Knock Knock, Hi! with the Glaucomfleckens

• Knock Knock Eye: Would You Risk Blindness for Blue Eyes?

  I just wanted to talk about the iris today. A chill, colorful muscle donut that controls how much light hits your retina and makes you look good doing it. But no. UnitedHealthcare had to show up first—again—with a story so dark it makes retinal necrosis look like a fairy tale. We're talking Do Not Resuscitate orders getting denied by algorithms and patients dying because no human was watching. Then we finally pivot to the iris: how it works, how it fails, why it looks different in everyone, and what happens when people decide to change their eye color on purpose (spoiler: don’t). I also touch on laser procedures, night vision contacts, LASIK myths, and iridology—which is basically astrology for your eyeballs. All that and a retinal wiring rant, because I can’t help myself. Takeaways: UnitedHealthcare might be setting a new low. When your life is being managed by an algorithm that’s literally ignoring your DNR order, we have officially lost the plot. The iris is not just decoration. It’s a muscle. It’s photoreactive. It’s a vibe. And it’s doing way more work than it gets credit for. Thinking about cosmetic eye color surgery? Just don’t. It’s like installing a tinted windshield inside your eye. Except it doesn’t work. And might make you go blind. Night vision contact lenses are real(ish). But if you wear them in public, people are going to think you're either Batman or a sleep-deprived raccoon. Iridology is fake and somehow still thriving. It’s amazing how far you can go in life with confidence and zero science. — 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! knockknockhi@human-content.com 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: Checking In On Kristin's ARFID Journey

  There’s vulnerable… and then there’s telling thousands of listeners about the time you almost pooped your pants at a conference. In this episode, we’re going there. We’re talking about digestive drama, poop shame, and why gut issues are so much more than a punchline. Kristin and I also dive into ARFID—Avoidant/Restrictive Food Intake Disorder—and how it often starts with childhood trauma around food and bathrooms. We unpack how eating disorders intersect with GI issues, why so many patients feel dismissed, and what we wish more doctors understood about the gut-brain connection. Yes, it’s funny. Yes, it’s deeply personal. And yes, “GI cryptids” are now a thing. Takeaways: ARFID is a serious disorder, not just “being picky.” GI issues often start in childhood and never really leave. Poop shame is real—and can deeply affect mental and physical health. Kristin shares what it’s like growing up with GI anxiety. We invent “GI cryptids” and honestly, it explains a lot. — 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! knockknockhi@human-content.com 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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  51:47
• Knock Knock Eye: What Happens When a Virus Decides to Eat Your Retina

  I worked a Saturday clinic. I know, shocking. Even more shocking: I saw something I’ve never actually encountered in real life until now—acute retinal necrosis. So in this episode, I walk you through what that looked like, how I figured it out, why it scared the hell out of me, and what happened next. Along the way, I also spiral into the difference between horses, zebras, and unicorns (yes, medically), why having shingles might come back to haunt your eyeballs, and what it’s like to be the doctor frantically reviewing textbooks between patients. Also: I’m writing a convocation speech during a morale crisis in oncology, so if you’ve got extra testicle jokes, send them my way. Takeaways: Yes, I Worked a Saturday Clinic. No, I Don’t Want to Talk About It. Except I do. Because a unicorn—or at least a zebra—walked through the door, and things got real fast. Vision Loss with No Pain? That’s a Trap. When someone says they’re going blind but they’re totally comfortable, I get nervous. This case reminded me why. Your Immune System Can Turn on You. Literally. Trauma to one eye can cause your immune system to attack the other one. Still haven’t seen it. Hope I never do. Retinal Necrosis Is a Fancy Way of Saying “This Is Bad.” The diagnosis sounds terrifying because it is. And it often starts with something as boring as a shingles rash. Sometimes I Leave the Room to Google Stuff. That’s Normal. And if you’re a doctor pretending you don’t, I have questions. The key is knowing when to pause, read, and come back smarter. — 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! knockknockhi@human-content.com 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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  44:54
• Glauc Talk: The Surgeon General Drinks Raw Milk—Should You?

  In this episode, we’re unpacking the appointment of Dr. Casey Means as the new U.S. Surgeon General and everything that’s wrong with politicizing public health. Kristin and I get into functional medicine red flags, why “root cause” messaging can actually be dangerous, and the bizarre rise of raw milk influencers. (Spoiler: bovine tuberculosis is real, and no, we don’t want it.) We also talk about how Mother's Day made us reflect on post-trauma rituals, parenting energy levels, and... potted plants. It’s chaotic, a little gross, and kind of philosophical. You know—classic Knock Knock, Hi! Takeaways: Our new Surgeon General left residency six months before finishing—and that’s just the beginning. Raw milk is trending again. So is tuberculosis. These two things are not unrelated. We invent “juice cleanses for your kidneys,” and no, please don’t do that. Kristin makes the connection between surviving Will’s cardiac arrest and suddenly keeping plants alive. And yes, we’ve reached the “bovine TB” phase of American wellness culture. — 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! knockknockhi@human-content.com 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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  52:43
• Knock Knock Eye: United Health Group CEO Stepped Down. The Stock Fell. My Mood Improved.

  I was going to talk about corneas. Just a nice, focused anatomy deep dive. But then I found out UnitedHealthcare’s stock is down 20% and—what can I say? I got distracted by joy. So before we dig into layers of corneal meat (yes, I said that), we take a little detour into vertical integration, kickbacks, AI claim denials, and how a multi-billion-dollar behemoth is finally catching a whiff of accountability. Then it’s back to business: corneal nerves, LASIK, ulcers, transplant techniques, the great “your corneas are too thin” letdown, and why you should stop sleeping in your contact lenses. Also, I may have created a dating strategy that involves casually name-dropping Descemet’s membrane. You're welcome. Takeaways: UnitedHealth Took a Hit—And I Took a Victory Lap. Their CEO is stepping down. Their stock is down. Their karma might finally be catching up. I am… not sad. Your Cornea Is Clear for a Reason—Until It’s Not. It doesn’t have blood vessels. It doesn’t heal like skin. And when it gets cloudy, things get gross, fast. LASIK Isn’t for Everyone. Here’s Why Your Eye Got Rejected. If you’ve ever been told your cornea is “too thin,” I’m here to explain why—and yes, it’s as mathy as it sounds. Yes, I Called It ‘Corneal Meat.’ No, I’m Not Sorry. It’s the stroma. It’s thick. It’s important. And now you’re never going to un-hear that phrase. Please Stop Sleeping in Your Contacts. I’m Begging. Because you like seeing. And because I don’t want to have to dig bacteria out of your eyeball. — 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! knockknockhi@human-content.com 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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  43:15

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