This episode starts with the important questions, like whether I’m emotionally prepared to return to my ancestral homeland of Big Bend National Park, and whether Kristin would rather share a cabin with a venomous snake or a tarantula.

From there, things take a turn into real life: a med student driving for Uber and Lyft just to make ends meet. That story opens up a bigger conversation about medical school debt, why med students somehow aren’t paid anything, and how it makes zero sense that people training to become doctors are expected to survive without income, or time to work.

Then we crack open First Aid and let Kristin pick our fate. That leads us into adult primary brain tumors, specifically meningiomas and hemangioblastomas, including why meningiomas can be sneaky, asymptomatic, and surprisingly common, and how hemangioblastomas connect to Von Hippel–Lindau disease and renal cell carcinoma.

Takeaways:

Big Bend Reality Check — Cabins, snakes, tarantulas, scorpions, and unresolved marital fear negotiations.
Med Student Money Math — Why driving Uber during medical school should not be the solution.
Meningiomas Explained — Common, usually benign, often asymptomatic… until they’re not.
Hemangioblastomas & VHL — Rare brain tumors tied to a genetic syndrome and kidney cancer.
Still Googling Medicine — A reminder that even doctors sometimes stare at First Aid wondering where their tuition money went.

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