Latest / Pharmacy Podcast Network / What Doctors Learn From Their Comment Section - An Interview with Dr. Zack Meade| RxRated Podcast

Transcript

What Doctors Learn From Their Comment Section - An Interview with Dr. Zack Meade| RxRated Podcast · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession. Welcome to the Pharmacy Podcast Network.
• 0:22
  Speaker 2: You're listening to Rated r Rex.
• 0:27
  Speaker 3: For the name.
• 0:29
  Speaker 2: All right, everyone, welcome in. Thanks for tuning into a
• 0:32
  Speaker 2: special episode of the Rated RX podcast, a proud affiliate
• 0:36
  Speaker 2: of the Pharmacy Podcast Network. Let me start by saying, yes,
• 0:41
  Speaker 2: there is something weird with my voice. Little background for you, guys.
• 0:45
  Speaker 2: I have a procedure called a sarpie coming up coming Monday.
• 0:50
  Speaker 2: And this procedure consists of them splitting my doll open
• 0:54
  Speaker 2: and slowly stretching my mouth out over time, which is
• 0:57
  Speaker 2: really interesting because it's an outpatient tea but still requires
• 1:02
  Speaker 2: an anesthesiologist and I so happen to have one with
• 1:06
  Speaker 2: me today, Doctor Zach. Mead, Now, I'm gonna start by saying,
• 1:12
  Speaker 2: with this expander of my mouth a little challenging to say,
• 1:15
  Speaker 2: I'm just going to call you doctor Zach for for
• 1:18
  Speaker 2: the interview, Doctor Zach. Is that okay with you? May
• 1:21
  Speaker 2: I call you doctor Zach?
• 1:22
  Speaker 4: Please do, please do?
• 1:24
  Speaker 2: Thank you very much. So, doctor Zach. Your wife was
• 1:29
  Speaker 2: actually on our show a while back when she was
• 1:32
  Speaker 2: actually our first guest we ever had on the Radaros podcast. Wow,
• 1:37
  Speaker 2: do you remember do you remember your wife's name?
• 1:40
  Speaker 4: Hey? Do you remember her name? That's that's goods.
• 1:45
  Speaker 3: I was just curious though, So this is a surgery.
• 1:48
  Speaker 3: You're getting to make your mouth larger. My wife says,
• 1:51
  Speaker 3: I have a large enough mouth? Is there one to
• 1:53
  Speaker 3: go the other way?
• 1:54
  Speaker 4: Hey?
• 1:55
  Speaker 2: There there might be maybe if she'd be willing to
• 1:57
  Speaker 2: put the money up for that, if it really helps
• 1:58
  Speaker 2: her the most.
• 2:00
  Speaker 4: Yeah.
• 2:03
  Speaker 2: Well, Zach, thank you so much for being with me
• 2:06
  Speaker 2: today and joining me for the show listeners. For those
• 2:08
  Speaker 2: who don't know, Zach is a big social media influencer,
• 2:14
  Speaker 2: putting out information online a lot of times, correcting misinformation,
• 2:19
  Speaker 2: giving a lot of patient education advice. Zach is no
• 2:23
  Speaker 2: ordinary influencer here. He's quite the popular man. He has
• 2:29
  Speaker 2: one hundred and twenty three thousand followers on Facebook and
• 2:32
  Speaker 2: fifty seven fifty four thousand on TikTok, So not just
• 2:38
  Speaker 2: a typical typical guy, very very famous. So that brings
• 2:41
  Speaker 2: me to the first question with you, doctor Zach. What
• 2:45
  Speaker 2: made you get online? I mean, this kind of growth
• 2:48
  Speaker 2: that just doesn't happen overnight, and obviously you have some
• 2:52
  Speaker 2: sort of motivation that keeps you going. So why did
• 2:55
  Speaker 2: you decide, Hey, I want to get on social media
• 2:58
  Speaker 2: and why did you decide to stay on line?
• 3:02
  Speaker 3: So it was like November of last year, actually about
• 3:05
  Speaker 3: a year ago I started posting on social media. I
• 3:09
  Speaker 3: was actually really anti social media before then. I like
• 3:12
  Speaker 3: had a Facebook and I just had it to keep
• 3:15
  Speaker 3: up with friends and family. I rarely posted on it,
• 3:19
  Speaker 3: but my wife had been posting since COVID and she
• 3:22
  Speaker 3: was just having fun with it, and she was like,
• 3:23
  Speaker 3: you know, you should just start posting things. It would
• 3:26
  Speaker 3: be fun. I'm like, okay, why not? So I started
• 3:28
  Speaker 3: posting for fun. And then I had a friend too
• 3:31
  Speaker 3: whose spouse was a social media influencer, and they kind
• 3:35
  Speaker 3: of told me about some of the numbers they were
• 3:38
  Speaker 3: getting paid and I was like, oh my god, that's
• 3:40
  Speaker 3: a lot of money. And the numbers they were talking
• 3:43
  Speaker 3: were like physician salary numbers. And I'm like, wow, you
• 3:47
  Speaker 3: got to have like millions of followers to like make
• 3:49
  Speaker 3: that much money, right, So I go I check out
• 3:51
  Speaker 3: their profile. I had like one hundred and fifty one
• 3:54
  Speaker 3: hundred and seventy thousand followers, and I was like, that's
• 3:56
  Speaker 3: a lot. But that's not unattainable. Right, So then I
• 4:01
  Speaker 3: kind of kept going to help make it part of
• 4:03
  Speaker 3: my professional portfolio, and along the way some of the
• 4:06
  Speaker 3: motivating factors like truly, it's a way to help patients
• 4:09
  Speaker 3: and people that you otherwise wouldn't be able to help, right.
