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How to Choose the Right Doctor & Never Ignore These Symptoms · Aesthetics Unscripted

• 0:03
  SPEAKER_00: Welcome to Aesthetics Unscripted.
• 0:05
  SPEAKER_00: I'm your host, Kim, your aesthetic and longevity expert.
• 0:08
  SPEAKER_00: And I'm super excited to introduce to you today Dr.
• 0:12
  SPEAKER_00: Quincy Harburger.
• 0:14
  SPEAKER_01: Hi, thanks for having me.
• 0:15
  SPEAKER_01: I'm uh really excited to be here.
• 0:17
  SPEAKER_00: Well, let's jump right in for our viewers.
• 0:19
  SPEAKER_00: Can you please tell us what do you do?
• 0:21
  SPEAKER_00: What is your license specialty?
• 0:23
  SPEAKER_01: So, my licensed specialty is family medicine, um, which is a generalist uh sort of do-it-all kind of doctor.
• 0:30
  SPEAKER_00: Okay, that's fantastic because we're definitely in need of more people like you, more providers like you.
• 0:36
  SPEAKER_00: So that reminds me right away.
• 0:38
  SPEAKER_00: I've lived long enough to be able to live through a couple of changes, especially insurance-wise, on what your license specialties actually referred to.
• 0:47
  SPEAKER_00: So family medicine, PCP, internist, general practitioner, help me out here.
• 0:54
  SPEAKER_00: Can you please define these for our viewers?
• 0:55
  SPEAKER_01: The quick answer is they're all basically the same thing.
• 0:58
  SPEAKER_01: Uh, they're all generalist physicians.
• 1:00
  SPEAKER_01: Um, the PCP term is an insurance term, as I understand it, uh, which was, I think, started probably back with HMOs.
• 1:08
  SPEAKER_01: Um, and it means primary care physician, although it's often primary care provider or primary care professional, you'll hear.
• 1:14
  SPEAKER_01: But that's that's the the main doctor that provides the primary care.
• 1:18
  SPEAKER_01: So 80% of what most people need is provided by a primary care physician.
• 1:23
  SPEAKER_01: The PCP term is all encompassing, all encompass.
• 1:26
  SPEAKER_01: So that would encompass family doc, pediatrician, uh, and internist.
• 1:31
  SPEAKER_00: Oh, I didn't know the pediatrician was included in that.
• 1:34
  SPEAKER_01: Yes.
• 1:35
  SPEAKER_01: There are some, uh if you remember back to the time of HMOs, there was some push for uh obstetric and gynecology docs to be PCPs as well, when when when you were looking at receiving payments for panel sizes.
• 1:46
  SPEAKER_01: And so obviously everybody wants it to be classified as that in that scenario.
• 1:50
  SPEAKER_01: Um, but generally it's adults' kids is who were taking care of generally.
• 1:54
  SPEAKER_01: And internist in particular is traditionally the most generally trained medical specialists.
• 2:02
  SPEAKER_01: So back in the day, you'd have uh medical doctors who did medicine, prescribed medicine and so forth, and then you'd have medical doctors who operated on people.
• 2:10
  SPEAKER_01: And so internists were the people who prescribed focused on the medicine.
• 2:14
  SPEAKER_01: The surgeons were the one who focused on having doing operations and so forth.
• 2:19
  SPEAKER_00: So for family medicine, though, so in my mind, and correct me if I'm wrong, family medicine, not just for me who loves children but doesn't have any, I would come to see you, but I would feel very confident under your, if you will, your shingle of being family practice, family medicine, I would be very comfortable bringing my children to you.
• 2:41
  SPEAKER_00: So for you, yourself passionately, um, in your practice in particular, um what drives you for what you provide um, you know, with between children and adults?
• 2:54
  SPEAKER_00: And also how did you go down this road?
• 2:57
  SPEAKER_00: Because this is like Alice in Wonderland stepping through the looking glass to me, um, being on the edge, you know, being in cosmetic medicine and on the edge of and working with conventional medicine um providers, that I'm like, wow, I'm always in awe of what drew you to go that route instead of being like a corporate lawyer or something that would have been potentially a lot more lucrative and a lot maybe a lot easier to actually graduate thereof.
• 3:26
  SPEAKER_00: So to let us down that path.
• 3:27
  SPEAKER_00: What was your beginning journey and why?
