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LGBTQ+ Health: Maggie Burzynski
43 Plays6 months ago
Maggie Burzynski is a second year medical student at Cooper Medical School of Rowan University and a LGBTQ+ health advocate. Listen to Maggie discuss the care of LGBTQ+ patients, the use of gender-neutral language in the clinical setting and her experiences as a member of the LGBTQ+ community.
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Transcript
Podcast Introduction
00:00:09
Speaker
You're listening to The Wound Dresser, a podcast that uncovers the human side of healthcare. I'm your host, John Neery.
Meet Maggie Brzezinski
00:00:21
Speaker
My guest today is Maggie Brzezinski. Maggie is a second year medical student at Cooper Medical School of Rowan University. She's originally from Milwaukee, Wisconsin and completed her undergraduate degree at Fordham University in the Bronx in New York City. She's completing a three year accelerated degree at CMSRU with a focus on adult primary care. She's currently one of the co-presidents of the CMSRU Pride Club and is interested in education and engagement with LGBTQ plus issues within healthcare. care Maggie Brzezinski, welcome to the wound dresser. Thank you. I'm happy to be here.
Challenges in LGBTQ+ Healthcare
00:00:55
Speaker
So um I know you're heavily involved with the LGBTQ plus community, your co-president of the group here at medical school. wo Can you just kind of talk about some of the main challenges and frustrations of the LGBTQ plus community when they're they're accessing healthcare? care
00:01:12
Speaker
Absolutely. I think that there's a lot of different areas of LGBT plus specific healthcare care that sometimes is more difficult for queer people to access healthcare. care I think one that is most relevant to our kind of current political climate is trans healthcare.
00:01:32
Speaker
um Transgender people often find it much more difficult to find a doctor, just a primary doctor, who can um care for them, who they feel comfortable with, who will use their correct name and their correct pronouns, as well as if they need some HRT or hormone hormone replacement therapy, if they're interested in surgery, a lot of ah gender ah affirming surgeries are not covered by insurance or are not completely covered by insurance and so are very expensive. And so there's a whole plethora of challenges and various barriers specifically for transgender people. But additionally,
00:02:10
Speaker
It can be frustrating for people within the LGBT plus community speaking for my own personal experience as well to approach healthcare care knowing that we present outside of the norm and outside of what is expected. And so presenting to a physician, for example, as a lesbian woman, as I identify, and being asked about if I'm pregnant before being asked, you know,
00:02:40
Speaker
What are your partners? What are your pronouns? Like an assumption that perhaps I am straight or a heterosexual kind of before the fact. And so not only do I sometimes find it hard to decide whether or not to quote unquote out myself in a healthcare setting, both now as a medical student and future provider, as well as as a patient, I never know if when I out myself that the reaction is going to be well-informed if that person is going to react the way I want them to because, you know, I don't need my doctor to know everything about me, but my sexuality and, you know, by extension, my possible partners, my, you know, future life choices can be really relevant to my health care.
Outing in Healthcare
00:03:30
Speaker
And so it's this additional step that's both active in discussing with people
00:03:37
Speaker
you know, I need to say like, I'm gay, I'm a lesbian, I'm trans, but also the kind of mental barrier of knowing that we as queer people need to continually out ourselves. And I think that happens a lot in healthcare care that in order to explain something to your provider, you need to continually out yourself.
Need for LGBTQ+ Providers
00:03:58
Speaker
Is there an effort um to like kind of help resolve some of that for for there to be LGBTQ plus providers for those patients, or is that kind of not a strategy that you feel like is helpful for the patients and the providers?
00:04:14
Speaker
I think that's a good thought because in general, when there are more providers who belong to a specific community, the care gets better. like if you are a For example, if you are a gay person, you will get youll we'll get more understanding care from someone who is also a part of the LGBT plus community just from a place of having that thing in common. um And I know I've like read certain like research that like people of color receive better care have better health outcomes like when you have a provider who is the same race or ethnicity as you.
00:04:53
Speaker
And so kind of similar along that vein, the idea that having that level of understanding and also furthermore, that level of trust can definitely lead to better health outcomes. But I also believe very strongly that any provider with an open mind and with the genuine motivation to learn can provide excellent care to someone who is not similar to them. And that's what I think is most important in LGBT plus healthcare care is making sure that all providers are well educat educated on how to best provide that because the majority of healthcare providers are always not going to be LGBT plus because it's not the majority of people. But I think that with proper education that
00:05:43
Speaker
There's always ways to improve. Yeah, I think they're you're you're kind of alluding to ah like a feasibility problem, right? You're going to have ah emergency room visits. You're going to have all sorts of visits where you're not necessarily going to be ah ah able to align people's identities or races or ah whatever you know identity you might be talking about. so you You need everybody to kind of be on like a similar page and be able to be competent with with all sorts of patients.
Inclusive Practices in Healthcare
00:06:10
Speaker
um so To you, kind of like bigger picture um compared to like where we're at today, where what does inclusive and equitable um care look like for the LGBT plus community? I think I'll speak to that with a couple of specifics, which is,
00:06:27
Speaker
um I'll start just with our medical school, Cooper ah University, Cooper Medical School at Rowan University. One thing that I think goes a long way is the fact that a lot of physicians and other providers working at the Cooper University Hospital here in Camden, New Jersey have little rainbow badges that have their pronouns on them. And that just automatically signals a feeling of inclusivity. And it's definitely not like you know just providers who themselves identify as part of the community. It's, from what I've seen, anecdotally, the majority of providers who have you know a badge and their pronouns on it indicating they see this as something that's important to indicate you know this is a safe place for people who
00:07:16
Speaker
maybe use different pronouns than someone might assume by looking at them directly or as a part of the LGBT plus community. And so I think just that knowledge and visibility is really important. But additionally, one thing that I think is really helpful with in medical education that I have seen in the course of my own education so far is in using standardized patients and ensuring that the standardized patients used to teach medical students have varied backgrounds. It's all fictional, their stories, but to have a standardized patient who uses they-them pronouns, I think we I had one one time, or to have a standardized patient who identifies as a woman, uses she-her pronouns, and mentions a wife when talking about her family history and vice versa.
00:08:07
Speaker
I think that getting that practice is really helpful in normalizing the fact that and no matter what part of medicine anyone is going to be practicing, there are going to be queer people there. Yeah. And you mentioned you mentioned pronouns, just so our listeners are kind of on the same page, can you kind of um you know lay out what um what pronouns and what what language is recommended for for people in the clinical setting?
00:08:34
Speaker
Absolutely. So I before I came to start medical school, I worked as a scribe in a primary care clinic. And I know in our electronic medical record or EMR there, we had a specific pronouns area that was separate from biological sex.
00:08:53
Speaker
mentioned for our patient. And so we had kind of preferred gender and pronouns. And so I'm not sure that exists in every EMR. I believe it also exists in EPIC, which is very widely used. But it's always important to know the preferred pronouns that a person uses as well as their gender identity. And so, for example, my gender identity, I identify as a woman and I use she, her pronouns.
00:09:20
Speaker
um A person might identify as non-binary or agender, and therefore they might use they-them pronouns or a gender-neutral pronoun. And so it sometimes takes a little bit of getting used to, I would say, for people who perhaps are not really comfortable or have not experienced in the course of their life meeting people, a lot of people who use they them pronouns as opposed to he and him or she and her. And so my advice would definitely be to practice. um I think in our day and age, ah most people at this point will now start to
00:09:59
Speaker
encounter people who use they and them pronouns, which I think is great. And we're starting to really have more openness to gender diversity in our society. But one thing I will say is that very typically, it's not a rude question to ask someone what pronouns they use. And the best way to ask, particularly if you're a health provider or if you're going into a room with a patient, is simply to say, you know,
00:10:25
Speaker
Hi, nice to meet you. This is my name. My pronouns are, and so pronouns here, are there any specific pronouns you'd like me to use for you? When I've done this in the past with patients, sometimes I get patients who say like, isn't it obvious? Or, you know, sometimes they say, what do you mean? um Which is totally fine. It's not a familiar question for everyone. But I think that it is important because it also,
00:10:55
Speaker
emphasizes normalizing the fact that every person does use some sort of pronoun for themselves that they prefer and it can become a completely natural question to simply just ask what they prefer.
00:11:10
Speaker
Yeah, I think um a lot of, you know, in medical education, it seems like it is being normalized to to kind of ask those questions. But then when you actually get into the clinical setting, sometimes it happens, sometimes it doesn't. And do you feel like that's something that should be more strictly enforced? Do you feel like people, providers and patients should have the options whether to kind of like to use those questions and and and talk about pronouns or how do you feel um um it it should be kind of ah handle that at administrative level because right now I feel like in in general, like across our healthcare system as a country, it's very ambiguous.
Pronoun Usage in Medical Education
00:11:46
Speaker
I'm really glad you brought that up because I have thought about that a lot about the fact that now we're being taught it in medical school, I'm sure other schools are doing similar or the same thing. And in general, I believe
00:12:01
Speaker
It's very important to know everyone's preferred pronouns. However, as someone who prior to men's school, I had a couple of years working in primary care, and I remember one provider I worked with, sometimes she would ask, specifically ask the patient what pronouns they use, but most of the time she wouldn't.
00:12:19
Speaker
And when I talked to her about it once, she basically told me that as soon as she walks into a room, she basically makes an assumption of whether or not the person she is looking at who is she interacting with would appreciate that or need that.
00:12:34
Speaker
interaction to occur. And I've noticed myself do the same thing. A lot of times, if I'm interacting with an older patient, um I kind of make a split second decision. They wouldn't appreciate that. I know what pronouns they use. And so we don't need to have that conversation.
00:12:52
Speaker
But I do think that as we start to use it more and integrate it more, it can become more natural. So I don't think that it needs to be something enforced at an administrative level that you have to ask this of every patient. But I think as we kind of move on in years and as People who are now young patients continue to you know age through the healthcare care system. People who are familiar with that question and who understand the concept of pronouns and have experienced that in their own life, that can ah it can become a more regular thing. But I see it as more of a phased integration.
00:13:33
Speaker
Yeah, I know I do the same thing when I'm in the clinical setting. And i I kind of like I make that split second assumption of whether this would be helpful to the clinical interaction or not. And i kind of go forward forward from there. But then there's kind of like, you know, the voice in the back of your head saying, well, I'm kind of making an assumption. There's kind of bias associated with that. um Does that Is that, you know, positive or negative or, you know, so I think that
LGBTQ+ Experiences in Education
00:13:58
Speaker
makes sense what you're saying, sort of like a phased approach. um um And really just using, I guess, your, your, your clinical skill, your clinical instincts that to understand what's going to be the best for your patient and that interaction in the moment. I think it's interesting because I think it's both part of your clinical judgment, but also it's part of your social judgment, like your kind of
00:14:20
Speaker
because I experience this. that I can give an example of how I experience this because I consider myself a gender nonconforming person. I identify as a woman, but I typically wear men's wear clothing. I have short hair. I present myself in a certain way that's more masculine. And I often have people typically at say at a social event, um often people ask me my pronouns, but they won't ask my partner, who presents more femininely, as a woman who presents more femininely. No one ever asks her her pronouns. And so it's also sometimes, which is why I think it's important that it's starting to be phased in, because it's also sometimes an othering, even though it's intended positively of wanting to use the correct pronouns.
00:15:09
Speaker
It feels sometimes like from my own personal experience of like, you have something different going on, you might be a different gender than I assume you are, or are presenting differently than I would expect. And so I'm gonna ask you, but not someone else who I just assume, oh, they must use she her pronouns. And so,
00:15:28
Speaker
I think that it is important for us to start to phase it in because if we're only ever asking patients who present perhaps that you may think are trans or you may perceive as gender non-conforming, that's kind of another form of othering people who are queer.
00:15:46
Speaker
Just another thing I want to ask about your journey. I know um you went to Catholic high school. um You went to Fordham University, which is a Catholic. It's Jesuit, correct? Yes. So was that um were there challenges like being in a Catholic setting and and being identifying as LGBT plus?
00:16:07
Speaker
I have grown up Catholic my whole life. I actually went to Catholic elementary school too. Almost all of my schooling was religious until this point. um But I feel very lucky in that my high school specifically was very, very open. um I was out in high school, both to my friends, but also to the kind of wider population of my high school. We had about 200 kids in every grade, so it was pretty big. It was like 800-person high school. um But the example I always give when I explain to people, like, yes, my school was Catholic, but number one is a coed Catholic school, so it wasn't like gender segregated, which I think has made it a bit more progressive.
00:16:51
Speaker
But it also was kind of known as the progressive school in my home city. And the example I give is that in my senior year, one of my classmates, who is a trans man, one prom king, they allowed him to run as like in the you know the category for the men, and he won. And so that, I think, is an example of how I feel very, very lucky, yeah because I know that's not not been true for everyone. I have going to a Jesuit college, a Catholic university, as you said, meant that a lot of people that I went to college with, who I then became friends with a lot of other queer people um through clubs, and a lot of them also went to Catholic high schools and had a very, very different experience. did not, no one was out in their school. It was unspoken. Specifically had homophobic professors, teachers who would say homophobic things would kind of parrot the
00:17:49
Speaker
Catholic Church line, which is that like you know people shouldn't be gay, shouldn't act on it, um very negative things. And so I feel very lucky about it. I no longer consider myself Catholic. um It was a big part of my upbringing and definitely affected me, but I don't consider myself religiously affiliated. And so I don't think that kind of continues to affect my life.
