Podcasts about nocturnists

An excerpt from the first episode of the new season of “The Nocturnists” and meet Doctor Emily Silverman, the founder and host of the series. 

A young woman wakes up in her Beijing dorm room to a call. A strange voice, a man she barely remembers, is asking her a question that will change her destiny. And a doctor hears one of her classical music idols play one of the greatest serenades of all time.STORIESPingA young woman wakes up in her Beijing dorm room to a call. A strange voice,  a man she barely remembers, is asking her a question that will change her destiny.Thank you, Wang Ping, for sharing your story with us! Wang Ping is a poet, writer, photographer, performance and multimedia artist. Want to learn more about her? Check out her website.Produced by Annie Nguyen, original score by Daniel Riera, artwork by Teo Ducot.“Dying to Tchaikovsky”Family medicine physician Catherine Sonquist Forest listens to one of her classical music idols serenade a dying loved one in the hospital.This story came to us from The Nocturnists podcast, it was told by Catherine Forest, MD. The Nocturnists are a vibrant community of healthcare workers who are celebrating their humanity through storytelling. They have live performances, a podcast, and so much more. Listen & subscribe now!Hosted by Emily Silverman. Produced by Emily Silverman and Marina Poole. Story Development by Adelaide Papazoglou. Sound Engineering by Alberto Hernandez. Assistant Producing by Kirk Klocke. Original theme music by Yosef Munro, additional music by Blue Dot Sessions.Snap Classic - Season 16 – Episode 19 Learn about your ad choices: dovetail.prx.org/ad-choices

