Dr. Adams (Plastic Surgery)

Questions here. Yeah, you have to have like a great, talented wife.

That's your advice you need.

Like really great, talented, beautiful wife, like my wife.

Hi, everybody, and welcome to the podcast. This is Generations md. My name is Stephanie and I'm joined here by my colleague Dr. Sarah Davis, who is also my mother. And we are also joined by Dr. Adams. Welcome to.

Hello. Thanks for having me. Absolutely.

Yeah.

This is Dr. William Adams, who's. Who is a renowned plastic surgeon here in Dallas. And maybe he can actually give us a little bit more intro to tell us about yourself.

Yeah. So if you kind of want to just back up a little bit and tell us your story about how you got into plastic surgery and all of that, then we'd love to hear more about it.

Yeah, absolutely. So, you know, I grew up in Atlanta, Georgia, and so, you know, grew up doing the usual stuff and playing a lot of sports. And through that I'd gotten hurt a number of times and I kind of met these orthopedic surgeons that would treat me and I really liked that. So I used to say when I was very young, I was going to be a doctor and then I was going to be orthopedic surgeon because that's who I was interacting with. And as time went on actually was materializing. So I went to. Well, I went to high school in Atlanta and then I went to Princeton undergrad. And they didn't have a pre med track, but you just take the courses and prereqs and things like that. Then I got into Vanderbilt Medical School and so I still thought I wanted to be an orthopedic surgeon. And I didn't really work. I'd done a few little things in the summer. Like I worked at a big. It was one of the hospitals in Atlanta. Like I was a transporter for the cardiac cath lab and transporter for the radiation oncology department. But I wasn't really doing anything in surgery per se, although I would have. It's just hard to even get anything transporter.

Like you just kind of push the patient from one place to another.

Yeah. One to pick up the patients, especially the radiation oncology. It's like there's people in the hospital and they would have their treatments. They were actually inpatients, I think, at the time. And you'd go pick them up and take them their treatment and take them back to the room. That was it.

Remember that.

Be nice to somebody who is transporting you from point A to point B. They may be a plastic surgeon someday.

Yeah.

It's kind of funny it was interesting, but, you know, it's like Vanderbilt. I, as you all know, you know, you go, Stephanie, you're about to do this right? You know, you go. And you. Now it's a little different. But when we did it, you know, the first two years were largely kind of classroom stuff for at least a year and a half. Then you started doing some clinical stuff the last half of your second year. But, you know, I started doing clinical rotations my third year, and I. And actually did surgery first. And the first thing I did was cardiothoracic surgery, and I loved it. And it was great. And it was full throttle. Like, it was, you know, you rounded at 4am and then you operated all day, and then you rounded again, and half the time you were rounding at midnight and had to be back at 4am but I just thought it was the greatest thing ever, you know, Then the surgery was cool and. And then I did orthopedic surgery. And I was like, okay. Actually, it's funny, I think that. No, I think I did. I felt it was like carpentry or something, you know, and then. And then I did general surgery. And I love general surgery, too. And so then I started thinking, okay, well, what's the deal? You know? And it just like I started figuring out that my personality was not orthopedic surgeons. And I have tons of orthopedic surgeons that are great friends. You know, I joke with them like that. Hey, you know, it's like, bone broke me fix type thing. They're actually pretty smart guys, but, you know, they're very. It's like you have. The guys are all these big guys, like big muscles. But there's a lot of stuff that you go to the ER and you're setting bones and fractures and this and that and the. It just didn't mess with my personality. And so I had a friend that was doing. He was two years ahead of me at Vanderbilt, and he was going off and I was starting my clinical stuff. He was going off to do one of the only combined. It was at the time in residencies in general surgery and plastic surgery at Stanford. And so he was like, you need to check out plastic surgery. And so I was like, okay. So I did a rotation and I was like, I loved it. And it was very much more. My personality is very. It's like meticulous and things like that. Like, I like hanging out in the er, sewing up lacerations and things like that. And I couldn't. I really didn't like sitting there like, you have producing Humeral fractures and putting a cast on, like, which was kind of the mundane stuff that you did in orthopedic and plastic surgery. So that's kind of how my interest was. You know, originally started in plastic surgery, and then. Then there was a lot of weird stuff about where you go and how you do it. And there were at the time, like, my friend Brett, who kind of got me interested in it originally he was at Stanford, and Stanford had to combine residency and UT Southwestern Parkland had one, and there's one more, I think was it wasn't Michigan, but there was one more somewhere. And all the rest you could. So that was the only one you could actually match into a program like that. And then you did general surgery, and then you did plastic surger over six years, five or six years, depending where you went. Or you could do the traditional route of plastic surgery training, which is doing general surgery for five years and then doing a plastic surgery fellowship for usually two years. Now they're three years. But, you know, plastic surgeons are the. One of the things I learned and haven't done it. You know, plastic surgeons are the most highly trained surgeons there are because we basically get trained to do surgery all over the body. We're like the true general surgeon, especially now. You know, general surgery used to be pretty cool specialty, but it's gotten so focused because everything else is, you know, now, you know, you have all other sub specialists that have encroached in general surgery territory, and so now they. They just don't do as much as they used to do. But in plastic surgery, we do everything, you know, we do everything from, you know, hand surgery to microsurgery for, you know, reconstructive surgery. We do breast reconstruction, we do craniofacial surgery. In children, we do cleft lips, cleft palates, burn surgery.

