Delaware Health Care Reality

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

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

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

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.

Episode 34: Kidney Disease: From Prevention to Transplant

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.

Episode 33: Exploring Multi-Cancer Early Detection: Understanding the Science Behind the Galleri Test

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 negative predictive value. They explore how this test fits into the broader landscape of cancer screening, who may qualify for testing, and important considerations such as risk factors and insurance coverage.
Note: At the time of this publication, the podcast, its host, and the Medical Society of Delaware encourage patient education and consultation with a qualified health care professional before pursuing any testing or procedures. The Galleri Test is not FDA-approved. This discussion is for educational purposes only and should not be interpreted as an endorsement or recommendation.

Episode 32: A.I. and Its Future in Medicine

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 Ding, MD, MS, MBA, Secretary of the Board of Trustees for the American Medical Association, and board-certified diagnostic and interventional radiologist. Dr. Ding shares how A.I. is shaping the future of medicine — and what it means for physicians, patients, and the art of healing.

Episode 31: Inside Occupational Medicine

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 Institute for Occupational Safety and Health (NIOSH), the importance of industrial hygiene, and how physicians navigate the often complex world of workers’ compensation, average weekly wage, and regulatory certification.
From real NIOSH case examples to the question every clinician should consider — Should you treat workplace injuries if you’re not workers’ comp certified? — this episode is a must-listen for any health care professional looking to better understand the medical, legal, and practical sides of workplace health.

Episode 30: The Vaccine Conversation: From Polio to COVID-19

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 and science behind vaccines like DPT, MMR, Polio, Varicella, Shingrix, HPV, and COVID-19—how they work, how they protect, and what we know about their benefits, risks, and side effects. The conversation doesn’t stop there—Dr. Hauer and Dr. Biasotto also tackle important questions about government mandates, patient autonomy, and freedom of choice in vaccination.
Get ready for an insightful discussion that blends medical expertise with real-world perspectives you won’t want to miss!

Episode 29: Psychedelics in Medicine

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, federal regulations, treatment timelines, and certification requirements for physicians. Whether you’re a clinician, policymaker, or simply curious, this conversation sheds light on one of the most compelling frontiers in healthcare today.
Tune in for an insightful discussion that challenges perceptions and considers how psychedelics might reshape the way we treat mental health, pain, and beyond.

Episode 28: Inside Dementia: Early Signs To Treatment Options

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.