To many health economists, the growing aging population is the greatest public health challenge facing America. The current fragmented and costly healthcare system is simply incapable of dealing with the complex medical and socioeconomic needs of this population, especially in an equitable way. Our guest on this episode, Linda Fried, MD, MPH, has dedicated her life to rethinking how we can create better health futures for older adults. Her pioneering research has expanded our notions of...

The history of cardiac surgery is filled with tales of intrepid surgeons with larger-than-life personalities who pushed the limits of the human body and the bounds of what were then considered acceptable medical practices. The result? Heart transplants, pacemakers, artificial heart valves, heart-lung machines, and other once-unthinkable and experimental procedures that have now saved millions of lives.  Our guest in this episode, Gerald Imber, MD, charts these remarkable developments in his...

Rotavirus, a highly contagious virus that causes severe diarrhea and vomiting, used to kill more than half a million children annually. But the introduction of the rotavirus vaccine has slashed that number dramatically, saving hundreds of thousands of lives each year.  Joining us in this episode is Paul Offit, MD, a co-inventor of one of the two most widely used rotavirus vaccines worldwide. Dr. Offit is a professor of pediatrics and vaccinology at the University of Pennsylvania and...

Soon after finishing his first semester of college, Jim Yong Kim, MD, PhD excitedly told his father that he'd dedicate his life to starting a social justice movement. In response, his father sternly reprimanded him, saying that the only career he'd support was one in medicine. Dr. Kim acquiesced, but over the subsequent decades would hold on to this passion for social justice and become one of the most influential individuals working in global health, poverty reduction, and sustainable...

It's a cliche to say health care is broken. However, the extent to which it is unnecessarily convoluted, inefficient, and fragmented frustrates even the most experienced clinicians each time they are forced to deal with its consequences. Medical records disappear when a patient switches doctors. Critical details of life-saving treatment plans are buried deep within thousands of pages worth of electronic charts.  In this episode, Stanford oncologist and journalist Ilana Yurkiewicz, MD explores...

We didn’t choose to live this life. In its most difficult moments, it's all too natural to ask the question, “What makes life worth living?”  This question, so central to philosophy since ancient times, is what we explore in this episode with Nick Riggle, a professor of philosophy at University of California, San Diego. Riggle is the author of several books, most recently 2022’s This Beauty: A Philosophy of Being Alive.  Over the course of our conversation, we discuss aesthetics, which is...

Anyone who has interacted with ChatGPT is likely to agree that it is one of the most powerful and transformative artificial intelligence tools out there. Writes our guest on this episode, Microsoft's Chief Scientific Officer Eric Horvitz, MD, PhD, “ChatGPT left me awestruck. It is a polymath with a remarkable capacity to integrate traditionally disparate concepts and methodologies to weave together ideas that transcend disciplinary boundaries.”  Dr. Horvitz is one of the leading voices in...

If you were to rank all the medical specialties by the arduousness of the training required, the technical complexity and high stress of the interventions involved, and the harshness of the working hours, cardiothoracic surgery would be near or at the top of anyone's list.  In this episode, cardiac surgeon and Chair of the Department of Surgery at Columbia University Medical Center Craig Smith, MD takes us into the heart and mind of a physician who regularly cracks open a person's chest to...

When Kathy Giusti was told she had multiple myeloma one fateful day in 1996, she was 37 and in the midst of a successful rising career. She was the mother of a one-year-old baby with plans to have a second child. The disease had few treatments and she was given three years to live. Instead of sitting back, however, Kathy took action to create her own hope. That meant not only conducting  research on treatments where there was none, but doing it with unprecedented speed and precision.  She...

In the 100th episode of The Doctor's Art, we reflect on the lessons and insights we have heard from guests over the past two years. We first share the story of how The Doctor’s Art podcast came to be, then we discuss some of the most meaningful and impactful episodes for us and how the show has changed the way we practice medicine and approach life. Finally, we share exciting new directions in which we hope to take the program. In this episode, we discuss:  1:45 - How The Doctor’s Art...

At the mention of human consciousness and the supposed interconnectivity of all things, your mind probably conjures up the countless books on meditation, alternative medicine, and mysticism that permeate self-help sections of bookstores. But complexity theory attempts to apply rigorous scientific analyses to universal questions of consciousness and being. At its heart, complexity theory seeks to understand how complex behaviors and patterns emerge from simple rules and interactions within a...

There is an increasing body of scientific evidence demonstrating a phenomenon humans across cultures have long known intuitively: we are biologically wired for art. Engaging in the arts transforms our neural circuitry in deep ways that we are only beginning to uncover, and studies are showing how the arts can help us live longer, stave off cognitive decline, reduce our stress hormones, nurture the development of young minds, reduce the impacts of PTSD, and more.  Joining us in this episode...

Born in India in 1920, Gladys McGarey, MD has a life story marked with various pivotal moments of the 20th century. She witnessed Gandhi's Salt March in her final childhood days in India, arrived in the US amid the Great Depression, began medical school four months before the US joined World War II, and became a physician at a time when few women were accepted in the profession. She would later co-found the Academy of Integrative Health and Medicine and the American Board of Integrative...

Ben Taub Hospital, located in the heart of Houston, Texas, is the city's largest hospital for those who cannot afford medical care. Texas, in turn, is the US state with the country's largest uninsured population. Amid chaotic emergency rooms and busy hospital wards serving the most financially and medically vulnerable people, Ricardo Nuila, MD finds meaning and beauty through stories he hears from his patients. In addition to his duties as a hospitalist at Ben Taub Hospital, Dr. Nuila is an...

As an English professor at Yale University, essayist and literary critic William Deresiewicz observed a trend across American higher education that troubled him deeply. Instead of learning to think independently, critically, creatively, and courageously, students were increasingly subscribing to a mode of careerism, credentialism, and conformism that focused on climbing the academic or professional ladder.  So what is the value of higher education? As Deresiewicz writes in his 2014 book...

What happens to the mortality rates of cardiac arrest patients on days when there is a marathon happening in the city? What happens to surgical complication rates when it's the surgeon's birthday? Why do patients of younger doctors seem to have better health outcomes?  These and other quirky questions are what preoccupy health economist, Anupam Jena, MD, PhD. Dr. Jena is a professor of health care policy at Harvard Medical School, professor of medicine at Massachusetts General Hospital,...

From ancient myths to science fiction, humans have long been fascinated by the idea of transcending the limits of our natural lifespan. But what does modern medicine say about the practical, actual possibilities of extending human life? Joining us to explore this tantalizing question is Tony Wyss-Coray, PhD, a neuroscientist and director of the Phil and Penny Knight Initiative for Brain Resilience at Stanford University. While his research focuses on age-related cognitive decline and...

Medical anthropology provides a lens through which we can view the intricate tapestry of human health, woven with the threads of cultural beliefs, social structures, and biological realities. Few have played a more significant role in creating this discipline than psychiatrist Arthur Kleinman, MD, whose early, extensive field work in Taiwan and China have shaped how we think about cross-cultural healthcare systems and their impacts on human suffering. Many of his books, including The Illness...

Since childhood, Clancy Martin has been preoccupied with, and even addicted to, the idea of suicide. A survivor of more than ten suicide attempts. Clancy has spent his life wrestling with questions like: where do these impulses come from? Why am I haunted by them? Why do I feel so much guilt? Can I be helped? Clancy is a professor of philosophy at the University of Missouri — Kansas City, where he teaches existentialism, moral psychology, philosophy of the mind, and ethics. He is a...

In recent years, loneliness has transformed from a private, personal experience into a full blown public health crisis. Studies have repeatedly shown that loneliness and social isolation increase the risk of premature death, dementia, and all sorts of mental illnesses. In this episode, Jeremy Noble, MD shares how he is combating our national crisis of loneliness by fostering connection through art and storytelling. Dr. Noble is the founder of the Foundation for Arts and Healing, a lecturer at...

When Jesse Ehrenfeld, MD attended his first meeting at the American Medical Association (AMA) as a first year medical student, he was struck by the collaborative spirit he witnessed among physicians of all specialties from across the United States. But he was also filled with insecurity over whether he, as a gay man, would ever be truly accepted for who he was. 22 years later, Dr. Ehrenfeld is now the first openly gay president of the AMA. An anesthesiologist by training, he is also a senior...

"It's like having a backstage pass to the world."  That's how Stephen Fabes, MBChB describes his epic adventure exploring all six inhabited continents on a bicycle. Over the course of 6+ years, he cycled across 75 countries and 53,000 miles, discovering how human stories shape our conceptions of health and illness. Currently an acute medicine specialist at the Royal London Hospital, Dr. Fabes is also the author of the 2020 memoir Signs of Life: A Doctor's Journey to the Ends of the Earth....

It's been less than a year since ChatGPT was released in November 2022, but in that time, reports have emerged of ChatGPT outperforming physicians in everything from clinical reasoning to documentation and even to empathetic communication with patients. How are we to make sense of the role of clinicians when artificial intelligence and digital health technologies seem to be advancing at a pace beyond our reach? Here to discuss this is Jag Singh, MD, PhD, a professor of medicine at Harvard...

Imagine if, as a teenager, you were told that you would lose your vision over the course of a few decades. How would you approach your life, your world, and the people in it? Joining us to discuss these questions is writer Andrew Leland. Andrew has retinitis pigmentosa, a condition that affects the retina's ability to respond to light, leading to progressive irreversible vision loss. Andrew's works have appeared in The New York Times Magazine, The New Yorker, and elsewhere, and he is the...