Episode Transcript
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Speaker 1 (00:11):
You are about to listen to the Doctor Dahlia show,
sase stimulating medical talk radio. Any medical advice doctor Dhalia
Wax gives on her show should not be substituted for
an actual visit to your medical provider. And now here's
doctor Dahlia right me.
Speaker 2 (00:34):
You're mad, I'm not the doll Show. Thank you all
for tuning in. One eight seven seven Doctor Dollar one
eight seven seven D O C D A L. I
So one thing I don't like to do is lose.
I don't like to lose, but I know how to lose,
and I know how to lose really well. The fact
I could teach people how to lose. I am so
good at writing. I can write a book on how
to lose. I know how to lose. I could be
(00:57):
a loser pretty easily. And I even taught my kids
how to lose because if they didn't win, I didn't
want them to crumble. And I see what happens when
people don't know how to lose. I live in Las Vegas, Nevada.
People screw up, they screw their family over, their finances,
over because they don't know how to lose. And one
(01:20):
of the first instincts we have when we lose something
is we want to get it back. Some of us
are successful at getting it back, but the average gambler,
once you lose your money, not gonna be able to
get it back. And then you dig yourself into a
deeper hole. And if you don't know how to lose.
And I can't teach you all in one segment, but
(01:41):
it involves one expecting a loss, two having a backup
plan for that loss, three seeing the good and what
you could take out of it to make it a
positive and a win. All right, I'll write a book
on it. I have enough stuff to write a book
on it. Yeah, okay, how to lose. I'm gonna lose it.
(02:02):
I lose a lot, and it's not easy. It hurts
to lose. But when you lose something, you could make
the damage worse trying to get that back. So I'm
looking at what's happening with Ukraine and Russia. This war
needs to end. I think we're all sick of funding it.
We're sick of people dying. Ukraine needs peace. Russia started
(02:25):
this and they bullied their way in, raped, plundered, there's
prisoners sent to Siberia. We're being told just horrific things
have happened, and there's been casualties on both sides. We
need this to end. The problem is is Ukraine have lost,
has lost some of their land. And if they are
(02:46):
going to try to get vladimir's Lensky, Russian President, vladimir's
Lensky and Vladimir Putin to agree, somebody has to be
okay with a loss, and if they're not okay with
a loss, they're never going to reach an agreement. Also,
one of them needs to stop continuing to bombard and
(03:10):
bomb keep and Ukraine and and throw drones their way.
So as much as I think Trump is going to
be able to do this, and I still feel he's
going to make this happen, and you know, we've gotten
farther than we've gotten, you know, in the previous three
and a half years, it's not going to be easy.
And so if I was helping, right Steve Witkoff is
(03:35):
a wick Cough and Cenra, Mark Rubio and Donald Trump,
what I would do because you know, obviously Vladimir Zelensky
and the Ukrainians are mad, and they should be mad.
They lost territory that they should have never lost. Putin
comes in and takes it. Putin's not going to give
that back. They might be able to get part of
(03:55):
it back, they know, because Putin don't want to go
back to Russia and get killed or overthrown. He wants
to say, look, this is what we did now. And
and so you know, Ukraine lost Crimea during the Obama administration.
They've lost a lot of their strategic land. So what
we what I would recommend is how to find a win,
(04:18):
right because you know, if you Ukraine lost very important
land for them. Ukrainians, I don't think, have a problem
with still fighting until they're death. They are tough cookies.
They are very loyal and patriotic and and I you
know they they they'll still fight. Just they need us
our money and they need the EU and everybody else
supporting them to do it. But you know, they got
(04:40):
the grit and the guts. So how do we give
them a win when they lost land? Well, getting part
of it back could help giving them something new. You know,
if Russia keeps the land, what can Ukraine get from Russia?
What access is there a p is there an island
(05:01):
they own? Is there something else that they could take?
And the biggest win right now that is being touted
and suggested is the NATO like protection. If NATO doesn't
accept Ukraine, then all of us involved are going to
pledge that we will be there to have your back.
(05:24):
Now that's a huge win. The only problem is is
American troops. Nobody wants our American troops to have to
go there because nobody trusts Putin. They think Putin's gonna reinvade.
But giving Ukraine these types of securities, giving Ukraine abilities
to because Vadimir's listen needs to come back to his
people saying well, this is what I got out of this,
(05:44):
because nobody wants to surrender. When Hitler came and they
took everything, it was surrendering and it was you know,
we're just gonna kind of, you know, cut our losses
and and you know, pray it doesn't go worse. Ukraine
isn't there yet, they don't have to surrender. They're close, though.
If America pulls out and other countries pull out, they
(06:04):
don't have the money. So what could be a win.
And so, whether it's the NATO security, whether it's them
getting other sorts of strategic areas, whether it's them getting
some of their land back in order to negotiate something
like this. Somebody needs to feel like they gained something.
And I look at how kids are raised and what
(06:26):
we're doing with these everybody gets a trophy and everybody's amazing,
and everybody's this. Why are we teaching people how to lose?
What's actually some of the most valuable coach player interaction
is after a game when the team loses and they
go back into the locker room with the coach. The
(06:50):
most valuable time they have and the most valuable advice
they're getting is during that loss. You don't learn to
win without losing. You can't win without losing. You can't
succeed without failing. And so what those coaches do and
say during that time is crucial. And I'm not a
(07:13):
football coach, I'd love to be, but one I would say,
and look, you know, let's let's own this. Okay, we lost,
whether it's bad ref calls, whether it was bad plays,
whether it was we'll sit and dissect why and we'll
learn from it, all right. But you could be upset
that you lost. Let's feel it. We lost. Let's own
(07:34):
it all right, we lost, But what are we gonna
get out of this? What did we learn? Are we
now better positioned for the playoffs because we saw the
mistakes we made, We saw what these other teams are doing,
we saw their weak points. All right, this is how
this is a positive and that's how I would That's
why the NFL isn't hiring me. That's how I did.
(07:55):
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Speaker 2 (10:17):
All right, we are back on the Doctor Dolle Show.
Thank you off for tuning in one eight seven seven
Doctor Dolly one eight seven seven, Doc d Ali. Big
thanks to Talk Media Network for making the show happen.
Big thanks to Daniel, our producer, and big thanks to
you a offer tuning in. We really do appreciate it.
Don't forget to follow us on Twitter or exit Doctor Dolly, Facebook,
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So we have some breaking news. There is an active
(10:39):
shooter situation at the University of Tennessee and Chattanooga right now.
The university is on lockdown after an active shooter was
reported on the college campus. Students and staff were told
to run, hide or fight. In an alert issued on
Thursday morning, the Hamilton County branch of the State Emergency
Management and Homeland Security urge people to avoid the campus
(11:00):
until for the notice, saying it was on lockdown. Chattanooga
Police said that they were working with UTC Police Department
the university to confirm shots fired. Reports were called in
at the time, though thank god, they have not located
any victims. So we'll keep you posted. There's a large
police presence already on the ground. Hopefully nobody got hurt.
(11:21):
We'll keep you posting on that. One eight seven seven
Doc Dolly one eight seven seven d O C D
A L. I. So I've received a couple emails on
people's discontent with the no, not the show, with the
probably with the show too, but but with some of
these insurance companies that are shared among others. I don't
(11:42):
want to I don't want to name any names, but
but there's been some individuals that have been kind of
upset with getting that insurance and feeling it's not covering
what it needs to do for the money they're spending.
And and so this is my advice when you're about
to get an insurance policy you're looking at some of
the less expensive ones, is you can't go at it
(12:08):
thinking about, well, how do I feel today? I feel good.
So if you ask me, Dahlia, are you gonna buy
an extra policy? What I'm like, you know, I feel
good now, I'm ready to rock and roll. I'll bone
up on my vitamin C this winner. Maybe I'll get
a vaccine for flu. I'll I'll protect myself. I'm good. Yet,
(12:32):
you know tomorrow could be a completely different day. My
knee could be bothering me, going wow, this is the
year I'm gonna get my knee replaced, or something else
can happen. And so the big mistake we make is
if we're not feeling well, we're not really actively researching
insurance companies things like that. We don't do that until
we have energy. We feel better. Now we're feeling better,
so we're like, okay, this is good. This is my baseline.
(12:55):
And I see time and time again people will buy
a plan and standably. So this isn't your fault. Obamacare
really screwed up our insurances. Our insurance plans were. Now
you have very high deductibles, very high premiums. And I've
been very fortunate to not be sick. But I can't
say how many thousands of dollars I've wasted because I
(13:16):
bought a plan on the Obamacare market and the rates
were ridiculous. The deductible was ridiculous, so it never kicked in.
You know how a deductible works is the insurance company
will only start paying your medical bills once you drop
ten thousand or twelve thousand or whatever the deductible is.
(13:38):
See before Obamacare, your deductible could be two hundred and
fifty dollars five hundred. I remember there being plans where
they were really high deductible for two thousand dollars at
no gosh. If I could find a two thousand dollars
deductible plan, I would take that in a heartbeat. But
that's what Obamacare did. So now we have these crappy plans.
(13:59):
So you have these companies that work with religious groups, etc.
Which is a smart idea where they cost share and
it ends up being cheaper. The problem is is I've
seen patients and I've had listeners who are very frustrated
because they are promoting that they're gonna have access to telemedicine,
(14:21):
they're gonna have access to a doctor, they're gonna have
access to prescriptions, and they think, well, that's all I need.
I don't need anything more until they call the telemedicine company.
The telemedicine company says whoa, whoa, whoa, WOA, this isn't
something we could treat online. And so I'm seeing a
lot of patients where they really need a regular, you know,
(14:43):
primary care provider to take this on, or they need
to get to an urgent care or er. And they say,
I can't. I have these shared insurances, I can't go.
And I'm like, but you could only do so much
on telemedicine. Were you need an exam, you need stitches,
(15:05):
you need a splint or a cast, and so some
of these companies make it sound like a telemedicine doctor
can do it all. Now. Now some are where they're like,
you know what, uh, just I don't know, butterfly it
and whatever. So the some patients are happy, but I
had one patient call up say the doctor never told
(15:26):
them to go and get an extra and go to
urgent care. They finally did. They had a broken ankle,
and now the surgeon, the orthopedic surgeon, says it's too
late to operate on. So now what do they do?
And I'm like, why didn't you go to the urgent
care to begin with? Yeah, well the doctor said I
didn't have to, I know, but you called tell them
it's tell me it's fantastic. But people are getting frustrated
(15:49):
because it's it's a different way of doing things. You know,
having been an er doc and an urgent care doctor.
You got advice from me after I examined you, so
the advice was a lot more specific. A lot of
patients are also frustrated with us telemedicine doctors because you'll
tell us you're having a symptom, and I want to
(16:13):
not misdiagnose and say it's one simple thing. I want
to say, well, these are other things you need to
look for. So I had a patient call up saying
they had acid reflux, but it's causing them shortness of breath.
So I had to tell them, Okay, if this might
not be acid reflux, are you having chest pain? Yeah,
which is acid refunk? Which is heartburn? I go, but
it's pain in the chest area or pain in the
(16:34):
stomach area. It's pain in the chest area. So now
this person's having pain in the chest area and having
difficulty breathing like this could be an abnormal heart rhythm.
It could be a heart attack, it could be paracarditis,
inflammation of the heart muscle, could be myocarditis, could be pneumonia,
could be food is stuck in youu esophagus. You could
(16:54):
be having dysphagia. You could be having esophagitis. It could be.
So now I'm telling them be a slew of things,
and they're like, well, the over the counter acid medicine
isn't working, so just give me acid medication. And then
I say, well, I can't because if this is an
acid reflux, you could be having something more serious. And
(17:14):
I know we speak a lot about this because apparently
telemedicine is now the number one used form of medicine
by Americans, which is really cool. And I love the
fact that you could reach me late night on Christmas.
You're able to talk to me, especially since I work
all holidays. You're able to talk to doctors like me
(17:35):
where your doctor's office is closed, and we could give
you advice. But when people get frustrated is if our
advice is you need to get seen. And now you
have an insurance plan that promise that they're going to
be able to take care of you very and expensively,
but now you have to go to an urgent care
and now it's going to cost more money. So what
I recommend you do is whenever you are looking for
(17:57):
your plan, you need to come up with worst case scenario.
So so what what I also do with my you know,
kids and husband? Is okay? But let's say somebody falls
and breaks their arm or elbow. Okay, which which facility
would we be able to use? Yeah? I understand, my
guynecologist is on my plan. I love my gynocologist. But
(18:18):
who's going to be the orthopedist if we need an orthopedist?
Who's going to be a surgeon if one of us
has a gall bladder issue, if one of us has
an ulcer or a pendicitis? Do we like the hospitals
that this plan is associated with? Because you don't know
if you're going to have appendicitis? What if you have
a heart issue? Oh, I don't want to think about that.
(18:38):
See I get that a lot from my family. I
don't want to think about that. That you're you're you're
depressing us, mom, You're well no, Look, let's just I'm
trying to come up with a healthcare plan. I want
to know what, you know, what what are some things
that we need to be aware of? What if somebody
spikes your drink or gives you your vaping and there's
I don't know fetenil in it. I need, you know,
(19:00):
I have to think of these things.
Speaker 4 (19:02):
Now.
Speaker 2 (19:02):
I'm a doctor, so you know, not fun. This is
why doctors are more stressed. And they say doctors are
some of the highest levels of depression. I'm fortunate to
not because I look at what happens out there and
I'm like, gosh, I'm lucky. But we have to think
about things like this. And what many people do is
(19:22):
they say, you know what, the money I'm saving, I
will put a way into a medical fund, which is
a decent strategy. I mean, many of you are spending
way less than I am on health insurance, and you
might be doing it right. But if my health insurance
is costing for my family three four grand a month
(19:45):
and you have been able to limit that to a
grand a month, are you taking that extra money that
you're saving and putting it into account saying this is
for medical No, average, you know, most of the time
we don't have that extra money. So what we do
is we say, you know what, I'll just save the money.
(20:09):
Hopefully stocks go up and hopefully nothing happens. But but
if you have a choice between a regular Obamacare expensive
insurance or a shared insurance, a community based insurance that
that were it shared costs. Then you really need to
be putting the money you're saving into a separate account
(20:31):
that is for your medical emergencies, because you will have
to go to an urgent care or er, and we
don't want people getting worse at home because they picked
a plan that doesn't cover it. One eight seven seven
Doctor I.
