The Nocturnists

Latest Episodes:

3 - Uncertainty in Medicine: Through Thick and Thin Apr 17, 2025

Show notes

In episode 3 of the "Uncertainty in Medicine" series, patient Dana undergoes a routine knee replacement and expects a straightforward recovery. Instead, she's plunged into a baffling and relentless illness—one that defies diagnosis and leaves her life in limbo. As her symptoms intensify and specialists write her off, Dana finds an unwavering ally in her primary care doctor, the one person who refuses to let her fall through the cracks.

This episode traces their year-long search for answers, revealing the emotional cost of medical uncertainty and the rare power of a clinician who stays the course. Along the way, we visit Lewiston, Maine, where a small, intentional change to residents' schedules is making the uncertainty of primary care more manageable and helping keep young doctors in the field.

Find show notes, transcripts, and more at thenocturnists.org, and subscribe to our substack.

The "Uncertainty in Medicine" series is generously funded by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation.

The Nocturnists is supported by The California Medical Association and donations from listeners like you.

This episode is sponsored by a new podcast that fans of the Nocturnists are sure to love. Unleashed: Redesigning Health Care features clinician-innovators who have changed care on the front lines. Their stories, their voices, their ingenuity. Learn more at unleashedpodcast.org.

Host: Emily Silverman, MD

Uncertainty Correspondent: Alexa Miller

Series Illustrations by Eleni Debo

BONUS: Behind the Scenes of The Pitt with Gemmill, Sachs, and Herbert Apr 15, 2025

Show notes

On this episode of Conversations, Emily sits down with the creative team behind The Pitt—a gripping new medical drama on HBO Max that's making waves in the healthcare world and beyond. Joining her are showrunner R. Scott Gemmill (ER, NCIS: LA), physician-writer Dr. Joe Sachs (ER), and emergency medicine educator and EM:RAP founder Dr. Mel Herbert. Together, they go behind the scenes of the show, discussing characters, medical cases, set design, and the creative team's relentless pursuit of medical authenticity.

Find show notes, transcript, and more at thenocturnists.org.

The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

2 - Uncertainty in Medicine: Looking with Uncertainty with Alexa Miller Apr 10, 2025

Show notes

Step inside Alexa Miller's classroom, where paintings become portals and doctors learn to see like patients. In this episode, Alexa leads a powerful exercise called the "image circle," where clinicians reflect on their own experiences of medical uncertainty and choose artworks that speak to those moments. What follows is anything but abstract—through close looking and deep conversation, participants begin to feel what it's like to sit on the other side of the exam table. Alexa, a trailblazer at the crossroads of art and medicine, shares frameworks for understanding uncertainty and introduces her BOLD framework for navigating uncertainty in healthcare.

Find show notes, transcripts, and more at thenocturnists.org, and subscribe to our substack.

The "Uncertainty in Medicine" series is generously funded by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation.

The Nocturnists is supported by The California Medical Association and donations from listeners like you.

Host: Emily Silverman, MD

Uncertainty Correspondent: Alexa Miller

Series Illustrations by Eleni Debo

1 - Uncertainty in Medicine: The Art of Not Knowing Apr 03, 2025

Show notes

In the premiere of the "Uncertainty in Medicine" series, The Nocturnists explore medicine's uneasy relationship with not knowing. From the clean resolutions of medical dramas to the structured rituals of case conferences, the culture of medicine often treats uncertainty as something to be avoided, resolved, or explained away. But what happens when uncertainty is not just a temporary gap in knowledge—but a constant, lived reality?

Through story and reflection, this episode invites listeners to reconsider the role of uncertainty in clinical care. What if the goal isn't to eliminate it, but to navigate it skillfully? And what if doing so makes us not only better clinicians, but better collaborators, listeners, and humans?

Find show notes, transcripts, and more at thenocturnists.org, and subscribe to our substack.

The "Uncertainty in Medicine" series is generously funded by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation.

The Nocturnists is supported by The California Medical Association and donations from listeners like you.

Host: Emily Silverman, MD

Uncertainty Correspondent: Alexa Miller

Series Illustrations by Eleni Debo

Re-Release: The Uncertain World of Chronic Lyme with Ross Douthat Mar 27, 2025

Show notes

Our Uncertainty in Medicine series launches next week, and to set the stage, we're sharing one of our favorite episodes from the archives - a heartfelt conversation with New York Times columnist Ross Douthat about his journey through the healthcare system while living with chronic Lyme disease.

Medicine likes certainty - diseases we can see and test for and treat. But what do we do when we can't see? When we can't help? Do we keep searching? Or do we look away?

In this episode, Emily speaks with New York Times columnist Ross Douthat about his book The Deep Places, which tells the harrowing story of his experience with Lyme disease, and what it's like to navigate a chronic illness that mainstream medicine hasn't yet fully explained.

Find show notes, transcript, and more at thenocturnists.org.

The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

Trailer: Uncertainty in Medicine Mar 21, 2025

Show notes

Medicine is full of uncertainty—from ambiguous diagnoses to unpredictable outcomes and the complex emotions of not knowing. Uncertainty in Medicine is a new documentary podcast series, created in collaboration with Alexa Miller of ArtsPractica, that examines how both healthcare workers and patients navigate the unknown. Through powerful personal stories and in-depth conversations with professionals whose work depends on making decisions amid uncertainty, the series explores what it means to embrace the gray areas of medicine—and life. The first episode of Uncertainty in Medicine drops Thursday, April 3.

Find show notes, transcripts, and more at thenocturnists.org

The Uncertainty in Medicine series is supported by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation.

The Nocturnists is supported by The California Medical Association and donations from listeners like you.

Series Host & Co-Creator: Emily Silverman, MD

Series Correspondent: Alexa Miller (ArtsPractica)

Showtime with Allan Detsky, MD Mar 06, 2025

Show notes

Dr. Allan Detsky, a Canadian physician, health economist, and Broadway producer, examines the contrasts between Canadian and American healthcare. He then delves into his passion for musical theater, recounting his unexpected journey into Broadway production and how he integrates musical theater into hospital wards as a means of decompression and connection in medical education.

Find show notes, transcript, and more at thenocturnists.org.

The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

ICU Liberation with Kali Dayton, NP and Heidi Engel, DPT Feb 27, 2025

Show notes

Kali Dayton, critical care nurse practitioner, ICU outcomes consultant, and host of the Walking Home from the ICU podcast, joins pioneering ICU physical therapist Heidi Engel to discuss long-standing ICU practices rooted in sedation and immobility. Together, they make a powerful case for a transformative model that keeps patients awake, engaged, and walking—even while on ventilators.

Find show notes, transcript, and more at thenocturnists.org.

The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

The Art of Doctoring with Bolster, Liebowitz, and Seo Jan 30, 2025

Show notes

Dr. Marcy Bolster, Dr. Jason Liebowitz, and Dr. Philip Seo join us to discuss their newly published anthology, A Masterclass in Medicine: Lessons from the Experts. They created this compelling essay series to explore what it means to be a master clinician, featuring lessons from their own clinical heroes as well as other renowned physicians. Through these essays, they highlight the essential qualities of exceptional doctoring—empathy, clinical reasoning, and lifelong learning. In this conversation, they share the insights that shaped their careers, reflect on the impact of mentorship, and examine the enduring art of patient-centered care.

Find show notes, transcript, and more at thenocturnists.org.

The Nocturnists is made possible by the California Medical Association and donations from listeners like you.

The Gilded Age of Medicine with Dhruv Khullar, MD Jan 23, 2025

Show notes

Physician and New Yorker writer Dhruv Khullar argues that modern medicine is in a Gilded Age—one where groundbreaking innovations mask deep systemic issues, including misaligned incentives, escalating costs, and growing dissatisfaction. From the influence of private equity on healthcare to the flaws of Medicare Advantage and the crucial role of data as the 'oil' of the healthcare system, this conversation explores the challenges of contemporary medicine while underscoring the importance of frontline clinicians actively engaging in health policy debates.

Find show notes, transcript, and more at thenocturnists.org.

The Nocturnists is made possible by the California Medical Association and donations from listeners like you.