Raise the Line

Hurricane Sandy struck New York City when now-Dr. Jason Reminick was in town, interviewing for residency programs to which he’d applied. The whole process, which would shape the coming years of his life, was a huge mess. Interviews were canceled. Anxiety ran high. He remembers a fellow applicant whose car was lost in the storm. Desperate, the applicant took a cab to one interview, at a cost of $600. Reminick sought a better way, and the result was Thalamus. The platform organizes applicant information for residency programs, while facilitating the scheduling so applicants can arrange their interviews in as straightforward a matter as possible, mitigating stress and travel expenses alike. This, he tells host Dr. Rishi Desai, is just the beginning of Thalamus’s vision for making the residency application process better for applicants, programs, and the medical profession as a whole. Tune in to hear about common misconceptions about a fast-changing residency recruitment process, how programs adapted to Covid, and why doctors should not be afraid to become entrepreneurs.  Mentioned in this episode: https://thalamusgme.com If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

“One of the pieces of advice I like to give young people is to collect knowledge, interests and a network of people you want to know. You don't know yet how you are going to use it all, but later it will become obvious which pieces fit with which,” says Youngsuk ‘YS’ Chi, Chairman of Elsevier. If you want a great example of how this approach works, you can look at Chi’s own remarkable career which took him from banking, to helping enable Amazon’s early growth, to being president of Random House to his current role at Elsevier and its parent company RELX, where he is Director of Corporate Affairs and Asia Strategy. Chi reveals to host Shiv Gaglani that what connects those disparate experiences are two people he “collected” at the start of his own career with whom he stayed connected in a mutually beneficial partnership. Seeing relationships as core to success explains why Chi makes time to be a mentor to dozens of people in a wide range of professions. Although wanting to help them on their career journeys is the prime motivator, Chi is quick to point out his mentees are a network he can tap for expertise as part of his commitment to continuous learning. The wisdom drop continues as they discuss how to help employees connect purpose to their work and how a post-COVID analysis needs to include “a humanistic re-questioning of what we do and why we do it.” If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

“I'm in a part of my life where I like to have an impact that disrupts an industry,” says famed entrepreneur Mark Cuban, and his new online pharmacy CostPlus Drugs is already showing signs of creating a major disruption, indeed. Here’s just one example of what his no-frills operation is making possible: a 30-day supply of the cancer-fighting drug Gleevec is usually $2,500, but on CostPlusDrugs.com the same medication is $17.10 for a month’s supply.  You probably have the same question as host Shiv Gaglani: how is this possible? Cuban says CostPlus Drugs sidesteps insurance companies and Pharmacy Benefit Managers to deal directly with manufacturers.  There’s a standard 15% markup to cover operational costs, a $3 pharmacy fee and a $5 shipping fee. “That's it, period, end of the story.” Word of mouth over the last two months has pushed sales to levels not expected for two years. Cuban is quick to credit co-founder Alex Oshmyansky and his team, but obviously the business acumen he’s displayed for years on the TV show Shark Tank plays a big role, as does his motivation to do something about a bedeviling problem. “The fact that people are having to choose between rent, food, or medication in this country is wrong in every which way.” Check out this fascinating analysis of the healthcare industry spiced with valuable advice for budding healthcare entrepreneurs, and find out what Cuban thinks the healthcare industry can learn from the NBA. Mentioned in this episode: https://costplusdrugs.com/ If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

We’ve talked a lot on Raise the Line about the upsides of the telehealth boom, but our guest today, Dr. Mike Hoaglin, brings a new silver lining to light: it’s one way to help with the physician burnout crisis. “I've certainly been in the trenches of burnout in the past, and having the flexibility to be able to see patients when I'm at my best and when I'm able to be at home with my family is just a great setup for me to be successful, and my patients benefit.” In fact, “Dr. Mike” was an early adopter of telehealth and other medical technologies as well. Best proof point? He and host Shiv Gaglani worked together a decade ago to develop the Smartphone Physical. Add that experience to his work in federal health policy, various start-ups and a stint as the clinical director on the Dr. Oz Show, and you can understand why “Dr. Mike” is full of revelations on many subjects including on a special focus of his, the microbiome. For instance, did you know your body has more foreign cells (bacteria, fungi, protozoa, etc) than human? As Dr. Mike shares with Shiv, intensifying interest in these trillions of microorganisms in recent years has led to a deeper understanding of the wide range of impact gut health has on overall health, from diabetes to mood disorders. Check out this lively excursion through a fascinating career, and be sure to listen all the way through for Dr. Mike’s advice on the one thing you should eat more of for good gut health. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