So you did, like, all of those.

Things in your residency. You trained for all those things. And it's incredible. It's such a. Such a great specialty because of the breadth of it and the diversity. And so that's what I really loved about it. And obviously, there's a lot of, you know, like, for example, if you're going to do hand surgery, you usually will do an extra year of fellowship or if you're going to do, you know, now we have actually aesthetic fellowships. That's what I'm the program director for our aesthetic fellowship at UT Southwestern, you know, but people think about plastic surgery a lot of times, most people, it's like what's on social media. Like, it's Aesthetics, it's like cosmetic surgery, but that's like, it's, it's a, it's a, it's not a small percentage because I think there's a lot of place surgeons that do aesthetic surgery and it's a great part of the specialty team because it's, it's so like say it's meticulous. It's about, it's not about like just throwing some stitch in. It's like the stitch needs to be placed perfectly. It needs to do what it's supposed to do. There's a lot of preoperative post operative management that needs to be refined. And you know, your customer is expecting like perfection. You know, I think the educated patient doesn't expect perfection, but what they do expect is to be well taken care of. And there's a lot of, there's a lot of options out there. So you can't just like the experience of the patient, especially for aesthetic surgery, is incredibly important. Yeah, but I didn't get, you know, that's what all I do now, you know, just actually just a very small subset of aesthetics that I do, which is breast and, and body. But that's not what I was doing, you know, when I started. So I did my. So I. So did you get back to my story? You know, I was trying to figure out what to do, so I ended up interviewing. I actually interviewed all over for all sorts of. I did, you know, because I wasn't sure if I'd get into combined program. It kind of sounded appealing and it was actually quite interesting because over those years, the time I was interviewing, for example, there was an incredibly famous general surgeon that was a chair Duke. His name was David Sabiston. He was. He like wrote the textbook that everybody used. Like it was like the Sabbath and surgery text. And so anyway, I had gotten an interview at Duke, which was actually really prestigious place to train in general surgery. In fact, they called. It was the decade with Dave. It was a five year program. But basically you end up people kind of. They put people in the lab for two, three years. So most people there like training for seven to ten years, you know. But I just wanted to go because I heard they really had a nice interview. And it was kind of on my way over Christmas, I think, and I'd gotten the interview, so I went and I remember I interviewed with Sabiston, which, I mean, the guy's iconic. He's like, he's like, yeah, like Sabison and you have Debakey. And so he's the guys that like, pioneered a lot of stuff in general surgery and cardiac surgery. But he said it was the funniest thing ever because he said, I was sitting in his office and he said, so, like, Bill, like, you know, where do you see yourself in 10 years or 20 years or something? I remember when it was. And I go, well, Dr. Stompson, you know, I really wanted to be a plastic surgeon. And so, you know, it's just like the, like, first of all, that's like not, that's not optimal interviewing kind of etiquette. You know, you want to. You don't want to. You don't want to show all your cards. Especially somebody that's like, been in general surgery for their whole life and wants to. Wants to train like the top general surgeons. They don't want to just. They want to train somebody that's not going to go into general shirt. The minute I said that, he's like, he was like, well, it's great to meet you. It was like, it was the shortest interview ever. Three minutes long.

Wow. You went all the way there to get there. So did you end up at Southwestern?

