Ep. 23 | Anna Ledford, MD & Samuel Edusa, MD, Residents, SGMC Health

Transcript

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- Welcome to another episode of What Brings You in today? I'm Erika Bennett. And I'm Taylor Fisher.

- And we want to thank you for tuning in and listening. If you are a fan, we'd like you to subscribe to the podcast to make sure you don't miss any episode. And also be sure to leave us a review.

- Yes. And if you have any questions or topics you'd like to submit for us to talk about, you can do that at our website at sgmc.org/podcast.

- And today's gonna be a fun episode. If you'll notice we have more people in the studio than we normally do, but we have Samuel Edusa, MD and Anna Ledford, MD and they are our internal medicine residents here at SGMC Health. So doctors, what brings you in today?

- Go for it. So we are here to talk about internal medicine and the life of resident physicians. Kind of our path to getting here, what all it entails.

- Cool. Alright. Well let's get started. We'll start with you. Sure. Dr. Edusa. Tell us a little bit about your journey to become a doctor.

- My journey. Hmm. So my journeys been pretty long because you have an interesting story. Yeah, pretty interesting story. So I went to medical school in Ghana. So that's a country along the West African coast. 34 million people. I think that's about three times the size of Georgia.

- Wow. - Yeah. So started there. I went to medical school. Medical school. There is about six years. So completed that. And then once you're done with medical school, you have like two years of, we call it house manship. And that's kind of akin to, I would say about a year of family medicine residency. So you go through that and that you rotate through everything. So you do pediatrics, ob gyn, you do internal medicine and surgery. Once you're done with that, you're fully baked, essentially you're a full fledged doctor. So then you assume the role of a medical officer. So after that, like, you know, I worked in a couple of government hospitals, military, hospital, other government hospitals for a couple of years. And so from there my journey takes me here to the us. So I come over here and move to Peachtree City, just south of Georgia with my wife and was doing some research. Then I volunteered at a couple of hospitals as well and needed to fend for myself so, and the family. So I veered off a little. So my additional job was working in software. So I did the whole software engineering thing just to kind of, you know, support the family. And yeah, just continued on that path. And then took the medical license exams, the three of them, I don't wanna think about them. That's a lot of questions. But then did that and then, you know, applied to residency and then got accepted at SGMC and I've been happy ever since.

- Awesome.

- Yep.

- All right. Dr. Ledford, I know you're a little closer to home. Yes. Tell us a little bit about your journey.

- Yeah, so mine was kind of non-traditional, I guess you could say as well. Was born and raised in Cleveland, Georgia, about an hour and a half northeast of Atlanta. Went to undergraduate school there, became a registered nurse. Worked for a few years doing that. Decided to go back to get my nurse practitioner degree, my master's degree. So attended Vanderbilt University in Nashville. Did that, worked for a few years alongside, alongside some great attendings. That really encouraged me and kind of sparked an interest in learning more about the medical sciences and diving deeper into the care that we were providing and everything. So I decided I know what better way to do that than to go back to medical school. So I attended a school in the Caribbean, did all of my clinical rotations, most of them in northeast Georgia, a few in South Georgia. And then in Iowa also then came time for applications. I knew I wanted to stay in the state of Georgia to complete my residency training. So fell in love with South Georgia Medical Center when I interviewed here. And here we are. Awesome.

- Here we are.

- We're glad to have both of you here. Thank you. And I love the non-traditional path 'cause I took a non-traditional path with my education as well and started off in a technical college and then finished my bachelor's degree only two years ago after working for a while. So I love that showing that people that it's possible even if you go a different way

- Yeah. That you're never like stuck in one spot. You can always, you know, have the opportunity to try something, something different. That's, I mean, and certainly it can be harder and more challenging if you have families or different dynamics and you're trying to also maintain like revenue during that time.

- Yeah.

- How would you say, do you think, 'cause I always wonder this as far as being a nurse first and then a np, how has that prepared you for the medical schooling?

- I think, you know, so the exposure to, you know, different aspects, you could kind of see, you have a different vantage point. I would say, you know, a different view of it. You kind of get to see things, you know, I worked as a medical assistant before I was a nurse, so you know, all the things that are going on sometimes kind of behind the scenes in the patient care. So it's, it's a neat perspective. I also think it's really helped me communicate with my patients better. And the appreciation I have for our nurses, our techs and everything has just been, you know, I really appreciate that now. So I think it's helped me in those aspects. It was a little difficult, you know, transitioning over from nurse practitioner too, an MD because you know, our first year of medical school is very heavy on the medical sciences. So kind of transitioning from the nursing role, getting into that was was a little difficult. Yeah. You know, it's different but thankfully, you know, it, it all worked out and we're

- Here. So. And doctor, I just say you have a fam, a lot of family members in the medical field, right?

- Correct. So my mom, so she is, so she's Ukrainian. So I'm African Ghanaian, half Ukrainian, she trains as a surgeon. And both my parents met in Kyiv, that's Ukraine. My dad was an ENT specialist, but he passed away. And then my brother, eldest brother's in a radio oncologist. Then I had my other brother in Connecticut who is OB GYN. So

- Did you always, did either of you to kind of know you wanted to, what kind of drew you to medical field? Was it just seeing your family members do that? Or do you just feel like passion to help people? Yeah, I mean, I mean, go ahead.

- I think it's both. I mean if you, you know, being in an environment where they speak about people and you know, like not just patients but like, hey, I met this person and he was sick and he got better. You know, you just have that feeling that you also want to be in that position to help people.

- So - I guess growing up for me, like growing up in that environment, it kind of, it almost seemed like a no brainer. But then I try to deviate when I came back to the path, you know, 'cause it's like one of those things, you know, you go off the path and then you realize that no, I really want to be doing this. Yeah,

- Yeah.

- And then you kind of go back. So, yeah.

- Yeah. I think that's, you know, growing up I had my grandfather, my grandmother were, were sick a lot. They had, you know, chronic conditions that required them being in and outta the hospital. So I was exposed at a young age to, to medicine, you know. So I knew, I didn't know exactly, you know, when I started out, I, I really did not know in what capacity I wanted to be in the medical field, but I knew I wanted to do something in the field. So that's how I kind of got started as a nurse and then, you know, transition over to

- But so cool and important that you're following what you're feeling led to do. Right? That's right. Yeah. That's cool. And I think that definitely makes the best kind of doctors 'cause you really care. You're not just in it 'cause it's like a check box of something you wanna accomplish. Yeah,

- I agree.

- Yeah, I think you have to have a heart for people in service if you're gonna take care of people. Because it's sometimes can be a thankless job, I think. And sometimes, you know, it's, well all the time probably very difficult dealing with that kind of pressure and, you know, dealing with people's loved ones. You can feel, you know, grief and heartache sometimes. True.

- Yeah,

- That's true.

- So - Yeah, it's not always, you know, sometimes we don't, we don't have the outcomes that, that we hope for. And so those are, those are tough times, you know, and you, you have to be, be strong, be there for the families and everything. But then also we, we, we fill that with 'em, you know, so it, it can be tough at times. Yeah. But yeah, very rewarding knowing that we're helping, you know, the patients and their families.

- Yeah. It's extremely gratifying.

- Tell us about internal medicine because I really didn't know what that was until we started our program to learn like what is internal medicine? 'cause it's kind of a lot of everything. But what drew you to internal medicine and what would the average person need to know about it?

- You wanna - Know? So internal. Yeah, internal medicine, it's, you know, kind of the name internal, you know, I get this question a lot of times our patients are like, I didn't even really know whenever I scheduled an appointment with you, you know what internal medicine is. So we, we take care of the whole body, you know, and and disease processes that that can occur in the body. Typically we see patients 18 years and older. So that is one thing that kind of differentiates us from family medicine per se. So we deal with a lot of disease processes, anything from cardiac issues to diabetes, kidney problems, things like that. So the neat thing, that's one of the things that drew me to internal medicine was the exposure to all these different pathologies and we get to kind of dabble in to each of the specialties. That's the neat thing. And as internal medicine residents, we get to do, we get to rotate through most all of the specialties. So we're going through cardiology, neurology, nephrology, what

- Like all the other elective programs. Yeah,

- Yeah. Endocrinology. So we get rheumatology. So we get exposure to kind of a little bit of everything, you know, but

- That has to make it harder. Right.

- And you gotta know a lot more. No, it's true. This is true. But those rotations to in my opinion, have been some of my favorites. Yeah. Because it's helped me, you know, take little bits and pieces from each of them, bring them back to my practice in the, either in the hospital or the outpatient setting and be able to manage better. I feel like, you know, those conditions like diabetes and heart disease, things like that. A lot of our patients are followed by the specialist, but we are taking care of them again for their primary care needs. So I think it's real important to have a good knowledge of, of all of the, you know, the conditions and everything.

- Because as we've seen, like when we've talked to all the specialists, everything interacts together. It, everything works together. Everything is laying impact. Yeah.

- I think the other thing as well, and just to add to Dr LA for this, it's the, in addition to the breadth, like a depth and like breadth of the field, it's like the longitudinal care. So like, I mean, I'll give you a classic example. Like I saw a patient in the ED admitted the patient took care of the patient and it just so happened that my rotation was ending. So I was going to the clinic and I saw the patient again. So I've kind of seen the full life, I mean sort of life cycle,

- Right?

- Yeah. Essentially. Hopefully it doesn't come back to the ed, but you know.

- Yeah. Well and that's nice because then it's that continuity of care,

- Right? You're able to follow the person. Yeah. Throughout and then hopefully at that point in time, you know, work on the prevention to prevent him from coming back. But yeah, it just gives you that additional just it's, it's nice relationship to be able to see the patient. Yeah. That relationship.

- So what does a typical day look like? I know you guys do all these different rotations and everything, but right now, I guess, what does a typical day look like for both of you?

- You wanna do clinic? I'll do inpatient.

- That sounds good. Yeah, sure. Yeah. Because it's very different, as you said, depending on kind of where you're at. Rotation. Yeah. Yeah. Tell us about inpatient.

- Inpatient I would say it's, it's like a carefully choreographed dance Without the movement, but it's more like patients and you know, medical like knowledge. So I would say it begins, I'll just give you a typical day. I'm just using myself. So you, it begins maybe just, you know, before it gets light. So maybe around five 30 you get up, then you come to the hospital. What like, what I would do is you would, you know, you'd begin by like looking at the charts quickly and then you'd go and see your patients. So you'd go speak to the nurses, you know, at the same time you'd like review the notes, what happened overnight, do all that prep, come back to your computer. And then at seven o'clock we have the night team, that's the residents that come by. And then we would get like updates about what happened overnight from our patients. And then from that point onwards we're like in the whole pre-rounding phase. So we're working with our seniors if you know you're an intern. And then basically building the plan before, you know, major rounds and rounds involves like working with the attending who's with the team. So we'd round with the attending the other team members and we'd go from room to room, discuss the patient fully. So we'd go through all the conditions and then that's where we do a lot of learning as well.

- Come - Up with a plan and then just do all that. That would pay, we take us to about 11 30, 11 45 depending on how long it takes. And then we have lunch and then we have like a huge chunk, which is a didactic section. So that's when we, you know, like listen to reports from other residents. So interesting cases as well. Sometimes we have external speakers that would come and talk about, you know, topics that are pertinent to patient care. We also have like sessions where we have like medical jeopardy. So it sounds fun, but it's also, you know, very educated because then we're going through a lot of trivia. And then times that we'd go to the simulation lab. I'm sure you've heard about the simulation lab that they recently inaugurated. Yeah. And then there we would like go through like mock codes. So basically just practice what would happen if there was a code there. We would have like scenarios. We also have like a poke station, which is point of care ultrasound. So with practice there as well. We can also like try like central lines lp. So basically like a station where we perfect our like fine skills as well as like working in teams would do all those. So heavy, a lot of heavy learning happens around that period of time. I mean learning is all throughout right? But then that's like a chunk of time and then would come back, you know, finish up the plans, basically see if any patients need to be discharged, like do all that stuff. And then kind of, depending on if you're admitting or not, you be seeing new patients throughout the day. But then that would take you to about maybe five. And then by seven you would sign off again to the night team. Basically go through each list and say, Hey, this patient needs to be followed up on this. You know, focusing more on like the sick patients, the sickest on the list, just so when you kind of pass the baton on to the night team, they know what to do and then the cycle continues.

