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Healthcare headlines - Spooky edition
4 Plays5 months ago
April and Alicia diving back into the headlines with a chilling twist! This episode, hear some of the latest healthcare news (and personal encounters) about all things creepy, crawly, and cutting-edge. From new-age cadaver labs to advancements in freeze-dried blood, these innovations are as fascinating as they are frightening. Spoiler alert: maybe skip this one if you're scared of bugs!
Recommended
Transcript
Infestations: The Case of Bot Flies
00:00:00
Speaker
Oh, gosh.
00:00:01
Speaker
These are the flies that they like.
00:00:02
Speaker
They're called bot flies?
00:00:04
Speaker
Yeah, bot flies.
00:00:05
Speaker
They like lay their eggs in your skin.
00:00:08
Speaker
Ew.
00:00:09
Speaker
And then, oh my gosh, YouTube it.
00:00:11
Speaker
It's like people.
00:00:11
Speaker
No, I don't want to YouTube that.
00:00:13
Speaker
This is on call.
00:00:15
Speaker
This would be really cool to just wear scrubs all the time and you don't have to think about what you're going to wear to work.
00:00:20
Speaker
That's awesome.
00:00:21
Speaker
We're here to answer your questions.
00:00:23
Speaker
We can sit down and discuss all the time.
Meet the Hosts: On Call with April and Alicia
00:00:25
Speaker
wait i gotta go i'm on call wait you're on call i thought i was on call hey everybody welcome back to another episode of on call with april and alicia i'm alicia i'm april and it's still fall it is and the fall weather is actually back i woke up this morning and um oh you sound easily 48 degrees outside do i
00:00:50
Speaker
just in just the way you said it for just a moment oh now you've been traveling I don't feel sick I have been traveling so god knows or I said the hospital the airplane ick well I was in a hospital traveling for work yes so it could be any of the and I was also at Disney so it could be any of the oh good lord you know it could be you know the um
00:01:14
Speaker
The, the rails and the, you know, lines that you touch everything that you've touched the whole time, which funny story about that.
00:01:22
Speaker
I was in line with, um, my younger daughter for a ride and there was this couple behind us.
00:01:28
Speaker
And I don't know if the wife was like a dermaphobe or what, but anytime the husband touched the railing, she would like freak out.
00:01:36
Speaker
She was like, stop touching that.
00:01:37
Speaker
And I was like, this lady really doesn't like these railings, like the germs on them.
00:01:42
Speaker
It was funny.
00:01:44
Speaker
Yeah, it makes me think of our dear friend Jill Barna.
00:01:49
Speaker
Yes, we we always at any time I have some kind of like disease confrontation or potential potential outbreak situation.
00:02:03
Speaker
She's always the first one.
00:02:04
Speaker
I'm like, you'll understand what I mean by this.
00:02:06
Speaker
This was gross, right?
00:02:08
Speaker
Yeah, which admittedly, like during COVID, when we would go to theme parks, I wouldn't let my kids touch the railing.
00:02:13
Speaker
I would be like, stop it.
00:02:15
Speaker
And I would say to them every time.
00:02:17
Speaker
Oh, my gosh.
00:02:17
Speaker
Like our phones are so gross.
00:02:19
Speaker
Or just our phones in general.
00:02:21
Speaker
Yeah.
00:02:21
Speaker
I always laugh when people are like, it's so good.
00:02:24
Speaker
It's like, I'm not going to take my cup into the bathroom with me because that's gross.
00:02:28
Speaker
I'm like, but you took your phone in and then you sat there on the toilet with your phone.
00:02:31
Speaker
And you probably had an owl sitting in the skull somewhere.
00:02:33
Speaker
You know what I mean?
00:02:34
Speaker
Let's not pretend that nobody takes their phone in with them.
00:02:37
Speaker
And then you flush the toilet and then you go wash your hands.
00:02:39
Speaker
Did you wash your phone?
00:02:41
Speaker
I mean, you know, I don't know.
00:02:43
Speaker
I think we pick and choose, but I don't know.
00:02:45
Speaker
I like to make a
Alicia's Fly Obsession in Cabo
00:02:46
Speaker
mess.
00:02:46
Speaker
Well, speaking of making a mountain out of molehill,
00:02:50
Speaker
when we last talked for APP week, I was in Cabo and it was a fantastic, fantastic single getaway.
00:02:58
Speaker
It was so, it was great.
00:02:59
Speaker
Again, I just strongly recommend you guys find your, find your solo energy and go do it.
00:03:07
Speaker
It was so much fun, but I had this obsession around flies down there because I don't know if it was just a time of the year and I'm sure it was, but if you even remotely have,
00:03:20
Speaker
any like type of food item or drink item, it's suddenly this, like there were flies everywhere and it's open.
00:03:28
Speaker
Like the restaurants are open at the resort, you know, it's like kind of more of an open area.
00:03:32
Speaker
So you can't keep them out of everything, but I like to sit outside and I like to sit at the water and I like, you know, you kind of pay for the view.
00:03:39
Speaker
So there were these flies that I swear, I was like, these are bot flies.
00:03:43
Speaker
And I had this whole, this whole obsession around these flies down there that have you ever seen bot flies?
00:03:50
Speaker
I don't think so.
00:03:51
Speaker
Oh, gosh.
00:03:52
Speaker
These are the flies that they like.
00:03:54
Speaker
They're called bot flies?
00:03:55
Speaker
Yeah, bot flies.
00:03:56
Speaker
They like lay their eggs in your skin.
00:04:00
Speaker
And then, oh my gosh, YouTube it.
00:04:02
Speaker
It's like people.
00:04:03
Speaker
No, I don't want YouTube that.
00:04:04
Speaker
It's like YouTube porn, like for people that they, like poppers of like, I don't like.
00:04:09
Speaker
popping stuff, or at least watching the videos.
00:04:12
Speaker
I don't like that.
00:04:13
Speaker
But yeah, they're, they literally like a more, like the rainforest, like Costa Rica, those areas, the Amazon, these flies are big, but they like lay on you, then they like lay their eggs in you.
00:04:28
Speaker
And then you get this like lump.
00:04:31
Speaker
You don't know what it is.
00:04:32
Speaker
And then you, they cut it out and it's a bunch of freaking botfly babies under your skin.
00:04:37
Speaker
It happens.
00:04:37
Speaker
I wish you could see my face right now.
00:04:38
Speaker
Cause it's like a face of like total disgust.
00:04:41
Speaker
Like I can't wait till we get on our video platform.
00:04:44
Speaker
That's coming guys.
00:04:45
Speaker
It's coming.
00:04:46
Speaker
I promise.
00:04:47
Speaker
Yes.
