Dr. Heather Gatcombe, a clinical radiation oncologist at Emory, who immediately humbles me by explaining that her job involves a lot more than drawing circles on a screen, it involves medical physics boards, cancer biology exams, and oral evaluations with the world's leading subspecialty experts. I'm putting radiation oncology in my "insanely smart doctors" tier, effective immediately. But Heather isn't just here to talk about contouring tumors. When her son was in second grade, his teacher noticed he couldn't move half his body and called 911. By the time EMS arrived, he seemed fine. Thus began a five-year diagnostic odyssey involving genetic testing, a muscle biopsy, a "variant of unknown significance," and ultimately a diagnosis of mitochondrial disease, a mutation that disrupts the body's ability to produce energy at the cellular level and can affect, well, pretty much every organ system you've got.

We get into all of it: what metabolic strokes actually are (an energy failure, not a clot), how heat, fasting, and illness can trigger a crisis, why the average time to diagnosis is a decade, and what happened when Heather's son arrived at the ER during COVID in acute heart failure and ended up on ECMO within 10 hours. He was 12. He received a heart transplant. He's now 17, knows his own body better than most doctors in the room, and asks for naps between soccer and his SATs. We also talk about what clinicians and patients can actually do to change the odds, including the United Mitochondrial Disease Foundation's mini-fellowship program at umdf.org. And yes, I finally admit the Krebs cycle is useful. The sad medical geneticist at the lunch table was right all along.

Takeaways:

—

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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

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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.

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We're dropping this bonus episode because something genuinely historic happened in oncology and we couldn't wait until our regular schedule to talk about it. Dr. Mark Lewis, GI medical oncologist, pancreatic cancer survivor, and one of our absolute favorite guests. He just got back from ASCO, the Super Bowl of oncology, where a new drug called daraxonrasib received one of only about six standing ovations in the conference's history, including applause that broke out mid-sentence when researchers showed the survival data on-screen. The drug targets a mutation that drives the vast majority of pancreatic cancer and has been considered "undruggable" for decades and it works not by attacking the mutation directly, but by cutting off the downstream signals it sends, like snipping the wire instead of fighting with the switch.

The results are remarkable. In patients who had already received standard chemotherapy, daraxonrasib roughly doubled survival time and delivered it in pill form rather than an IV every two weeks, a meaningful quality-of-life difference for people who are already facing the hardest year of their lives. Mark walks us through the science, the side effects (rash, because RAS proteins live in skin too), the path to FDA approval, and what this means beyond pancreatic cancer, the same KRAS mutations show up in about 30% of lung cancers and 40% of colon cancers.

Takeaways:

Want more Dr. Mark Lewis?

X: @marklewismd

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]

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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. 

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I’m back from a whirlwind speaking tour where I realized my entire social media presence might just be a long-con ruse to get a captive audience of 1,000 electrophysiologists to look at my genetic testing report. I officially "locked the doors" at the Heart Rhythm Society in Chicago until someone could tell me if my phospholamban mutation actually means anything. Spoiler alert: I met the guy who literally mapped the gene, and he reassured me it’s a "variant of no significance," which is way more comforting than "uncertain significance". I also had a run-in with a couple at a pool in Florida who were dreading the "entertainment guy" with the weird name, only for me to lean over and put them out of their misery.

The real drama this week, though, is in the courtroom: corporate medicine is on trial in Oregon. I’m breaking down the "dummy LLC" loophole that allows out-of-state corporations to replace local, physician-owned groups with locums who don’t know the community. We dive into the PeaceHealth fiasco in Eugene, where a CEO is currently on administrative leave following whistleblower emails that suggest clinical decisions were being influenced for profit. It’s a messy look at hospital contract shenanigans and why having doctors invested in their own community actually matters for patient safety.

Takeaways:

The "Dummy LLC" legal maneuver corporations use to bypass state laws meant to keep medicine physician-owned.

How I used a 20-foot screen and a captive audience of specialists to get a second opinion on my own genetic mutation.

The "cardiology confident" reassurance I received about my heart from the man who mapped the phospholamban protein.

Why the CEO of a major Oregon hospital is on administrative leave following whistleblower emails about clinical interference.

—

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.

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Victor Wembanyama, the 7'5" alien playing for the Spurs, apparently refuses to look at blue light after 9pm, which allows me to get into my love-hate relationship with blue light glasses, the misinformation campaign that has them treating everything from dry eye to macular degeneration, and the one claim that actually holds up: sleep and circadian rhythm.