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Speaker 2 (22:17):
All right, we are back on the doctor Alisha. Thank
you all for tuning in one eight seven seven Doctor
Dela one eight seven seven D O C D A L.
I So, I forget where I heard this from, but
I think it was a couple of years ago where
some patients wanted to ask if their doctor was using AI,
you know, wanted to verify that the doctor was using
(22:41):
the most high tech and was not just relying on
their brain because they trusted the computer more. And I
just spoke about this earlier in the week or last
week about how AI. I don't know as if it's
gonna make us doctors better, because I think we'll get
lazy and we're not going to trust our instant. And
(23:01):
once you not, you do your art the way you
do the art of medicine, and you start relying on
a computer, you can make mistakes. And I spoke about
how I'm noticing with a lot of telemedicine that there's
AI technology that will recommend what the diagnosis is for you,
(23:25):
and if a doctor is lazy, I'm like, okay, great,
thank you. AI said this. I could use it to
back me up in a court case. I'm safe, I
won't get sued. Let's just go with the AI and
move on. It's the safest thing to do. And no, no, no, no, no,
because I'm noticing some of these AI recommendations are wrong.
They're wrong. And any medical student who's listening, please, for
the love of God, do your own work. Do not trust.
(23:49):
I would tell medical students too, you might get let's say,
an X ray read where the read says normal, look
at the film yourself. I can't tell you how many
times I found mistakes by radiologists. And I could play
Monday Morning quarterback. Because I'm with the patient. I know
there's something up. There was a my son actually had
(24:10):
a bone growth on his it was benign, thank god,
on his arm, and the radiologists read it as a
normal arm, you know, because I had bilateral arms in
the view and he's at all normal, And I'm like, no,
it's not can you I could even see it from here?
Can you look? Well? Of course, because I was concentrated
on that, so ekg's EKGs would give an interpretation. I
(24:35):
never looked at those because I would look at the
EKG myself and then I would see what they suggested,
and a lot of times I picked up more than
what the computer picked up. So what are the studies
show Are the studies showing that AI is better? Well,
there's been a lot of studies saying AI is picking
up on on things radiologists are missing, mammograms, et cetera. Well,
(24:57):
this was an interesting finding. They say, Nope, the accuracy
dropped with AI and that they may weaken doctor skills.
Now this pertains to kolonoscopies. This study was done by
European researchers and they looked at if AI changes the
behavior of GI specialists while conducting a colonoscopy and how
(25:23):
their performance dipped. And the research followed clinicians at four
endoscopy centers in Poland participating in accept Artificial Intelligence of
Colonoscopy and Cancer Prevention trial where AI tools for pull
up detection were introduced at the end of twenty twenty one.
Now the colonoscopies at these centers are randomly selected to
either be administered with AI or without AI, and the
(25:44):
researchers gauge the quality of how that colonoscopy was delivered
by comparing the identification of tumors or the adenoma detection
rate ADR three months before and three months after implementing
the AI. So the timeframe was between September twenty twenty
one and March twenty twenty two. One four hundred and
forty three patients underwent non AI assistant colonoscopies obviously before
(26:07):
AI got big. Then the study found that the tumor
detection rate drops significantly, going from twenty eight point four
percent before AI was in use to twenty two point
four percent after AI was used. Now the studies The
study was published in the journal Lancet Gastrotrology and Hepatology.
But the researchers say exposure to AI might reduce the
(26:33):
adr of standard non AI assistant colonoscopy, suggesting a negative
effect on the endoscope scopist behavior, meaning it could mess
us up and screw us up. I don't want that.
Don't be messy with us. Hey, that's not how we
were trained. I've done colonoscopies, I've done sigmoidoscopies. I've read mammograms,
(26:56):
I've read cat scans, I've done biopsies. Look, I don't
mind AI adding to what I have concluded or deduced.
But are we getting lazy? Are we saying, you know what,
I'll just go with the AI. And I'm already seeing
doctors do this and this is driving me crazy. They say,
(27:18):
this study highlights the paradox in medicine. Accord to Fox
New's Digital, Harvey Castro, an emergency physician of specialist in AI, says,
artificial intelligence can help us detect cancer, but it can
also we can our own ability to see what matters
when the tool is not available. Even a one percent
change can affect colon cancer survival for thousands of patients.
(27:39):
So you know, look, we are giving AI too much
credit for what it is. Yes, it may later become
what we see a terminator too. I mean, AI does
have that potential, but it's not there yet. I'm seeing
AI wrong time and time again, and that's not so
(28:06):
I've got to be careful not to trigger this. But
I asked my phone, I, oh, you know what happened
I think I asked my phone to uh, you know,
set my alarm whatever, and I don't want to say
hey because my phone's going to wake up and I
have a man's voice. And my husband heard that. He's like, really,
you pick the dude. I go, yeah, I didn't want
to hear the British woman. Of course I used the dude.
(28:26):
So when the dude goes, you know, your alarm is
already set, I say thank you and he's like thank you,
and he's like and my husband's like, you really tell
him thank you? I go, yeah, he sounds sexy. And
then I asked Siri if they find me sexy and
they said they they said, you're perfect just the way
you are. You're okay, No, I'm not perfect. So that's
(28:49):
already a ding, you know. And then I asked him,
you know, if I'm attractive and they and they basically
talked about, you know, how I'm beautiful or a certain
way or whatever. Again wrong. So you know, these things
are not answering to the highest visit because again they're
there are AI is trained for what society wants. Society
(29:10):
doesn't want people committing suicide. Society doesn't want to blame
it's all about liability, and liability messed up medicine because
with all the lawsuits that happened, especially bringing us to
the point where Saint Paul pulled out of a lot
of markets by two thousand and two. Now you had
doctor saying, you know what, I'm not gonna get suits.
(29:31):
So you're geting the cat scan, you're getting the MRI,
and and I don't want to get in trouble for
missing a cancer or missing a tumor. And that change
the way we did medicine. I remember as a student,
I would give reporter. I would present to the attending saying,
you know, so I think it's appendicitis, so I'm gonna
order a cat scan, and he yelled at me, then
why you're ordered a cat scan? Well, because I think
(29:53):
the patient has appendicitis. He goes, you think you should
be able to figure that out without a cat scan.
Doctors were able to do that before the cat scan.
And you know, I told him why I thought it
was and he said, you're only using that cat scan
to verify and confirm your diagnosis. I go, well, yeah,
that's kind of what I was gonna do anyway. But yeah,
(30:13):
I get your point. Now because I wasn't ordering it
to be You know, I was right the guy at
of Vendicitis, but he wanted to stress to everybody in
the group that you don't just order the test for
poops and giggles. Now, if you're thinking lymphoma, if you're
thinking a mass, if you're thinking an aneurysm, you should
already have that diagnosis plus a differential just in cause
you're wrong, and then use that scan and test. So
(30:35):
one you're ordering the right test and then two you're
verifying what you should have clinically been able to figure out.
And we can't be lazy and we can't be stupid.
Remember there was that lawyer that got in trouble at
Australia because he cited he used AI to cite cases
and quotes for a legal brief and they they never existed.
(30:56):
They were wrong. Where did AI get this? AI is
designed to not tick somebody off, not get a company sued.
It's not to give us the best information. It's to
make sure that whatever company created it, it doesn't come
back to haunt them. That's the primary goal. So if
(31:18):
you're working with that goal, then that it's not going
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to catch anything you do. But if that's not how
it was designed, it's gonna fall short. So we need
to be careful. One eight seven seven dout, Dolly, don't
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All right, we're back on an atter dalli Is show.
