Delaware Health Care Reality

Episode 18 - Medical Aid in Dying: Insights From Both Sides of the Stethoscope

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, MD, Associate Professor of Medicine, Sidney Kimmel Medical College, specializing in Critical Care Medicine, presenting concerns against legalization.  They explore end-of-life decisions, patient autonomy, and Delaware's proposed legislation that could make it the 12th state to legalize this option.
Examine key considerations such as palliative care, hospice support, and mental health resources. Hear insights on data from Oregon's long-standing Medical Aid in Dying law, where patients have reported choosing this option due to concerns like the cost of medical care and feeling like a burden on loved ones.  What safeguards exist to prevent a "slippery slope" from impacting vulnerable populations?
Tune in for an insightful discussion on patient rights, physician roles, and the ethical questions that shape this deeply personal and evolving topic.

Episode 17: Navigating Senior Care: It Takes a Village!

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, available resources and nonprofit support. Tune in to learn about Miller Trusts, Conditional Medicaid, Health Care Proxies, and what federal and state programs might be available to help. Because when it comes to senior care, it takes a village!

Episode 16: Shaping the Future of Medicine

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 transformative role of artificial intelligence and legislative changes shaping the field, this episode dives deep into the pressing issues of today. Explore his perspectives on primary care reform, cost standardization for testing, prior-authorization challenges, and the potential of a one-party payer system to revolutionize health care delivery. Don’t miss this engaging discussion packed with thought-provoking ideas and actionable insights!

Episode 15: Sleep Apnea Effects On Your Health

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 disorders that can have significant impacts on your health if left untreated. Dr. Vasile will unravel the hidden dangers of these conditions, including the effects of adrenaline surges and other long-term consequences.  We’ll tackle common questions like:
Does snoring always signal sleep apnea?
What are the best screening tools for physicians, patients, and caregivers?
How can you identify and implement the most effective treatments and best practices?
Whether you’re a healthcare professional, a caregiver, or someone curious about better sleep, this episode promises practical insights and expert advice to empower you.

Episode 14: Merry Yet Melancholy - Holiday Blues Are Real

Join host Nicholas O. Biasotto, DO, as he sits down with the esteemed Carol A. Tavani, MD, MS, DLFAPA, renowned neuropsychiatrist, Executive Director of Christiana Psychiatric Services, and past President of the Medical Society of Delaware. A graduate of Jefferson Medical College, Dr. Tavani brings decades of expertise to a heartfelt and insightful conversation about mental health during the holiday season.
The holidays aren’t always merry and bright. For many, this time of year is marked by the “holiday blues,” a complex mix of emotional challenges stemming from loneliness, loss, and unmet expectations. With shorter days, limited sunlight, and a decrease in outdoor activities, the winter months can also bring about biologic changes, including fatigue, mood shifts, and cravings. Dr. Tavani shares her expert perspective on the symptoms of the winter blues—why they occur and how they affect millions of Americans.
In this thought-provoking discussion, you’ll learn actionable tips to improve symptoms and hear a candid exploration of the broader state of mental health care in the U.S. Don’t miss this essential conversation, designed to inform, inspire, and shine a light on the realities of mental well-being during the most reflective time of the year.

Episode 13: Hyperbaric Oxygen, An Under-Utilized Medical Modality

Are you ready to dive into the fascinating world of Hyperbaric Oxygen Therapy? Join your host, Nicholas Biasotto, DO, for an engaging and insightful conversation with two exceptional experts: Zack Gaskill, DO, FUHM, Associate Program Director for the Penn UHM Fellowship, and Lesa Prichard, MSN, RN, HC-PD, Nurse Manager at ChristianaCare Wound and Hyperbaric Center. Together, they explore the science and potential of this often-underutilized medical therapy.
In this episode, you’ll learn:
What Hyperbaric Oxygen Therapy is and its historical roots.
The physiological benefits that make it a powerful treatment option.
How patient selection plays a key role in its effectiveness.
The commonalities linking various patient populations benefiting from this therapy.
A comparison of multiplace and monoplace chambers.
The conditions approved for Hyperbaric Oxygen Therapy and the challenges of under-utilization.
The potential side effects and relative contraindications to keep in mind.
Whether you’re a healthcare professional, a curious listener, or someone seeking innovative treatment insights, this podcast is packed with valuable knowledge and practical takeaways. Don’t miss this deep dive into the therapeutic possibilities of Hyperbaric Oxygen Therapy!

Episode 12: Bridging the Gap: DE&I in Health Care and Beyond

Welcome to "Bridging the Gap," where we explore the vital conversations around Diversity, Equity, and Inclusion in our communities and health care systems. Join host Nicholas Biasotto, DO as he sits down with Cydney Teal, MD, a distinguished primary care physician and expert in both Internal and Family Medicine, and Jennifer Thompkins, MTS, the dynamic President and CEO of the Metropolitan Wilmington Urban League. Together, they will unpack critical topics such as justice and access in DE&I, the complexities of wokeism and its backlash, and the historical inequities that have shaped our current landscape. Discover how generational insights are informing today's strategies and learn about the significant impact of DE&I initiatives on the primary care physician shortage in Delaware. Tune in for an enlightening conversation that challenges perspectives and inspires change.

Episode 11: Building a Better America: Insights From a U.S. Senate Candidate

In this compelling episode, host Nicholas Biasotto, DO, sits down with Eric Hansen, Republican Candidate for U.S. Senate, and a Yale School of Management graduate, to tackle the key issues facing American families today. From lowering taxes and reducing the cost of living to addressing energy concerns and setting term limits, Hansen outlines his vision for a stronger, more prosperous future. The conversation delves into the complexities of legal versus illegal immigration, the challenges in education, and his stance on the abortion ban. They also explore the critical need for veteran support, mental health resources, and how to strengthen the military. Hansen shares his insights on the rise of artificial intelligence, its impact on the workforce, and the growing problem of physician burnout and prior authorization. Tune in for a wide-ranging discussion about the policies and values shaping Eric Hansen's Senate run and what they could mean for the future of the nation.

Podcast Episode 10 - Health Literacy: An Epidemic of Misunderstanding

In this episode, join your host, Nicholas Biasotto, DO, as he sits down with Amanda Joie, MSN, RN, CV-BC, NPD-BC, a Nursing Professional Development Specialist at ChristianaCare. Together, they dive into the critical topic of Health Literacy—focusing on both personal and organizational health literacy.
Did you know that 9 out of 10 adults struggle to understand their health information? This episode unpacks why educating patients and using tools like the teach-back method can significantly improve patient understanding and decision-making. We’ll also explore the importance of Health Literacy Universal Precautions and how health care professionals can better equip patients to navigate their health journeys.
Remember—an informed patient is an empowered patient. Don’t miss this insightful conversation!
Visit HealthLiteracyDE.org

Podcast Episode 9 - A Vision for America's Future: A Conversation with a U.S. Senate Candidate

Join host Nicholas Biasotto, DO, for a compelling discussion with Michael S. Katz, MD, MBA, Independent candidate for U.S. Senate. With a distinguished career in medicine, including his Fellowship at Boston Children's Hospital, recruited to A.I. DuPont Hospital for Children and tenure as a Delaware State Senator, Dr. Katz brings unique insights on pivotal issues facing Delaware and the nation. From addressing the economy and inflation to reforming health care, education, and immigration, and advocating for veterans, first responders, and military defense, this conversation delves into the future of Delawareans. Tune in as Dr. Katz shares his vision for preserving the American dream and improving health care access while addressing prior-authorization reform.