Delaware Health Care Reality

When should women consider hormone therapy? Is it safe? And what treatment options are available today?
Join host Nicholas O. Biasotto, DO, and Nancy Fan, MD, OB/GYN, and MSD Past President, for an informative conversation about perimenopause, menopause, and hormone therapy.
Dr. Fan discusses the latest questions surrounding Hormone Replacement Therapy (HRT), including risks and side effects, newer treatment options, bioidentical versus conventional hormones, bioequivalence, dyspareunia, alternatives to HRT, and who may, or may not be a candidate for treatment. They also discuss when women should begin the conversation and which health care professionals should be part of the decision-making process. Whether you're experiencing symptoms, approaching menopause, or simply want to understand today's options, this is a conversation worth hearing.
Disclaimer: Dr. Fan is speaking solely on her own behalf and not on behalf of any other organization or product. Her comments and opinions do not constitute an endorsement of any specific product, medication, or treatment.

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 during the 2026 legislative session, this episode examines the major health care bills under debate at the time and the potential impact they could have on physicians, patients, and health care delivery in Delaware. This episode offers valuable insights into the laws and policies shaping patient care across the First State.

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 notes that their program is Christian faith based and works on the principal that the treatment of addiction requires dependence on a merciful God. Stories of compassion, innovation, and health care in action await — don’t miss it!
Donations can be made to the Sunday Breakfast Mission or the Delaware Foundation for Medical Services. Please check with the mission prior to donating supplies. Volunteers gratefully accepted- email Kelley Rivera, RN, lead nurse at Kelley.rivera@gmail.com.
 

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. Whether you're simply curious or considering a full-body MRI, this conversation provides practical insights and a compelling real-life success story.

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 advances transforming its treatment.
 
Together, they discuss how genetic changes lead to disease, the challenges of current therapies, and the promise of emerging treatments like gene therapy and CRISPR-Cas9 gene editing innovations that may allow scientists to address genetic conditions at their source. Discover how these advances are creating new hope for individuals living with Sickle Cell Disease and how breakthroughs in genetic medicine could shape the future of health care for many other conditions.

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 tackles the challenges shaping medicine today. Hear candid perspectives on prior authorization, the realities of Medicare Advantage, the debate surrounding a one-party payer system, and how the Rural Health Transformation Program could impact health care access across Delaware.

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 rise, and demand outpacing access in both countries, this episode tackles the hard questions—are regulations eroding physician autonomy? And are there real solutions on the horizon?

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 therapy. We also explore common comorbidities and how they impact care and outcomes.
Whether you're a clinician, parent, or simply looking to better understand ADHD, this episode delivers clarity, expertise, and real-world insight.
Dr. Gupta welcomes your questions at www.drguptamd.com.

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 tests, swimmer’s ear, and the role of the Eustachian tube—plus insights on medications that may impact hearing and the latest research in the field.

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.