00:04:48
Speaker
It's disgusting, but that's what I kept thinking about.
00:04:51
Speaker
But those flies are where you were?
00:04:53
Speaker
No, but they were huge.
00:04:55
Speaker
They were just the biggest flies I'd seen.
00:04:56
Speaker
And I was like, what if they are bot flies?
00:04:58
Speaker
So I kind of ruined my own experience to some degree, because I was like, I just won't eat at the pool.
00:05:05
Speaker
You know, like I'm not going to order food.
00:05:06
Speaker
So then I don't have bot flies laying their babies in me.
00:05:10
Speaker
In your food?
00:05:11
Speaker
Yeah.
00:05:12
Speaker
Also, I probably have to declare that in customs or immigration when I come back.
00:05:15
Speaker
I'm bringing home some flies.
00:05:16
Speaker
I'm bringing home bot flies.
00:05:19
Speaker
I have like sometimes worried if like, you know, a big fly gets in my house.
00:05:23
Speaker
And I'm like, oh my God, are they going to lay eggs somewhere in my house?
00:05:26
Speaker
I'm going to have all these little baby flies like running around.
00:05:28
Speaker
So I try to kill them as soon as I can.
00:05:30
Speaker
Baxter eats them usually for me.
00:05:31
Speaker
Baby flies?
00:05:33
Speaker
Yes.
00:05:34
Speaker
He will like chase them.
00:05:35
Speaker
Like I'll just hear this like random like snaps at them.
00:05:38
Speaker
Yeah, and I will hear like a random like him just randomly running into the window.
00:05:43
Speaker
Like, what is going on?
00:05:44
Speaker
And he's trying to get a fly that's like in between the blinds.
00:05:47
Speaker
And I'm like, oh my goodness.
00:05:48
Speaker
But he usually gets them for me.
00:05:50
Speaker
So we got a fly zapper.
00:05:53
Speaker
Like one of the fly swatters that's a zapper?
00:05:56
Speaker
It's a swatter, but it's like... And I know it sounds...
00:06:01
Speaker
but their flies come on people.
00:06:03
Speaker
Oh, no, I will not judge.
00:06:07
Speaker
Flies are so nasty to me.
00:06:11
Speaker
When they land on food and people are like, just swat it and keep eating, I'm like, they just puked on your food.
00:06:15
Speaker
And now they're going to... Isn't that what they do?
00:06:17
Speaker
I think they vomit on... I don't know.
00:06:19
Speaker
Let's not talk about it anyway.
00:06:21
Speaker
I don't know.
Healthcare Headlines Overview
00:06:22
Speaker
Well, bot flies is a medical mystery, right?
00:06:26
Speaker
But listen, I think it's time we did...
00:06:29
Speaker
We did two back-to-back.
00:06:31
Speaker
Fact or fiction, fake or for reals.
00:06:33
Speaker
But what I really enjoyed that we did last month was our headlines, healthcare headlines.
00:06:40
Speaker
Yeah.
00:06:41
Speaker
So I know we talked about this already, but let's take this episode for healthcare headlines that does not have to do with Bob lines.
00:06:49
Speaker
All right.
00:06:50
Speaker
Sounds good to me.
00:06:51
Speaker
We'll take it away for October.
00:06:54
Speaker
I will say, though.
00:06:55
Speaker
It's October.
00:06:56
Speaker
What the heck?
00:06:57
Speaker
I know.
00:06:57
Speaker
I can't believe it.
00:06:58
Speaker
Like, the year is flying by.
00:07:00
Speaker
I can't.
00:07:01
Speaker
It was just my birthday.
00:07:04
Speaker
You know?
00:07:04
Speaker
Yeah.
00:07:04
Speaker
Like, I just feel like it was just the beginning of the year where, okay.
00:07:08
Speaker
Anyway, we're lamenting now.
00:07:10
Speaker
Now, where is my vitamin D light?
00:07:12
Speaker
I need my vitamin D light.
00:07:13
Speaker
Okay, let's go.
00:07:16
Speaker
I don't have it yet, but wait till we get on video.
00:07:17
Speaker
I'm going to have a big one.
00:07:19
Speaker
Yeah.
00:07:20
Speaker
So what I liked that we did the last time, April, was healthcare headlines.
00:07:25
Speaker
And I kind of missed it.
00:07:26
Speaker
So what do you think?
00:07:27
Speaker
I know that we already talked that we're going to do this so you don't get to say no.
00:07:31
Speaker
But let's take this episode with some healthcare headlines.
00:07:35
Speaker
Digging up some stuff from the basement.
00:07:38
Speaker
Sounds good.
00:07:39
Speaker
I mean, I do have to say, um, when I was looking for articles about this, there was one that came up about, um, dust mites.
00:07:45
Speaker
Bob flies?
00:07:46
Speaker
Oh, no, dust mites.
00:07:48
Speaker
But there was like all these little bug pictures and it made me think of, do you remember like an anatomy class or what?
00:07:54
Speaker
I don't remember what class it was.
00:07:54
Speaker
They showed that video of all the bugs around you all the time.
00:07:58
Speaker
And I was like, oh my God, I can't read this.
00:08:00
Speaker
Dust mites were a big one.
00:08:01
Speaker
I remember in school, um,
00:08:05
Speaker
this must have, this might've been nursing about like asthma.
00:08:10
Speaker
You know, that was always like a big thing about babies or young children with stuffed animals and like to keep those things out of cribs and out of beds.
00:08:20
Speaker
And I was always like, why?
00:08:21
Speaker
And it's always like, cause of dust, but it's really like the dust mites, right?
00:08:26
Speaker
And they're like, oh, blah, blah, blah, blah.
00:08:28
Speaker
Yeah.
00:08:28
Speaker
Anyways, okay, no more bunting.
00:08:30
Speaker
That's scabies.
00:08:31
Speaker
There's...
00:08:33
Speaker
there's a lot of little bed bugs i mean we could keep going if you know we're done we're done we're gonna do a whole episode on bugs y'all no because then i won't like sleep for a week bugs are like i can't do it you know do you check your mattress when you go to no no you don't because i actually don't um but there was in
00:08:55
Speaker
They're an equal opportunity employer.
00:08:57
Speaker
Okay.
00:08:58
Speaker
Bed bugs don't care how much money you have or don't have.
00:09:02
Speaker
They will find you.
00:09:04
Speaker
They will find you.
00:09:06
Speaker
I know.
00:09:06
Speaker
I know
Pre-Wedding Bed Bug Battle
00:09:07
Speaker
they will.
00:09:07
Speaker
I can't.
00:09:08
Speaker
All right.
00:09:08
Speaker
Well, we've got to face reality.
00:09:10
Speaker
Maybe our listeners want to know.
00:09:12
Speaker
Hey, let us know, guys, if you want to hear about bed bugs and dust mites and scabies.
00:09:17
Speaker
And if you do, we'll do a special episode, an ID episode.
00:09:22
Speaker
yeah all right go ahead one time i saw this patient and then after i left the room the nurse called me he was like we think this patient has been bugs and i i like legit ran into the bathroom and like was immediately shaking out my clothes not that i think that's gonna help at all i will be majorly vulnerable with you here my brother i won't say his name because i have several um
00:09:46
Speaker
Worked at the hospital that I worked at and his fiance at the time was one of the nurses and he, he was in the air force.
00:09:55
Speaker
So for the summer, he'd come home and or is it the academy?
00:09:58
Speaker
So somewhere he would come home and then he was a transporter and it was the year Matt and I were getting married and probably several weeks before our wedding.
00:10:08
Speaker
And my oldest daughter had stayed at my mom's house and that's where my brother was staying during the summer.
00:10:14
Speaker
And she comes home and she has all these bites on her arm.
00:10:18
Speaker
And my mom is nothing, but she slept with my mom.
00:10:22
Speaker
But short story, my brother must have brought a bed bug home from work or bed bugs because they could like, like these exterminated people are brilliant.
00:10:36
Speaker
They're able to tell like exactly like where was the index place, but it started in the room he was staying in, in the hamper.
00:10:44
Speaker
So they were like, it had to have come off as clothing somewhere, but they like migrate through the floorboard, you know, like the trim and then up to the beds.
00:10:53
Speaker
Cause that's like the body is this life source, but they'd made its way into my mom's room.
00:10:58
Speaker
I had everybody right before my wedding at my house, staying at my house.
00:11:03
Speaker
And my biggest fear was not that I would have been completely overloaded by my entire family, but they brought the bugs.
00:11:09
Speaker
Did they bring them with them?
00:11:10
Speaker
That's all I can remember.
00:11:12
Speaker
That's all I would think about, too.
00:11:14
Speaker
I was like, I will torch this house, which does not land well, given the fact that our house did actually burn up this year.
00:11:21
Speaker
But it wasn't because of bed bugs.
00:11:23
Speaker
But yes, it was awful.
00:11:28
Speaker
And that's why I always say they don't discriminate.
00:11:31
Speaker
And yes, we go, ew, it's gross or whatever.
00:11:33
Speaker
But you can get a movie theater anywhere.
00:11:36
Speaker
You just got to pay attention.
00:11:37
Speaker
You got to look at your corners of your mattresses, Ape.
00:11:40
Speaker
Yeah, I know.
00:11:42
Speaker
All right.
00:11:42
Speaker
Anyways, they totally derailed us.
00:11:43
Speaker
Okay.
00:11:44
Speaker
So that's all right.
00:11:45
Speaker
People wanted to hear about this.
00:11:47
Speaker
Yeah.
00:11:47
Speaker
We might do a part one and part two again.
00:11:49
Speaker
Who knows?
00:11:49
Speaker
We're probably all itchy right now listening to us.
00:11:52
Speaker
Okay.
00:11:53
Speaker
Good itchy Wednesday evening.
00:11:55
Speaker
If you're listening to this when it first comes out.
00:11:59
Speaker
It could be itchy with us because I'm going to itch all day.
00:12:01
Speaker
Okay.
00:12:01
Speaker
That's right.
00:12:02
Speaker
It's nighttime and all of you guys are scratching yourselves.
00:12:04
Speaker
All right, let's go.
00:12:06
Speaker
All right.
00:12:06
Speaker
So my first one is not, it's not actually like a news headline, but something that I got to see recently in person that I thought was
High-Tech Learning: The Anatomize Table
00:12:15
Speaker
really cool.
00:12:15
Speaker
So I wanted to tell you about it.
00:12:17
Speaker
So there is a, um, a new PA school that's getting ready to start near me.
00:12:22
Speaker
And so at my hospital for people who don't know, Oh, physician assistant, uh, school.
00:12:28
Speaker
So, um,
00:12:30
Speaker
we are going to be precepting their students at my local, at my hospital where I work clinically.
00:12:35
Speaker
And so a few of us went over to tour the, the school and like see all the technology and stuff.
00:12:42
Speaker
And so they have this table called an anatomized table.
00:12:46
Speaker
Have you heard of this?
00:12:47
Speaker
No.
00:12:48
Speaker
Yeah.
00:12:48
Speaker
So it's called an anatomized and this is just one brand of, of this table.
00:12:53
Speaker
I think there's a few of them, but it is the coolest thing.
00:12:58
Speaker
So it, um,
00:13:00
Speaker
It's, you know, so you turn on the table and you see a human body like, you know, laying on the table and you can dissect it.
00:13:08
Speaker
You can practice procedures on it, like practice placement of like a lumbar puncture, for instance.
00:13:13
Speaker
Like they showed us how you can like you can take the patient and move them and then.
00:13:18
Speaker
you know, change the direction of your needle and change the position of your needle to like practice procedures.
00:13:23
Speaker
But you can also like dissect it any way that you want.
00:13:27
Speaker
So you can take the skin off and see just bones.
00:13:30
Speaker
You could see just nerves and how they run the body.
00:13:32
Speaker
You can see the blood vessels.
00:13:33
Speaker
We could, we could isolate the heart and look at the vessels in the heart and watch it beating and watch the blood flow.
00:13:40
Speaker
Like it was the coolest thing.
00:13:42
Speaker
thing but then also you can upload cases like you can you know say you have a case that you think is cool or a learning case you can upload the information on that case and then the table will make those physical findings on the these patients it's so amazing like i think when i was in school i would have spent hours on the same table so um
00:14:04
Speaker
I know last week during our APP week episode, we talked about education and things like that.
00:14:09
Speaker
So I just thought it's, it's interesting to see how much is advancing from when we were in PA school and when we were in school.
00:14:15
Speaker
Oh my gosh.
00:14:15
Speaker
Yeah.
00:14:15
Speaker
I mean, we had, um, did you have cadaver lab?
00:14:18
Speaker
We did, which this program will do a cadaver lab as well.
00:14:21
Speaker
Cause you just can't replace that experience, you know, but it's so, it's so, I was going to say creepy is not the right word.
00:14:30
Speaker
It's interesting for anybody listening that's actually in healthcare that has done cadaver lab.
00:14:35
Speaker
It is...
00:14:37
Speaker
I think my very first time in cadaver lab was challenging for me because they put the bag over the head for the most part, but it was just a little weird at first where I was like, oh, like this.
00:14:52
Speaker
I'm like, oh, sorry, sorry.
00:14:54
Speaker
Like, oh, sorry.
00:14:55
Speaker
Like, that was a little rough.
00:14:57
Speaker
Did that hurt?
00:14:57
Speaker
Like, there's no one talking to you.
00:15:00
Speaker
But, you know, like I think we get so used to mannequins that cadavers make it more real.
00:15:03
Speaker
But even this thing sounds like, oh,
00:15:06
Speaker
like incredible it's so cool we were all like amazed I mean there was three of us four of us maybe that you know practice clinically together in our hospital and um it was really cool so that's awesome I like that it's PA we will have to talk about that a little bit later anyway right so great way to lead that one off I like that all right so my my headline my health care headline Huntington's disease is something we don't talk about a lot right but
00:15:33
Speaker
Just imagine if you're sitting around a family that's been told for generations that Huntington's disease is just inevitably, it's a devastating neurodegenerative disease.
Can Gene Therapy Halt Huntington's Disease?
00:15:46
Speaker
It robs your movement, your mind, your personality.
00:15:50
Speaker
But it seems like now, for the first time, there may be a little bit of hope.
00:15:55
Speaker
There was a small...
00:15:56
Speaker
but groundbreaking trial for patients who received a viral vector vector gene, excuse me, that infused directly into the brain.
00:16:04
Speaker
Um, it did show a 75% slowing of the disease progression over three years.
00:16:10
Speaker
Now the therapy, I thought that was like, cool, but how they do it is interesting.
00:16:16
Speaker
Literally the, the neurosurgeons literally
00:16:19
Speaker
Deliver the therapy by drilling into the skull makes me think of lobotomies.
00:16:23
Speaker
We were doing those to treat mental illnesses, but they delivered the therapy.
00:16:29
Speaker
They drilled directly into the skull.
00:16:30
Speaker
They injected into the striatum and then.
00:16:35
Speaker
they kind of seal things up and see what happens after that.
00:16:38
Speaker
But apparently the therapy silences the faulty Huntington gene.
00:16:43
Speaker
It cuts down its protein.
00:16:45
Speaker
It doesn't allow it to reproduce.
00:16:47
Speaker
And then that's basically akin to putting the brakes on like replication from a DNA perspective.
00:16:54
Speaker
So it's a small, small, small trial.
00:16:57
Speaker
But if you think about it, I was thinking about it more in the sense of
00:17:02
Speaker
It's just a glimmer of hope for a lot of these neurodegenerative illnesses that we deal with, Alzheimer's, ALS, and even like psychiatric diseases.
00:17:11
Speaker
If this works, these all have genetic underpinnings.
00:17:15
Speaker
And if this works for that, we may be able to really be able to go after these even more devastating neurodegenerative diseases.
00:17:25
Speaker
So I just thought that was a very interesting study.
00:17:27
Speaker
It is interesting.
00:17:29
Speaker
I mean, I think I would be...
00:17:32
Speaker
super freaked out to have something injected right into my brain.
00:17:34
Speaker
But I think that compared to the alternative of this, you know, the disease, the sickle.
00:17:39
Speaker
Yeah.
00:17:39
Speaker
I mean, your, your movement, your mind, your, I mean, Huntington's is terrible.
00:17:44
Speaker
And, but so as, as we've seen ALS devastating and I, you know what, it's really not fair to label it.
00:17:52
Speaker
you know, ALS as more devastating as something else.
00:17:54
Speaker
It's all devastating, but it's terrible.
00:17:57
Speaker
And we're going through it personally right now to watch a family member lose, lose their cognition.
00:18:02
Speaker
And, and it got, it's definitely a disease that affects the family, very similar to addiction.
00:18:08
Speaker
So just, I think maybe being a little bit more close to it now, it does offer a little bit of hope that there may be some, some alternative therapies in the future.
00:18:19
Speaker
Yeah.
00:18:20
Speaker
Yeah.
00:18:22
Speaker
that's cool thanks i'm pretty cool i know sometimes only on days at nny thank you okay what do you got that's definitely not true okay um the next one i have is um synthetic blood have you heard about the research around this
00:18:44
Speaker
Yeah.
Synthetic Blood: The Future of Transfusions?
00:18:45
Speaker
I know about synthetic blood from a theater perspective.
00:18:48
Speaker
Like when we were in theater, we had to use fake blood, which was either ketchup or something weird.
00:18:54
Speaker
Probably not something you would infuse in a patient.
00:18:57
Speaker
No, nothing that actually saves our lives.
00:18:59
Speaker
It just looks gory.
00:19:00
Speaker
Yeah, yeah.
00:19:01
Speaker
So there's all this research around synthetic blood.
00:19:04
Speaker
So you, um, which obviously has a lot of implication, you know, like use cases, uh, military being one of them, right.
00:19:12
Speaker
In the battlefield, uh, you could potentially give patients blood transfusions also out in the field, um, places where you can't store, you know, because human blood that's donated needs to be stored, you know, specific temperatures and all that sort of thing.
00:19:26
Speaker
And so there's a lot of work around, there's some research going on now about creating synthetic blood that is actually stored as like a freeze dried powder.
00:19:35
Speaker
And then it's like moon blood.
00:19:37
Speaker
Yeah, well, kind of, but then you use saline to mix it and then to give it.
00:19:43
Speaker
And so what they do is they take the hemoglobin, you know, from the blood, which is our, you know, the protein that nourishes our blood with oxygen.
00:19:51
Speaker
They're taking that and essentially creating like artificial red blood cells with the hemoglobin.
00:19:56
Speaker
And so...
00:19:58
Speaker
In the US, actually in Maryland, there, University of Maryland, there is studies going on on rabbits to do this.
00:20:05
Speaker
And so far on animals, it seems relatively safe.
00:20:09
Speaker
But of course, human trials have to happen.
00:20:11
Speaker
But in Japan, they're also doing it, which is interesting because I was, you know, my experience with in Japan recently.
00:20:16
Speaker
But so they're actually doing some human testing there of of this.
00:20:22
Speaker
So it's interesting.
00:20:25
Speaker
There's a lot of, you know, it could.
00:20:28
Speaker
you know, solve our blood shortage, right?
00:20:30
Speaker
Like we're always looking for blood products for patients and there's also less risk of
00:20:34
Speaker
infection and things like that from the blood that you receive there's less risk of rejection all those things i was going to ask you what like what the rejection like did they talk about that at all yeah so what did that look like they think that um the rejection will be less because they don't have the cells don't have you know what we would have on our outside of ourselves that cause like the proteins on the outside of the cells that would cause our body to reject it so it would be less risk of rejection so
00:21:04
Speaker
Oh, interesting.
00:21:06
Speaker
Yeah, it is.
00:21:07
Speaker
Um, I'm just, I, the reason I said like the moon, when I said like the moon, um,
00:21:15
Speaker
Moon packet or whatever, like, do you remember like all of the, what are those called?
00:21:19
Speaker
It's the things, gosh, it's three letters.
00:21:23
Speaker
Somebody out there.
00:21:24
Speaker
And thank you.
00:21:25
Speaker
I was like, somebody's like, get it together, Alicia.
00:21:29
Speaker
So it's like MRE blood.
00:21:31
Speaker
It's kind of what it sounds like in your little moon pack.
00:21:34
Speaker
It's like a freeze dried.
00:21:36
Speaker
blood that you can carry and you know I mean you're out in the field and you could easily have it ready to give a patient um so it's interesting okay okay I think it will also make patients you know maybe a little less hesitant to take it I mean I
00:21:53
Speaker
after my first C-section, like they wanted to give me blood and I was really hesitant because of all the risks of it.
00:22:00
Speaker
I don't know.
00:22:00
Speaker
It's interesting.
00:22:00
Speaker
It was interesting because I was practicing at the time and had transfused many patients.
00:22:04
Speaker
Right.
00:22:05
Speaker
But when it was me, I was, um, just a little hesitant, I guess.
00:22:11
Speaker
I was like worried about risks and stuff.
00:22:12
Speaker
And actually when I had my second one, my dad proactively donated blood in case I needed it for me.
00:22:21
Speaker
So he went in and donated it in case I needed it.
00:22:23
Speaker
But I don't I don't know why I was I don't know.
00:22:26
Speaker
It was also like just a rough time.
00:22:29
Speaker
It's a rough C-section.
00:22:30
Speaker
So, you know, I was.
00:22:31
Speaker
Yeah.
00:22:33
Speaker
But.
00:22:35
Speaker
I was in one of those situations where it was like, we could give it to you or we could wait like it was kind of on the the borderline.
00:22:41
Speaker
Yeah.
00:22:43
Speaker
So.
00:22:44
Speaker
So you were, I think if my physician had said you have to do this, like I would have obviously.
00:22:49
Speaker
Right.
00:22:50
Speaker
But given the choice, I was like, Oh, eat some iron instead.
00:22:54
Speaker
I know.
00:22:55
Speaker
Well, I, I think it should probably leads us all back to Ryan White.
00:22:58
Speaker
And I know that sounds morbid, but, um,
00:23:03
Speaker
what Ryan White was that the young, was he 12 or 13?
00:23:05
Speaker
I think we talked about him on another podcast, but the kid that got HIV from his blood transfusion.
00:23:11
Speaker
But it is interesting when you think about it happening to yourself.
00:23:14
Speaker
That's kind of why I asked you that.
00:23:16
Speaker
Cause I don't think I've ever, I've never needed blood that I am aware of unless I got it during a procedure that I don't remember.
00:23:23
Speaker
I would think so, but I,
00:23:30
Speaker
I don't think I've ever thought about how I would feel about that.
00:23:32
Speaker
But when you said that it did strike something personal in me.
00:23:35
Speaker
So that's why I was asking you, like, tell me more about that because maybe we need to have a little bit more grace for patients in those moments.
00:23:41
Speaker
Yeah, I mean, it did.
00:23:42
Speaker
It made me, I mean, because I had had the conversation with, you know, many patients at that time, you know, before then to say, hey, like, you know, we're recommending a transfusion.
00:23:50
Speaker
These are the risks.
00:23:51
Speaker
And
00:23:53
Speaker
You know, so to be the person in that situation was it was different, you know, when it was me.
00:23:59
Speaker
So, yeah.
00:24:00
Speaker
Well, and I think that's that's actually great medicine to practice, in my opinion, is when you can actually take your personal experiences and project them forward.
00:24:10
Speaker
I think that makes us better providers if we if we are willing to open our minds that way.
00:24:15
Speaker
OK, so from going from blood.
00:24:17
Speaker
And what, you know, obviously something that the body needs.
00:24:19
Speaker
I'm going to go to something a little bit more mainstream here.
Pancreas and GLP-1: A Diabetes Breakthrough?
00:24:23
Speaker
What our bodies don't always need, but what we're doing a lot of is Ozempic recently, right?
00:24:27
Speaker
We're hearing a lot about Ozempic.
00:24:30
Speaker
But here's one thing that really blew my mind.
00:24:33
Speaker
We have all these weight loss, these diabetes drugs, Ozempic, Wagobe, Monjoro, and they work by mimicking a hormone that's called a GLP-1, right?
00:24:43
Speaker
So these are our GLP-1 meds.
00:24:46
Speaker
We've always been taught that GLP-1s come from the gut, but it turns out your pancreas makes them as well.
00:24:52
Speaker
So,
00:24:53
Speaker
Your alpha cells, the same ones that normally raise your blood sugar with glucagon, can actually flip internally and switch and start making GLP instead.
00:25:00
Speaker
So to me, I was thinking about this, like it's like discovering your pancreas has kind of been...
00:25:06
Speaker
sitting as a blockbuster drug this whole time and we've just not been using it.
00:25:10
Speaker
Instead, we're like finding these synthetic GLP-1s.
00:25:14
Speaker
What could we do if we actually coax ourselves to crank it up on their own and actually act as their own GLP-1s?
00:25:22
Speaker
So study's still in process, but
00:25:24
Speaker
What I just find interesting is that we're supplementing something that our body can make.
00:25:29
Speaker
And I don't know, wouldn't it just be wild if like the next phase of medicine isn't really giving people more drugs, but it's actually teaching their bodies to unlock what we already make.
00:25:39
Speaker
Yes.
00:25:40
Speaker
And so this wasn't really more like, I don't have a big conclusion here, but it was more of a discussion story for me because I was like, I'm sure our body is brilliant.
00:25:48
Speaker
Her body really is brilliant if you think about it.
00:25:51
Speaker
I was having a discussion about coronary artery disease with a dear friend.
00:25:57
Speaker
He's an older gentleman who lives in Cabo, actually.
00:26:00
Speaker
And it's interesting to talk to somebody about medicine and how they experience everything there because they have to pay everything up front.
00:26:07
Speaker
And I'm sure he wouldn't mind me sharing this, but he had pneumonia.
00:26:15
Speaker
And went into heart failure.
00:26:16
Speaker
I mean, he was like multi-system organ failure by the time he got to the hospital.
00:26:21
Speaker
So he's now got an EF of like less than 30.
00:26:24
Speaker
And he doesn't understand medicine.
00:26:26
Speaker
Family is from Sinaloa.
00:26:29
Speaker
And he's only got these two children.
00:26:31
Speaker
And so every time that I, when I go down there, he's one of the neighbors.
00:26:35
Speaker
And so we'll talk and he's like, I'm going in for this heart testing, which I didn't determine was angiogram.
00:26:44
Speaker
But he basically got vessel occlusion.
00:26:48
Speaker
But he was trying to explain to me how his LAD had created like, what do they call this?
00:26:55
Speaker
Like their runoffs, basically, for blood flow.
00:26:59
Speaker
So he was his mind was so blown at the fact that he has this occlusion.
00:27:03
Speaker
And he's like, I should be dead.
00:27:05
Speaker
But he's not because his heart created collaterals.
00:27:09
Speaker
Yeah.
00:27:09
Speaker
Um, for blood flow.
00:27:11
Speaker
And I just think the body is so amazing.
00:27:12
Speaker
What if we could just start tapping into what the body does?
00:27:16
Speaker
Um, naturally, I don't know.
00:27:19
Speaker
It's true.
00:27:19
Speaker
I mean, it's pipe dreamy thing for me, but yeah, I just, it's, it's fascinating.
00:27:24
Speaker
It is.
00:27:24
Speaker
I mean, the body is, I mean, I randomly will think about what that when I'm like driving my car, I'm like, you know, it's pretty cool how we like do all these things ourselves, like in this body of ours.
00:27:34
Speaker
But, um, I mean, I see it too.
00:27:37
Speaker
And
00:27:38
Speaker
like there's a lot, and we talked about this during one of our episodes, but there's a lot of supplements that people are saying will just boost your own natural metabolism.
00:27:47
Speaker
Yeah, what is that?
00:27:48
Speaker
You know, for turmeric was one of them.
00:27:51
Speaker
Yeah.
00:27:51
Speaker
Ginger is another one.
00:27:53
Speaker
So, you know, taking, studies are showing that just taking those, which, you know, then you have to figure out side effects of those, but just you can boost your own natural metabolism.
00:28:06
Speaker
And then it's a perfect balance there, too, because that that balance is.
00:28:11
Speaker
We you can go to hardcore like for some people, you can go to hardcore Western medicine and that's like, let's just throw a drug at everything and not maybe make the actual person responsible for some of.
00:28:27
Speaker
the outcome, or you can go far left and it's like, it's herbs and I like respect both approaches, but drugs are drugs are drugs to me.
00:28:38
Speaker
And we did an episode on this, even like your, you know, our herb,
00:28:43
Speaker
Let's check our herbs.
00:28:44
Speaker
Look, when you're taking herbs, those drugs, they're not always FDA regulated.
00:28:49
Speaker
But there's something I think in our psyche, at least maybe as Americans, that tell us that they're healthier substitutions.
00:28:57
Speaker
But it's interesting that you could go to five herbs for one blood pressure med.
00:29:02
Speaker
And that's where my mind starts asking a lot of questions like, well, why do I need a five to one?
00:29:08
Speaker
Versus a one-to-one just because it's made by a drone company.
00:29:11
Speaker
Like, but they're legit in my mind, legit questions.
00:29:14
Speaker
But I do think that there also are alternatives that require a buy-in from the actual consumer, which is us.
00:29:21
Speaker
Hello patients.
00:29:22
Speaker
We actually have to do some work too.
00:29:25
Speaker
We just can't expect the pill to be the magic pill.
00:29:28
Speaker
And that, I think that's largely what we battle.
00:29:31
Speaker
Yeah.
00:29:32
Speaker
So anyway, but anyway, GLP ones guys, you want, you want your Zempic, you got your own resources.
00:29:38
Speaker
Yeah.
00:29:38
Speaker
We just got to figure out how to stimulate them.
00:29:40
Speaker
There you go.
00:29:41
Speaker
All right.
00:29:43
Speaker
That's round.
00:29:43
Speaker
Let's go one more round here.
00:29:44
Speaker
All right.
00:29:47
Speaker
My next one is around robotic surgery.
Robotic Surgery: Feeling the Future
00:29:51
Speaker
So, yeah, I thought this was interesting because...
00:29:55
Speaker
And it makes total sense to me of why we would need to do this.
00:29:57
Speaker
So there is some developments in robotic surgery with what they're calling haptic feedback.
00:30:03
Speaker
So what it does is it provides the surgeons with a sense of touch during like minimally invasive surgeries.
00:30:12
Speaker
when they're using the robot, right?
00:30:15
Speaker
So obviously, if you're using a robot, you're not feeling that tissue or you're not feeling any pressure against whatever it is you're trying to cut or whatever.
00:30:24
Speaker
And so these robots will have sensors on them, like on the surgical instruments that will transmit real time
00:30:34
Speaker
feedback into the what the surgeon is holding like the surgeon's console haptic haptic haptic is what happens when your haptics is what we have with our iphones yeah if yeah like where they kind of is that what you're talking about like that um vibration yeah feeling yeah okay all right so yeah so we'll kind of um sort of help them figure out like you know is there a lot of resistance here or whatever and it can help them adjust the um
00:31:03
Speaker
the pressure of their movements, you know, and, and can, which is really important, especially if it's like friable tissue, right?
00:31:09
Speaker
Like if it's delicate tissue that you're, you're working with.
00:31:12
Speaker
And so, so there's some new developments around that, which I thought was really interesting, you know, like,
00:31:18
Speaker
I feel like that's in everything too.
00:31:19
Speaker
It's in our cars.
00:31:20
Speaker
Like, especially you get a rental car.
00:31:22
Speaker
Oh yeah.
00:31:25
Speaker
Have you ever gotten a rental car?
00:31:26
Speaker
Sometimes I think if we could just put like cameras in rental cars for the first 30 minutes that the person gets it because learning a new car is pretty hilarious.
00:31:36
Speaker
I'm laughing because I was just in a rental car.
00:31:39
Speaker
So like when it gets that somebody gets too close or you get it, it's like, beep, beep, beep, it beeps at you, but it also is like, and you're like, you're having this like moment in your car.
00:31:51
Speaker
Like, I don't know what just happened, but I just wrecked my car because you tried to warn me about not wrecking my car.
00:31:56
Speaker
Well, and they're so angry.
00:31:58
Speaker
I mean, so I drive a, you know, an old car, like I drive a 2012 minivan because I don't go anywhere.
00:32:04
Speaker
Like I just stay home most, you know, like on a daily basis, I don't go a lot of places.
00:32:08
Speaker
So we're keeping my van alive as long as I can.
00:32:11
Speaker
And so there is no like, oh, hey, you're about to go into somebody else.
00:32:15
Speaker
You're supposed to, you're about to go into the lane.
00:32:17
Speaker
Like there's, there is no, you know, warning of anything.
00:32:19
Speaker
And so I get in this car when I,
00:32:21
Speaker
driving the last two days when I was traveling for work and I get in and I, the very first time I like went to switch a lane or something, the car felt like I got too close to another car and it like angrily, like it starts screaming at me and I was like, what is going on?
00:32:36
Speaker
It pulls the wheel back from me.
00:32:37
Speaker
Like you stupid human.
00:32:40
Speaker
Why are you driving this car?
00:32:41
Speaker
I'm like, then you just do it.
00:32:43
Speaker
Okay.
00:32:43
Speaker
You do it.
00:32:44
Speaker
Or you get too close to a line and it's like vibrating like crazy and you're like, what is wrong with you?
00:32:49
Speaker
Yeah.
00:32:49
Speaker
Yes.
00:32:50
Speaker
It's terrible.
00:32:51
Speaker
It really is.
00:32:51
Speaker
It, um, I just, but I, and then I ended up laughing at myself cause I always do some kind of like, Oh, like some moment that it just completely catches me off guard.
00:33:01
Speaker
I just think it would be funny to see everybody get in a car.
00:33:03
Speaker
They don't like, if you got in my car, my car is,
00:33:08
Speaker
It doesn't have a gear like like in the regular gear place like either, you know down at the bottom in the middle of the console or like the one that you like crank down it.
00:33:20
Speaker
It's gear is managed by like what you would do for your windshield wipers.
00:33:24
Speaker
So.
00:33:26
Speaker
I thought I was really cool.
00:33:27
Speaker
And I bought my car and I was like, no, I don't need you to tell me anything about it.
00:33:29
Speaker
I got this all figured out.
00:33:30
Speaker
Like, I know exactly what I'm doing.
00:33:32
Speaker
It's fine.
00:33:32
Speaker
And I sat there for a minute and I was like, I don't even know how to put it in reverse.
00:33:36
Speaker
Where is reverse?
00:33:37
Speaker
Like I didn't know.
00:33:39
Speaker
I, and it, like I sat there out of straight pride.
00:33:42
Speaker
You guys would all be proud of me straight pride.
00:33:45
Speaker
I was not going to ask.
00:33:46
Speaker
I Googled.
00:33:47
Speaker
Of course I did.
00:33:49
Speaker
Yeah.
00:33:49
Speaker
I was not going to get back out and tell my sales associate that I did not know how to reverse the car.
00:33:55
Speaker
You probably wondered what you were doing sitting in the car.
00:33:57
Speaker
No, he probably was like, yeah, I figured her out this whole time.
00:33:59
Speaker
She's been a pain in the butt the whole time.
00:34:01
Speaker
So it's because the first time I got an Uber, that was a Tesla.
00:34:05
Speaker
Oh my gosh.
00:34:06
Speaker
And you couldn't get in the door?
00:34:08
Speaker
To get in the door.
00:34:09
Speaker
Like I'm like standing.
00:34:10
Speaker
Cause usually like the Uber driver will like get out and like, you know, put your bag in and you know, some will open the door for you.
00:34:16
Speaker
This person didn't, they just sort of sat in the car.
00:34:18
Speaker
So I threw my bag in the truck and I'm like, Uber X, not comfort or black honey.
00:34:23
Speaker
I'm not getting out.
00:34:25
Speaker
I, um, yeah.
00:34:26
Speaker
So I'm like standing at the door for like, like probably a full minute and like staring and I'm like, I see the handle, but I'm like, I don't know how to, how to do this.
00:34:35
Speaker
And I look like an idiot and I don't want to break this guy's car.
00:34:38
Speaker
Yeah.
00:34:40
Speaker
Oh my God, I just snorted.
00:34:41
Speaker
That was so funny.
00:34:42
Speaker
Oh my God.
00:34:43
Speaker
I was like, oh, he probably thinks I'm an idiot.
00:34:46
Speaker
I think, listen, if we're all being honest with ourselves, we can all think about the moment that we first stood, walked up to in Tesla and did not know how to open the door.
00:34:57
Speaker
If anybody out there goes, oh, I knew from the beginning, you're a liar.
00:35:00
Speaker
I'm sorry.
00:35:01
Speaker
You're just a liar.
00:35:02
Speaker
It's just not intuitive at all.
00:35:04
Speaker
It's not.
00:35:05
Speaker
You have to push it for it to come out at you.
00:35:08
Speaker
And I'm like, whatever.
00:35:09
Speaker
I don't know.
00:35:10
Speaker
Just open the daggone door.
00:35:11
Speaker
Like it's self drive, self open the doors.
00:35:14
Speaker
I don't know.
00:35:15
Speaker
Okay.
00:35:16
Speaker
Driving all these rental cars makes me want to stick with my van.
00:35:18
Speaker
I'm just going to say, I don't, I don't need all these bells and whistles.
00:35:21
Speaker
I just want to get my car and drive.
00:35:23
Speaker
Oh, I get actually mad when my backup camera stops working.
00:35:26
Speaker
Cause for some reason I realized I didn't learn how to drive with a backup camera, but I've,
00:35:31
Speaker
And that becomes somewhat dependent on it.
00:35:33
Speaker
Yeah.
00:35:34
Speaker
More so than I thought that when it went out, I was like, wait, I spent more time trying to figure out why it went out than just backing out of my driveway.
00:35:41
Speaker
Yeah.
00:35:42
Speaker
You know?
00:35:43
Speaker
Okay.
00:35:44
Speaker
All right.
00:35:44
Speaker
Speaking of things coming back and regenerations of things and all kinds of things that are Tesla's.
00:35:53
Speaker
I don't know.
00:35:53
Speaker
None of that made sense, but here's my final story.
Will Humans Regrow Teeth?
00:35:58
Speaker
Tooth regeneration.
00:35:59
Speaker
Have you heard about this?
00:36:01
Speaker
What is it?
00:36:02
Speaker
Tooth regeneration.
00:36:05
Speaker
No.
00:36:06
Speaker
So I'm going to ask you a question before I tell you just a brief excerpt.
00:36:09
Speaker
If you knew you could grow teeth whenever you needed them, would you, would you really take care of your teeth?
00:36:17
Speaker
Or would you?
00:36:18
Speaker
I would.
00:36:18
Speaker
Cause I think, I don't know.
00:36:21
Speaker
I'm like worried about my teeth.
00:36:22
Speaker
I am too, but not weird about that.
00:36:24
Speaker
You got your final set right now.
