Knock Knock, Hi! with the Glaucomfleckens

• Knock Knock Eye: Waiting 45 Minutes for a 7-Minute Visit? Here’s Why

  Ever had to wait 45 minutes in the lobby just to wait another 30 in the exam room while imagining your doctor is in the back watching YouTube? In this episode, I break down what’s really going on behind the scenes of a chaotic clinic day—and no, it’s not lunch. Plus, a very satisfying rant about healthcare corporatization, a strangely relaxing moment involving blood in the eye (someone else’s, not mine), and an update on Arkansas doing something good (I know, I’m surprised too). I also ask an important question: is it fair to say sneezing too hard might ruin your vision? Yes. Yes, it is. Takeaways: If I Could Wire My Brain to Every Patient’s Brain, I Would. But since that tech doesn’t exist, here’s a 45-minute explainer on why your wait time is not me scrolling TikTok in a break room. Private Equity, Insurance Companies, and the Slow Death of My Schedule. Who’s really making your doctor run behind? Spoiler: it’s not your doctor. Arkansas Just Did Something Cool? I’m Shook. Finally, some legislation that takes aim at PBMs. Can we get 49 more of these, please? Sneezing Shouldn’t Break Your Eye… But It Might. A 24-year-old. A sudden cloud in his vision. And the diagnosis I didn’t expect to make until he mentioned allergy season. Yes, There Was Blood. But Only a Thimbleful. Ophthalmology is rarely a bloody field. But when it is, it gets… weirdly poetic. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠ http://www.patreon.com/glaucomflecken⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠http://www.EyelidCheck.com⁠ for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠aka.ms/knockknockhi⁠. To learn more about Pearson Ravitz go to http://www.pearsonravitz.com/knockknock. Produced by⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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• Glauc Talk: Family Medicine Has Entered the Chat

  Okay, so I made one comment about Kristin’s coffee-making skills and instantly became the villain. And then she replaced me—with Family Medicine. Like, actually replaced me. For an entire segment. This episode, we talk about the real heartbreak behind Medicare's decision not to cover GLP-1 medications for weight loss and diabetes, and the wider implications for access, affordability, and the ongoing “just exercise more” narrative that’s exhausting all of us. Spoiler: we’re not fans of weaponized personal responsibility. Then Family Medicine makes his podcast debut, and wow—he has some things to get off his chest. Like being overworked, underappreciated, and constantly asked to “clear” patients for cataract surgery. (Which isn’t a thing. Please stop saying it’s a thing.) We close things out with a conversation about burnout, respect, weighted blankets, and fermented Texaco antibiotics. You know, just a normal Tuesday. Takeaways: I mentioned Kristin’s coffee grounds and now I’m banned from caffeine commentary. GLP-1 meds aren’t being covered by Medicare anymore, and it’s as infuriating as you’d expect. Family Medicine is here. He’s tired. And he’s not “clearing” anyone for anything. If you don’t think all doctors are burned out, you’re not paying attention. We might’ve created a new mascot: Emotional Support Drape™. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠ http://www.patreon.com/glaucomflecken⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠http://www.EyelidCheck.com⁠ for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠aka.ms/knockknockhi⁠. Produced by⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  36:06
• Knock Knock Eye: The Four Times I Cried As A Doctor (So Far)

  I don’t cry often. Not because I’m especially tough—more because medicine does a pretty good job training that out of you. But sometimes? It happens. In this episode, I walk through four times I cried as a doctor (yes, one of them involves Rugrats), what led up to those moments, and what came after. There’s also a side quest into diagnosing The Sandlot’s Mr. Myrtle, a few shoutouts to comment-section philosophers, and some thoughts on whether it’s even worth debating people who think vaccines contain nanobots. So yeah, a little bit of everything. Takeaways: Some Stories Stay with You. Some Break You Open. A patient. A family. A sound you can’t unhear. It was week two of med school rotations, and I still think about it 15 years later. Residency Will Humble You—Sometimes Publicly. One attending. Two missed steps. Twenty minutes of educational humiliation in front of the entire department. I held it together… until I didn’t. What’s Worse Than Getting Diagnosed with Cancer Again? Getting that news and then getting paged for a bilateral open globe trauma five minutes later. Yep, that happened. The Rugrats Made Me Cry. Between Patients. In Clinic. If you don’t tear up when Chucky says, “She’s in the flowers,” you might already be in the flowers. I'm just saying. I Diagnosed the Blind Guy in The Sandlot. Of Course I Did. Was it glaucoma? Optic nerve trauma? A bizarre case of Hollywood medicine? Yes. Also: yes, my children left the room. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  46:19
• Glauc Talk: Fixing Healthcare One Smell at a Time

  So this episode started with a Reddit post about a guy who thinks his poop smells like his patients’ poop... and I wish I could say it gets less weird from there, but no—it really doesn’t. Kristin and I spiral into the science (and total lack of science) behind smell memory, hospital food, and whether we’re all just walking around slowly absorbing our work environments. Spoiler: if you're in ophthalmology, congrats—you’re mostly scent-neutral. Unless you've ever used a slit lamp on someone mid-GI crisis. I also revisit 30 Days of Healthcare and question a few of my creative choices (including a weird little sketch about fixing healthcare with just vibes and prior auths). And because I clearly haven’t suffered enough, we open up the brand new First Aid for Step 1 (2025 edition) and test how much I remember from med school. It’s… not great. Takeaways: There’s a Reddit post you can’t unread—and now we all have Deja P. We may be slowly absorbing our patients… through scent. Kristin puts Will’s med school knowledge to the test. It does not go well. Sneeze guards: good for spit, better for smell trauma. We’re trying to make medical education funny again. Starting with capitation. And poop. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  46:58
• Knock Knock Eye: The Real Horror in Nosferatu? His Corneas

  What do 19th-century vampires, corneal scarring, and rampant chlamydia have in common? Possibly more than you'd think. I Nosferatu and spiraled (in a good way) into diagnosing one of film’s creepiest figures using real ophthalmology. Along the way, I breaks down the leading causes of corneal blindness, unpack the wild world of corneal transplants, and imagine what kind of eye care Nosferartu might’ve needed in his castle. Takeaways: He May Be Immortal, But His Corneas Are Not: Nosferatu’s cloudy eyes raise some very real medical questions—and Dr. Flanary can’t let it go. Not All Corneal Scarring Comes from Contact Lenses: What causes corneal blindness around the world might surprise you… and gross you out a little. There’s a Toothpick-Sized Transplant That Can Change Lives: Modern corneal transplant technology has gotten weirdly precise—and impressively effective. PBM Reform Might Finally Be Moving… a Little: A glimpse of progress in the middleman mess, with state-level action heating up. If You Watch Horror with a Doctor… Be Prepared for Diagnoses: Don’t expect a relaxing movie night. Expect theories, pathologies, and a bit of eye-rolling. Literally. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! [email protected] Can’t get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information.  Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

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  40:06

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