HuMed with David Spiro, MD

Is your doctor telling you "everything is normal" while your hair falls out and your energy is non-existent? In this episode of HuMed, Dr. David Spiro talks with Dr. Ashley Dwyer, a licensed pharmacist turned health coach. Ashley shares her vulnerable story of pushing her body to the brink through competitive bodybuilding and pharmacy school—only to end up with bottomed-out hormones and "U-thyroid Sick Syndrome" despite looking like the "epitome of health." Ashley explains why she walked away from a traditional pharmacy career to found Team BDN Coaching, where she focuses on the root causes of metabolic and hormonal dysfunction. We dive deep into her Five Pillars of Health and discuss the nuances of perimenopause, HRT, and why "sunshine in your eyeballs" might be the best thing you do for your sleep. In this episode, we discuss: The Thyroid Trap: Understanding why T3 levels matter more than a "normal" TSH reading. The 5 Pillars of Health: A breakdown of Nutrition, Movement, Sleep, Nervous System, and Environment. The Protein Problem: Why most women are under-eating protein and losing vital muscle mass. Perimenopause 101: Navigating the 10–15 year "rollercoaster" before menopause. Biohacking Sleep: The truth about melatonin, magnesium glycinate, and circadian rhythms. Whether you are a healthcare professional feeling burnt out or a woman trying to navigate hormonal shifts, Dr. Dwyer’s "foundations-first" method offers a clear roadmap to feeling like yourself again. #stories #podcast #hormonehealth Learn more about your ad choices. Visit megaphone.fm/adchoices

What do you do when the person responsible for your child’s death is you?In this unforgettable episode of HuMed, Dr. David Spiro sits down with Dr. Greg Gulbransen, a pediatrician whose life was irreparably altered 23 years ago by a tragic accident in his own driveway. Instead of succumbing to the weight of his grief, Greg "stood and delivered," turning his personal hell into federal legislation—the Cameron Gulbransen Kids Transportation Safety Act—which now mandates backup cameras in every new vehicle in America.But Greg’s story didn't stop in Washington D.C. He turned to the lens of a camera to explore the trauma of others. From his high-end private practice in Oyster Bay to the rooftops of the Bronx at 6:00 AM, Greg documents the lives of those on the absolute margins: gang leaders paralyzed by gun violence, fentanyl addicts fighting for survival, and families trapped in the cycle of poverty. #child #safety #humanity #stories Learn more about your ad choices. Visit megaphone.fm/adchoices

For a surgeon, it’s another day at the office. For a family, it’s a day that will change their lives forever.In this episode of HuMed, Dr. David Spiro welcomes Dr. Greg Albert, Chief of Pediatric Neurosurgery at Arkansas Children’s. While Dr. Albert is a nationally recognized expert in complex brain and spine surgeries, this conversation delves into the human heart behind the technical excellence.Dr. Albert opens up about the powerful legacy of his mentor, Dr. Arnold Manizas, and shares a deeply personal story about his brother’s Down syndrome diagnosis—and how a single sentence from a doctor 40 years ago still impacts his family today.In this episode, we discuss:The Power of Presence: Why "treating every child as your own" is the ultimate surgical mantra.T he "Hardest Path": Understanding the philosophy that what is most difficult for the doctor is often what is best for the patient.The Burden of Guilt: How Dr. Albert helps parents navigate the devastating "what ifs" of a brain tumor diagnosis.Residency & Reputation: Breaking the stereotype of the "aloof" neurosurgeon and the reality of compassion fatigue.Long-Term Connections: The unique reward of operating on a newborn and being invited to their wedding 20 years later.Whether you're a medical student facing the grueling path of residency or a parent navigating a difficult diagnosis, Dr. Albert’s insights on empathy and technical mastery are essential listening.Subscribe to HuMed on Apple, Spotify, and YouTube for more stories from the heart of medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices

Can a doctor ever truly prepare for the unthinkable? In this powerful episode of HuMed, Dr. David Spiro sits down with Pediatric Emergency Medicine specialist Dr. Patrick Ayers to discuss the "human side of medicine" through the lens of a devastating trauma case. Dr. Ayers shares the harrowing story of a newborn infant involved in a severe dog bite emergency, the frantic race to save a life, and the emotional weight of delivering the hardest news a parent can hear. In This Episode, We Explore: The Reality of Pediatric ER: A firsthand account of treating high-stakes infant trauma and the split-second decisions required in emergency medicine. Breaking Bad News: How Dr. Ayers navigated the "unspeakable" conversation with a grieving family and why compassion in healthcare is just as vital as clinical skill. Dog Safety for Babies: Crucial advice for parents on preventing dog bites and maintaining a safe environment for newborns and pets. Physician Burnout & Resilience: The lasting impact of medical trauma on healthcare providers and the communication skills often missing from traditional medical training. Why This Story Matters This isn't just a medical case study; it’s a lesson in emotional resilience and the profound bond between a physician and a family during their most vulnerable moments. Whether you are a medical student, a healthcare professional, or a parent, this episode offers a poignant look at the challenges and the heart of pediatric care. #pediatrics #doctors #stories  Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of HuMed, Dr. David Spiro welcomes Dr. Zina Alhaddad, a board-certified pediatrician , pediatric emergency medicine physician and integrative medicine specialist, to discuss the profound stories that shape healthcare professionals. Dr. Alhaddad shares a transformative encounter with a patient that reshaped her understanding of integrative medicine and the importance of a healing presence in medical practice. The conversation delves into the concepts of placebo and nocebo effects, emphasizing how the mind can influence physical health and the necessity of validating patients' experiences. Dr. Alhaddad highlights the growing prevalence of functional disorders in children and the role of integrative medicine in addressing these complex issues, advocating for a holistic approach that considers the patient's environment and emotional well-being. The discussion also touches on the challenges faced in pediatric emergency medicine, where time constraints often limit the ability to provide comprehensive care. Dr. Alhaddad expresses her belief that every physician should be trained in integrative medicine, as it represents the future of healthcare. The episode concludes with reflections on the importance of seeing patients as whole individuals and the potential for integrative practices to enhance traditional medical approaches, ultimately leading to better patient outcomes. #doctors #stories Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of HuMed, Dr. David Spiro welcomes Dr. Maya Roberts, a staff clinical lead at Google, to discuss her transformative journey from a physics major to a pediatrician and healthcare innovator. Maya shares her unique experiences in Nepal, where she observed the challenges of healthcare delivery in a rural village. Her encounter with a local doctor who administered polio vaccines without checking names or ages led her to realize the complexities of healthcare systems and the importance of doing what one can, even in difficult circumstances. This pivotal moment shaped her career path, inspiring her to pursue medicine and public health to address systemic issues in healthcare delivery.The conversation delves into the intersection of technology and healthcare, particularly Maya's current role at Google, where she focuses on improving healthcare delivery through research and product development. She emphasizes the potential of AI and technology to enhance patient care and the importance of building trust between healthcare providers and technology. The episode concludes with reflections on the future of medicine, the role of robotics, and the ethical considerations surrounding AI in healthcare, highlighting the need for collaboration between clinicians and technology to improve patient outcomes. #google #stories #doctors #chiropractic Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of HuMed, Dr. David Spiro and Dr. David Shapiro discuss the emotional and moral realities of trauma in medicine. They explore the impact of bystander violence, the importance of trauma care, and the evolution of emergency response protocols. The conversation reflects on personal stories of trauma survivors, the implications of gun violence, and the emotional toll on healthcare providers. They also address the role of media in shaping public perception and the need for community engagement and advocacy in addressing social issues. #alexpretti #stories #doctors Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of HuMed, Dr. David Spiro engages in a heartfelt conversation with Dr. Masoud Saman, a double board-certified facial plastic surgeon. Dr. Saman shares his remarkable journey from a childhood in Iran, where he faced significant challenges, to becoming a prominent figure in aesthetic surgery in the United States. He reflects on the importance of mentorship in medicine, recounting how a neurosurgeon inspired him during his early career. The discussion delves into the emotional and human aspects of medicine, emphasizing that surgery is not just a technical practice but a human art focused on restoring dignity and identity. Dr. Saman also addresses the impact of social media on beauty standards and mental health, particularly among children. He advocates for a more honest approach to beauty and the importance of aligning one's self-image with reality. The episode culminates in a touching story about a young patient whose life was transformed through reconstructive surgery, highlighting the profound connection between surgeon and patient. Dr. Saman's philosophy centers on the idea that healing goes beyond technical skill; it involves understanding and addressing the emotional needs of patients. Health#emotionalhealing #stories #doctors #medschool Learn more about your ad choices. Visit megaphone.fm/adchoices

In the latest episode of HuMed, hosted by David Spiro, M.D., the featured guest is Greg Adams, LCSW, Fellow in Thanatology: Death, Dying, and Bereavement, and Program Coordinator for the Center for Good Mourning and Staff Bereavement Support @ Arkansas Children's Hospital. He discusses and reflects about a case where he worked with a family after the passing of a family member. #doctors #medschool #stories Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Humed, Dr. David Spiro interviews Dr. Michael Malobski, a pediatrician who shares his profound journey through chronic pain, emotional struggles, and the transformative decision to undergo amputation. Dr. Malobski discusses the impact of his experiences on his personal and professional life, the importance of seeking help, and the shift to a concierge practice that allows for deeper connections with patients. He emphasizes the interconnectedness of physical and emotional health and the role of social media in sharing his story and insights. #doctors #stories #medicalschool Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of HuMed, Dr. David Spiro engages in a heartfelt conversation with Dr. Saurabh Gupta, exploring the emotional and human aspects of medicine. They discuss Dr. Gupta's journey in cardiology, the importance of balancing family life with a demanding medical career, and the profound lessons learned from patient interactions. The conversation also delves into the evolving role of technology in healthcare, particularly the concept of collaborative intelligence, and the significance of personal connections in patient care. #doctors #stories #medschool Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. David Spiro interviews Dr. David Shapiro, exploring the profound experiences that shape a physician's journey. They discuss the importance of mentorship, the impact of trauma, and the emotional challenges faced in healthcare. Dr. Shapiro shares a life-changing incident from his youth that inspired his career in medicine, emphasizing the need for compassion and communication in patient care. The conversation also touches on the balance between professionalism and emotional connection, the role of AI in healthcare, and the importance of supporting colleagues through difficult times. #mentorship #trauma #doctors #medicalhealthcare Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary In this conversation, Carey Roselee reflects on a pivotal moment in her caregiving journey that ignited a desire for deeper personal connections in medicine. She discusses the importance of trusting one's intuition in patient care and the evolution of her aspirations towards private practice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to the HUMED podcast, where Dr. David Spiro guides us through compelling human medicine stories. This episode explores the profound impact of these narratives on our understanding of human nature and the complexities of mental health within the medical field. Join us as we gain valuable knowledge, encouraging critical thinking about patient advocacy and the broader human condition in healthcare. #doctors #stories #humanity #pokemon Learn more about your ad choices. Visit megaphone.fm/adchoices

In this conversation, Sulagna Misra shares her unexpected journey into medicine, revealing her initial aspirations in the arts and the pivotal moments that led her to medical school. She discusses the impact of her mother's cancer diagnosis on her life choices and the emotional challenges she faced during this transition. Dr. David Spiro introduces a new episode of HUMED, focusing on meaningful medical stories from people in health care. This episode highlights how these narratives connect to our shared humanities and the profound impact they have on both patients and providers. Join the doctor as he explores the significance of these experiences within the broader field of medical humanities. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. David Spiro tells a story that affected him as a small town doctor involving an infant patient with a rare condition. Don't miss this episode and be sure to subscribe. #podcast #stories #emergencymedicine #medschool Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. David Spiro interviews Dr. Heather Hinshelwood, an emergency medicine physician with a rich background in military service and personal trauma. Dr. Hinshelwood shares her journey from a childhood dream of becoming a doctor to her experiences in the Navy, her deployment in Afghanistan, and the challenges she faced in emergency medicine. She discusses the importance of lifestyle management, the impact of GLP-1 medications, and the critical role of strength training and flexibility in maintaining health, especially in aging populations. The conversation highlights the need for a holistic approach to medicine that prioritizes wellness and preventive care. #stories #podcast #doctors #emergencymedicine Learn more about your ad choices. Visit megaphone.fm/adchoices

Join Dr. David Spiro as he speaks with Dr. Christine Gibson about experiences in a busy pediatric ER. They share insightful stories about child health and the challenges of a demanding career. Discover more about the importance of compassionate care in a pediatric hospital setting and dealing with disease. #stories #podcast #emergencymedicine #interview Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Human Medicine, Dr. David Spiro reconnects with Dr. Zane Horowitz, a seasoned physician and author, to discuss their journeys in medicine, the evolution of emergency medicine, and the inspiration behind Zane's book, 'The County'. They explore the challenges faced by medical interns in the past, the role of mentorship, and the significant changes in patient care over the decades. Zane shares insights from his experiences in the Poison Control Center and reflects on the importance of camaraderie in the medical field. Dr. Zane Horowitz has been involved in emergency medicine for nearly 40 years. The Poison Control Center primarily receives calls from parents about pediatric exposures. Zane's book, 'The County', is a fictional representation of the challenges faced by medical interns. Emergency medicine was not recognized as a specialty until the late 1970s. Interns in the 1970s had to rely heavily on clinical judgment due to lack of technology. Patients received good care, but methods were often archaic compared to today. Mentorship and camaraderie are crucial for medical interns. Writing a book involves significant editing and revision. The evolution of emergency medicine reflects broader changes in healthcare. The book emphasizes the rite of passage for interns and the importance of finding a mentor. #emergencyphysician #podcast #patientcare #stories #mentorship Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of HumEd, Dr. David Spiro interviews Dr. Peter Antevy, a pediatric ER doctor and EMS medical director. They discuss the challenges and learning experiences in emergency medicine, focusing on a significant medication error that impacted Dr. Antevy's career and led to the development of a software company to aid medical professionals. The conversation highlights the importance of teamwork, professional conduct, and continuous learning in high-stress medical environments. 00:00:01 Introduction to Hume Ed Human Medicine 00:01:01 Dr. Peter Antevy's Background 00:02:00 Transition to EMS Medical Director 00:03:40 Significant Medication Error 00:05:38 Recognizing Sick Children 00:14:33 Sepsis and Emergency Protocols 00:23:13 Emotional Impact of Medical Errors 00:29:27 Addressing Unprofessional Behavior 00:35:24 Lessons Learned and Moving Forward #medicine #doctors #emergencyphysician #stories Learn more about your ad choices. Visit megaphone.fm/adchoices