Delaware Health Care Reality

Join host Nicholas O. Biasotto, DO, for an insightful conversation with Lara Bagby, Board-Certified Genetic Counselor and Field Medical Director at GRAIL, as they discuss the science and clinical concepts behind the Galleri Test, a multi-cancer early detection screening that analyzes cell-free DNA for cancer signals.

In this episode, listeners will learn about key terms such as cell-free DNA, cancer fingerprint, binary results, and...

Artificial Intelligence is rapidly transforming healthcare — from improving diagnosis and streamlining clinical workflows to personalizing treatment and expanding access to care. Yet, as A.I. evolves, it brings new questions about ethics, safety, and the changing role of physicians.

In this episode, host Nicholas O. Biasotto, DO is joined by special guest Alexander Din...

Host Nicholas O. Biasotto, DO, sits down with Matthew Cadell, DO, MPH, MBA, a seasoned expert with nearly 25 years in Occupational Medicine, to pull back the curtain on one of health care’s most misunderstood specialties.

What exactly is Occupational Medicine, and who do these physicians collaborate with? Discover the critical roles of organizations like the National I...

Welcome to Delaware Healthcare Reality, where medicine meets real conversation. In this episode, host Nicholas O. Biasotto, DO is joined by Kirsten Hauer, MD, FACP—Board Certified in Internal Medicine and Infectious Diseases, and Diplomat of the ABIM—for a deep dive into one of the most powerful tools in modern medicine: vaccines.

Together, they’ll explore the history ...

Host Nicholas O. Biasotto, DO sits down with Jeffrey Meyers, MD, LAc—attending physician at Delaware Back Pain & Sports Rehabilitation Center and founder of Minute 2 Mastery Peak Performance Consult—to explore the evolving field of psychedelic medicine.

From their historical roots to cutting-edge research, Dr. Meyers breaks down the science behind psychedelics, fed...

Join host Nicholas O. Biasotto, DO, as he sits down with neurologist Robert J. Varipapa, MD, for an important conversation on dementia. Together, they unpack the different types, common symptoms, how dementia is tested and evaluated, and the treatment options available today. Whether you’re a physician, caregiver, or simply curious, this episode sheds light on a condition that touches so many lives.

Host Nicholas O. Biasotto, DO is joined by Michelle Axe, MS, CHES and Katelyn Fritzges, MD, CCMS for a powerful Food is Medicine conversation. Together, they explore how nutrition can transform patient outcomes, covering everything from integrating healthy food into care plans and addressing nutrition security, to navigating patient barriers, finding the right programs, and understanding reimbursement. ...

Join host Nicholas O. Biasotto, DO and special guest Richard Henderson, MD, FACOG, a retired and formerly board-certified Obstetrician/Gynecologist, MSD Past President, and Chair of the MSD Government Affairs Committee for a rapid-fire update on the hottest health care Bills impacting Delaware physicians and patients. From the fight to address prior-authorizations to transparency in care titles, abor...

Think you know everything about corticosteroid injections? Think again. Join host Nicholas O. Biasotto, DO and renowned Orthopaedic surgeon Michael J. Axe, MD as they bust long-standing myths, break down the science, and reveal what’s really happening inside the joint. From the truth about cartilage damage and steroid limits to the surprising effects on diabetic patients—not all injections are create...

Join host Nicholas O. Biasotto, DO for an insightful conversation with Michael J. Bradley, DO, Past President of the AMA State Medical Society and the Medical Society of Delaware, and Lori Ann Rhoads, CMPE, Director of Health System Innovation at MSD. 

They discuss Medical Network Management Services of Delaware, LLC (MedNet)—a subsidiary of the Medical Society of Del...

In this powerful three-part podcast special, host Nicholas O. Biasotto, DO, takes listeners on a deep dive into the systemic flaws crippling American health care. From the vanishing number of primary care physicians and the mounting burdens that push them out, to the complex—and often opaque—ways hospitals and insurance companies generate revenue, this episode pulls back the curtain on a system in cr...

Join host Nicholas O. Biasotto, DO, with two special guests from ChristianaCare: Bryan Haimes, MD, MPH, Internal Medicine Hospitalist and Pediatrician and Amber Higgins, MD, Emergency Medicine and Obstetrics and Gynecology physician: Together they played a pivotal role in forming the first and largest private attending, multi-specialty physicians union in the country.

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Joining host Nicholas O. Biasotto, DO is special guest Ronald L. Lewis, DO, FACC, FACOI a Board-Certified Cardiologist, at ChristianaCare. We’re diving deep into a complex and often misunderstood condition affecting millions of Americans: Postural Orthostatic Tachycardia Syndrome, or POTS - a complex condition that affects 1 in 500 Americans, primarily women, and often goes undiagnosed.

What you’ll learn:

1. Is POTS a heart issue...

Join host Nicholas Biasotto, DO and special guest Joseph Straight, MD, Director of Primary Care Sports Medicine, First State Orthopaedics, and Medical Society of Delaware Past President, as they dive into the cutting-edge world of Regenerative Medicine, focusing on the powerful potential of Platelet-Rich Plasma (PRP) Therapy. From healing wounds and easing chronic pain to rejuvenating skin and restor...

In this episode, host Nicholas O. Biasotto, DO, and Mark B. Thompson, MHSA, Executive Director, Medical Society of Delaware, sit down to discuss the incredible momentum of the podcast and preview what’s ahead, including deep dives into POTS Syndrome and Regenerative Medicine—topics shaping the future of patient care.

Beyond the podcast, today’s conversation tackles some of the biggest issues in health care:

🔹 Prior-Authorization a...

What does it mean to make compassionate, informed choices at the end of life? In this powerful episode of Delaware Health Care Reality, host Nicholas Biasotto, Do, welcomes two distinguished guests to explore one of the most complex and emotional health care topics. Joining the conversation are Robert Varipapa, MD, specializing in Neurology and Sleep Medicine, advocating in favor, and Michael Vest, M...

Nursing homes are expensive, and in-home care isn’t always affordable. So how can families help their loved ones age in place? Join host Nicholas Biasotto, DO who sits down with Frank DeMarinis, founder of Senior Advisors of Delaware, LLC. With decades of experience in nursing homes and assisted living, Frank and his team are on a mission to help seniors stay at home through valuable services offered...

Join host Nicholas Biasotto, DO, for an insightful conversation with Bhavin Dave, MD, the 179th President of the Medical Society of Delaware. Dr. Dave, a Board-Certified specialist in Internal Medicine and Gastroenterology, shares his forward-thinking vision for the future of medicine and health care. From ensuring cost-effective care and addressing the environmental impacts on medicine to the transf...

Join host Nicholas Biasotto, DO, as we dive into the fascinating and critical world of sleep health with special guest, Anthony Vasile, DO. Dr. Vasile is Board Certified in Internal Medicine, Sleep Medicine, and Pulmonary Critical Care Medicine and serves as the Medical Director of the Delaware Sleep Disorder Centers.

This episode is your gateway to understanding Obstructive Sleep Apnea (OSA) and Central Sleep Apnea (CSA)—two sleep...