• 4:12
  Speaker 3: And it's such a benefit to these people online because
• 4:17
  Speaker 3: they can ask me a really simple question and I'm
• 4:20
  Speaker 3: not giving medical advice, but simple education or pointing them
• 4:22
  Speaker 3: in the right way. And it's a lot better than
• 4:24
  Speaker 3: having to pay a fifty dollars deductible to their doctor
• 4:27
  Speaker 3: just to ask a simple question.
• 4:28
  Speaker 4: Right.
• 4:29
  Speaker 2: Definitely, Definitely, So your friends motivated, you will started like
• 4:34
  Speaker 2: your wife first motivated you, and I'll say that she
• 4:37
  Speaker 2: actually motivated me too. I remember that that year ago.
• 4:41
  Speaker 2: I remember talking to you too.
• 4:42
  Speaker 4: Yeah, we invited you guys over.
• 4:44
  Speaker 2: Yes, I was like, hey, I want to start a podcast,
• 4:46
  Speaker 2: and you guys said, you guys, you should be on
• 4:48
  Speaker 2: social media. And I had the same reservation as you
• 4:52
  Speaker 2: and I still do, to be completely frank, because there
• 4:54
  Speaker 2: are just certain parts of my life I don't like
• 4:56
  Speaker 2: to show off, and you know what I mean, especially
• 4:59
  Speaker 2: with a drown and AI it kind of scares me
• 5:02
  Speaker 2: a little bit. You just kind of have to be careful.
• 5:04
  Speaker 2: And it's also just very personal letting people see, like
• 5:07
  Speaker 2: those inner parts of your life that close family level
• 5:10
  Speaker 2: one see. So hats off to you. You are killing
• 5:13
  Speaker 2: it with that regard. I'm still very hesitant. But if
• 5:18
  Speaker 2: you have a new tips for people like me who
• 5:20
  Speaker 2: want to still be shy and put themselves out there, Hey,
• 5:22
  Speaker 2: I'm always listening. So but I'm glad you're stilling it.
• 5:25
  Speaker 2: You're in it for the right motivation, helping people, saving
• 5:29
  Speaker 2: them some money, and hopefully you spread out your name
• 5:32
  Speaker 2: in the meantime something bigger.
• 5:33
  Speaker 3: Well, when I first started, I was super embarrassed to
• 5:36
  Speaker 3: post these TikTok videos and stuff.
• 5:38
  Speaker 4: And if you go back, don't go back. Don't do this. Okay,
• 5:41
  Speaker 4: definitely do.
• 5:42
  Speaker 3: Not go back and look at my first videos I posted,
• 5:44
  Speaker 3: but they are super cringey. It's like I'm just like
• 5:49
  Speaker 3: sitting in front of the screen like nodding my head
• 5:51
  Speaker 3: to like a medical drama, and I'm like, yeah, I
• 5:55
  Speaker 3: didn't want to speak, you know, I didn't want to
• 5:56
  Speaker 3: hear my own voice.
• 5:57
  Speaker 2: I especially don't want to hear my own right now.
• 6:00
  Speaker 2: So I can completely relate and I understand. So then
• 6:03
  Speaker 2: what helped you evolve from your first video to now? Like,
• 6:06
  Speaker 2: how did you make this progression? And why are you
• 6:08
  Speaker 2: more proud of your current content than the ones before?
• 6:12
  Speaker 3: Well, I started consuming more content at this point because
• 6:16
  Speaker 3: previously I wasn't consuming a lot of social media content.
• 6:19
  Speaker 3: And I found a lot of people that I look
• 6:21
  Speaker 3: up to on social media, people that were putting out
• 6:23
  Speaker 3: really good content, really educational, very helpful, and I got
• 6:27
  Speaker 3: advice from them, and I saw what they were doing,
• 6:29
  Speaker 3: and I imitated that right. Imitation is the highest form
• 6:33
  Speaker 3: of flattery, Isn't that right?
• 6:35
  Speaker 2: That's what they say, That's what they say.
• 6:37
  Speaker 3: But it all came down to I started making content
• 6:41
  Speaker 3: that offered value to other people, not to sell or
• 6:44
  Speaker 3: not that I thought I would like. So I tried
• 6:47
  Speaker 3: to start making content just that I thought people would
• 6:50
  Speaker 3: find value from. And here recently, a lot of that
• 6:52
  Speaker 3: content has just been slapstick humor, medical humor with some
• 6:57
  Speaker 3: education sprinkled in.
• 6:59
  Speaker 2: Yeah, so you're out there trying to put information online
• 7:04
  Speaker 2: educating patients. But obviously sometimes videos don't go the way
• 7:08
  Speaker 2: they're planned, and people sometimes get mad. I've been in
• 7:11
  Speaker 2: that situation myself. But has there ever been a time
• 7:15
  Speaker 2: where you posted something and it didn't go the way
• 7:19
  Speaker 2: you expected? People got mad, triggered, anything anything like that
• 7:23
  Speaker 2: you want to share, who feel comfortable sharing online?
• 7:26
  Speaker 3: Yeah, there were several ground roles. I had a colleague
• 7:30
  Speaker 3: who had a collaborative social media account that I think
• 7:35
  Speaker 3: they have several hundred thousand, probably nearly a million followers,
• 7:38
  Speaker 3: and he kind of told me some tips to follow
• 7:42
  Speaker 3: because they had gotten in trouble in medical school when
• 7:44
  Speaker 3: they were posting. And essentially it kind of came down
• 7:47
  Speaker 3: to never punch down. Okay, always punch up, you know,
• 7:52
  Speaker 3: maybe lateral, but always up right when you're making jokes.
