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Doctors Making A Difference

Doctors Making A Difference

著者： Peter M. Crane MD
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 Not every doctor dreams of climbing the traditional ladder. Some dream of building their own. Doctors Making a Difference, hosted by Dr. Peter Crane, tells the stories we rarely hear, of physicians who dared to ask, “Is this all there is?” and then changed their lives to answer it. These are the moments after burnout, after bureaucracy, after sacrifice. When purpose called louder than protocol. Each week, listeners meet doctors who stepped off the expected path—into roles as entrepreneurs, advocates, creatives, and leaders redefining what it means to heal. They didn’t just survive medicine. They made it theirs.Copyright 2025 Doctors Making A Difference 個人ファイナンス 個人的成功 経済学 自己啓発 衛生・健康的な生活 身体的病い・疾患
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  • LMC #53 | Gwen Orilio: How a High School Teacher Defied a Stage IV Diagnosis

    LMC #53 | Gwen Orilio: How a High School Teacher Defied a Stage IV Diagnosis
    2025/10/16
    This episode is sponsored by Lightstone Direct LLC. Lightstone Direct LLC connects you to institutional-quality real estate investments backed by a $12-billion AUM firm that co-invests alongside you—your partner in building lasting wealth. All investments involve risk. Please visit LightstoneDirect.com for a full list of disclosures.---When Gwen Orilio was diagnosed with stage IV lung cancer at 34—just 18 months after her daughter was born—she was told she might not live long enough to see her child grow up.Ten years later, Gwen is still teaching high school math, coaching track, raising her daughter, and flying to Boston for clinical trials that continue to save her life.In this heartfelt episode, Gwen shares how she faced her diagnosis head-on, chose immediate treatment over preserving fertility, and became one of the earliest participants in phase-one targeted therapy trials for the ROS1 mutation. She discusses the science behind her treatments, the role of persistence, and why she keeps teaching—to stay grounded and to model resilience for her students.With humor, humility, and gratitude, Gwen also opens up about parenting through uncertainty, advocating for cancer funding, and finding beauty in small moments. Her story redefines what it means to live with cancer—not just to survive, but to thrive and make memories that last.Highlights🧬 A Diagnosis Through an Eye Exam: How a simple vision check revealed a tumor that led to a life-changing discovery.✈️ Flying for Hope: Why Gwen travels monthly to Boston for cutting-edge clinical trials. 👩‍🏫 Teaching Through Treatment: Staying in the classroom helped her maintain purpose and normalcy.💪 Resilience & Advocacy: How she uses her experience to educate others about lung cancer and raise awareness for non-smoker cases.💡 Redefining the Future: Opening a Roth IRA, planning trips, and embracing life despite uncertainty.Top 3 TakeawaysScience Saves Lives. Targeted therapies and clinical trials can turn a terminal diagnosis into a manageable condition.Live While You Can. None of us know how much time we have—so spend it on memories, not regrets.Advocacy Matters. Cancer awareness and patient persistence push research and funding forward for everyone.Guest BioGwen Orilio is a high school math teacher in Clayton, North Carolina, who has been living with stage IV lung cancer for over a decade. Diagnosed at 31 with a grim prognosis, she has defied expectations—navigating years of cutting-edge treatments that have transformed her diagnosis into a chronic condition.A former collegiate track athlete, Gwen competed in the long jump at SUNY Geneseo, where she met her husband, Justin Orilio. After graduating in 2005, she began her career in education and has continued to inspire both in and outside the classroom.Gwen hasn’t let cancer slow her down. She maintains a full schedule teaching, coaching, and raising her 12-year-old daughter, while also participating in clinical trials that advance research for ROS1-positive lung cancer. With her optimism and advocacy, Gwen continues to inspire others and raise awareness about the critical need for funding and innovation in lung cancer research.About the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible.About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole.Visit: doctorsmakingadifference.comLMC Series Note:Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    35 分
  • DMD #52 | Dr. Shannon Dowler – A Family Doctor’s Leap Into Leadership and Life

    DMD #52 | Dr. Shannon Dowler – A Family Doctor’s Leap Into Leadership and Life
    2025/10/09
    When Dr. Shannon Dowler says she dives into life “feet first,” she means it. A North Carolina native with deep Appalachian roots, Shannon has spent 25 years serving her community as a family physician, educator, and advocate.In this episode, she shares her unconventional path—from cleaning cages at a veterinary clinic as a teen to leading Medicaid reform for an entire state. She reflects on the realities of rural medicine, where power outages can last for weeks, neighbors show up with pickup trucks full of supplies, and family doctors become lifelines.Dr. Dowler also opens up about the myth of “work-life balance,” her love for animals (including her goats, who double as meditation partners), and how creativity—through rap videos, writing, and laughter—keeps her grounded.Most powerfully, she discusses the urgent challenges facing family medicine today: underfunded primary care, shrinking Medicaid coverage, and the need for advocacy that starts at the grassroots. Through her lens, being a family doctor isn’t just a job—it’s an act of service, resistance, and love.Highlights🏡 Roots in Rural North Carolina: Why Shannon traded city life for “Feet First Farm and Forge,” a mountain haven with more cows than people.⚕️ Family Medicine as a Calling: From wanting to be a vet to realizing her impact would be greater caring for people.🧘‍♀️ Finding Her Balance: How goat yoga, meditation, and creativity became her antidotes to burnout.💪 The Power of Advocacy: Her time as North Carolina’s Medicaid Chief Medical Officer during COVID-19 and what she learned about resilience in crisis.🩺 Reclaiming the Narrative: How family doctors can rewrite the story of primary care—through leadership, service, and community connection.Top 3 TakeawaysThere’s No Perfect Balance—Only Presence. True peace in medicine comes not from doing less, but from being fully present where you are.Primary Care is the Backbone. Family medicine keeps communities alive, especially in rural America—and it needs to be valued as such.Advocacy is Medicine. Speaking up for patients and colleagues isn’t politics—it’s healing work.Guest BioShannon Dowler, MD is a family physician, educator, and advocate whose career reflects the true spirit of service in medicine. A proud North Carolina native, she’s spent over 25 years caring for communities across the Appalachian mountains — from rural clinics to leadership at the state level.Dr. Dowler currently serves on the Board of Directors for the American Academy of Family Physicians (AAFP) and previously led North Carolina’s Medicaid program as its Chief Medical Officer, guiding the state through historic healthcare reform and the challenges of the COVID-19 pandemic.Known for her humor, heart, and creativity, Shannon doesn’t just talk about physician wellness — she lives it. At her mountain home, affectionately named Feet First Farm and Forge, she practices goat yoga, writes, creates health-focused rap videos, and uses storytelling to reconnect physicians to their purpose.Through her leadership and advocacy, Dr. Dowler continues to champion access to care, physician resilience, and the vital role of family medicine in every community.🌐 Learn more about Dr. Dowler →About the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible.About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole.Visit: doctorsmakingadifference.comLMC Series Note:Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    38 分
  • LMC #51 | Dr. J. Louis Hinshaw on Tumor Ablation, Histotripsy, and the Future of Interventional Oncology

    LMC #51 | Dr. J. Louis Hinshaw on Tumor Ablation, Histotripsy, and the Future of Interventional Oncology
    2025/10/02
    In this physician-to-physician conversation, Dr. Hinshaw traces two decades of progress in interventional oncology—from early radiofrequency ablation to modern microwave ablation and the dawn of histotripsy. He explains why indolent, chronic cancers (like many solitary fibrous tumors and neuroendocrine tumors) are especially well-suited to repeatable, organ-sparing treatments that preserve quality of life, and how multi-disciplinary care guides the “right tool for the right lesion” approach. He also previews what’s next: better targeting (e.g., cone-beam CT), safety learnings, and where histotripsy could realistically expand beyond the liver. HighlightsFrom RF to Microwave: Why microwave ablation became a turning point—larger, faster, safer zones; shorter procedures; and better consistency compared with early RF systems. Histotripsy 101: Noninvasive, ultrasound-guided, FDA-cleared (liver) therapy with a strong safety profile to date; active kidney trials and future potential in other ultrasound-accessible organs. Patient Impact: For indolent metastatic diseases, ablation can be repeated over years, controlling disease while preserving recovery time and daily life. Team Sport: When radiation, intra-arterial therapies, surgery, or ablation takes the lead—and why humility and multidisciplinary planning produce the best outcomes. What’s Next: Better targeting (e.g., cone-beam CT), workflow refinements, and continued lab/animal/patient-level research from UW’s ablation program. Top 3 TakeawaysRepeatable, organ-sparing care: Minimally invasive ablation lets clinicians control metastatic disease across years with quick recovery. Histotripsy is promising (and young): Early clinical use shows a favorable safety profile; efficacy and targeting workflows are rapidly evolving. Match the tool to the tumor: Outcomes improve when ablation, radiation, surgery, and intra-arterial options are chosen case-by-case via a collaborative team. How to HelpFor clinicians: Refer appropriate patients to centers with established ablation programs; consider multidisciplinary boards for complex cases. For patients/caregivers: Ask your team whether minimally invasive ablation or clinical trials (e.g., histotripsy) are options for your tumor type and location. For researchers/industry: Collaborate on targeting, safety, and outcomes studies to accelerate adoption and guidelines. Additional ResourcesAbout UW Radiology & Interventional Programs (faculty profiles, publications). About the LMC series — candid physician–patient conversations on science, decisions, and day-to-day realities of advanced disease. About the GuestJ. Louis Hinshaw, MD is Professor of Radiology and Urology at the University of Wisconsin School of Medicine and Public Health, Chief of Abdominal Imaging, and Fellowship Director. His research and clinical leadership span image-guided tumor ablation (microwave, RF, cryo) and advancing minimally invasive oncology care, with numerous peer-reviewed publications and national awards. About the Host:Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch.Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show:Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine.In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole.Visit: doctorsmakingadifference.com LMC Series Note:Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    35 分
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