Surgeons with Purpose

Hippocratic Collective

A podcast for surgeons who feel like they are languishing in a career that didn't turn out to be as fulfilling or as prestigious as they expected. Dr. Mel Thacker, an ENT surgeon and coach, takes you on a journey to help you understand why you are feeling dissatisfied, burnt out, and stuck. With this newfound insight, you'll be able to reframe how you see your experience, rediscover who you are underneath your surgeon identity, and create a life that aligns with your authentic self. Find more info about Surgeons with Purpose and other shows on the Hippocratic Collective at hippocratic-collective.com

  1. 2 days ago

    #111 Vaibhav's Story

    *************SENSITIVE CONTENT WARNING******************* This episode discusses a recent suicide. Please listen carefully, or if this is particularly triggering for you, forgo listening completely. ”If we could save one student, one kid, one life, we are spreading his shine,” Neeru Duggal. On July 23, 2025, Vaibhav Duggal turned 24. He spent the morning of his birthday in a women's health clinic in El Paso, on his OB/GYN rotation as a third-year medical student at Texas Tech University Health Sciences Center. Six days later he was dead. In this episode, I sit down with Vaibhav's parents, Vivek and Neeru Duggal, who are passionate about spreading the truth about what happened to Vaibhav with hopes to prevent this from happening to anyone else. We talk about who Vaibhav was, why he became a physician, his dreams for the future, and the events that ultimately crushed those dreams. We also reconstruct those six days, hour by hour, email by email. Vivek and Neeru hope to turn this needless tragedy into a campaign for reform. The burning question: when a university opens a disciplinary process against a student, what does it owe that student while the process is underway? As Vivek puts it: nothing can bring their son back, but if another family is spared this, they will be able to look themselves in the mirror. Neeru and Vivek describe a son who had wanted one thing since childhood: to be a doctor. By every measure available before that week, he was on his way. He graduated summa cum laude from Texas A&M with a 4.0 in biology, finished a semester early, volunteered at a medical center through COVID, and came to Texas Tech El Paso on a scholarship. He had no prior professionalism concerns anywhere on his record. The clinical encounter at the center of this story lasted a few minutes. The nurse practitioner conducting the exam and asked whether the patient was comfortable having a student present; the patient consented. On her way out, according to Vaibhav's account, the patient invited him to follow her on Instagram. At 10:34 a.m. he did. About an hour later he unfollowed and blocked her, telling the dean days afterward that he'd realized it crossed a professional line. That afternoon, the patient filed a complaint. The same day, the nurse practitioner who had been in the room the entire time completed Vaibhav's clerkship evaluation. She marked him as exceeding expectations in every single domain, including medical knowledge, patient care, communication, professionalism, all of it. Under "opportunities for improvement," she wrote nothing. Two days later, a faculty physician emailed the clinic director and the dean describing the incident as an egregious breach of professionalism. The clerkship director wrote that she believed Vaibhav should be pulled from clinical duties. On July 28, at 10:26 a.m., she submitted a formal referral to the Grading and Promotions Committee, and in that same referral, wrote that she had not yet had the opportunity to speak with the student because of clinical obligations. Vaibhav was, at that hour, sitting for his OB/GYN shelf exam, which he passed. That afternoon he met with the dean. He gave his account and was told he was removed from all patient contact, placed on a temporary leave of absence, and would appear before the GPC on August 15, eighteen days out. The family's account notes that the instruction not to contact patients was repeated eight separate times in that meeting. He was referred to counseling. He went to the counseling office at 3:30 p.m. that same day; the director spoke with him briefly, did not see him for a session, and directed him to intake paperwork. Vaibhav emailed that evening asking for the paperwork. The reply came back at 6:01 p.m.: the intake forms were only accessible weekdays between 8:15 a.m. and 3:45 p.m. He would have to try again tomorrow. He spent that evening with his girlfriend, called his parents, and made weekend plans. At 11 p.m. they went to bed. At 11:36 p.m. his phone lit up with an email from the dean's office. Attached were the meeting notes and the GPC presentation instructions: the document telling him to prepare a PowerPoint, explain to the committee why he was there, be convincing that he was sorry, and humbly request permission to resume clinical work. Attached beneath that was the policy excerpt listing what the committee could recommend: individual remediation, delayed progression to Year 4, repeat of Year 3, delay of graduation, or dismissal. A second provision noted the committee could place a permanent professionalism notation on his MSPE (the dean's letter that follows a physician into every residency application). He died the next day, July 29. He was 24 years old. Three days later, the family says the president of the university called them and made a claim about physical contact that appears nowhere in the complaint, the evaluation, or the referral. The Duggals dispute it, and it is one of the central grievances in the litigation they have since filed. If parts of that timeline sound familiar, it is because a version of it happened three years earlier and 1,200 miles away. Katie Meyer was a Stanford goalkeeper (the one who captained the team to the 2019 NCAA championship), a resident advisor, and an aspiring lawyer awaiting word on her Stanford Law application. In late February 2022, four months before graduation, she received a lengthy email informing her she faced disciplinary action that put her degree at risk. She had thrown coffee on a football player who had allegedly assaulted a teammate. Her parents did not know the process was happening. She died by suicide on March 1, 2022. Gina and Steve Meyer built the rest of their lives around a single, narrow, achievable reform: no student should have to navigate a disciplinary process alone. Their advocacy produced California Assembly Bill 1575 — Katie Meyer's Law — authored by Assemblymember Jacqui Irwin, passed unanimously through both chambers, and signed by Governor Newsom on September 28, 2024. The law gives students at UC, CSU, and community college campuses the right to select an adviser of their choosing — a parent, a coach, a professor, a peer — to accompany them through a disciplinary proceeding. Critically, the institution must train that adviser on its own procedures. The adviser is looped in from day one and, with the student's permission, receives regular updates. The Meyers call it a front-end safety net: someone in the room who knows how the machine works, so the student isn't facing career-ending stakes alone against a panel of professionals. On September 23, 2025 — almost a year to the day after the California signing — Representative Julia Brownley introduced a federal version in the U.S. House. It would extend the adviser right to students at any institution receiving federal funds, and would additionally require colleges to disclose student suicides in their Annual Security Report, a transparency measure with no current federal analogue. The Meyers have said plainly that they believe this law could have saved Katie's life. They also founded Katie's Save, a nonprofit focused on student mental health and suicide prevention. The overlap with Vaibhav's case is hard to miss. A student with no disciplinary history. A serious allegation. A process that moved before anyone had spoken with him. A high-stakes hearing scheduled weeks out. A counseling door that was closed by the time he reached it. And an eighteen-day wait to be alone with. In February 2026, the Duggal family filed suit in El Paso County District Court against TTUHSC and several administrators, seeking more than $30 million and alleging gross negligence, wrongful death, and denial of due process. Since going public, Vivek Duggal says other students from the same institution have come forward with their own accounts. Texas State Representative Cody Vasut, who has been working directly with Vivek and Neeru, has committed to introducing legislation when the Texas House reconvenes in January 2027 that would require universities to provide advocates to students in disciplinary proceedings: the Texas answer to what California has already passed. We close the interview by asking the Duggals what they want listeners in medical education to do differently. Their answer is not complicated, and it does not require a bill to pass: treat students like the human beings they are. Links & ResourcesJustice for Vaibhav — memorial and advocacy:Katie's Save — katiessave.orgCalifornia AB 1575 (Katie Meyer's Law), signed September 28, 2024Katie Meyer's Law (federal), introduced in the U.S. House, September 23, 2025 If you or someone you know is struggling, the 988 Suicide & Crisis Lifeline is available 24/7 by call or text in the U.S. Medical students and physicians can also reach the Physician Support Line at 1-888-409-0141, staffed by volunteer psychiatrists.

  2. 10 Aug

    #110 From Hiding to Highly Visible on LinkedIn with Sheikh C. Ali

    Sheikh C. Ali dreamed of becoming a private practice surgeon from age seven. Then, when COVID hit between his third and fourth year of medical school, he noticed the landscape shifting. The pathway he'd spent his life walking toward no longer seemed viable, so he built a new path. He became the strategist healthcare leaders now hire to turn their expertise into visibility, authority, and opportunity on LinkedIn. This conversation is the playbook. Sheikh makes the case for why LinkedIn beats every other platform for clinicians. It is the one platform where you have direct access to 1.3 billion users and key decision-makers. He defines personal branding as what people say about you when you are not in the room, built from three components: core values, applicable expertise, and personality. Then he walks you through his 4 P's framework (Position, Polish, Publish, Pursue), reveals the gold mine hiding in plain sight, and gets tactical about writing a headline that works ("I help X do Y in Z"). You'll learn about the two audiences your content must speak to, why commenting is a superpower, what it takes to move someone from "I know you" to "I want to work with you." Underneath it all runs the mindset that makes the tactics work: network from abundance, choose done over perfect, and let confidence compound through action. Sheikh C. Ali helps clinical leaders and healthcare executives become the leading voice in their niche. Connect with him (where else??) on LinkedIn or his website here. Join us inside Empowered Surgeons Group here.

  3. 3 Aug

    #109 PE Sharks in the Water with Dr. Adrienne Towsen

    For 19 years, Dr. Adrienne Towsen practiced in the kind of orthopedic group most surgeons dream of: five partners, employees who'd been there forever, a 30-year reputation, a family feel. Then came the supergroup. Then came private equity. The pitch: liquidity events, surgery centers, top-dog status. The math: one year's salary upfront, paid back over five years through a 25% management "scrape." The reality: 12-to-14-hour days, a salary cut in half, a practice that couldn't pay for gauze pads, and a call center in another location that didn't even know she was a doctor there. Her breaking point came after a weekend of hip fracture call, when she did the math and realized she'd essentially volunteered her time. She sent her resignation the next morning. With no plan. Just the certainty that there had to be another way. Five months ago, she opened The Towsen Clinic: a concierge direct-care practice built entirely on her own terms, where visits last 60 to 90 minutes and patients finally get what they're starved for: a human partner in their health. In this episode: The seductive pitch PE makes to physician groups and the math hiding underneath itWhat "we're employed now. This is no longer our practice" feels like from the insideThe moment a 20-year patient left because he couldn't get through the phone treeWhy she resigned without a plan, and what the sadness-plus-relief told herWalking away from the OR after 21 years and making peace with itThe surprising bridge from hip fractures to hormone health and women's medicineHer advice if work is murdering your soul: don't stay stuck "I couldn't have been more miserable." -Dr. Towsen then. "This is the beginning of my next chapter." -Dr. Towsen now. Dr. Adrienne Towsen is an orthopedic surgeon and founder of The Towsen Clinic, a concierge preventive-care practice in West Chester, PA. Check out her clinic here. Follow her on LinkedIn here. 🎧 If this episode resonated, share it with a colleague weighing their own next chapter, and leave a review so more surgeons find the show. Join us inside Empowered Surgeons Group here. Take the Trainee to Attending Masterclass here.

  4. 20 Jul

    #107 Becoming a Great Defendant with Heather Hansen

    Take the quiz: What kind of surgeon are you becoming? here. Join us inside Empowered Surgeons group here. One of the most surprising truths about medical malpractice is this: the work that prepares you to become a strong defendant is the very same work that helps prevent lawsuits in the first place. It's the work that strengthens your relationships with patients, your spouse, your children, your colleagues, and your friends. At the heart of all of it are two skills: compassion and communication. In today's episode, I sit down with Heather Hansen, a medical malpractice defense attorney and expert in effective communication. As surgeons, most of us will face a lawsuit at some point in our careers. Yet no one teaches us how to navigate that experience, or how to become the kind of defendant a jury can trust. The research is clear: patients are less likely to sue physicians who communicate with empathy, authenticity, and compassion. Heather has spent decades defending physicians in the courtroom, and she shares a fascinating perspective from the other side of medical malpractice. The defense attorney's job is to humanize the physician and tell the story of a compassionate, thoughtful surgeon who genuinely cared for their patient. The good news is that is a skill set that can be developed long before you're ever named in a lawsuit. In this conversation, you'll learn how to better understand the game of medical malpractice, see the key players through a different lens, communicate more effectively under pressure, and cultivate the qualities that not only make you a stronger defendant but a better surgeon and leader. For more than 20 years, Heather Hansen defended physicians, healthcare providers, and hospitals in medical malpractice litigation. During that time, she mastered the art of communicating with compassion, credibility, and charisma when the stakes couldn't have been higher. Today, she teaches those same communication strategies to leaders, teams, and healthcare professionals around the world. You can learn more about her on her website here. Follow her on LinkedIn here.

  5. 29 Jun

    #104 Multiple Streams of Income with Dr. Stephen Cohen

    Join us inside Empowered Surgeons Group here. Join Dr. Gita Pensa’s Litigation Education And Preparedness course here. Dr. Stephen Cohen is a board-certified general and colorectal surgeon, Section Chief of Surgery at the VA, and an experienced medical expert witness with nearly 30 years in the medicolegal field. We explore what it really means to build a sustainable career in surgery: one that allows surgery to enhance your life rather than consume it. Dr. Cohen shares why he left more than 20 years in private practice for academic medicine, how financial conflict influenced that decision, and why he believes every physician should consider developing multiple streams of income. We discuss the many career opportunities available outside of direct patient care, including medical expert witness work, utilization review, consulting for medical device and pharmaceutical companies, research, and other non-clinical physician roles. He also offers practical advice on how physicians can get started, how to value their expertise, and why it's important to understand both plaintiff and defense work as a medical expert. We also talk about medical malpractice lawsuits and the emotional toll they take on physicians. Dr. Cohen openly shares his experience of being sued five times, what it was like to be served, how those cases were resolved, and why being named in the National Practitioner Data Bank (NPDB) does not define your career. He explains why malpractice litigation is fundamentally adversarial, why the legal system doesn't always reward the truth in the way physicians expect, and what every doctor should know before ever stepping into a deposition or courtroom. Along the way, we discuss one of the biggest lessons he learned as an expert witness: knowing the medical record better than anyone else. He explains why carefully reviewing the chart, understanding every detail, and studying depositions can make all the difference in litigation. We also explore why a poor outcome does not necessarily mean poor medical care and the single question from a plaintiff attorney that changed the outcome of a malpractice trial despite excellent surgical care. Our conversation turns to risk management and the everyday habits that protect both patients and physicians. Dr. Cohen shares why thoughtful documentation is so important, why physicians should never argue with colleagues in the medical record, when to involve risk management after complications, and why communication remains one of the most powerful ways to reduce malpractice risk. He also discusses the surprising benefits of giving patients your cell phone number, approaching every patient with a beginner's mind, and asking yourself how you would care for the patient if they were your own parent. Finally, we reflect on what changes after residency and fellowship, when technical excellence alone is no longer enough and physicians begin redefining success on their own terms. Dr. Cohen shares what he still loves about colorectal surgery, how the specialty has evolved throughout his career, his thoughts on the rising incidence of colorectal cancer, and why every surgeon should build a career that creates freedom, purpose, and longevity, not just more time in the operating room. Whether you're interested in medical malpractice, becoming a medical expert witness, physician consulting, utilization review, physician burnout, career diversification, or building multiple streams of income as a doctor, this conversation is filled with practical advice and hard-earned wisdom from someone who has successfully navigated every stage of a surgical career. Follow Dr. Stephen Cohen on linkedin here.

About

A podcast for surgeons who feel like they are languishing in a career that didn't turn out to be as fulfilling or as prestigious as they expected. Dr. Mel Thacker, an ENT surgeon and coach, takes you on a journey to help you understand why you are feeling dissatisfied, burnt out, and stuck. With this newfound insight, you'll be able to reframe how you see your experience, rediscover who you are underneath your surgeon identity, and create a life that aligns with your authentic self. Find more info about Surgeons with Purpose and other shows on the Hippocratic Collective at hippocratic-collective.com