ABOUT THIS PODCAST 🔗

Update frequency:
biweekly
Average audio length:
43 minutes
Guest interviews
English
United States
26 episodes
since Jan. 6, 2026
episodic

LATEST EPISODE 🔗

Should a doctor, nurse, or paramedic ever help the state carry out an execution? It’s a question most of medicine has already answered on paper — and one that keeps happening anyway. Mike and Rob take on their heaviest subject yet: two recent, failed Tennessee executions, and the ethical fault line…

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PREVIOUS EPISODES

In the hospital, you don't ask a patient for their insurancecard before you set up their ventilator. In home care, you can't even walk in the door without one. That gap is where this episode lives. Mike and Rob sit down with Chrysalis Ashton — RRT, Master'sin respiratory care, Head of Respiratory C…
We like to pretend autonomy is neat and clean — a signature on a consent form, an advance directive in a drawer. But what happens when saying "no" costs the system something? And what happens when the decision isn't even left in your hands? In this episode, Mike and Rob take on the pillar they keep…
A nurse agrees to be a gestational surrogate. The contract includes a clause: if doctors find a serious fetal anomaly, the intended parents can request termination — and she signs it, with a psychologist involved, fully informed. Then, 20 weeks in, a serious diagnosis comes. The parents invoke the …
Who gets to decide whether you receive the care your doctorordered — and what happens when the person deciding is rewarded for saying no? Mike and Rob dig into WISER, a new Medicare model (theWasteful and Inappropriate Service Reduction model) that pairs AI and machine learning with human reviewers…
A suction machine sat at the bedside, switched off. Over an eight-hour shift, aides asked more than ten times for the patient to be suctioned. He mouthed that he couldn't breathe. And by morning, an 87-year-old Korean War veteran named Pete was dead — from something as simple, and as preventable, a…
Where does ethics actually come from? Mike and Rob trace the entire arc of medical ethics — from the Code of Hammurabi in 1754 BCE and the Greek philosophers, through Hippocrates and "do no harm," all the way to the four pillars that govern clinical practice today. Here's the part that surprises ev…
Is it ever ethical for healthcare workers to walk off the job? When roughly 4,000 nurses at Brigham and Women's Hospital — part of the Mass General Brigham system — staged the largest nursing strike in Massachusetts history, it forced a hard question: where's the line between workers' rights and a …
Great leaders aren't born knowing how to handle a team that turns on them — they learn it in the trenches. This week, Rob and Mike sit down with Meliza Walsh, Director of Respiratory Care at Children's Memorial Hermann Hospital in the Texas Medical Center, co-host of Sis, Let's Talk Leadership, and…
Mayo Clinic is replacing overnight respiratory therapists with telehealth in its critical access hospitals — so Rob and Mike revisit the decision with someone who's lived it. Jill Wolber, an RT with nearly 30 years in critical care and a year as the lone night RT at a rural critical access hospital…
Disclaimer: The podcast and artwork embedded on this page are from Michael Sheahan and Robert Fishwick, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.