Which Generation is Morally Superior??

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's also my mother.

Hello. Hi.

Yeah, my background is boring. I'm at school right now, and really awkward if somebody like walks into this room or someone's hearing. There's two classes happening on either side of me of first-year students. Um, so if— yeah, they won't come in.

You're just in there. Uh, looks like you're just in there talking to yourself.

Yeah, yeah.

So, but you are deep in the studying for Step 1.

Yeah, that's why I'm like, I don't really have much to contribute. I feel like I don't have a lot of content to post right now. I'm just in my grind season.

Yeah, well, it's not, uh, it's not that long. Later this spring it'll be done and you'll be on your way to the next thing.

Yeah, yeah, I am kind of busy though, popping all around. I need to— this can't take too long because I have to go DJ at 11:30 AM here.

DJ? Okay, yeah, how does that fit into the step studying?

Well, it's for a school event, so you know, morale.

Okay, okay, that's good. Get everybody literally pumped up.

Literally, yeah. So So, okay, that's good.

Um, well, I have a couple of things to discuss, um, things in the news such as Catherine O'Hara passed away recently. Um, kind of sad, she was only 71. Uh, do you know who that actress is?

Am I supposed to know who that is?

Well, you would if you ever watched Schitt's Creek.

Oh, okay.

She's the mom on there. And she's just so funny. Like, I— that whole show is very, very funny. But yeah, all the characters are just like, perfect. But she— I mean, I just thought she's like such a, such a funny character on there. She's done like a zillion other things too. But from a medical perspective, do you know? Well, you didn't know who she is. So she probably don't know what this diagnosis that she had was. And this, this was, this was benign. This had nothing to do with—

let me give me her symptoms. Let me try to guess.

Well, she didn't really have any symptoms. Oh, of this, of this, this thing, the interesting part of this, like, condition that she had. I guess here's— let's see. Okay, you're, you're examining her heart. And you put the stethoscope right on the left side of her chest. And her heart sounds very distant. But if you move it over to the other side of her chest, you can hear it much better. Oh, um, uh, the—

oh my goodness, now I can't think of the thing.

Um, oh, this is how I feel when I'm doing those onkis. No, I know.

Now I'm like, wait, wait, the thing where all your organs are on the opposite side of the body. Correct. Which is like, give me what it's— what does it start with?

Situs.

Situs inversa. Situs inversus. Invertus.

Situs inversus. Yes.

There's another— it's something syndrome too, right? Isn't there another name?

There is some other syndrome that is affiliated, that's associated with that. Oh, there's— 50% of those people have primary ciliary dyskinesia or Kartinger syndrome.

Yeah, primary ciliary dyskinesia. Yeah, that's the thing. That's, again, since I'm studying for Step 1, I only know the association. So, okay, heart on the wrong side of the body, then there's a ciliary dysfunction. The— if there's a ciliary dysfunction, if the patient's like a male, then their sperm isn't able to travel, so then they're infertile.

Oh yeah. Yeah.

So that's like a buzzword. Bam, bam, bam, bam, bam.

Yeah.

Or like they have recurrent, like, respiratory infections because of the ciliary dysfunction. But yeah, that's all I really know about it.

Okay, well, that's plenty. And I don't think that she— there's— well, I mean, I'm not her doctor. You know, we don't really know. But she— they say that she just found this by accident when she was an adult. Like haven't sat like at a routine exam, which is honestly kind of hilarious because if I were her pediatrician, I would feel pretty bad.

Yeah, seriously. Like you were listening to her heart?

Like all of those exams her whole entire life, like nobody noticed. Nobody's like, I mean, I know we don't always do a good job, like, you know, trying to feel the liver or any of those things, but like, but especially the heart exam. I'm like, somebody should have picked up on that. Yeah.

Well, backing up to the pathophysiology of situs inversus. Situs invertus?

Situs invertus. Situs invertus. Yeah. Okay.