00:36:27
Speaker
So I always get these dreams.
00:36:29
Speaker
I guess that's true.
00:36:29
Speaker
But I don't want my teeth to hurt.
00:36:31
Speaker
I don't either.
00:36:34
Speaker
I don't know if I'd call it a biggest fear, but I always have this dream that I have a loose tooth.
00:36:41
Speaker
And somebody out here is going to be like, that really means that you're insecure about life.
00:36:47
Speaker
Somebody's going to tell me something like that.
00:36:48
Speaker
And you may be right.
00:36:49
Speaker
I don't know.
00:36:50
Speaker
But I have this dream.
00:36:51
Speaker
And in my dream...
00:36:54
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My one of my two front teeth, the larger teeth are loose, loose to a point like you're a kid.
00:37:01
Speaker
You sat there and worked out with your tooth.
00:37:03
Speaker
I mean, excuse me, with your tongue.
00:37:05
Speaker
Where you're just like, oh, yeah, this bad boy is about to come out.
00:37:07
Speaker
But as an adult, it's a different kind of angst.
00:37:10
Speaker
You're like, it's going to come out, but there's nothing behind it.
00:37:13
Speaker
You know, so I thought this story was interesting because.
00:37:18
Speaker
It does sound straight out of science fiction, but Japanese researchers right now are testing a drug that can block a protein.
00:37:24
Speaker
It's called USAG-1.
00:37:25
Speaker
So USAG-1, it basically lifts the brakes on your hidden tooth buds, which is what the tooth buds are what prevent us growing another set.
00:37:37
Speaker
So the result is people, if they can block this HG1,
00:37:42
Speaker
USAG one, they can actually regrow missing teeth.
00:37:46
Speaker
So they've already started with trials with kids who are born without certain teeth and get this.
00:37:51
Speaker
They use this with ferrets because their two patterns mimic ours more than mice do.
00:37:59
Speaker
And the ferrets regrow their molars.
00:38:03
Speaker
So if this works, dentures and implants are going to be gone.
00:38:07
Speaker
Yeah.
00:38:10
Speaker
Yeah, it's going to be done.
00:38:11
Speaker
But I was like, also, maybe I'll stop dreaming about it because I'm not going to grow.
00:38:16
Speaker
Because now you don't have to worry about it.
00:38:18
Speaker
Yeah, that's all I ever worry about is my teeth.
00:38:22
Speaker
Interesting.
00:38:23
Speaker
Like chipping a tooth or losing a tooth.
00:38:25
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As an adult, you can't hide that.
00:38:27
Speaker
Yeah, that is interesting, actually.
00:38:29
Speaker
I think it was wild.
00:38:30
Speaker
It is.
00:38:31
Speaker
I mean, I know people who have had repeated dental issues despite getting multiple caps and all.
00:38:38
Speaker
Yeah, you got to get screws in your mouth.
00:38:41
Speaker
They implant these things.
00:38:44
Speaker
Back in the day, they did wooden teeth.
00:38:46
Speaker
Yeah.
00:38:47
Speaker
George Washington, baby.
00:38:48
Speaker
I got a whole thing to tell you about why people wore wigs back in the day, too.
00:38:53
Speaker
It's not for what you think.
00:38:54
Speaker
This will be on our next Healthcare Headlines podcast.
00:38:57
Speaker
That's funny.
00:38:58
Speaker
But no, I think it would be... I mean, I actually tell the dentist every time I go that I hate going to the dentist.
00:39:03
Speaker
This is my... I know, and they're probably like, yes, we know.
00:39:06
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They're going to tell me I have to get a feeling and I hate it.
00:39:10
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Them and like, I don't even know, probably dentists.
00:39:13
Speaker
Dentists would be the most like that and orthodontist for us that we're stuck in braces.
00:39:18
Speaker
But forget orthodontist.
00:39:20
Speaker
We got a really big week this week.
00:39:22
Speaker
April.
00:39:23
Speaker
We do.
00:39:24
Speaker
Let's sing out to the young songs.
00:39:26
Speaker
Yeah.
00:39:27
Speaker
So we already talked about a little bit, but it is PA
Honoring Healthcare Heroes: PA Week
00:39:29
Speaker
week.
00:39:29
Speaker
So physician assistant.
00:39:31
Speaker
Happy PA week.
00:39:31
Speaker
Physician associate, depending on where you are and what name you're using.
00:39:35
Speaker
But yes.
00:39:36
Speaker
So as we talked about during APP week recently,
00:39:40
Speaker
PAs do play a huge role in our healthcare that we provide today across sound, but also outside of sound everywhere.
00:39:47
Speaker
So thank you to the PAs out there for all the work that you do.
00:39:51
Speaker
You really make a huge impact in the lives of your patients and their families.
00:39:56
Speaker
So thank you, and we hope you have a happy week.
00:39:58
Speaker
That's right.
00:39:59
Speaker
Happy APP week.
00:40:00
Speaker
Hey, hey, PAs.
00:40:02
Speaker
I just say P. I'm sorry.
00:40:03
Speaker
Happy PA week, but you are one of our APPs.
00:40:07
Speaker
That's true.
00:40:07
Speaker
I can keep up with all of our celebrations for our people.
00:40:09
Speaker
So happy PA week.
00:40:11
Speaker
And for our PAs out there, hey.
00:40:13
Speaker
If one of you guys want to send us an email, because nobody else is, please send us an email at on call podcast at sound physicians.com.
00:40:23
Speaker
We would love to hear some show ideas from you guys.
00:40:25
Speaker
And we would love to hear just some feedback generally.
00:40:28
Speaker
What are your healthcare headlines?
00:40:29
Speaker
What are some stories that you guys are seeing?
00:40:30
Speaker
You can follow us on LinkedIn.
00:40:33
Speaker
That's On Call with April and Alicia.
00:40:35
Speaker
You can also follow us on Instagram, On Call with April and Alicia.
00:40:38
Speaker
You can listen to our podcast.
00:40:39
Speaker
Please subscribe, follow us.
00:40:40
Speaker
We'd love to engage with you guys.
00:40:42
Speaker
Any show ideas, like I mentioned, that you have, let us know.
00:40:45
Speaker
Any feedback, anything.
00:40:46
Speaker
We'd love to hear from you guys.
00:40:47
Speaker
It's been great.
00:40:48
Speaker
We love talking to you, and we look forward to our next week with you.
00:40:52
Speaker
Absolutely.
00:40:53
Speaker
And until next time, you stay well, and we'll stay on call.
00:40:56
Speaker
Happy PA week, everybody.
00:40:58
Speaker
Absolutely.
00:40:58
Speaker
Thanks, everyone.