Latest / Barnyard Language / Kale, Underwear, and Reproductive Rights w/ Dr. Coley Barbee, MD

Transcript

Kale, Underwear, and Reproductive Rights w/ Dr. Coley Barbee, MD · Barnyard Language

0:02
[arlene_hunter]: I'll try now. Yeah, I don't think, yeah, that is better.
0:09
[arlene_hunter]: you fix something. That's good.
0:12
[caite]: Yay, yay me.
0:14
[arlene_hunter]: I'm gonna go. Today we are excited to be talking to Dr. Koli Barbi, who's
0:19
[arlene_hunter]: a family physician in Iowa. We start each of our interviews with the same
0:23
[arlene_hunter]: question. So this is a way for you to introduce yourself to our listeners
0:26
[arlene_hunter]: and we ask, what are you growing? So for our farmers farming guests, that covers
0:29
[arlene_hunter]: crops and livestock, but it can also cover families, businesses, career,
0:33
[arlene_hunter]: all types of other things. So Koli, what are you growing?
0:37
[Coley Barbee]: I am currently, I am not at all a farmer, and currently actively killing
0:44
[Coley Barbee]: some basil, so. Ha ha ha.
0:47
[arlene_hunter]: Perfect.
0:52
[Coley Barbee]: to Iowa and once I was here learned a lot about farming. I'm originally
0:57
[Coley Barbee]: from Maine, there's a lot of aquaculture there so I know a lot about the
1:01
[Coley Barbee]: ocean and fishing. I know next to nothing about farming and am not a very
1:06
[Coley Barbee]: good grower but I try so hard. But my sad sad
1:11
[arlene_hunter]: Enthusiasm
1:11
[Coley Barbee]: basil,
1:11
[arlene_hunter]: counts for a lot.
1:13
[Coley Barbee]: yes my sad sad basil is kind of testament to my growing ability right now
1:18
[Coley Barbee]: I think so.
1:22
[arlene_hunter]: totally fair.
1:27
[caite]: else. Yeah, no, I know
1:30
[arlene_hunter]: No.
1:30
[caite]: it's me. I just wasn't sure if Koli had any career or family or anything that she
1:35
[caite]: wanted to mention while she's at it.
1:37
[Coley Barbee]: Oh, well, I mean,
1:39
[caite]: Besides
1:40
[Coley Barbee]: I
1:40
[caite]: your
1:40
[Coley Barbee]: would
1:40
[caite]: dead
1:40
[Coley Barbee]: say
1:40
[caite]: basil,
1:40
[Coley Barbee]: that I'm...
1:40
[caite]: which.
1:43
[Coley Barbee]: My dad basil. I am currently kind of growing my skills in integrative medicine.
1:50
[Coley Barbee]: I'm currently enrolled in an integrative medicine fellowship, so I have
1:54
[Coley Barbee]: about nine months left. And that has been a really good addition to my
2:01
[Coley Barbee]: family medicine practice. So I would say I'm growing in... knowledge and
2:07
[Coley Barbee]: commitment to using.
2:12
[Coley Barbee]: kind of holistic ways of treatment and healing in addition to Western modalities.
2:21
[Coley Barbee]: And that has been really exciting and interesting. I have about nine months left
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[Coley Barbee]: in my program and then I hope to be double boarded in family medicine and
2:31
[Coley Barbee]: integrated medicine. So.
2:34
[caite]: So can you tell us more about what integrative medicine is and why it's
2:38
[Coley Barbee]: Absolutely.
2:38
[caite]: important?
2:40
[Coley Barbee]: Integrative medicine at its most basic really is looking at a person holistically.
2:46
[Coley Barbee]: I think family medicine in general does this pretty well. We don't look at people
2:51
[Coley Barbee]: as being just one body system. We look at you as a whole person, but integrative
2:56
[Coley Barbee]: medicine is kind of taking that to the next level. So you are looking at people's...
3:02
[Coley Barbee]: exercise habits, eating habits, their family, their spirituality, the community
3:06
[Coley Barbee]: that they're a member of. You are using, you know, you use all of the conventional
3:15
[Coley Barbee]: pharmaceutical medicines, but in addition to that, you know, work on... diet
3:20
[Coley Barbee]: changes to help with certain health conditions, supplements, just a more
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[Coley Barbee]: holistic way of looking at medicine. So that's the brief definition. You could go
3:32
[Coley Barbee]: very in depth and there's a lot, it is a two year program that I'm doing,
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[Coley Barbee]: so there's certainly a lot to learn, but that's the basic explanation.
3:43
[caite]: So how did you end up in rural medicine and how did you end up in Waukon, Iowa? For
3:50
[caite]: that matter. I mean it's not a... it's a nice town, don't get me wrong. But it's not
3:54
[caite]: like a hotbed of
3:57
[Coley Barbee]: Yeah,
3:58
[caite]: anything, really.
3:59
[Coley Barbee]: so the reason that I went to medical school is because I wanted to do rural
4:03
[Coley Barbee]: medicine. I grew up in a small town of about a thousand people. It was also
4:11
[Coley Barbee]: rural, kind of in the middle of nowhere. And what I noticed is it's really
4:17
[Coley Barbee]: hard to cobble together a living in a rural area sometimes. And people's health
4:23
[Coley Barbee]: suffers as a consequence. And one of the biggest... factors that determines
4:29
[Coley Barbee]: how healthy a person is, is actually the zip code they live in. I thought
4:33
[Coley Barbee]: that was deeply unfair, and so the whole reason I went to medical school
4:36
[Coley Barbee]: was to do rural medicine. I thought I might go back to Maine to do that,
4:42
[Coley Barbee]: but it turns out the Midwest is really a great place to practice family
4:47
[Coley Barbee]: medicine. You get to do a little bit of everything. And so... I did my residency
4:55
[Coley Barbee]: outside of Milwaukee. It was my first experience in the Midwest. And I really
5:00
[Coley Barbee]: loved it. And I honestly had interviewed at a job that some of my residency
5:08
[Coley Barbee]: mates thought that I might like the Prairie du Chien area, which is just across
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[Coley Barbee]: the river in Wisconsin. And I honestly... said, well, if I'm going all
5:18
[Coley Barbee]: the way out there, I might as well do another interview and just literally
5:22
[Coley Barbee]: close my eyes, circle the finger and dropped and walk on. And so very much on
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[Coley Barbee]: a whim, had never been here before, had never been to Iowa before. And
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[Coley Barbee]: when I came, I met the people who worked in the clinic that I now work in
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[Coley Barbee]: and just realized, these are my people. And just, I knew I wanted to work
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[Coley Barbee]: there because the... group of people that I now work with I just love and
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[Coley Barbee]: I said this is exactly the type of thing I want to do and where I work now
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[Coley Barbee]: allows me to do a little bit of everything. I see patients mostly in clinic,
6:01
[Coley Barbee]: I also see patients in the hospital, I do some ER work. Up until about six months
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[Coley Barbee]: ago I delivered babies and so I see a little bit of everything. I'm never
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[Coley Barbee]: bored and I'm continuously happy that I moved here even though If you'd asked
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[Coley Barbee]: me before I started here, Iowa would have been the absolute last place that
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[Coley Barbee]: I saw myself. But I love it here and Midwesterners are very much like Mainers,
6:27
[Coley Barbee]: so it feels like...
6:30
[caite]: Well, I have to say I'm incredibly glad that you ended up here, no matter how
6:34
[caite]: randomly it was.
6:35
[Coley Barbee]: Me too!
6:36
[caite]: For our listeners who might not have guessed yet, Colie is the family physician
6:40
[caite]: that my family sees, and I have to say we're incredibly glad to have a family
6:47
[caite]: doctor that sees all of us for everything that we need. Colie delivered our younger child,
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[caite]: she sees all four of us, and from an integrative perspective, it's amazing to see...
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[caite]: one medical team for everything, you know, and who sees our whole family, who sees
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[caite]: us for everything that we need, who's, you know, even if we have to be passed on to
7:10
[caite]: a specialist, that we still have a team who knows us as humans, because especially
7:19
[caite]: once you start getting shuffled up into larger facilities, you become a patient
7:25
[caite]: number in a file pretty quickly, and it's really nice to have. somebody at home
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[caite]: who knows you for something besides, you know, what's in your chart.
7:37
[Coley Barbee]: And
7:37
[caite]: So
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[Coley Barbee]: I
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[caite]: there's
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[Coley Barbee]: love
7:38
[caite]: that.
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[Coley Barbee]: seeing the whole family and it is really a good opportunity for me too
7:43
[Coley Barbee]: to, you know, you might bring one of the kids in and I'll just say well,
7:46
[Coley Barbee]: how's that thing we talked about last time? And you know, it's a great way for
7:49
[Coley Barbee]: me too just to keep a good eye tabs on everybody and make sure everyone's
7:54
[Coley Barbee]: still doing really is healthy and doing well.
7:57
[caite]: Yeah, and it is, it's nice too to know that our children can see the same doctor as
8:02
[caite]: babies, as they do as children, as they can as adults, hopefully. I know I saw
8:11
[caite]: the same doctor a few years ago that delivered my husband,
8:16
[Coley Barbee]: I'm sorry.
8:17
[caite]: you know, so he saw patients that whole time and it's nice to have that continuity
8:23
[caite]: of care with the clinic. especially if you end up seeing them a lot, like if you
8:30
[caite]: have a higher risk pregnancy or something, and you're spending a lot of time there. It's
8:33
[caite]: really nice to see the same folks. So we're gonna start with some super in-depth,
8:40
[caite]: serious questions. First thing, do you notice it or care if patients don't shave
8:45
[caite]: their legs? This is important stuff right here.
