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If you've been putting off compression socks because the options out there are uncomfortable, boring, or don't fit right, these are worth trying. Neither of us have seen polio, right? Because that is not a thing anymore. And up until recently, I had not seen measles because that was not an issue because people were getting vaccine. And so part of it is that we don't remember. The other part is like thankfully the cop complications are low, but when enough people get them, there will be people that will have complications. It's like the same thing as seatbelts. We didn't wear seatbelts before and like things were fine, but like would you ever go and not wear your seatbelt when you're driving on the highway or or in town? Like this is something that is going to protect you because in the rare instance that you get into a high speed collision. It is life saving. Welcome to I Did My Own Research. I'm Dr. Fran, and today I'm joined by Dr. Shazma Mathaney. Dr. Mathaney attended medical school at the Western University in London, Ontario. She completed her emergency medicine residency at the University of Alberta and has been practicing as a pediatric and adult emergency medicine physician since 2014. Online, she posts about comment and concerns in the emergency department, public health and prevention, and misinformation debunking, as well as hosting the podcast, the Doc Talk Podcast. Welcome to I Did My Own Research. Thanks for having me today. I'm so excited that you're here because I don't know if you knew this, but you are a Rochestorian by birth. And I am a Rochestorian by transplant. I did not know that. so you were born in Rochester, New York and lived here for most of your life, but now you have crossed the border and are a Canadian resident. What brought you over to Canada? So I actually moved when I was a kid. So I lived in Rochester until I was in grade three. So until I was nine. And my that's where my mom's family was at the time. Everybody's kind of scattered since then. And my dad's family was in Edmonton. And so we we moved on over and I've I've been in Canada ever since. Okay. So partial Rochester, partial Canada. Amazing. I'd love for everyone to hear a little bit about your story as an emergency medicine physician and then how you have transitioned that into being online. Yeah. So I mean, if you had asked me five years ago, Fran, if I thought that I would be in this space, I'm interested to hear if it's the same for you. Like I would not have guessed that this is where my career trajectory would have gone. With respect to my kind of clinical career in emergency medicine, so as you mentioned, I started in 2014. I've been at Edmonton since that time. I trained. here and then stayed here. And so I split my practice about 50-50 between pediatric ER in kind of a large center that has a very large catchment area. And then as well as a trauma center from for adult medicine. So split that about 50-50. And like that's mostly what I was doing. And then at some point along the way I started really having an interest in like the advocacy space. And then social media seemed like a natural flow after that. And then of course, you know, the misinformation and all of that has really helped me lean into this space a lot. Yeah. I think many people came into this through COVID. People were looking for information online. All we were doing was sitting at home on our phones. And so I think a lot of content creators about five years ago were kind of like in that COVID space. That's where I was. You know, I wasn't at the height of COVID. I was still a resident that at that time, but Afterwards it was still like a lot of sitting at home and a lot of things to talk about. So it is interesting how you think you might not end up here, but then you do. Mm-hmm. Yeah. And it was very, like you said, very similar for me, where I wasn't I mean, my all my social media accounts were private and just for my friends during COVID even. And then as we saw people like myself on the front lines, initially I was actually just going to social media to take in information. It was a really, really scary time to work in emergency medicine, especially with All we had access to with it was the news of what was going on. And so I actually went on initially to find out more about COVID, what my colleagues were experiencing around the world. And then that slowly evolved into being an expert voice in that space. And then from there evolved into being an expert voice combating misinformation in the COVID space and then beyond that. Yeah. We're gonna talk a little bit about the pit throughout this podcast because that's actually how you and I met. You have your podcast and I came on because we were talking about an episode on the pit where the OBG WANs were a part of that. But I do think that the Pit does a great job of kind of showcasing that part of COVID and emergency medicine because you guys were so much the front line. You were seeing them all the patients that were coming to the hospital had to come through you. So you were and then you they were boarding with you. And so and the trauma of all of that I think is really n nicely captured in the pit, right? It really shows what you guys as truly frontline workers, I always feel guilty about this to be honest with you about COVID because I was an OBGYN resident and we had c patients with COVID, but we didn't have we weren't taking care of a lot of COVID patients. And so I think the Pit does such a nice job of showcasing really what you guys