Losing ZDadd, MOC is Dumb, Medical Masking | The VPZD Show Ep. 32
ฝัง
- เผยแพร่เมื่อ 25 มิ.ย. 2024
- The most epic medical bromance in history is BACK and we've brought our A-game 🔥
Topics covered:
00:00 Intro, WE'RE BACK!
4:02 Zubin's Dad's Passing
30:00 Physician Maintenance of Certification (MOC)
48:18 Chat GPT and Medicine
52:24 Letting DOJ Know About MOC Monopoly
54:04 Colon Cancer Screening
1:04:30 Whole Body MRI Scans
1:12:24 GI Jokes
1:13:57 Masking In Hospitals
1:23:07 Doctors' Attire and Behavior (Professionalism)
1:27:21 What's Up With Braces?
Ain't The Way To Die, including resources on end-of-life planning: zdoggmd.com/aint-the-way-to-die/
Letting DOJ know about MOC: www.justice.gov/atr/HealthyCo...
Previous episode w/Dr. Paul Teirstein on MOC (Maintenence of Certification): zdoggmd.com/incident-report-211/
Video archive, audio podcast, music, Supporter Tribe membership, email & more: lnk.bio/zdoggmd
Support us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmd
More about Dr. Z: zdoggmd.com/about-z
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As a Med/Surg RN for 37 years I saw So much suffering of terminally ill patients actively dying, who were trying to hang on for their family's sake. Families were having everything possible done. When we were at bedside taking care we would hold their hands get close to them and tell the patients "it's okay to let go, your family will be okay, it's okay to quit, to rest, it's okay to let go." I never condemned or thought bad about the Families. I just felt they were doing the best they could. And I saw some Families who did everything right. It has always been an honor to serve all patients and their families.
Don't know if you know the band Nightwish, but the keyboardist wrote a song called Turn Loose the Mermaids, that is apparently about his grandparents , or may have been great grandparents passing. They were both 95 or something close to that. Grandpa left, and then grandma went and gave him a kiss, and left about 15 minutes later. Then one album over they all wrote 'Our Decades in the Sun' together. Fair warning, they're generally pretty metal. Fans call Tuomas the Metal Mozart, but he does a good job veiling the adult stuff poetically most times. A kid probably isn't going to get it unless they're reading above their grade level. Everyone deserves that amount of peace.
*That's very true. Need to learn to let it go if the patient has spend a good life. I know it's very hard but it has cause SO MUCH burden on healthcare cost on the tax payer and other consumers.*
Yep, RN here, too. My 'retirement' job was home hospice. Best job in the world. Anyway, my sister was in Africa in the 1970's Peace Corp living in a mud hut when our Grandmother died. My sister knew Grandma had died before I did because of whatever that metaphysical is; Grandma came and woke my sister up the night she died to say goodbye.
In Canada we have assisted death. My 93yr old has T4 melanoma. His wishes are to initiate MAID when the time comes that his quality of life is gone. For now he is pain free and enjoys getting up every morning and volunteering in the community. Everyone deserves the right to leave this world as they wish.
My wife died two months ago at age 35. I knew the last dose of morphine we'd give her would be the last, she was fully palliative in the last two days of her life only, thank God. But normally when we have her morphine she'd fall asleep immediately as she would relax. But with this last dose I realised almost three hours later I realised she was awake.
I didn't realise she was hanging on because it was our wedding anniversary - and she indicated in her way without speaking, she could either shake her head for no or shrug her shoulders for yes - that she was hanging on because indeed she didn't want me to mourn this day. I had to tell her to let go, and if God took her I had no complaints and was thankful for her. I promised that I wouldn't mourn this day, even if I would sorrow after her.
A little while later she fell asleep for the last time, and then not long after passed away peacefully, clutching my hand for the first time since landing in the hospital a month before, and I recited the last rites to her and as I finished, her pulse just stopped, and she was looking right at me.
I miss her, ache for her, but I feel such gratitude that she died a good death, and was released of the pressure or of the guilt for dying on our wedding anniversary.
It’s kind of rediculous how happy I am to see both of you together. I think it was because you helped get me through the pandemic. You do have a special vibe together❤
Me too!!!!❤
Zubin, thank you for sharing your Dad's transition. I'm sitting here feeling the sadness and sending you and your family love.
I am glad to see the two of you back. We just need Marty now
Thank you for sharing. My aunt is a nurse, and it was so nice to see her in action, taking care of my grandparents so well. They really were able to bow out gracefully, and am so thankful and glad that you got that for your dad's passing, Z! I'm really just.. honored to be able to hear about your peaceful, affirming experience for you. Sending love and light :)
Thanks for sharing the story of your dad’s passing,and that you had the gift of his spirit saying goodbye. When my dad passed 20 years ago after an ALS battle, he also went very peacefully :at home with hospice surrounded by his wife and children just as he had wanted.And we did have a conversations early about end of life decisions, and we were so grateful we did and insisted he get a living will . Myself and my two RN sisters had seen too often at the hospital bedside the chaos that couldn’t ensue within families about decisions at end of life.
Dr. Z, I'm so sorry to hear about your dad's passing. He was such a great doctor, dad, son and mentor. Thank you for sharing him with the pak. He was such a joy to see and he was so proud to have you as his son. He had a very good life! My condolences to you, your mom and family. All of our hearts are broken.
So glad you guys are back with your show!!!!!!❤❤❤❤❤ cannot get this combo of entertainment and intellectual stimulation anywhere else!!
What a great dad you had. I am grateful you had that peaceful experience with his passing. I’m a nurse of 30+ years who lost my dad 4 years ago. I was there and helped him pass as hospice couldn’t get there. Anyway. I agree we don’t know how to deal with death in healthcare. Grief is a funny thing. It comes and goes. The talks need to be had. About wishes. It is difficult. But so necessary. I realized after my dad passed that all the love he possessed and shared to all of us Is what remains. And so much more. May you continue to have a loving peace at this time and remember him well ❤
Thank you for sharing the story of your Dad's passing and grief. It is helpful to know the importance of gratitude in the grieving process.
I'd like to see you and Vinay talk about how DEI initiatives are changing medical school training. If you could bring in Makary to that conversation, that'd be great!
Thank you, guys, so much for sharing all this info!!! Am a 42 year old woman not looking forward to future colonoscopies, am so glad I can be informed with the latest info about flex-sig (probably better informed than many doctors, sadly)!!
Zubin and Vinay, thank you for *all* you do in all your circles. I appreciate your candor, intelligence, humor, and humanity. Zubin, I’m sorry that your dad isn’t with you in his beautiful human form, but the path of grieving takes us through so many emotions, including joy at times.
Working in Healthcare has given us one of many great gifts: we understand how to manage the “medical” system near the end of life. My mom had as peaceful a death as one could have, because I knew how to manage her wishes. I share my heart with both of you. 💜
As a long-time, long-term care nurse I have been through the deaths of many people. There was always a metaphysical dimension to them. There is more to being alive than just being here in this world. I am so very sorry for the loss of your father. ❤🙏🏼
21:19 death panels were what the Obama care provision was called. There was recently a huge study indicating having “end of life conversations” didn’t help patients or families - I should have the reference- lol- ZD parents seem to have a beautiful relationship
The riff on MIA sticky paper charts & EPIC is so right on. If these two could build that better mouse trap the nurses of the world would be grateful🙏
It’s a long story but when my father in law died, at his insistence we had moved 2500 miles away from home. One week after my husband arrived he suddenly began to cry. About 10 minutes later the phone rang and it was his cousin calling to say his father had died. I immediately thought of this time when you described the feeling at the moment of your father’s passing. As a retired hospice nurse, I know there so much that we can’t explain about communication and awareness.
Beautiful about your dad, moved me to tears❣️ Blessings
I love listening to you guys no matter what you talk about. You have good chemistry together, you two are freaking hilarious, and level headed. I hope you continue to do a few of these every so often when life allows you to. ❤❤❤
Zubin, thank you so much for sharing the story about your father. He was an amazing man, clearly, and you carry on his legacy. I send condolences to you and your family. I had a very similar experience with a family member passing. A disturbance in the ether.
I'm so sorry about your father. I live in an over 55s village and am the Welfare Officer ( volunteer). I push all our residents to complete an Advance Care Directive which states your wishes in certain situations at your end of life. All situations are covered and signed off by your doctors. We're all going to die, so let's have all the groundwork done and keep on boogying!
Do glad to see you guys back together! I can't believe it was 14 months!
Thanks for your dad’s story. It reminded me of the loss of my parents. Both had their care bungled…but both died peacefully…no hard feelings. When mom was flown to the Mayo Clinic. I called and talked to her neurologist within a minute (hard to believe)…he said her brain injury was not survivable…I was able to tell them ‘do not intubate her’.