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[Coley Barbee]: you know i never notice and people constantly apologize constantly so i
8:58
[Coley Barbee]: would say at least once a week someone says oh i'm so sorry i didn't shave
9:02
[Coley Barbee]: my legs i'm like oh my like it's winter in iowa do you think anybody is
9:06
[Coley Barbee]: like no so i honestly never noticed that what i notice more is people that
9:13
[Coley Barbee]: I would expect to have hairy legs that don't have hair on their legs because
9:16
[Coley Barbee]: then I worry, oh, do you actually have a vascular problem or diabetes?
9:23
[caite]: Interesting.
9:23
[Coley Barbee]: So I need much more attention to that than I do people shaving their legs.
9:27
[caite]: So what you're saying is we should not shave our legs so that you have a better
9:31
[caite]: view of our cardiovascular health?
9:34
[Coley Barbee]: I think that would be very reasonable.
9:36
[caite]: Cool. I'm gonna go with that, I like it.
9:38
[arlene_hunter]: especially
9:38
[caite]: So,
9:39
[arlene_hunter]: in the wintertime.
9:40
[caite]: yeah.
9:40
[Coley Barbee]: Especially.
9:42
[arlene_hunter]: I'm from Canada, so I don't want to shave my legs in the winter either.
9:45
[Coley Barbee]: Absolutely.
9:46
[caite]: So the other thing that has come up in conversation fairly recently, why do we
9:52
[caite]: all hide our underwear at the doctor? You know, we put on the gown and we fold our
9:56
[caite]: clothes and we always put our underwear like hidden in there. Like presumably you assumed
10:02
[caite]: that we're wearing them. So why do we hide them and do doctors hide them when
10:06
[caite]: they go to other doctors?
10:07
[Coley Barbee]: That's a great question and yes we absolutely do. I fold up the little
10:11
[caite]: So weird.
10:11
[Coley Barbee]: packet just like everybody
10:13
[caite]: Yeah.
10:13
[Coley Barbee]: does with me and I have no idea why. Just fold them up in the pants, you know,
10:18
[Coley Barbee]: tuck them on the chair.
10:19
[caite]: Yeah,
10:20
[Coley Barbee]: I
10:20
[caite]: it's
10:20
[Coley Barbee]: have
10:20
[caite]: so
10:20
[Coley Barbee]: no
10:20
[caite]: weird.
10:21
[Coley Barbee]: idea why.
10:22
[caite]: Yeah, I was talking to a friend about the fact that even at the fertility clinic
10:27
[caite]: or going in for OB appointments that you still hide your undies despite the fact
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[caite]: that your doctor's gonna be in there. You're like,
10:35
[Coley Barbee]: Mm-hmm.
10:37
[caite]: they can't know I was wearing underwear when I walked through the door.
10:39
[Coley Barbee]: hahahaha
10:42
[caite]: I would think they'd want to know that you were wearing underwear. Anyway. Okay, well
10:47
[caite]: now that we've... really hit the hard
10:49
[arlene_hunter]: Okay,
10:49
[caite]: topics.
10:50
[arlene_hunter]: yeah,
10:50
[caite]: We can move on.
10:51
[arlene_hunter]: that's the good stuff right there.
10:52
[Coley Barbee]: Burning questions.
10:53
[arlene_hunter]: Yeah, for sure. So you already touched on the idea of, well, I guess exercise
11:00
[arlene_hunter]: and nutrition and those types of things, but one of the things that that
11:03
[arlene_hunter]: kind of comes around to is weight, which ends up being one of those things
11:08
[arlene_hunter]: that gets talked about a lot, both in adults and children. How can we discuss...
11:15
[arlene_hunter]: weight as a possible risk factor when it comes to health, but also not shame
11:18
[arlene_hunter]: people into thinking that all their health problems would just disappear
11:22
[arlene_hunter]: if they were to lose weight. Because some fat people, you know, their experiences
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[arlene_hunter]: with doctors is that their doctors won't even discuss their medical concerns
11:31
[arlene_hunter]: outside of telling them lose weight first and then we can deal with it.
11:34
[Coley Barbee]: I think that's an excellent question. I don't think it's ever helpful or
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[Coley Barbee]: kind to shame someone for the way they look. And honestly, the conversation
11:47
[Coley Barbee]: tends to shut down. If that's the first thing that you lead with, no one
11:51
[Coley Barbee]: wants to talk about, well, how can I be healthier? But by the same token,
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[Coley Barbee]: like you said, obesity is a risk factor for a lot of other disease processes.
12:03
[Coley Barbee]: in order to be healthy, being at a healthy weight makes it easier to avoid
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[Coley Barbee]: some of those down the road health concerns. But like you said, there is
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[Coley Barbee]: such a thing as skinny fat. So just because people have a BMI between 18
12:24
[Coley Barbee]: and 25, which is what we deem normal, does not mean that they're metabolically
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[Coley Barbee]: healthy. There are actually estimates if you look at people's... So fasting
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[Coley Barbee]: insulin levels is not a test that we do for very many people, but it is
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[Coley Barbee]: one of the most sensitive indicators if people are metabolically healthy, like they
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[Coley Barbee]: are processing their food and sugar in a way that, and how it's supposed
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[Coley Barbee]: to. And there are estimates that up to 90% of Americans are not metabolically
12:58
[Coley Barbee]: healthy. If you look at those more sensitive indicators, which we are not
13:02
[Coley Barbee]: really trained to do, really the functional medicine doctors do that more
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[Coley Barbee]: than pretty much anyone else. It's not very mainstream in Western medicine
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[Coley Barbee]: to test those things, but when they look at population-wide studies, most
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[Coley Barbee]: of America is metabolically unhealthy. And we know that leads to problems,
13:22
[Coley Barbee]: but. Like you said, I don't think that you can, you can't just look at
13:25
[Coley Barbee]: a person and say, you're metabolically unhealthy. You have people who maybe have an
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[Coley Barbee]: elevated BMI, but are very physically active and fit. And that makes a big difference.
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[Coley Barbee]: So I think it's a difficult and complicated question and one that I...
13:50
[Coley Barbee]: I think everyone struggles with. We all know that we need to do things to be
13:54
[Coley Barbee]: healthier, so we have a long life and a long health span, but it's a lot
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[Coley Barbee]: easier said than done. And I don't think shaming people into improving their
14:07
[Coley Barbee]: diet is useful or helpful. I think you really need to be open about it.
14:15
[Coley Barbee]: have an honest conversation, but people need to be supported and not shamed.
14:28
[caite]: I know, too, as a patient, it's a lot easier to address things like weight and healthy
14:35
[caite]: eating when it's seen as one risk factor in a whole array of things versus it's your
14:44
[caite]: fault because you're fat and that's the only thing we're going to talk about. And
14:47
[caite]: also, anything else is probably because of your anxiety. So
14:51
[Coley Barbee]: I'm
14:51
[caite]: that's
14:52
[Coley Barbee]: sorry.
14:52
[caite]: it. Problem solved. Yeah. Um, Erlene, do you have anything else?
14:59
[arlene_hunter]: No, I don't think so. Sorry, we may have some gaps here today, just sometimes
15:03
[arlene_hunter]: it's freezing up on us, so we're, but then you kind of catch up and I
15:07
[arlene_hunter]: know it's recording on your end. So
15:09
[caite]: So
15:09
[arlene_hunter]: I just
15:10
[caite]: we'll
15:10
[arlene_hunter]: wanted
15:10
[caite]: fix
15:10
[arlene_hunter]: to mention
15:10
[caite]: it in
15:11
[arlene_hunter]: if
15:11
[caite]: editing,
15:11
[arlene_hunter]: there's, yeah,
15:11
[caite]: but...
15:12
[arlene_hunter]: if
15:12
[Coley Barbee]: Okay.
15:12
[arlene_hunter]: there are pauses, that's just because sometimes it's freezing on us, but
15:16
[arlene_hunter]: I know that you're still talking.
15:18
[Coley Barbee]: Okay.
15:20
[caite]: So one of the things that's kind of like a stereotype of rural medicine is that,
15:28
[caite]: you know, the doctor would fix your kit or something and they'd pay you in, you
15:33
[caite]: know, a patient would pay in chickens or whatever. So if we were just going to skip
15:38
[caite]: insurance and all that shit and go back to paying in trade, what would your preferred
15:42
[caite]: payment currency be?
15:44
[Coley Barbee]: Oh my god, I have said so many times, I would love to just work on the barter
15:49
[Coley Barbee]: system. So I feel like, you know, we all have skills that we can offer.
15:53
[Coley Barbee]: So I'm, and I'm not picky, I'll take anything. I will take the chickens, I
15:57
[Coley Barbee]: will take the produce. I will like, you know. someone wants to trade their
16:04
[Coley Barbee]: skill in painting my house, like I don't care. I just, I love the idea
16:09
[Coley Barbee]: of the barter system because I do think we all have talents and gifts and
16:15
[Coley Barbee]: what a better way to share than just to offer somebody what you're good at
16:20
[Coley Barbee]: in return for what they're good at.
16:24
[caite]: So the actual harder hitting side of that is, I know that I've seen more articles
16:31
[caite]: and patients talking about, especially in bigger places, how much of their doctor's
16:41
[caite]: salary and career path is based on patient satisfaction and reviews and how much
16:45
[caite]: that impacts what kind of care doctors give because there's so much. so much weight
16:54
[caite]: put on making people happy versus necessarily what is healthiest or most effective or telling
17:03
[caite]: people no or whatever. So I'm wondering what your experience has been with that.
