The Art of Medicine with Dr. Andrew Wilner

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Many thanks to Barry Prizant, PhD, for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! 

Dr. Prizant is the author of “Uniquely Human” and co-host with Dave Finch of the highly successful “Uniquely Human “podcast. 

Dr. Prizant has more than 50 years of experience working with people with autism. He began working with children with disabilities as a teenager and never stopped. 

Dr. Prizant is one of the developers of the SCERTS (SC-social communication, ER-emotional regulation, TS-transactional support) model for children and adults with autism spectrum disorder and their families. He has authored 150 scholarly articles and chapters and frequently lectures on autism.

During our 45-minute discussion, Dr. Prizant defined autism and neurodiversity. He also addressed the apparent rising incidence of autism. We talked about the challenges that many people with autism face, as well as the fact that 10-15% possess “savant” abilities.

Dr. Prizant shared his perspective on ABA (Applied Behavior Analysis) therapy, which is often prescribed to newly diagnosed children with autistic spectrum disorder. He contrasted ABA therapy with DRBI (Developmental Relationship-Based Intervention), a therapeutic approach that fosters meaningful relationships in order to enhance communication skills. Dr. Prizant expressed concerns that many ABA therapists are not trained in child development and may not fully understand a child’s behavior.

We discussed Steve Silberman’s landmark book “Neurotribes,” perhaps the most comprehensive book on the history of autism ever written. I’ve read both “Uniquely Human” and “Neurotribes,” and highly recommend both of them. (“Uniquely Human” is an easier read, and I would start with that one!)

In a recent episode of the “Uniquely Human” podcast, Dr. Prizant paid tribute to Steve Silberman, who recently passed away. Here’s the link to that episode:

https://uniquelyhuman.com/2025/07/18/honor-steve-silberman-neurotribes

If you are interested in the topic of autism, please check out these prior programs of “The Art of Medicine with Dr. Andrew Wilner:” Temple Grandin #125, Eric Garcia #138, and Emily Santagati #76. Your comments will be appreciated!

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To contact Dr. Wilner: www.andrewwilner.com.

Thanks to Locumstory.com for sponsoring this episode of "The Art of Medicine with Dr. Andrew Wilner."

#autism #DRBI #ABA #UniquelyHuman @barryprizant

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Many thanks to Kara Pepper, MD, for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! 

Dr. Pepper is an internal medicine physician and former professional ballet dancer.

After her residency in internal medicine, Dr. Pepper joined a corporate medical practice. Although she felt it wasn't the perfect fit, she stuck with it. After about seven years, she succumbed to burnout and left on sabbatical. She resumed her job but still wasn't satisfied.

The stark reality of the COVID pandemic forced Kara to reassess her priorities. Three years ago, she left corporate medicine to create a solo practice. What began as a telemedicine practice now includes in-person visits as well. She specializes in treating patients with eating disorders. By running her own practice, Dr. Pepper feels she can better serve patients, especially those who feel marginalized by the health care system.

Dr. Pepper also discovered a community of physicians who struck out on their own and developed satisfying and successful practices. She happily shares her experience as a physician coach with other doctors who are unhappy in medicine and considering solo practice. She emphasized that "physicians have a voice and autonomy…are not prisoners of their jobs, and can create something new."

To learn more about creating a successful solo practice, check out her website: www.karapeppermd.com or contact Kara Pepper, MD: [email protected]

#AI #ambientscribe #locumtenens #solopractice #eatingdisorders #womenentrepreneur

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Many thanks to Rashie Jain for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! 

Rashie is an engineer and Co-Founder of Marvix.AI, her second start-up. Rashie observed that many physicians struggle with high administrative burdens, especially medical specialists who spend more time with patients and deal with complex cases. With the advent of large language models, she created an "ambient scribe" that takes notes during a patient encounter, organizes them, and presents them for review as a finished product. With just a little tweaking, doctors can embed these notes into the electronic medical record (EMR).

I tried out Rashie's software at the recent American Academy of Neurology meeting in San Diego, CA. Her Co-Founder played the role of a migraine patient, and we chatted for about 10 minutes. Truth be told, the ambient scribe did a great job capturing the essential details. I could have edited it in just a couple of minutes, which would save time compared to typing it into the EMR myself!

To learn more about Marvix.AI, or to try it in your own office, please contact Rashie Jain at https://www.marvixapp.ai

#AI #ambientscribe #largelanguagemodel #womenentrepreneur

Please click "Fanmail" and share your feedback!

If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Please rate and review each episode. 

To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com.

 Thanks for listening!

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Many thanks to Brenda Snow for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! 

Brenda is the Founder and CEO of Snow Companies, which helps engage patients with their healthcare services. Her own life-changing experience with a neurologic disorder, which she experienced as an "identity earthquake," triggered the creation of her business, "Snow Companies."

Thirty years ago, Brenda suffered from unexplained symptoms including double vision, dragging her left foot, loss of bladder control, and strange fatigue. After initial misadventures with a couple of neurologists, she was accurately diagnosed with multiple sclerosis. Brenda eventually discovered a supportive medical team. She takes regular multiple sclerosis treatments, maintains a healthy lifestyle, and lives an active and successful life.

Brenda started "Snow Companies" nearly 25 years ago. Now with over 400 employees, Snow Companies helps pharmaceutical companies engage with their patients.

Brenda also hopes to help patients with her new book, "Diagnosed: The Essential Guide to Navigating the Patient's Journey."

Brenda graciously offered to send a free, signed copy of her book to anyone who can't afford it. Just send her an email through her website: https://brendasnow.com 

#multiple sclerosis #womenentrepreneurs #entrepreneurs #author

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Please rate and review each episode. 

To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com.

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Many thanks to Matt Holgotz-Hetling for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! Matt is a journalist and author of "If it Sounds Like a Quack…" His prior book, "A Libertarian Walks into a Bear," received 4.5 stars on Amazon and more than 1,000 reviews.

During COVID, Matt took an interest in two conflicting forces he observed in American society. On the one hand, public health officials were trying to protect the public by recommending masks and closing schools. On the other hand, many independent-minded Americans insisted on making their own decisions, often eschewing masks and social distancing. 

Matt was intrigued by fringe practitioners offering cures for COVID, which included baking soda, bleach, lasers, and leeches. Many alternative medicine practitioners had faith in their "One True Cure." Of course, it was difficult to eliminate greed and exploitation as supporting motivations.

Matt and I had an in-depth conversation for nearly an hour! It was a treat to speak with such an informed and thoughtful author.

Matt's newest book, "The Ghost Lab," should be available shortly. You can find all of Matt's books on Amazon.

To learn more, please check out Matt's website:

https://www.matt-hongoltzhetling.com

#concussion #CTE #traumatic brain injury #TBI

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Many thanks to Gregory Hawryluk, MD, for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! Dr. Hawryluk is a neurosurgeon with a PhD in stem cell research. He is the Medical Director of the Brain Trauma Foundation.

As we began our 30-minute discussion, Dr. Hawryluk described his medical training as a neurosurgeon. He explained the origin and goals of the Brain Trauma Foundation. 

According to Dr. Hawryluk, the Brain Trauma Foundation's most significant contribution has been developing clinical practice evidence-based guidelines for traumatic brain injury. These guidelines have been associated with a 50% reduction in head injury mortality. Dr. Hawryluk suggested that the guidelines serve as a basis for individualized care that may lead to even greater benefits. The guidelines are available on the Brain Trauma Foundation's website.

We explored the definition of concussion and current approaches to management. Dr. Hawryluk explained that neuroimaging, such as CT and MRI, should be normal in a patient with concussion. He offered his opinion regarding the safety of participating in contact sports, which may result in concussions. We also broached the subject of chronic traumatic encephalopathy (CTE).

To learn more, please contact The Brain Trauma Foundation: https://braintrauma.org/

#concussion #CTE #traumatic brain injury #TBI

@braintraumafoundation

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Many thanks to Justin Nabity, CFP, for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! Justin is a Founder and Partner of Physicians Thrive, a wealth planning and financial management service for doctors.

Justin explained that optimizing the physician's work contract is the first step in successful financial planning. Physicians Thrive has access to over 100 advisors, attorneys, and negotiating specialists to ensure that physicians receive appropriate compensation, whether employed or self-employed.

