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By Human Content
4.9
460460 ratings
The podcast currently has 360 episodes available.
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This week Kristin and I get into "Ozempic face," which has been all over social media, and I break down what's actually happening medically when people lose facial fat quickly on GLP-1 medications. Kristin gets grossed out the moment I bring up orbital fat, so we go down a whole rabbit hole about fat pads, blepharoplasty, and why your eyes need that squishy cushion behind them. I also share something newer in ophthalmology: GLP-1 medications are now considered a rare but real risk factor for a type of vision loss called ischemic optic neuropathy. Then we get into a story from a Cake concert I took our kids to while Kristin was out of town, where our teenage daughter and her friend somehow knew every word to a Black Sabbath cover better than half the adults in the crowd (genuine proud dad moment). After the break, I keep working on my medical Spanish with more phrases sent in by a listener, and Kristin does her best to correct my pronunciation. Takeaways: "Ozempic face" refers to the hollowing and sagging that can happen when someone loses facial fat quickly on GLP-1 medications, it's a side effect of rapid fat loss, not a direct effect of the drug itself. Facial fat loss on GLP-1s can also affect the fat pad behind the eye, which may contribute to a more sunken appearance around the eyes. GLP-1 medications are now considered a risk factor for ischemic optic neuropathy, a rare condition involving reduced blood flow to the optic nerve, though the overall risk remains very low. Orbital fat plays an important structural role in cushioning and supporting the eye, and its loss or migration can contribute to changes like under-eye bags or a sunken appearance. Learning key medical Spanish phrases, even imperfectly, can help physicians communicate more effectively with Spanish-speaking patients. — 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 As a proud FIGS Ambassador, visit https://WearFIGS.com and use code DrGFIRSTFIGS to shop, stay updated on new launches, and learn more about FIGS advocacy projects. Check out FIGS on social platforms: @wearfigs -- 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. To get your Henson Razor go to hensonshaving.com/knockknockhi and use code knockknockhi to receive 100 blades for free with the purchase of a razor. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

This week Kristin and I start off with something I've been wanting to work on for a while, my medical Spanish, because we're opening up a new location and I want to actually be able to communicate with my Spanish-speaking patients. Kristin was a Spanish major, so she helps me practice phrases sent in by a Spanish-speaking listener named Gabe, and let's just say it does not go great. Then I give Kristin a real update on my acting class, which has become my midlife crisis hobby of choice after bouldering nearly took out my elbow and beekeeping felt like too much commitment (and too much risk of me acidentally killing a bunch of bees). What I didn't expect going in was how much I needed something that has absolutely nothing to do with healthcare. Something else I really wasn't expecting: making actual friends who have nothing to do with our kids, which apparently is possible even after 30. If you're looking for a sign to take that random class you've been thinking about, this is it. Takeaways: Trying a hobby that's completely unrelated to your career, especially in healthcare, gives you a real mental break and can be genuinely good for your well-being. It is possible to make genuine new friendships after 30, even ones that have nothing to do with your kids' friends' parents. Learning common medical Spanish phrases, even imperfectly, can help doctors better communicate with and care for their Spanish-speaking patients. Learning a brand-new skill later in life, and simply being bad at it for a while, can be a rewarding experience on its own. Shared proximity and shared experience, like being in a class together, are two of the biggest drivers of forming new friendships as an adult. — 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 As a proud FIGS Ambassador, visit https://WearFIGS.com and use code DrGFIRSTFIGS to shop, stay updated on new launches, and learn more about FIGS advocacy projects. Check out FIGS on social platforms: @wearfigs -- 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 http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

I wanted to start this one off talking about Sydney Towle, a 26 year old TikToker who documented her stage four cholangiocarcinoma diagnosis with so much humor and honesty that it genuinely impacted me, even though I never knew her in real life. Her passing hit hard, and it brought back a lot of what I went through with my own testicular cancer diagnoses at 26 and again at 31. I talk about how isolating it is to get a cancer diagnosis as a young adult, how most of the research and attention goes to kids and older adults, and how organizations like First Descents helped me find my people when I needed them most. Then I get into some actual eyeball stuff, because that's still what this show is for. I break down a fascinating case out of Ireland, the country's first ever transorbital neuroendoscopic surgery, where surgeons went through the eye socket to remove a meningioma pressing on the orbit. I get into how that surgery works, why the orbit is basically an obstacle course of tiny structures, and why neurosurgery always takes precedence when ophthalmology, ENT, and neurosurgery are all in the room together. I also can't resist going down a history rabbit hole on ice pick lobotomies, which were done through the eye socket, and I even throw in a random fact about the Bayeux Tapestry and a king who allegedly took an arrow straight to the eye. Takeaways: Young adult cancer patients often feel isolated because most cancer research and support resources target children or older adults. Organizations like First Descents and Stupid Cancer exist specifically to connect young adults facing cancer with a supportive community. Ireland's first transorbital neuroendoscopic surgery used the eye socket as a pathway to remove a brain tumor pressing on the orbit. Neurosurgery typically takes precedence in multidisciplinary trauma cases because saving a patient's life comes before preserving their vision. Ice pick lobotomies, performed through the eye socket, were still being done as recently as 1960. 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 http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

This week Kristin and I sit down with Matthew Zachary and Jen Singer, two cancer survivors who between them have basically seen every corner of the American healthcare system and lived to write a book about it. Matt founded Stupid Cancer, the organization that essentially created the young adult cancer advocacy space out of nothing back in 2007, and I can personally attest to how much that work has meant to people like me. Jen's journey started with her own aggressive lymphoma diagnosis and years of side effects that followed her long after she was declared "cancer-free." Together they wrote We The Patients: Understanding, Navigating, and Surviving America's Healthcare Nightmare, and we get into all of it: the history of how we got here, why claim denials are basically a business model, and why so few people ever bother to appeal. What I loved about this conversation is that it's somehow both infuriating and genuinely funny, which is exactly what Matt and Jen were going for with the book. We talk about the idea of patients organizing as a political voting bloc the way the NRA does, why transparency (or the total lack of it) is doing so much damage, and why blaming doctors is often just a distraction from the real problem upstream. We also cover some lighter stuff, how Matt and Jen actually met, whether writing a book together nearly ended their friendship, and yes, I finally got to answer where the name Jimothy came from. Takeaways: Matt Zachary founded Stupid Cancer in 2007, effectively creating the young adult cancer advocacy space that didn't exist before him. Only about 2% of insurance claim denials are ever appealed, even though roughly 80% of appeals eventually get overturned. Jen Singer's aggressive lymphoma went undiagnosed for eight months because her symptoms were dismissed as normal fatigue from being a busy mom. Matt and Jen argue that healthcare denial and delay isn't a system failure, it's the business model working exactly as designed. They believe patients need to organize as a political voting bloc, similar to how the NRA operates, to force real legislative change. — Want more Matthew Zachary and Jen Singer? @TheMatthewZachary @justdxguides https://wethepatients.org 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. To get your Henson Razor go to hensonshaving.com/knockknockhi and use code knockknockhi to receive 100 blades for free with the purchase of a razor. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

I've got something serious to get off my chest this week. It's about how Kristin gets treated in the comments section of our own YouTube clips. A recent clip from our episode with Rana Awdish set me off; Kristin talked about the "God complex" in medicine and what happens when patients don't fit neatly into the box the system has for them. The response from some corners of the internet was exactly the kind of misogynistic, dismissive nonsense that proves her point. So I'm laying out two things I will not tolerate: comments about her appearance or her right to be here, and anyone downplaying her experience as my wife, my business partner, and a co-survivor of my own medical trauma. Kristin has been by my side through two cancer diagnoses and a cardiac arrest. She did the compressions that kept me alive. She's lived the healthcare system from the outside in a way I never could from the inside, and that perspective matters. I explain in this episode why Glaucomflecken couldn't exist without her. Takeaways: I will not tolerate misogynistic comments or attacks on Kristin's appearance in our comments section. Kristin is an equal part of Glaucomflecken, not someone riding my coattails. Kristin's view of medicine's "God complex" comes directly from real experiences, including being barred from information and support during my hospitalizations. Medical trauma affects family members and caregivers, not just patients, which is the core of the co-survivorship conversation. I'd rather lose viewers who disrespect Kristin than keep an audience that won't respect her. 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. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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