were going through at that time and that many of your colleagues were getting sick because it was all so new still. Yeah, I I have to agree. I mean the Pit does such a great job at many, many things, but the thing that I think that it does exquisitely well is just the the emotional side of medicine that isn't often talked about. And in emergency medicine in particular, we know it's the highest burnout specialty. And COVID absolutely accelerated that because of all of the moral injury that we were facing as frontline workers as we were, you know, treating patients, having patients die who were young and healthy. And so like that, that it hits you, right? As as a as a healthcare professional who's you know, calling in life is to save patients when the patients that you don't expect to die end up dying like that sits with you for a really long time. And so I think that yeah, the pit does a great job of like flashing back to that, but then also just the ongoing additional cases in in real time. It shows all of the death and sorrow. But the happy pieces as well that we carry as we move through our shifts and our as we move through the world too. Yeah. I think, you know, speaking about COVID and the burnout that you face, I think we saw that in some ways through like residency matches and those kind of things because we saw that people weren't as interested for those couple of years. And then interestingly, this year we were seeing an increase in people going, applying for emergency medicine. We saw a high rate, I don't know if it was different in Canada, but here in the United States, it was definitely we had an increase in people applying again, which I'm wondering maybe there is a little bit of that the the pit effect where people are, you know, saying, Well, there are really many positive things about emergency medicine and those were some really hard years, but I'm ready to get back to it. I think that I I think there's a lot of truth to that. We definitely saw a lull in people wanting to do emergency medicine for a period of time because of what COVID had done to the profession and and certainly highlighted, I should say, about the profession. But it's a really cool job. It's it's, you know, for the for the most part it's It's fun. We have I I think the pit also does a really good job of illustrating just the relationships that you make it work. All of us have each other's backs and it hopefully that enticed some people to to come over to this world. I hope so. You know, I've really loved the recaps that you guys have been doing of the pit. I think it captures so nicely the medicine part within the pit. You guys have had a couple actors from the pit on, which I think is like probably super cool to have the chance to interview them to see what it's like. When it comes to you watching The Pit though, are there any parts and the thing is is that so many hail this as like a a show that is so realistic to emergency medicine. Are there any th and I I take a little issue with a couple things when it comes to how obstetrics and gynecology is represented. It's like the writers need to call me so I can like help fact check a couple of things, right? But overall for you guys, incredibly representative of the work that you do. Is there anything though that you have found that isn't like true to real life on the show? So the one thing that I actually so a few things. I mean, finally they have respiratory therapists in this season. There were no respiratory therapists last season. Another thing that I don't find particularly realistic, and and I think maybe you're alluding to this a little bit too, is that like there are really no consultants in the eMERGE. And so from for me in the emergency department, like the consultants are an extension of my work family because we can only work things up to a point in the ER. yes, there are some things that have easy plans, like a trauma comes in, you do the things, and then they go up to the OR, right? But A lot of emergency medicine is not actually having the answer and then either getting some additional consultation from our colleagues or having outpatient follow-up done. And so there really aren't a lot of consultants that are running. So I feel I feel that that is definitely an inaccuracy and a missing piece. The acuity of the cases, I mean, this would be like some of the most rare things, right? I mean, like you have to make it interesting for a TV, but like to have all of those rare procedures in a single shift is Pretty much impossible. And then the one thing on the most recent episode that was interesting is that they had they they are a single coverage emergency department, which is not realistic. So what I mean by that when I say single coverage is that there is one attending on at a time. And so typically the format for even, you know, where I work as well in a large trauma center, like it is always double coverage. You want to have a second attending there with you when things get Crazy, like they certainly have been in in that department. From a safety standpoint, really important to have two attendings on at the same time. So I feel like that part's not super realistic either. So not just Dr. Robbie all the time. Exactly. Although I mean it we love looking at Noah Wiley and watching him. So that's fine. Yes, we do. Yeah, it's definitely not hard on the eyes there. I had Dr. Beach Jum on the podcast a couple weeks ago. And you know, we talked a lot about how The pit kind of helps us as healthcare workers because it shares the stories of how medical misinformation impacts