On today’s Raise the Line episode, you’ll have a unique opportunity to hear the collective voice of healthcare providers all over the world who shared their needs, hopes and concerns with Elsevier in its first-ever Clinician of the Future Global Report.  Elsevier and its partner, Ipsos, engaged nearly 3,000 clinicians from 111 countries to reveal current pain points, predictions for the future, and how the industry can build a roadmap to future-proof healthcare. Join host Shiv Gaglani as he explores the fascinating findings with his Elsevier colleagues Dr. Tate Erlinger and Dr. Ian Chuang. “One of the key pieces of feedback from participants was, ‘I see the potential, I just need support. I need better training and education and skills development to align where healthcare is going,’” said Dr. Chuang, Chief Medical Officer of Global Health. “I would look at this report as a call to action,” said Dr. Erlinger, Vice-President of Clinical Analytics. There are some alarming numbers in here, but healthcare has always responded. We just need to be diligent and look for and test solutions across a broad range of concerns.” What will healthcare look like in ten years and how can we prepare clinicians for that future? Tune into this revealing conversation to learn the answers drawn from a landmark report that will shift the current conversation about global healthcare from problems to solutions.See the report here: https://www.elsevier.com/connect/clinician-of-the-future If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

What should oral healthcare look like in 2022? Dr. Jeremy Krell and Dr. Ro Parikh are working to figure this out and bring a new, consumer-centric dental industry into being. Through oral healthcare venture capital firms like Revere Partners, and consumer-facing companies like Quip and dntl bar, these dentists hope to forge an industry that better reflects the culture and consumer habits of the post-COVID era. “We as providers need to be able to look up from our clinical workflow and understand that we’re running a business in 2022, and that we need to meet consumer demands,” Dr. Jeremy Krell tells host Shiv Gaglani. Tune in to hear about the connection between oral health and overall health, how dentists can connect with patients reluctant to come into the office, and six major trends impacting the dental industry today.Mentioned in this episode:https://www.reverepartnersvc.com/https://www.dntlbar.com/ If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

“I think you should listen to your heart as quickly as possible,” says today's guest, Dr. Luke Murray, when asked for advice for students and early career professionals. He calls this skill ‘listening to your heart faster’ and it’s a principle that’s guided him on a zigzagging career path, from an interest in neurosurgery, to working in global health, to starting a tech incubator.  As COVID was getting underway, he unexpectedly found himself building what became a very large COVID testing effort at Wild Health, a precision medicine company based in Kentucky.  Now as COVID appears to be winding down, Dr. Murray is listening to his testing customers to determine next steps. Listen in as Dr. Murray tells host Shiv Gaglani about both the successes and failures in his entrepreneurial journey -- including sleeping in a garage and showering at the YMCA -- to then “drowning” in opportunity and conducting over a million COVID tests and 150,000 vaccinations. Plus, hear his valuable advice for future entrepreneurs.Mentioned in this episode:https://www.wildhealth.comhttps://www.awesomeinc.org If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

You might not think flossing one tooth a day would be worthy of celebration, but today’s Raise the Line guest says that’s actually the best way to become someone who regularly flosses all of their teeth, and he has decades of research to back it up. Dr. BJ Fogg, a Stanford University researcher perhaps best known for his bestselling book Tiny Habits, says his approach is based in part on the recognition that motivation fluctuates, so setting big goals can set people up for failure. “What you need to do in the tiny habits method is set the bar low, keep it low, overachieve whenever you feel like it, but don't raise the bar.” Creating a positive emotion around accomplishing tiny goals helps wire the brain to make the behavior automatic, which in turn helps create a new identity. “Those identity shifts then lead to a cascade of other changes in your life.” Check out this truly fascinating and fun discussion with host Shiv Gaglani about how to apply these principles in your own life and guide others to do so as well.  Plus, you’ll hear how the “tiny habits” model has impacted Shiv personally and been integrated into what Osmosis offers its learners. Maybe you should make listening to this one podcast your tiny goal for today. If you do, don’t forget to celebrate yourself when you get to the end!  Mentioned in this episode: https://www.bjfogg.com If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

When people hear about James Nestor’s bestselling book on breathing, he says the first question they ask is “Why the heck would I need to relearn how to breathe? I'm breathing all day long.” But as the award-winning science journalist details in Breath: The New Science of a Lost Art, proper breathing is quite uncommon, which causes major health problems given its essential value to the body. Nestor laments that everyday breathing is rarely a concern of most pulmonologists and other doctors, who are generally focused on acute breathing issues. “But prevention is always so much better than treatment,” Nestor tells host Shiv Gaglani. “For the same reasons you would tell your patients to eat a balanced diet, you should bring awareness of their breathing.” Tune in to hear about how healthy breathing can help your physical endurance, sleep quality and mental health, and some easy tricks that can help you establish better breathing practices. Mentioned in this episode: https://www.mrjamesnestor.com/order-now If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

“We don't need physicians physically in the middle of every step that we take,” argues today's guest, former Buddhist monk and Harvard professor Dr. Michael Mina. “One of my goals has been to break down this massive wall that often exists, where physicians are the gatekeepers of people knowing about themselves in terms of their biology.” In this fascinating discussion with host Shiv Gaglani, hear how a tsunami tore Dr. Mina away from being a monk and led him to fusing together immunology and epidemiology, a skillset that proved especially valuable during the COVID-19 pandemic during which he created a large testing program that served much of the Eastern Seaboard. Tune in to discover how the eMed platform is empowering people to participate in their own healthcare by creating equitable access to actionable testing, and hear where Dr. Mina believes eMed can go from here, including involvement in clinical studies. Plus, hear his perspective on the difference between a career as an MD vs. a PhD, learn why holistic thinking is so important, and get his expert opinion on where the virus is heading. If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast