The Bigger Cup Philosophy: Dr. Furhan Qureshi on Transforming Setbacks into Opportunities in Medicine and Life

SPEAKER_01 0:00

Welcome to the Living the Dream Podcast with Curveball. If you believe, you can achieve.

SPEAKER_00 0:14

Welcome to the Live in the Dream with Curveball Podcast, a show where I interview guests that teach, motivate, and inspire. Today's guest is Dr. Q. Dr. Q is an internal medicine physician. He is a U.S. Air Force Reservist. Thank you for your service, Dr. Q. And he is the founder of a wellness practice that implements clinical restraint, honesty, and long-term thinking. But Dr. Q's path to internal medicine was not linear. A injury early in his career force him to redirect. And uh Dr. Q has worked on a COVID front lines as well as military service under high pressure conditions. And all of this has made him have a deep human approach to health. So we're going to be talking to Dr. Q about his life, his injury, everything that he's up to and gonna be up to. So Dr. Q, welcome to the show.

SPEAKER_02 1:20

Thank you, sir. It's an honor and privilege to be with you guys.

SPEAKER_00 1:23

Why don't you start off by telling everybody a little bit about yourself?

SPEAKER_02 1:26

Yeah, so I'm Dr. Ferhan Kureshi. Uh and uh Armed Forces, I'm known as Major Ferhan Kureshi, but most people just call me Dr. Q, or my close friends call me just Q, and that's fine. Um I've been practicing for well over 10 years, almost 15 years now, actually. Um I uh I do a lot of things. I still work at the hospital, do inpatient medicine. I also rotate an ICU and do some critical care. I uh I also uh work uh for the armed forces um as a reservist. Um I work on base one weekend a month, so I do that as well. And I've been deployed in that role as well. So that was an honor and privilege for me as well. Um I also do consulting. I consult with a lot of telehealth companies. I was one of the early pioneering positions for some of the largest firms out there, like Roman Health and Him's and Hers. Um, and I have my own aesthetic and longevity practice uh that uh I'm proud of called NURIS at Tik and Wellness Center, where we can be found online and www.thenormd.com, the t-h-e, noor-n-o-o-r, m like Mary D, like David, thenoormd.com. And uh now we've just relaunched a pot we've we've launched our podcast, the NOR Effect, which can be found on YouTube. Uh so you can go on the website and learn about it there. So I do a lot of things, as you can see.

SPEAKER_00 2:53

Yeah, you absolutely do. And and let's uh talk about the injury that kind of uh redirected your path and talk about how it uh not only redirected your path, but uh change your you know, kind of change things around with you as far as uh your identity and control.

SPEAKER_02 3:15

Yeah, so you know, uh every time I suffered like a pretty serious injury, I think God gave me a bigger cup. Um I thought, you know, every time I suffered something major and life-changing that I thought, oh, my life is finished. How can I how can I go on? And it's not that you lose that cup, God gives you a bigger cup or a different cup that ends up being bigger for you. So the first example comes with my lower back, you know, and I was in med school, I was in my second year of med school. I remember I was preparing really hard for one of my exams. It was near the end of the semester, and something happened. I finished, you know, studying at my friend's house. I got up to leave, and all of a sudden I collapsed to my right side. I wasn't able to bear weight to my right side, ended up suffering from a severe dyskrania, which made it almost impossible for me to stand or you know, walk. And this had a prolonged effect on my career uh in med school. It took a lot of time rehabbing in terms of both physical therapy and and uh adaptation and and adjustment. Um, my initial plan was to have gone into surgery and be a surgeon, but with my back to it, it was like, no way, dude, I cannot be a surgeon. Surgery needs to stand several hours at a time doing procedure to be physically very strong to do it. And I didn't think I had the physical strength for it. So, you know, I kind of went into the wilderness of uh medical school. Like, what else could there be for me? And I ended up really learning a lot and enjoying internal medicine and everything about it, you know, all the different diseases, the treatments, the different organ systems. There was an intellectual stimulation that was nourishing and satisfying. And I thought, you know, I could never get bored of this career because there's always something new to learn. There's always a new way to do things. There's always something, this will this will always be fresh. It won't get boring. It'll always get interesting. Uh, and it's a very important job. I mean, you know, we you know, we we have a lot of flexibility in it. You know, I can treat a simple sinus infection from the office, or I can be in the ICU treating a severely ill, critical aseptic shock patient. Um there was tremendous flexibility in it. So, you know, it ended up um, I thought, being the right move for me. Then I suffered an uh another major injury in my career early on, uh, once I finished my residency. I was almost in my, I was almost two years, one and a half, almost two years out from my uh my residency training. And I was preparing for my physical uh uh fitness test for the military, and I tore my groin. And again, same thing. I'm like, oh my God, I can't run. God, you you did it to me again. Not another major injury. What will come up of this next? Little did I know that this groin injury ended up opening the door to to this telehealth, you know, uh arena that, you know, this whole world of telehealth that that was very new. This is back in 2015, going to 2016. This is before COVID happened. So telehealth was very kind of, you know, in the in the background and and very kind of um very new. A lot of medical boards didn't like it. They were very anti-telehealth, a lot of them. And you know, I slowly began growing in that field, and then of course, COVID blew it up. So when I got injured, one of the medical groups I worked for, I had at least like eight or nine medical license with them because I used to travel to hospitals to do work for them. I told them, yeah, I just cancel my shifts the next two months. I I tore my growing and I won't be able to walk. It's like that's okay. You're are you good at good with computers? I said, Yeah. And um like, we got this new telehealth thing, like telehealth, what what what the heck is that? And they explained, it's like, yeah, you can talk to people and order them, you know, a medicine for the UTI or retreat assignment special. Like, yeah, but how do I know what is safe and good and what is not safe? Like, no, don't worry, you know, you know, you that there's controls, you decide and you don't have to prescribe anything. And I got into it and I fell in love with it. And over the next two or three, over the over the next, you know, uh nine, ten years, I began accumulating licenses, working for different, you know, companies, helping them, you know, get started, helping them grow. And you know, I I was with telehealth before it became you know cool. And I I helped nurture that entire field of medicine. And I still practice in that uh while doing my my clinical work and my own practice. And yeah, just an example of how you can have something that seems like a setback, but it's just God giving you a bigger cup. You'll you'll fill it with something else later than that that that will make your heart more full later.

SPEAKER_00 7:50

Absolutely. Well, I know you also worked on the the front lines of COVID where decisions carried enormous weight. So so talk about uh what that period taught you about judgment under uncertainty.

SPEAKER_02 8:04

Those were very dark times for me personally. Um, you know, while the rest of the world was worried about COVID, I remember those were very vividly dark times for me. I was I was going through through my divorce at the same time that I was going through COVID. So I I had a I had a double whammy. You know, in the daytime, my laurels are on the phone, you know, my my ex is like fighting me in court over everything, and it's just an ugly divorce, and I'm hemorrhaging legal fees there. But then on the other hand, I'm working almost every day, um, several nights in the ICU, um, treating all these critically ill people who are dying by the dozens of this from this novel virus we don't even know about. So it was very, very devastating for me emotionally to see so much death and carnage in the hospital, but then get get torn apart, you know, uh outside via this this this divorce, you know. So what I learned from this experience was was resilience. You know, there there is no challenge that God God gives you that you cannot handle. Um you know, this could have this could have ended out bad. You know, this could have been a situation where you know I just gave up and let it go and collapsed into the weight. But no, um, like I said, when when when something devastating happens to you, God just give God gives you a bigger cup. And uh from that experience, I learned resilience, I learned patience. I remember in those days, I would I definitely felt like I had more of an ego and and uh was very self-centered and egotistical and arrogant back then, but it it humbled me a lot. Um, you know, so so maybe this is the suffering that I needed uh uh to find my happiness later.

