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The Evolution of MMHC Legend- Isaiah · Millennial Mental Health Channel

• 0:00
  Speaker 1: So it's an interesting concept, right, because twenty one year
• 0:03
  Speaker 1: old me would hate me.
• 0:06
  Speaker 2: Welcome to MMHC, your go to mental health podcast.
• 0:10
  Speaker 3: I'm Eddie Koreo, a licensed professional counselor.
• 0:12
  Speaker 2: And I'm Justin Romano, a Board certified child and adolescent psychiatrist.
• 0:17
  Speaker 3: We created MMHC to give listeners evidence based information directly
• 0:20
  Speaker 3: from professionals who work.
• 0:22
  Speaker 4: In mental health.
• 0:23
  Speaker 2: We're not influencers, we're not trying to sell you anything.
• 0:26
  Speaker 2: We just want to bring love, empathy, and understanding of
• 0:28
  Speaker 2: mental health into this world.
• 0:30
  Speaker 5: And we really think that learning about mental health should
• 0:32
  Speaker 5: be fun, interesting, and most importantly honest.
• 0:35
  Speaker 2: So thanks for tuning in. This is a show by
• 0:38
  Speaker 2: two millennials, but it is intended to be for everyone.
• 0:41
  Speaker 4: We hope you enjoy the show.
• 0:45
  Speaker 2: MMHC is a production of Speaker from iHeartMedia mid HEARTMA.
• 0:51
  Speaker 2: I really wanted to start off this episode by saying,
• 0:54
  Speaker 2: a black psychiatrist, a white psychiatrist, and a Mexican therapist
• 0:58
  Speaker 2: walk into a bar, just kidding, they sat down for
• 1:02
  Speaker 2: a podcast.
• 1:03
  Speaker 3: Oh say, the police are probably showed up.
• 1:08
  Speaker 1: No, no, no, we had a white psychiatrist with us.
• 1:10
  Speaker 1: We were safe.
• 1:11
  Speaker 4: Yeah, it's true. I'll do all the talking.
• 1:15
  Speaker 2: Welcome back to the show, Isaiah. We were just talking
• 1:20
  Speaker 2: about it. You were on the show twice in twenty
• 1:23
  Speaker 2: twenty and then we haven't had you back since. But
• 1:25
  Speaker 2: you posted something on social media a couple months ago
• 1:28
  Speaker 2: and I was like, we gotta have that guy back.
• 1:30
  Speaker 2: So it's nice to have my mom's favorite guest of
• 1:33
  Speaker 2: all time back on MMAC. How you doing.
• 1:36
  Speaker 1: Man, Listen. That's the best introduction I have ever gotten
• 1:41
  Speaker 1: in my entire life. I'm so happy to be here.
• 1:44
  Speaker 3: Yeah.
• 1:44
  Speaker 1: I was here twice in twenty twenty and then never
• 1:48
  Speaker 1: again until now until now. You know, and I think
• 1:53
  Speaker 1: the fans started a whole movement to get me back
• 1:58
  Speaker 1: on the podcast, mostly Justin's mom, and I greatly appreciate
• 2:05
  Speaker 1: the support.
• 2:06
  Speaker 5: Our inbox is blown up back by popular demand, Black popular.
• 2:11
  Speaker 3: Yeah, return of the Yeah.
• 2:15
  Speaker 5: It's been trying to to juggle the email inbox has
• 2:20
  Speaker 5: been tough, so please please stop.
• 2:24
  Speaker 4: Emailing us everyone.
• 2:25
  Speaker 3: He's here, he's so Isaiah.
• 2:28
  Speaker 2: You were my med student when I was a resident
• 2:31
  Speaker 2: at the University of Nebraska Medical Center, Omaha, Nebraska. You
• 2:35
  Speaker 2: ended up doing residency at University of Pittsburgh The pit right.
• 2:39
  Speaker 4: Oh shit, the pit.
• 2:40
  Speaker 1: So so the pit. The pit is technically based off
• 2:43
  Speaker 1: of a rival hospital. Oh I don't like this. Yeah,
• 2:48
  Speaker 1: you know, the TV Magic, but you know they're just
• 2:52
  Speaker 1: not UPMC. They reference UPMC in the pit. They're like,
• 2:56
  Speaker 1: you know, we're on diversion, sit them to Presby or
• 2:59
  Speaker 1: something like that. Yeah, the UPMC hospital. But the pit
• 3:04
  Speaker 1: is based off of the I believe Alleganty General Hospital,
• 3:08
  Speaker 1: which is a rival hospital.
• 3:10
  Speaker 2: But you know, well, did you guys do like a
• 3:12
  Speaker 2: basketball tournament against each other to see who was superior?
• 3:16
  Speaker 1: We did not. Neither neither organization has black people, So
• 3:21
  Speaker 1: I don't know how good the basketball game would have been.
• 3:26
  Speaker 1: I mean, listen, Larry Bird got down, but you know,
• 3:29
  Speaker 1: nobody's trying to watch Bob Coozie, and you know, it's
• 3:32
  Speaker 1: just we've gone back to far in time.
• 3:34
  Speaker 4: A lot of chess passes.
• 3:39
  Speaker 1: The short shorts, the short shorts precisely.
• 3:44
  Speaker 2: Well, one of the things I did want to talk
• 3:46
  Speaker 2: about for today's episode was, yeah, tell me about your
• 3:49
  Speaker 2: experience in residency, because Isaiah is somewhat of a unicorn
• 3:54
  Speaker 2: for all our listeners out there. He is a black
• 3:56
  Speaker 2: male psychiatrist. Oh that's what you meant, yeah, he does
• 4:01
  Speaker 2: not have a mythical horn atop his head. But yeah,
• 4:05
  Speaker 2: it's very very rare to have a black male psychiatrist.
• 4:09
  Speaker 2: And so I'm just curious, how is residency going for you?
• 4:12
  Speaker 2: Do you have any stories of people treating you any differently?
• 4:15
  Speaker 4: What do you think?
• 4:15
  Speaker 1: Oh, of course, you know, I mean, residency was it's
• 4:19
  Speaker 1: it was four years. I learned a lot. Pittsburgh as
• 4:24
  Speaker 1: a city has a really strong mental health framework, a
• 4:28
  Speaker 1: lot of intensive outpatients, a lot of just like this
• 4:31
  Speaker 1: huge system, like this machine mental health wise that kind
• 4:36
  Speaker 1: of runs the city. It's it's impressive, and so the
• 4:40
  Speaker 1: and they have a large catchment area. You know, they
• 4:43
  Speaker 1: they're pulling in patients from all of southwest Pennsylvania, you know,
• 4:48
  Speaker 1: eastern Ohio, West Virginia, and so pulling in a lot
• 4:52
  Speaker 1: of patients all to this this giant you know, two
• 4:57
  Speaker 1: hundred and eighty bed psych hospital whoa called Western Psych. Yeah,
• 5:02
  Speaker 1: and that's where the residency is essentially based out of.
• 5:06
  Speaker 1: And so the first two years of residency you're pretty
• 5:09
  Speaker 1: much running that hospital by yourself. Supports here and there
• 5:14
  Speaker 1: enough enough for us to not get in trouble. But
• 5:18
  Speaker 1: you know, you get to third year and it's all
• 5:21
  Speaker 1: out patient and fourth year is all you know, sort
• 5:23
  Speaker 1: of electives and that sort of thing. And so I
• 5:27
  Speaker 1: greatly enjoyed like being somewhere new, being at a place
• 5:33
  Speaker 1: where you know, I was really able I think to
• 5:35
  Speaker 1: make a difference with the amount of patience I was
• 5:38
  Speaker 1: able to reach. But residency, I don't know. I mean,
• 5:42
  Speaker 1: I think you you learn a lot about the system,
• 5:44
  Speaker 1: you learn a lot about mental health, not all of
• 5:47
  Speaker 1: it's good. And you know, I think, no matter who
• 5:51
  Speaker 1: you are, you come out of residency a very different
• 5:53
  Speaker 1: person than than who you went in.
• 5:55
  Speaker 4: As that first second year sound to be the most intensive,
• 6:02
  Speaker 4: Correct me if I misheard that. But what is that?
• 6:06
  Speaker 4: I like to I've become a reader.
• 6:10
  Speaker 5: In the last couple of years, and you're just sharing
• 6:12
  Speaker 5: that brought up a couple of like the the cheesy
• 6:15
  Speaker 5: psychological thrillers I like with based in like psychiatric units,
• 6:19
  Speaker 5: but one of those first two years like in a
• 6:22
  Speaker 5: pretty intensive situation.
• 6:25
  Speaker 1: So you know, it's interesting. Before I took this job
• 6:29
  Speaker 1: and in New York, I interviewed out a jail and
• 6:35
  Speaker 1: thought about being a psychiatrist for a jail, and the
• 6:38
  Speaker 1: thing that really stood out to me as I toward
• 6:42
  Speaker 1: the jail blocks, is wow, this looks a lot like
• 6:46
  Speaker 1: a patients psycho, you know, you know, and that's something.
• 6:53
  Speaker 1: You know, the hospital I worked at had fourteen floors.
• 7:00
  Speaker 1: Ten of those or something was used for patient care,
• 7:04
  Speaker 1: you know, and not ten, that's I think eight of
• 7:07
  Speaker 1: them were used for patient care. But you know, they
• 7:09
  Speaker 1: had all these different specialized units and all these different
• 7:12
  Speaker 1: rotations that you do. And yeah, I mean you get
• 7:16
  Speaker 1: a really really, really good grasp of in patient psychiatry
• 7:22
  Speaker 1: and how to treat these patients. It's you see a
• 7:27
  Speaker 1: lot of the same patients come back, and I think
• 7:30
  Speaker 1: you spend a lot of those first two years wondering
• 7:34
  Speaker 1: does in patient psychiatry work.
• 7:38
  Speaker 4: Yeah.
• 7:39
  Speaker 1: You know, they closed pretty much all the state hospitals
• 7:42
  Speaker 1: in Pennsylvania, and you know, in theory, that was a
• 7:46
  Speaker 1: good idea, right these state hospitals where just this forever
• 7:50
  Speaker 1: care is happening for patients who aren't getting any better.
• 7:53
  Speaker 1: Let's close down these state hospitals so that we can
• 7:56
  Speaker 1: start treating these people into the community. The part they
• 7:59
  Speaker 1: forget got to do was take the money they saved
• 8:02
  Speaker 1: by closing the state hospitals and funnel that back into
• 8:05
  Speaker 1: the community. So like now you just have added tons
• 8:09
  Speaker 1: of homeless people to the state of Pennsylvania, you know,
• 8:13
  Speaker 1: and there's just nowhere for these people to go, right,
• 8:19
  Speaker 1: and so a lot of them will end up trying
• 8:22
  Speaker 1: to find ways to get into psych hospitals, whether whether
• 8:26
  Speaker 1: they need in patient psych or not. You know, it's
• 8:30
  Speaker 1: I don't have anywhere else to go. It's cold out. Listen,
• 8:33
  Speaker 1: if I were homeless, I do the same exact thing
• 8:36
  Speaker 1: where I'm gonna I'm gonna do, or say what I
• 8:38
  Speaker 1: gotta do to get into a place where I'm gonna
• 8:40
  Speaker 1: get food, I'm gonna get you know, I'm gonna get help.
• 8:43
  Speaker 1: And and I think for me, in those first two years,
• 8:47
  Speaker 1: you know, we're doing a lot of emergency psych, we're
• 8:48
  Speaker 1: doing a lot of in patient psych. We're seeing a
• 8:51
  Speaker 1: lot of the same patients, and you really start to
• 8:53
  Speaker 1: get jaded to the system. You start to get frustrated
• 8:57
  Speaker 1: with the patients. And you know, I remember one case
• 9:01
  Speaker 1: in particular where his patient had come back to the
• 9:05
  Speaker 1: psyche are like three or four times that day, and
• 9:09
  Speaker 1: it's like his fourth time back, and like the third time,
• 9:11
  Speaker 1: I wrote this beautiful discharge summary. I mean, I chart
• 9:16
  Speaker 1: review everything. This is a sterling note, right, And I
• 9:20
  Speaker 1: discharged him. I felt really good about myself. And then
• 9:22
  Speaker 1: he comes back an hour later. Please brought him back?
• 9:23
  Speaker 1: And I'm like furious, right, and so like I'm storming
• 9:27
  Speaker 1: out of the psch you'ar, I'm like, don't even let
• 9:29
  Speaker 1: him out of the ambulance, bab Like I'm you know,
• 9:30
  Speaker 1: getting ready with a little pepp in my stab head
• 9:32
  Speaker 1: into the elevator, and like as soon as I hit
• 9:34
  Speaker 1: that elevator button, it was just like you like you
• 9:37
  Speaker 1: catch yourself, You catch a reflection of yourself in the
• 9:39
  Speaker 1: elevator doors, and it's just like, yo, what am I doing?
• 9:44
  Speaker 1: Like like what would the Isaiah who was on your
• 9:48
  Speaker 1: podcast in twenty twenty think about you right now? He'd
• 9:52
  Speaker 1: be disgusted, like like here you are excited to go
• 9:56
  Speaker 1: kick a man out on the streets, you know. And
• 10:00
  Speaker 1: so I hit that button and I realized, like, yo,
• 10:04
  Speaker 1: I'm a monster, like this this place has broken me.
• 10:08
  Speaker 1: And you know, I on that long elevator right down.
• 10:11
  Speaker 1: I had to think, like what else can we do
• 10:13
  Speaker 1: for this guy? And you know, unfortunately this story doesn't
• 10:17
  Speaker 1: have a happy ending. I mean I let him stay
• 10:19
  Speaker 1: the night, but he you know, he continued to filter
• 10:20
  Speaker 1: in and out until he stopped showing up. And we
• 10:22
  Speaker 1: don't know why he stopped showing up. Usually it's not
• 10:24
  Speaker 1: a good thing. But you know, when I got to
• 10:27
  Speaker 1: like that third year of medicine, and it was like
• 10:30
  Speaker 1: I knew I didn't want to be in an outpatient clinic.
