OUR WORST GUEST!!
7 Mar 2024 · 25 min
Heather Bartos, Stephanie, Dr. Davis, and Alexa discuss the podcast's origins and tackle medical questions including aphasia, dementia, and vitamin supplementation. They use a segment called Phone a Friend to address listener medical questions in their typical informal style.
No favorite guest over another. Yeah, hard to say.
This might be my least favorite guest, so. Hi, everybody, and welcome to the podcast. This is Generations md. I'm here with both my mother and my father today. Yay, all the Dr. Davis is in the house. Apparently, this Dr. Davis is too busy to be here, so he decided to just stop by for a quick little quick.
A quick teaser?
Yeah, I guess.
Quick hint. Well, to be clear to your audience, the reason I was asked to come here today is because you didn't have anyone better to come. And you decided, after denying me the ability to come on your podcast for quite some time, and once you ran out of things to talk about and people to speak with, you decided, well, we'll dig somebody up off the street. And you invited me.
That's not quite how.
That's how I would. That's not how I would tell the story.
Okay. How would you tell it?
This was a convenient time for you to come on the podcast.
Okay.
Due to our lack of information and guests that we have available to us.
Got you. So the caveat. And then how would you tell the story?
Well, to be fair, we had lots of other guests that we have lined up. It's just that this date is spring break for a lot of people, and so there were a lot of people that were out of town. So luckily, you had some availability in your schedule. And so we decided, you know, this would be a nice time to have you here. I'm not naming names.
No, we are so happy to have you. The audience has been begging for you to come on. They have been like, well, we've seen one Dr. Davis, but we want to.
See the other Dr. Davis so bad.
Yeah, I mean, I've been listening to the pod. I'm a huge fan.
You're a huge fan. Okay.
Yeah, yeah, yeah.
So it's been really interesting. So a question for you, though. After listening to the pod, what was the inspiration for you kind of starting this whole thing?
So you're interviewing us? Turning around.
I have talked about this before. I always listen to podcasts. I always listen to interviews. I like hearing people's stories, and I like hearing where people come from and their trajectory of their life. And I also like yapping, I like talking. So I have always wanted to do it. And then I thought that this was a good opportunity to do so. Something that makes what I'm interested in and what I like to do well.
Also, she was begging lots of her friends to start a podcast with her, and nobody wanted to do it, but her Mother would do it.
And I thought this was a good niche.
So you just liked like the podcast and then. So in terms of the topic, the topics that are being discussed, I mean, why did you decide to move in the direction that you've done in terms of Generations md?
Because I told you, as I said before, I like hearing people's stories and I like talking to people and hear how they got to the point of where they are.
So what do you think overall? Are there any particular podcasts that you really like to listen to as there a group of five or 10 or 15 podcasts. What are some of the podcasts you listen to?
Armchair Expert. There's a lot of podcasts that I listen to.
Well, what else? We got time.
Why does it.
I'm just curious.
We have questions. Yeah.
You know, and we can get to those. I'm just. I'm just curious. I mean, you know, apparently we're on.
A time crunch, so we are.
But, you know, so in terms of.
This podcast, why are you taking this over?
In terms of this podcast, this is.
Why we haven't invited you on the podcast.
Well, I just have questions about the pot.
Okay, okay, okay.
What has been your favorite episode so far?
I've enjoyed all of them. I mean, I really enjoy talking to all these different doctors. I really like hearing their stories. I like hearing, you know, I've learned so much about people that I've known for a long time because I've never sat down and talked to them for an hour about their journey and their family and all of that. And so I've just, I've enjoyed talking to everybody. Yeah, I don't know. There's not. There's really not one that I think is like better than others.
Even number one, when you got ambushed.
Oh, yeah, that was my. That's the bottom one.
So how about you? What, Stephanie, what has been your favorite?
Yeah, I like talking to everybody again. I just like people's stories, even in day to day life. Like it doesn't even have to be doctor or somebody like who has been really successful. I just like hearing people's stories and how they got to where they are and what they've learned and how they've shifted as a person throughout their lives.
No favorite guest over another. Yeah, hard to say this might be.
My least favorite guest.
So, you know, obviously moving on from this current role that you've got as office manager and recruiting coordinator, where do you see this podcast going?
This has been following me in my pre med journey and kind of my application Process. And I kind of want to see. Set that aside and move forward and go in when I start medical school, really talking to other med students and getting into more of the medical education rather than this pre med thing. Cause I.
You're sick of it.
I'm sick of it.
Yeah, of course.
Yeah.
Yeah.
I mean, I think that kind of makes sense as you're going through your journey, like the listeners are following you through that journey, and then we can see. Okay. What are things like, as med student. Hopefully it just doesn't go radio silence. Cause you're too busy.
No, I can find time.
Okay, that's good.
Maybe. Yeah. You know you've got to have hobbies, right? Everyone's got hobbies. I had hobbies in med school. You had hobbies in med school.
Home beer brewing.
Home beer brewing. Everyone got lots of questions on the residency interviews. And how many times did you actually be brew beer before you?
We did it multiple times. More than once, I think.
Okay, well, that's maybe twice. You only need to do something once to call it home brewing.
Yeah. You can put it on your resume after you've done something once.
Right. As long as you anticipate doing it again.
Well, good.
Well, listen, I've got to get going, but this has been fantastic and we'll see you next week.
Okay, thanks for coming in. Bye. What the heck was that?
I feel like we were bombarded.
Yeah, that was super weird.
Yeah. What the heck? Yeah, he just came in here, just.
Asked us a bunch of questions, took.
Over the podcast, and then just left.
And then took off before we could have a chance to. I had questions that I wanted to ask him. I wanted to have him tell us about his path because it is somewhat interesting. He also acted like he was like, you know, like, interviewing you for a job.
Yeah. Has a lot of roles that we thought we were gonna talk about.
Yeah. He's built up this practice and he knows a lot about the financial aspects of medicine, which is interesting. I kinda wanted to hear him say, like, when he interviews doctors or when doctors join the group, there's a lot that they don't know about how businesses work. And I kind of wanted him to tell us, like, what, you know, what financial things do you think doctors need to know? What books would you recommend? That type of stuff? That's. That's what I wanted to know. Well, should we just try to move on to some other subjects?
Yeah, I have something. Okay, well, have you seen Wendy Williams?
Okay, I saw something about that. Just a little blurb about it.
But essentially. So Wendy Williams, you know, for her from, like, the show and stuff.
Yeah. Like, she's had a talk show for a while.
She had a talk show, and then she kind of disappeared. She kind of got canceled, I think, like, and then she kind of disappeared for a while. And then they started filming this documentary, and she signed this waiver for her, for them to follow her along on this documentary. And it was going to be like, her comeback. Like, oh, she was going to start the Wendy Williams show again. She was going to start recording and doing all that. And then throughout this process, she started developing signs of dementia. And. And it's just got worse and worse. And they kept filming and they released this documentary on, like, last week. And it's, like, quite disturbing. Like, she doesn't know. Like, she's very. She's. Her stage of dementia is, like, very severe. Like, some of our patients that come in and they just, you know, it's the same conversation over and over. They aired stuff about her just, like, being super mean to people.
Yeah. Emotional ability. Like that. Yeah.
And she also has aphasia. So can you explain what aphasia is? Because I've learned about this before, but I'm kind of. I don't remember well.
So it can happen from different ways. Basically, the definition is the inability to speak. But you can have people that have had a stroke, and they'll have aphasia from the stroke, but they can understand everything and they can actually write and make perfect sense, but they can't speak. Cause that little part of the brain that is responsible for speech has been knocked out.
So they can't make full sentences.
Yeah. Sometimes they can't speak at all. But, in fact, just sidebar. We had a guy one time come into the hospital who had aphasia.
Brock's area or Wernick's area. One of the two.
I thought it was Broca's.
One is listening and one is.
Yeah, one is speaking, I think, in Broca and Wernicke's.
Yeah.
But this guy came in and we were asking him questions, and he just kept, like, shaking his head and kind of, like, making these sort of gestures. And we're like, well, he is just really confused. Like, I think he has, like, you know, delirium, which basically just means, like, you know, confusion. And so we were running some tests on things, and then, you know, then once, like, our attending came in and, you know, figured out how to, like, ask him things the right way. We figured out that he had had a stroke in that one area. And he could write perfectly well. And he was not confused at all. He just couldn't speak. So it was one of those great things. We're just like, okay, we felt kind of like, we felt kind of dumb that we had completely missed what was. What was going on with them. But luckily there was somebody there who knew more. But anyway, so, yeah, so aphasia, but hers probably because she's just has multiple parts of her brain not working. And so.
Okay, but like, medical ethics. She signed off on this documentary and then like now she's incoherent. And I think now it's like, technically can't sign off on things anymore.
Right.
But if she already signed off on this, how does. How can you do that?
Well, that seems ridiculous because things have changed. I mean, somebody else should be helping, helping make those decisions for her. I mean, it sounds like the family.
Just wanted a check from it.
I mean, that's really. God, that's just so horrifying because I think about kind of what I say is like, if I really have terrible dementia, I don't really want to be around, but I also don't want to be paraded around where people are going to see me and that's what they're going to remember.
And imagine that. Yeah, you being filmed like that and then that being shown all over and.
That'S, you know, and that's like, what. And for a lot of people who really didn't even watch her talk show or anything, like, this is what they're gonna remember about her. Like, her at her very worst. I think that's. Oh, I just think that's. That's just tragic.
Mm. Okay, in this segment, we're just gonna call people and ask for their medical questions.
This is a new segment called Phone a Friend.
Phone a Friend.
You're live on the podcast.
I feel honored.
We're doing a segment called Phone a Friend and see any questions that you have.
Questions about life or about.
It could be whatever.
Everyone for. Okay, this is my friend Alexa. She lives in New York and she texts me with lots of medical questions even though I'm not a doctor. So, okay, so what's your question that you have?
I decided I want to be a vitamin girly. So I just ordered a bunch of vitamins, but my friend told me that some of them, like, you need other vitamins to make them work. So I was just curious what Dr. Davis recommends for vitamins for a 22 year old. What?
Okay, this is a broad question, but okay, give your. Give your two cents.
I Got like, calcium, iron, like omega, like fish oil, magnesium. I know you guys already talked about that one. Oh, good.
You're listening to the podcast.
But there's like, a few other ones. But my friend was like, some of them interact, so you're not supposed to. Or, like, you need one if you, like, take another one. That sort of thing.
Not that much. I mean, and that's actually reasonable. I'm not, in general, a huge fan of vitamins. I like for people to eat a balanced diet and get those things in their food. But it is reasonable, you know, especially because, you know, sometimes those things can be, you know, it can be hard to make sure you're getting especially, like, enough calcium and enough iron when you're your age. So I think that. I think that doing both those things is just fine. It's not harmful. You know, who knows if you actually really need it? But it doesn't hurt to do those. The omegas are probably good to get as well. The fish oil, there's been. I don't know, I read stuff about that all the time. Everybody was big on it for a while, and now there's some stuff that's like, okay, maybe it's not so great, but I've never seen anything that says that it's bad, so. So I think that's just fine. Yeah, we already talked about magnesium. Was there anything else that was in there?
What else am I taking? Vitamin D. I got.
Okay. Vitamin D is good, too. It's hard to get enough vitamin D. And there's some evidence that says it is better to get vitamin D from your food than from taking a supplement. But even having said that, it's just hard to get enough vitamin D from your diet. And even you get some of it from sunlight, but of course, we all wear sunscreen, so taking some extra vitamin D is just fine as well. It's just fine. I don't know. What are you hoping to gain from taking these things?
I don't really know. I figured it wouldn't hurt. And I can't say I have the best habits around food and sleep and all of that. So I was like, I can at least do one thing. I can at least take vitamins in the morning if I'm not getting eight hours of sleep on the weekends. Stuff like that. It could, like, maybe not balance out.
The bat, but, you know, chemdas balance it out.
Like low used to always be like pemdas.
Yeah, exactly.
Yeah. But, yeah, I mean, and that's. I think it's, you know, I don't like people to just say, oh, okay, well, I'll just take these vitamins. Therefore I don't have to get rest and eat. You know, I can drink a bunch of booze or all of these different things, but at the same time, it's important to be realistic. Like, okay, this is my life, this is the way I do things. So, you know, taking a few vitamins to make sure that at least I'm getting that is not a bad idea. But I don't think, I don't know of any reason you don't have to take certain combinations of things. You don't have to add. You know, it's not like you have to take something with the vitamin D in order for it to work. You know, some things, like if you're eating things, if you're eating iron, like vitamin C does help iron get absorbed a little bit better, but it doesn't mean. But you don't have to take those things together. It's just, you know, you can still take an iron. That's just, that's just fine. Some of those things you can get too much of, though, so you just don't want to make. You want to make sure you're not getting too much iron. You can get too much vitamin D as well. So you want to watch those things. And those are things that can be checked on a blood test. So are you having any regular medical appointments?
No.
SHE LAUGHS she just text me. Okay. Stephanie, who hasn't even started medical school yet, is not. Cannot be your primary care physician. That's.
But yeah, there's actually a few of those clinics around here that are like the holistic wellness clinics where they'll do like a hormone, like a blood panel and do like your hormones and iron and all of that stuff, then they're.
Just gonna try to sell you on a bunch of stuff.
Yeah, I was like, I don't know like, how much of this, this is a scam. And also some of the articles I read about, like, vitamins, you're like, you should take these ones too, blah, blah, blah. And I was like, okay, now I just feel like I'm getting scammed into buying like $100 worth of vitamins.
And that is definitely the case lots of places. I would be really careful of those clinics who say, oh, yeah, we're gonna check all this stuff. I mean, if you're, you know, a 22 year old healthy person, you don't need to have your hormone levels checked, you know. Now if you're having some issue, then you need to go, but you need to go to a real doctor and get that and get that checked out. But you don't need to go somewhere to somebody and say, well, I'm not having any problems, but check my hormones. And then they're like, oh, yeah, this is way off. You need to take this, you need to take that, and that. That makes me crazy because I'm like, there was nothing wrong with this person and you just created something wrong with them. So, you know, avoid that type of thing because they, they do, they come out, they sell you a lot of expensive blood work, which, by the way, does not normally have to cost that much. You can do it at your regular doctor's office for much less. They also do these blood tests sometimes where they'll say, oh, we're checking your level of this or that. Like, if you remember when I was talking about magnesium, yes, we can check your serum magnesium, but it's still not perfectly adequate of what your supplies of magnesium are, because so much of your magnesium is in your tissues. And that's the same with some of these other vitamins. They're stored in your tissues and so how much extra actually is in your bloodstream. The blood test isn't accurate for telling you what those vitamin levels are. And you can say the same thing about calcium. So calcium, your blood levels of calcium, unless you have something really, really abnormal, your blood levels of calcium are going to be fine. But that still doesn't necessarily mean that you're getting enough calcium because your body is going to take. Take calcium out of your bones if it doesn't have enough calcium in the bloodstream. So the thing is, you have to know a lot more about this rather than just kind of like doing a panel of blood tests from somebody who wants to sell you some vitamins and tell you, like, this thing is off or that thing is off and you need to take this or you have too much of that. So I would really, I would avoid those things.
Actually, a question about, like, you're talking about calcium. I've been seeing on TikTok, like my only source of news right now, that some people were saying because all of us switched to alternative milks and, like, dairy sources, that people are having issues with that and also, like, issues with, like, I guess, like, they're saying colon cancer is more prevalent in, like, people in their 20s now. And that might be a reason, which obviously I don't know how supported by, like, any evidence that is. But I was just curious if you think that that's something that could be happening.
Yeah. I have seen stuff about colon cancer and there does seem to be some things changing in colon cancer. In fact, they even have lowered the age at which they recommend screening colonoscopies now. Now it's at 45. It used to be 50, but you know, as far as the reasons for that, people can spot speculate a whole lot. But I don't know that anybody really knows what that is. But it is a little bit concerning that maybe people aren't going to get enough calcium. Now you can get calcium from other foods as well, but it is something to pay attention to, especially because that's the type of thing that the reason we worry about calcium is because when you get older, you can get osteoporosis. And it isn't important to have that.
Young because that's when you're building your bones.
Right? That's when you're building your bones and doing that weight bearing exercise kind of all throughout your life. But yes, you've got to have enough calcium to be getting that into your bones so that later on a little bit can come out and you'll still have enough. But as far as those alternate milks. Yeah, I guess I hadn't really looked carefully. Do those not have any? Are they fortified with calcium?
Sometimes or maybe not sure.
Yeah. I mean, I don't know anyone that still drinks just like straight up regular milk. Everyone's doing like, my roommate has pistachio milk in her.
Wow, I didn't even know that was a thing.
But yeah, we're all in the alternative milk wave right now.
It's coming back a little bit. Regular milk. Yeah.
But it's funny, like, I would say more. More than half my friends all have dairy intolerances and like randomly gluten intolerances, which, I mean, it. I feel like before I didn't know that many people. Like, it was like every once in a while there would be someone with like a dairy intolerance. But it almost seems like we're giving ourselves dairy intolerances from not, not, you know, drinking milk and not eating stuff with dairy in it. And then like you end up with an intolerance.
Well, and that could be as well. Although a lot of times people, like adults didn't always drink milk, kids drank milk, and then people kind of got older and stopped drinking milk. Although a lot of times people would still have cheese and yogurt and some of those things. If somebody's avoiding all of that stuff, that does seem pretty easy to start getting to in calcium now. Okay. But as we're talking about all this and talking about those different clinics that want to check all of these things, the other thing that those places like to do is like to give IV infusions of vitamins. And I just want to caution against doing that as well. That is, like, it's just the most worthless thing because. Because you get this infusion of stuff, but it goes into your bloodstream, it gets filtered out, and you just pee it right out. And so it's just some very expensive urine that you make from those. And I understand sometimes people are a little bit confused about this because they think, well, you know, you give IVs in the hospital, so those must be a really good thing to do. No, the reason we give IVs in the hospital is because. Because the person's GI tract is not working because they're ill and they can't eat for some reason. That's why we give them an iv. And in fact, as people start to get better in the hospital, one of the very first things we're going to do is stop their iv, and we want them to be eating. As soon as people can eat. You want to eat. Your gut is the very best, best place to get nutrition. So you never want to bypass a working gut unless you. You never want to bypass a working gut. So if you ever see people saying, like, oh, yeah, you know, let's just get an iv and, you know, I'll get all these vitamins, and I'll feel a whole burst. That is a complete placebo effect.
Have you ever had an IV because you're hungover?
Me?
Yeah.
No.
Okay, got it.
But you see people do that, right?
And, like, I'm sure people here definitely do that. Yeah, People at the festivals I go to, they have IV booths where you can go and just, like, hook up. I'm kind of sketched out by, like, I. I don't know how. Obviously they're using clean needles. But it's still. I'm like, if I'm not doing it at a doctor's office, I don't really want someone sticking needles in my arm. Yeah, but people do it, for sure. There's a bunch of places around here.
Well, thanks for. Thanks for the content. Thanks for hopping on the pod.
We appreciate it.
Appreciate it.
All right, bye.
All right, whatever. Well, thanks for listening, guys. Follow us on Tik tok@Generations MD. Follow us on Instagram at Park Cities, Personal physicians. And next time will be better.
Next time will be much better.
Bye.
