Welcome to PeerSpectrum, where we dive deep with uncommon conversations in and around medicine. Expand your practice by exploring the world and ideas beyond it and get ready to make your downtime count. Get ready for PeerSpectrum with Dr. Keith Mankin and Colin Miller.
Targeting PTSD with two Navy SEAL Physicians. Sean Mulvaney, MD with Guest Host, Robert Adams, MD
Today we are thrilled to embark on a new adventure here on PeerSpectrum. The first episode of our new guest host series. We’re inviting back some of our most popular past guests and handing over the microphone. As Keith and I have learned over the past few years, there is an art and craft to interviewing. Playing on the field has given us both a deeper appreciation and admiration for the true masters of the game. Masters such as the late Larry King (who passed away just last month) and his very close friend, and our most recent guest, Cal Fussman. As we discussed last time, one of my all-time favorite podcast interviews was Cal Fussman interviewing Larry King, on Tim Ferriss’s podcast. It was a rare opportunity to listen in as two masters discussed their game. These types of conversations are likely more common than we think. It’s just not as common to hear them.
Today we are happy to have our good friend and past guest, Dr. Robert Adams back with us. As you may recall, Bob is a former US Navy SEAL and command surgeon for the army’s elite Delta Force. A recently retired family physician in the UNC health system, Bob is also the author of two books, “Six Days of Impossible,” and “Swords and Saints: A Doctor’s Journey.”
Today Bob is joined by his good friend and former colleague, Dr. Sean Mulvaney. Sean is also a former US Navy SEAL turned army physician. Their conversation will take us all around the world from the battle fields of Iraq and Afghanistan, to a surprise birthday party for Colin Powell aboard a US Navy warship.
More importantly, Bob and Sean will spend some time discussing PTSD, what we currently know about it and how it is and will be treated. They also discuss a new and very promising PTSD treatment called Stellate Ganglion Block. Sean has treated hundreds of veterans, trauma survivors and others suffering the effects of PTSD. This includes Medal of Honor recipients Dakota Myer, whose treatment by Sean was dramatically featured in a recent 60 Minutes report.
Let us know what you think of this new format. Who would you like to hear as a future guest host? We love hearing your ideas so keep them coming. With that said, let’s get started…
Big Questions with legendary interviewer & Esquire’s writer-at-large, Cal Fussman.
Think of someone accomplished, someone famous, someone you truly admire. Have you met them? If so, how did it go? What did you talk about? If not, what would you talk about? What questions would you ask them?
For us, today’s guest is just that person. His name is Cal Fussman and he is a long time writer-at-large for Esquire Magazine through their “What I learned” series. He is also host of the Big Questions podcast. Cal has interviewed everyone and I mean everyone…Mikhail Gorbachev, Jimmy Carter, Bill Maher, Jeff Bezos, Richard Branson, Jack Welch, Robert De Niro, Clint Eastwood, Al Pacino, George Clooney, Leonardo DiCaprio, Tom Hanks, Bruce Springsteen, Dr. Dre, Quincy Jones, Walter Cronkite, Woody Allen, Barbara Walters, Pelé, Yao Ming, Serena Williams, Danny DeVito, Eric Clapton, Arnold Schwarzenegger, and Muhammad Ali. Just to name a few.
For amateur interviewers like us, today’s conversation was like getting to play 18 holes with Arnold Palmer. It’s like being one degree away from Kevin Bacon. Cal interviewed both by the way.
Cal is literally one of the best in the business. We discussed his extraordinary career and his new mission in our world of medicine. Most importantly we’ll cover how all of us can be more aware, more thoughtful and effective with the questions we use. With that said, let’s get started…
Eisenhower’s Legacy of Lessons. “How Ike Led” with Susan Eisenhower
On the release of this episode, we find ourselves in October of 2020. Still deep in the Covid-19 pandemic, and exactly one week away from the 2020 presidential election. Instead of piling on with our own opinions and speculation, we’re heading to the past for lessons and perspective that might, just might, help us make better sense of the world around us. Lessons from someone I think many of us wouldn’t mind having around today. A man who led the fight to liberate Europe from the darkness of Nazism. A man who spent decades patiently preparing and training for that role, never knowing if it would ever come. A man who’s deep footprint on history still shapes the world we live in today. A man who served through multiple heart attacks, strokes, and other severe illnesses. A leader tested by pandemics from the 1918 Spanish Flu to Polio. A true citizen of the world who, as Lyndon Johnson described, left “America…a better nation—stronger, safer, more conscious of its heritage, more certain of its destiny---because Ike was with us when America needed him.”
Today’s guest knew Ike well, though she never addressed him as General or Mr. President. She called him grandpa because Susan Eisenhower is one of Dwight Eisenhower’s four grandchildren. She is a writer, policy strategist and national security expert who leads the Washington, DC based consulting firm, The Eisenhower Group.
Her recently published book, “How Ike Led, The Principles Behind Eisenhower’s Biggest Decisions,” and her personal perspective growing up with her grandfather are the focus of today’s episode. With that said, let’s get started.
The Quantified Surgeon. Sensors, wearables & performance analytics. Stanford surgeon, Dr. Carla Pugh
You’ve no doubt heard this famous quote from science fiction writer, William Gibson, “The future is already here – it's just not evenly distributed.” What better way to describe technology and medicine? The runway for technological innovation and adoption is just a little longer in our world. What other profession or industry can you think of that still uses pagers and fax machines?
So where can we look for a sneak peek into the future? How about sports? Motion tracking sensors, video analysis, performance modeling, biometrics, wearables, “Moneyball” data analytics. This is old stuff for the coaches, trainers, scouts, and team managers who use these technologies every day. But what can we learn by putting this same technology to work in the operating room? To answer that question, we’re thrilled to have Dr. Carla Pugh with us today. Dr. Pugh is a professor of General Surgery, and Director of the Technology Enabled Clinical Improvement Center at the Stanford University School of Medicine. She is one of the world’s leading researchers in the use of sensors and simulation technology to assess and quantitatively define hands-on clinical skills. This was a fun and eye-opening episode on what is coming around the corner. With that said, let’s get started…
The Mad Men of Medicine Avenue. Investigative Journalist and “Pharma” author, Gerald Posner
All right, welcome back. If you think you have a pretty good handle on the opioid crisis, the pharmaceutical industry and how it all works, today’s episode may challenge that assumption. It certainly did for us. The modern pharmaceutical and biotech industries are like no other. How they got to where they are is a story like no other. The same businesses that have given us incredible lifesaving advances have also given us disasters like the opioid epidemic. The history of the pharmaceutical industry is more complex and captivating than you might imagine.
Today’s guest in award winning investigative journalist, Gerald Posner. He’s written twelve books including national best sellers such as “God’s Bankers,” “Mengele. The complete Story,” and The Pulitzer Prize finalist, “Case Closed.” His latest book, “Pharma,” is master class history of the modern pharma and biotech space. Understanding that history is critical to understanding the present opioid crisis. In-fact, we didn’t even cover the opioid crisis until the final 15 minutes of the podcast.
With so much to cover, we asked Gerald for an extra 30 minutes beyond our usual hour. Even that wasn’t enough, but it was lot of fun, and hopefully all the reason you need to read the book yourself. With that said, let’s get started…
Overcoming rejection. Renowned transplant surgeon & heart transplant patient, Dr. Robert Montgomery
Imagine losing your father at 14, losing your brother a decade later, and looking down the barrel of the same heritable heart condition that killed them both. Imagine learning in your first year of surgical residency that your continued existence will depend a new implantable device, called an ICD. A device so new, you will likely be the first surgeon in the world to have one implanted. A device that will allow your life to continue, but most likely put an end to your surgical career.
That’s exactly what happened to today’s guest, one of the nation’s renowned transplant surgeons, Dr. Robert Montgomery. Robert has performed over 1000 kidney transplants and his research has advanced the field in areas such as desensitization, multiple organ transplants, gene and cell-based therapies, and perhaps most famously, domino paired donations. And if that’s not enough, he is also credited in the Guinness Book of World Records for most kidney transplants performed in one day.
One more thing…Robert is also heart transplant recipient. A heart transplant performed by the very surgical team he hired, and currently leads as the director of the Langone Transplant Institute at NYU. Wondering about the Ave Maria intro music? Well, that’s Robert’s wife, world famous mezzo-soprano, Denyce Graves. Get ready for a wild journey of an episode. With said, let’s get started.
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I highly recommend PeerSpectrum. Informative, interesting, well produced. I look forward to more!
Lean toward risk: conversation with 54 year old medical student, Suzanne Watson
Many things I admired about Dr Suzanne Watson:
She tragically lost her husband & had to move forward w/ raising 4 children, starting her ministry in the Episcopal church while facing financial challenges. She pursued her dream of a medical career despite the obstacles in her life. I admire what she's done to reduce the stigma of mental illness w/ education & good resources. Suzanne has taken a personal tragedy & turned it into something that can help her patients & others. This was an excellent podcast w/ Keith Menkin & Colin Miller. Hope Dr Watson will agree to another podcast in the future. We have so much to learn from her, which can guide us in how to help others too!