Before getting into this new podcast, have you checked out the recent newsletter editions of Ground Truths?—how are gut microbiome drives sugar cravings—the influence of sleep on brain waste clearance and aging—the new findings of microplastics in the brain—the surprise finding about doctors and A.I.In this podcast with Dr. Emily Silverman, an internist and founder of The Nocturnists, an award winning podcast and live show, we discuss what inspired her in medicine, what led to her disillusionment, the essentiality of storytelling, of recognizing uncertainty, the limits of A.I., and promoting humanity in medicine. The audio is available on iTunes and Spotify. The full video is linked here, at the top, and also can be found on YouTube.“Storytelling is medicine's currency. Storytelling is not just an act of self-healing; it may actually create better physicians.”—Emily SilvermanTranscript with links to audio and relevant publications, websitesEric Topol (00:07):Well, hello. This is Eric Topol with Ground Truths, and with me, I am delighted to welcome Dr. Emily Silverman, who is Assistant Volunteer Professor of Medicine at UCSF, an old training grounds for me. And we're going to talk about some of the experience she's had there and she is the Founder of the remarkably recognized podcast, The Nocturnists. It's more than a podcast folks. We'll talk about that too. So Emily, welcome.Emily Silverman (00:40):Thank you for having me.Inspiration by Kate McKinnonEric Topol (00:42):Yeah. Well, I thought I would go back to perhaps when we first synapsed, and it goes back to a piece you wrote in JAMA about going to the Saturday Night Live (SNL) with Kate McKinnon. And it was one of my favorite columns, of course, it brought us together kind of simpatico because you were telling a story that was very personal, and a surprise factor added to it. We'll link to it. But it said, ‘Sometime in 2016, I fell in love with SNL comedian Kate McKinnon.' You wrote, ‘It was something about her slow-mo swagger; her unilateral dimple, flickering in and out of existence; the way she drinks up her characters and sweats them from her pores.' I mean, you're an incredible writer, no less podcast interviewer, organizer, doctor. And you talked about my sterile clinical life, which was kind of maybe a warning of things to come and about the fact that there's two very different career paths, comedy and medicine. One could argue they are in essence the same. So maybe you could tell us about that experience and about Kate McKinnon who, I mean, she's amazing.Emily Silverman (02:09):You're making me blush. Thank you for the kind words about the piece and about the writing, and I'm happy to give you a bit of background on that piece and where it came from. So I was in my internal medicine residency at UCSF and about halfway through residency really found myself hitting a wall. And that is actually what gave birth to The Nocturnists, which is the medical storytelling program that I run. But I think another symptom of my hitting that wall, so to speak, and we can talk more about what exactly that is and what that means, was me really looking outside of medicine and also outside of my typical day-to-day routine to try to find things that were a part of me that I had lost or I had lost touch with those aspects of myself. And one aspect of myself that I felt like I had lost touch to was my humorous side, my sense of humor, my silly side even you could say.Emily Silverman (03:17):And throughout my life I have this pattern where when I'm trying to get back in touch with a side of myself, I usually find somebody who represents that and sort of study it, I guess you could say. So in this case, for whatever reason that landed on Kate McKinnon, I just loved the surrealism of her comedy. I loved how absurd she is and loved her personality and so many things. Everything that you just read and really found her and her comedy as an escape, as a way to escape the seriousness of what I was doing on a day-to-day basis in the hospital and reconnect with those humorous sides of myself. So that's the understory. And then the story of the article is, I happened to be traveling to New York for a different reason and found myself standing in line outside of 30 Rock, hoping to get into Saturday Night Live. And there was basically a zero chance that we were going to get in. And part of the reason why is the musical guest that week was a K-pop band called BTS, which is one of the most famous bands in the world. And there were BTS fans like camped out in three circles around 30 Rock. So that week in particular, it was especially difficult to get in. There was just too many people in line. And we were at the very end of the line.Eric Topol (04:43):And it was in the pouring rain, too.Emily Silverman (04:45):And it was pouring rain. And my husband, God bless him, was there with me and he was like, what are we doing? And I was like, I don't know. I just have a feeling that we should stay in line, just go with it. So we did stay in line and then in the morning we got a number, and the way it works is you get your number and then that evening you show up with your number and our number was some crazy number that we weren't going to get in. But then that evening when we went back with our number to wait in line again to get in, what ended up happening is a young woman in the NBC gift shop, she passed out in the middle of the gift shop and I was right there. And so, I went over to her and was asking her questions and trying to help her out.Emily Silverman (05:27):And fortunately, she was fine. I think she just was dehydrated or something, and the security guards were so appreciative. And the next thing I knew, they were sweeping me backstage and up a staircase and in an elevator and they said, thank you so much for your service, welcome to Saturday Night Live. So it became this interesting moment where the very thing that I had been escaping from like medicine and serving and helping people ended up being the thing that gave me access, back to that side of myself, the humorous side. So it was just felt kind of cosmic, one of those moments, like those butterfly wing flapping moments that I decided to write about it and JAMA was kindly willing to publish it.Eric Topol (06:15):Well, it drew me to you and recognize you as quite an extraordinary talent. I don't know if you get recognized enough for the writing because it's quite extraordinary, as we'll talk about in some of your other pieces in the New York Times and in other JAMA journals and on and on. But one thing I just would note is that I resort to comedy a lot to deal with hard times, like the dark times we're in right now, so instead of watching the news, I watch Jimmy Kimmel's monologue or Colbert's monologue or the Comedy Show, anything to relieve some of the darkness that we're dealing with right at the moment. And we're going to get back to comedy because now I want to go back, that was in 2019 when you wrote that, but it was in 2016 when you formed The Nocturnists. Now, before you get to that critical path in your career of this new podcast and how it blossomed, how it grew is just beyond belief. But maybe you could tell us about your residency, what was going on while you were a medical resident at UCSF, because I can identify with that. Well, like any medical residency, it's pretty grueling experience and what that was like for you.Medical ResidencyEmily Silverman (07:45):There were so many wonderful positive aspects of residency and there were so many challenges and difficult aspects of residency. It's all mixed up into this sticky, complicated web of what residency was. On the positive side, some of the most amazing clinicians I've ever met are at UCSF and whether that was seasoned attendings or chief residents who they just seemed to have so many skills, the clinical, the research, the teaching, just amazing, amazing high caliber people to learn from. And of course, the patient population. And at UCSF, we rotate at three different hospitals, the UCSF hospital, the SF General Hospital, which is the public county hospital and the VA hospital. So having the opportunity to see these different patient populations was just such a rich clinical and storytelling opportunity. So there was a lot there that was good, but I really struggled with a few things.Emily Silverman (08:48):So one was the fact that I spent so much of my sitting in front of a computer, and that was not something that I expected when I went into medicine when I was young. And I started to learn more about that and how that happened and when that changed. And then it wasn't just the computer, it was the computer and other types of paperwork or bureaucratic hurdles or administrative creep and just all the different ways that the day-to-day work of physicians was being overtaken by nonclinical work. And that doesn't just mean thinking about our patients, but that also means going to the bedside, sitting with our patients, getting to know them, getting to know their families. And so, I started to think a lot about clinical medicine and what it really means to practice and how that's different from how it was 10, 20, 40 years ago.Emily Silverman (09:43):And then the other part of it that I was really struggling with was aspects of medical culture. The fact that we were working 80 hour weeks, I was working 28 hour shifts every fourth night, every other month. And the toll that took on my body, and I developed some health issues as a result of that and just felt in a way, here I am a doctor in the business of protecting and preserving health and my own health is kind of being run into the ground. And that didn't make sense to me. And so, I started asking questions about that. So there was a lot there. And at first I thought, maybe this is a me thing or maybe this is a California thing. And eventually I realized this was a national thing and I started to notice headlines, op-eds, articles, even pre-Covid about the epidemic of clinician burnout in this country.Emily Silverman (10:40):And there are so many different facets to that. There's the moral injury aspect of it, there's the working conditions and understaffing aspect of it. I learned about how physicians were starting to think about unionizing, which was something that had not really been in the physician, I think consciousness 20, 40 years ago. So just started learning a lot about how medicine had evolved and was continuing to evolve and felt myself wanting to create a space where people could come together and tell stories about what that was like and what their experience was. And that was the birth of The Nocturnists. But I guess that wasn't really your question. Your question was about residency.Birth of The NocturnistsEric Topol (11:20):That's a good answer actually. It kind of gives the background, lays the foundation of how you took a fork in the road here, which we're going to get into now. We're going to link to The Nocturnists website of course, but you have an intro there about, ‘shatter the myth of the “physician God” reveal the truth: that healthcare workers are human, just like everyone else, and that our humanity is our strength, not our weakness.' And that's a very deep and important point that you make to get people interested in The Nocturnists. But now you finished your residency, you're now on the faculty, assistant professor at UCSF, and then you have this gathering that you hadn't already named it the Nocturnists yet had you?Emily Silverman (12:15):I named it in residency.Eric Topol (12:17):Oh, okay in residency. So this was even before you had finished, you started the podcast before you finished?Emily Silverman (12:25):Correct. Before we were a podcast, we were a live show. So the very first live show was in 2016, so I consider that the birth year of the program. And then I graduated residency in 2017, so I started it about halfway through residency.Eric Topol (12:39):Got it. So tell us about that first live show. I mean, that's pretty amazing. Yeah.Emily Silverman (12:46):Yeah. I went to a live taping of The Moth in San Francisco, which some of your listeners may know. The Moth is a live storytelling show in the US, it's often on the radio on NPR. You may have heard it. It's a very ancient way of telling stories. It's more like monologues, people standing up on stage and just spontaneously telling a story the way you would around a campfire or something like that. It's not hyper scripted or anything like that. So I came out of that event feeling really inspired, and I had always loved live performance and live theater. I grew up going to the theater and ended up deciding that I would try that with my community, with the clinicians in my community. So the very first show that we did was in 2016, it was about 40 people in this living room of this Victorian mansion in San Francisco.Emily Silverman (13:42):It was a co-op where different people lived. In the living space, they occasionally rented out for meetings and presentations and gatherings, and it was like $90. So I rented that out and people came and residents, physician residents told stories, but a couple of faculty came and told stories as well. And I think that was a really nice way to set the stage that this wasn't just a med student thing or a resident thing, this was for everybody. And there was definitely an electricity in the air at the show. I think a lot of people were experiencing the same thing I was experiencing, which was having questions about the medical system, having questions about medical culture, trying to figure out how they fit into all of that, and in my case, missing my creative side, missing my humorous side. And so, I think that's the reason people came and showed up was that it wasn't just a night out of entertainment and coming was really more out of a hunger to reconnect with some aspect of ourselves that maybe gets lost as we go through our training. So that was the first show, and people kept asking, when are you going to do another one? When are you going to do another one? The rest is history. We have done many shows since then. So that was the beginning.Eric Topol (14:58):Well, you've been to many cities for live shows, you sold out hundreds and hundreds of seats, and it's a big thing now. I mean, it's been widely recognized by all sorts of awards, and the podcast and the shows. It's quite incredible. So a derivative of The Moth to medicine, is it always medical people telling stories? Does it also include patients and non-medical people?Emily Silverman (15:28):So we're nine years in, and for the first several years, this question came up a lot. What about the patient voice? What about the patient perspective? And the way that I would respond to that question was two ways. First, I would say the line between doctor and patient isn't as bright as you would think. Doctors are also patients. We also have bodies. We also have our own medical and psychiatric conditions and our own doctors and providers who take care of us. So we're all human, we're all patients. That said, I recognize that the doctor, the clinician has its own unique place in society and its own unique perspective. And that's really what I was trying to focus on. I think when you're making art or when you're making a community, people ask a lot about audience. And for me, for those first several years, I was thinking of The Nocturnists as a love letter by healthcare to healthcare. It was something that I was making for and with my community. And in recent months and years, I have been wondering about, okay, what would a new project look like that pulls in the patient voice a bit more? Because we did the clinician thing for several years, and I think there's been a lot of wonderful stories and material that's come out of that. But I'm always itching for the next thing. And it was actually an interview on the podcast I just did with this wonderful person, Susannah Fox.Eric Topol (17:04):Oh yeah, I know Susannah. Sure.Emily Silverman (17:04):Yeah. She was the chief technology officer at the Department of Health and Human Services from 2015 to 2017, I want to say. And she wrote a book called Rebel Health, which is all about patients who weren't getting what they needed from doctors and researchers and scientists. And so, they ended up building things on their own, whether it was building medical devices on their own, on the fringes or building disease registries and communities, online disease communities on their own. And it was a fabulous book and it was a fabulous interview. And ever since then I've been thinking about what might a project look like through The Nocturnists storytelling ethos that centers and focuses on the patient voice, but that's a new thought. For the first several years, it was much more focused on frontline clinicians as our audience.Why is Storytelling in Medicine so Important?Eric Topol (17:55):And then I mean the storytelling people that come to the shows or listen to the podcast, many of them are not physicians, they're patients, all sorts of people that are not part of the initial focus of who's telling stories. Now, I want to get into storytelling. This is, as you point out in another JAMA piece that kind of was introducing The Nocturnists to the medical community. We'll link to that, but a few classic lines, ‘Storytelling is medicine's currency. Storytelling is not just an act of self-healing; it may actually create better physicians.' And then also toward the end of the piece, “Some people also believe that it is unprofessional for physicians to be emotionally vulnerable in front of colleagues. The greater risk, however, is for the healthcare professional to appear superhuman by pretending to not feel grief, suffer from moral distress, laugh at work, or need rest.” And finally, ‘storytelling may actually help to humanize the physician.' So tell us about storytelling because obviously it's one of the most important, if not the most important form of communication between humans. You nailed it, how important it is in medicine, so how do you conceive it? What makes it storytelling for you?Emily Silverman (19:25):It's so surreal to hear you read those words because I haven't read them myself in several years, and I was like, oh, what piece is he talking about? But I remember now. Look, you on your program have had a lot of guests on to talk about the massive changes in medicine that have occurred, including the consolidation of it, the corporatization of it, the ways in which the individual community practice is becoming more and more endangered. And instead what's happening is practices are getting gobbled up and consolidated into these mega corporations and so on and so forth. And I just had on the podcast, the writer Dhruv Khullar, who wrote a piece in the New Yorker recently called the Gilded Age of Medicine is here. And he talks a lot about this and about how there are some benefits to this. For example, if you group practices together, you can have economies of scale and efficiencies that you can't when you have all these scattered individual self-owned practices.Emily Silverman (20:26):But I do think there are risks associated with the corporatization of healthcare. The more that healthcare starts to feel like a conveyor belt or a factory or fast food like the McDonald's of healthcare, MinuteClinic, 15 minutes in and out, the more that we risk losing the heart and soul of medicine and what it is; which is it's not as simple as bringing in your car and getting an oil change. I mean, sometimes it is. Sometimes you just need a strep swab and some antibiotics and call it a day. But I think medicine at its best is more grounded in relationships. And so, what is the modern era of medicine doing to those relationships? Those longitudinal relationships, those deeper relationships where you're not just intimately familiar with a patient's creatinine trend or their kidney biopsy results, but you know your patient and their family, and you know their life story a little bit.Emily Silverman (21:26):And you can understand how the context of their renal disease, for example, fits into the larger story of their life. I think that context is so important. And so, medicine in a way is, it is a science, but it's also an art. And in some ways it's actually kind of an applied science where you're taking science and applying it to the messy, chaotic truth of human beings and their families and their communities. So I think storytelling is a really important way to think of medicine. And then a step beyond that, not just with the doctor patient interaction, but just with the medical community and medical culture at large. I think helping to make the culture healthier and get people out of this clamped down place where they feel like they have to be a superhuman robot. Let's crack that open a little bit and remind ourselves that just like our patients are human beings, so are we. And so, if we can leverage that, and this is also part of the AI conversation that we're having is like, is AI ever going to fully substitute for a physician? Like, well, what does a physician have that AI doesn't? What does a human being have that a machine doesn't? And I think these are really deep questions. And so, I think storytelling is definitely related to that. And so, there's just a lot of rich conversation there in those spaces, and I think storytelling is a great way into those conversations.Eric Topol (22:57):Yeah. We'll talk about AI too, because that's a fascinating future challenge to this. But while you're talking about it, it reminds me that I'm in clinic every week. My fellow and I have really worked on him to talk to the patients about their social history. They seem to omit that and often times to crack the case of what's really going on and what gets the patient excited or what their concerns are really indexed to is learning about what do they do and what makes them tick and all that sort of thing. So it goes every which way in medicine. And the one that you've really brought out is the one where clinicians are telling their stories to others. Now you've had hundreds and hundreds of these physician related stories. What are some of the ones that you think are most memorable? Either for vulnerability or comedy or something that grabbed you because you've seen so many, and heard so many now.A Memorable StoryEmily Silverman (24:02):It's true. There have been hundreds of physician stories that have come through the podcast and some non-physician. I mean, we are, because I'm a doctor, I find that the work tends to be more focused around doctors. But we have brought in nurses and other types of clinicians to tell their stories as well, particularly around Covid. We had a lot of diversity of healthcare professionals who contributed their stories. One that stands out is dialogue that we featured in our live show. So most of our live shows up until that point had featured monologues. So people would stand on stage, tell their story one by one, but for this story, we had two people standing on stage and they alternated telling their story. There was a little bit more scripting and massaging involved. There was still some level of improvisation and spontaneity, but it added a really interesting texture to the story.Emily Silverman (24:58):And basically, it was a story of these two physicians who during Covid, one of them came out of retirement and the other one I think switched fields and was going to be doing different work during Covid as so many of us did. And they were called to New York as volunteers and ended up meeting in the JFK airport in 2020 and it was like an empty airport. And they meet there and they start talking and they realize that they have all these strange things in common, and they sit next to each other on the plane and they're kind of bonding and connecting about what they're about to do, which is go volunteer at the peak of Covid in New York City, and they end up staying in hotels in New York and doing the work. A lot of it really, really just harrowing work. And they stay connected and they bond and they call each other up in the evenings, how was your day? How was your day? And they stay friends. And so, instead of framing it in my mind as a Covid story, I frame it more as a friendship story. And that one just was really special, I think because of the seriousness of the themes, because of the heartwarming aspect of the friendship and then also because of the format, it was just really unusual to have a dialogue over a monologue. So that was one that stood out. And I believe the title of it is Serendipity in Shutdown. So you can check that out.Eric Topol (26:23):That's great. Love it. And I should point out that a lot of these clinical audio diaries are in the US Library of Congress, so it isn't like these are just out there, they're actually archived and it's pretty impressive. While I have you on some of these themes, I mean you're now getting into some bigger topics. You mentioned the pandemic. Another one is Black Voices in Healthcare, and you also got deep into Shame in Medicine. And now I see that you've got a new one coming on Uncertainty in Medicine. Can you give us the skinny on what the Uncertainty in Medicine's going to be all about?Uncertainty in MedicineEmily Silverman (27:14):Yes. So the American Board of Internal Medicine put out a call for grant proposals related to the topic of uncertainty in medicine. And the reason they did that is they identified uncertainty as an area of growth, an area where maybe we don't talk about it enough or we're not really sure how to tolerate it or handle it or teach about it or work with it, work through it in our practice. And they saw that as an area of need. So they put out this call for grants and we put together a grant proposal to do a podcast series on uncertainty in medicine. And we're fortunate enough to be one of the three awardees of that grant. And we've been working on that for the last year. And it's been really interesting, really interesting because the place my mind went first with uncertainty is diagnostic uncertainty.Emily Silverman (28:07):And so, we cover that. We cover diagnostic odyssey and how we cope with the fact that we don't know and things like that. But then there's also so many other domains where uncertainty comes up. There's uncertainties around treatment. What do we do when we don't know if the treatment's working or how to assess whether it's working or it's not working and we don't know why. Or managing complex scenarios where it's not clear the best way to proceed, and how do we hold that uncertainty? Prognostic uncertainty is another area. And then all of the uncertainty that pops up related to the systems issues in healthcare. So for example, we spoke to somebody who was diagnosed with colon cancer, metastatic to the liver, ended up having a bunch of radiation of the mets in the liver and then got all this liver scarring and then got liver failure and then needed a liver transplant and saw this decorated transplant surgeon who recommended the transplant was already to have that done.Emily Silverman (29:06):And then the insurance denied the liver transplant. And so, dealing with the uncertainty of, I know that I need this organ transplant, but the coverage isn't going to happen, and the spoiler alert is that he ended up appealing several times and moving forward and getting his transplant. So that one has a happy ending, but some people don't. And so, thinking about uncertainty coming up in those ways as well for patients. So for the last year we've been trying to gather these stories and organize them by theme and figure out what are the most salient points. The other exciting thing we've done with the uncertainty series is we've looked to people outside of medicine who navigate high uncertainty environments to see if they have any wisdom or advice to share with the medical community. So for example, we recently interviewed an admiral in the Navy. And this person who was an admiral in the Navy for many years and had to navigate wartime scenarios and also had to navigate humanitarian relief scenarios and how does he think about being in command and dealing with people and resources and it is life or death and holding uncertainty and managing it.Emily Silverman (30:18):And he had a lot of interesting things to say about that. Similarly, we spoke to an improvisational dancer who his whole job is to get on stage and he doesn't know what's going to happen. And to me, that sounds terrifying. So it's like how do you deal with that and who would choose that? And so, that's been really fun too, to again, go outside the walls of medicine and see what we can glean and learn from people operating in these different contexts and how we might be able to apply some of those.Eric Topol (30:51):Yeah, I mean this is such a big topic because had the medical community been better in communicating uncertainties in medicine, the public trust during the pandemic could have been much higher. And this has led to some of the real challenges that we're seeing there. So I'm looking forward to that series of new additions in The Nocturnists. Now, when you get this group together to have the live show, I take it that they're not rehearsed. You don't really know much about what they're going to do. I mean, it's kind of like the opposite, the un-TED show. TED Talk, whereby those people, they have to practice in Vancouver wherever for a whole week. It's ridiculous. But here, do you just kind of let them go and tell their story or what?Emily Silverman (31:44):In the beginning it was more open mic, it was more let them go. And then as the years went on, we moved more toward a TED model where we would pair storytellers with a story coach, and they would work together pretty intensively in the six to eight weeks leading up to the event to craft the story. That said, it was very important to us that people not recite an essay that they memorized word for word, which surprise, surprise physicians really love that idea. We're like, we're so good at memorization and we love certainty. We love knowing word for word what's going to come. And so, it's really more of this hybrid approach where we would help people get in touch with, all right, what are the five main beats of your story? Where are we opening? Where are we closing? How do we get there?Emily Silverman (32:34):And so, we'd have a loose outline so that people knew roughly what was going to, but then it wasn't until the night of that we'd fill in the blanks and just kind of see what happens. And that was really exciting because a lot of unexpected things happened. Certain stories that we thought would be really comedic ended up landing with a much more serious and thoughtful tone and vice versa. Some of the stories that we thought were really heavy would unexpectedly get laughs in places that we didn't expect. So I think the magic of live audience is, I guess you could say uncertainty of not quite knowing what's going to happen, and sort of a one time night.Eric Topol (33:17):I'd like to have a storytelling coach. That'd be cool. I mean, we could always be better. I mean, it takes me back to the first story you told with the Saturday Night Live and Kate McKinnon, you told the story, it was so great. But to make telling your story, so it's even more interesting, captivating and expressing more emotion and vulnerability and what makes the human side. I mean, that's what I think we all could do, you never could do it perfectly. I mean, that's kind of interesting how you organize that. Alright, well now I want to go back to your career for a moment because you got into The Nocturnists and these shows and you were gradually, I guess here we are in the middle and still a global burnout, depression, suicide among clinicians, especially physicians, but across the board. And you're weaning your time as a faculty member at UCSF. So what was going through your mind in your life at that time? I guess that takes us to now, too.A Career MoveEmily Silverman (34:36):Yeah, when I was a little kid, I always wanted to doctor and fully intended when I went to med school and residency to find my way as a physician and didn't really think I would be doing much else. I mean, I'd always love reading and writing and the arts, but I never quite thought that that would become as big of a piece of my career as it has become. But what ended up happening is I finished residency. I took a job in the division of hospital medicine at SF General and worked as a hospitalist for about four years and was doing that and balancing with my medical storytelling nonprofit and eventually realized that it wasn't quite working, it wasn't the right fit. And ended up taking a step back and taking a little break from medicine for a while to try to figure out how am I going to balance this?Emily Silverman (35:26):Am I going to shift and go full medicine and retire The Nocturnists? Am I going to go full art, creative journalism, writing and leave clinical medicine behind? Or am I going to continue to proceed in this more hybrid way where I do a little bit of practicing, and I do a little bit of creative on the side? And thus far, I have continued to pursue that middle road. So I ended up starting a new outpatient job, a part-time job that's actually outside of UCSF. I'm still on faculty at UCSF, but my practice now is in private practice. And so, I do that two days a week and it feeds me in a lot of ways and I'm really glad that I've continued to keep that part of myself alive. And then the rest of the days of the week I work from home and some of that is charting and doing clinical work and some of that time is podcasting and working on these other creative projects. So that's where I've landed right now. And I don't know what it will look like in 5, 10, 20 years, but for now it seems to be working.Taking On EpicEric Topol (36:31):Yeah. Well, I think it's great that you've found the right kind of balance and also the channel for getting your exceptional talent, your niche if you will, in medicine to get it out there because people I think are really deriving a lot of benefit from that. Now, another piece you wrote in the New York Times, I just want to touch on because it is tied to the burnout story. This was a great op-ed, Our Hospital's New Software Frets About My ‘Deficiencies' and I want to just warn the listeners or readers or watchers that Epic, this company that you wrote about has non-disparaging agreements with hospitals, censors hospitals and doctors to say anything bad about Epic. So when anybody ever writes something, particularly if it's published in a widely read place, the Epic company doesn't like that and they squash it and whatnot. So what was in your mind when you were writing this op-ed about Epic?Emily Silverman (37:39):So this came out of personal experience that I had where, and maybe this is some of the reason why the hospital medicine work wore me down so much is the frequent messages and alerts and popups just having a lot of fatigue with that. But also what the popups were saying, the language that they used. So you'd open up your electronic chart and a message would pop up and it would say, you are deficient, or it would say you are a delinquent. And it was this scary red box with an upside down exclamation point or something. And it really started to get to me, and this was definitely in that phase of my life and career where I was peak burnout and just kind of raging into the machine a little bit, you could say, I think right now I'm somewhat past that. I think part of the reason why is, I've been able to get myself out into a more sustainable situation, but ended up, it actually came out of me, this piece poured out of me one night.Emily Silverman (38:37):It was like two, three in the morning and my laptop was open and I was laying in bed and my husband was like, go to sleep, go to sleep. And I said, no, this wants to come out, these moments where things just, you just want to give birth, I guess, to something that wants to come out. So I wrote this long piece about Epic and how tone deaf these messages are and how clinicians are, they're working really hard in a really difficult system and just the lack of sensitivity of that language and ended up pitching that to the New York Times. And I think there was something in there that they appreciated about that. There was some humor in there actually. Maybe my Kate McKinnon side came out a little bit. So yes, that piece came out and I think I did get a message or two from a couple folks who worked at Epic who weren't thrilled.Eric Topol (39:33):They didn't threaten to sue you or anything though, right?Emily Silverman (39:35):They didn't. NoEric Topol (39:37):Good.Emily Silverman (39:37):Fortunately, yeah.Medicine and A.I.Eric Topol (39:38):Yeah. Wow. Yeah, it was great. And we'll link to that, too. Now, as they say in comedy, we're going to have a callback. We're going to go to AI, which we talked about and touched on. And of course, one of the things AI is thought that it could help reduce the burden of data clerk work that you've talked about and certainly affected you and affects every person in working in medicine. But I wanted to get to this. For me, it was like a ChatGPT moment of November 2022. Recently, I don't know if you've ever delved into NotebookLM.Emily Silverman (40:18):I have.Eric Topol (40:19):Okay, so you'll recognize this. You put in a PDF and then you hit audio and it generates a podcast of two agents, a man and a woman who are lively, who accurately take, it could be the most complex science, it could be a book, and you can put 50 of these things in and they have a really engaging conversation that even gets away from some of the direct subject matter and it's humanoid. What do you think about that?Emily Silverman (40:57):Well, a lot of what I know about AI, I learned from your book, Eric. And from the subsequent conversation that we had when you came on my podcast to talk about your book. So I'm not sure what I could teach you about this topic that you don't already know, but I think it's a deeply existential question about what it means to be human and how machine intelligence augments that, replaces that, threatens that. I don't really know how to put it. I had Jamie Metzl on the podcast. He's this great historian and science policy expert, and he was saying, I don't like the phrase artificial intelligence because I don't think that's what we're making. I think we're making machine intelligence and that's different from human intelligence. And one of the differences is human beings have physical bodies. So being a human is an embodied experience.Emily Silverman (41:57):A machine can't enjoy, I was going to say a cheeseburger and I was like, wait, I'm talking to a cardiologist. So a machine intelligence being can't enjoy a cucumber salad, a machine intelligence can't feel the endorphins of exercise or have sex or just have all of these other experiences that human beings have because they have bodies. Now, does empathy and emotion and human connection and relationships also fall into that category? I don't know. What is the substrate of empathy? What is the substrate of human connection and relationships and experience? Can it be reduced to zeros and ones or whatever, quantum computing, half zeros and half ones existing simultaneously on a vibrating plane, or is there something uniquely human about that? And I actually don't know the answer or where the edges are. And I think in 5, 10, 20 years, we'll know a lot more about what that is and what that means.Emily Silverman (42:55):What does that mean for medicine? I don't know about the human piece of it, but I think just practically speaking, I believe it will transform the way that we do medicine on so many levels. And this is what your book is about. Some of it is image analysis and EKG analysis, X-ray analysis and MRI analysis. And some of it is cognition, like diagnostic reasoning, clinical reasoning, things like that. I already use OpenEvidence all the time. I don't know if you use it. It's this basically a search engine kind of GPT like search engine that's trained on high quality medical evidence. I'm always going to OpenEvidence with questions. And I actually saw a headline recently, oh gosh, I'll have to fish it out and email it to you and you can link it in the show notes. But it's a little bit about how medical education and also medical certification and testing is going to have to quickly bring itself up to speed on this.Emily Silverman (43:56):The USMLE Step 1 exam, which all physicians in the US have to pass in order to practice medicine. When I took it anyway, which was back in I think 2012, 2013, was very recall based. It was very much based on memorization and regurgitation. Not all, some of it was inference and analysis and problem solving, but a lot of it was memorization. And as you said, I think Eric on our interview on my podcast, that the era of the brainiac memorizing Doogie Howser physician is over. It's not about that anymore. We can outsource that to machines. That's actually one of the things that we can outsource. So I'm excited to see how it evolves. I hope that medical schools and hospitals and institutions find ways safely, of course, to embrace and use this technology because I think it can do a lot of good, which is also what your book is about, the optimistic lens of your book.Eric Topol (44:55):Well, what I like though is that what you're trying to do in your work that you're passionate about is bringing back and amplifying humanity. Enriching the humanity in medicine. Whether that's physicians understanding themselves better and realizing that they are not just to be expected to be superhuman or non-human or whatever, to how we communicate, how we feel, experience the care of patients, the privilege of care of patients. So that's what I love about your efforts to do that. And I also think that people keep talking about artificial general intelligence (AGI), but that's not what we are talking about here today. We're talking about human emotions. Machines don't cry, they don't laugh. They don't really bond with humans, although they try to. I don't know that you could ever, so this fixation on AGI is different than what we're talking about in medicine. And I know you're destined to be a leader in that you already are. But I hope you'll write a book about medical storytelling and the humanity and medicine, because a natural for this and you're writing it is just great. Have you thought about doing that?Emily Silverman (46:24):It's very kind of you to say. I have thought about if I were to embark on a book project, what would that look like? And I have a few different ideas and I'm not sure. I'm not sure. Maybe I'll consult with you offline about that.Eric Topol (46:42):Alright, well I'd like to encourage you because having read your pieces that some of them cited here you have it. You really are a communicator extraordinaire. So anyway, Emily, thank you for joining today. I really enjoyed our conversation and your mission not just to be a physician, which is obviously important, but also to try to enhance the humanity in medicine, in the medical community particularly. So thank you.Emily Silverman (47:14):Thank you. Thank you for having me.***************************************Thanks for listening, watching or reading Ground Truths. Your subscription is greatly appreciated.If you found this podcast interesting please share it!That makes the work involved in putting these together especially worthwhile.All content on Ground Truths—newsletters, analyses, and podcasts—is free, open-access.Paid subscriptions are voluntary and all proceeds from them go to support Scripps Research. They do allow for posting comments and questions, which I do my best to respond to. Many thanks to those who have contributed—they have greatly helped fund our summer internship programs for the past two years. And such support is becoming more vital In light of current changes of funding by US biomedical research at NIH and other governmental agencies. Get full access to Ground Truths at erictopol.substack.com/subscribe

