The ZDoggMD Show

Sam Glassenberg’s company, Level Ex, has finally brought us state-of-the-art mobile video games that actually TEACH while truly engaging healthcare professionals. It’s about time we got CME for playing video games! Full video, links, and more at zdoggmd.com/incident-report-235 Learn more about your ad choices. Visit megaphone.fm/adchoices

Are vaccines made from ground up aborted babies? Delusional antivax activists would have you believe so, but here's the real story. Links, video, and ways to support the podcast at zdoggmd.com/vaccine-fetal-tissue. Leave a review and subscribe, it helps the Movement a LOT! Learn more about your ad choices. Visit megaphone.fm/adchoices

Cannabis DECREASES nausea and vomiting, right? But can the OPPOSITE happen? Here's what you need to know. This episode is eligible for continuing education credit if you're a supporter on Facebook or Patreon! Instructions will be found in your supporter feed or using the links at zdoggmd.com/incident-report-234 Thanks to Physicians Weekly for partnering with us to make this possible! Learn more about your ad choices. Visit megaphone.fm/adchoices

This live episode: ASMR (WTF?), the college admissions scandal and the illusion of meritocracy, residency match day, our moral injury video, and more. http://zdoggmd.com/incident-report-233 for full video and links to become a supporter on Facebook and Patreon. Leave a review homies, it helps us A LOT! Learn more about your ad choices. Visit megaphone.fm/adchoices

A robot delivers a terminal diagnosis to an elderly patient as the family looks on in horror. Or not so much. Links to the articles, the full video, and more at http://zdoggmd.com/incident-report-232 Become a supporter and get continuing education credit for select shows: facebook.com/becomesupporter/zdoggmd Learn more about your ad choices. Visit megaphone.fm/adchoices

It's time we stopped the victim shaming...and started calling it like it is. Video, links to a great moral injury article, and ways to support the show and get continuing education credits at zdoggmd.com/moral-injury Learn more about your ad choices. Visit megaphone.fm/adchoices

In this live episode we talk about how the human mind works and how we might be better at managing our "subminds" and their anger; ZDogg talks about taking a mental health day. http://zdoggmd.com/incident-report-231 for links, video, and ways to support the show. Please leave a review and subscribe, it helps us A LOT! Learn more about your ad choices. Visit megaphone.fm/adchoices

A new and massive study in the Annals of Internal Medicine puts to rest any doubts about an MMR-autism link. Links, video, and ways to support the show while getting CE credits at http://zdoggmd.com/incident-report-230 Learn more about your ad choices. Visit megaphone.fm/adchoices

Blaming and shaming nurses and doctors and pharmacists and other healthcare workers for medical mistakes doesn't improve safety and transparency. Here's what does. #JustCulture Links to the video and a Just Culture algorithm here: zdoggmd.com/just-culture You can subscribe and support the show on Facebook for 4.99/month at facebook.com/becomesupporter/zdoggmd. Supporters will have access to CME credits for select shows (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at patreon.com/zdoggmd if you've killed your Facebook account. Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

We talk about "Sparketypes", self-reflection and self-deception, the importance of intent in determining morality, censorship on Twitter, ZDoggMD Industries is #LeavingLasVegas(!), Phil Collins, and Tom's thoughts on cocaine. Watch the video and check out links at zdoggmd.com/incident-report-229 You can subscribe and support the show on Facebook for 4.99/month at facebook.com/becomesupporter/zdoggmd. Supporters will have access to CME credits for select shows as well as exclusive content (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at patreon.com/zdoggmd if you've killed your Facebook account. Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

Home birth SHOULD be a comfortable and safe option for Americans. It isn't yet, and here's why. Links to a longer interview with Dr. Blair Duddy (CME-approved for Supporters) and more information at zdoggmd.com/home-birth You can subscribe and support the show on Facebook for 4.99/month at facebook.com/becomesupporter/zdoggmd. Supporters will have access to CME credits for select shows (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at patreon.com/zdoggmd if you've killed your Facebook account. Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

In this live episode we talk about the book Bad Blood and the story of the scam that was Theranos. We also touch on the concept of personal responsibility, free will, wealth inequity, the diminishing returns on happiness of increasing affluence, ideas for a nurses' week parody, and more. Watch the video and check out links at zdoggmd.com/incident-report-228 You can subscribe and support the show on Facebook for 4.99/month at facebook.com/becomesupporter/zdoggmd. Supporters will have access to CME credits for select shows as well as exclusive content (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at patreon.com/zdoggmd if you've killed your Facebook account. Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

iGen girls appear to be especially vulnerable to the deleterious effects of social media on their mental health. Here's why, and how we can better keep them safe. Watch the video and check out links at zdoggmd.com/incident-report-227 You can subscribe and support the show on Facebook for 4.99/month at facebook.com/becomesupporter/zdoggmd. Supporters will have access to CME credits for select shows (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at patreon.com/zdoggmd if you've killed your Facebook account. Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

With allergy season right around the corner, we talk with Nate Jones, founder of Xlear (makers of an OTC xylitol-containing nasal spray) about whether this kooky non-absorbable sugar alcohol might us some relief. More woo or promising science? Listen and decide! Just for the ZPac: 30% off if you wanna give it a spin at Xlear.com using the code ZDOGGMD You can watch the video and check out links to supporting articles at zdoggmd.com/incident-report-227 and become a Facebook Supporter of the show at facebook.com/becomesupporter/zdoggmd (Supporters will have access to CME credits for future shows; signing up from a laptop or computer is best). You can also access CME for eligible shows by joining us on patreon.com/zdoggmd (if you've killed your FB account). Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

We talk LIVE about outrage culture, Bezos's d**k pics, haters online, is Tom a misogynist, the response to our antivax-bashing video, why up-speak is an abomination, tea-tox, biblical literalism, equality of opportunity vs. equality of outcome, is Liam Neeson a racist, digital blackface, holocaust-shaming, why Eugene Gu is an example of outrage culture at its worst, why the left eats its own, was George W. Bush drinking during his presidency, and more! http://zdoggmd.com/incident-report-226 for links, audio podcast, and ways to support the show! Learn more about your ad choices. Visit megaphone.fm/adchoices

To parents thinking about having your baby at home: WATCH THIS FIRST. Video show archive, audio podcasts, music parodies, Supporter Tribe membership options, merch, social media, and email contact form: https://lnk.bio/zdoggmd Support us with a 1-time donation and get a personal email response from me: paypal.me/zdoggmd More about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

Once again, we throw a front line caregiver under the bus while our leaders fail to actually LEAD. The tragedy at Vanderbilt. If you are already familiar with the backstory, skip to 2:44 for my editorial on the arrest of nurse Radonda Vaught. If you disagree with me, leave your thoughts in the comments on the original video! You can watch the video at zdoggmd.com/incident-report-224 and become a Facebook Supporter of the show at facebook.com/becomesupporter/zdoggmd (Supporters will have access to CME credits for future shows, signing up from a laptop or computer is best). You can also access CME for eligible shows by joining us on patreon.com/zdoggmd (if you've killed your FB account). Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Links to our other videos on this story, news articles, and more here: https://zdoggmd.com/incident-report-203/ Learn more about your ad choices. Visit megaphone.fm/adchoices

We start silly but get WAY serious with talk about the #MeToo movement in medicine, my appearance in a Super Bowl commercial (!!), why physical education (PE) leads to worse outcomes for kids, how to fix education AND medicine, whether or not single payer can work, and why emergent phenomena should drive human progress. You can watch the video at zdoggmd.com/incident-report-223 and become a Facebook Supporter of the show at facebook.com/becomesupporter/zdoggmd (Supporters will have access to CME credits for future shows). You can also access CME for eligible shows by joining us on patreon.com/zdoggmd (if you've killed your FB account). Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

It's our live morning show about stuff... and things...with Tom and Z! In this episode we cover crazy antivaxxers, racism, psychedelics, terrible doctors, communism, and toxoplasmosis infection linked to schizophrenia. You can watch the video at zdoggmd.com/incident-report-222 and become a Facebook Supporter of the show at facebook.com/becomesupporter/zdoggmd (Supporters will have access to CME credits for future shows). You can also access CME for eligible shows by joining us on patreon.com/zdoggmd (if you've killed your FB account). Hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

How can patients and caregivers cut through exaggerated claims, ignore bad advice, and tell what's real and what's not on the internet? Dr. Nina Shapiro, UCLA Professor of Head and Neck Surgery, pediatric ENT specialist, and author of "Hype" teaches us during this LIVE show! We talk about the Dunning-Kruger Effect, being a surgeon and writing a book during OR room turnover time, how doctors use Google, what's up with those "Best Doctor" publications, predatory journals, medical cocaine, the merits and detriments of appearing on The Doctors, teaching patients vs. teaching healthcare professionals, advice from a pediatric ENT to referring pediatricians and paramedics, giving bad news to parents/children, pediatric end-of-life, why respiratory therapists and surgical techs are the most under-appreciated folks in the hospital, how bad morale makes bad work ethics, how surgeons police themselves, the challenges of academic medicine, are new residents going to be good doctors the way they are trained now, are children anti-fragile, are we inducing needle fear in children 4-7 years old, why you shouldn't listen to Hollywood about pretty much anything, why wearable exercise devices aren't all they're cracked up to be, the dangers of drinking too much water, how kids get sleep apnea, the VIP effect in patient care, should you ask to not have residents or interns care for you, why doctors are the worst patients, how can we relieve anxiety and pain in pediatric patients WITHOUT drugs. http://drninashapiro.com/hype Visit http://zdoggmd.com/incident-report-221 for links, audio podcast, and more. Email me [email protected] with comments and suggestions, and please subscribe and leave a review on iTunes! Become a supporter on Facebook.com/becomesupporter/zdoggmd or patreon.com/zdoggmd for future CME credits, exclusive live videos, and much more. Learn more about your ad choices. Visit megaphone.fm/adchoices

Measles is back, thanks in part to the antivax industrial complex. Learn how to recognize and manage it, and Facebook supporters and Patreon supporters will get a link to take a post test and claim Continuing Education credits just for learning to stamp out pestilence! Become a supporter of the show here and you'll get access to exclusive posts on Facebook, including instructions on how to claim CME/CE/CEU credit from via our partners Physician's Weekly: facebook.com/becomesupporter/zdoggmd (laptop or computer always works best) Hate Facebook? You can get access to the CME component by becoming a supporter on Patreon as well: patreon.com/zdoggmd Full video, links, transcript and instructions for claiming CME at zdoggmd.com/incident-report-220 Hit me with comments at [email protected] Please leave a review on iTunes, it helps us a lot...and spread the word ZPac! Learn more about your ad choices. Visit megaphone.fm/adchoices

In this live episode with YOUR comments, Tom Hinueber and I talk about the Cleveland doc who allegedly gave lethal fentanyl doses to his ICU patients, the nurse who allegedly raped a patient in a vegetative state in Arizona, New York's reproductive rights law, and why all teenage boys are pyromaniacs. You can watch the video at zdoggmd.com/incident-report-219 and become a Facebook supporter of the show at facebook.com/becomesupporter/zdoggmd (Supporters will have access to CME credits for future shows). And hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

The legendary Dr. Peter Attia, MD hosts one of my favorite podcasts, The Drive, and happens to be a homie from back in my Stanford days. He dropped by Studio Z to talk about ALL the things. Peter is a world-renowned doc and expert on human performance and longevity, although even that description doesn't scratch the surface. In this in-depth co-interview, we talked about our shared medical school experience, burnout, fixing medicine, nutrition, living longer AND better, optimizing performance, meditation, the nature of consciousness, vaccines, and a whole lot more including hilarious shit that happened to us in training, the Taint Transplant Service, Dr. Evil, and why medical culture is insane. Links to his amazing work, the full video of our interview, and more at zdoggmd.com/incident-report-218 and peterattiamd.com Hit me with comments and feedback at [email protected] If you like our show, rate and subscribe on iTunes and please consider becoming a supporter on Facebook: facebook.com/becomesupporter/zdoggmd Learn more about your ad choices. Visit megaphone.fm/adchoices

What if we had an invisible, Alexa-like assistant that functioned like a medical intern, doing the scut and freeing us to be present for our patients? Punit Soni, founder and CEO of Suki, is building exactly that. Will it actually work, or is it one more of Silicon Valley's failed healthcare promises? We dive in! In this episode we discuss how technology can actually enable the human relationship that's been lost in healthcare. We talk about the challenges and opportunities of having a voice-activated AI that empowers rather than obstructs. Would you let it into your exam room? After talking to Punit and his COO and fellow UCSF alum Dr. Nathan Gunn, and after seeing the demo, I have little doubt that the future of Health 3.0 is gonna be bright (with only a 30% risk of robot apocalypse). Check them out at http://suki.ai Full video, links, and transcript at zdoggmd.com/incident-report-217 Become a Supporter on Facebook and support episodes like these: facebook.com/becomesupporter/zdoggmd And please rate/review/subscribe on iTunes, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

An uncensored live-streamed discussion covering Star Wars, the way we treat people who've suffered miscarriages, the difficulty with showing vulnerability, the significance of hobbies, the connection between depression and social isolation/loneliness, and much more. Email comments and outrage to [email protected] and watch the video at zdoggmd.com/incident-report-216 For CME/CEU in the future, become a Facebook Supporter: facebook.com/becomesupporter/zdoggmd Please rate and review the podcast, it helps us A LOT! Learn more about your ad choices. Visit megaphone.fm/adchoices

My friend Chris Lindland (founder of Betabrand) wants to change how we dress—and therefore feel and act—at work. In this wide-ranging interview we talk about how to turn a side hustle into a calling with purpose, the beauty of letting the PEOPLE decide what they want and then building it, self-expression in conservative medical settings (tatoos, clothes, hair), and how healthcare and creativity intersect. Check it peeps! He's giving ZPac members 20% off Betabrand's Dress Pant Yoga Pants, so get your coupon here and rock some pictures of yourself wearing those in the hospital or clinic! http://eepurl.com/dMdhuQ Video and links here: zdoggmd.com/incident-report-215 Hit me with comments at [email protected] and rate and subscribe to the podcast please, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

A completely #NSFW live-streamed discussion of call out culture, the Notorious AOC, flu shot efficacy, inflammation and cardiac disease, the "r" word, and much more. Email comments and outrage to [email protected] and watch the video at zdoggmd.com/incident-report-214 For CME/CEU in the future become a Facebook supporter: facebook.com/becomesupporter/zdoggmd Please rate and review the podcast, it helps us A LOT! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Amy Baxter has dedicated her career to alleviating human suffering. In this remarkable and wide-ranging discussion she teaches about the research on needle fear and whether we might, with good intentions, be creating a lost generation of needle-phobic antivaxxers. She discusses her work on non-opioid pain treatment modalities, the challenges for women in medicine and business, transitioning from academic medical practice to being an entrepreneur, and much more. Video, links and full transcript: zdoggmd.com/incident-report-213 Video show archive, audio podcasts, music parodies, Supporter Tribe membership options, merch, social media, and email contact form: https://lnk.bio/zdoggmd Support us with a 1-time donation and get a personal email response from me: https://www.paypal.com/paypalme/zdoggmd More about Dr. Z: https://zdoggmd.com/about-z/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this solo podcast I discuss the concept of "antifragility" as applied to children, then our healthcare system as a whole. Health 1.0 and it's transformation to 2.0 are reviewed, along with the new emergent of Health 3.0 and some illustrative lessons from my now-closed clinic, Turntable Health. I touch on the moral injury we're calling burnout as well as the curative principles of the Health 3.0 vision. It's philosophy, sociology, medicine, and curse words all in one bizarre package ;-) You can watch the video at zdoggmd.com/incident-report-212 and become a Facebook supporter of the show at facebook.com/becomesupporter/zdoggmd. And hit me up with comments and feedback: [email protected] Please leave a review and subscribe to the podcast, it helps us a lot! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Paul Teirstein returns to discuss an American Board of Medical Specialties report finding that Maintenance of Certification (MOC) testing is a huge burden on already overloaded physicians without providing real benefit for patient care. But they aren't going to CHANGE anything...unless we all weigh in! ABMS is asking for public comment by January 15th and WE MUST lend our voices, ZPac! Please listen and consider leaving your comments for ABMS via links here: https://nbpas.org/respond-to-vision-commission-onerous-moc-components/ They want to hear EVERYONE'S input (not just doctors) by January 15th! Let's stop feeling powerless and take our profession back, for the sake of our patients and for each other. Dr. Teirstein is the Chief of Interventional Cardiology at Scripps and is the President and Founder of the National Board of Physicians and Surgeons (NBPAS), an alternative board certification organization for physicians. Links, full video, and a button to become a supporter of the show can be found at zdoggmd.com/incident-report-211 If you like the work we do, please leave a review on iTunes, it helps us a lot! And email me at [email protected] with comments, feedback, and ideas! Learn more about your ad choices. Visit megaphone.fm/adchoices

Here are the crucial reasons to protect your newborn against hepatitis B, STAT. Please support the show by leaving a review on iTunes! And become a supporter on Facebook for CME/CEU moving forward at facebook.com/becomesupporter/zdoggmd Video, show notes, links, and more at zdoggmd.com/ama11 Hit me with comments and feedback at [email protected] Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode we discuss the concrete thinking used by anti-vaccine activists, and how the damage done might apply to other spheres as well. Since Tom Hinueber is involved, we also discuss free will and choice (particularly in the realms of depression and mental illness), cognitive behavioral therapy and distortions of thinking, common-enemy vs. common-humanity identity politics, what antivaxxers get RIGHT about our healthcare system, the discrete nature of consciousness, how to end suffering, and much more. It's 2019 people, enjoy yourselves! Check out the video, show notes, links, and more at zdoggmd.com/incident-report-210 and email [email protected] with thoughts and feedback. Please leave a review on iTunes, it helps us a lot, and if you love what we do become a supporter on Facebook for exclusive content and CME/CEU (coming soon): facebook.com/becomesupporter/zdoggmd Learn more about your ad choices. Visit megaphone.fm/adchoices

Are there real differences in how we get sick, or is it just time to "man" up? A tongue-in-cheek discussion of "man flu" from both a scientific and cultural perspective. Original live video, links, and more at zdoggmd.com/incident-report-209 Learn more about your ad choices. Visit megaphone.fm/adchoices

Over-parenting and over-scheduling our children may be causing harm. Is it time to just let kids be kids? http://zdoggmd.com/incident-report-208 Learn more about your ad choices. Visit megaphone.fm/adchoices

In our post-Christmas bloated and frazzled state, Tom Hinueber and I discuss ALL the things in planning for how 2019 is gonna transform healthcare. A podcast exclusive (ain't no video, people)! PLEASE leave a review and subscribe, it helps us A LOT. Learn more about your ad choices. Visit megaphone.fm/adchoices

I got some new audio gear and wanted to try a podcast-only discussion (no video this time). Let me know if it works for you! [email protected] Discussed items include Jon Haidt's new book, Dr. Eugene Gu's Twitter shenanigans, college campus witch hunts, and how I look like The Rock (with one teeny weeny caveat). And here's that link to become a Facebook supporter: facebook.com/becomesupporter/zdoggmd Learn more about your ad choices. Visit megaphone.fm/adchoices

Are mobile devices destroying a generation? My family tried a #ScreenFreeSunday to find out. http://zdoggmd.com/no-phones Learn more about your ad choices. Visit megaphone.fm/adchoices

Science is rapidly transforming our ability to quickly and accurately diagnose flu, TB, STIs and more. Dr. Dave Persing is a preeminent scientist-physician and shares his hard-earned wisdom with tha' ZPac! http://zdoggmd.com/incident-report-207 Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Adam Ackerman is a hospitalist at Yale and the author of a pilot study in JAMA that may transform the way we think about inpatient opioid use and pain control. LIVE from the IHI: Institute for Healthcare Improvement conference. http://zdoggmd.com/incident-report-206 Learn more about your ad choices. Visit megaphone.fm/adchoices

A Las Vegas man makes national news by developing paralysis due Guillain-Barré syndrome shortly after getting his flu shot. Should we all be scared? Here's the deal. http://zdoggmd.com/incident-report-205 Learn more about your ad choices. Visit megaphone.fm/adchoices

Here’s my second draft on the nurse error incident at Vanderbilt we talked about in the previous show. Is blame productive or do we need a very different culture to prevent harm to our patients while supporting our caregivers? http://zdoggmd.com/incident-report-204 Learn more about your ad choices. Visit megaphone.fm/adchoices

A preventable mistake results in a horrific death at a major medical institution. What went wrong, and what can we do to prevent these tragedies in the future? http://zdoggmd.com/incident-report-203 Learn more about your ad choices. Visit megaphone.fm/adchoices

MTHFR: a wretched hive of pseudoscience and villainy, exposed! http://zdoggmd.com/incident-report-202 Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. James Riddell, Clinical Professor of Infectious Diseases at University of Michigan (and my brother-in-law) joins us to talk about improving the management of endocarditis in IV drug users. It's #TribeTeach y'all! http://zdoggmd.com/incident-report-201 Learn more about your ad choices. Visit megaphone.fm/adchoices

Why we need more support, more security, and a culture of safety for healthcare professionals. #silentnomore It's the 200th episode of Incident Report! http://zdoggmd.com/incident-report-200 Learn more about your ad choices. Visit megaphone.fm/adchoices

Gun violence is very MUCH our lane, thank you very much NRA. But my take here is guaranteed to anger both extremes in the gun debate...while hopefully highlighting some simple tools that SAVE LIVES. http://zdoggmd.com/incident-report-199 Learn more about your ad choices. Visit megaphone.fm/adchoices

It's hard enough feeling safe in hospitals these days without having to deal with "friendly fire" from each other. http://zdoggmd.com/incident-report-198 Learn more about your ad choices. Visit megaphone.fm/adchoices

It's called Expedited Partner Therapy (EPT) and it's a thing, people. Here's why. http://zdoggmd.com/incident-report-197 Learn more about your ad choices. Visit megaphone.fm/adchoices

Get inside Vader's helmet with this exclusive LIVE interview with Tom Hinueber. http://zdoggmd.com/vader-live-hinueber Learn more about your ad choices. Visit megaphone.fm/adchoices

Pelvic exams performed while a patient is unconscious are common... the question is are they ethical? Here's why informed consent matters. http://zdoggmd.com/incident-report-196 Learn more about your ad choices. Visit megaphone.fm/adchoices