• 10:32
  Speaker 1: I knew I just don't have the attention span for that.
• 10:35
  Speaker 1: You're mild to moderate depressions or you know, I'm glad
• 10:38
  Speaker 1: someone wants to take care of him, but that's not me.
• 10:40
  Speaker 1: And so I'm like, I need to get out into
• 10:41
  Speaker 1: the community. I need to figure out, hey, is there
• 10:43
  Speaker 1: something we can do for the homeless people? Right? And
• 10:46
  Speaker 1: so that kind of ended up becoming a big passion
• 10:47
  Speaker 1: point of mine, is getting involved in some of the
• 10:49
  Speaker 1: homelessness clinics and figuring out how I can actually help
• 10:52
  Speaker 1: these patients that I was once excited to go kick out,
• 10:56
  Speaker 1: you know. And so I think the structure of the
• 11:01
  Speaker 1: of residency, where you start off with addictions and in
• 11:04
  Speaker 1: patience an emergency, you start off with the really heavy
• 11:07
  Speaker 1: stuff that almost jades you, and then you get to
• 11:11
  Speaker 1: the outpatient, you get to community, and it's like, no,
• 11:13
  Speaker 1: here's where I can really help these people. Now, I
• 11:16
  Speaker 1: think that it's it's an almost beautiful journey. It's chaos.
• 11:21
  Speaker 1: There's got to be a better way to do it,
• 11:23
  Speaker 1: but it's it's a journey, you know. Yeah, I don't
• 11:27
  Speaker 1: know if I answered the question.
• 11:30
  Speaker 4: Time out.
• 11:31
  Speaker 5: Hold on, we got an issue, Isaiah, you and I.
• 11:38
  Speaker 3: I've already showered, but you've got me all fucking fired up.
• 11:41
  Speaker 1: Right now.
• 11:44
  Speaker 4: I can go to work.
• 11:45
  Speaker 3: You fucking God damn it, you are so good. You
• 11:48
  Speaker 3: are so good at this. I say, I love it, man,
• 11:51
  Speaker 3: thank you. That's I mean, justin.
• 11:54
  Speaker 5: I talk all the time of like being genuine and
• 11:57
  Speaker 5: actually the last episode when we talked, we talked about like,
• 11:59
  Speaker 5: you know, how do we want to be remembered, and
• 12:01
  Speaker 5: I remember me saying specifically, like someone that's that's genuine
• 12:05
  Speaker 5: and passionate, and god damn it, you're just sitting here
• 12:08
  Speaker 5: beautifully saying.
• 12:09
  Speaker 3: These things that like, I don't know who else can
• 12:12
  Speaker 3: do that.
• 12:12
  Speaker 4: That's awesome.
• 12:13
  Speaker 5: I thank you for sharing that. It's not easy to
• 12:17
  Speaker 5: talk about the jaded part. We've talked about compassion fatigue
• 12:20
  Speaker 5: pretty pretty recently too, and I feel like I can.
• 12:24
  Speaker 5: I can relate to that of like, you know, a
• 12:27
  Speaker 5: lot has changed.
• 12:27
  Speaker 3: For me as I since the last time we talked.
• 12:29
  Speaker 3: I was in a communie mental health clinic.
• 12:31
  Speaker 5: I went to a hospital for about a year and
• 12:33
  Speaker 5: a half in an eating disorder program. But now I'm
• 12:36
  Speaker 5: a school based therapist and I find myself and even
• 12:39
  Speaker 5: in those other and those other it's pretty cool. But
• 12:41
  Speaker 5: even in those other settings like like this.
• 12:44
  Speaker 6: Person again or oh again, and on that walk to
• 12:47
  Speaker 6: the front door or on that walk out of my office,
• 12:49
  Speaker 6: being like I need to shut the fuck up, like
• 12:52
  Speaker 6: this is I gotta do what I gotta do, and
• 12:54
  Speaker 6: this person is more important than my little feelings that
• 12:56
  Speaker 6: I can worry about later.
• 12:58
  Speaker 4: But man, that is thank you for your words. That's awesome.
• 13:02
  Speaker 1: I appreciate that I had an attending in the psycher.
• 13:07
  Speaker 1: Shout out Garrett Sparks. He's the nocturnist in the psyche
• 13:11
  Speaker 1: are and this is you know, this massive psycher, tons
• 13:14
  Speaker 1: of volume, so he doesn't have an easy job. And
• 13:18
  Speaker 1: he keeps an Excel spreadsheet of all the patients and
• 13:23
  Speaker 1: one of his columns on the spreadsheet is did I
• 13:26
  Speaker 1: help this person today?
• 13:27
  Speaker 4: WHOA?
• 13:28
  Speaker 1: And we can't help them. All right, There are plenty
• 13:33
  Speaker 1: of people who come in and I gave you nothing
• 13:36
  Speaker 1: you were looking for, and I provided you none of
• 13:38
  Speaker 1: the benefit you were hoping. Like, I did not help you.
• 13:41
  Speaker 1: I could not help you today. We didn't have the resources,
• 13:45
  Speaker 1: but to be able to even on those really hard cases,
• 13:50
  Speaker 1: those really time consuming cases, the ones that drain you,
• 13:52
  Speaker 1: to be able to go at the end of that
• 13:54
  Speaker 1: spreadsheet and put yes, I helped that person. Shit changed. Oh,
• 13:58
  Speaker 1: I'm sorry, profanity.
• 14:01
  Speaker 3: We're past that.
• 14:02
  Speaker 1: Okay, Okay, I can cuss.
• 14:04
  Speaker 4: Fuck.
• 14:05
  Speaker 1: Yeah, alright, I didn't know. Yo, I've been holding back.
• 14:12
  Speaker 3: It says explicit on the on the podcast app.
• 14:15
  Speaker 1: You should know. I'm Justin's mom's favorite guest. I can't
• 14:20
  Speaker 1: be out here using profanity.
• 14:22
  Speaker 3: That's fair.
• 14:23
  Speaker 1: But you know, being able to mark yes, like I
• 14:26
  Speaker 1: helped that person, Like that's what keeps me going.
• 14:29
  Speaker 2: Yeah. And you bring us such a great point too,
• 14:31
  Speaker 2: that so many people go into medicine because they want
• 14:34
  Speaker 2: to help people, and then it seems like the system
• 14:37
  Speaker 2: is the vampire that just sucks all the blood out
• 14:39
  Speaker 2: of them and makes them jaded, makes them have compassion
• 14:42
  Speaker 2: fatigue to the point where they feel like they don't
• 14:46
  Speaker 2: want to help as much or they they just get
• 14:49
  Speaker 2: caught up in those cases that are tough are the
• 14:51
  Speaker 2: ones that don't have an easy answer. They don't have
• 14:54
  Speaker 2: any real options to help people. And so yeah, I
• 14:58
  Speaker 2: appreciate that you're willing to talk about that and just
• 15:01
  Speaker 2: dive right into it. And you mentioned attention span, and
• 15:04
  Speaker 2: I think this is an important thing that I wanted
• 15:06
  Speaker 2: to talk about too, is that you were diagnosed with
• 15:09
  Speaker 2: ADHD in medical school. Correct.
• 15:12
  Speaker 1: I was good memory?
• 15:13
  Speaker 3: Yeah.
• 15:14
  Speaker 1: I mean you probably remember because you were my resident
• 15:16
  Speaker 1: who had to deal with this med student and not
• 15:19
  Speaker 1: shut the fuck up. You just can't focus on anything,
• 15:24
  Speaker 1: but yeah, good memory. I was diagnosed with ADHD in
• 15:28
  Speaker 1: medical school.
• 15:30
  Speaker 2: I remember walking through the halls with you like singing
• 15:32
  Speaker 2: childish gambino.
• 15:34
  Speaker 1: Yeah, we had a fun time in singing singing crazy
• 15:40
  Speaker 1: while on a psych unit. Probably not the best choice
• 15:44
  Speaker 1: I made, but you know what, I had a good time.
• 15:48
  Speaker 1: I remember when I don't want to get y'all demonetized,
• 15:53
  Speaker 1: but you know that song right there?
• 15:55
  Speaker 4: It's fine, Yeah, you know.
• 15:57
  Speaker 2: And I gotta admit that you weren't the best medical
• 16:01
  Speaker 2: student I've ever had. And I think a lot of
• 16:03
  Speaker 2: that was your ADHD. I think you weren't very thorough.
• 16:08
  Speaker 2: Your notes were garbage and.
• 16:13
  Speaker 4: The roast of Isaiah, My god, how.
• 16:16
  Speaker 3: Did this turn into more roates? Welcome back to the show.
• 16:19
  Speaker 1: This is how my notes were garbage. Wow.
• 16:23
  Speaker 2: I remember doctor Sharma pulling me aside and being like,
• 16:26
  Speaker 2: what is going on with this kid? Like why can't
• 16:29
  Speaker 2: you write a psycho?
• 16:32
  Speaker 1: I was like, I don't know, my notes were good.
• 16:36
  Speaker 2: He's such a polite man, kind of a beautiful letter
• 16:41
  Speaker 2: of recommendation, which is a nice segue, Like it seems
• 16:45
  Speaker 2: like all of this stuff got so much better. So like,
• 16:47
  Speaker 2: tell us about your ADHD journey. Did you try medicines?
• 16:50
  Speaker 2: How did it change your life? How did it change
• 16:52
  Speaker 2: your career?
• 16:54
  Speaker 1: You can easily look at my medical my you know,
• 16:56
  Speaker 1: medical student career as pre ADHD treatment, posting AHD treatment,
• 17:01
  Speaker 1: and even today, like my coworkers know when I have
• 17:06
  Speaker 1: forgotten to take my vibing, like like in the psyche r,
• 17:10
  Speaker 1: I did a lot of moonlighting out so I was
• 17:12
  Speaker 1: kind of the overnight senior psychiatrist in the psyche are
• 17:16
  Speaker 1: on the weekends, and the nurses knew. They were like, Isaiah,
• 17:22
  Speaker 1: you forgot to take your fucking medica and I'm like, guys,
• 17:26
  Speaker 1: I just how did you know? Yeah? I act surprised
• 17:29
  Speaker 1: every time. But it's like, because you've seen fourteen patients
• 17:32
  Speaker 1: and have written zero notes, Like you haven't stopped, you
• 17:35
  Speaker 1: haven't sat down, I don't have orders. You're just buzzing
• 17:38
  Speaker 1: around talking to patients, doing no real work, you know.
• 17:42
  Speaker 1: And so when I do not take my medication, it
• 17:49
  Speaker 1: is very difficult for me to focus on one topic,
• 17:53
  Speaker 1: on one thing. It's hard for me to just stay
• 17:55
  Speaker 1: in the zone. Right, And medicine doesn't you know. It's
• 18:01
  Speaker 1: not a it's not a miracle drug, but it brings
• 18:05
  Speaker 1: my brain to normal where I'm able to at least
• 18:08
  Speaker 1: sit down, get my work done, get through my day,
• 18:12
  Speaker 1: and then it wears off just in time for me
• 18:14
  Speaker 1: to go home and goof the fuck off, you know.
• 18:18
  Speaker 1: But yeah, in med school, you were with me for
• 18:21
  Speaker 1: my very last rotation pre diagnosis. Yeah, and I remember
• 18:29
  Speaker 1: having to go through the process of getting my ADHD
• 18:32
  Speaker 1: diagnosed and treated. You know, at the time, I was
• 18:35
  Speaker 1: I was interested in emergency medicine and I just was
• 18:38
  Speaker 1: struggling in school, right, I just I couldn't I couldn't
• 18:41
  Speaker 1: finish tests, in time. I kept running out of time
• 18:43
  Speaker 1: on the exams. I couldn't study, you know, And I
• 18:47
  Speaker 1: remember the er advisor. She said to me that you're
• 18:51
  Speaker 1: supposed to be like an Olympic level test taker at
• 18:53
  Speaker 1: this point in time. What is getting in the way
• 18:56
  Speaker 1: of this success? And I just kind of flippantly say like, oh,
• 18:58
  Speaker 1: you know, I have ADHD. It's just like it's like
• 19:00
  Speaker 1: it's nothing right, and she looks at me. She was like,
• 19:04
  Speaker 1: you know, you don't have to answer this, but like,
• 19:06
  Speaker 1: what have you done about that? And again I'm all
• 19:08
  Speaker 1: lase fair. I'm like, oh, you know, I'm thinking about
• 19:10
  Speaker 1: maybe getting it officially diagnosed, maybe getting started on treatment,
• 19:15
  Speaker 1: I don't know. And at that point she gets fed
• 19:17
  Speaker 1: up with my shit and she's like, you have a
• 19:20
  Speaker 1: literal brain condition that is making it impossible for you
• 19:24
  Speaker 1: to perform at your best, and on top of that,
• 19:27
  Speaker 1: it's one of the easiest brain conditions to treat. You
• 19:31
  Speaker 1: need to get your shit together. And it just hit
• 19:36
  Speaker 1: me like like a truck at that point, and no
• 19:39
  Speaker 1: one had ever just laid it out for me like that,
• 19:42
  Speaker 1: and so I took a you know, I ended up
• 19:45
  Speaker 1: taking a leave so I could get my ADHD diagnosed
• 19:48
  Speaker 1: so I could get it treated, and I remember sitting
• 19:52
  Speaker 1: in my PCP's office there to get started on medication
• 19:55
  Speaker 1: for ADHD. I remember sitting in that waiting room and
• 19:58
  Speaker 1: feeling shame. And I was then embarrassed that I was ashamed,
• 20:05
  Speaker 1: because it's like, here, I am supposed to be this
• 20:07
  Speaker 1: guy fighting stigma, believing in mental health. Mental health is
• 20:11
  Speaker 1: physical health, you know all the things we say on
• 20:14
  Speaker 1: this podcast, and here I am sitting in a waiting
• 20:17
  Speaker 1: area ashamed of my diagnosis. It's something that I carry
• 20:22
  Speaker 1: with me when I treat patients because it doesn't matter
• 20:26
  Speaker 1: if it is your seventeenth time at a psych hospital
• 20:29
  Speaker 1: or your first time, every single patient that walks in
• 20:32
  Speaker 1: that waiting room feels just just at least an ounce
• 20:36
  Speaker 1: of shame. And if you can't make space for that,
• 20:40
  Speaker 1: if you can't hold that in your hand as you
• 20:43
  Speaker 1: deal with and talk with our patients, you're in the
• 20:45
  Speaker 1: wrong profession, right. And that's something that I tell med
• 20:49
  Speaker 1: students that I work with. You know, I actually show
• 20:51
  Speaker 1: them a there's a button poetry poem from someone who's
• 20:57
  Speaker 1: been in a psych word and she just talks about
• 20:59
  Speaker 1: the you know, what's what it's like to be a
• 21:01
  Speaker 1: patient and a psych word. And I show them that
• 21:04
  Speaker 1: poem and I explained them. Every patient feels shame. I'm like, listen,
• 21:06
  Speaker 1: if you can't treat our patients with dignity and respect,
• 21:11
  Speaker 1: you're gonna have to work with a different resident, Like
• 21:13
  Speaker 1: you're gonna have to work with a different psychiatrist like this,
• 21:15
  Speaker 1: This isn't going to happen because this is what our
• 21:18
  Speaker 1: patients deserve. They deserve the absolute best. And and you know,
• 21:21
  Speaker 1: I think like even like when you start figuring out
• 21:24
  Speaker 1: your identity as like a mentor and a teacher, that's
• 21:27
  Speaker 1: the one thing I like don't have patients for is
• 21:30
  Speaker 1: if you're going to come on psychiatry and just phone
• 21:32
  Speaker 1: it in, you know, like I don't really need to
• 21:35
  Speaker 1: learn with that. I don't really I'm gonna be a surgeon.
• 21:38
  Speaker 1: And it's like, this is saving lives. What you learn
• 21:44
  Speaker 1: here could be the difference between whether your patient takes
• 21:47
  Speaker 1: their life or not. And you're gonna be flipping about that,
• 21:52
  Speaker 1: like like you're you're not gonna take that seriously, listen,
• 21:54
  Speaker 1: go work with somebody else. So I'm not doing this
• 21:56
  Speaker 1: with you, you know. And and so I think like
• 21:59
  Speaker 1: through my own experiences of being a patient and seeing
• 22:03
  Speaker 1: psychiatry from that side, I think that gave me the
• 22:07
  Speaker 1: necessary perspective to become the world's best psychiatrist and humble
• 22:14
  Speaker 1: to boot Yes and humble, the world's best and most
• 22:17
  Speaker 1: humble psychiatrist.
• 22:19
  Speaker 4: And Justin's mom's favorite guest.
• 22:22
  Speaker 1: Justin's Mom's favorite podcast guest of all time.
• 22:25
  Speaker 4: School m H.
• 22:27
  Speaker 2: I love hearing that. I love hearing that you were
• 22:30
  Speaker 2: able to use some of the difficult things you've been
• 22:33
  Speaker 2: through in your life to become better, to learn, to grow,
• 22:36
  Speaker 2: to help people. Speaking of difficult things that you have
• 22:39
  Speaker 2: been through in your life.
• 22:41
  Speaker 1: Oh, you're really piling it on.
• 22:45
  Speaker 2: You told me, not off the table here.
• 22:48
  Speaker 1: I did say that, Yeah, go for it.
• 22:49
  Speaker 4: Yeah, I know that.
• 22:50
  Speaker 2: You know, we haven't kept up too crazy much over
• 22:53
  Speaker 2: these past couple of years, but I did see that.
• 22:55
  Speaker 2: I think you split up with your with your at
• 22:57
  Speaker 2: the time wife back in Omaha. Yeah, give me the
• 23:01
  Speaker 2: story if you don't mind.
• 23:03
  Speaker 1: To her credit, she married a completely different person than
• 23:10
  Speaker 1: the guy that I am right now. You know, my
• 23:14
  Speaker 1: ex wife married a twenty one year old youth pastor
• 23:22
  Speaker 1: aspiring to be a neurosurgeon. And I sit here a
• 23:30
  Speaker 1: thirty one year old atheist psychiatrist. You know, it's just
• 23:39
  Speaker 1: I am so far from the person that she signed
• 23:43
  Speaker 1: up for. There were times where it was clear that
• 23:47
  Speaker 1: we were trying to fit a square peg into a
• 23:52
  Speaker 1: round hole. I mean, I think we gave it our
• 23:54
  Speaker 1: best shot, and you know, we tried for six years,
• 23:57
  Speaker 1: and we almost made that square peg fit. And that's
• 24:00
  Speaker 1: to her credit, because I'm a difficult person to deal with,
• 24:05
  Speaker 1: you know, me with my ADHD and my half folded
• 24:08
  Speaker 1: piles of clothes all over the floor, and my a
• 24:11
  Speaker 1: thousand tasks I start and never finish, you know, like
• 24:13
  Speaker 1: I'm a difficult person to deal with. To her credit,
• 24:16
  Speaker 1: she almost dealt with it. But you know, we ultimately
• 24:22
  Speaker 1: just warned each other's people. And you know, I love
• 24:26
  Speaker 1: my ex wife. She's an incredible mother. You know, we
• 24:30
  Speaker 1: have two we have two of them things, a daughter
• 24:33
  Speaker 1: and a son, and we're great co parents and you know,
• 24:37
  Speaker 1: I will forever want the best for her. And you know,
• 24:40
  Speaker 1: it took us a while to get here. You know,
• 24:43
  Speaker 1: it definitely wasn't easy. It definitely was was a painful process.
• 24:46
  Speaker 1: Divorce sucks, But I love myself now and I don't
• 24:56
  Speaker 1: know if I could have said that a few years ago. Yeah,
• 25:01
  Speaker 1: and so I've been able to kind of learn who
• 25:03
  Speaker 1: I am and let people decide if who I am
• 25:10
  Speaker 1: still works for them.
• 25:11
  Speaker 2: I love that, and that's something I talk about the
• 25:13
  Speaker 2: training to become a psychiatrist. A lot of it is
• 25:16
  Speaker 2: self reflective. You have to know yourself if you want
• 25:19
  Speaker 2: to help other people figure out who they are too.
• 25:22
  Speaker 2: And yeah, I'm curious when did the atheist thing happen?
• 25:25
  Speaker 2: Because yeah, I was.
• 25:26
  Speaker 1: Wondering if he was gonna pick up on it.
• 25:27
  Speaker 2: Yeah, yeah, you hear too many outspoken atheists these days.
• 25:33
  Speaker 1: No, here's the thing. Somewhere there is a podcast listener
• 25:37
  Speaker 1: who listens to the Millennial Mental Health Channel who remembers
• 25:42
  Speaker 1: the religious episode who Thought to Themselves. He seems like
• 25:47
  Speaker 1: he's questioning a little bit, like he says he's a Christian,
• 25:51
  Speaker 1: but I don't know. He's real critical of the church.
• 25:53
  Speaker 1: And that person is literally jumping for joy right now,
• 25:56
  Speaker 1: Like I fucking knew it. I know he wasn't one
• 25:59
  Speaker 1: of them. I promise you. That's happening right now somewhere,
• 26:04
  Speaker 1: probably in Utah. It's happening. Okay, Yeah, man, that that
• 26:11
  Speaker 1: was a that was a journey. And you know, I
• 26:13
  Speaker 1: went back and I listened to our old podcast today
• 26:17
  Speaker 1: and I got to a part of it where we
• 26:19
  Speaker 1: talked about how religion can give people hope, and we
• 26:22
  Speaker 1: talked about a a father that I was working with
• 26:26
  Speaker 1: on the pediatric palliat of care rotation whose son was dying,
• 26:30
  Speaker 1: who when I went to talk to him, he said,
• 26:34
  Speaker 1: I take solid You know, this is this is obviously
• 26:36
  Speaker 1: a devastating that's happening, but I take solace and that
• 26:39
  Speaker 1: my identity is not being this person's father. My identity
• 26:45
  Speaker 1: is being a child of God, and that if my
• 26:50
  Speaker 1: son passes, I'm still that. And I thought, like, man,
• 26:54
  Speaker 1: I used to have that sort of identity and conviction.
• 27:01
  Speaker 1: But I hated myself right like like I was truly
• 27:08
  Speaker 1: self loathing. And there are people who do a spirituality
• 27:15
  Speaker 1: and a relationship with God who don't take it there.
• 27:20
  Speaker 1: But for me, it was like, as as my desire
• 27:27
  Speaker 1: was to become the best Christian possible, right, I wanted
• 27:29
  Speaker 1: to be able to answer any and every problem with scripture,
• 27:33
  Speaker 1: and that's not even how the Bible was intended, but
• 27:34
  Speaker 1: like that was my goal. And so as I dug
• 27:37
  Speaker 1: deeper and deeper into scripture trying to understand it. The
• 27:40
  Speaker 1: contradictions just became too much, and bit by bit the
• 27:47
  Speaker 1: Bible kind of started to chip away, and eventually all
• 27:50
  Speaker 1: I was left with was these Gospels.
• 27:55
  Speaker 4: Right.
• 27:55
  Speaker 1: I'm like, you know, I don't really know if any
• 27:56
  Speaker 1: of this is real, but this Jesus guy still seems
• 27:58
  Speaker 1: like a great guy I want to hang out with.
• 28:00
  Speaker 1: So it seems like a great guy to get a
• 28:01
  Speaker 1: beer with. I like the Gospels and that that whole thing.
• 28:05
  Speaker 1: And it's funny because in the podcast that we did,
• 28:08
  Speaker 1: I had asked I was like, how did this thing
• 28:11
  Speaker 1: start with eleven thugs and become this religion that dominates
• 28:17
  Speaker 1: the world. And I think I asked that question almost
• 28:21
  Speaker 1: wishing that Christianity could be as irresistible now as it
• 28:25
  Speaker 1: used to be then. But it was actually that very
• 28:28
  Speaker 1: question that was kind of like the last thing to
• 28:32
  Speaker 1: push me towards an atheist mindset, where for some reason,
• 28:39
  Speaker 1: it was seeing how the Bible went from or how
• 28:42
  Speaker 1: Christianity went from these eleven guys to being spread around
• 28:47
  Speaker 1: the world essentially as a tool used to control and
• 28:52
  Speaker 1: and and doctrine it. It became too much to continue
• 29:00
  Speaker 1: to believe. And and you know, there was a there
• 29:03
  Speaker 1: was a while where someone would ask me, like, am
• 29:05
  Speaker 1: I a Christian? And I used to give an answer of,
• 29:07
  Speaker 1: you know, I think it depends on the day. You know,
• 29:09
  Speaker 1: some days I'm like this secular humanist, you know, absolutely not.
• 29:15
  Speaker 1: In other days I'm like a vibe woo woo ass bitch,
• 29:17
  Speaker 1: and I'm like, yeah, I'm this progressive Christian, you know,
• 29:20
  Speaker 1: shout out Richard Roy, you know that whole thing. And
• 29:25
  Speaker 1: I remember one day someone asked me that question and
• 29:27
  Speaker 1: I was getting ready to give that same answer. It
• 29:28
  Speaker 1: was canned. I was giving that answer to everybody, and
• 29:31
  Speaker 1: I realized I hadn't had a viby woo ass bitch
• 29:34
  Speaker 1: day in months, and I was the day that was
• 29:38
  Speaker 1: the first day I had said it. I was like, no,
• 29:41
  Speaker 1: I'm an atheist. And that day sucked. I knew that
• 29:47
  Speaker 1: day sucked because Christian was my identity. Yes, you know,
• 29:52
  Speaker 1: it was a huge part of my identity. Like it
• 29:55
  Speaker 1: was Christian before black you know, I'm I'm a Christian
• 30:00
  Speaker 1: before I'm a I'm a black man. I'm a Christian
• 30:02
  Speaker 1: before I'm a father. I'm a Christian. It was Christian
• 30:05
  Speaker 1: before everything. Yeah, and losing that part of my identity.
• 30:11
  Speaker 1: I had to figure out who I was because I
• 30:14
  Speaker 1: built it around this thing that no longer held true
• 30:17
  Speaker 1: in my life. And so it was a it was
• 30:21
  Speaker 1: a process.
• 30:22
  Speaker 2: Yeah, that's not easy. That's a huge change.
• 30:25
  Speaker 3: I feel like these were all kind of going during
• 30:29
  Speaker 3: residency time after residence.
• 30:31
  Speaker 4: What is the.
• 30:32
  Speaker 5: Timeline on this and how how did you Maybe it
• 30:35
  Speaker 5: was post ADHD medication, but how are you working through
• 30:37
  Speaker 5: all this?
• 30:38
  Speaker 6: And like.
• 30:40
  Speaker 1: When I tell you that intern year residency was a bitch,
• 30:44
  Speaker 1: bro this all was internyear. All of it was intern year.
• 30:49
  Speaker 1: So I got divorced during nightflow and it was you know,
• 30:54
  Speaker 1: and it was like it was like back to back
• 30:56
  Speaker 1: to It was like banger after banger. So like I
• 30:59
  Speaker 1: start residency and it was like October. When I had
• 31:05
  Speaker 1: that conversation, I was like, holy shit, I'm an atheist,
• 31:08
  Speaker 1: right And for me, like when I reached that point,
• 31:11
  Speaker 1: it was like the world lost its color a little bit,
• 31:15
  Speaker 1: you know, Like I used to look at the world
• 31:18
  Speaker 1: the way kids look at fucking Disney World, you know,
• 31:21
  Speaker 1: and now everything is gray, you know, Like it was
• 31:27
  Speaker 1: it was a tragic moment for me and that was
• 31:30
  Speaker 1: October and then November. Right the only dude who still
• 31:35
  Speaker 1: talked to me from the church was my boy Dante.
• 31:38
  Speaker 1: Right now, Dante was an anti vaxxer, and Dante got
• 31:44
  Speaker 1: COVID despite believing God would protect him, he got COVID
• 31:50
  Speaker 1: and he died, and that was in November. So like October,
• 31:54
  Speaker 1: Atheist November Dante. December was when I went back for
• 32:00
  Speaker 1: the funerals, my first time being around the church people
• 32:02
  Speaker 1: since like all this has happened, and I'm like harboring
• 32:05
  Speaker 1: a little bit of anger and resentment towards them because
• 32:07
  Speaker 1: like y'all teaching is why my boy is dead right now,
• 32:10
  Speaker 1: you know, and like y'all are sitting here not wearing
• 32:12
  Speaker 1: masks at the funeral, like it just the whole thing
• 32:15
  Speaker 1: to me was just arrogant, you know. And then January
• 32:20
  Speaker 1: I get back for Nightflow. February I get divorced, and
• 32:26
  Speaker 1: so it's just like back to back to back, and
• 32:30
  Speaker 1: you know, I remember my program director at the end
• 32:32
  Speaker 1: of the year because because the way that I dealt
• 32:35
  Speaker 1: with shit, because like I couldn't go home because like
• 32:37
  Speaker 1: all my daughter's stuff was there, and like they they left,
• 32:42
  Speaker 1: they went back to omaha. So it's like I go
• 32:45
  Speaker 1: home and I'm surrounded by this stuff that makes me
• 32:47
  Speaker 1: sad because I miss her. And so my solution was
• 32:51
  Speaker 1: just to work, work, work, work, work, work. I broke
• 32:54
  Speaker 1: all the Moonlight records at UPFC. I'm working my ass off,
• 32:59
  Speaker 1: I'm bearing myself in work. And like my program director
• 33:03
  Speaker 1: when we had our like Bien at the end of
• 33:05
  Speaker 1: intern year, he was like, yeah, no, to your credit.
• 33:08
  Speaker 1: The attendings were amazed at the things that you you
• 33:11
  Speaker 1: went through and how you were still standing at the
• 33:14
  Speaker 1: end of it. But you are different. And he made
• 33:18
  Speaker 1: sure to tell me that because I didn't know. He
• 33:22
  Speaker 1: was like, they noticed you're different now. And he never
• 33:25
  Speaker 1: said if it was different in a bad way, different
• 33:27
  Speaker 1: in a good way, just different. And because I see
• 33:31
  Speaker 1: me every day, change is small, I don't see it right,
• 33:37
  Speaker 1: but I can look back, like I went back and
• 33:40
  Speaker 1: listened to that podcast and it's like, who is this insightful,
• 33:44
  Speaker 1: intelligent young man and where the hell? Because this isn't
• 33:50
  Speaker 1: me anymore. You know, I'm not nearly as patient when
• 33:54
  Speaker 1: I explain what systemic racism.
• 33:56
  Speaker 2: Is, what's given your life? Meaning? What what is? What
• 34:01
  Speaker 2: is your identity?
• 34:02
  Speaker 3: Now?
• 34:03
  Speaker 1: So first and foremost, I'm a Detroit Lions fan. Let's
• 34:06
  Speaker 1: go roar, maybe roar. I think that's I think that
• 34:10
  Speaker 1: gives me life. The Dan Campbell Motor City Detroit Lions.
• 34:17
  Speaker 1: We will win the super Bowl this year. Like Dan Campbell,
• 34:22
  Speaker 1: I will run through a brick wall. Listen when I'm down,
• 34:26
  Speaker 1: when I'm depressed, I go watch Dan Campbell press conferences. Okay,
• 34:31
  Speaker 1: he hipes me up. All right, No, no, no, no, I
• 34:35
  Speaker 1: meant everything I said. I'm not in the game again.
• 34:39
  Speaker 1: But she said what gives me life? And that that
• 34:42
  Speaker 1: does give me life. But uh, first and foremost, it's
• 34:47
  Speaker 1: the kids. I see them once a month over the weekends.
• 34:51
  Speaker 1: I get them for the summer. The kids very much
• 34:55
  Speaker 1: give me life, and I think that's That's usually where
• 34:59
  Speaker 1: I start. Or someone asks, like what am I? You know,
• 35:02
  Speaker 1: I'm a girl dad and I do have a son,
• 35:05
  Speaker 1: and I gotta, I gotta, I gotta beat the allegations
• 35:09
  Speaker 1: right here on the podcast. People think I have a
• 35:13
  Speaker 1: favorite child. I don't. Okay, I don't. I love both
• 35:19
  Speaker 1: of my children equally. Zeke. One day you're gonna be
• 35:22
  Speaker 1: listening to this podcast. You have it on record. I
• 35:25
  Speaker 1: love you both but I do usually start with girl dad.
• 35:29
  Speaker 1: It's just it's just an instinct sort of thing. But yeah,
• 35:33
  Speaker 1: the kids wanting them to be okay, right, wanting wanting
• 35:37
  Speaker 1: Zeke to be kind and as to be smart and
• 35:41
  Speaker 1: if they if they have the other one cool. But
• 35:43
  Speaker 1: you know, that's that's that's that's the real goal. I'm
• 35:47
  Speaker 1: a psychiatrist, I mean, that's that is a very that
• 35:49
  Speaker 1: is very much a key part of my identity. My
• 35:51
  Speaker 1: job gives me life. Being able to give back to
• 35:56
  Speaker 1: a community that raised me, that's huge. There's nothing like
• 36:00
  Speaker 1: the look on a black patient's face when you walk
• 36:02
  Speaker 1: in the room and say I'm your doctor. That look
• 36:05
  Speaker 1: right there, the look from Auntie's fuels my soul, all right.
• 36:12
  Speaker 1: An approving look from an auntie is all you ever need,
• 36:16
  Speaker 1: all right. And if she's gonna make me a play
• 36:18
  Speaker 1: a mac and cheese after listen, I'm not gonna turn
• 36:21
  Speaker 1: it down. I have a lot of really good friends,
• 36:26
  Speaker 1: you know. And I have a lot of really good
• 36:28
  Speaker 1: friends back in Pittsburgh. I'm making some friends here in
• 36:30
  Speaker 1: New York. But you know, New York is huge. There's
• 36:32
  Speaker 1: a lot of people here, but like there were people
• 36:37
  Speaker 1: throughout residency who held me down, you know, as I
• 36:41
  Speaker 1: was going through all that stuff an intern year, Like
• 36:43
  Speaker 1: I had to move out of my house on medicine,
• 36:46
  Speaker 1: all the medicine rotation. I had like one day to
• 36:48
  Speaker 1: move in the middle of the turtle medicine, and my
• 36:51
  Speaker 1: co interns showed up, helped me pack, help me clean,
• 36:55
  Speaker 1: help me move, help me load the truck. I mean
• 36:57
  Speaker 1: I did not. I will everyone of people who say
• 37:00
  Speaker 1: I did it on my own. There is no way.
• 37:02
  Speaker 1: It took a village. Yeah, and I did not expect
• 37:05
  Speaker 1: my co residence to be my village like that, but
• 37:08
  Speaker 1: they were and I rock with them to this day
• 37:12
  Speaker 1: for that reason. You know. Those are those are the
• 37:16
  Speaker 1: things that that I'd say, give me life. Right now,
• 37:21
  Speaker 1: I am still figuring out to some extent, like who
• 37:25
  Speaker 1: I am? You know, like I know who Isaiah the
• 37:28
  Speaker 1: resident was, but like I got a little bit. I
• 37:31
  Speaker 1: have just a tiny bit of pocket change now and
• 37:34
  Speaker 1: now who am I? You know, now I can go
• 37:38
  Speaker 1: to a Broadway show? Who am I? At Broadway?
• 37:43
  Speaker 4: You know?
• 37:46
  Speaker 3: Well?
• 37:46
  Speaker 2: And I know We've talked about my mom a couple
• 37:48
  Speaker 2: of times, but one of my favorite words of wisdom
• 37:50
  Speaker 2: that she ever gave me was, you never know who
• 37:52
  Speaker 2: you're going to be in ten years, and it seems
• 37:54
  Speaker 2: like you have changed from twenty one to thirty one.
• 37:57
  Speaker 2: I mean, you're a completely different person, and it's been
• 38:01
  Speaker 2: nice to get to know you. You are still incredibly articulate,
• 38:04
  Speaker 2: incredibly smart, very caring, very insightful, and you're different, yes,
• 38:10
  Speaker 2: but hey, you're a wonderful person and a wonderful father
• 38:13
  Speaker 2: and a wonderful psychiatrist, and it's really great to have
• 38:16
  Speaker 2: you on the show.
• 38:17
  Speaker 1: You forgot to say a wonderful Detroit Lions fan.
• 38:21
  Speaker 2: Well, no, Detroit Lions fans are really that great, so you.
• 38:23
  Speaker 1: Know, shots fired.
• 38:27
  Speaker 4: He would be the one. Just kidding.
• 38:28
  Speaker 2: I'm rooting for the Lions too. Who doesn't love the Lions?
• 38:31
  Speaker 4: They got Packers?
• 38:33
  Speaker 1: Yeah, and you know what, the feeling is mutual, Okay.
• 38:37
  Speaker 1: If you want to be an important part of my life, listen,
• 38:41
  Speaker 1: you don't have to love the Lions. It helps. But
• 38:44
  Speaker 1: you don't have to love the Lions. But you do
• 38:47
  Speaker 1: have to hate the Packers, you know, and it helps
• 38:52
  Speaker 1: if you hate Ohio. I told Asie. I told her,
• 38:56
  Speaker 1: I said, listen, I'm going to allow you to say
• 38:59
  Speaker 1: a bad word around She's like, oh. She gets all excited,
• 39:01
  Speaker 1: like what is or listen, you can always say it
• 39:02
  Speaker 1: around me, don't tell your mother. She's like okay, And
• 39:06
  Speaker 1: I was like, you can say Ohio sucks. She said
• 39:11
  Speaker 1: it like four times over the weekend. Oh it was
• 39:14
  Speaker 1: fantastic music to my ears. It was lovely.
• 39:19
  Speaker 2: Well, we're about out of time for today. Hey, I
• 39:22
  Speaker 2: think we got to have you back, but hopefully sooner
• 39:25
  Speaker 2: than five years.
• 39:27
  Speaker 1: Listen, I will clear my schedule for twenty thirty.
• 39:30
  Speaker 4: I think we can do that.
• 39:31
  Speaker 3: Let's do it.
• 39:33
  Speaker 2: Any last parting words of wisdom, Hey, let's do this.
• 39:37
  Speaker 2: If you could tell your twenty one year old self,
• 39:40
  Speaker 2: what would you say.
• 39:41
  Speaker 1: If I could give advice to my twenty one year
• 39:44
  Speaker 1: old self? Oh boy, is this a thing where like
• 39:48
  Speaker 1: we can change things? Or is it just like advice?
• 39:54
  Speaker 2: It could be whatever you want it to be, my friend.
• 39:56
  Speaker 1: So it's an interesting concept, right because twenty one year
• 39:59
  Speaker 1: old me would hate me, you know, I mean truly
• 40:03
  Speaker 1: truly he would see me and he would be so disappointed.
• 40:08
  Speaker 1: And like, that's something I've had to come to terms
• 40:10
  Speaker 1: with too. Is like I I today am a disappointment
• 40:15
  Speaker 1: to young me, and what he was striving for and
• 40:18
  Speaker 1: building towards. But like every decision he made helped me
• 40:24
  Speaker 1: get here. Yeah, you know, so like I'm grateful for him,
• 40:28
  Speaker 1: but he would hate me. So I can't think of
• 40:31
  Speaker 1: any advice that I could give that he would follow.
• 40:34
  Speaker 1: You know, that's the problem. He was a stubborn little dude,
• 40:37
  Speaker 1: you know. I tell him, though, if you can enjoy
• 40:42
  Speaker 1: the journey, enjoy the process. It's gonna hurt, it's gonna
• 40:46
  Speaker 1: be long, it's gonna be painful. But I spent so
• 40:50
  Speaker 1: much of my life focused on the future that I
• 40:53
  Speaker 1: didn't enjoy the present a whole lot. And now I've
• 40:55
  Speaker 1: completely flipped that where it's like the future can worry
• 40:58
  Speaker 1: about itself. Look at me, quoting Screws. Sure, the future
• 41:01
  Speaker 1: can worry about itself. I'm gonna focus on the present,
• 41:05
  Speaker 1: love it, and so that that's the advice I would give.
• 41:08
  Speaker 1: He would not follow it. He'd be like, hold on,
• 41:12
  Speaker 1: is this the advice that leads me to being you?
• 41:14
  Speaker 5: Because fuck that pass hard?
• 41:19
  Speaker 4: Pass right?
• 41:21
  Speaker 3: Man? Well?
• 41:22
  Speaker 2: Thanks again, man? Yeah, great to have you. Good to
• 41:24
  Speaker 2: hear your words of wisdom, Eddie, anything else you want
• 41:27
  Speaker 2: to add, just.
• 41:28
  Speaker 4: Thank you, Isaiah. I think last time I was grateful
• 41:32
  Speaker 4: for here you speak and this is I appreciate you.
• 41:38
  Speaker 1: Thanks for having me on, y'all. I appreciate y'all absolutely.
• 41:42
  Speaker 3: We don't even really need to play it out. You
• 41:44
  Speaker 3: guys know what to do. Leave us a comment, leave
• 41:46
  Speaker 3: us over you whatever.
• 41:47
  Speaker 5: This has been great. I'm excited. Appreciate you Isaiah. We'll
• 41:51
  Speaker 5: have you on before twenty thirty. Remember everyone, take care
• 41:55
  Speaker 5: of all mentals.
• 41:56
  Speaker 2: The content provider in this podcast is for informational purposes
• 41:59
  Speaker 2: only and does not constitute legal, medical, or professional advice.
• 42:02
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• 42:05
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• 42:07
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• 42:11
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• 42:14
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• 42:17
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• 42:19
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• 42:22
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• 42:24
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• 42:29
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