Rural Med with Family Physician Dr. Rose Marie Leslie | Knock Knock, Hi! with the Glaucomfleckens 

Kristen made the funniest joke re: wrong kind of dilation. I imagined the Opthalmologist in the room during a deliver, going under the drape with his scope with confused look, and Jonathan tapping his shoulder and shaking his head "no." Spectacular show.

I'm a med student and I've been really enjoying these podcasts. I love hearing the different doctors' stories.

Dr G’s rural medicine videos are my favorites

The baby slept the whole night because Jonathon came by and gave it a nod.

Med student here who is interested in going into rural family med, so I greatly appreciated this lovely discussion! I am so excited that you are doing podcasts like these now and cannot wait to see what else you guys do!

Always big respects to Rural Medicine doctors! The backbone of the breadbasket of every country!

Always happy to see another Leslie ❤😂🎉

So much to say here!! I loved her story about delivering a baby on the floor of the Atrium with the Internal medicine CMO standing nearby (aghast and so happy she, a first year intern!, was there.) I work in upstate NY (but trained in the Bronx, had a private practice in a poor city of Westchester, worked as a hospitalist in a level 1 trauma center and now do palliative medicine, so have been there, done that...) and we were actually designated as a rural hospital despite being within the borders of a city!! This has allowed us to develop a Fellowship program which will ultimately bring better care both to our urban dwellers as well as the local farmers (mainly dairy up here!) so all hail the rural doctors! (never yet been paid in chickens so all good. ) Great show today!

What a lovely doctor! I live in a ranch in the middle of nowhere in Canada and was just telling my husband that we needed an episode with a rural doctor! Please keep them coming if you happen to know any others, I live for rural medicine stories!

"Trying not to inhale their patients" may be today's brand new sentence of the day

As a rural GP (family doc) myself, I had my second baby in the country hospital where I did some surgical assisting so I knew all the O&G docs. They all stuck their head into my delivery room at some stage saying "Hi, I heard you were here, you're doing fine" . Frankly they could have brought a plumber in at that stage. I couldn't really care less.

Thank you SO much for highlighting rural medicine and some of the needs there like the closure of labor and delivery units. I grew up in a rural central US area that has seen this first hand. First, L&D gets closed. Then the ED. Then the whole hospital. Maybe not everywhere, but in my local area that was the case. Fortunately there has been some rebuilding but there is still a great need in rural communities. Perhaps one of the greatest needs I've noticed as a layperson, is the need for walk in or urgent care in rural communities- either as a standalone clinic or as a dedicated part of a family med clinic's schedule. It can take weeks to get an appointment even if you're pretty sick and have risks of complications. So your options are to wait and hope it doesn't get worse (which is what most people are gonna do), go to the ED for something non-emergent (if there even is an ED), or try to find something in a bigger town an hour, two, three away (and drive there while sick). It's definitely not uncommon to see someone with a bacterial respiratory infection wait for an appointment, and have it progress to actually needing the hospital. ... especially in communities with an aging population who are more apt to just patiently wait for their own doc. So... Walk-in hours or urgent care, *and tell your patients to use them.* Bc if you ARE lucky enough to have or create something like that, I promise there are people like my own parents who aren't used to those resources, and won't go unless their doctor specifically tells them to. It's very new, different, and uncomfortable for some of them. So please, if you have a new-ish urgent care or are opening up walk-in hours, talk to your patients about those resources at their annual physical, or when they book that appointment for a respiratory infection or moderate injury, encourage them to see urgent care first, and keep their appointment with you to follow up. Explain that it's not an emergency room (so they won't think it's gonna have ED prices... I promise there are people who will confuse the words urgent and emergent). Thank you to those who choose to go into rural medicine and who fight to bring resources to those communities. o7

LOVED the number game. I thought it was a great way to put a lot of things into perspective (e.g. Never getting a lunch because you have so much to document, or being a .8, but easily working more.)

