Podcasts about physicians

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Clarence Lee. Physician, entrepreneur, speaker, and co-founder of Social Media for Doctors, joins Rushion McDonald to discuss perseverance, entrepreneurship, personal branding, and the future of healthcare marketing. Dr. Lee shares his inspiring journey from repeatedly being rejected from medical school to becoming a physician, Air Force flight surgeon, business owner, and advocate for physician branding. The conversation highlights how professionals, especially physicians, can build powerful personal brands that create opportunities, expand their influence, improve patient education, and generate multiple streams of income. The interview is ultimately about believing in yourself, staying committed to your vision, and creating value beyond your primary profession. Purpose of the Interview The purpose of the interview was to: Share Dr. Lee's journey of persistence and overcoming rejection. Inspire listeners to remain committed to their goals despite setbacks. Introduce the concept of personal branding for physicians. Discuss entrepreneurship as a pathway to greater professional freedom. Highlight how social media can educate the public and strengthen healthcare communication. Encourage professionals to view themselves as brands rather than simply employees. Key Takeaways 1. Persistence Is the Difference Maker Dr. Lee revealed that it took him five years of applying to medical school before he was accepted. Lesson: Success often comes to those who refuse to quit, even when progress is slow. 2. Believe in Yourself Above All Else Despite pressure from friends and family to move on, Dr. Lee continued pursuing his dream of becoming a physician. Lesson: The best investment anyone can make is betting on themselves and their vision. 3. Don't Settle for a Plan B That Isn't Your Dream Although he was accepted into optometry school, Dr. Lee declined the opportunity because it wasn't his true calling. Lesson: Sometimes achieving your goal requires turning down good opportunities that distract from your ultimate purpose. 4. Challenges Do Not Mean You're on the Wrong Path Dr. Lee believes many people abandon their dreams when obstacles appear. Lesson: Difficulty is often part of the process, not a sign that you should quit. 5. Physicians Need Personal Brands Many doctors rely entirely on hospitals or healthcare systems to market their services. Lesson: Building a personal brand allows physicians to establish authority, visibility, and stronger connections with patients. 6. Patients Search for Information Online Today's patients often research symptoms and medical conditions before visiting a doctor. Lesson: Qualified medical professionals should have an online presence to provide accurate and trustworthy information. 7. Branding Creates Professional Independence A strong personal brand belongs to the individual, not the employer. Lesson: Doctors who build recognizable brands create career flexibility and opportunities beyond traditional employment. 8. Entrepreneurship Helps Combat Burnout Dr. Lee discussed how many physicians struggle with stress, burnout, and limited control over their schedules. Lesson: Business ownership and additional income streams can provide greater freedom, control, and professional satisfaction. 9. Multiple Income Streams Create Stability Beyond practicing medicine, Dr. Lee earns income through speaking, training, education, and business ventures. Lesson: A strong personal brand can open doors to various revenue opportunities. 10. Humanizing Professionals Builds Trust Dr. Lee emphasized that doctors are more than medical experts. Lesson: Sharing personal interests, hobbies, values, and life experiences helps patients connect with healthcare providers on a more human level. Memorable Quotes On Persistence "If you do not quit, you will get closer and closer." On Challenges "Not being confused when challenges come your way, not turning around and deciding that's not for you." On Self-Belief "I really had to make a decision to say no to a plan B." On Personal Investment "It was really about me believing and betting on myself." On Purpose "Everybody doesn't want the same thing. I wanted to become a doctor." On Branding "You are the expert, not the system that you're under." On Visibility "You need to be where your patients are." On Ownership "I wanted to brand myself. It is something that I can take from employer to employer." On Career Freedom "Building a brand allows you then to have other sources of income." On Human Connection "Yes, I am a doctor, but I'm a father too." On Individuality "We're professionals, we're experts in what we do. But we're people as well." Executive Summary Dr. Clarence Lee's interview is an inspiring lesson in perseverance, entrepreneurship, and personal branding. His story demonstrates that success often comes after repeated setbacks and that unwavering belief in one's vision can lead to extraordinary outcomes. Beyond medicine, Dr. Lee advocates for professionals to build recognizable personal brands, create multiple streams of income, and use digital platforms to educate and serve others. His central message is clear: your expertise has value, your story matters, and investing in yourself is one of the most powerful decisions you can make. #SHMS #BEST #STRAW Money Making Conversations Master Class with Rushion McDonald is America's premier entrepreneurship, business leadership, financial literacy, and wealth-building podcast featuring successful entrepreneurs, executives, founders, celebrities, and industry experts sharing actionable insights for professional and financial success. Business Podcast Entrepreneurship Small Business Business Growth Financial Literacy Wealth Building Black Entrepreneurs Minority Business Leadership Executive Leadership Business Funding Marketing Strategies Personal Development Startup Advice Sales Training CEO Interviews Founder Stories Professional Development Economic Empowerment Business Success Networking Brand Building Innovation How to start a business Small business funding Entrepreneur success stories Business leadership podcast Wealth building strategies Black entrepreneur podcast Minority business development Marketing for small businesses Business growth strategies Startup funding opportunities Executive leadership training Financial literacy education Success mindset podcastSupport the show: https://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Clarence Lee. Physician, entrepreneur, speaker, and co-founder of Social Media for Doctors, joins Rushion McDonald to discuss perseverance, entrepreneurship, personal branding, and the future of healthcare marketing. Dr. Lee shares his inspiring journey from repeatedly being rejected from medical school to becoming a physician, Air Force flight surgeon, business owner, and advocate for physician branding. The conversation highlights how professionals, especially physicians, can build powerful personal brands that create opportunities, expand their influence, improve patient education, and generate multiple streams of income. The interview is ultimately about believing in yourself, staying committed to your vision, and creating value beyond your primary profession. Purpose of the Interview The purpose of the interview was to: Share Dr. Lee's journey of persistence and overcoming rejection. Inspire listeners to remain committed to their goals despite setbacks. Introduce the concept of personal branding for physicians. Discuss entrepreneurship as a pathway to greater professional freedom. Highlight how social media can educate the public and strengthen healthcare communication. Encourage professionals to view themselves as brands rather than simply employees. Key Takeaways 1. Persistence Is the Difference Maker Dr. Lee revealed that it took him five years of applying to medical school before he was accepted. Lesson: Success often comes to those who refuse to quit, even when progress is slow. 2. Believe in Yourself Above All Else Despite pressure from friends and family to move on, Dr. Lee continued pursuing his dream of becoming a physician. Lesson: The best investment anyone can make is betting on themselves and their vision. 3. Don't Settle for a Plan B That Isn't Your Dream Although he was accepted into optometry school, Dr. Lee declined the opportunity because it wasn't his true calling. Lesson: Sometimes achieving your goal requires turning down good opportunities that distract from your ultimate purpose. 4. Challenges Do Not Mean You're on the Wrong Path Dr. Lee believes many people abandon their dreams when obstacles appear. Lesson: Difficulty is often part of the process, not a sign that you should quit. 5. Physicians Need Personal Brands Many doctors rely entirely on hospitals or healthcare systems to market their services. Lesson: Building a personal brand allows physicians to establish authority, visibility, and stronger connections with patients. 6. Patients Search for Information Online Today's patients often research symptoms and medical conditions before visiting a doctor. Lesson: Qualified medical professionals should have an online presence to provide accurate and trustworthy information. 7. Branding Creates Professional Independence A strong personal brand belongs to the individual, not the employer. Lesson: Doctors who build recognizable brands create career flexibility and opportunities beyond traditional employment. 8. Entrepreneurship Helps Combat Burnout Dr. Lee discussed how many physicians struggle with stress, burnout, and limited control over their schedules. Lesson: Business ownership and additional income streams can provide greater freedom, control, and professional satisfaction. 9. Multiple Income Streams Create Stability Beyond practicing medicine, Dr. Lee earns income through speaking, training, education, and business ventures. Lesson: A strong personal brand can open doors to various revenue opportunities. 10. Humanizing Professionals Builds Trust Dr. Lee emphasized that doctors are more than medical experts. Lesson: Sharing personal interests, hobbies, values, and life experiences helps patients connect with healthcare providers on a more human level. Memorable Quotes On Persistence "If you do not quit, you will get closer and closer." On Challenges "Not being confused when challenges come your way, not turning around and deciding that's not for you." On Self-Belief "I really had to make a decision to say no to a plan B." On Personal Investment "It was really about me believing and betting on myself." On Purpose "Everybody doesn't want the same thing. I wanted to become a doctor." On Branding "You are the expert, not the system that you're under." On Visibility "You need to be where your patients are." On Ownership "I wanted to brand myself. It is something that I can take from employer to employer." On Career Freedom "Building a brand allows you then to have other sources of income." On Human Connection "Yes, I am a doctor, but I'm a father too." On Individuality "We're professionals, we're experts in what we do. But we're people as well." Executive Summary Dr. Clarence Lee's interview is an inspiring lesson in perseverance, entrepreneurship, and personal branding. His story demonstrates that success often comes after repeated setbacks and that unwavering belief in one's vision can lead to extraordinary outcomes. Beyond medicine, Dr. Lee advocates for professionals to build recognizable personal brands, create multiple streams of income, and use digital platforms to educate and serve others. His central message is clear: your expertise has value, your story matters, and investing in yourself is one of the most powerful decisions you can make. #SHMS #BEST #STRAW Money Making Conversations Master Class with Rushion McDonald is America's premier entrepreneurship, business leadership, financial literacy, and wealth-building podcast featuring successful entrepreneurs, executives, founders, celebrities, and industry experts sharing actionable insights for professional and financial success. Business Podcast Entrepreneurship Small Business Business Growth Financial Literacy Wealth Building Black Entrepreneurs Minority Business Leadership Executive Leadership Business Funding Marketing Strategies Personal Development Startup Advice Sales Training CEO Interviews Founder Stories Professional Development Economic Empowerment Business Success Networking Brand Building Innovation How to start a business Small business funding Entrepreneur success stories Business leadership podcast Wealth building strategies Black entrepreneur podcast Minority business development Marketing for small businesses Business growth strategies Startup funding opportunities Executive leadership training Financial literacy education Success mindset podcastSee omnystudio.com/listener for privacy information.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Clarence Lee. Physician, entrepreneur, speaker, and co-founder of Social Media for Doctors, joins Rushion McDonald to discuss perseverance, entrepreneurship, personal branding, and the future of healthcare marketing. Dr. Lee shares his inspiring journey from repeatedly being rejected from medical school to becoming a physician, Air Force flight surgeon, business owner, and advocate for physician branding. The conversation highlights how professionals, especially physicians, can build powerful personal brands that create opportunities, expand their influence, improve patient education, and generate multiple streams of income. The interview is ultimately about believing in yourself, staying committed to your vision, and creating value beyond your primary profession. Purpose of the Interview The purpose of the interview was to: Share Dr. Lee's journey of persistence and overcoming rejection. Inspire listeners to remain committed to their goals despite setbacks. Introduce the concept of personal branding for physicians. Discuss entrepreneurship as a pathway to greater professional freedom. Highlight how social media can educate the public and strengthen healthcare communication. Encourage professionals to view themselves as brands rather than simply employees. Key Takeaways 1. Persistence Is the Difference Maker Dr. Lee revealed that it took him five years of applying to medical school before he was accepted. Lesson: Success often comes to those who refuse to quit, even when progress is slow. 2. Believe in Yourself Above All Else Despite pressure from friends and family to move on, Dr. Lee continued pursuing his dream of becoming a physician. Lesson: The best investment anyone can make is betting on themselves and their vision. 3. Don't Settle for a Plan B That Isn't Your Dream Although he was accepted into optometry school, Dr. Lee declined the opportunity because it wasn't his true calling. Lesson: Sometimes achieving your goal requires turning down good opportunities that distract from your ultimate purpose. 4. Challenges Do Not Mean You're on the Wrong Path Dr. Lee believes many people abandon their dreams when obstacles appear. Lesson: Difficulty is often part of the process, not a sign that you should quit. 5. Physicians Need Personal Brands Many doctors rely entirely on hospitals or healthcare systems to market their services. Lesson: Building a personal brand allows physicians to establish authority, visibility, and stronger connections with patients. 6. Patients Search for Information Online Today's patients often research symptoms and medical conditions before visiting a doctor. Lesson: Qualified medical professionals should have an online presence to provide accurate and trustworthy information. 7. Branding Creates Professional Independence A strong personal brand belongs to the individual, not the employer. Lesson: Doctors who build recognizable brands create career flexibility and opportunities beyond traditional employment. 8. Entrepreneurship Helps Combat Burnout Dr. Lee discussed how many physicians struggle with stress, burnout, and limited control over their schedules. Lesson: Business ownership and additional income streams can provide greater freedom, control, and professional satisfaction. 9. Multiple Income Streams Create Stability Beyond practicing medicine, Dr. Lee earns income through speaking, training, education, and business ventures. Lesson: A strong personal brand can open doors to various revenue opportunities. 10. Humanizing Professionals Builds Trust Dr. Lee emphasized that doctors are more than medical experts. Lesson: Sharing personal interests, hobbies, values, and life experiences helps patients connect with healthcare providers on a more human level. Memorable Quotes On Persistence "If you do not quit, you will get closer and closer." On Challenges "Not being confused when challenges come your way, not turning around and deciding that's not for you." On Self-Belief "I really had to make a decision to say no to a plan B." On Personal Investment "It was really about me believing and betting on myself." On Purpose "Everybody doesn't want the same thing. I wanted to become a doctor." On Branding "You are the expert, not the system that you're under." On Visibility "You need to be where your patients are." On Ownership "I wanted to brand myself. It is something that I can take from employer to employer." On Career Freedom "Building a brand allows you then to have other sources of income." On Human Connection "Yes, I am a doctor, but I'm a father too." On Individuality "We're professionals, we're experts in what we do. But we're people as well." Executive Summary Dr. Clarence Lee's interview is an inspiring lesson in perseverance, entrepreneurship, and personal branding. His story demonstrates that success often comes after repeated setbacks and that unwavering belief in one's vision can lead to extraordinary outcomes. Beyond medicine, Dr. Lee advocates for professionals to build recognizable personal brands, create multiple streams of income, and use digital platforms to educate and serve others. His central message is clear: your expertise has value, your story matters, and investing in yourself is one of the most powerful decisions you can make. #SHMS #BEST #STRAW Money Making Conversations Master Class with Rushion McDonald is America's premier entrepreneurship, business leadership, financial literacy, and wealth-building podcast featuring successful entrepreneurs, executives, founders, celebrities, and industry experts sharing actionable insights for professional and financial success. Business Podcast Entrepreneurship Small Business Business Growth Financial Literacy Wealth Building Black Entrepreneurs Minority Business Leadership Executive Leadership Business Funding Marketing Strategies Personal Development Startup Advice Sales Training CEO Interviews Founder Stories Professional Development Economic Empowerment Business Success Networking Brand Building Innovation How to start a business Small business funding Entrepreneur success stories Business leadership podcast Wealth building strategies Black entrepreneur podcast Minority business development Marketing for small businesses Business growth strategies Startup funding opportunities Executive leadership training Financial literacy education Success mindset podcastSteve Harvey Morning Show Online: http://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.

Send us Fan MailBen sits down with Dr. Shetal Shah and AAP federal advocacy director Stephanie Glier to unpack HR1, the sweeping reconciliation bill that could cut $1.15 trillion in federal Medicaid spending over the next decade. With 40% of US births and up to 65% of NICU graduates covered by Medicaid, the stakes for neonatology are enormous. Shetal and Stephanie break down state directed payments, provider taxes, shortened retroactive coverage windows, and new work requirements, explaining how administrative friction alone could push families out of coverage. They also offer a clear playbook: connect with your AAP state chapter, share bedside stories with policymakers, and don't be more intimidated by a congressional office than by a resuscitation.----AAP Advocacy page: https://www.aap.org/en/advocacy/?srsltid=AfmBOoqcnlKDsPZkpNg6z6U7OlOuBqUiuCtWHrUPmRGzfqDiQEl-vf7sMyers CN, Beck AF. H.R. 1's Medicaid cuts threaten children's health. Health Affairs Forefront. January 20, 2026. Accessed August 28, 2026. https://www.healthaffairs.org/content/forefront/h-r-1-s-medicaid-cuts-threaten-children-s-healthLittle J, Kohler A. How H.R. 1 cuts and changes to Medicaid played out in 2026 state legislative sessions (Part 2). Georgetown University Center for Children and Families. July 2, 2026. Accessed August 28, 2026. https://ccf.georgetown.edu/2026/07/02/how-h-r-1-cuts-and-changes-to-medicaid-played-out-in-2026-state-legislative-sessions-part-2/Academy of Managed Care Pharmacy. Implications of H.R. 1 – the One Big Beautiful Bill Act. Academy of Managed Care Pharmacy. 2026. Accessed August 28, 2026. https://www.amcp.org/H.R.1Park E. New CMS guidance on H.R. 1's restrictions of state directed payments. Georgetown University Center for Children and Families. February 4, 2026. Accessed August 28, 2026. https://ccf.georgetown.edu/2026/02/04/new-cms-guidance-on-h-r-1s-restrictions-of-state-directed-payments/Mudumala A, Mohamed M, Tolbert J, Burns A. The impact of H.R. 1 on two Medicaid eligibility rules. KFF. September 22, 2025. Accessed August 28, 2026. https://www.kff.org/medicaid/the-impact-of-h-r-1-on-two-medicaid-eligibility-rules/ Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Today, I'm honored to reconnect with fan favorite, Dr. Tom Dayspring. Dr. Dayspring is a fellow of both the American College of Physicians and the National Lipid Association, and is certified in internal medicine and clinical lipidology with extensive experience in perimenopause and menopause management. He has been a frequent contributor and educator at Everyday Wellness. In this episode, we discuss labs that help to monitor changes in insulin resistance (specifically the LPIR score), the clinical practice limitations Dr. Dayspring believes stem from a lack of humility, and aspects of women's medical histories that may indicate greater heart disease risk. We examine statin therapy and other treatment modalities, premature menopause and cardiovascular disease risks, Lp(a) as the primary inherited risk factor for heart disease, and current guidelines, treatment goals, and recommendations. Dr. Dayspring also shares his thoughts on estrogen patch shortages and oral estradiol therapy challenges with elevated triglycerides. As always, this is an invaluable conversation with Dr. Tom Dayspring. Stay tuned for an upcoming podcast with Dr. Dayspring, where we'll focus on lipids and brain health. IN THIS EPISODE, YOU WILL LEARN: Lipoprotein changes and how they can reveal insulin resistance before fasting insulin or glucose begin to rise Why someone can be insulin resistant while showing normal triglyceride levels The importance of looking at a woman's broader medical history to find potential cardiovascular risk signals Why premature menopause and premature ovarian failure should be taken seriously as cardiovascular and long-term health risk factors How Lp(a) is the most inherited risk factor for atherosclerotic heart disease across the population Why women may benefit from repeat Lp(a) testing around the menopausal transition What clinicians may address when Lp(a) is elevated, including other modifiable cardiovascular risk factors Oral estrogen may have a beneficial effect on Lp(a). How epidemiological evidence has linked endometriosis with heart disease Why Dr. Dayspring recommends checking ApoB when triglycerides are elevated Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Tom Dayspring On X (@DrLipid) LinkedIn

Send us Fan MailThis week on The Incubator Podcast, Ben and Daphna dig into four studies reshaping bedside decisions. They open questioning whether routine DAT screening for ABO and RhD incompatibility still earns its place, finding transcutaneous bilirubin alone predicts phototherapy need just as well. Next, a Swedish national registry of over two million births links missed intramuscular vitamin K, and rising oral substitution, to a near-doubling of bleeding and intracranial hemorrhage risk. Ben then presents the PHILODENDRON pilot trial out of Milan, testing initial delivery-room CPAP of 5 versus 8 cmH2O in infants under 30 weeks, feasible and safe, but not yet enough to settle the physiology question. Daphna closes Journal Club with a SART-linked study tying IVF conception to significantly higher odds of VACTERL association. The week wraps with Ben and Eli on Neo News, unpacking a study showing birth certificates miss nearly 40% of true NICU admissions, with troubling racial disparities.----Utility of DAT in Low-Risk Neonates With ABO or RhD Incompatibility. Tsai TL, Ma T, Nester T.Pediatrics. 2026 Sep 1;158(3):e2026076989. doi: 10.1542/peds.2026-076989.PMID: 42642037Vitamin K Prophylaxis in Newborns and Bleeding in Infancy. Simatou E, Tsamantioti E, Hallström A, Stephansson O, Razaz N, Persson M, Bolk J.JAMA Pediatr. 2026 Sep 1;180(9):995-1004. doi: 10.1001/jamapediatrics.2026.2606.PMID: 42440325Initial CPAP of 5 versus 8 cmH2O during delivery room stabilisation of very preterm infants: the PHILODENDROOM pilot randomised trial. Cavigioli F, Bresesti I, Castoldi F, Gatto S, Lupo E, Rossi S, La Verde A, Bianchi S, Meneghin F, Viaroli F, Pivetti V, Manfredini V, Cannata G, Bastrenta P, Fontana P, Stucchi I, Daniele I, Chiera M, Lista G.Eur J Pediatr. 2026 Aug 17;185(9):673. doi: 10.1007/s00431-026-07322-6.PMID: 42608615 Free PMC article. Clinical Trial.In Vitro Fertilization and VACTERL Birth Defects. Tark JY, Richard MA, Schraw JM, Fisher SC, Betancourt D, Stone SL, Forestieri NE, Baker VL, Cameron K, Eisenberg ML, Belva F, Lu Y, Williams CL, Sutcliffe AG, Lupo PJ, Luke B.JAMA Netw Open. 2026 Aug 3;9(8):e2629355. doi: 10.1001/jamanetworkopen.2026.29355.PMID: 42616500 Free PMC article.Birth certificate data substantially misrepresent actual NICU admissions, including among most vulnerable. Hughes CS, Lorch SA, Schmitt S, Passarella M, Phibbs CS.J Perinatol. 2026 Jul;46(7):1307-1312. doi: 10.1038/s41372-026-02726-6. Epub 2026 May 27.PMID: 42204354Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Send us Fan MailBen and Eli dig into a Journal of Perinatology study that asks a deceptively simple question: can we trust birth certificate data to tell us how many babies actually need NICU care? The answer, it turns out, is no. Nearly 40% of NICU admissions are missing from birth certificates, with the biggest gaps among full-term and late-preterm infants, and troubling racial disparities in which admissions get missed. Ben and Eli unpack what this means for how states and hospitals allocate resources, why underreporting could be quietly starving NICUs of funding and attention, and why pairing solid epidemiologic data with individual bedside stories may be the most effective way to make the case for better-resourced newborn care.----Birth certificate data substantially misrepresent actual NICU admissions, including among most vulnerable. Hughes CS, Lorch SA, Schmitt S, Passarella M, Phibbs CS.J Perinatol. 2026 Jul;46(7):1307-1312. doi: 10.1038/s41372-026-02726-6. Epub 2026 May 27.PMID: 42204354Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Drop us a line or two . . .## LONG SUMMARYThis episode opens mid-life, mid-mess — which is pretty on-brand for CDQ. Queenie kicks things off with a life update that's equal parts exhausting and quietly heroic: her mom, Mumsy, has been transferred to Sunnyview Hospital for acute rehabilitation following a pelvic fracture complicated by pneumonia. And it has been, to put it mildly, a week.The opioid reaction alone is a whole story. Mumsy — described as a tiny little bird of a woman at 105 pounds — went full superhuman after being administered medication that did not agree with her, requiring five adults (including two men, Queenie is quick to note) to safely get her back into bed. She was subsequently assigned one-on-one monitoring with what Queenie cheerfully describes as "a robot looking thing" watching her around the clock. Thursday was, in Queenie's words, a completely lost day. But by the time they're recording, Mumsy is up with a walker, fully participating in therapy, and apparently chatty as ever — which, given the steroid-fueled word avalanche Queenie witnessed upon transfer, seems to be something of a baseline.The path forward is genuinely uncertain: subacute care may follow, options are limited while oxygen stays in the picture, and Queenie is doing what she can, which right now means taking it a day at a time and trying to get to her grandchildren when she can squeeze it in.From the heavy to the delightful: TT received a birthday gift while the two were celebrating on the Cape, and it's a game called Ganja Land — a cannabis-themed Candyland knockoff from the brand Lightly Toasted. TT, who has not yet played it, gives an enthusiastic rundown: eight character pieces (including Mary Jane Mermaid, The Royal Highness, and Weedly Wizard, all dressed appropriately for the occasion), a board full of hidden objects for timed scavenger hunts, trivia cards, fun facts, and a Spotify playlist to set the mood. The goal is to reach the Cannabis Castle and claim the cannabis crown — a bedazzled, marijuana-leaf-encrusted upgrade on the Burger King paper crown. Gameplay involves passing a joint to the left per Ganja Land tradition, and turn order follows the same direction. TT and Queenie immediately begin plotting to play virtually or in person come October.Then Queenie brings an article she'd flagged from Time magazine: what to do when someone gives you the silent treatment. The timing is personal. She'd reached out to a friend she'd lost touch with — wrote a note, explained a difficult five-year stretch, opened the door. Got nothing back. Not even, as she puts it, a fuck you. The article's framework is practical: distinguish between a healthy pause and a deliberate withdrawal, send one calm non-accusatory message, do not chase, do not retaliate with more silence, don't apologize just to get a reaction. When contact resumes: lead with curiosity, describe impact without assuming intent, and if the silence is a pattern rather than a moment, maybe look hard at whether the relationship is worth the real estate it's taking up in your head.Queenie's takeaway is quieter than the article's framework. Reading it gave her permission to let it go — to acknowledge she'd done her part, fulfilled what she calls "the social contract," and move on. TT points out, warmly but pointedly, that reaching out at all was the brave move. It was. And the non-response is its own answer.Which connects to the Fucket List addition: you do not have to respond to everything. Queenie originally pulled this out as a parenting tool — when kids are being fresh or challenging or saying things that don't actually require your engagement, you give yourself permission to just not. She's had to resurrect it lately, for adults. For family situations. For the nurses at the hospital asking her how Mumsy likes her nasal cannula. (Her answer: "What would you do if I wasn't here? Do that.") The relief of not needing to be the one with every answer — not needing to fix, explain, defend, or respond to everything lobbed at you — is, it turns out, just as applicable at 60-something as it was when her kids were teenagers.The episode closes on a more tender note. While the women were on the Cape, two significant losses happened: Dolly Parton and Gloria Steinem. Both are acknowledged with the kind of genuine warmth you can't fake. For Steinem, Queenie has a specific recommendation: Netflix's Final Words — a pre-recorded interview filmed in the last couple of years, designed to air only after her death. Remote cameras, no crew, just Steinem knowing this would be her last on-camera words. Queenie watched it the night Steinem died. She calls it powerful. Forty minutes, not overlong, completely worth it.The conversation turns briefly political — because it has to. Women couldn't get credit in their own names until 1977. Physicians could discuss a woman's health directly with her husband, without involving her. Queenie and TT were already out of high school by then. It doesn't feel like ancient history to them. It feels like a warning. The episode wraps with an original song — "What Would Gloria Do?" — a full-throated tribute to Steinem that closes the show the way Steinem apparently closed most things: with glasses on, something sharp to say, and zero apologies.---## SHORT SUMMARYQueenie opens up about a harrowing week navigating her mother's transfer to a rehabilitation hospital — steroids, an opioid reaction, and five adults required to contain a 105-pound woman — while finding small things to hold onto, like TT's birthday gift of Ganja Land, a cannabis Candyland that they're already plotting to play. The episode gets real about the silent treatment, the art of not responding to everything, and the very different kinds of quiet that can settle over a relationship. It closes by honoring Dolly Parton and Gloria Steinem — two women who showed up, in completely different ways, and never once made themselves small.---## EPISODE VIBEThis one has weight to it, but it wears it lightly. It's the kind of episode that starts in the thick of a hard week — hospital transfers, oxygen dependency, a mom who needed five people to keep her safe — and somehow finds its way to a birthday gift and a cannabis board game without it feeling like whiplash. There's exhaustion here, yes, but also a kind of hard-won clarity that comes through in everything from the silent treatment conversation to the Fucket List to the tribute to Gloria Steinem. Queenie is navigating a lot — caregiving, grief-adjacent uncertainty, a friendship that quietly closed a door — and TT is steady beside her, funny when it helps, serious when it matters. The emotional throughline is permission: permission to let go, to not respond, to stop being the one with all the answers. It's a midlife episode in the truest sense — not defeated, not falsely cheerful, just honest about where they are and who they're choosing to be. Welcome to the Closet Disco Queen Pot-Cast, a #1 ranked Women in Cannabis (Feedspot, Million Pods; 2025) comedy podcast with music and pop culture references that keeps you laughing and engaged. Join our hosts, Queenie & TT as they share humorous anecdotes about daily life, offering women's perspectives on lifestyle and wellness. We dive into funny cannabis conversations and stories, creating an entertaining space where nothing is off-limits. Each episode features entertaining discussions on pop culture trends, as we discuss music, culture, and cannabis in a light-hearted and inclusive manner. Tune in for a delightful blend of humor, insight, and relatable stories that celebrate life's quirks and pleasures. Our Closet Disco Queen Pot-Cast deals with legal adult cannabis use and is intended for entertainment purposes only for those 21 and olderVisit our Closet Disco Queen Pot-Cast merch store!Find us on Facebook and Green Coast RadioSound from Zapsplat.com,  https://quicksounds.com, 101soundboards.com #ToneTransfer