• 3:29
  SPEAKER_01: Probably the one of the biggest driving factors is both of my parents worked in healthcare.
• 3:33
  SPEAKER_01: So my mother was uh an ICU nurse and a nurse practitioner, and my dad was a family doctor.
• 3:37
  SPEAKER_01: So I grew up in that environment.
• 3:39
  SPEAKER_01: And my parents enjoyed it, and you could tell.
• 3:42
  SPEAKER_01: Um, and so it was sort of like that's kind of like, why wouldn't I do this?
• 3:45
  SPEAKER_01: Because I have a lot of exposure to it.
• 3:47
  SPEAKER_01: So that's the in initial impetus.
• 3:49
  SPEAKER_01: And you know, I had some proclivity to uh, you know, do well in class, which makes it possible to have a chance of you know going to medical school.
• 3:56
  SPEAKER_01: So I focused on that with the intent of hopefully being a doctor.
• 4:01
  SPEAKER_01: Um and just overall, you don't really know what doctors do until you get into the training and start doing it because you get a sense from watching TV shows and whatnot.
• 4:11
  SPEAKER_01: But really, what it is is it's problem solving.
• 4:13
  SPEAKER_01: And I love problem solving.
• 4:14
  SPEAKER_01: So I love being able to, someone comes to us, people come to us with some sort of an issue they're having, they haven't been able to figure it out, and so they need some help.
• 4:25
  SPEAKER_01: And I love listening to the story that people tell me and sort of trying to identify what it is, what sort of barriers are they encountering, and how can we remove those?
• 4:34
  SPEAKER_01: Um, so that's the appeal from my perspective.
• 4:36
  SPEAKER_01: Um, and the sort of cliche I just want to help people really is is the driving, the driving force.
• 4:42
  SPEAKER_00: What are some of the things?
• 4:44
  SPEAKER_00: What are like some green flag goes that when you're seeking a new practitioner that our viewers could take into account when they're looking?
• 4:52
  SPEAKER_00: And also what are some red flags?
• 4:55
  SPEAKER_00: Just, you know, some good basics that it's easy for us to remember.
• 4:58
  SPEAKER_01: The best thing I think is word of mouth.
• 5:00
  SPEAKER_01: So if you have a recommendation from someone you know that knows you and they're saying, hey, you really like this doctor, that's usually a pretty good green flag.
• 5:08
  SPEAKER_01: Um, so that's that's number one.
• 5:09
  SPEAKER_01: And then so if you can meet that doctor or actually have an in-person encounter uh with a doctor before you choose them, which is unfortunately not always the case.
• 5:17
  SPEAKER_01: Sometimes they get assigned to you.
• 5:19
  SPEAKER_01: Um, if you have a choice, then it's uh you ask the questions that are important to you and don't try to filter yourself, don't try to guess what you should be saying to the doctor or what the doctor wants to hear.
• 5:29
  SPEAKER_01: The way you're gonna bit the best care possible is to be yourself, be authentic, and let that person see that and respond to it in the way that they'll respond to it, because that's gonna tell you how they're gonna respond when you have other issues come up.
• 5:40
  SPEAKER_01: Um, so you use your your intuition just like you would anything else.
• 5:44
  SPEAKER_01: If you hire uh somebody to work on your house or take care of your kids, you know, you can look at the resume, you can see that they've got the training and and the credentials, but really it's that it's that personal connection because this is a really human, a human part of uh life is health.
• 5:59
  SPEAKER_00: Absolutely.
• 5:59
  SPEAKER_00: So, what would be a few red flags?
• 6:01
  SPEAKER_01: Someone who does not maintain eye contact, someone who dismisses your concerns.
• 6:05
  SPEAKER_01: Um, anyone who tries to tell you that at an appointment, you can only bring up two or three concerns.
• 6:11
  SPEAKER_01: That's that is from my perspective wrong.
• 6:14
  SPEAKER_01: Um, there's no way you can help people if you're trying, if you're gonna tell them that they have to decide what the two most important things are.
• 6:20
  SPEAKER_01: You know, that's not their job.
• 6:21
  SPEAKER_01: They have to bring, you have to be able to bring your concerns to the doctor openly, present everything that you can't, that you need that you feel like you should, and then get a legitimate authentic response.