We've covered stories before.  With Liz Salmi, Anne Kelly, and Preeti Malani we talked about stories written up in the academic literature, such as the JAMA Piece of My Mind series.  We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories. Today's podcast is both similar and different.  Similar in that the underlying theme of the power of stories.  Different in that these storytelling initiatives, the Nocturnists and the Palliative Story Exchange, are focused on clinicians sharing stories with each other in small groups to heal. There's something magical that happens in small group storytelling. It's that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging.  We model that small group storytelling experience today. We discuss: The “origin stories” of the Nocturnists Live Show and Podcast and the Palliative Story Exchange The process for story creation and development, written in advance or not, feedback or not after the story, and the aims and goals of each initiative And we each tell a short story, modeling the process for The Nocturnists and the Palliative Story Exchange for our listeners These initiatives arose organically from clinicians as part of a journey away from burnout, moral distress, shame, and loneliness toward healing, wholeness, gratitude, and belonging.  A journey taken one story at a time. One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook, gave all the students a survey without explanation.  We answered the survey and handed it in. One of the questions was, “Can you name a song by the Tragically Hip?”  It later turned out the survey was a prognostic index designed to determine if the respondent was Canadian.   -@AlexSmithMD Here's a link to an article about the Palliative Story Exchange.

AFP Podcast co-creator and editor Steven R. Brown, MD, speaks with Ali Block, MD, family physician, abortion provider, and host of the Nocturnists: Post-Roe America podcast series. Steve and Ali talk about abortion care in family medicine and changes since the 2022 Supreme Court Dobbs v Jackson Women's Health Organization decision. Dr. Block shares ways in which reproductive health care has changed in different areas of the United States since the Dobbs decision, how her team created the Nocturnists: Post-Roe America podcast, her journey to communicate her own story, the culture of silence around abortion care, advocacy for abortion care, and ways in which the Dobbs decision affects medical education. The Nocturnists: Post-Roe America seven-part podcast series is available on the Nocturnists website or wherever you get your podcasts.

Emmy-winning writer and creative director Lu Chekowsky delves into her mother's powerful lessons on resilience, navigating a high-stakes media career, and facing the biases of healthcare in a larger body. Lu performed this story live at the Leonard Nimoy Thalia Theatre at Symphony Space in New York in November 2023, for an event on the theme of "Taking Care" which The Nocturnists co-produced with the Bellevue Literary Review/ Find show notes, transcript and more at thenocturnists.org.  The Nocturnists is made possible by the California Medical Association.

In our 50th The Nocturnists: Conversations episode, Emily speaks with Maggie Jackson, award-winning author and journalist, about her book "Uncertain: The Wisdom and Wonder of Being Unsure." Maggie describes the neuroscience of uncertainty, the benefits of curiosity and slowing down, and findings from her interviews with physicians and surgeons about uncertainty in medical practice. Find show notes, transcript, and more at thenocturnists.com. The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

Dr. Uché Blackstock, an emergency medicine physician and health equity advocate, discusses her book "Legacy: A Black Physician Reckons with Racism in Medicine." She shares personal stories about her family's journey in medicine, systemic racism and her work to create a more equitable healthcare.  Find show notes, transcript, and more at thenocturnists.com. The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

Documentary filmmaker Luke Lorentzen and hospital chaplain Mati Engel discuss their award-winning film, "A Still Small Voice," which explores the rewards and challenges of providing spiritual care in the hospital setting. Find show notes, transcript, and more at thenocturnists.com. The Nocturnists is made possible by the California Medical Association and donations from listeners like you.  