00:18:12
Speaker
But I also think it was almost like a coin toss. I think I ended up in a place where I was able to be myself and that didn't really negatively affect me as opposed to a lot of other people I know, friends um and other acquaintances I've met who had very similar experiences of Catholic elementary school, high school, college, and had a very different and very kind of repressive and homophobic experience there.
00:18:38
Speaker
Another thing you mentioned to me was that you know currently in our our climate today, there's been some legislation that um has affected LGBT plus
Legislation Impact on LGBTQ+ Healthcare
00:18:47
Speaker
care. Could you talk more about like some of the things that are going on ah at the legislative level?
00:18:52
Speaker
Yeah, so speaking first about trans healthcare, care I think that's the most vital issue in LGBT plus healthcare care right now, in my opinion. There are a lot of different states, an example I can give is Florida, who have passed laws which restrict the ability to prescribe hormone replacement therapy.
00:19:15
Speaker
Often, that's specifically for minors, so people under the age of 18. Multiple pieces of legislation have restricted it entirely or have restricted it partially. You need both parents' permission, specific stipulations in order to receive that, and also that only specific types of providers are able to prescribe those kinds of medications.
00:19:37
Speaker
I think that the debate over transgender healthcare, I think, is a question of bodily autonomy, which I feel really passionate about. I think that it's connected to the debate about reproductive healthcare, which I think is an issue of feminism. And I think that the issue of transgender healthcare and bodily automony autonomy is a real important issue in LGBT plus activism that people should be able to make decisions about how they want to take care of their bodies as well as their own mental health in a way that is not specifically legislated to limit those abilities. And so I think it's a real shame because places that have those laws make it less likely for LGBT plus
00:20:30
Speaker
healthcare care providers, such as myself, to go to those places. I don't want to practice medicine in a state that is really repressive, that not only has medical laws limiting LGBT plus healthcare, care but also, using Florida as an example again, have laws mandating that students in schools can't be taught anything about LGBT plus people.
00:20:54
Speaker
And so it leads to an unfortunate self-fulfilling cycle of the LGBT plus providers and people not wanting to go there or leaving from those places. And so also not being available to be a part of perhaps activism to change those laws.
00:21:12
Speaker
And not speaking for myself, as I said, I'm not going to move to Florida and work to be an activist. I want to work and live somewhere where I personally feel safe and feel that I can practice medicine in a way that I ethically agree with, which is that I think that transgender people should receive hormone replacement therapy if they want it. I think that teens and younger people understand that and should be able to receive those therapies. I don't think it should be restricted until you turn 18, especially because it can often be life saving. Transgender youth are significantly more likely to commit suicide or to attempt to commit suicide than heterosexual youth or gender conforming youth. And hormone replacement therapy hugely impacts transgender youth from committing suicide or attempting that.
00:22:03
Speaker
And so I believe it is life-saving care to provide gender-affirming care.
Understanding Gender-Affirming Care
00:22:08
Speaker
Just so our listeners are on the same page, can you um I feel like we hear gender-affirming care a lot, but people might use it like differently. like Can you define that term so that people um understand what that means? so Absolutely. And what I was just talking about, I was mostly using it to refer to hormone replacement therapy. So either estrogen or testosterone being prescribed to someone in order to um help them better conform to the gender they prefer, or simply to have certain characteristics that make them feel more secure in their kind of gender presentation. Gender-affirming care is also often used to describe surgical treatments, and so gender-affirming care such as top surgery, which ah would be the removal of breasts, as well as bottom surgery, which would be something like ah a vaginoplasty or a phalloplasty for someone who wanted that as well.
00:23:00
Speaker
And so all of those things fall under the umbrella of gender-affirming surgery. Much more commonly than surgical treatment would be hormone replacement therapy. That's what I was mostly talking about, but that's a good question because definitely there are a few different things that can fall under that umbrella. I also think that aside from the actual physical treatments, medications, or surgeries, gender-affirming treatment also means in a doctor's office and in a medical situation, being called by the correct name, having people use the correct pronouns, and really understanding and wanting to
00:23:37
Speaker
help a trans patient achieve whatever goals they want, not necessarily what a healthcare provider or what anyone else might think they should want to do with their their body or their future. an An individual comes into a physician's office and they kind of indicate that they're questioning their sexual orientation or gender identity.
00:24:00
Speaker
um Is there a playbook for how like providers should kind of handle this and and and um you know how ah folks can best like help help the patient ah in that situation?
00:24:13
Speaker
I think that my number one advice is always to be curious um and to be curious in an open-minded way because as healthcare providers, it is our job to get information from our patients and to understand their story. And so to be genuinely curious about their story and how they feel about their sexuality, their gender identity,
00:24:38
Speaker
is important.
Supporting Questioning Patients
00:24:40
Speaker
I also think no matter what, and even when talking about other things, talking about mental health, talking about trauma, it's never wrong to simply ask the patient, is it okay if we talk about that a little more? Or would you be all right if I asked you some more questions about this? Because just a little The question to set the scene, which allows the patient to say yes or no, can make the following conversation so much more comfortable because the patient has already said, yes, I'm okay with this. Let's talk about it. Or they can say, no, I don't want to talk about that. We can talk about it later or I talk about it with other people. I don't need to talk to my doctor about it. However, they personally feel that's important.
00:25:20
Speaker
And so I would say there's not necessarily a playbook, but I think that as healthcare providers, both as physicians and pretty much anyone else interacting with patients, it's important to understand that we are going to interact with all types of patients. We're going to see people from all different walks of life, different races, genders, ethnicity, sexual orientation,
00:25:42
Speaker
religion, etc., you name it. And so no matter what, we need to be able to be present for that person for what they need. And so my method is always just to ask, to ask the patient how they want me to talk about that, or to ask them if it's okay if we talk about that. Because I know that as a patient myself, when I go to the doctor, when I have experiences, that it always makes me feel just that slightest bit more comfortable. If the provider asks me first,
00:26:11
Speaker
Is it right if I ask you some questions about that? Because it just feels like I have control as opposed to a more kind of paternalistic feeling of the doctor just like needing to get this information out of me or telling me what they need me to say.
00:26:28
Speaker
For a person who is ah perhaps kind of questioning their their sexual orientation or gender identity, do you think a a physician is in a good position to help kind of like walk with them through that process? Or is it perhaps other individuals within their life? Or is it just whoever they're and comfortable with, I guess?
00:26:44
Speaker
definitely comfort is a big thing. I would say for a lot of people, especially because a physician is someone who is confidential, unless like very specific instances where someone like, you know, relays a specific moment where they're intending directly to hurt themselves or others. And so in that situation, you know, a physician might provide that information outside. But I think in similar ways that certain individuals who are who are confidential resources, it can be a good resource for someone because for someone who is questioning their sexual orientation or gender identity and who doesn't feel like they have anyone to talk to, a medical provider, though perhaps not the first thought of someone to talk to you about something like that, is someone who is confidential. And so if it's someone who perhaps lives in a homophobic household or
00:27:39
Speaker
feels they would be unsafe if they tried to talk to someone in their family or immediate friend group about it. It would be an opportunity to discuss. And so I think that physicians and other health care providers should keep that in mind as perhaps because of doctor patient confidentiality, they might be one of the only people it's safe for their patients to talk about that with.
00:27:58
Speaker
But to speak once again from my own experience in the community, it might be helpful just to talk about it with a provider if you need specific health care or if it's relevant to your care. But more often in that situation, it's more comfortable to speak about it to a friend you trust or to someone else who might be near to you, to be able to go somewhere like an LGBT plus health center or an LGBT plus community center.
00:28:21
Speaker
if one of those is available, because then you know that you're going to interact. People who have something in common with you are part of the LGBT plus community and also care directly about you and your journey. So all this in mind that we've talked about, um, what do you, what do you kind of think that physicians, healthcare care teams should know about, uh, sexual orientation, gender identity that they might not already, you know,
00:28:51
Speaker
know about? I think that one thing I mentioned a little bit earlier that I think is really important for people going into healthcare to start to learn more about and get used to is people who identify as non-binary or simply don't identify with the label of man or a woman as part of this, you know, two-sided gender binary and use different pronouns than she her and he him because a lot of people use they and them pronouns or even what's called neopronouns, which would be something like zee zer used as opposed to she her um and I think that
00:29:35
Speaker
as healthcare providers, being able to use those preferred pronouns that patients have is really important and I think can go a really long way in establishing trust with patients. But I also know it can be difficult for people to get used to if they haven't used themselves. And so I think a little bit of self-education, a little bit of practice with those sorts of things can go a long way. um But I also think that What I would advise for people as someone who identifies as a lesbian, who identifies as a part of the LGBT plus community is to check biases of your assumptions because straight is assumed as the default that people are heterosexual and
00:30:18
Speaker
It can be strange for me because it happens sometimes. People will say to me like, you know, just in a normal conversation, we'll say like, oh, do you have a boyfriend? Or just say to anyone, like, you know, speaking to a man like, oh, but do you have a girlfriend? Are you seeing anyone? Just the assumption that everyone is straight.