Yeah, so I met, I ended up matching at Southwestern and Fritz Barton was the chair. Fritz Barton said, you know, well, we met this guy who was Larry, and he's like. And we, you know, thought we were gonna take him. We had, they had one spot and he goes, but then we met you and you know, Steve, and we really like you too, because I don't know, maybe we'll just take all three. And so that's what they ended up doing. They ended up making some spots. And essentially now at the time, you know, they had this combined residency and they usually took three traditional people in one kind of combined, and that made up four residents a year. You know, now at Southwestern, we have. And it was then it was basically, if you were a combined resident, it was a five year program. If you were a traditional resident, it was a two year fellowship. So basically you did, you know, five, three years of kind of general surgery and you got some different rotations as a plastic surgery trainee. Like, you would do plastic surgery and orthopedics and you would do like oral surgery. You would do ent. Like subspecialties that may apply to plastic surgery. Yeah, so you had a little different, slightly different experience, but you did a lot of other things. And at Parkland, you know, it was, it was the greatest place to train because, I mean, Parkland is an iconic training place for surgeons. You know, you know, there's a lot of really well known people, the people that developed the Parkland Burn formula that's used around the world. And you know, a lot of just great, really great trauma surgeons and other things. But like, you know, some of my. These two friends of mine, you know, we all came in together and we were doing general surgery. But as a, as a third year general surgery, you really kind of were the. I like the chief resident most other general surgery programs. So, you know, we kind of got that experience where we got a lot of operative experience there and. And then we went on to plastic surgery. And you know, that was for a year, for a couple years that they had at Parkland. Now it's six, and they're six years. So, you know, it used to be at any one time because we were combined residents. So we were really kind of in general surgery early on. Then we're in plastic surgery. So it's four times two years. You know, there's eight residents now there's 36 in plastic surgery. So you can see how much more we train because now it's totally called. It's integrated, which means plastic surgery. The department of plastic surgery controls everything in terms of those. So they come in now and they do a year, a year and a half of general surgery rotations and then they just are in plastic surgery and they're doing all sorts of plastic surgery stuff.

Just like when you went into plastics then I know we talked about how plastic surprises not just aesthetics and is so much more than that. What attracted you about like the aesthetics aspect of things? And did you do like further training with that?

Yeah, I mean, you know, so I, I didn't. And that wasn't really in vogue too much like when I was in my training, you know, because that was a long time ago. Right. That was 25 years ago. But so we did all sorts. I mean, I was the chief of Parkland when I, When I finished my training, I when full time at UT Southwestern. And you know, now I'm there part time. But when I was full time, you know, I was chief of Parkland and we did all. I mean, we're doing finger replants and mic, you know, trauma microsurgery and lower extremity free flaps. You know, we're taking muscles from one place of the body and, you know, tying them in and doing the vessel anastomosis under a microscope to reconstruct these things. And we're doing breast reconstruction, which is. It was a lot of microsurgery and all sorts of. Mostly stuff like that, you know, is what we did, but gradually we had, you know, especially with me, I was doing a lot of breast reconstruction. You know, we did a really good job with it. You know, you had some people that eventually, you know, would come to you or their friends would come to you because you had done their friends or relatives breast reconstruction and they come for some sort of aesthetic procedure. And then the same time I was doing a lot of research, I did a lot of research and breast implant kind of aging. I did research in terms of some safety stuff around breasts and breast implants. There's something called capture contracture, which is kind of the number one risk for breast implants. And so we had done research looking at ways to medicate and reduce capture contracture. And so with all that and then eventually you were asking why. I mean, after a while, you know, it's really like a super young man's deal doing replants all night long and doing, you know, and then if, you know, if you have a family, you know, you want to actually sit at the dinner table with your kids a little bit at least right when you start out. But if you're every. If every day, you know, you're waiting around to do reconstructive flap after another services finishes, you know, which was fine. It's fine when you first start, you know, but it's. It's very unpredictable and demands a lot of your time. And so it's not. Not too conducive to, you know, a life with where you're either married or you have a family, you know. And so, so. And a little bit also physically, you know, it's just. You only can do that so long. So I think, you know, I know people that still do it in beyond. I probably did microsurgery through 15 years of my practice, my first 15 years. But as time went on, I got more and more focused and your things evolve. You have patients that early on not many people know you. You don't have that many people coming in wanting an aesthetic surgery procedure. But as you. As you build, kind of build your reputation, then you get more and more people and then you have less time to be unpredictable, you know, so you just, so you just. It all kind of goes hand in hand. I think eventually you kind of have, you put. There's more of a premium about you like controlling your kind of time and destiny compared to, you know, sometimes when you're just happy to have a case and you're happy to wait till 1am to start your case just because it's a case, you know, when you first start. But so it's just an evolution and then it depends what you're good at too. You know, sometimes there may be certain people that are exceptionally good at certain things, you know, and that's what they gravitate to, whether it's cleft lip and palate or it's hand surgery or it's microsurgery or it's, you know, aesthetics or a certain type of aesthetic surgery.