COOOOLLLL!!! And VP lost the beard in the hiatus.
So awesome to see you guys back doing your VPZD podcast! I missed it, but understand your point. I liked it that you went over different topics and I was almost in tears when you talked about your dad. Beautiful, real and honest. Thanks for the assessments on colonoscopy, full body MRI, etc. I am not in the medical field, but like to understand how things work behind the scenes too. And having turned 50 and due to a colonoscopy. 😵💫 Anyhow. I more than enjoyed watching you! Hope there will be more in the near future. You guys have the gift of public speaking!
When my wife passed (2021), the hospital was very good. No hurry. All the time with her I wanted. Help finding a funeral home, but I knew which one to use. For me, that part went well.
I'm so very sorry for your loss. It's great that it was a beautiful transition for him. I can tell how much he meant to you and how he influenced your life. Love and peace!
So glad you and VP are back! Yes!! Missed you dudes.
YES!!!!!! THANK YOU VP and ZDogg!
Like Vinay, I too was caught off guard by hearing the story of your dad's passing...I was in tears.....😢 So sorry to hear this. Always have enjoyed the stories about your parents. Condolences to you and your family.
Yay!! So glad to see the 2 of you back together! 🙂
ZD I was with my mom when she left. What you describe is exactly what I felt. It was the same feeling after giving birth to my son. Nothing in between those events has touched my soul so profoundly. I'm thinking that having no regrets with your loved one makes the grieving a bit easier as well. I told my my husband and his sisters to get ready to get right with your mom before she goes. She died a couple months ago and I know my husband took the advice and has had an easier time during the loss. I'm glad you took the cue from the dry run to get things mentally and practically prepared. I know your dad is very proud of you.
My heart is so happy to see you both! ❤
You two are so much fun! Glad to see VPZD back in the house!
You guys are awesome! Love the banter and the medical wisdom you share. Can't wait for the next "beef"
Love the VPZD show!! You two are the best!!
Thank you for sharing guys...Much love from Greece.
So glad you're back! I loved watching your dad and those old videos.
Never knew zdogg did another show. Love the other human. I’m a BMT nurse on the path towards realization I never thought I would appreciate medical talk. So thank you.
Oh my gosh!!!! IM SO HAPPY y’all are back here 😎👏
Love the discussions - truly appreciate the humor but also the sincere evidence-based evaluations. Really appreciate your conversations!
I'm a RT and now a RN as well. In my time working in hospitals I have seen life after death and hell on earth, when people pass peaceful it is a true blessing. I agree too that we are more than just a collection of cells and neurons.
Great show. Thanks for bringing this back!
Catching up with the full episode on May 1, happy that you're back
My condolences, Z. My mother just died in mid-April, and I can’t tell you how much I relate and appreciate hearing your story. Within a few weeks of her death we had Mother’s Day and my mom’s birthday, which were difficult. My thoughts are with you and your family as Father’s Day approaches. And to everyone who hasn’t gone through this sort of thing yet: I hope you don’t have to any time soon, but please do have those tough conversations. While we’d had some of them, there are others I put off because I didn’t want to be insensitive, and I wish so much that I’d found it in me to bring up the things we never got to discuss.
I have missed this so much! I am so glad you are back!
Love you guys. Glad to see you together again!
Thank you for this discussion!
Love your podcast!! Welcome back ❤
Thank you for this show.
So many good discussions. It's great to have common sense presented for a change. It's great to have people discuss risk by actual data, verses hysteria and drawing generalizations from isolated instances (how the news media likes to do). Masking physicians was interesting. I switched doctors after my doc of 35 years retired. It was during covid and after the second year, I said, I'm looking forward to seeing what you look like. He laughed, and took his face shield and mask off, as did his nurse. I took mine off too, and said nice to meet you! I appreciated it.
The happiness I felt seeing this new episode pop up on my feed…❤
In long-term care we DO take the time to allow the family to grieve. The hospital can learn from us and from hospice providers.
😊 You guys are awesome for doing this! Again! Miss you together
First and foremost Dr Z you are a masterful interviewer and facilitator. I don't care how brilliant someone is or how charismatic they are ( you both are) - that is not a talent that the plebs have
So great to see you two back together! I really enjoyed the conversation (as always). 🎉
Yay you’re back!
Yay! They're back! 😃 Peace be with you ZDogg... 🙏🏼
This is incredibly timely
I experienced the same thing with my dad, mother and my sister. On the other hand I did NOT have that when my daughter (29) died in her sleep, cause of death “unknown “. Devastating to say the least and worst of all, I found her 3 days later in her condo.. So very sorry for your loss.. 💔💔
So very sorry for the loss of your daughter and parents. Losing a child isn’t natural nor easy😢❤
Sorry and the loss of your sister💔sorry you’ve had so much loss
I long ago realized life was meant for the living. We get to live And there ain’t a one of us getting out of here alive. That just is what it is
And Thank u 👏👏👏👏👏 for speaking truth to bs multiple choice questions
As a PTA, I would be All for someone picking 10 of my cases, going before a board and discussing what I did/why I did it & what could be done better. I bet Most good medical professionals would Love that convo.
And Yeeeez to the copy/paste if I told u how many of my peers use text blaze. I get it, saves a sh*t ton of time so peeps get their life back
So sorry for your loss Z. Very glad to see you both again. I missed those laughs.
Welcome back!
Great to have you back. We need more open scientific discussions like your show. Please keep it up and try to throw something practical for us to hear you discuss and debate.
WoW 14months?! You’re back!!! The Boys are back!!! Yay. I’m the same age as Zdogg and my dentist wore gloves most of the time but no mask 😂😂😂😂
Hey, same age (roughly, maybe +1?) here, and my dentist when I was a kid wore a mask (but only when working in the mouth) but gloves variably, sometimes, sometimes not. She also had special glasses - I might be misremembering, but I think at least the glasses/eye shield (maybe also sometimes the mask) was only when using the drill.
Come to think of it, I have no idea why she only sometimes wore gloves. Maybe only when she had a nick or cut or abrasion (or bite! LOL)? Or maybe only when she had access to a certain brand of favourite glove? Or only for working with certain substances (I'm old enough, and had enough early caries to have experienced old style amalgam fillings)?
Came for the MOC thinking you were talking about "mandatory on call" shifts. Stayed for the fun!
I adore the electricity between you two! ❤
So glad these are back! I’m a 38 year old colon cancer survivor diagnosed at 35. I’m trying to figure out the best way to get the message out about awareness. Basically I want to make make the colorectal cancer awareness month of March turn blue (missed opportunity to use brown as the ribbon color, imo 🤎💩🤣) the same way the world turns pink for October’s breast cancer awareness month. I’d love to talk to you guys about ideas.
Post viewing comment: you two still have that magic 🎩 ✨️ 🤣 and i cannot wait to hear a discussion about the college protests. Please!!
Glad to see you guys get together for a show again. I was intermittently searching vpzd to see maybe yhe algorithm is screwing up.
So sorry for your loss ZD. It’s not easy.
I’d love to hear you and Vinay chat about Covid now that we are living in the “post covid days.” I’m a Canadian RN that did not get the jab. I don’t regret my decision but just wonder what your thoughts are now? I know Vinay’s thoughts about it because he’s quite open about it on his podcast. I love listening to the 2 of you.
Love the both of you. Many condolences on your loss. I'm sure he was so proud of you XOXO
Sorry brother, lots of love and prayers your way!
Good stuff. Thanks
And btw the lack of any kind of dress code is out of control, for a lot of professions..
Thank you for another episode! Zubin, such a beautiful story about your dad passing. Deep appreciation! Like many, I have had several experiences at the bedside with witnessing a passing. If you are able to pay attention, depending on the situation, you can be a participant and guide as well as a medical professional. That Good Night by Sunita Puri should be required reading in nursing and medical school!
It's called a "grief burst." Randomly hits you out of nowhere.
In Washington State, we have the POLST... Physician Orders for Life Sustaining Treatment. The 'magic green paper', as my sister, a retired CICU nurse calls it, because she said, "being alive is NOT living". My Dad had one and Mom's is on the fridge. My husband & I are getting ours completed this year.
Thank you for sharing your story, Dr. Z.
so happy to have yall back! sorry for your loss :/
Yes, what a great idea! If AI can compile decent summaries of amazon product reviews 😂, I am sure they can compile a summary of patients’ medical history!
My dad passed last week after a 2 year battle with glioblastoma. I know what you mean about blissful release. I work in the ER as a PA, I love your videos, especially this one. Thank you.
I am so sorry to hear about your dad's passing! I didn't know, I haven't caught a video in a while and I haven't been on Locals much either. My condolences go out to you, your mom and all of your family. 😞
This is off topic but I’ve just read Dr. Offit’s book, “Tell Me When It’s Over”. I’ve also just listened to a TH-cam-cast with Dr. Prasad talking about all the Covid misinformation/disinformation.
-> I would love for you to host a podcast with both of them on it. The discussion would be awesome!
I like masking. Ever since I put on the face mask, I don't get pimple on my chin (the only place where they seem to grow). Then I realized it's one of those two things--1.) I don't touch my face, 2.) my face don't get dusty. I don't wear it when I go on a hike. Afterwards, I'd grow pimples on my face a week or two later.
Very touching… Hospice is a very under utilized institution. So sad for your loss so glad it went like it did. ❤
Sorry for your lost zdog. Lost my dad in November. He died young in his sleep with a smile on his face. I thank God he didn't die in a hospital. During covid I sat and held the hand of a mother as she died with her family looking on through an IPad. I was honored to provide what small service I could but horrified that it was me doing it and not them.
We learnt soooo much from the medical industry.....
YOU CAN'T TRUST THEM EVER!!!!
Colonoscopy was so much easier than I thought it would be. Prep was pill form, which is awesome for someone with sensitive gag reflex. The procedure was not too long and I didn’t wake up groggy. I had no polyps, no concerns but am on the five year plan due to family history. I won’t be nervous the next time.
Glad to see you back together, I thought you might have fell out.
I filed my complaint. MOC is ridiculous. A lot of good physicians are retiring because they are sick of it.
I love this conversation. Every part of it. I am paying substack subscriber of Vinay’s. I know you don’t want to hear this, but I do wish you would at least edit out the swearing, and preferably leave it out all together.
It’s true, I don’t like to hear it, but more than that, because of the swearing I can’t/don’t share the content with people who I know would get a lot out of it.
Do what you want with this feedback (which means you will ignore it) but I wanted to put it out there.
I had an early colonoscopy and it saved my life. For prep I recommend the sachets not the premixed liquid. It tastes better and you can mix it with less water and make it up at the end by drinking more water. Highly recommend cause I’ve had many now. Also I’m always wide awake watching but I feel nothing. I love asking questions and going over anatomy. My first time I was the only patient awake in the room before and after. I was born a redhead so maybe that why?! It’s great watching and asking questions.
Blessing be upon his memory.
Livestream the prep for Colo
What do you think of SUTAB for colonoscopy prep? I’ve used it and so has my brother. Much easier than the standard prep.
You both have great teeth!
What if, should have , could have, would have is what Buddha calls the " second arrow" the one we aim at ourselves and it is way more painful than the first arrow that we had no control over. I'm trying very hard before I leave this earth to teach my children not to be the cause of there own suffering by shooting themselves with the arrow of regret and remorse whatever you did in the past you were doing the best you could at a place you were supposed to be at, at that particular time. Love and peace Zdogg ❤😊
This was heartfelt. Z im sending you my condolences. I can tell your dad was proud of you. I need to do more meditation like you.
Would love to know where y'all stand on Palestine, but maybe that's too much to ask or a different show. Sending love.
Sorry to ask or sound annoyed (& annoying!), but why?
Why would the opinion of two medical Americans of Indian heritage on the latest iteration of the mess that is Palestine/Israel be interesting?
One of my first detailed memories of world news is Sabra and Shatila. I remember the almost euphoric feeling around the Oslo accords. Now it just feels like the fewer opinions less people have the better. And if you must have opinions, please don't bring them everywhere. (That said, I've socially empathised both with volunteer medics for Fatah and people with close family in Israel.)
So I don't want to know either Zdogg's or Vinay's opinions on Gaza, Israel, Palestine, or the middle east in general. I don't even want their opinions on critical care in Ukraine, even though that is a subject I somewhat follow.
@@Asptuber I really don't care what you want to know. I wanna know their opinions because I like them both. And there's a genocide going on.
Maybe you guys are sick of talking about this but can you set the record straight on how well the Covid vaccines worked as well as the adverse effects?
In US all insurance is supposed to cover at 100% colonoscopys no deductible, no copay, including Dr. consult, if age qualified and for screening not diagnostic.
They make it sound that it is free. But all the insured pay for it, hence the increased premiums.
Being "untimed" is a microaggression against patients.
No. The negative Cologuard is every 3 years, not every year. iFOBT is every year which is a different test.
❤️