59: Large Cell Carcinoma/Dr. Daaaank

uh hey kids you are about to listen to

a comedy podcast that means that

none of this is medical advice if you

need medic

medical advice or medical care

please contact your doctor welcome to

the jock doc

podcast featuring dr london

smith your number one most trusted

source for health and medical

information introducing your host

Dr. London Smith

[Applause]

hello and welcome to the jock doc

podcast

where we discuss fitness and health and

how to incorporate

our modern understanding of science and

medicine into our daily lives

but without it being so boring i’m your

host

dr londonsmith.com i would like to begin

by apologizing to our listeners we’ve

received some feedback about the

excessive amount of technical medical

terms that i’ve been using

such as pulmonary capillary wedge

pressure and

tutti frutti so i will try to temper my

terminology to a simpler one in the

future

here to help with that is our producer

cameron hello mr london

hey how are you

i i guess i’m all right how are you

doing another week another you

another week uh anything exciting

happen lately dr london uh

well it sounds like you’re hinting it’s

not particularly in my world

any anything in yours oh sorry go on you

didn’t receive

anything maybe a little odd on your

doorstep

okay so there was something

i didn’t was that from was that from you

yes i don’t know

what’d you get did you open it or is it

not open

well first i tried to open it but like

it’s really sealed up

you’re gonna need a crowbar yeah yeah or

i

honestly like like uh fireworks or

something like that

might work so you have to melt

you see did you say a bong yes smoke

weed every day

no like a bomb okay that means like an

explosive like

yeah like a grenade yeah um

yeah because it was i heard rumbling

from inside and maybe a growling sound

oh yeah if it’s not open then i mean you

can just throw it away because that

thing is not

it’s not going to still be alive

are you sure because i mean i thought i

heard at least moaning recently

what did you send me i mean it’s just

some sort of a creature i found a

thing i don’t know what it is i thought

this could be

like a fun stranger things season two

type of thing

where he finds the little frog type of

thing or whatever

and that it could like sort of start us

on a fun adventure

so i put it in the box left it on your

doorstep

and now you’ve probably killed it or

it’s closed to death

i mean if you if you’d like i can try to

open it now but

i don’t care okay it’s your gift do you

do with it

what you like i i don’t mind people who

like you know sell their gifts or give

it away or whatever that’s it’s your

gift

you can do what you want with it okay so

i can’t return it then

well i mean there’s no returns okay

do you have a receipt i

since you bought it i think you would be

the one to have the receipt well i

didn’t buy anything i found it

uh then i definitely okay like in the

wild

what did you send me what constitutes

the wild

outside like were you wandering again

well like is a little caesar’s parking

lot the wild

yes i i guess it

can count okay so you you found a

creature

is it a raccoon i don’t know what it is

i told you

that’s why i thought this could be a fun

adventure that might turn into like a

stranger things thing

and then maybe we can go visit the

upside down and maybe we can talk about

you know trying to bring the podcast to

the upside down

let the people there listen to it

listeners yeah double

listeners because it’s like opposite

world yeah

okay i guess so there our show is

listenable

right oh because it’s

you’re saying it’s not listenable here

well that’s a medical education podcast

i feel like actually

having a beast or creature of some kind

might be a distractor from you know the

medical topics that we

we bring up here oh so i shouldn’t have

brought it up i should have just like

let you let it die i guess

i probably just leave it in the wild

where you found it

well i mean you can do that if you want

it’s your gift i don’t i’d be i would be

disappointed

if you just yeah but it’s i mean it

sounds like it’s in your living room i

don’t i don’t

keep telling me to do stuff with it i

don’t have that option

yeah okay i guess i’ll try to free it

then

uh yeah it has started to have a smell

though

um you know anyway i had a former friend

who uh

gave away freed a gift i gave him and

he’s not a friend of mine anymore

so just consider that

okay well um also with us is

DJ DYLAN IN DA HOUSE yes

did you know the house

i don’t know where we’re going buddy

[Music]

because i have a theory that doctors

originated from mars and i’m one of

those people that’s

real in the dolphins

and mars yes and later

cameron tells me that we can expect uh a

doctor a physician

that’s right dr london and actually i

have one more surprise i didn’t even

tell you about this

or any of the rest we today

have a secret celebrity guest

that i’m going to reveal by the end of

the episode wow

here actually secret celebrity guest do

you want to say something

hey guys this is the secret guest

um i’m excited to be on the

as a surprise guest on the jock talk

podcast

um you know i think it’s

pretty cool so yeah just uh i’m excited

to

reveal the surprise

okay were your lips moving during that

huh sorry i thought i thought i saw your

lips moving a little bit during

nope during that oh i’m eating

yes okay okay yeah sorry i must have

been confused

um but before we move on i would like to

address a bit of listener feedback

so i found this note spray painted on my

back after i woke up from a nap

in an alley the other day the note reads

quote

it’s saturday and you can bring a plus

one

gladys told me she thinks you’re a stud

muffin

end quote um

so first of all i would like to thank

this listener for

uh their insightful question for the

podcast

um to answer your question

wow thank you i

uh i’m not i’m not sure about this

occasion on saturday but

wow uh tell gladys thank you for the

cousin

muffin that is that a medical thing is

that like

is that like that like that thing on

your lower back is that what that is

is that a stud muffin nope no the the

thing on my back was spray painted

i don’t think oh you mean the other the

no

not spray paint the thing that like to

like

wiggles around i don’t know how to

describe it

yeah i don’t want to i don’t really want

to bring that up for the listeners it’s

kind of a

kind of sure oh no no yeah sure sure you

can cut all this out i apologize if this

is like a hipaa violation

yeah but yeah is that

is that a stud muffin no no

like i can see how you’d think it’s

something else because it the way it

kind of pulses

but now um uh stud muffin i believe is

just a flattering term like saying

someone’s a stud

and saying muffin is like sort of a

uh term of endearment

so calling me a stud muffin i’m

speechless actually that gladys would

say something so flattering to me

um and to this listener is gladys

is she’s is she single if she if she

thinks i’m a stud muffin then i’m

i don’t know i like i like to

just just to double check you should

just ask and see

um if she was referring to the thing on

your back

yeah i can i guess you could to our

listener if if you could find out

both of these things both are kind of

i guess both are kind of weighing on me

one in a more literal sense

uh yeah it looks heavy like you

when you’re standing i it

looks like you’re holding a bag of

groceries not in your arms but just like

sort of how your shoulders are slumped

how are you sort of drawing you to the

earth i think yeah i mean i think you’ve

gotten shorter it’s it has thrown off my

center of gravity for sure

yeah but like i think it’s fine it’s

just you’re at the doctor i don’t

i mean yeah maybe maybe the

the doctor coming on later will be able

to help um

sort of see what this is right

in any case now for today’s medical

topic

large cell carcinoma large cell

carcinoma

makes up five to ten percent of all lung

cancers and is one of the lung cancers

in the group

of non-small cell lung cancers of course

with a name like that that that seems

kind of like a no-brainer

so non-small cell lung cancer is often

insidious

producing no symptoms until the disease

is well advanced yes

now the most common signs and symptoms

of lung cancer include you know

cough chest pain shortness of breath

coughing up blood you can have wheezing

hoarseness

recurrent infections such as bronchitis

and pneumonia

you can also have constitutional

symptoms like weight loss and loss of

appetite

yes you can have signs of metastasis and

that’s whenever the cancer has spread

from its original location

and that can include bone pain spinal

cord impingement and neurological

problems

such as headache weakness or numbness of

limbs dizziness seizures

yes and so for large cell carcinoma

cameron i actually thought you’d be more

enthusiastic because

when we talked about small cell you

thought it was too small

but large cell carcinoma

you know the name i don’t know i thought

i thought you’d like it more

um anyway to diagnose that

i was saying that you know i thought

you’d like this particular

topic oh sorry i was thinking about our

sponsor today it’s just

it’s been weighing on my mind a lot but

we can talk about that later unless you

want to talk about it now

what are you talking about you’re

talking about small stuff no i was

talking about the large cells oh are you

talking about

don’t talk about my toes on the show you

know i’m insecure about the size of them

i yeah that’s why you usually it’s like

little tic tacs

i don’t know why i can barely stand

which is why it’s weird that you bring

it up all the time but

kickball is a nightmare

every weekend in my league

i know it the fact that i didn’t join

that league

and where did you form it i don’t know

it’s like i have something to prove yes

so don’t talk about it on the show

okay so so to diagnose large cell

carcinoma

uh physical examine complete blood

counter taken then chest x-rays usually

the first test performed

that may show a peripherally located

pulmonary nodule

or mass you can have mediastinal

widening higher enlargement or pleural

effusion

if you can find a previous chest x-ray

that can be helpful to see if

there’s been growth of the lesion no

don’t

okay no i’m not talking about your toes

yeah but you know that my

little toes look like a chest with a

growth on it

i i do that’s exactly what they look

like that’s what everyone says

and you know it’s exactly what it smells

like too

i agreed and i did that’s kind of

neither here nor there because

so so there are several methods of

confusion i don’t think i wish i had

that

under control no i do

i do especially for your sake i really

do um

but so so for large cell carcinoma

though

uh you’ll determine sort of the method

of confirming the diagnosis with

and it changes colors to blend in with

its background

like a chameleon okay well you say that

but

and i thought that was normal my whole

life but i’ve never seen anyone else’s

toes

do that but i’ve been too embarrassed to

ask because i felt like it’s a stupid

question

well when you have poor circulation then

your toes can turn purple

sure and if that happens while you’re

over something

dark colored that doesn’t mean it’s

blending in like a chameleon

that just means like it just means you

have

less blood like it’s a coincidence it

usually happens when i’m stomping grapes

for the wine okay

well that’s for the

and so my feet they change color they

turn purple while i’m stomping the

grapes

to blend in with the background okay so

it’s

it’s more simple than what i thought

so that’s so you’ve been doing this your

whole life

yeah i mean five or six probably

you were stomping grapes to make wine

for that long

yeah not for me you know for my parents

yeah it’s one of the chores you know do

the dishes not the grapes

right and you and you thought so

did you notice that whenever you’re out

from the grapes that

your skin still stays changed because

it’s staining your feet

the grapes the skin of the grapes

oh i wouldn’t know they go right into my

purple shoes

i’ve got these um

they’re purple jordans yeah they’re

really they’re they were white

jordans that i uh

stomped grapes and yeah they’re just

normal jordans that i

like white jordans that i stomped grapes

with

yeah okay so i feel like there’s not

really much

to say there then you you probably

stained your feet and your shoes with

the same

stain and that’s what caused them to

to appear to be camouflaged

does that make sense

um we’ll talk about it after this so

anyway so the methyl diagnosis

uh they could include bronchoscopy um

sputum cytology mediastinoscopy

therocentesis thoracoscopy

and transthoracic needle biopsy along

with diagnosis staging must be done or

to find out how

you know the extent of the spread of the

large cell carcinoma

and that will guide treatment a chest ct

scan is a standard for staging lung

cancer and that will take into account

the size of the primary tumor the spread

of the cancer to regional lymph nodes

and whether the cancer has metastasized

the main treatment options for

non-small cell carcinoma like large cell

carcinoma are

surgery they’re still weird looking

though and radiation

you know what i mean yeah no because

they’re small

like that yeah they’re still look like

little tic tacs

regardless of you know what’s going on

with it but because most lung cancers

cannot there definitely is too much

space between it current treatments

skilled palliative

care is important again i feel stupid

asking this but like

there’s the gaps are too big

yeah no it your your feet have an odd

shape to them but you know i have

i have a sort of monkey toes right yes

mine are extra long

yes yeah well and it’s made worse

because i

i insist on wearing those runners shoes

that look like feet

and so my oddly shaped feet like have to

be forced

into it like i’m a you know

a geisha who’s crushing the bones in her

feet to fit into a smaller shoe size

yeah but i mean you always say it’s

worth it

yeah the speed that i have when i wear

him is unbelievable

well anyway of course you advising all

patients who smoke to stop smoking is

critical

fast as hell

yeah yeah no one can

stomp grapes faster than mine yeah i

feel like faster than me

when i wear when you wear their shoes

yeah yep

well i uh i i guess that’s that’s a good

time to go ahead and just move on from

there then

cameron do we have any sponsors today

we do dr london

[Music]

okay uh all right what what’s the

sponsor

toes just says toes

you might just be looking at your own

toes because they’re on your mind right

now no no no it’s an email here look at

my phone it’s

oh that’s an email it says sponsor toes

and look there’s the payment yeah huh

all right all right well thank you to

our sponsor well

let’s let’s you know pump it up a little

toes are great

um yeah no i use it every day again they

they paid us

and i don’t know who this is but we do

want them to be happy yeah you know

a happy sponsor so toes you got ten of

them um

maybe a couple more maybe a couple less

yeah depending

help you stand um you could pick things

up with them

i can’t obviously because of the yeah

the odd shape and

but but you’re an exception like that

generally most people can yeah yeah

and i understand that yeah um animals

have toes

animals have toes super cute cats have

you know little toes and stuff

yeah all right that’s it all right thank

you to our sponsor

toes

all right um cameron you said that we

have a

a doctor as a guest today before we get

to

this guest let’s uh let’s hear one more

word

from our super secret celebrity guest

that we’re gonna reveal at the end of

the episode

okay hey guys it’s the

surprise guest again just checking in

and

wanted to say hey to everyone to all my

fans

and to all my um

the people out there have supported me

uh teachers

so i’m excited to be on here can’t wait

to

reveal the surprise

yeah okay well thank you to our

celebrity

guest i still don’t know who that is

over there in the shadows in the corner

of the room i haven’t

let you see him yet yeah but your lips

were

it really looked like the lips were

moving but no no you look over there

like

you see that yeah it looks like maybe

like a lump of blankets

that’s our on a chair that’s the

celebrity guest wow okay well

if you wouldn’t mind we’ll go back to

our our actual you know

non-celebrity get this is a physician

right yeah yeah yeah

okay yeah so cameron you said that you

found a a doctor who apparently

uh knows me or i know him something like

that

that’s right dr london we have today

with

us the very special dr dank

oh cameron thanks for having me on

oh oh london smith oh

you fucking nerd whoa okay so for our

listeners

he did it was a it was a friendly punch

i guess

that was pretty good no it wasn’t no

okay yeah that seemed uh very malicious

yes uh so that’s that’s

that’s my old old buddy dr dank

which um you remembered how to say it

yeah because i well we

now what you’ve got to explain to me

what’s going on because yes i did know

that this was someone that you knew

previously but that’s only because

that’s what he told me i have no context

for

any of this yeah i don’t understand

why you would let me come on in the

first place

never listen to the podcast well i take

that back

london tried to show it to me initially

i got through like 30 seconds it’s

complete garbage

yes yeah totally do you know anyone in

the upside down

i can’t say that i do okay yeah cool

cool cool okay so um

yeah so to introduce uh so dr dank

and during my intern year

uh going into medicine

you you have your you know your

attendings um you’ll you’ll go in as a

doctor

and you’ll have your attending

physicians and so

dr dank um made us

for one thing made every uh doctor

address him as such

with with the extra a’s and he spelled

it with

four or five was it four or five it

please don’t hit me um

i want to see those four a’s to say dr

dank

um well and one of the a’s is the

anarchy symbol

is that is that still pronounced the

same

or is it dr dan or key inc

i do like that but let’s let london keep

going he’s doing good

well thank thank you thank you and

that’s

that is higher praise than i ever

received working under him

i’m on your show yeah yeah okay

great so um anyway he

uh so i no way what did you mean by that

i’m on the show oh he’s on the yeah

yeah but that’s not that’s not higher

praise

oh it’s well it’s a sure it’s a cause

for

it’s a reason to be nice to me i think

is what he’s getting at here

i guess i’ll do my best still seems

pretty malicious that’s all i’m saying

yeah so uh internet

it’s you yeah he’s

okay um that’s not just me right

nope no that’s he’s i think

he’s grinding his teeth yeah

and he during during that first year of

residency

it’s pretty tough you’re working you

know crazy hours

and he would i feel i feel like i maybe

got a little bit worse

than the other interns um

uh like i’d never gotten a swirly before

in my life yeah that’s what we do to

nerds it’s

just a joke yeah and

and i like i i appreciate a funny you

know little gag sometimes but

no he doesn’t trust me i say funny stuff

all the time and he laughs

he never laughs he has the worst sense

of humor out of anyone

maybe ever yeah no i do trust me i get

that but

doc wait i want to hear from dr dank

you’re talking about oh whatever

residency

dr dank what what what do you think of

dr london

i’ll be honest i thought he quit after

the first six months

i didn’t see him a whole lot um

he got a lot of abuse early on he showed

up in

women’s scrubs first day and that just

sets the wrong tone

but i will say with his frame i don’t

know how he could fit in men’s scrubs

and they don’t make youth sizes that i

know of

yeah yeah i that is interesting

i didn’t know are those specially made

i didn’t look i went to you know it’s

before you get a big paycheck as a

physician so i went to the discount rack

and i got

you know what i could afford at the time

uh i

had you know all the student debt all

these bills to pay and so

yeah i got what was on sale and i didn’t

realize that it was

a women’s scrubs but it

i don’t think most other people would

have noticed but

once you get that once you get that big

paycheck that big physician paycheck

he said that was before the paycheck i

mean that’s like

i knew a guy once he was a physician he

signed on at uh

at a baylor medical for uh a five-year

contract 85 million dollars big check

yeah so this was a lot less than that

yeah um

what i was making to start out and so so

he would um

so i wore those those women’s scrubs the

first day and like height

with this doctor there’s not a uh

there’s not a hold on his contract so he

can be traded to other hospitals uh

any time of the season wow okay all

right

yeah especially if you get me in touch

with that guy and it’s guaranteed so

even if he gets injured or something

and he’s out for a few months um but

he’ll still be able to cash in on that

contract

and the advertising is through the roof

are you thinking of sports no no go

ahead

okay because it just sounds a little bit

to me like a

sports right because too many of you

said millions of dollars that doesn’t

sound like most of

doctor paychecks uh

as far as i’m aware um

yeah so anyway so i go in i i realize

the actual rich doctor is not gonna let

you know that that’s what they’re making

because you’re going to get jealous and

mean

yeah maybe maybe i i guess i can’t speak

to that i don’t i don’t know any

dr dank how much do you make

a lot more than london smith i’ll leave

it at that and you would never tell

london

how much you make right he’d cry he was

like

he’s like a loser nerd yeah but i mean

making him cry

very easy yeah well oh i want to hear

about this

can you tell me a time in the past from

you know when you guys knew each other

back in the day that you made him cry

i think it’d be easier to go to the

times where he didn’t cry

no there were no they weren’t way

easier to just talk about the uh the

just one time that he cried way easier

london no no no london you tell us

about the elevator incident

so i look i don’t want so i

you were so proud i

i don’t want to rehash it but yeah i

stepped in the elevator

you were you were there um you were so

proud

of the before

so so i was there cried because you were

proud of something

in the elevator he cried of what his

pride

brought him to do he instantly

realized what he’d done so that day

there was

this um there was someone that i

liked romantically also in the elevator

which but the gravity of i i actually

don’t want to tell the story come

like no i really i need to know

what you were proud of that made you cry

in the elevator with a crush

so i i don’t really feel comfortable

sharing exactly

what it wasn’t comfortable for me let me

remind you

okay so we get in the elevator it’s our

group we have three

four residents couple med students with

us

and i guess london’s crush whoever that

was she was probably fat

i don’t know uh but anyway

a family member patient i guess walks

into the elevator with

us there’s kind of this awkward silence

you know we hit five we go up the

elevator

she’s like oh can you hit six london hit

six four

um right i was going good so far

yeah you’re doing great and instead of

just leaving it nice and quiet london

looks at her he’s like

i’m a resident all bright-eyed and

bushy-tailed

we’re stifling our laughter at this

point

[Laughter]

and if that wasn’t bad enough london

what did you tell the lady next

i don’t look i don’t want to oh no

london what was it

i don’t want to she’s clearly weirded

out by this creepy scrawny dude

yeah and he’s like just sweating all

over yeah and

to kill the silence he’s like and and

this is my attending

as if i’m some oh yeah just prize the

show off

oh my god and everyone’s i mean everyone

else knows better

yeah everyone is just like losing their

minds yeah so

well and the thing is dr dank

had told us previously oh feel free

i’m a bragging right you having me on

your team is the best thing for you

yeah and so i i translated this as

oh introduce me to everyone in the

elevator

just dr london it sounds like you got

pranked by the bank

and so i am i right

yeah and so i’m say it i got pranked by

the dank

and there it is i’m glad for your sake

cameron that he’s not making you say it

the way

i have to i guess it’s only people who

worked sort of under him

i just don’t want to have to like pay

the royalties for it

yeah so anyway uh

and i i guess dr dang so we’re we’re

teaching our listeners about

large cell carcinomas so maybe maybe

instead of

you know uncomfortable stories about me

because we don’t know so that

that girl i liked that was in there um

yeah that made you proud until you cried

i i was the the pushing the right

elevator button

uh i was very nervous and so

getting the pushing the correct elevator

button made me feel pretty good

introducing my attending made me feel

good but then

once i realized that no one was going to

be on my like backing me up for that

anyway

it’s i guess it sounds more minor than

what it felt like at the moment

but at the time it was well worth

weeping over like a little baby

i get and i didn’t want to bring up the

last thing that happened there

but i guess to to give it because it

doesn’t sound like much of a story

dr dank also pantsed me in my head

in front of the patient wow

yeah so all that other stuff that

you just could have skipped all of that

and just said the panting car

well i felt like all the context really

just added nothing

i mean hell even the the fact that it’s

in an elevator doesn’t add anything to

the story

it’s just that’s where it happened but

the the fact that i it’s a

closed container space

i introduce my myself and my attending

and how does my attending reply

he pulls my pants down in front of the

patient’s family

and no i guess you’re right i guess that

extra context just really added

so much to the story and makes it way

better

okay well i don’t know do you do you

have another story i

sorry well it’s just just coming from

the crying thing because

that seems to be an issue what about uh

dr dank just something from the past

what about like

uh something that our listeners would

want to hear

some maybe a story maybe a prank you

pulled on him

or maybe you cut the tires on his car

or maybe i don’t think we need more i

don’t think we need more stories about

me

uh i mean dr dank has had a very

successful career he could

yeah that’s true dr dank let’s talk

about you i want to hear about you

what do you want to know i want to know

what your day-to-day life is like

so so one thing dr dank sorry dr

dank always brought up

was his ball and chain

um yeah i know that game

well and sometimes he re that meant his

wife other times it did refer to

a literal ball and chain that he would

keep in his office

oh yeah when i said i know that game i

meant tetherball

yeah so he it’s like a i was so poor

growing up that our

our tetherball court was a it was a ball

on a chain

instead of you know really like a like a

rope or whatever

so you would punch it you would punch

the ball

well yeah i mean i couldn’t kick it not

with my toes

yeah well and even if you did did you

did you injure yourself with that

that we can move on you know okay well

so

i mean it’s not a much better story for

me because it’s

so he kept us volunteering in his office

and one of his pranks was

you know when we’re waiting we’re on

call uh

you know the interns you know what we’ll

be

going like if a patient does coding for

example we’ll we’ll have to run over

there

so one of his pranks would be to chain

one of us up

so that we would have to find a way to

escape from that

to to to go see a patient when we and we

need to

we need to and he would just sit there

laughing at us

whatever that’s pretty funny

dr dank do you i mean

did anyone die because of that

i mean they’re dead when they’re coding

so because of that

no but it didn’t help oh okay

yeah but i mean i wanna

yeah he kept emphasizing resourcefulness

so he would give us

he would throw me a nail file

and say be a doctor

wow and so so that i

basically just did a semester of medical

school didn’t i

yes no i because it’s i would say that

so far

no doctor before that nor any doctor

i’ve worked with after that

has had such a policy but is that pretty

much everything he taught you was just

sort of throwing stuff at you and saying

be a doctor

because if so then that i mean that’s a

semester of school right there that’s

awesome

yeah i i guess if we want to break it

down to that

doctor do you have a do you have a

curriculum or something

how does this work i don’t actually know

how

medicine works it’s very free form

that’s my curriculum i kind of alternate

objects i throw at my interns

and most of the time my intern was

london smith

yeah but i actually do want to ask him

where did you go after those first six

months

i well i applied to a different

specialty because

well i’m like well at first i complained

to the board and they said

no man that guy’s sweet that guy’s

awesome uh

apparently dr dank was very popular

and had a lot of influence so every time

that i tried to move

like to go probably was sort of a player

yeah a lot of girlfriends yeah which the

interns were required to keep track of

his schedule and his dates

his dinners his luncheons his brunches

that was the exam or whatever

it was just no no if only that were it

no it’s it was just one of those things

where i feel like i’m i’m being mean

now actually i’m sorry dr dang

for for for speaking so so freely about

it it’s just

this is um i’m hearing compliments

that’s all i’m hearing well i i i do

want to know dr

dank what what brought you here today i

know i invited you on the show but you

did say that you wanted to be on the

show what

did you have a specific reason just

checking in on my boy

you know yeah he oh yeah yeah just a bro

check

because had i known that you were coming

on i

i don’t not to be rude but i don’t think

i would have said yes

because of i guess of

your educational approach so we i don’t

know

on this podcast we give medical lessons

and just we say them out loud instead of

as you were saying the free form uh sort

of sink or swim

with a scalpel thrown at you at the time

and that was one thing

anytime if i said scalpel

pass me a scalpel he would throw it

and it’s not even his job to be passing

it necessarily maybe

just because you don’t like his teaching

methods doesn’t mean that the teaching

methods are incorrect dr london it’s not

all about you it’s not all about

oh uh you know can

well is this uh is this like playing a

video game

that’s all i know how to do i’m dr

london i just don’t oh it’s not like

playing a video game so i hate

i i hate this

yeah i i don’t think i normally mention

video games so much but yeah yeah so i’m

uh so people have the different learning

types they’ll be audio or visual or

you know uh if it’s written down

whatever kinesthetic

kinesthetic yeah whatever your aesthetic

is

thrown yeah so yeah i guess

in that sense a lot of his learning

style his teaching style was

throwing yeah and pinning against a wall

yeah that’s he’s a very he’s a tactile

learner

yeah you know it’s touch it’s a kinetic

yeah kinetic learner well kinetic

teacher i would say because i

i don’t know that he learns in the same

way but that’s true

well i mean i mean dr dank i

i gotta ask are you a good doctor it

sounds like you can’t get fired

right i mean would you how would you

rate yourself your your own medical

skills

like on a scale of one to ten rank

myself

yeah he’s gotten a lot of awards i i

have so i think those speak for

themselves i’d like to hear

london smith yeah well okay because yes

he

he was constantly being given awards and

it was very frustrating to be around it

because for one thing he would throw

those awards

yeah i

yes and he would ask for the like if if

someone gave him you know just a badge

or something he would ask for it in

plaque form because he’d like to

have sort of an overhand or a frisbee

motion he

it needed to to be heavy

he would actually he would send it out

for special order to have

uh like a lead backing put on it so that

it would be heavier

for when he threw it and i’d

for me this is all frustrating

to to a large degree because i

i don’t want to be on the receiving end

of that um because i’m trying to treat

patients and to learn and

have exposure to medicine and

but yeah dr dank um you know i said

earlier that i had transferred to

another hospital after those six months

i i took a medical leave for

for a few months oh is that when you

disappeared for a while

yeah i j and dear my didn’t hear from

you

i didn’t see you yeah

it was when you came back a lot of your

clothes still had

like like sand on it

just just a ton of sand

yeah well that’s because i got stuck in

a ravine but that’s

kind of neither here nor there that i’m

just saying so there are different

learning styles and i feel like what

ravine

uh i mean

i don’t know that it has a name it was

big enough for me to

fall down did you cry when you fell into

it

right well that’s yes dr london you are

a big baby aren’t you

it well once again it is neither here

nor that and

look dr dank it’s

i i thought this when i first saw you i

thought

maybe this could be therapeutic for me

but mostly this is bringing up a lot of

memories frankly i kind of saw you dr

dank as a bully

at the time and i know you you kept

saying like you kept you made us buy

multiple copies of your book on how to

teach medicine

and you kept saying like you use the

term throw the book at him and then you

would throw the book at us

and then you would send us an invoice uh

i just

i don’t know i thought that we would get

more out of this and this is also

very much like him too he’d be he’ll be

silent and he’ll just hit you

and that would be his teaching method

but it

sounds like he has made a gigantic

impact on your life wouldn’t you say so

dr london

yeah yeah i mean here you are talking

about them

that’s true um i feel like that’s not

necessarily

a good thing in a lot of capacities but

um i guess that’s a good time to go

ahead and

to wrap this up huh right sure

i mean yeah dr dank you know is

is there anything you want to say i’d

like to give a thank you to cameron

yep you’re running the show man

appreciate it you’re keeping it together

it’s it’s tough i gotta be honest

for london some parting words

out of all the doctors i’ve worked with

you’re certainly one of them

yes and i’ll leave it at that

and i don’t even know about that i don’t

trust his credentials at all

i i will say while working with dr dank

he would often tell me

that he doesn’t consider this to be

working with him so i that is a step up

that is a huge step up from what it used

to be he didn’t

consider me as a physician during my

time with him

so uh like uh

so so thank you to our guest dr dank

thank you to uh cameron our producer

thank you to diddy dylan the host

[Music]

dr london it sounds like you got pranked

by the deck

for london some parting words

out of all the doctors i’ve worked with

you’re certainly one of them

and i’ll leave it at that

of all the doctors

[Music]

my name is dr londonsmith.com and this

has been

the job whoa whoa whoa whoa we have to

reveal the secret celebrity guest are

you ready

yeah yeah our secret celebrity guest

is stanley from the office

i would rather work for an upturned

broom with a bucket for a head than work

for somebody else in this office besides

myself

game on this is pretzel day

i got them a toaster they called up the

wedding

i tried to return the toaster to the

store and they said they no longer sold

that kind of toaster

so now my house wow that’s so awesome

stanley from the office we’re so glad to

have you here

okay you’ve been watching this whole

show you’ve been you’ve been hearing us

go back and forth and

you’ve been you know seeing dr dank you

know completely pwned dr london over

here do you have i mean do you have

anything to

to say about that she’s on a honeymoon

she won’t be back for six weeks

okay so uh stanley could we have you

just say

you know um thanks for listening to the

jock talk podcast that’d be

it’ll be helpful to get that bumper i do

not think that is funny

okay okay okay that’s i guess that’s

fair um

i didn’t think it was that funny either

helpful promotional thing for us i don’t

care okay

okay yeah no okay you made yourself

clear the first time

um anyway uh so that was stanley our

other

celebrity our celebrity guest uh my name

is dr londonsmith.com

and this has been the jock doc podcast

i changed my mind i want to keep this

job

[Music]

hmm

[Music]

you run your hands through her hair she

murmurs something that you can’t quite

understand

but it sounds agreeable so you continue

it is so relaxing to lay back like this

on a blanket in this secluded area

eyes closed you continue exploring with

your hand

untangling whatever clumps of hair bunch

together over much

your phone vibrates and you try to

ignore it try to keep blocking out the

world at large

but after a few seconds you peek open

one eye to see who it is

huh the caller id says

that it’s your girlfriend your hand that

was stroking hair is suddenly still

as your other hand answers and that

voice you love so much comes through

did you forget to pick me up for our

picnic date again

if she’s back at her place then whose

hair is this

your eyes narrow and you look to the

luscious hair that you have been

stroking

only to have the eyes of a cute little

vole meet yours

not again speaking of little getaways

don’t forget to leave a five-star review

of the jock doc podcast

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rodent

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