World War III & AI Robot Fever Dreams

Dr. JJ and Dr. Domi are back from their "winter hiatus" (a.k.a. surviving snowstorms and existential dread) just in time to discover that World War III apparently started while they weren't paying attention. Oops!

Between canceled wellness retreats, cartel warnings derailing Mexico vacations, and the realization that maybe New York City isn't the best place to be when stuff goes down, they're consulting ChatGPT for survival tips—because nothing says "we're fine" like asking AI to help you pack a go-bag.

This episode dives deep into their love-hate-fear relationship with artificial intelligence. Dr. JJ confesses to using ChatGPT to make her sound nicer (translation: less likely to commit email homicide), while Dr. Domi grapples with AI medical documentation that just makes stuff up with alarming confidence. They discuss whether personal robot assistants are worth the inevitable Terminator scenario, why bees are dying every time you ask ChatGPT a question, and the very real possibility that Idaho might be humanity's last stand.

Also featuring:

• The Walking Dead as legitimate apocalypse training
• Expert witnessing as a side hustle (medical detective work, anyone?)
• The Pitt remains unwatchable without emotional support
• The Scrubs reboot: now with more seasoned attending energy
• Kristi Noem's spectacular downfall (chef's kiss)
• Financial planning via Vivian Tu because someone has to think about retirement between wars

Plus, they cover alternative career paths for burned-out clinicians (hello, expert witnessing!), catch up on medical TV dramas (The Pitt and the Scrubs reboot), discuss financial planning with Vivian Tu's Well Endowed, and celebrate some sweet political schadenfreude.

And yes, they recorded this while World War III was apparently happening. Because of course they did.

Remember: they're doctors, but not YOUR doctors. For actual medical advice, consult your own physician!

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Transcript

SPEAKER_01 0:00

Welcome to No Other Skills MD, where I, Dr. JJ, a psychiatrist in desperate need of a mental break. And I, Dr. Domi, a pediatric anesthesiologist with a dusty degree in fashion design. Explore the intersections of medicine, personal growth, pop culture, and surviving a dictatorship.

SPEAKER_00 0:17

From dissecting the absurdities in healthcare, navigating midlife transformations, and delving into the latest newsworthy topics.

SPEAKER_01 0:24

Join us as we share candid conversations and learn more because we have no other skills. MD.

SPEAKER_00 0:31

And just remember, although we are both doctors, we are not your doctors. So please seek out your own physicians for actual medical advice. All right, let's check in on our vitals. How are we really? It's been like almost three weeks, a month since we last recorded. We were a little bit on a winter hiatus.

SPEAKER_01 0:51

True. I know our amazing audience has been waiting in the wings to hear the updates. But you know, it's been uh it has been a whole month, and with it, a lot of other things have gone down in the background for I think both of us. Um namely, I've really kind of sunk my teeth into a new job and kind of really up and running on that. And of course, with that comes all the trainings that you have to do, just hours and hours of training. But I have to say, I'm learning a lot, and um the trainings have improved over time, particularly related to things such as workplace violence and harassment, a little bit more nuanced and with depth, but uh, you know, very practical knowledge that I'm getting to absorb, especially given just sort of the, you know, general gestalt of the world these days.

SPEAKER_00 1:43

So you mean World War III? When did that happen? I swear, if you missed two days of news, which I just took a break, and then I'm sorry, did we actually start a world war? I believe we did. Many countries are involved.

SPEAKER_01 2:00

Oh my god, and it seems like it's been quite a few different moves that have been going on, kind of catapulted uh or really crescendoed last weekend, was it? Was it just a week ago? I can't tell.

SPEAKER_00 2:12

It was like 12 years ago, but I think it was a week ago.

SPEAKER_01 2:15

Well, yeah, I think it did happen maybe more like 10 years ago when we were afraid to elect a woman to be president as a society.

SPEAKER_00 2:24

So and we were afraid to elect also a South Asian black woman.

SPEAKER_01 2:31

Black woman.

SPEAKER_00 2:32

Oh, yeah, just four years ago, right? We have not learned a single lesson, not a single lesson.

SPEAKER_01 2:38

Absolutely not. I mean, especially, you know, given the month. It's um International Women's Day, maybe yesterday, also women's month, and uh, you know, just lesson after lesson to remind us that uh, alas, what could have been? But now we're in, as you mentioned, WW3.

