The Nocturnists
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The Nocturnists

作者: The Nocturnists
最近更新: 3周前
The Nocturnists is an award-winning medical storytelling podcast, hosted by physician Emily Silverma...

Recent Episodes

A Soft Place to Land with Frances Southwick, DO

A Soft Place to Land with Frances Southwick, DO

Physician and writer Frances Southwick tells a deeply personal story about love and illness. Growing up queer in rural Colorado, Frances experiences mysterious episodes of sudden paralysis triggered by intense emotion, beginning in adolescence and persisting for decades without a diagnosis. After years of shame, misattribution, and near-abandonment of dreams, Frances falls in love with Judith, builds a life with her, and finally receives a diagnosis of type 1 narcolepsy with cataplexy—explaining why moments of beauty, joy, and love literally caused collapse. Frances originally performed this story at Medicine Story: on the meanings of healing, a live storytelling event produced by Dr. Rebecca George from the Sierra Valley Health Center in Nevada City, CA in 2025. This event was generously funded by the California Health Care Foundation, as a part of our Satellites Program. The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. and our friends at the podcast Unleashed: Redesigning Health Care.

3周前
1小时1分钟
Medicine Beyond Medicine with Alicia Ashorn & Anthony Thigpen

Medicine Beyond Medicine with Alicia Ashorn & Anthony Thigpen

Community health workers Alicia Ashorn and Anthony Thigpen share their personal stories—Alicia's journey through addiction and recovery, and Anthony's path through grief, transformation, and reentry work—and how these experiences shape their care for people returning from incarceration. In the conversation that follows, they reflect on the power of storytelling, the emotional complexity of supporting clients in crisis, and the wisdom required to balance compassion with boundaries. Through vivid anecdotes from the field, they illuminate the essential yet often unseen role of community health workers as bridges between the clinic and the community, offering trust, dignity, and hope to people navigating systems that routinely fail them. Alicia and Anthony originally told their stories at Journeys of Healing: Stories of Resilience and Transformation, a storytelling event presented by Transitions Clinic Network in Los Angeles in 2025. The event was made possible by a generous grant from the California Health Care Foundation in support of our program, The Nocturnists Satellites. The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. and our friends at the podcast Unleashed: Redesigning Health Care.

4周前
53:02
Stories that Save Us with Sharon Fennix

Stories that Save Us with Sharon Fennix

Sharon Fennix spent 38 years incarcerated before becoming the hotline coordinator for the Transitions Clinic Network (TCN), where she now supports people returning to the community with empathy, compassion, and lived experience. In this episode, she talks with Emily about reentry, the power of peer support, and the creative life she built inside prison—evolving from seamstress to playwright, director, and storyteller whose productions bridged divides and transformed her own sense of self. Sharon was a producer for Journeys of Healing: Stories of Resilience and Transformation, a storytelling event presented by the Transitions Clinic Network in Los Angeles in 2025. The event was made possible by a generous grant from the California Health Care Foundation in support of our program, The Nocturnists Satellites. The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. 

2个月前
51:29
The Nurse and the Nun with Linda Wick, DNP, APRN

The Nurse and the Nun with Linda Wick, DNP, APRN

Nurse practitioner Linda Wick has spent more than four decades in medicine, beginning her journey as a six-year-old watching nurses care for her injured brother. In today's story, she recalls the early lessons that shaped her career—from the strict nuns who taught her at the College of St. Scholastica to the life-and-death responsibilities of the ICU and dialysis unit. When a medical emergency reunites her with one of her toughest teachers, Sister Helen, Linda is forced to confront the words that haunted her for years. Linda originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. 

2个月前
38:32
Birth and Poetry with Sarah Auna

Birth and Poetry with Sarah Auna

Birth doula Sarah Auna has attended nearly 500 births. Today, she shares the story of one particularly powerful birth—an experience that unfolded not only in the body, but in the mind and spirit of everyone present. Through vivid storytelling, Sarah reflects on the physiology and psychology of labor, the art of creating safety in moments of intensity, and the lessons birth has taught her about trust, presence, and self-knowledge. Sarah originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites.  Music by Rachel Kurtz (song: "Lioness") The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. 

2个月前
50:34
In This Body with Meghan Rothenberger, MD

In This Body with Meghan Rothenberger, MD

Infectious disease Physician Meghan Rothenberger grew up feeling uncertain and disconnected from her body. As a teenager, she struggled with an eating disorder, trying to make sense of the changes of adolescence and the cultural messages around her. Years later, as a medical student studying anatomy, she began to see the body not as something to control, but as something wondrous and worthy of care. In this conversation, Meghan talks with Emily about growing up, navigating an eating disorder, and finding healing through science, pregnancy, and the everyday miracle of being alive. Together, they explore how understanding the body can open the door to compassion, connection, and belonging within oneself. Meghan originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites. The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. 

3个月前
47:58
The Chaplain and the Doctor with Chaplain Betty Clark & Jessica Zitter, MD

The Chaplain and the Doctor with Chaplain Betty Clark & Jessica Zitter, MD

Physician Jessica Zitter and chaplain Betty Clark to explore their partnership and the making of their film The Chaplain and The Doctor. The documentary, set in Oakland's Highland Hospital, captures the real work of palliative care and spiritual care, alongside a growing friendship between two women who cross lines of race, power, and professional hierarchy. They discuss what it means to listen with compassion, how bias and racism manifest at the bedside, and how storytelling, humility, and friendship can become acts of healing. From funny hospital moments to scenes of deep moral reckoning, this episode shows how two healers learn from each other, and how humanity itself can be the best medicine. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

3个月前
56:55
The 100-Year Turnaround in Child Survival with Perri Klass, MD

The 100-Year Turnaround in Child Survival with Perri Klass, MD

Pediatrician and author Perri Klass joins us to discuss the dramatic fall in child mortality, drawing from her book The Best Medicine. She traces how clean water, vaccines, antibiotics, and neonatal care transformed family life, revisits once-feared diseases and the breakthroughs that conquered them, and reflects on the cultural shift that made childhood death unacceptable. We also explore the return of measles amid misinformation, the evolution of pediatrics from infection-fighting to child development, and what it means to raise kids in the most medically protected era in history. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

3个月前
1小时7分钟
Questions Without Answers with Sarah Manguso

Questions Without Answers with Sarah Manguso

Writer Sarah Manguso joins us to discuss Questions Without Answers—a book born from a single tweet that drew thousands of kids' startling, funny, and profound questions, later shaped with New Yorker cartoonist Liana Finck. Part poetry, part philosophy, part comedy, it's an anthology of childhood wonder. She also revisits her memoir Two Kinds of Decay, which chronicles her diagnosis with CIDP, a rare autoimmune disorder in which the body's immune system attacks the peripheral nerves, and how it shaped her understanding of illness, vulnerability, and the power of storytelling. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

4个月前
45:09
Creative Care with Dr. Anne Basting (Crossover Episode with Remo Health)

Creative Care with Dr. Anne Basting (Crossover Episode with Remo Health)

Anne Basting, a scholar, writer, and advocate for creative aging, speaks about her groundbreaking work transforming dementia care through creativity and storytelling. As the founder of TimeSlips and author of "Creative Care," Basting shares how she discovered the power of improvisation to spark imagination, dignity, and joy in people with dementia. Together, we explore the "beautiful question," the principles of "yes, and," and "proof-of-listening" — simple but profound tools for building connection. Anne reflects on her journey from studying senior theater to pioneering a movement that redefines care as a creative, relational process, offering practical insights for caregivers, families, and communities to engage with people living with dementia in more meaningful ways. This episode was originally produced by Remo Health as a part of their "Talking Dementia" podcast. Remo Health is an innovative telehealth company providing whole-person care to people living with dementia and their caregivers. To learn more about Remo, visit remo.health. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and the Physicians Foundation. 

4个月前
43:02
First Person Medicine with Dr. Susan Nathan and Thor Ringler

First Person Medicine with Dr. Susan Nathan and Thor Ringler

Dr. Susan Nathan, a palliative care physician at the Boston VA, and Thor Ringler, a therapist and poet at the Madison VA, share the story of My Life, My Story — a groundbreaking program that brings veterans' voices into their medical charts through first-person narratives. Born from a desire to foster empathy and human connection in clinical care, the program has now spread to over 80 VA hospitals nationwide. Susan and Thor reflect on the origins of the initiative, the impact these stories have on patient-clinician relationships, and the profound moments of vulnerability, dignity, and healing that emerge from the storytelling process. We discuss the art of deep listening, the logistics of writing and sharing these narratives, and their vision for expanding this model to institutions beyond the VA. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

5个月前
34:36
Breaking the Mental Health Stigma in Medicine with Corey Feist

Breaking the Mental Health Stigma in Medicine with Corey Feist

Corey Feist, co-founder of the Dr. Lorna Breen Heroes Foundation, shares the story of his sister-in-law, Dr. Lorna Breen, a dedicated New York City emergency physician who died by suicide in the early days of the COVID-19 pandemic. Corey reflects on her passion for medicine, the shock and grief that followed her death, and the flood of messages from healthcare workers that exposed deep stigma and barriers to seeking mental health care. He describes how this outpouring sparked the creation of the foundation and the passing of the Dr. Lorna Breen Health Care Provider Protection Act, driving systemic change to better support clinicians. We also explore ongoing advocacy, progress in reforming licensing and credentialing practices, and the power of community, collaboration, and action in preserving clinician wellbeing.  Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

5个月前
44:17
Exposing Moral Injury with Wendy Dean, MD

Exposing Moral Injury with Wendy Dean, MD

Dr. Wendy Dean, psychiatrist, writer, and co-founder of Moral Injury of Healthcare, reveals how a profit-driven healthcare system is wounding the very clinicians sworn to care for patients. Drawing from her book If I Betray These Words, Dean explains the concept of moral injury—how systemic betrayal, not personal weakness, often drives physician distress—and shares harrowing true stories of doctors punished, silenced, or even destroyed for putting patient safety first. From corporate consolidation gutting primary care to non-compete clauses that trap physicians, she exposes the forces undermining patient-first medicine and highlights the courageous clinicians fighting back through lawsuits, new care models, and bold advocacy. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

5个月前
52:12
BONUS - Managing Uncertainty: A Path to Better Patient Care

BONUS - Managing Uncertainty: A Path to Better Patient Care

Today, we're releasing a special bonus episode featuring Emily and our "uncertainty correspondent" Alexa Miller, in conversation with the ABIM Foundation. Together, they reflect on the key insights from creating the Uncertainty in Medicine series. Thank you to the ABIM Foundation for hosting and recording this webinar. To sign up for a webinar in the future, visit buildingtrust.org/webinars. 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: Pamela Browner White Uncertainty Correspondent: Alexa Miller Series Illustrations by Eleni Debo

7个月前
55:03
13 - Uncertainty in Medicine: Denial and Acceptance

13 - Uncertainty in Medicine: Denial and Acceptance

In the series finale, we explore a different type of uncertainty—the uncertainty that arises around the healthcare system itself. This episode follows Ed Stratton, a stage IV cancer patient who beat his cancer, only to be denied a life-saving liver transplant by his insurance provider. His daughter Erin, armed with industry knowledge and unshakable determination, teams up with a healthcare whistleblower and an AI-powered startup to wage an extraordinary battle for his life. We end with a quiet reflection on uncertainty, and what it means to keep going.  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

7个月前
44:33
12 - Uncertainty in Medicine: The Good Life

12 - Uncertainty in Medicine: The Good Life

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

7个月前
38:12
11 - Uncertainty in Medicine: How We Die

11 - Uncertainty in Medicine: How We Die

Today, we explore the paradox of mortality: something both certain and utterly unknowable. Through a haunting parable from Ursula K. Le Guin and stories from doctors and loved ones, we hear what happens when people try to plan for death—or avoid it. A daughter processes her mother's calm decision to pursue assisted dying. A physician grapples with an ambiguous advance directive. A neurointensivist weighs the line between hope and false hope. What do we do when clear answers are impossible? And what happens when our attempts to control death only bring more suffering?  And in the midst of all this uncertainty, how do we find peace? 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 Series Illustrations by Eleni Debo

7个月前
40:16
10 - Uncertainty in Medicine: Trusting the Process with Leila Simon Hayes

10 - Uncertainty in Medicine: Trusting the Process with Leila Simon Hayes

Today, we step inside the studio of visual artist Leila Simon Hayes, whose bold, shape-driven designs are born from a process rooted in imperfection, intuition, and trust. Through her story, we explore how Leila's creative practice helped her navigate decades of chronic pain and medical dismissal, eventually leading her to healing not through certainty, but through listening—both to her art and her body. Her journey invites us to reconsider our own relationship with uncertainty, and to ask: what happens when we stop demanding answers and start embracing the unknown? 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

8个月前
21:08
9 - Uncertainty in Medicine: Off Script

9 - Uncertainty in Medicine: Off Script

Today, we explore the hidden layers of communication in medicine—what gets said, what doesn't, and how uncertainty lives not just in the clinical data, but in the space between people. From a telemedicine encounter with a stubbornly independent patient in the Santa Cruz mountains, to a deeply personal story of navigating breast cancer risk, and finally to the ICU, where one physician is trying to revolutionize how teams talk about the unknown, this episode invites listeners into the gray zones of uncertainty and the doctor-patient relationship. 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

8个月前
36:03
8 - Uncertainty in Medicine: Precision in Motion with Chris Aiken

8 - Uncertainty in Medicine: Precision in Motion with Chris Aiken

Today, we step into the dance studio with improvisational dance artist Chris Aiken, whose work lives at the intersection of uncertainty, movement, and presence. With insights that resonate far beyond the dance studio, Chris explores how attention, poetic instinct, and even failure are essential tools for responding creatively under pressure—much like an ER doctor at a moment of crisis. 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

8个月前
29:18
7 - Uncertainty in Medicine: A Matter of Time

7 - Uncertainty in Medicine: A Matter of Time

This week, we explore how time and uncertainty are intertwined in the practice of medicine. A toxicologist faces a split-second decision in the ER that could mean life or death for a young patient. A woman with chronic ankle pain spends years searching for answers as dozens of doctors offer snap diagnoses and failed treatments. A rheumatologist navigates the slow, murky waters of autoimmune disease, where diagnosis and treatment often unfold over months or years. And a couple reckons with the long-term implications of a rare and unpredictable heart condition. Through these stories, we see how uncertainty can stretch time out endlessly or collapse it into a single moment and how, in medicine, working with time rather than fighting against it is often the only way forward. 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

8个月前
33:07
6 - Uncertainty in Medicine: Navigating Uncertainty with Admiral Mike LeFever

6 - Uncertainty in Medicine: Navigating Uncertainty with Admiral Mike LeFever

When a 7.6 magnitude earthquake leveled entire villages in Pakistan, retired U.S. Navy Admiral Mike LeFever was thrust into the heart of the disaster with no playbook and a simple directive: provide humanitarian aid and strengthen U.S.-Pakistan relations. In this episode, LeFever recounts what it was like to lead a massive relief effort in the chaotic aftermath—coordinating aid, rebuilding schools, and navigating diplomacy in a country where his presence was politically charged. As his mission evolved from emergency response to long-term relationship-building, including during the fallout of the Bin Laden raid, LeFever shares hard-won lessons on leadership, humility, and decision-making in extreme uncertainty. 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

9个月前
18:01
5 - Uncertainty in Medicine: Leaps of Faith

5 - Uncertainty in Medicine: Leaps of Faith

What happens when doctors have to make life-or-death decisions in an evidence-free zone — and patients are left to navigate the unknown? In episode 5 of "Uncertainty in Medicine", we bring you three gripping, real-life stories: a neurosurgeon weighing impossible risks in the operating room, a palliative care doctor facing a young man's quiet resolve to die, and a patient whose long-awaited kidney transplant vanishes in a single phone call. These are high-stakes moments where instinct takes over, control slips away, and the only way forward is a leap of faith. 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. This episode is sponsored by a new podcast that fans of the Nocturnists are sure to love. Unleashed: Redesigning Health Care features clinician-innovators who have changed care on the front lines. Their stories, their voices, their ingenuity. Learn more at unleashedpodcast.org. Host: Emily Silverman, MD Uncertainty Correspondent: Alexa Miller Series Illustrations by Eleni Debo

9个月前
28:04
4 - Uncertainty in Medicine: Root Causes with Ronald Wyatt, MD

4 - Uncertainty in Medicine: Root Causes with Ronald Wyatt, MD

What does uncertainty in medicine have to do with Chernobyl? According to patient safety officer Dr. Ron Wyatt, more than we might think. In the fourth episode of our "Uncertainty in Medicine" series, he draws a chilling connection between one of history's worst nuclear disasters and the quiet, preventable tragedies that unfold in hospitals every day. In both cases, the warning signs were there. People sensed something was wrong. But no one spoke up—or if they did, no one listened. Through his work at the Joint Commission, Dr. Wyatt has spent decades investigating sentinel events, the most serious and avoidable medical errors. What he's found is deeply unsettling: the root causes rarely come down to lack of knowledge. They come from cultures where fear, hierarchy, and silence override curiosity and caution. And time and again, he's seen how racism and bias magnify that silence. Here, Dr. Wyatt reveals what truly makes healthcare safe—and what has to change to protect every patient, equally. Quick note: In this episode, Dr. Wyatt mentions his time at The Joint Commission. The correct length of his tenure is 5 years. 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. This episode is sponsored by a new podcast that fans of the Nocturnists are sure to love. Unleashed: Redesigning Health Care features clinician-innovators who have changed care on the front lines. Their stories, their voices, their ingenuity. Learn more at unleashedpodcast.org. Host: Emily Silverman, MD Uncertainty Correspondent: Alexa Miller Series Illustrations by Eleni Debo

9个月前
21:19
3 - Uncertainty in Medicine: Through Thick and Thin

3 - Uncertainty in Medicine: Through Thick and Thin

In episode 3 of the "Uncertainty in Medicine" series, patient Dana undergoes a routine knee replacement and expects a straightforward recovery. Instead, she's plunged into a baffling and relentless illness—one that defies diagnosis and leaves her life in limbo. As her symptoms intensify and specialists write her off, Dana finds an unwavering ally in her primary care doctor, the one person who refuses to let her fall through the cracks. This episode traces their year-long search for answers, revealing the emotional cost of medical uncertainty and the rare power of a clinician who stays the course. Along the way, we visit Lewiston, Maine, where a small, intentional change to residents' schedules is making the uncertainty of primary care more manageable and helping keep young doctors in the field. 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. This episode is sponsored by a new podcast that fans of the Nocturnists are sure to love. Unleashed: Redesigning Health Care features clinician-innovators who have changed care on the front lines. Their stories, their voices, their ingenuity. Learn more at unleashedpodcast.org. Host: Emily Silverman, MD Uncertainty Correspondent: Alexa Miller Series Illustrations by Eleni Debo

9个月前
32:05
2 - Uncertainty in Medicine: Looking with Uncertainty with Alexa Miller

2 - Uncertainty in Medicine: Looking with Uncertainty with Alexa Miller

Step inside Alexa Miller's classroom, where paintings become portals and doctors learn to see like patients. In this episode, Alexa leads a powerful exercise called the "image circle," where clinicians reflect on their own experiences of medical uncertainty and choose artworks that speak to those moments. What follows is anything but abstract—through close looking and deep conversation, participants begin to feel what it's like to sit on the other side of the exam table. Alexa, a trailblazer at the crossroads of art and medicine, shares  frameworks for understanding uncertainty and introduces her BOLD framework for navigating uncertainty in healthcare. 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

9个月前
20:38
1 - Uncertainty in Medicine: The Art of Not Knowing

1 - Uncertainty in Medicine: The Art of Not Knowing

In the premiere of the "Uncertainty in Medicine" series, The Nocturnists explore medicine's uneasy relationship with not knowing. From the clean resolutions of medical dramas to the structured rituals of case conferences, the culture of medicine often treats uncertainty as something to be avoided, resolved, or explained away. But what happens when uncertainty is not just a temporary gap in knowledge—but a constant, lived reality? Through story and reflection, this episode invites listeners to reconsider the role of uncertainty in clinical care. What if the goal isn't to eliminate it, but to navigate it skillfully? And what if doing so makes us not only better clinicians, but better collaborators, listeners, and humans? 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

10个月前
28:12
Re-Release: The Uncertain World of Chronic Lyme with Ross Douthat

Re-Release: The Uncertain World of Chronic Lyme with Ross Douthat

Our Uncertainty in Medicine series launches next week, and to set the stage, we're sharing one of our favorite episodes from the archives - a heartfelt conversation with New York Times columnist Ross Douthat about his journey through the healthcare system while living with chronic Lyme disease. Medicine likes certainty - diseases we can see and test for and treat. But what do we do when we can't see? When we can't help? Do we keep searching? Or do we look away? In this episode, Emily speaks with New York Times columnist Ross Douthat about his book The Deep Places, which tells the harrowing story of his experience with Lyme disease, and what it's like to navigate a chronic illness that mainstream medicine hasn't yet fully explained. Find show notes, transcript, and more at thenocturnists.org. The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

10个月前
50:49