Difficult Conversations -Lessons I learned as an ICU Physician – Détails, épisodes et analyse

The Orsini Way-X/Twitter

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Robert Pearl, MD Website

Robert Pearl, MD X/Twitter

Robert Pearl, M.D. LinkedIn

ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine by Robert Pearl, MD

Difficult Conversations Podcast-Episode 153: Uncaring Conversations about Physician Culture with guest Robert Pearl, M.D.

Not What I Had In Mind

Saison 4 · Épisode 91

lundi 12 février 2024 • Durée 43:29

On this episode, Dr. Anthony Orsini and Liz Poret-Christ introduce guest, Laura Diaz-Freeland, whose twin daughters were born at the very limits of viability at just 23 weeks gestation. Laura’s memoir, “Not What I Had in Mind,” is discussed, highlighting the emotional journey and the deep empathy found in motherhood that she experienced following the birth of her extremely premature daughters. Dr. Orsini was part of the team who cared for her twins and they discuss the bond that Laura forged with the medical staff. Laura discusses at length the emotional rollercoaster, exhaustion and helplessness that she and her family experienced. The episode covers the profound advancements in neonatal care and the ethical dilemmas faced by parents and medical professionals in the treatment of such young infants. As a seasoned professional in marketing and creative writing, Laura’s poignant reflections highlight the importance of informed choices in the face of life’s most fragile beginnings, giving voice to the silent struggles and triumphs of preterm birth.

Laura advocates for parental choice and informed decision-making in cases of extreme prematurity, sharing insights from her 224-day hospital experience with her twins. She stresses the need for compassion from healthcare providers and the importance of informed consent. Dr. Orsini and Laura delve into the delicate conversations that occur in neonatal care, emphasizing the need for a supportive team approach to patient care. Laura recounts how, despite feeling alone during the initial decision-making process, she later felt part of a team at the Hospital that was committed to her twins’ survival. Laura also mentions the unique nicknames she has for the medical staff, like ‘The Godfather’ for Dr. Orsini, and ‘Behemoth Hands’ for the surgeon, reflecting their impactful roles in her and her daughters’ lives. For parents navigating this journey, we end with Laura sharing advice to parents to educate themselves, be gracious with themselves, and to not yell at the medical staff. Please hit the subscribe button now!

Top of Form

Hosts:

Dr. Anthony Orsini

Liz Poret-Christ

Guest:

Laura Diaz Freeland

For More Information:

The Orsini Way-X/Twitter

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Laura Diaz Freeland Website

Laura Diaz Freeland Instagram

Not What I Had in Mind: A Motherhood Origin Story by Laura Diaz Freeland

COFFEE + CRUMBS-“Delusional Hope” by Laura Diaz Freeland

Life After Loss

Saison 4 · Épisode 85

lundi 12 juin 2023 • Durée 23:29

Welcome to Difficult Conversations -Lessons I Learned as an ICU Physician. Liz Poret-Christ is our host and she’s joined by guest Molly Mattocks who is a writer, and end-of-life coach. Molly was an associate pastor before becoming a full-time caregiver for her daughter Izzy, who had neuroblastoma for nearly a decade before passing away in 2021. She is now dedicated to helping shift the cultural narrative around death because she believes our ability to embrace death is intricately woven into our ability to embrace life. We’ve had many conversations on this show about the importance of end-of-life discussions with some amazing guests, and although it’s sad and uncomfortable, we agree that the difficult conversation about our successful ability to transition out of this world is deeply connected to how we exist in this one. On her Instagram page, Molly writes insightful, heartbreaking, and inspiring letters to her daughter, Izzy. We see the indescribable heartbreak of a grieving mom trying to learn how to live without her daughter. Her Instagram page is a tribute to her daughter and a heartbreaking window into her soul. We are so happy Molly is here to share her story. As always, the promise on this show will be to inspire you and teach you how important communication is in medicine, business, and in everyday life.

Molly shares her experience caring for her daughter Izzy. Molly started writing letters to Izzy on Instagram as a way of coping with her grief and helping others in similar situations. She transitioned to coaching others and recently started end-of-life doula training and accepted a position as a hospice chaplain. She touches on the role of death doulas in supporting individuals during the dying process and emphasizes the importance of starting end-of-life conversations early, not being afraid to have them. She explains how grief is a process of getting used to loss and becoming a different person. Molly learned that grief is not a season of getting over the loss, but rather a season of getting used to loss and becoming a different person. We end with Molly sharing the difficult conversations she had with her daughter’s doctor about her terminal illness and end-of-life care, and how having these conversations helped her make decisions and provide her daughter with the end that she deserved.

