ER Docs and Crucial Talks

Latest Episodes:

"But I have something he will never have - I have enough." May 04, 2024

Show notes

"I have enough."
Welcome back! Thanks to our ongoing subscribers and listeners. If you're here for the first time and like what you're hearing, consider checking out our previous episodes and leaving positive feedback. Your positive feedback helps us grow the podcast.
Tonight we discuss the concept of "I have enough." We garnered the discussion from a true story about a conversation between the author of Catch 22, Joseph Heller, and the author of Slaughterhouse Five, Kurt Vonnegut. Take a read of their conversation as they walked about a billionaire's home during a party one evening:
https://narendragoidani.medium.com/but-i-have-something-he-will-never-have-enough-8036d03d089b
What does "enough" look like and feel like to you? Do you have enough? Are YOU enough? Have you ever thought about it on a deeper level? Join the guys tonight for an enjoyable deep dive into this very concept. Thanks again for listening and sharing this along.
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

A Wise and Discerning Heart, and the 21 Day No Complaint Project Dec 21, 2023

Show notes

Hello and welcome.
Tonight Cullen and Raj discuss an introspective youtube video by Bishop Robert Barron. Whether you're religious, spiritual, agnostic, atheistic or any shade in between, you'll likely enjoy this discussion. They'll go into how we can perceive the unimportant temptations in our lives with wisdom and make a determination how to put these aside appropriately in order to pursue a more virtuous path. No one claims this is easy, but it begins with a wise and discerning heart. Join them for this part of the discussion.
Next the guys will recount their experience with the 21 Day No Complaint Project. See the links below. It wasn't easy at first but this experiment was enlightening to them for certain. They'll sort through the feelings and observations from day 1 to day 21 and recount their experiences on the 21 day journey, both good and bad. What was the final take away? Tune in and find out. Do you think you're ready to try a 21 Day No Complaint Project?
Thank you to all of our dedicated listeners and our new ones.
Links:
https://tim.blog/2007/09/18/real-mind-control-the-21-day-no-complaint-experiment/amp/
https://fs.blog/david-foster-wallace-this-is-water/
https://youtu.be/8X8ELYpshy0?si=CsaUWgMv7870eZIV
https://youtu.be/685xv8eZCfk?si=csDi7qb9jXNroXSx
https://quotefancy.com/quote/1520615/Jacques-Rigaut-Don-t-forget-that-I-cannot-see-myself-that-my-role-is-limited-to-being-the
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

Hanlon's Razor and When the Patient Says "Doc, let me go." Sep 12, 2023

Show notes

Welcome back.
Tonight, the guys discuss the philosophical rule, Hanlon's Razor (link below), and its implications on how we can perceive and misperceive the world around us and/or the people around us.
Have you ever felt everyone was out to get you? Have you ever felt the world was conspiring against you? Have you ever felt that if people would just listen to you then your life would be so much better?
This may be the episode for you. We will deconstruct Hanlon's Razor, apply it to a heavy case from the emergency department involving life or death we and see what we can do to help eradicate some of the feelings that we may feel that push us away from the people around us due to simply a lack of awareness or consideration of an alternative explanation for what is going on.
Also the guys touch on David Foster Wallace's speech, "This is Water" and how he effectively communicates similar concepts. Two people can have the same physical experience but come away from it with two totally different perceptions and opinions about the experience - and both people can be right.
Links:
YouTube Clip of this Ep:
https://youtu.be/fWc6jGJwL_c?si=eto3z5hm81r22lnO
The No Complaint Project:
https://tim.blog/2007/09/18/real-mind-control-the-21-day-no-complaint-experiment/amp/
Hanlon's Razor:
https://fs.blog/mental-model-hanlons-razor/
This is Water - David Foster Wallace:
https://fs.blog/david-foster-wallace-this-is-water/
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

High Adrenaline Events - It's OK to not be OK. A Discussion on Shawn Ryan interviewing Kyle Morgan. Jun 11, 2023

Show notes

Trauma. High adrenaline events. Where do you put the emotion, the sadness, the anger, the rage, the confusion, and the myriad of emotions that well up after the event is over? Bad shift at work, near car wreck on the highway, a loved one got seriously ill? This episode is for you.
Tonight the Docs discuss this very topic, high adrenaline events, and they discuss the Shawn Ryan Podcast, Episode #41, his interview with Delta Force Operator Kyle Morgan. Shawn Ryan is a Navy Seal, and conducts this amazing deep dive interview into a harrowing event Kyle experienced while stationed in West Africa. There, Kyle nearly lost his life while simultaneously saving the lives of countless people in a hotel being attacked by rebel forces. He discusses the trials and tribulations of being a Delta Force Operator, and then the harder challenges he met when he came home to his wife and children. He hadn't counted on the demons from the battlefront joining him on his trip home.
We are all human, the Docs come to summarize, and therefore all of us humans are vulnerable to forces beyond most of our control, in particular after traumatic, high adrenaline events. You may experience this at work, in the home, or out in the community. Regardless of who you are, and what you experienced or where, you experienced some degree of fear, emotional stress, and confusion as to where to go as you attempt to move forward. Invariably, there will be good and bad methods to go about this. Let's deep dive into this crucial talk and figure this out together.
ER Docs and Crucial Talks on YouTube
https://www.youtube.com/watch?v=-AlDqix91L0
Shawn Ryan Podcast - Episode #41 on YouTube
https://youtu.be/3IyCgm_vyOE
Episode #41 Audio Podcast
https://podcasts.apple.com/us/podcast/shawn-ryan-show/id1492492083?i=1000587374247
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

AI Artificial Intelligence in Emergency Medicine - Will AI replace doctors? Apr 24, 2023

Show notes

This topic was bound to surface. AI seems to be all over the news and internet lately and it's about time the ER Docs discussed the nuances of artificial intelligence and its potential integration into emergency medicine and health care in general.
Raj and Cullen curate a great talk on AI and discuss the big pros and cons as they see it to implementing AI in healthcare. They also ask ChatGPT what it thinks the pros and cons are of using AI in healthcare. This will be a fascinating rabbit hole the two will go down pondering ethics, morality, and overall benefit or harm to humanity. Thank you for joining us!
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

Trading Time for Meaning Apr 11, 2023

Show notes

Welcome to Season 2!
For those who joined us for our first season journey THANK YOU! Welcome to our new listeners, we promise not to disappoint.
Tonight Cullen and Raj get into the following concepts:
- Assigning excessive importance to material objects
- Trading time for meaning vs trading time for money
- Saying "Yes" to something means saying "No" to one or many things
- If it's not a "Hell yes!" Then it's a humble "no."
Once again the guys think about how they think, metacognition. Consider situations that are similar in your world and ask yourself what your response would be as you listen along tonight to this crucial talk.
The guys offer a teaser to the next episode which will showcase the Shawn Ryan podcast and a recently guest of his, Delta Force Operator Kyle Morgan:
https://www.youtube.com/watch?v=3IyCgm_vyOE
Also Cullen references an influential book in his life:
https://a.co/d/aDzCbRj
This episode on our YT Channel:
https://youtu.be/vakACFgz-TA
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

The Fear Factor - Conquering your Fear Nov 20, 2022

Show notes

What do you fear? Do you have a top 3? Do you recall the last time you truly felt real fear, and perhaps you even thought your life was at stake?
Tonight Cullen and Raj will discuss fear: its physiological and evolutionary origins, its purpose, and of course its downfalls. They'll discuss strategies they personally use to navigate out of the fearful experience and also how they deal with panic and anxiety.
Additionally each will discuss their own case where fear nearly derailed them from achieving success. Cullen discusses his recent trip to Yosemite National Park where he climbed Mount Hoffman and had a harrowing experience.
If you or a loved one suffers from panic or anxiety, please seek professional help. This episode is not intended to advise anyone medically or treat any condition.
Thank you to our dedicated listeners and new ones as well! Like us on YouTube, Facebook, and your podcast app!
YouTube:
Mount Hoffman Climb:
https://youtu.be/9Ht7tQGoc-I
This episode:
https://youtu.be/kpitG6a8Hnw
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

Cases from the ER - Better to be Lucky than Good Sep 07, 2022

Show notes

Welcome back!
Tonight we have for you three great cases from the emergency department. It's been a while since we've done a case series, and back by popular demand are these cases that will hopefully put you in the cockpit of our lives in the war against illness that we fight every day as ER physicians.
Cullen and Raj contemplate these cases in depth and discuss the nuances of human bias, making critical decisions with limited data, managing patient expectations amidst life and death, and simply understanding an age old concept in the emergency department which is that it's sometimes better to be lucky than to be good. Do you know how you will react in critical situation when you are physically and mentally stressed? Is there anything you can do to promote the best outcome? Let's discuss and find out.
We discuss Maverick, the second installment of the revered movie Top Gun, and get into some of the nostalgia that that movie brought to us and some other works of film and TV drama (ER) that brought us nostalgia in the past few weeks. (Danger zone!!!)
We are locked and loaded, so please buckle in for some turbulence as we get into it up in the skies!
Thank you to our dedicated listeners and new ones as well! Like us on YouTube, Facebook, and your podcast app!
YouTube:
https://youtu.be/CJyrUGV3Uzk
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

Mentorship with Greg Fleming: From Cabrini to Coaching Jun 23, 2022

Show notes

"We are going to use basketball, we are not going to let basketball use us."
This one will fascinate you as it did us. Who do you mentor ... who are you mentored by? One thing is absolutely certain as we go through tonight's discussion: to have a great mentorship relationship you need great mutual accountability.
Meet Greg Fleming: basketball
coach, entrepreneur, mentor, mentee.
Tonight we dive into mentorship and focus on the Mentorship between two fascinating individuals, Deepak Devaraj (episode 3 - space for authenticity) and Greg Fleming.
The following links will best describe who these two guys are and how they came to know each other. In brief, Greg was a child raised in the notorious Chicago Housing Association projects called Cabrini-Green, mostly known for its drugs, gangs, and violent crime. Rather than succumb to this environment, and despite losing his own brother to gang violence, Greg overcame this in great part due to his wisdom and the mentorship established between him and Deepak when Greg was only in the 4th grade.
Tune in to a harrowing tale of success despite all the chips being stacked against him, and Greg's story will illuminate you. As he says, you need a "why?" so big in life that it overcomes any "how?" Learn how his basketball coaching has risen to great ranks and how he mentors his athlete-students to do great things and stay away from things that would derail their success.
LINKS:
Check out the YouTube of this episode!
https://youtu.be/vvCiqXQ7RNg
Articles about Greg and Deepak:
https://theeldersportsman.weebly.com/blog/how-greg-fleming-overcame-insurmountable-odds-to-become-one-of-chicagos-youngest-varsity-basketball-coaches
https://thecollegiatelive.com/2015/03/from-cabrini-green-to-grcc-basketball-player-overcomes-adversity-to-excel-on-and-off-court/
Cabrini-Green
https://en.m.wikipedia.org/wiki/Cabrini%E2%80%93Green_Homes
Roberto Clemente Community Academy
https://rccachicago.org/
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

Stoicism Part 2 - Want What You Already Have Apr 25, 2022

Show notes

Welcome to part 2 of Stoicism!
Tonight we deep dive into concepts such as retrospective and prospective negative visualization and how they can improve your quality of life.
We discuss the free Daily Stoic daily email and Ryan Holiday's book, Stillness is the Key:
https://dailystoic.com/email
https://smile.amazon.com/dp/1788162064/ref=cm_sw_r_cp_api_i_2CWGPFGMHRJS6JY15XBP
Invariably some of our discussion with bring up memories of this classic song:
https://music.apple.com/us/album/cats-in-the-cradle/40286674?i=40286679
And we discuss this Foo Fighters classic song:
https://music.apple.com/us/album/my-hero/362133451?i=362133488
Cullen goes into a great case from the ER and tells a harrowing life saving story and describes how a grateful family member had a stoic moment at the end. You won't want to miss this episode, thanks for all the feedback and subscriptions!
DISCLAIMER:
The statements made and opinions expressed during this podcast are our own personal statements and opinions and should not be construed as the statements or opinions of any entity or institution that we may have been employed by or affiliated with at any time in our professional lives. Additionally, we take patient confidentiality incredibly seriously. For that reason, any references to stories about patients have purposefully been modified so as to not identify any particular patient or location. Finally, while we are both doctors, nothing that we say in this podcast should be construed as medical advice. If you are in need of medical advice, please contact your personal physician. Also, while we are doctors, we are not your doctors. Please discuss anything we discuss medically with your doctor.
Additionally any ideas or opinions expressed in the links above or by the guests on our show do not necessarily reflect our own personal or professional opinions, or the opinions of any organizations that we currently or formerly worked for or represented. Thanks again for listening!

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