81 episodes

Every critical moment in our lives starts and ends with a Difficult Conversation. As an intensive care physician, author, and frequent speaker on communication, Dr. Orsini has spent most of his career teaching key communication techniques that can help anyone navigate through the most difficult conversations. This podcast is about effective and compassionate communication. Each week our guests will tell their inspiring stories of triumph and tragedy and the role that communication played in the their lives. . Whether you are a doctor telling someone they have terminal cancer, a business leader who is trying to get the most out of his/her employees or an HR Professionals who is faced with separating an employee this is the podcast for you.

Difficult Conversations -Lessons I learned as an ICU Physician Dr. Anthony Orsini

    • Health & Fitness
    • 5.0 • 172 Ratings

Every critical moment in our lives starts and ends with a Difficult Conversation. As an intensive care physician, author, and frequent speaker on communication, Dr. Orsini has spent most of his career teaching key communication techniques that can help anyone navigate through the most difficult conversations. This podcast is about effective and compassionate communication. Each week our guests will tell their inspiring stories of triumph and tragedy and the role that communication played in the their lives. . Whether you are a doctor telling someone they have terminal cancer, a business leader who is trying to get the most out of his/her employees or an HR Professionals who is faced with separating an employee this is the podcast for you.

    Recognizing Fear

    Recognizing Fear

    Welcome to Difficult Conversations.  Today, we have Liz Poret-Christ hosting along with Dr. Orsini.  A few weeks ago, when Liz was scrolling through Facebook, she came across the PELOTON Cancer Warriors page and saw a post by Gina Jacobson. Her thoughts about battling cancer, mixed with a bit of dark humor, and a lot of honesty made Liz realize that she would be a great guest on this podcast. So, joining us today is Gina Jacobson. For the past twenty-seven years, Gina has worked in a broad range of roles with the Publicis Group, including overseeing media at Starcom and creative development at Leo Burnett. Her official title at Starcom is Chief Growth Officer, but she thinks of herself as a “Chief Potential Officer.” She’s known for her critical strategic thinking, digging into her client’s businesses, and has a passion for building and nurturing teams who deliver engaging, strategic work.   Gina was diagnosed with stage IV colon cancer in 2018, and has outlived her prognosis by several years, and intends to keep living a joyful and purposeful life, helping others realize their full potential.  Get ready to hear Gina’s story and be inspired! 

    Gina shares her background story and how she got to where she is today with her career. We learn how her leadership style and philosophy of “recognizing fear” started, and she goes in depth how her philosophy deepened after her cancer diagnosis.  Gina tells us about the breakdown she had at a conference in front of her whole leadership team and reveals how having cancer changed her philosophy of leadership, how she views the world, her job, and how being more vulnerable helped her and her co-workers. We hear the story about the four oncologists Gina interviewed and how their communication affected her ability to envision a successful path forward. She explains how each of the conversations went, and how she ultimately chose the one that communicated with her in a way that she felt this physician was her advocate and one that she could trust. With the great connection she had with this physician, she makes a point that the positive attitude certainly made for an easier journey and a more tolerable journey.  Gina describes her cancer journey as a “masterclass in fear” and shares her message to everyone.  We hear about her blog and a post she wrote about telling the kids, and specifically one with her son, and his response that felt like a knife in the gut for a mother to hear. We end with Gina telling us the type of conversation she finds most challenging and the strategies she’s developed to get better at having those difficult conversations. If you enjoyed this podcast, please hit the subscribe on your favorite podcast platform. 
    Hosts:
    Liz Poret-Christ
    Dr. Anthony Orsini 
    Guest:
    Gina Jacobson 
    For More Information:
    Difficult Conversations Podcast
    The Orsini Way
    The Orsini Way-Facebook
    The Orsini Way-LinkedIn
    The Orsini Way-Instagram
    The Orsini Way-Twitter
    Liz@theorsiniway.com
    It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini
    Resources 
    Gina Jacobson Blog-Substack
    We Are All Made of Stars-Gina’s Blog

    • 34 min
    There's a Snake on My Head

    There's a Snake on My Head

    Welcome to Difficult Conversations with Dr. Anthony Orsini.   My guest today, is Mindy Spigel.  Mindy  has dedicated her career to improving healthcare and helping patients get over their fears of the  system. She has a master’s degree in nursing, has worked in both inpatient and outpatient settings, and has taught in both academic and clinical fields. Her passion is helping people create meaningful connections as a leader and team member while providing the best care.  She enjoys helping leaders build strong teams in exceptional work environments. It’s her desire to alleviate fears, build trust, and create an exceptional experience for all.  Mindy has been honored to have presented at numerous national, state, and local conferences, she recently published a research study on the “Fears of Parents When Their Child is a Patient, and she just released her first book, There’s a Snake on My Head! Strategies for Alleviating Fear and Anxiety in Healthcare, which we are going to be talking about today. 
    Mindy tells us about her journey and what gave her a passion for patient experience. She expresses why she’s been a very big advocate for shared decision making and asking the team  how can we make this work? We hear about the inspiration behind the title of her book, There’s a Snake on My Head! Strategies For Alleviating Fear and Anxiety in Healthcare. Dr. .  Mindy and Dr Orsini discuss why it is such a big mistake when hospitals try to t way to improve patient experience is treating hospitals like hotels. She tells us about  things she learned in her research about what people are afraid of. In her book, Mindy talks about Five Relieving Strategies, and the first one is build a relationship. It’s about finding commonality, and Dr. Orsini talks about how we could find commonality in just about everyone.  Mindy explains her second strategy which is, choose your words carefully.  She shares an aha moment story.  In part two of her book, Mindy talks about how healthcare team members are people too and she explains more about this. Also, we find out what prompted Mindy to write her book, what she hopes will understand after reading the book. Mindy talks about what she is currently doing and her hopes for the coming months in her career. We end with Mindy telling us the most difficult type of conversation she’s had, and advice on how she navigated through it. 
    Host:
    Dr. Anthony Orsini
    Guest:
    Mindy Spigel
     For More Information:
    Difficult Conversations Podcast
    The Orsini Way
    The Orsini Way-Facebook
    The Orsini Way-LinkedIn
    The Orsini Way-Instagram
    The Orsini Way-Twitter
    drorsini@theorsiniway.com
    It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini
    Resources Mentioned:
    Mindy Spigel Website
    mgspigel@gmail.com
    There’s a Snake on My Head! Strategies for Alleviating Fear and Anxiety in Healthcare for Patients, Families, AND Healthcare Teams by Mindy G. Spigel

    • 40 min
    Conversations about Fatherhood

    Conversations about Fatherhood

    Welcome to Difficult Conversations with Dr. Anthony Orsini. Today, I have a wonderful guest who’s been doing great things in the healthcare field and has some wonderful stories to share.  My guest today is Jeff Atwood.  Jeff is a healthcare leader, author, and speaker who has more than twenty-five years of healthcare leadership, marketing, and storytelling experience. He consults with healthcare and community groups nationally, sharing insights and encouragement found at the crossroads during his two decades serving healthcare organizations, while raising a daughter with significant and developmental challenges. Jeff’s books have been published by Simon & Schuster, Random House, and Harvest House, and today we’ll be talking about his latest book, Need to Know for Graduates: Little Things That Make a Big Difference, which was released earlier this year.
    Jeff shares his journey and how he entered a career in healthcare by accident.  He tells us about his daughter who has had a seizure disorder her entire life, and how he and his wife had the opportunity to touch almost every part of the healthcare system as parents. We hear about the Gratitude Symposium and Jeff shares a sweet story, as well as his thoughts about how the healthcare community is wired with gratitude. Dr. Orsini shares his insights on the importance of teamwork when it comes to providing care to human beings, and we hear some great stories of the true kindness of people in healthcare  We hear some great advice about how we can bring even more beauty and humanity out in medicine, and why acknowledging  people when they do good things is so important.  Dr. Orsini tells us his “sticker story” and why such a simple thing seems to bring so much excitement to people. He tells a tender story about a housekeeper in the Neonatal ICU. Jeff’s discusses his most recent book, Need to Know for Graduates: Little Things That Make a Big Difference, and his idea behind the book that shares advice and things he thinks are important for parents to tell their kids. He explains how as a parent you really need to be intentional with what’s important and how you say it. 
    Host:
    Dr. Anthony Orsini
    Guest:
    Jeff Atwood
    For More Information:
    Difficult Conversations Podcast
    The Orsini Way
    The Orsini Way-Facebook
    The Orsini Way-LinkedIn
    The Orsini Way-Instagram
    The Orsini Way-Twitter
    drorsini@theorsiniway.com
    It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini
    Resources
    Jeff Atwood (Email)
    Need to Know for Graduates: Little Things That Make a Big Difference by Jeff Atwood
    Need to Know for New Parents: Little Things That Make a Big Difference by Jeff Atwood

    • 35 min
    Monitoring Physician Wellness for Patient Safety

    Monitoring Physician Wellness for Patient Safety

    Welcome to Difficult Conversations with Dr. Anthony Orsini.  Our guest today is my friend, Ellen Reilly, who is an industry leader focused on the intersection of healthcare, technology, and data. She’s the Global Head of Healthcare and Life Sciences at WHOOP, a company that debuted in 2015,. Ellen has led large organizations in driving change to transform and simplify business processes while delivering bottom line measurable benefits. This is another part of a long series about physician wellness, and we’re going to build upon  a previous episode with guest, Brian Ferguson. Brian is doing real important work with  WHOOP.  As always, Dr. Orsini keeps his promise about two things, that you will feel inspired, and you will have learned valuable lessons to be a better and more compassionate communicator.
    Ellen tells us her background and how she ended up at WHOOP. We find out what WHOOP does and why it is unique in the industry.  Dr. Orsini tells us that agreed to be on the Healthcare Advisory Board for WHOOP because he was so impressed with what it does, and he shares what he loves about it. There are a lot of hospitals that are doing some studies right now with WHOOP and Ellen shares some of those studies with us.  We also hear about the type  of data  consumers and healthcare workers use to understand the impact of such factors as alcohol, smoking, and  caffeine, and how it changes their behaviors and recovery.  Ellen tells us how people are using WHOOP to measure things such as the strain of stress.  Ms Reilly explains how WHOOP helped her improve her life in a positive way by using it every day. Also, we learn how WHOOP could be used for real time data to make people aware of how outside factors effect their own wellness.  Dr. Orsini and Ellen discuss the major impact Whoop can have on physician wellness, professional burnout and  ultimately patient safety. Ellen tells us the most difficult conversation she’s had in her life and shares advice how she navigated through it.  We end with learning where Ellen sees WHOOP going in the future. If you enjoyed this podcast, please hit subscribe on your favorite podcast platform. Go ahead and download this episode now! 
    Host:
    Dr. Anthony Orsini
    Guest:
    Ellen Reilly
    For More Information:
    Difficult Conversations Podcast
    The Orsini Way
    The Orsini Way-Facebook
    The Orsini Way-LinkedIn
    The Orsini Way-Instagram
    The Orsini Way-Twitter
    drorsini@theorsiniway.com
    It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini
    Resources Mentioned:
    ellen.reilly@whoop.com
    WHOOP Unite
    Difficult Conversations Podcast-Episode 164: Reaching Peak Performance in Medicine with Brian Ferguson
    Difficult Conversations Podcast-Episode 110: Avoiding Burnout with Dr. Dike Drummond

    • 35 min
    A Life Dedicated to Babies

    A Life Dedicated to Babies

    Welcome to Difficult Conversations with Dr. Anthony Orsini.  This interview was recorded over a year ago and for reasons best not discussed were not been able to make it live. Well the big day is finally here. Today, you are in for a real treat because my special guest is a true legend and a local hero in the field of Neonatology here in Central Florida and in the country.  He is a hero not only because of his accomplishments, but because of the positive impact that he has left on so many lives and families. My guest today is Dr. Gregor Alexander, who is a friend, a former partner, and someone whom I’ve learned a great deal from.  He has treated more than 45,000 critically ill newborns and has touched the lives of countless other families and children through his work with Orlando Health and the Arnold Palmer Foundation.  He has been locally and nationally recognized by organizations such as March of Dimes, Children’s Miracle Network, and the American Institute for Public Service, to name a few. His relationship with Arnold Palmer and the work they’ve done together is a story he will share today.  His story is so inspirational and interesting that Gregor is currently working on a book about his life as a Baby Doctor and what it means to truly live a  purposeful life. 
    Gregor shares with us an incredible story about his family, living in Columbia, becoming a doctor, and how he ended up in the United States.  He tells us about coming to Central Florida, working in a tiny NICU, and becoming the director. He talks about the miracle that came to him in 1981, which was Arnold Palmer, who helped with making a dream come true in 1989 to open the Orlando Health Arnold Palmer Hospital for Children.  We also learn about the dream and planning of building the Winnie Palmer Hospital.  Gregor goes into detail about the relationship he formed with Arnold Palmer over the years and why he called him the “King of Hearts.” Dr. Orsini talks about meeting Arnold Palmer, how he changed the game of golf, and how humble he was. Gregor tells us about the survival rates of babies back in 1975 and how scary it was. We hear Gregor’s philosophy on having that human connection with the families of premature babies, how he takes great pleasure and honor taking care of babies, and how he uses humor to start his relationships with the families.  Also, find out why he says we are becoming “emotional billionaires.” Dr. Orsini brings up the importance of finding commonality. Gregor shares with us what he’s currently doing in his life, which includes mission trips, caring for babies, and writing a book about his life that he hopes will be an inspiration to people not only in the medical field, but for people that come to this country and have a dream and want to succeed like he did.  Check out Dr. Alexander's upcoming book "The Baby Doctor" 
    Host: 
    Dr. Anthony Orsini
    Guest:
    Dr. Gregor Alexander

    Sponsor:
    The Finley Project
    For More Information:
    The Orsini Way
    The Orsini Way-Facebook
    The Orsini Way-Linkedin
    The Orsini Way-Instagram
    The Orsini Way-Twitter
    It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini
    Resources Mentioned:
    gag.alexander@outlook.com

    • 40 min
    Difficult Conversations about Death and Dying

    Difficult Conversations about Death and Dying

    Hello and welcome to Difficult Conversations with Dr. Anthony Orsini.  Today, we are excited and honored to have as our guest, Julie McFadden, otherwise known as “Hospice nurse Julie,” on social media, where she has almost a million viewers between TikTok and Instagram. Her warm and insightful ability to normalize and explain the death and dying process has made her a cultural icon. Julie has been a nurse for fifteen years, ten in the ICU, and five taking care of hospice patients. Her gift to the world has been sharing her experiences and discussing topics like death to help others understand the process and alleviate any anxieties they may have about it.  She’s a funny, honest, and natural storyteller and her amazing following has helped expand the conversations about death and dying and change the way people view hospice care. 
    Julie tells us more about herself, her journey to becoming an ICU nurse, and what led to her decision to transition into doing hospice. She worked in ICU for ten years and she talks about coming to the realization that there was a missing link to talking about big life goals with what’s going to happen with certain patients. When Julie started speaking up, she realized her voice mattered and it started making an impact with more conversations happening with family members. Julie tells us about two patients she took care of in the ICU who impacted her and made her realize she really wanted to do hospice care. She details the difference between palliative care and hospice, she explains the biggest thing she learned, and why she became so passionate about working in hospice. We learn how “Hospice nurse Julie” started, how topics such as, “The Rally,” “Death with dignity,” and “Myths about morphine,” all came to her, and why she picked TikTok as her platform. Julie explains the process she goes through with families, the conversations she has, and how she navigates through them. Liz and Dr. Orsini talk about the guilt family members feel and the phrase they teach, “Sometimes the more loving thing to do is to not do anything.”  We hear the one question that Julie gets asked the most from people and we learn the most fulfilling thing about her job. If someone is newly diagnosed, scared, and referred to hospice, Julie shares the first conversation she has with this person, and Dr. Orsini shares a sweet story behind his father-in-law last words, “I won!” We end with Julie telling us the most difficult type of conversations she has and how she navigates through them. . If you enjoyed this podcast, please hit subscribe on your favorite podcast platform.

    Hosts:
    Liz Poret-Christ

    Anthony Orsini 
    Guest:
    Julie McFadden
    For More Information:
    Difficult Conversations Podcast
    The Orsini Way
    The Orsini Way-Facebook
    The Orsini Way-LinkedIn
    The Orsini Way-Instagram
    The Orsini Way-Twitter
    It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini
    Resources
    Hospice nurse Julie TikTok 
    Hospice nurse Julie Instagram
    Hospice nurse Julie YouTube
    Hospice nurse Julie-End Well (YouTube)

    • 37 min

Customer Reviews

5.0 out of 5
172 Ratings

172 Ratings

SierraRNC ,

Amazing

Glad to have some discussion on what can seem to be a difficult , uncomfortable topic we deal with regularly!

the steve w show ,

Vulnerability and true leadership on display.

I was blown away last night listening to Dr Anthony Orsini interviewing Dr. Jonathan Fisher about his own journey with anxiety and depression. This type of vulnerability, courage and leadership is needed now more than ever in the medical community.

merenboi ,

Fantastic

Dr. Orsini is a trailblazer in this very difficult aspect of being a healthcare provider.

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