Pediatric ER physician and author Rachel Kowalsky discusses her short story, "The Delivery Boy," which is set in an ER and follows a young Guatemalan boy, alongside the team of clinicians who treat him. Rachel talks about how her experiences influence her writing and teaching in health humanities. "The Delivery Boy" is available to read online for free. Find show notes, transcript, and more at thenocturnists.com.  This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

  When Dr. Augie Lindmark first started receiving obituaries in the mailbox, he wasn't sure whether to be amused or afraid. But soon he discovers the identity of the sender, and enters into a rare an unexpected dialogue about aging and mortality.  Augie performed this story live at the Parkway Theater in Minneapolis in April 2023, for an event on the theme of "REBIRTH" which The Nocturnists co-produced with the Center for the Art of Medicine. Find show notes, transcript, and more at thenocturnists.com. This episode of "Stories from the World of Medicine" is sponsored by The New York Zen Center.  This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association.

Physician Tiffany Albrecht jumped into “doing” mode when her beloved husband died – she ran a 5K, cleaned out her closet, and went on a hike. But when her son was finally born, she was overcome by a cathartic wave of emotions. Tiffany performed this story live at the Parkway Theater in Minneapolis in April 2023, for an event on the theme of "REBIRTH" which The Nocturnists co-produced with the Center for the Art of Medicine. Find show notes, transcript, and more at thenocturnists.com. This episode of "Stories from the World of Medicine" is sponsored by The New York Zen Center.  This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association.

Psychiatrist Carson Brown was terrified to tell her mother that she was moving to Minnesota. But with inspiration from Carl Jung, and some of her own psychotherapy patients, she finds the courage to make the announcement, and feels her way into a new chapter of adulthood. Carson performed this story live at the Parkway Theater in Minneapolis in April 2023, for an event on the theme of "REBIRTH" which The Nocturnists co-produced with the Center for the Art of Medicine. Find show notes, transcript, and more at thenocturnists.com. This episode of "Stories from the World of Medicine" is sponsored by The New York Zen Center.  This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association.

When medical student Peter Park's grandfather died, he was unable to fly to Korea for the funeral due to COVID restrictions. But in anatomy lab, the cadaver he was assigned to shared some similarities to his grandfather that were difficult to explain. Spending time with the body of this stranger, he was able to come to terms with his grandfather's death. Peter performed this story live at the Parkway Theater in Minneapolis in April 2023, for an event on the theme of "REBIRTH" which The Nocturnists co-produced with the Center for the Art of Medicine. Find show notes, transcript, and more at thenocturnists.com. This episode of "Stories from the World of Medicine" is sponsored by The New York Zen Center.  This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association.  

Pathologist Sue Wheaton tells a story about helping her mom, a surgeon and racecar driver, navigate the challenges of aging. Later, she reflects on their complicated relationship, and how car metaphors helped them move through difficult moments in their lives. Sue performed this story live at the Parkway Theater in Minneapolis in April 2023, for an event on the theme of "REBIRTH" which The Nocturnists co-produced with the Center for the Art of Medicine. Find show notes, transcript, and more at thenocturnists.com. This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association.  

Improve your storytelling, interviewing, writing, producing, hosting and guesting skills! Sign up for new Sound Judgment workshops today at www.podcastallies.com/workshops. On this episode, Emily Silverman and host Elaine Appleton Grant discuss: — Why she thought starting a live storytelling event for physicians should be her next step as she was coming to terms with being in the wrong career while also searching for her biological parents and considering becoming a mother.— How leaving the full-time practice of medicine felt like an "identity death" to Emily — and how journalists and podcasters navigating media in 2024 are also experiencing identity death, and — How Emily found her way to a new career through her love of theater and storytelling, and how bringing the arts to medicine is serving the Nocturnists' goal of shattering the myth of the physician God and humanizing medicine. Emily and Elaine break down two episodes of The Nocturnists:"Pass/Fail," Episode 4 of the 10-part documentary series Shame in Medicine: The Lost Forest, takes listeners into the stressful world of medical students taking an exam that has the power to dictate the rest of their lives. Put yourself in the shoes of students wondering if this one test will prevent them from becoming a doctor — or if it will bar them from pursuing their passion for their specialty? Emily gives us some lessons on getting listeners to contribute personal stories — and how her team weaves them together in heart-stopping fashion. We also examine the the power of novels to help us deeply understand the harmful consequences of medicine practiced for the wrong reasons, and how art can help us empathize in a way that journalistic accounts of history do not. In "Conversations: Dolen Perkins-Valdez" Emily learns more about the 1973 case of the Relf sisters, who were forcibly sterilized at a Montgomery, Alabama health clinic. We discuss strategies for how to hold intimate, revealing interviews — and when you should break the rules. Plus: Emily shares the single most important key to producing sound-rich, highly produced longform audio stories. Emily Silverman, MD is an internal medicine physician at UCSF, writer, and creator/host of The Nocturnists, an award-winning medical storytelling organization that has uplifted the voices of 450+ healthcare workers since 2016 through its podcast and sold-out live performances.The Nocturnists' work has been presented on CBS This Morning and NPR's Morning Edition, and at Pop Up Magazine and South By Southwest (SXSW). In 2020, its "Stories from a Pandemic" documentary podcast series was acquired by the U.S. Library of Congress for historic preservation. The Nocturnists has been honored by the Webby Awards, Anthem Awards, Ambie Awards, and more.Dr. Silverman's writing has been supported by MacDowell and published in The New York Times, Virginia Quarterly Review, JAMA, CHEST, and McSweeneys. She lives in San Francisco with her husband and daughter.Follow the show on Instagram @Thenocturnistsand on Facebook and LinkedIn at The Nocturnists  Improve your storytelling Check out our popular workshops on interviewing, story editing, story structure, longform narrative, audience engagement, scriptwriting and more. Hire Elaine to speak at your conference or company. Subjects include: Communicating for Leaders; Communicating about Change; Mastering the Art of the Interview; Storytelling Skills; How to Build Relationships through Storytelling, and more. Discover our strategic communication services and coaching for thought leaders using storytelling tools to make the world a better place. Serving writers, podcasters, public speakers, and others in journalism & public media, climate change, health care, policy, and higher education. Visit us at www.podcastallies.com. Subscribe to Sound Judgment, the Newsletter, our twice-monthly newsletter about creative choices in audio storytelling. Connect:Facebook | LinkedIn | Instagram✉️ Email Elaine at allies@podcastallies.com

When Anthony's wife got sick, he believed the way to best support her was by getting stuff done. Over time though, he discovered that in order to become a better caregiver, he was going to need to unlearn some of the lessons he'd learned growing up about what love looks like in practice. Anthony performed this story live at the Parkway Theater in Minneapolis in April 2023, for an event on the theme of "REBIRTH" which The Nocturnists co-produced with the Center for the Art of Medicine. Find show notes, transcript, and more at thenocturnists.com. This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association.

The Nocturnists is back with Season 6 of its classic storytelling series, "Stories from the World of Medicine." We begin with Dr. Meghan Rothenberger, an infectious disease doctor in Minneapolis who had to lose her dog, her wallet, and her dinner, before she realized she'd also lost something more important: herself. Meghan performed this story live at the Parkway Theater in Minneapolis in April 2023, for an event on the theme of "REBIRTH" which The Nocturnists co-produced with the Center for the Art of Medicine. Find show notes, transcript, and more at thenocturnists.com. This season of "Stories from the World of Medicine" is supported by The Physicians Foundation. The Nocturnists is made possible by the California Medical Association.  

Health & Fitness and Society & Culture - The Nocturnists

The Nocturnists, the award-winning medical storytelling podcast, is thrilled to announce the launch of its sixth season of its series Stories from the World of Medicine, themed "REBIRTH," available starting February 15, 2024.    Hosted by Dr. Emily Silverman, this season features an inspiring lineup of medical professionals and students, including Dr. Meghan Rothenberger, Dr. Anthony Williams, Dr. Sue Wheaton, 4th year medical student Peter Park, Dr. Carson Brown, Dr. Tiffany Albrecht, and Dr. Augie Lindmark, who share their experiences and transformations within the world of medicine.   This season, the award-winning podcast The Nocturnists takes listeners on a captivating journey through seven episodes that delve into the personal and professional rebirths of those deeply embedded in healthcare. Recorded live in Minneapolis at the Parkway Theatre in collaboration with the Center for the Art of Medicine at the University of Minnesota (CFAM), these narratives explore themes of discovery, loss, love, and the serendipitous paths to healing.   

Oncologist Stuart Bloom speaks about his staged musical, How to Avoid Burnout in 73 Minutes, which tracks his journey from songwriter to oncologist, and the way he copes with burnout and finds meaning in his work. Find show notes, transcript, and more at thenocturnists.com. This episode of The Nocturnists is sponsored by Nabla. 

What does the future hold for abortion care? In this final episode of Post-Roe America, we hear from clinicians and advocates at the forefront of finding new solutions for patients in need.   Host & Co-creator: Ali Block, MD Co-creator: Emily Silverman, MD Featuring: Amy Meg Autry, MD; April Lockley, DO; Jiana Menendez, MD, MPH; Oriaku Njoku; Linda Prine, MD; and other contributors who wish to remain anonymous   Find show notes, transcript, and more at https://thenocturnists.com/pra/7/futures. Follow @thenocturnists.   The Nocturnists: Post-Roe America series was made possible in part by the Josiah Macy Jr. Foundation. The Nocturnists is supported by the California Medical Association, and people like you who have donated through our website and Patreon page.

How has the Dobbs decision impacted medical education? In this episode we talk to trainees and educators about how Dobbs has impacted their lives in the classroom, and explore what we lose when we lose abortion training.   Host & Co-creator: Ali Block, MD Co-creator: Emily Silverman, MD Contributors: Anastasia Anazonwu, MD Candidate; Bria Peacock, MD; and other contributors who wish to remain anonymous   Find show notes, transcript, and more at thenocturnists.com/pra/6/next-generation. Follow @thenocturnists.   The Nocturnists: Post-Roe America series was made possible in part by the Josiah Macy Jr. Foundation. The Nocturnists is supported by the California Medical Association, and people like you who have donated through our website and Patreon page.

First: an update on our recent two-parter with the writer John Green, about the global, decades-long fight to make an important tuberculosis drug more widely available. Just two days after we posted part 2, the activists waging that battle scored a major victory. John Green was kvelling on YouTube, of course. We'll get you up to speed. And for the meat of this episode, we've got a guest a lot of you have been asking for: Physician/comedian Will Flanary, AKA Dr. Glaucomflecken. His punchy videos satirizing the absurdities and cruel complexities of the American health care system have been a fan favorite for years among An Arm and a Leg listeners (and us too).We're sharing a delightful and moving conversation with Dr. G and his wife, educator Kristin Flanary (AKA @LadyGlaucomflecken online), from our pals at The Nocturnists, a podcast about the experiences of health care workers. As the Glaucomfleckens tell Nocturnists host Dr. Emily Silverman, the inspiration behind Flanary's most biting videos. came from the couple's experience dealing with health insurance after he suffered a near-fatal heart attack.Check out the Nocturnists here or wherever you get your podcasts, and Dr. Glaucomflecken's videos on TikTok, Instagram, and YouTube. Send your stories and questions for An Arm and a Leg, or call 724 ARM-N-LEG.And of course we'd love for you to support this show. Hosted on Acast. See acast.com/privacy for more information.

Many physicians have been advocating publicly for reproductive health for decades, but many more have remained silent on the subject of abortion, fearing retribution from the general public and their communities. Today we talk about the culture of silence around reproductive health in medical spaces, and how breaking that silence is our only hope for reclaiming our reproductive freedom.   Host & Co-creator: Ali Block, MD Co-creator: Emily Silverman, MD Contributors: Vineesha Arelli, MD; Caitlin Bernard, MD MSCI FACOG; and Emily Patel, MD   Find show notes, transcript, and more at thenocturnists.com/pra/5/culture-of-silence. Follow @thenocturnists.   The Nocturnists: Post-Roe America series was made possible in part by the Josiah Macy Jr. Foundation. The Nocturnists is supported by the California Medical Association, and people like you who have donated through our website and Patreon page.

