Med School Gunners, Matthew Perry, and the Heart

And I saw another TikTok that was talking about, like, looking like the perfect bed student and how, like, you need to not care about that. And that also made me question. I was like, do I need to care about that? Because I don't care. People can think I'm doing nothing. Like, doesn't affect me.

Doesn't affect you at all.

Hi, everybody, and welcome to the podcast. My name is Stephanie, and I'm joined here by my colleague, Dr. Sarah Davis, who's also my mother. We might have some new viewers, so I feel like maybe we should kind of reintroduce ourselves for all of our new listeners.

Oh, that's a good idea. Yeah. And just to click to explain that we had Preston on. On our last episode, and he introduced some of his followers to our podcast because everybody loved listening to Preston. And so hopefully some of those people will continue to listen to our podcast because if. And if anybody is listening to this and they didn't listen to Preston's episode, please go back and listen to it. Because he's just really psychiatry resident, fascinating guy, and major TikTok star.

Yeah, no. And it was so good. And even the feedback that I'm getting from people in my class are coming up to me and just being like, wow, that was like, really impactful the whole story. And like, the honesty and transparency of the whole episode was so good. So highly recommend that. But if you came from that episode and you don't know who we are and you're like, what, like, what's going on here? So I'm Stephanie. I'm a first year medical student, and my mom and I started this podcast about like a year ago. Ish. And we're. We kind of have some episodes like this where we talk to each other and kind of bring up different subjects. And then we also have episodes where we bring in guests and chat with them about their life and their story, specifically doctors in different specialties.

Yeah.

Yeah.

And so, you know, Generations MD kind of talking about different perspectives from the different generations. Mostly it's her bagging on me saying that I'm old and I don't know anything, just like a young person is. Want to do. But. But yeah. Stephanie worked for me in my office last year.

Who. What do you do?

Oh. So I'm a family medicine physician and I have a small private practice and I only have one employee, and last year that was Stephanie. So we got to spend lots of time together working side by side, which was so, so fun. And then we got to do. We started doing this Podcast and then luckily have been able to continue doing it and hopefully can continue doing it now.

Okay, well, how's it going?

Good. How are, how is it going with you?

So week three just finished week three, pretty much.

We.

Our blocks are six weeks, so this is halfway through the first block, and I realized this week that I'm not going to be a cardiologist.

Really? Well, that's. That was a quick decision. Three weeks in.

Honestly, like, talking about the heart kind of freaks me out.

Okay.

Like, just.

Why?

Just talking about, like, just all of it. Just talking about the heart beating. I just start thinking about my heart beating so much, and then I'm like, oh, my God, is my pulse normal? Like, is my heartbeat normal? Is my, like, cardiac rhythm?

Okay, okay. Let me just say that this, that doesn't mean you don't like cardiology. You're just already starting to get what we used to refer to as second year syndrome, so. But you have always been very advanced, so I think you're already getting that. Like, every time you study something, you're like, oh, my God, something's wrong with me. Do I have that disease? Do I have that?

People are already starting to do that. Like, our main case last week was cystic fibrosis. And people were, like, saying that they would go to the gym and start sweating and be like, is my sweat really salty? I feel like it's really salty. And I didn't get that. I didn't really pick up on that one. But I think I'm. But the cardio stuff, I'm like, oh, my goodness. Do I have, like, do I Trigardia or something?

Yeah. Is your heart being normally. Oh, gosh. Did it just skip some beads? Is it, you know, different arrhythmia, as. Is it going to just stop beating? There's lots to be concerned about.

Exactly. And I'd also like to share with our listeners our text thread that we had with you and dad. So I, I, you.

If you're gonna do something else that makes me look bad, that is not gonna be cool.

Well, so I texted them because. So my dad does sports medicine, so I, he reads EKGs a lot. And then obviously you read EKGs a lot. And people were explaining to us how to read an ekg, and I was just not understanding what they were talking about. So I, I texted both my parents. I said, can anyone explain to me a really simple way of how to interpret an ekg? You said you have a book, that.

You have a book.

Yes. I was like, I don't Want to read a book? I just need like a simple explanation of. She's getting out the book.

Okay, here it is. This is a book, it's called rapid interpretation of EKGs written by Dale Dubin. This was this, let's see. Yeah, a really fun read. I mean this is, this is good stuff, but, and this is a rapid interpretation. But you see, it's not a small book.

It's not a small book.

There's a lot of pages. It's like 300, over 300 pages.

So yeah, I think I'll pass on the book.

