Join host Nicholas O. Biasotto, DO and special guest Brian Galinat, MD, MBA, Orthopaedic Surgeon and MSD President, for an eye-opening conversation on the future of health care in Delaware and beyond. From Dr. Galinat’s “Physicians First” platform and legislative priorities to primary care support, rising health care costs, and private practice physician reimbursement, this episode tackles the challenges shaping medicine today. Hear candid perspectives on prior authorization, the realities of Medicare Advantage, the debate surrounding a one-party payer system, and how the Rural Health Transformation Program could impact health care access across Delaware.

Join host Nicholas O. Biasotto, DO, alongside special guest Damian McHugh, MD, FACEP—a retired emergency physician—for a compelling, cross-continental conversation on the future of health care. From the insurance-driven U.S. system to the single-payer model in Britain, they explore what’s working, what’s not, and whether a better path exists. With emergency departments overwhelmed, physician burnout on the rise, and demand outpacing access in both countries, this episode tackles the hard questions—are regulations eroding physician autonomy? And are there real solutions on the horizon?

Join host Nicholas O. Biasotto for an insightful and practical conversation with Saurabh Gupta, MD, double board-certified in Adult Psychiatry and Child & Adolescent Psychiatry with over 20 years of experience.

In this episode, we unpack the complexities of ADD and ADHD across the lifespan, from childhood to adulthood—including symptoms, diagnosis, and the latest approaches to treatment such as cognitive behavioral therapy. We also explore common comorbidities and how they impact care and outcomes.

Whether you're a clinician, parent, or simply looking to better understand ADHD, this episode delivers clarity, expertise, and real-world insight.

Dr. Gupta welcomes your questions at www.drguptamd.com.

Join host Nicholas O. Biasotto, DO, alongside special guest Paul Imber, DO of ENT & Allergy of Delaware, as they explore the essentials of acute and chronic hearing loss. From understanding ear anatomy to identifying causes, testing, and treatment options, this episode breaks down what you need to know. Hear key terms explained such as vertigo, myringotomy tubes, the Rinne and Weber tuning fork tests, swimmer’s ear, and the role of the Eustachian tube—plus insights on medications that may impact hearing and the latest research in the field.

Prostate cancer is a topic that affects millions of men—and yet it’s one many still hesitate to talk about. In this powerful and informative episode, Nicholas O. Biasotto, DO, sits down with special guest Steven A. Terranova, MD a board-certified urologist, for a deep dive into one of the most critical men’s health issues today.

Prostate cancer is the most common non-cutaneous cancer and the second leading cause of cancer-related deaths among American men. But what should you really know? Are there early signs or symptoms to watch for? How often should you be screened—and what everyday factors can falsely elevate your PSA before testing?

Dr. Terranova breaks it all down, offering clear, expert insight into prostate cancer screening, diagnosis, and treatment. You’ll learn how testing works, what the Gleason Score means and how it’s determined, treatment options, and what steps men can take toward prevention and early detection.

This is a must-listen conversation—whether you’re a patient, a physician, or someone looking to better understand prostate health and empower informed decisions.

What if your doctor had more time for you?

Host Nicholas O. Biasotto, DO is joined by Andrea Klemes, DO, FACE, Chief Medical Officer of MDVIP, to explore how concierge medicine is reshaping both patient care and physician practice. From enhanced access and home visits to comprehensive physicals, advanced bloodwork, and personalized wellness plans, this episode breaks down what concierge medicine truly includes. You’ll also hear how the model can lower practice expenses, expand access to a nationwide physician network, and even open doors for subspecialty concierge practices.

Dr. Klemes shares how MDVIP was formed, what the organization looks like 25 years later, and how insurance and billing work within the concierge model. And when physicians reflect on making the switch, one sentiment comes up again and again: I should have done this sooner.

Artificial intelligence is changing medicine, but is it changing medical liability too?

Host Nicholas O. Biasotto, DO, sits down with Stephen R. Permut, MD, JD, to unpack how AI is reshaping malpractice risk. Will physicians be liable for following or ignoring AI recommendations? Could malpractice premiums change? And what exactly are AI “hallucinations”?

This fast-paced conversation explores documentation, informed consent, insurance coverage, and whether AI will ultimately increase or reduce health care costs. A must-listen for physicians navigating medicine’s AI-driven future.

In this insightful episode, host Nicholas O. Biasotto, DO, sits down with Prayus Tailor, MD, FASN, Managing Partner at Nephrology Associates, P.A., and Medical Society of Delaware Past President, for a deep dive into kidney disease. Together, they explore how heart health impacts kidney function, the different types of kidney disease — including acute and chronic conditions — and the growing role of genetics. Dr. Tailor also discusses modern treatment options, lifestyle and dietary considerations, and what patients should know about dialysis and kidney transplants.

Whether you’re a health care professional or simply interested in learning more about one of the body’s most vital organs, this episode offers practical insight and expert perspective on kidney health.