Next is a financial plan that for many people will include estate planning, a will, an emergency fund, power of attorney, disability, and life insurance options. Once physicians establish these basics, they can consider alternative investments, such as commercial real estate.

One step to financial independence is to graduate from trading "time for money," the traditional physician model, to other types of income that pay passively. Justin recommended the book, "Rich Dad, Poor Dad," as required reading for those interested in establishing financial independence.

During our 50-minute interview, Justin outlined the steps to become an "accredited investor," which provides access to alternative investments. These high-value real estate investments, such as apartment complexes, are not liquid investments. Investment in residential properties is another alternative, but it tends to have lower yields than commercial properties. 

Justin defines "hurdle rate" and provides more insights into commercial property investment. He also explains "opportunity zones."

Justin emphasized that physicians should support pending legislation HR10073, which would reverse Medicare reimbursement cuts. Physicians should reach out to their representatives in Congress and underscore the importance of this bill.

To learn more, please contact Justin Nabity, please check out the website:

https://physiciansthrive.com/

or Email: [email protected]

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Many thanks to Anjali Rajpal, DMD, for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! Dr. Rajpal practices cosmetic dentistry at Beverly Hills Dental Arts.

During our 25-minute conversation, we discussed Dr. Rajpal's passion for hands-on creative work, like improving her patients' smiles. She explained that new electric tools vs air-powered ones have made the patient experience more comfortable. I

Dr. Rajpal employs AI in her practice, which has many applications. Digital imaging powered by AI has replaced the old-fashioned and not entirely pleasant putty used to take impressions. Aesthetics can be fully realized with improved accuracy and efficiency. AI offers a "second set of eyes" to examine dental X-rays to ensure nothing is missed. Robots also assist with implant surgery. AI can also provide a look into the future for patients to see what their smile will look like after a complete makeover.

To contact Dr. Rajpal, please check out her website:

https://bhdentalarts.com

Instagram, TikTok, YouTube: @beverlyhillsdentalarts

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Many thanks to journalist Eric Garcia, author of "We're Not Broken: Changing the Autism Conversation," for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! 

I heard Eric speak on another podcast, "Uniquely Human,” named after the best-selling book by autism specialist Barry Prizant.

Eric is a successful journalist who covers Washington, DC. He is the Washington Bureau Chief of "The Independent." 

Eric knows the political scene inside and out. He's exceptionally knowledgeable about how legislation affects people with disabilities, and more specifically, people like himself who are autistic. Eric has become the "go-to guy" for fellow journalists regarding questions about autism.

During our 35-minute conversation, Eric emphasized that autism research should not focus on vaccines, which have already been proven not to cause autism. Instead, funding should be directed to help people with autism lead more fulfilling lives.

Eric also self-identifies as a person with autism. Due to sensory processing issues, he doesn't drive a car. Eric also has trouble in noisy, crowded places and consequently waits until after rush hour before taking public transportation to work. He also still struggles with socialization. We also discussed how certain of his autistic traits have facilitated his career.

To hear more about what Eric’s thoughts about autism, check out his book, "We're Not Broken: Changing the Autism Conversation."

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" 

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Many thanks to Marc-David Munk, MD, MPH, author of "Urgent Calls from Distant Places: An Emergency Doctor's Notes about Life and Death on the Frontiers of East Africa," for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner! He's an unusual doctor who wrote an amazing book!

While in college, Dr. Munk began his medical career as an emergency medical technician. His interest in saving lives evolved into an academic career in emergency medicine. Overwhelmed by an imperfect healthcare system that rewarded productivity at the expense of quality, Dr. Munk volunteered for the AMREF Flying Doctors program in East Africa in 2008. He returned for another year in 2012. 

Years later, Dr. Munk delved into his journal to write a thoughtful documentary of his time with the Flying Doctors. The stories include life-saving adventures and his response to the widespread health inequities of East Africa. He recounts these experiences in astonishing detail in his book, "Urgent Calls from Distant Places."

These exotic volunteer experiences spurred Dr. Munk's further education and practice. He obtained an advanced degree in healthcare management and worked with healthcare models that respect the physician-patient relationship.

Currently, Dr. Munk works as a palliative care physician at an academic center in Boston.

To learn more about Dr. Munk, please read his book and visit his website: https://www.mdmunk.com

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To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com.

 Thanks for listening!

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