Okay.

But then I was like, I, they're trying to explain to us the isoelectric method. And you said, I have no idea what that means.

Yeah, I, I mean, because I think they were trying to explain like exactly. There's some sort of thing about these different axes in the art, blah, blah. And you don't need to know all that theoretical stuff, but it gets you.

The point is it gets you to what's wrong, I guess by doing like the Pythagorean theorem. Pretty much, essentially. Yeah.

I, I, I look at EKGs a lot and never do I use the Pythagorean theorem. Okay.

They're not actually telling us to do the Pythagorean theorem, but I was kept joking that that's what they were doing. So.

But well, yeah, and just to say that I was like, oh yeah, you know, I mean EKGs are, it's complicated. They're really, it's a, it's an old fashioned tool, but it does give you a lot of information. But it's not super simple. And so when I recommended this nice 300 page book, you said, just make me a TikTok.

Dungeon Span low Gen Z. I gotta just, you know. Yeah, that's what. Whenever I look up like some sort of, if I don't understand a concept, then I'll look it up on YouTube. I always pick the shortest YouTube video that I can find on there.

That's a great way to filter information.

Hey, it's all about prioritizing, man. But speaking of hearts, I pulled out a guy's heart this week. Ripped out a guy's heart this week.

Are we speaking metaphorically or no?

No, but literally, I ripped out cadavers.

In your cadaver lab.

I did do that. Yes.

Wow, you guys are okay.

It's a lot. Yeah, that they said that this week, especially like the middle of the week is when students start to be like, oh my God, like this is not like what's going on? Have to say did get to me this week. I was like, oh, no, this is. This is a lot. But I'm staying afloat, and that's all I can do, you know?

Okay, so it did all. It.

It.

It hit you some.

Yeah, I mean, it's just like. It's just so much. You can only do so much, I feel like. And the cardiac stuff is more conceptual, which is in some parts, I like it better because then it's like I can actually, like, if I have the time to sit down and actually learn it and understand it, that feels better than just like, memorizing Anki cards.

Yeah, for sure. For sure. I mean, you know, that is pretty cool. And, you know, pulling the heart out of the cadaver and really examining it, I mean, that's. That should be kind of fun.

No, I mean, I. I enjoyed it. I don't. I actually don't mind the lab, but this one, we just, like, pulled out the lungs, and our guys got some big lungs.

Cop deer.

I. Yeah, they looked healthy at the front, but in the back, it wasn't that healthy. So. Yeah, but.

And don't smoke kids.

Yeah. And he's got a big heart. Juicy J, we call him. He's got a big heart.

Big heart. Oh, yeah. I mean, nice, but probably not so good for him if he has some dilated cardiomyopathy.

True. Very true. Okay, go. Going kind of a sidebar here, but I went to the family medicine, like, interest meeting, and a family med doctor was talking, and he was talking about, like, which I've never heard about. About family medicine. People sub. Specializing in other stuff.

Have.

Do you, like, know of anyone who's done well? I mean, like, he had a sports medicine fellowship. Right? Okay, so, like, that's a thing he said you can do. Like addiction, you can do. I don't.

You can do a bunch of. You can do geriatrics.

Geriatrics. Like, other. Was just wondering if you. Do you know of that and did you ever consider doing a fellowship in anything?

No. Those things didn't seem interesting.

I have a question. Specific question, though, just, like, talking about. Because what I wanted to ask was if you have to do a fellowship in something or get trained to be able to do, like, aesthetic procedures, like Botox, filler, like, that sort of thing.

You're asking, do you. Do you need to do a fellowship to do that?

Or, like. Yeah, what's the training? Because I know that, like. Like, you can't. Like, nurses can't do that. Like, you have to be like a PA or Like a doctor to be able to, like, do those sort of aesthetic procedures, like what do you, what licensing do you need to be able to do that?

Can you do that? You know, it. That very much depends on the state. And I don't, I don't know. I mean, but as a, as a physician, yes, you can do those things. I mean, for physicians, we are, for some of those things, we're kind of on our own to decide, like, when we have enough training to do some of them. I mean, some things are really just not that hard to do. And you can go and take a course or you can get trained by some kind of mentor and learn how to do it, and then you are comfortable doing it, and then you can continue, continue to do that, and then you do a lot of it and you get better and better at it. But you don't need like, any sort of, like, certification to do those different things. As a physician, then things are different for, for other people, like nurses or apps or those kinds of things. But those people generally are supposed to be supervised by a physician. But it, there's a lot of places where that supervision is pretty weak, as in not even on site.