• 7:56
  Speaker 3: So you know, if you're if you're a medical student,
• 7:58
  Speaker 3: don't make fun at prends. If you're a resident, don't
• 8:00
  Speaker 3: make fun of med students. If you're a physician, don't
• 8:02
  Speaker 3: make fun of residence.
• 8:03
  Speaker 4: Right.
• 8:04
  Speaker 3: But obviously, Yeah, and that's kept me out a lot
• 8:08
  Speaker 3: of trouble. And then another rule was never make fun
• 8:11
  Speaker 3: of patients period. Never make fun of the patient experience.
• 8:14
  Speaker 3: And I see that a lot of a lot of
• 8:21
  Speaker 3: healthcare providers. I think there are some groups that do
• 8:24
  Speaker 3: it more than others, but are. They're making memes and
• 8:27
  Speaker 3: stuff that kind of mock the patient experience, and we
• 8:30
  Speaker 3: kind of lose sight that every day at work is
• 8:34
  Speaker 3: normal for us, but for the patient it's like not normal.
• 8:39
  Speaker 4: Right.
• 8:40
  Speaker 3: So however, even with all those rules in place, I
• 8:44
  Speaker 3: have gotten in trouble.
• 8:45
  Speaker 4: I have gotten I've gotten spoken to by my boss.
• 8:49
  Speaker 2: Wow, it's called that high. What was the video that
• 8:53
  Speaker 2: made your boss want to talk to you?
• 8:55
  Speaker 3: Well, there was a few, but in general, sometimes it
• 8:57
  Speaker 3: came down to like a logo, right, So I was
• 9:00
  Speaker 3: I was rotating in a hospital, and it was never
• 9:03
  Speaker 3: actually the content of the video. It was just like, oh,
• 9:07
  Speaker 3: there was a ex hospital logo in it. Can you
• 9:10
  Speaker 3: please remove it because we don't want to be associated
• 9:12
  Speaker 3: with you. They didn't say it like that, but social.
• 9:16
  Speaker 2: Requll I think very reasonable.
• 9:17
  Speaker 4: Yeah, I had.
• 9:19
  Speaker 3: I did one kind of like case report that was
• 9:22
  Speaker 3: and we all, if you know anything about medical literature
• 9:25
  Speaker 3: and stuff, case reports you don't need if you're not
• 9:29
  Speaker 3: exposing any identifying information, you don't need patient permission to
• 9:32
  Speaker 3: discuss an interesting case. It's a standards, it's all standard think.
• 9:36
  Speaker 3: But anyway, so I made a TikTok like, Wow, I
• 9:38
  Speaker 3: had this crazy case, the X, Y and Z happened
• 9:41
  Speaker 3: blah blah blah, and it wasn't the patient didn't pass away,
• 9:46
  Speaker 3: but it wasn't the best outcome. And someone at the
• 9:48
  Speaker 3: hospital recognized that case and then they they asked me
• 9:52
  Speaker 3: to take it down. And interesting, Well, you know, I
• 9:56
  Speaker 3: guess just kind of risk management, kind of suret's let's
• 10:00
  Speaker 3: not social mediaize our bad outcomes, even if you can
• 10:04
  Speaker 3: learn from it, which was the whole intent that I
• 10:06
  Speaker 3: was kind of making it for.
• 10:07
  Speaker 2: Yeah, and not every health outcome is a good outcome either.
• 10:11
  Speaker 2: I mean, it sucks to say, but you know there
• 10:13
  Speaker 2: are It is two sides of a coin. Yes, we
• 10:15
  Speaker 2: want the best, but sometimes we don't get the best.
• 10:18
  Speaker 2: And you were shedding light on the other side. And unfortunately,
• 10:22
  Speaker 2: I don't see any reason why you should have gotten backlash,
• 10:25
  Speaker 2: because I think more people need to talk about that,
• 10:27
  Speaker 2: those real things that patients are also experiencing, the heartaches
• 10:31
  Speaker 2: as well.
• 10:32
  Speaker 4: I agree with you, but I don't think the lawyers
• 10:34
  Speaker 4: agree with you.
• 10:36
  Speaker 2: Well, if there's no hip, but then there's no lawyer,
• 10:38
  Speaker 2: right as long as you follow the rules.
• 10:42
  Speaker 3: I'll tell you one thing I did learn from that
• 10:43
  Speaker 3: is that social media videos can be part of a deposition.
• 10:48
  Speaker 2: Interesting, Yeah, I did not know that.
• 10:51
  Speaker 3: So if and the whole thing was if the hospital
• 10:53
  Speaker 3: was able to identify it and employees were able to identify it,
• 10:56
  Speaker 3: then a family member potentially could identify it. And then
• 11:00
  Speaker 3: during a discovery portion if it and none of this
• 11:03
  Speaker 3: went to you know, legal or anything. But that's the
• 11:06
  Speaker 3: thing to keep in mind is during discovery, the lawyers
• 11:09
  Speaker 3: could request you know, my social media content about it
• 11:12
  Speaker 3: or whatever.
• 11:13
  Speaker 2: I see. Okay, Yeah, I think everyone in healthcare is
• 11:18
  Speaker 2: afraid of layers. I think the average person is afraid
• 11:20
  Speaker 2: of layers.
• 11:21
  Speaker 3: So when I have a patient and I'm like, what
• 11:24
  Speaker 3: do you do for a living that I'm just a
• 11:25
  Speaker 3: you know, a lawyer medical malpractice, that's it's frightening.
• 11:29
  Speaker 4: You just get white, white knuckle.
• 11:30
  Speaker 2: I'm like, oh, has there ever been how about any comments?
• 11:35
  Speaker 2: Has there ever been a truering a comment that you
• 11:37
  Speaker 2: read and just like, dude, you completely missed the point
• 11:41
  Speaker 2: of this video.