In this episode of EMS One-Stop, host Rob Lawrence sits down with Oscar Monterrosa, the 2026 NAEMT Paramedic of the Year, whose career has taken him from Army combat medic to street paramedic, medical student and now an emergency medicine-internal medicine resident at Hennepin County Medical Center. Yet despite the white coat and demands of residency, Monterrosa continues to work on the ambulance, including in rural Minnesota, and remains closely connected to the profession that shaped his approach to medicine. The conversation also returns to one of the defining moments of Monterrosa's career: the Oct. 1, 2017, mass shooting in Las Vegas. Working an overtime special-event shift, Monterrosa was already inside the medical tent when gunfire began and casualties started arriving. He describes slipping into “work mode,” drawing on his experience as an Army combat medic in Iraq as he and others triaged and treated patients while the shooting was still underway. Beyond that extraordinary night, the discussion explores rural EMS, critical care and ECMO, education, mentorship and the long road from paramedic to physician. Monterrosa's message to other EMS clinicians considering further education is straightforward: the road may be difficult and it may take longer than expected, but it is possible. Key quotes from Oscar Monterrosa “We have that critical call or whatever, somebody that's crashing right in front of you and you just kind of get into work mode.” “Even though there's still gunfire going on, you try to be as safe as you can and take cover, but ultimately all that is really out of your control.” “A lot of these experiences in the cornfields has been very rewarding, just seeing this different culture, like meeting a lot of different people.” “It just takes hard work and just not giving up.” “I was an undergrad for 9 years because I was working full time on the streets.” Additional resources National Association of Emergency Medical Technicians (NAEMT) NAEMT National EMS Awards of Excellence Hennepin Healthcare Las Vegas Metropolitan Police Department: October 1 / Las Vegas mass shooting – After-Action Report Episode timeline 00:52 – Rob introduces the 2026 NAEMT Paramedic of the Year 01:34 – Oscar 101: paramedic and emergency medicine-internal medicine resident 02:05 – Oscar hears what his colleagues wrote about him in his award nomination 04:04 – His reaction to being named National Paramedic of the Year 05:00 – The journey into EMS, military medicine and becoming a paramedic 07:20 – From the desert Southwest to rural Minnesota EMS 09:00 – The realities of rural 911 response and long interfacility transports 10:15 – Critical access hospitals and managing high-acuity patients 12:30 – The conversation turns to October 1, 2017, in Las Vegas 13:17 – What began as a routine special-event EMS shift 13:55 – Reports of gunfire and the first shooting victims reaching the medical tent 14:24 – What happens mentally when a mass-casualty incident suddenly unfolds 15:00 – Combat medic training, triage and functioning while gunfire continues 17:00 – Reflections on the Las Vegas response and its lasting impact 18:00 – From paramedic to physician: why Oscar continued his education 19:30 – Rural critical care, cardiac arrest and mobile ECMO 21:00 – Remaining connected to EMS while completing medical residency 23:00 – Advice for paramedics considering college or medical school 23:42 – Nine years as an undergraduate while working full time on the streets 24:00 – Perseverance, education and why the path is still achievable Closing – Looking ahead, mentorship and what being NAEMT Paramedic of the Year means to Oscar Enjoying the show? Email editor@ems1.com to share feedback. 

In this episode, Dr. Jim Dahle is joined by financial planner Dr. Tyler Scott to work through a wide range of advanced financial planning questions. They cover whether to open a single 529 account for multiple nieces and nephews or keep them separate, and why gifting appreciated shares to an adult child in a lower tax bracket can run afoul of decades-old IRS doctrines if the money comes back to the giver. Tyler walks through the legal reasoning behind assignment of income, substance over form, and step transaction doctrine, explaining exactly where these strategies cross the line. The conversation also covers upstream gifting to parents in hopes of a future step-up in basis, including the one-year survival requirement and the real risks involved, from asset protection concerns to unintended Medicaid eligibility issues. Later, they tackle listener questions on managing sequence of returns risk in retirement, choosing bond funds for a bucket strategy, and a caller with 33 times their annual spending saved who still feels anxious about rising grocery costs. The conversation closes with a personal reflection on a visit to the New York Stock Exchange and the 9/11 Memorial, and a reminder that even the country's most reliable wealth-building systems deserve gratitude rather than being taken for granted. This podcast is sponsored by Bob Bhayani at Protuity. He is an independent provider of disability insurance planning solutions to the medical community in every state and a long-time white coat investor sponsor. He specializes in working with residents and fellows early in their careers to set up sound financial and insurance strategies. If you need to review your disability insurance coverage or to get this critical insurance in place, contact Bob at https://whitecoatinvestor.com/protuity today by email info@protuity.com or by calling (973) 771-9100. The White Coat Investor Podcast launched in January 2017, and since then, millions have downloaded it. Join your fellow physicians and other high income professionals and subscribe today! Host, Dr. Jim Dahle, is a practicing emergency physician and founder of The White Coat Investor blog. Like the blog, The White Coat Investor Podcast is dedicated to educating medical students, residents, physicians, dentists, and similar high-income professionals about personal finance and building wealth, so they can ultimately be their own financial advisor-or at least know enough to not get ripped off by a financial advisor. We tackle the hard topics like the best ways to pay off student loans, how to create your own personal financial plan, retirement planning, how to save money, investing in real estate, side hustles, and how everyone can be a millionaire by living WCI principles. Website: https://www.whitecoatinvestor.com  YouTube: https://www.whitecoatinvestor.com/youtube  Student Loan Advice: https://studentloanadvice.com  TikTok: https://www.tiktok.com/@thewhitecoatinvestor  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter 

Send us Fan MailBen and Daphna  dig into a large, population-based study linking IVF conception to VACTERL association, a rare but serious pattern of congenital anomalies spanning the vertebral, anal, cardiac, tracheoesophageal, renal, and limb systems. Drawing on over 1.5 million births across four US states and linked SART registry data, the study finds IVF-conceived infants face significantly higher odds of VACTERL and related multiple anomaly syndromes compared to naturally conceived infants. Daphna and Ben unpack what this means for clinical suspicion at the bedside, why some VACTERL phenotypes may be easy to miss, and how better tracking of conception history through delivery could change how NICU teams approach anomaly workups in IVF-conceived infants.----In Vitro Fertilization and VACTERL Birth Defects. Tark JY, Richard MA, Schraw JM, Fisher SC, Betancourt D, Stone SL, Forestieri NE, Baker VL, Cameron K, Eisenberg ML, Belva F, Lu Y, Williams CL, Sutcliffe AG, Lupo PJ, Luke B.JAMA Netw Open. 2026 Aug 3;9(8):e2629355. doi: 10.1001/jamanetworkopen.2026.29355.PMID: 42616500 Free PMC article.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

William B. Coley started using a bacterial infection to treat cancers in the late 19th century, one of the earliest uses of immunotherapy. Research: Ahuja, Sana and Sufian Zaheer. “The evolution of cancer immunotherapy: a comprehensive review of its history and current perspectives.” Korean Journal of Clinical Oncology 2024; 20(2): 51-73. DOI: https://doi.org/10.14216/kjco.24009 Atkins, Douglas. “Helen Coley Nauts: Advocate for Immunotherapy.” National Library of Medicine. 4/19/2016. https://circulatingnow.nlm.nih.gov/2016/04/19/helen-coley-nauts-advocate-for-immunotherapy/ Cancer Research Institute. “The History of Cancer Immunotherapy.” Coley, William B. “Therapeutic Value of the Mixed Toxins of the Streptococcus of Erysipelas and Bacillus Prodigiosus in the Treatment of Inoperable Malignant Tumors. With a Report of 160 Cases.” American Journal of the Medical Sciences. September 1896. College of Physicians of Philadelphia. “Cancer Vaccines and Immunotherapy.” History of Vaccines. https://historyofvaccines.org/vaccines-101/future-immunization/cancer-vaccines-and-immunotherapy/ Colley, William B. “The Treatment of Inoperable Sarcoma by Bacterial Toxins (the Mixed Toxins of the Streptococcus erysipelas and the Bacillus prodigiosus).” Reprinted from the “ Proceedings of the Royal Society of Medicine,” November, 1909. London. John Bale, Sons & Danielsson, LTD. 1909. https://archive.org/details/b22425949/mode/1up Decker WK, da Silva RF, Sanabria MH, Angelo LS, Guimarães F, Burt BM, Kheradmand F and Paust S (2017) Cancer Immunotherapy: Historical Perspective of a Clinical Revolution and Emerging Preclinical Animal Models. Front. Immunol. 8:829. doi: 10.3389/fimmu.2017.00829 Devaraja, K. et al. “Coley’s Toxin to First Approved Therapeutic Vaccine—A Brief Historical Account in the Progression of Immunobiology-Based Cancer Treatment.” Biomedicines 2024, 12, 2746. https://doi.org/10.3390/biomedicines12122746 Dobosz, Paula and Tomasz Dzieciatkowski.” The Intriguing History of Cancer Immunotherapy. Frontiers in Immunology. 12/17/2019. doi: 10.3389/fimmu.2019.02965 Hall, Stephen S. “A Commotion in the Blood: Life, Death, and the Immune System.” Henry Holt and Company. Excerpted at New York Times. https://archive.nytimes.com/www.nytimes.com/books/first/h/hall-commotion.html Harutyunyan, Mariam. “How William Coley Became The Father of Cancer Immunotherapy.” OncoDaily Magazine. 7/31/2026. https://oncodaily.com/magazine/william-coley-549446 Hiroaki Ikeda, Cancer immunotherapy in progress—an overview of the past 130 years, International Immunology, Volume 37, Issue 5, May 2025, Pages 253–260, https://doi.org/10.1093/intimm/dxaf002 Journal of the American Medical Association. “Erysipelas Toxins in the Treatment of Malignant Tumors.” 10/27/1894. Journal of the American Medical Association. “The Failure of the Erysipelas Toxins.” Vol 23 Iss 24. 12/15/1894. Kokolus, Katie. “The History of Immunotherapy: Toxins, Targets & T Cells.” LabRoots. 10/18/2021. https://www.labroots.com/trending/cancer/21449/history-immunotherapy-toxins-targets-cells?srsltid=AfmBOooP1eoVP2LbWKR5m-HLu1PSBFhOyPH1jSJWWcxvyK6EA4-hBu47 Levine, David B. “The Hospital for the Ruptured and Crippled: William Bradley Coley, third Surgeon-in-Chief 1925-1933.” HSS journal : the musculoskeletal journal of Hospital for Special Surgery vol. 4,1 (2008): 1-9. doi:10.1007/s11420-007-9063-2 McCarthy, Edward F. “The Toxins of William B. Coley and the Treatment of Bone and Soft-tissue Sarcomas.” The Iowa Orthopaedic Journal. Vol. 26. Memorial Sloan Kettering Cancer Center. “MSK Immunotherapy — Timeline of Progress.” https://www.mskcc.org/timeline/immunotherapy-msk National Library of Medicine. “Harnessing the Power of You: The History of Immunotherapy.” https://www.nlm.nih.gov/exhibition/the-history-of-immunotherapy/index.html Nauts, Helen Coley. “Coley’s Toxins – The First Century.” Townsend Letter for Doctors and Patients. June 2004. Nawrat, Allie. “Charting the history of immunotherapy, cancer treatment’s fourth pillar.” Pharmaceutical Technology. 7/28/2020. https://www.pharmaceutical-technology.com/features/charting-the-history-of-immunotherapy-cancer-treatments-fourth-pillar/?cf-view&cf-closed Oiseth SJ, Aziz MS. “Cancer immunotherapy: a brief review of the history, possibilities, and challenges ahead.” J Cancer Metastasis Treat. 2017;3:250-61. http://dx.doi.org/10.20517/2394-4722.2017.41 Tontonoz, Matthew. “What Ever Happened to Coley’s Toxins?.” Cancer Research Institute. 4/2/2015. https://www.cancerresearch.org/blog/what-ever-happened-to-coleys-toxins See omnystudio.com/listener for privacy information.

Ash and Amanda talk to Dipesh Sitaram, he went from oral surgery and TMJ practice to becoming the kind of investor most physicians wish they understood sooner: capitalized, disciplined, and hard to fool. After getting burned in passive deals and development projects, he rebuilt around one core idea, control the whole food chain, or get crushed by it. He breaks down the playbook behind his family office strategy, including why he keeps deals all-equity, why he prefers newer assets over value-add headaches, and how he uses DSTs and private REIT structures to create tax-efficient exits and generational wealth transfer. You'll hear how he sources all-cash acquisitions, uses institutional-style relationships to move assets, and why his team focuses on healthcare real estate, healthcare-adjacent active adult communities, and limited and full-service hotels. Dipesh Sitaram Founder of Acuere Capital Partners Based in: Austin, Texas Where to find them: https://www.linkedin.com/in/dipeshsitaram https://acuerecapital.com/ For more information, visit https://superhuman.com/. Podcast production done by⁠ ⁠Outlier Audio⁠. Learn more about your ad choices. Visit megaphone.fm/adchoices

Physicians stay in jobs they cannot afford to leave. The wellness conversation talks about resilience and meaning, and never about what is in your bank account. Stanley Liu, cardiologist, financial planner, and founder of DocEmpowered, returns with a concept traditional financial planning does not have. This episode is based on his article "Unlocking career flexibility with a Courage Fund," published on KevinMD. You will hear what separates a courage fund from an emergency fund, and why the difference is intent rather than structure. You will hear how to size one in months rather than dollars, and why a big non-compete or a thin local job market calls for a bigger number. You will hear why this is leverage your employer cannot see, since they may know about your mortgage but not your accounts. And you will hear where it belongs against student loans, retirement, and everything else competing for the same dollar. Press play for the one question he asks before any of the math, which has nothing to do with money. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

The Chain Reactions Wrecking Healthcare Affordability: Facility Fees, Stark Law, and Noncompetes. Episode 529. Why do hospital facility fees keep pace with inflation while professional fees fall behind—and how did a law meant to stop kickbacks end up fueling a stipend economy instead? Stacey Richter talks with Eric Bricker, MD, founder of AHealthcareZ and former co-founder and chief medical officer of Compass Professional Health Services, about two action/reaction chains reshaping healthcare affordability: the facility-versus-professional-fee gap, and the Stark Law's unintended stipend economy driving hospital consolidation. Along the way: a $48,126 hospital charge for the same appendectomy that pays a surgeon $609, the AMA's $300 million CPT-code business, and how Tryon Medical Group in Charlotte, North Carolina, won back 90% of its patients by leaving its hospital employer. WHAT YOU'LL LEARN ✅ How separate physician "professional fee" and hospital "facility fee" billing streams have diverged so far that Medicare pays a surgeon $609 for an appendectomy while the hospital's published charge for it runs $48,126 ✅ Why the Stark Law's ban on hospitals paying physicians for referrals gave rise to "stipends"—flat annual payments that can range from $1 million to $50 million depending on hospital size, and how physician consolidation in fields like anesthesiology has pushed those stipends higher ✅ How "site unneutral" payment gaps incentivize hospitals to buy independent physician practices and shift services like echocardiograms into hospital settings to capture higher fees for identical care ✅ Why noncompete clauses trap physicians in incentive structures misaligned with patient care—and how Tryon Medical Group in Charlotte, North Carolina, sued to leave its hospital employer and kept over 90% of its patients ✅ Why self-insured employers (covering roughly 60% of Americans) and physicians organizing beyond fragmented specialty lines are healthcare's "two sleeping giants" ✅ Practical alternatives already in use: employer direct contracting, direct primary care subscriptions, and fixed-fee specialty models like the LA urology group paid on subscription for prostate cancer care WHY THIS MATTERS These two chain reactions—the facility-versus-professional-fee gap, and a well-intentioned law that quietly created a stipend economy—aren't abstract policy trivia. Together they drive the hospital consolidation and site unneutral payment schemes squeezing employers, taxpayers, and patients alike. As Stacey frames it, understanding how these action/reaction chains work is what it takes to reverse their direction toward more affordable, higher-quality care. The fix isn't waiting on Washington: it's employers and physicians—healthcare's two sleeping giants—using their leverage, whether through direct contracting, ending noncompetes, or simply voting with their feet. MENTIONED IN THIS EPISODE EP519 with Lisa Rosenbaum, MD: Apple Podcasts | Spotify | Other Apps LinkedIn Post by Payerset Instagram Reels by Elisabeth Potter, MD, on the AMA: Video 1, Video 2 Instagram Post by Graham Walker, MD EP437 with Brian Klepper, PhD: Apple Podcasts | Spotify | Other Apps EP472 with Eric Bricker, MD: Apple Podcasts | Spotify | Other Apps EP523 with Suhas Gondi, MD, MBA: Apple Podcasts | Spotify | Other Apps Article: AMA CPT Editorial Panel workgroups and committees EP524 with John Quinn: Apple Podcasts | Spotify | Other Apps EP525 with Cristin Dickerson, MD: Apple Podcasts | Spotify | Other Apps === LINKS ===

Send us Fan MailBen and Daphna dig into a pilot RCT that asks a deceptively simple delivery-room question: should very preterm infants start on CPAP of 5 or CPAP of 8 cmH2O? The PHILODENDRON trial, out of Milan's Buzzi Children's Hospital, randomized 56 babies born between 26 and 29 weeks to find out — testing feasibility, safety, and early physiological adaptation before committing to a larger multicenter trial. No major safety signals emerged, but babies on lower CPAP reached surfactant thresholds faster, while higher CPAP trended toward fewer air leaks and shorter ventilation. Ben and Daphna weigh the physiology against the data, and ask whether trials like this even test the right question in the first place.----Initial CPAP of 5 versus 8 cmH2O during delivery room stabilisation of very preterm infants: the PHILODENDROOM pilot randomised trial. Cavigioli F, Bresesti I, Castoldi F, Gatto S, Lupo E, Rossi S, La Verde A, Bianchi S, Meneghin F, Viaroli F, Pivetti V, Manfredini V, Cannata G, Bastrenta P, Fontana P, Stucchi I, Daniele I, Chiera M, Lista G.Eur J Pediatr. 2026 Aug 17;185(9):673. doi: 10.1007/s00431-026-07322-6.PMID: 42608615 Free PMC article. Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

This week, we feature new research on colorectal cancer surveillance, metabolic acidosis in critical illness, pediatric leukemia, and food-allergy prevention. We also review esophageal cancer and follow a case of severe nutritional deficiency and memory loss. Perspectives address AI and the clinical workforce, physician staffing in the Indian Health Service, human trafficking and child health, and the enduring legacy of the HIV epidemic.

What should a direct primary care physician actually pay themselves? On this episode of My DPC Story, Dr. Maryal Concepcion sits down with Nate Goodman, CPA, founder of Goodman CPA, the accounting firm that works exclusively with direct primary care and direct specialty care practices.Nate is also a DPC patient. His family's experience with direct primary care in the Black Mountains of North Carolina is why his firm stopped taking non-direct care clients in 2024.Together they walk through 10 questions, each with a real number attached, that every DPC owner should be able to answer.In this episode:How to set a DPC membership rate using your household budget and local census income dataWhy most physician owners are 30 to 50 percent underpriced once discounts and free memberships are countedWhere an enrollment fee should sit (one to two months of membership) and what it fundsThe profit margin to target with employees (about 30 percent) versus a solo micro practice with no payroll (up to 70 percent)How many months of cash to hold before raising your own payThe Profit First method for DPC: 20 percent to owner's pay and 15 percent to taxes from day oneWhat has to be true in your numbers before hiring a second physician, and the marketing signal most owners missThe true loaded cost of a hire (1.25 to 1.4 times base salary)What a normal annual termination rate looks like and when churn means something is wrongLLC versus S corp: the 15.3 percent self-employment tax and where the break-even point sitsYear-end tax moves to make before December, including the 401(k) setup deadlineFree calculator: Nate and the My DPC Story team built a free DPC financial calculator so you can run your own membership pricing, enrollment fee, owner pay, and hiring numbers. Get it at mydpcstory.com.Listener offer: My DPC Story listeners get 25 percent off onboarding fees for Goodman CPA's full services, including tax advisory and fractional monthly accounting. Use the links at mydpcstory.com.Ways to work with Goodman CPA:The DPC Circle community with monthly live Q&A ($10/month)Launch Pad for physicians opening a new practice ($2,500)Fractional accounting and payroll team (starting around $1,250/month)This episode is sponsored by Goodman CPA. Nothing here is legal or tax advice. Talk with your own CPA about your practice.Leave a voice message at mydpcstory.com/contact and you might hear your question answered on a future episode.Follow My DPC Story on social media and find The Toolkit Magazine, free resources, and The Physician Owner's Planner at mydpcstory.com.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

In this episode, Leigh Steinberg discusses athlete representation, physician empowerment, brain health, the changing business of college sports and the importance of resilience, values and listening in leadership.

Season 7 of Wealth Planning for the Modern Physician begins with host David Mandell joined by Bill Martin, CFA, Chief Wealth Officer at Earned Wealth and founder of the Earned Institute. Bill shares the career experiences that led him to Earned and explains why he was drawn to building an integrated wealth-management platform specifically for doctors. He and David also discuss the Earned Institute and its education-first mission of bringing together expertise across tax, investing, insurance, asset protection, retirement planning and other areas of a physician's financial life. The conversation then turns to Earned's new white paper, After-Tax Alpha: Quantifying the Value of Integrated Wealth and Tax Management for Doctors. Bill explains why taxes should be viewed as a year-round planning opportunity rather than simply an annual reporting exercise. He and David walk through six key drivers of after-tax wealth: year-round tax-loss harvesting and gain deferral; placing investments in the most appropriate account types; planning ahead of practice sales and other liquidity events; coordinating financial decisions before they are made; allowing tax savings to compound over time; and structuring 1099 and practice income more intentionally. Throughout the discussion, Bill and David emphasize that many doctors do not necessarily have an investment problem as much as a coordination problem. Tax, investment, retirement, insurance, estate and business decisions can each affect the others, and valuable opportunities may be lost when those decisions are made in isolation or too late in the year. The episode offers practical examples of how proactive planning can create meaningful long-term benefits for employed physicians, practice owners and doctors with side income or other entrepreneurial interests. Key Takeaways Tax planning can be most effective when it is treated as a year-round discipline and coordinated with investing, retirement planning and other major financial decisions. For doctors with multiple accounts, advisors or financial professionals, coordination across the entire financial picture can be just as important as the individual strategies being used. Planning well in advance of major events, including a practice sale, investment gain or new source of 1099 income, can create opportunities that may no longer be available once the transaction or tax year is nearly complete. Key Insights Year-round tax-loss harvesting can capture opportunities that a traditional year-end review may miss, particularly during periods of sharp market volatility. A tax-loss "bank" may help offset future capital gains inside or outside an investment portfolio, making tax-loss harvesting relevant beyond the year in which the loss is realized. Asset location matters. Taxable, tax-deferred and tax-free accounts are treated differently, so the placement of investments across those accounts can affect long-term after-tax results. Managing several investment accounts or advisors without a coordinated strategy can lead to duplicated exposures, inefficient asset placement and an overall portfolio that is out of balance. Practice sales and other liquidity events should be planned for well before closing. Tax-loss harvesting, charitable strategies, estate planning and other tools may become more valuable when there is sufficient time to implement them. Financial decisions often cross disciplines. Investment, tax, retirement, insurance, estate and gifting strategies can work against one another when the professionals involved are not coordinating before decisions are made. The long-term impact of tax-efficient planning comes not only from the tax savings themselves, but also from allowing those retained dollars to remain invested and compound over time. Physicians with 1099 income or practice ownership may have access to additional planning opportunities, including retirement-plan design, business deductions and entity-structure considerations. Cash balance and other retirement-plan strategies can be especially significant for physicians with the right income, cash-flow and age profile, but they require advance planning and proper structure. The central theme of the episode is proactive coordination: tax strategy becomes more powerful when it is integrated into the doctor's broader financial plan instead of being addressed as a separate, once-a-year exercise. Resources: Extra Disclosures (Related to this specific topic) | Please View Now After-Tax Alpha: Quantifying the Value of Integrated Wealth and Tax Management for Doctors | Get Your Free Report Earned Institute | View Now Free CPA Consultation | Schedule Today Free Copy of Wealth Strategies for Today's Physician | Get Your Free Copy For more information, offers and more, please visit earned.com/wpmp.

A Bishop score of 8 or higher means skip the ripening and go straight to oxytocin. Misoprostol and a prior uterine scar don't mix. And the APGAR never decides when resuscitation starts. This episode finishes labor the way it actually gets tested. The post 171 Induction and Delivery: Bishop Score, Epidurals and Newborn Care appeared first on Physician Assistant Exam Review.

Send us Fan MailIs the newborn vitamin K shot really being skipped more often these days, and does that actually matter clinically? This week on Journal Club, Ben and Daphna review a nationwide Swedish cohort study of over two million births, published in JAMA Pediatrics, examining trends in non-receipt of intramuscular vitamin K and its link to bleeding in infancy. Non-receipt nearly doubled between 2006 and 2021, and infants without intramuscular vitamin K had significantly higher odds of bleeding, including intracranial bleeding, than those who received it — oral vitamin K carried an even higher bleeding risk still. Ben and Daphna also discuss home birth data, families requesting oral alternatives, and how best to counsel parents navigating a vitamin K refusal in clinic today.----Vitamin K Prophylaxis in Newborns and Bleeding in Infancy. Simatou E, Tsamantioti E, Hallström A, Stephansson O, Razaz N, Persson M, Bolk J.JAMA Pediatr. 2026 Sep 1;180(9):995-1004. doi: 10.1001/jamapediatrics.2026.2606.PMID: 42440325Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Drs. Maura Di Nicola and Basil Williams join to discuss the September 2026 edition of Retinal Physician found online at http://www.retinalphysician.com. Topics focus on ocular oncology and uveitis.

This week on The Virtual Curbside, we take a closer look at hallucinations and delusions in children and adolescents. Our host Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD discuss how to approach the diagnosis while keeping safety at the forefront. A thorough history is essential, including the patient's family history, recent illnesses or infections, travel, changes in function, confusion, and the nature and timing of delusions or hallucinations. The conversation emphasizes the importance of considering both psychiatric and medical causes when a child presents with new or concerning symptoms.We also discuss the role of lab tests and imaging in the evaluation, including when additional medical workup is warranted and when symptoms require evaluation in the emergency department. The episode highlights the PREP program, a resource for young people experiencing a first episode of psychosis, and the Utah Psychiatric Call-Up Line, a publicly funded consultation resource available to primary care clinicians and pediatricians.This episode provides a practical framework for recognizing concerning symptoms, evaluating possible causes, assessing safety, and knowing when to seek additional support or urgent care.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

About 150 doctors at Allina Health's Mercy Hospital in Coon Rapids and its Unity campus in Fridley began a four-day strike Monday. Physicians have been negotiating their first union contract for three years but haven't been able to reach a deal.The Olmsted County Board will consider competing plans Tuesday for the long-vacant Seneca Foods site. Fire officials in Duluth say a worker was injured when a large fuel tank exploded at a fuel transfer facility. Local officials and cycling advocates are celebrating the completion of the state's longest paved biking trail Tuesday in Tower, Minn.

Send us Fan MailMany physicians begin their careers with a passion for patient care, only to discover that creating meaningful change often requires leadership beyond the exam room. Whether leading teams, influencing healthcare policy, mentoring future physicians, or driving organizational transformation, today's physician leaders are shaping the future of healthcare in powerful ways. Our guests today, Dr. Yumi Taylor and Dr. Sharon Tapper, are nationally respected physician leaders who have dedicated their careers to advancing patient care, supporting physician development, and creating healthier healthcare systems. Through their leadership and their work with Hottocare, they are helping bring one of the most innovative new Medicare programs to patients and families across the country—the GUIDE (Guiding an Improved Dementia Experience) Model. This groundbreaking CMS initiative recognizes that effective dementia care requires support not only for patients, but also for the family caregivers who often shoulder enormous emotional, physical, and financial responsibilities. In this episode, we'll explore leadership in medicine, the growing impact of dementia on our healthcare system, how the GUIDE Model is transforming dementia care, and what physicians need to know about connecting patients and caregivers with these valuable resources as the program expands nationwide.Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill's company, Health e Practices' website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: https://share.hsforms.com/1FMup6xLPSpeA8hB77caYQwd32sx?hsCtaAttrib=171926995377 Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000 Purchase your copy of Jill's book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig's website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/    

In Episode 238, "Heart Conditions (Part 2)," Ken Pounders explores Jesus' invitation to open the door of the heart and enter into genuine fellowship. Drawing from Revelation 3 and other biblical passages, he explains how Christ comes as Redeemer, Physician, King, and Provider, offering freedom from sin and addiction while calling listeners beyond religious routine into total surrender. Ken Pounders shares from his own journey out of drug addiction and challenges listeners to love, trust, seek, and serve God with all their hearts, examining areas such as relationships, music, money, time, and personal desires. The episode closes with a prayer for those facing addiction and their loved ones, along with information about Outreach Ministries of Alabama and its annual Old Fashioned Farm Day.   Website: https://omainc.org Email: OMADirector2017@gmail.com or priorityev@mac.com Facebook: https://www.facebook.com/165704310121828/ Website: https://priorityev.info Instagram: instagram.com/bro_ken   Outreach Ministries of Alabama, Inc., PO Box 98 Valhermoso Springs, AL  35775 Phone:   256-778-8096  

Send us Fan MailThis was not the break I needed.That was the thought running on a loop years ago, when I finally took time off because I wasn't sleeping and couldn't keep going. A few days in, my three-year-old's preschool had a fire in the kitchen. Nobody was hurt. Preschool closed for ten business days, which was most of the rest I had taken that time to get.And then came the part that cost me more than the fire ever did. The guilt about being disappointed at all. I should want more time with my kid. Other people don't get any time off. What is wrong with me.That double hit is what we're taking apart today. A client described almost exactly the same thing to me recently, her own hard-won time off swallowed by a childcare gap, and all of it came flooding back. This happens to us constantly, and most of us have no process for it, so we white-knuckle through and then wonder why the feeling won't move.So today you get the process. Four steps, in this order:Name what you actually feel, badly if badly is all you've got, and then notice the second feeling sitting on top of the first one.Bring in common humanity, which is the thing you already do effortlessly for everyone else in your life and almost never for yourself.Allow it, which takes far less time than you'd think once you stop arguing with whether you're allowed.And then, only then, the question my own coach taught me: how could it be possible?Your time, your rest, and your fun are precious resources. It makes sense that you have feelings when they get taken. You are not a bad mother, a bad partner, or an ungrateful person for noticing the difference between what you needed and what you got.Come listen, and then put this one in your back pocket for the next time.My website has been completely redone and I'm proud of it. Come see it at www.healthierforgood.com. And I always love hearing from you, so write to me at megan@healthierforgood.com and tell me if this one landed.Mentioned in this episode: the work of Kristin Neff, PhD, on self-compassion, and Brené Brown, PhD, on shame and shame resilience.Connect with Megan:Instagram: @MeganMeloMDWebsite: healthierforgood.comEmail: megan@healthierforgood.com Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.Want to contact me directly?Email: megan@healthierforgood.comFollow me on Instagram!@MeganMeloMD

What if achieving your highest level didn't require sacrificing your health, values, or sense of self? Dr. Judy Wright shares how her experiences across clinical medicine, academia, managed care, and coaching reshaped her understanding of sustainable success and the importance of pausing long enough to recognize what is truly working.Judy also explores how clinicians can become stronger change-makers by listening across disciplines, bringing the right people to the table, and addressing problems upstream. Her PACE framework (Pause, Audit, Calibrate, and Elevate) offers a practical approach to examining boundaries, redefining success, and building a career that supports both ambition and personal wellbeing.Episode Highlights:From One Doctor to a Difference-Maker: Discover how Judy's patients literally followed her across New York, revealing the profound impact one physician can have.Breaking the “Dark Side” Myth: Why clinicians need a voice inside managed care and payer organizations to influence healthcare decisions.Everyone Belongs at the Table: How bringing physicians, nurses, social workers, nutritionists, and other professionals together can create lasting community change.Burnout Can Follow You: Why changing jobs alone may not solve burnout, and what looking inward can reveal.The PACE Method: Learn how to Pause, Audit, Calibrate, and Elevate your approach to success, boundaries, priorities, and capacity.Turn Awareness Into Action: How simple audits, wearable data, calendars, and daily reflection can uncover patterns and guide meaningful changes.Hope for Healthcare's Future: Why the next generation of medical and nursing professionals gives Judy reason to remain optimistic about healthcare transformation.About the Guest:Dr. Judy Wright is a board-certified family medicine physician and sustainable success strategist who helps high-achieving professional women pursue ambitious goals without sacrificing themselves. A physician, coach, speaker, and healthcare leader, she has worked across clinical medicine, academia, corrections, and managed care and has been recognized nationally for her leadership and influence.Connect With JudyLinkedIn: https://www.linkedin.com/in/judywrightmd Instagram: @judywrightmd.Resources MentionedPACE Method: Dr. Judy Wright's framework: Pause, Audit, Calibrate, Elevate.Oura Ring: discussed as a tool for monitoring stress patterns and increasing self-awareness.Don't Sweat the Small Stuff; and It's All Small Stuff : recommended by Dr. Judy Wright for maintaining perspective and protecting your energy.Top 3 Key Takeaways:Pause Before You Push Forward: Sustainable success begins with creating space to interrupt autopilot. Pausing allows you to notice what you are feeling, examine what is happening, reconnect with your values, and determine whether your current definition of success still reflects what you genuinely want.Audit What Is Really Working: Awareness makes change possible. Look for patterns in your stress, relationships, schedule, energy, and boundaries. Whether using a wearable or a simple calendar rating system, examining your experiences can help identify what needs to change and where your energy is going.Build Success Around Your Capacity: Success should evolve as your circumstances and capacity change. Calibrating may mean changing priorities, delegating, adjusting your calendar, or setting stronger boundaries. By honoring where you are while intentionally building forward, you can pursue greater achievement without losing yourself in the process.

Physicians spend their entire careers managing preventable disease in other people, and a startling number of us are not managing it in ourselves. This episode breaks down the practical system I have used since pre-med to stay healthy through training and now through attending life: how to set calories and macros without turning food into a second job, which supplements are actually worth the money, why intermittent fasting changed my cognitive output at the hospital more than it changed my body, and how to build a training routine you will still be doing in ten years.This is for pre-meds, medical students, residents and attendings at any fitness level, including people who have never set foot in a gym. It covers what nobody teaches you in medical school, the mistakes I made chasing an aesthetic goal the wrong way, and how to scale all of it to the stage of training and the budget you are actually in right now.0:00 Why Physician Health Gets Neglected2:23 Why Your Degree No Longer Convinces Patients4:58 Nutrition Basics: Calories And Macros11:53 The 80/20 Rule And Why Perfection Backfires14:58 Supplements And Intermittent Fasting18:42 Training, Compound Lifts And Progressive Overload26:04 Making It Work At Every Career StageFollow Along:

Here we go!On August 29th, The Breakdown brought our show to Calgary in front of a live audience of almost 200 people with a group of amazing guests that not only helped to define the biggest issues inside Alberta's democracy but with the attendance of not one but TWO provincial party leaders, what some possible solutions can look like!We're proud to present "Part 2" of that show, a conversation on the state of healthcare in Alberta from the very front lines with ER Physician Dr Paul Parks!To get tickets to our October 3rd live show in Red Deer where we're teaming up with a few friends to get into the upcoming Alberta referendum, visit www.thebreakdownablive.ca !If you're able to support our legal defense fund to fight back against the $6 Million lawsuit against us by Sam Mraiche, the man who imported Vanch masks and the Turkish Tylenot as well as who hosted MLA's and Ministers in his skybox as he had business with the government...You can do that at www.savethebreakdownab.ca !As always, if you appreciate the kind of content that we're trying to produce here at The Breakdown, please consider signing up as a monthly supporter at our Patreon site at www.patreon.com/thebreakdownab and we can now accept e-transfers at info@thebreakdownab.ca !If you're looking for our new merch lineup, you can find that at www.thebreakdownabmerch.comIf you're listening to the audio version of our podcast, please consider leaving us a review and a rating, and don't forget to like and follow us on Substack, Bluesky, Facebook, Twitter, Instagram and Threads!#abpoli #ableg #cdnpoli

Send us Fan MailDo we really need a DAT on every baby born to a group O or Rh-negative mother? This week on Journal Club, Ben and Daphna dig into a new Pediatrics study questioning routine Direct Antiglobulin Testing (DAT) in low-risk neonates with ABO or RhD incompatibility. Using data from over 1,300 infants, the authors found that transcutaneous bilirubin alone predicted the need for phototherapy just as well as DAT in ABO-incompatible babies, and that passive anti-D from RhoGAM rarely caused significant hemolysis in RhD-incompatible infants. Ben and Daphna also discuss what this means for institutions running DAT on every newborn, how to tell passive anti-D apart from true alloimmunization, and why a more targeted approach to bilirubin screening may be overdue.----Utility of DAT in Low-Risk Neonates With ABO or RhD Incompatibility. Tsai TL, Ma T, Nester T.Pediatrics. 2026 Sep 1;158(3):e2026076989. doi: 10.1542/peds.2026-076989.PMID: 42642037Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

You Matter! | Dr. Marc Siegel: Finding Meaning in the Moments That Matter This week on You Matter!, I'm joined by Marc Siegel, a physician, clinical professor of medicine at NYU Langone Medical Center, and Senior Medical Analyst for Fox News. Known for helping the public navigate complex health issues with clarity and compassion, Dr. Siegel has spent his career guiding people through uncertainty. In this conversation, we move beyond medicine to explore the inspiration behind his New York Times bestselling book, The Miracles Among Us, and the experiences that led him to reflect on resilience, hope, and the extraordinary moments hidden within everyday life. Together, we discuss how trauma can reshape our perspective, why meaning is often found in life's quietest moments, and how gratitude, connection, and purpose can emerge even during difficult times. Dr. Siegel shares personal insights that remind us that healing is not always measured by physical recovery alone, but also by our ability to find strength, compassion, and possibility in the face of adversity. This thoughtful conversation speaks to the very heart of You Matter!, creating space for honest dialogue about trauma, healing, and the shared human experiences that connect us all. Join us for an inspiring episode that encourages us to recognize the miracles around us and remember that even the smallest moments can have a profound impact. Dr. Siegel will be releasing a sequel to The Miracles Among Us later this year titled, The Angels Among Us: How God's Messengers Play a Role In Healing.

Send us Fan MailIn this episode of From the Heart, Drs. Nim Goldshtrom and Adrianne Bischoff talk with Dr. Kristin Elgersma, a nurse-researcher whose path into neonatal nutrition began at her son's bedside in a cardiac ICU. A former concert pianist turned nurse-researcher, Kristin asked a question no one had: does human milk change outcomes for babies with congenital heart disease? Her multicenter PC4 study of day-by-day data from over 800 infants across 25 centers found no link between human milk and NEC, though bovine-derived formula or fortifier tripled NEC risk within five days, while higher human milk intake meant roughly nine fewer hospital days. They cover lactation support, donor milk gaps between NICUs and CICUs, and practical next steps.----Elgersma et al. Human milk feeding, fortification initiation, and clinical outcomes in neonates with critical congenital heart disease: A multi-institutional study. medRxiv 2026. DOI 10.64898/2026.08.20.26360934 (preprint, no PMID)Elgersma et al. Human milk feeding and direct breastfeeding improve outcomes for infants with single ventricle congenital heart disease: Propensity score-matched analysis of the NPC-QIC registry. J Am Heart Assoc 2023. PMID 37642030Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

What if being called "high maintenance" is not an insult, but a sign that you are paying attention to what it takes to live and work well? In this solo episode, Dr. Jessie Mahoney explores the hidden cost of being the easy one—the physician who asks for little, absorbs the inconvenience, takes the extra shift, and tries not to make waves. For many women in medicine, labels like selfish, difficult, demanding, and high maintenance can become a reason to stop asking for what we need. Physicians do unusually demanding work. We need sleep, rest, food, movement, connection, boundaries, support, time to recover, and a functioning nervous system.  None of this is indulgent. It is maintenance. "What is worth maintaining? This episode is an invitation to stop equating self-neglect with generosity, to distinguish an unreasonable request from an inconvenient one, and to remember: you are worth maintaining. Learn more about coaching and retreats at jessiemahoneymd.com. *Nothing shared in the Healing Medicine Podcast is medical advice. The Healing Medicine Podcast was formerly known as the Mindful Healers Podcast.

In South Louisiana, hurricane season is treated like a fifth season of the year. Angela C. Johnson explains what that means for physicians and patients. She is an internal medicine physician and member of the American College of Physicians Board of Regents. This episode is based on her article "Physicians and natural disasters: the fifth season," published on KevinMD. You will hear what care looks like inside a medical shelter, where the exam rooms, the records, and the staffing are gone and the work comes back to a doctor and a patient. She describes who ends up in a shelter, why getting people home is its own problem, and why a community without power, water, or open doctor's offices is not ready to take them back. She also tells you what to bring and what to ask your providers before an evacuation, and why she watches storm intensity as closely as the count. Stay to the end for her case that the differences a storm exposes are the ones to work on between storms. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Healthcare in America is more expensive than anywhere else in the world—but what are other countries actually doing differently? Physician and Slice of Life MD author Sally Primus joins me to tour healthcare systems from Germany and Britain to Japan, Australia, and Estonia. We look at single payer, private insurance, wait times, doctor shortages, drug prices, bureaucracy, and the strange economics of American healthcare—and ask which ideas the United States might actually want to steal.

Send us Fan MailIn this episode of From the Heart, Dr. Nim Goldshtrom and Dr. Adrianne Bischoff dissect a hemodynamics consult that changes shape twice in 48 hours. A 30-week recipient twin from twin-to-twin transfusion syndrome presents with biventricular dysfunction and suprasystemic pulmonary hypertension, starts on epinephrine and milrinone, and stabilizes. Then overnight, everything falls apart: hypotension, rising lactate, falling urine output. Only on repeat echo does the real diagnosis emerge: hypertrophic obstructive cardiomyopathy (HOCM) with dynamic left ventricular outflow tract obstruction, where the "correct" initial therapy becomes dangerous. Nim and Adrianne unpack why milrinone can worsen outflow obstruction, why vasopressin beats dobutamine, and when esmolol helps or harms. It's a masterclass in resisting anchoring bias and treating evolving physiology, not just numbers. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

In this episode, we cover: What to actually say when a patient asks, “Doctor, was this your fault?” How to use empathy without making legal admissions. A simple framework to handle five of the toughest conversations after something goes wrong.   Key Takeaway Quote: “Patients don't expect perfection. They expect honesty. Sometimes the most trust-building thing you can say is, ‘I don't know yet, but I'll come back when we do.'” – Dr. Barbara Hales Connect with Barbara Hales:  Twitter: @DrBarbaraHales Facebook: facebook.com/theMedicalStrategist Business Website: TheMedicalStrategist.com Email: info@TheMedicalStrategist.com  YouTube:@barbarahales LinkedIn: https://www.LinkedIn.com/in/barbarahalesBooks: Content Copy Made Easy 14 Tactics to Triple Sales TRANSCRIPT The Five Difficult Conversations After Something Goes Wrong Dr. Barbara Hales 0:02 Doctor, was it your fault? Your patient looks you directly in the eye and asks, “Doctor, was this your fault? What do you say? You have about three seconds before the silence starts saying something for you. Hello, everyone, and welcome back to Marketing Tips for Doctors. In our last episode, we talked about something I called the transparency paradox-the idea that when something goes wrong, physicians may become quiet and guarded, because we’re afraid that talking will increase our liability. But to the patient, that same silence can feel like we’re hiding something. So today, we’re going one step further because it’s easy for me to tell you: communicate with your patient, be transparent, show empathy. But when you’re actually standing in front of an upset patient or frightened family member, those aren’t the words you need. You need to know what I actually say. Today, we’ll walk through five of the most difficult conversations a physician can have after something goes wrong. I’ll show you what you may be tempted to say, why it can cause problems, and what you might say instead. And before we begin, an important reminder: this is about communication, not legal advice. Every adverse event’s circumstances are different. State laws differ, and your hospital malpractice carrier or risk management team may have specific procedures you need to follow, so use this episode to think differently about communication, not as a substitute for the policies and professional advice that apply to your particular situation. Now grab your coffee because we’re starting with the question no physician wants to hear: Doctor, was this your fault? Imagine that you’ve just finished explaining to a patient that something unexpected happened during her procedure. She looks at you and asks, “Was this your fault? Your first instinct may be to defend yourself. No, this is a known complication. Or maybe you go in the opposite direction. Yes, I made a mistake. But what if you don’t know yet? That’s the key. Don’t answer a question you don’t yet have the facts to answer. You don’t have to become evasive, and you don’t have to speculate. You can say, “I understand why you’re asking me that right now. I don’t know exactly why this happened. We’re reviewing what occurred, and I don’t want to give you an answer that may turn out to be wrong. As soon as we know more, we’ll talk about it. That’s honest. You didn’t run from the question. You didn’t blame someone else, and you didn’t conclude before you had the facts. There is tremendous power in being able to say, “I don’t know yet. Doctors aren’t always comfortable saying that. We’re supposed to have answers. Patients come to us because we have answers. But when you genuinely don’t know something. Pretending otherwise doesn’t make you look more competent. It makes you less trustworthy when the facts eventually come out. The important word is yet. I don’t know can sound like a dead end. I don’t know yet, but we’re finding out tells the patient, “I’m still here. Conversation number two: something definitely went wrong. Now, let’s change the situation. This time, you know an error occurred. Perhaps the wrong medication was administered. Maybe a test result wasn’t followed up. Maybe something broke down somewhere in the system. Again, there’s a temptation to become clinical. An adverse medication event occurred. That may be technically accurate, but imagine. As the patient hearing it, I know an adverse medication event didn’t happen to a spreadsheet. It happened to me. This is where medicine sometimes hides behind language. We use terms like unexpected outcome, adverse event, communication failure. Those phrases may be long in reports, but you’re not talking to a report. You’re talking to a person. So use human language. Something happened that shouldn’t have, and I’m sorry you’ve had to go through this. Then tell the patient what you know, not what you assume, not what you heard in the hallway, not what you think is responsible. What you know, and then tell them what happens next. We are reviewing exactly how this occurred. We’re addressing the immediate problem. We’ll keep you informed as we learn more. That last sentence matters because one of the worst things you can do is have one compassionate conversation and then disappear. Trust isn’t rebuilt in one meeting. Dr. Barbara Hales 6:20 Sometimes it’s rebuilt in the second meeting and the third. Let’s imagine a physician will call Dr. Miller. One of his patients has a significant complication. Dr. Miller has an excellent conversation with the family. He sits down. He listens. He expresses concern. He promises that the hospital will investigate and that he’ll come back when he knows more. The family feels reassured. Three days go by, nothing. Five days, nothing. The family starts calling. They’re transferred from one department to another. Nobody seems to know anything. Now think about what happened. Dr. Miller’s original conversation was actually good, but his failure to follow through changed its meaning. What originally sounded like “I’m going to find out what happened” now sounds like “I told you that so you’d stop asking questions. That’s why one of the most important things you can say after something goes wrong is also one of the simplest. I’ll come back, but only say it if you’re actually going to come back. Conversation number three: the patient is angry. Now things get harder. The patient isn’t calmly asking questions. He’s furious. You people almost killed me. This hospital is incompetent. You don’t care what happens to me. Every instinct in you wants to correct him. We did not almost kill you. That’s not what happened. You’d unders. You don’t understand the medical situation, and perhaps technically you’re right, but right now being right isn’t necessarily going to help you, because underneath anger there is often something else: fear, loss of control, pain, a feeling that nobody is listening. So before you correct the facts, acknowledge the emotion. You might say, “I can see how angry and frightened you are, and I understand why you want answers. Notice what you did not say. You didn’t agree that the hospital was incompetent. You didn’t accept blame for something you didn’t do. You acknowledged the patient’s experience. There is a big difference between saying you’re right, we almost killed you, and saying I can understand why you’re frightened and angry. One is the conclusion about what happened. The other is empathy. Physicians sometimes avoid empathy because we’re afraid the patient will interpret it as an admission. But empathy isn’t a confession. It’s recognition that another human being is having a difficult experience, and sometimes that’s the first thing a person needs before they’re capable of hearing anything else you have to say. There’s one sentence that is almost guaranteed to make an angry patient angrier. You need to calm down. Has telling an angry person to calm down ever actually made them calm down? Probably not. It usually communicates that your reaction is the problem. Instead, try. I can see that you’re upset. Tell me what concerns you most right now, and then listen. Don’t start constructing your defense while they’re still speaking. Don’t interrupt after the first inaccurate statement. Let them tell you what they’re actually worried about. You may discover that the thing you’re preparing to defend isn’t even the thing they’re most upset about. Conversation number four: Why didn’t anyone tell me? This one is painful because sometimes the patient’s complaint isn’t primarily about the medical outcome; it’s about communication. Why didn’t anyone tell me? Why did I have to find this in my medical record? Why did three different people give me three different answers? Why did nobody call me? This is where defensiveness can creep in very quickly. I thought the nurse told you. The office called twice. The result was available in the portal. Stop. Maybe all of those things are true, but before explaining the system, recognize what the patient experienced. I can understand why finding out that way would be upsetting. You should have had a clear explanation of what was happening. Then explain what you know, and if there was a communication breakdown, acknowledge it. Patients don’t expect every medical outcome to be perfect. Medicine is not perfect. Human bodies are not perfect. Technology is not perfect. Doctors are not perfect, but patients have every reason to expect us to communicate with them honestly, and this is where the conversation starts moving beyond malpractice, because poor communication damages something much bigger: trust. Conversation number five: When an apology is appropriate, now we come to the words doctors have traditionally been afraid to say. I’m sorry. As we discussed in the last episode, apology laws vary from state to state. How to Handle the Conversation Dr. Barbara Hales 12:53 Some may protect certain expressions of sympathy while not protecting admissions of fault. Your organization’s procedures and your individual circumstances matter. So I’m not giving you a legal formula. I’m talking about human communication. If someone has experienced suffering, you can acknowledge suffering. I’m sorry you’ve had to go through this. If an investigation has established what happened, then the appropriate disclosure process may involve a more specific apology and explanation, and that’s where working with your institution or risk management team becomes important. But don’t make the mistake of thinking that because you need to choose your words thoughtfully, you need to stop behaving like a human being. There’s a difference between being careful and being cold. Now let’s put it together. Imagine you’re walking into a patient’s room after an unexpected event; you know something happened. You don’t know yet exactly what. Here’s what a thoughtful conversation might sound like, Mrs. Green. I want to talk with you about what happened earlier today. There was an unexpected problem with your medication. Right now, our priority is making sure you’re all right, and we’re monitoring you closely. I’m sorry you’ve had to experience this. We’re reviewing exactly what happened. I don’t have all of those answers yet, and I don’t want to speculate or give you information that might turn out to be wrong. As we learn more, we’ll share that information with you. What questions do you have for me right now? Notice how ordinary those words are: no corporate language, no. No medical jargon, no elaborate speech. You acknowledge, you empathize, you explain, you admit what you don’t know, you explain what happens next, and you invite questions. That’s communication. But what if they ask the question again? Fine, doctor. But I asked you a question. Was this your fault? Now we’re right back where we started, and this is where many physicians panic. You don’t have to look at the patient. Don’t look at the floor. Don’t start shuffling papers and say, “I understand why you want an answer to that. I would want an answer too. Right now, we don’t know enough for me to tell you exactly why this happened. I don’t want to guess. When we know more, we’ll discuss it with you. That’s not avoiding the question. It’s refusing to pretend you know something you don’t. But here’s the other side: if the investigation eventually determines that an error occurred, transparency means the conversation should not simply disappear. You come back because the promise wasn’t. I’ll talk to you until this becomes uncomfortable. The promise was we’ll tell you what we learn. The Second Victim and Five Phrases to Remember The second victim, we don’t talk about. There’s another reason these conversations are so difficult. The physician may be suffering too. When something goes wrong with one of our patients, we don’t simply clock out and forget about it. We replay it. What did I miss? Could I have prevented this? Should I have ordered another test? Should I have noticed something earlier, and then we have to walk into the next room and see the next patient? That emotional burden can make us withdraw from the very patient we need to communicate with, not because we don’t care. Sometimes because we care so much that we don’t know what to say. That’s why having a framework helps. When your emotions are telling you to retreat, the framework reminds you: acknowledge, empathize, explain. Don’t speculate. Follow up. You don’t need the perfect speech. You need to stay present. Five phrases to remember. So, if you ever find yourself standing outside that patient’s room, wondering what you’re going to say, remember these five phrases. I’m sorry you’re going through this. Here’s what we know right now. I don’t know yet. We’re looking into what happened, and perhaps the most important. I’ll come back when we know more. Then come back. Those aren’t magic words. They don’t guarantee that a patient won’t become angry. They don’t guarantee that somebody won’t sue, and they don’t replace appropriate lethal or risk management guidance. They’re simply ways to communicate like one human being talking to another during an extraordinarily difficult moment. Why Trust Matters to Your Practice Dr. Barbara Hales 19:09 Why does this matter to your practice? You might still be wondering why spending two episodes of marketing tips for doctors talking about what happens when medical care goes wrong matters, because your reputation isn’t built by your website; it’s not built by your logo; it’s not built by your Facebook page. Those things communicate your reputation. They don’t create it. Your reputation is created in moments. The moment you return the frightened patient’s phone call, the moment you sit instead of standing at the door, the moment you listen instead of becoming defensive, and yes, the moment something goes wrong and your patient watches to see what you do next. Patients don’t expect physicians to control everything that can happen, but they do remember how we made them feel when they were frightened and vulnerable, and that memory may last much longer than anything you put on your website. One last question. Let’s return to where we started. Your patient looks you in the eye and asks, “Doctor, was this your fault? You don’t need to panic. You don’t need to run. You don’t need to speculate. You can say, “I understand why you’re asking. I don’t know yet. We’re going to find out, and I’ll talk with you when we know more. And then you do something incredibly important. You keep your word, because trust isn’t created by having all the answers. Sometimes trust is created by being honest enough to say you don’t have them yet. Now, there’s one situation we haven’t really tackled today. What happens when the patient is not simply asking questions? What happens when they’re furious? They’re raising their voice. They’re threatening to leave your practice. They’re threatening a terrible online review. Maybe they’re even saying, “I’m going to sue you. What do you say then? That’s what we’re going to talk about in our next episode, the angry patient, because one badly handled conversation can turn frustration into a broken relationship. But handled correctly, it may become an opportunity to rebuild trust. So make sure you subscribe to Marketing Tips for Doctors so you don’t miss it. And if you know another physician who’s ever wondered What on earth am I supposed to say when something goes wrong, send them this episode because every week we’re talking about practical ways to build stronger practices, stronger patient relationships, and greater trust, and remember, you’re one tweak away from greatness.   The post Doctor Was It Your Fault? first appeared on The Medical Strategist.

Cervical change is the whole test for true labor. Active labor starts at 6 cm, not 4. Late decelerations mean uteroplacental insufficiency. This episode walks through normal labor and the fetal heart rate tracing the way they actually get tested. The post 170 Normal Labor: The Four Stages, Fetal Heart Rate and Tracings appeared first on Physician Assistant Exam Review.

Leaving medicine can feel like erasing 20 years of work. What if it isn't a loss at all, but a language problem you can solve? Physician executive Shveta Gupta, a pediatric hematologist-oncologist, joins to unpack why so many doctors quietly fuse their identity with the white coat, and why a change in role can feel like being sent back to zero. This episode is based on her article "Leaving medicine is a translation problem, not a loss," published on KevinMD. You'll hear the six words in a job interview that made her feel her whole career had been erased, why she calls this the "false zero," and how the multidisciplinary rounds and hard family conversations you already lead translate directly into the language of leadership. Along the way she makes the case that you don't need an MBA to do this, and that the healthcare world needs physician leaders whether it knows it or not. You'll come away with a new way to name your worth, and concrete first steps to act on it. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

What if your menstrual cycle could tell you something important about your health—just like your blood pressure, heart rate, or other vital signs? In this episode of The Hormone Genius Podcast, we sit down with Dr. Pearl Huang Ramirez, a family medicine physician, fertility awareness-based medicine advocate, and founding member of FACTS About Fertility, to talk about one of the most overlooked tools in women's healthcare: the menstrual cycle. Dr. Pearl shares her own journey of discovering fertility awareness-based methods during medical school, at a time when she realized that medical education had given her very little understanding of natural fertility or cycle biomarkers. That discovery eventually led her to Creighton medical consultant training and to helping other physicians understand how fertility awareness can be incorporated into real-world medical care. Together, we explore why the cycle can be considered a vital sign of health and what clinicians can learn by paying attention to biomarkers such as cervical mucus, basal body temperature, cycle phases, bleeding patterns, and luteal phase length. We discuss what charting patterns may reveal about conditions such as PCOS, progesterone insufficiency, abnormal bleeding, endometriosis and other hormonal concerns, and why understanding the cycle can help clinicians move beyond simply suppressing symptoms toward asking what may be happening underneath them. Dr. Pearl also explains the powerful partnership between medical professionals and fertility awareness educators. Physicians don't have to do everything themselves. A trained fertility awareness instructor or hormone coach can spend the time teaching women how to observe and chart their cycles, while clinicians can use that information to guide evaluation, laboratory testing and individualized treatment. And for the medical students, nurse practitioners, physicians and other healthcare professionals, listeningwe talk about an incredible opportunity to learn more.

   Retired Navy Captain Gerard Cox, MD, built a forty-year career out of a four-year commitment. He signed with the Navy's Health Professions Scholarship Program because his parents had already stretched to pay for an expensive undergraduate education, intending to serve his obligation and return to New England as a general internist. Three months into a medicine internship at Bethesda he knew that path was wrong. A flight surgeon tour with Marine squadrons out of Cherry Point gave him time to mature as a physician and to find emergency medicine, then a new and contested specialty. By the eleven-year mark the Navy had him, and he finished at thirty.    What followed is a tour of the places where military medicine meets national consequence. From 1999 to 2001 he served in the White House Medical Unit as a physician to Presidents Bill Clinton and George W. Bush, spending most of his first year on the campaign trail with Vice President Al Gore. He explains what protective medical support actually requires: a physician with a black medical bag within seconds of the president at all times, monitoring the same Secret Service frequency, positioned on the far side of the armored limousine. That doctrine was written directly out of the 1981 Hinckley shooting, when the White House physician was left behind at the scene and never got into the car.    A decade later, he was Force Surgeon for U.S. Naval Forces Central Command and Fleet Surgeon for the U.S. Fifth Fleet, administratively responsible for Navy medical personnel across Afghanistan, Kuwait, and every ship in the area of responsibility. The lesson he carries from that tour and from Desert Shield and Desert Storm is the same: international agreements and host-nation relationships are what allow the United States to operate medically in that theater at all.    He then spent nearly eleven years in senior Veterans Health Administration leadership, walking into the Office of the Medical Inspector three months after the 2014 access-to-care scandal broke, and later serving as Assistant Under Secretary for Health for Quality and Patient Safety and national co-lead of the VA high reliability organization rollout across more than 170 medical centers. His verdict on the word accountability is blunt. It was redefined to mean punishment, and you cannot fire your way to excellence.    The episode closes on advice a Navy admiral gave him in 1997 and on the fifteen-minute walk he and his wife have taken nearly every evening since, the habit that kept a forty-year career and a marriage intact. Chapters (01:11-08:39) An Accidental Navy Career (08:40-16:41) Inside the White House Medical Unit (16:42-24:26) Fifth Fleet, CENTCOM, and the Move from Clinician to Commander (24:27-37:01) Rebuilding Trust at VA: Accountability and High Reliability (37:02-43:24) Bridging the Military Health System and the VA (43:25-52:54) The Fifteen-Minute Walk: Resilience and Legacy Chapter Summaries (01:11-08:39) An Accidental Navy Career Dr. Cox traces the decision points that turned a four-year scholarship obligation into thirty years of active duty: an HPSP flyer on a Dartmouth bulletin board, an internal medicine internship he abandoned within months, and a flight surgeon tour with Marine squadrons at Cherry Point. That tour let him practice as the sole medical expert for a deployed squadron and pointed him toward the new specialty of emergency medicine. (08:40-16:41) Inside the White House Medical Unit As physician to Presidents Clinton and George W. Bush, Dr. Cox describes protective medical support as a discipline of seconds and positioning, not of clinical complexity. He walks through the Hinckley shooting that shaped the doctrine, the advance planning that precedes a foreign trip, and the accelerated 2000 transition between administrations. (16:42-24:26) Fifth Fleet, CENTCOM, and the Move from Clinician to Commander Dual-hatted as Force Surgeon for NAVCENT and Fleet Surgeon for Fifth Fleet, CAPT (Ret) Cox was responsible for Navy medical personnel from the NATO Role 3 hospital in Kandahar to individual augmentees with Afghan units and every ship in theater. He then turns to the leap into command, where a physician stops being the team leader and becomes the leader of a team of leaders. (24:27-37:01) Rebuilding Trust at VA: Accountability and High Reliability Three months into his VA tenure, the 2014 access-to-care scandal forced out the Secretary, the Under Secretary for Health, and the Medical Inspector. Dr.Cox took the Medical Inspector role and rebuilt its investigative culture on a single rule: every whistleblower allegation has an equal chance of being true or not true. He then describes the six-year high reliability rollout and the just culture that has to underpin it. (37:02-43:24) Bridging the Military Health System and the VA Dr. Cox explains why enrollment in VA health care is still opt-in rather than automatic, and what the failed Ensuring Veterans Transition Act would have changed. He contrasts the two patient populations and argues for moving providers and patients across both systems to preserve clinical currency and use existing VA capacity. (43:25-52:54) The Fifteen-Minute Walk: Resilience and Legacy A Navy admiral told him in 1997 to turn off the computer and go home, because the work will still be there in the morning. Dr. Cox and his wife have walked the dog together for fifteen minutes nearly every evening for more than fifteen years. He closes on what he wants remembered: integrity, treating people as people, and keeping the patient at the center of every decision. Take Home Messages Protective medical support is a discipline of seconds, not of clinical complexity. Caring for a president is less about the medicine than about position, communication, and rehearsal — a physician within seconds of the principal at all times, on the same radio frequency as the protective detail, staged on the side of the vehicle away from the threat. Every one of those procedures exists because a real failure in 1981 exposed the gap. Contingency planning is what converts a bad day into a survivable one. Accountability was redefined as punishment, and the substitution did real damage. In its original meaning, accountability is an objective, independent process for determining what actually happened. Congressional pressure turned it into a body count of terminations. You cannot fire your way to excellence, and a system that tries will lose the trust it needs to surface problems early. A just culture balances system responsibility against individual responsibility. People do not set out to make mistakes, and roughly 99.9 percent of the time they do not intend to harm anyone. Human error is inevitable, so the work is building systems that stop those errors before they reach the patient. Leaders and the system they run carry as much responsibility for prevention as the individual who erred. Command turns you from the team leader into the leader of a team of leaders. A clinician promoted into command arrives fluent in credentialing and clinical operations and largely ignorant of logistics, pharmacy, laboratory, and facilities management. The response is humility and questions, not bluff. Show up in the radiology suite on a Saturday morning and talk to the technician on duty, because the risks are visible at the front line and invisible in the C-suite. Protect fifteen minutes a day and the rest of the career becomes survivable. The work will still be there in the morning, so turn off the computer, go home, and have dinner with your family. One couple made a pledge at command leadership school to walk the dog together every evening, and more than fifteen years later they still do it. Careers can be slowed by choices made in favor of family; legacies are not. Episode Keywords military medicine, WarDocs podcast, White House physician, White House Medical Unit, Navy medicine, emergency medicine, HPSP, protective medical support, Secret Service, Reagan assassination attempt, Fifth Fleet, NAVCENT, CENTCOM, Afghanistan, Veterans Health Administration, VA health care, whistleblower, patient safety, high reliability organization, just culture, military health system, veteran transition, military leadership, military medical career Hashtags #MilitaryMedicine, #WarDocs, #NavyMedicine, #VeteransHealth, #WhiteHousePhysician, #PatientSafety, #HighReliability, #MilitaryLeadership   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called “Docs” as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.   Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

This week, we feature new research on gene-edited therapies for children with β-thalassemia and sickle cell disease, treatment for membranous nephropathy, coronary revascularization after myocardial infarction, and an outbreak of severe methemoglobinemia. We review treatment decisions in multiple myeloma, follow a case of man with fever and rash, and report on psychedelic drug development. Perspectives address preventive care, AI-assisted translation, barriers to health care access, and the long shadow of Bedlam.

Send us Fan MailResources MoneyFitMD: moneyfitmd.com natrevmd.com Dr. Latifat never learned anything about money in medical school, and by her own account avoided it entirely until fear of ending up like her burned-out attendings forced her to face it. She paid off $200,000 in student loans in about two and a half years without extra shifts, then built MoneyFitMD to help other women physicians do the same. Why physicians pay themselves last Most physician owners don't set out to skip their own paycheck. Dr. Latifat points to a scarcity mindset, a fear that there's never going to be enough, no matter what the actual numbers say. Physicians usually aren't motivated by money itself, they're motivated by security, time with family, and not worrying about the future. The work is connecting those things to an actual plan. The story that changes the stakes Dr. Latifat shares the story of a physician forced to close her practice for health reasons. Because she'd focused all her energy on the business and never built personal wealth outside of it, closing the practice meant she had nothing to fall back on. Her point: your business is not your wealth, it's a separate entity, and your business should be funding your personal wealth, not standing in for it. It's 20 percent math, 80 percent psychology Dr. Latifat's take: physicians are good at the math, they run successful practices and understand billing. What trips them up is behavior. She's writing her third book on exactly this problem. The CEO Money Hour One hour a week, same time every week if possible (hers is Fridays), spent entirely on personal finance, not business finance. It solves two problems at once: not having time, and not knowing what to do with the time you have. Dr. Latifat has clients who've built physical rituals around it, a dedicated space, even a specific mug, because the habit is as much psychological as it is financial. Two paths For physicians who avoid money entirely and want a simple foundation, MoneyFitMD offers a 16-week foundational program covering debt, spending, and the financial basics. For physicians whose finances are stable but who want their wealth and their life to actually line up, there's Wealth Village, an ongoing community built around a broad definition of wealth: money, assets, time, relationships, and play. This week, try this Block one hour this week, same time if you can manage it, and spend it only on personal finance. No business numbers allowed. Ask yourself the question the episode keeps coming back to: if your practice closed tomorrow, what would you personally have? Grab Dr. Latifat's CEO Money Hour download to structure that first session instead of starting from a blank page. Episode breakdown How a GI doctor becomes a money coach COVID and founding MoneyFitMD Why physicians pay themselves last Business success versus personal wealth It's 20 percent math, 80 percent psychology The CEO Money Hour Two paths: the foundational program and Wealth Village 

Jeremy Heffner, MD, FACS is a board-certified trauma surgeon, former Chair of Surgery at Lima Memorial Health System, and cofounder of Surgery Unified, one of the largest physician-led communities in surgery. His perspective carries weight because he has spent decades inside operating rooms, hospital leadership, physician culture, and the growing collision between medicine and corporate healthcare. He grew up in a blue-collar Ohio family of firefighters, railroad workers, police officers, and tradespeople. Medicine represented something rare: a career that combined service, stability, and purpose. He pursued engineering, earned his medical degree, completed trauma surgery fellowship training at the University of Michigan, and entered a profession that taught physicians to sacrifice themselves for patients.Then the rules changed.This conversation traces the gap between the medicine physicians were trained to practice and the healthcare industry that emerged around them. Administrative burden expanded. Insurance companies gained influence over treatment decisions. Prior authorization became routine. Hospital systems consolidated. Physicians retained responsibility for outcomes while losing authority over the conditions required to achieve them.Heffner describes watching colleagues struggle with burnout, moral injury, PTSD, and growing frustration with a system that increasingly inserts business incentives between clinicians and patients. He explains why younger physicians are entering medicine with a level of visibility that previous generations never had. They see the paperwork, the denials, the loss of autonomy, and the personal cost before they ever finish training.The discussion moves beyond physician dissatisfaction and into the broader consequences for patients. When insurers delay care, hospitals absorb costs, clinicians absorb stress, and patients absorb uncertainty. The financial incentives remain intact while trust erodes across every level of the healthcare system.At its core, this episode examines what happens when a profession built around service finds itself operating inside an industry built around extraction. The result affects physicians, nurses, caregivers, and every patient forced to navigate the consequences.RELATED LINKSJeremy Heffner⁠Surgery Unified⁠SurgeOn⁠University of Michigan Department of Surgery⁠KevinMD⁠Suck It Up Buttercup⁠FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In Episode 2 of our series on psychosis, we take a closer look at schizophrenia in children and adolescents, including the typical onset of symptoms, the role of genetics, and the relationship between cannabis use and psychosis. Our host Paul Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD review the disorders and conditions that commonly overlap with schizophrenia or occur at higher rates, including autism, major depressive disorder, bipolar disorder, schizoaffective disorder, anxiety, and substance use disorders.The conversation also explores how schizophrenia can progress over time and what clinicians can expect as the illness unfolds. We discuss the role of psychotherapy alongside other treatments and the important role pediatricians can play in supporting patients and families throughout the course of illness.Finally, we highlight the Utah Psychiatric Call-Up Line, a publicly funded resource available to Utah primary care and pediatricians for consultation and support when navigating psychiatric concerns. The episode also addresses the pediatrician's role in helping adolescents and young adults transition from pediatric to adult mental health care.Utah Call-Up Line: 801.587.3636 or https://healthcare.utah.edu/hmhi/programs/call-up.Have a question for our hosts or guests? Email questions@vcurb.com. For more information, additional episodes, and available CME/MOC credit, visit vcurb.com.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Send us Fan MailDisclosure: Dr. Wanda Barfield appeared on this episode in her personal capacity. The views she expresses are her own and do not represent the official positions of the Centers for Disease Control and Prevention, the Department of Health and Human Services, or the United States government.The American Academy of Pediatrics has never had a neonatologist as president. This September, that could change. In this special episode, Ben sits down with Dr. Wanda Barfield, neonatologist, retired Rear Admiral and Assistant Surgeon General in the US Public Health Service, and longtime director of the CDC's Division of Reproductive Health, to hear what she would bring to the role. She lays out her three priorities, supporting pediatricians, protecting access, and leading with science and equity, and addresses the questions our field is wrestling with right now: training, staffing, the erosion of trust in science, and whether neonatology should go it alone. Her answer is that we are stronger together, and that having a neonatologist at the helm of the AAP would give our specialty a voice it has never had. Voting is open to AAP members through September 16. Meet the candidate, then go vote. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

What does it actually take to recover from burnout, beyond the standard advice to practice more self-care? In this episode, Dr. Jim Dahle talks with emergency physician, executive coach, and author Dr. Rob Orman about the realities of burnout in medicine. Rob shares his experience consulting on HBO's 'The Pitt' using real interviews from mass casualty responders, and discusses why he stepped back from full-time clinical practice to focus on coaching physicians through burnout, performance issues, and career sustainability. Rob explains why terms like "self-care" often fail doctors, since they don't address the actual sources of stress, and he shares a pivotal moment from his own career: screaming in his car during traffic on the way to a shift he dreaded, a moment that led him to finally admit he needed to make a change after 12 difficult years. He also offers concrete, usable tools, including a simple technique for defusing conflict by choosing curiosity over defensiveness, and the concept of the "drama triangle," a pattern of hero, villain, and victim roles that can trap people in unproductive conflict. The conversation closes with a look at medicine's historical roots in self-sacrifice, tracing back to clergy and early surgical training, and why that inherited mindset still shapes how doctors think about rest and limits today. Burnout isn't a personal failure. It's a mismatch that can be addressed with the right tools, the right support, and the financial capacity to actually make a change when you need one. Locumstory.com is a free, unbiased educational resource about locum tenens – it's not a staffing agency. They help answer your questions about the how-to's of locum tenens work on their website, podcast, webinars, videos, and they even have a locums 101 crash course. Locumstory.com is where you should go to find out if locums makes sense for you and your career goals. Locumstory is unique because it's more of a peer-to-peer platform, with real physicians sharing their experiences and stories – both the good and bad – about working locum tenens – hence the name, "Locum-story." See for yourself on their self-service platform with no obligation. Learn More at: https://www.whitecoatinvestor.com/locumstory The White Coat Investor Podcast launched in January 2017, and since then, millions have downloaded it. Join your fellow physicians and other high income professionals and subscribe today! Host, Dr. Jim Dahle, is a practicing emergency physician and founder of The White Coat Investor blog. Like the blog, The White Coat Investor Podcast is dedicated to educating medical students, residents, physicians, dentists, and similar high-income professionals about personal finance and building wealth, so they can ultimately be their own financial advisor-or at least know enough to not get ripped off by a financial advisor. We tackle the hard topics like the best ways to pay off student loans, how to create your own personal financial plan, retirement planning, how to save money, investing in real estate, side hustles, and how everyone can be a millionaire by living WCI principles. Website: https://www.whitecoatinvestor.com  YouTube: https://www.whitecoatinvestor.com/youtube  Student Loan Advice: https://studentloanadvice.com  TikTok: https://www.tiktok.com/@thewhitecoatinvestor  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter