It appears you're referencing a concept related to the intersection of medicine, blockchain technology (Bitcoin), and social networking.

**Breaking down the key points:**

1. **"Nostr":**

* The phrase "Nostr" seems to be associated with the Nostr protocol or network. Nostr stands for "Notes and Records Store Through a Trustless Relay." It is a decentralized, censorship-resistant system for sharing notes and records across the globe.

2. **Profile IDs:**

* You've provided two seemingly random strings (Nostr profile IDs) that might be used to identify profiles or accounts within this network.

3. **Bitcoin Doctors (MDs):**

* Your reference to "MDs" could imply a search for medical professionals who are knowledgeable about Bitcoin or cryptocurrency in general.

4. **Paying in Sats:**

* You've mentioned paying "in sats," which is likely a reference to the satoshi, the smallest unit of the bitcoin cryptocurrency. This implies that you're looking to engage with medical professionals who accept payment in bitcoin for their services or advice.

Given this context, it seems like you're searching for doctors or medical experts within the Nostr network who have expertise in Bitcoin and are open to receiving payment in satoshis.