patients in a way that we can't really share online. In your day-to-day work, are there things that you're seeing that are almost like a result of like misinformation or I think sometimes think of like online trends that people are doing that can are actually very dangerous? Are those things that you're seeing in your day-to-day job? Yeah. So the two big things that I see a lot in the emergency department, I mean, one is the effective vaccine misinformation and then Vaccine hesitancy, right? And it I see that very much so in the pediatric world. I mean, just anecdotally, thinking when I I ask every parent and patients like if a child's immunizations are updated, that is part of my routine history. More and more people are saying no. Before it was like a tiny percent of people that were saying no to that. And then we're certainly open to having a conversation about it if the answer was no. And now it is. much higher and has an impact on how I'm going to work up patients, what diseases they're presenting with. And then the other thing, more so in the adult world, is like cleanses and detoxes. A a lot of that in terms of complications and then also even just like asking questions as a part of their like, you know, as a part of our interaction in a clinical way is a is asking about certain products and detoxes, supplements, that sort of thing. Yeah. I think the asking about those kind of things We kind of forget about it, but it can actually have like a really big impact. My husband's a family medicine doctor and he had a patient who had really like s symptoms that they couldn't figure out. And it wasn't until he was like, Tell me what you take every single day that it turns out that she was taking some like thyroid supplement and that had put her into hyperthyroidism and really explained all of her symptoms. And if you don't, you know, it's not it's not like we put supplements into the med list in the computer for the most part. But like now I feel like now I really make a point to ask about what medications and supplements or are you taking anything that is not prescribed? Like changing our language and changing the way that we ask things because so many more patients are like you mentioned like taking things that are not prescribed by a physician. Yeah. And you know some of those things are helpful. They're helpful if it's being used for a specific disease process and there are supplements that are evidence based. But especially when it comes to things that you are buying from like influencers online and detoxes, like I can imagine, especially if someone is medically vulnerable, some of those things are not like no risk. Like there's another patient of his that was drinking like five IV hydrations a day, but they had a kidney disease and it sent them into like like a acute renal failure because they just weren't equipped for it. And so it's again just like just because it seems like it's for wellness, it's not actually for your health and it can have big impacts on you. Yeah. And I think as like kind of an extension of that, like the the concept that natural means good and natural is okay. Right. And I think there's a lot of a lot of the dialogue around these supplements is is pushing that idea that that, you know, this is natural. It's not a, you know, not a synthetic medication. There are lots of things that are natural that are really, really bad for you, right? And and the and the flip side of that is there are lots of things in nature that we have developed to make medications from as well. And so th those that's not just a hard and fast thing and and certainly part of the narrative that pushes that and gives people this false sense of security that that these things are safe, but an anything in in, you know, a high enough dose or the wrong dose can be bad for you. Yeah. Why do you think that is that people kind of lean towards like feeling that the natural things are just gonna be better for them. Like, is it because we don't have to do like informed consent with patients? Like if someone takes a supplement, no one has to stand in the supplement aisle and say, like, hey, these are the risks and benefits of taking this supplement. Is it medicines are scary? I always like struggle. Like why are we going towards something that doesn't have the evidence when these like rigorously studied medications, you know, ha and you have to have someone who like evaluates you, like why is there such a disconnect between like The supplements are good and medications are bad. Yeah, I think that's a great question. I think that it's for sure multifactorial. The thing that immediately stands out to me is that I think that there is this growing movement of of this idea that intervention is bad, right? I'm sure that you see this in the obstetrics and gynecology world as well, of like the whole like natural delivery, which I I I hate that term personally, but like that I think it kind of is an extension of that. That by human nature, we feel that anything that is synthetic, I mean, even if you think about things like ultra processed foods, like processed is bad. And yes, in some situations it is, but I think that it's this narrative that is extended beyond kind of what it's intended for, which is why there is this, you know, like human human side of well, if it's, you know, if it's natural, like air is natural. We we breathe our water is natural. And so of course it it has to be good. So I I think that's kind of part of it. Yeah. Water's natural and great for you, except for when it's in your lungs and you're drowning and then it's a problem. Yep, absolutely. Before we get back to it, one more note from Vim and Vigor at the sponsor of this episode. If you want to try a pair, head to VimVigor.com and use code research for twenty percent off your order. That's V I V I G R dot com and code research for twenty percent off. In the emergency department, I mean you do work fifty fifty, but I imagine that the pediatric side is especially hard because like you mentioned, especially if a patient comes in who is not vaccinated, the workup changes a lot for those patients. Can you talk about that just a little bit more? For sure. So there I mean, vaccines prevent so many dangerous diseases in children and in adults. And so I mean, we think about measles, there have been measles outbreaks in pockets of Canada and the US. Canada u recently lost its its measles. eradication status th thanks to the province that I live in, Alberta, which we we we had like a massive outbreak here of like thousands of cases. So measles is a life-threatening thing. Think about rubella from like a obstetrics and gynecology like a fetal medicine standpoint, like that is very dangerous. Chickenpox, like all of these things that we don't see anymore, but we're starting to see again that have significant complications. And before we weren't testing for them, right? And so when we think about measles, for example, it is highly contagious. And so We need to know what the vaccination status is because it kind of guides what our testing is going to be, but also guides what our advice is going to be for this family afterwards. Like, do you have to isolate for a period of time? Similarly with ch chicken pox, airborne, very contagious. So same thing. Are we gonna work it up in a different way? How long do we have to monitor you for? How long do you have to isolate for? And so it absolutely impacts the tests we're going to do. A fever in someone who is fully vaccinated. It's typically not a big deal. It's probably from like, you know, a run-of-the-mill cold, but a fever in someone who's unvaccinated makes us think of these whole hosts of other vaccine preventable illnesses that we need to think about whether we need to investigate for them or not. Yeah. It's so interesting that you bring up the chicken pox because again, when Dr. Beechstrong was on, I asked her what her favorite vaccine was and like spoiler, I'm gonna ask you the same thing. And she said the chicken pox and On Instagram when I posted this video, people were riled up. It was all like, Well, I got the chicken pox when I was young and I'm fine, and we're the only people who gives the chicken pox vaccine and like kids don't need this. And then there were a couple comments where they were like, My best friend died of varicella meningitis. And I was like, How do I pin this to the top? Because the it's not that we're saying that everyone will die of you know, meningitis from that, but some people did. People did. Thirty years ago, someone's best friend died from that. And nowadays that's very, very unlikely to happen if vaccinated. Because we forget that, right? So like when was the last time neither of us have seen polio, right? Because that is not a thing anymore. And up until recently, I had not seen measles because that was not an issue because people were getting vaccinated. And so part of it is that we don't remember. The other part is like thankfully the comp complications are low, but when enough people get them There will be people that will have complications. It's like the same thing as seat belts, right? Like we didn't wear seatbelts before and like things were fine. But like would you ever go and not wear your seatbelt when you're driving on the highway or in town? Like this is something that is going to protect you because in the rare instance that you get into a high-speed collision, it is life-saving. So even though you know what I mean? Like I always try to I like to use that example because like even though it's a a low risk, like why would you not take a safe intervention to prevent yourself or your family member from having this life altering or life-ending complication? Yeah, we really are now a product of our own success where people forget that, right? People for the most part have forgotten what the world was like with iron lungs and cars without car seats and what the ramifications of that were, if there was any sort of accident. So I definitely think we are too successful at this point. And it's unfortunate that now that we're reminding people of it again. So yeah, I definitely can see why it's almost like some people have to be re re reminded. And again, like going back to the pit, I think in some ways they show that, right? They show what it's like to not be vaccinated and what the consequences of that are in a way that we can't online. Exactly. I want to hear a little bit more about your podcast because you don't just talk about the pit. I do want to like emphasize that that I that's how I met you, but you guys talk about a lot of different things. So I'd love to hear how you guys got into podcasting and what you guys are currently working on. Yeah, so my Awesome friend and co-host Dr. Sheila and I have a podcast called The Doc Talk Podcast. So we are just about done season two. And the reason we started, so Sheila's a family doctor, I'm an emergency doctor. And we felt like between the two of us, like we're both already in the social media space, do a lot of speaking and media. And between the two of us, we actually can cover a big breadth of of healthcare topics, right? So in acute care and community care and lots of different topics. So we felt it was really important to extend just beyond short form of you know, educating the public and increasing health literacy to do it more long form and be able to have more meaningful and nuanced conversations about a wide array of health topics. So lots of things on women's health, cancer, colon cancer, skincare. Like it's it's so, so broad because we truly can just talk about anything. We often have guests on the show as well, with different areas of expertise. So we had, you know, like a sleep medicine doctor talk to us about sleep, for example. And it's been really, really fun to be able To just talk about topics in more detail beyond just like the 60 or 90 second reel that you're having like a short attention span for. Yeah. I also love that it's a way for like content creators to like mingle a little bit. I think that's like one of my favorite things about this podcast is that before it was just like me by myself in my exam room with like my phone on the window and like that is it. And like Rochester, New York, not like the hub of like influencer culture. So like there's no one else here. you know, there's no one to make videos with and so but you have all these like w my my husband always makes fun of me 'cause I call them like my online friends, right? But like there are other content creators who you have known for years and have followed and you feel that you know them and then you get now a chance to like sit down and actually like chat about what it's like to be a content creator, like what are guys working on? You know, I think it's such a nice way to connect with other people that makes it a little more it feels a little alone at times to make medical content, I feel. It absolutely does. And it's funny that you say that like your online friends. So Sheila and I actually met online. So she's in Toronto, which is like just north of where you are, and I'm in Edmonton, which is like just north of Montana. And so like it's like a three hour flight between us. It's or three or four hour flight. It's not close. So we met online during the pandemic. And then her family at the time was in Edmonton. And so she came to visit. She's like, yeah, let's go for a coffee. And we like totally hit it off. She's now one of my closest friends, but she she was an online friend first, then we decided to do this endeavor together. Yeah, I love that. And now you still get to like hang out weekly and talk about different topics. I did like your guys's post recently that you talked about colon cancer because that's very important. It is colon cancer awareness month currently while we are recording this. And you know, with colon cancer on the rise, what are some things that you have started incorporating in your life to help decrease your risk of developing colon cancer? Yeah, so alcohol is a big one. So we know that there has been a lot of more conversations about this, more evidence, more guidance on the actual like risks of even small amounts of alcohol. So before a couple of years ago, there was like an update on the Canadian guidance in twenty twenty three. Before that, it was kind of like, you know, one drink a day for women and two drinks a day for men up to. And that was more related to like the heart disease and stroke risk factors. But then now we know that even like one or two drinks a week can have a significant impact on your cancer risk. So for me, like definitely cutting down the amount of alcohol that I'm drinking, really trying as much as I love charcuterie, like really trying to cut back on the ultra-processed foods for myself and for my kids too. Like it's tough because those packaged foods are so convenient. They're meant to be convenient. But then using time like that I have off or my husband, I have off to just like make snacks and stuff that are not ultra processed. That's a big one too. And then just like being active, right? So we know that these are these are these are the tips and tricks to like, you know, this whole longevity medicine movement, like the the simple things of that actually are going to extend your life. So sleeping well, making sure I'm seeing my family doctor regularly, exercising, moving my body, having a health maintaining a healthy weight, and then being careful with what I put into my body too. So like limiting alcohol and the ultra processed foods. Yeah. And I think that's a great reminder that, you know, I think a lot of like online kind of paints doctors as like we are just reactive instead of proactive. And like I think that is the narrative that they're trying to paint. And the reality is is that we all are trained in, you know, trying to be proactive about our and our patients' health, making sure we're talking about daily living that things that can change, like moving your body, decreasing your alcohol intake. you know, increasing your fiber intake, but then also coming from it from a medical side when it's our job to say, like, it's time for your screening exam, right? Like you can't go screen yourself at home. I mean you can with Colegaard, right? But in the sense of like it's not a daily thing that you're doing. And so I think it's a great example again of like really that we are that daily lifestyle things are have a big impact on our lives. That's what the true longevity is when it comes to longevity medicine. These like peptides and all this nonsense that people are telling you that you have to inject in your body without addressing the fact that you should like get good sleep, drink water, move your body, like have good social relationships, like Dr. Steph talked about on my podcast a couple months ago. You know, all these like true longevity things before you start buying like NAD online and injecting it. And like these true longevity things that have decades and decades of research and data behind them of being effective, but like those things don't make money. Like truly if I'm being honest. Like They're boring and you can't click on a link in someone's bio to buy those things, right? So I have to agree. Like prevention is so, so important. And like I in an ideal world, like we don't want we we would rather just stick with prevention and like not have to, I don't want to have to see people coming into the eMERGE with heart attacks and strokes. I would rather that they continue to see their family doctor and have their, you know, diabetes, high cholesterol, and blood pressure controlled so that they don't have to come and see me. Yeah. I always love when the people online are like. Well, if you're if we're healthy, then you don't have any more clients. I'm like, do you think there's a shortage of patients? There is no there's a doctor shortage. It is not a patient shortage. They will there will always be more patients for us to see. I would love for you to never have to come to my office more than once a year for me to say like, everything looks great. See you next year, your pap smear's doing two years, right? Like I don't want to go cutting parts out of your cervix. That doesn't sound fun to me. I want you to stay healthy. And I think again, online twists it and like tries to make it seem as if we're here just to, you know, make money off of you coming to the emergency department. And there's nothing you would love more than a quiet night in the E D, right? Absolutely. Not to say the Q word for all you but we're not at work. Okay. Right. Yeah, we're not work. So quiet, quiet, quiet. There's nothing you'd love more. We actually don't want people to be sick. So I think that's really a lot. I mean, what you and I and other creators are doing, like we are giving people all of this information online off the sides of our desk, a lot of times for free. Yeah. Where we just want to get this information out to people. Like this is how you live a long, healthy and fulfilling life without having to get sick and see people like you and I. Yeah. Actually the last person I want to see is someone like you. Like no offense. No, not taken. I don't I don't want to see what my workplace either. that's really funny. I wanted to go into just a like a little rapid fire, although it never ends up being rapid fire. Okay. Love it. What is your favorite vaccine? The flu vaccine. and yeah, I I have to say because the the last few flu seasons have been so, so bad. Like they've been so devastating. Lots and lots of really sick people. My my son, two years ago, and we got the flu vaccine. We were just late getting it because of the viruses in the house or whatever. And so it was only like ten days after he got the flu vaccine. He we had to rush him to our pediatric emergency department in an ambulance. He had auction saturations in the sixties. He like had a severe like woke up in the middle of the night with a creepy cough and like totally was in was in distress. And ended up try testing positive for influenza. And he is like an otherwise healthy child, right? And so the the flu is something that spans all age groups as something that can, even when you're an otherwise healthy person, can get you into a lot of trouble. So that's why it's my favorite vaccine. Yeah. I'm so sorry. That sounds really terrifying, especially when you know as much as you do. I played a lot of Tetris afterwards. Mm-hmm. Yes. explain to the listeners what that means because it is a well known thing amongst those of us who work in traumatic jobs about Tetris, but I'd love for you to explain that to the listeners. For sure. So I guess I'll take a step back first. You like like you said, like you I know too much. Like I was in the back of the ambulance with him thinking the entire time that he was going to stop breathing, which was very like probably one of the scariest things that's ever happened in my life. We got to Emerge. He was so well taken care of. All of my colleagues were there and as soon as I knew that he was safe, I just started falling. But and so like that was something that I recognized as as being a very traumatic event that had the potential to lead to like symptoms of PTSD potentially. And so there is actually really good data to show that playing Tetris among a few other things can actually help prev prevent that. Yeah. We I have seen that talked a lot about in on like my OBGY and Facebook groups where, you know, physicians will come in usually anonymously to be like, I had this very terrible thing happen at work and you always see many people saying like you need to go play trust Tetris, you need to go play Tetris and yeah, it somehow like rewires your brain in a way that you don't internalize that trauma as much is from what my understanding is. And so for anyone out there, keep that in the back of your mind if you have to live through in a traumatic event. Okay. Who's your favorite character on the pit? Well it was Robbie last season, but he's pissing me off this season, I have to say. why? What's he doing? my goodness. He he well He has his own internal stuff. So I will say that like he represents the the internal struggle of emergency doctors very, very well. And the reason I really liked him in the first season is because he still he