Delaware Health Care Reality

healthcarereality
undefined
Oct 28, 2025 • 21min

Episode 33: Exploring Multi-Cancer Early Detection: Understanding the Science Behind the Galleri Test

Join host Nicholas O. Biasotto, DO, for an insightful conversation with Lara Bagby, Board-Certified Genetic Counselor and Field Medical Director at GRAIL, as they discuss the science and clinical concepts behind the Galleri Test, a multi-cancer early detection screening that analyzes cell-free DNA for cancer signals. In this episode, listeners will learn about key terms such as cell-free DNA, cancer fingerprint, binary results, and negative predictive value. They explore how this test fits into the broader landscape of cancer screening, who may qualify for testing, and important considerations such as risk factors and insurance coverage. Note: At the time of this publication, the podcast, its host, and the Medical Society of Delaware encourage patient education and consultation with a qualified health care professional before pursuing any testing or procedures. The Galleri Test is not FDA-approved. This discussion is for educational purposes only and should not be interpreted as an endorsement or recommendation.
undefined
Oct 16, 2025 • 44min

Episode 32: A.I. and Its Future in Medicine

Artificial Intelligence is rapidly transforming healthcare — from improving diagnosis and streamlining clinical workflows to personalizing treatment and expanding access to care. Yet, as A.I. evolves, it brings new questions about ethics, safety, and the changing role of physicians. In this episode, host Nicholas O. Biasotto, DO is joined by special guest Alexander Ding, MD, MS, MBA, Secretary of the Board of Trustees for the American Medical Association, and board-certified diagnostic and interventional radiologist. Dr. Ding shares how A.I. is shaping the future of medicine — and what it means for physicians, patients, and the art of healing.
undefined
Sep 24, 2025 • 43min

Episode 31: Inside Occupational Medicine

Host Nicholas O. Biasotto, DO, sits down with Matthew Cadell, DO, MPH, MBA, a seasoned expert with nearly 25 years in Occupational Medicine, to pull back the curtain on one of health care’s most misunderstood specialties. What exactly is Occupational Medicine, and who do these physicians collaborate with? Discover the critical roles of organizations like the National Institute for Occupational Safety and Health (NIOSH), the importance of industrial hygiene, and how physicians navigate the often complex world of workers’ compensation, average weekly wage, and regulatory certification. From real NIOSH case examples to the question every clinician should consider — Should you treat workplace injuries if you’re not workers’ comp certified? — this episode is a must-listen for any health care professional looking to better understand the medical, legal, and practical sides of workplace health.
undefined
Sep 17, 2025 • 46min

Episode 30: The Vaccine Conversation: From Polio to COVID-19

Welcome to Delaware Healthcare Reality, where medicine meets real conversation. In this episode, host Nicholas O. Biasotto, DO is joined by Kirsten Hauer, MD, FACP—Board Certified in Internal Medicine and Infectious Diseases, and Diplomat of the ABIM—for a deep dive into one of the most powerful tools in modern medicine: vaccines. Together, they’ll explore the history and science behind vaccines like DPT, MMR, Polio, Varicella, Shingrix, HPV, and COVID-19—how they work, how they protect, and what we know about their benefits, risks, and side effects. The conversation doesn’t stop there—Dr. Hauer and Dr. Biasotto also tackle important questions about government mandates, patient autonomy, and freedom of choice in vaccination. Get ready for an insightful discussion that blends medical expertise with real-world perspectives you won’t want to miss!
undefined
Sep 16, 2025 • 38min

Episode 29: Psychedelics in Medicine

Host Nicholas O. Biasotto, DO sits down with Jeffrey Meyers, MD, LAc—attending physician at Delaware Back Pain & Sports Rehabilitation Center and founder of Minute 2 Mastery Peak Performance Consult—to explore the evolving field of psychedelic medicine. From their historical roots to cutting-edge research, Dr. Meyers breaks down the science behind psychedelics, federal regulations, treatment timelines, and certification requirements for physicians. Whether you’re a clinician, policymaker, or simply curious, this conversation sheds light on one of the most compelling frontiers in healthcare today. Tune in for an insightful discussion that challenges perceptions and considers how psychedelics might reshape the way we treat mental health, pain, and beyond.
undefined
Aug 28, 2025 • 29min

Episode 28: Inside Dementia: Early Signs To Treatment Options

Join host Nicholas O. Biasotto, DO, as he sits down with neurologist Robert J. Varipapa, MD, for an important conversation on dementia. Together, they unpack the different types, common symptoms, how dementia is tested and evaluated, and the treatment options available today. Whether you’re a physician, caregiver, or simply curious, this episode sheds light on a condition that touches so many lives.
undefined
Aug 15, 2025 • 49min

Episode 27: Food is Medicine

Host Nicholas O. Biasotto, DO is joined by Michelle Axe, MS, CHES and Katelyn Fritzges, MD, CCMS for a powerful Food is Medicine conversation. Together, they explore how nutrition can transform patient outcomes, covering everything from integrating healthy food into care plans and addressing nutrition security, to navigating patient barriers, finding the right programs, and understanding reimbursement. Get expert insights on culinary medicine, ultra-processed foods, nutrient density, organic vs. non-organic, fresh vs. frozen, and even how to eat healthy on a budget.
undefined
Jul 25, 2025 • 55min

Episode 26: Legislation That Hits Home - Get the Updates!

Join host Nicholas O. Biasotto, DO and special guest Richard Henderson, MD, FACOG, a retired and formerly board-certified Obstetrician/Gynecologist, MSD Past President, and Chair of the MSD Government Affairs Committee for a rapid-fire update on the hottest health care Bills impacting Delaware physicians and patients. From the fight to address prior-authorizations to transparency in care titles, abortion consent laws, Tianeptine regulation, suicide prevention, and even red dye bans in schools—this episode is your fast-track briefing on what’s happening under the dome. Catch the full list of legislative updates at www.medicalsocietyofdelaware.org.
undefined
Jul 2, 2025 • 42min

Episode 25: The Truth About Corticosteroid Injections: Myths, Science, and Solutions

Think you know everything about corticosteroid injections? Think again. Join host Nicholas O. Biasotto, DO and renowned Orthopaedic surgeon Michael J. Axe, MD as they bust long-standing myths, break down the science, and reveal what’s really happening inside the joint. From the truth about cartilage damage and steroid limits to the surprising effects on diabetic patients—not all injections are created equal. Wet joint vs. dry joint, Bupivacaine vs. Lidocaine, inflammation research, and why physical therapy must follow—don’t miss this eye-opening episode!
undefined
Jun 25, 2025 • 37min

Episode 24: Inside MedNet: Delaware’s Trusted Network for Independent Practices

Join host Nicholas O. Biasotto, DO for an insightful conversation with Michael J. Bradley, DO, Past President of the AMA State Medical Society and the Medical Society of Delaware, and Lori Ann Rhoads, CMPE, Director of Health System Innovation at MSD.  They discuss Medical Network Management Services of Delaware, LLC (MedNet)—a subsidiary of the Medical Society of Delaware, a physician-owned and led organization supporting over 1,300 clinicians across Delaware. Since 1996, MedNet has helped independent practices thrive in a changing health care landscape, offering: Higher reimbursements through fee-for-service contracts Support for value-based care, quality metrics, and care coordination Credentialing and insurance issue resolution Shared savings programs—with over $3 million returned to primary care We explore MedNet’s collaboration with the Delaware Health Information Network (DHIN), efforts to close care gaps and improve outcomes. Tune in to learn whether there’s been any real progress with Primary Care Reform in Delaware. Why MedNet? Because it's trusted, physician-led, and built for the future of independent practice in Delaware. Let’s get into it!

The AI-powered Podcast Player

Save insights by tapping your headphones, chat with episodes, discover the best highlights - and more!
App store bannerPlay store banner
Get the app