Host:

Liz Poret-Christ

Guest:

Molly Mattocks

For More Information:

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Liz@TheOrsiniWay.com

Resources

Molly Mattocks Coaching

Molly Mattocks Instagram

Difficult Conversations about Death and Dying-Episode 175 with Julie McFadden “Hospice Nurse Julie”

The Problem With Dying-Episode 161 with Dr. Bruce B.J. Miller

Giving the Gift of Life

Saison 4 · Épisode 84

lundi 22 mai 2023 • Durée 40:25

Today, you’re in for a real treat because Dr. Orsini and Liz Poret-Christ are having a superstar loaded episode! This episode is about kidney donation. Liz shares a personal story about her daughter’s unlikely friendship with Frank Mara, Vice President of Community Relations for the New York Giants, and how he’s in need of a kidney transplant, which he’ll talk about with us. Also, on the list of superstars joining us is Matt Cavanaugh, an active duty US Army Strategist and President of the National Kidney Donation Organization. In 2022, he became the first living kidney donor to finish the full four deserts race in one year. Matt donated his left kidney in 2021 to a stranger and started a donation chain that facilitated eight transplants. Our next superstar is Ned Brooks, who’s the Founder and CEO of the National Kidney Donation Organization. He is a non-directed kidney donor who kickstarted a chain of three transplants in 2015. The organization has facilitated numerous transplants and helped find living donors for patients in need of a kidney transplant.

We start with learning about the National Kidney Donation Organization. They discuss the barriers to kidney donation and how the organization supports potential donors throughout the process and dispel misconceptions about kidney donation and discuss the physical recovery time. They explain that being a donor can be like an insurance policy for oneself, as donors move to the top of the list should they ever need a kidney later in life. Ned touches on the process of what happens after you donate your kidney. Matt shares his experience of becoming a sponsored athlete after his kidney donation and emphasizes that kidney donation has been a second wind to him. Ned discusses the differences between directed and non-directed donors and explains that non-directed donors often feel a deep sense of gratitude. Matt shares his most difficult conversation when he faced discussing his decision to donate with his family, particularly his wife. Ned tells us the story of the young mother that received his kidney and what happened.

We also have Frank Mara joining us. He shares his story of how he found out he needed a kidney transplant and meeting Ned, who’s been a godsend. Frank tells us his most difficult conversation, which was explaining to his kids what was going on. He’s had so much support from family and friends and after sending out emails asking for a kidney donation, many people have registered to donate, but he’s waiting to see if there’s a match. We’re all hoping for great news soon, Frank!

Hosts:

Dr. Anthony Orsini

Liz Poret-Christ

Guests:

Matt Cavanaugh

Ned Brooks

Frank Mara

For More Information:

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Resources

National Kidney Donation Organization

National Kidney Registry

Mara Family

Matt Cavanaugh Living Donor Games

Ned Brooks LinkedIn

You Got This Kid- Leadership Skills for Everyone

Saison 4 · Épisode 83

lundi 1 mai 2023 • Durée 34:25

Welcome to Difficult Conversations with Dr. Anthony Orsini. On this episode, Dr. Orsini is Co-hosting with Liz Poret-Christ. Today, they’re having a great conversation with Chuck Saia, who’s a Senior Partner at Deloitte and Member of the Quinnipiac University Board of Trustee’s, where he's the Chair of the Student and Academic Affairs Committee. In his thirty year career, Chuck has held various leadership positions at Deloitte, he’s a CPA, and holds an MBA from Quinnipiac University. He’s also the author of, YOU GOT THIS KID! Words of Advice for Young Leaders, YOU GOT THIS KID! Leadership Advice for Children, and is the Co-founder of YOU GOT THIS KID! Leadership Foundation, which focuses on teaching empathy and leadership to medical students. Chuck is a frequent keynote speaker at some of the largest companies and universities in the world. Chuck’s unique approach to teaching others about leadership is just one of the many wonderful things that we’ll be talking about today.
Chuck tells us his journey to becoming a successful leader and the importance of putting in the effort, being authentic, and having difficult conversations. He emphasizes the need to start with self-exploration, understanding what makes you special and different, and having enough thick skin to lead with your authentic self. He also discusses the impact of empathetic leadership and putting others’ interests ahead of your own. We’ll find out how he came up with the idea for his books, why he donates all proceeds to Lupus Research and Environmental Sustainability Studies, and how hisYOU GOT THIS KID! Leadership Foundation has had such a positive impact on his life. He also talks about the leadership training program he established for medical students at Quinnipiac University and how he thinks if we educate people more on the importance of team and mentorship to help people navigate through career and life, it might help in addressing burnout in the medical field. He shares his favorite part of the book about an eagle mom, and another part of his book with a caterpillar character that has a purpose. If you enjoyed this podcast, please hit the subscribe on your favorite podcast platform.

Hosts:

Dr. Anthony Orsini

Liz Poret-Christ

Guest:

Chuck Saia

For More Information:

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Resources

Chuck Saia LinkedIn

YOU GOT THIS KID! Leadership Foundation

YOU GOT THIS, KID! Words of Advice for Young Leaders by Chuck Saia

YOU GOT THIS KID! Leadership Advice for Children by Chuck Saia

Closing the Power Skill Gap

Saison 4 · Épisode 82

lundi 10 avril 2023 • Durée 38:15

Welcome to Difficult Conversations with Dr. Anthony Orsini. Today, I have two amazing women joining me that are doing extraordinary work. My guests are Noa Ries and Kim Havens. They are Founders of Kahilla, which is an innovative digital platform to scale access to personal and professional development for underrepresented minorities in the corporate world. They had a vision in 2018, to transform the culture of the corporate world and see more equity in positions of senior leadership. Through their curated content and ongoing engagement, Kahilla helps members become more confident, informed, and emboldens them to make their own choices, whatever they may be. The spirit of empowerment, inclusivity, and accountability forms their core values, and every aspect of Kahilla, including their Diversity, Equity and Inclusion Policy, and charitable commitments. Noa and Kim are going to share with us everything you need to know about Kahilla, a company built by these amazing women.

Noa shares her story of starting her career in advertising and being an entrepreneur. Kim shares her story commercial real estate development. They tell us how they met through their children and decided after a meeting over guacamole and chips to form Kahilla. They have some incredible clients they work with in Fortune 500, as well as smaller organizations in commercial real estate, pharmaceuticals, and healthcare. We also hear about their memberships, as well as the new men’s program they are launching in April. Kim and Noa explain three ways they coach a woman who needs to have a difficult conversation: one-to-many, peer-to-peer, and crowdsourcing. They tell us what their biggest barriers were when they started the company just 4 years ago. They share their reason behind their recent decision to expand to minority men. Kahilla has a program for people called the Step Up Reach Down Gifting Program, and Kim gives us the details. There’s some great advice on what you can do to create a more inclusive environment in the workplace, as well as some advice for the facilitator of a meeting to make sure everyone’s included. Kahilla has individual memberships now available that are very affordable, and you get all the benefits of executive coaching, curated content, and community. We end with Noa and Kim sharing the most difficult type of conversations they’ve had and advice on how to navigate through those conversations. If you enjoyed this podcast, please hit the subscribe on your favorite podcast platform.

Host:

Dr. Anthony Orsini

Guests:

Noa Ries

Kim Havens

For More Information:

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Resources
Kahilla

Noa Ries Twitter

Noa Ries LinkedIn

Kim Havens Twitter

Kim Havens LinkedIn

Making an Impact with Ryan Estis

Saison 4 · Épisode 81

lundi 20 mars 2023 • Durée 37:42

Welcome to Difficult Conversations with Dr. Anthony Orsini. Today our guest is Mr. Ryan Estis, who is a globally recognized sales and leadership expert, speaker and author. Ryan has been advising clients on navigating change, improving performance, influencing culture, and accelerating growth. He’s a Founding Partner of ImpactEleven, where he’s helping define and shape a community that’s influencing culture and shaping the future of both personal and professional growth. In this episode, we talk about Ryan’s story and how he went from a rockstar rising sales professional to becoming one of the top keynote speakers in the industry. As a speaker, Ryan is known for his innovative ideas on leading change, improving sales effectiveness, and preparing for the future of work. He’s been recognized as one of “the best keynote speakers ever heard” by Meetings & Conventions magazine. His works and writings have been featured in Forbes, Fast Company, and Entrepreneur Magazines,. His book Prepare for Impact, coming later this year, offers a playbook for individuals to capture opportunity, accelerate growth, and leading into the future. As always, the promise on this show will be to inspire you and teach you how important communication is in medicine, business, and in everyday life.

Ryan shares his story about hearing a speaker that changed the perspective of his career and inspired him to follow his passion to teach and coach. We hear the path Ryan took to master the craft of speaking. Preparing for a keynote takes a lot of work, and we’ll find out about the hundreds of hours of preparation, perfecting the delivery, and bringing the energy into a conference. We hear how Dr. Orsini met Ryan and how he helped him bring his speaking skills to another level. Ryan tells us about how the word “community” kept coming up in his life, and this is what led to the creation of ImpactEleven, a place where people can be inspired to share, teach, and spread their message to the world. Dr. Orsini explains how attending the ImpactEleven Bootcamp had such an influence on him. We’ll find out about how bootcamp started and the meaning behind Ryan’s mantra, We’re better together! Liz shares the experience she had learning about ImpactEleven’s operating principle called, “Give generously, don’t keep score.” Ryan tells us about the importance of storytelling? He shares with us how a story about a cup of coffee changed his life.

Hosts:
Anthony Orsini

Liz Poret-Christ

Guest:

Ryan Estis

For More Information:

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Resources

Ryan Estis Website

Ryan Estis Twitter

Ryan Estis & Associates YouTube

ImpactEleven

A Cup of Coffee Changed My Life-Ryan Estis-Goalcast (YouTube)

Recognizing Fear

Saison 3 · Épisode 80

lundi 5 décembre 2022 • Durée 34:36

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:

It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony Orsini

Liz@theorsiniway.com

Resources

Gina Jacobson Blog-Substack

We Are All Made of Stars-Gina’s Blog

There's a Snake on My Head

Saison 3 · Épisode 79

lundi 31 octobre 2022 • Durée 40:24

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:

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

Conversations about Fatherhood

Saison 3 · Épisode 78

lundi 10 octobre 2022 • Durée 35:07

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: