The Nocturnists

As a college student seeking an abortion, Alejandra was unknowingly referred to a crisis pregnancy center instead of an abortion provider. In this conversation, she reflects on how that experience fractured her trust in healthcare, the years it took to reclaim her voice, and why she is now committed to providing compassionate, patient-centered reproductive healthcare as a future family physician.

Drawing on a lifetime in medicine and the stories behind his new book Failure to Treat , cardiologist Dr. Peter Kowey explores how profit, bureaucracy, and the corporatization of healthcare have transformed the practice of medicine. We discuss what has been lost, what can still be reclaimed, and why he remains hopeful that technology may ultimately give physicians back their most precious resource: time with patients. Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

Dr. Giulia Enders—physician, gastroenterologist, and bestselling author of Gut —joins us to discuss her new book, Organ Speak . She invites us to see the body not as a machine in need of repair, but as a living source of intelligence, metaphor, and meaning. Reflecting on her early fascination with the gut and her years treating patients with complex gastrointestinal conditions, Giulia explores how language shapes our experience of illness. The conversation ranges across the skin, grief, immunity, and sleep, revealing how a sense of wonder can emerge when we stop viewing the body solely as a problem to be solved. Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

Cardiologist Dr. Lisa Rosenbaum tells the story of how her grandfather—a physician-writer whose experience as a patient transformed his view of medicine—influenced her sense of purpose, storytelling, and care. As she navigated her own path through medicine and writing, she became increasingly interested in the cultural narratives shaping physicians' experiences, particularly during the COVID-19 era. Drawing on a viral "Milk Duds" story and broader shifts in burnout discourse, she explores the tension between systemic failures and individual agency, arguing that meaning in medicine can sometimes come not from stepping back, but from choosing deeper engagement with patients. Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

In this crossover episode with Remo Health, Kaylee Glenn of the Day By Day Project shares how a childhood moment playing violin in a memory care facility inspired her to create a music-focused nonprofit for people living with dementia. This episode was originally produced by Remo Health as a part of their " Talking Dementia " podcast. Remo Health is an innovative telehealth company providing whole-person care to people living with dementia and their caregivers. To learn more about Remo, visit remo.health . This episode of The Nocturnists is sponsored by Claimable . Every year, insurers deny over 850 million claims in the United States. Fewer than one percent are ever appealed. Claimable exists to change that, with an online platform that helps patients overturn unjust denials and restore access to the care they need. With Claimable's easy to use appeal builder, patients create and submit personalized, expert-backed appeals combining clinical, policy, and legal evidence into powerful coverage arguments. If you or someone you know has ever lost access to a medication because of an insurance denial, Claimable was built for that moment. To learn more, and explore how Claimable works with partners in healthcare to expand access, visit www.getclaimable.com Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

Historian Susan Wise Bauer tells the story of how, across centuries—from ancient civilizations to modern medicine—humans have tried to make sense of illness through evolving frameworks, from divine punishment to bodily imbalance to germs. Drawing on historical accounts and cultural analysis, she explores how fear, suffering, and uncertainty shape not only medical knowledge but also trust in authority and social behaviors—and ultimately shows that our present-day struggles with medicine and trust are not new, but part of a long, repeating human story. This episode of The Nocturnists is sponsored by Claimable . Every year, insurers deny over 850 million claims in the United States. Fewer than one percent are ever appealed. Claimable exists to change that, with an online platform that helps patients overturn unjust denials and restore access to the care they need. With Claimable's easy to use appeal builder, patients create and submit personalized, expert-backed appeals combining clinical, policy, and legal evidence into powerful coverage arguments. If you or someone you know has ever lost access to a medication because of an insurance denial, Claimable was built for that moment. To learn more, and explore how Claimable works with partners in healthcare to expand access, visit www.getclaimable.com Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

Dr. Erika MacIntyre reflects on her path into critical care and chronic ventilation medicine, as well as the mounting pressures she faced during COVID-19—including professional strain, loss of personal outlets, and family challenges. Seeking change, she and her family embarked on an ambitious sailing journey across the Atlantic, navigating both physical and emotional challenges while living simply and disconnected from modern conveniences. Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

Pediatric intensivist Dr. Chris Carroll tells the story of an unexpected consult: a young gorilla named Kevin, critically ill with Shigella sepsis during an outbreak at the Jacksonville Zoo. What begins as a strange crossover between human and veterinary medicine becomes something deeper as Chris works alongside veterinarians trying to save Kevin's life. In the process, he is struck not only by the similarities between caring for sick children and sick animals, but by the reverence and tenderness the veterinary team brings to their work. We talk about pediatric ICU medicine, the human-animal boundary, grief across species, and what doctors might learn from veterinarians about compassion. Chris originally performed this story at a live storytelling event produced CHEST as a part of our Satellites Storytelling program. Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

