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Welcome to Unstable Vitals, where healthcare experts Dr. Adam Brown and Dr. Lara Zibners navigate the ever-evolving healthcare landscape. Adam, an emergency physician, professor, and founder of ABIG Health, brings a wealth of leadership experience and expertise in healthcare strategy and DEI. Lara, a nationally recognized educator and co-founder of Calla Lily Clinical Care, combines clinical insights with business expertise to address the industry's most pressing challenges.
In each episode, Adam and Lara break down complex topics, offering practical insights and clarity in the often unstable world of healthcare. From policy shifts to healthcare economics, they provide the knowledge you need to navigate today's healthcare system.
Tune in for fresh perspectives, expert analysis, and a dose of reality in every episode!
11 Episodes
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Trigger warning: This episode contains discussion of physician mental health and suicide. If this topic is distressing, please consider listening with support nearby or using local mental health resources. In this episode of Unstable Vitals, hosts Dr. Adam Brown and Dr. Lara Zibners sit down with Dr. Stefanie Simmons, Chief Medical Officer of the Dr. Lorna Breen Heroes' Foundation, for an urgent, unfiltered conversation about the mental health crisis in medicine. Timed for National Phys...
In this episode of Unstable Vitals, Dr. Adam Brown and Dr. Lara Zibners dive into one of the biggest challenges in healthcare today: misaligned incentives. Should our system prioritize profit or patients? How do payment models, public policy, and personal responsibility collide to shape health outcomes? From fee-for-service vs. value-based care to the impact of public transportation, food policy, and behavioral nudges, Adam and Lara unpack the hidden forces driving both innovation and inequit...
Why is the U.S. healthcare system so expensive, yet so ineffective? In this episode of Unstable Vitals, Dr. Adam Brown and Dr. Lara Zibners dive deep into the tangled web of patients, profits, and misaligned incentives driving instability in American healthcare. From skyrocketing medical school debt and low primary care reimbursements to insurance company profits and hospital billing practices, Adam and Lara expose the financial forces shaping how (and if) patients receive care. They compare ...
Residency: the rite of passage every doctor must survive before practicing on their own. But is the system built to train (or to break) young physicians? In this episode of Unstable Vitals, Dr. Laura Zibners and Dr. Adam Brown sit down with Dr. Jared Dashevsky, a resident physician at Mount Sinai and founder of Healthcare Huddle, to unpack the realities of residency and what it reveals about the larger instability in U.S. healthcare. From 80-hour work weeks and six-figure medical school debt ...
In this episode of Unstable Vitals, we dive into a staggering truth: women make 80% of healthcare decisions, yet only 4% of R&D dollars focus on women’s health. Dr. Marina Gerner, award-winning journalist, author of The Vagina Business, and professional myth-buster, joins Dr. Lara Zibners and Dr. Adam Brown to unpack why the system is built on male-centric research, why funding for women’s health innovations still lags behind, and how centuries of normalized female pain have kept pr...
Can we really Make America Healthy Again? In this dynamic and slightly unconventional episode, our hosts Dr. Adam Brown and Dr. Lara Zibners combine a spin class with a candid conversation on the fragility of the American public health system. As they pedal through pop hits and resistance levels, they dig into the recent political shifts shaking up healthcare leadership, namely the appointment of RFK Jr. and others with controversial public health views. They challenge the legitimacy of decis...
In this episode of Unstable Vitals, ER docs-turned-entrepreneurs Dr. Adam Brown and Dr. Lara Zibners sit down with Dr. Owais Durrani — emergency physician, media personality, STEM advocate, and Coldplay superfan — for an unfiltered conversation that flies from fighter jets to frontline care. A first-generation college student, Dr. Durrani shares how his lived experiences shaped his passion for equitable healthcare, science education, and public policy. They unpack the harsh realities of an ...
In this episode of Unstable Vitals, hosts Dr. Adam Brown and Dr. Lara Zibners sit down with Dr. Melissa Parsons, a former top pediatrician turned life coach, to unpack the emotional cost of surviving in the healthcare system. Melissa shares her deeply personal journey from burnout and perfectionism to finding healing through coaching, vulnerability, and letting go of the unrealistic expectations placed on physicians. Melissa walks us through the moment she realized she needed help—and how tha...
In this special episode of Unstable Vitals, your hosts Dr. Adam Brown and Dr. Lara Zibners dive into their experience at the HLTH Europe conference in Amsterdam — a dynamic, innovation-driven gathering for health tech startups, investors, and industry leaders. They share what made the event stand out, from the high-energy networking and startup pitches to the unconventional amenities like on-site massages, ginger shots, and even a roaming unicorn mascot named Petunia. As founders and particip...
Episode 2 of Unstable Vitals features hosts Dr. Lara Zibners and Dr. Adam Brown, as they offer an unfiltered and often humorous look into the realities of emergency medicine. They delve into why people are so fascinated by ER stories, particularly the more bizarre and gruesome ones, a common question they face at social gatherings. The hosts share personal anecdotes, from gross medical incidents like "code browns" involving bodily fluids, to lighthearted pranks played among hospital staff. Th...
In our debut episode, meet your hosts—two ER doctors turned health policy nerds—who are fed up with pretending everything’s fine in healthcare when it’s clearly… not. From government chaos to moral injury in medicine, we kick off with a candid (and sometimes hilarious) look at why the system feels broken and what inspired us to start this podcast. We dive into: Why DC’s silence is anything but quietHow we met (shout out, UNC!)Why instability isn’t the end—it’s the start of something realWhat ...
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