Charles and Bismarck discussed Bismarck’s medical training and career journey, including his path from Kenya to the US for medical education and his upcoming faculty position at LSU. They explored challenges in medical care, including fragmented systems, communication issues, and the dominance of electronic health records, while also discussing the significant student debt burden faced by medical students and doctors. The conversation concluded with a discussion about acute care surgery and their shared experiences of perseverance in pursuing medical careers, with plans to stay in touch regarding Bismarck’s new practice. Quick recapCharles and Bismarck discussed Bismarck’s medical training and career journey, including his path from Kenya to the US for medical education and his upcoming faculty position at LSU. They explored challenges in medical care, including fragmented systems, communication issues, and the dominance of electronic health records, while also discussing the significant student debt burden faced by medical students and doctors.