SPEAKER_00 2:58

Oh wow, the history books should be interesting because it's always interesting on who writes them. So that should be, you know, fun. I I've been thinking in the last month I did finally go on the retreat. I was going to a wellness retreat in the Berkshires, and that was put off by this first snowstorm on the East Coast. And then, of course, in the middle, I had to cut it short because of the second snowstorm, and I didn't want to get stuck in Massachusetts when I had to come back to work. So instead of a four-day excursion, it was like a day and a half. It was lovely. And I think I'll definitely go back in the fall, but it was disappointing that what is the world telling me that I just don't deserve a break, I don't need a break, something. But um, I had planned a vacation to Mexico. I can't remember if I mentioned this last time. I don't recall because I have a friend that moved there, and then the cartel thing happened. That was two weekends ago. Yes, and I was like, oh but then, you know, not in the area I'm planning to go. Obviously, Mexico's a big place. And then World War III is happening, and I'm thinking I'm probably safer in Mexico than I am in New York City, so I think I'll be fine in the future. I was considering Dubai. Yes, considering Dubai as a future vacation in the next year, obviously that's not happening. They're bombing the airports. Oh my goodness. Yeah, and I believe it's Iran who's bombing everybody's bombing everybody. I won't be able to keep track. So many countries are involved. So, what is your vacation? Any vacation plans to countries not affected yet?

SPEAKER_01 4:36

It's just like one thing after another with where can you go and to get that um sort of reprieve, right? And this sort of climate interference with your retreat access, just I just my heart goes out to you because that's like so needed, particularly at the end of the day.

SPEAKER_00 4:54

It was a lovely day and a half, I must say.

SPEAKER_01 4:57

Day and a half is not four days, oh no.

SPEAKER_00 5:00

It's not, but it gave me a preview of something to come, and I think the next time I'll go will be in the fall. They say it's very pretty with the leaves changing and night snow. Like five days or something like that. I went hiking in the snow and it was great. Oh I'd never hiked in the snow before.

SPEAKER_01 5:18

Did you need like snowshoes?

SPEAKER_00 5:20

Um, I have hiking boots, but then they provided spikes, like spikes you attach to the bottom. Something I never knew about, and little poles to to hike with. And I'm like, huh.

unknown 5:30

Yeah.

SPEAKER_00 5:31

White people might be onto something with this hiking in the snow.

SPEAKER_01 5:35

I mean, it's air quality is probably lovely. I mean, I can see all the all the appeal there. Um, but I hear you. I did get a chance to uh drop down to Palm Springs for a lovely weekend a couple weekends ago, which subsequently then led to a cold. Uh so you know, any airplane travel for me at this point, I mean, I think I just need to mask, even if it's less than an hour.

SPEAKER_00 6:01

I always do. I you know I mask on the subway, I mask in the airport, I mask on the plane. Because I just don't need recycled air of a thousand people on me when you cannot escape. That's the thing. If you cannot escape and there's no real window, I mask up. I still do.

SPEAKER_01 6:18

I've I've been a little, you know, I dropped that a couple years ago, and then just sort of the freedom of not masking then led me to make these very poor decisions. But now I've had more than enough data indicating to me that, you know, I am vulnerable in those very stuck places, like you mentioned. So it does seem like this is a no-brainer. So we'll see what I do on my next trip. But I have a couple of few little trips lined up, all domestic, all kind of on the west coast. I think that's the safest option at the moment. I'm limited in being able to go anywhere else. Though I will say, for this Mexico trip, where was it? Do you know like the region or the city?

SPEAKER_00 6:57

Well, there were things happening around Mexico. My trip is planned for Mexico City, around Mexico City. Yeah. Um but I always look when I travel to see what the what do they call the travel warnings? Like, you know, it's like one through four. One is a super safe country, that's Canada. Two is like most countries just use common sense. England, uh, France is a two. So right now, and they break it down into region depending on the country. So right now, Mexico City is a two. Three says exercise caution. You may want to, you know, revisit. Get some travel insurance. Exactly. Four is definitely don't go. So right now, everything in the Middle East is a four. I don't think you could go if you tried, kind of thing. You know, I think Israel's a four anywhere in that area. So I'll just keep an eye on the warning. If it gets, if something kicks up, obviously, you know, I'll postpone it. But also there's a realization I live in New York City. It's not the cheapest place in the world. Um, and we're aggressive to other countries. They they might be aggressive to us. So that's also something in the back of my mind. Uh my survival tactics for World War III, which I anticipated with this with this presidency. Uh, I have a to-go bag. I've got my car. I always park my car in a certain way so I can get out real quick. I have, you know, I I'm ready in case I need to hightail it. Do you have a survival plan? I have my papers and things in my safe that I can grab real quick.