• 11:42
  Speaker 3: Well, one, this is gonna be hard to say and
• 11:47
  Speaker 3: say it without upsetting people. One community on TikTok that
• 11:53
  Speaker 3: is really antagonistic towards my content, and honestly a lot
• 11:57
  Speaker 3: of other physicians content is the chronic pain to me,
• 12:00
  Speaker 3: I love them, I serve them. That's you know, a
• 12:03
  Speaker 3: large group of people that I serve as a patient population.
• 12:06
  Speaker 4: But I, for.
• 12:07
  Speaker 3: Example, made a joke one time about it was like
• 12:10
  Speaker 3: it was a dad joke. I said, I made a TikTok.
• 12:14
  Speaker 3: The pain scale one to ten doesn't really work for everyone,
• 12:17
  Speaker 3: and so we're going to try and change the pain
• 12:19
  Speaker 3: scale from you know, one to ten to instead of
• 12:23
  Speaker 3: that to mega hurts. You know, like, oh wow, that
• 12:26
  Speaker 3: mega hurts. And that was it. It was like it
• 12:29
  Speaker 3: was like an eleven.
• 12:30
  Speaker 5: But it's a funny dad joke. I see you're getting
• 12:33
  Speaker 5: at there, twelve second dad joke. And my DMS, the
• 12:37
  Speaker 5: comment section and everything. It was a crusade against me
• 12:41
  Speaker 5: for making a mockery of the chronic pain community.
• 12:44
  Speaker 2: That community, they're very tight knit. I mean I was
• 12:47
  Speaker 2: in the exact same shoes also yelled at by the
• 12:50
  Speaker 2: pain community because I talked about an experience about how
• 12:54
  Speaker 2: I did not want to fill a prescription from like
• 12:56
  Speaker 2: two and a half hours away on a hand you
• 12:58
  Speaker 2: remember copy for dilauded for you know, and so I
• 13:03
  Speaker 2: get it. They get mad, and it's it's great that
• 13:06
  Speaker 2: they all have each other's back, But it's also really
• 13:09
  Speaker 2: hard being on the being on the healthcare side of
• 13:11
  Speaker 2: things because you know, especially as a pharmacist, there are
• 13:15
  Speaker 2: laws and rules you have to follow and sometimes you're
• 13:18
  Speaker 2: painted as the bad guy all because you are following
• 13:21
  Speaker 2: the law, and it sucks you. Being an anesthesiologist, I'm
• 13:24
  Speaker 2: sure you have a lot of experience prescribing pain medicine,
• 13:29
  Speaker 2: studying the way more depth than the average clinician, because
• 13:32
  Speaker 2: you're actively prescribing it during you know, a session of
• 13:36
  Speaker 2: putting someone down under, so you know it's it's tricky,
• 13:40
  Speaker 2: So don't piss off a pain community.
• 13:42
  Speaker 3: Yeah, and it kind of. They tend to shoot the
• 13:47
  Speaker 3: messenger and and and sometimes a friendly messenger because I
• 13:52
  Speaker 3: an opioid friendly person. I use opioids daily in my
• 13:55
  Speaker 3: practice just as a disclaimer, not personally sort make sure
• 14:01
  Speaker 3: that grammar is correct, and I advocate and teach and
• 14:04
  Speaker 3: I make videos about you know, just because someone has
• 14:07
  Speaker 3: substance use disorder, just because they have a high opioid
• 14:09
  Speaker 3: use or high tolerance, doesn't mean you don't you know,
• 14:13
  Speaker 3: you don't skip the prescription, You don't skip opioids. People
• 14:16
  Speaker 3: still deserve how they're pain treated. But yeah, it's that's
• 14:21
  Speaker 3: that's Those are tough videos to make.
• 14:23
  Speaker 2: Yes, Since then, I learned just to stay away from
• 14:26
  Speaker 2: it with a ten foot pool, So just just stay away,
• 14:30
  Speaker 2: which is a shame because we really should be talking
• 14:32
  Speaker 2: about it because the more you talk about it, the
• 14:35
  Speaker 2: more help ultimately they can get. But what can you do?
• 14:38
  Speaker 2: What can you do? So what's the moment that you
• 14:42
  Speaker 2: realize being a doctor was completely different online than one
• 14:46
  Speaker 2: in real life.
• 14:47
  Speaker 3: So the moment that I realized being a doctor online
• 14:50
  Speaker 3: is totally different than being a doctor in person might
• 14:53
  Speaker 3: be a little more unique to antithesiology because most of
• 14:56
  Speaker 3: my patients at work don't talk because they're asleep.
• 15:02
  Speaker 2: Oh god, wow, But I bet you have the best
• 15:05
  Speaker 2: bedside manner. I bet they just love when they see
• 15:08
  Speaker 2: you there.
• 15:10
  Speaker 3: I mean for many reasons they actually do. They know
• 15:12
  Speaker 3: I bring the good medications. Okay, I bring the happy
• 15:16
  Speaker 3: cocktail when I come to visit. But the online posting
• 15:22
  Speaker 3: all these things, I have learned a greater appreciation and
• 15:27
  Speaker 3: perspective for the patient experience, which is totally different at
• 15:31
  Speaker 3: the hospital. I don't get time to go to the
• 15:34
  Speaker 3: recovery area and just chat with the patient say how
• 15:37
  Speaker 3: are you? How is that experience? But I do online
• 15:40
  Speaker 3: or let me just say, I don't solicit those opinions,
• 15:43
  Speaker 3: but they're given to me freely and plentiful, and it's
• 15:46
  Speaker 3: been helpful for sure.
• 15:48
  Speaker 2: Yeah, it's so interesting. I never really thought about that.
• 15:51
  Speaker 2: I guess as an anesthesiologist, I'm sure you don't get
• 15:55
  Speaker 2: to talk to as many patients as you'd like, but
• 15:58
  Speaker 2: online they come to you, you know. They there's no
• 16:02
  Speaker 2: shortage of people who want to ask doctors questions. So
• 16:05
  Speaker 2: that's great that you are being a resource to them
• 16:07
  Speaker 2: and you are trying to help them from another angle
• 16:10
  Speaker 2: that you might not be able to do in your own practice.
• 16:13
  Speaker 4: Show.
• 16:13
  Speaker 2: Yeah, that's amazing. So, Zach, I just want to play
• 16:17
  Speaker 2: a quick video of yours. This is a yes video
• 16:21
  Speaker 2: of viewers from new TikTok one that got a lot
• 16:25
  Speaker 2: of views and reaction, So I'm just going to share
• 16:28
  Speaker 2: my screen here.
• 16:31
  Speaker 4: A lot of you are hearing that I've seen the
• 16:32
  Speaker 4: benefite in talent.
• 16:33
  Speaker 2: Are bad, but we really don't know why. So let
• 16:35
  Speaker 2: me break it down why it's bad.
• 16:37
  Speaker 4: And we've known this for a really long time.
• 16:38
  Speaker 2: It's just our public health policy in the United States
• 16:40
  Speaker 2: is absolutely garbage.
• 16:41
  Speaker 4: It sounds really good, doesn't it.
• 16:42
  Speaker 3: This guy he has doctor and his title, and he's
• 16:45
  Speaker 3: talking all these science.
• 16:46
  Speaker 4: Words, but just be warned know who you're listening to.
• 16:50
  Speaker 4: It's actually a chiropractor.
• 16:51
  Speaker 3: And essentially he's explaining an overdose scenario right in normal
• 16:57
  Speaker 3: and safe doses.
• 16:58
  Speaker 4: Time and all.
• 16:59
  Speaker 3: Well, it's safe, that's why the doses are recommended by
• 17:04
  Speaker 3: the manufacturer.
• 17:05
  Speaker 4: Isiland is very effective.
• 17:06
  Speaker 3: I wouldn't have any major fears about taking tailanol, especially
• 17:10
  Speaker 3: if you've just done a normal, healthy adult And I've
• 17:12
  Speaker 3: already made a video about thailan al and pregnancy, right
• 17:15
  Speaker 3: but specifically, just as it relates to the whole autism thing,
• 17:19
  Speaker 3: you can watch my other video on exactly why I
• 17:22
  Speaker 3: don't think there's a connection between kilanyl and autism. And
• 17:25
  Speaker 3: it's not my thoughts or my opinions, it is the
• 17:27
  Speaker 3: research that kind of supports that. But either way, just
• 17:31
  Speaker 3: make sure that you know who you're getting your advice
• 17:33
  Speaker 3: from on TikTok, and at the end of the day,
• 17:35
  Speaker 3: talk to your physician, not your chiropractor when it comes
• 17:39
  Speaker 3: to making medical decisions that are significant. And he had
• 17:42
  Speaker 3: a child neurologist, someone who trained for many years focusing
• 17:46
  Speaker 3: on one thing, which was the safe development of children,
• 17:49
  Speaker 3: who commented on the video stating, hey, you're wrong.
• 17:52
  Speaker 4: And talent all doesn't cause any issues. Went back to
• 17:55
  Speaker 4: find that comment and he deleted it.
• 17:57
  Speaker 2: So, Zach, I want to point out that because I
• 18:01
  Speaker 2: liked it for several reasons. Personally, I liked it because
• 18:04
  Speaker 2: number one, there there's a lot of misinformation, especially with
• 18:06
  Speaker 2: our current administration. Unfortunately that's pumping out wrong data, and
• 18:12
  Speaker 2: then you have people online, other members of the healthcare
• 18:16
  Speaker 2: team further perpetuating that data from other angles. So it
• 18:20
  Speaker 2: seems like you had a duty to comment on that
• 18:24
  Speaker 2: help help clear up that misinformation. One thing, and I
• 18:28
  Speaker 2: just got to say this one thing that really annoyed
• 18:30
  Speaker 2: me about that video. And I don't want to bash
• 18:33
  Speaker 2: on any other healthcare providers because everybody has their partner
• 18:36
  Speaker 2: team feel free. I don't understand why he wore the cap.
• 18:40
  Speaker 2: What was the point of the cap? What surgery are
• 18:42
  Speaker 2: you doing? Don't I don't understand. I think that annoyed
• 18:44
  Speaker 2: me the most of the whole video, like why are
• 18:46
  Speaker 2: you wearing that cap?
• 18:48
  Speaker 4: So I.
• 18:51
  Speaker 3: One of the negatives to social media, especially TikTok, is
• 18:55
  Speaker 3: that it demands short form. It demands, you know, no
• 18:58
  Speaker 3: more than ninety seconds, honestly, no more than thirty seconds,
• 19:01
  Speaker 3: or people lose attention. If you look at the stats,
• 19:03
  Speaker 3: almost a very small percentage. Actually watch my entire video, right,
• 19:09
  Speaker 3: So there's just things you just don't have time to say.
• 19:11
  Speaker 3: But his full credentials. He's actually also a naturopathic doctor.
• 19:16
  Speaker 3: And the reason why I identified him as a chiropractor
• 19:19
  Speaker 3: because in my opinion, that degree holds way more weight
• 19:23
  Speaker 3: than a naturopathic degree. There are so many naturopathic degrees
• 19:27
  Speaker 3: that you can literally purchase online, okay.
• 19:30
  Speaker 2: Really like equal on doctorate or just like associates, like
• 19:34
  Speaker 2: a certificate.