Then a great Patreon question drops me into retinopathy of prematurity. What it is, why preemies are vulnerable, and how oxygen, vascularization, and laser treatment all fit together. From there, the bigger problem: 90% of U.S. counties don't have a single pediatric eye specialist. Four states, New Mexico, North Dakota, South Dakota, Vermont, have zero pediatric ophthalmologists. And surprise, this comes right back to private equity, because every Knock Knock Eye episode does.

Takeaways:

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 

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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

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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. 

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I’m stepping away from the slit lamp this week to talk about a different kind of eye emergency. The ones happening on the front lines of protests across the country. I’ve been seeing way too many videos of people losing their vision to "non-lethal" force, so I invited Adam Rose, the Deputy Director of Advocacy for the Freedom of the Press Foundation, to help us navigate this. Adam has 20 years of journalism under his belt and spends his time making sure the people documenting history don't end up as patients in my clinic.

Whether you’re a journalist, a protester, or just a citizen with a smartphone, this episode is a crash course in exercising your First Amendment rights without losing an eyeball.

Takeaways:

Why a build-up of food gases in an old Thermos can pop a lid with enough force to cause a "ruptured globe" injury.

The difference between a "Democratic physician-owned group" and a "Contract Management Group" staffing your local hospital.

How a doctor living in Illinois can technically "own" an emergency practice in Oregon through a legal loophole.

Why Will thinks "home call" in residency is just a clever way to skirt work-hour restrictions.

The "Glock Flecking Fodder Ability Scale" for determining which medical specialties are the easiest to make fun of.

—

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 

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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.

Head to cozyearth.com and use my code KNOCKKNOCK for up to 30% off — but only for a limited time. This exclusive offer runs from May 18th through June 1st only, so don't wait.

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I'm not in a great mood and I'll tell you why. A mini fridge in our family room sprang a slow leak, and before I knew it I was $5,000 deep in a restoration black box with no idea whether any of those numbers were real. Which, of course, got me thinking about healthcare cost transparency, because everything eventually does.

From there I get into Oregon's SB 951, the strongest corporate practice of medicine law in the country, and what it might mean in 2029 for the private equity firms (and one suspiciously friendly-sounding Canadian pension fund) currently buying up ophthalmology.

After the break I cross over into veterinary land to talk about the cow eye dissection I ran with about 50 middle schoolers at my kids' school. The tapetum lucidum, the onion-layered lens, why goats have rectangle pupils, and the brand-new respect I now have for teachers. We finish up in the animal vision spectrum, where the mantis shrimp absolutely embarrasses the rest of us.

Takeaways:

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 

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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. 

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We’re diving into a heavy topic that’s been making the rounds on medical TikTok, the soul-crushing feeling of "wasting your twenties" in medical training while your non-medical friends are out buying houses and going to clubs instead of living in squalor with five roommates. Kristin and I look back at our own unusual twenties, including the "Sock on the Pager" move which Kristin officially is claiming as a romantic peak of my residency years.

Then we get into some "pajama patient" ophthalmology talk because Kristin refuses to take a "contact lens holiday". I explain the nightmare fuel of people who layer contacts until they have dozens stuck under their eyelid, and why a corneal abrasion can actually feel worse than childbirth. From the hidden chemistry required to be a dermatologist to the reason you can’t get eyelid mites from your poodle, this episode is a mix of deep reflection and my ongoing quest to save Kristin's corneas.

Takeaways:

Why comparison is the "thief of joy" for medical residents watching their friends enter the workforce while they live with five roommates and uncleaned dishes.

The specific sensory "imprints", like the smell of spring air, that can make a medical anniversary a recurring trauma years later.

Why Kristin claims putting a sock under a vibrating pager is one of the most romantic gestures of my medical training.

The "Bandaid Effect": why wearing contact lenses for too long can actually mask the pain of an open wound on your eye.

Why you should never fact-check Will on whether the highest concentration of nerve endings is in the cornea or elsewhere.

—

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 

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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

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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.

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Today is a day for celebration and a little bit of "I told you so." We finally have a resolution in the saga of the Eugene Emergency Physicians (EEP). Just as final arguments were about to begin, PeaceHealth completely rescinded its contract with Apollo MD and restored it to the local doctors who have served the community for 35 years. I’m breaking down the federal judge’s scathing remarks, including some casual accusations of perjury against corporate leadership, and why this victory proves that Oregon’s new corporate practice of medicine law actually works.