I think that, I don't know if this is for every single one, but correct me if I'm wrong, but I think it's that like during development, a part of the developmental pattern is you develop ciliary function that like sweeps your organs to the right direction. This is a very broad explanation, but something to do with signaling patterns. And if that's not there, then, um, then your organs are on opposite sides.

Hmm, that sounds like some sort of sketchy type thing, like, like your sketchy stuff. Like, you know, the way you remember this is somebody is sweeping and—

No, but like, it, it's something to do with a, with a sweeping or something.

Um, okay. Yeah, I have no idea. I don't really remember You know, they say the incidence is 1 in 10,000, which is not like that, that rare. You know, you figure like, okay, you know, I've examined more than 10,000 patients in my life. Maybe I've missed situs invertus.

Well, I guess you could probably hear the heart like on that side, but it would just be really hard to hear, right? I don't know.

Yeah. Yeah. I mean, it should be. It's just.

The, um, I do have multi— a lot of practice questions on that. Like, this is a, this is a classic Step 1 thing, right?

Right, it is. And, um, they loved talking about this when I did a radiology elective. This was one of their favorite things. They put up a chest X-ray, and they put it up so that it looks the way a chest X-ray always looks. Um, you know, you always put up X-rays so it looks like the patient is facing you. So you're talking about the X-ray and blah, blah, blah. And then, and you know, you're kind of going through the whole thing. And then at some point, somebody would say, well, why is the left-right thing that's marked on the X-ray? Why is that backwards on this film? And, you know, at first you're just like, oh, well, somebody just mismarked this, you know, something went wrong with there. But then no, the answer was situs invertus, and everybody would get all excited about it. So that's like, Yeah, definitely. And then people talk about Cysenvers, just like you were like throwing out all that stuff. And I was like, I don't know. I don't really, I don't remember that being like something that we talked about all the time, but yeah, it's because so you, there's some sort of genetic dysfunction in related to cilia.

So then you have decreased ciliary movement in the embryo. So then expression of the nodal gene. Is on the right when it's supposed to be on the left. So there's not— so the gene for signaling expression is on the wrong side. So then that's why you have the flip.

Okay. It's interesting. I just looked it up.

It's an interesting concept. But yeah, I mean, a lot of those things, like there's stuff like this and just other genetic dysfunctions that It's easy to make test questions on because you can study the pathophysiology and it's straightforward, I guess, kind of.

Yeah. Yeah.

And you can test different stuff with it, but then it's just like, oh, situs inversus again.

Right, right. It's just, it's a, there's a disproportionate number of questions on it for how often you're gonna see, but I get it. It's part of like, you know, it can help you understand the regular physiology by understanding, you know, the pathology. So, you know, I think that's, That's fine. But I swear, like, that's the first time I've seen, like, some famous person or something. And, you know, they kind of just mentioned that. And I was like, oh, situs invertus.

Wait, was the death related to situs invertus?

I don't think so. And from what I can tell, it looks like she died of a PE, a pulmonary embolus, and that she had a newly diagnosed cancer. And so she was hypercoagulable from the cancer, and that's why she got a pulmonary embolus. Again, you know, you don't really know when you're— people are all speculating about somebody else's health, so I always feel a little bit, you know, it's, it seems kind of not, not any of my business to get too into it. But, um, but I don't, you know, I think that was unrelated to her, her, to her situs invertus.

You know, another thing that, I mean, we get questions on, you know, all types of genetic disorders that are disproportionate to, you know, what we're seeing. You know, lots of crazy stuff. But one thing that it's just was— I mean, our whole endocrine section and repo section was about different, um, disorders of sex development and like just, you know, somebody being XY genotypically and then presenting as female or kind of vice versa, and just talking about like ambiguous genitalia and other stuff. And I'm like, so many questions. Again, something that's easy to test on for talking about just like embryogenesis of becoming a female or male. But how often are you seeing that?

Yeah, that's a good question.

No, I'm asking you.

Oh, me? No, I mean Now, you know, yeah, I— it's not something that I have seen. It's sometimes you do think about it and, you know, and you kind of want to look for different things. But no, those things are— they're pretty uncommon.