00:30:37
Speaker
to shy away from that. And so my other suggestion would be both to just be aware of that and aware of that bias and try to kind of press push against it, but also to work on using gender-neutral language. um An example I can give is, for example, if someone was going in for an OBGYN visit,
00:31:00
Speaker
you know speaking to that person and saying, oh, like do you have a partner? what gender i like What gender or genders is your partner or partner? um like Making sure to use those gender neutral words like partner instead of boyfriend, girlfriend, husband, wife. um Because those assumptions really feel like a microaggression because it's automatically an understanding that, okay, now I have to come out to this person. Now I have to correct their assumption that they've already made about me because that's not true. And so I need to push back against that.
00:31:39
Speaker
And so I would really encourage people to work on gender-neutral language as well because we talk a lot about language in healthcare, care about using language that patients understand, about using language that's patient-centered and not putting labels on people. And I think that gender-neutral language falls under that as well as something that I think is really important and we're starting to work towards in healthcare. But I want to see continue.
Research Opportunities in LGBTQ+ Healthcare
00:32:04
Speaker
What do you think are some of the questions looking forward that that research is going to kind of tease out when you think about LGBT plus care? One thing that I think is really important is an understanding that there are specific healthcare care issues that are much more prevalent in LGBT plus communities. For example, HIV positivity or having AIDS is much more common in gay men and trans women.
00:32:34
Speaker
specifically yeah Hispanic and Black gay men and trans women. And so that's something that is a big public health crisis to ensure that these people are getting proper care because we have now medicines for HIV that make it treatable.
00:32:51
Speaker
And so I think that a real understanding of that as an example, but of specific disparities that ah affect LGBT plus people more and how those disparities are leading to further poor health outcomes and further inequalities in our society and how we can address those. I know, for example, um like HIV specific clinics, which do outreach in communities which perhaps have higher rates of HIV is an example of something that can start to work to correct those sorts of inequalities to directly address these issues. With that, it's time for a lightning round, a series of fast-paced questions that tell us more about you. Okay.
00:33:40
Speaker
Um, so I know you, you like podcasts. Um, besides this podcast, what is your favorite podcast? My favorite podcast is my brother, my brother and me, which is a comedy podcast. What is your ideal Saturday afternoon? My ideal Saturday afternoon is walking. ah I live in Fairmount in Philly, walking down to the park outside the art museum with a picnic and eating it over the river there on a nice day. That sounds very scenic.
00:34:09
Speaker
ah What is your go-to karaoke song? It gives you help by the All-American Rejects. I know you're from Wisconsin, so what's your favorite cheese? Brie. Brie. Definitely. we ah And is there, ah you're from ah Milwaukee, so is there also a favorite beer in there too? or I like all dark beers, but I do have a favorite beer, which is the Lakefront Brewery. It's a Milwaukee Brewery, Lakefront Brewery Coffee Stout. It's the best beer I've ever had, and I miss it every day that I live in Philly. Yeah, coffee stouts are pretty good. They should be more of a thing. And lastly, what's one change you'd like to see in healthcare? care That's a big question. That's not as much a rapid question, but I'll keep it quick. I'll keep it quick.
00:34:54
Speaker
um One change I think I'd like to see in healthcare is a really big one, but I think is the most pressing issue in healthcare right now, which is um health insurance. I think we that everyone in the United States should have health insurance, and I know that is a huge policy question and is a big you know debate that's been raging for a long time, but where we are in Camden, we see a lot of people who are uninsured, and it makes people's lives a lot harder. And so I think that we should make sure that people can get the care they need and be able to pay for it. Yeah, maybe we could do another episode just on that. How about it? yeah Definitely. All right. Maneki Brzezinski, thanks so much for joining the show. Thank you for having me.
00:35:47
Speaker
Thanks for listening to The Wound Dresser. Until next time, I'm your host John Neery. Be well.