Muted in Medicine

Saba Fatima MD

Welcome to Muted in Medicine, the podcast that amplifies the often-silenced voices in healthcare. Join us as we dive into the hidden struggles and unspoken challenges faced by healthcare professionals. From the trauma of litigation and the weight of PTSD to the impact of errors and the journey towards mental health, we explore the raw and real experiences that shape the medical field.Subscribe to stay updated on our latest episodes and join the conversation as we break the silence and shed light on the crucial issues affecting healthcare professionals. Together, we can foster a more open, supportive, and resilient medical community.Follow us on Social Media:Youtube: https://www.youtube.com/@MutedinMedicine. Contact us: mutedinmedicine@gmail.com

  1. JAN 28

    E36: Medical Child Abuse-An Uncomfortable Diagnosis(w/ Dr Rebecca Gill)

    In this conversation, Dr. Rebecca Gill, a pediatric hospitalist and expert in medical child abuse, discusses with host Dr Saba Fatima, the complexities of diagnosing and managing cases of Munchausen by proxy. She emphasizes the importance of multidisciplinary teamwork, effective communication with families, and the emotional toll that such cases can take on healthcare providers. Dr. Gill shares her personal journey into this niche field, the challenges of identifying early red flags, and the significance of documentation in protecting both the child and the medical team. The conversation highlights the need for compassion, understanding, and collaboration in addressing these sensitive issues in pediatric care. Rebecca Gill, M.D., also known as Dr. Bex, is a distinguished pediatric hospitalist with over a decade of experience at Nemours Children’s Hospital. In addition to her clinical duties, Dr. Bex plays a pivotal role in shaping future medical professionals as an assistant professor at the University of Central Florida College of Medicine, and she is actively involved in resident and medical student education. Dr. Bex is a recognized expert in medical child abuse/Munchausen by proxy, having presented her knowledge at prestigious conferences across the country. She is also a recurring contributor on the acclaimed podcast "Nobody Should Believe Me" which delves into compelling cases of medical child abuse and has garnered a significant following. Passionate about spreading awareness of medical child abuse, Dr. Bex actively advocates for victims and survivors through various initiatives, including as a Board member for the nonprofit organization, Munchausen Support, and as a member of the APSAC National Subcommittee on Munchausen by Proxy. takeaways • The emotional impact of medical child abuse on healthcare providers is significant. • Effective communication with families is crucial in managing suspicions of abuse. • Documentation should be thorough and objective to protect the child and the provider. • Identifying early red flags can help in preventing severe cases of medical child abuse. • A multidisciplinary approach is essential in addressing complex cases of Munchausen by proxy. • Physicians must balance compassion with the need to protect children from harm. • Social media and the internet can complicate the dynamics of medical child abuse cases. • Healthcare providers should be aware of their own biases and assumptions in these situations. • Shared experiences among providers can provide support and validation in difficult cases. • Advocating for the child sometimes requires being seen as the 'villain' by families. keywords medical #childabuse, #munchausenbyproxy #healthcare pediatric hospitalist, physician well-being, multidisciplinary teams, patient advocacy, emotional toll, communication in healthcare, documentation, early red flags #childabuseawareness #munchausen  Chapters 00:00 Introduction to Medical Child Abuse 04:17 Understanding Munchausen by Proxy 07:16 The Impact on Healthcare Providers 10:18 Defining Medical Child Abuse 13:18 Exploring Causes and Motivations 16:22 Identifying Red Flags 19:15 Differentiating Between Real Symptoms and Abuse 22:11 Navigating the Diagnosis Process 25:13 The Role of Teamwor The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    1h 2m
  2. JAN 13

    E35: The Hidden Cost of Racism in Medicine – A Conversation with Dr. Pamela Buchanan

    In this enlightening conversation, Dr. Pamela Buchanan shares  with host Dr Saba Fatima her experiences and insights on the intersection of race and healthcare. She discusses the impact of racism on patient care, the importance of recognizing and addressing implicit biases, and the need for culturally competent care. Dr. Buchanan emphasizes the significance of listening to patients, advocating for their needs, and the challenges faced by healthcare providers of color. She also highlights the importance of mental health and self-care for physicians, particularly in the face of systemic racism and burnout. The conversation concludes with a call for systemic changes to promote racial equity in healthcare and the importance of compassion in the medical field. Dr Pamela Buchanan is a board-certified physician, speaker, and nationally recognized thought leader in mental well-being and health equity. With over 20 years of medical experience, she's a TEDx speaker known for her powerful talk on emotional flatline, where she shared the emotional toll of emergency medicine during the pandemic. She is the author of the Oxygen Mask Principle and a strong voice in the movement to prevent physician suicide. Her work in health equity challenges healthcare systems to listen better, reflect deeply, and deliver care that is truly inclusive. #healthequity, #racism in healthcare, maternal mortality, implicit bias, culturally competent care, #physicianwellness,  #mentalhealth, patient advocacy, racial disparities,  #DEI efforts takeaways Dr. Buchanan emphasizes the importance of joy in medicine and the lives she has touched. Racism in healthcare is still prevalent and affects patient outcomes. Maternal mortality rates for Black women are alarmingly high. Implicit biases can lead to mismanagement of pain in patients of color. Culturally competent care is essential for effective treatment. Healthcare providers must actively combat their biases. Compassion is crucial when dealing with racist comments from patients. Advocacy and allyship are important for career advancement in medicine. Mental health support is vital for healthcare providers. Systemic changes are needed to ensure equitable care for all patients. Chapters 00:00 Introduction to Racism in Medicine 03:50 Personal Experiences with Racism 06:59 Impact of Racial Bias on Patient Care 12:03 Recognizing and Addressing Implicit Bias 13:17 Culturally Competent Care 15:30 Navigating Racism in Healthcare 18:04 Racism in Professional Advancement The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    40 min
  3. 12/30/2025

    E34: What We Carry — How Shame Shapes Our Identity In Healthcare(w/Dr Will Bynum)

    In this episode of Muted in Medicine, host Saba Fatima speaks with Dr. Will Bynum about the pervasive issue of shame in the medical field. Dr. Bynum shares his personal journey with shame stemming from a medical error during his residency, highlighting the emotional turmoil and isolation that often accompanies such experiences. The conversation delves into the cultural factors that perpetuate shame in healthcare, including perfectionism and the stigma surrounding vulnerability. Dr. Bynum emphasizes the need for open discussions about shame and the importance of creating supportive environments in medical education and practice. The episode concludes with reflections on how to navigate struggles in medical training and the role of grading and ranking in shaping self-worth among medical learners. In this conversation, Will Bynum and Saba Fatima explore the complexities of shame, its impact on personal growth, and the importance of shame competence in various contexts, including parenting and medical education. They discuss practical strategies for managing shame, recognizing it in others, and fostering a supportive environment that encourages self-compassion and emotional literacy. The dialogue emphasizes the need for awareness and understanding of shame as a universal human experience, particularly in professional settings. Will Bynum, MD, PhD is an Associate Professor of Family Medicine at Duke University School of Medicine and a Veteran of the United States Air Force. He received his M.D. at the University of South Carolina School of Medicine in 2010, completed his residency with the US Air Force and received his Ph.D. in Health Professions Education at Maastricht University in the Netherlands in 2023, where defended his thesis entitled “Out of the shadows: a qualitative exploration of shame in medical learners”, which was awarded best Doctoral Dissertation by the Association for Medical Education in Europe. He has published and spoken widely on the topic of shame and is Co-Founder and Co-Director of The Shame Lab, which conducts research, develops training, and delivers consultancy to advance constructive engagement with shame in professional practice takeaways Shame is a common yet invisible emotion in medicine. Medical errors can lead to feelings of isolation and shame. Human connection is a source of joy in medicine. Struggle is a normal part of the learning process. Perfectionism in medicine can exacerbate feelings of shame. Shame can hinder open communication among healthcare professionals. Creating supportive environments can help mitigate shame. Medical education often perpetuates a culture of shame. Grading and ranking can negatively impact self-worth. Engaging with shame can lead to personal and professional growth. You can hold them accountable to things that shame otherwise might have impeded accountability. Children need to learn about failure, but at what age? Instilling effort and self-worth in children is crucial. Authentic self-worth should not be tied to achievement. Shame competence is a set of skills we can learn. Shame is a distributed emotion that affects everyone. Recognizing shame in ourselves and others is essential. Self-compassion is a vital tool for managing shame. Treating ourselves with kindness can transform our experiences. Feeling shame is a sign of our hu The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    1h 4m
  4. 12/09/2025

    E33:Silence to Action-The Essential Role of Physicians in Healthcare Advocacy(w/Dr Jennifer Cowart)

    In this episode of Muted in Medicine,  Host Dr. Saba Fatima speaks with Dr. Jennifer Cowart about the critical role of advocacy in healthcare. They discuss the importance of physician advocacy, the barriers that prevent doctors from engaging in advocacy, and how physicians can get involved at local, state, and federal levels. Dr. Cowart shares her experiences with current healthcare issues, including rural access to care, food insecurity, and the impact of Medicaid cuts. The conversation also highlights the challenges posed by prior authorization processes in patient care, emphasizing the need for greater transparency and advocacy in the healthcare system. In this conversation, Jennifer Cowart discusses the evolving dynamics of hospital care, emphasizing the shift towards outpatient services and the challenges faced by families in providing care. The discussion also highlights the pressing issue of food insecurity, particularly its impact on children and families, and the importance of community support. Cowart advocates for healthcare workers, addressing workplace safety and the need for systemic reforms. The conversation touches on the challenges faced by rural healthcare providers, particularly regarding visa issues for international physicians. Cowart encourages healthcare professionals to engage in advocacy, providing practical steps for involvement while navigating the potential risks of political engagement. The discussion concludes with a hopeful outlook on future generations and their commitment to justice and equity in healthcare. Dr. Jennifer Cowart is a practicing academic hospitalist and Associate Professor of Medicine. She has more than ten years of experience in patient safety and quality improvement, which led her to develop an interest in healthcare policy and legislative advocacy. She has served on policy committees for Society of Hospital Medicine and Society of General Internal Medicine. Her opinions expressed here are her own and not representative of her employer nor any medical society of which she is a member.  takeaways Advocacy is essential for improving patient care. Physicians often hesitate to advocate due to fear of politics. Small actions can lead to significant changes in healthcare. Engaging with local policymakers can improve community health. Advocacy can start with identifying daily frustrations in care. Physicians can participate in advocacy days organized by medical societies. Meetings with lawmakers can be productive and engaging. Medicaid cuts lead to increased healthcare deserts and access issues. Prior authorization processes can delay necessary patient care. Advocacy is a moral responsibility for healthcare providers. Moral injury is prevalent in healthcare due to tight turnaround times. Hospitals are no longer places for recovery but for acute care. Food insecurity is a growing concern, especially for children. Community support is vital in addressing food insecurity. Staff safety is directly linked to patient safety in healthcare settings. Advocacy can start at the local level and be impactful. Physicians should be aware of their organization's media policies. Younger generations are passionate about creating a more just world. There is a need to increase the number of American medical trainees. Engaging in advocacy can begin with small, practical s The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    58 min
  5. 11/24/2025

    E32:When Doctors Navigate the System-A Physician’s Journey with Her Child’s Disability-Dr Umara Raza

    In this conversation, Dr. Umara Raza shares with Host Dr Saba Fatima, her profound journey as a mother of a child with special needs while navigating her career as a physician. She discusses the emotional challenges of parenting, the impact of the healthcare system on families, and the importance of empathy in medical practice. Dr. Raza emphasizes the need for community support, the significance of communication in partnerships, and the journey of acceptance and advocacy for special needs children. Her insights provide valuable lessons for both parents and healthcare professionals. Dr Umara Raza is a Cardiologist at the Baylor College of Medicine, Houston and is a special needs advocate. Her daughter was born deaf and was diagnosed with #Waardenburgsyndrome while she was in Cardiology Fellowship. takeaways Dr. Umara Raza shares her journey as a mother and physician. Navigating a child's diagnosis can be overwhelming for parents. The dual role of being a physician and a parent brings unique challenges. Grief is a natural part of accepting a child's special needs. The healthcare system can be a barrier for families seeking support. Empathy in medical practice is crucial for patient care. Misinformation about special needs can lead to stigma and blame. Finding a supportive community is essential for special needs families. Communication between partners is vital in managing stress and responsibilities. Balancing career and family is a personal journey that varies for each parent. keywords #parenting , #specialneeds , #healthcare , #empathy,  #advocacy , medical challenges, community support, #physician  experience, grief, acceptance #waardenburgsyndrome #trending #deafcommunity  00:00 Introduction to the Journey of a Physician-Parent 02:45 Navigating the Diagnosis of Complex Needs 08:30 The Emotional Landscape of Parenting a Child with Special Needs 11:20 Transitioning from Grief to Advocacy 16:42 The Reality of the Healthcare System from a Patient's Perspective 20:17 The Impact of Personal Experience on Medical Practice 27:00 Finding Perspective in Grief 29:24 Transforming Medical Practice Through Personal Experience 30:35 The Importance of Empathy in Healthcare 31:52 Navigating Misinformation in Autism Awareness 33:35 Social Isolation and Inclusion Challenges 36:08 Building a Supportive Community 39:54 Advice for Parents and Physicians 40:53 Balancing Career and Family Responsibilities 48:43 Systemic Changes Needed in Healthcare for Special Needs 50:03 Celebrating Pro The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    53 min
  6. 11/11/2025

    E31:Finding the Courage to Speak-Honesty After Medical Harm(w/Leilani Schweitzer)

    In this conversation, Leilani shares with Host Dr Saba Fatima with her profound journey from personal tragedy to becoming a patient advocate, emphasizing the importance of communication and compassion in healthcare. She discusses her experiences with hospitals after the loss of her son, the need for authentic apologies, and the challenges faced by healthcare workers. Leilani highlights the significance of understanding and transparency in healing, both for patients and providers, and introduces her current work aimed at improving communication in healthcare settings. Leilani Schweitzer is a patient safety advocate who helps healthcare systems respond to medical harm with compassion, honesty, and accountability. Her journey into patient advocacy began after the death of her 20-month-old son, Gabriel, in 2005 due to a series of medical errors. Following this tragedy, Stanford offered her a position working with patients and families who experienced medical harm, where she served for twelve years as Assistant Vice President for Communication & Resolution.  Leilani co-founded Comms Corps, which trains healthcare professionals to communicate clearly and compassionately with patients and families after medical harm. The organization’s Certified Medical Harm Communicator course offers CME credit and practical tools to help institutions meet ethical, legal, and regulatory expectations for transparency. Leilani is a former Board President of the Collaborative for Accountability & Improvement at the University of Washington and serves on the Patient Safety Advisory Board for Philips Healthcare and AHRQ’s Technical Expert Panel. She is also a champion for Patients for Patient Safety US. Leilani's work has been recognized in The New York Times, The Wall Street Journal, and CNN. Her TEDx talk about the need for transparency and compassion in healthcare has been viewed more than 245,000 times and is used in physician and nursing trainings worldwide. She has also been featured on the Ted Radio Hour and RadioLab podcasts, sharing her insights on patient safety and the importance of open communication in healthcare. In addition to her advocacy and healthcare work, Leilani is also an artist, creating large-scale art installations, often in hospitals. #patientcare  #advocacy,  #healthcare #communication, authentic #disclosure,  #compassion,  #litigation, healthcare workers, bad outcomes, communication models, empathy, trust Chapters 00:00 Introduction to Healthcare Silence 02:58 Leilani's Journey into Patient Adv The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    53 min
  7. 10/28/2025

    E30: AI in Medicine-Tool or Threat?(w/Dr Graham Walker)

    In this conversation, Dr. Graham Walker discusses with Host Dr Saba Fatima the evolving role of AI in healthcare, addressing both its potential benefits and concerns. He emphasizes the importance of clinical judgment, the impact of AI on job security, and the need for regulation and standards. Dr. Walker also highlights the biases inherent in AI systems and the ethical considerations surrounding their use in medical education and patient care. He expresses cautious optimism about the future of AI in medicine, advocating for a balanced approach that prioritizes patient safety and clinician engagement. Graham Walker, MD is an emergency physician and health tech leader based in San Francisco. He serves as Co-Director of Advanced Development at The Permanente Medical Group, where he drives innovation and digital transformation for Kaiser Permanente’s 4 million Northern California members. As a clinical informaticist, he leads emergency and urgent care strategy for KP’s electronic health record. Graham is also a software developer and entrepreneur. He founded MDCalc, the leading evidence-based medical calculator platform, and Offcall, a new digital hub supporting the physician workforce. His work bridges clinical practice and systems-level innovation, with a focus on reducing friction and burnout across care delivery. He writes frequently on AI, tech, and the future of medicine, and authored The Physicians’ Charter for Responsible AI — a framework to guide safe, fair, and clinically sound AI adoption. takeaways AI in healthcare brings both promise and concerns. Generative AI is often misunderstood as the entirety of AI. AI can replace busy work but not clinical judgment. Job security in emergency medicine is less threatened by AI. AI's role in specialties like radiology may evolve. Patients must be cautious when using AI for healthcare advice. AI can assist in medical education by generating realistic scenarios. Bias in AI reflects human biases and can impact healthcare disparities. The ethical use of AI in medicine is still being defined. Future AI tools must prioritize patient safety and clinician engagement. keywords #ai #healthcare #generativeAI, clinical judgment, job security, medical education, patient privacy, healthcare disparities, bias in AI, ethical use of AI, future of medicine #aihealthcare #chatgpt #openevidence Chapters 00:00 Introduction to AI in Healthcare 03:48 The Promise and Concerns of AI 06:53 AI's Role in Clinical Work 09:51 The Future of AI in Specialties 12:47 Pitfalls of AI in Patient Care 15:58 AI in Medical Education and Practice 18:43 Regulations and Standards for AI 21:46 Bias in AI and Healthcare Disparities 24:47 Understanding AI's Role in Predictive Medicine 26:45 The Evolution of AI in Healthcare 28:43 Ethical Considerations in Medical AI 30:42 The Impact of AI on Medical Education 32:58 Future Prospects of AI in Medicine 34:45 Challenges and Risks of AI Adoption 36:49 The Human Element in AI-Driven Care 38:36 Navigating AI's Limitations and Misconceptions 40:48 The Balance of Compassion and Efficiency in AI 42:40 Final Thoughts on AI's Role in Healthcare 49:21 Conclusion The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    50 min
  8. 10/14/2025

    E29: Talking About Death-What Doctors Get Wrong (w/Dr Jared Rubenstein)

    In this conversation, Dr Jared Rubenstein discusses with host Dr Saba Fatima, the importance of palliative care, the emotional challenges faced by healthcare professionals, and the need for open conversations about death and dying. He emphasizes the role of teamwork in providing care, the misconceptions surrounding palliative care, and the necessity of addressing cultural attitudes towards death. The discussion also highlights the importance of communication with families, coping strategies for healthcare workers, and the need for improved medical training on these topics. Jared Rubenstein is a pediatric palliative care doctor and medical educator at Baylor College of Medicine and Texas Children’s Hospital in Houston, TX, USA. As a fellowship program director he works to train the next generation of healthcare workers in providing person-centered care. His academic interests include serious illness communication, biases around palliative care, and antiracism training. He is passionate about helping people talk about difficult things and believes that the use of satire, animation, and humor can facilitate these conversations. His Youtube channel contains original animated videos utilizing these principles and addresses topics including serious illness, mental health, gender equity, and racism in medicine. The videos have been viewed over 150,000 times and are used nationally and internationally as teaching tools. When he’s not talking about palliative care, he loves traveling and spending time in nature with his wonderful wife and two hilarious kids. https://youtu.be/BbNi_-wYXJE?si=A39z5krdg951e15t Takeaways Palliative care is a team sport, essential for patient support. Conversations about death are often avoided in medical training. Coping strategies are vital for healthcare professionals dealing with death. Cultural attitudes towards death vary significantly. Palliative care should be introduced early in the treatment process. Communication with families about death is crucial but often lacking. Empathy and compassion are different but both are necessary in care. Misconceptions about palliative care can hinder patient support. A good death is defined by the individual and their family. Healthcare workers need to support each other emotionally. #palliativecare, #death , #dying , #healthcare , communication, #empathy , #compassion , #medicaltraining, emotional challenges, cultural attitudes #endoflifecare #hospicecare #endwell Chapters 00:00 Introduction to Palliative Care and Death 02:03 The Journey to Palliative Care 04:39 Challenges in Discussing Death 06:34 Cultural Attitudes Towards Death 10:52 Finding Peace with Death 16:56 Understanding Palliative Care Misconceptions 24:27 The Importance of Early Palliative Care 26:06 Emotional Challenges in Palliative Care 27:30 Reforming Medical Education for Death Conversations 30:05 Navigating Conversations About Death 33:18 Defining a Good Death 36:06 Cultural Perspectives on Death and Honesty 40:33 Communicating with Children About Death 42:11 Burnout in Palliative Care 43:48 Final Thoughts and Resources for Healthcare Workers 51:17 Conclusion The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice. © 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

    53 min
5
out of 5
7 Ratings

About

Welcome to Muted in Medicine, the podcast that amplifies the often-silenced voices in healthcare. Join us as we dive into the hidden struggles and unspoken challenges faced by healthcare professionals. From the trauma of litigation and the weight of PTSD to the impact of errors and the journey towards mental health, we explore the raw and real experiences that shape the medical field.Subscribe to stay updated on our latest episodes and join the conversation as we break the silence and shed light on the crucial issues affecting healthcare professionals. Together, we can foster a more open, supportive, and resilient medical community.Follow us on Social Media:Youtube: https://www.youtube.com/@MutedinMedicine. Contact us: mutedinmedicine@gmail.com