Advertise on podcast: Delaware Health Care Reality

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The podcast is dedicated to providing insightful and engaging discussions on the latest healthcare challenges and innovations affecting Delaware. Hosted by the Medical Society of Delaware, each episode features interviews with leading healthcare professionals, policymakers, and experts who share their unique perspectives and expertise on a variety of topics. The Medical Society of Delaware Podcast aims to: Inform: Keep healthcare professionals, policymakers, and the public informed about current issues, trends, and changes in the healthcare landscape. Engage: Foster a community of engaged listeners who are passionate about improving healthcare in Delaware and beyond. Educate: Provide educational content that enhances the knowledge and skills of healthcare providers, ensuring the delivery of high-quality patient care. Advocate: Highlight legislative and policy matters that impact healthcare delivery, advocating for positive changes that benefit patients and providers alike. What to Expect: Expert Interviews: Conversations with leading physicians, healthcare administrators, and industry experts. Healthcare Policy: Analysis and discussion on how state and federal policies affect the healthcare system in Delaware. Clinical Insights: Practical advice and insights on various medical specialties and patient care. Innovations in Healthcare: Exploration of new technologies, treatments, and best practices in the medical field. Community Focus: Stories and experiences from local healthcare providers and patients, shedding light on the unique aspects of Delaware’s healthcare community. Join us on this journey to explore the evolving world of healthcare in Delaware. Whether you’re a physician, nurse, medical student, or simply interested in healthcare, our podcast offers valuable insights and information to help you stay informed and engaged.

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Check latest episodes from Delaware Health Care Reality podcast

Beyond the Pain: Understanding Chronic & Acute Pain

2026/10/15

Join host Nicholas O. Biasotto, DO, and special guest Shachi Patel, MD, Executive Medical Director of Delmarva Pain & Spine Center, for an engaging conversation about chronic and acute pain—what pain really is, how pain signals work, and why treatment isn’t one-size-fits-all. Explore different types of pain, the Gate Control System, TENS therapy, opioids, ketamine, and other treatment options. Dr. Patel also shares real patient cases, common pain conditions, and newer approaches that are changing how pain is managed. What causes pain—and what can we do when it won’t go away? Tune in to find out! Delaware Health Care Reality – Episode 49

Breast Cancer: What's Next?

2026/10/01

October is Breast Cancer Awareness Month, making it the perfect time for an important conversation about breast cancer—what we know today and what’s changing for the future. Join Delaware Health Care Reality host Nicholas O. Biasotto, DO, and Renee Quarterman, MD, FACS, Surgical Breast Oncologist, as they discuss breast cancer trends, risk factors, prevention, screening, and treatment. Hear about advances in mammography and MRI, the growing role of AI-assisted screening, genetic mutations and testing, and what terms such as estrogen receptor, progesterone receptor, and HER2 mean for treatment. Dr. Quarterman also explores potential contributors to rising breast cancer rates and the technologies that may shape the future of detection and care. Delaware Health Care Reality — Episode 48

Episode 47: Beyond the Misconceptions: Understanding Hospice Care

2026/09/15

Join host Nicholas O. Biasotto, DO, and special guest Christina Fannin, Marketing Manager with BAYADA Hospice, for an informative and compassionate conversation that helps take the mystery out of hospice care. Learn who qualifies for hospice, the services available to patients and families, who oversees care, where hospice services can be provided, insurance coverage, and when it may be time to reach out for support. Christina also addresses common misconceptions about hospice and explains the many ways hospice can provide comfort, guidance, and support to patients and their loved ones during a difficult time. Whether you are a patient, caregiver, family member, or health care professional, this episode offers valuable information everyone should know about hospice care.

Episode 46: Menopause & Hormone Therapy: What Women Need to Know

2026/08/15

When should women consider hormone therapy? Is it safe? And what treatment options are available today? Join host Nicholas O. Biasotto, DO, and Nancy Fan, MD, OB/GYN, and MSD Past President, for an informative conversation about perimenopause, menopause, and hormone therapy. Dr. Fan discusses the latest questions surrounding Hormone Replacement Therapy (HRT), including risks and side effects, newer treatment options, bioidentical versus conventional hormones, bioequivalence, dyspareunia, alternatives to HRT, and who may, or may not be a candidate for treatment. They also discuss when women should begin the conversation and which health care professionals should be part of the decision-making process. Whether you're experiencing symptoms, approaching menopause, or simply want to understand today's options, this is a conversation worth hearing. Disclaimer: Dr. Fan is speaking solely on her own behalf and not on behalf of any other organization or product. Her comments and opinions do not constitute an endorsement of any specific product, medication, or treatment.

Episode 45: BEYOND THE BILLS: Understanding 2026 Health Care Legislation

2026/08/01

Join host Nicholas O. Biasotto, DO, and special guest Richard W. Henderson, MD, FACOG, Chair of the Medical Society of Delaware Government Affairs Committee and MSD Past President, for an engaging recap of the year's most significant health care legislation. From health care rebalancing and prior authorization reform to scope of practice, mental health parity, credentialing improvements, charity care billing, and more, Recorded during the 2026 legislative session, this episode examines the major health care bills under debate at the time and the potential impact they could have on physicians, patients, and health care delivery in Delaware. This episode offers valuable insights into the laws and policies shaping patient care across the First State.

Episode 44 - Community Care in Action: Health, Hope, and Volunteers

2026/07/25

Join Nicholas O. Biasotto, DO, as he talks with Rama Peri, MD, PhD, Medical Director, The Rosa Health Center, about providing life-changing care to uninsured patients of all ages. Then, hear from Cynthia A. Heldt, MD, FACP, retired general internist, about volunteering at Wilmington’s Sunday Breakfast Mission, where a small team of doctors care for hundreds of men, women, and children experiencing homelessness. Dr. Heldt notes that their program is Christian faith based and works on the principal that the treatment of addiction requires dependence on a merciful God. Stories of compassion, innovation, and health care in action await — don’t miss it! Donations can be made to the Sunday Breakfast Mission or the Delaware Foundation for Medical Services. Please check with the mission prior to donating supplies. Volunteers gratefully accepted- email Kelley Rivera, RN, lead nurse at [email protected].

Episode 43: Can a Full-Body MRI Detect Disease Before Symptoms?

2026/07/18

Join host Nicholas O. Biasotto, DO, and Shannon Lotus Ashley, MD, Senior Preventive Medicine physician at Prenuvo, for an eye-opening discussion on Prenuvo’s full-body MRI screening. Explore what these scans can and cannot detect, who may benefit most, and the advantages and limitations, including early detection, peace of mind, cost, false positives, false negatives, and image resolution. Whether you're simply curious or considering a full-body MRI, this conversation provides practical insights and a compelling real-life success story.

Episode 42: Unlocking the Future of Medicine: Sickle Cell Disease & Treatment Advances

2026/07/13

Join host Nicholas O. Biasotto with special guests Robin E. Miller, MD, Director of the Sickle Cell Disease Program and Emi Caywood, MD, Director of Transplant and Cellular Therapy, both from Nemours Children’s Health in Delaware, for a fascinating conversation exploring the discovery of DNA, the science behind Sickle Cell Disease, and the groundbreaking advances transforming its treatment. Together, they discuss how genetic changes lead to disease, the challenges of current therapies, and the promise of emerging treatments like gene therapy and CRISPR-Cas9 gene editing innovations that may allow scientists to address genetic conditions at their source. Discover how these advances are creating new hope for individuals living with Sickle Cell Disease and how breakthroughs in genetic medicine could shape the future of health care for many other conditions.

Episode 41: Fixing Health Care from the Front Lines

2026/05/14

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.

Episode 40: Health Care Crossroads: US vs. UK

2026/05/04

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?

Episode 39: Inside ADHD/ADD: Symptoms, Science & Solutions

2026/04/10

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.

Episode 38: Clinical Insights on Acute & Chronic Hearing Loss

2026/03/23

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.

Episode 37: Prostate Cancer: What Every Man Needs to Know

2025/12/31

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.

Episode 36: Concierge Medicine: What Physicians Need to Know

2025/12/29

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.

Episode 35: Liability for Using Medical AI

2025/12/26

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.