- Yeah. And just for our listeners, I just wanna, an intern is a first year resident.

- First year resident. Yeah.

- And then a resident is, you know, you've been to medical school, you, you're in your residency training, you're already a doctor,

- Correct?

- Yes. And then you're still training and then an attending is like a senior physician.

- So that's Yeah. Someone that's completed

- Residency

- Training.

- Yes. Completed residency. Yes. I kind of know these things, but just for our listeners, in case they weren't sure what those terms meant.

- Yes. And the other thing too to that we would like to point out to our listeners, 'cause you're talking about caring for inpatients and you know, that's a trend too that's kind of changed relatively over the last decade of where you had more HO physicians that just work in the hospital setting to see patients. So they're called hospitalists. Hospitalists, but that are trained specifically to care for those patients while they're in the hospital. So you really got that skilled and techniques to deal with those specific patients. But also that you're working with like a team of people while you're in the hospital. It's not just one doctor, like you said, you having the, it's, yeah, having the educational aspect now here at SGMC Health that it really elevates that level of care that patients can receive because you have so many people and you're having to explain everything so that everyone understands

- And extra eyes on your, on your charts and your work and everything. So,

- So just kind of wanted to share that aspect of it because that's something that we haven't had until, you know, the past couple of years. But it's really important. And that's about you that y'all add to our program and then, and then when you're done with your training and then hopefully you stay here and then you can potentially train some of our other ones. Right. But,

- So what about your day, Dr. Ledford?

- Yeah, so clinic day's a little bit different. Just depends on, again, you know, kind of where you're at. Most all, I'll say all of the electives are very similar to a clinic day also. So, you know, typically get up around 6, 6 30 we're, we try to be there around 8:00 AM Don't start seeing patients usually till eight 30 or nine. But we are in that, you know, beforehand, answering any phone calls, responding to patient messages, reviewing labs that have came through from the prior day, things like that. And then also chart reviewing so that we're ready for our patients when they start coming at eight 30 or nine or so. So then we will see, you know, as you start out on your intern year, you're typically gonna see a few less patients in the morning time and then in the a noon time also. And then as you move into your second, third years, your, your patient load gets a little heavier. But we'll typically see patients from 8 39 ish to 12 or so. Usually our last patients no later than 11:00 AM So that we have time to finish up, do do our charting and everything, get our orders put in before we attend the noon conferences that Dr. Duso was speaking about. So then we'll go to that. Those are our didactic sessions where again we have our academics and everything. And then after that we'll typically come back to the clinic. Usually our first patient in the afternoon starts at like one 30 or so, and then we'll go to three 30 or four. Then after that we're just finishing up with notes again, answering more messages, responding to lab results, things like that. We'll finish up our day around 5, 5 30 and, and head home.

- So are either of you leaning towards one or the other as far as what you wanna do after you complete your residency? If you wanna be in the hospital full-time or into in the clinic?

- Yeah, I kind of wanna do a little bit of both. I am more, I think I'm leaning more towards clinic at this time, but I do wanna, you know, augment with some hospitalist work as well. I think it's important, you know, to, to maintain those skills and everything like that. And also I enjoy it. I, I really, I like both and you know, there are some, some physicians are still doing traditional medicine, you know, where they're seeing their patients in the clinic and then they're also admitting their own patients to the hospital, rounding on them, things like that. So, you know, there's, there's that also. But yeah, I think I wanna do a mix right now. Yeah,

- Mix as well. But I think it would lean more towards the hospital.

- Yeah. There's really nothing like working in a hospital, is there Yeah know, it's like there's, I definitely have to have that component

- Just walking around. I need to

- Like see right. I'm gonna need the in in whatever, you know,

- Fashion - That happens, I I'm gonna need that. I feel

- Like it's like adrenal rush of the like the unknown, unknown. You never know. You have a lot more energy.

- It's definitely different than any other job I've ever had. I'm not a doctor.

- Yeah, it's fun. You never know what you're gonna get.

- That's right. You don't. So I think we could probably switch to talking more about medical and not just about residency. 'cause you guys cover so many different things. So I know we probably see a lot of, we've talked about this like diabetes and different things like that. In this specific area. What do you guys see the most? What, what do you treat the most and do you have any kind of like tips maybe to help those patients keep on top of those conditions or when they should come in?

- Right. Yeah, I think like as we mentioned, I think diabetes, you know, hypertension, we see a lot of heart failure patients, chronic kidney disease, COPD, things like that. COPD as well. Asthma. Yeah. So a lot of those chronic conditions we also see acute stuff, you know too in the clinic especially and in the hospital also, you know Right. Acute conditions, pneumonias, urinary tract infections, things like that. So I think you had asked, you know, how we can help to, you know, our patients with these diseases and things like that. I think good follow up, you know, make sure you're following up with your primary doctor, any of your specialists that you're sent to. So that if anything's changing, we know about it before it gets to a point. You know, where there's complications from your, from your disease

- And make sure you have a primary care doctor, primary care doctor as well I think is the place to start that we always talk about. Yes. Because even if you're, well, it's still important to go to the doctor at least once a year, right? Yes. And can you talk a little bit about why that's important?

- Sure. So there's this whole misconception that if you're not sick, so I always say there's this misconception that you have no symptoms equals no problem. But it's actually not true. 'cause a lot of these diseases like hypertension, diabetes, you know, they're basically run under the radar and they won't really manifest until it's later on. So it's really important to go to your primary care or find a primary care provider so that they can start the workup or you know, you could even just go there for a rash and they check your blood pressure and realize that you have elevated blood pressure.

- But

- At that point in time they could, we could put in the measures like start you on a medication, you know, start counseling on diet, exercise, lifestyle modifications that could kind of mitigate the complications. 'cause ultimately you don't want to get to the end there. I mean what we do is when we see people in the ed, we are managing complications at that point in time.

- So

- We try and stabilize a condition and then they follow up with the primary care provider and then

- We can kind of, but sometimes they don't and then they,

- They don't.

- Exactly. They fall off and then it comes back again.

- Yes. And then generally speaking, you know, a lot of these conditions, when you get to the point where you're having symptoms, they've progressed, you know, and as Dr. Duso said, a lot of them, you know, are asymptomatic whenever this, this condition starts. But by the time you get to the point where you're having symptoms, it's, it's often, you know, advanced disease at that point.

- And if you have no baseline for when you're, well, when you do start to get sick, even if it's not, you know, crazy, then you kind of, it's hard to tell, you know, is this how you normally are or you know,

- And I think this is kind of off topic from internal medicine probably is more of the emergency medicine. But I think a lot of people think that, you know, they struggle with something and then they go to the emergency room and it may not be a true emergency per se, probably something that should be managed by a primary care doctor. And then they get to the emergency room and the emergency doctor runs whatever tests and said, oh well no, you're okay. You know, you can go home. But they didn't really solve their problem because Right. Their goal is to just make sure that you're not experiencing something life threatening, life threatening, and then get you home and there're then for you to follow up with your PCP. So a lot of times people get upset that they don't feel like the ER physician like did what they needed, but that that's not the job of the er. Correct. I mean even though they will try obviously to help in any way they can, but ultimately you want to go to a primary

- Care

- Physician for that. The ER is for that. And if you're not life threatening, yes. It, their job is to save you.