• 6:30
  SPEAKER_01: So if you're not getting that, if you're getting what feels like the runaround, it's it you're probably getting the runaround.
• 6:36
  SPEAKER_00: That is uh just absolute great advice.
• 6:38
  SPEAKER_00: I think that uh uh all of viewers please pay attention.
• 6:41
  SPEAKER_00: Um, that you do have to stand your ground and share appropriately.
• 6:46
  SPEAKER_00: However, one of my peeves in the aesthetic industry is the TikTok and social media expert.
• 6:55
  SPEAKER_00: And for you, it also started out with um that lovely medical website that everyone likes to self-diagnose and see.
• 7:04
  SPEAKER_00: It's like I have a splinter.
• 7:05
  SPEAKER_00: Oh my god, I'm gonna die.
• 7:07
  SPEAKER_00: Right?
• 7:08
  SPEAKER_00: Um, I I have a neckache this morning and it may not be associated with my AC.
• 7:13
  SPEAKER_00: And it's you look it up and it says, oh my god, you're gonna die.
• 7:16
  SPEAKER_00: And then we all run to you with this long list of these self-diagnosed things that are just thrown, these sensationalist things that are thrown at us.
• 7:25
  SPEAKER_00: How do you handle that when a patient comes to you, new or an existing patient, and they're like, oh my goodness, Dr.
• 7:32
  SPEAKER_00: Quincy, I'm gonna die.
• 7:33
  SPEAKER_00: I looked this up on the internet.
• 7:35
  SPEAKER_00: How do you handle that?
• 7:36
  SPEAKER_01: You have to actually listen to what the patient is telling you.
• 7:39
  SPEAKER_01: So if you're concerned about um a hangmail or you're concerned about a headache enough to come to me to talk about it, I can't just be like, oh, it's just a headache, don't worry about it.
• 7:50
  SPEAKER_01: Um, you it's good to look, I think, um, unless it is upsetting to you, it's good to look up stuff.
• 7:56
  SPEAKER_01: It's good to Google things and try and figure out what's going on and have a sense of the symptoms you're having and how you might want to present it to the doctor, because that'll help you better advocate for yourself.
• 8:04
  SPEAKER_01: So, from my perspective, I I actually like it when patients have tried to educate themselves ahead of time because that sort of gives me a foundation to build on with the little with because usually 90% or 80% of what someone's telling me is correct.
• 8:17
  SPEAKER_01: It's just maybe the conclusion at the very end isn't quite right.
• 8:20
  SPEAKER_01: And so I think I think that's a good thing to do.
• 8:22
  SPEAKER_01: I I don't think all that stuff on the internet, aside from creating anxiety, because you can Google your symptoms and it'll tell you you might have cancer or something.
• 8:28
  SPEAKER_01: Aside from that, that downside, I think it's good for patient care that that the access is out there.
• 8:34
  SPEAKER_00: Very cool.
• 8:34
  SPEAKER_00: Um, I do find that, you know, I'm very torn because I hate the environmental impact, the extreme negative environmental impact that AI has upon us and our planet.
• 8:47
  SPEAKER_00: There's no denying that, you know, to be able to help with a little bit of self-diagnosis, and I don't mean for self-treatment at home, viewers, but I'm talking about like do some self-diagnosis, maybe to alleviate some anxiety, and then take that to your Dr.
• 9:02
  SPEAKER_00: Quincy and be able to now have that conversation and come to conclusions that'll work for you.
• 9:07
  SPEAKER_00: I find that awesome.
• 9:09
  SPEAKER_00: I think that technologically it's a great advancement.
• 9:12
  SPEAKER_00: So, like you said, for me, I'm on the fence, but it's great to hear that you are not um completely against it.
• 9:19
  SPEAKER_00: Um, I'm sure it's a little bit of a challenge when you have the person that's fixated now on the wrong diagnosis, though.
• 9:25
  SPEAKER_01: But that's part of my job is to identify when there's a fixation and to sort of identify that that's the issue and it's not this other symptom.
• 9:33
  SPEAKER_01: You know, if a patient is contacting me every week with new symptoms that are they feel like they're life-threatening and we need to talk through it each time, um, I shouldn't be treating that as if it's actually about those individual symptoms each time they contact me, because there's clearly some underlying anxiety that is leading this person to always have this concern that their hangnail is gonna kill them.
• 9:54
  SPEAKER_01: You know, that's um the the main thing is you just have to be able to bring these things up so that you can talk through them and get reassurance, and so that someone like myself who recognizes um that maybe this is too much of a fixation, maybe this is like being a hypochondriac, somebody who can identify that is able to identify it.
• 10:10
  SPEAKER_01: But the only way we're gonna do that is if you bring your concerns to us and you're comfortable sharing your concerns.
• 10:15
  SPEAKER_00: Absolutely.
• 10:16
  SPEAKER_00: So that brings me um to the subject of viewers might be wondering well, remember, viewers, it's aesthetics, longevity, and aligned topics.
• 10:26
  SPEAKER_00: So, Dr.
• 10:27
  SPEAKER_00: Quincy, um, one big challenge for me that always surprises me is that patients don't make the mental connection between what they see aesthetically has everything to do with intrinsic, extrinsic, impact to intrinsic.
• 10:40
  SPEAKER_00: So it's what's going on inside affects what we see outside, and what happens to us on the outside affects what is going on on the inside.
• 10:47
  SPEAKER_00: So, how important is it to you to pay attention to your body, to keep up with your annual physical?
• 10:56
  SPEAKER_00: Um, let's just talk about that, like annual physical, and does this really tie in together?
• 11:02
  SPEAKER_01: My answer to this question, and we we get I get that question a lot, uh, is it depends what you mean by annual physical.
• 11:08
  SPEAKER_01: So if annual physical to you means that the doctor is putting a stethoscope on your back and your chest and looking in your eyes once a year, that that's not really, I mean, that's it's not gonna hurt anything necessarily, but that's not what the value of that encounter is from my perspective.
• 11:22
  SPEAKER_01: What's valuable about an annual physical is checking in with a healthcare professional once a year, so that if you've got something that you've been thinking about, you can bring it up and reassure yourself.
• 11:32
  SPEAKER_01: Or if you've got something that's been sort of nagging at you, um you can you can address it.
• 11:37
  SPEAKER_01: Um, and then your the other perspective or the other um aspect of the annual physical is the preventive stuff.
• 11:44
  SPEAKER_01: So when you go to your doctor once a year or so, then they they're going to your PCP is going to keep up with have you had your screening?
• 11:51
  SPEAKER_01: Um, did do you need a colonoscopy yet?
• 11:54
  SPEAKER_01: Did you get your mammogram this year?
• 11:55
  SPEAKER_01: Um, hey, it's been a couple of years since we checked your cholesterol.
• 11:59
  SPEAKER_01: Um, that's that's what you're getting when you go to the doctor once a year.
• 12:02
  SPEAKER_01: You're getting somebody to review your history, listen to what's been going on over the past year or however long, and then make whatever appropriate recommendations are for preventive care and to help you identify problems that may have cropped up over the past year or so uh that you wouldn't have known about, unless you'd come to the doctor and talk to them.
• 12:19
  SPEAKER_00: Okay, so Dr.
• 12:20
  SPEAKER_00: Quincy, that reminds me, um, how do you feel about supplementation?
• 12:24
  SPEAKER_00: Because for myself, I don't believe in major shortcuts, but I'm like wildly busy all the time and don't always have time to shop and prepare and juice at home and do all these wonderful things that I like to do for myself.
• 12:37
  SPEAKER_00: So when I do create my own juices at home and I supplement, I believe in powder supplementation because I've done a lot of research on it and how quite often pills and whatnot will just be like passed through your system and you don't really gain benefit from it.
• 12:53
  SPEAKER_00: I also believe more in medically driven uh supplementation when it comes to vitamin shots, because not all vitamin shots, as you know better than I do, not all vitamin shots are meant to be I am or sub-Q and everything is different and not everyone should have every shot, which is like maybe we'll have you.
• 13:10
  SPEAKER_00: I would love to have you back on, by the way, to talk about peptides because that we could just talk about the entire segment could just be about peptides and all this self-medicating that's happening right now.
• 13:20
  SPEAKER_00: Um, but I but like I said, I believe in a balanced diet to the best of my ability while doing the proper kind of supplementation.
• 13:28
  SPEAKER_00: I'm not a super fan of IV drips unless I'm feeling super dehydrated.
• 13:32
  SPEAKER_00: So, what's your take on this?
• 13:34
  SPEAKER_00: And what kind of advice can you give us?
• 13:37
  SPEAKER_01: Generally, what I say is let's first identify what it is we're trying to achieve.
• 13:41
  SPEAKER_01: And so some people, you know, maybe they want to have really big muscles, some people want to live a long time, some people just want to have extra energy, and then you sort of dive into why they're that's the goal.
• 13:50
  SPEAKER_01: Um, but the general advice that I give people is the best thing you can do is eat a balanced diet.
• 13:55
  SPEAKER_01: That's very straightforward.
• 13:56
  SPEAKER_01: If that's if that's available to you, and for many of us it's not because we live really busy lifestyles and maybe we can't do that, um, then that's you know, we need to make some adjustments.
• 14:05
  SPEAKER_01: So when you need to make adjustments, the first thing you can do that's really simple is just take a daily multivitamin.
• 14:10
  SPEAKER_01: Um, Centrum or you know, the competing house brand.
• 14:14
  SPEAKER_01: It doesn't really matter.
• 14:16
  SPEAKER_01: If you if you feel like your diet is not giving you a broad uh range of nutrients and minerals and vitamins, then a multivitamin on a daily basis is a pretty good way to just make sure you're covering the basics.
• 14:28
  SPEAKER_01: So I like a daily multivitamin.
• 14:30
  SPEAKER_01: But really, it's lifestyle, it's healthy diet, regular exercise, and sleep.
• 14:34
  SPEAKER_01: Um, those things all together uh help your body maintain the appropriate levels of the vitamins and minerals and electrolytes that we have.
• 14:42
  SPEAKER_01: Um, the need to need for supplementation often comes from some sort of uh you're overconsuming something uh because your body's not working right, because there's extra inflammation in your body.
• 14:50
  SPEAKER_01: And then to compensate for that, you need to take this vitamin.
• 14:54
  SPEAKER_01: So a lot of it is just daily lifestyle.
• 14:56
  SPEAKER_00: So I'm gonna throw you into the hot seat here.
• 14:59
  SPEAKER_00: I'm actually gonna take you out of the hot seat and throw you right into the fire because it's a huge topic.
• 15:04
  SPEAKER_00: Um I personally stand for smart or educated ways of immunization, like formal, medically driven immunization.
• 15:14
  SPEAKER_00: I'm for it.
• 15:15
  SPEAKER_00: I come from a generation that was for it because I'm the generation after devastations of diseases like polio, of which, to me, I find it genuinely alarm genuinely alarming with um what was considered eradicated diseases having this huge spike lately.
• 15:35
  SPEAKER_00: Um I'm going to refer to my notes and just read some quotes because I don't want to misquote this.
• 15:40
  SPEAKER_00: Um, from January 1st, 2026 to June 25th, um, there were 2,134 cases confirmed with measles here in the United States, with 2,288 cases reported in 2025.
• 15:56
  SPEAKER_00: So we're only halfway through the year and we're almost exceeding the entirety of last year's measle cases.
• 16:01
  SPEAKER_00: 72% overall are children and young adults.
• 16:04
  SPEAKER_00: And then speaking of polio, we're seeing this spike again with polio, Ebola, whooping cough.
• 16:10
  SPEAKER_00: What's your take on this?
• 16:11
  SPEAKER_00: Because I don't want to push any one opinion on any viewer.
• 16:15
  SPEAKER_00: I always want to educate them and let them come to an educated decision.
• 16:19
  SPEAKER_00: But I mean, when polio and measles start becoming prevalent again, what's happening here?
• 16:25
  SPEAKER_01: Uh I think our trust in the health, the health authorities has broken down.
• 16:30
  SPEAKER_01: I mean, that's that's what I think is going on.
• 16:31
  SPEAKER_01: Um, I think you can trace it back largely to COVID.
• 16:34
  SPEAKER_01: It's not like there weren't people denying the need for vaccines before 2020.
• 16:38
  SPEAKER_01: Uh, but definitely with everything that happened uh, you know, five or six years ago, I think it it it really did uh did a number on the authority of many of our institutions and the healthcare institutions in particular.
• 16:49
  SPEAKER_01: Um you need to vaccinate.
• 16:52
  SPEAKER_01: The the the data out there, the evidence we have is overwhelming that you need to vaccinate, um, or you're gonna have big, big problems.
• 17:00
  SPEAKER_01: You're gonna have more sick people, more dying people, you're gonna have to spend more money.
• 17:04
  SPEAKER_01: Um, and it's just not right.
• 17:05
  SPEAKER_01: I mean, why, why the only reason not to vaccinate from my perspective is that you have some you know you have a misunderstanding of the potential risks.
• 17:15
  SPEAKER_01: So if you think the risk of getting a vaccine is pretty high, I I can understand why you would hesitate, especially being forced to get something.
• 17:25
  SPEAKER_01: Um, but what I would advocate for is find a healthcare resource, a healthcare professional who you trust, who you know is gonna tell you the truth, um, and talk to those people about your concerns.
• 17:38
  SPEAKER_01: Um, because vaccines are safe.
• 17:40
  SPEAKER_01: Uh, they're not just safe, they keep you safe, and if you don't get them, it's unsafe.
• 17:45
  SPEAKER_01: Um, so I'm uh about a thousand percent uh pro-vaccine.
• 17:49
  SPEAKER_01: Um and if you feel like you can't trust a government resource or uh some other political resource, the uh the American Academy for Pediatrics is trustworthy, American Academy for Family Medicine or Family Physicians, uh the American Medical Association, but really an individual person, if you can make a connection with someone, a physician especially, uh just ask your questions because nobody wants you to get hurt.
• 18:15
  SPEAKER_01: We're not giving you vaccines, we're not recommending vaccines because it's a bad idea.
• 18:19
  SPEAKER_01: Um just you know, talk about it, express your concerns, just like the other things we talked about, really.
• 18:25
  SPEAKER_00: Oh, I totally agree with that, and I think that's a wonderful perspective to share with our viewers.
• 18:30
  SPEAKER_00: Why family medicine out of all of the avenues you could have chosen?
• 18:34
  SPEAKER_01: Because it is uh broad and flexible, and it's it's uh traditionally it's more than just medicine.
• 18:42
  SPEAKER_01: Um the family medicine is especially was developed in the, I believe, the 1960s, uh sort of as a response to the increasing specialization of healthcare.
• 18:52
  SPEAKER_01: And so what happens is you got specialists in the kidneys and the brain and the heart, but nobody was like the whole person.
• 18:58
  SPEAKER_01: You know, nobody said, okay, we've got all these pieces, but together they make a human.
• 19:02
  SPEAKER_01: So there needs to be, you need to have humanity because it's not just about making the cholesterol go down.
• 19:08
  SPEAKER_01: You need to you need to make the whole person work.
• 19:10
  SPEAKER_01: And so family medicine is yes, medicine and and medical diagnoses and the stuff you see in shows, but it's also getting to know people over time.
• 19:20
  SPEAKER_01: Um, the the way to do family medicine well is to do it from birth to death.
• 19:26
  SPEAKER_01: Um, and you work, you walk with people along their life cycle, and you help to, if you know them and they know you, that helps you better communicate.
• 19:34
  SPEAKER_01: And uh that's what I love about it.
• 19:36
  SPEAKER_01: It's it's largely what I'm doing is talking to people and hearing people tell me stories, and I love that.
• 19:42
  SPEAKER_01: And the the cream, the sort of like icing on the cake is I love problem solving.
• 19:46
  SPEAKER_01: So you hear these cool stories, you get to learn about other other ways of living and uh everybody's concerns, which helps put things in perspective personally.
• 19:53
  SPEAKER_01: You know, that's nice to know that that there's all these other things going on, and you're lucky to be, I'm lucky to be in the position I'm in.
• 20:00
  SPEAKER_01: Um, and then oftentimes there's some sort of a thing that requires some of that information that it it took me a few years to learn, and I get to use that to help a person.
• 20:09
  SPEAKER_01: And then that person is like, oh, thanks, man.
• 20:11
  SPEAKER_01: And that feels good.
• 20:12
  SPEAKER_01: You know, it's just like anything else.
• 20:14
  SPEAKER_01: And that's that's that's family medicine.
• 20:15
  SPEAKER_01: That's what I love about it.
• 20:16
  SPEAKER_00: One of the biggest questions that the viewers uh will ask me is when it comes to you, Dr.
• 20:22
  SPEAKER_00: Quincy, and your specialty, what are the some of the things that we always tend to just rub some dirt on and just ignore?
