I'm sorry. That was mean. Thanks again for listening. We're your hosts, Preston Roche and Margaret Duncan. Our executive producers are me, Preston, Roche, Margaret Duncan, will Flanary, Kristen Flanary, Aaron Corny, Rob Goldman, and Shahnti Brooke. Our editor and engineer is Jason Portizo.

Our music is Bio Mayor Ben V. To learn more about our program, disclaimer and ethics policy, submission verification, and licensing terms in our HIPAA release terms, go to how to be patient pod.com or reach out to us at how to Be patient@humancontent.com with any questions or concerns. How to be patient is a human content [01:03:00] production.