SPEAKER_00 9:46

Well, I know you've you've uh done work as a military reservist and as a physician. So talk about how how both those worlds inform each other when it comes to uh leadership as well as restraint.

SPEAKER_02 10:01

Yeah, that's a good question. You know, I want to make this very clear about the military. The military is the ultimate um entity that this country has that has that that that that that shows what brotherhood ought to be. I was going through the suffering while I was in the military. My divorce was going on while I was going through it, and COVID was going on, and there was carnage everywhere. And you know, my my my brothers and sisters in the armed forces, the people I the people I work with directly in my unit, you know, they they they looked out. We we looked out for each other. They they used to check in, Major Kureshi, I'm just calling to make sure you're okay. They didn't have to do that, there was no directive, but they chose to do that. There is a unity in the military that we take care of our own. You know, sometimes the most dangerous battles aren't overseas on uh, you know, and in the battleground. The most biggest battlefields are in one's heart. And and that's where you you really need need your your your troops, you need your your morale, you need you need your company, you need your your your your your uh your unit with with you to to keep you up. So, you know, the military further taught me patience, further taught me about uh service before itself. You know, I accepted the fact that I'm going through a divorce, I accepted the fact that this relationship is over, there's money involved, I accepted that there's public humiliation from all the all the mean things she's saying to me in court filings. I mean, I I accepted that, but I reminded myself, I was reminded by my work with the armed forces and my work outside that uh I am more than than this uh failed relationship. Um there's more to me than than this. Uh who do I want to be? And I decided I want to be known for helping others. I I want my my service to my fellow men, to my to my unit, to my fellow citizens to be, you know, my most my most important achievement. So, you know, the military taught me to remain patient. The military taught me to seek help. Yeah, I mean, you know, people have this misconception that military guys are all you know still roided up in super macho. That was not true. They're not like that. They're they're very sensitive. I have grown men calling me who had their own, you know, divorces, crying on the phone with me, telling me it's gonna be okay. I went through this, I made it, I will help you get through it. So I had tremendous support from from my unit from my my own unit, uh, from various members of my own unit. I had tremendous support and and and I and I'm uh my I'm ever grateful for for the for the armed forces and and teaching me leadership, teaching me most importantly, patience and resilience while I went through my challenges, from my health conditions to my my personal relationship.

SPEAKER_00 12:52

And we are grateful for your service. So thank you once again. So um I know you talk a lot about resisting hype and wellness. So talk about the most common shortcuts that you see people take and why they're so tempting.

SPEAKER_02 13:07

You know, lately I I've seen this with this crazy trend. Um wearables. People, you know, wellness is the hottest thing uh uh in the country right now. Everyone's talking about it, whether it's an athlete, you know, uh a musician, an actor. Everybody from every walk of life right now has an opinion on wellness and longevity in some form or fashion. And I'm seeing a multi-billion dollar industry grow around it from wearables to you know certain supplements to now peptides. Um I don't think these things are wrong necessarily, but I think a lot of these things, like you know, people think replace fundamentals when it comes to health and longevity. And I'm sorry, they they just don't. Um my view on the American health, the status of America's health overall is that we are like the Titanic. We just hit a major iceberg and there's a hole in the bottom of our ship. Things like macro counting through an app, like a wearable tracker that tracks your steps and your sleep, all these things aren't necessarily bad, but these are like tiny buckets, right? All you're doing when you when you're making people buy these expensive supplements or try these questionable peptides that they're finding online or were trackable, I don't want to say that they don't help. I mean, I'm sure there is some benefit, I just don't know how much, but they don't replace fundamentals. Like, like guys, you know, you want to try peptides, you want to wear wearables, you want to try these new AI-based health apps that you know, you're wearing CGMs, you're tracking what your glucose does when you eat a bag of chips. You're doing all these things, and and I and I get it, but they're just little buckets. You you have a hole um in your in your ship. Your ship is sinking. These little buckets will just get some of the water out, but you're you're still sinking. One in three Americans has obesity. Cancer rates are rising and they're happening earlier and earlier. Um, we have a serious health crisis, and not just this country, but globally, happening in many parts of the world, from decreased testosterone counts and uh and lowered sperm counts. Um, I think the mistake we had made in this country, and I say this over and over again, this is a structural problem. This is not a moral failing. You know, whenever we hear about this problem, a lot of my physician colleagues will make, you know, you know, these ignorant ignorant comments like, yeah, there's obesity because Americans are lazy. And I just hate when they say that. You know, my own colleagues, I've seen highly educated, you know, uh pulmonologists, cardiologists, you know, very educated people make these ignoramous statements. And whenever I hear that, I ask them, so you're convinced one in three Americans, which is a lot of people, have these chronic conditions because they're all lazy? Yeah, absolutely. Okay, well, let me ask you a simple question. If they're also lazy, why does this country have the highest GDP in the world? We have one of the highest GDPs, the average American takes the least amount of vacation, he works the most number of hours and jobs. You know, the economic statistics really disprove the whole Americas are lazy argument. So I think when it comes to our health, it's very easy to pay lip service and say stop eating processed foods and work out more. But the problem is structural, the nature of our jobs have changed. Back 50, 60 years ago, uh, Curtis, you and I would have been working in some factory together. We would have been carrying some heavy metal object and manually preparing something. Well, it doesn't matter what you do, whether you're building a car or you're building a ship or you're whatever, you're not physically carrying the heavy items anymore. There's robots, there's robots and automations doing it. Why? Because they can beat us humans in efficiency. And if the robot breaks, they're not going to sue for health, for you know, health conditions. Um, this is just natural economics. The more the business owner, the more the business can automate their processes and use uh a robot or an automated device to do it, the more output they can achieve and the and the lower uh the cost is, which helps them achieve efficiency for the consumer. The consumer gets to pay less because there's there's higher output. That's just basic economics. In doing so, there's been this crazy, crazy emergence between the automobile, um, the oil and gas industry, you know, all these all these various you know, sectors, there's been this tremendous uh intersection that we have come to a point where this this problem, and it's not new, it started you know in the in the 70s actually, the 60s and 70s. When you had the rise of McDonald's and these these fast food giants in the 60s and 70s, the problem began, but it was slow. It it dramatically escalated when I was a kid in the 90s because you also had the computer era and the dot-com era, and this is when things really heated up. And um, the mistake has been, oh yeah, just work out more. But again, exercise is good for you, but but the reality is you can ask any exercise physiologist, but when you look at the data, you know, for the average American who does one hour of really intense exercise, but then he said in her not by choice, that's just the nature of our work. We're all computer people now. The accountant has to do his work on the computer, the the journalist, everyone is now, you know, uh uh, you know, chained to the chained into immobility by their office chair and their computer. Um, you know, that one hour work doesn't necessarily equal uh it doesn't equal, you know, what what what you should have had. You should have had, you know, some degree of exercise and and and mindfulness and wellness throughout the day and throughout your life. And and we we don't. We are so hyper-obsessed in our uh productivity and our output that our own desire for high efficiency has led to the decay of millions of years of of our biology. Um I ask a lot of you know my my fellow physicians and fellow people, if you were to look at all the American movies from 1970s, 1980s and compare them to now, everyone was was kidding in those movies. Why they were drinking and smoking more back then? Why are they looking you know thinner than we are now? Um, this is a complex problem, and you know, it it it needs more you know serious answers. Um I compare ourselves to to you know other developed nations, you know, Singaporeans, like parts of East Asia, Europe, you know, they don't have the degree of chronic uh health diseases and the chronic obesity epidemic that that we have. And I think part of the reason is they simply work fewer hours, they have government mandated longer paid education, they have longer paternity leaves. Um, you know, I even joke, even the uh uh Democratic People's Republic of Korea and uh you know DPRK, they they actually forced their workers to have you know time to dance, time to sing, they force them into leisure. And when I joke, even the North Koreans do do more for mindfulness and wellness than the United States does. So our hyper obsession, you know, with a 30-minute lunch if you're lucky to have a 30-minute lunch. I mean, this is this is not right. I mean, it's um we're violating the laws of biology. So I I I think that the focus shouldn't be necessarily on what more we should do. It should be more on how can we do less. We should be you know focusing our energies towards technologies that can unshackle us from the you know uh the shackles of of the office chair and the um you know the computer and l let us move around. So yeah, I I think there's a hyper obsession with with things that may not be that beneficial, like wearable trackers and you know, stuff like that. I think what we ought to do is is have more serious discussions on the government level. How can we move away from a car-based system to a more aggressive, modernized mass transit system? You know, the biggest uh killer, you know, as far as fat goes is visceral fat. This is not a static fat that that's you know aesthetic. It actually is glandular. This is the fat that secretes the hormones uh and inflammatory markers that can increase inflammation, that can cause diabetes, that can increase your risk of cancer, cardiac, you know, everything bad you can think of. But what's ironic is Americans struggle with it, but this technically is the easier fat to get rid of. If you were to suddenly go to Germany and go back back and there from Month you look like a different person, you know, from fasting and and uh basic consistent exercise like chasing a bus out every day or walking several blocks to go to work or go to a park, you are able to dramatically have a different physique as a result of this. So um yeah, I mean change has to happen, and I'm sure the individual must try their best, but this is not an individual, you know, failing per se. This is a a societal and structural problem, and I think it'll take a lot more serious uh intervention on the government level.

SPEAKER_00 22:33

Well, define your definition of clinical restraint and and talk about uh why it is countercultural to today's modern medicine and marketing.

SPEAKER_02 24:05

That's a good question. Um, what has happened now with medicine is there is a pressure to improve patient satisfaction. And in our training videos, uh a lot of the hospital makers do corporate training videos now. They don't even call them patients in the training videos, they call them customers, customer satisfaction. Does it upset family member? There's a customer service complaint. They they they they kind of you know euphemistically use this term uh customer, and that's a problem. Um, because in the in the American, you know, uh corporate system, there's an old saying the customer is always right. Well, that's fine when you're selling, you know, handbags or shoes or or or bagels, but you're not selling medicine. You're you're treating people, you're not selling something, you're you're trying to treat them. The problem is that the patients and the families don't always have the expertise to know what they ought to get. Uh, you know, this this push uh for customer service is what has led to um people forcing the doctors to give them more pain medicine that they were not that they were comfortable filling. Um in the aesthetics world, this is what has you know caused a lot of harm to these celebrities. You know, they want an extra syringe of filler, but these are celebrities, they have a power. You know, the poor injectors are kind of bullied, like okay, you know, whatever you want, and we'll go ahead and inject more. On the one hand, there's a pressure to financially perform, especially a lot of these for-profit you know, medical aesthetic practices that are not physician-owned owned or run. These are more corporate run. That's a pressure to boost profits. So now what is happening is if the client thinks they need an extra syringe when they really don't at all, there's a higher likelihood that these you know unsavory practices that want to boost our bottom line will say, Yeah, okay, we'll go ahead and inject more filler in you. It might harm their look, it might even harm their health. But it's done because you know, we're we're they're pleasing the customer, not the patient, but they're pleasing the customer, and they're helping the bottom line, which makes you know the company happy. So we have to be careful with how we mix you know, business in the world of medicine. Um I'm proud to say that over 30% of the cases that we we get, we we reject, we have a relatively higher rejection rate because we don't we really do care about our patients, we really do want them to have the best outcomes. And um, you know, of course, we'd like to make, I mean, I'd love to make money, but um, we are I don't have shareholders. I I don't have an angry uh board that I have to respond to and keep producing profits. If I had that pressure, then yeah, there would be a tendency to be like, okay, you know what? Yeah, sell more, sell more Botox than they need, sell more dermal filler than injecting that the inject more dermal filler than they need, do more laser therapies that they don't really need, do more. Let's boost our bottom line, sell more. It um it's kind of lowered the standard of this kind of business. And uh I have to walk a fine line between not becoming too consumerist and uh maintaining a professionalism that look, you know, we are medical professionals, we want you to have the best, but we are a medical aesthetic practice. We're not a basic like like med spa used to mean medical practice that does spa like services. Now it's become cheapened where everybody in many sets can open one and just have a nurse practitioner or doctor come part-time and do the services that were medical and and skirt skirt the law. These tend to be inappropriate, they tend to be very profit-driven, and uh you know, client outcomes don't really matter. It's it becomes more about the bottom line, and you know, we we don't we don't uh uh subscribe to to that kind of practice, and uh I warn others about that as well.

SPEAKER_00 28:03

Well, that goes into my next question. Talk about what role honesty, especially uncomfortable honesty, plays in building trust between doctors and patients.

SPEAKER_02 28:16

Well, that's a that's a great question. Um Have you ever seen a physician apologize? Uh it's rare, it's rare. You know, I read a study recently, a few weeks, a few months back. Um patient trust in physicians is at an all-time low. Uh patients the average Americans uh you know favorability for for their physician has dropped to an all-time low. Um we've had a downward trend since COVID happened. There's been a lot of breach of trust, and there's been a lot of, you know, COVID was a black guy for us. And I think part of the reason why, you know, there's a there's an impression of dishonesty among the person now is um healthcare costs have risen. And Americans keep mistaking good medical care with a business, right? So, you know, the the uh you know there's an old saying, you pay for what you get. So what that means is if you buy a car and it's cheap and it breaks, that's your that's your fault because you paid less money. You should have bought the very expensive car from this expensive brand. You would have had a better outcome. That's kind of you know marketing, a marketing trick in in most you know industries. Sadly, this this has become ingrained in the mind of the average uh American. They now take this towards their medical provider. The bill's very expensive. Insurance companies, they're they're the one industry that that that you know, I marvel at their success. They're the one industry that charges their their members more and more in fees, but then pay out the services less and less. It's like an ever-growing beast. They're charging their their people, their members more and more, giving them less and less services, and at the same time reimbursing the provider, the medical providers, and the and the the laboratories and all the other players in in medicine, they they reimburse less and less, but they keep more and more, and their profits are at an all-time high. It's a remarkable business. Um, you know, it's the only industry where you know people pay more and get less, and no one seems to be doing anything about it. So what has happened now is now that the Americans on the hook for more and more of their healthcare, if they have a bad outcome or the outcomes aren't perfect the way they expected, like you would with a car or a nice shoe that you bought, um, it hurts, it has it has harmed the trust between the patient and the physician. You know, they say I worked extra overtime and borrowed money from my family to pay your your fee that the insurance company didn't pay all of it for. I had to pay the 20% myself. I spent thousands of dollars and I'm still about to die from cancer. You're the worst physician ever. I don't, I'm gonna tell all my friends not to see you. Then to make it worse, these people, when they have a bad outcome, they're upset. They go on you know, social media and Google, they give terrible reviews to the hospital, to the physician, you know, to the to the medical staff because the outcome is bad. We we need to really kind of remember that we are not in the consumer business. And and and I think, and I wish a lot of these hospitals could be more mindful about you know uh uh sensitivity training. They they really need to rephrase it away from customer service training to you know patient-family sensitivity training. You know, we a lot of physicians and nurses do need some kind of training on how to handle difficult staff, difficult, you know, family members of difficult patients. I get that, but the corporate style is not good. You're feeding into a system that is harming the relationship between the patient and the physician because they're viewing negative outcomes, which you know are all possibly acts of God. Maybe sometimes there's a mistake on the physician's part, but you know, uh these bad outcomes are now being blamed, like it's a fault of the physician. Why couldn't my grandmother, who is 97 with multi with metastatic lung cancer, live longer? You charge us enough money for the chemo, we'd be paid all these you know fees. Why couldn't it be better? I'm gonna give you bad reviews, and it it just harms the system, it harms the trust between the patient and the physician.

SPEAKER_00 32:35

Well, in moments of extreme press pressure, what if internal framework helps you decide when to act and when not to?

SPEAKER_02 32:45

Good question. Um it takes years of practice to know how reactive one should be to a problem. When I was younger, I was highly reactive to everything. I was highly reactive to complaints about, you know, any complaint about me, any any criticism uh about me from a from a fellow colleague or or a patient. I was called I was overly reactive because you know, as a young person, you have this energy, you think you know it all, and you want to fix everything immediately. I can explain away in any mistake and and make it perfect. But the problem is that is not always the right approach. Sometimes the right approach is silence, reflect reflection, quiet reflection. Um, there's a power in silence, there's a power in in meditation, there's a power in patience. Maybe if there's somebody who's filing a complaint against us or threatening to sue, maybe the answer isn't to immediately react or immediately. Maybe the right answer is to step back, stay silent, and review, study, review, study, prepare. And prepare yourself to respond in a more thoughtful and deliberate way. Um with practice and time, you will become faster at being more thoughtful and mindful in your in your response. But this is this is going to be something that you have to be actively um mindful about. You have to acknowledge, you know, you have to do self-reflect and acknowledge that, hey, I need to change, I need to stop being so quick to judge or quick to react. I need to be more patient and more deliberate in my decision making. And um, if you can start doing things in that way, forgive yourself more for your mistakes, be more patient, more deliberate, and just know that no matter what happens, there will still be a tomorrow. You still have tomorrow no matter what happens today. Um you will slow down when you need to slow down and then react when the time is right. You don't have to always react immediately. It can take time. It's okay.

SPEAKER_00 35:07

Tell us about any current upcoming projects that you're working on that this need to be aware of.

SPEAKER_02 35:14

Yes. Uh so we're very proud that we have uh relaunched our podcast. I first tried to kind of soft launch it in and you know winter and we we backed off because I just didn't like the I I I felt we we could have done a better job. We have relaunched it. Um we have a a a video uh uh uh uh vlog vodcast, they call it like a video podcast, uh, that that is also going to be streaming on Spotify and Apple. Uh it's called the Noor, uh the NOR Effect. Uh N-O-O-R-F. E-F-F-E-C-T. You can go on our Instagram at at theneffect podcast. It is at the T-H-E-N-O-O-R E F F E C T podcast. You can also learn more from our website at www.thenormd.com. That's the N O O R M D.com. That's our new website. We have refurbished our website. We have a Brent Spangen uh new social media, and we've just launched a podcast. I mean, but we have a newsletter coming soon. We want to educate the public on on uh the latest in and uh longevity and and aesthetic medicine, and we want to uh uh show uh uh the the viewer um what what what the evidence and what the science says and and guide them away from uh uh these you know uh social media uh trends. You know, we we we we believe in uh evidence over trends.

SPEAKER_00 36:52

Any final thoughts you have for the listeners.

SPEAKER_02 36:54

No, that was it. That's why I talked to them about our our new podcast, our new website, our social media. Um and uh yeah, we we we look forward to to hearing hearing from your your viewers. And if they have any questions, they can reach out to us uh on our social media and and uh send us a DM over there.

SPEAKER_00 37:13

All right, ladies and gentlemen, the NoahMD.com website will be in the show notes. Please follow rate review, share this episode to as many people as possible. Also to keep up with all things living the dream. If you haven't done so, please visit www.curveball337.com. Sign up for the newsletter to keep up with all things living the dream and share the website and the show to everybody you know. Thank you for listening and supporting the show. And Dr. Q, thank you once again for your service and thank you for all that you do, and thank you for joining me.

SPEAKER_02 37:49

Perfect. Thank you so much. Uh thanks for having me.

SPEAKER_01 37:52

For more information on the Living the Dream with Curveball Podcast, visit www.curveball337.com. Until next time, keep living the dream.