The Doctor's Art

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...

Transcribed - Published: 2 June 2026

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...

Transcribed - Published: 19 May 2026

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...

Transcribed - Published: 5 May 2026

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...

Transcribed - Published: 14 April 2026

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...

Transcribed - Published: 7 April 2026

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...

Transcribed - Published: 17 March 2026

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...

Transcribed - Published: 10 March 2026

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 ...

Transcribed - Published: 3 February 2026

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...

Transcribed - Published: 27 January 2026

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...

Transcribed - Published: 13 January 2026

Many of us quietly accept the idea that our best self lives somewhere in the past — that youth is the ideal and aging is a slow erosion of who we really are. But what if getting older isn’t about losing our identity, but deepening it? What if the second half of life could be defined not by decline, but by “joyspan”—our capacity for meaning, connection, and contentment as we age? Our guest on this episode is gerontologist and author Kerry Burnight, PhD. As a professor at the University of Cali...

Transcribed - Published: 23 December 2025

Many of the world’s best physicians find it surprisingly difficult to answer the question: Why are you in medicine? In the long, arduous journey of medical training or within the technocratically-minded healthcare system, one can easily get lost in the life of the mind—and become estranged from the life of the heart. Our guest on this episode is Brewer Eberly, MD, a third-generation family physician and a fellow at Duke Divinity School’s Theology, Medicine, and Culture Initiative. Dr. Eberl...

Transcribed - Published: 16 December 2025

We often confuse happiness with the absence of sadness, or a meaningful life with a productive one. The result might be a life that runs smoothly, but feels strangely flat — as if something essential is missing from the story. What if a truly good life isn’t just happy and meaningful, but also interesting? Our guest today is Shige Oishi, PhD, professor of psychology at the University of Chicago and author of Life in Three Dimensions (2025). Oishi pioneered the idea of psychological richness —...

Transcribed - Published: 19 November 2025

When a religious person is isolated from their community, whether due to hospitalization or military service, they can often rely on a chaplain for spiritual support. But where does a non-religious person turn when facing the same circumstances? And what tools do they have for meaning making? Our guest is Greg Epstein, humanist chaplain at Harvard and MIT and author of the New York Times bestselling book Good Without God. As a humanist chaplain, Greg has spent his career building ethical co...

Transcribed - Published: 4 November 2025

Many medical trainees are driven to medicine by their moral or religious principles — only to find that they are expected to check their principles at the patient’s door. When this happens, physicians and patients may lose the opportunity for deeper, more healing relationships. Our guest on this episode is Dr. Farr Curlin, a hospitalist and palliative care physician at Duke University School of Medicine. Dr. Curlin holds joint appointments in the Trent Center for Bioethics, Humanities &...

Transcribed - Published: 28 October 2025

Medical trainees spend years mastering what to do when biology fails — countless protocols, procedures, and split-second decisions. By the end, they’re primed to fix what’s broken. But what if the mandate of medicine is simpler — and more human? Our guest on this episode is Dr. Jessica Zitter — a physician, author, and filmmaker who has spent her career at the fault line between intensive care and palliative care. Dr. Zitter was initially drawn to the technical choreography in the ICU: numb...

Transcribed - Published: 7 October 2025

Editorial Note: This episode was recorded in December 2024, after the nomination of Robert F Kennedy Jr as Secretary of Health and Human Services had been announced but prior to his confirmation. Some comments by the podcast hosts and our guest will reflect this timing. Elephants rarely get cancer, ants quarantine when sick, and altruistic pigs have a higher pain tolerance. In this episode, we discuss insights from the animal world that shed light on human health and wellness, a...

Transcribed - Published: 18 September 2025

Imagine practicing medicine not within the sterile confines of a hospital, but in the unpredictable world of city streets and shelters, where every patient encounter challenges conventional notions of care, empathy, and human dignity. We explore this reality through the extraordinary journey of Jim O'Connell, MD, whose groundbreaking work with Boston's homeless population has profoundly reshaped health care for society's most marginalized individuals. Dr. O'Connell is the founding president...

Transcribed - Published: 25 July 2025

The relationship between physicians and the larger healthcare system is incredibly complex, raising difficult questions about patient care, advocacy, and the role of doctors in shaping public policy. In this episode, we explore these critical issues and the realities faced by healthcare providers today. Our guest is Bruce Scott, MD, an otolaryngologist and 2024 – 2025 President of the American Medical Association (AMA). Motivated by a serious childhood injury and the life changing car...

Transcribed - Published: 4 July 2025

George Mark Children's House is a pediatric palliative care center in California that provides respite and hospice for children with serious illnesses and their families. In March 2025, we heard the personal story of the House’s director. In this episode, we have been invited on site to speak with someone whose life has been touched by the House. Our guests are Kaitlyn, a young woman living with epilepsy, her mother Liz, and Kyle, a child life specialist. Kaitlyn has lived with seizur...

Transcribed - Published: 3 June 2025

If you were asked to build a medical school from scratch, how would you do it? It's not a chance most of us get — but that was exactly the task given to our guest on this episode, Sharmila Makhija, MD, MBA. Dr. Makhija is a gynecologic oncologist by training, a clinician who has spent her career working with patients through some of life's most vulnerable and uncertain moments. She has also served as chair of obstetrics and gynecology at Montefiore Health System in New York, and before that, ...

Transcribed - Published: 14 May 2025

What happens to the practice of medicine when machines begin to reason, summarize and even empathize — at least in the linguistic sense — better than humans do? In this episode, we meet with Michael Howell, MD, MPH, Chief Clinical Officer at Google, to explore the seismic shifts underway in healthcare as artificial intelligence becomes more deeply embedded in clinical workflows. Dr. Howell, a pulmonary and critical care physician, has spent his career at the crossroads of clinical exc...

Transcribed - Published: 6 May 2025

If you could be plugged into a machine that simulated the perfect experience — limitless joy, deep connection, a sense of purpose — yet you knew it wasn't real, would you choose to stay plugged in? This isn't just a philosophical exercise. As our lives become increasingly digitized, our relationships filtered through screens, our emotions managed by algorithms, our attention parceled out to feeds and notifications, we are confronted with a deeper question: what does it mean to have an...

Transcribed - Published: 1 May 2025

There is something uniquely haunting about many neurological diseases. These conditions often don't only affect the body — they reshape the very foundation of who we are, our memories, our personalities, our language. When the brain begins to fail, the boundary between illness and identity start to blur; the person we know begins to fade even before their life has ended. In this episode, we are joined by John Rhee, MD, MPH, a neuro-oncologist and palliative care physician at Dana-Farb...

Transcribed - Published: 26 March 2025

Neurosurgery is known as one of the most precise and demanding specialties in medicine. It requires absolute technical mastery in a surgical field where a millimeter’s difference can be the deciding factor between lifelong disability or a life restored. But what happens when a surgeon trained to be objective and detached experiences deep personal loss? How does it reshape the way they practice medicine? In this episode, we are joined by Joseph “Jody” Stern, MD, a neurosurgeon and the ...

Transcribed - Published: 18 March 2025

In medicine, we are trained to fight for life — to extend it, preserve it and restore it. But sometimes the goal shifts from curing to comforting. That, in brief, is the essence of palliative care. It compels us to ask what it means to truly care for a person at the end of life, not as a failure of medicine but as a profound act of love. In this episode, we enter a space where time slows down, where every moment is cherished, and where medicine is tantamount to presence, dignity, and ...

Transcribed - Published: 4 March 2025

Medicine is often framed as a meritocracy, where intelligence, hard work, and dedication dictate success. Yet, institutions of medicine are shaped by histories of exclusion, bias, and systemic inequities. And for clinicians coming from marginalized backgrounds, the journey is not just about learning the science. It's also about learning an entirely different set of rules — rules that are unspoken and unwritten, but deeply felt. For Damon Tweedy, MD, this struggle was deeply personal. ...

Transcribed - Published: 20 February 2025

Physicians are trained to diagnose and treat disease, but they're not always taught how to lead. Yet in an era of increasing administrative burdens, evolving healthcare policies, and growing physician burnout, leadership skills have never been more essential. How can physicians reclaim their voices in healthcare decision making? What makes an effective physician leader in today's complex landscape? Here to answer these questions is Peter Angood, MD, President and CEO of the American A...

Transcribed - Published: 12 February 2025

The American diet is the leading cause of death among Americans. Accumulating medical evidence now shows that poor diet not only contributes to heart disease, diabetes, and stroke, but also to cancer, Alzheimer's disease, liver disease, and much more. Despite its direct and indirect roles in causing half or more of all deaths, food is not something doctors learn about in their training, nor is it something that's emphasized enough to patients by the medical establishment. Our guest on...

Transcribed - Published: 31 January 2025

In recent years, it has become evident that loneliness is one of the most pressing public health challenges of our time — so much so that the US Surgeon General has labeled it an epidemic with far reaching consequences. The pain of isolation doesn't merely gnaw at our sense of belonging: it undermines our physical wellbeing, erodes our mental health, and places an invisible strain on communities. In this climate of ever widening personal and cultural divides, the collective call for deeper hu...

Transcribed - Published: 22 January 2025

We have featured many techno-optimists on this show — healthcare leaders who believe that precision medicine and emerging technologies promise to revolutionize and democratize medicine in the best of ways. But look under the glossy veneer of this optimism and we see a far more complex story, one that touches on questions of power, inequity and the troubling ways in which genetics can be wielded, intentionally or not, to shape society in potentially dangerous ways. Our guest on this ep...

Transcribed - Published: 31 December 2024

Life can be hard when we are sick. But even when we aren't, life can still wear us down in quiet, surprising ways. Indeed, major traumas are relatively rare, and it's the moments when too many things go wrong at once, or we are exposed to prolonged periods of stress, that we fall into a spiral of exhaustion, fatigue, burnout, and hopelessness. Vincent Deary, PhD is an author and health psychologist who explores the mundane struggles of everyday life. His writings blend clinical insigh...

Transcribed - Published: 5 December 2024

Variations of cryonics — the long term storage of human beings, usually at low temperatures — have long been featured in science fiction. In stories involving space travel, it’s often used as a solution for long-duration journeys. But increasingly, this is not just the stuff of fiction anymore. The prospect of preserving ourselves, potentially indefinitely, forces us to ask some of the most profound questions we have ever faced: are we meant to transcend the boundaries of our mortal l...

Transcribed - Published: 26 November 2024

One of the most mysterious and frightening entities in medicine are prion diseases — rare neurodegenerative disorders that are usually infectious in nature but involve not bacteria or viruses, but proteins. Prions are misfolded proteins that can induce normal proteins to become misfolded as well, resulting in a chain reaction that leads to irreversible brain damage and death. What makes prions alarming is that they are incurable, can incubate for decades in a person's brain without symptoms, ...

Transcribed - Published: 14 November 2024

The second half of the 20th century saw monumental shifts in civil rights in the United States, with the end of legalized racial segregation, discrimination, and disenfranchisement affecting all spheres of life, from education to health care to housing to marriage and more. Judge David S. Tatel is a civil rights lawyer who has contributed to key advancements in voting rights, educational equality, and disability rights. Over the course of his five-decade career, he has served as Direc...

Transcribed - Published: 5 November 2024

Addiction is often misunderstood not just by the public, but also by clinicians. It challenges us as individuals, families, and communities. To understand addiction is to understand not only human behavior and neuroscience, but also social networks, public policies, and bioethics. Our guest on this episode, Keith Humphreys, PhD, is a psychologist who specializes in addiction and has served on the White House Commission on Drug Free Communities during the Bush administration, and as Senior Pol...

Transcribed - Published: 31 October 2024

One of the most fascinating concepts in human health is the idea of social contagion, meaning that emotions, behaviors, and health outcomes can spread through social networks, much like infectious diseases. Examples in the medical literature abound: if a person becomes obese, their friends have a significantly higher chance of becoming obese — even their friends of friends have increased odds of becoming obese. Similarly, someone who quit smoking is likely to create a ripple effect through th...

Transcribed - Published: 24 October 2024

Digital technologies have saturated our lives and there is no going back. Given this, it's worth pondering whether and how they are fundamentally reshaping our mind and our relationships. A seminal work that explores these issues is the 2010 book The Shallows: What the Internet Is Doing to Our Brains, by journalist Nicholas Carr. In it, he argues that the internet is “shallowing” our brains, meaning that as we offload cognitive tasks to digital tools, our ability to read linearly, to ...

Transcribed - Published: 17 October 2024

Medicine is filled with stories that illustrate the most beautiful, devastating, hopeful, and consequential moments of life. But how do we capture these moments and transform them into everlasting lessons that guide us on our search for meaning? That's where the art of storytelling comes in. Our guest on this episode is Anna Reisman, MD, director of the Program for Humanities in Medicine at the Yale School of Medicine. Dr. Reisman is not only a physician-writer whose essays have appea...

Transcribed - Published: 8 October 2024

During the first year of the COVID-19 pandemic, the phrase “Healthcare Heroes” echoed through hospital walls and city streets. For many people, this felt like an overdue acknowledgment of the difficult and important work that healthcare professionals carried out during the most devastating healthcare crisis the world had seen in a century. But this phrase can also be problematic, romanticizing the sacrifices of individual clinicians without addressing the systemic failures that put them at ri...

Transcribed - Published: 1 October 2024

Precision medicine — the approach to health care that involves tailoring medical interventions to an individual's genetic makeup, environment and lifestyle — promises to deliver the right treatment to the right person at the right time. From preventing diseases decades before they appear, to specially designed cocktails of cancer drugs, to genetic modification of rare diseases, many of these applications sound straight out of science fiction. At the forefront of precision medicine and...

Transcribed - Published: 24 September 2024

Joseph Sakran, MD, MPH was a teenager in a small town in Virginia when, in 1994, his life took a dramatic turn. At the age of 17, he was out with his friends after a high school football game when a nearby gunfight broke out and he was struck by a stray bullet in the throat. The bullet, tearing through his windpipe and a carotid artery, brought him to the razor edge of death before he was saved by trauma surgeons. Thirty years later, Dr. Sakran is now a trauma surgeon who serves as Di...

Transcribed - Published: 18 September 2024

To the best of our knowledge, humans appear to be unique among animals in our awareness of mortality — at least in our capacity for existential reflection about death in an abstract, cultural, and symbolic sense. With this capacity comes profound psychological experiences, from our search for meaning, to our struggle with grief, to a yearning for the spiritual. Our guest on this episode is Dr. Rachel Clarke, a palliative care physician based in the United Kingdom who entered medicine ...

Transcribed - Published: 10 September 2024

Modern medicine has long considered many neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease to be immutably linked to the fate of certain unlucky individuals through yet-poorly understood genetic mechanisms. But increasingly, we are seeing evidence that some of our lifestyle choices, including our diet, physical activity, and relationships, may play a significant role in the development of, or protection against, these diseases. Our guest on this episode, David Per...

Transcribed - Published: 3 September 2024

What makes a life worth living? This question has animated great thinkers and faith traditions for millennia. Interestingly enough, in our time of rapid globalization, technological advancement, and material abundance, we often seem more unmoored from our conception of the self and its relation to the world than ever before. Our guest on this episode, Miroslav Volf, has spent his life wrestling with this question of questions and helping others to do the same. Volf is a professor of theology ...

Transcribed - Published: 27 August 2024

Most people shudder at the idea of an infectious disease outbreak — patients stricken with a mysterious illness, hospitals overflowing, and cities going into lockdown. But for Syra Madad, DHSc, MSc , MCP, rushing into such a scenario, donned in a hazmat suit, to control the chaos has been a dream since childhood. Today, she is an epidemiologist, biosecurity advisor, and a pathogen preparedness expert who serves as Senior Director of the System-Wide Special Pathogens Program at New York City H...

Transcribed - Published: 22 August 2024

For many physicians, having serious illness conversations with patients — talking about a dire prognosis or the futility of curative treatments — is one of the most daunting aspects of patient care. But to palliative care physician Shunichi Nakagawa, MD, these conversations are fundamentally about communicating the honest truth in an elegant, considerate, and humane way. Dr. Nakagawa, the director of the Inpatient Palliative Care Service at Columbia University Medical Center, joins us...

Transcribed - Published: 13 August 2024

When Impossible Foods released its first product, the Impossible Burger, in 2016, it was met with equal parts curiosity, skepticism, and excitement. This plant-based “meat that bleeds” was seen as a novelty item. Today, Impossible Foods’ expanded line of offerings, from sausages to chicken nuggets to Italian meatballs, can be found in most American grocery stores at a price that rivals traditional meats. The founder of Impossible Foods is Pat Brown, MD, PhD, a physician and molecular ...

Transcribed - Published: 6 August 2024

Many people regard dementia as a fate worse than death, in large part because it strikes at the essence of our humanity — our memories, identity, and relationships with others. Unlike diseases that primarily afflict the body, dementia erodes the mind, leading to a gradual fragmentation and loss of self and autonomy. The burden of this disease on caregivers also cannot be understated. Not only does dementia require comprehensive, long term care that addresses the afflicted individual’s...

Transcribed - Published: 30 July 2024

There once was a time when indoor smoking was allowed in workplaces all across the United States, when trans fats were ubiquitous, and when fast food restaurants didn't have to post calorie information on their menus. That wasn't so long ago, and it's in large part thanks to the pioneering efforts of Tom Frieden, MD, MPH, Health Commissioner of New York City from 2002 to 2009, that these changes were made. Dr. Frieden’s city-wide initiatives during this time included steps to reduce tobacco u...

Transcribed - Published: 23 July 2024