I'd love to see you interview a perspective from other rural doctors in a community of 1500 with many people traveling over an hour in either direction for their healthcare. That would describe our healthcare.

Great Show! We definitely need more dedicated primary care physicians like Dr. Leslie. Great story about the delivery in the atrium.

Appreciate Dr. Leslie as guest so very much. Cool story about Lady G growing up in Dublin Texas :-) Snow still amazes a lot of us.

Great show! Hopefully I'll be matching into a rural family medicine program in a few weeks! 🤞

Started listening in my car this morning on my commute.... And clearly, I'm not a doctor because I'm finishing watching this at my desk as part of my lunch. Keep up the great content. I love this podcast.

Please do an episode with Mama Doctor Jones!

Loved the vid! Dr. Leslie was such a lovely guest to learn from. So glad I live in a big city haha! RU-vidr Docs I’d love to see as guests: - Violin MD, Internal Medicine/Rheumatologist. - Talking with Docs, Ortho Bros. - Ben Schmidt, Gastroenterologist. - Kristina Braly, Anesthesiologist, fellow Texan. - Max Feinstein, Anesthesiologist & Pediatric Anesthesiology fellow. - Knife Skills (Dr. Rich Hilsden), General & Trauma surgeon. - HealthyGamerGG, Psychiatrist.

You should invite your real "Jonathan" scribe to your show one day 😀

As a pharmacist, thanks for the love :)

Great stuff Dr and Lady Glauc. Thanks for these posts. 👍🏻

Minnesotan here...no snow today, -6, felt like -26 due to wind chill. ANY hoo, MN has excellent doctors. Our rural health providers and dedicated and they are blessed because generally speaking, there are excellent regional medical centers fairly close at hand. Except, some of the larger providers have discontinued ob-gyn at local hospitals, moving those departments to the regional centers which can be 30+ miles away.... Which isn't ideal given winter conditions.

Love the show!

Enjoyed your wonderful guest!

Living on the MA-NH border.... I'm laughing at the snow reaction @ Dartmouth....

Love the show... and so glad to have seen you at SCCM a few days back. Keep up the great content guys..

And we're back

I LOVE IA. My in-laws are from there. I am In CA so it can be very different. IA is a beautiful state. But it is cold AF in the winter.

snowmobiles have sleds behind them for little ones. It was fun! I grew up in Plainfield NH, went to KUA and worked with Dartmouth students here and there. My sister, mom and brother in law work at Dartmouth Hitchcock. There is another hospital, Alice Peck Day in Lebanon that might have been a good place to have a baby. I live near Boston now. My parents and siblings don't understand how I can enjoy living so far south. Massachusetts is wacky and Southern. I hope you enjoyed living near my hometown. Did they still do the bonfire on the Green while you were there?

I'm not a doctor but I still found this funny and learned a lot.

ED RN here, been picked up by hospital wheelchair van... only seat was the wheelchair in the van

We are snowed/iced in right now in Texas. I had to come back to Texas/the South after college because I couldn't do the snow.

Interesting question if she had any more stories that happened in public. Thinking back over my years as a nurse, all of mine that I can recall consisted of CPR on 'civilians' --- in hospital hallway and lobbies, the doorway of a restaurant, middle of a major 4 lane road, neighbors. Weird thing is, I have no memories of anything going on around me during these incidents. I couldn't tell you who was watching, if anyone at all. I'm not a critical care nurse, so I have clear memories of working on the person, but tunnel vision sets in and I only see them and those who came to assist. God bless 1st responders, medics, ER, and CCU/ICU. I could never do that on a daily basis.

Loved the topic, your guest, and especially loved and was almost spooked by how quickly you were possessed and let go of by Jonathan.

Mama Doctor Jones would be a delightful guest. A fellow Texan!

Ha! As a bartender, I had One regular who was a hospital pharmacist… Thank man NEEDED to be at least 7 gin and tonics in by 8pm every night… I like to imagine this needed to happen otherwise the hospital wouldn’t Have a pharmacist At least not one who didn’t end up on the 6pm news…

I really enjoyed using Family Med residents for my pregnancies, I did gift one some homemade applesauce 😂.

Closest town to me has 752 people. one clinic open two days a week. My actual unincorporated town, 7 houses, and a bar. Closest McDonalds is 27 miles away.

So that spacesuit you were describing I think was a PAPR device. One reason I believe ortho bros like it is because it also acts as a face shield for splatter protection. Apparently hammering bones can create splatter. A cool feature these sheilds have is that you can have someone peal a layer off like a race car helmet, so you can see better.

We just had ice in dfw. It wasn't funnn. I fell on ice, and the day before, my minivan slid down a hill lol. Then, the whole state was covered in snow in Feb 2021. And the power grid failed, yeah. Now my kids ask if my parents are staying over everytime it is icy or snowing. Cuz in 2021 their house lost power for a couple of days so they stayed with we lucky ppl

That's amaz

In Ottawa people ice skate down the canal to work.

Can you do an interview with an optometrist and need out on eyeballs? Compare Ophthalmologist and optometrist and how the fields differ

Gotta say-you locked down a really beautiful and intelligent lady...Mrs Glock has the looks AND the brains... Plus I hear she's some sort of CPR savant?

Ortho bros wear those spacesuits also to help prevent infection in those bones they are working on. Those infections are the worst because bone has poor blood circulation and that makes it difficult to treat the infection.

Does she have a Texaco Mike???

Has lived in Maine all my life. 😂😂😂😂😂😂😂😂

Everybody Hit the like button !

This is the "I want Dr. Mike on this Podcast"-Button..

You do realize that knock knock hi captions as knock knock high 😂. I’d like to know about scribes. Who gets one? How do you get to be one? All the questions.

People from South and West have no ideas how much snow there are in the Northeast - the shear volume of it 😂

My vote for another guest is Dr. Daniel Amen!

Regarding bubonic plague- the rodent populations in Yosemite and other areas of the Western States carry it. Cougars keep dying from it, and humans occasionally catch it.

Since Mama Doctor Jones has already been suggested (she’s great, btw), I’ll suggest Dr. Sydnee Smirl McElroy of Sawbones as a future guest.

Still not over the fact that Ms Glaucomflecken isn't actually an OB/GYN.

Do Collab with @Dr. David hinden m.d.

…I think my uncle is taking the acid reflux-inducing peppermint Tums, for his truly terrible acid reflux the doctor can’t do anything about, apparently.

Wow, delivering a baby as an intern in front of a large public audience - that must have been incredibly stressful! Talk about trial by fire! I am happy to hear that the patient suffered no serious cardiopulmonary complications as a result of the delivery! 😂 Another fascinating interview, you two! These are so enjoyable to listen to (and occasionally watch)! Keep up the great work! Also... ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-4r1XF9jKFN8.html

Please consider doing an interview with a Gastroenterologist. Anyone who deals with that much crap on the job has to have a great sense of humor. Love your blog, keep up the great work. Lol

I want to franchise texeco mike

12 weeks plus 2 unpaid weeks maternal leave. Is that standard? That's barbaric.

Y’all live in Iowa? Huh, I’m slightly less horrified by my state. EDIT: Oh, you don’t like here anymore. Well, back to being mortified by everything happening here.

It's nice to watch a Glaucomanfepplen video without having put down my cup of coffee w/cream. Dirty aspirations with simultaneous, explosive nasopharyngeal secretions are not fun.

Frist

Something wrong with Mrs.'s eyebrows! Bothers me. Hmmm

Nephrology, how about Dr. Jason Fung @drjasonfung, intersection of nephrology and diabetes, esp Type 2.

Get "feelings bro" from HealthGamerGG (Dr. K)