17:10
[Coley Barbee]: Yeah, the incentives in medicine are so backwards. Like, insurance will pay
17:16
[Coley Barbee]: for things that research has shown is not helpful. They will not pay for
17:20
[Coley Barbee]: things that take a little more time and might be more expensive but work a
17:23
[Coley Barbee]: lot better. They will pay for medicines but not physical therapy. Doctors
17:28
[Coley Barbee]: are paid to perform procedures that are minimally effective versus spending
17:36
[Coley Barbee]: time to actually... sit down and talk with patients, you know, and give
17:41
[Coley Barbee]: them an exercise plan and say, hey, this actually will fix your problem. But
17:45
[Coley Barbee]: they don't get paid to do that, they get paid to do the expensive $20,000 surgery
17:49
[Coley Barbee]: that may or may not be effective. So all of the incentives in medicine are so
17:54
[Coley Barbee]: backwards. I would say, I think it is true that more, more and more places
18:01
[Coley Barbee]: are going toward. using physician ratings and things like that as part of a compensation
18:09
[Coley Barbee]: package. I don't think we'll ever get to the point where it's the only consideration,
18:17
[Coley Barbee]: but it certainly is part of it. And I'm sure we've all received the questionnaire.
18:27
[Coley Barbee]: Once you leave your doctor's office, tell us how your visit went. and the
18:32
[Coley Barbee]: administrators really do put a lot of weight on your grade, I guess, from
18:41
[Coley Barbee]: patients. And it's sometimes really hard because, I mean, there's a lot
18:47
[Coley Barbee]: of health information out there now, which I do really think is a good thing.
18:52
[Coley Barbee]: I think informed patients coming in can be really helpful. But the flip side
18:58
[Coley Barbee]: of that is, There's a lot of information that isn't accurate, doesn't come
19:04
[Coley Barbee]: from reliable sources, and it's hard not being a medical professional sometimes
19:09
[Coley Barbee]: to differentiate between what's good information from a good reputable source
19:17
[Coley Barbee]: and what's not. And it takes a long time to kind of talk through people
19:23
[Coley Barbee]: when they come in and say, I want this, and you have to say, well, in my
19:27
[Coley Barbee]: medical judgment, I don't think that's a good idea and here's why, but it takes
19:31
[Coley Barbee]: a long time explaining. And when they want you to see more patients in
19:39
[Coley Barbee]: less time, sometimes it's easier to say, fine, whatever you want. But I've realized
19:45
[Coley Barbee]: any time I've done that, I've only gotten bit in the ass. So it's worth it
19:52
[Coley Barbee]: to me to take the time to say. I hear you, I understand what you're saying
19:57
[Coley Barbee]: to me. Here's why I think that's not a good idea and I'm not gonna do it. Um,
20:04
[Coley Barbee]: funny, a side story. My nine year old stepson, we have this constant battle
20:09
[Coley Barbee]: about screen time because there's all this research showing how detrimental excessive
20:15
[Coley Barbee]: screen time is for developing brains. But he, you know, he's nine and he
20:20
[Coley Barbee]: wants to watch TikTok and YouTube and play his video games. So it's this constant
20:25
[Coley Barbee]: battle. And we were negotiating recently. And he's like, oh, can I have 30
20:31
[Coley Barbee]: more minutes a day? And I was like, no, but it can cause brain damage. I
20:36
[Coley Barbee]: don't think it's a good idea. He goes, Cole, you can't believe everything
20:39
[Coley Barbee]: you read on the internet. Which I just thought was hilarious. And. But that's
20:50
[Coley Barbee]: like the conversation that I have a lot of times with patients, they bring
20:53
[Coley Barbee]: it to me and they say, well, but I read this and it has to be true. And
20:58
[Coley Barbee]: it just takes a while to explain, maybe not a good idea, but I mean, I definitely
21:04
[Coley Barbee]: have gotten poor ratings from patients who say, like, I went there and I
21:10
[Coley Barbee]: wanted an antibiotic and she didn't give me one and they're upset by it.
21:13
[Coley Barbee]: And I try to explain why I didn't think that was a good idea and. Some people
21:18
[Coley Barbee]: take it well and some people not so much. I just, I'm at the point in my
21:21
[Coley Barbee]: life where I've realized you can't please everybody. So let's stop trying.
21:27
[Coley Barbee]: We're all just doing the best we can.
21:31
[caite]: Well, I'm gonna bump my next question up then and I wrote these questions at 4 a.m
21:36
[caite]: So at first it just said doctors versus patients who's the bigger jerk and I wasn't
21:41
[caite]: sure what I meant by that But I realizing I think what I meant was that this is one of
21:49
[caite]: the other real benefits of seeing the same doctor Consistently is that it does make
21:54
[caite]: it easier to know when your doctors saying no to something because it's actually
22:01
[caite]: not the best option versus I don't give a shit what you think
22:06
[Coley Barbee]: Mm-hmm.
22:06
[caite]: and I'm the doctor and I'm saying no. So I'm wondering how we can enable more patients
22:13
[caite]: to advocate effectively while recognizing that doctors presumably know more about medicine
22:19
[caite]: while patients presumably know more about themselves and what they're experiencing
22:23
[caite]: and how we can do research without seeming and or being presumptuous jackasses
22:31
[Coley Barbee]: Okay
22:32
[caite]: about what we're finding when we do it. I know I do really appreciate that generally
22:40
[caite]: when I come to you with something I've found, I know there have been times that you've
22:47
[caite]: gone a different direction, but it's nice to know that I'm being considered before
22:54
[caite]: I'm being shut down on something, you know, and it's It's nice to have the relationship
22:59
[caite]: where I trust that you are actually considering what I say, even if I'm totally
23:06
[caite]: full of shit, and we both know it. So I'm wondering how we can empower more people
23:14
[caite]: to have a good relationship with their medical staff.
23:20
[Coley Barbee]: I think I really like when patients come in with information. There's also this
23:29
[Coley Barbee]: thing in medicine where even really good research takes on average like
23:36
[Coley Barbee]: eight to ten years to trickle down to... to actual medical providers before
23:44
[Coley Barbee]: it gets incorporated into guidelines and before we're aware of it. And so I will
23:48
[Coley Barbee]: never say, oh, I know everything about this subject matter because I know that
23:52
[Coley Barbee]: I don't. So I think the best thing patients can do is if you find good research
23:59
[Coley Barbee]: and a good source, I am always happy to look into it because I know there's
24:04
[Coley Barbee]: stuff I don't know.
24:08
[Coley Barbee]: But you know by the same token, someone coming in and saying, well my great
24:14
[Coley Barbee]: aunt Sally on Facebook says doesn't hold the same weight as, look I found
24:21
[Coley Barbee]: this journal article, would you mind looking at it? So yeah, I think bringing
24:28
[Coley Barbee]: good quality research to your doctor is never a bad thing. And you know,
24:32
[Coley Barbee]: I will be totally, being totally fair. there absolutely are doctors whose ego
24:39
[Coley Barbee]: gets in the way and says, well, I know everything about this and I don't need
24:42
[Coley Barbee]: to listen to you. So there are those doctors out there. I will not pretend
24:47
[Coley Barbee]: that there aren't. But I think most of us, and I think especially like primary
24:54
[Coley Barbee]: care doctors who really do form long-term relationships with patients, by and
25:00
[Coley Barbee]: large most of us are very happy if you bring in something, a good. but a piece
25:07
[Coley Barbee]: of research that we can look at and say, oh, well, I didn't realize this,
25:11
[Coley Barbee]: but this actually looks like a pretty good study and that seems like a reasonable
25:16
[Coley Barbee]: thing to try. I think that's the best thing for patients to do to advocate
25:21
[Coley Barbee]: for themselves.
25:25
[arlene_hunter]: You've been talking a lot about having relationships with people and especially
25:29
[arlene_hunter]: in rural medicine. I mean, those relationships often kind of extend outside
25:33
[arlene_hunter]: of the doctor's office, like for example, being on one of your patients'
25:36
[arlene_hunter]: podcasts. So what
25:38
[Coley Barbee]: Mm-hmm.
25:38
[arlene_hunter]: is it like for you personally to have to do things like give bad news to
25:44
[arlene_hunter]: people that you know well or, you know, even, you know, in a smaller scale,
25:50
[arlene_hunter]: like maintain boundaries around, you know. This is not a doctor's office. If
25:54
[arlene_hunter]: someone asks you for advice in the grocery store versus like in an appointment,
25:59
[arlene_hunter]: like how do you, I guess, how do you look after yourself being a rural doctor?
26:06
[Coley Barbee]: You know, the grocery store questions happen much less frequently than
26:09
[Coley Barbee]: I was worried that they would happen.
26:12
[arlene_hunter]: Well, that's good.
26:13
[Coley Barbee]: It is good. But you know, it is a balance to be part of a smaller community.
26:22
[Coley Barbee]: And you know, especially with, you know, the giving bad news. And you know,
26:27
[Coley Barbee]: frequently the bad news is something like... Oh, I think you might have a problem
26:32
[Coley Barbee]: that I don't know how to fix and you need to go see some specialist, you
26:35
[Coley Barbee]: know, you need to see oncology or surgery or cardiology and you know, a doctor
26:40
[Coley Barbee]: or provider with a skill set that I don't have. So one of the hardest things
26:44
[Coley Barbee]: for me is not. not having enough information to give to somebody to say, here's
26:51
[Coley Barbee]: exactly what the process will look like. You know, like if I have to hand
26:55
[Coley Barbee]: a patient off to a specialist because they have something that I don't know
27:00
[Coley Barbee]: how to deal with or I don't have the skillset to manage, yeah, one of the
27:06
[Coley Barbee]: hardest things is I can't answer their questions all the time, you know? I don't
27:10
[Coley Barbee]: know all the steps that are gonna come next. So that's really, that's difficult
27:17
[Coley Barbee]: for me. And I try to find out as much as I can before delivering the bad
27:22
[Coley Barbee]: news. Like, so I at least know the next step. Like we have this appointment
27:25
[Coley Barbee]: set up for you and you are gonna see the specialist type of thing. But you know,
27:32
[Coley Barbee]: it's challenging. And I like most of my patients. So it's never nice to
27:37
[Coley Barbee]: give bad news to someone that you like. But it's just, you know, fortunately
27:43
[Coley Barbee]: I don't have to do it. Fortunately, I get to give good news more than bad news,
27:48
[Coley Barbee]: I think.