Later, I’m putting on my clinical hat to give you the "Glaucomflecken Dry Eye Regimen." I’m talking to you like a patient who’s tired of blurry vision and gritty eyes: we’re cutting through the marketing noise to discuss why hot compresses and baby shampoo are often better than expensive in-office procedures. We’ll cover the new drops on the market, the danger of generic recalls, and why you should steer clear of anything labeled "homeopathic."

Takeaways:

The EEP Victory: How a courageous group of local doctors defeated a corporate giant and what this means for physician autonomy nationwide.

The Perjury Warning: Why a federal judge suggested that corporate executives were "clearly lying under oath" during the PeaceHealth trial.

The 2029 Deadline: Why every medical practice in Oregon must be 100% physician-owned within three years or face legal oblivion.

MGD vs. Tears: Understanding the difference between oil gland dysfunction and aqueous deficiency, and why no single drop can fix both.

The Generic Risk: Why Will recommends sticking to brand-name lubricants for your eyes to avoid the history of contamination seen in some generic and homeopathic brands.

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 

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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

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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. 

Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to cozyearth.com they are doing a BOGO pajama promo. Just use my Code: KNOCKKNOCKBOGO

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I’m opening up this week with a bit of a public service announcement: please stop pointing stuck containers at your face. We’re diving into a bizarre and honestly terrifying recall of 8 million Thermos bottles that have been essentially turning into high-pressure gas bombs in people’s kitchens, causing some devastating eye injuries. I try to explain "blunt force blindness" to Kristin, who, like many medical spouses, is mostly just trying to find a way to tune out the gross ophthalmology details.

The main event this week is a deep dive into why "Corporate Medicine" is currently on trial, well, a federal hearing, anyway. I’m obsessively following a courtroom drama in Oregon where a local, physician-owned emergency group is fighting back against a giant corporate firm from Atlanta that’s trying to take over their contract. We break down the confusing world of "Management Service Organizations" and how private equity is trying to find loopholes in brand-new state laws designed to protect patient care from out-of-state corporate interests.

Takeaways:

Why a build-up of food gases in an old Thermos can pop a lid with enough force to cause a "ruptured globe" injury.

The difference between a "Democratic physician-owned group" and a "Contract Management Group" staffing your local hospital.

How a doctor living in Illinois can technically "own" an emergency practice in Oregon through a legal loophole.

Why Will thinks "home call" in residency is just a clever way to skirt work-hour restrictions.

The "Glock Flecking Fodder Ability Scale" for determining which medical specialties are the easiest to make fun of.

—

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.

Head to cozyearth.com and use my code KNOCKKNOCK for up to 30% off — but only for a limited time. This exclusive offer runs from May 18th through June 1st only, so don't wait.

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Put down the "Standard of Care" manual for a second, this week I’m talking to you like a med student watching a corporate train wreck in slow motion as we break down the "rigged" request for proposals (RFP) process. I’ll show you how a local group with 35 years of perfect staffing was given a "0.1" score for call coverage just so a corporate giant could swoop in. We’ll also discuss a federal judge’s incredible "low-wattage" insult and why two Apollo MD doctors are now facing accusations of lying under oath.

After we finish our lesson on corporate retaliation, we’re pivoting to some "legitimate" science that sounds like a skit: Pig Semen Eye Drops. I’ll explain a recent study, yes, in an actual scientific journal, about using exomes from pig semen to shrink retinoblastoma tumors in mice by 98%. It’s a perfect confluence of my two professional loves: medicine and comedy.

Takeaways:

The "Rigged" Scorecard: How Eugene Emergency Physicians were given a near-zero score for "transition planning" despite already being the ones doing the job.

The MSO Loophole: Why companies like Apollo MD create "shell" clinical entities to circumvent state laws meant to protect local medicine.

The Judge’s Admonishment: Why "evasive" testimony and "obfuscation" led a federal judge to suggest that corporate executives were lying under oath.

The "Rodent" Breakthrough: How a basic science study used pig semen to reduce rare childhood eye tumors to just 2% of their original size.

Aged Urine vs. Science: Why the new retinoblastoma research is a major step up from the "aged urine" eye drop groups Will fought as a resident.

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. 

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