Great Minds In Medicine Episodes

While we all trained at the Academy, most of the care provided to patients occurs in the Community. And it seems that, more and more, the research output from the Academy is not clinically relevant to the Community. So, I wanted to discuss this with Dr. Scott Matson, an Academic Clinician-Scientist at the University of Kansas. Our conversation was very enlightening. Dr. Matson’s Substack: https://substack.com/@behindtheslides

The purpose of the healthcare system is to heal the sick, and unfortunately, it seem that the system has strayed from this purpose. Gil Bashe, Chair of Global Health and Purpose for FINN Partners, reminds us of this purpose in his excellent book, "Healing the Sick Care System: Why People Matter." I sat down with Gil Bashe to discuss his book on this week's episode of Healthcare Musings. It was as informative as it was therapeutic for me as a physician. Gil Bashe on LinkedIn: https://www.linke...

Sepsis is the number one diagnosis treated in most intensive care units across the world, and it can be very deadly in short order. Yet, is sepsis even a disease? "No," according to Dr. Rafael Olive Leite, aka, the "Thoughtful Intensivist" on Substack. According to him, the whole "sepsis epistemology" is flawed, and this is why he continuously rails against the Surviving Sepsis Campaign. I have been following his work for quite some time, and so I thought it was high time to have him on the s...

The healthcare system is supposed to be centered around just one person: the patient. According to Matthew Zachary, however, the healthcare system has failed miserably in its mission. Of all the voices that have been heard on this podcast, the one that hasn't been heard is that of the patient...until now. On this week's episode, I sat down with Matthew Zachary, patient advocate and all around amazing guy. Our conversation affected me in profound ways. Learn more about Matthew Zachary at www.m...

It has been six years, almost to the day, since I saw my first Covid patient in the ICU. So much has changed since then. In this insightful interview, Dr. Joseph Marine, a Johns Hopkins Cardiologist and Professor of Medicine, reflects on the COVID-19 pandemic, discussing what was learned, what could have been done differently, and the future of public health responses. Gain expert perspectives on fear, masking, vaccines, and trust in health authorities. Dr. Marine on X: https://x.com/DrJMarine

Primary Care is in trouble. The job is very hard, doesn’t pay as much as it should, and the numbers of PCPs is dwindling. How can we save the field? Dr. Bobby Scott has another novel idea to help reduce the burden on Primary Care Physicians. Our conversation is the subject of this week's episode on Healthcare Musings. Dr. Bobby Scott: https://substack.com/@bobbyscottmd Sensible Medicine article: https://www.sensible-med.com/p/on-the-conservation-of-primary-care

There is a dire shortage of Primary Care Physicians, and it is projected to get even worse. We need Primary Care Physicians, and creating more Residency slots takes years to come to fruition. This week’s guest on the Healthcare Musings Podcast, Emergency Medicine physician Dr. Colleen Smith, has a novel idea to help relieve the shortage. Dr. Smith’s Substack: https://substack.com/@drcolleensmith

There is a common perception that hospitals are nonstop, money making machine machines. Reality, however, it’s quite different. In this episode, I sit down with Mr. Ken Kaufman, a Managing Director at Kaufman Hall. He gives an eye-opening assessment of what It’s really like to run a hospital. About Ken Kaufman: https://x.com/kenkaufman12

There has been an uproar on the part of some over the new dietary guidelines published by the government (www.realfood.gov). Is the uproad justified? I asked the perfect person: America's Cardiologist, Dr. Mohammed Alo (https://www.dralo.net/). We had a great conversation.

Telecritical care is part of the future of Critical Care Medicine in the United States and world. There are various models of implementing TeleICU programs, and one of them is a “hybrid” between on site and tele ICU. How can this work in the most effective manner? I asked the perfect person: Dr. Mirko Villanueva of Sound Physicians. He is both a TeleIntensivist and Program Director. His insights are truly invaluable. To know more about what it’s like to be a teleIntensivist, see my conversatio...

Scott Becker, Founder and Publisher of Becker's Healthcare, has a unique perspective on the state of the healthcare system in the United States. So, I wanted to sit down with him and get his insights as well. He had amazing observations and thought-provoking suggestions regarding: Healthcare Coverage for all Healthcare Quality Healthcare Cost Healthcare Access We delved into each during this fantastic conversation.

Insurance payers have the money. Providers - hospitals and doctors - want the money. This seems to be an irreconcilable conflict. Is there a middle way? I asked the perfect person this question: Jeff Alter of Sound Physicians. His insights were invaluable. Jeff Alter on Linkedin: https://www.linkedin.com/in/jeffreydalter/ Sound Physicians: www.soundphysicians.com

One of the most challenging aspects of our healthcare system is elder and sick care at home. Who can do it? How can you afford it? It can cause enormous stress. Neal Shah, CEO of CareYaya, knows this challenge firsthand, and he came up with a brilliant solution that will, in my mind, revolutionize the care economy. I sit down with Neal and hear all about it. Company: www.careyaya.org Neal Shah: https://www.linkedin.com/in/neal-shah-careyaya/

I sat down with three amazing women leaders in the Medical field - Dr. Chia-Shing Yang, Dr. Simran Matta, and April Burke PA - and had a wide-ranging conversation about the challenges facing women in medicine and leadership, and the opportunities they have as well. This is, by far, one of my most favorite episodes.

I have railed against some traits and trends of new students and residents these days. My conversation with one of my teachers, Dr. Richard Abrams, taught me a valuable lesson and made me change my attitude.

What’s it like to be a Teleintensivist? I asked one of the best in the business, Dr. Eugene Yeh of Sound Physicians. He gives us an intimate view of being a remote critical care specialist. Dr. Yeh on LinkedIn: https://www.linkedin.com/in/eugene-yeh-39ba1844/

A malpractice lawsuit can be very stressful for physicians - it sure was stressful for me. So, are all plaintiff attorneys bad people? What about those physicians who are expert witnesses for plaintiffs? I asked this and much more of Dr. Jeff Willis, an Emergency Medicine physician who left bedside practice to do medical legal consulting full time. It was an eye-opening conversation. Dr. Willis' Consulting Firm: https://ocmedlegal.com/ Expert Retainer: https://www.expertretainer.com/

PulmCCM is one of the best Substacks out there. So, I sat down with Dr. Matt Hoffman, Critical Care physician and creator of PulmCCM to discuss his journey and evidence-based medicine in general. Substack Link: www.pulmccm.org When Death Comes To The Intensivist: https://www.sensible-med.com/p/when-death-comes-to-the-intensivist

Dr. Adam Cifu is an award-winning Medical Educator and general internist at the University of Chicago. He also writes for the fantastic Substack, Sensible Medicine. I had a wonderful conversation with him about Medical Education and how it has changed and not changed over the years. Dr. Cifu's books: https://www.adamcifu.com/books Sensible Medicine Substack: https://www.sensible-med.com/

What would someone who is BOTH a Critical Care and Palliative Care Doctor say about palliative care in the ICU? I asked one. Links from the show: The Coleman Palliative Medicine Training Program: https://colemanpalliative.org/ Research Articles referenced in the episode: Norton SA, Hogan LA, Holloway RG, Temkin-Greener H, Buckley MJ, Quill TE. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients. Crit Care Med. 2007;35(6):153...

In the latest installment of the "Great Minds in Medicine" series, I sit down with Dr. Sergio Zanotti, Critical Care Chief Medical Officer for Sound Physicians. We had a wide-ranging discussion about medicine, critical care, and healthcare in general. It was, perhaps, one of my favorite conversations. Discussed during the podcast: The Ventilator (Hidden Brain Podcast): https://hiddenbrain.org/podcast/the-ventilator/ The Diving Bell and the Butterfly (book): https://en.wikipedia.org/wiki/Th...

I sit down with Dr. Mohammad Alo, America's Cardiologist and great friend of mine, and we discuss all things cholesterol and social media best practices for Doctors. Dr. Mohammad Alo on X: https://x.com/MohammedAlo Website: dralo.net/links

Marketing is literally in Austan Lundeen’s blood. So, I sat down with him to get tips on how to best use social media as a clinician.

Insurance companies will use obscure “Coding Clinics” articles to deny various DRGs. I asked appeal expert Dr. Vivek Tirmal of Sound Advisory Services all about this.