¶ Surgeons Discuss Neurosurgeon & Operation Game
I'm about to whoop Renee's ass in good old surgical skill .
We'll see about that .
Oh , where's anesthesia ? Anesthesia's supposed to be kicking , first of all . How come there's no anesthesia in this game ?
What Verbal , oh , I got it , I got it , I got it , I got it , you got got me , you got got you . Lit up .
If you've ever been in a city if you've ever been in a situation like me described .
It's only game why you have to be mad . And we here y'all , we back y'all . You don't understand the technical difficulties that we have had just to get this working . We really need a producer and I'm just gonna put it out there right now . If anybody wants to be a producer , you got money docs outside the box .
If any intern or any medical student yeah so if anybody wants to be a producer on the show , listen , we looking for one right now and someone who has some , I say technical know-how , specifically on like , like , restream , as well as on . YouTube any of those types of things that you could do online .
If you know how to do that stuff , we looking for somebody to reach us out and so if you go to the bottom , well we're live right now . But if you hear this on the podcast , just click on fan mail and let us know what's going on .
And the fan mail actually has been going really good , right , people have been writing in letting us know how they feel about the show different episodes so we definitely appreciate that . And then also , you can text us also .
So by the time you watch this , you won't see it on the live , but when you see this on YouTube not live you'll see that there's our phone number there that you can text us and let us know what's going on .
You'll see that there's our phone number there that you can text us and let us know what's going on .
We probably should have put the text number in here . So what are we doing today ?
First , of all , you didn't even introduce yourself .
I think everybody knows who I am .
No , everybody don't know who you are .
If you don't know who I am , guys .
You're not famous . You're not a celebrity .
All right , I think you're good . So , guys , if you don't know who it is , my name is Dr Nee , trauma surgeon , dad , husband , podcaster , host of Docs Outside the Box . I'm also joined by .
Dr Renee the love of his life . Well , we appreciate everybody oh you just jumped over it like that .
We appreciate everyone jumping on to come and talk about this live . It like that . We appreciate everyone jumping on to come and talk about this live . So if you want to see two physicians , two surgeons , operate , this is the live that you're going to see . But we got a lot of things we're going to talk about . Actually , we're going to talk about one thing .
I don't know why I'm saying we got a lot of things to talk about . We're going to talk about this neurosurgeon who I don't know if you guys have seen the video , but we're going to feature his video . But this is the neurosurgeon who's MIT trained and I don't know why they say MIT trained neurosurgeon . Mit doesn't even have a medical school .
Right , like I hate when people do stuff , I'm an MIT trained neurosurgeon . I didn't even realize MIT doesn't have a medical school , so MIT did not train you to be a doctor . So he should take that off of his YouTube channel , but I think he did that for a fact .
Yeah , well , he wants to get the engineers and all those people .
No , he doesn't he wants to show everybody that he's like the smartest of smart and I get it , but MIT doesn't have a medical school . Just say I'm a neurosurgeon anyway .
So we gonna talk about how this neurosurgeon who quit his job and he is out in the middle of nowhere , like you know cooking deer and cooking , you know cooking deer and cooking , you know whatever it is , and he's just enjoying his life , he put out a video and everybody's like talking about this because it's like well , why would a neurosurgeon quit ?
Why would an MIT trained neurosurgeon just quit ? It's very interesting . So , and then I'm about to whoop Renee's ass in good old surgical skill , because we all know trauma surgeons , general surgeons we can yeah , we can whoop that ass in the operating field .
So why don't you show them real quick what our body , our cadaver looks like real quick , show them that .
Okay , here we go . This is our cadaver . Okay , it is the Operation .
Game . How expensive was this cadaver ? This person had to sign their life away . It's probably 1999 . This person had to sign their life away . It's probably 1999 . This person had to sign their life away the good old Operation Game by .
Is that by ?
Milton Bradley .
Whatever , Milton Bradley .
Yeah .
Milton Bradley yes , the Operation Game . So yeah , me thinks he's about to whoop my tail and we'll see about that . We shall
¶ Medical Profession Mental Health Dilemma
see . Look at this one .
Look at this .
What are we doing here ? Look at that , look at that . What are ?
we doing .
I'm not even going to look down , I'm just going to look at the camera and still get this . Really , look at this , oh , oh . Did you turn the ?
sensitivity up on this . No , I'm looking , that's your bovie on 100 and 100 .
Where's anesthesia ? Anesthesia's supposed to be kicking . First of all , how come there's no anesthesia in this game ? Right , because wouldn't anesthesia just be like the thing doesn't buzz what .
It's only game . Why you have to be mad .
Right Like just take the battery out . No , because if you had Take the battery out .
No , what you would do if you had an anesthesia game , if you had .
I'm not saying if there's anesthesia in this game .
No , I know , but if you had anesthesia in the game , anesthesia would be intubating , right , wouldn't they be intubating ?
I'm just saying the patient should be asleep , okay , well , his eyes are open and you know he doesn't need , he doesn't actually need to be asleep because maybe he's like under regional , maybe he got epidural All right , yo Spinal , shout out to everyone who's on here Listen , let's jump into this , all right , so let's talk about this neurosurgeon .
So probably about two , three weeks ago , this neurosurgeon , he has a YouTube channel . You want to bring up his YouTube channel ? Yeah , he has a YouTube channel . I forget what it is Gooby Dooby In essence .
Basically , imagine yourself going to be , you're freaking , camping out in the middle of nowhere and you meet some guy who is like really super smart and he knows about all these different things out in , you know , in the outdoors , and he just happens to be a neurosurgeon . So that's exactly what we found out .
This guy has had a pretty good youtube presence where he just features , you know , asmr of different types of sights and sounds out in the woods , and he's been doing this for keep going back . I can't recall how far he's been going back with this .
He's been going back a while at least six months I think maybe four months he's been going back and he doesn't show himself . It's just the sights and sounds that he sees .
No , normally he doesn't show himself Right .
And then he just got to qualify everything right . Yes , oh my goodness .
You see , he doesn't show himself .
He doesn't show himself at all until that one video , right , and then after that that he went after , and after he , he did that one video . That's when he starts showing himself .
That's what I was gonna say so you know you're not the only one that could tell the story . You want to tell the story ? No , I don't go ahead . I don't want to tell the story . Go ahead , you're doing a good job so , um , so the uh .
So he he basically had a video , a youtube channel , where it's just featuring sights and sounds of being in the outdoors and then all of a sudden can you scroll down About two weeks ago he put out this video named I was an MIT educated neurosurgeon . Now I'm unemployed and alone in the mountains and I watched this video . It's 45 minutes long .
It's got 10 million views .
Hi , I'm Gooby from Gooby and Dooby , so I used to be a neurosurgeon . I went to college at MIT and did four years of medical school and six years of neurosurgery training and I was a neurosurgeon for almost 10 years after all that . So that's 20 years of my life and I quit . I quit last year and nobody understood why I quit .
And nobody understood why I quit . People would ask but you know , a decision that involves 20 years of your life you can't really answer in a couple minutes and most people don't have time to sit and listen to .
And then , once he graduated , he realized that , you know , not everybody needs surgery . He realized that there are some people who , rather than giving them surgery , they just need lifestyle changes and lifestyle choices , and he just actually just needed to be their coach as opposed to being their surgeon .
And then there's other people who really just needed surgery , right as opposed to being their surgeon . And then there's other people who really just needed surgery Right . And he started realizing that that approach of listen , you don't need surgery , what you need is this non-surgical method . You need this lifestyle management .
You need to stop smoking , you need to , you know , get out into the out in the woods and start walking . You need to start . You know . You need to lose weight Right . That doesn't make a hospital money Right .
And as a result , he started realizing there's this dichotomy of , yeah , like I'm doing things that are going to get great outcomes for the patient and that may not include surgery Right , but that doesn't make the hospital money , that doesn't make them happy .
Right .
What do I do ? And I think through , you know . A couple of years after that and realizing that stuff , he finally realized that he was depressed , finally realized that this is not what he really wanted to do and he just walked away from it .
Yeah , well , interesting , because that's you know , both of us we got our MBAs , and one of the things that I realized while I was still in school , getting my MBA , was that , you know , when we were in business class , there were discussions of the things that would actually make people money , right , but then when I would go to medical school , right , so we'd
go to medical school during the day , and then in the evening , afternoon , evening , we would go to business school , right , and so what would happen is , during the day it would be prevent disease , prevent disease , prevent disease . Business school .
It was like you know how much money you could make if you didn't prevent disease , right , and it wasn't as blatant as that . But I started to kind of understand just by seeing some of the trends of the conversations that we were talking about in business school and I was like , hmm , it's a really interesting dichotomy .
You know , in that video he talked about he's in his video he's very clear . He's like you know , because you know people are like well , I think one of the biggest criticisms that people would say is well , you're a neurosurgeon , so you made a lot of money , so it's very easy for you to bounce and just leave and walk away .
You probably have this huge amount of cash that you left and now that's it , no-transcript in you . This is the differences that I see in you .
Um , so I know with you in your past you were in a situation where , um , you were in a situation in residency your first year residency that you just were not enjoying it , you hated it , you felt like you were being hazed and rather than just kind of go through that , you just said I'm out , I'm leaving this residency Didn't have any plans as to going to
another residency program , didn't have any plans . You were just going to figure it out . So , knowing that story where you know he just left without having a plan B , without having this huge trust fund or without having this huge , you know stockpile of money , your thoughts on that ?
