The hospital can be a harsh backdrop to many of life’s most pivotal events. Alarms blare at inopportune times, rounding doctors intrude on delicate conversations, and vigilant nurses disrupt rare periods of rest. All the chaos can add to the stress of a patient’s hospital stay and create an emotionally discordant experience — seemingly out of step with the profound grief, joy, or intimacy one might expect to accompany the weighty moments that happen in the hospital. In the face of this challe...
Jun 2
1 hr 5 min
Many patients interpret their illness through the lens of their religious tradition. Sometimes this process brings hope, comfort, or growth – but other times it compounds their suffering. What are patients supposed to do when they don’t see their lives reflected in the religious stories they cherish? And how can physicians recognize and respond to spiritual suffering that is layered on top of the physical? Our guest on this episode is Dr. Jonathan Weinkle, clinical assistant professor...
May 19
56 min
The creation of Medicare and Medicaid in 1965 enabled millions of Americans to meaningfully access healthcare for the first time — and dramatically increased demand for doctors. The passage of the Hart-Celler Immigration and Nationality Act a few months later enabled tens of thousands of immigrant physicians to migrate to the US. Since then, immigrant physicians have comprised between 25 — 40% of the physician workforce. Our guest on this episode is Professor Eram Alam, associate prof...
May 5
1 hr
The epidemic of physician burnout isn’t just a personal problem. Burned out doctors are more likely to make mistakes, less likely to follow preventative care guidelines, and more likely to have dissatisfied patients. When a burned out physician leaves an institution or quits all together, it can cost north of a million dollars to replace them. Unwell doctors lead to unwell patients — and an unwell health care system. The toll that the burnout epidemic has taken on physicians, patients, and ev...
Apr 14
57 min
The electronic medical record (EMR) has become an unwelcome interloper in the exam room. Too often, patients find themselves answering questions delivered from behind a monitor by physicians hurriedly typing away. This isn’t the kind of care anyone wants — but it’s what the system demands. Thankfully, change may be on the horizon. AI scribes are now being rolled out in EMRs across the country, capable of listening to a visit, generating a clinic note, and freeing the physician to be pre...
Apr 7
59 min
In recent years, Silicon Valley has imagined for us a new way of life – one where almost anyone can be a twenty or thirty-something-year-old with a supernatural glow, toned physique, understated intelligence, and a superabundance of vitality. This is not reality for most people, even for the twenty or thirty-something-year-olds, but medicine and technology originally intended to help people achieve baseline health are increasingly being leveraged to close the gap. This raises the question: wh...
Mar 17
52 min
Electronic Medical Records have transformed the way we practice health care, making patient data readily accessible to health care providers, facilitating collaboration within and across large medical teams, increasing transparency, and drastically improving the legibility of patient charts and prescriptions. But despite these benefits, many physicians cite the electronic medical record as a primary driver of burnout, pointing to the overwhelming volume of documentation it requires. In this e...
Mar 10
53 min
Over the past 160 episodes, two themes that have appeared repeatedly feel as relevant and urgent as ever are 1) the pros and dehumanizing cons of technology and 2) approaching suffering in the human experience. In this episode, we are excited to bring back a panel of notable past guests to discuss the interplay between medicine, suffering, technology, and the human experience. We are joined by historian Christine Rosen, PhD, philosopher Mikolaj Slawkowski-Rode, PhD, and palliative care ...
Feb 3
1 hr 7 min
Most medical encounters are structured as transactions. The patient comes in with a specific complaint, the medical expert identifies a discrete problem, and a specific intervention is prescribed. But at the heart of a medical encounter is a story. When a patient comes in with a medical problem, the problem cannot be disentangled from their life’s narrative — doing so risks hollowing out the essence of what it means to care for another person. Our guest on this episode is award-winn...
Jan 27
53 min
Dr. Bryant Lin is a primary care physician, educator, and researcher at Stanford University. In 2018, he founded CARE – the Center for Asian Health Research and Education. In 2023, CARE began a focused research effort investigating lung cancer in non-smoking Asians. In 2024, Dr. Lin was diagnosed with Stage 4 lung cancer, having never smoked in his life. After his diagnosis, Dr. Lin sprung into action. He began receiving care from Dr. Heather Wakelee – a Stanford oncologist specializi...
Jan 13
55 min
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