Yeah. And. Well, I was just thinking that about all of that because I don't know if you've seen like these studies come out about like, what happens with when you get face filler and that apparently, like, it never drains out of like your lymphatic whatever. So like it's just constantly stays in your face like forever and people. And it'll shrivel up a little bit, but it never leaves. So people keep getting filler and keep getting filler. And especially in other countries with like, people, you don't have to have any, like, certification to do it. So anyone can do it and people, like, don't put it in the right spot and stuff.

Yeah. Wow. I mean, we could go on and on about those different aesthetics procedures and people doing stuff that they shouldn't be doing. And it's. I mean, even I had a patient who was very nice lady and went to some pretty reputable plastic surgeons, but just kept getting more and more and more surgery. And she did start getting told no after a while, but she had things like she had to. She couldn't close her eyes because she had had basically all of the muscle around her eyes kind of pretty much taken out. So she had to have a little weight placed in her eyelid so that it would like, weigh down her eyelid to close and, I don't know, a whole lot of stuff like that. It's just, I, it's, it's very unfortunate. I don't, it's, it's too bad that people want to do that stuff, but, but kind of circling back to the. But you don't need, you don't need like a fellowship to do some of those things. Obviously, if you're doing surgery, that's totally different deal. You know, you need to be going to a plastic surgeon to get that kind of stuff done. But a lot of those, quote, non invasive things, injectables and lasers, you don't need to be a, you don't need to be a surgeon to do. And in fact, I mean, even if you would go to a plastic surgeon to get Botox, a lot of times it's one of their assistants that's actually doing it and not even the plastic surgeon.

Yeah, true.

Well, I just, it's kind of funny that that's just so medical school to go to the family medicine meeting and they're already talking to you about fellowships like, yeah, couldn't we just stay in family medicine or talk about what really family medicine is and all the different things you can do with family medicine where you don't need to do another more years of training. So I think I find that just, I don't know, I think the idea.

Was that he was trying to be like, look at all the things that you can do. But I don't, I don't know, he was kind of being like, I don't know, it is kind of silly. And it brings up that conversation of people just constantly talking about like, how great their specialty is and trying to get people to go into their specialty a lot. And it's kind of like, I don't, I don't know. And constantly bringing up other specialties to be like, well, look, you can do all the same things Internal can do. You can do all. And it's like, okay, like, can we just focus on what this one does? You know what I'm saying?

Right. It does all kind of also always sound like an inferiority complex. It's like if you were going through sorority rush and they were telling you about the other house down the street and how we're so much better than them. Like, yes, the houses that are really good don't need to do that.

Exactly, exactly.

So anyway, I, I do love family medicine. Got lots of great things to say about family medicine. It is certainly not for everybody. But what, what I love about family medicine is it can be whatever you want it to be. There's certain parts of it that you really like, you can do a lot more of that. The other things that you don't like a lot, you can, you know, refer out more and you can kind of just start to build your practice to be the stuff that you are good at and that you enjoy doing. And that's, that's kind of what I've done.

Yeah. Right on, right on.

Go family. Well, as we were, as we're talking about that aesthetic stuff and thinking about people doing things that they shouldn't be doing, that just reminded me of this Matthew Perry case. Have you been following any of that?

No, I don't know anything.

So I don't pretend to know anything other than the very short articles that I have read. And when I say articles that I've read, I actually do mean articles. I don't mean tiktoks because sometimes when people say they've read an article, they really mean that they were watching a tick tock. But that was these. I did read some brief articles, but there's two doctors that have been charged with in Matthew Perry's death. I think a total of five people have been charged. And of the doctors. So it's all the, the charges that these people provided him with ketamine. I'm no expert on ketamine. I have never. I don't even know how you would. I don't think you can prescribe ketamine, but there are ketamine clinics, some places where people can go and get ketamine infusions. And Matthew Perry was going and getting that done somewhere, but then he was buying a whole bunch of it on the side. But, and so one of the doctors that was charged is the one who owned the ketamine clinic where he had gone. And so he'd gone there and gotten infusions. And I mean, this is so important because people, there are some people who really believe that ketamine can cure lots of different things. Again, I don't really know anything about it. It's not, it's way out of the scope of anything that I do. So I have no idea if those claims are legitimate or whatever. But they have designed a place in a way for people to get those infusions in a relatively safe way. So this person had this ketamine clinic so that these people can get these infusions if you really believe this medicine works, blah, blah, blah. And so, but then, then the person was like just selling Matthew Perry all these vials of ketamine. And I was like, you know, What? Like why, why would you do that? And so I was just. I'm so curious. I don't. Again, I don't know anything about this doctor, but I'm so curious if it really was just a greed thing. The prosecutor on the case was saying that it was just greed that they, that they were getting, that he was buying these vials for like $12 and selling them to Matthew Perry for $2,000 and that, you know, just wanted to make a bunch of money off of this person who had a terrible addiction problem and was desperate for this and had lots of money. And so they're kind of painting that they were taking advantage of him and which, you know, I mean, that has to be part of the whole thing. But I just also, I just don't understand, like, why you would risk everything for, for not really a life altering sum of money. It just doesn't make any sense to me.

Well, this probably wasn't an isolated case.

No, it wasn't. I mean, it went on for a while.

Well, and probably not the only person that he was giving ketamine to, I guess.

I guess so.

I mean, if he's selling $2,000 vials for, you know, I don't really know how much that is. But I mean, I don't. Like you could be making hundreds of thousands of dollars a month.

I guess. I guess. But it's just so hard for me to understand. Like, okay, I mean, I guess that's.

A lot of money justifying his actions.

But I'm just saying you're making it.

You'Re acting like that this is like a tiny, a bit like not a lot of money. When I feel like you really added up, it probably is millions that he made.

Okay. I guess I, it's just hard for me to understand why you would. I mean, you're a legitimate doctor, you have a legitimate business. Because this was not the only thing he did. I think he did. You know, he had other things as well. And so again, I don't know anything about the dude's finances, but it's just hard for me to understand how you could be making, you know, a good living and then do stuff that's just illegal and immoral and let's go to.

Breaking Bad, you know, Right.

You.

His life was good. It was fine, you know, but he just got caught up into it.

Well, he. That's. That is true. I mean, yeah, if anybody hasn't seen Breaking Bad, you should watch it. Although it's very painful to get through. But the, it starts off that he has the most wonderful reason. He wants to make enough money for his cancer treatments. And it's like, okay, we. I just need this much money so I can get this cancer treatment. And then, you know, turns to meth, as you do, and then starts making meth. But then. Right. He gets so. So caught up. But for him, it really. It wasn't really the money, because they couldn't even launder the money enough for him to even spend it and buy very much stuff. But it was all about the power. He would, like, all of a sudden felt like this powerful person. And. And maybe that's, you know, maybe that's what happens to these people. It's. And I. I do think there's that whole thing of this celebrity and kind of. This celebrity is kind of dependent on you. You're a little bit. I don't know, somehow you're enamored with the whole situation of that you were, I don't know, celebrity a lot.

I mean, I know, like, John Mulaney as well. He had that. He talked about it in his special. He went to, like, the, quote, doctor, like, psychopath who is just like. You just show up, and then he just pay him and he'd give them to him, and that was it.

Yeah, Yeah, I do remember that, too. That was like. But I guess. And I again, don't know who that doctor was or anything. I. I do feel like that the way he described it anyway, was that was somebody who's just, like, on the fringe, right? Yeah, yeah. Did not have some thriving, successful practices. Was just like a dude that. I don't know. I mean, who. Who knows? But was just like, he would go at, like, at night to his house. Wasn't he always telling him to take off his shirt or something like that?

I don't remember.

I thought there was something. He's like. For some reason, I always had to take off my shirt when I went to see him, but. So I guess I. I kind. Again, I'm not. I'm not defending anybody for any of those things, but I think there's some people that are just way on the fringe. Um, but like, this. They. They said that these two doctors, they both graduated from UCLA Medical School, which is an incredibly prestigious medical school. They had never had any complaints to the board. They didn't have any malpractice cases against them. Like, they, you know, and they seem to, like, both be having these thriving practices. And so why would you risk all of that to sell drugs to somebody? It's just. It's just Very hard for me to understand. And I guess it's probably like all those things just like you talk about in Breaking Bad. It's like a slippery slope, right? Somehow at one point he's like, okay, this guy's begging me for this ketamine, and I have this vial. I guess I could sell it to him, I don't know. But that to me is just such a hard line. Like, there is nothing that's just. That's just not something you do. You just don't see. Sell medicines in your practice that are supposed to be given in a very specific way. You don't just take those vials and go and sell them to somebody.

I don't know. Yeah, that's crazy. But I. I do think. It's not like somebody wakes up one day and decides to, like, become a terrible person, you know, and, like, do something like that.

Yeah, it's. It's. I. I think. I think it's a slippery slope. It's one thing happens one time, nothing bad happens. You know, everything kind of turns out okay. Or they. I don't know, maybe talk to other people that do similar things and somehow feel more comfortable with it, and they just don't stop to say, think, like, this is probably a bad idea. And then Matthew Perry's assistant also was arrested because he was giving him the injections. And then he, like, gave him a big injection of ketamine and then left to go run errands. And that's when Matthew Perry decided it'd be a great time to jump into the Jacuzzi. And that's. And then he died. And you're just like, oh, my God. How do you inject somebody with a bunch of lethal substance and then go, gotta go pick up the dry cleaning.

Yeah.

But again, had been going on for so long, and I guess people just get very comfortable in that space. I don't know. But dad was saying that he's like, you know, when you work for somebody like that and killing your boss, it's really. It's really bad for your career.

Yeah. Yeah, that's a bad look, for sure.

Oh, well, similar to the. The doctor in the Michael Jackson case, and he only had one patient. Michael Jackson. That's it. So when your only patient dies, that's pretty bad.

Yeah.

Wait, what.

And what happened with that? He was also just giving him pain or pills or something.

That. That's a whole nother story that was just complete. That's completely crazy. He. He was giving him basically, like, the same type of anesthesia that you give people when they have surgery. And he was getting that anesthesia every single night to sleep, because he supposedly had some terrible insomnia, and that was the only way he could sleep. So he was getting this. I mean, it's a. It's a drug that you would never, ever use at home. You would only use it like in the ICU when somebody was pretty much on a ventilator and he was just getting that. Infusions of that at home. That also. I never really heard the rest of the story. I have no idea how in the world they were buying that stuff. Somebody must have been stealing it from a hospital and selling it to him or something, because it's just not a drug that you could even get anywhere else. So, you know, the fact that they. He did this for a while, I mean, I think that doctor had him, you know, was doing it for like a year or two at least, and somebody before him was doing it. That person had very good timing to get out of the situation. Yeah, but same thing. When you only got one patient, you really got it. You got to work a little harder to keep them alive.

Yeah, seriously.

But I guess we have one bashing on. On all these doctors. Although, like, it struck me and the reason I. I read this story about Matthew Perry was because whenever I read these things and they're like, two doctors charged, I. I realize I get this immediate visceral reaction to want to defend the doctors before I even know anything about it. I'm like, okay, wait, you know, why. Why are they charging these doctors? It's just, you know, somebody famous died and people got to get punished and stuff. So I'm like, I. I gotta read about this. What happened? And then. And then I'm reading and I'm like, I'm so disappointed in you people.

Yeah.

How could you. How could you do this after. After everything you've gone through to be a doctor and how hard you've worked and how many other patients. You've probably done lots of great things for lots of. Lots of other patients. And then. And then you do this, and it's a really. Anyway, it's just.

I mean, it's hard to represent an entire, like, occupation. I don't know. And obviously, like, you hear, I, I don't know. Because the majority of doctors do good things. That's kind of the whole point. So when somebody does a bad thing, then that is like a big deal, you know?

So you're saying it's like if there were some people from the cartel or something, and Then they did something good. That would also be a story. Oh, yeah. Okay. And I wonder how all that people would feel about that person. Just like, ah, they're really misrepresenting us. They doing out there. Doing good deeds.

Exactly.

So, okay, well, that's fair. That's fair. It's like, it's an anomaly. And that is true with the news. The news is always trying to, you know, if things are usual, that's not a story. Right.

Yeah.

Well, pivoting back to you, what else do you got to say about just your. Your feelings being three weeks in?

You want me to talk about my feelings?

I want you to talk about your feelings.

I guess, like, I realize it's really one day at a time. I, like, I just have to really be like, wake up and be like, what's. Like, what am I going to try to do today? And then, you know, see what I get done and be like, okay, what is tomorrow? What am I going to try tomorrow? Like, what? Like, how much am I going to get done? And trying to look ahead more than a week is way too overwhelming.

Yeah, well, I think that's good. I think that's a very positive way to think about it. I think if you, you can really just get, yeah. Overwhelmed and start looking at all that information and that's, you know, you get there. When you get there, it's like really.

Really difficult to not kind of fall into that mindset. Like, it's literally impossible to not. I guess my point is, is when everyone around you is freaking out and you're not, then it's literally impossible to not freak out if you don't have somebody else. Because I know we've had this conversation about just being like, oh, just like, you know, do your thing. Don't look at other people. Don't freak out if other people are freaking out about certain things. But, like, it's literally impossible if you don't have at least one other person that's like, no, man. Like, it's. It's chill. Like, we're chilling. Then it's like, you can't not.

Yeah, you do get caught up in the frenzy.

For example, there was a. We had a. A skills session this week. So essentially we went in with a standardized patient and had to take their vital signs. And the purpose of the skill session was to practice for our test, which is in, I don't know, six weeks. Okay. For our test, the test is testing us on taking vital signs. So again, the purpose of this skill session was to practice and, you know, I'M it's all about. I've also realized it's all about prioritizing, right? Like, like, I'm not going to practice for the practice.

Okay.

I got a lot of other stuff that I need to do. I need to study, I need to do all this. Like, I'm not practicing for the practice. Get to school on Monday. People are talking about how they spent hours practicing for the practice and how they're so scared about the practice and so scared about this. And I was like, whoa, okay. I, I kind of felt bad for everyone because I was like, God, like, why did you waste your time doing that? I. But I didn't say so then I'm doubting myself. I'm like, should I practice for the practice? Like, I started really doubting and I. Because I literally couldn't not be in that mindset if I, if everyone else around me was being like, I'm so stressed about this practice. I'm so stressed about it. Like, all this stuff. Get to the practice. They taught us everything we needed to do.

It was a practice just as they told you it was gonna be. Wow. Okay. Do you think some of this is just like nerves? Because it's the very beginning. Like, people are just.

Yeah. And we didn't know how it was going to be. Like, we didn't know because we, it was a grade, but we just had to show up. And then they asked us like one question. But yeah, we didn't know. Like, people didn't know what it exactly was going to be like. And I think it was a lot of the fear of the unknown and then just like a lot of over prep. But I mean, that's great for, I mean, the people who prepped like now, they'll be more prepared for the test in six weeks. I guess so.

I guess. But it's, you know, in general, that's a very, I don't know, that's just very unhealthy. The amount of stress that you make your body go through, the, you know, the amount of time that you were doing that that you maybe did need to be using for other things. You just, you cannot keep up that level of stress and that intensity. It's going to. Something's going to kind of give and hopefully people will just settle in after a little bit and then realize, okay, when they tell us it's a practice, it really is a practice. They're not trying to trick us, they're not out to get us, and hopefully that stuff is going to be better. But hopefully you have found at least one or two people who maybe are good at. Are better at calming you down rather than revving you up.

Yeah, I think I'm more that people. That person for other people.

Okay.

I think people think I, like, don't do. I really think that people, like, don't think I don't do anything because I never talk about how much I'm studying. I. Oh, I like, I'm only not saying I. But like, I'm just like, I think people actually think that I don't do much and because I always talk about. Oh, yeah, like, I. This is my. Like, I'm chilling right now. Or I have to. I need to edit a podcast. That's what I talk about. But I'm like. And I saw another TikTok that was talking about like looking like the perfect bed student and how, like, you need to not care about that. And that also made me question. I was like, do I need to care about that? Because I don't care. I. People can think I'm doing nothing. Like, doesn't affect me.

Doesn't affect you at all. I mean, that's the thing is you're not actually graded by your other medical students in any way. So whatever it is that they think it matters, it has nothing, no bearing on your career. I think that those, the people that have that just kind of more calm attitude. And again, it's just more of like, it's a marathon, not a sprint. Just take it all in and do the best you can. And you know, just thinking about the people that I knew that had that philosophy did end up being the people that kind of excelled more in medical school as well. Because a lot of that other stuff, I mean, just like, I'm talking about like that stress level and stuff, those people are the ones that are going to blame out. Like, you just can't be that intense for that long. I mean, they really need to check their body battery on their Garmin watch, shout out to Garmin in case you're interested in. But. But right. Like, I mean, that's, that is why you look at some of those things, like your stress level on your watch. You don't have to look at it on your watch. But you know, sometimes when you look at those things and if you are super stressed all day long, you do wear out and bottom out. And then you think about, if you do that to your body day after day, week after week, it's just not going to be good for you.

That's why I'm just, I don't. I'M showing up every day. I'm trying my hardest. That's all I can do. And I'm cutting it off at a.

Reasonable hour and then getting sleep and.

Sleeping and then waking up the next day and trying again. And just like, that's all I can do.

Thanks, guys, for listening.

You can find us on Instagram @Generations MD and Tik Tok Generations MD. And we will talk to you next week. Bye, guys.

Bye.