Incident Report

By ZDoggMD

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Category: Science & Medicine

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Subscribers: 132
Reviews: 1

Virginia (meet me!)
 Feb 2, 2019
Love you. Thanks for the great interviews. Please watch the f bombs.😁😁😁😁


An uncensored, hilarious show on key health and medical topics for both healthcare professionals and patients. Hosted by Stanford-trained physician Dr. Zubin Damania (AKA social media personality ZDoggMD).

Episode Date
AMA 35: My Advice For Medical Residents
Here's what I say when medical students and residents ask me what's up. Video and ways to become a ZPac Supporter at
Aug 21, 2019
We Must Resist (And Reconnect)
What I learned about resistance and reconnection from Sam Shem and his upcoming sequel to the House of God, called "Man's 4th Best Hospital." Links to pre-order the book and full video (previously recorded LIVE) at
Aug 17, 2019
AMA 34: What I Saw On Rounds Made Me Sick
Just another day on the wards, where they try to reduce us to heartless billing machines. And we're all just conditioned to take it. Video and ways to support the Movement at
Aug 12, 2019
Morning Roundz Ep. 13: Church Giggles
Wherein Tom and I discuss topics such as Buddhism, Capitalism, and the Church Giggles.
Aug 08, 2019
Inpatient Vs. Observation: HELP! (w/Bill Rifkin and India Watson)
To admit or not to admit, that is the que$tion. Our guests Dr. Bill Rifkin and India Watson, MSN, RN join us from MCG Health to teach us how to better understand this never ending drama. Recording LIVE from Seattle! Video and more at
Jul 31, 2019
Supporting Our Colleagues With Disabilities
Apologies in advance for the poor audio quality (recorded live in a backyard) but Dr. Pete Poullos joins us again to talk about how we can better accommodate healthcare colleagues with disabilities. Video, links and more at
Jul 29, 2019
AMA 33: Our Hospitals Are TOO LOUD
Too many alarms, too much noise, one study showed 72 decibels during the day (that's a vacuum cleaner running constantly). Can we actually make our hospitals places of healing WITH ALL THIS FRICKING NOISE? Links, video, and ways to support the show at
Jul 27, 2019
AMA 32: The Health 3.0 Manifesto
Where we were, where we are, and where we need to go to build a better healthcare system for all of us. This is Health 3.0. for the shareable video and links.
Jul 15, 2019
Morning Roundz w/Tom & Z Ep. 12: Those Dang Freeloaders
We're in Vegas talking about dealing with freeloaders (emotional and financial), the poverty trap, and much more. Video available only for Supporters (where this show originally streamed live), link available at
Jul 11, 2019
Let Our Kids Sleep (w/Dr. Blair Duddy)
There's a 25-year body of evidence that sleep is crucial for teens and adults...yet our culture robs us of it at every turn. Pediatrician Dr. Blair Duddy, MD joins us again to talk about what not nearly enough of us are talking about. If there's a big body of evidence that our teens need more sleep, why does school still start so early? Full video and ways to join The Supporter Tribe at
Jul 10, 2019
AMA 31: Why Dummies Think They're Smart
What happens when you don't know what you don't know? Video and ways to support the show:
Jul 06, 2019
The Tragedy At Hanhemann Hospital
Once again, the worst for-profit corporate healthcare destroys caregivers AND patients. My rant on the closure of Hanhemann Hospital in Philadelphia.
Jul 04, 2019
A Chameleon's Tale (ZDoggMD StoryTime)
It's our brand-new StoryTime series! This episode chronicles a medical school tale of treating a family member...even when they aren't particularly human. Video and more at
Jul 03, 2019
What Does That DNR Really Mean? w/Dr. Fred Mirachi
We routinely misinterpret patients' wishes around medical interventions. Emergency physician Dr. Fred Mirarchi may have a way to fix that. #MedicalStrangerDanger Links to his research, the MIDEO app, the full video interview, and more at
Jun 29, 2019
AMA 30: Annual TB Testing Is A Scam
You know that annual TB skin test those administrators keeps hassling you to get under threat of termination? Yeah, turns out they aren't necessary if you're low risk. From the New England Journal of DUH. Send this to your institution's leadership and maybe we can get one more piece of BS busywork off our plate. Links to studies, CDC guidelines, and more at
Jun 27, 2019
Morning Roundz w/Tom & Z: Ep. 11
The boyz are back in town. #Vegas
Jun 26, 2019
Surviving As An Outlier In Medicine (w/Dr. Doug Farrago)
Dr. Doug Farrago is a direct primary care doctor, inventor, and OG medical satirist who was one of the earliest inspirations for what eventually became "ZDoggMD." We talk about fitting into a conformist system when you just plain don't, inventing the Cryohelmet and other cool things, his work on The Placebo Journal (a humor magazine for healthcare people) and the Authentic Medicine blog, what it's like to be a creative type in the conformist matrix of healthcare, and much more. PS links, full video, and more at
Jun 25, 2019
AMA 29: Bad Blood Pressure Measurement Is Killing Our Patients
Our secret shame: we suck at checking blood pressure right. Here's how to fix that and save lives.
Jun 20, 2019
Morning Roundz Ep. 10: Coming Out Antivax
Tom and Logan join ZDogg up in the Bay Area of California for Morning Roundz. I completely forgot what we talked about, so just listen and enjoy ;-)
Jun 13, 2019
AMA 28: The Turntable Health Story
Fix primary care and you pretty much fix all of medicine. Here's one path to Health 3.0.
Jun 10, 2019
Air Ambulances Are Bankrupting Us (And No One Cares)
Price gouging patients at their most vulnerable, it seems the air ambulance industry is long overdue for a reckoning. Links to Dr. Makary's new book, the full video, and more at
Jun 03, 2019
Touching The Third Rail: Abortion
Tom and I discuss the response to our earlier video on abortion laws...LIVE.
May 28, 2019
AMA 26: Stop Judging Nurses
55% of nurses are overweight or obese compared with 35% of the general population. Is it time we moved beyond judgement and towards real solutions? First we have to understand the root causes.
May 27, 2019
AMA 25: Abortion
This may well trigger pretty much everyone, but let's talk about it (and please listen to the whole thing...there's more nuance than you may think). I released this to the Supporter Tribe on Facebook and the discussion there has been respectful, emotional, and ridiculously productive. Join us: Video and more at
May 24, 2019
AMA 24: Moral Injury, The Sequel
We've discussed how "burnout" really isn't. But here's some more I needed to get off my chest.
May 17, 2019
Morning Roundz w/Tom & Z: Ep. 9 (Flat Earthers)
We're experimenting with Facebook's new "tip jar" called Stars...but more importantly, we talk flat earthers and GoT/Endgame spoilers.
May 16, 2019
They Told Her It Was Just A Wine Headache (w/Dr. Kathy Travnicek)
When Dr. Kathy Travnicek, a 30-something pain doctor, had a sudden severe headache, she quickly learned what happens when a physician becomes a patient in our ridiculously dysfunctional healthcare system. This story will make your jaw drop and offers lessons in how we can, and must, build a more connected Health 3.0. Links and more at
May 10, 2019
WTF Is Palliative Care? (w/Dr. Sunita Puri)
Dr. Sunita Puri is Medical Director for Palliative Care at the Keck Medical Center of USC and author of the remarkable book "That Good Night - Life and Medicine In The Eleventh Hour" — a visceral ride that gives readers a true feel for what palliative medicine and hospice means to a vision of Health 3.0. But most importantly, she's a sister from another mister who is a fellow UCSF/Stanford alum and a massive hip-hop fan, so best believe this interview KEEPS IT REAL AF! This show originally streamed live to Facebook Supporters and can be accessed in video form now if you are a subscriber. Visit for links and more!
May 07, 2019
How To Fight Back When Antivaxxers Attack (w/Dr. Todd Wolynn)
When pediatrician Todd Wolynn MD found his pediatric practice in the crosshairs of a concerted attack by antivaccine cult members, he decided the fight back and fight back hard. Now he wants to share resources that every healthcare practitioner can use when they are fraudulently attacked and their reputations and livelihoods are threatened. This show streamed live to Facebook supporters and can be accessed in video form now if you are a subscriber. Visit for links and more!
May 06, 2019
AMA 23: Do You Need The Measles Shot Again?
With measles outbreaks right here in the US, many people are asking if they should get revaccinated. The answer? Listen in. Video, links and more at
May 03, 2019
Force Friday RETURNS!
#ForceFriday returns...recorded LIVE! Video and more at
May 03, 2019
Morning Roundz Ep. 8: Liz Warren Thinks We’re Racists
This live episode contains ALL the Game of Thrones Ep. 3 and Avengers spoilers so be warned! We mostly focus on a discussion of Elizabeth Warren’s assertion that racist healthcare providers are responsible for worse outcomes in African American women. Video, links, and more at
May 01, 2019
AMA 22: Empathy Is Wrong
They tell us that more empathy is what we need to prevent "burnout" and provide better care for our patients. They're wrong...and here's why. Video, links, and more at
Apr 30, 2019
AMA 21: Co-Sleeping Can Kill
Given the recent Rock 'n Play controversy, what's the best way to keep infants safe during sleep? Video, links, and ways to support the show at
Apr 25, 2019
Morning Supporter Roundz w/Tom & Z: Ep. 4
It’s the LIVE morning show just for supporters (and on the replay for podcast folks with audio only)! We talk Game of Thrones, that Washington senator and her playing cards, my conversation with the author of House of God, getting my parents back on the show, why I get accused of racism by white people, and much more! for links and more!
Apr 24, 2019
AMA 20: Free Will
We feel like there's a little person sitting behind our eyes, pulling the strings and making decisions consciously. We're wrong. Video, links and more at
Apr 19, 2019
Nurse Dies After Patient Attack
And she finished her shift. #silentnomore The coroner has now ruled this a homicide. Links and video at
Apr 17, 2019
Morning Supporter Roundz w/Tom & Z: Ep. 3
A live show streamed just to Facebook and Patreon supporters! Y'all get the audio here, if you want the video, subscribe at or Supporters get exclusive uncensored content and CME credits for select videos. Current supporters can access this video here: Facebook: Patreon:
Apr 11, 2019
AMA 19: Mo' Money Mo' Problems
Here is the most important advice I can give students of healthcare. for links, video, and more.
Apr 08, 2019
Morning Supporter Roundz w/Tom & Z: Ep. 2
A live show streamed just to Facebook and Patreon supporters! Y'all get the audio here, if you want the video, subscribe for $5/month at or Supporters get exclusive uncensored content and CME credits for select videos. Current supporters can access this video here: Facebook: Patreon:
Apr 03, 2019
AMA 18: Those "Top Doctor" Awards
Should you trust a magazine or shiny plaque to tell you who the "Best Doctors" are? Here's the REAL scoop. Links, video, and ways to support the show at
Apr 02, 2019
Morning Supporter Roundz w/Tom & Z: Ep. 1
A live show streamed just to Facebook and Patreon supporters! Y'all get the audio here, if you want the video, subscribe for $5/month at or Supporters get exclusive uncensored content and CME credits for select videos. Current supporters can access this video here: Facebook: Patreon:
Mar 27, 2019
AMA 17: The HPV Vaccine
It's one of the most studied vaccines we have, it's incredibly safe, AND it prevents cancer. Stop letting the internet scare you away from protecting your child. Links and WAY more information at
Mar 26, 2019
The Behavioral Health Crisis In The ED (w/Dr. Denise Brown)
How we can stop treating those with mental illness like sub-humans in the emergency department. Dr. Denise Brown is a Stanford and Vanderbilt trained internist and hospitalist. She is the Chief Strategy Officer of Vituity. Links, audio podcast, and ways to support the show at
Mar 25, 2019
Incident Report LIVE at the Betabrand Theater in San Francisco
A special episode of Incident Report recorded live in front of a fantastic ZPac audience at the Betabrand Theater in San Francisco! In this episode we talk video games and medicine and my experience at the Game Developer Conference, an Amy Winehouse PT parody we’re never going to make, sleep deprivation and the culture of medical training, medicine and suicide, antifragility, simulations for teaching medicine, Just Culture and the culture of blame in healthcare, the upside of quality improvement science, how I found my path as “ZDoggMD”, the importance of overcoming self deception, is personality changeable and are personality tests useful at all, why self deception may be an evolved trait, the Theranos debacle, meditation, how can we bridge the divide between administrators and front line staff, why a hospital shouldn’t be a hotel, and the difference between empathy and compassion. Video, links to support the show, and more at
Mar 23, 2019
Finally, DOPE Medical Video Games! (w/Sam Glassenberg)
Sam Glassenberg’s company, Level Ex, has finally brought us state-of-the-art mobile video games that actually TEACH while truly engaging healthcare professionals. It’s about time we got CME for playing video games! Full video, links, and more at
Mar 20, 2019
AMA 16: The Truth About Fetal Tissue & Vaccines
Are vaccines made from ground up aborted babies? Delusional antivax activists would have you believe so, but here's the real story. Links, video, and ways to support the podcast at Leave a review and subscribe, it helps the Movement a LOT!
Mar 18, 2019
Cannabinoid Hyperemesis Syndrome (A CME Episode)
Cannabis DECREASES nausea and vomiting, right? But can the OPPOSITE happen? Here's what you need to know. This episode is eligible for continuing education credit if you're a supporter on Facebook or Patreon! Instructions will be found in your supporter feed or using the links at Thanks to Physicians Weekly for partnering with us to make this possible!
Mar 16, 2019
Morning Roundz w/Tom & Z: Ep. 8 (ASMR, College Tuition Scandal)
This live episode: ASMR (WTF?), the college admissions scandal and the illusion of meritocracy, residency match day, our moral injury video, and more. for full video and links to become a supporter on Facebook and Patreon. Leave a review homies, it helps us A LOT!
Mar 15, 2019
The Kaiser Robot Outrage!
A robot delivers a terminal diagnosis to an elderly patient as the family looks on in horror. Or not so much. Links to the articles, the full video, and more at Become a supporter and get continuing education credit for select shows:
Mar 13, 2019
AMA 15: It's Not Burnout, It's Moral Injury
It's time we stopped the victim shaming...and started calling it like it is. Video, links to a great moral injury article, and ways to support the show and get continuing education credits at
Mar 08, 2019
Morning Roundz w/Tom & Z, Ep. 7: Anger Management
In this live episode we talk about how the human mind works and how we might be better at managing our "subminds" and their anger; ZDogg talks about taking a mental health day. for links, video, and ways to support the show. Please leave a review and subscribe, it helps us A LOT!
Mar 07, 2019
MMR Does NOT Cause Autism, OK?
A new and massive study in the Annals of Internal Medicine puts to rest any doubts about an MMR-autism link. Links, video, and ways to support the show while getting CE credits at
Mar 06, 2019
AMA 14: Managing & Preventing Medical Mistakes
Blaming and shaming nurses and doctors and pharmacists and other healthcare workers for medical mistakes doesn't improve safety and transparency. Here's what does. #JustCulture Links to the video and a Just Culture algorithm here: You can subscribe and support the show on Facebook for 4.99/month at Supporters will have access to CME credits for select shows (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at if you've killed your Facebook account. Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Mar 01, 2019
Morning Roundz w/Tom & Z: Ep. 6
We talk about "Sparketypes", self-reflection and self-deception, the importance of intent in determining morality, censorship on Twitter, ZDoggMD Industries is #LeavingLasVegas(!), Phil Collins, and Tom's thoughts on cocaine. Watch the video and check out links at You can subscribe and support the show on Facebook for 4.99/month at Supporters will have access to CME credits for select shows as well as exclusive content (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at if you've killed your Facebook account. Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 25, 2019
AMA 13: Should You Give Birth At Home?
Home birth SHOULD be a comfortable and safe option for Americans. It isn't yet, and here's why. Links to a longer interview with Dr. Blair Duddy (CME-approved for Supporters) and more information at You can subscribe and support the show on Facebook for 4.99/month at Supporters will have access to CME credits for select shows (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at if you've killed your Facebook account. Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 20, 2019
Morning Roundz w/Tom & Z: Ep. 5
In this live episode we talk about the book Bad Blood and the story of the scam that was Theranos. We also touch on the concept of personal responsibility, free will, wealth inequity, the diminishing returns on happiness of increasing affluence, ideas for a nurses' week parody, and more. Watch the video and check out links at You can subscribe and support the show on Facebook for 4.99/month at Supporters will have access to CME credits for select shows as well as exclusive content (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at if you've killed your Facebook account. Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 18, 2019
AMA 12: What Is Social Media Doing To Our Daughters?
iGen girls appear to be especially vulnerable to the deleterious effects of social media on their mental health. Here's why, and how we can better keep them safe. Watch the video and check out links at You can subscribe and support the show on Facebook for 4.99/month at Supporters will have access to CME credits for select shows (using a laptop or desktop to sign up is best!) You can also access CME for eligible shows by supporting us on Patreon at if you've killed your Facebook account. Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 15, 2019
Can We Prevent Chronic Sinus Issues? (w/Nate Jones)
With allergy season right around the corner, we talk with Nate Jones, founder of Xlear (makers of an OTC xylitol-containing nasal spray) about whether this kooky non-absorbable sugar alcohol might us some relief. More woo or promising science? Listen and decide! Just for the ZPac: 30% off if you wanna give it a spin at using the code ZDOGGMD You can watch the video and check out links to supporting articles at and become a Facebook Supporter of the show at (Supporters will have access to CME credits for future shows; signing up from a laptop or computer is best). You can also access CME for eligible shows by joining us on (if you've killed your FB account). Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 13, 2019
Morning Roundz w/Tom & Z, Ep. 4
We talk LIVE about outrage culture, Bezos's d**k pics, haters online, is Tom a misogynist, the response to our antivax-bashing video, why up-speak is an abomination, tea-tox, biblical literalism, equality of opportunity vs. equality of outcome, is Liam Neeson a racist, digital blackface, holocaust-shaming, why Eugene Gu is an example of outrage culture at its worst, why the left eats its own, was George W. Bush drinking during his presidency, and more! for links, audio podcast, and ways to support the show!
Feb 11, 2019
The Truth About Home Birth (w/Dr. Blair Duddy)
To parents thinking about having your baby at home: WATCH THIS FIRST. Supporters on Facebook and Patreon can get Continuing Education (CME/CEU) credit for watching this episode! Instructions, transcript, links, and more at Become a Facebook Supporter of the show at (Supporters will have access to CME credits and exclusive content; signing up from a laptop or computer is best). You can also access CME for eligible shows by supporting us on (if you've killed your FB account). Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 08, 2019
Nurse ARRESTED For Fatal Error
Once again, we throw a front line caregiver under the bus while our leaders fail to actually LEAD. The tragedy at Vanderbilt. If you are already familiar with the backstory, skip to 2:44 for my editorial on the arrest of nurse Radonda Vaught. If you disagree with me, leave your thoughts in the comments on the original video! You can watch the video at and become a Facebook Supporter of the show at (Supporters will have access to CME credits for future shows, signing up from a laptop or computer is best). You can also access CME for eligible shows by joining us on (if you've killed your FB account). Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot! Links to our other videos on this story, news articles, and more here:
Feb 06, 2019
Morning Roundz w/Tom and Z: Ep. 3 (#MeToo, Super Bowl, Single Payer)
We start silly but get WAY serious with talk about the #MeToo movement in medicine, my appearance in a Super Bowl commercial (!!), why physical education (PE) leads to worse outcomes for kids, how to fix education AND medicine, whether or not single payer can work, and why emergent phenomena should drive human progress. You can watch the video at and become a Facebook Supporter of the show at (Supporters will have access to CME credits for future shows). You can also access CME for eligible shows by joining us on (if you've killed your FB account). Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 05, 2019
The Alt-Center Show: Ep. 2
It's our live morning show about stuff... and things...with Tom and Z! In this episode we cover crazy antivaxxers, racism, psychedelics, terrible doctors, communism, and toxoplasmosis infection linked to schizophrenia. You can watch the video at and become a Facebook Supporter of the show at (Supporters will have access to CME credits for future shows). You can also access CME for eligible shows by joining us on (if you've killed your FB account). Hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Feb 01, 2019
Don't Believe The Healthcare Hype (w/Dr. Nina Shapiro)
How can patients and caregivers cut through exaggerated claims, ignore bad advice, and tell what's real and what's not on the internet? Dr. Nina Shapiro, UCLA Professor of Head and Neck Surgery, pediatric ENT specialist, and author of "Hype" teaches us during this LIVE show! We talk about the Dunning-Kruger Effect, being a surgeon and writing a book during OR room turnover time, how doctors use Google, what's up with those "Best Doctor" publications, predatory journals, medical cocaine, the merits and detriments of appearing on The Doctors, teaching patients vs. teaching healthcare professionals, advice from a pediatric ENT to referring pediatricians and paramedics, giving bad news to parents/children, pediatric end-of-life, why respiratory therapists and surgical techs are the most under-appreciated folks in the hospital, how bad morale makes bad work ethics, how surgeons police themselves, the challenges of academic medicine, are new residents going to be good doctors the way they are trained now, are children anti-fragile, are we inducing needle fear in children 4-7 years old, why you shouldn't listen to Hollywood about pretty much anything, why wearable exercise devices aren't all they're cracked up to be, the dangers of drinking too much water, how kids get sleep apnea, the VIP effect in patient care, should you ask to not have residents or interns care for you, why doctors are the worst patients, how can we relieve anxiety and pain in pediatric patients WITHOUT drugs. Visit for links, audio podcast, and more. Email me with comments and suggestions, and please subscribe and leave a review on iTunes! Become a supporter on or for future CME credits, exclusive live videos, and much more.
Jan 29, 2019
Recognizing & Managing Measles (CME)
Measles is back, thanks in part to the antivax industrial complex. Learn how to recognize and manage it, and Facebook supporters and Patreon supporters will get a link to take a post test and claim Continuing Education credits just for learning to stamp out pestilence! Become a supporter of the show here and you'll get access to exclusive posts on Facebook, including instructions on how to claim CME/CE/CEU credit from via our partners Physician's Weekly: (laptop or computer always works best) Hate Facebook? You can get access to the CME component by becoming a supporter on Patreon as well: Full video, links, transcript and instructions for claiming CME at Hit me with comments at Please leave a review on iTunes, it helps us a lot...and spread the word ZPac!
Jan 28, 2019
The Alt-Center Show w/Tom & Z
In this live episode with YOUR comments, Tom Hinueber and I talk about the Cleveland doc who allegedly gave lethal fentanyl doses to his ICU patients, the nurse who allegedly raped a patient in a vegetative state in Arizona, New York's reproductive rights law, and why all teenage boys are pyromaniacs. You can watch the video at and become a Facebook supporter of the show at (Supporters will have access to CME credits for future shows). And hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Jan 25, 2019
Dr. Peter Attia Raps w/ZDoggMD
The legendary Dr. Peter Attia, MD hosts one of my favorite podcasts, The Drive, and happens to be a homie from back in my Stanford days. He dropped by Studio Z to talk about ALL the things. Peter is a world-renowned doc and expert on human performance and longevity, although even that description doesn't scratch the surface. In this in-depth co-interview, we talked about our shared medical school experience, burnout, fixing medicine, nutrition, living longer AND better, optimizing performance, meditation, the nature of consciousness, vaccines, and a whole lot more including hilarious shit that happened to us in training, the Taint Transplant Service, Dr. Evil, and why medical culture is insane. Links to his amazing work, the full video of our interview, and more at and Hit me with comments and feedback at If you like our show, rate and subscribe on iTunes and please consider becoming a supporter on Facebook:
Jan 18, 2019
Meet Suki, The Siri For Healthcare
What if we had an invisible, Alexa-like assistant that functioned like a medical intern, doing the scut and freeing us to be present for our patients? Punit Soni, founder and CEO of Suki, is building exactly that. Will it actually work, or is it one more of Silicon Valley's failed healthcare promises? We dive in! In this episode we discuss how technology can actually enable the human relationship that's been lost in healthcare. We talk about the challenges and opportunities of having a voice-activated AI that empowers rather than obstructs. Would you let it into your exam room? After talking to Punit and his COO and fellow UCSF alum Dr. Nathan Gunn, and after seeing the demo, I have little doubt that the future of Health 3.0 is gonna be bright (with only a 30% risk of robot apocalypse). Check them out at Full video, links, and transcript at Become a Supporter on Facebook and support episodes like these: And please rate/review/subscribe on iTunes, it helps us a lot!
Jan 17, 2019
Morning Roundz LIVE with Tom And Z, Episode 2
An uncensored live-streamed discussion covering Star Wars, the way we treat people who've suffered miscarriages, the difficulty with showing vulnerability, the significance of hobbies, the connection between depression and social isolation/loneliness, and much more. Email comments and outrage to and watch the video at For CME/CEU in the future, become a Facebook Supporter: Please rate and review the podcast, it helps us A LOT!
Jan 16, 2019
Could Dress Pant Yoga Pants Save Healthcare?
My friend Chris Lindland (founder of Betabrand) wants to change how we dress—and therefore feel and act—at work. In this wide-ranging interview we talk about how to turn a side hustle into a calling with purpose, the beauty of letting the PEOPLE decide what they want and then building it, self-expression in conservative medical settings (tatoos, clothes, hair), and how healthcare and creativity intersect. Check it peeps! He's giving ZPac members 20% off Betabrand's Dress Pant Yoga Pants, so get your coupon here and rock some pictures of yourself wearing those in the hospital or clinic! Video and links here: Hit me with comments at and rate and subscribe to the podcast please, it helps us a lot!
Jan 14, 2019
Morning Roundz LIVE with Tom and Z, Episode 1
A completely #NSFW live-streamed discussion of call out culture, the Notorious AOC, flu shot efficacy, inflammation and cardiac disease, the "r" word, and much more. Email comments and outrage to and watch the video at For CME/CEU in the future become a Facebook supporter: Please rate and review the podcast, it helps us A LOT!
Jan 11, 2019
Why Your Fear of Needles Could Kill You (w/Dr. Amy Baxter)
Dr. Amy Baxter has dedicated her career to alleviating human suffering. In this remarkable and wide-ranging discussion she teaches about the research on needle fear and whether we might, with good intentions, be creating a lost generation of needle-phobic antivaxxers. She discusses her work on non-opioid pain treatment modalities, the challenges for women in medicine and business, transitioning from academic medical practice to being an entrepreneur, and much more. Video, links, and full show notes are at Become a supporter on Facebook: Please subscribe and leave a review, it helps us a lot! The podcast is now available on Spotify as well, spread the word!
Jan 09, 2019
Antifragility and Health 3.0
In this solo podcast I discuss the concept of "antifragility" as applied to children, then our healthcare system as a whole. Health 1.0 and it's transformation to 2.0 are reviewed, along with the new emergent of Health 3.0 and some illustrative lessons from my now-closed clinic, Turntable Health. I touch on the moral injury we're calling burnout as well as the curative principles of the Health 3.0 vision. It's philosophy, sociology, medicine, and curse words all in one bizarre package ;-) You can watch the video at and become a Facebook supporter of the show at And hit me up with comments and feedback: Please leave a review and subscribe to the podcast, it helps us a lot!
Jan 08, 2019
You Can Help Make Better Doctors, Act NOW
Dr. Paul Teirstein returns to discuss an American Board of Medical Specialties report finding that Maintenance of Certification (MOC) testing is a huge burden on already overloaded physicians without providing real benefit for patient care. But they aren't going to CHANGE anything...unless we all weigh in! ABMS is asking for public comment by January 15th and WE MUST lend our voices, ZPac! Please listen and consider leaving your comments for ABMS via links here: They want to hear EVERYONE'S input (not just doctors) by January 15th! Let's stop feeling powerless and take our profession back, for the sake of our patients and for each other. Dr. Teirstein is the Chief of Interventional Cardiology at Scripps and is the President and Founder of the National Board of Physicians and Surgeons (NBPAS), an alternative board certification organization for physicians. Links, full video, and a button to become a supporter of the show can be found at If you like the work we do, please leave a review on iTunes, it helps us a lot! And email me at with comments, feedback, and ideas!
Jan 06, 2019
AMA 11: Why Vaccinate So Early?
Here are the crucial reasons to protect your newborn against hepatitis B, STAT. Please support the show by leaving a review on iTunes! And become a supporter on Facebook for CME/CEU moving forward at Video, show notes, links, and more at Hit me with comments and feedback at
Jan 04, 2019
On The Perils of Concrete Thinking
In this episode we discuss the concrete thinking used by anti-vaccine activists, and how the damage done might apply to other spheres as well. Since Tom Hinueber is involved, we also discuss free will and choice (particularly in the realms of depression and mental illness), cognitive behavioral therapy and distortions of thinking, common-enemy vs. common-humanity identity politics, what antivaxxers get RIGHT about our healthcare system, the discrete nature of consciousness, how to end suffering, and much more. It's 2019 people, enjoy yourselves! Check out the video, show notes, links, and more at and email with thoughts and feedback. Please leave a review on iTunes, it helps us a lot, and if you love what we do become a supporter on Facebook for exclusive content and CME/CEU (coming soon):
Jan 02, 2019
Of Mice and Man Flu
Are there real differences in how we get sick, or is it just time to "man" up? A tongue-in-cheek discussion of "man flu" from both a scientific and cultural perspective. Original live video, links, and more at
Jan 01, 2019
Let Your Kids PLAY Already
Over-parenting and over-scheduling our children may be causing harm. Is it time to just let kids be kids?
Dec 27, 2018
Fixing All The Things in 2019 (with Tom and Z): Podcast Exclusive
In our post-Christmas bloated and frazzled state, Tom Hinueber and I discuss ALL the things in planning for how 2019 is gonna transform healthcare. A podcast exclusive (ain't no video, people)! PLEASE leave a review and subscribe, it helps us A LOT.
Dec 26, 2018
The Coddling of the American Mind (Podcast Exclusive)
I got some new audio gear and wanted to try a podcast-only discussion (no video this time). Let me know if it works for you! Discussed items include Jon Haidt's new book, Dr. Eugene Gu's Twitter shenanigans, college campus witch hunts, and how I look like The Rock (with one teeny weeny caveat). And here's that link to become a Facebook supporter:
Dec 22, 2018
AMA 10: Can You Handle A Day Without Screens?
Are mobile devices destroying a generation? My family tried a #ScreenFreeSunday to find out.
Dec 18, 2018
Revolutionizing The Diagnosis of Infectious Disease (w/Dr. Dave Persing)
Science is rapidly transforming our ability to quickly and accurately diagnose flu, TB, STIs and more. Dr. Dave Persing is a preeminent scientist-physician and shares his hard-earned wisdom with tha' ZPac!
Dec 14, 2018
Can Subcutaneous Narcotics Solve The Opioid Crisis?
Dr. Adam Ackerman is a hospitalist at Yale and the author of a pilot study in JAMA that may transform the way we think about inpatient opioid use and pain control. LIVE from the IHI: Institute for Healthcare Improvement conference.
Dec 10, 2018
Paralyzed By The Flu Shot?
A Las Vegas man makes national news by developing paralysis due Guillain-Barré syndrome shortly after getting his flu shot. Should we all be scared? Here's the deal.
Dec 08, 2018
Towards A "Just Culture" In Healthcare
Here’s my second draft on the nurse error incident at Vanderbilt we talked about in the previous show. Is blame productive or do we need a very different culture to prevent harm to our patients while supporting our caregivers?
Dec 05, 2018
Nurse Error Kills A Vanderbilt Patient, What Can We Learn?
A preventable mistake results in a horrific death at a major medical institution. What went wrong, and what can we do to prevent these tragedies in the future?
Dec 02, 2018
What's Up With MTHFR and Vaccines?
MTHFR: a wretched hive of pseudoscience and villainy, exposed!
Nov 27, 2018
When Endocarditis is an Opioid Problem
Dr. James Riddell, Clinical Professor of Infectious Diseases at University of Michigan (and my brother-in-law) joins us to talk about improving the management of endocarditis in IV drug users. It's #TribeTeach y'all!
Nov 22, 2018
Should We Prosecute When Patients Attack?
Why we need more support, more security, and a culture of safety for healthcare professionals. #silentnomore It's the 200th episode of Incident Report!
Nov 21, 2018
Time To Stop The Bleeding
Gun violence is very MUCH our lane, thank you very much NRA. But my take here is guaranteed to anger both extremes in the gun debate...while hopefully highlighting some simple tools that SAVE LIVES.
Nov 15, 2018
When Doctors Attack
It's hard enough feeling safe in hospitals these days without having to deal with "friendly fire" from each other.
Nov 14, 2018
Treating An STD Patient's Partner WITHOUT Seeing Them??
It's called Expedited Partner Therapy (EPT) and it's a thing, people. Here's why.
Nov 05, 2018
#ForceFriday: Inside The Vader's Studio
Get inside Vader's helmet with this exclusive LIVE interview with Tom Hinueber.
Nov 02, 2018
Do We Violate Women Under Anesthesia?
Pelvic exams performed while a patient is unconscious are common... the question is are they ethical? Here's why informed consent matters.
Oct 31, 2018
Why We Hate Each Other
Spoiler alert: it's called "moral blindness" and we can overcome it. A discussion of psychologist Jonathan Haidt's "Moral Foundation Theory" and how it applies to politics, civil discourse, and the antivaccine movement.
Oct 30, 2018
I've Changed My Mind About Antivaxxers
Enough is enough.
Oct 22, 2018
A Hospital Administrator Tells All (w/Dr. Todd Strumwasser)
We need clinicians to lead us, not just MBAs and clueless government officials. An interview with anesthesiologist and healthcare administrator Dr. Todd Strumwasser.
Oct 20, 2018
The Danger Of Celebrity Health Advice (w/Dr. Paul Offit)
Dr. Paul Offit is the most hated MD in the antivax world...which means he's our favorite person EVER. In this far ranging interview, we hit on ALL the things. Also, in the beginning antivaccine protesters showed up at the studio and banged on the glass until Tom called the cops. SUPER EXCITING DRAMA Y'ALL! #ADayInTheLifeOfSCIENCE
Oct 18, 2018
Why You Can't Just Trust Your Doctor (w/Dr. Bill Rifkin)
Deny it all you want, but variation in care is killing our patients. Here's how we can do better, with Dr. Bill Rifkin MD. More information, video, and links at
Oct 16, 2018
The Scariest Thing About "Dr. Death"
A psychopath surgeon kills and maims patients but somehow slips through the system. Scary. But here's what's even more terrifying...
Oct 06, 2018
Violence Against Healthcare Workers, Explained
There are many causes for the current epidemic of violence against healthcare professionals, but some are less obvious than others. A live discussion. #silentnomore
Oct 05, 2018
Restoring The Connection (w/Dr. Kevin Ban)
As an emergency physician and former Harvard faculty, Dr. Kevin Ban has always been fascinated with the connections that bind clinicians to their patients and to each other (and their communities). He joins us to talk about restoring these connections in Health 3.0.
Sep 26, 2018
It's YOUR Fault That Your Kid Is Obese
Sure, social determinants and food deserts matter. But let's get real here people... feeding sugary drinks to your kid is straight child abuse.
Sep 20, 2018
How To Put The Care Back In Healthcare (w/Dr. Eric Crall)
Dr. Eric Crall discovered a way to bring the joy back to practicing medicine. Here's how...
Sep 18, 2018
How To Save Primary Care (w/Dr. John Bender)
It's time to blow up our current system and rebuild it right. You wanna stop "burnout" and transform our system? GATHER ROUND, cuz here's someone who's doing it. Dr. John Bender is a family physician in practice in Fort Collins, CO and is on the board of the American Academy of Family Physicians. We talk about a revolution too long in coming.
Sep 17, 2018
How The New Apple Watch Might Harm Us
Overdiagnosis and overtreatment do more than cost $$$... they harm patients while overtaxing the system. How might the new Apple Watch impact this? Join the SuperPac on FB! Check out the video and transcript here:
Sep 14, 2018
Should We Be Alarmed By Hypotension In The OR?
Spoiler Alert: YES. UC Davis Prof. of Anesthesiology Dr. Neal Fleming talks about how we can better manage intraoperative hypotension. This show #sponsored in partnership with Edwards Lifesciences.
Sep 12, 2018
When Should You Get The Flu Shot?
Is late August or September too early? And what the health is up with these airplane measles shenanigans? Wanna spread truth not pestilence? Join the SuperPac: Video and links at
Sep 08, 2018
ForceFriday 9-7-18
Recorded LIVE in front of a studio stormtrooper audience.
Sep 07, 2018
Tom and Z Talk Wisdom (A SuperPac Exclusive)
Originally released for the SuperPac Supporters ONLY! Join the SuperPac here: WARNING: contains lots of offensive language and references to psychedelic drug use. In other words, IT'S AWESOME. The video:
Sep 04, 2018
Tom Hinueber Talks About His Father's Death
Tom Hinueber and I speak about his father's passing...and it gets surprisingly deep in between the usual humor that we both like to use to cope.
Sep 03, 2018
I've HAD IT With These Antivax Nurses
A Texas Children's nurse is fired after her anti-vax comment on a Facebook group was shared with her employer by a ZPac member. I try to stay even-tempered during these live shows, but I JUST CAN'T with these people anymore. for video, links, and more.
Aug 29, 2018
Caring For Women With Cancer, w/Dr. Lois Ramondetta
Dr. Lois Ramondetta, professor of gynecologic oncology at the MD Anderson Cancer Center joins us to talk about HPV, cervical cancer screening and prevention guidelines, end-of-life care in women with cancer, spirituality and yoga, and much more. More info, transcript, and video:
Aug 28, 2018
What If We're Wrong About Reality? w/Donald Hoffman
This podcast will melt your brain, which could be OK because neurons are just symbolic representations of a deeper reality according to our guest, Professor Donald Hoffman: In this wide-ranging discussion we talk about visual perception (and ALL perception) as a construction, rather than a reconstruction, and we dive into free will, synesthesia, split brain experiments, consciousness as the fundamental currency of reality, simulation theory, "conscious realism" as a theory, and much more. Links and full transcript coming to
Aug 28, 2018
Fighting Back When Falsely Accused: An Interview w/Dr. Ricardo Quarrie
A young CT surgeon unexpectedly finds himself the subject of false public accusations by a patient's lawyer. Rather than letting his fledging career be destroyed, he decided to fight back. Here's what happened, along with advice for others in healthcare who've seen their reputations falsely attacked. A fascinating discussion and an audio-only Incident Report.
Aug 21, 2018
Another Patient Attacks, Another "Root Cause Analysis"
Nurses assaulted, attempted rape...what can we do to change the culture? #silentnomore
Aug 21, 2018
Force Friday: Seizure Edition
Straight Thuggin' on #ForceFriday snitches!
Aug 16, 2018
AMA 09: The Skinny on Juicing
As a general rule, here's why you shouldn't drink your calories.
Aug 14, 2018
Mayo Madness: Was It Medical Kidnapping?
A sensational story just appeared on CNN about a young woman whose family says she was kidnapped by the Mayo clinic. Can we talk about this?…/mayo-clinic-escape-1-eprise/index.html
Aug 13, 2018
#ForceFriday LIVE with Doc Vader
I interrupt your regularly scheduled boring ZDogg claptrap with a SPECIAL DARKSIDE TRANSMISSION. -Love, Doc Vader
Aug 10, 2018
AMA 08: The Bleeding Edge; Are Medical Devices Killing Us?
Netflix's new documentary "The Bleeding Edge" has a lot of people on edge regarding the safety of medical devices and their potentially insufficient regulatory oversight. Here's what I think the you really need to know.
Aug 08, 2018
The Ethics of Brain Death & Organ Donation w/Prof. David Magnus
A fascinating deep-dive with into the ethical dilemmas around brain death—particularly as it relates to organ donation—featuring a world expert on the subject. The perfect companion piece for AMA 07: Full transcript, links, and more at
Aug 02, 2018
AMA 07: The Truth About Organ Donation
Organ donation myths, debunked. More info and a MUCH deeper-dive interview with Stanford biomedical ethics professor David Magnus, a world expert on brain death and organ donation, here: ... We also talk about an error in terminology I made in this video (it isn't "harvest", it's recovery...)
Aug 01, 2018
HPV and Head & Neck Cancer w/Dr. Patrick Ha
The Chief of Head & Neck Surgical Oncology at UCSF joins us again to drop more mad knowledge about cancer, HPV, and more. He also answers questions you posed after his first live interview with me a year ago. for video with timecode content list.
Jul 30, 2018
Bringing Bedside Back w/Dr. Abraham Verghese
The acclaimed Stanford professor and author of Cutting for Stone, My Own Country, and The Tennis Partner joins me to talk MAD TRUTH about the intersection of medicine and simply being human. Video, full transcript, topic list, links, and more at
Jul 25, 2018
How We Can Better Treat Patients With Disabilities w/Dr. Holly Tabor
Dr. Holly Tabor is Associate Professor of Clinical Ethics and Education at Stanford and she joins us to talk biomedical ethics, how the medical system can better serve patients with disabilities such as autism, and a shocking finding from a Special Olympics study. Breakdown of topic by timecode here:
Jul 25, 2018
Peep The New HIV Guidelines w/Dr. James Riddell
Dr. James Riddell joined me on the beautiful island of Oahu to talk about his editorial released today in JAMA on new guidelines for the management of HIV. Not only is he Professor of Internal Medicine, Division of Infectious Diseases at the University of Michigan, but he just so happens to be my brother-in-law. ID-Dogg in the hizzle, y’all! for links and more.
Jul 24, 2018
Dr. Shoshana Ungerleider on End Of Life Care
Hospitalist, philanthropist, and documentary producer Dr. Shoshana Ungerleider balances a clinical career with a passion for transforming public perception around end-of-life care. Our wide-ranging interview includes her insights on Extremis and End Game, two Netflix documentaries she helped produce, as well as her work with the End Well Symposium. More at and
Jul 20, 2018
AMA 06: Why Your Doctor Won't Look You In The Eye
To my patients: I wasn't planning on getting so angry, but here's why we've been forced to go from clicking. Join the movement to rehumanize medicine:
Jul 16, 2018
AMA 05: Can We Forgive When A Mom Forgets?
A nurse practitioner and mother leaves her child to die in a sweltering car. How could she? Here's how.
Jul 10, 2018
The Straight Dope (On Our Medical Cannabis AMA)
We released our fourth episode of our new Against Medical Advice (AMA) series on the evidence-supported medical applications of cannabis and received a ton of comments, some awesome and some SEVERELY high. So I assembled my crew to talk about it some more.
Jul 07, 2018
AMA 04: CBD Madness
Let's cut through the haze (and the hype) surrounding medical marijuana. Here's what you need to know...
Jul 04, 2018
AMA 03: The Newborn Vitamin K Shot
It's your baby's first shot, and some folks refuse it out of fear. Here's why that's a terrible idea.
Jun 24, 2018
AMA 02: Is THIS How You Want To Die?
The unspoken truth I want my patients to know about so-called "heroic" measures at the end-of-life. Please talk with those you love about your wishes. It always seems too soon...until it's too late.
Jun 20, 2018
AMA 01: The Vaccine Injury Court
Antivaxxers say the government admits that vaccines cause autism because of the Vaccine Injury Court and the case of baby Hannah Poling. As usual, they have it dead's why.
Jun 15, 2018
Why Should Doctors Deserve Our Trust?
Tom's family had a REALLY tough weekend. What would YOU do in this situation, ZPac? Have you encountered similar stories?
Jun 12, 2018
Viral Video of a Doctor Being Racist??
Yet another secretly-filmed viral clip emerges of an emergency physician and a's my take.
Jun 12, 2018
How To Build A Medical Startup That Actually Delivers Value
Dr. Andrea Paul, MD started BoardVitals to help medical professionals prepare for tests and save time. Our talk includes medical entrepreneurship, living up to parental expectations, and how their #GiveVax program donates vaccines to needy communities. And ZPAC! BoardVitals is showing their love by giving y'all a chance to win a BoardVitals Bash. They'll throw the winner a pizza party at your work or school with lots of food, drinks, and tons of swag including their signature “Trust Me” t-shirts -- just like you saw in the Nurse Virginia video. The more friends and colleagues that sign up, the better your chances to win. Sign up at Plus everyone that enters gets a 25% off coupon for any BoardVitals test prep question bank. Whether you’re a doctor, nurse, PA, pharmacist, dentist, rad tech, surg tech, or studying to become one, they got something for ya!
Jun 11, 2018
Awake During CPR? NOW WHAT?
The terrifying case of awareness during CPR and what it means for medical ethics and emergency care. Links and more here:
Jun 05, 2018
What I Learned On Hospital Rounds Today
Rounding in a county safety net hospital is about the best education you can get on the social determinants of health.
Jun 03, 2018
Doctor Sues Patient Over Bad Yelp Review
Oh it’s gonna get real up in here. Links, coupon offer and more at
Jun 02, 2018
The Magic Pill?
Is the ketogenic diet a cure-all like The Magic Pill documentary would have us believe?
May 28, 2018
What The Heck Is "Gaslighting?"
Sometimes it takes a Twitter screwup to teach you something really important. A discussion about “gaslighting” in social media and beyond.
May 27, 2018
Ask Vader Anything #ForceFriday
May 24, 2018
Surgeon Videotapes Herself Twerking Over Patient
She's a maniac, the OR? Where the bounds of professionalism, medicine and those sick beatz intersect...
May 23, 2018
Keep Calm and Round On: The NHS and Dr. Bawa-Garba
Dr. Saurabh Jha joins us again to explore the differences between the British and American systems of educating resident physicians, in particular highlighting the case of Dr. Bawa-Garba, a resident in pediatrics who was convicted of manslaughter for a medical error in the UK. More at Here's our prior show highlighting her case, along with links to Dr. Jha's article on Dr. Bawa-Garba's story:
May 22, 2018
The Alfie Evans Dilemma
Did the NHS and the British Government "murder" Alfie Evans and rob his parents of their freedom to dictate his care? Our guest Dr. Saurabh Jha has straddled both the British and American healthcare systems and lends his insight to help us better understand the lessons from this tragic case. Dr. Jha is Associate Professor of Radiology at UPenn and an editor at The Health Care Blog. Read his full article here:…/the-ethics-of-keeping-alfie…/
May 20, 2018
How To Help Our Colleagues With Mental Illness
Margot Kidder's death reminds us of how the stigma of mental illness can affect public figures. But what about those suffering on the front lines of our healthcare system? It's time we tore the stigma down and talked about the elephant in the room.
May 13, 2018
May The 4th Be With You
Doc Vader hijacks the show for an unholy confluence of #MayThe4th and #ForceFriday!
May 03, 2018
Trump's Former Doctor Is A Disgrace
Dr. Harold Bornstein: HIPAA violations, dictated doctor's notes and worse...the realm of rarified concierge medicine for the powerful.
May 01, 2018
A Young Nurse Dies On A Plane; What Could Have Been Done?
Brittany Oswell, a 25 year old nurse, dies after falling ill on a flight back from her honeymoon in Hawaii. Now the family is suing the airline. What could have been done differently, and what's our responsibility as medical personnel and good samaritans?
Apr 28, 2018
The Elephant and Rider Episode
A paradigm to understand why good people disagree, and how we can influence behavior for the better. More at
Apr 24, 2018
Were The Children of Flint Poisoned? Not So Fast...
There is no known safe level of lead exposure for children. The Flint water crisis exposed poorly managed infrastructure that desperately demanded repair. But were the children of Flint "poisoned" by toxic lead levels, or is there a deeper story here? Dr. Hernán F. Gómez, MD, Associate Professor, Dept. of Emergency Medicine, University of Michigan Medicine, Hurley Medical Center joins us on this special episode of Against Medical Advice to talk about this study in the Journal of Pediatrics (of which he was lead author).
Apr 18, 2018
Do Dyson Dryers Blow? And You Did WHAT After a C-Section??
Apr 15, 2018
25 Medical Myths Doc Vader Hates
Doc Vader guest hosts the show, and s**t gets real.
Apr 12, 2018
Do Baby Wipes Cause Childhood Allergies?
Answer: If you are a mutant mouse, MAYBE. Actually, no...not even then.
Apr 11, 2018
Coffee Causes Cancer (But Only In California)
Ready for your "venti" tumor latte? #IncidentReport 150 PS: Pheo Coffee ( ) is a medical themed coffee company started by Dr Larry Istrail to help fund healthcare around the world. Follow them on instagram: @pheocoffee Use promo code PHEO4ZDOGG for 15% off all our caffeine deficiency diagnosis code mugs and double-walled iced coffee glasses
Apr 04, 2018
You Only Die Once, Do It Right!
Tim Boon, RN, CEO of Good Shepherd Community Care, joins us and performs the most amazing end-of-life Dr. Suess homage EVER.
Apr 02, 2018
What's The Deal With Alkaline Water?
Another ridiculous nutrition fad, debunked.
Apr 02, 2018
When A Stethoscope Ain't Enough (w/Dr. Dave Ramsingh)
Dr. Davinder Ramsingh, an anesthesiologist and director of perioperative ultrasound at Loma Linda University Health, joins us to break down Point Of Care Ultrasound (POCUS) in the peri-op setting. Also: TOM GETS SCANNED! Check out the upcoming #POCUS CME conference at and Dr. Dave's free education site at #FOAMed
Mar 31, 2018
Vaccines Won't Give You Autism, But This Email Might
I was just asked via email to participate in a “debate” about vaccines. SPOILER ALERT: What debate? Welcome to #FalseEquivalence and #IncidentReport 148!
Mar 27, 2018
A Pediatrician Talks To Parents About Vaccines
Pediatrician Dr. Blair Duddy, MD joins us to teach how he talks about vaccines, including HPV, with parents who may be on the fence.
Mar 23, 2018
Lavender Oil For Bigger Breasts! (*in men)
Just because something is natural...doesn't mean it won't give you man-boobs.
Mar 19, 2018
The Curse of the Gifted w/Dr. Blair Duddy
Could being high-IQ and "gifted" really be a type of special need...and are we failing these children? Our 40th episode of Against Medical Advice is a truly fascinating deep-dive into a topic that is often ignored, with the amazing Dr. Blair Duddy, pediatrician and friend of the show.
Mar 16, 2018
This Match Day, May The Odds Be Ever In Your Favor
The residency match is a stressful time for all involved. We might have made it more stressful if we actually released the clip we showed in this live video...oh wait...what? Incident Report 146
Mar 15, 2018
Busting Allergy Myths (w/Dr. Dave Stukus)
Dr. Dave Stukus, MD is a pediatric allergist and immunologist at Nationwide Children's Hospital in Columbus, Ohio. He joins us to debunk your favorite allergy myths LIVE. Also: Tom Hinueber has a SPECIAL (personal) question... Incident Report 145 Follow Dr. Dave:
Mar 12, 2018
The Tragedy In Yountville
The heroic women lost in Yountville represent the best of the tribe of healthcare. It's time we stood together and said "enough." #silentnomore Includes discussions of PTSD, mental health, our treatment of veterans, a letter from a ZPac member and friend of Jenn Golick, and what we can do to change the culture of violence against healthcare providers)
Mar 10, 2018
How To Fix A Constipated Turtle
Dr. Nicole McArthur, DVM is a veterinary doctor and founder of an organization that tries to address the epidemic of suicide in the veterinary field. Visit to learn more. Also included in this interview are the ravages of Yelp, "convenience euthanasia", drug seeking cats, doggie antivaxxers, are cats evil? and much more!
Mar 09, 2018
Lose Weight AND Eat Jellybeans, w/Dr. Charlie Seltzer
Dr. Charlie Seltzer MD is board certified in Obesity Medicine AND certified by the American College of Sports Medicine as a Clinical Exercise Specialist. But what REALLY matters is that he used to be obese himself...and now he isn't. Practical knowledge from a Philly doc who's walked the walk.
Mar 08, 2018
Janae's Story
A young doctor dies by suicide, leaving behind a mother and three children. This is their story. Janae Sharp is a mother and healthcare writer/consultant whose family tragedy sparked a crusade to ensure that those quietly suffering get help...including the loved ones left behind. Essential listening. WARNING: if you or someone you love is struggling with thoughts of suicide, please get help: 1-800-273-8255
Mar 03, 2018
You Asked, I Answered...LIVE
Y'all asked about vaccines, pulmonary embolism, diastolic dysfunction vs. systolic dysfunction, unconscious bias and more. But don't ask me to sing...because I WILL. A great episode for everyone who loves medicine and hates evil.
Mar 03, 2018
On "McMindfulness"
On how mindfulness programs can be a smokescreen to avoid systems change, and a more in-depth and personal discussion of meditation and the Mind-System model of consciousness. An addendum to this discussion:
Feb 25, 2018
The "Mind-System" Will Blow Your Mind
Here's a model of how the human mind works that's both ancient and wildly modern. It just might change your life (hyperbolic enough for ya?) The Mind Illuminated: See also, Waking Up (by Sam Harris): Join the Z-List:
Feb 20, 2018
ZDoggMD: Behind The Medicine (w/Guest Host Dr. Rob Orman)
The tables are turned when ERCast host and emergency medicine physician Rob Orman hijacks the show! Video and comments here:
Feb 15, 2018
To Err Is Homicide? Why We Should Support Dr. Bawa-Garba
The tragic and outrageous case of Dr Hadiza Bawa-Garba in the UK should be a galvanizing call to action for EVERYONE in healthcare. #IAmHadiza
Feb 13, 2018
Should Patients Secretly Record Us?
Short answer: HELL NO. The longer answer is more nuanced.
Feb 11, 2018
Meet the Doc the American Board of Medical Specialities Wants DEAD
Our time is precious, and healthcare professionals HATE it when people waste it with meaningless busywork. Dr. Paul Teirstein, Chief of Cardiology at the Scripps Clinic is on a mission to stop these time thieves. Maintenance of Certification (MOC) for medical boards has little convincing evidence to support that it actually improves outcomes, yet the American Board of Medical Specialties (ABMS) and related orgs held a monopoly on forcing physicians to spend money and precious time annually to “maintain” a certification that they already attained through hard work and long study. Go to to fight the power.
Feb 03, 2018
Amazon Thinks It Can Fix Healthcare...I Doubt It, Here's Why
Amazon, JP Morgan and Warren Buffet think they’re going to fix healthcare. But will it work for the guy who's washing our studio windows right now? #IncidentReport 140 Get 25% off Jaanuu gear for the ZPac only! Sign up for the exclusive coupon code here: Video and more at
Feb 01, 2018
She Wouldn't Wear What The Hospital Told Her To
Dr. Neela Sethi is a pediatrician, mother, and entrepreneur...the co-founder of Jaanuu scrubs talks self-expression in a conformist healthcare system. Just for the ZPac, 20% off Jaanuu apparel, sign up for the coupon code here: #sponsored More at
Jan 31, 2018
How Can We Be Less Fat? w/Dr. Michael Jensen
Mayo Clinic obesity specialist Dr. Michael Jensen joins us to talk fat. We cover "Fat and Fit", wearable devices, exercise vs. diet vs. surgery vs. pills, The Biggest Loser, sugary drinks vs. diet drinks, the impact of EHRs + salaried positions on medical peeps, and much more. Video at
Jan 27, 2018
Is The Flu Going To KILL You This Year?
Why the heck would anyone listen to an anti-vax chiropractor about flu? Listen to this instead. We cover flu vax, Tamiflu, the state of the current flu epidemic, and much more. Get your free audiobook with a 30 day trial via our sponsor partners Audible:
Jan 25, 2018
Dr. Marik's Vitamin C Miracle Juice: Genius or Madman?
Vitamin C's resident bad boy drops in and DROPS SCIENCE. Dr. Paul Marik, Professor and Chief of Pulmonary and Critical Care Medicine at Eastern Virginia Medical School, joins us LIVE! More at
Jan 22, 2018
What Can We Do About Our Mental Health Crisis?
See also a piece I wrote here:
Jan 15, 2018
The Real Story Behind That Baltimore Patient Dumping Video
The more to this story than meets the camera eye.
Jan 12, 2018
The Annual Physical Exam Is Killing Us
Is a yearly health evaluation effective in improving outcomes without causing harm and increasing costs? Time to take the blinders off.
Jan 10, 2018
Raw Water? Time To Party Like It's 1699!
The Dunning-Kruger effect rears it's head once more.
Jan 06, 2018
Frozen Lemon More Powerful Than Chemo?
When the internet organic wellness gurus give you lemons, make chemotherapy. Another debunking of s**t way too many people actually believe.
Jan 02, 2018
VA Raises Quality Scores! (By Denying Care to Veterans)
Is Roseburg VA cherry-picking to game quality scores while endangering our veterans and ignoring physician recommendations? NY Times article: Letter from ER docs:
Jan 01, 2018
Your Doctor's Impaired; Now What??
My parents Rustom Damania, MD (an internist) and Shireen Damania, MD (a psychiatrist) join me to discuss how to recognize and intervene with healthcare professionals who are struggling with substance abuse, mental illness, and physical challenges such as dementia. We also read an obituary from a young surgeon with depression and anxiety who took his own life and the lives of his children this month.
Dec 26, 2017
How To Save A Person From Stroke Using Only A Needle...DEBUNKED
A takedown of the most dangerous video currently on the internet. Video and more at
Dec 23, 2017
America, Live Free or Die (Younger Than Last Year)
Why is life expectancy dropping 2 years in a row in the US? We reveal the sordid truth. #AgainstMedicalAdvice 032 The Article:
Dec 19, 2017
Branding Initials on a Liver, and #MeeTooMedicine
What constitutes "assault" in healthcare? Two different cases, two different answers.
Dec 18, 2017
Vulnerable Transgender Fetus Creates Entitlement Diversity
The Administration goes 1984 on the CDC. Time for #Science to strike back.
Dec 16, 2017
Should You Write Your Name on Your Forehead?!? #TheatreCapChallenge
Exactly what is up with the #TheatreCapChallenge?
Dec 13, 2017
Our Genetic Testing Results...LIVE (w/Dr. Mylynda Massart)
Exactly HOW much Neanderthal is Tom Hinueber? We find out LIVE, along with a primary for primary care folks on genetic testing with UPMC Family Medicine doc, Dr. Mylynda Massart. Learn more at
Dec 13, 2017
Take 2 "Suck It Ups" & Call Me In The Morning
What do we do as healthcare professionals when WE get sick? The ZPac speaks. Links and more at
Dec 10, 2017
DNR Tattoo: Do Not Respect?
We review an NEJM case report about the dude with the DNR tattoo.
Dec 05, 2017
Meditation and "The Mind Illuminated"
Wherein I get super amped about a book on meditation, and get trolled by the couch trolls. The book: The Mind Illuminated -->
Dec 03, 2017
Who U Tryin' To Burn Out, Don't You Know I'm Locum?
Could burnout and provider shortages be ameliorated by locum tenens?
Dec 01, 2017
The Measurement Industrial Complex and the Destruction of Healthcare
Getting back to balance between the art, science, and business of medicine, with Dr. Halee Fischer-Wright, CEO of the Medical Group Management Association. Check out her book, Back To Balance
Nov 30, 2017
Stuck in Health 1.0? Bye Bye, Medical License!
The strange and nuanced tale of Dr. Anna Konopka.
Nov 29, 2017
Nurse Stabbed in NJ, & Dog The Bounty Hunter Threatens to Kill Wife's Doc #silentnomore
Inside Edition featured an interview with "Dog the Bounty Hunter" wherein he mentioned that if his wife dies of cancer, his doctor will die too, if you catch his drift. Meanwhile, a nurse is stabbed in her hospital's parking lot in Newark. What's a ZPac to do? Stay #silentnomore, that's what.
Nov 28, 2017
Nurse Wants To Throw White Boys To The Wolves. Also: Epic Training!
"Night Nurse" just lost her job over an insane tweet. And ZDogg did his THIRD Epic EHR training. It's a crazy world, people!
Nov 27, 2017
I Spit, Therefore I Am (Getting Genetic Testing)
Such a shame you podcast listeners can't see our DOPE HOLIDAY THREADZ! To see them, and pick up your 23andMe discount code (while they last) go to
Nov 26, 2017
2 Docs Ponder: Does The Patient Experience Matter?
Dr. James Riddell, University of Michigan Clinical Professor of Infectious Disease, joins us to talk patient experience.
Nov 25, 2017
Fired Over a Flu Shot? w/ Dr. James Riddell
University of Michigan infectious disease doc (and ZDogg's brother-in-law) Dr. James Riddell joins us to talk flu shots, personal liberty versus the good of the herd, HPV vaccine, HIV prophylaxis, and more!
Nov 22, 2017
Are We Killing Chronic Pain Patients?
In this new game of opioids, no one seems to win. Millions of Patients Face Pain and Withdrawal as Opioid Prescriptions Plummet - Bloomberg
Nov 21, 2017
Are We Even Measuring Blood Pressure Right?
New hypertension guidelines would have us believe that half of US adults are hypertensive. But what if we aren't even measuring BP right? Check yo' self before you med yo' self, fool.
Nov 20, 2017
The Vegas EMS Heroes of Route 91
An unfiltered discussion with EMS first responders to the Vegas shootings, with important lessons learned for all. #vegasstrong #EMS4Lyfe At the American Ambulance Association annual convention.
Nov 14, 2017
The Personalized Health Care Revolution, w/Anne Wojcicki
23andMe CEO Ann Wojcicki joins us to talk about empowering patients and what health care professionals should know about consumer genetic testing. Should we fear it, or embrace it as yet another early manifestation of Health 3.0?
Nov 13, 2017
Women are less likely to get CPR from bystanders in public places according to a new study. WHY? The CPR article: Sponsored by 23andMe. ZPac, sign up for your special $99 23andMe voucher here before they run out:
Nov 13, 2017
What's Really Up With Alcohol and Cancer
The American Society of Clinical Oncology just released a position piece on the risk of cancer associated with alcohol use. But what's the actual deal here? http:./
Nov 12, 2017
Real Talk w/The 19th Surgeon General of the United States
Dr. Vivek Murthy is a hospitalist, the son of immigrants, and the 19th Surgeon General of the United States...and he lays it all down for us in Studio Z.
Nov 10, 2017
The Curious Case of Dr. Robert Groves
Maybe it takes a physician schooled in Health 1.0—but fluent in Health 2.0—to lead us towards 3.0. Dr. Robert Groves, CMO for the new Banner | Aetna joint venture, joins us for a deep dive on transformation, both systemic and personal.
Nov 09, 2017
You Down With OTC? Yeah You Know Me!
A new JAMA study compared ibuprofen+acetaminophen with opioid pain killers for extremity pain presenting to the ER. Are these findings applicable more broadly? We dive into the primary paper, old skool.
Nov 08, 2017
Wikipedia Totally Makes You Smarterer
A recent Canadian study suggests that Wikipedia can be better than digital textbooks for enhancing short-term knowledge acquisition in medical students. Is the apocalypse nigh at hand?
Nov 02, 2017
In a NY Hotel Room With The Sexiest Doctor Alive
Doctor Mike (AKA Dr. Mikhail Varshavski D.O.) became a worldwide celebrity when he was recognized as The Sexiest Doctor on Instagram and was awarded People Magazine's Sexiest Doctor Alive. But it's what he's done with that superficial fame that caught my attention. We sit down for a frank discussion on the nature and perils of social media, fame, medicine, and the power of the platform to elevate and educate. Check him out here: Instagram: @Doctor.Mike Snapchat/Twitter/Facebook: @RealDoctorMike
Nov 01, 2017
Scrooge McDoc is Bankrupting America!
An article by an economist argues that doctors run a cartel that ensures they get paid double what docs in other developed countries get. Do physician salaries matter? We break it down.
Oct 30, 2017
What Do Airline Pilots & Limo Drivers Have to Do With Healthcare?
Spoiler Alert: it's all about communication and setting expectations. A live cast from the road in Boston!
Oct 26, 2017
Why We Burn Out & What To Do About It
Some data on burn out...and ways we can fix it.
Oct 26, 2017
From Zero to Hero: Ditching Naturopathy for Science
Britt Marie Hermes went to naturopathy school because she believed there was a better way to connect with patients — but what actually happened was decidedly...unnatural.
Oct 25, 2017
Better To Burnout Than Fade Away? And Nursing Text Racism FTW
Some type A medical folks may burn out because they simply can't abide idle time and have little capacity to "relax" according to a recent article written by a psychotherapist. And a nursing text on cultural differences in responses to pain is pulled after...well, you just gotta check this out cuz it's cray cray.
Oct 24, 2017
"Nurse Practitioners are DUMB AND I HATE THEM!" #TribeTalk
Haters gonna hate and a$$holes are going to exist in every space. Time to step out of this childish nonsense. Cover your earbuds cuz it gets real up in this.
Oct 20, 2017
Re-Personalized Primary Care with Dr. Lawrence Gassner
Dr. Lawrence Gassner, internist X 30 years, joins us to talk about saving his practice and his sanity. Is it "concierge medicine" or another manifestation of Health 3.0? We dive in.
Oct 18, 2017
#MeToo? Sexual Assault in Healthcare
How prevalent is sexual harassment and assault amongst health care workers?
Oct 17, 2017
TribeTalk: Pharmacy Week with Danica Ilagan
Pharmacy rules, this live cast is insane, and that is all.
Oct 16, 2017
Why We Should All Support Dr. Peter Gallogly
The video of a doctor in Gainesville yelling at a patient and her daughter isn't all it appears to be...rather, it's a symptom of the abuse of medical professionals and a further sign of our resulting burnout. #silentnomore
Oct 14, 2017
“The Situation” with 6 Jersey Docs
We talk burnout, collaboration across disclipines, technology and IT, nurse practitioners and PAs, pizza, and more...
Oct 12, 2017
When "Customer Service" Goes Terribly Wrong
Emergency room meltdown, airline stewardess tears, and the worst hotel room service call in history. #SuiteNazi
Oct 11, 2017
Utah Detective Who Arrested Nurse Fired, California Also Fired
Alex Wubbels gets a little justice, Napa and Sonoma hospitals get evacuated, and Tom surprises Z with the #WineSnobChallenge — it's Incident Report 102, deal with it.
Oct 10, 2017
A Dramatic Reading of Martin Shkreli’s Jury Selection Hearing
Also: convincing people to forgo Full Code by watching a "scared straight" video, Dr. Robert Pearl's article on us, and Tom's jail time.
Oct 08, 2017
What YOU Can Do To Help After The Vegas Shootings w/Danita Cohen, UMC Hospital
UMC Hospital has been at the epicenter of caring for multiple traumas after the Las Vegas shootings, and Danita Cohen is their Chief Experience Officer. She's been the calm face seen in the media describing UMC's response and professionalism in the midst of the chaos. And now she joins us to lay out what health care professionals can do to help. #VegasStrong
Oct 08, 2017
Not All Colors Are Created Equal (A Human Development Primer)
What color are you? Going beyond Maslow's Hierarchy, all the way to teal. It's our 100th Incident Report, LIVE.
Oct 05, 2017
Is GoFundMe America’s Preferred Health Insurance?
An uncensored #TribeTalk about why getting injured in a mass shooting in this country just might lead to bankruptcy.
Oct 04, 2017
NASA Chief Health & Medical Officer Dr. JD Polk Talks Alien Booty Probes
Dr. JD Polk has my dream job, heading up medicine at NASA. This interview should inspire everyone who marvels at the intersection of humanity and the heavens.
Oct 02, 2017
Walking Into Trauma ICU After The Worst Shooting In Modern US History
Allison Andersen, APRN, cares for victims of the Las Vegas mass shooting in the trauma ICU at University Medical Center (UMC) Hospital. She shares her experiences and philosophy from the front interview you will not want to miss.
Oct 02, 2017
Nevada's Only Level 1 Trauma Center Needs Your Help
Las Vegas is coming together after the horrible event on Oct. 1st on the Strip. ZPac: please support our level 1 trauma center and safety net hospital UMC:
Oct 01, 2017
Sex, Drugs, and Primary Care w/ Dr. Ryan Neuhofel
Dr. Ryan Neuhofel, DO, MPH joins us to talk about preventing burnout and reconnecting with patients through direct primary care. What happens when clinicians lead change...
Oct 01, 2017
Interview With A Drug Dealer (w/ DeAnn Mullins)
We talk Pharmacy 3.0 with DeAnn Mullins, president of the National Community Pharmacy Association.
Sep 27, 2017
9 Reasons To Blame The Recession on Fibromyalgia (Thanks Clickbait Generator)
Is fibromyalgia real? #TribeTeach
Sep 24, 2017
Tales From The Script: Are We Mindless Medical Teleprompter Robots?
Health 2.0 is all about scripts. Is it all about "customer service" and the further degradation of our profession? Or are there ways to employ scripts that don't dehumanize and dishonor the both unique patient and caregiver?
Sep 23, 2017
Share This & Lose Your Job
Is sharing our videos dangerous for your job security? Also, since getting his coronary calcium score ZDogg may have taken certain...liberties...with his diet.
Sep 20, 2017
Jimmy Kimmel's Baby is Entitled AF
Once again, is health care a right or a privilege...or are we asking the wrong question entirely?
Sep 19, 2017
Crossfit Nurse Bro Soda Shames Dying Patient...And Other News
We break down the latest controversies in healthcare and talk about the launch of Say Something, our #silentnomore anthem.
Sep 15, 2017
Florida Nursing Home Massacre, and Should You Spank Your Kids?
Mrs. DoggMD joins us to talk parenting and corporal punishment, and we discuss the 8 deaths at a Florida nursing home that lost power post-Irma.
Sep 13, 2017
Healthcare Heroes of 9/11: Your Stories
Sep 11, 2017
The Birds and the Butts: Teaching Your Kids About S.E.X.
How should we be talking to our kids about sex and stuff?
Sep 09, 2017
(Don't) Rock You Like A Hurricane...Irma's Coming
Stories from the front line as health care peeps prep for the storm...
Sep 08, 2017
She Stole An Ambulance (And Other Breaking News)
It's a Friday Freakout! We run down the breaking medical news of the week, including the Delnor hostage legal situation, Peter Thiel's Herpes Island, and the impending disaster of Hurricane Irma. #IrmaSomnia
Sep 08, 2017