Yeah. So it sounds like you're able to kind of like build your practice and build your reputation. How are you able to kind of switch that over to a private practice, practice setting?

Well, it's hard because, you know, my. The, the guy I work with is still a very good friend of mine. And, you know, I was almost scared to tell him I was thinking about, you know, leaving full time, but I ended up working, working out really well. There are certain things I wanted to actually do that I kind of wasn't sure if I. If I was at full, full time at ut, if I'd ever be able to do those things. You know, like us started a media company called the Plastic Surgery Channel. And there was some stuff that we did with industry that would. Would be harder if you were full time at ut. So, you know, I ended up kind of transitioning from full time to part time. And then I was in. Also in private practice. But I was still, still had some, you know, role with the. I've always had this role with the program and actually I still have a very heavy role now because I'm the program director for the aesthetic fellowships. And we train one fellow which is a person that's finished their posterity training and wants to do a dedicated year of training. And that's really like, say more recently. It's coming into vogue because the pathway to aesthetic surgery is a little different now than it was when I came out. I came out. Nobody just started doing aesthetics. Number one, it wasn't really feasible. Number two, it just wasn't how it was. The way you did it is you built up your reputation. You're a good doctor, you're a good surgeon by word of mouth and things like that. You would start getting more patients coming to you for aesthetics. Whereas now, because of social media, you know, marketing and just how things are, people come straight out of residency and go into aesthetics. The problem is, is that most, I would say most, if not all residents are not. Don't get enough aesthetic surgery in the residency to really do a great job with it. And so a lot of them found it really beneficial to do this extra year of dedicated like aesthetics. And so we train, we have an incredible program here at Southwestern and so we train one person a year.

What all does that like entail? That aesthetics.

Yeah, it's aesthetics in itself. Like I say, plastic surgery is incredibly diverse and broad, but aesthetics is very broad. So I mean there's, I mean there's things from, you know, you know, face, there's face, there's breasts, there's body. But then all those have a big, big diversity within those little subsets, you know, and there's, there's a lot of not, you know, non surgical has become a huge area of plastic surgery. Whether it's fillers or lasers or skin care, you know, skin tightening. There's thousands and thousands of technologies now, a lot of which are probably not great, but you know, there's a high demand for that and there's a lot of stuff that works really well. So anyway, that, and then in like body contouring, there's, you know, you have your standard, standard things like, you know, liposuction, tummy tucks, those are kind of the, the kind of main Stockholm old school or mainstream things that still people are very interested in. But there's been a whole, I mean, this evolution of like buttock augmentation. Right. Yeah, I mean I was like, it was, it grew through social media and things like that. But it's, it's a whole new, you know, it's a whole new kind of bastion of body contouring, aesthetic surgery that there's people that just do that. There's people that or they're an aesthetic surgeon on. All they do is like buttock augmentation.

Yeah. For those sort of surgeries. Can you touch a little bit about like the safety of that? Because I have heard like some things that, I mean, every surgery there's a risk obviously, but with stuff like butt augmentations and specifically like that aspect of things like how does the safety of the surgery like that compared to the safety of like a. Any other general surgery?

Yeah, so the, it's been a, it's actually an interesting story because there's a lot of, there's been a lot of understanding and progress of that over the past five to 10 years. The problem was, yeah, there was people that were having buttock augmentations and dying and it was usually fat embolus, which is the. And there's a lot of reasons for that. But the interesting thing was, is number one, the societies were very active in trying to do some research and help kind of understand what was going on with patient safety aspect of that. And then there were some people, like some very good friends of mine, that were very active in researching things for people. Like a good friend of mine, Dan Delvecchia, is kind of a very well known, very good educator for buttock augmentation. So, you know, he and many others, I don't want to say he's the only one, but he's a good friend of mine and he really helped redefine people's understanding of what was going on because it's a little bit counterintuitive, but basically there's some really big veins that are deep into the kind of the pelvic veins, like the internal and external iliac veins that go right into the inferior vena cava. And so what has happened is people were injecting fat into, you know, into the subcube, but also into the muscle. And in a lot of ways, like a lot of fat grafting kind of techniques always had injected in other areas of the body into the muscle and things like that. It's never caused a problem. But in this particular problem, what they learned is that that fat was all going down kind of deep. And then if the vessels happened to get a little puncture or tear, it was such a low pressure system, the fat would just siphon into the vein and then just go straight to the lungs. And so people have that endless. So the biggest finding that evolved out of that research was that if you wanted to inject only above the gluteal fascia into the sub Q. And so what happened was when people did that, there was no deaths. But the problem is there's still been deaths. And then the same group, there's actually some really active great people out of Florida. A lot of the deaths have been in Florida because there's a lot of these kind of clinics that are run by people that aren't even doctors and people that aren't even physicians or surgeons doing, you know, but they. But. But again, some of the. Some of the same people I mentioned and others have looked into this, it's probably largely people not following protocol or doing kind of. It's like these kind of chop shop things where there's. They're doing like 20 surgeries a day with six ORs, and they've got somebody that's not even a doctor that's doing the fat harvest. And then they got one per one doctor that comes and does the injections. And it's just not the way it's supposed to be done. And so it's not surprising there are still issues. And so some of the research, again, my friend Dan Delvecchio, and there's a couple other people, Pat Passimino and Oni Garcia from Florida, they kind of pushed to really get legislation on proper technique. And so there's different ways, that is. But now ultrasounds become a really important part of injecting fat in the buttock, and it allows you to look and make sure the cannula is above the fascia, and so on and so forth. So it's just an evolution with. With that. But I think with the proper technique, it's clearly safe to do. But, you know, what happens is it's a popular procedure. There's a lot of marketing, and this happens so much in aesthetics. You know, it's like people think the person that's on social media the most is the best because they know the best, you know, and. And it's just not the case, you know, in fact, you know, that's. That's a perfect example of. And another thing is money. It's like, if it's low rent, doesn't cost a lot of money, it's probably not that high quality, just like anything else. So that's kind of the nidus of some of those problems. But it's interesting because with research and education, plastic surgery has been able to identify the problem and come up with solutions and really change the safety spectrum for patients.

Yeah, no, that's really awesome and actually very interesting to hear because I've just, like. Yeah. Heard word of mouth that it's dangerous, but it's interesting to actually, like, learn why.

And it's also interesting to write that just buttock aesthetics, you know, it's very different across the world.

That's what I was gonna ask is evolution just in different, like, body contouring aesthetics and just. And even, like, breast implant aesthetics. Like, how have you seen that change, like, throughout your career?

Yeah, a lot. You know, there's a lot of. A lot. A lot of things have evolved aesthetically over the past, you know, 50 years. And you can. You can see that in a lot of different areas. But like, with buttocks, it's. It's like very. The contrast is very, very stark. You know, and even around the world, there's a lot of differences in people's, like, aesthetics.

Yeah.

With any certain body parts and. But. But yeah, with the buttock, you know, people. There's some people that really. They want. I mean, the. It's like the Kim Kardashian Effect, right? Yes. She wants to, you know, this big buttock. And you know, some of these people, like they realize what they really want and now the question is like, what's going to happen those people later like on down the line? You know, I'm not sure that's very good, but.

Well, I heard the Kardashians are getting theirs dissolved now because it's changing and I don't know like how that works. Exactly.

Yeah. Who knows with the Kardashians? What, what's, you know? Because the whole thing is, it's just like, I feel like the way media is now, it's all about the click, you know, how many clicks you can get. And so if you're. It's. I don't know, who knows what they do because they, they just want to keep their kind of media index at a high enough level. So I don't know if they actually are doing what they're saying they're doing or, or they're just saying they're doing something because people are going to be interested in it.

Yeah, for sure.

So I, I don't know. You know, it's. But you know, certainly the Kardashian effect and the buttock, you know, augmentation and buttock aesthetics, definitely it was, had a big impact and there's been, there's been a lot of good things, educational things have been developed out of plastic surgery in terms of a buttock aesthetics. And that really, I think has helped because. And there's a lot of people that do want to have some reshaping of their buttock done. Okay. But it's not. They don't want like some big huge butt. They just want better shape, you know, and what happens is as women age, they lose, they get deflation at that area sometimes. So, you know, doing. You'll see there's a huge spectrum and you'll see these people have incredibly big augmentations. Right. Those are the extremes. But there's also a lot of people that are getting buttock augmentation that you never know they had it. It just makes them look better and fit better in clothes and things like that. So.