SPEAKER_01 8:35

Right. You are prepped. I will say, on our end, I mean, I have thought about this. I don't have, I had a go bag in the past for like earthquake-related emergencies that have sort of expired over time and now or just lovely like use for storage. But I will be honest with you, I think I'm just gonna hold my ground and let them do what they're gonna do. Oh, you're winning. You wanna stay and just not fight. And it's gonna, I I know it's so kind of passive, but I've I'm just sort of like, well, what where where are we gonna go? One. I mean, I guess Mexico or Canada, like just kind of, but I think it's gonna be a situation where we'll just kind of wait it out until the inevitable kind of reality. But I hear you, I think more than ever, sort of thinking about that and where to start moving, start moving towards from our end. Allegedly, there's one place in maybe Idaho. I'm thinking Idaho, where there has been some statistical calculations made where there are there is a little kind of place where no bombs can hit.

SPEAKER_00 9:53

Oh, Idaho, and you have to go to Idaho for that.

SPEAKER_01 9:56

Yeah, and and nobody's welcome. Well done to Idaho.

SPEAKER_00 9:59

I haven't been. I think I know what it looks like on a map. Pretty sure I did a report on it. And yes, I remember how the state looks, but I've never actually had a reason to visit Idaho. Uh but good to know.

SPEAKER_01 10:13

It's good to know that uh, you know, Idaho, I've driven through Idaho a couple times. I've uh driven through is the a very specific word. I haven't stopped in any major cities. They're actually right on the continental divide, so there's a lot of lovely hot springs and some really beautiful natural places, particularly on your way up to like yeah, Jackson. Well, they're actually not like super fancy, they're more rustic, but they're on your way to like Jackson Hole, Wyoming, Montana. If you're gonna go visit like the Tetons or Yellowstone. So it is actually a beautiful place, but the libertarian mentality is quite profound there. So I don't think they want people like me in Idaho. I'll say that. Yeah. So I'm thinking I'm gonna just stand my ground here.

SPEAKER_00 11:00

I think my to-go bag, and it's probably because I watched a lot of Walking Dead back in the day, where it's zombie apocalypse, but I feel like it applies. It's just you don't want to be somewhere like New York City. I love New York City, but when stuff goes down, being on you know, an island or in surrounding areas with 8 million people may not be the best place to go. So just something a little less populated, yeah, would be my that's where I'm going kind of thing. I I think that that's I think it's a New York City thing, as opposed to I need to totally flee the country, though I do have a bank account in Canada, just in case I did it right after this election. I'm I'm not messing around. Yes, I was thinking around.

SPEAKER_01 11:47

You just drive right over that border real quick. Yeah. Oh, these are very good tips, I think, for all of those people out there listening. I mean, you know, how many seasons of Walking Dead did you get through?

SPEAKER_00 11:59

I got at least five or six. Oh, you you made it, yeah. I was deep into it. I got comic books, I was deep into it. And then things kind of got redundant, and certain characters died, and then when certain characters die, you don't feel like watching if the actor was really great or something.

SPEAKER_01 12:19

Uh I think I made it to maybe three, and then I was like, ugh, I I don't think I can do this again. It's but it gives good probably a good survival tips, I think.

SPEAKER_00 12:29

Playbook. I would like to think in a crisis, what kind of person would I be? Could I harm someone else to save someone else? Could I do this? I feel like I would look great because I'd be all like jacked and ready to go. And I feel like I hope I wouldn't crack under pressure. But also my to-go bag and my survival in case of World War III and other things, I got using AI. I used Chat GPT to help me pack properly. Ooh. And that's why the topic of this podcast came up kind of the presenting problem, the case report, the good, the bad, the ugly of artificial intelligence. So I have was slow on the AI train. And when I say AI, I'm starting with chat GPT. I'm starting at the very baby steps of AI.

SPEAKER_01 13:23

You know that I'm even slower. You're I'm like even I think I'm like a year behind you. So I'm gonna sort of follow your footsteps and get this advice, especially if it helped you with packing a go bag.

SPEAKER_00 13:34

And it's I wouldn't say I use it on the daily basis, but I want to start to because it helps get rid of annoying tasks. I am currently reading a book, which I think I'll talk about later, and I needed to write an email kind of with all these things, and I didn't want to structure the email. Maybe it's laziness. I was like, oh, I I don't want to have to structure this email, make it a little formal. I just wrote three lines of what I wanted Chat GPT to figure out for me. And then they came up with it. I said, make it a little less formal. This is six out of ten, make it less AI sounding, make it a 10 out and then pop, pop, pop, pop. It wasn't, you know, something I'm being graded on. This isn't school or work per se. But it just made it easy, and then I can send the email.

SPEAKER_01 14:23

Yeah.

SPEAKER_00 14:23

For things that I don't care if someone knows it's AI anyway, for for small little tasks or how to do something, how to change the battery on my key fob of my car. Wasn't sure how to open it or what goes with what. Um, I think as a single woman, it's very helpful for things if you're not handy or anyone handy in general. Uh product reviews. You don't want to go to the website. Does this work with this? So little things to make my life easier because I don't feel like doing real research. But of course, everything's a grain of salt. AI, just because chat GPT or whatever engine you're using doesn't mean it's correct. So you have to, you know, use it with caution. But do you use it at all for work? Because now I'm hearing people are using Chat GPT for their psychological needs, and I wanted to get your take on that.