• 19:35
  Speaker 4: Oh yeah, yeah, you'll, you'll you.
• 19:37
  Speaker 3: Can pretty much online degree mill and get a doctorate
• 19:41
  Speaker 3: of naturopathy. Now that doesn't necessarily mean you'll become board
• 19:44
  Speaker 3: certified in it or anything there is to become a
• 19:47
  Speaker 3: board certified naturopathic position. There are exams and stuff you
• 19:49
  Speaker 3: have to take. But regardless, you could you could do these.
• 19:53
  Speaker 3: You can do these online things and get that, and
• 19:56
  Speaker 3: you could and you know, tout that as your credential.
• 20:00
  Speaker 3: Maybe he yeah it is, Maybe he went to an
• 20:03
  Speaker 3: in person one. I don't know, but personally I would
• 20:06
  Speaker 3: respect a doctor of chiropractor more than I would actually
• 20:09
  Speaker 3: respect a natural pathic doctor an ND.
• 20:13
  Speaker 2: Yeah, but I don't know much about the ND route,
• 20:16
  Speaker 2: uh the but I know that at least with chiropractor
• 20:19
  Speaker 2: there's a there is a big like a crediting board,
• 20:22
  Speaker 2: and it does seem a little bit more legit. And
• 20:25
  Speaker 2: I'll say that my sister is in chiropractor school, and
• 20:28
  Speaker 2: so just kind of hearing about what she kind of
• 20:30
  Speaker 2: goes through, I'm like, Okay, that seems more legit. And
• 20:33
  Speaker 2: I gotta say love my sister. She's great, and even
• 20:36
  Speaker 2: her she's sometimes is just like yeah, I don't know.
• 20:39
  Speaker 2: They talked about this thing. Then they talked about the
• 20:41
  Speaker 2: Pew values, and I just don't get why they want
• 20:44
  Speaker 2: to do it when they're you know, And I'm just like,
• 20:46
  Speaker 2: good for you for thinking for yourself and looking at
• 20:49
  Speaker 2: the data, like, thank god, we didn't work. We didn't
• 20:52
  Speaker 2: were chiropractors like you.
• 20:54
  Speaker 3: Absolutely so your sister's in chiropractor school. Okay, I'm gonna
• 20:57
  Speaker 3: have to go ahead and get out the interview now.
• 20:59
  Speaker 2: Now it's okay. You could say you could say whatever Hey,
• 21:05
  Speaker 2: this is getting I'm kidding. You can say what you want, man,
• 21:08
  Speaker 2: this is this is your your opportunity to say whatever's
• 21:11
  Speaker 2: going to your mind.
• 21:12
  Speaker 3: So I to go back to the script cap thing though,
• 21:15
  Speaker 3: is for one, he was wearing it for clout, no doubt,
• 21:17
  Speaker 3: no doubt he was wearing a costume for his video
• 21:20
  Speaker 3: for credibility. But two, if he wears a script cap
• 21:24
  Speaker 3: in his practice, depending on actually a New Mexico chiropractice
• 21:27
  Speaker 3: can do crazy things like prescribe medications and stuff. But
• 21:30
  Speaker 3: if he's a naturopathic doctor and his board certified and
• 21:33
  Speaker 3: licensed to practice as such in a state, he could
• 21:35
  Speaker 3: was likely doing some sort of injections or something.
• 21:38
  Speaker 4: I guess, Wow, I don't know.
• 21:40
  Speaker 2: Yeah, that's I did not know that. That's yeah, I
• 21:43
  Speaker 2: know it's a state specific, but I didn't that's wild.
• 21:47
  Speaker 3: Well, well you get I didn't even get into all this,
• 21:49
  Speaker 3: Like I haven't even gotten into this stuff on my platform.
• 21:52
  Speaker 3: But like stem cell injections and all these things, there's
• 21:55
  Speaker 3: so many expensive types of injections that, uh, there's zer
• 22:00
  Speaker 3: wrote data to show that it helps, there is data
• 22:02
  Speaker 3: to show that it can harm. Obviously, infection bleeding et cetera,
• 22:05
  Speaker 3: damage to surrounding structures, and it's expensive.
• 22:09
  Speaker 2: So anyway, yeah, it does no good if if your
• 22:12
  Speaker 2: patient can't afford it, what's the whole point of it?
• 22:15
  Speaker 4: Right?
• 22:17
  Speaker 2: It just reminds me of a video I saw from
• 22:19
  Speaker 2: another physician who was openly venting because a natural pathic doctor,
• 22:26
  Speaker 2: I guess, has the ability to write for all these
• 22:28
  Speaker 2: laboratories stuff, but they're not trained to really assess the
• 22:33
  Speaker 2: lab and interpret the data accurately. And this physician specifically
• 22:38
  Speaker 2: did rheumatoid rhumatoid arch writers who that one's a hard
• 22:43
  Speaker 2: one to say, sorry, rhumatoid athritis. And I guess one
• 22:46
  Speaker 2: of our patients came back with all these labs and shit,
• 22:49
  Speaker 2: you know, patient's like, oh my god, everything's up normal?
• 22:52
  Speaker 4: What do I do?
• 22:52
  Speaker 2: This natural pathic doctor prescribed this stuff, and you know,
• 22:56
  Speaker 2: and as a clinician, you're sitting there just like, why
• 22:59
  Speaker 2: the hell did you do? All is not have to
• 23:00
  Speaker 2: explain to the patient at all these lab useless but
• 23:03
  Speaker 2: now they're fixated and all these you know, everything being
• 23:05
  Speaker 2: abnormal and it's all it did was cause panic and stress.
• 23:08
  Speaker 3: So yeah, that's the story of a D dimer. What's
• 23:12
  Speaker 3: that that's the story of a d dimer. Every time
• 23:15
  Speaker 3: you order it and it's high. Now you're like, man,
• 23:17
  Speaker 3: what do I do with it?
• 23:22
  Speaker 2: Well? I think this segues into a good question because
• 23:26
  Speaker 2: this is what triggers me. Me talking about all that.
• 23:29
  Speaker 2: But what's something that you see online all the time
• 23:32
  Speaker 2: that triggers you questionable scope or practice common advice trend?
• 23:37
  Speaker 3: Something that I see online that really triggers me is
• 23:41
  Speaker 3: when a chiropractor does a high velocity adjustment on a child,
• 23:46
  Speaker 3: or when someone who's desperate for answers for something that's
• 23:51
  Speaker 3: going on in life that you know, I don't have
• 23:53
  Speaker 3: the answer for, and those people are taking advantage of
• 23:56
  Speaker 3: something that I was so angry about this morning. I'd
• 23:59
  Speaker 3: never heard of it.
• 24:00
  Speaker 4: It's called eboo eboo. Have you heard of this?
• 24:04
  Speaker 2: No, I've never heard of that.
• 24:06
  Speaker 3: It's like the it's like the Concierra's version of ekmo, right,
• 24:10
  Speaker 3: the fashionable echmo people are going to these wellness spalls
• 24:14
  Speaker 3: spas and paying fifteen hundred dollars a session for extracorpial
• 24:20
  Speaker 3: blood oxygenation and ozonation or something. Okay, look double check
• 24:25
  Speaker 3: what that stands for. But it's many echmo they're taking
• 24:29
  Speaker 3: deoxygenated blood out of your vein, they're running it through
• 24:33
  Speaker 3: a filtration system, they're oxygenating it, and they're they're doing
• 24:37
  Speaker 3: an ozonation process to it, and then they're putting it
• 24:40
  Speaker 3: back into your vein, so they're delivering auctionized blood back
• 24:44
  Speaker 3: to your So it's like vv echmo, what.
• 24:47
  Speaker 2: The heck ecmo is?
• 24:48
  Speaker 4: Like?
• 24:49
  Speaker 2: Intense too, Like I only learned about it because my
• 24:51
  Speaker 2: wife works from the ICU and two is telling me
• 24:54
  Speaker 2: about the ekmo. If we can explain a little bit
• 24:56
  Speaker 2: for our listeners, because I don't know if the average
• 24:58
  Speaker 2: pharmacist knows what an ECHMO is. I only know because
• 25:00
  Speaker 2: my wife told me. But basically, their blood is being
• 25:04
  Speaker 2: pumped around by a machine, so it's going your blood
• 25:06
  Speaker 2: is leaving your body, going through a machine and being
• 25:09
  Speaker 2: circulated back into you. And so you pull out the
• 25:12
  Speaker 2: wrong hose and all of a sudden, half their blood's
• 25:14
  Speaker 2: coming out, so very very dangerous stuff, very dangerous stuff.
• 25:18
  Speaker 2: And that is insane to me that a wellness ball
• 25:22
  Speaker 2: is doing something along those lines.
• 25:24
  Speaker 4: How was that legal?
• 25:26
  Speaker 2: I don't understand.
• 25:28
  Speaker 3: I mean, in order to do this, they're having to
• 25:30
  Speaker 3: heperonize someone's blood. I mean so, And it's so funny
• 25:34
  Speaker 3: because most of these spaws target like, oh, we're all
• 25:37
  Speaker 3: about wellness and holistic and natural and we want your
• 25:41
  Speaker 3: body to heal itself and that. But if you spend
• 25:44
  Speaker 3: fifteen hundred dollars, will hypernize your blood and put you
• 25:47
  Speaker 3: on a mini version of cardiopulmonary bypass and it's legal,
• 25:52
  Speaker 3: it depends on the state, but especially if they have
• 25:54
  Speaker 3: a naturopathic doctor right working there, or sometimes physicians m
• 26:00
  Speaker 3: d s or d os will own these as well, yeh,
• 26:02
  Speaker 3: or be the medical director. Yeah.
• 26:05
  Speaker 2: Wow, Okay, that's a twist I would have never seen.
• 26:09
  Speaker 2: But I don't know, I don't know. I guess there's
• 26:11
  Speaker 2: there's a lot of twists I've had I've been seeing lately,
• 26:14
  Speaker 2: like CEC saying that vaccines cause autism all of a sudden,
• 26:19
  Speaker 2: but what a what a dumb time.
• 26:21
  Speaker 3: Just as a disclaimer, vaccines have not been demonstrated to
• 26:26
  Speaker 3: cause autism, right right, Frank, They've it's been the verse.
• 26:30
  Speaker 2: Yes, yes, yes, uh. Doctor Andrew Wakefield was or should
• 26:35
  Speaker 2: I say former, was the first clinician who falsified the
• 26:38
  Speaker 2: paper and published in the Lancet saying there was a
• 26:41
  Speaker 2: link between vaccines and autism, all because he was hired
• 26:45
  Speaker 2: by a a law firm to try to find this link.
• 26:49
  Speaker 2: This paper was later redacted after they realized what the
• 26:52
  Speaker 2: f a you're talking about. But the damage has already done.
• 26:54
  Speaker 2: So you can take that asshole for starting the fire,
• 26:58
  Speaker 2: I guess, and go read.
• 26:59
  Speaker 3: The redacted paper yourself and the comments to the journal
• 27:02
  Speaker 3: about its redaction.
• 27:04
  Speaker 2: Yeah. Yeah, very very crazy stuff, all right, Zach. Last
• 27:08
  Speaker 2: question for you, what's one thing you've learned about people
• 27:11
  Speaker 2: from your comments section that you wish more clinicians understood.