Yeah. In regards to. Because your specialty or a lot of what you do is breast implantation, correct.

Well, breast surgery, I do like breast surgery. Yeah. So we do everything from breast augmentation to breast lifts to breast reductions and revision breast surgery, you know, for people that are having issues with their breast surgery, you know, that's typically breast implant based surgery.

Yeah.

And then I used to do a ton of breast Reconstruction, but I don't do as much now.

Yeah. So how did you end up like in. In this building in. In Highland park and being able to kind of like, find that niche and. Do you like what you do?

Yeah, no, yeah, I love what I do, but yeah. So, you know, I was at UT Southwestern then. I actually shared office space with a friend of mine in. It was. It was kind of what we call Midtown now, or Midtown slash uptown, kind of the McKinney area. But southwestern. Now Southwestern has a great outpatient center and it's grown tons since I was there full time, but. And I said there's new Parkland Hospital and everything now since I was there. But we were in the process of trying to come up with a solution for their need for outpatient surgery because we did a lot of our stuff at Zalepschi, which is actually still there, but that was where we did outpatient surgery. Like, if you're just going to do an aesthetic surgery outpatient procedure, you did Lipshi, or if I was going to do a free flap breast reconstruction, I did Azaleep. She. And there was a lot of other specialties that were using that, the resources there. And so it was starting to. We were starting to overrun the capacity of the system. And so UT was actually preferred for us to go do like the simpler aesthetic surgery cases somewhere else until they were able to kind of build an outpatient center and things like that, which was all in the works. And so we were actually going to some other centers around. And so I'd gone to a few centers, but then in 2000, I guess it was 2000, 2020, it was a 20 year university center. In 2000 or 2001 was when Park City Surgery center opened, which is in this building on the third floor. And so I was doing some cases there, and it was a great place. Still is. And then in 2005 is when I did my transition from full time to part time at UT Southwestern. So when I did that, I was like, wow, I really would love to be in the same building as Park City Surgery Center. But there wasn't.

And near me.

That's right. That's how I met. That's how I met your mom, who's my doctor. Yeah. And it all worked out.

That's good.

Well, and I wanted to just kind of delve into like, pivot a little bit and talk a little more about your personal life, because I know that your wife is a surgeon as well, who's an ENT and you have children. And so I just I wonder how that work, life balance has worked for.

The two of you.

Yeah, well, it's been. It's been great. Although I will say, you know, my wife is incredibly, like. She's very, very understanding. She has a very busy ent practice, but she's. It's different, you know, she's. She doesn't, like, do all the academic stuff and. But, like, you know, I was like, I've done. I've done two tours through. I've been the president of the Aesthetic Society Education and Research Foundation. Then I was only one of three people that have ever been president of both organizations. And then the kind of. That's kind of the research foundation that I was president of, the American Society of Aesthetic Plastic Surgery, which was now kind of rebranded to the Aesthetic Society, which is the world's most prestigious aesthetic society. And so, you know, I did all the 20 years of being on the boards and running education for the society and being president of those, you know, the foundation, the society, and then doing education all over the world and all these things. So I'm doing a lot of that. I've got. I'm busy, you know, my practice too. So. Yeah, so you, number one, have to have the right person, you know, so. So Jennifer's has been great. You know, she's incredible. I always say, when I gave my presidential address was at the society, and also I gave the keynote at the UT Southwestern Alumni Day. And I just said, you know, I've done all this stuff, and so I'm. I'm really busy. But I said, let me explain to you, though, what my wife does. So when my kids. My kids are. We can talk about them in a second. But they're. They're great. And they're 19. Well, actually, my daughter just turned 20 yesterday, but 19 and 21, for all practical. Practical purposes, or 22, but they. But yeah, they were busy. And so my daughter swam. She still swims for the University of Texas. My son was a really incredible hockey player that if it wasn't for Covid, he probably would still be playing hockey in college. But the kids were busy. We're doing stuff with them. Jennifer was coaching swimming, too, but she would get up at 4 in the morning and then she'd swim because she swims like master stuff. And she got to work all day.

She'd swim and college.

Yeah. So she's got a full time, like, you know, she works five days a week, so she got to go, you know, do surgery or do other things. She would, you know, come home, cook dinner and then get things together. And then the kids would be kind of coming, usually coming back from their sporting events and this and that or practices. And then, then she would have to go coach from like 6:30 to, to 8:30 and then repeat, do that. So I told the people when I gave my little address in the alumni thing, I said, if you think you have had a hard day, just think what Jennifer Jordan's doing and you won't think your day so hard. So to answer your questions here, yeah, you have to have a great, talented wife. You need like, really great, talented, beautiful wife like my wife. And then life will be good. And you know, like, and our kids are, have been, you know, they really are two really incredible kids. You know, like, your kids are great and everybody, but they are. And like, you know, some of that would never have happened, you know, if it wasn't for the stability I think Jennifer Lee had. She, you know, I was one always like traveling, doing this and back and forth. And I did prioritize my kids stuff. You know, Jennifer kind of did more of the swimming stuff with my daughter Brooke, and I did more of the hockey stuff with my son Luke, which was great. But, you know, she was also always around a lot more than I was. And so, you know, probably the reason our kids turn out so good is because of her, you know, Know, I probably had a small percentage of some contributions, but. But yeah, I think it's important, you know, and I can. So I think for her and her personality, it worked well, because I'm not sure that, you know, I think for certain people, my lifestyle and how I, you know, I'm not sure that would work out. But, you know, I think she's busy doing a lot of stuff too. So it kind of, it kind of worked out well. But yeah, it's, it's been, it's been, it's been. We're still kind of. We're still busy. You know, we still got my daughter's swim meets and going to, you know, visit our kids and, and all that. So it's, it's, it's continuing.

Yeah, I'm kind of tired just hearing about you.

Yeah, I know it seems like a lot.

I was just gonna go home and watch Netflix.

Well, now your kids are out of college and stuff, so, you know. No, but this has been awesome. I always ask, we're kind of wrapping up a little bit here, but I always ask everyone this as I'm like, starting this journey. Do you have any advice for just starting medical school and. Yeah, just taking My first steps.

Yeah, I think, you know, it's. My advice is, is, you know, number one, it's good. It really is a great experience. You're like, you'll meet some really good friends, you know, and so enjoy that. That's, it's, it's always fun. But it's also fun getting, just doing your rotations and getting into that because if you love like being a doctor, then it's cool. And some you like, some you won't, you know, but, but they all have some value and there's stuff you'll learn even if you're like, you're a surgeon, you learn like in cardiology. That is really useful when you're especially early on in your surgical training. But I would just say, you know, it's like, it's easy to. Everybody has some bit way to get by and. Yeah. Which is great. But what you want to do is like figure out how you're going to be like the best doctor you can, you know, and if you can do that, it'll serve you well. It doesn't matter what you go into. But that's, that's how I think of the most successful people. They're really good doctors at the end of the day, you know, and may be in slightly different specialties or there's to have a different focus. But you'll, you'll learn. I mean, that'll serve you well. And so, you know, really, you know, I would like. The path of least resistance is not necessarily the. Probably the best pathway. You know, so sometimes people like figure out. Some people like they got through and they passed, they got. Yeah. I don't know. There's like they say P passed equals md. P equals md and, and like my friend and I, we always look at her. Yeah. Like P equals piss poor residency. Because you know, it's like, it's like, you know, who knows what you're gonna do. But residencies are competitive too, you know, to get into the. So you know that, that it's. But it's beyond that. Like I said, I think it's more about, you know, 10 years, 20 years from now. That foundation is what's gonna be part of your success of what you end up doing. Yeah.

Well, thank you. I appreciate it so much. I'm excited to get started with everything. Do you have anything that you want to plug before we wrap up? Do you have socials? Yeah. Do you have socials?

We have, we have tons of stuff with. Actually, you know, my office is incredible. They're. They're incredible. Too, but they, they. I mean, we're not, like, super into social media, but we do do it, and they do a really cool job with it, you know, because they have a lot of. Really. But Adam's plastic surgery is our. Is our Instagram.

Great.

And if you follow that, you'll. I guarantee you, you will laugh because it's always interesting what my team puts together.

Awesome. Yeah, that's awesome. And then you know where to find us. You can follow us on Instagram generationsmd. Tiktokenerationerationsmd. And we will talk to you next week. Bye.

Bye. See ya.