went that extra mile and like showed this level of compassion in a subtle way, but still in an o you know, still in a way that was recognizable. To his patients. And I feel like that's a lot of the way that I practice. I would say that in season two, it is now very much shifty to I didn't like her at the beginning because we weren't supposed to like her, but now Dr. Al Hashimi. She there's this one scene in particular where she like kind of is there there was a this isn't really a spoiler if you haven't seen it, but like there was a patient who came from prison who needed care and they're like her and Robbie butt heads about it. And he didn't want to like she was trying to advocate for the patient. He's like, well, she doesn't need to stay here. And she's like, everything I do. is for my patients. Just because the system is broken doesn't mean we still don't try our best. Something like that. And I'm like, yeah, that resonates. So like she's now my she's now my new favorite because she really embodies just like the struggle that we have as emergency doctors to be constantly fighting against quote unquote the man and the system, but still trying to figure out what we can do to like do the best for our patients. Yeah. And I think it's a great example of like the system can be anything, right? It could be the prison system. It can be patients not having housing, it's the getting food on their plates. It could be the medical system. There's a lot of systems that us that I don't think people talk enough about is that or it's not just like the medical side. It's not just getting people scans, but it's like my patient has nowhere to go after they leave the hospital. Where where are they supposed to go back to the street? My patients are d can't eat because SNAP benefits are paused and so they have no food in their house, right? It's not just you're taking care of like their medical problem. They're s the social things of their life. are so much a part of their health that we have to get involved in those things as well. I think that's such a good point that there are so many layers of the system that we are working against. I work in an inner city emergency department and so I see a large population of unhoused patients where it's I'm so thankful for the social workers that we have in our hospital in in our emergency department because a lot of times it's like, well, where am I going to send this person? Yeah. Shout out to all the social workers out there. We could not take care of our patients without you. I mean What is your most worn figs color in your scrub collection? Ooh, okay. So I I wore the deep reef the other day to work. I'm just coming off a string of shifts and g I just it's it's I really like jewel tones. I'm I did get my colors done at some point and I'm a you did it? I'm a deep winter. So the jewel tones really work for me and like that kind of dark, deep turquoise peacocky type colors are Those are my favorite. So the the deep reef is my is a current favorite in my rotation. What about you? What's your what's your favorite color? Ooh, I really like their soft pink color. I think it was like the F breast cancer one from this past year. I think I I've not officially had my colors done. I think I'm a soft summer based off of like internet sleuthing and like using those apps. so those more slightly pastel y colors are usually the ones that I like to get compliments on. I see that. I I think you do actually look good in those colors. So I would have to agree. Yeah, thank you. Okay. And then who are your three favorite content creators right now? They don't have to be medical. Well I I'm gonna take you off the list because that's obvious. So like three in addition to you. I Dr. Beach Dem, I love her. She's just so so great at keeping it real and like you know opening Pulling the curtain back behind medicine. She's been really, really great. Also love Dr. Mike similarly. He's been really, really awesome at just like debunking misinformation and and doing it in a way that is more calling people in than calling people out. I'm trying to think if I like I want to pick a non-medical one. Mallory. Do you follow her? it's This Is Mallory on Instagram. So she yeah yeah yeah. Yeah yeah yeah I love her. She is awesome. So she has a background in marketing. And so she is just one of the best misinformation, like wellness grifter debunkers. And she's it's so engaging and funny her content. So yeah, she's she's definitely in there too. She is definitely like one of my like favorite follows right now. Every time she posts a video, I'm like repost, repost, repost. They're so funny. The things that people are telling, like viewers on the internet is like insanity, like the stuff that she like posts about. I'm like, I can't believe someone made a video about, I don't know, a urine I don't they urine enemas and like we like eye splashes of urine. Like what are you people do? Or like drinking your own urine. I don't know. Just think about those things before you do them. And then follow Mallory and she's gonna tell you how absolutely absurd it is. my god. Yes. I love all those people. Goal is to have Dr. Mike and Mallory on the podcast. So we're gonna make it happen. That'd be amazing. Yeah. All right. For everyone who isn't following you yet, where can we find you online? So on Instagram and TikTok at Dr. Dr Shazma Mithani. And so you can find me there. We you can also follow the podcast at the Doc Talk Pod on Instagram. Dr. Mithani, thank you so much for being here. It's been a pleasure. Thanks so much for having me today.