• 27:16
  Speaker 3: I think the biggest thing that I've learned from doing
• 27:19
  Speaker 3: social media and for my comments is that we as
• 27:22
  Speaker 3: physicians and even nurses nurse practitioners, if you're working in
• 27:26
  Speaker 3: a clinical setting, even you, Robbie, we need to have
• 27:30
  Speaker 3: patients for our patients and realize they may have just
• 27:33
  Speaker 3: gotten the worst news of their life. And again, this
• 27:36
  Speaker 3: is another scenario where it's an everyday thing. For me,
• 27:38
  Speaker 3: this is normal, but some people may only have surgery
• 27:42
  Speaker 3: one time in their life, right, we need to respect that.
• 27:45
  Speaker 3: Even if we don't have the time to give, we
• 27:47
  Speaker 3: need to find a way to give it.
• 27:49
  Speaker 2: Definitely, Yeah, I mean, I work in a psychiatric hospital,
• 27:53
  Speaker 2: and if we want to be good at your job,
• 27:56
  Speaker 2: you have to be patient because you know, you ask
• 27:59
  Speaker 2: someone a question, they go on a tangent and you
• 28:01
  Speaker 2: have to be able to bring them back. They'd be
• 28:03
  Speaker 2: a little be direct, but also not be too intense
• 28:06
  Speaker 2: about it because then you can trigger them go the
• 28:08
  Speaker 2: wrong way. So definitely agree with that, especially in the
• 28:12
  Speaker 2: psychiatric setting. And I've seen some of my coworkers like
• 28:16
  Speaker 2: they'll definitely lose their patients because, like I said, it's
• 28:19
  Speaker 2: like an average day of them seeing this, and sometimes
• 28:22
  Speaker 2: I think like, oh, I think we just need to
• 28:24
  Speaker 2: slow down and let this person simply be heard, you know,
• 28:27
  Speaker 2: vent about what's going on, and then once they are
• 28:30
  Speaker 2: able to vent, then a lot of times they're okay,
• 28:32
  Speaker 2: and then they'll they're more agreeable to take their meds.
• 28:35
  Speaker 2: So patience is definitely a very issue. Yeah, how have
• 28:38
  Speaker 2: you demonstrated that online show giving people patients?
• 28:42
  Speaker 3: I think the best way of me demonstrating giving people
• 28:45
  Speaker 3: patients online is by taking the time, which my wife hates,
• 28:51
  Speaker 3: to respond to a large portion of my comments and dms, Wow,
• 28:57
  Speaker 3: I really need to stop doing that, honestly, I don't
• 28:59
  Speaker 3: have the time.
• 29:00
  Speaker 2: How do you balance your personal life with all your
• 29:04
  Speaker 2: social media It just seems like a very big, daunting task,
• 29:07
  Speaker 2: especially with the amount of followers you have.
• 29:10
  Speaker 4: I don't balance. It's not it's not balanced, it's up,
• 29:14
  Speaker 4: it's downs.
• 29:15
  Speaker 3: My wife would say I don't balance it and that
• 29:17
  Speaker 3: I need to focus a little more on my family,
• 29:20
  Speaker 3: and I think that's true.
• 29:22
  Speaker 4: Somehow it's working. I wish, I wish I could answer
• 29:24
  Speaker 4: that question. I don't. I don't have an answer for you, Robbie.
• 29:27
  Speaker 4: I'm still trying to figure that out.
• 29:29
  Speaker 2: You need you need to get a sort of student
• 29:32
  Speaker 2: rotation as a social media manager, and in your set
• 29:36
  Speaker 2: someone who's perfected the jargon language boom give him an a.
• 29:40
  Speaker 2: So any students out there listening, Doctor Zach is looking
• 29:42
  Speaker 2: for a student to help him with the social media.
• 29:46
  Speaker 4: You volunteer hours.
• 29:48
  Speaker 2: He'll write you the best letter of recommendation, not chat jupt.
• 29:52
  Speaker 4: He was tremendously written.
• 29:55
  Speaker 2: It'll be handwritten on a piece of paper, or demonstrate
• 29:58
  Speaker 2: it was not done by chat g Absolutely, I'll use
• 30:02
  Speaker 2: calligraphy there you go, use a little quill, a little
• 30:05
  Speaker 2: quill and ink.
• 30:06
  Speaker 4: Yeah, I will write your letter of recommendation with a quill.
• 30:11
  Speaker 2: Well, Zach, Hey, thank you so much for joining me today.
• 30:15
  Speaker 2: It's been a pleasure, huge family to work. Please keep
• 30:18
  Speaker 2: doing what you're doing, Zach. We do like to give
• 30:21
  Speaker 2: everybody your social dms so they can follow you on Instagram, Twitter,
• 30:26
  Speaker 2: all that stuff.
• 30:27
  Speaker 3: If you search doctor Zach MD on any of the platforms,
• 30:31
  Speaker 3: you should be able to find me on YouTube, I
• 30:34
  Speaker 3: am the white Coat couple. You and my wife post
• 30:36
  Speaker 3: both of our social media contents on the same channel.
• 30:40
  Speaker 2: Awesome, Well, listeners, thank you so much for tuning in.
• 30:43
  Speaker 2: It's Zach. It's been a pleasure having you. We'll see
• 30:46
  Speaker 2: you guys next week. Have a fantastic day.
• 30:50
  Speaker 4: Hey, thanks and Happy Thanksgiving.
• 30:52
  Speaker 2: Happy Thanksgiving. Gat it our.
• 30:54
  Speaker 4: Rection time.
• 30:57
  Speaker 3: The day
• 31:00
  Speaker 4: Comf