SPEAKER_01 15:18

Oh my God. Yeah. So as you know, I'm a very slow adopter. I'm actually quite skeptical about it. And I feel like we've been brainwashed by AI for the last few years so that it's just getting infiltrated into our everyday.

SPEAKER_00 15:29

We can get into that in a little bit too, but go ahead.

SPEAKER_01 15:32

Oh, yeah. So, right as I was, again, leaving my last workplace in the big system, they were adopting, I forget the exact name of it, but one of those software programs where it's listening to you and then writes a note for you. And I did kind of play with it a little bit, and it was very beneficial in terms of the time hack, of course, of not sitting there and regurgitating information in a written format. But it also made assumptions based on what you were saying that were incorrect. And it was kind of scary to see that jump and the confidence within it that's at work. Yeah. And so I've never fully adopted it, but I do know other people who have loved the ability to not sit there and chart the same way that they used to. And I could see that being super beneficial, but I think that will be a tool that'll be used to make you just see more patients. Like I don't think it's something that's there to just like help you. It's to increase efficiency always. And of course, I think that there have been, you know, in my kind of limited job search, like opportunities where you're basically training AI and just thinking about the potential replacement, particularly within psychiatry, right? As there are headlines now coming out now that Chat GPT has been around for what, two, three years or two-ish years, you know, the cases where there are people who are essentially creating these therapeutic relationships to the point of actually even taking their own lives based on these interactions that they're having with Chat GPT. So it's really scary. It's quite a minefield. And I think, you know, the use of it is for me, kind of temperature check on the challenges that humans are having right now in relation to isolation and not being able to kind of connect with people directly. Like, I really think of it as like, why would you turn to Jack GPT for a therapeutic relationship? Right. And but on the other hand, the way that it can help and the way that it can make you not have to do, like you said, those annoying tasks that are just like barriers. They're barriers to like getting something done and to use it at, you know, I have used it in terms of uh like within my work world, it helped me sort out like malpractice insurance, synthesizing information away from me that was super digestible. And then I would fact check it based on, you know, doing a search, also. So I think that it was I I see the the benefits for it. I'm worried about what could be the outcome of it fully, and I'm I'm very hesitant, but I'm also like slowly opening my mind to it, but also I'm just so cautious. I'm I'm sort of boomer here. I think I'm like of the generation where I'm like, I need to read books again and not just have something like hand in the book.

SPEAKER_00 18:32

I think everything needs a boundary though, right? So I can't remember. It was a headline, I didn't read the article, but it was something I I'm sure I read on Twitter where there's a proposal to ban AI from certain parts of medicine, certain parts of law, I'm sure some certain parts of psychology or mental health to bar them from doing certain things. Like Chat GPT shouldn't be giving you a diagnosis. Chat GPT shouldn't be giving you legal advice. Or, you know, there was a case where someone fired their lawyer and used Chat GPT to help you know navigate some legal issue, and ChatGPT was making up laws and citing case reviews that never actually existed. So in that that's so scary, the fact that AI can fabricate things should be some kind of barrier, but I don't know with the technology if that barrier can be put in place. So I do believe that ChatGPT should not be giving medical advice or it should be very, very limited psychological advice, legal advice. So I think there should be barriers, but there's room for it to simplify certain things. But just like with everything, I think you have to have baseline knowledge. I don't know if children should necessarily have access to it if you haven't read a book yet. It's like reading the Cliff Notes but never reading the book. And then what kind of critical thinking? Critical thinking education will a young person have if they haven't put in the work before they got the cliff notes. And for those who are too young for Cliff Notes, those are summaries of books that came out when I was young, and they were little yellow packets. If for some reason you didn't read the whole book, which I always did. Yes, hint hint. I guess there's no clip notes anymore. That's what Chat GPT is to summarize things.

SPEAKER_01 20:37

To summarize it, or like I guess like other versions of it would be Wikipedia summarizing something. I mean, I yeah, I think we're like kind of in this really interesting revolution with AI where we're in that like infancy age where there's a lot getting tested, we're understanding the limits, the dangers. And, you know, I do hope for like a utopia in the next decade where AI in general helps like our lives better in terms of like efficiency and kind of having to navigate around things that are hard or that we have like limited ability to like access. But getting there, I think, is gonna be very interesting. Like it is really like we're in that like starting era, and we'll, you know, it's kind of like any industrial revolution, right? All those workplace incidents that then led to OSHA to like more safety. Like, I think that we're kind of on the cusp of that. But I will say that I think I'm one of the most slower adopters, more of a slower adopter than most people.

SPEAKER_00 21:36

And technology in general or specifically AI? I I think you're not a boomer.

SPEAKER_01 21:43

You are not a boomer or a millennial, but I'm starting to feel boomery around all of this. I think even I don't know, I am finding technology to be a little less like intuitive than it used to be for me in terms of comparing myself to the Youthful generation now too. So I think AI is a little bit like the cell phone. I'm like kind of learning it at this glacial pace, but also with a lot of like skepticism and actually concern. Because I think that the next generation, as they're learning, my understanding, and like kind of starting from elementary up into high school, they are being taught to use these tools as they're learning. I think it's like too early for young brain. But it's also kind of impacted and influenced by unfortunately all these like technology companies that are in charge, as well as for me, I have like grave concern related to the climate climate impact of all of this technology. And like literally every time you ask Chat GPT something like a little a bee loses its wings, you know? Like it's like really.

SPEAKER_00 22:54

Like I've heard that before, but yeah, in my mind, I'm thinking this is computer work. How does it affect your environment? So I don't understand.

SPEAKER_01 23:04

My understanding of it is related to these huge data centers where all of the computation is occurring and the emissions associated with AI is quite profound. It's huge. And I think it's this kind of silent thing that's like happening. And you know, corporations are like buying up towns and putting in data centers that are then leading to just buildings of computers. Buildings of computers are high emissions. Yeah. It's like the old factories are now these huge data centers. So I think that is also then leading to water issues, pollution stuff. And so there is this kind of other aspect of it that is just kind of happening as we're like adopting the convenience of it all. So I that's where I kind of like struggle.

SPEAKER_00 23:51

There's something else that occurs to me because you know, we're stressed out doctors, and kind of all stressed out doctors are wondering how long am I gonna work clinically? Because things are not the same. So I've been on this kick, you know, and we'll talk about it a little bit later of alternative non-clinical job plans. How does AI fit into this? AI should not replace physicians, but is there something that uh could benefit anesthesiologists that is AI-based that makes things easier? Perhaps documentation or da-da-da. Obviously, you have to overlook things to make sure the data is accurate. But I'm kind of interested in that. Is that something I could be the helm of? Would it be helpful? Would it be hurtful? So I I have interest in what it can do as far as uh doctors using other parts of their brain to help patients and perhaps not physically be there if it's not necessary for doctors who are no longer interested in clinical work, you know, different for psych psychology and AI, that's that's a different thing. But maybe with paperwork, it could just help with so I I'm on the fence too, but also considering that we're in World War III and until the war is over, that's how I'm gonna refer to it, people it's facilitating World War III. I was just listening to the deal. Yeah, and today's topic was by the time you know you guys hear this, it will probably be a week ago. Basically, how is AI and this war coming together? And AI helps to drop bombs or flying fighter jets so people aren't physically in them. But what if the AI makes an error and then drops a bomb on place X instead of place Y because you didn't have a human overlooking it? Obviously, there's human data as well, uh you know, human error as well. But and then I think about the Terminator, and then I think about all these doomsday meetings because I would love a personal assistant. And then I thought to myself, I would love a robot to do stuff for me, but then you think of the Terminator, you know, and then the robots will think your thoughts, and then the the robots will try to take over. Um, but it'd be nice to have someone do the stuff I don't want to do. Oh, a hundred percent.

SPEAKER_01 26:19

Yeah, they left so quickly. You know, yeah, I mean that's a whole concern, the nightmare scenario when the robots.

SPEAKER_00 26:28

That's a legitimate concern for me.

SPEAKER_01 26:30

Oh my god, this was Terminator was such a part of our childhood in terms of um, I need to revisit that actually.

SPEAKER_02 26:37

Terminator too is my favorite, yeah.

SPEAKER_01 26:39

Oh, yeah. Oh, I gotta do a marathon this week. But I I, you know, uh it's when the robots turn on us. And you know, this kind of like a personal assistant, I mean, they're just gonna learn and I don't know, like kind of absorb all of your sort of and then kind of like backfire against you because it does, it wants to satisfy you. I feel like there's this urgency for it at all costs to tell you whatever you want, to help you kind of take care of anything you want, but like sort of at the sacrifice of truth, maybe, or I think I don't know in my AI prompts.

SPEAKER_00 27:18

I have to perhaps tell it, I'm not your friend. Tell it to me straight. You know, I I think I'm gonna try that to make sure that OI is not treating me with kid gloves and and things like that. But I've used it for job searches, um, you know, alternative uh career plans or insurance. You've mentioned malpractice. I've I've done it looking for different types of insurance plans. So I think it can be helpful. I think, like with anything, too much of a good thing can make it, you know.

SPEAKER_01 27:53

But also survival of the fittest. I know you you can't be left behind. And I think that like was a big propaganda part that really I think allowed for this slow adaptation. And then I will be I'm guilty. I was writing an email to somebody the other day, and then it said, here's some suggestions. And I read the suggestions and I said, Oh, that's what I want to write. And I sort of allowed it, and then I edited it and then put it in there and I changed some stuff around, but it saved me like maybe 20 to 30 minutes of my life in this really nice way. And so I I hear you, I feel very double-minded about it at this point, but I I see the appeal, but I'm it's also scary.

SPEAKER_00 28:34

I also use it to make it sound nicer than I am. So let's say I'm sending an email or I want to send a text where I want to put someone in there and I it comes out hard, I'll put it in chat GPT and make this sound nicer. Whatever professional, but nicer, or I'll give it these prompts because of how my emotion wants to say things is not how it should come out. So chat GPT might make me a better person.

SPEAKER_01 29:01

I can see that a little revisiting, like correct to blah blah blah, beep you exactly, exactly.

SPEAKER_00 29:11

And chat GPT is like, let's revisit this. Perhaps we can talk in a more productive manner. So, you know, AI might be helpful for saying things. I think we cannot be left behind. We have to keep up with at least what other people are using, being aware of what other people are using as far as work, as far as personal issues. We just have to kind of keep up. But moving on, we're gonna do some consult, some second opinions, any alternative non-clinical job plan updates for you? And then I'll go through mine.

SPEAKER_01 29:49

None on my end, because uh having now job. I have a new job right now, which I am absorbing rapidly and kind of um diving into right now, which again, as a reminder from our last episode, I'm only doing temporarily as somebody who's on leave. So for me, I'm like honing in on that right now, but always kind of got my ears up for something else. What have you been dabbling in these days? What have you been finding?

SPEAKER_00 30:16

So I have a physician coach because I'm always honest. I don't think I want to do anesthesia and be in the OR pushing meds until my dying breath at 82 or what have you.

SPEAKER_01 30:31

Please give me fentanyl and versat anytime, though.

SPEAKER_00 30:34

Okay. Drugs for everybody makes me very popular. So I have this physician coach with just ideas of how I can have different options to make money, other than what I was exactly trained for in medicine. And something we came across, a little bit of AI. I have to figure what feels good, what's good for my profession, what's not gonna harm anesthesiologists in the long run, what could actually help us? Are there companies that are looking for consultants on AI or how to make the operating room more efficient, which also could be bad because they want to do more cases, if et cetera, et cetera? But also expert witnessing. I've I've you know touched upon something I can do, and that's something you can do one day a week, two days a week, depending on how popular you are, and it takes a while to build a reputation. But but I've thought about that. Has that ever come up to you as far as being an expert witness? Is that something you ever had interest in?

SPEAKER_01 31:37

I'm curious about it. What uh the intimidating part about it is whether or not you have to like be on the stand, you know, like be up there in court testifying.

SPEAKER_00 31:50

I've taken a general course on it, just a 60-minute course. It sounds like the vast majority of the time you're not testifying. The vast majority of the time you're not testifying against, and I have air quotes, obviously people can't see, uh, testifying against a fellow physician. You're clarifying things for lawyers who have no idea about anything in medicine. Right. So it's just you're being a translator. Right. Right. Is that is this something? Is this standard of care? Is it things like that for something that lawyers had difficulty deciphering because they did not go to medical school unless you're MDJD, which I did think about for a second. I actually thought about getting a dual degree. I was psychotic at the time. I thought about this, so I'm glad my psychosis resolved because that's a good thing. You can always go back to law school. Absolutely not. That's crazy talk. Uh, but I I am considering, and we talked about this. It could be an option for something I can do where I'm using my expertise. Uh, I have friends who have done it, I have an ophthalmologist friend who does that every so often, and she says she loves it. She says it feels like I'm a detective because I have to decipher all these medical notes and really make things clear for the lawyers because they cannot do them themselves. Uh, so she feels like she's a detective, a medical detective is how she puts it. So I'm, and it can pay well if you have a good reputation, etc., etc. Uh, you do still have to work clinically because it just looks good. You can't be a doctor that quit their job and all you do is testify or do that. So it's something I'm, you know, I'm considering. But something else I'm always considering is even though I'm a doctor, I could play one on TV. Have we been watching any medical shows?

SPEAKER_01 33:37

Oh, yeah. I mean, always like an option. Maybe we should write a medical drama or medical comedy show because they've reprised the new Scrub or Scrubs is coming back out again. I saw it. Did you? Did you catch? I have not, I've not I've not watched it yet. How what what'd you think?

SPEAKER_00 33:54

I thought it was good, but I feel like um I have to get used to the new characters, like they're new interns per se, and I'm not just connected with them. And so basically the the residents, or you know, who were the I don't know these actors' names, who are the original Scrubs cast are now the attendings, right? That makes sense, but I also miss there being an older element, so they're like the oldest people, but they're still older people in medicine, you're still interacting with you know, physicians or nurses who are 75, 65, and so it's missing that. I have to get used to kind of the young people. So I feel like there's something not quite there, but I usually give shows a couple of you know, a couple of episodes to find their footing, but it was still entertaining. I will say it was still entertaining.

SPEAKER_01 34:46

Oh, I'm glad to hear that. You know, I I mean, our we're the attendings now. We're kind of like, I think, a little bit like wild. We're seeing it's a little bit scary, but yeah, as you know, I'm making my way through the pit, season one. I did complete episode three. Dr. Domey, can I just say it's really hard to watch this show? I mean, I love it at the same time, but it's like it's really hard. And so episode three, it's just, you know, more people die, more bad news is conveyed, more depictions of the, you know, secondary trauma that people in the ER are having constantly from all sides and at all levels, the way that you have to kind of repress and move on and just sort of in in a way shape yourself in order to like work in the system that is overtaxed. I mean, it's just so it's so intense. So I did make my way. Uh like I need, I hope the next episode there's some like you know, Grey's Anatomy type, like sexy time in the closet. I need a little bit of that, but that's not reality.

SPEAKER_00 35:54

Let me tell you. Oh, yeah, okay. So I can't get into specifics, but and I won't well there are people who have been caught having relations in closets at places I have worked. So there's definitely been Grey's anatomy type behavior at different places I've worked, which is true. But in the pit, not there's you know, they touch upon people perhaps having outside relationships or things like that, but nothing super explicit. But maybe to come. But I will tell you, as a preview to the second season, even though you haven't seen it yet, they do talk about AI, incorporating AI into the uh into the ER, and kind of what we discussed is happening in current episodes and kind of the pitfalls and things like that. I need to catch up when you get there.

SPEAKER_01 36:55

I will. I need to just catch up, I think, because I need to get through some of these episodes.

SPEAKER_00 37:00

Yeah, it tends to marathon. You can't is too much to marathon. It's too much.

SPEAKER_01 37:05

I actually I had to I I watched half an episode, went to bed, and had to finish the other half later.

SPEAKER_00 37:12

Cause I was like, I think you'll always be like a season and a half behind at this r. Yeah.

SPEAKER_01 37:17

But I will say I loved it when in this episode, Dr. Is it Roby or uh, yeah, Dr. Robbie, he's like uh confronting the resident who's really slow and like maybe you should consider a different specialty, like psychiatry. And I'm like, that is speaking to me. There's a reason I did not become an ER doc. And even though psychiatry is so present in the emergency room, but we like to take our time. And so, but less and less the case because it's just everything is getting more rapid.

SPEAKER_00 37:46

Stay tuned, stay tuned, but also I could not be an ER doc. I did two weeks of a rotation in medical school, and I said absolutely I could not even sit down to eat a sandwich without somebody having a heart attack and a stroke. No, hard to use the bathroom. They do depict this sometimes very well in the first season that these doctors cannot even use the restroom. And it's like that in in real life. And so, for me, shout out to my ER doctor friends. Could not be me. Could not be me.

SPEAKER_01 38:18

Yeah, any new I agree. Oh, well, no, I I'm in the middle of starting a new fiction book, but there is a book that I'm very interested in kind of taking on, and I want to say it's Good Woman Reckoning, the reckoning of a good woman, and it's a new nonfiction book that came out, yeah. And it's uh it's about, you know, women sort of reclaiming themselves and helping kind of morph away from sort of all the needs for us to fit in and be. I think the way that they she put it is that for most women, what we do is conform and then wait to be chosen, this sort of concept of what the meaning of a woman is. And so this is something that is on my to read list, and it's I haven't quite hit it yet, but that is kind of the big thing that has been really piquing me these days. How about you?

SPEAKER_00 39:20

I've been reading, and I've told you before, Vivian 2, she's like a financial TikToker, and she has the first book that I read, and now she has a book called Well Endowed, and I have it on my iPad. Basically, you have the basics of finance, and she kind of starts for people from scratch because it's not my natural inkling to know anything about money, and basically how to create a legacy. So it's helpful if you have kids, but even if you don't have kids or a husband, what to look out for, types of insurance, doing it's just a nice step-by-step to get your life in order. And I was even doing that with homeowners insurance, and I was going through mine, and Chat GPT helped me write a letter to this to see what kind of discounts and what kind of flood insurance I should get, and things that I don't really think about. Impressive. Yeah. So between that and a little chat GPT to help me organize my thoughts on something that I'm or just knowing how to ask the right questions. That's what I also like AI for, because sometimes you don't know what questions to ask. So I even say that to patients, you know, you don't want patients Googling medical things per se. And I said, Google, as far as medicine as a patient, shouldn't tell you the answer, but it should at least help you ask the right questions. And so that's kind of what I use also AI. Sometimes I don't know what question to ask if there's a topic I'm not well versed in, and it helps me focus so that I can ask a real person or go to a real source what question should I ask? So I think it's helping me in my financial journey. And it even tells you if you win the lottery, what to do. Oh, I okay. That's my backup plan by for everyone. That's my backup retirement plan is winning the lottery. What's a jackpot up to these days?

SPEAKER_01 41:22

You know, I can see like, yeah, the translation and helping it be a little bit more digestible, this information. And then action steps. I mean, I really, you know, it it's there's this like kind of synthesis synthesis that occurs. It sounds like that's really beneficial to kind of just keeping it easy and accessible to people versus like taking something on that's actually just too nebulous and challenging. Yeah. So I, you know, I am still a little anxious about AI, but I feel less fearful. And I wonder, you know, Dr. Domi, thank you so much for all these tips because it's sort of like you're welcome, Dr. JJ. I'm learning a lot too. I'm like, you know, bringing it in and folding it in, but also with a little bit of um uh of a you know, caution sign, but a little bit like how can it help me? Right, right. Which is what we gotta do these days.

SPEAKER_00 42:15

We have to. We're in the middle of a World War III, so we gotta use what we got. As far as side effects, what's our weekly rant, or do you have a weekly rave? Ooh. Well, it's been get outside of the war.

SPEAKER_01 42:29

Yeah, you know, I will say, I hope it's the case for you guys over in New York that you guys have been thawing out a bit, but I am very grateful.

SPEAKER_00 42:40

Oh, that's huge. The last three days it's been warm. Praise the Lord. Praise the Lord.

SPEAKER_01 42:46

Oh, I am so I'm so happy to hear that because I will say the weather here has been amazing. Oh, and so spring has sprung despite the the daylight savings time situation. By the way, I heard today that Canada is no longer changing. So I think you know, if that's the case, they're getting rid of it. They're no longer gonna be changing time going forward. So I say a rave to Canada, a rave to be a potential place. I think it's time, and at least some of the states maybe should adopt Canada's way and being like, we no longer.

SPEAKER_00 43:22

Let's just be done with it.

SPEAKER_01 43:23

It's another thing. And if AI has taken over industry and agriculture, then even more reason AI to stop this. So please, AI, if you can hear me, let's get the United States to no longer, I don't know what, uh, honor daylight savings time and let's be done with time change. So I will say Canada and go for and thank you, spring. Thank you for springing. We really needed it.

SPEAKER_00 43:48

I think how about you? Maybe I'll just do a raid this time. I was so excited when I saw that Christy Gnome got fired. Oh Oh, it just warmed my heart because you thought if you just kiss the butt of the president, which everybody thinks, and eventually they all get screwed in one way or another, that it won't come back to bite them. But basically, she said, he said it was okay to spend 200 200 million dollars on ads featuring me, featuring me with my glam on a horse, trying to round up quote unquote illegals. And he said, I didn't I didn't tell her to do that, wasting money. And then mostly he was Trump was probably pissed uh at the rumor that she was sleeping with a subordinate. Oh yeah. I mean, she was funny that he thought that was tacky. That's rich. That is so rich. But I digress. So it just it just warmed my heart. And not enough kiss and butt saved your job.

SPEAKER_01 44:53

I I will say those congressional hearings, her those were very enjoyable last week to watch. I kind of went down that rabbit hole with them. And yeah, her quasi-firing, because she's just been moved to some shield of arms department. Department. What it is absurd, so absurd. But yeah, I will say it's like a little bit of sweet justice. I I hear you. I hear you on that. That was like a nice, nice, entertaining end to that. Yes.

SPEAKER_00 45:27

I don't know who it is who will replace her. I'm sure the brutality is not over, but I just I I had joy. It sparked. Yeah.

SPEAKER_01 45:38

Yeah, and I don't want to take that joy from you. The the replacement will say is uh questionable, but you know, let it let him show himself and show the world what a farce all of this administration is.

SPEAKER_00 45:52

So well, it is what it is. It's time for our discharge summary. Thanks again for joining us at No Other SkillsMD Podcast. We hope you got something out of listening to your friendly neighborhood doctors.

SPEAKER_01 46:04

But please remember we are doctors, but not your doctors. So for actual medical advice, please reach out to your own personal physician.

SPEAKER_00 46:11

Please rate, review, and subscribe to our lovely podcast and refer a friend to us in the future. No preauthorization needed. Bye. Bye bye.