Solange Madriz, a public health professional at UCSF, reflects on her work training birth attendants and clinicians in rural Guatemala to respond to maternal emergencies through low-cost simulation. For years, she helped others prepare for postpartum hemorrhage, preeclampsia, and other life-threatening complications of childbirth. Then, after the birth of her own first child during the pandemic, she developed severe postpartum preeclampsia and found herself on the other side of the hospital bed. In our conversation, Solange talks about public health, maternal health, the limits of knowledge when your own body is in crisis, and how her own medical experience changed the way she thinks about her work. Solange originally performed this story at a live storytelling event produced UCSF Institute of Global Health Sciences as a part of our Satellites Storytelling program. Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

In this episode, infectious disease physician and global health leader Dr. mike Reid reflects on a moment early in his career working in Botswana, when a young patient died in front of him despite his efforts to help. The experience brought back a memory from childhood, when he first heard his father quietly describe himself as a failure. In a field where the needs often far exceed the available resources, mike explores how physicians learn to live with doubt, responsibility, and the persistent feeling of not doing enough. Together we talk about the emotional landscape of global health, the role of failure in medicine, and what it means to keep trying anyway. mike originally performed this story at a live storytelling event produced UCSF Institute of Global Health Sciences as a part of our Satellites Storytelling program. Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

While navigating a painful period in her personal life, ICU physician Nikki Mittal cares for a patient with severe brain injury whose family is preparing to withdraw life support. After a difficult earlier interaction that leaves her questioning herself, the family gathers on the day of withdrawal and unexpectedly asks to pray for her. In that moment, the usual direction of care shifts—the doctor who came to support the family finds herself receiving comfort and reassurance from them instead. Nikki originally performed this story at a live Satellites Storytelling event produced by Dr. Shayne Poulin and the Riverside-San Bernardino Chapter of CAFP in 2025. This event was generously funded by the California Health Care Foundation , as a part of our Satellites Program . Looking for more from The Nocturnists? Explore The Nocturnists+ , our subscriber-only feed featuring The Nocturnists After Hours —a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch . Learn more or subscribe at thenocturnists.org/plus .

We're excited to be launching The Nocturnists+ , a subscriber-only feed featuring a special monthly episode called The Nocturnists After Hours , as well as discounted rates on our awesome new merch. The Nocturnists After Hours episodes are more intimate and unstructured—a space where I step away from formal interviews to join executive producer Ali Block for casual, open conversations about medicine, culture, and our personal journeys. For our first episode , Ali and I talk about what it means to be "the doctor" in your family—the one people call when something feels off, when a diagnosis doesn't sit right, or when things start to fall apart. It's a role that comes with a strange mix of pride and pressure. There are moments where you can help in meaningful ways. And moments where all that knowledge just makes things harder. We found ourselves circling a question that doesn't have a clean answer: when do you step in, and when do you let go? We're really excited about this new corner of our community, and we'd love your input as it takes shape—especially around the kinds of conversations you'd like to hear, whether Q&As, deep dives into philosophical questions related to healthcare, or explorations of trending medical stories. Today, we're sharing a short teaser of our first After Hours episode. The full episode is out now in our subscriber feed, with new ones dropping the second Tuesday of every month. Subscriptions start at just $10/month, and for the next two weeks, we're offering 10% off for early subscribers . We invite you to learn more or subscribe at: thenocturnists.org/plus

Tiffany Chan shares how her journey from a small-town family optometry practice to high-intensity academic medicine at Johns Hopkins was transformed when her mother suffered a major brain bleed, drawing her back home to care for her family. Ultimately, her mother's recovery, later passing, and the deep relationships her parents built with their patients helped Tiffany realize that the meaningful, community-rooted life she truly valued was in Grass Valley, where she now continues the family practice and honors her mother's legacy. Tiffany originally performed this story at Medicine Story: on the meanings of healing, a live storytelling event produced by Dr. Rebecca George from the Sierra Valley Health Center in Nevada City, CA in 2025. This event was generously funded by the California Health Care Foundation , as a part of our S atellites Program . The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation . and our friends at the podcast Unleashed: Redesigning Health Care .

Physician and writer Frances Southwick tells a deeply personal story about love and illness. Growing up queer in rural Colorado, Frances experiences mysterious episodes of sudden paralysis triggered by intense emotion, beginning in adolescence and persisting for decades without a diagnosis. After years of shame, misattribution, and near-abandonment of dreams, Frances falls in love with Judith, builds a life with her, and finally receives a diagnosis of type 1 narcolepsy with cataplexy—explaining why moments of beauty, joy, and love literally caused collapse. Frances originally performed this story at Medicine Story: on the meanings of healing, a live storytelling event produced by Dr. Rebecca George from the Sierra Valley Health Center in Nevada City, CA in 2025. This event was generously funded by the California Health Care Foundation , as a part of our S atellites Program . The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation . and our friends at the podcast Unleashed: Redesigning Health Care .

Community health workers Alicia Ashorn and Anthony Thigpen share their personal stories—Alicia's journey through addiction and recovery, and Anthony's path through grief, transformation, and reentry work—and how these experiences shape their care for people returning from incarceration. In the conversation that follows, they reflect on the power of storytelling, the emotional complexity of supporting clients in crisis, and the wisdom required to balance compassion with boundaries. Through vivid anecdotes from the field, they illuminate the essential yet often unseen role of community health workers as bridges between the clinic and the community, offering trust, dignity, and hope to people navigating systems that routinely fail them. Alicia and Anthony originally told their stories at Journeys of Healing: Stories of Resilience and Transformation , a storytelling event presented by Transitions Clinic Network in Los Angeles in 2025. The event was made possible by a generous grant from the California Health Care Foundation in support of our program, The Nocturnists Satellites . The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation . and our friends at the podcast Unleashed: Redesigning Health Care .

Sharon Fennix spent 38 years incarcerated before becoming the hotline coordinator for the Transitions Clinic Network (TCN), where she now supports people returning to the community with empathy, compassion, and lived experience. In this episode, she talks with Emily about reentry, the power of peer support, and the creative life she built inside prison—evolving from seamstress to playwright, director, and storyteller whose productions bridged divides and transformed her own sense of self. Sharon was a producer for Journeys of Healing: Stories of Resilience and Transformation , a storytelling event presented by the Transitions Clinic Network in Los Angeles in 2025. The event was made possible by a generous grant from the California Health Care Foundation in support of our program, The Nocturnists Satellites . The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation .

Nurse practitioner Linda Wick has spent more than four decades in medicine, beginning her journey as a six-year-old watching nurses care for her injured brother. In today's story, she recalls the early lessons that shaped her career—from the strict nuns who taught her at the College of St. Scholastica to the life-and-death responsibilities of the ICU and dialysis unit. When a medical emergency reunites her with one of her toughest teachers, Sister Helen, Linda is forced to confront the words that haunted her for years. Linda originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites . The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation .

Birth doula Sarah Auna has attended nearly 500 births. Today, she shares the story of one particularly powerful birth—an experience that unfolded not only in the body, but in the mind and spirit of everyone present. Through vivid storytelling, Sarah reflects on the physiology and psychology of labor, the art of creating safety in moments of intensity, and the lessons birth has taught her about trust, presence, and self-knowledge. Sarah originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites . Music by Rachel Kurtz (song: "Lioness") The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation .

Infectious disease Physician Meghan Rothenberger grew up feeling uncertain and disconnected from her body. As a teenager, she struggled with an eating disorder, trying to make sense of the changes of adolescence and the cultural messages around her. Years later, as a medical student studying anatomy, she began to see the body not as something to control, but as something wondrous and worthy of care. In this conversation, Meghan talks with Emily about growing up, navigating an eating disorder, and finding healing through science, pregnancy, and the everyday miracle of being alive. Together, they explore how understanding the body can open the door to compassion, connection, and belonging within oneself. Meghan originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites . The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation .

Physician Jessica Zitter and chaplain Betty Clark to explore their partnership and the making of their film The Chaplain and The Doctor . The documentary, set in Oakland's Highland Hospital, captures the real work of palliative care and spiritual care, alongside a growing friendship between two women who cross lines of race, power, and professional hierarchy. They discuss what it means to listen with compassion, how bias and racism manifest at the bedside, and how storytelling, humility, and friendship can become acts of healing. From funny hospital moments to scenes of deep moral reckoning, this episode shows how two healers learn from each other, and how humanity itself can be the best medicine. Find show notes, transcript, and more on our substack and website . The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation .