Physician's Guide to Doctoring with Bradley B. Block, MD

Dr. Alin Gragossian talks about her experience with a health issue that interrupted her graduate medical education. She developed cardiogenic shock, was in the ICU, received a heart transplant and still managed to finish her emergency medicine residency and critical care fellowship! [00:00:23] Interrupted Medical Training. [00:05:33] Cardiogenic shock and resuscitation. [00:06:41] Severe heart failure. [00:12:44] Heart transplant urgency. [00:16:04] Heart transplant candidacy. [00:20:36] Facing mortality before surgery. [00:23:44] Phrases that helped. [00:25:36] Caregivers and support people. [00:28:13] Patient privacy in hospitals. [00:31:39] Patient support in transplant. [00:34:39] Heart transplant support group. [00:37:07] Meeting a hero. [00:41:35] Power of social media. [00:43:29] Transplant patient as a resident. Many thanks to Doc2Doc Lending for supporting the show. If you’re needing a doctor loan expert to help guide you on your financial journey, this company comes highly recommended by our audience! Did ya know… You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect. Socials: @physiciansguidetodoctoring on FB @physicianguidetodoctoring on YouTube

How can we, as doctors, be better communicators? Dr. Block sits down with Dr. John Schneider, MD and the two discuss communicating with your patients, acknowledging congitive biases, and informing the patients about the uncertainty of a diagnosis while keeping authority. Dr. John Schneider earned his BA, MA, and MD at the University of Chicago. He is an experienced otolaryngologist. This episode is sponsored by Locumstory. For more information on Locumstory, go to https://locumstory.com/ The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

In this episode, a sequel to the earlier episode "A Guide to Flourishing" Dr. Jordyn Feingold and Dr. Sanj Katyal address the question, "So what is clinician well-being anyway?" and unpack six core elements that evidence shows best predict well-being: relationships, engagement, vitality, accomplishment, meaning, and positive emotions, or REVAMP. REVAMP is both an acronym and a call-to-action for clinicians to pursue whole-person well-being, and help our patients do the same. Both Jordyn and Sanj are experts in the science of well-being, Positive Psychology, and are living, teaching, and practicing medicine with Positive Psychology or "Positive Medicine" at the forefront. Like what you hear? Take their fully online course at: https://www.physicianflourishing.com/ Check out Sanj's book: https://www.amazon.com/stores/Sanj-Katyal/author/B07JD32SRC?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Check out Jordyn's work including her book: https://jordynfeingold.norby.live/ This podcast is sponsored by Doc2Doc, the Personal Lending platform designed for Doctors, by Doctors. We love what Doc2Doc is doing within our community, and encourage you to visit their website at https://doc2doclending.com/pgtd to learn more today. The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

Asking patients about their sex life can be awkward, but it's important. Rachel Rubin MD, a urologist and sexual medicine specialist, breaks down how sex is helpful to your health, and how being otherwise healthy is good for your sex life. Dr. Block and Dr. Rubin go down the path of mythbusting menopause, goop, and other sexual myths. Dr Rubin is one of only a few physicians with fellowship training in sexual medicine for all genders. She is the education chair for the International Society for the Study of Women's Sexual Health (ISSWSH), as well as an associate editor for the journal Sexual Medicine Reviews. This episode is sponsored by Locumstory. For more information on Locumstory, go to https://locumstory.com/ The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

Investing in real estate is one of the most common side gigs for physicians. Pranay Parikh, MD of From MD to Entrepreneur Podcast shares his story of how he got started with real estate, what he enjoys about it, what to look out for, and why you should do it too. Despite loving medicine, Dr Parikh felt like he had little control over his time, and little financial stability. Today, he's a serial entrepreneur, and he practices medicine on his own terms. This episode is sponsored by charmeconomics.com The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

How do we, as doctors, prescribe antibiotics responsibly? Dr. Mackenzie Keintz, an Infectious Disease Fellow with the University of Nebraska chats with Dr. Block about antibiotics, antibiotic stewardship, when to prescribe them, what does antibiotic resistance really means, and how to avoid it. Dr Mackenzie Keintz graduated from the University of Wisconsin-Madison, majoring in Medical Microbiology and Immunology and Biology. She attended medical school at St. George's University, and completed her residency at the University of Nebraska Medical Center. Dr Keintz's Twiter: https://twitter.com/MKeintzMD This episode is sponsored by Locumstory. For more information on Locumstory, go to https://locumstory.com/ The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. Those on this podcast accept no liability for the outcomes of medical decisions based on this information. As the radiologists like to say "clinical correlation is required". This is not medical advice and this does not constitute a physician-patient relationship. If you have a medical problem, seek medical attention.

What would your life be like if you chose everything that you are doing the next day? Jordan Grumet, MD talks about how he stepped away from things that didn't fulfil him, and found more purpose in life, specifically aligning them with his values. Dr Jordan Grumet graduated from the University of Michigan, and received his medical degree from Northwestern University. He practices internal medicine, and is an associate medical director at Journeycare Hospice. Dr Grumet blogs about about financial independence and wellness, and created the Earn & Invest podcast in 2018. Dr Grumet's Twiter: https://twitter.com/jordangrumet Dr Grumet's Podcast: https://www.earnandinvest.com/ This podcast is sponsored by Doc2Doc, the Personal Lending platform designed for Doctors, by Doctors. We love what Doc2Doc is doing within our community, and encourage you to visit their website at https://doc2doclending.com/pgtd to learn more today. The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

Why did Nebraska almost made IVF illegal with a proposed trigger bill after Roe v. Wade was overturned? Abby Delaney, MD, a Reproductive Endocrinologist based in Nebraska joins Dr. Block to discuss reproductive rights, as they are today, and how they affect lives of millions of people across the country. Dr. Abigail Delaney, MD is a Reproductive Endocrinology & Infertility Specialist in Elkhorn, NE and has over 14 years of experience in the medical field. She graduated from University Of Nebraska College Of Medicine in 2009, completed a residency at The Nebraska Medical Center, and she currently practices at Methodist Reproductive Health Specialists. Dr Delaney's Twiter: https://twitter.com/drabbydelaneymd Dr Delaney's LinkedIn: https://www.linkedin.com/in/abigail-delaney-72b24960/ For more information on Locumstory, go to https://zen.ai/physiciansguide The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

What exactly is mindfulness with your patients and how to be mindful during surgery? Phil Pierorazio, MD of Operate with Zen Podcast talks about how to achieve exactly that, and more. Being present with your patients during their visit, working on your own mindfulness in your personal life. Dr. Pierorazio is a board-certified urologist with training and expertise in urologic cancers, focusing on kidney cancer, testicular cancer, upper tract urothelial cancer, and prostate cancer. He offers patients both open and minimally invasive surgeries including laparoscopic and robotic surgeries of the kidney, bladder, prostate, and retroperitoneal lymph node dissection for testicular cancer. He is a firm believer that surgery is a last option, and prefers non-operative management whenever possible – but routinely performs surgeries for complex cancers and patients. Dr. Pierorazio runs the Delayed Intervention and Surveillance for Small Renal Masses (DISSRM) Registry - one of the largest active surveillance registries for patients with small kidney tumors. He is involved in a number of national guideline panels, including both the American Urological Association (AUA) and National Comprehensive Cancer Network (NCCN) Guidelines Committees, for Kidney, Testicular and Upper Tract Urothelial Cancer. He also hosts the podcast "Operate with Zen. Dr. Pierorazio's Twitter: https://twitter.com/drphil_urology Operate with Zen Podcast: https://operatewithzen.buzzsprout.com/ This episode is sponsored by charmeconomics.com The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

How to create synergy with other medical practices across the country? Dr. Block welcomes Keith Matheny, MD, a fellow Otolaryngologist and a serial medical entrepreneur, to discuss how he founded his companies and his strategy to improve practice quality of life, without sacrificing the bottom line. Dr. Keith Matheny is a Vanderbilt-trained Otolaryngologist in North Dallas, emphasizing Rhinology & Sleep in adults and children. He has a passion for the business aspects of Otolaryngology, as well as new technology, pharmacotherapy & procedures in ENT. Dr. Matheny holds numerous patents & patents-pending on bioabsorbable, local drug-delivery implants for use in sinus and ear surgery, founding two device companies around these technologies, Septum Solutions & Otologic Solutions. He is also the Founder/Chairman/CEO of US ENT Partners, an ENT-focused Group Purchasing Organization bringing 17-20% discounts on the high cost supplies that ENT physicians use in their office daily, as well as the Founder/Chairman/CEO of Sleep Vigil, a company pioneering the concept of Remote Patient Monitoring (RPM) for sleep apnea. Keith Matheny's LinkedIn: https://www.linkedin.com/in/keith-matheny-38250811/ This podcast is sponsored by Doc2Doc, the Personal Lending platform designed for Doctors, by Doctors. We love what Doc2Doc is doing within our community, and encourage you to visit their website at https://doc2doclending.com/pgtd to learn more today. The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

How do you connect to your patients and your community? Dr. Block welcomes Bryan Cush, MS, Co-Founder of Tidal, a company that works on helping physicians connect to the right healthcare audience. Learn about how to ask for reviews from your patients, what is the best platform for that, and if you really need to pay attention to your website's SEO. Bryan’s focus on healthcare stems from a decade-long personal crusade. A parent suffering from an undiagnosed illness led him into an often bewildering and even contradictory maze of diagnostic approaches, tests, re-tests, treatments, and re-treatments that took a full ten years to resolve. This experience taught him how intimidated and confused patients and caregivers can feel. And he learned first-hand the stresses and challenges laced throughout the system. As a result, he wants to create systems where patients can more easily identify the right doctor on the first try. He is determined to help people avoid the headaches of the healthcare runaround while helping his clients gain increasing success. Bryan also understands the internal mechanisms of the industry, which allows him to bring value to a range of healthcare-aligned enterprises. Bryan Cush's LinkedIn: https://www.linkedin.com/in/bryancush/ Tidal's website: https://www.tidalhealthgroup.com/ This episode is sponsored by charmeconomics.com The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

Did you ever wonder how hard is it to start your own medical practice? Dr. Block is joined by Brian Gantwerker, MD, Founder of Craniospinal Center of Los Angeles to discuss how to start your very own medical practice. Learn about staffing, financial issues you may encounter, and licensing you will need to acquire. Board-certified neurosurgeon Brian Gantwerker, MD, specializes in the treatment of brain tumors, as well as degenerative diseases and injuries of the spinal cord. At his practice, The Craniospinal Center of Los Angeles, in Santa Monica and Encino, California, patients benefit from his extensive experience treating complex brain and spine problems with minimally invasive techniques, and traditional surgery. Well-respected in his field, Dr. Gantwerker has authored several book chapters and peer-reviewed journal articles. He has also appeared on television and radio interviews and has instructed undergraduates, medical students, and residents in various neurosurgical topics and neuroanatomy. You can find Dr. Gantwerker on LinkedIn and Twitter. This podcast is sponsored by Doc2Doc, the Personal Lending platform designed for Doctors, by Doctors. We love what Doc2Doc is doing within our community, and encourage you to visit their website at https://doc2doclending.com/pgtd to learn more today. The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

Dr. Maxwell Cooper is a resident physician training in diagnostic and interventional radiology at Emory University in Atlanta, GA. He is the Host of The DaVinci Hour Podcast where he interviews a variety of guests making an impact on healthcare, including Mark Cuban discussing his low-cost pharmacy business Cost Plus Drugs. Dr. Cooper is also the Co-Founder of DaVinci Academy, a company that provides video courses on YouTube, digital textbooks, and podcasts for medical students. We talked about how he developed these courses while he was a med student. In addition to podcasting and medical education, Dr. Cooper is also passionate about medical device development and is currently part of a team of interventional radiologists at Emory and engineers at Georgia Tech working on an early-stage dialysis access monitoring device. We also talked about what he learned about device development like securing financing, intellectual property, and interacting with engineers. You can find his courses and podcast at https://www.dviacademy.com/ and you can find him on linkedin and Instagram @maxwellcooperMD

Caitlin Rublee, MD, MPH is an Assistant Professor in the Department of Emergency Medicine at the University of Colorado. She serves as Director of Graduate Medical Education with the Climate and Health Program through the School of Medicine and Assistant Fellowship Director for the Climate and Health Science Policy Fellowship. So what you think we’ll be talking about today. That’s right. Climate change and its impact on the practice of medicine. We talk about what she is hoarding in her bunker with the coming societal collapse from climate change. Actually, she is a lot more hopeful than me, which is clearly reflected in our discussion, so we talk about what gives her hope. That being said, we need to be prepared, so we talk about what she should expect, like more mosquito borne illnesses, climate refugees, more issues with supply chains causing us to practice with scarcity. We also talk about why climate change is a social justice issue and what we can do if this conversation terrifies or inspires you. Probably a bit of both. She is the 2022-2024 American Board of Emergency Medicine National Academy of Medicine Fellow. Dr. Rublee received a MD/MPH dual degree from the University of Wisconsin School of Medicine and Public Health. She completed residency in Emergency Medicine at The Ohio State University followed by a one-year Climate and Health Science Policy Fellowship at the University of Colorado. Guest's Twitter: https://twitter.com/caitlinrublee

Dana Corriel, MD, is the founder/CEO of SoMeDocs (doctorsonsocialmedia.com), which aims to build & showcase unique resources in healthcare and support the individuals within the healthcare system (to attain autonomy). Corriel is an advisor to companies, digital startups and individuals’ brands that desire to stand out in the digital space. She has taught at the Harvard conferences that include Writing, Publishing, & Social Media for Healthcare Professionals, Women in Medicine, Women Physician Wellness, InnovatorMD, Leverage & Growth Summit, a UN event for women, and others. Dr. Corriel has earned recognitions including Top Ten Internists to Follow on Twitter by Medical Economics & Top 20 Social Media Physician Influencers by Medscape. She is an old friend of the show. We talk about what Doctors on Social Media is up to these days and how it has evolved over the years. If you have a brand to promote or a lecture to give, you may want to reach out to Dana and have her shine her bright spotlight on you and your work. We also talk about the labor of entrepreneurship, what she would do differently if she were to start all over, the value of networking, and why Linkedin is her favorite social media app. We also talk about some of the pitfalls of posting on social media. Dana Corriel's links: Twitter: https://twitter.com/DrCorriel LinkedIn: https://www.linkedin.com/in/drcorriel Instagram: https://www.instagram.com/drcorriel/ Website: https://drcorriel.com/

Beryl Vaughan is a consultant in Practice Development, Marketing and Business Consulting for physicians in the medicolegal space as expert witnesses or who conduct evaluations with legal application. She has worked for 15 years in this field with Forensic Psychiatrists, Psychologists and, for the past 5 years, physicians in other medical specialties. She was a case manager and paralegal for 2 decades prior to turning her attention to medical expert witness practice. She has educated Forensic Psychiatry Fellows at UC Davis, UCSF, and UCLA for the past 3 years. We talk about how to help attorneys find you. Should we be advertising if we want to get into medical expert witness work? Does soliciting for this type of work make us impeachable? How can we put ourselves out there so lawyers can find us? Aside from lists, should we have a website? What should be on that website? How can we optimize it so we show up in lawyer’s searches? How do we make sure we are identifiable on Linkedin? And why aren’t lawyers DMing me on Twitter? Guest LinkedIn: https://www.linkedin.com/in/berylvaughan Guest website: https://www.forensicexpertpro.com/

Amy G. Fogelman, MD, is back for a follow-up interview. We talk about her first case, which she couldn’t talk much about because of privacy rules, so we also talk about her first case that went to trial, which means it is public information. We talk about what she would have done differently early on in her medical career and what I should do once I get my first case (in case anyone needs an otolaryngologist – I’m here for you). We also talk about CVs and what we should do to make our CVs more appropriate for medical-legal consulting. Dr. Fogelman is Board Certified in Internal Medicine with 18 years of experience seeing patients at ambulatory practices in the Boston area. She went to med school at Boston University, did residency at Beth Israel in Boston, and Chief Residency in Primary Care at the VA in West Roxbury. She founded her medical-legal consulting firm in 2018 – MedLaw Consulting. She has matched almost 400 expert witnesses with attorneys and has helped medical professionals land expert witness work and master the business skills we need to get hired repeatedly. Dr Fogelman's Instagram: @amyfogelmanmd Dr Fogelman's LinkedIn: https://www.linkedin.com/in/amyfogelmanmd Dr Fogelman's website: https://amyfogelmanmd.com/

What the heck is direct primary care? Or direct care since other specialties are adopting this model. It is a subscription service that gives you access to your doctor whenever you want it. It is disruptive! Sometimes. So we talk to Dr. Maryal Concepcion about her practice, her podcast, why she chose to stop billing insurance companies and give patients access to her 24/7. We also talk about what happens when a patient abuses this service, which patients tend to be interested, and why earlier that day, a weekday, she wasn’t even in the office! Dr. Concepcion is the host of MY DPC Story, where she interviews physicians on their direct care, not always primary care, journey. She went to Creighton Med School, completed Velley Family Medicine residency in Modesto, CA, and then moved to rural Northern California. She started working in the corporate model before starting her direct primary care practice, for which she is clearly an evangelist.

Dr. Karen Wolowick has been a practicing OBGYN for over 17 years. She decided to venture into the world of private practice to try to reconnect with the more intimate and rewarding aspects of women's health. ​ She gives a review of what all physicians should know about OB-GYN. We get a crash course in birth control, why someone should “get their hormones checked,” how to think about risks when prescribing medications in a pregnant or nursing patient, the modern practice of OB, like laborists, and when we are going to start seeing pre and post-wifery, not just mid-wifery. Born and raised in northeastern Pennsylvania, Dr. Wolowick went to college at Millersville University, where she majored in biology and played field hockey. She went to medical school at Lake Erie College of Osteopathic Medicine and did her OBGYN residency at Rush University.

Dr. John Jurica is a family physician who began doing nonclinical side jobs early in his career. He started as a part time physician advisor and medical director, and subsequently worked as a hospital Chief Medical Officer for 14 years. He left his CMO position to partner in an urgent care start-up in 2014, where he continues to serve as co-owner and medical director. In 2017, John started producing the weekly Physician Nonclinical Careers Podcast, where he presents interviews with physicians in unconventional careers and experts in physician career transition and this is what we discussed. We discuss common myths about nonclinical jobs, some of the higher paying ones, lesser known ones, and what sounded so interesting that he’s applied for it. We didn’t mention it in the episode, but that company is Virta Health. In 2018, he created the Nonclinical Career Academy (nonclinicalcareeracademy.com, an online educational platform. John and Dr. Tom Davis recently launched NewScript, an online community of healthcare professionals, career transition mentors, and wellness specialists helping each other live a better life. It is a private, uncensored, and ad-free space that incorporates a forum, daily posts, mentorship programs, online courses, and livestream events. It can be found at newscript.app.