Have you ever ordered a karyotype?

I have. Okay. One time I was interested to see if somebody had Klinefelter syndrome. And he did not. It was honestly, though, one of those things where I was like, those are tests that you have to like really think about. You're like, okay, I'm interested. I want to know this thing. Do I really need to know this? Is it going to make a big difference or is it going to be just really confusing to him and to everybody knowing that he has this thing? And I really— I thought about it a lot before I ordered it. And then And then I did order it and he didn't have it.

Yeah, because with that, with Klinefelter, then you could be like, okay, well then they have some hormone imbalances. But if they're not— if they— if you check the hormone levels and they're not having that, then it's like, okay. But something like, okay, if you're concerned about them having Turner syndrome, then there's a lot of other things that come with that. But yeah, that would make—

that would make a lot more sense. Um, But yeah, sometimes you can get really, you know, you just get curious about things along the— I mean, this is separate from all of those, you know, hormonal type stuff. But like, there was one patient where he gave me this history of his family, and it made me think, I wonder if he has Huntington's disease in his family. And Huntington's disease is a terrible disease and comes on. There's not any cure for it. It's autosomal dominant genetic—

trinucleotide repeat disorder, which means that it has anticipation effects. So it gets worse with every generation.

Oh, does Huntington's disease do that?

Yes, definitely. Your dad had it and it might have been, you know, not as bad, then the next generation who has it, it's going to be worse, and so on and so forth. Yeah, yeah, yeah. It'll present earlier and stuff. Oh, anticipation. Yeah.

Well, it— and, you know, when I— and I— the thing, it popped into my head, I thought, huh, I wonder, I wonder if that's what happened to his dad. Um, and, you know, and I thought about like talking to him about it. But same thing, I really just like, I mean, that is a, you know, that's a big deal. I mean, people have to really, really have a lot of genetic counseling to make the decision if they want to get that test done. And like, I wouldn't even— in his case, I, I decided it really wasn't, wasn't all that likely. And, you know, we didn't end up doing the test or anything, but It's a, it's a type of thing where like you really need to see a genetic counselor. You need to really go through the whole thing before you order that test because once those results come back and, you know, the genie's out of the bottle. Mm-hmm. Yeah.

Yeah. But wouldn't you want to know? I don't—

you know, they, they ask people that. I've listened to a whole podcast about this at one point and You know, about half the people want to know and half the people don't want to know.

Um, I guess it depend— like, if I am at the age I'm at now, then I wouldn't have kids.

Yeah, right.

But I mean, if I already— but yeah, I feel like it's important in regards to— because even if I did have kids, then I would want to tell my kids to not have kids, or to get, you know, I don't know.

I know. So, yeah, so that's the same. Sometimes you're just like, okay, do I find out if I have it? Because, you know, if the parent doesn't have it, then the kids don't have to worry about it. I mean, assuming these kids are already born and all of that. Um, but those things are very—

they're very complex ethical dilemmas. Yeah, very common in the medical field.

Very common. Very, very common in the interviews for the medical field.

You know We still have ethics questions for Step 1, like for our practice test. There's all these questions that are like, give you some scenario and then say, as the doctor, what would you say? And it has stuff in quotes. And after we take, 'cause we'll take practice tests altogether, um, my whole class will, and after the test we'll kind of talk about some questions and we, everyone always puts something different for those answers.

Oh really?

And we always get them wrong. And it's funny. Me, like one of my good friends, there's this one question, um, that was like this patient essentially started flirting with the doctor and all of the answer choices were like, oh, um, I, this isn't a professional relationship. Or, um, in the question it also alluded to that the doctor was attracted to the patient too.

Oh God. Yeah.

So then I don't know, there was various, answer choices, and one of the answer choices was like sending— saying, oh, let's just terminate this professional relationship because we're in love.

And that is not the right answer. I'm gonna just—

one of my friends put that because she was like, but they're in love, like they just need to—

they—

if they just stop being doctor-patient, then they can just— they can be in love, they're meant to be.

Wow, what a very romantic attitude.

I'm just gonna call her out, it was Alexa. And I was like, Alexa, like This isn't a rom-com. This is step one.

Yeah, that is never going to be the right answer. But if this were on TV, that probably would be the right answer. Mm-hmm. They were meant for each other.

Yeah. Yeah.

Yeah. And all those things, I wonder what ended up— what was the right answer?

Don't know. Can't look.

No way.

That's like, because sometimes they are pretty ambiguous, but I always— the one that I initially put is never the right one. The one that I'm like, yeah, that makes sense, like I would say that, it's not right. So I'm always— I always have to think twice because I'm like, no, no.

So you're saying your gut reaction in ethical situations is always wrong? Well Let's not put that on my ERAS application, but yeah, but then you can really, you can keep second-guessing yourself and like go through and then be like, oh, well, should I do that? Should I do that? And pretty soon you're just like, I don't even know.

Well, that's the thing is let me, oh, ethics question, easy peasy lemon squeeze. Let's just like skim through it, look at the answers. And I just don't really, I, I'm not really like trying as much as the other ones. So then I'll just pick an answer and then they're like, why would you say that? That's so wrong.

Yeah, I would like to, yeah, someday we should go through a bunch of those questions. And I, I feel like, um, actually that would be kind of funny to just ask a bunch of practicing physicians some of these questions. And I bet most of us will get them wrong most of the time.

Well, because I guess the one that I initially go is something to solve the problem. That's like, okay, this is acknowledging this is the problem, let's fix it. And the answer's always trying to, is an open-ended question to try to like get more information is normally the right answer.

Hmm, okay, okay, interesting. Yeah, I remember when I missed one of those UWorld questions when it was asking about alcohol, you know, alcohol stuff with a patient, and I don't know what the right answer ended up being, but I was like, I was definitely more like, okay, well, you know, let's, Let's talk about it, or talk about it later, or whatever it is. So I don't know, I would like to— I'd like to look back at those and say, like, okay, what is the right answer and how realistic is that?

Yeah, speaking of ethics, I've talked about this on my TikTok before, but I don't know if I've ever talked about it on the podcast. Ethical questions are a big part of medical school interviews, and they have these things called MMIs. Uh, so a lot of schools will have the whole interview was just asking you ethical questions and asking you how would you would handle situations. And some medical school interviews, it's even an in-person, like, acting scenario where you have to act like you are a doctor counseling a patient or whatever. So my first ever medical school interview, it was in person. It was the first question that I got. We're standing in a— it was a, I guess it was a simulation lab with a bunch of different patient rooms, and you had a timer, and every— it was like 10 students all lined out outside of different rooms, and you had a prompt on the wall, and they would say go, and you would read the prompt, and then you would walk in the room, do 10 minutes of the scenario of the acting, and then walk out. So I—

it's just so funny. Sorry to interrupt, but like, is— are we interviewing to be actors? Yeah, I know. It was like, okay, the audition. Well, let's just call it the audition.

The audition.

The Improv.

You have to improv. So the first question that I got on my very first medical school interview, you know, I'm so nervous, was— it was— the scenario was this is a parent of a child who has just passed away, and you were on their care team, and you need to walk in and tell the patient that their child has just passed away. Like, do it.

That seems totally appropriate for a pre-med.

Pre-med, never, you know, this is before I start medical school. So I had to walk in and handle the situation, and I think I did a good job, but it was just like, oh my goodness, I don't— how am I supposed to innately know how to do that, right?

That seems like a learned skill. Um, and who, like, so was it one of the, like, was it another student who's playing the role of the Parent? Who's playing the other role?

Sometimes it's a standardized patient.

So, so it's like an actual actor?

Yes, sometimes it is. Yeah, sometimes it is. And sometimes it's just an administrator who is just kind of half acting.

Okay.

But sometimes it was a full standardized patient who would start crying and just— I mean, they're good, they're actors.

Did you ever see that Seinfeld episode about them, about Kramer being a standardized patient? No. It's so funny. You and your friend should watch it. He like, he gets really into it. And then his other friend Mickey is doing it as well. And they're fighting over getting these diagnoses. And he gets gonorrhea. And he's really happy. And he ends up like smoking a cigarette and saying yes. And then I ended up with And they're like, gonorrhea. It's, uh, anyway, it's really, it's very, it's very funny. But they, yeah, but again, they get really into the whole acting of, of these patients. But, um, yeah, I don't know. I don't know how med school started doing that for interviewing for med school.

Like, they're just trying to weed people out, I guess. Got to their last resort. They're just, they're just having fun with it, honestly, I think.

Yeah, they're like, these people are all the same, we're just gonna like randomly pick somebody anyway, we might as well have some fun with them.

Yeah, put them through torture.

Oh yeah, that is— I don't know. Well, yeah, and then I mean, like we talked about with Lily, um, you know, these things of like building stuff with, I don't know, with Legos or whatever, dominoes, like what? That just—

oh yeah, I had to do that too. I used to build a, uh, I had to do a thing where I couldn't see the other— it was me and a random partner, and there was a wall in between us, or like a cardboard thing, and I had to explain to them how to build something out of Legos just verbally without being able to see what pieces they had or any of that. My other person was terrible.

And I hope you didn't say that.

No, no, but I mean, I was about at my last straw. I already— I had traveled all the way to this interview. I didn't even get to talk to any of the admissions people. They tell me I have to tell someone how to build a bow out of Legos, and then my person was just getting really confused on what they were doing.

Maybe that person was an actor too.

Honestly, could have been, could have been. He was on my off day. Yeah, really just, it was quite an exercise of patience.

Okay, well maybe that's what they were trying to get at.

They were, and I failed.

Or maybe you passed.

Don't know, but I'm not there.

So yeah, well, doctors aren't really known for being like the most patient people in the world anyway. So I don't know, that seems a little bit— it just seems kind of far-fetched that that's what they're trying to look for. I, I realize, you know how you have these different biases in medicine? I mean, we all know we have different biases. And I realized I kind of had this bias for new information when it came to HDL cholesterol. And I'll explain that. So, so you have your regular cholesterol. We have the quote unquote bad cholesterol, which is the LDL, and we are always trying to get that number to be low. And we use statins to try to get that number down. But then there's the HDL cholesterol, which we always called the good cholesterol. And I always told people, you want that number to be as high as possible, that that adds protection. If your, if your HDL is low, then that's an independent risk factor for coronary artery disease. Well, I happen to have very high HDL. I have always been very happy and proud of that fact. It's actually mostly genetic, having high HDL, but exercise can raise your HDL a little bit as well. Although I will say my HDL was high way back in med school, and I really didn't exercise much at all. So I can't, I can't totally say that's it, but I've always been like, "Oh yeah, you know, my LDL is, is, you know, it's okay. It's not high, but my HDL is so good that I'm just like immune from coronary disease." Well, then I started seeing these different studies and things kind of popping up that said that, "Huh, having a really high HDL might not be that great." And I was like, that can't be true.

I've been saying I'm great and this does not compute.

Does not compute. And I have this thing that I've always thought was really good. And my patients that have had really high HDL, I've always said, oh, high HDL is so good. You're just like me. We're all really great. And then I've kept seeing it and seeing it. And then they're like, yeah, actually having a high HDL can also be an independent risk factor for heart disease. So not only is it not protective, it might be harmful. So it's just like, I don't know, let's just wait for more information to come out. And then—

and meanwhile, you're still telling your patients, great HDL, great.

Well, I'm starting to tamp that down a little bit. I'm starting to be like, hmm. And I mean, I even, you know, I say this kind of stuff to patients a lot of times too. Like, um, you know, it's your, your LDL is still plenty low. That's good. Your HDL maybe isn't as great as we thought it was going to be, but you know, you're still not in a position where we need to be starting statins. So I'm like, but new information is coming out, so stay tuned. We'll see if something changes. And my patients are pretty understanding of having a little nuanced approach to different things because, you know, they're smart people and I know I don't like to be super like black and white about stuff. And they do, and they're actually quite forgiving when I say, you know, new information has come out, we've changed our minds, this is, this is now the case. But I've been kind of just sort of not, not yelling it from the rooftops about this HDL thing. So, but then I've, you know, been— so anyway, I did like refer a patient recently for a heart, you know, for something related to her heart. I was sending her to a cardiologist, and then I did kind of say to him, you know, what do you think about this? You know, she's got this high HDL, blah, blah. And he was like, yeah, actually, I would start her on a statin, um, due to, you know, due to what her LDL was and blah, blah, blah. And then I was just like, and so now I'm starting to tell patients that, and we're And I'm just, you know, watching for more studies. But now it seems that like when your HDL is higher than about 80, it, um, you get— not only is it not protective, but it starts to get worse. Now, I don't know if it's really like if having an HDL of 120 is, you know, worse than having an HDL of 100. I'm not really sure. Somebody out there probably knows. But, um, it's— I don't know, I'm waiting for more more studies to come out about it. But it's just, it's interesting how you can have a blind spot for things. And I might have been, if I had had a low HDL, I might have been really quick to be like, oh, you high HDL people, you got to do something.

Yeah, but I mean, that's the, I mean, that's good. A good doctor is someone who can admit not even that you were wrong, just that you didn't have all the information in order to counsel correctly.

So yeah, yeah, I mean, like I said, stuff, stuff evolves. And you— and it happens in medicine where you start seeing something that you start seeing studies come out that are kind of saying something. And especially when it's challenging the dogma that has been there for a long time, you know, you need some really good powerful evidence to, you know, to show that it is something different. Um, And so, you know, I was waiting and seeing more studies, but now I think that there's really enough information that tells us that it's, it's not the, it's not the get out of jail free card that I really thought that it was.

Really had that one in your back pocket.

Yeah. I mean, I would say the same thing is, uh, kind of true of, you know, endurance exercise. Yeah. You know, that we kind of thought I think a lot of people think that, like, okay, well, if some is good, more is better. Let's just keep doing, you know, more and more exercise. Well, that just— that's really not true. And not only is it not better for you, but at some point it ends up being a little bit worse for you. Now, it's still better to do that than to be sitting on the couch. But sometimes you're— it's better to do some of this exercise in moderation rather than at the extremes. And it does, you know, it can start actually damaging your health. So you have to kind of pay attention to those things. I, when I talk about this on my marathon runs, uh, people don't like it all that much.

Yeah. I mean, like it's, you have, I mean, it can lead to like hypertrophic cardiomyopathy and stuff, right? Mm-hmm. Just like doing like chronic marathon running and stuff. But again, like, I mean, the same thing with so many things. You can be drinking too much water, but you have to drink a ton of water in order to do that. And I don't know, it's complex, but I don't know, more is not always the best, you know.

And people— and a lot of times when I'm talking about that, people say, oh, well, you know, I'm not doing this, you know, for my health, I'm doing this just because I love it. I'm like, well, doing it because you love it is great, but at some point, if it is damaging to your health, like, we got to talk about this.

Yeah, people love to moralize it though in a way of like, okay, well, but this is better than this thing, which also I think can be damaging. Like, I think people with an addictive personality are more likely to be, you know, like marathon, Ironman, all of that sort of thing. People, you know, really may be fixated on their health, but— and people are like, well, at least I'm not addicted to drugs. But it's like, which is true, but also it's like, okay, let's not like I don't know, do a moral comparison and like quantify it in this way. We can still independently say like, if you're running a marathon every day, then that might not be the best for your heart.

Yeah. Well, and like I did, the, the only two options don't need to be doing an Ironman and addicted to drugs.

Yes.

Yeah, exactly.

Exactly.