• 20:30
  SPEAKER_00: You know, like um when it comes to signs with changes in our nail bed, for those that aren't wearing like artificial nails, and you can actually see your nail beds, not just on your fingers, but on your toes, and maybe like that nagging backache that can't really be tied to any one injury or sudden twist or sudden movement.
• 20:50
  SPEAKER_00: Um, I know, like in the past, for example, when I was back in my um equine and athletic days, I ignored a nagging back pain that was kind of a little bit off to one side, and I ended up being mainly it was explained to me, mainly through diet dehydration and a cascade of other problems.
• 21:08
  SPEAKER_00: I ended up with a kidney infection that landed me in the hospital on massive antibiotics for four days.
• 21:14
  SPEAKER_00: And on a separate occasion, not having one the first time, shame on me, um, fast forward a few years later, I ended up getting a kidney stone, which the doctors told me was worse than having a baby.
• 21:25
  SPEAKER_00: So, what are what are your like what you like?
• 21:28
  SPEAKER_00: This is not a false alarm from your body.
• 21:30
  SPEAKER_00: You don't have to panic, but you should pay attention if this happens.
• 21:33
  SPEAKER_01: You know your body best.
• 21:34
  SPEAKER_01: So anything that seems out of the ordinary and sticks around for more than 48 to 7.
• 21:39
  SPEAKER_01: So more than two to three days that doesn't fit.
• 21:41
  SPEAKER_01: So something comes on and you don't really understand, like there's not a clear explanation why you have back pain.
• 21:46
  SPEAKER_01: You know, you didn't just finish moving a couch last weekend.
• 21:48
  SPEAKER_01: Um, it's just all of a sudden you have this weird pain in your back and it's just it's there and it doesn't go away.
• 21:53
  SPEAKER_01: So the uh back pain, any sort of new symptom that is unusual and sticks around is a big red flag.
• 22:01
  SPEAKER_01: Beyond that, you're talking about things like you're losing weight, but you're not sure why.
• 22:07
  SPEAKER_01: You can't sleep.
• 22:08
  SPEAKER_01: That's a big one.
• 22:09
  SPEAKER_01: Not sleeping.
• 22:10
  SPEAKER_00: Oh, so you wouldn't tie that just into anxiety.
• 22:13
  SPEAKER_00: Like it's not literally just in our head.
• 22:14
  SPEAKER_00: There's other health issues that could definitely be happening.
• 22:18
  SPEAKER_01: If you're feeling a sort of overwhelming sense of anxiety that just sticks around and sticks around, and it didn't used to be like that.
• 22:23
  SPEAKER_01: Like six months ago, that wasn't an issue.
• 22:26
  SPEAKER_01: The first thing to do is can get try to identify what has changed.
• 22:29
  SPEAKER_01: And so if nothing has really changed that is a good explanation for why you'd have anxiety, like maybe you just got into a job, then that's a reason to go to your doctor.
• 22:36
  SPEAKER_01: Like, hey, I've just been feeling this way for the past couple months and it's not getting better, doc.
• 22:41
  SPEAKER_01: Um, that's something I would bring up with a doctor for sure.
• 22:45
  SPEAKER_01: Um classically, we worry about morning headaches.
• 22:48
  SPEAKER_01: Um, if you if you're waking up every morning with a headache, that's a reason to go to the doctor.
• 22:52
  SPEAKER_01: Um that could be all sorts of things.
• 22:54
  SPEAKER_01: It could be sleep apnea, it could be um a brain tumor, um, it could be an infection.
• 23:00
  SPEAKER_01: Uh so morning headaches that that are pretty bad and unusual.
• 23:04
  SPEAKER_01: Um, I think weight loss, sleep.
• 23:06
  SPEAKER_01: And then the other thing that oftentimes we forget, although you sort of mentioned it there, was mental health stuff.
• 23:10
  SPEAKER_01: That is something to go to your doctor for.
• 23:12
  SPEAKER_01: Um, if if you're getting, if you're feeling late, you know, it's just not you're not as happy as you used to be.
• 23:18
  SPEAKER_01: You can't keep your head straight and work through problems.
• 23:21
  SPEAKER_01: Um, that's something your doctor can likely help you with.
• 23:24
  SPEAKER_01: Um, and so that's that's a big one to identify and know that you can come to your doc and and talk about those sorts of things as well, the mental health stuff.
• 23:30
  SPEAKER_00: That I'm just I'm literally speechless.
• 23:32
  SPEAKER_00: Like, I don't even know how to express my gratitude over that one because that was so eye-opening.
• 23:37
  SPEAKER_00: It's just stunning.
• 23:38
  SPEAKER_00: And um, where are you located, Dr.
• 23:41
  SPEAKER_00: Quincy?
• 23:43
  SPEAKER_00: And do you have any kind of like even if it's just initial telemedicine outreach?
• 23:48
  SPEAKER_00: Um, are you on social media?
• 23:50
  SPEAKER_00: What's your website?
• 23:51
  SPEAKER_00: How do people find you?
• 23:52
  SPEAKER_00: Please share that with us.
• 23:53
  SPEAKER_01: Well, first cap care.com.
• 23:55
  SPEAKER_01: So the practice is first cap care.
• 23:57
  SPEAKER_01: We're in York County, Pennsylvania, uh, which is southeast of or excuse me, southwest of Philadelphia.
• 24:04
  SPEAKER_01: We're probably 45 minutes north of Baltimore if you're in that area.
• 24:08
  SPEAKER_01: Uh, we're licensed in Pennsylvania and Maryland.
• 24:10
  SPEAKER_01: Um, we're the handle is first cap care or first cap care pa on you know Facebook, Instagram, uh, YouTube.
• 24:19
  SPEAKER_01: Um, our phone number is 717-200-4299.
• 24:23
  SPEAKER_01: You can always call us.
• 24:24
  SPEAKER_01: Um, if you go to our website, there's a very simple form to get, you know, send us your information and we'll get we'll get to set up with a consultation that won't cost you anything.
• 24:31
  SPEAKER_00: So um, do you perform any telemedicine or are you more hands-on face-to-face in person?
• 24:36
  SPEAKER_01: The vast majority of what we do is uh either video visits, phone calls, text messaging, uh, emails.
• 24:42
  SPEAKER_01: That's what our patients prefer.
• 24:44
  SPEAKER_01: A lot of it is asynchronous.
• 24:46
  SPEAKER_01: Um, we do in-person uh consults either here at our office is we operate out of our home.
• 24:52
  SPEAKER_01: So we do in-person consults for people who want to come and meet in person.
• 24:55
  SPEAKER_01: A lot of our first-time patients in the area, um, they love the idea that they won't have to go to the doctor's office, but they want to meet us at least once um to sort of to get to know us.
• 25:04
  SPEAKER_01: Um, we do home visits uh when it's indicated, site visits for employers.
• 25:08
  SPEAKER_01: Sometimes there's things that need to be done, like physicals and whatnot.
• 25:10
  SPEAKER_01: So we'll go out to an area where we can uh help a lot of patients at one time.
• 25:14
  SPEAKER_01: But largely what we're doing is asynchronous or telehealth.
• 25:18
  SPEAKER_00: That's super cool.
• 25:18
  SPEAKER_00: And hey, it's the world we live in now, correct?
• 25:21
  unknown: Yes.
• 25:22
  SPEAKER_00: Um can't just be with the doctor with the bag jumping in the car or walking down the street.
• 25:28
  SPEAKER_00: But um, this has been amazing.
• 25:30
  SPEAKER_00: Uh, there are so many things I could just talk to you all day long about.
• 25:33
  SPEAKER_00: Uh, I would love to have you back in the future for our viewers.
• 25:37
  SPEAKER_00: Please drop your comments.
• 25:38
  SPEAKER_00: Please subscribe.
• 25:39
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• 25:43
  SPEAKER_00: Drop your comments and your questions.
• 25:45
  SPEAKER_00: And if you missed the pop up for Dr.
• 25:48
  SPEAKER_00: Quincy, you can just ask us again for the connection and we'll get you connected.
• 25:52
  SPEAKER_00: So, Dr.
• 25:53
  SPEAKER_00: Quincy, it's been an honor and a pleasure.
• 25:55
  SPEAKER_00: Thank you so much for being here today.
• 25:57
  SPEAKER_01: Oh man, thank you so much for the opportunity to talk to you about this stuff.
• 25:59
  SPEAKER_01: It's really, really great.
• 26:00
  SPEAKER_01: Thank you.