Dr. Robert Wachter has spent his career watching medicine absorb newtechnology, from the paper chart to the electronic record to the current moment with AI. Theprofessor and chair of the Department of Medicine at UCSF sits down with Dr. Aditi Nerurkar towork out where these powerful new tools may be best situated to actually improve care. Forinstance, models flagging elevated breast cancer risk in scans that read as normal. Systemsmatching patients to trials. Possibilities and possible pitfalls abound, but this is an exciting leapindeed. And, for anyone predicting the end of human doctors in the exam room, take note. Dr.Wachter closes on the doorman fallacy, a lesson from 1950s hotels... turns out there are somevery human things no robot can replace.

Dr. Robert Wachter has spent his career watching medicine absorb newtechnology, from the paper chart to the electronic record to the current moment with AI. Theprofessor and chair of the Department of Medicine at UCSF sits down with Dr. Aditi Nerurkar towork out where these powerful new tools may be best situated to actually improve care. Forinstance, models flagging elevated breast cancer risk in scans that read as normal. Systemsmatching patients to trials. Possibilities and possible pitfalls abound, but this is an exciting leapindeed. And, for anyone predicting the end of human doctors in the exam room, take note. Dr.Wachter closes on the doorman fallacy, a lesson from 1950s hotels... turns out there are somevery human things no robot can replace.

Every misdiagnosis–or missed diagnosis–has a story. The Blind Spot goes looking for it. Each episode goes back to the beginning, as physicians revisit the cases that kept them up at night and patients recount the persistence it took to finally break through a diagnostic wall. The clues were often there. The question is why no one connected them.

From systemic biases where a woman's chronic pain is dismissed as "emotional," to conditions that present differently across diverse patient populations, to the incredible administrative pressures facing providers doing their best. 

The Blind Spot reveals what it takes to see what medicine almost missed — and what it costs when we aren’t seeing each other clearly across the exam room.

Every misdiagnosis&ndash;or missed diagnosis&ndash;has a story. The Blind Spot goes looking for it. Each episode goes back to the beginning, as physicians revisit the cases that kept them up at night and patients recount the persistence it took to finally break through a diagnostic wall. The clues were often there. The question is why no one connected them.
From systemic biases where a woman's chronic pain is dismissed as "emotional," to conditions that present differently across diverse patient populations, to the incredible administrative pressures facing providers doing their best.&nbsp;
The Blind Spot reveals what it takes to see what medicine almost missed &mdash; and what it costs when we aren&rsquo;t seeing each other clearly across the exam room.

The Blind Spot with Dr. Aditi Nerurkar

Where AI Fits in Medicine with Dr. Robert Wachter

https://api.omny.fm/orgs/e73c998e-6e60-432f-8610-ae210140c5b1/clips/b69627c5-4f5a-4ad5-81c8-b4b9012bbd5d/transcript

It can be scary to go to the doctor. Patients may be afraid of bad news, of seeming difficult, of taking up too much time. Doctors might feel uncomfortable delivering bad news, or bringing up the cost of care. This very human layer of healthcare is our blind spot.Dr. Lucy McBride, a primary care physician of more than twenty years and author of Beyond the Prescription, argues that fear is inevitable, but not irreducible. Dr. McBride argues for humility, mutual candor, and even a bit of humor as she lays out practical tips and fresh ideas about how to navigate this very ancient divide.Because by pressing beyond fear, doctors can connect cancer patients with resources they didn’t even know were needed; accurately evaluate risk tolerance; and above all form a human connection and achieve better outcomes as true partners.

It can be scary to go to the doctor. Patients may be afraid of bad news, of seeming difficult, of taking up too much time. Doctors might feel uncomfortable delivering bad news, or bringing up the cost of care. This very human layer of healthcare is our blind spot.Dr. Lucy McBride, a primary care physician of more than twenty years and author of&nbsp;Beyond the Prescription, argues that fear is inevitable, but not irreducible. Dr. McBride argues for humility, mutual candor, and even a bit of humor as she lays out practical tips and fresh ideas about how to navigate this very ancient divide.Because by pressing beyond fear, doctors can connect cancer patients with resources they didn&rsquo;t even know were needed; accurately evaluate risk tolerance; and above all form a human connection and achieve better outcomes as true partners.

