Doctor Friends

Doctor Friends

5.0 (5)
MEDICINE
UPDATED WEEKLY

A group of friends, who happen to be doctors, try to make sense of American healthcare. Hosted on Acast. See acast.com/privacy for more information.

APR 7

Student Perspectives

Christian and Tomás interview Joshua, a medical student focused on informatics, immunology, and improving trust and communication in healthcare. Josh describes how early exposure his oncologist father's work and an interest in science led him to medicine. He shares a clinical encounter in which a patient’s narrative conflicted with her chart history, prompting discussion about why patients might omit details, ways in which power and identity dynamics shape disclosure and how clinicians should respond. The doctors weigh up “chart lore” and push for the need of multiple perspectives to build understanding. Josh also introduces Alethia, a student group he co-founded that is aimed at countering health misinformation through interdisciplinary education. Dhruv Khullar - The Role of Doctors Is Changing Forever (The New Yorker, Dec 2025) This episode was recorded remotely in February 2026. Presented by Christian and Tomás. Music by Nylonia. Produced by Ilia Rogatchevski. Follow Doctor Friends on Instagram @doctorfriendspodcast Or write to us on doctorfriendspodcast@gmail.com Hosted on Acast. See acast.com/privacy for more information.

44 min
MAR 24

Why We Should Unionize

Tomás, Christian and Rosny interview Michael, an emergency physician and healthcare administrator who founded a major public sector physician union in California. Emphasizing the contrast between public and private legal frameworks, Michael outlines what a union is, the history of unionisation in the US and argues for the advantages of joining one as a physician. The conversation highlights how physician unions agitate for better working conditions with patient care in mind. The doctors discuss the tensions between professionalism and unionism as well as public perception of unions, citing the Committee of Interns and Residents’ 1970s patient care fund and the 2026 nurses’ strike in New York. They also cover the ethics of strike action and predict growing physician unionization efforts amid the twin economical landscapes of corporate medicine and private equity. “The meaning of professionalism evolved over the past two centuries, from sacred vocation to secular occupational identity. During the 19th century and most of the 20th centuries, taking up a profession was a socially approved route to middle class status. Samuel Haber puts it this way – a profession in the 18th century was an occupation that a gentleman could take up ‘without demeaning himself and, more wondrously, an occupation that might make someone a gentleman simply by his taking it out’”. – Grace Budrys - When Doctors Join Unions (Cornell University Press, 1997) This episode was recorded remotely in March 2026. Presented by Christian, Tomás and Rosny. Music by Nylonia. Produced by Ilia Rogatchevski. Follow Doctor Friends on Instagram @doctorfriendspodcast Or write to us on doctorfriendspodcast@gmail.com Hosted on Acast. See acast.com/privacy for more information.

42 min
FEB 18

Chatbot MD

Why do people turn to chatbots when seeking medical advice? Is it due to cost, out-of-hours access or simply wanting to feel heard? Christian, Tomás and Grace discuss why patients and clinicians are increasingly using Large Language Models (LLMs) in medical contexts and what that means for the American healthcare system. The doctors examine how certain attributes of LLMs such as sycophancy and engagement incentives can amplify anxiety, delusions or unrealistic expectations. The lack of accountability by big tech can also undermine trust for patients and healthcare practitioners alike. They raise concerns about training data quality (medical journals mixed with sources like Reddit) and the need for citations, transparency and regulation comparable to healthcare quality oversight. They also ask ChatGPT what it thinks about guardrails and risk controls! This conversation is spurred on by two New York Times articles (What OpenAI Did When ChatGPT Users Lost Touch With Reality; Empathetic, Available, Cheap: When A.I. Offers What Doctors Don’t). If you or someone you know needs help, in the US, you can call or text the National Suicide Prevention Lifeline on 988, chat on 988lifeline.org, or text HOME to 741741 to connect with a crisis counselor. If you’re listening in another part of the world, international helplines can be found at befrienders.org. The episode was recorded remotely in November 2025. Presented by Christian, Tomás and Grace. Music by Nylonia. Produced by Ilia Rogatchevski. Follow Doctor Friends on Instagram @doctorfriendspodcast Or write to us on doctorfriendspodcast@gmail.com Hosted on Acast. See acast.com/privacy for more information.

46 min
FEB 4

Substance Use Disorder

In this episode of Doctor Friends, emergency physicians Rosny, Christian, Tomás and Grace are joined by Dr. Taylor Nichols, MD – an addiction medicine specialist. The discussion covers substance use disorders and the concept of harm reduction. Taylor shares insights into the impact of drug use on medical practice, his experiences in emergency medicine and the importance of approaching substance use with empathy and evidence-based practices. The doctors also unpack some of the stigma around harm reduction and propose policy-level solutions like overdose prevention sites and medically-assisted treatment. This episode was recorded remotely in January 2026. Presented by Rosny, Christian, Tomás, and Grace. Music by Nylonia. Produced by Ilia Rogatchevski. Follow Doctor Friends on Instagram @doctorfriendspodcast Or write to us on doctorfriendspodcast@gmail.com Follow Taylor on TikTok @tnicholsmd and make sure to check out his podcast Recovery Reform, which is available on your favourite podcast app and YouTube. Substance abuse and mental health services administration SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Safespot Hotline: 1-800-662-HELP (4357) Hosted on Acast. See acast.com/privacy for more information.

46 min
12/23/2025

Holiday Rounds

In this festive season finale, emergency physicians Grace, Christian, Tomás, and Rosny review the highs and lows of 2025 and share their “hot cakes” for the coming year. The doctors reflect on personal milestones alongside how the wider challenges of American healthcare impact their work. The episode also features their producer Ilia for a new segment, Asking for a Friend, answering listener questions about their close friendships and unique experiences of working in the emergency department during the holidays. Lastly, they predict trends for 2026, including the positive use of AI in medicine and the critical role that immigrants play in providing healthcare. This episode was recorded remotely in December 2025. Presented by Grace, Christian, Tomás and Rosny. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Tell your friends! Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

38 min
12/16/2025

Social Emergency Medicine

Why is the proliferation of quick fixes such as detoxes, fad diets and weight loss injections so prevalent online? Is it really a shortcut to getting fitter and healthier? Why is the focus shifting onto these products and services when what people actually need are structural changes like access to affordable housing, child care, clean air and healthy food? In this episode of the Doctor Friends podcast emergency physicians Christian and Rosny are joined by Italo, who works in social emergency medicine, to discuss the social determinants of health in America. Italo explains his role in community health initiatives and the importance of addressing structural drivers of health. The conversation explores how structural changes are crucial for lasting improvements and strategies are suggested for clinicians to better serve their communities, including attending city council meetings, creating resource lists and effectively communicating with policymakers. The episode underscores the need for systemic change and active involvement from healthcare providers to bridge gaps in healthcare access and equity. This episode was recorded remotely in October 2025. Presented by Christian, Rosny and Italo. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Tell your friends! Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

44 min
12/09/2025

MAHA Conspiracy Theories

“There is nothing more profitable in our society today than a sick child, because all of these entities are making money on him: the insurance companies, the hospitals, the medical cartel, the pharmaceutical companies have lifetime annuities. They don’t want to kill them, they want them sick for the rest of their lives.” – Robert F. Kennedy, Jr. In this episode Christian, Grace and Tomás take on the Make America Healthy Again (MAHA) movement and the misinformation peddled by wellness influencers. The jumping off point for the conversation is Alexander Stockton and Derek Beres’s New York Times Opinion video ‘You Might Have Already Fallen for MAHA’s Conspiracy Theories’ (published September 2025) about ordinary people who got pulled into the MAHA orbit. The group reflects on social media’s contributions to public distrust in the American healthcare system and how this scepticism is compounded by the heightened emotional context of seeking care in an emergency room. They also touch on the split between public health and medical practice, spearheaded by the Flexner Report, and the perceived importance of individual control in personal health decisions. The discussion also addresses public health initiatives like MMR vaccinations. Their success has led to widespread immunity but also a lack of awareness about their importance, leading some to question their necessity. The doctors share personal anecdotes and insights on bridging the trust gap with patients and emphasize the importance of empathy. This episode was recorded remotely in September 2025. Presented by Christian, Tomás and Grace. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Tell your friends! Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

36 min
12/02/2025

Navigating the Healthcare System

Healthcare navigation is difficult. Even for doctors who are in the thick of it, certain aspects of the system can feel messy and tumultuous. In this episode of Doctor Friends, emergency physicians Tomás, Grace and Christian highlight issues like scheduling difficulties, insurance barriers and the high administrative burden on both patients and providers, while Rosny – "the Joe Rogan of the left" – shares his personal experiences navigating the healthcare system following his diabetes diagnosis. The conversation also touches on the time-consuming process of obtaining care, dealing with prior authorisations as well as additional layers of complexity faced by patients without insurance or with health literacy and language barriers. The doctors emphasise the need for universal healthcare, better data integration and structural changes to make healthcare more accessible and equitable. The discussion is partly inspired by Paula Span’s article for the New York Times So Many Days Lost at the Doctor’s Office (published November 2024). Doctor Friends should not be used in place of professional medical advice. The opinions of the participants are their own and do not represent the institutions that they work for. This episode was recorded remotely in September 2025. Presented by Rosny, Tomás, Grace and Christian. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Tell your friends! Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

43 min
11/25/2025

Death By 1000 Metrics

“I often say that when you can measure what you are speaking about and express it in numbers you know something about it; but when you cannot measure it, when you cannot express it in numbers, your knowledge is of a meagre and unsatisfactory kind.” – Lord Kelvin In this episode, Christian, Rana, Carl and Michelle delve into quality measures and metrics within emergency medicine. They explore the origins and historical context of these measures, touching on key figures like John Snow and Florence Nightingale, and contemporary frameworks such as the Donabedian model. The physicians talk about the evolution of metrics from voluntary reporting to mandatory quality measurement tied to payments, highlighting significant legislation like the Affordable Care Act and MACRA (Medicare Access and CHIP Reauthorization Act). The conversation also addresses the nuances of implementing and updating quality measures as well as reaching a balance between process and outcome metrics. Michelle shares insights from her research and experiences in developing and applying quality measures – emphasising the tension between the benefits and challenges of using metrics in emergency medicine – and explores potential improvements for quality measures for the future. Doctor Friends should not be used in place of professional medical advice. The opinions of the participants are their own and do not represent the institutions that they work for. Presented by Christian, Rana, Carl and Michelle. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Tell your friends! Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

41 min
11/18/2025

Wellness Is Just An Online Module Away

In this episode, emergency physicians Christian, Rosny and Grace discuss the pervasive issue of burnout in the medical profession. They address the history and roots of burnout, starting from its first mention in the 1970s to its institutional acknowledgment in the 2010s. The conversation highlights the factors contributing to burnout, such as work-life imbalance, moral injury, structural inefficiencies and the unrealistic expectations placed on healthcare providers. They discuss the complexity of finding solutions, emphasising that individual resilience strategies alone are insufficient and that structural changes are necessary. Grace notes that reducing work hours significantly improved her well-being, while Rosny and Christian touch on the systemic changes necessary for improving patient care, such as better financial support and fair workload distribution. Doctor Friends should not be used in place of professional medical advice. The opinions of the participants are their own and do not represent the institutions that they work for. Presented by Christian, Rosny and Grace. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

47 min
11/11/2025

On Death

Welcome back to Doctor Friends, a podcast in which a group of friends, who happen to be doctors, explore issues within the American healthcare system. This week Tomás, Christian and Grace welcome the physician executive Kai, and geriatrics, palliative care and addiction medicine specialist Lauren to discuss their experiences and challenges in dealing with death and grief in medical practice. Kai and Lauren delve into the emotional impact of patient deaths, differing perspectives between emergency and hospice settings, and the importance of authentic communication with patients and their families. They reflect on the challenges physicians face, specifically the emotional and ethical dilemmas concerning death, strategies for processing grief and the systemic issues affecting patient care. The conversation also delves into the cultural expectations surrounding 'a good death' and the importance of humanising medicine. Their personal anecdotes and professional insights offer a candid look at the complexities of providing compassionate care in high-stress environments. Doctor Friends should not be used in place of professional medical advice. The opinions of the participants are their own and do not represent the institutions that they work for. Presented by Tomás, Christian, Grace, Kai and Lauren. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Tell your friends! Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

43 min
11/04/2025

Is Medicine Worth It?

Welcome to the Doctor Friends podcast in which a group of friends, who happen to be doctors, discuss issues in American healthcare. This first episode introduces Grace, Christian and Tomás who reflect on years of personal and professional experience and ask if medicine is a field worth going into. They share their backgrounds, why they’re drawn to medicine and outline their frustrations with a system that exploits their dedication while undervaluing their roles within it. The conversation also covers burnout, moral injury, residency match declines, and systemic failures that push emergency medicine to act as a safety net for people without the necessary support. They reflect on work-life balance and the conflict between purpose and exhaustion, and explore whether collective action, like unionising, might be a path forward. Doctor Friends should not be used in place of professional medical advice. The opinions of the participants are their own and do not represent the institutions that they work for. Presented by Grace, Christian and Tomás. Music by Nylonia. Produced by Ilia Rogatchevski. Liked the episode? Tell your friends! Follow us on Instagram or write to us at doctorfriendspodcast@gmail.com. Hosted on Acast. See acast.com/privacy for more information.

48 min

12 Episodes

5

out of 5

5 Ratings

A group of friends, who happen to be doctors, try to make sense of American healthcare. Hosted on Acast. See acast.com/privacy for more information.

Creator

Doctor Friends
Years Active

2025 - 2026
Episodes

12
Rating

Explicit
Copyright

© Doctor Friends
Show Website

Doctor Friends