Leilah Zahedi-Spung never planned to leave her life behind in Tennessee. But after Roe fell, she found herself having to make an impossible decision about the future of her career. In this episode, we examine how political events can upend clinicians' lives and communities.   Host & Co-creator: Ali Block, MD Co-creator: Emily Silverman, MD Contributors: Scott Dunn, MD; Zachary Halversen, MD; and Leilah Zahedi-Spung, MD   Find show notes, transcript, and more at https://thenocturnists.com/pra/4/uprooted. Follow @thenocturnists.   The Nocturnists: Post-Roe America series was made possible in part by the Josiah Macy Jr. Foundation. The Nocturnists is supported by the California Medical Association, and people like you who have donated through our website and Patreon page.

We're popping into your feed on a Sunday because we wanted to share an episode of The Nocturnists: Post-Roe America. You may have already heard the First Opinion Podcast interview with Ali Block, an abortion provider and executive producer of The Nocturnists, and Nikki Zite, an OB/GYN in Tennessee. (If you haven't listened yet, please do!) On this episode of The Nocturnists, you'll hear more from Nikki, Ali, and other doctors trying to navigate reproductive health landscape after the end of Roe.

After Dobbs, many states in the middle of the country severely restricted abortion – but Kansas stood out as an exception. As a result, a small clinic in Wichita called Trust Women became an unexpected oasis for abortion care. In this episode, we bring you inside the clinic to learn how they handled the overwhelming influx of patients.   *This episode briefly mentions violent imagery and actions targeting abortion clinics. Listener discretion is advised.   Host & Co-creator:  Ali Block, MD Co-creator:  Emily Silverman, MD Contributors:  Christina Bourne, MD MPH; Ashley Brink; Zack Gingrich Gaylord; Catalina Moreno-Hernandez, RMA; and other contributors who wish to remain anonymous   Find show notes, transcript, and more at https://thenocturnists.com/pra/3/trust-women. Follow @thenocturnists.   The Nocturnists: Post-Roe America series was made possible in part by the Josiah Macy Jr. Foundation. The Nocturnists is supported by the California Medical Association, and people like you who have donated through our website and Patreon page.

This week, Emily Bazelon, John Dickerson, and David Plotz discuss the second Republican presidential primary debate; the next federal case against Senator Bob Menendez, and the latest lawsuit of United States v. Big Tech. Join us for Political Gabfest Live in Madison, Wisconsin on October 25! Here are some notes and references from this week's show: Dan Balz for The Washington Post: “Republican debate brings chaos, attacks and a slog for second place” G. Elliott Morris for 538: “How outlier polls happen – and what to do with them” Nicole Hong for The New York Times: “Gold Bullion and Halal Meat: Inside the Menendez Investigation” John Dickerson for CBS News Prime Time: “FTC chair Lina Khan discusses need for regulations on big business” Lina M. Khan in The Yale Law Journal: “Amazon's Antitrust Paradox” Lisa Mascaro and Stephen Groves for AP: “House Speaker McCarthy is back to square one as the Senate pushes ahead to avert a federal shutdown” John Dickerson and Kris Van Cleave for CBS News: “How a government shutdown could cause chaos at airports” Here are this week's chatters: Emily: Mary Harris for This American Life: Act One of The Call; Slate's podcast What Next hosted by Mary Harris; Never Use Alone Inc. National Overdose Prevention Lifeline; Dr. Alison Block for the Post-Roe America series of The Nocturnists podcast; and Slate's podcast Amicus hosted by Dahlia Lithwick: “SCOTUS Is Not Done With Guns and Abortion” John: Michael Schneider for Variety: “CNN and Now-Canceled ‘Vice News Tonight' Lead News & Documentary Night 1 Winners List” and John Dickerson for CBS News Prime Time: “How to stay safe online, according to CISA” David: Jonathan O'Callaghan for Nature: “This is what Earth's continents will look like in 250 million years” Listener chatter from Kevin McEvilly: Adam Frank and Marcelo Gleiser in The New York Times: “The Story of Our Universe May Be Starting to Unravel” For this week's Slate Plus bonus segment, Emily, John, and David discuss the possible shutdown of the U.S. government. In the latest Gabfest Reads, Emily talks with Zadie Smith about her book, The Fraud: A Novel. In the next Gabfest Reads, David talks with Kristi Coulter about her book, Exit Interview: The Life and Death of My Ambitious Career. Email your chatters, questions, and comments to gabfest@slate.com or X us @SlateGabfest. (Messages may be quoted by name unless the writer stipulates otherwise.) Podcast production by Jared Downing and Cheyna Roth Research by Julie Huygen Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, Emily Bazelon, John Dickerson, and David Plotz discuss the second Republican presidential primary debate; the next federal case against Senator Bob Menendez, and the latest lawsuit of United States v. Big Tech. Join us for Political Gabfest Live in Madison, Wisconsin on October 25! Here are some notes and references from this week's show: Dan Balz for The Washington Post: “Republican debate brings chaos, attacks and a slog for second place” G. Elliott Morris for 538: “How outlier polls happen – and what to do with them” Nicole Hong for The New York Times: “Gold Bullion and Halal Meat: Inside the Menendez Investigation” John Dickerson for CBS News Prime Time: “FTC chair Lina Khan discusses need for regulations on big business” Lina M. Khan in The Yale Law Journal: “Amazon's Antitrust Paradox” Lisa Mascaro and Stephen Groves for AP: “House Speaker McCarthy is back to square one as the Senate pushes ahead to avert a federal shutdown” John Dickerson and Kris Van Cleave for CBS News: “How a government shutdown could cause chaos at airports” Here are this week's chatters: Emily: Mary Harris for This American Life: Act One of The Call; Slate's podcast What Next hosted by Mary Harris; Never Use Alone Inc. National Overdose Prevention Lifeline; Dr. Alison Block for the Post-Roe America series of The Nocturnists podcast; and Slate's podcast Amicus hosted by Dahlia Lithwick: “SCOTUS Is Not Done With Guns and Abortion” John: Michael Schneider for Variety: “CNN and Now-Canceled ‘Vice News Tonight' Lead News & Documentary Night 1 Winners List” and John Dickerson for CBS News Prime Time: “How to stay safe online, according to CISA” David: Jonathan O'Callaghan for Nature: “This is what Earth's continents will look like in 250 million years” Listener chatter from Kevin McEvilly: Adam Frank and Marcelo Gleiser in The New York Times: “The Story of Our Universe May Be Starting to Unravel” For this week's Slate Plus bonus segment, Emily, John, and David discuss the possible shutdown of the U.S. government. In the latest Gabfest Reads, Emily talks with Zadie Smith about her book, The Fraud: A Novel. In the next Gabfest Reads, David talks with Kristi Coulter about her book, Exit Interview: The Life and Death of My Ambitious Career. Email your chatters, questions, and comments to gabfest@slate.com or X us @SlateGabfest. (Messages may be quoted by name unless the writer stipulates otherwise.) Podcast production by Jared Downing and Cheyna Roth Research by Julie Huygen Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, Emily Bazelon, John Dickerson, and David Plotz discuss the second Republican presidential primary debate; the next federal case against Senator Bob Menendez, and the latest lawsuit of United States v. Big Tech. Join us for Political Gabfest Live in Madison, Wisconsin on October 25! Here are some notes and references from this week's show: Dan Balz for The Washington Post: “Republican debate brings chaos, attacks and a slog for second place” G. Elliott Morris for 538: “How outlier polls happen – and what to do with them” Nicole Hong for The New York Times: “Gold Bullion and Halal Meat: Inside the Menendez Investigation” John Dickerson for CBS News Prime Time: “FTC chair Lina Khan discusses need for regulations on big business” Lina M. Khan in The Yale Law Journal: “Amazon's Antitrust Paradox” Lisa Mascaro and Stephen Groves for AP: “House Speaker McCarthy is back to square one as the Senate pushes ahead to avert a federal shutdown” John Dickerson and Kris Van Cleave for CBS News: “How a government shutdown could cause chaos at airports” Here are this week's chatters: Emily: Mary Harris for This American Life: Act One of The Call; Slate's podcast What Next hosted by Mary Harris; Never Use Alone Inc. National Overdose Prevention Lifeline; Dr. Alison Block for the Post-Roe America series of The Nocturnists podcast; and Slate's podcast Amicus hosted by Dahlia Lithwick: “SCOTUS Is Not Done With Guns and Abortion” John: Michael Schneider for Variety: “CNN and Now-Canceled ‘Vice News Tonight' Lead News & Documentary Night 1 Winners List” and John Dickerson for CBS News Prime Time: “How to stay safe online, according to CISA” David: Jonathan O'Callaghan for Nature: “This is what Earth's continents will look like in 250 million years” Listener chatter from Kevin McEvilly: Adam Frank and Marcelo Gleiser in The New York Times: “The Story of Our Universe May Be Starting to Unravel” For this week's Slate Plus bonus segment, Emily, John, and David discuss the possible shutdown of the U.S. government. In the latest Gabfest Reads, Emily talks with Zadie Smith about her book, The Fraud: A Novel. In the next Gabfest Reads, David talks with Kristi Coulter about her book, Exit Interview: The Life and Death of My Ambitious Career. Email your chatters, questions, and comments to gabfest@slate.com or X us @SlateGabfest. (Messages may be quoted by name unless the writer stipulates otherwise.) Podcast production by Jared Downing and Cheyna Roth Research by Julie Huygen Learn more about your ad choices. Visit megaphone.fm/adchoices

Before the Supreme Court's Dobbs decision, there was S.B. 8—a Texas law that prohibited any abortion after 6 weeks, essentially banning it entirely in the state. In this episode, we hear from healthcare workers in and around Texas. What was it like to be an early witness to America's crumbling abortion rights?   Host & Co-creator:  Ali Block, MD Co-creator:  Emily Silverman, MD Contributors:  Kiernan Cobb, RN; Bhavik Kumar, MD MPH; and other contributors who wish to remain anonymous   Find show notes, transcript, and more at https://https://thenocturnists.com/pra/2/the-canary. Follow @thenocturnists.   The Nocturnists: Post-Roe America series was made possible in part by the Josiah Macy Jr. Foundation. The Nocturnists is supported by the California Medical Association, and people like you who have donated through our website and Patreon page.

Dahlia Lithwick is joined by Ryan Busse, a former gun-industry executive turned gun-safety advocate, who is now running for governor in his home state of Montana. As the right to bear arms for domestic abusers is set to be argued at SCOTUS this term, Dahlia and Ryan discuss how gun culture has been radicalized in order to… sell more guns. They also examine how that radicalization has reached the Supreme Court, and threatens our safety, and our democracy.  Next, Dahlia is joined by Alison Block MD, a family doctor and abortion provider who is also executive producer and host of The Nocturnists podcast's Post-Roe America season. The season lifts the voices of healthcare workers and abortion providers around the country, scrambling to survive in the confusing legal landscape created by Dobbs. The conversation highlights the impossible bind for red state abortion providers forced to choose between caring for patients and criminalization, and how providers in neighboring states are trying to keep up with unquenchable demand for care.  In this week's Amicus Plus segment, Dahlia is joined by Slate's Mark Joseph Stern to discuss why they never ever want to go to the all-male rich dude Lord of the Flies camp that is Bohemian Grove, why it's pretty shocking that Justice Clarence Thomas did, and how the latest Propublica reporting shows the scheme in sharp relief: interest groups founded and funded by billionaires wanted to end the regulatory state, and they found a justice ready to change his mind and do just that. Dahlia and Mark also discuss why the abortion pill banning Judge Matthew Kacsmaryk is all of a sudden so worried about misogyny.  Sign up for Slate Plus now to listen and support our show.  Dahlia's book Lady Justice: Women, the Law and the Battle to Save America, is now out in paperback. It is also available as an audiobook, and Amicus listeners can get a 25 percent discount by entering the code “AMICUS” at checkout. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dahlia Lithwick is joined by Ryan Busse, a former gun-industry executive turned gun-safety advocate, who is now running for governor in his home state of Montana. As the right to bear arms for domestic abusers is set to be argued at SCOTUS this term, Dahlia and Ryan discuss how gun culture has been radicalized in order to… sell more guns. They also examine how that radicalization has reached the Supreme Court, and threatens our safety, and our democracy.  Next, Dahlia is joined by Alison Block MD, a family doctor and abortion provider who is also executive producer and host of The Nocturnists podcast's Post-Roe America season. The season lifts the voices of healthcare workers and abortion providers around the country, scrambling to survive in the confusing legal landscape created by Dobbs. The conversation highlights the impossible bind for red state abortion providers forced to choose between caring for patients and criminalization, and how providers in neighboring states are trying to keep up with unquenchable demand for care.  In this week's Amicus Plus segment, Dahlia is joined by Slate's Mark Joseph Stern to discuss why they never ever want to go to the all-male rich dude Lord of the Flies camp that is Bohemian Grove, why it's pretty shocking that Justice Clarence Thomas did, and how the latest Propublica reporting shows the scheme in sharp relief: interest groups founded and funded by billionaires wanted to end the regulatory state, and they found a justice ready to change his mind and do just that. Dahlia and Mark also discuss why the abortion pill banning Judge Matthew Kacsmaryk is all of a sudden so worried about misogyny.  Sign up for Slate Plus now to listen and support our show.  Dahlia's book Lady Justice: Women, the Law and the Battle to Save America, is now out in paperback. It is also available as an audiobook, and Amicus listeners can get a 25 percent discount by entering the code “AMICUS” at checkout. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dahlia Lithwick is joined by Ryan Busse, a former gun-industry executive turned gun-safety advocate, who is now running for governor in his home state of Montana. As the right to bear arms for domestic abusers is set to be argued at SCOTUS this term, Dahlia and Ryan discuss how gun culture has been radicalized in order to… sell more guns. They also examine how that radicalization has reached the Supreme Court, and threatens our safety, and our democracy.  Next, Dahlia is joined by Alison Block MD, a family doctor and abortion provider who is also executive producer and host of The Nocturnists podcast's Post-Roe America season. The season lifts the voices of healthcare workers and abortion providers around the country, scrambling to survive in the confusing legal landscape created by Dobbs. The conversation highlights the impossible bind for red state abortion providers forced to choose between caring for patients and criminalization, and how providers in neighboring states are trying to keep up with unquenchable demand for care.  In this week's Amicus Plus segment, Dahlia is joined by Slate's Mark Joseph Stern to discuss why they never ever want to go to the all-male rich dude Lord of the Flies camp that is Bohemian Grove, why it's pretty shocking that Justice Clarence Thomas did, and how the latest Propublica reporting shows the scheme in sharp relief: interest groups founded and funded by billionaires wanted to end the regulatory state, and they found a justice ready to change his mind and do just that. Dahlia and Mark also discuss why the abortion pill banning Judge Matthew Kacsmaryk is all of a sudden so worried about misogyny.  Sign up for Slate Plus now to listen and support our show.  Dahlia's book Lady Justice: Women, the Law and the Battle to Save America, is now out in paperback. It is also available as an audiobook, and Amicus listeners can get a 25 percent discount by entering the code “AMICUS” at checkout. Learn more about your ad choices. Visit megaphone.fm/adchoices

We open in Orlando, at a reproductive health conference where many abortion providers were gathered on the day of the Dobbs leak. We follow a few of them home, as they scramble in the aftermath to figure out what the ruling means for their practices, their patients, and themselves.   Host & Co-creator:  Ali Block, MD Co-creator:  Emily Silverman, MD Contributors:  Diane Horvath, MD MPH; Jiana Menendez, MD MPH; Nikki Zite, MD MPH   Find show notes, transcript, and more at thenocturnists.com. Follow @thenocturnists.   The Nocturnists: Post-Roe America series was made possible in part by the Josiah Macy Jr. Foundation. The Nocturnists is supported by the California Medical Association, and people like you who have donated through our website and Patreon page.

On June 24, 2022, the US Supreme Court issued the Dobbs Decision. Overnight, Americans lost the protections on abortion care that Roe vs. Wade had afforded for almost 50 years. Soon afterward, The Nocturnists began talking to abortion providers around the country. Join us September 21st for Post-Roe America—a 7-episode series featuring the stories of abortion providers from Texas to Tennessee, Oklahoma to Ohio, and beyond. See you then.   Host:  Ali Block, MD Co-creators:  Emily Silverman, MD & Ali Block, MD Contributors:  April Lockley, DO; Bhavik Kumar, MD MPH; Christina Bourne, MD MPH; Emily Patel, MD; Zack Gingrich-Gaylord and other healthcare workers who wish to remain anonymous   More information at thenocturnists.com.

As the formal COVID-19 emergency comes to an end nationally and locally, a growing number of reports and investigative bodies are beginning to explore what went wrong and right with the country's response to the COVID crisis. One of the most important is the COVID Crisis Group (CCG), a team of 34 experts and scholars that has tried to lay the groundwork for a National Commission on the Covid Pandemic. It is led by Phillip Zelikow, who was the executive director of the 9/11 Commission. With no national commission in sight, in late April, the CCG will release its first major investigative report, "Lessons from the Covid War," a nonpartisan and plainspoken look at the key choices made during the pandemic, what worked, what didn't and what we could do better next time. The comprehensive investigative report tells the story of how America's scientific knowledge has far outpaced the country's ability to apply it in a crisis. The report shows how Americans can come together, learn hard truths, build on what worked, and prepare for global emergencies to come. Several high-profile local contributors to the report will speak on their new report and what else needs to be done to understand one of the greatest domestic crises the United States has faced in decades. These include Dr. Charity Dean, CEO, founder, and chairman of The Public Health Company; Dr. Robert Rodriguez, professor of clinical emergency medicine at Zuckerberg San Francisco General Hospital; Dr. David A. Relman, Thomas C. and Joan M. Merigan Professor in Medicine, and professor of microbiology & immunology, and senior fellow of the Freeman Spogli Institute for International Studies at Stanford University; and our moderator, Dr. Emily Silverman, internal medicine physician and assistant volunteer professor of medicine, UCSF, and creator of The Nocturnists. Learn more about your ad choices. Visit megaphone.fm/adchoices

People working in medicine have to be experts on the inner workings of the human body. But treating a patient involves much more than learning the textbook--at it's best, medicine involves treating the whole person. A group based at the University of Minnesota is teaming up with a popular podcast to bring the human side of health care to the stage. Seven health care professionals will share their stories at a live event in Minneapolis on April 22. Dr. Tseganesh Selameab is one of the organizers and an Associate Director of the Center for Art in Medicine at the University of Minnesota. She told her story in a recent episode of the podcast, The Nocturnists. She joined MPR News host Cathy Wurzer to talk about medical storytelling.

It's time for a MedLasso recap of Ted Lasso Season 3, Episode 5 , Laurie Baedke joins us to break down a frustrating and decidedly not fun episode. Check out the archive of "MedLasso" here and get caught up! The Explore The Space Merchandise Store is open! Please check it out Please join in the MedLasso conversation on Twitter, and tag your tweets with #MedLasso Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts. Email feedback or ideas to mark@explorethespaceshow.com Check out the archive of Explore The Space Podcast as well as our Position Papers and much more! Follow on Twitter @ETSshow, Instagram @explorethespaceshow Plugs Get your copy of Laurie's book "Mentor, Coach, Lead" here Click here to learn more about Vave Health Preorder Sayed's book "These Vital Signs" here Vote for "The Nocturnists" for a Webby Award Sponsors This episode of MedLasso from Explore The Space Podcast is brought to you in part by the Women In Medicine Summit. Do not miss this extraordinary conference taking place in Chicago Sept 22-23. https://www.womeninmedicinesummit.org/

You can also check out this episode on Spotify!It turns out that caring for others carries occupational risk.Anyone who has ever cared for aging parents, agitated teens, or sick friends has experienced symptoms of emotional and physical depletion. Caregiver burnout is not only common, it affects our health. Just as caregiving bleeds into everyday life, there's no partition between our body and mind. On this episode of Beyond the Prescription, Dr. Emily Silverman, physician and host of The Nocturnists podcast, shares her remarkable journey from burned-out physician to advocate for caregiver well-being. Dr. Silverman approached her medical training with enthusiasm and eagerness, but everything changed when she worked two back-to-back 28-hour shifts and realized how burned out she was. She began identifying more with her sick patients than her medical colleagues. The “work hard” culture of her residency program seemed to favor showing up at all costs and efficiency over the emotional and physical needs of residents. Coping with her own health issues as she cared for patients, Dr. Silverman realized that if she was to treat others, she first needed to show herself the same level of care and respect. It was only when she acknowledged her suffering and asked for help that she knew she could authentically care for others. Dr. Silverman went on to create a successful live show and podcast, The Nocturnists, for the medical community to speak openly about the struggles and triumphs of being a caregiver. There she has given space for others to tell their stories, learn from one another, and model compassion for others and for self.It turns out that burnout applies not only to doctors but to anyone in a caregiving role. Join Dr. McBride every Monday for a new episode of Beyond the Prescription. You can subscribe on Apple Podcasts, Spotify, or at lucymcbride.com/podcast. Get full access to her free weekly Are You Okay? newsletter at https://lucymcbride.substack.com/welcomePlease be sure to like, rate, review — and enjoy — the show! Get full access to Are You Okay? at lucymcbride.substack.com/subscribe

Hi Listeners! Today is Giving Tuesday, and we wanted to take this time to express our gratitude and let you know what's coming up on The Nocturnists podcast. Thank you for supporting our work in transforming medical culture through storytelling.  To learn more, head to thenocturnists.com.

This week, we're sharing the first episode of a new 10-part series from The Nocturnists podcast, called “Shame in Medicine: The Lost Forest.” What is shame? And how does it manifest in medical culture? The Nocturnists teams up with two shame experts to investigate these questions.Read a full transcript of this episode on our website.Learn more about this episode and the Shame in Medicine series at https://www.thenocturnists-shame.org/.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

What is shame? And how does it manifest in medical culture? In this episode, The Nocturnists teams up with two shame experts to investigate these questions. From a pool of over 200 stories submitted to The Nocturnists from healthcare workers across the US, the UK, and beyond, we'll explore the tension between who we are, and what the culture expects of us. Find show notes, transcript, and more at thenocturnists-shame.org.

A 10-part audio documentary series on The Nocturnists podcast, “Shame in Medicine: The Lost Forest” explores how shame is experienced by clinicians, medical students, and patients. Shame is ubiquitous in healthcare. Shame experiences in healthcare workers contribute to burnout, depression, suicidality, impaired empathy, disengagement from learning, social isolation, diminished physical wellness, unprofessional behavior, and altered professional identity formation — all challenges that continue to vex the medical community and lead to poor health outcomes. Hosted by Emily Silverman, MD and produced in collaboration with the Shame and Medicine project at the University of Exeter, this podcast series breaks the silence about shame in medical practice, sharing intimate stories told by healthcare workers and patients from across the globe. "Shame in Medicine: The Lost Forest" starts on September 13. Listen to the series trailer and follow The Nocturnists wherever you listen to podcasts.

In this episode, Emily speaks with pediatrics resident Nina Shevzov-Zebrun about movement, medicine, and the creation of The Ten Tensions Project, which explores core dilemmas of the physician experience through photography and dance The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

In this episode, Emily speaks with physician-author Danielle Ofri about the science of writing, the art of medicine, and the imperative of recognizing stories as a tool for healing. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

In this episode, Emily speaks with data scientist and author Cathy O'Neil about her book The Shame Machine: Who Profits in the New Age of Humiliation, which investigates how society exploits the powerful emotion of shame. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

In this episode, Emily speaks with documentary filmmaker and journalist David France about his films How to Survive a Pandemic (2022) and How to Survive a Plague (2012), and the role of storytelling in documenting public health crises and holding institutions accountable. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

In this special episode, Emily speaks with The Nocturnists' Executive Producer, family medicine physician and abortion provider, Dr. Alison Block, who recently published an Op-Ed in The New York Times called "Why I Learned to Perform Second-Trimester Abortions for a Post-Roe America." The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

On this episode: Jamilah, Zak, and Elizabeth share ‘Triumphs and Fails' and answer a question from a listener whose husband and three year old compete for her attention and she's incredibly frustrated.  Then, a number of you sent in additional questions about the ripple effects of abortion bans and how to talk to children about abortion, so we're continuing the conversation. Jamilah brings your questions to Dr. Alison Block, a family physician, abortion provider, executive producer of the podcast The Nocturnists, and mother of three.  On Plus, Jamilah, Zak, and Elizabeth share their favorite easy summer arts and crafts to keep kids entertained. Slate Plus members get a bonus segment on MADAF each week, and no ads. Sign up now at slate.com/momanddadplus to listen and support our work. Join us on Facebook and email us at momanddad@slate.com to ask us new questions, tell us what you thought of today's show, and give us ideas about what we should talk about in future episodes.  Podcast produced by Rosemary Belson, Jasmine Ellis, and Kristie Taiwo-Makanjuola. Learn more about your ad choices. Visit megaphone.fm/adchoices

On this episode: Jamilah, Zak, and Elizabeth share ‘Triumphs and Fails' and answer a question from a listener whose husband and three year old compete for her attention and she's incredibly frustrated.  Then, a number of you sent in additional questions about the ripple effects of abortion bans and how to talk to children about abortion, so we're continuing the conversation. Jamilah brings your questions to Dr. Alison Block, a family physician, abortion provider, executive producer of the podcast The Nocturnists, and mother of three.  On Plus, Jamilah, Zak, and Elizabeth share their favorite easy summer arts and crafts to keep kids entertained. Slate Plus members get a bonus segment on MADAF each week, and no ads. Sign up now at slate.com/momanddadplus to listen and support our work. Join us on Facebook and email us at momanddad@slate.com to ask us new questions, tell us what you thought of today's show, and give us ideas about what we should talk about in future episodes.  Podcast produced by Rosemary Belson, Jasmine Ellis, and Kristie Taiwo-Makanjuola. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today, we're listening to “The Lazarus Effect” from The Nocturnists podcast.  All the links:The Nocturnists: subscribe | website | @thenocturnists on Twitter | @thenocturnists on IG  The Nocturnists upcoming live eventsAdela's Q&A with Emily SilvermanLauren's interview with Emily SilvermanExtra podcast love recommendations: Adela recommends The Moth and Snap Judgment. Lauren recommends The Mortified Podcast and Ooh You're In Trouble. Here are all the ways to get in touch & get involved in Adela and Lauren's projects:Email Feed the Queue at feedthequeue@gmail.com Lauren on TwitterAdela on TwitterTink Media: website | twitter | instagram | Podcast The Newsletter | Podcast Marketing Magic Podcast Brunch Club: website | newsletter | join a chapter | Facebook Group | twitter | instagram This season of Feed the Queue is sponsored by Clever.fm, the podcast app that puts listeners first.

