11 Comments

Muy interesante, para mí que soy de habla hispana me viene muy bien la traducción de lo que escribes, tal vez el audio me sea un poco difícil. Agradezco la traducción y te deseo muchos éxitos en la administración de tu tiempo con tus dos nenes y claro con el apoyo de tu señora. Saludos a todos.

Expand full comment
Feb 5Liked by Remnant MD

Just listened. It's hard for me to find the time to listen to podcasts this long; I routinely listen to one or other of a handful when I'm up at the crack of dawn making kids' lunches and getting a few minutes of "me" time before the chaos kicks off (max 90 mins), but my job requires too much thinking/concentration to listen during the day (which either tells you something about my job... or my inability to cognitively multitask). Though I'm writing this at 4:30pm so obviously I found the time today...

Super interesting to hear you describe your "journey" in more detail, and as somebody else in academic medicine, your descriptions of the administration, inability/unwillingness of clinicians to push back against dictates, etc. resonates with me. (I *was* able to secure an RE to avoid the gene therapy shot, but I suspect only because I'm WFH; colleagues who live several states away from main campus were also required to get the shot and they willingly obeyed. This was absolutely the hill I would have died on, and I made that very clear.)

I now have a greater understanding of why your writing is so appealing, since I'm on the same journey (though in a significantly less dedicated and more intermittent way).

So thanks for sharing - enjoyed it. If you kick off a podcast of your own, suggest a shorter format. One of the things I appreciate most about your writing is your intellectual freedom and curiosity; exploring what would typically be siloed topics (if they're recognized at all) and weaving the story between them... at least that's a way of thinking about health (& related) that I've always found to be most thought-provoking and completely consistent with a functional approach.

Expand full comment

Congratulations!!

Expand full comment
Feb 1Liked by Remnant MD

I just listened to your interview on the Bitcoin Rapid-Fire podcast. It was great! I appreciate hearing your insider perspective during the covid era. No agenda. Just a recount of your experience at the hospital. It cleared up several things for me.

In 2021, Michael Lewis published his book Premonition, mostly about the CDC’s covid response in 2020. I read it twice. The author said when he researches organizations he finds his most enlightening information comes from a level six (L6) employee. They are the ones working the day to day of the organization. They have lots of core information as to what works and what doesn’t. But they don’t have the authority to implement all the changes that would make the organization more effective. Having had a career with very large corporations, it rang true to me. I think about that a lot when making decisions. Like has the auto part the big box mechanic is recommending been sitting on a shelf forever because it was cheaper to order in bulk? Does sitting on a shelf forever before install degrade it in any way? The mechanic might know but he isn’t in charge of ordering/procurement so he has to use what’s available. That’s a made up example, and probably overkill, but you get the point.

Don’t I sound fun ??!! 🙃😆 (sarcasm)

Expand full comment
Feb 1Liked by Remnant MD

It has been quite some time since a toddler and new-born in the house so enjoy any sleep while you can. Looks forward to hearing more of your content.

Expand full comment
Feb 1Liked by Remnant MD

I like your voice and that you speak slowly. The sound is clear and without background noise. I like that you are a deliberate and thoughtful thinker and that you respect yourself enough to process at your own pace, analyzing and adjusting your process as needed.

I will definitely listen to future recordings.

That said, my best advice to you (I know you didn’t ask😆) is to prioritize everyone’s sleep. Health cannot exist without it. It feels impossible to achieve, and many nights it is, but keep trying. Drop whatever isn’t necessary. If your production goes down, so be it. We understand.

My kids are 21 mos apart...but are 27 & 29 now. The early days are rough but it does get better. Keep the faith. My kids became my besties around the time they graduated college. Truly blessed. 😀

Expand full comment

Congratulations on your new baby! My wife and I had 3 sons back in the 70s, and we did have a toddler and an infant at the same time, so I know what you are experiencing. My sympathies for the sleep you're not going to get. I've always said that children are self-liming, since the more you have, the fewer opportunities there are to make more!

I do like podcasts, which are much faster to process than text, so it's a yes vote from me.

However I would caution you about the time factor. We have made dozens of videos for use in my iOS apps. Every minute of video requires an hour or more to prepare, due to post-production editing. Audio will be much easier, but you still need to be conscious of factors like keeping a constant distance from the microphone, as well as noise introduced from external things like clothing brushing the mic, taps on the table it sits on, etc. You may want to get some editing software, so the if you have a cough, or interruption, you can just record that bit again, and then edit out the problematic bits. Given the time pressure you are under, you might want to consider getting someone to do the final edit.

Expand full comment
Feb 1Liked by Remnant MD

Congrats on the birth of another son!🩵 we have 2 sons also, grown now, but in my opinion, boys are the bomb :D

Oh and yes, I’m thrilled about some audio. Like ApotheCarol (are you a pharmacist, by any chance?), I like to listen while doing other tasks.

Expand full comment
Feb 1Liked by Remnant MD

I vote yes! Listening frees me to take in information while tackling mundane tasks, making my time more productive. Hence my audiobook addiction. That you offer insights and information of benefit to those in pursuit of health truth separates you from the indoctrinated; the difference between good and great. Stay great! I’ll be listening, Doc. Hugs to the babies!

Expand full comment