28:02
[caite]: It's my question, isn't it? I was just over here thinking about bad news. My next
28:08
[caite]: question just says access to reproductive care, WTF. And I know this is something that's
28:16
[caite]: connected with the having to give bad news to people and being a patient who's been
28:22
[caite]: in that position with you. How can we...
28:32
[caite]: I'm trying to even think of how to put this. How can we effectively stop the government
28:38
[caite]: from inserting themselves in the doctor-patient relationship? When I was in the position of
28:47
[caite]: having to make these decisions, I don't really want the state's opinion on it, and
28:53
[caite]: I don't really want the state making that decision. When I was in the position of
29:00
[caite]: having to decide whether... to abort the boy child for the safest treatment path
29:09
[caite]: for the melanoma, I don't really want to have to skip all the doctors that are consulting
29:18
[caite]: to go to a medical board at the state and get their permission to do something. So
29:25
[caite]: I'm wondering what your thoughts are on this and how we can tell them to shut it
29:32
[caite]: because Canada is a different situation but I'm sure they're not immune to these things
29:38
[caite]: either.
29:41
[Coley Barbee]: This is a really difficult question and one that I am very passionate about. I
29:48
[Coley Barbee]: feel all the time, like all kinds of outside groups are inserting themselves
29:56
[Coley Barbee]: into the doctor-patient relationship. The one I honestly have the most difficulty
30:02
[Coley Barbee]: with is insurance companies. When I say, this is the best treatment, and
30:07
[Coley Barbee]: insurance company says, nope, sorry. Pick a different thing. We're not gonna
30:11
[Coley Barbee]: cover this one. And I don't have a good solution for that. And I also don't
30:16
[Coley Barbee]: have a good solution for how to keep
30:22
[Coley Barbee]: politicians and the state from inserting themselves, especially into issues
30:28
[Coley Barbee]: they don't understand, is the most frustrating thing as a healthcare provider.
30:33
[Coley Barbee]: When I see the debates on abortion happening and it is just... blatantly false
30:39
[Coley Barbee]: information. Like, we're just gonna...abortion doctors throw live babies
30:46
[Coley Barbee]: into trash cans and all this other ridiculousness. I'm just thinking, who
30:53
[Coley Barbee]: thinks this is true? But obviously people do. So everything is so caught up in
30:59
[Coley Barbee]: misinformation and just incorrect things not based at all on medicine or science.
31:07
[Coley Barbee]: That's what I find the absolutely most frustrating. So I keep telling people
31:12
[Coley Barbee]: to vote, but unfortunately that's not being very effective. So I'm not sure.
31:17
[Coley Barbee]: I'm not sure what the best course of action is, except for as medical providers
31:23
[Coley Barbee]: continuing. I write letters to my representatives all the time. every time
31:31
[Coley Barbee]: they vote on something stupid, I write a letter and I say, here's why you're
31:35
[Coley Barbee]: wrong. So I think that's a really important thing for medical people to do because
31:43
[Coley Barbee]: so many of these debates are completely surrounded by misinformation and
31:48
[Coley Barbee]: because, and there are not very many health care providers in legislators,
31:53
[Coley Barbee]: in legislatures at the state or the federal level. So. So it's challenging
31:59
[Coley Barbee]: because they're making laws on things that they don't, they're not fully
32:04
[Coley Barbee]: informed about, I don't think.
32:09
[caite]: it seems like that's so much of it too from a patient perspective is if it seemed
32:14
[caite]: like they had any actual knowledge about what they were legislating on
32:19
[Coley Barbee]: Mm-hmm.
32:19
[caite]: and then they made a well-thought-out informed decision it might be different but
32:24
[caite]: when it's people saying you know if a woman doesn't want to get pregnant her body
32:28
[caite]: has ways of shutting that down and
32:30
[Coley Barbee]: Yeah.
32:31
[caite]: you know no no abortions after six weeks when so many people don't know they're
32:36
[caite]: pregnant until well after six weeks and this, that, and the other that I'm just
32:40
[caite]: like, you guys, there's no actual basis in fact here. So no, I don't have a lot of
32:47
[caite]: faith in your decision making at this point.
32:54
[Coley Barbee]: Yeah.
32:55
[caite]: And yes, insurance companies, just insurance companies, whatever.
33:01
[Coley Barbee]: Yeah, and there are so many other layers to providing abortion care. You
33:06
[Coley Barbee]: know, a lot of residency programs actually take place in Catholic hospitals,
33:11
[Coley Barbee]: and so OB-GYNs coming out of those programs don't even learn how to perform
33:17
[Coley Barbee]: an abortion, or sometimes even like tubal ligations, because the Catholic
33:23
[Coley Barbee]: hospitals don't allow those procedures, and so where they train, they don't
33:27
[Coley Barbee]: learn how to do them. And... There's a lot of barriers set up. So for instance,
33:34
[Coley Barbee]: when I came to Wacom, I really wanted to, so the Mifepristone, which is commonly
33:43
[Coley Barbee]: known as the abortion pill, it's actually one of two pills that you use
33:47
[Coley Barbee]: for medical abortion, but you need to be specially licensed in order to prescribe
33:54
[Coley Barbee]: it. So not everyone can prescribe it. So when I came here, I wanted to do that,
33:59
[Coley Barbee]: and my employer basically said, well, if there are complications, you don't
34:09
[Coley Barbee]: have the surgical privileges to do a DNC if there's bleeding or complications.
34:14
[Coley Barbee]: So we're not gonna let you get your license to prescribe if prescribed. And
34:20
[Coley Barbee]: I said, well, then can you teach me how to do... DNCs and they said well what
34:26
[Coley Barbee]: happens when you're not there? There's no backup or coverage for you. So no
34:32
[Coley Barbee]: So it's really an uphill battle even for people like me for whom you know,
34:38
[Coley Barbee]: I I think abortion is a human right and Pregnancy is a very difficult journey
34:48
[Coley Barbee]: in life There's a very decent chance, at least in the United States, that
34:52
[Coley Barbee]: a woman dies during part of pregnancy and childbirth. And I feel like that's
34:59
[Coley Barbee]: not a decision to be taken lightly. And if there's any reason that you want an
35:03
[Coley Barbee]: abortion, you should have access to one. But even for me, feeling very passionately
35:09
[Coley Barbee]: about that and wanting very much to provide that care, there are all these
35:14
[Coley Barbee]: barriers. And so it's something that I've not been able to do.
35:20
[caite]: That's so frustrating as a rural patient too, because I don't even
35:23
[Coley Barbee]: Mm-hmm.
35:23
[caite]: know where our closest abortion provider would be, but I'm guessing it's at least an
35:29
[caite]: hour and change away. And
35:31
[Coley Barbee]: I think.
35:33
[caite]: that's not feasible. It's not.
35:36
[Coley Barbee]: Yeah, I think Des Moines is the closest, so
35:40
[caite]: And
35:40
[Coley Barbee]: I
35:40
[caite]: that's
35:40
[Coley Barbee]: mean,
35:41
[caite]: what, four hours from here?
35:42
[Coley Barbee]: yeah, three and a half, four hours. So
35:45
[caite]: more or less.
35:45
[Coley Barbee]: yeah, and I've had to have this conversation with patients before who say,
35:52
[Coley Barbee]: you know, I want an abortion for whatever reason, and it's really difficult
35:55
[Coley Barbee]: for me to counsel them about, well, you know, you're going to have to drive
36:00
[Coley Barbee]: hours and hours and hours away, or you know, or cross state lines and drive
36:05
[Coley Barbee]: hours and hours the other way. And so it's really challenging to know how
36:13
[Coley Barbee]: to best counsel patients that want that just because it is it's so difficult
36:17
[Coley Barbee]: to access that and the laws are changing constantly now since Roe v. Wade
36:25
[Coley Barbee]: was overturned. It's hard to keep. And we live in a corner of the state
36:28
[Coley Barbee]: where we're actually very close to parts of Wisconsin and Minnesota. And so
36:33
[Coley Barbee]: sometimes it's easier to get health care in a different state than it is
36:39
[Coley Barbee]: to drive to someplace within our same state where maybe the same service
36:43
[Coley Barbee]: is available. But you really have to keep up on the laws because the laws
36:49
[Coley Barbee]: are changing so quickly. on the in sorry the state laws are changing so
36:55
[Coley Barbee]: quickly. It's hard to keep up with well, where is it legal? Where can I send
36:59
[Coley Barbee]: you?
37:06
[arlene_hunter]: Yeah, sorry. My head's
37:08
[caite]: Thank
37:08
[arlene_hunter]: going
37:09
[caite]: you.
37:09
[arlene_hunter]: in a lot of different directions. And I know that my Canadianism is showing through
37:15
[arlene_hunter]: because there's so much of the insurance side that I just don't understand
37:20
[arlene_hunter]: at all, right? Like that doesn't compute, but I'm sure
37:24
[Coley Barbee]: Neither
37:24
[arlene_hunter]: that, you
37:24
[Coley Barbee]: do
37:24
[arlene_hunter]: know, there's,
37:25
[Coley Barbee]: I.
37:25
[arlene_hunter]: yeah, yeah, for sure.
37:26
[caite]: Thank you. Bye.
37:27
[arlene_hunter]: And even, you know, the idea of writing your review of your doctor's appointment,
37:31
[arlene_hunter]: that is not something I have ever come across. Um, yeah, but I mean, access
37:39
[arlene_hunter]: to all health services by qualified medical professionals is something that people
37:44
[arlene_hunter]: in rural areas, I mean, that's who we're talking to, but you know, we understand
37:50
[arlene_hunter]: the limits of geography and all those types of things, but being able to
37:53
[arlene_hunter]: access the services we need when we need them is a human right, like you
37:57
[arlene_hunter]: said, right? And abortion is included in those services that we should have
38:02
[arlene_hunter]: access to if it's necessary for us.
38:08
[arlene_hunter]: I'm going to go into the direction of the kind of the more parenting questions.
38:15
[arlene_hunter]: So what is something that you wish you could tell us parents about our kids
38:22
[arlene_hunter]: in terms of, you know, like, not like the detailed medical stuff necessarily,
38:28
[arlene_hunter]: but what do you wish that you could get through to parents when they're in
38:31
[arlene_hunter]: your office or the things that we worry about?
38:36
[Coley Barbee]: You know, especially when I used to do OB and deliver babies, especially
38:43
[Coley Barbee]: first time parents were so nervous. Like, how am I going to take care of this little
38:48
[Coley Barbee]: human when I bring it home? And what I told all of them and that I hope
38:55
[Coley Barbee]: sunk in is, you know, infants need to be loved and fed. And that's basically
39:01
[Coley Barbee]: it. Like they're probably gonna be fine if they are loved and fed. Like that's
39:06
[Coley Barbee]: it. And if you have a worry, you come to somebody who knows how to evaluate
39:10
[Coley Barbee]: that worry. Like those are the important things. You know, it's not as important
39:17
[Coley Barbee]: to have, you know, all the fancy gadgets and things. And it really is, you know,
39:23
[Coley Barbee]: love your children. That's what you need to do.
39:26
[arlene_hunter]: Yeah. As they get older, you know, I know that sometimes parents worry about,
39:33
[arlene_hunter]: you know, whether you're worrying too much or not enough,
39:37
[Coley Barbee]: Mm-hmm.
39:37
[arlene_hunter]: right? How do you help people decide when they do need more help, whether
39:43
[arlene_hunter]: that's medically or developmentally, you know, milestones, all that kind of stuff?
39:47
[arlene_hunter]: How do you support parents who are in that kind of like, I'm just not
39:51
[arlene_hunter]: sure, or I think something's off, but I don't know.
39:56
[Coley Barbee]: I mean, I may see your child, like even in the early years when we're having
40:01
[Coley Barbee]: a lot of appointments, I might see your child 20 minutes every few months,
40:07
[Coley Barbee]: and you see them every single day. So I have come across parents who are...
40:17
[Coley Barbee]: you know, maybe overthinking it or over worrying. But most often I find
40:22
[Coley Barbee]: parents know their children best. Like if you think there's a problem,
40:25
[Coley Barbee]: probably there is. And, you know, hopefully I can help you figure out,
40:31
[Coley Barbee]: you know, well, where can we get you help? What additional help do they
40:35
[Coley Barbee]: need? You know, there are a lot more services now than there were even
40:41
[Coley Barbee]: 20 years ago for kids with developmental delays. you know, chronic health conditions
40:48
[Coley Barbee]: or problems, you know, there's just, there's a lot more resources. And so,
40:52
[Coley Barbee]: you know, my general feeling is usually parents know their kids best. If
40:58
[Coley Barbee]: you think there's something wrong, it at least bears further investigation.
41:05
[Coley Barbee]: And, you know, hopefully your family doctor can be the person to say, well,
41:09
[Coley Barbee]: here's where I think you can get the help that you might need. So I consider
41:15
[Coley Barbee]: that really to be my role.
41:24
[arlene_hunter]: Oh, sorry, we had a little freeze up again. And I know as a parent, something
41:30
[arlene_hunter]: that has helped me is when you're not sure, or if you feel like your doctor
41:36
[arlene_hunter]: is maybe gonna be dismissive, is to have some documentation. Just write some
41:41
[arlene_hunter]: things down, like really have a list when you go in, because sometimes you
41:44
[arlene_hunter]: get in that office and you're like, I can't remember what it was I was actually
41:49
[arlene_hunter]: concerned about. But if you have the list of things, you're like, here
41:52
[arlene_hunter]: are the things that I'm seeing. that maybe are not the same as other kids or
41:57
[arlene_hunter]: not the same as my other children or that I'm noticing in these situations, they
42:03
[arlene_hunter]: might be more willing to listen to your concerns if you've got kind of a bit
42:08
[arlene_hunter]: of backup and also just that reminder to yourself to be like, these are
42:12
[arlene_hunter]: my concerns, don't let the office scare you into thinking, oh, I'm
42:15
[Coley Barbee]: Great.
42:16
[arlene_hunter]: sure it's fine. It's yeah, it's not really a big deal.
42:19
[Coley Barbee]: I think in general a symptom diary for anybody of any age is the best thing
42:24
[Coley Barbee]: to do. Like if you have a concern, write down, this is a symptom I had, this was
42:29
[Coley Barbee]: the day I had it, like these are the associated things. Because it is, there's
42:35
[Coley Barbee]: so many things, and especially when it comes to well child appointments, there's
42:40
[Coley Barbee]: so many things that we wanna ask to assess and make sure that. you know,
42:45
[Coley Barbee]: that we're happy with how your child is growing and developing and if they're
42:49
[Coley Barbee]: meeting their milestones and so forth. So there's a lot of talking we want
42:54
[Coley Barbee]: to do at you. And sometimes I think parents' concerns sometimes get a little
42:58
[Coley Barbee]: lost in the shuffle. And so, yeah, I agree completely. Writing down, writing
43:06
[Coley Barbee]: things down is the best way, I think, to really know. Because a lot of times
43:11
[Coley Barbee]: patients will come to me with a concern. And they'll say, oh, well this hurts.
43:16
[Coley Barbee]: And I say, well, where does it hurt? When does it hurt? What happens around?
43:19
[Coley Barbee]: And they say, oh, well, I don't know. And it gets hard to remember if this
43:23
[Coley Barbee]: is, you know, something that is
43:24
[arlene_hunter]: Right,
43:25
[Coley Barbee]: not.
43:25
[arlene_hunter]: and did it start six months ago or six weeks ago? I can't really
43:28
[Coley Barbee]: Absolutely.
43:28
[arlene_hunter]: remember what day or time or yeah,
43:31
[Coley Barbee]: So yeah,
43:31
[arlene_hunter]: if I was
43:31
[Coley Barbee]: writing
43:31
[arlene_hunter]: doing
43:32
[Coley Barbee]: down
43:32
[arlene_hunter]: a certain
43:32
[Coley Barbee]: symptoms.
43:32
[arlene_hunter]: activity.
43:33
[Coley Barbee]: Yeah, writing down symptoms is the best thing you can do.
43:38
[caite]: I know too as a patient one of the worst things is when you leave an appointment
43:42
[caite]: and realize that you forgot to ask about something or say something. And then
43:46
[caite]: you have to do things like Facebooking your doctor about the arthritis in your foot,
43:51
[caite]: which is embarrassing. But, yes, I'm also a huge proponent of writing things down
43:56
[caite]: because otherwise I know for myself, especially with something with the kids, if
43:59
[caite]: I'm worried about it, it seems like it happens every day where if I actually write
44:04
[caite]: it down and then I can look back and be like, oh, it's actually only happening every
44:07
[caite]: three weeks. It's just that I'm thinking about it, so it seems like it's an all-the-time
44:12
[caite]: thing. Or, it actually is an all-the-time thing, but it
44:15
[Coley Barbee]: Ahem.
44:15
[caite]: doesn't seem like a big thing, so I'm not thinking about it. And, oh look, it is
44:19
[caite]: happening every day. Maybe I should concern myself with whatever this thing is.
44:28
[caite]: So one of the big things, especially the last few years, has been physician burnout.
44:34
[caite]: And I'm wondering how, as patients and as community members, we can be supportive
44:42
[caite]: of our medical teams. Because you guys are really getting screwed from a lot of directions.
44:49
[caite]: And especially with things like the patient satisfaction surveys and that, it's
44:54
[caite]: really It seems really unfair and shitty because there's stuff that's not your fault
44:59
[caite]: and there's stuff that you
45:00
[Coley Barbee]: Thank
45:01
[caite]: cannot
45:01
[Coley Barbee]: you.
45:01
[caite]: fix. I mean, that's just how it works. And you know, because we are in communities
45:09
[caite]: with each other and in small towns and we know each other, it seems that much
45:15
[caite]: more important to take care of people. And so I'm wondering how we can, besides, you
45:20
[caite]: know, paying you in chickens or
45:22
[Coley Barbee]: Hahaha.
45:23
[caite]: live basil plants. that you can then kill yourself, you know, how we can do better.
45:31
[Coley Barbee]: You know, I think honestly everybody is burning out right now. You know, not just
45:40
[Coley Barbee]: the medical professionals. The last few years have been really difficult for
45:44
[Coley Barbee]: people. A lot of the social norms that we had been accustomed to were completely
45:52
[Coley Barbee]: upended. There was a lot of... socialization that didn't happen the last couple
46:00
[Coley Barbee]: of years. So I feel like really everyone's burning out. I've started doing
46:05
[Coley Barbee]: a thing called joy prescriptions where I tell patients, you know, I want you
46:11
[Coley Barbee]: to do something every single day for five minutes that brings you joy. And
46:17
[Coley Barbee]: the number of people I get that say, well, I don't know what brings me joy
46:21
[Coley Barbee]: is terrifying. Then I say, well, that's your first assignment then. Figure out
46:25
[Coley Barbee]: like something that brings you joy. And then you have to do it five minutes
46:28
[Coley Barbee]: every day. And I really think that it's, you know, just doing, taking a little
46:36
[Coley Barbee]: time to take care of yourself pays dividends in the long run. And, you know,
46:43
[Coley Barbee]: I know I... for far too long just said, okay, yes, I will do everything.
46:50
[Coley Barbee]: I'm gonna do everything for everyone else and you empty your cup. And then
46:54
[Coley Barbee]: you, you know, there's nothing left for you. And so the other thing I've started
46:59
[Coley Barbee]: doing recently is saying no, and it's the best. Nobody says no enough. And
47:07
[Coley Barbee]: I've just recently started doing it and I love it.
47:12
[caite]: and I'm really glad that you agreed to be on there.
47:16
[Coley Barbee]: I agree to do fun things.
47:18
[arlene_hunter]: I said no to something recently too and it was fantastic.
47:23
[Coley Barbee]: Yeah,
47:23
[arlene_hunter]: So
47:24
[Coley Barbee]: it's great!
47:24
[arlene_hunter]: you have a project coming up, which I'm assuming probably brings you joy.
47:29
[arlene_hunter]: You're starting a YouTube channel, is that correct? And what is it called and
47:34
[arlene_hunter]: what are you going to be doing on the YouTube?
47:36
[Coley Barbee]: I am. So we are, I'm in the process of making Cooking with Dr. Coley channel.
47:48
[Coley Barbee]: And this really stems from the number of times every single week I have to
47:57
[Coley Barbee]: fight with people to eat their vegetables. In the Midwest,
48:03
[arlene_hunter]: I'm guessing it's not just
48:04
[Coley Barbee]: everybody
48:04
[arlene_hunter]: the children.
48:05
[Coley Barbee]: tells me, well, we're meat and potato folks. It's not, no, I have like 70
48:11
[Coley Barbee]: year olds with like really terribly controlled diabetes and heart disease and well
48:17
[Coley Barbee]: we're just meat and potato folks and I'm like, I just don't want you to have
48:21
[Coley Barbee]: another heart attack. Like really, can we, like I'm not taking away the meat and
48:25
[Coley Barbee]: potatoes, like, but could you fill half your plate with veggies? And people's
48:30
[Coley Barbee]: idea of like a healthy vegetable is like. iceberg lettuce with ranch dressing
48:36
[Coley Barbee]: and I say, well, I don't think that's the healthiest choice. So I'm just,
48:43
[Coley Barbee]: I'm really tired of having the same conversation over and over again. And
48:47
[Coley Barbee]: I really, I really love to cook. It's what I do for like stress relief. And
48:53
[Coley Barbee]: I really, I was gonna offer a cooking class, but it turns out there's all
48:57
[Coley Barbee]: these... like for my patients, but it turns out there's all these rules with
49:01
[Coley Barbee]: Medicare that you can't give free stuff to people and So I couldn't offer
49:07
[Coley Barbee]: this class I wanted to and you know, we just have all these like older midwesterners
49:12
[Coley Barbee]: who are just like so set in their ways Right and not one of them wants
49:15
[Coley Barbee]: to eat a vegetable. So I figured well maybe an easier way to get this message
49:21
[Coley Barbee]: out broadly is to just to start a youtube channel and with just how to incorporate
49:29
[Coley Barbee]: vegetables into your life. Because people think that vegetables don't taste good,
49:33
[Coley Barbee]: they think they're expensive, and that really just isn't the case. So it's
49:40
[Coley Barbee]: gonna be not entirely vegetarian channel, but like plant heavy foods, because
49:46
[Coley Barbee]: I feel like that's what people have the most difficulty kind of incorporating
49:50
[Coley Barbee]: into their diets. so really heavy on vegetables like beans and legumes
49:55
[Coley Barbee]: just kind of plant forward cooking to to try to give people a resource to okay
50:03
[Coley Barbee]: it's not you know you can incorporate it like it's not doesn't have to be hard to
50:08
[Coley Barbee]: incorporate vegetables i won't even take away your meat potatoes just like
50:11
[Coley Barbee]: please eat some broccoli sometimes
50:14
[caite]: So as the wife of one of your patients who might believe that iceberg lettuce with
50:21
[caite]: Ranch bacon bits and cheese on top counts as a salad. Sorry Jim. Apparently it
50:26
[caite]: doesn't Have you thought about
50:29
[Coley Barbee]: Belgium,
50:29
[caite]: maybe
50:29
[Coley Barbee]: I apologize.
50:30
[caite]: running like half a screen of tractor videos at the bottom of your cooking videos
50:36
[caite]: so that they'll watch them or like Interspersing little videos of cows in between
50:41
[caite]: to get them to like Or, oh, what's it called, um,
50:45
[Coley Barbee]: I love this idea.
50:46
[caite]: when you, when you put in like little snippets of something that like your, your
50:51
[caite]: brain doesn't consciously see? Um, like,
50:56
[Coley Barbee]: like the subliminal
50:56
[caite]: yes,
50:56
[Coley Barbee]: messaging? Ha ha
50:57
[caite]: yes.
50:57
[Coley Barbee]: ha ha.
50:58
[caite]: We'll just start putting it in all the tractor videos on YouTube. There'll be
51:01
[caite]: subliminal messaging for like
51:04
[Coley Barbee]: Perfect.
51:04
[caite]: kale, you know. All these farmers are going to start asking it for like tofu and...
51:12
[caite]: curries and kale and shit and everyone who cooks for these people is gonna be like,
51:18
[caite]: what? Alright, you know, it's gonna be amazing. And my husband
51:23
[Coley Barbee]: I
51:23
[caite]: is
51:23
[Coley Barbee]: think this
51:24
[caite]: doing
51:24
[Coley Barbee]: is
51:24
[caite]: better.
51:24
[Coley Barbee]: a brilliant idea.
51:25
[caite]: I'll say that for him. He is making an effort. Yeah, I think subliminal messaging
51:33
[caite]: or some tractor videos might be the way to go. Yeah,
51:36
[Coley Barbee]: I like it.
51:38
[caite]: I think there is a real assumption that eating healthier means all tofu all the
51:43
[caite]: time, and
51:44
[Coley Barbee]: Mm.
51:45
[caite]: never eating anything that you actually want to eat.
51:53
[caite]: And also not controlling your diabetes does really really really bad things so Yeah,
52:00
[caite]: I think people miss What the fallout can be of that?
52:05
[Coley Barbee]: Uh-huh.
52:09
[caite]: And I watched your intro video and it was adorable. So we'll make sure to put
52:13
[caite]: a link
52:13
[Coley Barbee]: Thanks.
52:13
[caite]: in so that people can watch you.
52:16
[Coley Barbee]: I just had, we've learned some things during filming. So my husband is helping
52:22
[Coley Barbee]: me with this. We are not videographers. We don't really
52:25
[caite]: So we
52:25
[Coley Barbee]: know
52:25
[caite]: ask...
52:25
[Coley Barbee]: what we're doing. So we said, we welcome feedback.
52:33
[caite]: There you go. We ask all of our guests if you were going to dominate a category at
52:37
[caite]: the county fair, what would it be? And categories can be real or made up to ensure
52:41
[caite]: that you win.
52:52
[Coley Barbee]: mean I make an excellent cheesecake but those recipes aren't going on the channel.
52:59
[arlene_hunter]: That's only for the county fair.
53:02
[Coley Barbee]: I think I really could win a cheesecake making contest at the county fair.
53:05
[Coley Barbee]: I really do.
53:07
[caite]: I think
53:07
[arlene_hunter]: but
53:07
[caite]: I
53:07
[arlene_hunter]: you'd
53:07
[caite]: could
53:07
[arlene_hunter]: probably
53:08
[caite]: judge
53:08
[arlene_hunter]: put
53:08
[caite]: a chicken.
53:08
[arlene_hunter]: fruit on it.
53:10
[Coley Barbee]: Yeah, totally.
53:11
[caite]: It's got dairy in it.
53:17
[arlene_hunter]: That sounds delicious. So we'll go ahead and move into our cussing and discussing
53:22
[arlene_hunter]: segment. We've registered for an online platform called SpeakPipe where you
53:25
[arlene_hunter]: can leave your cussing and discussing entries for us and we will play
53:28
[arlene_hunter]: them on the show. So go to speakpipe.com backslash barnyardlanguage and
53:32
[arlene_hunter]: leave us a voice memo or you can always send us an email at barnyardlanguage.gmail.com
53:36
[arlene_hunter]: and we will read it out for you. Katie, what are you cussing and discussing
53:39
[arlene_hunter]: this week?
53:41
[caite]: Well, I wrote down children are humans, but I do actually remember what I meant by
53:45
[caite]: this. It's so, so easy, and I am saying this as a reminder to myself, it is so easy
53:52
[caite]: to get so caught up in, my kids should be excited to go to school, they should do
53:57
[caite]: all their chores without ever talking back, they should do this, they should do this,
54:01
[caite]: they should never talk back or complain or want anything different or cause problems
54:05
[caite]: or whatever else. And I mean, my kids are just barely six and four. And if I really
54:13
[caite]: think about it, if somebody pushed me around to do all the shit that I expect
54:18
[caite]: them to do without complaint, I would lose my mind. And, you know, the boy child
54:25
[caite]: this morning was saying he didn't want to go to school because he doesn't want to
54:27
[caite]: learn anything else. His brain is full, he's done, he wants to stay home and play tractors,
54:32
[caite]: he doesn't want to go to school, he doesn't want to,
54:34
[Coley Barbee]: Thank
54:34
[caite]: you know,
54:35
[Coley Barbee]: you.
54:35
[caite]: he's done. And I'm sitting here thinking about I'm trying to learn this new editing
54:39
[caite]: software for the podcast, and my brain is full after like five minutes of trying to
54:44
[caite]: learn new stuff. But I expect my four-year-old to just trot happily off to school every day
54:50
[caite]: to learn more stuff. You know, it can take me an hour to get going in the morning
54:56
[caite]: and to get dressed and eat breakfast, but I expect them to be able to do it in 15
54:59
[caite]: minutes when they don't get to choose what they're wearing or what they're eating
55:02
[caite]: or where they're going, and that they should just shut up and go do it, and don't
55:08
[caite]: give me a hard time about it. And... It is hard because on the one hand, just shut
55:14
[caite]: up and go eat your breakfast. I, you know, you're four, I don't care what you think.
55:18
[caite]: But I do very much care what they think. And it's hard to balance caring and wanting
55:28
[caite]: them to feel like they have some agency in their lives with also knowing that sometimes
55:34
[caite]: you just have to shut up and eat your breakfast and go to school. And it's hard to
55:38
[caite]: take it too seriously when I know full well what he's learning in preschool. And it's
55:41
[caite]: not like they're, you know, it's not like he's in a military academy or something.
55:46
[caite]: So anyway,
55:48
[arlene_hunter]: Yeah,
55:49
[caite]: children
55:49
[arlene_hunter]: it's
55:49
[caite]: are
55:49
[arlene_hunter]: a hard
55:49
[caite]: humans.
55:49
[arlene_hunter]: one to remember though, especially when it impacts your, you know, you've also
55:53
[arlene_hunter]: got in your head like, if you don't leave now, we're gonna be late, you know,
55:57
[arlene_hunter]: all the things that as adults we're keeping track of at all times, right?
56:00
[arlene_hunter]: Like if my kids are gonna miss the bus, then I'm gonna have to drive them,
56:03
[arlene_hunter]: you know, like all the down the road consequences where you're just like,
56:07
[arlene_hunter]: can you just do the thing? But
56:10
[caite]: Let's
56:10
[arlene_hunter]: yeah,
56:10
[caite]: just do it.
56:11
[arlene_hunter]: yeah. But they're also allowed to have feelings apparently. Ha ha!
56:18
[caite]: All right, Colby, what do you have to cuss and discuss?
56:22
[Coley Barbee]: Oh goodness.
56:29
[Coley Barbee]: What have I been thinking about recently?
56:38
[Coley Barbee]: Mmm.
56:46
[Coley Barbee]: Is this something that I think about that makes me want to cuss? Is
56:49
[arlene_hunter]: It
56:50
[Coley Barbee]: that
56:50
[arlene_hunter]: can be, yeah, this
56:50
[Coley Barbee]: the point
56:51
[arlene_hunter]: is
56:51
[Coley Barbee]: of
56:51
[arlene_hunter]: just
56:51
[Coley Barbee]: this?
56:51
[arlene_hunter]: like, yeah, the random, either like the little tiny thing that bugged you
56:56
[arlene_hunter]: this morning to like society at large, whatever. This is free rein.
57:02
[Coley Barbee]: Gotcha. I've honestly been really thinking about how, like, why is winter so
57:12
[Coley Barbee]: long? I know this is something I can do nothing about, but we're only a month
57:18
[Coley Barbee]: in and I'm sick of it already. And
57:21
[arlene_hunter]: Agreed.
57:22
[Coley Barbee]: this is awesome. I just am thinking like, you know...
57:30
[Coley Barbee]: Can just the whole world just move south during the winter? Just... Or shouldn't
57:35
[Coley Barbee]: we all just live in the template zone? I don't know.
57:39
[arlene_hunter]: Yeah,
57:39
[Coley Barbee]: Maybe I just need to do that. Maybe I just need a vacation.
57:41
[arlene_hunter]: maybe.
57:41
[Coley Barbee]: Maybe
57:42
[arlene_hunter]: Yeah,
57:42
[Coley Barbee]: that's
57:42
[arlene_hunter]: that
57:42
[Coley Barbee]: what
57:42
[arlene_hunter]: could be
57:42
[Coley Barbee]: the...
57:42
[arlene_hunter]: it. Yeah. There's something about
57:44
[Coley Barbee]: Really?
57:45
[arlene_hunter]: the longer nights too, the darkness. You know, in the daytime when it's
57:50
[arlene_hunter]: cold, I seem to be able to cope better. But, you know, once it's dark
57:55
[arlene_hunter]: and cold, then that's a harder pill to swallow.
57:59
[Coley Barbee]: I agree.
58:00
[caite]: I find that interesting, Arlene, because I prefer when it's dark, because then nobody
58:03
[caite]: expects me to go outside. When it's light, I feel like there's some expectation
58:08
[caite]: that I might leave the house.
58:09
[arlene_hunter]: Yes, but like today I'm looking outside and there's snow, but at least the
58:12
[arlene_hunter]: sun is shining. So it's like, you know, I can look out there and think that
58:16
[arlene_hunter]: it's, it's not that bad. But yeah, when it's dark at four o'clock, then
58:21
[Coley Barbee]: Mm-hmm.
58:22
[arlene_hunter]: yeah, I don't want to do anything, whether I'm inside or outside.
58:25
[Coley Barbee]: No. Okay.
58:28
[caite]: So Arlene, what do you have to custom discuss today?
58:31
[arlene_hunter]: So this one is semi, like medically related, I suppose. And I'm not blaming anybody.
58:36
[caite]: She's
58:36
[arlene_hunter]: It's
58:36
[caite]: got
58:36
[arlene_hunter]: just
58:36
[caite]: a rash
58:36
[arlene_hunter]: one of
58:37
[caite]: to
58:37
[arlene_hunter]: those.
58:37
[caite]: show you, Colleen.
58:38
[arlene_hunter]: No, I do not, no. It's just that thing where you call the doctor's office
58:46
[arlene_hunter]: and you need to book an appointment and it seems semi-urgent to you. And they're
58:51
[arlene_hunter]: like, ah, yeah, the closest appointment we've got is like six weeks or
58:56
[arlene_hunter]: two months away. And you're like, well, like. guess that's my only option,
59:01
[arlene_hunter]: I will take it. But then, you know, say that there's a prescription that
59:05
[arlene_hunter]: needs renewed or any of those types of things, then there's all those extra
59:08
[arlene_hunter]: hoops that you have to jump through where it's like, yeah, well, I don't
59:10
[arlene_hunter]: have another doctor's appointment for another two months, so I guess you have
59:14
[arlene_hunter]: to fax my doctor or whatever technology they use now to talk to doctors.
59:19
[arlene_hunter]: I think they still use faxes at my pharmacy. I don't know why they do.
59:22
[Coley Barbee]: They still use faxes. It's the most, that is worth cussing and discussing.
59:26
[arlene_hunter]: Yeah,
59:26
[Coley Barbee]: Why
59:27
[arlene_hunter]: the use
59:27
[Coley Barbee]: are
59:27
[arlene_hunter]: of fax
59:27
[Coley Barbee]: we still
59:27
[arlene_hunter]: machines.
59:28
[Coley Barbee]: using faxes?
59:29
[arlene_hunter]: Yeah, yeah, yeah. So then, yeah, that drawn out process of, okay, so yeah,
59:35
[arlene_hunter]: I do have a dark disappointment, but then the prescription is another whole
59:39
[arlene_hunter]: thing. And yeah, just the delays. And I get it, everybody's overworked. And sometimes
59:44
[arlene_hunter]: you can't fit more appointments into a day, but I just don't like waiting for
59:49
[arlene_hunter]: that kind of stuff. But.
59:52
[Coley Barbee]: Can I pick a new custom to discuss?
59:53
[arlene_hunter]: Absolutely, get another one.
59:58
[Coley Barbee]: Because I think this is, like understaffing of medical clinics, I think is
1:00:06
[Coley Barbee]: a problem in many, many places, but especially rural places,
1:00:10
[arlene_hunter]: Mm-hmm.
1:00:10
[Coley Barbee]: it is ridiculously hard to recruit people to come work. And it does mean longer
1:00:18
[Coley Barbee]: wait times for patients. And and that your medical providers are overworked
1:00:26
[Coley Barbee]: and you still aren't getting to see them in a timely fashion. A lot of people
1:00:32
[Coley Barbee]: in the US will say, oh, well, we can't have a single payer system or socialized
1:00:38
[Coley Barbee]: medicine because then care will be rationed. And I think what people don't
1:00:44
[Coley Barbee]: understand is that care is already rationed. We just don't ration it in an intelligent
1:00:50
[Coley Barbee]: or
1:00:55
[Coley Barbee]: in a way that makes any sense. We're not deliberate about it.
1:00:59
[arlene_hunter]: Mm-hmm.
1:00:59
[Coley Barbee]: So instead what happens is there aren't enough healthcare professionals and
1:01:05
[Coley Barbee]: where there are some mostly suburban type environments where there are
1:01:11
[Coley Barbee]: plenty of doctors and you don't have to wait. but in the more difficult places
1:01:16
[Coley Barbee]: to practice that have fewer resources like rural places and like urban
1:01:20
[Coley Barbee]: places, we are rationing care, we're just not talking about it.
1:01:26
[arlene_hunter]: Yeah,
1:01:26
[Coley Barbee]: So.
1:01:27
[arlene_hunter]: and it's probably not being done in an equitable, across the board way,
1:01:32
[arlene_hunter]: right? Where
1:01:33
[Coley Barbee]: No. Not at
1:01:34
[arlene_hunter]: some
1:01:34
[Coley Barbee]: all.
1:01:34
[arlene_hunter]: people are maybe not seeing that it's being rationed because they're maybe
1:01:39
[arlene_hunter]: in a different system than the other people who are waiting.
1:01:45
[Coley Barbee]: Yeah, absolutely.
1:01:46
[caite]: Arlene, I'm going to add a second cussing and discussing too,
1:01:49
[arlene_hunter]: Bring it on.
1:01:50
[caite]: since we have fun.
1:01:51
[Coley Barbee]: I'm going to go ahead and turn it off.
1:01:51
[arlene_hunter]: It's a double cussing kind of week.
1:01:54
[caite]: This concept of the way the government controls prescription writing, if it seemed
1:02:03
[caite]: like it was actually fixing the opioid epidemic, fine. But this crap about things
1:02:09
[caite]: like not being able to get ADHD meds for more than 28 days at a time, if I didn't
1:02:15
[caite]: need meds to make my brain able to remember things... I might have a chance of
1:02:22
[caite]: getting my meds filled on time, but there should be some route that if I can prove
1:02:27
[caite]: that I'm taking my meds and I'm a 41-year-old mother, I'm not selling my meds to a bunch
1:02:35
[caite]: of college kids on the street, I feel like I should be trusted with more than 28
1:02:40
[caite]: days' worth of medication. Or... when, say, my insurance company refills... refuses
1:02:46
[caite]: to pay for a prescription because they disagree with my doctor about what my prescription
1:02:52
[caite]: should be or pharmacies that second-guess your prescriptions or anybody else I just...
1:03:01
[caite]: you know... it's... if it seemed like it was fixing anything it would be different
1:03:07
[caite]: but we still have all these drug problems and it's... It's still a pain in the ass to
1:03:14
[caite]: get stuff filled. So that's my thoughts
1:03:17
[Coley Barbee]: Well,
1:03:18
[caite]: on
1:03:18
[Coley Barbee]: and
1:03:18
[caite]: that.
1:03:18
[Coley Barbee]: it just, it really is, I mean, it makes life harder for patients and for medical
1:03:26
[Coley Barbee]: providers because, I mean, if somebody is stable on a medication, you know,
1:03:30
[Coley Barbee]: on their blood pressure medication, I will give them a month's worth with a few
1:03:35
[Coley Barbee]: refills and say, you know, hey, come back for a recheck in six months or whatever.
1:03:40
[Coley Barbee]: But you know, I can't do that on... with the controlled substances. Like
1:03:44
[Coley Barbee]: I need to write a new prescription every single month after you call in and request
1:03:48
[Coley Barbee]: it. So it's harder for everybody.
1:03:50
[caite]: Yeah, I think
1:04:00
[caite]: Yeah, that's exactly the problem is that it's not in any way efficient for anyone
1:04:04
[caite]: involved. It's not efficient for the pharmacy either because they have to, you know,
1:04:09
[caite]: jump and do it when it does finally come through. And it's just a pain in the ass.
1:04:14
[caite]: Anyway, Arlene, did you have a second cussing and discussing you wanted to add?
1:04:20
[arlene_hunter]: I think I'm good for today. I feel like I'm gonna, as a Canadian, I need
1:04:27
[arlene_hunter]: to curtail my comments a little bit, other than saying, yay, socialized medicine.
1:04:36
[arlene_hunter]: I know there are problems in the system, but yeah, I know that hearing the
1:04:42
[arlene_hunter]: two of you talk about it and all the other stories that we hear from here,
1:04:48
[arlene_hunter]: you know. yes, there's issues in our system, but don't let your politicians
1:04:53
[arlene_hunter]: and your insurance companies convince you that it's all that bad because
1:04:57
[arlene_hunter]: there's a lot of good that's happening. I think that
1:05:02
[Coley Barbee]: Mm.
1:05:03
[arlene_hunter]: hopefully that if other systems are looked at critically and without all the
1:05:13
[arlene_hunter]: biases and often that comes from that's... where it's coming from, who's
1:05:18
[arlene_hunter]: getting paid, right? So, but look at what other countries are doing and
1:05:21
[arlene_hunter]: actually, yeah, make some decisions based on facts rather than believing the stories.
1:05:32
[arlene_hunter]: Anyway, thank you so much, Dr.
1:05:35
[Coley Barbee]: Thank you
1:05:35
[arlene_hunter]: Coley,
1:05:35
[Coley Barbee]: guys, this has
1:05:36
[arlene_hunter]: for
1:05:36
[Coley Barbee]: been so much fun.
1:05:37
[arlene_hunter]: joining us today. If someone wanted to get in touch or follow your YouTube
1:05:41
[arlene_hunter]: channel, not in get in touch in terms of like asking for medical advice.
1:05:44
[arlene_hunter]: But yeah, if people want to watch your cooking videos, where will they
1:05:47
[arlene_hunter]: be able to find you?
1:05:50
[Coley Barbee]: So the channel is just called Dr. Coley. So like D-R-C-O-L-E-Y.
1:05:58
[arlene_hunter]: That is great. We will look forward to watching them and see whether there's
1:06:01
[arlene_hunter]: a tractors involved or not.
1:06:04
[Coley Barbee]: Gonna add some now.
1:06:06
[caite]: Maybe you could even just line some toy ones up on your counter
1:06:10
[Coley Barbee]: Mm-hmm.
1:06:11
[caite]: Or just some tractor books or something. We have
1:06:13
[Coley Barbee]: I'm
1:06:13
[caite]: some
1:06:13
[Coley Barbee]: going
1:06:13
[caite]: you could
1:06:14
[Coley Barbee]: to
1:06:14
[caite]: borrow
1:06:14
[Coley Barbee]: go to bed.
1:06:14
[caite]: if you need
1:06:15
[arlene_hunter]: There you go.
1:06:16
[Coley Barbee]: Sorry.
1:06:16
[caite]: them
1:06:19
[arlene_hunter]: Thank you so much.
1:06:21
[Coley Barbee]: Yeah, thank you.
1:06:34
[Coley Barbee]: Yeah, it was super fun.
1:06:48
[Coley Barbee]: You know, it's really, well, and it's really hard because it feels like,
1:06:53
[Coley Barbee]: you know, it's, it's kind of a boundary. Like, I honestly, I do have this
1:07:01
[Coley Barbee]: collection of patients who I'm just like, I want to be their friend, but I
1:07:06
[Coley Barbee]: mean, it's hard to make friends as an adult, I feel like, anyway. And then
1:07:12
[Coley Barbee]: you add that extra layer in and it just gets kind of, you're like, is it
1:07:15
[Coley Barbee]: weird? But like. Right? I think so too. But yeah, I get, I'm like, is it weird
1:07:22
[Coley Barbee]: to, like, I don't want, it's not awkward for me, but I'm always kind of
1:07:25
[Coley Barbee]: like, I don't know, like maybe many people don't want to share their medical
1:07:28
[Coley Barbee]: problems with their friends. Like, where, you know, I just, I look at, maybe
1:07:35
[Coley Barbee]: it makes them uncomfortable if their friend looks like, looks at their
1:07:37
[Coley Barbee]: vagina, like, I don't know.
1:07:42
[Coley Barbee]: And I'm just like, oh, I don't know.
1:07:58
[Coley Barbee]: It honestly doesn't... I mean, all like, and I go, at first, at first I was
1:08:06
[Coley Barbee]: kind of like, I was, I was in the same boat, because I needed my IUD changed.
1:08:09
[Coley Barbee]: And I was like, ah, should I go all the way up to gynecology? Because that
1:08:12
[Coley Barbee]: is just kind of a pain. And then I decided I was just going to have Jenny
1:08:15
[Coley Barbee]: do it. Jenny's one of the PAs that works in our clinic. And so, you know,
1:08:19
[Coley Barbee]: we're, we're friends and we hang out outside of work. We work together
1:08:22
[Coley Barbee]: every day and I'm just like, Jenny, can you change my IUD? And she's like,
1:08:24
[Coley Barbee]: sure, no problem. So that's what we did.
1:08:38
[Coley Barbee]: Mm. You know, everyone's intestines look pretty much the same. Ha ha ha ha ha.
1:08:51
[Coley Barbee]: Cheers.
1:08:55
[Coley Barbee]: Yeah.
1:09:08
[Coley Barbee]: So they actually, like right before I stopped doing OB, they actually got
1:09:14
[Coley Barbee]: like the clear drapes so that you can see now. I know, and I was just like,
1:09:20
[Coley Barbee]: why couldn't we do this a few years ago? I brought it up and everyone just
1:09:22
[Coley Barbee]: acted like I was like insane, but.
1:09:30
[Coley Barbee]: Yeah, so they got him on board. Yeah, yeah, exactly. So like, you know, you
1:09:36
[Coley Barbee]: just yeah, you can see through it. It's just like clear plastic instead of,
1:09:40
[Coley Barbee]: you know, normally it's like paper. You can't see. So yeah, somehow they
1:09:43
[Coley Barbee]: got Yi on board. And and so that's what they do now. You can have the option
1:09:47
[Coley Barbee]: of a clear plastic drape so you can see. I have another one so you can
1:09:52
[Coley Barbee]: have that experience.
1:10:04
[Coley Barbee]: I know, I know, right?
1:10:19
[Coley Barbee]: That's really nice.
1:10:32
[Coley Barbee]: That's a really nice benefit though.
1:10:45
[Coley Barbee]: Hmm.
1:10:49
[Coley Barbee]: Uh-huh.
1:10:55
[Coley Barbee]: It looks real sad guys, real sad.
1:11:04
[Coley Barbee]: Yeah. Mm-hmm.
1:11:17
[Coley Barbee]: So what do I need to do to make sure it uploads? It's just going to do it automatically.
1:11:31
[Coley Barbee]: Okay, so I can hang up and then just leave this open? Okay, perfect! Alright,
1:11:37
[Coley Barbee]: this has been really fun guys, thank you! Yeah, good to meet you! Bye-bye!