The Physician's Pulse

Incite Media

Medicine is broken. But you don’t have to be. Welcome to Physician's Pulse, a podcast hosted by me, Ramin Manshadi, a seasoned cardiologist and physician advocate who knows exactly what it feels like to navigate the modern healthcare machine. This channel will share real experiences from real practitioners without sugar coating. I am dedicated to having honest, unflinching conversations about the real issues driving physicians out of the field: burnout, moral injury, and systemic failure.

  1. 1d ago

    Your Doctor's AI Co-Pilot Is Coming | Baron Ntambwe

    Can artificial intelligence ever become conscious? On The Physician's Pulse, Dr. Ramin Manshadi talks with Baron Ntambwe, a senior engineering manager at Walmart Global Tech and former engineering manager at Amazon Web Services, about what AI really is, how it learns, and why being intelligent is not the same as being conscious.Baron explains AI from the ground up: machine learning, neural networks, deep learning, generative AI and large language models, and why big data, GPUs and the 2017 transformer architecture came together to drive today's AI boom. They discuss whether AI can feel empathy or only imitate it, and whether AI without a conscience is dangerous.The conversation then turns practical: which jobs AI is most likely to automate, augment or create; how students can use AI as a Socratic tutor instead of an answer machine; and what an AI co-pilot could look like in the exam room, reviewing ECGs, echoes, labs and records alongside the physician. Baron also warns about AI dependency and automation bias, and argues that human virtues like empathy and judgment will matter more, not less.00:00 Can AI Become Conscious?00:55 Meet Baron Ntambwe03:25 What Is Artificial Intelligence?05:20 Why AI Exploded Now09:15 Neural Networks, Deep Learning & LLMs13:55 The Brain vs. Artificial Neurons16:15 Intelligence vs. Consciousness19:05 Formal vs. Existential Knowledge22:25 Can Robots Ever Be Human?24:55 Is AI Without a Conscience Dangerous?28:35 Can AI Feel Empathy?30:50 How to Tell Real Empathy from Imitation32:05 Which Jobs Will AI Replace?39:10 AI, Students & Critical Thinking46:00 AI as a Physician's Co-Pilot52:00 The Risks: AI Dependency & Automation Bias54:55 Closing#ArtificialIntelligence #AIinHealthcare #Consciousness #FutureOfMedicine #PhysiciansPulse

  2. Sep 24

    How to Blend Faith, Science, and AI in Modern Medicine || Dr. Anthony Hilliard

    In this episode of Physician’s Pulse, Dr. Anthony Hilliard, president of Loma Linda University Health and an interventional cardiologist, discusses Loma Linda’s culture of innovation and whole-person, faith-based care. He reflects on the 1984 Baby Fae baboon-heart xenotransplant, its ethical controversy, what it proved technically, and how it helped shape Loma Linda’s leadership in infant heart transplantation and milestones like proton therapy. Dr. Hilliard explains the institution’s Seventh-day Adventist roots, commitment to welcoming diverse faiths, and how faith and science both grapple with uncertainty. The conversation covers physician leadership and advocacy, priorities for medical education (communication and “soft skills,” plus economics and policy), practical roles for AI in access, quality, and human experience, and systemic contributors to physician burnout including workforce shortages and loss of autonomy. They also explore Loma Linda’s Blue Zone longevity factors—community, purpose, vegetarian-leaning diet, activity, and avoiding tobacco and alcohol—and Dr. Hilliard’s long-term leadership focus on staying true to mission while planting future-focused seeds. 00:00 Baby Faye Legacy 01:55 Guest Introduction 03:16 Innovation Culture 05:47 Faith Based Mission 08:07 Spirituality In Healing 09:43 From Cardiologist To Leader 12:12 Advocacy And Physician Voice 14:37 Rethinking Medical Education 18:24 AI In Clinical Practice 20:54 Burnout Beyond Resilience 25:25 Autonomy And Corporate Pressures 28:34 Faith Meets Science 30:12 Why We Became Doctors 31:26 Blue Zone Longevity Lessons 34:26 Leadership Legacy And Closing

  3. Sep 3

    The Line Doctors Shouldn’t Cross | Dr. Joseph Marine

    On The Physician’s Pulse, Dr. Ramin Manshadi interviews Johns Hopkins cardiac electrophysiologist Dr. Joseph Marine about lifelong learning, the Hippocratic tradition, and how modern medicine can fray ethically under corporatization, productivity pressures, and moral relativism. They discuss trust as the foundation of the physician–patient relationship, concerns about euthanasia’s expansion (citing Oregon and Canada) and challenges to the dead donor rule in transplantation, and why ethics should not shift with changing context. Dr. Maureen reframes “burnout” as demoralization and suggests reducing burdens like prior authorization and non-competes while restoring medicine’s moral purpose. The conversation covers AI’s likely upside as decision support, key electrophysiology breakthroughs (pacing/defibrillation, catheter ablation), evolving AFib management toward earlier rhythm control and ablation, the importance of lifestyle change, benefits and limits of wearables, caffeine and alcohol guidance, leadership lessons, the role of listening (including through music), mentorship, and reflections on how Hippocrates might view modern medicine.00:00 Introduction02:08 Lifelong Learning03:06 Medicine as a Moral Profession09:15 Ethical Drift and Euthanasia15:38 The Dead Donor Rule17:07 Physician Burnout and Demoralization20:27 AI in Medicine25:05 Breakthroughs in Electrophysiology26:19 Atrial Fibrillation: Rate vs. Rhythm29:32 Lifestyle and AFib31:58 Wearables and Monitoring34:42 The Future of Electrophysiology39:41 Music and Medicine41:44 Caffeine, Alcohol, and Daily Habits46:09 Advice for Trainees and Mentorship48:17 If Hippocrates Walked Through Hopkins49:57 Closing Thoughts

  4. Aug 20

    Fixing Healthcare Incentives | Dr. Richard Pan

    Dr. Ramin Manshadi interviews pediatrician and former California State Senator Dr. Richard Pan, now a U.S. Congress candidate, about his shift from clinical medicine to health policy driven by community health and social determinants. Dr. Pan highlights legislative achievements including expanding coverage to 4 million Californians, enabling an $11 generic insulin, and strengthening vaccination laws after the 2015 Disneyland measles outbreak.  He discusses rebuilding public trust amid vaccine disinformation, protecting the doctor–patient relationship through access to care, and addressing burnout by reducing administrative burden and prior authorization, noting outpatient physicians spend only about 28% of their time with patients.  The conversation covers sustaining independent practices, aligning incentives to better manage chronic disease, establishing AI safety guardrails, social media’s role in amplifying outrage and misinformation, and his top federal priorities: expanding healthcare access, restoring public health infrastructure, and reducing wasteful administrative spending. 00:00 Doctors vs Paperwork 00:30 Meet Dr Richard Pan 02:49 From Micro to Macro 06:30 Why Run for Congress 09:36 Rebuilding Trust in Medicine 12:34 Burnout and Prior Auth 17:53 Saving Independent Practices 23:03 AI Promise and Guardrails 26:58 Social Media and Youth 29:56 Top Healthcare Priorities 35:46 Closing Advice for Trainees

  5. Jul 23

    Adding Life to Years: Dr. Kim Williams on Healthspan

    In this episode of Physician’s Pulse, Ramin speaks with the famed cardiologist and former American College of Cardiology president Dr. Kim Allan Williams Sr., now chair of Medicine at the University of Louisville, about increasing healthspan, health equity, and physician leadership. Dr. Williams shares his upbringing on Chicago’s South Side with housing and food insecurity, how repeated childhood pneumonia and self-advocacy in an underfunded hospital inspired his medical career, and how tennis helped him excel academically. He recounts building programs in nuclear cardiology and inner-city care, leaving the University of Chicago after restrictions on caring for uninsured/Medicaid patients, and later leading at Wayne State and Rush. He defines longevity as “area under the living curve,” emphasizes the six Lifestyle Medicine pillars, critiques unproven longevity interventions via risk-benefit and evidence, discusses plant-based approaches to plaque stabilization/regression (Ornish/Esselstyn), and outlines burnout solutions like listening systems, a “pebble box,” and confidential support. 00:00 Midcareer Longevity Advice 00:33 Welcome and Guest Intro 03:39 South Side Origins 05:08 Tennis and Medical Path 06:53 Cardiology and Nuclear Lab 09:31 Fighting for Equity 12:47 Louisville Prevention Work 15:45 Defining True Longevity 17:50 Hype vs Evidence 20:07 Reversing CAD with Lifestyle 24:46 Going Vegan and Guidelines 30:06 Why Tennis Extends Life 32:18 Leadership and Burnout Fixes 38:00 Training Pipeline Rethink 40:32 Closing Thanks and Wrap

Ratings & Reviews

5
out of 5
2 Ratings

About

Medicine is broken. But you don’t have to be. Welcome to Physician's Pulse, a podcast hosted by me, Ramin Manshadi, a seasoned cardiologist and physician advocate who knows exactly what it feels like to navigate the modern healthcare machine. This channel will share real experiences from real practitioners without sugar coating. I am dedicated to having honest, unflinching conversations about the real issues driving physicians out of the field: burnout, moral injury, and systemic failure.