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Unstable Vitals

Dr. Adam Brown and Dr. Lara Zibners

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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, ...
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In this episode of Unstable Vitals, Dr. Lara Zibners and Dr. Adam Brown welcome Alison Fragale, organizational psychologist, professor, and author of Likeable Badass, to talk about the science of respect, influence, and why women in leadership still face steep uphill battles. From trading nail files for shoes to unpacking why “likeable” and “badass…
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In this episode of Unstable Vitals, hosts Dr. Adam Brown and Dr. Lara Zibners sit down with orthopedic surgeon, researcher, and author Dr. Jocelyn Wittstein. Together, they dig into an often-overlooked area of medicine: bone and joint health as the foundation for long-term wellness. Dr. Wittstein shares insights from her new book, The Complete Bone…
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In this episode of Unstable Vitals, Dr. Adam Brown and Dr. Lara Zibners welcome Dr. Steven Farmer, former senior leader at the Center for Medicare and Medicaid Innovation (and Adam’s husband). Between playful banter and sharp commentary, the trio dives into the serious business of healthcare regulation: why the U.S. system remains unaffordable, how…
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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 D…
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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 …
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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 …
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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 real…
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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…
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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…
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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 ho…
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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…
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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 pit…
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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 …
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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. …
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