Naming the Fear in the Room with Dr. Lucy McBride

https://api.omny.fm/orgs/e73c998e-6e60-432f-8610-ae210140c5b1/clips/fd6e09e0-1b18-4f9b-9366-b4ab01414af5/transcript

Host Dr. Aditi Nerurkar sits down with Dr. Jeremy Faust, emergency medicine physician at Brigham and Women's Hospital, Harvard Medical School, and editor in chief of MedPage Today, to trace what actually moves (and doesn't) when one clinician hands a patient to the next. They start with the shorthand. A phrase like "second trope and go" compresses an entire risk stratification into four words, and the person receiving that patient has to trust it completely or start the workup over. From there the conversation widens. What does a patient experience on the other side of that same handoff, and what can care providers do make sure patients stay in partnership with their health teams, even across specialties or departments.

Host Dr. Aditi Nerurkar sits down with Dr. Jeremy Faust, emergency medicine physician at Brigham and Women's Hospital, Harvard Medical School, and editor in chief of MedPage Today, to trace what actually moves (and doesn't) when one clinician hands a patient to the next. They start with the shorthand. A phrase like "second trope and go" compresses an entire risk stratification into four words, and the person receiving that patient has to trust it completely or start the workup over. From there the conversation widens. What does a patient experience on the other side of that same handoff, and what can care providers do make sure patients stay in partnership with their health teams, even across specialties or departments.

"Second Trope and Go": Dr. Jeremy Faust on the Language of the Handoff

https://api.omny.fm/orgs/e73c998e-6e60-432f-8610-ae210140c5b1/clips/c2243922-e748-44e5-bc76-b49d01015099/transcript

Most physicians were trained to believe Munchausen by proxy is vanishingly rare. Andrea Dunlop has spent years talking to the clinicians, survivors, and researchers who know otherwise. In this conversation with Dr. Aditi Nerurkar, she makes the case that the condition is far more common than the medical community recognizes, and that the structural reasons physicians miss it are themselves a form of institutional blind spot.


Dunlop, creator of the award-winning podcast "Nobody Should Believe Me" and founder of the nation's only nonprofit dedicated to survivors of this abuse, walks through how the pattern actually appears in a chart, why clinicians are uniquely vulnerable to manipulation by perpetrators, and why a child aging out of pediatric care does not mean they are out of danger. The conversation keeps returning to a single orienting principle: the child is the patient, not the parent. When that distinction gets blurred, the consequences can be fatal.

Most physicians were trained to believe Munchausen by proxy is vanishingly rare. Andrea Dunlop has spent years talking to the clinicians, survivors, and researchers who know otherwise. In this conversation with Dr. Aditi Nerurkar, she makes the case that the condition is far more common than the medical community recognizes, and that the structural reasons physicians miss it are themselves a form of institutional blind spot.
 Dunlop, creator of the award-winning podcast "Nobody Should Believe Me" and founder of the nation's only nonprofit dedicated to survivors of this abuse, walks through how the pattern actually appears in a chart, why clinicians are uniquely vulnerable to manipulation by perpetrators, and why a child aging out of pediatric care does not mean they are out of danger. The conversation keeps returning to a single orienting principle: the child is the patient, not the parent. When that distinction gets blurred, the consequences can be fatal.

"The Child Is Your Patient": Andrea Dunlop on the Medical Abuse Hiding in Plain Sight

https://api.omny.fm/orgs/e73c998e-6e60-432f-8610-ae210140c5b1/clips/189d6e3c-9af2-4caf-9df5-b48f01376364/transcript

Where AI Fits in Medicine with Dr. Robert Wachter

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