12 - Uncertainty in Medicine: The Good Life
The Nocturnists
Emily Silverman
4.8 • 614 Ratings
🗓️ 19 June 2025
⏱️ 38 minutes
🧾️ Download transcript
Summary
What does it mean to live well in a world where nothing is certain — not in medicine, not in life? In this episode, we follow a high school teacher who asks his students to examine "the good life" through philosophy, Buddhism, and existential inquiry. We meet two women — a Buddhist monk and a disability rights advocate — who bring spiritual wisdom to the messy realities of illness, caregiving, and embodiment. Their stories, woven with reflections on impermanence, suffering, and compassion, offer a new way of thinking about uncertainty: not as something to fix, but as something to live with.
Find show notes, transcripts, and more at thenocturnists.org, and subscribe to our substack.
The "Uncertainty in Medicine" series is generously funded by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation.
The Nocturnists is supported by The California Medical Association and donations from listeners like you.
Host: Emily Silverman, MD
Uncertainty Correspondent: Alexa Miller
Series Illustrations by Eleni Debo
Transcript
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| 0:00.0 | Support for the Nocturnist comes from the California Medical Association. |
| 0:04.3 | At the Nocturnist, we are careful to ensure that all stories comply with health care privacy laws. |
| 0:09.2 | Details may have been changed to ensure patient confidentiality. |
| 0:12.6 | All views expressed are those of the person speaking and not their employer. |
| 0:18.2 | Ben Slater is a high school English teacher in San Francisco. |
| 0:22.4 | He teaches everything from Dostoevsky to Yagiyasi to Adrian Rich. |
| 0:28.1 | But his favorite class to teach is not an English class at all. |
| 0:32.0 | It's called Examining the Good Life, based on Socrates's famous quote, the unexamined life is not worth living. |
| 0:39.7 | I actually wanted to just call it The Good Life because that was the central philosophical concept. |
| 0:44.8 | But then the administrator was like, that just sounds like you're all just going to be having fun. |
| 0:48.9 | So let's keep examining in there. |
| 0:51.4 | And what they're examining are different ways of understanding what makes a good life. |
| 0:56.0 | It was sort of a general philosophy class and I shifted the focus to be like what makes |
| 1:00.3 | for a good life. |
| 1:01.2 | So like what makes us happy, how to deal with suffering, uncertainty, freedom, like in the |
| 1:06.5 | broadest sense, like how should you live? |
| 1:08.8 | The syllabus is broad. |
| 1:10.4 | They talk about everything from Simone de Beauvoir's Death of the Serious World. |
| 1:14.9 | I kind of wish I could go back to the serious world, to be honest. |
| 1:18.5 | I liked having blind faith in something. |
| 1:21.0 | To the work of Friedrich Nietzsche. |
| 1:23.8 | He's super, super dramatic, and that's what I loved about him. |
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