There's something in between those two things. Exactly. Um, but yeah, it's just, I, with a lot of those things you get you know, people get kind of sucked in and really start doing a whole lot of whatever it is. And, um, you know, it's, it's nice to do something that you enjoy, but I'm kind of like, I don't know, give me a break, guys. I mean, nobody is really enjoying a run on the third hour of a long run. Like, surely you could find something better to do with your time that you would also enjoy.

We had a— we have these like PBL things, uh, wait, peer-based learning, um, where we have a case and we have to talk through it. And one of the cases that we had was, it was talking about this 80-year-old man who was still running marathons and, um, stuff. And it was something to do, he ended up, he had a lot of issues, but he had some heart health stuff that we had to talk about. And one of my friends who, um, was in my group is an Ironman or whatever. And I told him, I was like, I feel like you're gonna become Mr. Joe or whatever from the PBL case. Um, so then he did a learning issue about like heart health effects of endurance training and stuff. So, oh really? Yeah.

Yeah. Did he, did he admit that it could be harmful or was he like, nah, that's only in a couple people? Yeah.

I don't, I don't really know. Yeah.

I mean, yeah. And again, sometimes people have this whole— I mean, just like me with the HDL, which was, of course, not anything that I did to get my high HDL. But particularly when somebody, they have a hobby that they love or something else that they do that feels like it should be something healthy, they can really ground in to, like, no, this is the best. In fact, I had this patient for a long time who was the sprinting— yeah, very into sprinting. Great. But like, I mean, every single time he came in, it was like an evangelist, like, was like trying to make me find Jesus in sprinting. It was like, it is so great. It is the best exercise you could possibly do. Nothing else is good. And, uh, And he was very into like trying to convince me of that. And, you know, and you should tell all your patients they should all be sprinters. I was like, it's not really— I mean, I'm sure it's perfectly good exercise, but I just— it's not something I'm really going to take on of like trying to convince all my patients to join a track team when they're like 70 years old and become a sprinter.

Yeah, it's like, I'm glad you found your exercise that you really like, and I'm glad that, yeah, it seems like it's good and healthy, but like to be so fixated on the sprinting.

Yeah, yeah, crazy. I've seen people do that with like yoga too, you know. Yeah, they're just like, oh, you've got to do yoga. It's like, yeah, yeah, yoga's great, no problem. But like, no, no, no, you've got to do yoga.

It's like, I mean, people are like that with all sorts of things, things that they like— I don't know, they spend a lot of money on this car, so they're like, it's the best car, you have to have this car. Or like You— they, I don't know, spend a lot of time doing something, um, or they eat something in specific and they're like, this is the best thing for you. They take some sort of supplement, they're like, you have to take this supplement too, it changed my life, and all sorts of things.

And it's, you know, again, glad you're excited about it, but it seems a little weird when you're trying to convince your doctor that they should do whatever this health thing is. Like, I don't know, that does seem a little bit a little bit backwards. Um, I don't know, I guess they're somewhat seeking your approval too.

Yeah, yeah, for sure.

So, you know, like, okay, you go, I'm totally happy for you, win that track meet.

I'm just imagining an old guy coming in with a tracksuit and just being like, he's sprinting, it's the way to go, doc, it's the way to go, you gotta try it.

And showing videos of the races. And I mean, it can go on and on. Now, as you get older, there's not a lot of people in your age group that you're racing against. Right, right. So that makes it, you know, you can, you can really win a lot of trophies and ribbons. Um, so factor that into your decision.

That's fair. See, then you really will be the best of the best. And that's the point, right?

You just live long enough, you can be the best of the best. And, you know, maybe it's the sprinting that's keeping you alive. Who knows?

All right, guys. Well, thanks for listening. You know where to find us at Generations.md on TikTok and Instagram, and you can find Dr. Davis at Dr. Davis PGY30 on TikTok. And if you have any questions or are interested in being a guest on the podcast, you can email us at askgenerations.md@gmail.com and we'll talk to you guys soon.

Bye. Bye.