So I , so my story is similar , right ? Eventually , I did end up staying , for different reasons , but I think that you reach a point where you start to question your own dignity and that's kind of where I think I was Right . Like , who am I ? You know , am I going to stay in a place where I feel like I'm harassed and not welcome ?
You know , am I going to just assimilate and just become , you know , this person that is just like all of these other people . Like what is going to happen to me ? You start , you really start worrying about yourself , right , your well-being , and then the dignity that you're losing .
You know , as you're going through this process , Luckily , things were able to turn around for me , but my thought process at the time was you know what ? I'm smart and I'll figure it out . And I didn't have necessarily the worry about the student loan debt I didn't worry so much about . Oh my God .
That was an issue , though , because you at that point , this is first year you have 200 , and what ?
Two hundred forty ?
Two hundred and forty student loan debt , but you wasn't thinking about that .
No , I wasn't . I actually wasn't thinking about that . I wasn't thinking about that because , for me , the money didn't mean to me as much as my mental health , as my well-being , as my dignity . It just , it just didn't Right .
Some people do anything for a dollar , but I just , I just felt like , no ,
¶ Medical Practice Ethics and Moral Dilemmas
I can't do that . I think for me I would have put , I would have put up with it . I don't know if I was being hazed at my job I don't think I was but I think if I was in your situation I would put up with , because I just know my personality and I'm not saying that one is better than the other .
I actually respect the fact that you did that , I that you did that . I gave you mad props for that , remember , I was like are you sure you want to do this ?
And in my mind I'm like , damn man , she got mad guts because I don't know if I can go through four years of medical school having all that debt and not at least having a plan as to okay , am I going to go to the next surgery program ? Is there another surgery program in another state that I'm going to go to ?
Because there's always this fear of okay , if I leave this program , am I going to be able to get into another surgery program ? So what you did , I thought , was dope . I couldn't do it . I was . I would have been mad scared . I would have been like you know , I'm gonna ride this out .
I'm gonna get through this , the way in which I'm gonna make changes by , you know , not letting them change me , and all that stuff . So I think , fast forward , though , to this point where he's at . He talks about how he started gaining weight , a lot of weight . He started talking about how it started affecting his health .
Obviously , he started talking about how it affected his mental health . I think , when you're at that point , though , you got to leave . What do you think I mean ? Well , it's just a healthcare system in general , a healthcare system whether he goes to hospital a or he goes to another hospital 10 States away .
They don't have a problem with a neurosurgeon saying listen , you don't need back surgery , you need X , y and Z . They'd be like we brought you here to put screws and plates in .
Right . You know what I ? Yeah , but that's where you start to question . You know your own dignity , right , Because you understand the nuances of what patients actually need . The hospital doesn't care about what patients actually need . They care about output . They care about output , and that output equals dollars .
That's what they care about , and if I brought you here to operate , then you are going to operate , right ? You start to feel like I would imagine that he would start to feel like a sleazy salesman , right ? Basically trying to sell you something that you know that this person doesn't need , but you want to sell it to them anyway , right ?
So , speaking , of operation .
Can you put the game up ? Let's talk about why we're doing this . Yeah , we guys , we got , we got our cadaver right here . We're going to show you . We're going to show you how we get down , how we practice our skills . This is how I practice my skills before I go into a case . Y'all what y'all think .
I think you watch YouTube before you actually go into a case . But whatever , no , ok , move up , move up , because you can't have the patient so far away from you . They can't see the screen . Oh snap , yeah , here we go screen oh snap , yeah , here we go . Actually ladies first , you go first . No , no , you go first . Okay , you go first .
Wait , wait , wait . I'm gonna read the question . Let me read the question so you know what you're gonna get wrenched ankle two hundred dollars . Sam sam fell down on the basketball court , which dr knee would never fall down on the basketball court because he knows them skills .
She know them skills . Go ahead .
Now his ankle is all out of sorts . All right , $200 .
Watch this , guys . Watch this . This is easy work . This is light work . All the orthopedic surgeons watching right now . This is light work . This is easier than replacing potassium , Trust me .
Okay , go get that wrenched needle or that wrenched needle Wrench knee . Let that wrenched needle or that wrenched needle Wrenched knee , let's see you getting it out . Oh , trying to pick it up , oh , oh , okay , you done .
You done , but you keep talking right over my back and that's why I can't get it All right . Hold on , you go next . Hold on Whatever , hold on , hold on , hold on Whatever you want me to get that , so how about ? This as we're playing this as we no , no , hold on , all right . This next one is water on the knee .
Water in the knee has got Sam feeling down . Take it out quick before his leg drowns . Right here , guys , water on the knee . If you can't see that , you got to be changing behind it .
Okay , you go ahead . Anyway , let's keep talking .
Yeah , yeah . So let's say you saw me right Like I'm in year five . I'm in year five of this and you're seeing that I'm gaining weight and I'm just not enjoying my stuff . And you know , I don't know , sometimes you can sometimes verbal oh I got it , I got it , I got it , I got it .
Yeah , all right , I got it , I got it , I got it , I got it yeah , alright , she got it who looking like a surgeon .
Hold on , let me see , let me see okay , this is what a surgeon looks like she got this part , guys , she got this part this is what a surgeon looks like .
This is what a surgeon looks like hold on , not like this yo .
can someone keep score One to Renee zero for me .
Go ahead , read mine now , keep talking , keep talking .
Yeah , but if you saw me struggling , would you encourage me to leave , knowing my personality ?
First of all , let us be clear oh .
Glenn is on here .
Keep moving on . Y'all saw that right . First of all , let us be clear that you most likely would not actually listen to me . You would not listen to me . All right , read the card . Read the card , come on , okay , charlie Horse . In Sam's leg there's a horse named Charlie . Lure him out with some oats and barley , say that again . In what ?
In Sam's leg , there's a horse named Charlie . It's got a Charlie horse . Look at this , yo . First of all , you be giving . Look at this , look at where this horse is . You can , you can move it so that you can actually see there you go . Okay , let's move the mic , you keep , okay , but I don't think that you actually would have .
I don't think you actually would have listened to me because with your career , you are , you are extremely up . That's it . Yeah , okay , very good , don't forget , I'm an OBGYN . I work in small spaces . With your career , you are extremely Move on , move on .
Wait .
I'm trying to make a point . You're extremely territorial .
I should say Sam's scarf was tied too tight . Now his Adam's apple isn't feeling quite right All right , everybody it's 2's apple isn't feeling quite right All right , everybody's two zero . Renee's up to um I I it's one zero . No , no , oh yeah , oh yeah , that's true , it's one Another point . Go ahead , so I don't know how I got this wrong .
Let's see . Okay , there it is . So , yeah , I think you're very territorial with your . You know I got caught with your career and you would not . You would not listen to me if that was the case .
I don't think you would listen . I might listen to you because I'm a bit more mature , right . So I think my maturing has changed . The way how I look at things has changed since , sure , right , so I think my maturing has changed .
The way how I look at things has changed since , um , well , definitely since residency , right , because I think once I finished residency , once I finished training , I've been more I my mind quickly changed to like , oh wait , like you just look at me like like I'm a cog in the wheel , right , like whether or not I show up , you guys , it just keeps moving ,
right , and you guys don't care if whatever happens in my family , whatever happens , you just want a surgeon here to do the operations and that's it , and that's great . The patients need that , right , they need someone there for them all the time . They need a hospital that's working . They need surgeries , surgeons , all that stuff .
I get all that , but at the same point , like , if all you're doing to make that happen is sacrificing everything that you have personally , then what is there for you to pick up at the end , right , right , so that's the part where I was like , oh man , like I gotta be really careful about this because , yeah , if I'm saving lives , like I do right now , and
I'm doing it all the time but you just beat you just buzz this man twice , but I don't have you there .
You just buzzed this man twice .
I don't have my kids there , if I don't have my family there , then you know that's a problem , right ? So let's get back to it . Is it my turn ? It's your turn . Okay , go ahead and read my card yo .
All right , hold on . Let's see Cramp Writer's cramp . So Sam has a cramp right in his wrist from writing out a very long grocery list . Can you get the writer's cramp out ? Three hundred dollars , three hundred dollars , I think you're . I mean , I think that you know you make a point that now things are much different . Ah , you got it . You got it .
One right Show the people . Show the people . Give the people what they want . So I think now you definitely look at things much differently . But in residency I could see you completely just not even listening to me .
Yeah , for me , it's the goal . The goal is to get it done , the goal is to complete at that point and I just knew that nobody , nothing was going to get me off of that goal , whether or not it's good for my health or not , that's how I was . So if you saw me being depressed or you saw whatever was going on , it doesn't matter . Nobody , nothing .
And if you know me , nothing was going to derail me from becoming a surgeon at that point . Well , and I'm not saying that's a good thing , I'm just letting you know like that's how focused I was , and sometimes you have to be like that . That works .
But I think there has to be a level of maturity and a point to realize , like , like , what's really going on here ? Because I think when you have that mindset of no matter what you're going to get through it , you have to be careful , right , because you start to accept things that you shouldn't accept .
In order to get to that point , right , like if you , if you were like this and like anytime you saw some BS , you're like , yeah , f that . And you spoke up and you said I don't , I'm not going to tolerate this . That's one thing . But most people are just like look , I got to get through . You're going to accept some stuff that you really shouldn't accept .
You're going to make some bends in your integrity that you shouldn't , you know , do and stuff .
So that's how I feel about that . Well , so , right now I am watching . I'm watching that documentary Quiet on Set . Yeah , and you know this , this particular discussion is reminding me . And while we're talking , go ahead and read your card .
You all are enjoying this , uh yo , did you not see what I did on the wrist ? Yo , if someone who's watching on instagram they said I just played this with my grand I'm assuming grandma and uncle and smoked them , that's good , the horse is hard , but the wrist is the heart . Did she just see what I just did ? Light work . There's a delay .
There's a delay on Instagram Light work . There's a delay on Instagram . Alright bread basket .
Hold on Bread basket . Sam's bread basket has been giving him fits ever since he ate that giant sandwich . Go ahead , make it happen . And you keep talking . If you want to , or if you need to be quiet , go ahead .
Anyway , please , I'm watching that documentary Quiet on Set and I just find it really interesting , right that we're talking about this particular topic , because you know , the question is what are you willing to do in order to get to the goal right ?
And some people , you know some people are willing to do or willing to put up with very questionable , you know questionable , acts . Hey , who got it ? Who got it ? Who got it ? Who got it ?
Is that a bread basket ? Or is that a tooth ? That's a bread basket .
That's a loaf of bread , baby . Okay , give me my proper .
All right , it's 2-1 . Okay , 2-1 , y'all All right . Good job , good job , okay , all right .
Before we move on to the next one Sam's feeling nervous about a girl . He knows these butterflies in his belly have got to go Okay , all right .
You talk while I'm trying to kill this .
Yeah but you know it's very interesting , right ? It's very interesting because they're talking about that guy , Drake , from Drake and Josh , and I just literally watched this particular episode this morning , where and the father says hey , Dr , Ne got one .
You see how , when I get it , I'm just kind of like it's expected , like you , like celebrate , like what do you mean ? It's expected you didn't get two . It's two , two now .
I just had to get one . No , but guess what ? You had more turns . I had to get one . How did I have more times ? You had more turns that were had to get one . How did I have more turns ? What are you talking about ? You had more turns that were unsuccessful . Listen , it's too true . I only had one that was unsuccessful .
You had two that were unsuccessful . Okay , so the game is over , right ? I win . If you want to end it now , because you know I'm on a roll , go ahead . Well , you're on a roll , you on a roll , anyway .
¶ Struggles in the Medical Profession
So they're talking about that child actor , drake . I forget his last name , but Drake Bell , he was on Drake and Josh , josh and Drake . I don't know , I didn't have cable back then . I didn't have cable either , but his father mentions that he was always within eye's sight . Right , he was always within eye's sight of his son .
So that you know , anytime , anything , anytime anyone interacted with him , that he you keep talking I'm just going to cover your eyes Anytime anyone interacted with him , that he would basically it's mirrored . Yeah , he would basically be in you know within , within , you know seats . Basically , you would see him . He would be there with him .
He started noticing that guy . What was his name ? David something or whatever the hell . His name was David Peck . Right , he started noticing that the guy was like literally touching his son , not inappropriately , but just weirdly right , like he would go , he would like help him get dressed with things that he didn't really need to get dressed with .
He was a teenager , he didn't need to get dressed , or he was like a young preteen , he didn't need to get dressed with that . So then his father went over and talked to whomever and they were like oh well , you know , that's just the way he is X , y and Z , and his father was like OK and like , but didn't you know , his dad was up on game .
Everybody else was kind of playing the game of like , oh , we don't know what's going on , but the father was like , no , I see what y'all doing , I see what you're doing .
And then what they did is they castigated him as the bad parent , the opinionated parent , and then he got ostracized and his son ends up ostracizing him , and then Drake got got , basically , and now he feels the father feels really guilty .
The mother basically was in charge of it . It's a bad situation . Right my question to you is this Wait , wait , wait . Let me finish my point about this , my whole point about this is at what point ? At what point ?
At what point do you walk away , even though it is the thing that you absolutely said that you wanted to do away , even though you know this is something that they really , really want to do , but they don't understand the implications of being in this industry .
They just don't get it . Some people need to see it in their face , right . So those people there's some people who , there's some people who can see it from afar . There's some people who just don't need to see it at all , right , and then there's some people who just need to see it in their face .
And , depending on how far you're being what you're being guided by , right , if you're being guided by fame , if you're being guided by money , you probably need to see that in your face . Like I need to see my son or my daughter physically being X , y and Z .
If you're in surgery or if you're in a surgical program or if you're in any type of program , I need to physically have someone like literally like insult me , hit me , um , or like so if it's an insult , that's , that's nothing or abuse you in some form or way . When I said insult , I meant like insult in a very um you mean assault , not insult .
You can change the I to an a . Yeah , we could change the . We could change the vowel right and make it , and make it at a and then and then everybody's getting insulted and then , if that's the case , then yeah , they need to see it . I think some people , like I , would need to be that , would have needed to be me .
Which is you have to like , show me that , like if I continue this , that this is bad for my health or I'm playing myself by going on . That's how I was .
If , if you show me that I'm playing myself right , if I see in my own actions that I'm playing myself , then I would be like I'm out , because for me you know me already my dignity is a really big thing . I'm really big on ego . So if I see that I'm in situations where I'm playing myself , then I'm out , and I think that's how it is for most people .
Hold on , hold on , come on , stop trying to stall Broken heart . Tell Sam , there are plenty of fish in the sea .
Fix that broken heart and earn some good money .
The butterflies about the girl . Yeah , but I picked that up . But I picked that up yo . You see how renee should be trying to stall yo . The next thing I got is what do you think the med students should learn from this ? Med students and residents , what should they learn from this man ? Because this ?
yeah , that it's hard right because you know again , it's very hard because when you feel like it's two , two everyone it's two , two , but you got more chances than I did .
This thing is come on here we go , here we go , okay , no whatever I , I let you do the same thing .
OK , I let you shake it .
She's struggling .
You know , I think it's hard because when you decide that you know you want to become a doctor , it's everything that you hey , damn it's . You know , you don't imagine you , you have in your mind what you think this thing is going to look like for you . Right , like you think that this is going to be the greatest thing since sliced bread .
Um , you know , you just think that , how about this ? Read it to me . And then you say , your point , hold on , we got to fix this camera . You think that it's going to be the best thing since sliced bread . You think that you know it's just going to be great . And so you're very .
It takes a while , I think , for the disillusion to set in for a lot of people .
I think it takes a , I think it takes a long while for the disillusion to set in for , for when they realize , like , hold on a second , you know , they said medicine was going to be wonderful , I thought that the buck was going to stop with me , and you realize that you know what , there's a lot in medicine that you have to put up with .
That you just never anticipated , you know . So I don't . Oh Lord , this damn camera , you know . So I don't know , like I don't know what to tell medical students and residents , except for just share my story and just say how much are you willing to take .
Yeah , All right , read my stuff please here , here I have a feeling you're picking the easy stuff , I'm not touching anything .
Yeah , okay , come on you picked the rubber band . You know the kids love the rubber band . Okay , yeah , look at you . All right , wishbone Sam's got a wish . Can you make it come true ? Take it out quick , but don't break it in two , right , so don't . So I mean , just how much are you willing to take ?
I think is the question right If you're at a point at which , oh he got it , guys , damn Whatever .
If you're at a point where you feel like you know you are unwell , if you are at a point where you are questioning you know , your life , your purpose , why you're here , what it is that you're doing with your life , then at that point I would say , yeah , you might need to reconsider .
You know , at least the environment that you're in , at least the environment that you , that you are in .
¶ Physician Independence and Career Decisions
I will say for my case for my case , I didn't have a plan per se in terms of what I was going to do if I truly left the residency . So , you know , I put in my resignation and I was , I was literally ready to just like leave , and again my circumstances change . But I did consider , well , you know , going to another residency program .
That was something that I considered . It was something that I actually desired as well , and so I was like you know what , I'll just kind of figure it out . If I'm you know , I'll look for another residency program to apply to .
I did start looking for other residency programs but again , you know , I was kind of encouraged to stay by the chairperson and I said fine , you know I'll , I'll do that .
So my advice to the students , my advice to anybody who's trying to be a doctor and you see , this is I think there's two ways of there's two thoughts on this . There's how you consider medicine before you get in , and then there's how medicine is once you get in Right , and that's in any field , guys .
There's how you feel about something before you get to that point and then what happens when you get there . There's the reality , and then there's also what's in your mind and I would just say listen , medicine is still great , being a physician , being a healthcare professional , is still great . But I just think you got to be very intentional about things .
You got to know what you want to get out of this . If you want to help your community , then you have to be very you got to watch . You got to watch how the people who you're learning from , how they move Right , so you're attendings . If the chief residents oh , you got it , damn , baby . I guess I got that soothing voice that helps you , nice and calm .
So you want I just instill confidence , instill confidence in you you want to take credit for everything ?
yeah , no , no , no , no , no . You ain't finished with that mic . We're gonna share that mic no , I'm still finishing .
so I think that I think that you have to see how the the upper are moving , whether it's attendings or if it's your chief residents and so forth . Move over a little bit . I got it . I'm getting out of the frame . Watch out , watch out .
Right .
Right , and I think that this has been an issue . It just so happens that this is on social media and this is coming out , so I do think that there's there hasn't been any significant change in medicine over the last 10 or 15 years that has made it worse for doctors ? I don't think so at all .
I think what has happened now is you have more doctors who are able to , you know , get out there and say things on blogs , youtube , podcasting , and just say , hey , look like the way in which I thought this was going to be is not the way how it is right now . Right , just like the same thing with that . Is not the way how it is right now .
Right , just like the same thing with that . Remember , like several years ago , he had that issue with the white coat investor and that tweet where we had that medical student who was finishing medical school and she puts down that yo , I'm about to graduate with like 200 stacks of student loan debt .
I had no clue that I was going to have to be dealing with this .
You know I want to help my community , I want to help my family , but how am I going to be doing that when I'm starting off with like a parachute off in this race and you know , the white coat investor comes in and says , like this is the epitome of illiteracy , basically financial illiteracy . Right , and a lot of people didn't like it .
Right , some people agreed with it , a lot of people didn't like it . But you know , that's an example of right message , wrong messenger . Right , like they're not trying to hear it from him and stuff , and we can get into that for all sorts of reasons . Right .
But knowing that you have a lot of student loan debt , but still having a passion to be a doctor , the question is , well , if you know that you want to be a doctor , how passionate are you to bypass that debt ? Do you see what I'm saying ? So what I'm saying to you guys is there's going to be some sacrifices that need to be made .
It's going to have to be some times where you have to , you know , close your nose or kind of you know , just deal with whatever you have to deal with . The question is , what's that thing that's so bothersome to you that you're like you know what I'm going to cash out ?
You have to have that conversation with yourself about that , as you're going into medical school , as you're in a residency and definitely once you become an attending , you're going to be faced with that on a daily basis .
And I think for me the thing that I had an issue with was I have a big time issue of someone telling me my time and dictating my time and what I can and can't do . From a clinical standpoint , those two things really upset me .
So when I can't , like just take time off , because I just can't take time off , even though I put in a whole bunch of hours and I put in a whole bunch of months and so forth , and I just want to have time to like either go to a funeral or I want to go and just have like a weekend off , but like I can't do that because someone literally said I'm
not moving you off the schedule , that bothers me . It really . That really just drives me nuts because I'm very like big into my independence and so forth .
The other thing in that same vein is you know , if someone has a condition and I'm doing something , that is the standard of care , and then somebody else says , well , no , you should do A , b , c , d , because I said that it's like , yeah , no , I mean you can just turn around , pass , go and go .
I've seen that a lot , and some people who are listening to the show , you know exactly what I mean . Right , you may have a chairperson , or you may have a division lead , or you may have somebody else who will say , well , you can't do this to this patient unless you do A , b , c and D . And it's like , well , who's in charge of this patient ?
Is it me or is it you ? Because if something goes wrong , you are not going to be in court defending the actions , it's going to be me . And if say , listen , I know everybody's like you guys talk about locums all the time . That's what ? For me , I think everybody should be locums . Every physician , every professional medical professional should be locums .
And then it separates everything it keeps the hospital or who pays for , you know , the facilities , the capital expenditures , all of these different things , the hiring and firing of certain other things , the admin , let all that stuff happen by the hospital . Right , and then that way you can keep everything as independent as possible .
I come in , I bring my knowledge and then I leave with my knowledge . You guys provide the facilities for me to do the things that I need to do . Knowledge , you guys provide the facilities for me to do the things that I need to do , but it's a separate relationship .
Now , I don't think independent contracting is for everybody , but I do think that hold on , hold on . But I do think that there's some people who it's for and they should do it a hundred percent . You see what I'm saying . But then there's some people who it's not for and you can do it 10% , you could do it 80% . You don't have to do the entire .
Your entire career does not have to be locums . That's all I'm saying . That's what I'm saying . Every physician , every medical professional should , in some form or fashion , be independent . And because I think that's the way , how , I think that's the nature of medicine , right Is your ? That's the way I look at it . I'm like my , my interests .
What I want may not necessarily be in same line as the profits that a hospital may want to get . And I think , in essence , that's what that neurosurgeon is saying , right ? So if I decide that I don't want to operate on someone , that should be fine . There should be no consequences to that .
And he's not saying that he felt consequences , but I think he felt as though , over time , there would be consequences to that . And if he go into a hospital in North Carolina , or if he went to a hospital in Colorado or he went to a hospital in California . Eventually that would have come up no-transcript so .
I think , at some point , I think at some point I think at some point , we need to have the discussion as to whether or not we need to we need to have . Yeah , we all . We both got the same number of turns .
It's 3-2 . Yes , I want to keep going .
It's not 3-2 . It's 3-3 . How is it 3-3 ? I got three out me . You got three out . There's six of them over there , okay , so let me finish it out . Okay , you want to finish it out ? Okay , that was my last turn . I'm going to let you win . Okay , good , got to let him win . I'm about to run a Boston . I don't . I don't even know what that means .
I don't even know what that means . So what are you getting out now ? The wrench ? Oh , that was the original one , the original wrench . I think we need to have a discussion at some point , maybe not today . Before you like , jump on your answer . Is working for a hospital potentially a conflict of interest ? You got cut , damn .
Is working for a hospital , working for getting paid by a hospital , potentially for a doctor , a conflict of interest ? I'd like to know what our audience thinks about that .
I would love for you guys to you know if you're listening to this this is live right now , but it's going to be recorded to go down and text us or send us a DM or whatever , but contact us because I would love to know what doctors think , potentially . I'm about to get this horse out . He's trying to get the horse out now .
I'd love to know what you guys think , because if you've ever been in a situation like me described right , where you got got me , you got got you lit up , if you've ever been in a situation , if you've ever been in a situation like me described , where you know you have kind of disagreed with something , right , you disagreed with a policy , but you you went
ahead and did it anyway . Because guess what , if you don't do it , you know you're going to get in trouble . It's going to have a detrimental effect on your career , on your life , on your whatever right On your pay , potentially right On your standing , on your standing .
We've seen that actually We've seen people talk about that . We can give an example without saying too much of an example . But for example , like's say you're in attending and you're seeing patients in clinic . Your patient doesn't show up after waiting 30 minutes for them .
But then the patient shows up like an hour later and everybody's gone because it's at the end of the day . But they showed up like 30 , 40 minutes late and then you guys close up shop and then you get in trouble for that . You get dinged for that . Should that be the case , Right , Like ?
I don't think that should be the case , but because of hospital policy and because the customer is always right in this situation , you get dinged for that .
Yeah .
Right , Like . Those are the type of things where it's like you're trying to build a certain type of behavior with your patients or a certain type of expectation , Like you should either call or you should you know , let us know .
But you know , I think 30 minutes late , or just have the expectation that you are not going to be seen .
I think 30 minutes late is more than enough time to say , hey , this person is not showing up , they haven't called us to let us know , so we're just going to cancel . If they want to recall back and set up for another date , you can do that Right .
But to receive some type of retribution for being gone afterwards , guys , this has happened , I'm telling y'all .
Yeah , yeah , we , yeah . We recently talked about that .
Let's go ahead and bring this home . Let's go and bring home , because we got to get this , we got to get this going . But listen , guys , this is just us , you know , having fun talking about this topic . I really appreciate that neurosurgeon for putting that out there . I think there's so much things that you guys can learn about that .
The biggest thing that I think you can learn from this is listen . Like life , your career , is not linear , right ? Like you could think that you're going in a straight line and you're ascending and there are times when you just have to take a detour . You can recover . And he said he may come back .
So just so you all know , there's ways in which , if he were to take several years off , he could come back and help himself get back into becoming a neurosurgeon . Like , sometimes you can get proctored by other neurosurgeons . You may have to do like an additional year of some training or something like that , but he'll figure it out in some form or fashion .
But right now we are all smart people .
But right now it looks as though , from my perspective , he's prioritizing what he's passionate about right now , what makes him happy , what makes his dog happy , his dog happy and what makes him and his wife happy . He's prioritizing that right now . And for us , you know , we .
I never considered walking away , but there came a point where I was like man , like the debt is really pressuring me to make decisions that I don't want to make , and once we got that out of the way , for me that was a big game changer and I got the off my back and we could talk about that on future episodes .
So , as far as this game , I wrecked shop . You know how ? How did you wreck shop me ? You didn't see . They got the replay .
¶ Social Media Gaming Challenge Wrap-Up
Everybody on Instagram , everybody on Facebook , everybody on YouTube . How did ?
you wreck shop . We both got three .
I helped you to get to that point , but you know it's all good , Listen , 3-3 . It was a tie .
It was a tie , it was all good .
So if you guys want to see us play more games like this , let us know in the comments , or send us a fan mail or text us . The phone number will be below . You won't see it live , but you'll see it on the replay . We do need to put the number next time . Next time we will alright , y'all , we are out . We'll catch you , guys on the next episode .
Y'all peace peace .