- Stabilize you. Stabilize

- You. Yes. And if it's something that is better fit for primary care, then that needs to be taken care of. And that level, again, most of the time I guess, 'cause you need to follow up with them consistently to make sure whatever you're doing is working. But that's something I've heard from a lot of patients and that I think is a misconception of that the ER is also like a primary care doctor. Right. But they, that they're, they don't serve

- That role. But the urgent care is primary care because, you know, they just go repeatedly. And I think we are trying to encourage people to see the primary care for, because urgent care, obviously you can't help that. You know, you need something right away. That's, it's Saturday, that's a great time to go to urgent care. Absolutely. But you could also make an appointment if it's not super emergent and then go to your primary care doctor and then have a relationship with them. Build a relationship, see the same person person every time.

- And that's one thing too about our internal medicine residency clinic, we always try to leave, you know, a little space where in the mornings especially, you know, if if we have a patient of ours that's, that's sick or you know, something, it has acutely came up, you know, we can always try to work them in, you know, get them in to be seen. So it doesn't, you know, progress to them having to go to, but

- You have to have that relationship Absolutely. To be able to work them in or else you're like, I don't know, I don't know. This person don't know. That's right. What's going on with them? I don't know how much time I

- Need. Exactly. So the best time to get a primary care provider is when you're feeling well. Exactly. So that you can have time for them to get you in. And then when you see them, you are filling that better, you know, you can get that baseline accounted for. And then when something happens, then you've

- Got your partner. When you're doing your whole new year, new me, go

- Ahead and schedule your appointment.

- Schedule it now for January. Yes, go ahead and get on the books.

- It's like your cartoon up.

- Yes.

- You

- Take it. Yes.

- For regular maintenance. You don't wait for it to break

- Down and then you don't the car treat yourself better than your car.

- Yeah, absolutely. So it's very, very important. Treat yourself better than the car. That's, and I always say it's a healthcare, it's, it's a journey. It's not a destination. So we are here just a guide. I mean ultimately as we all say, even in our medical training, the patient is the best textbook. You know, we learn whatever we learn, like we go learn all these things. But then when you sit down, it's personalized care. Every patient is unique, every patient is different. And we learn from the patient. So we're both in this journey just to guide, learn from you, we educate as well, you educate us and then we know we're on this journey together.

- And that's kind of, you know, to piggyback off of what you just said, you know, you learn so much just from talking to the patients. You know, just, you know, look away from your computer, put your pen down for a second and just listen. You know, and they'll tell you so much about, you know, and, and a lot of times you've, you've already got things in your mind, you know, you're thinking as you're talking to 'em, you know, of what could be going on, you know, and things like that. So really, you know, you just learn so much from, from them,

- You know. Yeah. Is it sometimes things that they don't tell you that you've learned from? Like I know there's always like the hand on the door kinda, what do they call that kind of a last minute question or something they ask Right. Or you can tell when they're hesitating and you know that if you work with that patient over a long period of time.

- Right? Yeah. I, I've had several of those instances where I'm just like, you know, I'm, I'm kind of stuck. I'm like, I don't, I don't really know, you know, what's going on. And then as you said, we're kind of walking out the door, you know, and they'll bring up one more thing and it just, like, it's the last piece of the puzzle. And I'm like, oh, okay. Yeah. You know, and then, and then it's so clear, you know, what, what might be going on. So

- Do you have tips for patients? Like is it recommended that they write down their questions ahead of time? Absolutely. What? Anything else? I mean, 'cause it can be intimidating going to the doctor and a lot of times you'll forget what you, you get anxious and then you forget what you're gonna like something that was important and then you get home and you're like, crap I forgot to write. Yeah. A lot of

- People, you know, I always tell patients, you know, white coat syndrome's real, you get in there, it's, especially if it's your first visit, you know, you're just meeting us, we're just meeting you. You know, they're asking you all these questions, you're having to fill out the forms and everything. So you know, it's you, you tend to forget, like you said, you know, if you did have any questions. So I think that's very important. Write down any questions, you know, before the visit. I always encourage folks to bring a list of their medications with 'em. Anything you else you can think of Dr. Edusa that,

- I mean if you can come with like a, you know, a loved one or a family member as well. Absolutely. That also kind of helps ease, you know, agitation, comfort, comfort or comfort level as well. That's also,

- That's a good too, you know, especially if you're going over like results or things like that. Just having somebody

- With you, like a support person as just

- Help them. Exactly. Yeah. And they can help you kind of remember you may have forgotten, oh what did they say about that? You know? And then they might have retained that. So I think that'ss a great idea. Yeah.

- Spouses can typically remember what ails their other spouse, you know. Exactly. They might not be telling you and like, I forgot right? You

- About, I have someone in my life. Yes. I, I've someone in my life and it's not necessarily my husband, but okay, this person does get anxious at the doctor. And when you ask, Hey, what did the doctor say? They don't remember. Right. So it does help to be able to go or, you know, have that MyChart proxy access. I was gonna say that if they give you that, oh that's

- True. Yeah.

- That's, that's true. Well even for the patient to having that MyChart, because you can go back and look and review what you told the doctor, what the doctor you know said. So that's so nice to, this is a good tool to have to keep you. And then it also helps remind you of your upcoming appointments so you can make sure that you're attending those. But yes, definitely we've come a long way.

- Yeah.

- In tools for patients to help keep themselves accountable and help them live healthier lives.

- I think we're almost at our time, but I did wanna ask what your favorite part of living in South Georgia is. I know you're a Georgian, but South Georgia is a little bit different than North Georgia. It is. It's So do you guys have any favorite parts

- That is fresh? Yeah, so you know, the southern hospitality. Two, two things that I, I really loved about South Georgia. The further south you go, the hospitality just gets better and better. So it's amazing down here. Everyone's super friendly. And the other thing is I love the landscape, just riding around, seeing all the farms, you know, just beautiful scenery here. So those are probably my two favorite parts about South Georgia.

- I would say the pace, I really like the pace. It's nice and chill. I mean, I was in Atlanta before it's, it's hectic.

- Yeah. - You know, even getting out from your house to drop off the kid at school you have to leave at five 30 and it's like 45 minutes for like a five minute work. It's ridiculous. So yeah. But it's really, really nice. It's, it's almost a little laid back. I mean you, you know, we finished, it's still hectic but then like for instance recently we got into pickleball, which has been amazing. So you know, just to be able to do that. And the weather permitting as well. So the weather is great.

- Me and now they have indoor pickleball so you don't even have to worry about the weather.

- Yeah, we're trying to get into that too. Start, we're trying to start a league. So maybe we'll do the whole,

- I wanna have to ask about the cafeteria. Oh no. So sorry, one more question. Sure. We try to ask our guests what your favorite meal is in the spice or in the cafeteria since you guys eat here and stay here. Here a lot. So much. Yeah.

- I like the bowls.

- The bowls.

- The bowls.

- Yeah.

- So I like that salad with the salmon. I'm a big fan of salmon.

- Yeah, me too.

- And I like the, the shrimp bowl as well. So I'm a big fan of the bowl. So that, that's the

- Yeah.

- Other section which is the

- Yeah.

- Healthier side.

- Those are good. Yeah. Yeah. I like chicken healthy side. Oh yeah. Chickens and chicken

- Too though. Yeah.

- Are amazing. The mac and cheese.

- That's my favorite.

- You

- Can tell you're a Georgia girl.

- Yes. And then the scrambler in the mornings.

- Oh yeah.

- That was my favorite part of nights was getting off and going to get the, the scrambler. We

- Have good breakfast and the

- Spice. It's really good. Yeah. And for those that don't know what the scrambler is, it's like eggs and bacon and then like some potato wedges on the side. It's really good. And does it put the sauteed onions and the, you can get peppers. Yeah. And some cheese on it. I usually do pepper jack on it. It's really good.

- Now we're all good and hungry. Yeah, before lunch

- Time for lunch. It's always fun. 'cause our food services take, you know, they take good care of us.

- They do. They do. So

- I appreciate them.

- Well thank you guys for joining us today. Thank, this has been really fun conversation. Yes. And thank you to everyone for listening. Please like and subscribe. Leave us a review and submit your questions at sgmc.org/podcast. Alright everybody, have a great day.