Here is a concise summary of the provided text, a comedic monologue with a guest doctor, Dr. Luis Espina:
**Summary:**
* The host jokes about doctor visits, poking fun at waiting rooms, medical procedures, and awkward patient-doctor interactions.
* Dr. Luis Espina, a family medicine physician and part-time stand-up comic, joins in, sharing humorous anecdotes about:
+ Patients' unrealistic expectations (e.g., expecting cholesterol levels to improve without lifestyle changes)
+ The use of food comparisons (e.g., tumor sizes described in terms of fruits)
+ Unusual patient reactions during exams (e.g., an intense sphincter clench)
+ A personal story about coping with bilateral breast cancer through humor
* The lighthearted conversation touches on the human side of healthcare, highlighting the importance of humor in coping with life's challenges.
Here are the key facts extracted from the text, excluding opinions, with each fact numbered and in brief sentence form:
1. Dr. Luis Espina is a board-certified family medicine physician.
2. Dr. Espina is also an engineer and a part-time stand-up comic.
3. The speaker trained with Dr. Espina during their residency.
4. Tumors are sometimes compared to fruit sizes (e.g., pear, lemon, grapefruit) to explain their size to patients.
5. Pathologists frequently use food references when describing medical conditions.
6. Doctors may use relatable objects (like fruit) to explain complex medical concepts to patients.
7. The speaker was diagnosed with high cholesterol, which had not improved from the previous year.
8. The speaker's regular doctor referred them for a follow-up appointment due to their high cholesterol.
9. Dr. Espina has experience with patients reacting unexpectedly during prostate exams.
10. One patient almost broke Dr. Espina's finger during a prostate exam due to clenching and twisting.
11. The speaker's guest (a different person) was diagnosed with bilateral breast cancer.
12. The person with breast cancer underwent a double mastectomy and was already self-described as "flat-chested" before the procedure.