Delaware Health Care Reality

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 dur...

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 note...

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. Whet...

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 ...

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 ...

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 r...

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 therap...

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 t...

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 o...

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 trul...

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”?

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 grow...

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 Alexand...

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 Nati...

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 ex...

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 psych...

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 l...

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. ...