Thank you all for tuning in one eight seven seven
Doctor Dolli one eight seven seven d C. D Ali.
So when people asked what was the hardest thing I
ever had to do in medical school? Delivering babies was fun.
Surgery was fun. Doing the thirty six hour shifts was hard,
very hard. But one of the most difficult things was
(34:45):
trying to discern if somebody was going to be suicidal
talking to somebody who was depressed. And I remember when
I was a first year medical student. As a first year,
they already had us speaking to veterans like World War
two vets because World War tuvetts were around still at
the time. We still have World War two vets. But
(35:07):
we spoke to some Vietnam vets and we would go
to the VA and then other individuals and older individuals
who would let us as medical students take a history.
God bless them, because yeah, I was always like, I know,
you have other things to do, and you're so patient
with me, sorry, I have to get through this whole sheet.
And they were really, really nice, and I was always
(35:27):
worried about other people's feelings. But when they taught us
as a first year medical student how to ask if
somebody was suicidal, that was tough. And it's because I
remember we were talking amongst ourselves going I don't want
to give them the idea. Oh I didn't think about that.
That was a good idea. But what we learned after
(35:48):
our first month or two in medical school that get
that out of your head. You are not going to
give somebody an idea and plant in their head the
idea to kill themselves. So ask ask, And they actually
train us to ask if there's any suicidal ideation or
homicidal ideation, do you feel like killing yourself or hurting yourself?
(36:12):
Do you feel like killing or hurting others? Again, that
is still a very difficult question to ask. Well, over time,
I've evolved into rather than just saying do you want
to kill yourself? I don't do that, you know, like
we did as first your medical students, we learned how
to ask that wasn't as cold and you know, difficult
(36:37):
to answer. And apparently there's a lot of debate on
kids being screened for mental health illness and teaching educators
or doctors or parents asking the kid if they are suicidal,
if they're depressed. You have some experts saying quit doing that.
(36:57):
Quit asking these kids. You're making them I'm depressed asking
them about it. And you have others saying, ah, no,
we have you know, quadrupled suicide rates and mental illness
and kids. Somebody needs to ask well. Most parents aren't
trained and identifying how their kid could be depressed or suicidal.
(37:20):
Most educators aren't trained in that either, because of course
they have to. They have to do everything else they're doing.
We doctors are trained, but kids aren't going to the
doctor anymore. They're going to a pharmacy for their shots,
and they're being seen online. I can't tell you how
many sports physicals parents have called up asking me to
do a sports physical over a telephone. I'm like, have
(37:42):
they seen a doctor. Somebody's got to listen to their heart,
talk to them, get an idea of you know, how
they're doing in school, screen for assault, you know, other
there's things we're supposed to do that we can do
when we see a patient. We can't do over a phone.
And so when I hear people say stop asking kids
if they're depressed. I have an answer to that. One
(38:06):
is we should be screaming for depression and anxiety. We
should try to get these kids help. But there's also
a better way of doing it in medicine and now
in society. It's all about the label, you know. It's
all about I have this disorder or I am this,
and I am this and I have and so now
(38:29):
you know, back off, I could sue, I could keep
my job. It's all about coming up with that umbrella
or that cloak of a diagnosis so that people leave
you alone, or there's liability or there. And and when
you say, oh, are you depressed, you have depression. Now
you're talking to a kid that's that might not be
(38:50):
the way to go. So you might want to talk
to the child about how they sleep. No, do you
like going to sleep? Or do you fear going to sleep?
I mean maybe they're having nightmares. You know, what do
you think about food? Do you like food? Which is
your favorite food? I don't. I don't eat. I don't
(39:12):
like food. Okay, now what is it about the food
you don't like? I don't know, a child not eating
could be a sign of depression. Now tell me about school.
What do you think about school?
Speaker 9 (39:26):
How?
Speaker 2 (39:26):
Yeah? And and and slowly let them open up about things.
And then if you do want to know if they
are suicidal. I don't open with are you suicidal? Do
you have suicidal ideation? You don't open with that. You say,
you know, have you ever thought what life would be
(39:48):
like if you weren't here, if you were gone? And
if somebody says, yeah, I think about that all the time,
then you ask why would you not be here? What
would you know? Why would you leave earth early? Why?
You know, well, abducted by aliens? Okay, well then you
(40:08):
can investigate that. Well, I feel like I'm gonna die
of something, or you know, have you ever thought of
taking your own life? Have you ever thought of ending it?
Have you ever thought of Not that I'm telling you
to do it, all right, This is why people get
nervous about that. But you know, have you ever felt
(40:31):
that of all your options, one of the options to
deal with this stress you're dealing with this problem would
be you ending your life. See, and there's ways to
get them to open up and talk about that. Now,
some people are fearful. They won't tell you because they
(40:52):
don't want it on record. They don't want to be
thrown into a hospital, they don't want to be lose,
you know, being able to you know, protect themselves or
have a job or and so some people won't open
up about that. But your job is to allow an
environment as a medical professional. Don't do this if you're
(41:12):
not trained to let them talk about it. And one
thing I tell patients is thoughts of suicide, thinking what
would happen if you weren't on this earth and weren't alive,
or ending your life. The average human has had that thought,
not because they wanted to do it or act on it,
(41:33):
but because they look at their choices saying, well, I
could do this, I could do this, you know, or
I could just completely not deal with it. And so
the thought will come to your mind. That's not mental illness.
But if you act upon it and you think that
is the only option, you need help. So the follow
up question is is if you were going to end
(41:53):
your life, how would you do it? Now? If they go,
I haven't even thought of that, just it's not a
serious thought, it's random. But if they go, well, yeah,
I would use this prescription, I would mix it with this,
I would do this. I would if they have a
more intricate plan, then you know they've been thinking about
(42:16):
it more. Now, we doctors are required to report, you know,
especially if we think somebody else could be hurt. And
so when you ask somebody, have you ever thought, you know,
do you have any homicidal ideation? Have you ever thought
of killing somebody? Of course they're going to say no, no, no,
So to bring it up, we might bring it up
a little bit more roundabout. Say, you know, has somebody
(42:38):
ever made you mad where you know you really felt
like you wanted to punch him? Yeah? Yeah, did you
feel like you wanted to run them over? Oh? Do
you do you ever feel like your life would be
better if they weren't on this planet? Have you ever,
you know, have your thoughts ever taken you to you know,
(43:02):
planning something or or making that happen? Now now, now
a lot of people are smart enough to know that
you're kind of going about it, you know a certain way.
But you know, if you have a child that you're
worried is gonna be the next mass shooter. I mean,
we we professionals have to get that information somehow, And
and you know, are these bullies making you so mad
(43:23):
that you wish they weren't around or they weren't alive.
So I'm not saying to ask to do that form
of questioning, get these kids help, but the idea of
don't talk to these kids because you could put the
idea in their head. No, you're gonna miss mental illness,
and you're gonna miss a way to intervene one eight
(43:44):
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You are about to listen to the Doctor Dahlia show,
sase stimulating medical talk radio. Any medical advice doctor Dhalia
Wax gives on her show should not be substituted for
an actual visit to your medical provider. And now here's
doctor Dahlia right me.
Speaker 2 (00:34):
You're mad, I'm not the doll Show. Thank you all
for tuning in. One eight seven seven Doctor Dollar one
eight seven seven D O C D A L. I
So one thing I don't like to do is lose.
I don't like to lose, but I know how to lose,
and I know how to lose really well. The fact
I could teach people how to lose. I am so
good at writing. I can write a book on how
to lose. I know how to lose. I could be
(00:57):
a loser pretty easily. And I even taught my kids
how to lose because if they didn't win, I didn't
want them to crumble. And I see what happens when
people don't know how to lose. I live in Las Vegas, Nevada.
People screw up, they screw their family over, their finances,
over because they don't know how to lose. And one
(01:20):
of the first instincts we have when we lose something
is we want to get it back. Some of us
are successful at getting it back, but the average gambler,
once you lose your money, not gonna be able to
get it back. And then you dig yourself into a
deeper hole. And if you don't know how to lose.
And I can't teach you all in one segment, but
(01:41):
it involves one expecting a loss, two having a backup
plan for that loss, three seeing the good and what
you could take out of it to make it a
positive and a win. All right, I'll write a book
on it. I have enough stuff to write a book
on it. Yeah, okay, how to lose. I'm gonna lose it.
(02:02):
I lose a lot, and it's not easy. It hurts
to lose. But when you lose something, you could make
the damage worse trying to get that back. So I'm
looking at what's happening with Ukraine and Russia. This war
needs to end. I think we're all sick of funding it.
We're sick of people dying. Ukraine needs peace. Russia started
(02:25):
this and they bullied their way in, raped, plundered, there's
prisoners sent to Siberia. We're being told just horrific things
have happened, and there's been casualties on both sides. We
need this to end. The problem is is Ukraine have lost,
has lost some of their land. And if they are
(02:46):
going to try to get vladimir's Lensky, Russian President, vladimir's
Lensky and Vladimir Putin to agree, somebody has to be
okay with a loss, and if they're not okay with
a loss, they're never going to reach an agreement. Also,
one of them needs to stop continuing to bombard and
(03:10):
bomb keep and Ukraine and and throw drones their way.
So as much as I think Trump is going to
be able to do this, and I still feel he's
going to make this happen, and you know, we've gotten
farther than we've gotten, you know, in the previous three
and a half years, it's not going to be easy.
And so if I was helping, right Steve Witkoff is
(03:35):
a wick Cough and Cenra, Mark Rubio and Donald Trump,
what I would do because you know, obviously Vladimir Zelensky
and the Ukrainians are mad, and they should be mad.
They lost territory that they should have never lost. Putin
comes in and takes it. Putin's not going to give
that back. They might be able to get part of
(03:55):
it back, they know, because Putin don't want to go
back to Russia and get killed or overthrown. He wants
to say, look, this is what we did now. And
and so you know, Ukraine lost Crimea during the Obama administration.
They've lost a lot of their strategic land. So what
we what I would recommend is how to find a win,
(04:18):
right because you know, if you Ukraine lost very important
land for them. Ukrainians, I don't think, have a problem
with still fighting until they're death. They are tough cookies.
They are very loyal and patriotic and and I you
know they they they'll still fight. Just they need us
our money and they need the EU and everybody else
supporting them to do it. But you know, they got
(04:40):
the grit and the guts. So how do we give
them a win when they lost land? Well, getting part
of it back could help giving them something new. You know,
if Russia keeps the land, what can Ukraine get from Russia?
What access is there a p is there an island
(05:01):
they own? Is there something else that they could take?
And the biggest win right now that is being touted
and suggested is the NATO like protection. If NATO doesn't
accept Ukraine, then all of us involved are going to
pledge that we will be there to have your back.
(05:24):
Now that's a huge win. The only problem is is
American troops. Nobody wants our American troops to have to
go there because nobody trusts Putin. They think Putin's gonna reinvade.
But giving Ukraine these types of securities, giving Ukraine abilities
to because Vadimir's listen needs to come back to his
people saying well, this is what I got out of this,
(05:44):
because nobody wants to surrender. When Hitler came and they
took everything, it was surrendering and it was you know,
we're just gonna kind of, you know, cut our losses
and and you know, pray it doesn't go worse. Ukraine
isn't there yet, they don't have to surrender. They're close, though.
If America pulls out and other countries pull out, they
(06:04):
don't have the money. So what could be a win.
And so, whether it's the NATO security, whether it's them
getting other sorts of strategic areas, whether it's them getting
some of their land back in order to negotiate something
like this. Somebody needs to feel like they gained something.
And I look at how kids are raised and what
(06:26):
we're doing with these everybody gets a trophy and everybody's amazing,
and everybody's this. Why are we teaching people how to lose?
What's actually some of the most valuable coach player interaction
is after a game when the team loses and they
go back into the locker room with the coach. The
(06:50):
most valuable time they have and the most valuable advice
they're getting is during that loss. You don't learn to
win without losing. You can't win without losing. You can't
succeed without failing. And so what those coaches do and
say during that time is crucial. And I'm not a
(07:13):
football coach, I'd love to be, but one I would say,
and look, you know, let's let's own this. Okay, we lost,
whether it's bad ref calls, whether it was bad plays,
whether it was we'll sit and dissect why and we'll
learn from it, all right. But you could be upset
that you lost. Let's feel it. We lost. Let's own
(07:34):
it all right, we lost, But what are we gonna
get out of this? What did we learn? Are we
now better positioned for the playoffs because we saw the
mistakes we made, We saw what these other teams are doing,
we saw their weak points. All right, this is how
this is a positive and that's how I would That's
why the NFL isn't hiring me. That's how I did.
(07:55):
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Speaker 2 (10:17):
All right, we are back on the Doctor Dolle Show.
Thank you off for tuning in one eight seven seven
Doctor Dolly one eight seven seven, Doc d Ali. Big
thanks to Talk Media Network for making the show happen.
Big thanks to Daniel, our producer, and big thanks to
you a offer tuning in. We really do appreciate it.
Don't forget to follow us on Twitter or exit Doctor Dolly, Facebook,
The Doctor Dolle Show, and on YouTube, clicklike and subscribe.
So we have some breaking news. There is an active
(10:39):
shooter situation at the University of Tennessee and Chattanooga right now.
The university is on lockdown after an active shooter was
reported on the college campus. Students and staff were told
to run, hide or fight. In an alert issued on
Thursday morning, the Hamilton County branch of the State Emergency
Management and Homeland Security urge people to avoid the campus
(11:00):
until for the notice, saying it was on lockdown. Chattanooga
Police said that they were working with UTC Police Department
the university to confirm shots fired. Reports were called in
at the time, though thank god, they have not located
any victims. So we'll keep you posted. There's a large
police presence already on the ground. Hopefully nobody got hurt.
(11:21):
We'll keep you posting on that. One eight seven seven
Doc Dolly one eight seven seven d O C D
A L. I. So I've received a couple emails on
people's discontent with the no, not the show, with the
probably with the show too, but but with some of
these insurance companies that are shared among others. I don't
(11:42):
want to I don't want to name any names, but
but there's been some individuals that have been kind of
upset with getting that insurance and feeling it's not covering
what it needs to do for the money they're spending.
And and so this is my advice when you're about
to get an insurance policy you're looking at some of
the less expensive ones, is you can't go at it
(12:08):
thinking about, well, how do I feel today? I feel good.
So if you ask me, Dahlia, are you gonna buy
an extra policy? What I'm like, you know, I feel
good now, I'm ready to rock and roll. I'll bone
up on my vitamin C this winner. Maybe I'll get
a vaccine for flu. I'll I'll protect myself. I'm good. Yet,
(12:32):
you know tomorrow could be a completely different day. My
knee could be bothering me, going wow, this is the
year I'm gonna get my knee replaced, or something else
can happen. And so the big mistake we make is
if we're not feeling well, we're not really actively researching
insurance companies things like that. We don't do that until
we have energy. We feel better. Now we're feeling better,
so we're like, okay, this is good. This is my baseline.
(12:55):
And I see time and time again people will buy
a plan and standably. So this isn't your fault. Obamacare
really screwed up our insurances. Our insurance plans were. Now
you have very high deductibles, very high premiums. And I've
been very fortunate to not be sick. But I can't
say how many thousands of dollars I've wasted because I
(13:16):
bought a plan on the Obamacare market and the rates
were ridiculous. The deductible was ridiculous, so it never kicked in.
You know how a deductible works is the insurance company
will only start paying your medical bills once you drop
ten thousand or twelve thousand or whatever the deductible is.
(13:38):
See before Obamacare, your deductible could be two hundred and
fifty dollars five hundred. I remember there being plans where
they were really high deductible for two thousand dollars at
no gosh. If I could find a two thousand dollars
deductible plan, I would take that in a heartbeat. But
that's what Obamacare did. So now we have these crappy plans.
(13:59):
So you have these companies that work with religious groups, etc.
Which is a smart idea where they cost share and
it ends up being cheaper. The problem is is I've
seen patients and I've had listeners who are very frustrated
because they are promoting that they're gonna have access to telemedicine,
(14:21):
they're gonna have access to a doctor, they're gonna have
access to prescriptions, and they think, well, that's all I need.
I don't need anything more until they call the telemedicine company.
The telemedicine company says whoa, whoa, whoa, WOA, this isn't
something we could treat online. And so I'm seeing a
lot of patients where they really need a regular, you know,
(14:43):
primary care provider to take this on, or they need
to get to an urgent care or er. And they say,
I can't. I have these shared insurances, I can't go.
And I'm like, but you could only do so much
on telemedicine. Were you need an exam, you need stitches,
(15:05):
you need a splint or a cast, and so some
of these companies make it sound like a telemedicine doctor
can do it all. Now. Now some are where they're like,
you know what, uh, just I don't know, butterfly it
and whatever. So the some patients are happy, but I
had one patient call up say the doctor never told
(15:26):
them to go and get an extra and go to
urgent care. They finally did. They had a broken ankle,
and now the surgeon, the orthopedic surgeon, says it's too
late to operate on. So now what do they do?
And I'm like, why didn't you go to the urgent
care to begin with? Yeah, well the doctor said I
didn't have to, I know, but you called tell them
it's tell me it's fantastic. But people are getting frustrated
(15:49):
because it's it's a different way of doing things. You know,
having been an er doc and an urgent care doctor.
You got advice from me after I examined you, so
the advice was a lot more specific. A lot of
patients are also frustrated with us telemedicine doctors because you'll
tell us you're having a symptom, and I want to
(16:13):
not misdiagnose and say it's one simple thing. I want
to say, well, these are other things you need to
look for. So I had a patient call up saying
they had acid reflux, but it's causing them shortness of breath.
So I had to tell them, Okay, if this might
not be acid reflux, are you having chest pain? Yeah,
which is acid refunk? Which is heartburn? I go, but
it's pain in the chest area or pain in the
(16:34):
stomach area. It's pain in the chest area. So now
this person's having pain in the chest area and having
difficulty breathing like this could be an abnormal heart rhythm.
It could be a heart attack, it could be paracarditis,
inflammation of the heart muscle, could be myocarditis, could be pneumonia,
could be food is stuck in youu esophagus. You could
(16:54):
be having dysphagia. You could be having esophagitis. It could be.
So now I'm telling them be a slew of things,
and they're like, well, the over the counter acid medicine
isn't working, so just give me acid medication. And then
I say, well, I can't because if this is an
acid reflux, you could be having something more serious. And
(17:14):
I know we speak a lot about this because apparently
telemedicine is now the number one used form of medicine
by Americans, which is really cool. And I love the
fact that you could reach me late night on Christmas.
You're able to talk to me, especially since I work
all holidays. You're able to talk to doctors like me
(17:35):
where your doctor's office is closed, and we could give
you advice. But when people get frustrated is if our
advice is you need to get seen. And now you
have an insurance plan that promise that they're going to
be able to take care of you very and expensively,
but now you have to go to an urgent care
and now it's going to cost more money. So what
I recommend you do is whenever you are looking for
(17:57):
your plan, you need to come up with worst case scenario.
So so what what I also do with my you know,
kids and husband? Is okay? But let's say somebody falls
and breaks their arm or elbow. Okay, which which facility
would we be able to use? Yeah? I understand, my
guynecologist is on my plan. I love my gynocologist. But
(18:18):
who's going to be the orthopedist if we need an orthopedist?
Who's going to be a surgeon if one of us
has a gall bladder issue, if one of us has
an ulcer or a pendicitis? Do we like the hospitals
that this plan is associated with? Because you don't know
if you're going to have appendicitis? What if you have
a heart issue? Oh, I don't want to think about that.
(18:38):
See I get that a lot from my family. I
don't want to think about that. That you're you're you're
depressing us, mom, You're well no, Look, let's just I'm
trying to come up with a healthcare plan. I want
to know what, you know, what what are some things
that we need to be aware of? What if somebody
spikes your drink or gives you your vaping and there's
I don't know fetenil in it. I need, you know,
(19:00):
I have to think of these things.
Speaker 4 (19:02):
Now.
Speaker 2 (19:02):
I'm a doctor, so you know, not fun. This is
why doctors are more stressed. And they say doctors are
some of the highest levels of depression. I'm fortunate to
not because I look at what happens out there and
I'm like, gosh, I'm lucky. But we have to think
about things like this. And what many people do is
(19:22):
they say, you know what, the money I'm saving, I
will put a way into a medical fund, which is
a decent strategy. I mean, many of you are spending
way less than I am on health insurance, and you
might be doing it right. But if my health insurance
is costing for my family three four grand a month
(19:45):
and you have been able to limit that to a
grand a month, are you taking that extra money that
you're saving and putting it into account saying this is
for medical No, average, you know, most of the time
we don't have that extra money. So what we do
is we say, you know what, I'll just save the money.
(20:09):
Hopefully stocks go up and hopefully nothing happens. But but
if you have a choice between a regular Obamacare expensive
insurance or a shared insurance, a community based insurance that
that were it shared costs. Then you really need to
be putting the money you're saving into a separate account
(20:31):
that is for your medical emergencies, because you will have
to go to an urgent care or er, and we
don't want people getting worse at home because they picked
a plan that doesn't cover it. One eight seven seven
Doctor I.
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Speaker 2 (22:17):
All right, we are back on the doctor Alisha. Thank
you all for tuning in one eight seven seven Doctor
Dela one eight seven seven D O C D A L.
I So, I forget where I heard this from, but
I think it was a couple of years ago where
some patients wanted to ask if their doctor was using AI,
you know, wanted to verify that the doctor was using
(22:41):
the most high tech and was not just relying on
their brain because they trusted the computer more. And I
just spoke about this earlier in the week or last
week about how AI. I don't know as if it's
gonna make us doctors better, because I think we'll get
lazy and we're not going to trust our instant. And
(23:01):
once you not, you do your art the way you
do the art of medicine, and you start relying on
a computer, you can make mistakes. And I spoke about
how I'm noticing with a lot of telemedicine that there's
AI technology that will recommend what the diagnosis is for you,
(23:25):
and if a doctor is lazy, I'm like, okay, great,
thank you. AI said this. I could use it to
back me up in a court case. I'm safe, I
won't get sued. Let's just go with the AI and
move on. It's the safest thing to do. And no, no, no, no, no,
because I'm noticing some of these AI recommendations are wrong.
They're wrong. And any medical student who's listening, please, for
the love of God, do your own work. Do not trust.
(23:49):
I would tell medical students too, you might get let's say,
an X ray read where the read says normal, look
at the film yourself. I can't tell you how many
times I found mistakes by radiologists. And I could play
Monday Morning quarterback. Because I'm with the patient. I know
there's something up. There was a my son actually had
(24:10):
a bone growth on his it was benign, thank god,
on his arm, and the radiologists read it as a
normal arm, you know, because I had bilateral arms in
the view and he's at all normal, And I'm like, no,
it's not can you I could even see it from here?
Can you look? Well? Of course, because I was concentrated
on that, so ekg's EKGs would give an interpretation. I
(24:35):
never looked at those because I would look at the
EKG myself and then I would see what they suggested,
and a lot of times I picked up more than
what the computer picked up. So what are the studies
show Are the studies showing that AI is better? Well,
there's been a lot of studies saying AI is picking
up on on things radiologists are missing, mammograms, et cetera. Well,
(24:57):
this was an interesting finding. They say, Nope, the accuracy
dropped with AI and that they may weaken doctor skills.
Now this pertains to kolonoscopies. This study was done by
European researchers and they looked at if AI changes the
behavior of GI specialists while conducting a colonoscopy and how
(25:23):
their performance dipped. And the research followed clinicians at four
endoscopy centers in Poland participating in accept Artificial Intelligence of
Colonoscopy and Cancer Prevention trial where AI tools for pull
up detection were introduced at the end of twenty twenty one.
Now the colonoscopies at these centers are randomly selected to
either be administered with AI or without AI, and the
(25:44):
researchers gauge the quality of how that colonoscopy was delivered
by comparing the identification of tumors or the adenoma detection
rate ADR three months before and three months after implementing
the AI. So the timeframe was between September twenty twenty
one and March twenty twenty two. One four hundred and
forty three patients underwent non AI assistant colonoscopies obviously before
(26:07):
AI got big. Then the study found that the tumor
detection rate drops significantly, going from twenty eight point four
percent before AI was in use to twenty two point
four percent after AI was used. Now the studies The
study was published in the journal Lancet Gastrotrology and Hepatology.
But the researchers say exposure to AI might reduce the
(26:33):
adr of standard non AI assistant colonoscopy, suggesting a negative
effect on the endoscope scopist behavior, meaning it could mess
us up and screw us up. I don't want that.
Don't be messy with us. Hey, that's not how we
were trained. I've done colonoscopies, I've done sigmoidoscopies. I've read mammograms,
(26:56):
I've read cat scans, I've done biopsies. Look, I don't
mind AI adding to what I have concluded or deduced.
But are we getting lazy? Are we saying, you know what,
I'll just go with the AI. And I'm already seeing
doctors do this and this is driving me crazy. They say,
(27:18):
this study highlights the paradox in medicine. Accord to Fox
New's Digital, Harvey Castro, an emergency physician of specialist in AI, says,
artificial intelligence can help us detect cancer, but it can
also we can our own ability to see what matters
when the tool is not available. Even a one percent
change can affect colon cancer survival for thousands of patients.
(27:39):
So you know, look, we are giving AI too much
credit for what it is. Yes, it may later become
what we see a terminator too. I mean, AI does
have that potential, but it's not there yet. I'm seeing
AI wrong time and time again, and that's not so
(28:06):
I've got to be careful not to trigger this. But
I asked my phone, I, oh, you know what happened
I think I asked my phone to uh, you know,
set my alarm whatever, and I don't want to say
hey because my phone's going to wake up and I
have a man's voice. And my husband heard that. He's like, really,
you pick the dude. I go, yeah, I didn't want
to hear the British woman. Of course I used the dude.
(28:26):
So when the dude goes, you know, your alarm is
already set, I say thank you and he's like thank you,
and he's like and my husband's like, you really tell
him thank you? I go, yeah, he sounds sexy. And
then I asked Siri if they find me sexy and
they said they they said, you're perfect just the way
you are. You're okay, No, I'm not perfect. So that's
(28:49):
already a ding, you know. And then I asked him,
you know, if I'm attractive and they and they basically
talked about, you know, how I'm beautiful or a certain
way or whatever. Again wrong. So you know, these things
are not answering to the highest visit because again they're
there are AI is trained for what society wants. Society
(29:10):
doesn't want people committing suicide. Society doesn't want to blame
it's all about liability, and liability messed up medicine because
with all the lawsuits that happened, especially bringing us to
the point where Saint Paul pulled out of a lot
of markets by two thousand and two. Now you had
doctor saying, you know what, I'm not gonna get suits.
(29:31):
So you're geting the cat scan, you're getting the MRI,
and and I don't want to get in trouble for
missing a cancer or missing a tumor. And that change
the way we did medicine. I remember as a student,
I would give reporter. I would present to the attending saying,
you know, so I think it's appendicitis, so I'm gonna
order a cat scan, and he yelled at me, then
why you're ordered a cat scan? Well, because I think
(29:53):
the patient has appendicitis. He goes, you think you should
be able to figure that out without a cat scan.
Doctors were able to do that before the cat scan.
And you know, I told him why I thought it
was and he said, you're only using that cat scan
to verify and confirm your diagnosis. I go, well, yeah,
that's kind of what I was gonna do anyway. But yeah,
(30:13):
I get your point. Now because I wasn't ordering it
to be You know, I was right the guy at
of Vendicitis, but he wanted to stress to everybody in
the group that you don't just order the test for
poops and giggles. Now, if you're thinking lymphoma, if you're
thinking a mass, if you're thinking an aneurysm, you should
already have that diagnosis plus a differential just in cause
you're wrong, and then use that scan and test. So
(30:35):
one you're ordering the right test and then two you're
verifying what you should have clinically been able to figure out.
And we can't be lazy and we can't be stupid.
Remember there was that lawyer that got in trouble at
Australia because he cited he used AI to cite cases
and quotes for a legal brief and they they never existed.
(30:56):
They were wrong. Where did AI get this? AI is
designed to not tick somebody off, not get a company sued.
It's not to give us the best information. It's to
make sure that whatever company created it, it doesn't come
back to haunt them. That's the primary goal. So if
(31:18):
you're working with that goal, then that it's not going
to be what you need. You're thinking that that AI
is there to make sure it never misses anything and
to catch anything you do. But if that's not how
it was designed, it's gonna fall short. So we need
to be careful. One eight seven seven dout, Dolly, don't
(31:40):
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Speaker 2 (34:21):
All right, we're back on an atter dalli Is show.
Thank you all for tuning in one eight seven seven
Doctor Dolli one eight seven seven d C. D Ali.
So when people asked what was the hardest thing I
ever had to do in medical school? Delivering babies was fun.
Surgery was fun. Doing the thirty six hour shifts was hard,
very hard. But one of the most difficult things was
(34:45):
trying to discern if somebody was going to be suicidal
talking to somebody who was depressed. And I remember when
I was a first year medical student. As a first year,
they already had us speaking to veterans like World War
two vets because World War tuvetts were around still at
the time. We still have World War two vets. But
(35:07):
we spoke to some Vietnam vets and we would go
to the VA and then other individuals and older individuals
who would let us as medical students take a history.
God bless them, because yeah, I was always like, I know,
you have other things to do, and you're so patient
with me, sorry, I have to get through this whole sheet.
And they were really, really nice, and I was always
(35:27):
worried about other people's feelings. But when they taught us
as a first year medical student how to ask if
somebody was suicidal, that was tough. And it's because I
remember we were talking amongst ourselves going I don't want
to give them the idea. Oh I didn't think about that.
That was a good idea. But what we learned after
(35:48):
our first month or two in medical school that get
that out of your head. You are not going to
give somebody an idea and plant in their head the
idea to kill themselves. So ask ask, And they actually
train us to ask if there's any suicidal ideation or
homicidal ideation, do you feel like killing yourself or hurting yourself?
(36:12):
Do you feel like killing or hurting others? Again, that
is still a very difficult question to ask. Well, over time,
I've evolved into rather than just saying do you want
to kill yourself? I don't do that, you know, like
we did as first your medical students, we learned how
to ask that wasn't as cold and you know, difficult
(36:37):
to answer. And apparently there's a lot of debate on
kids being screened for mental health illness and teaching educators
or doctors or parents asking the kid if they are suicidal,
if they're depressed. You have some experts saying quit doing that.
(36:57):
Quit asking these kids. You're making them I'm depressed asking
them about it. And you have others saying, ah, no,
we have you know, quadrupled suicide rates and mental illness
and kids. Somebody needs to ask well. Most parents aren't
trained and identifying how their kid could be depressed or suicidal.
(37:20):
Most educators aren't trained in that either, because of course
they have to. They have to do everything else they're doing.
We doctors are trained, but kids aren't going to the
doctor anymore. They're going to a pharmacy for their shots,
and they're being seen online. I can't tell you how
many sports physicals parents have called up asking me to
do a sports physical over a telephone. I'm like, have
(37:42):
they seen a doctor. Somebody's got to listen to their heart,
talk to them, get an idea of you know, how
they're doing in school, screen for assault, you know, other
there's things we're supposed to do that we can do
when we see a patient. We can't do over a phone.
And so when I hear people say stop asking kids
if they're depressed. I have an answer to that. One
(38:06):
is we should be screaming for depression and anxiety. We
should try to get these kids help. But there's also
a better way of doing it in medicine and now
in society. It's all about the label, you know. It's
all about I have this disorder or I am this,
and I am this and I have and so now
(38:29):
you know, back off, I could sue, I could keep
my job. It's all about coming up with that umbrella
or that cloak of a diagnosis so that people leave
you alone, or there's liability or there. And and when
you say, oh, are you depressed, you have depression. Now
you're talking to a kid that's that might not be
(38:50):
the way to go. So you might want to talk
to the child about how they sleep. No, do you
like going to sleep? Or do you fear going to sleep?
I mean maybe they're having nightmares. You know, what do
you think about food? Do you like food? Which is
your favorite food? I don't. I don't eat. I don't
(39:12):
like food. Okay, now what is it about the food
you don't like? I don't know, a child not eating
could be a sign of depression. Now tell me about school.
What do you think about school?
Speaker 9 (39:26):
How?
Speaker 2 (39:26):
Yeah? And and and slowly let them open up about things.
And then if you do want to know if they
are suicidal. I don't open with are you suicidal? Do
you have suicidal ideation? You don't open with that. You say,
you know, have you ever thought what life would be
(39:48):
like if you weren't here, if you were gone? And
if somebody says, yeah, I think about that all the time,
then you ask why would you not be here? What
would you know? Why would you leave earth early? Why?
You know, well, abducted by aliens? Okay, well then you
(40:08):
can investigate that. Well, I feel like I'm gonna die
of something, or you know, have you ever thought of
taking your own life? Have you ever thought of ending it?
Have you ever thought of Not that I'm telling you
to do it, all right, This is why people get
nervous about that. But you know, have you ever felt
(40:31):
that of all your options, one of the options to
deal with this stress you're dealing with this problem would
be you ending your life. See, and there's ways to
get them to open up and talk about that. Now,
some people are fearful. They won't tell you because they
(40:52):
don't want it on record. They don't want to be
thrown into a hospital, they don't want to be lose,
you know, being able to you know, protect themselves or
have a job or and so some people won't open
up about that. But your job is to allow an
environment as a medical professional. Don't do this if you're
(41:12):
not trained to let them talk about it. And one
thing I tell patients is thoughts of suicide, thinking what
would happen if you weren't on this earth and weren't alive,
or ending your life. The average human has had that thought,
not because they wanted to do it or act on it,
(41:33):
but because they look at their choices saying, well, I
could do this, I could do this, you know, or
I could just completely not deal with it. And so
the thought will come to your mind. That's not mental illness.
But if you act upon it and you think that
is the only option, you need help. So the follow
up question is is if you were going to end
(41:53):
your life, how would you do it? Now? If they go,
I haven't even thought of that, just it's not a
serious thought, it's random. But if they go, well, yeah,
I would use this prescription, I would mix it with this,
I would do this. I would if they have a
more intricate plan, then you know they've been thinking about
(42:16):
it more. Now, we doctors are required to report, you know,
especially if we think somebody else could be hurt. And
so when you ask somebody, have you ever thought, you know,
do you have any homicidal ideation? Have you ever thought
of killing somebody? Of course they're going to say no, no, no,
So to bring it up, we might bring it up
a little bit more roundabout. Say, you know, has somebody
(42:38):
ever made you mad where you know you really felt
like you wanted to punch him? Yeah? Yeah, did you
feel like you wanted to run them over? Oh? Do
you do you ever feel like your life would be
better if they weren't on this planet? Have you ever,
you know, have your thoughts ever taken you to you know,
(43:02):
planning something or or making that happen? Now now, now
a lot of people are smart enough to know that
you're kind of going about it, you know a certain way.
But you know, if you have a child that you're
worried is gonna be the next mass shooter. I mean,
we we professionals have to get that information somehow, And
and you know, are these bullies making you so mad
(43:23):
that you wish they weren't around or they weren't alive.
So I'm not saying to ask to do that form
of questioning, get these kids help, but the idea of
don't talk to these kids because you could put the
idea in their head. No, you're gonna miss mental illness,
and you're gonna miss a way to intervene one eight
(43:44):
seven seven doct dollary don't go away?
Speaker 9 (43:52):
Can you believe with all the recent violent protests, looting,
and destruction, some areas are considering either defund or.
Speaker 2 (44:00):
Abolishing the police.
Speaker 9 (44:02):
At a time when America's neighborhoods need the protection of
police the most, some elected officials would rather create more
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It's time we stand up and declare our support from
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