She Tried to Check Herself In. They Said No.

Jackie (00:00):
I saw one where they were going into him being a Gemini. This one's a Gemini. They're like, "He's a Gemini. It's definitely him."

Dr. Chang (00:07):
Two-faced, right?

Carey (00:08):
Yeah.

Jackie (00:08):
She's a Leo. She wouldn't have done it.

Dr. Chang (00:14):
You are listening to Secret Services where we discuss the procedures nobody admits to, but everyone's curious about. I'm your host, Dr. Christopher Chang. Okay, we're back. Another episode of Secret Services. I'm here with Jackie.

Jackie (00:27):
Hi.

Dr. Chang (00:28):
And Carey.

Carey (00:29):
Hello.

Dr. Chang (00:30):
And so Carey, what are we going to talk about today?

Carey (00:32):
What everyone's talking about. Lindsay Clancy. So there's a murder trial happening in Massachusetts right now that has nothing to do with plastic surgery and everything to do with what happens when the medical system fails to see what's right in front. Lindsay Clancy strangled her three small children in January of 2023. Her defense is that she was in the grip of postpartum psychosis and her providers failed her. The prosecution says she acted rationally and swiftly. We've been watching this trial. Jackie especially.

Dr. Chang (01:06):
I have been watching it, so you guys are going to do a lot of the talking here.

Carey (01:09):
We've been sending you all these.

Jackie (01:10):
Yeah, you got to catch up.

Carey (01:12):
You got to watch the group.

Jackie (01:13):
I have been watching so much on TikTok. Yesterday was day 12 of the trial and it's live streaming. So it's on court TV. It's live streaming on YouTube because my friend sent me the link yesterday and I was like, "I don't work from home. I would love to be watching this." She literally was like, "I think I'm going to take off work the day that the sentencing -

Dr. Chang (01:36):
Verdict. Yeah. It's crazy that in some states and jurisdictions, they can just broadcast everything. And then others, I think in New York, they don't. Yeah.

Carey (01:43):
I mean, it's like this is the trial of this generation when the trial of Casey Anthony's was ours. I remember that day vividly when she got not guilty. I was like," No, this is crazy".

Jackie (01:57):
There's a lot of controversy online of people saying that they think the husband may have had something to do with it. So I've gone down those rabbit holes.

Dr. Chang (02:06):
Oh, we'll get into that, I'm sure.

Jackie (02:08):
Yeah, we'll get into that. But it's just interesting because you bring up Casey Anthony and some people are saying," Oh, you're just defending her because she's a woman. "And this girl was like," Did you see us women defending Casey Anthony? "No.

Carey (02:19):
Yeah.

Jackie (02:19):
But we'll get to that later. Let's start with just a little mental health chat. When a patient comes in for a consult and mentions they're on antidepressants or an antipsychotic, what actually goes through your head? Does it change what you're willing to do?

Dr. Chang (02:34):
Mental health is really a big issue. I think there are more and more patients that we see that are either having psychotherapy or psychiatric care. And it's a big thing, at least in this country. And there's a huge number of patients that are getting treated for those types of things, whether it's through antidepressants or ADHD medicine or anxiety things or mood stabilizing drugs. There's just a huge discipline of mental health and it's very big need for patients. And so I think that overall we have a lot of them in our country. And in plastic surgery, there are a lot of patients that do have some mental health conditions.

Jackie (03:16):
Yeah. Well, this is an interesting segment. So this girl says, "I'm 34 and I've been on Lexapro for two years. When I told my surgeon I wanted a mommy makeover, she seemed hesitant and asked a lot of questions about my mental health history. Is that normal? And should I be worried she'll turn me down?"

Dr. Chang (03:32):
So as a surgeon, I think that we take into account all of the medical history and the medications they're on. So something they say, "Oh, I've got no medical problems." And then they say, "But I'm on a beta blocker," or something. Well, that's unusual. Why? Why would you have no medical history, but be on a medicine that has something to do with your heart rate and control your heart? So if Lexapro being a psychiatric medication, you'd say, "Well, what's behind that? What's the reason for it?" But that being said, I don't necessarily think that it's that unusual.

Jackie (04:06):
No, not at all. I would say even before doing only plastics, just reviewing all my patients over the years, I would say more people are on psych meds than aren't.

Dr. Chang (04:18):
Yeah.

Jackie (04:19):
It's very common.

Dr. Chang (04:20):
I would say 80% of female patients over the age of, I don't know, 30, maybe even 25 have something on their medication list that may be for mental health. And it's very normal. I mean, there's a thing about all the kids that have ADHD medicine these days, or even anxiety medications in teenagers. And it's very common. So I wouldn't necessarily be a red flag or be like, oh, stop the presses. We got to figure this out. It's not that unusual. So maybe that doctor was giving this patient a little bit of a pause for something else.

Jackie (04:57):
Right. I feel like that Lexapro for two years, I don't think would really be caused to be hesitant about doing a mommy makeover.

Dr. Chang (05:04):
But if somebody's going to turn you down for surgery, there may be other concerns.

Jackie (05:09):
Right. Yeah. So what are you actually assessing when someone discloses a psych history? Is there anything you're looking for?

Dr. Chang (05:15):
In plastic surgery terms, whether they have a psychiatric history or not really is just, are we going to be able to meet their expectations? Are they in the right mindset to go through a surgery, to go through the emotional experience of recovery? Do they have the right expectations to be able that we could meet them not only with what we physically produce as a surgeon and patient team, but also what they see afterwards, how are they going to feel? So a lot of it is like you have to feel good about yourself. That's a lot of what we're doing in aesthetic plastic surgery.

Carey (05:48):
I always joke that they put on this act when Dr. Chang comes in the office, they're so calm and so normal. But I'm like, we see the real them. We're getting them so off the wall.

Dr. Chang (06:02):
Maybe you make them crazy.

Carey (06:03):
No, but sometimes I'm thinking to myself, I'm like, the ones that are on antidepressants and anti-anxiety, those people are walking the park. It's the ones that are natural only. I only do supplements and vitamins, and I only shower with non-scented lotions. And I'm just like, okay, you're the ones that need, maybe you need to be on the Lexapro. I think-

Jackie (06:24):
Maybe you need it.

Carey (06:26):
Yeah. So sometimes the ones that are prescribed stuff, they're lovely. And I have no questions about them.

Jackie (06:33):
Right. And I think the bigger red flag would be someone who's on a bunch of psych meds.

Carey (06:39):
Right.

Jackie (06:40):
Like Lindsay Clancy. But if you're just doing your normal SSRI or maybe a Xanax PRN, I don't think that's a red flag.

Dr. Chang (06:51):
It's really interesting. When I was in medical school, I did medical school at NYU, as you know, in New York. And my psychiatry rotation was at Bellevue Hospital, which is the public hospital in New York City. It's really world famous for all sorts of treating crazy, weird conditions and people from around the world who are in New York City with all sorts of medical problems. But the psychiatric ward is the kind of Bellevue kind of lore. So I remember talking to people who are inpatient, which means they're really frankly psychotic and either danger to themselves or danger to other people and really sick. And when you talk to these people, they'll tell you stories of what they're thinking and you'll be like, "Wow, that makes sense. It's possible, I guess, you were doing this and that, and that you've rationalized the whole thing." They have an explanation for everything they believe.

(07:51):
And it does seem to be logic. And then you step back and you're telling the story to the attending psychiatrist or the team of people on your med school rotation. And they're like, "Wait a minute, that does sound kind of bizarre.This doesn't make sense." But in the moment, you can really be convinced that it makes sense. So sometimes I think that it's easy to see how that can be a trap.

Jackie (08:12):
Yeah. I feel like the really intense psychotic people, they're very manipulative. They're very good at that. I thought I would enjoy my psych rotation because I was like, "Oh, this will be entertaining." But I actually hated it because yeah, it feels very sinister how manipulative they can be. And you're just like, "Wait a minute."

Dr. Chang (08:34):
Oh, I though I was going to get attacked or assaulted or beat up a couple times, especially in the psychiatric ER where they were really have a frank psychotic break. These are all the people that are having struggles and events all throughout New York City that are just busting or brought in the paddy wagon into Bellevue. And you're like, whoa, this person. Or this person is just so upset and they could do anything.

Jackie (09:01):
One time I was working in the hospital overnight and they pulled me to be a sitter, to sit one-on-one with someone who was suicidal and get this. We went to high school together.

Carey (09:14):
Did they remember you?

Jackie (09:14):
And I did not remember the person.

Dr. Chang (09:17):
But they remembered you?

Jackie (09:18):
But he remembered me. And I later fact checked because I was like, "I don't remember you at all." But then I was like, "This is really scary." What are the chances of that?

Dr. Chang (09:28):
Started asking you questions about your family or things like where you live and stuff recalling that.

Carey (09:34):
So did you guys talk about school?

Jackie (09:36):
Briefly, briefly. But then I was like, "I got to stop responding because this is weird."

Dr. Chang (09:42):
Keep the professional -

Jackie (09:43):
Yeah, I had to put up a wall.

Dr. Chang (09:45):
Yeah.

Carey (09:46):
I would never have been able to do that.

Dr. Chang (09:49):
Yeah. But yeah, so there's psych people that are involved with this story, huh, in this Clancy thing, huh?

Carey (09:55):
Oh my gosh.

Dr. Chang (09:56):
All right. So we got to give some time to this.

Jackie (09:57):
Yeah, we got to dive into this. So we'll give a little background and then we can get in. So Lindsay Clancy, she was a nurse from Massachusetts and a mother of three.

Dr. Chang (10:07):
Labor and delivery nurse, I think, right?

Jackie (10:08):
Yes. Yeah. Strangulation deaths of her children. Her defense, severe postpartum psychosis caused by the medication she was prescribed and failures by her providers. Prosecutors argue that she acted deliberately. Pill bottles are now key evidence. Multiple psych nurse practitioners have testified, and the defense argues that the system was supposed to help her, made things worse.

Dr. Chang (10:31):
All right. So let's rewind. There's a lot going on here. Yeah. So this woman in 2023 had had her three kids. I think the youngest was eight months. And she was arrested after jumping out or taken to the hospital or whatever after jumping out of her second story window of her house after trying to kill herself and slit her wrists. And then inside they found the three children who are eight months to five.

Jackie (10:57):
It was eight, three and five, eight months.

Dr. Chang (11:00):
And they were all strangled to death. And she admitted, I guess, on the way to the hospital or whatever.

Jackie (11:05):
Well, they're saying that wasn't even true.

Dr. Chang (11:06):
Okay. Take it away. Tell us all about it.

Jackie (11:10):
Well, so the series of events is she sent her husband to go pick up food and to get medication for one of the kids from CVS. She had taken the kid to the doctor earlier that day. And then he was gone for 30 something minutes. And during that time, the kids were strangled with exercise bands. Then she slid at her wrists, her neck, crushed up pills, drank the pills, then moved the bed and jumped out of the window. And then supposedly when he came home, she was on the ground.

Carey (11:48):
Yeah.

Dr. Chang (11:50):
So you're already given the look, Carey. Go ahead.

Carey (11:54):
Well, so the thing is, that's the story, but what is leading up to the story.

Dr. Chang (11:59):
And then she was arrested. She's paraplegic or something.

Carey (12:01):
Yeah, now she's completely paralyzed. So basically, this isn't a who done it trial. It's basically like, yes, she did it. We're admitting that she did it, but we're trying to say that she was wrongly treated. And everything that they did basically drove her to kill her children and try to kill herself.

Jackie (12:20):
It's really sad. So she tried to admit herself multiple times to a psych hospital and was turned away. And one of the psychiatrists that they were cross-examining, she was like, "Well, when I was asking her questions, she seemed like she was answering them very normally. She seemed very aware. She didn't seem psychotic. She did not ask for any medical records, didn't review anything." And then basically was like, "You're fine." And sent her on her way.

Dr. Chang (12:51):
Well, that's interesting because getting somebody who wants to be admitted for help is usually not. At least comment below if you guys have opinions about this or know a little more about. But what I remember is that if you want to be admitted, you could be admitted for help.

Jackie (13:09):
That's what I've always thought.

Dr. Chang (13:11):
To be turned away is unusual. If you wanted to commit Carey, I would have to prove that she's going to be -

Carey (13:17):
Some days you do.

Dr. Chang (13:17):
Harm of herself or harm to somebody else, namely me. But you can't really admit somebody else. But if they voluntarily want to. There was always an avenue for a voluntary admission, that's unusual.

Jackie (13:30):
That's what I thought.

Carey (13:31):
And also too, it's just like we've seen this story play out so many times. Why didn't her husband just say clearly she's struggling? Whether she's just tired or even if she is postpartum, just get her away from the kids. This happens what, every five years? A mother kills their kids. Sometimes not because of postpartum, because of other reasons, but the Andrea Yates thing. This is Andrea Yates all over again. The husband is literally being dragged through the mud because he did sound like he was just tired of it. He was like, "I'm tired of dealing with her. I also have three young kids."

Jackie (14:10):
Well, and there was one of the times she tried to check herself in, they were like, "Well, it would be easier to get in if you just went to the ER first." And he made a comment, "Well, I don't want to spend the whole day in the emergency room."

Dr. Chang (14:21):
Uh.

Jackie (14:21):
And it's like. Yeah.

Dr. Chang (14:23):
How serious is this issue?

Jackie (14:24):
Right, right. If it's really this bad, you didn't want to waste your day. If that's what you got to do, then.

Dr. Chang (14:31):
Yeah.

Carey (14:31):
Then apparently she did say things about harming the kids, but he was like, "I didn't take it serious," or, "I didn't think she was that bad."

Dr. Chang (14:38):
But getting back to the medical side of it, so you guys have been watching the trial. Go back to what, because I saw literally a snippet of when the doctors were on the stand and stuff. Talk a little bit about what that looked like when they were cross-examining the doctors or whatever, because essentially the defense is trying to say the doctors did not treat her properly.

Carey (15:00):
Right. Well, basically, and unfortunately, this is kind of the norm now. It's like everything is a virtual. And these doctors are prescribing her insane amounts of psych meds, but they're not seeing her in person. They're not being able to check -

Dr. Chang (15:16):
Were they different Doctors or the same?

Carey (15:18):
I believe there were a couple different ones.

Jackie (15:19):
There were a few different doctors.

Dr. Chang (15:21):
But not simultaneously or they were. Do you know?

Carey (15:23):
No, because she was kind of bounced around. She would go to one hospital for something, and then she tried to go to the other hospital to get admitted.

Jackie (15:31):
Because she wasn't getting where she needed.

Dr. Chang (15:33):
You said all those different. She was on five or six different meds, right?

Jackie (15:36):
I think she had 12 total, 12 or 13.

Dr. Chang (15:38):
Wow. So was it like doctor one is giving two and Dr. Two's giving three or four and they didn't talk to each other essentially? Is that what -

Carey (15:48):
I guess not.

Jackie (15:48):
Yeah, exactly. And she kept a very detailed journal about what meds she was taking, how they made her feel. And she was saying when she was prescribed Ativan, she was like, "I don't like the way this makes me feel. I'm feeling symptoms that I didn't feel before this. I can feel myself getting dependent on it. I don't like this." And they're just like, "Well, keep trying. Get over the hump."

Carey (16:14):
And there's so many. We don't want to say blame the doctor, but it's basically they think, okay, here's a pill. It's going to fix you. And I think also too, people who aren't in medicine, they also kind of think that too. They're like, "I'm getting this prescription, things are going to be better." And then when it doesn't, then they start to think like, "Well, what's wrong with me? Why am I starting to feel so much worse?"

Dr. Chang (16:36):
Well, I was just thinking about the bouncing between the doctors thing, bringing it back to what we see in plastic surgery. I mean, I'm sure you guys can think of a patient or two who we've seen who's also simultaneously getting things done at another -

Carey (16:52):
We all thought of her.

Dr. Chang (16:54):
At another place. And you're like, "Well, why are you getting this done? We already told you, you don't need to have that done." And they're getting additional procedures and you're like, whatever, you're already thin, you already look young, you already look smooth or tight or whatever. And the patient is just manipulating the second opinion or the alternate doctor. I mean, I'm not her parent. I can't call the other doctor and say, "Well, what are you doing that for?" It's sort of like, well, then we essentially have to pull back and discharge from our care and say, "Listen, I can't really-"

Jackie (17:30):
But I think the argument is if she clearly appears to be doctor shopping psychiatrists, I think you would expect the next psychiatrist to at least ask for her previous notes.

Carey (17:46):
Or now -

Jackie (17:46):
But I think all the online stuff is literally just sign up, get an appointment same day, and sight unseen, or have a little Zoom call, and they'll just prescribe you something without having access to anything.

Carey (18:00):
And I don't know what was around in 2023. It wasn't that long ago. But even on our end, when we're putting in prescriptions for patients, even if we haven't prescribed the prescription, there's prescriptions that we see what this patient's taking. And then when we try to send in just the basic prescriptions for these surgeries -

Jackie (18:19):
Everything's flagged.

Carey (18:19):
I am on the phone with CVS day after day. Well, just recently, CVS in Maryland called and was like, "Well, why is she getting oxy from a doctor in Virginia?" I'm like, "We are literally 10 minutes from the state line." And you have to ask me, and I had to send it back in with the diagnosis code and a reason why she's seeing a doctor in Virginia and not a doctor in Maryland. It's crazy. And so the fact that this woman could get 13 medications and the pharmacist didn't.

Jackie (18:53):
Yeah. I mean, there was such a big thing with the Oxycontin scandal. Is there no red flag in place for these psych meds?

Carey (19:03):
Yeah.

Jackie (19:03):
I don't know.

Dr. Chang (19:05):
It's interesting that the opioids get so much criticism, but I think that's because there was so much abuse and there was just so much time.

Jackie (19:16):
Yeah, there were all these documentaries. It was such a big thing.

Dr. Chang (19:18):
Fentanyl, oxycodone, market, black market.

Jackie (19:24):
Meanwhile, these are literally changing your brain chemistry.

Dr. Chang (19:27):
Clinical. Right, exactly. It's like the politics were very bad. And of course there have been some bad addictions, overdose and that kind of stuff. But I think that the abuse of the medicine is different from the malpractice of prescribing inappropriate prescription of what you think or how they're going to interact.

Jackie (19:43):
Well, and then they found pill bottles in Patrick's car, her husband, and his reasoning was, well, they told her to get rid of these pills because she was going to start taking these other ones. But that's another thing. Yeah, as a doctor, you can tell them to get rid of it, but how do you know they're not still taking it? They still have it.

Dr. Chang (20:03):
Yeah.

Jackie (20:04):
Yeah. Well - And if it's in his car, she can get to his car. It's not like they were disposed of.

Dr. Chang (20:11):
All right. Well -

Carey (20:12):
We're ready for this.

Dr. Chang (20:13):
Got to get into the other half of this discussion. So tell us all the conspiracy stuff that's happening. Give us the juices.

Carey (20:20):
So the trial is basically just, was she psychotic or did she intentionally do this? But now these TikTok sleuths, they are basically like, "She didn't do it. He did it." They're talking about her Apple Watch. They're talking about -

Jackie (20:37):
I saw one where they were going into him being a Gemini. This one's a Gemini. They're like, "He's a Gemini. It's definitely him."

Dr. Chang (20:45):
Two-faced, right?

Jackie (20:46):
She's a Leo. She wouldn't have done it.

Dr. Chang (20:48):
Wait, but so explain where that comes from. So what's the first time that -

Jackie (20:52):
I think a lot, so some of the red flags that people are seeing is when she arrived to the hospital, her core body temperature was 82 degrees.

Dr. Chang (21:02):
Which is extremely cold.

Jackie (21:03):
Very cold. And so people are saying, "Well, in the timeframe, you have a 30-minute window. She strangled all these kids, slit her wrists, slit her throat, drank the pills, jumped out, was found. And all that time, her body temperature dropped that much."

Carey (21:21):
And then they said something about her being a nurse.

Jackie (21:23):
Yeah, they're like, "Nurses, why would you crush up the pills? Why wouldn't you just swallow them whole? What's the difference?"

Dr. Chang (21:28):
How do they know they were crushed instead of she didn't chew them?

Jackie (21:32):
I don't know. Maybe they saw where they were crushed.

Dr. Chang (21:35):
How would they know? Did they pump her stomach?

Jackie (21:38):
Well, they did do a tox screen and she had Seroquel in her system three times the dose of what she was prescribed. And she supposedly hadn't been taking the Seroquel for weeks. So that was another people were like, "Well, but the bottle was in his car and she had it in her..."

Carey (21:56):
And then what was the one you just said about, today.

Dr. Chang (21:59):
Tell us about the strangling being a male assault technique versus a female assault.

Jackie (22:05):
Historically, men strangle, not women.

Carey (22:09):
But then remember you said something to me earlier this morning about the talking? Did we already touch base on that?

Jackie (22:14):
Oh yeah. So he was saying that when he arrived, he approached her and he said that Lindsay said, "The kids are in the basement. I killed the kids. I tried to kill myself." And then all the other first responders just testified saying that she was not able to speak. So everyone's like -

Dr. Chang (22:34):
His account, they questioned his account.

Jackie (22:37):
He said multiple sentences to him.

Dr. Chang (22:39):
So they're poking holes in his story.

Jackie (22:41):
But who knows? The interesting thing is the prosecutor is also bringing things up where we're like, all the TikTok people are like, "It seems like the prosecutor's even finding little holes in the story."

Dr. Chang (22:54):
And then the CVS and the MiraLax or something?

Jackie (22:58):
Yes. So his-

Dr. Chang (22:59):
His alibi.

Jackie (22:59):
His alibi, he said he went to CVS. She had previously called CVS asking if they had the pediatric MiraLax. Supposedly they said yes. So then he goes to CVS and he says he called her because they only had the generic brand, not the name brand, and asked her if that would be okay. But then the TikTok's loose in the photos, you can see through the CVS bag and it's like name brand pediatric MiraLax. So they're like, "Well, why did you call her?"

Dr. Chang (23:31):
Oh, you mean he's on the camera? The security camera, you can see what he's got?

Jackie (23:34):
No, no, no. He brought the bag home. So they took pictures of the crime scene. So the CVS bag is on the counter.

Dr. Chang (23:40):
Oh, oh. The evidence from the day of the crime was the CVS with Miralax.

Jackie (23:42):
You can see it in the bag and it's like MiraLax brand. So they were like, "Well, why did you call her and say that they didn't have it if they did?" But again, he's not on trial, so that question never came up, but it's just things that people are seeing.

Dr. Chang (23:55):
Yeah. Yeah. That's crazy. And then of course the cherry on top is how quickly he -

Jackie (24:02):
Yeah, he remarried. Four months later, he ran the Boston Marathon. His new wife looks identical to her.

Dr. Chang (24:10):
And they have a child I heard or something, or they're going to have a child.

Jackie (24:13):
I think they do.

Carey (24:14):
They just had one, I think, from what I've seen on TikTok.

Jackie (24:18):
Yeah.

Dr. Chang (24:19):
My algorithm is screwed. I haven't seen any of this stuff.

Carey (24:21):
Well now you're going to see it all.

Dr. Chang (24:22):
But now it's going to happen.

Jackie (24:23):
I hadn't at first. I think it was probably a couple days into the trial and I was like, "Oh, what's this about?" And now it's consuming my life. Yeah. I think the multiple providers not crosschecking the meds, not listening to the patient, it seems as though they were brushing her off. And one of the psychologists, psychiatrists told her, "You should work out. That'll make you feel better." So then she was working out. So then they made a note like she's doing better. She went to the gym last week and they were like, "Well, she was told to. She's just doing what..." That doesn't mean she's feeling good about it. She could be dragging herself there miserable.

Dr. Chang (25:03):
Yeah. I mean, it's really hard. I mean, as Carey said, when this has happened before, so when a system is supposed to catch these crises or the people having these breaks and stuff, what do you guys think has to happen to be a better system or patient care follow-up to make that -

Jackie (25:20):
I think just in general, the mental health crisis in America just seems to be a topic of every tragedy that we hear about. And so I just feel like the system itself needs to be totally revamped.

Dr. Chang (25:32):
Is it a purely American thing? I don't really feel like I hear about it from other countries or cultures, but maybe that's just because of course we just consume American media. I don't know. What do you think?

Jackie (25:41):
Yeah, that's a good point.

Carey (25:42):
Yeah.

Jackie (25:43):
Are other countries as medicated as

Dr. Chang (25:45):
As crazy as we are?

Carey (25:46):
Probably not.

Dr. Chang (25:49):
Probably not. Well, anyway, if you've got any comments and love to share, please let us know below.

Jackie (25:56):
Let us know your conspiracies.

Dr. Chang (25:58):
Yeah.

Jackie (25:59):
We love reading them.

Dr. Chang (26:00):
We love to hear. So until next time, we'll see you for another episode. Take care. Thanks for listening to Secret Services, the podcast where we see everything and say nothing except right here. I'm Dr. Christopher Chang, double board certified plastic surgeon located in Tysons, Virginia. Follow us on TikTok @congressionalpsurgery or on Instagram @congressionalplasticsurgery. To send us a classified message or to hear more episodes, go to secretservicespodcast.com. Links to everything we talked about on today's show are available in the show notes. Oops, patient's here. We got to go.