In this episode, Emily speaks with physician Rupa Marya and political economist Raj Patel about their recent book Inflamed: Deep Medicine and the Anatomy of Injustice, which explores the impact of oppressive systems on our health, and how deep medicine can facilitate collective healing. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

In this episode, Emily speaks with neuroscientist and author Sidarta Ribeiro about his book The Oracle of Night, which investigates the art and science of dreams and the extraordinary power dreams have in shaping our world. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

 As a healthcare worker, have you ever made a mistake and literally wanted to die, or at least run away and hide? Do you have this vision in your head of what the ideal doctor, nurse, pharmacist, physician assistant, is supposed to be like?  This infallible, all knowing being who never gets sick and never gets a diagnosis or treatment plan wrong?Do you feel like, when you have your white coat or your scrubs on that you are not allowed to be a human?In medicine there is SO much pressure to live up to this idealized narrative of the healthcare hero- and it can create painful shame experiences when we inevitably fall short of it. Today's episode of the Life After Medicine podcast features special guest Dr. Emily Silverman who is currently exploring the topic of shame in the medical field with some world renowned experts. In this episode you will learn about... The root cause of shame in medicine The problem with creating an unattainable ideal to live up to How we can start collectively shifting this ideal to make space for the human experience of healthcare workers. This is such a raw and honest episode that explores some of the heavier and more difficult topics within the medical field. It's such a powerful listen.GUEST LINKS:Learn more about the upcoming "Shame in Medicine" seriesSubscribe to "The Nocturnists" NewsletterConnect with Dr. Emily Silverman FREE RESOURCES:5 Days to Career Clarity:FREE mini-course to help you discover your next career steps.https://coachchelsmd.com/clarity/#Bye Burnout Starter KitIdentify the 10 most common energy drains that are contributing to your burnout and create an action plan for change.https://coachchelsmd.com/burnout-recovery-starter-kit/Life After Medicine FB GroupConnect with a community of like-minded healthcare professionals seeking career change supporthttps://www.facebook.com/groups/leavemedicine/membersWORK WITH CHELSEA:Are you ready to STOP feeling so exhausted, figure out your next steps and create a career you enjoy? 1-1  coaching may be exactly what you need to finally look forward to your days, without all the stress and burnout you are currently experiencing. I currently offer two different coaching programs. Head to the links below for more information.The Career Fulfillment Formula:https://coachchelsmd.com/careerfulfillmentcoaching/The  Burnout Recovery Blueprint:https://coachchelsmd.com/burnoutcoaching/Residency Drop Out:My #1 Amazon Bestselling e-book about how I quit my medical career to travel the world and work remotely.https://coachchelsmd.com/book/Find me on your fav social media platform for more daily content!Instagram: https://www.instagram.com/coachchelsmd/Facebook: https://www.facebook.com/ChelseaTurgeonMDLinkedIn: https://www.linkedin.com/in/coachchelsmd/

In this episode, Emily speaks with poet, physician, and medical ethicist Dr. Laura Kolbe about her poetry collection, Little Pharma, the languages of poetry and medicine, and how poetry can help illuminate the various aspects of self. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

A young woman wakes up in her Beijing dorm room to a call. A strange voice, a man she barely remembers, is asking her a question that will change her destiny. And a doctor hears one of her classical music idols play one of the greatest serenades of all time. STORIES Ping A young woman wakes up in her Beijing dorm room to a call. A strange voice,  a man she barely remembers, is asking her a question that will change her destiny. Produced by Annie Nguyen, original score by Daniel Riera, artwork by Teo Ducot “Dying to Tchaikovsky” Family medicine physician Catherine Sonquist Forest listens to one of her classical music idols serenade a dying loved one in the hospital. This story came to us from The Nocturnists podcast, it was told by Catherine Forrest, MD. The Nocturnists are a vibrant community of healthcare workers who are celebrating their humanity through storytelling. They have live performances, a podcast, and so much more. Listen & subscribe now! Hosted by Emily Silverman Produced by Emily Silverman and Marina Poole. Story Development by Adelaide Papazoglou Sound Engineering by Alberto Hernandez Assistant Producing by Kirk Klocke Original theme music by Yosef Munro, additional music by Blue Dot Sessions. Season 13 - Episode 19

In this episode, Emily speaks with Dr. Wesley Ely about the harms of deep sedation and immobilization in the ICU, and how he's transforming critical care, one patient at a time. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Many of us have been inspired to work in healthcare. You wanted to make a difference. You had so many ideas, so much ambition, so much passion then over the years of unanticipated trauma and drama, healthcare took its toll. You got burned out.  You've been spending more time with equipment and documentation than you have with the patient. You don't feel appreciated. You sometimes don't even like being a nurse anymore. You sometimes wonder if you made a mistake in your career choices.In this episode Nurse Alice speaks with Dr. Emily Silverman, internal medicine physician and Volunteer Assistant Professor of Medicine at UCSF and the creator of The Nocturnists, a vibrant community of healthcare workers who are celebrating their humanity through storytelling. By airing clinicians' stories in a safe and generative public forum, The Nocturnists helps shatter the myths of the invincible healthcare provider and reveal the truth: that healthcare workers are human, just like everyone else, and that our humanity is our strength, not our weakness.

In this episode, Emily speaks with cancer biologist and poet Jenny Qi, about her poetry collection "Focal Point," which examines science, disease, love, and family. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

In today's episode, Emily speaks with Professor Cindy Weinstein and Dr. Bruce Miller, authors of the book Finding the Right Words, which explores literature, grief, and the brain. It tells the story of Cindy's father, who lived and died with early-onset Alzheimer's disease, and serves as a dialogue between patient and doctor, literary critic and neuroscientist. A great example of narrative medicine in action. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

In today's episode, Emily speaks with New York Times columnist Ross Douthat about his book The Deep Places, which tells the harrowing story of his experience with Lyme disease, and what it's like to navigate a chronic illness that mainstream medicine hasn't yet fully explained. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

The American healthcare system is a tapestry of providers, insurers and chargemasters, and often leaves patients with unexpected and crippling bills. That is, if they show up to the hospital at all. In this episode, Emily speaks with Emily Maloney who has been on both sides of the health care cost equation. After being hospitalized for a suicide attempt, she began working as an emergency room technician to pay off her medical debt. Emily Maloney tells her story in a new collection of essays, Cost of Living. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Physician Tobin Greensweig makes an unannounced visit to a patient's house to check on him after he leaves the hospital. Recalling stories from his father's community medical practice, he is struck by the constraints on the doctor-patient relationship in modern medicine. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Psychiatrist Shaili Jain tells the story of a pivotal experience on a road trip with her father, and how it catalyzed her career as a PTSD specialist. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Pediatrician Christina Lee recounts a memorable ambulance ride from residency, in which she helped transport a child from the hospital to hospice. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Medical student Pablo Romano tells the story of losing his mother to complications of surgery, and how he continues her legacy as a medical student. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Internal medicine physician Natasha Spottiswoode reflects on her flying days from Oxford while teaching a green intern how to recognize whether patients are "sick" or "not sick." The Nocturnists are partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Internist Ashley McMullen decides to let her hair go natural for the first time in over a decade — a process which serves as a metaphor for self-acceptance in the rigid world of medicine. The Nocturnists are partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Interventional Radiologist Bobby Chiong's patient codes on the table during a procedure, prompting a frantic but successful resuscitation. Afterward, Dr. Chiong reflects on the high-stakes nature of his job and the intimidating responsibility of being entrusted with patients' care. The Nocturnists are partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. More at thenocturnists.com.

An improv workshop transforms the way psychiatrist David Elkin approaches a patient on the psych consult service, and catalyzes a philosophical shift in his approach to patient care. The Nocturnists are partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. More at thenocturnists.com.

Alzheimer's disease used to be a rare diagnosis. But today, more than 5.8 million Americans are living with Alzheimer's and this number is projected to triple to 14 million over the next forty years. In this episode, Emily discusses the mounting practical, moral, and ethical quandaries of caring for patients with Alzheimer's and other dementia-causing diseases with Dr. Jason Karlawish, author of The Problem of Alzheimer's: How Science, Culture and Politics Turned a Rare Disease into a Crisis and What We Can Do About It. The Nocturnists are partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. More at thenocturnists.com.

The emergency room is a place of intensity—a place of noise and colors and human drama. This is the setting of Dr. Michele Harper's memoir, The Beauty in Breaking, which explores how the healing journeys of her patients intersect with her own.  Emily and Dr. Harper discuss the back stories that become salient in caring for patients who may be suffering from more than just the injuries bringing them to the ER. The Nocturnists are partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. More at thenocturnists.com.

Do no harm. Thou shalt not kill. Life is sacred and should be protected at all costs, right? But when is life no longer worth living? Who decides? And what do we do about it? In this episode, Emily discusses the murky ethical dilemmas of medical aid in dying with award-winning journalist Katie Engelhart, the author of The Inevitable: Dispatches On The Right to Die. The Nocturnists are partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. More at thenocturnists.com.

As an internal medicine resident at the University of California, San Fransisco, Dr. Emily Silverman created the Nocturnists, a narrative medicine podcast and live show that strives to use the power of storytelling to cultivate community and improve the field of medicine. The Nocturnists was one of our biggest influences in starting WBYIT, and we are so grateful to have had the opportunity to speak with Dr. Silverman for this episode. Dr. Silverman tells us about her own inspirations for the Nocturnists—a love for the arts and a need to address the tough, existential questions at the core of what it mean to be a physician. She also shares her experience building the Nocturnists organization from the ground up and the backstory behind one of her published pieces, Comic Relief (link below). Dr. Silverman is an author and Assistant Professor of Medicine at UCSF. Visit www.thenocturnists.com to learn more about Dr. Silverman's work and https://jamanetwork.com/journals/jama/article-abstract/2738556 to read her piece, Comic Relief.

One of the hardest things about being healthcare workers going through this pandemic is that we've both experienced and borne witness to moments that nobody should have to go through alone. Who do we need by our side when everything falls apart? And what do we do when they can't be there? More information about this episode and The Nocturnists project: https://thenocturnists.com/stories-from-a-pandemic-part-2/2021/6/22/episode-3-by-my-sideKeep up with all Tradeoffs activity this month: https://tradeoffs.org/2021/08/05/august-hiatus-episodesSign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletterSupport this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod See acast.com/privacy for privacy and opt-out information.

The Nocturnists is back with the second installment of “Stories from a Pandemic”. How have healthcare workers been holding up over the past year? In this episode we hear stories from healthcare workers around the country about what it's been like after the dust has settled.  Visit our website for episode show notes here.    

The Nocturnists is proud to announce the second installment of Stories from a Pandemic, which explores what the murky, middle part of the pandemic has been like for healthcare workers. Tune in Tuesday, June 8, 2021 for the first of eight episodes, “The Space Between”.

Erkeda DeRouen talks to Dr. Liz Aguirre, MD, CCDS. Liz is a board-certified Internal Medicine physician with ten years of experience in hospital medicine and six years of Clinical Documentation Improvement experience. An educator to physicians, nurses, and students, Liz is passionate about person-centered wellness, focusing on mental and spiritual health. She is an established speaker with a specific passion for speaking about personal wellness to maximize the quality of life and work performance. In this episode, Erkeda talks to Dr. Aguirre about her atypical path to medicine, the social determinants of health, and the importance of positive self-talk. [00:35] Introducing Dr. Liz Aguirre, MD [06:40] Getting into Medicine [10:14] Social Determinants of Health [13:35] Wellness in Healthcare Workers [21:03] Getting Unstuck through Prioritizing Wellness [24:30] Hospitalists and Nocturnists [28:07] Dr. Aguirre’s Advice to Pre-meds and Medical Students Full show notes

Emily talks to Dr. Suzanne Koven, author of Letter to a Young Female Physician: Notes from a Medical Life. Dr. Koven graduated from medical school in the 80s at a time when there were so few women in her residency program that she had to write up her own maternity leave policy. Her memoir is a testament to how, while some things have changed for the better for women in medical education, much of the culture remains the same. Dr. Suzanne Koven is a primary care physician and the inaugural Writer in Residence at Massachusetts General Hospital.  Hosted by Emily Silverman. Produced by Emily Silverman and Adelaide Papazoglou. Edited and mixed by Jon Oliver. Recorded in San Francisco by audio engineer Jon Oliver and at Ugly Duck Studios in Brighton by Ian Bouslough. Original Theme by Yosef Munro. Other music by Blue Dot Sessions. This episode of The Nocturnists is sponsored by Fabled. The Nocturnists is made possible by the California Medical Association, the Patrick J. McGovern Foundation, and people like you who have donated through our website and Patreon page.

As much as our culture delights in talking about sex, we do not relish discussing the sexually transmitted diseases which sometimes follow. But STDs are not just a fact of life, they are a subject that has been shrouded in mystery and moralizing throughout the history of medicine. In this episode, Emily speaks with Dr. Ina Park, a family medicine doctor, Associate Professor of Family and Community Medicine at the University of California San Francisco, and the author of Strange Bedfellows: Adventures in the Science, History, and Surprising Secrets of STDs. Hosted by Emily Silverman. Produced by Emily Silverman and Adelaide Papazoglou. Edited and mixed by Jon Oliver. Original Theme by Yosef Munro. Other music by Blue Dot Sessions. The Nocturnists is made possible by the California Medical Association, the Patrick J. McGovern Foundation, and people like you who have donated through our website and Patreon page.

All of us have experienced physical pain at some point in our lives. Yet many of us are unaware of how essential context is to the pain experience. Even today, there is much about pain that remains poorly understood. How is it that something so core to being human can remain such a mystery? Joining me to unravel some of these complexities is Dr. Abdul-Ghaaliq Lalkhen, an anesthesiologist and author of An Anatomy of Pain: How the Body and the Mind Experience and Endure Physical Suffering. Hosted by Emily Silverman. Produced by Emily Silverman and Adelaide Papazoglou. Edited and mixed by Jon Oliver. Original theme by Yosef Munro. Additional music by Blue Dot Sessions. The Nocturnists is made possible by the California Medical Association, the Patrick J. McGovern Foundation, and people like you who have donated through our website and Patreon page.

Author and historian Janice P. Nimura launches her new book, The Doctors Blackwell: How Two Pioneering Sisters Brought Medicine to Women—and Women to Medicine, in conversation with Emily Silverman of The Nocturnists.  Nimura contextualizes the often simplified story of Elizabeth and Emily Blackwell (among the first women in the U.S. to earn medical degrees and the founders of the first hospital staffed by women), and discusses the sisters' astonishing trailblazing, their complicated relationship with feminism, and their differences from one another. (Recorded January 19, 2021)

Back for the new year. For this week's episode, I decided to create a collection of memorable moments from 2020. Honestly, there are too numerous to count. I wanted to capture pieces of conversations that really moved me: Stopped me in my tracks, made me laugh and smile, made me lose my breath.   1. EPISODE 1:  HOW IS COVID19? REPORTS OF GENEVA, LONDON, AND PHILADELPHIAThe stress and anxiety was palpable in this episode. I spoke with a doctor friends one in Eva Niyibizi Geneva, one in London Segun Olusanya, and one here in Philadelphia Jamie Garfield. 2. EPISODE 3:  IS COVID19 INCITING NARRATIVE VIOLENCE?I spoke with two doctors who are also storytellers.  Dr. Emily Silverman founded and hosts the Nocturnists podcast. She has taken story telling and the audio to a whole new level. A highlight of healing for me and what is amazing here is we hear the seeds that were planted for something yet to sprout: After the murder of George Floyd in May 2020, they launched a new audio storytelling series called “Black Voices in Healthcare”, hosted by Ashley McMullen, MD and executive produced by Kimberly Manning, MD 3. EPISODE 9: ASHISH JHA AND MIRIAM LAUFER ON THE CDC + #COVID19 CURRENT EVENTSI laughed with Ashish Jha and Miriam Laufer when we discussed COVID19, the CDC, vaccines were on the horizon and not yet available, and what to do with kids and summer camp. The laugh surrounds the use of the word kerfuffle 4. EPISODE 11: STRUCTURAL RACISM AND THE #COVID19 PANDEMIC AS HEALTH CARE CRISES Hat tip  to Yale school of medicine 4th year student Max Tiako founder and host of @FlipScriptPod podcast covering health disparities in the U.S. & globally.   5. EPISODE 16: SYNDROME KI viewed the film in Miami right before the pandemic shut down everything. Syndrome K is a documentary, which tells the story of three doctors  Adriano Ossicini. Prof Giovanni Borromeo, Vittorio Sacerdoti who saved members of Rome's Jewish community by convincing the Nazis that these Jews were infected with a deadly and contagious disease that the doctors called Syndrome K. In this segment, Dr. Ignazio Marino, a transplant surgeon and former mayor of Rome, shared that his father was deported to a concentration camp.  6. EPISODE 13: ELLEN LUPTON AND ANDREW IBRAHIM : HEALTHDESIGN 101Two well known #HealthDesigners. Andrew is the chief medical officer of HOK's architecture Healthcare group and a general surgeon at the University of Michigan, Ellen is a senior curator at the Cooper Hewitt Museum in NYC and directs the graduate program in graphic design the Maryland Institute of Contemporary Art. Andrew is a general surgeon and They really highlighted the importance of Health Design now and going forward. Take a listen as they explain #HealthDesignNow 7. EPISODE 19: A CULTURE OF SILENCE: PHYSICIAN SUICIDE AND THE DR. LORNA BREEN FOUNDATIONWe paid tribute to the Dr. Lorna Breen and discussed the Lorna Breen Heroes Foundation . If we prioritize the mental health of medical professionals who are caring for some of our most vulnerable patients, and encourage help-seeking behaviors for mental health concerns and substance use disorders by reducing stigma, increasing resources, and having open conversations about mental health- maybe we can change the culture. In this moment Dr. Dan Egan reflects on his memory of Dr. Lorna Breen a colleague and friend who died by suicide in 2020 8. EPISODE 10: PRESIDENT AND CEO #TIMES UP TINA TCHEN ON LEADERSHIP DURING A CRISISI spoke with Tina Tchen, American lawyer Christina M. "Tina" Tchen CEO and President of Time's Up. She was a constant voice of equity and advocacy. Here she speaks on leading during a crisis: What to do 9. EPISODE 12: SENATOR MAGGIE HASSAN AND DR. HIRAL TIPIRNENI: WHY GO INTO POLITICSHere I am in conversation with Senator Maggie Hassan of New Hampshire. Hassan is one of only two women in American history to be elected as both a Governor and a Senator. She was the 81st Governor of New Hampshire, from 2013 to 2017. She has been active and focused during the recent period advocating on topics, such as PPE, Nursing Homes, the Opioid epidemic, Unemployment insurance Paid sick leave, and Training the returning workforce.  10. EPISODE 18: GLORIA STEINEM: WHY WOULD YOU NOT USE YOUR VOICE?In February 2020,  I sat with Ms Gloria Steinem. I asked her what she did for her health her self care and gave me a look of … well listen to what she said. 

Thursday 09 April 2020: COVID19 series Resa speaks with Dr. Emily Silverman creator and host for the Nocturnists. In March 2020, she and her team put out a call for people who are interested in keeping an “audio diary” about their experience working on the front lines of the COVID19 pandemic. Dr. Sayantani DasGupta is a Pediatrician by training, a subject matter expert in Narrative Medicine, and a NYTimes best selling author of a children's book series: Kiranmala and the Kingdom Beyond (photo credit Chris X. Carroll). Episode image with permissions quiles_artworks

Why does storytelling in medicine matter? How can it impact our lives, and the care we provide our patients, for the better? In this episode, we sit down with Dr. Emily Silverman, academic hospitalist at the Zuckerberg San Francisco General Hospital and creator and host of The Nocturnists, to learn more about the role of narrative medicine in our work and well-being. This conversation originally aired on Hippo Education's Primary Care Reviews and Perspectives podcast. 

The day-to-day of internship, residency, and an MD career doesn't allow much time to process the effect it's having on the practitioner. Rushing from one patient to the next, putting out the fires even while drinking from the firehose, and being selfless in service to the patients' needs means that one's own stories are buried, neglected. More and more, however, medicine is acknowledging the need for practitioners to examine and tell their stories so that they can learn from them, teach their lessons to others, and show colleagues that they are not alone. In 2015 Dr. Emily Silverman was in her second year of her internal medicine residency at UCSF. She found herself with a little more time following her frenetic intern year, and with her own stories that had gone untold and unexamined. She started to write, first in a blog she called The Nocturnists. Then, in 2016 she organized the first live storytelling session with her colleagues. Now, in 2018, those live sessions--held in theaters with fun music and a bar-- are playing to sellout crowds. Not only do the shows allow for catharsis, but for community. And because Dr. Silverman isn't ready to allow The University of Iowa to be a satellite venue (and believe us, we asked), we're grateful that The Nocturnists is also a podcast! Each episode feature a piece from the live show, followed by a relaxed, thoughtful discussion between Dr. Silverman and the storyteller. Her email to Dave earlier this spring to tell The Short Coats about The Nocturnists was a wonderful break from the usual pitches for Caribbean med schools and Ivy League pay-to-play programs; and it gave Kylie Miller, Brendan George, Marisa Evers, and Sanjeeva Weerasinghe a great opportunity to discuss what it is The Nocturnists are thinking about.

The day-to-day of internship, residency, and an MD career doesn't allow much time to process the effect it's having on the practitioner. Rushing from one patient to the next, putting out the fires even while drinking from the firehose, and being selfless in service to the patients' needs means that one's own stories are buried, neglected. More and more, however, medicine is acknowledging the need for practitioners to examine and tell their stories so that they can learn from them, teach their lessons to others, and show colleagues that they are not alone. In 2015 Dr. Emily Silverman was in her second year of her internal medicine residency at UCSF. She found herself with a little more time following her frenetic intern year, and with her own stories that had gone untold and unexamined. She started to write, first in a blog she called The Nocturnists. Then, in 2016 she organized the first live storytelling session with her colleagues. Now, in 2018, those live sessions--held in theaters with fun music and a bar-- are playing to sellout crowds. Not only do the shows allow for catharsis, but for community. And because Dr. Silverman isn't ready to allow The University of Iowa to be a satellite venue (and believe us, we asked), we're grateful that The Nocturnists is also a podcast! Each episode feature a piece from the live show, followed by a relaxed, thoughtful discussion between Dr. Silverman and the storyteller. Her email to Dave earlier this spring to tell The Short Coats about The Nocturnists was a wonderful break from the usual pitches for Caribbean med schools and Ivy League pay-to-play programs; and it gave Kylie Miller, Brendan George, Marisa Evers, and Sanjeeva Weerasinghe a great opportunity to discuss what it is The Nocturnists are thinking about.

Signouts! How can we do them better? Hear these memorable stories & ask yourself these FIVE questions when getting your handoff ready for the covering team.Sponsor: Glass Health is a platform that empower clinicians with best-in-class AI for clinical decision supportUse promo code COREIM for 1 month of free access to Glass Pro for unlimited A.I queries !Timestamps:(2:44) What makes this patient different from others with similar symptoms or diagnosis?(7:28) Does your covering team have the tools to follow up on tasks and information they need for success? (16:06) Is the handoff updated? (18:26) What information about goals of care and prognosis should be communicated to the night team, especially for critically ill patients? (22:41) What are we still uncertain about? (25:30) Closing thoughts Show notes & transcriptsTags:IMCore, CoreIM, Contingency Planning, Handoffs, Medical Education, Nocturnists. Signouts, hospitalistFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy