98 - Forbes McGain - Every decision has a footprint

The guest on this episode is Dr Forbes McGain, who speaks about what sustainability really means in healthcare, and why it's inseparable from good medicine. Drawing on his clinical work, research, and experience during COVID-19, Forbes explores how everyday ICU decisions carry environmental consequences, how "less is more" can benefit both patients and the planet, and how sustainability can align with patient safety, staff wellbeing, and cost. The conversation moves from bedside practice to hospital systems and innovation, while also reflecting on communication, mentorship, and what it means to be a thoughtful, humane intensivist. Forbes is an intensivist, anaesthetist, researcher, and one of the leading voices in sustainable healthcare in Australia. He works clinically at Western Health in Melbourne and is also an Associate Professor of Critical Care and the Associate Dean of Sustainable Healthcare at the University of Melbourne. In this episode, Forbes speaks about: How growing up on a farm shaped his connection to nature and medicine His pathway through anaesthesia and intensive care, and why he still practises both What sustainability really means in healthcare Why every decision made on an ICU ward round has an environmental footprint Thinking in life cycles rather than single-use devices Practical examples of sustainable practice at the bedside The principle of "less is more" in intensive care Micro, meso, and macro approaches to creating change The central role of nurses in the ICU Hospital energy use and the case for fully electric hospitals Innovation during COVID-19, including the McMonty isolation hood What sustains him personally, and advice for trainees interested in systems change I hope you enjoy listening to this inspiring conversation with Associate Professor Forbes McGain. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links A/Prof Forbes McGain on LinkedIn Healthcare Carbon Lab Climate CATCH Lab Doctors for the Environment Australia (DEA) McMonty Hood Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media  

The guest on this episode is Dr Nhi Nguyen, who as a six-year-old escaped Vietnam by boat. Today, she is an intensivist, a healthcare leader, and a voice for purpose and compassion in medicine. Dr Nhi Nguyen is the Clinical Director of Intensive Care NSW and served as the state's ICU Clinical Advisor during the COVID-19 response. She is closely involved in the Single Digital Patient Record program and is the clinical lead for the Nepean Hospital Redevelopment. Nhi serves on the Boards of the Nepean Blue Mountains Local Health District and the College of Intensive Care Medicine (CICM). In this conversation, Nhi shares her remarkable journey - from refugee beginnings to senior leadership in Australian intensive care. She reflects on her family's escape, her early determination not to stand out, and the irony that she now holds these major roles with NSW Health, the CICM and a major hospital redevelopment. Nhi speaks about the mentors who opened doors, the pivotal choices that shaped her career, and the clarity she has found in defining her purpose. She also recalls her leadership during the COVID-19 pandemic, when she helped coordinate intensive care responses across New South Wales under extraordinary pressure. What shines through is not only Nhi's capability, but her humanity — her focus on compassion, cultural identity, and lifting up those whose potential might otherwise go unseen. Nhi's is a story of courage, resilience, and humility. And a reminder of what it truly means to be an intensivist. Thank you for listening. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links Dr Nhi Nguyen on LinkedIn Piece on Dr Nhi Nguyen about major award Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media  

The guest on this episode is Professor Rob Mac Sweeney, who founded and leads the hugely valuable organisation Critical Care Reviews. Rob is a Consultant Intensivist at the Royal Victoria Hospital and an Honorary Professor of Practice at Queen's University in Belfast, Northern Ireland. Rob founded Critical Care Reviews back in 2008 and this has grown to now be holding two meetings a year where the largest trials in critical care are presented, critiqued and analysed. Critical Care Reviews also has a comprehensive website, a podcast and publishes a newsletter and a paper of the day, amongst other things, as a way of disseminating the most up to date science in critical care. If you are fascinated about the story of the man behind Critical Care Reviews, you'll love listening to this. In this episode, Rob talks about: How Critical Care Reviews began as a simple website His anxiety when he sent the first newsletter How the website and newsletter developed into a scientific meeting The attraction of trialists with their RCTs to the growing Critical Care Reviews meeting The multi-media output of Critical Care Reviews The importance of a consistent reading habit with the medical literature The significance of high-quality production values for the Critical Care Reviews meeting His passion of sharing science to improve patient care How study investigators gain a slot at a Critical Care Reviews meeting What he requests from study investigators submitting a study The magical quality of significant study results being presented for the first time How Critical Care Reviews expanded to hold a meeting in Melbourne How he translates evidence into clinical practice What's unique about his ward round His thoughts on the teaching and sharing of non-clinical skills How his family provides solace from work How he uses running to manage his wellbeing (often in the dark) And, some closing advice Please enjoy listening to Rob Mac Sweeeney. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links Dr Rob Mac Sweeney Rob Mac Sweeney on LinkedIn Critical Care Reviews Critical Care Reviews 2025 (CCR25) Meeting - June 11-13, 2025 Critical Care Reviews Down Under 2025 (CCR Down Under 2025) Meeting - December 9-10, 2025 Critical Care Reviews Newsletter Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

This episode is a rebroadcast of Episode 3 (from 2017) featuring the late Professor Rinaldo Bellomo, who unexpectedly died in May 2025. There is also a personal tribute from me. Andrew Davies

In this episode, you'll hear from a wise and thoughtful paediatric intensivist. Michael Clifford is a Paediatric Intensivist and Anaesthetist from the Royal Children's Hospital and Monash Childrens Hospital, Melbourne. Mike has recently finished his term as a CICM Examiner for both the Paediatric Fellowship and the CICM Primary exams. He is a keen teacher with a passion for the basic sciences and how they can inform our clinical practise. He sees every ward round as an opportunity for teaching the primary syllabus - and reminding non-paediatricians of the wonders of breast milk. He is a regular on the Paediatrica Intensiva podcast and has also appeared on Swapnil Pawar's ICU Primary prepcast. More recently he has become an open advocate of discsussions around neurodivergence and mental health in doctors in anaesthesia and critical care. In our conversation, Michael talks about: How he became a paediatric intensivist and why he loves it The essential differences between managing children and adults His thoughts on interacting with the parents of sick children How his ward rounds have changed His mental health experience in recent times Remembering the effects of the COVID-19 pandemic What he's observed with mental health awareness Modern adaptations to sick leave in doctors How he looks after his health The benefits of no longer drinking alcohol What brings him joy, particularly at work The value of a human-oriented approach to ICU care What older intensivists might do Career advice for trainees and fellows Thank you for listening to Dr Michael Clifford. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links Dr Michael Clifford Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

My guest in this episode is Dr Jeram Hyde, an intensivist in Newcastle with a special interest in teaching non-technical skills. Jeram is the force behind an annual Trainee Education Day, run by the John Hunter Hospital in Newcastle, and which I attended this year. Jeram has been building this meeting over recent years from a single ICU's annual meeting to educate their trainees on non-clinical topics like work-life balance, communication and civility to one that is now sponsored by the CICM and attracts people from all over the state of New South Wales. Apart from working as an intensivist, Jeram holds masters degrees in business and human resource management. In his free time he enjoys paragliding and rock climbing. We recorded this interview whilst I was in Newcastle and we talked about the philosophy of the Education Day, the benefits of teaching these non-technical skills, and how the meeting has grown. Jeram also talked about the fear that prompted his choice to become an ICU doctor, what he values in fostering team culture, and what he looks for when conducting interviews for ICU trainee roles. Thank you for listening to my conversation with Dr Jeram Hyde. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links Dr Jeram Hyde Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

My guest in this episode is Dr Emily Amos, a general practitioner and a passionate educator on mindfulness in Melbourne. Emily might not be an intensivist but she is a doctor with a powerful burnout story that led to her becoming an enthusiastic guide and teacher about mindfulness and self care. Emily has roles as a GP, a surgical assistant, a lactation consultant, a yoga teacher, a university tutor and a registered mindfulness meditation teacher. Her business, Whole Hearted Medicine, runs mindfulness & self care retreats for doctors. These immersive, CPD approved retreats offer doctors the chance to learn skills in mindfulness, meditation and self compassion away from both work and family pressures. Emily also blogs, speaks, podcasts, runs workshops, and offers several courses through her website www.dremilyamos.com. Emily provides excellent perspectives on burnout, wellbeing, mindfulness, stress management, life balance and psychological safety. On this episode, Emily openly shares her vivid recollection of the day her life fell apart, what she discovered about herself during her recovery, and, most importantly, how this fuelled her subsequent drive to guide and support people, including doctors, through mindfulness-based self care. Thank you for listening to Dr Emily Amos. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links Dr Emily Amos Emily Amos website with links to courses, podcast, blog and other useful material Emily Amos on Instagram Emily Amos on Facebook Emily's mind.life.me podcast Whole Hearted Medicine retreats Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

My guest in this episode is Dr Peter Brindley, an intensivist in Edmonton, Canada. Peter is a tenured full Professor of Critical Care Medicine, Anesthesiology, and Medical Ethics, with over 150 peer-reviewed manuscripts, over 30 book chapters, and over 100 other articles, including regular opinion pieces for the British Medical Journal. He has written one book and co-hosts a podcast (The Critical Care Commute). He has presented to audiences in 15 countries during appoximately 650 invited presentations, 50 plenaries and 10 named lectures. He is convinced happiness comes from finding meaning and showing gratitude. He is proudest of two feral kids, neither of whom give a hoot about his work-related achievements. Peter was previously featured in episode 15 as well as in the Persevering Through A Pandemic series from 2021. These episodes are well worth listening to. Given he was in Australia for the Annual Scientific Meeting of the CICM, I thought I had to have him on the show again. In this episode, Peter talks about why he's a doctor and why he stays working where he does, before touching on a variety of topics including clinical leadership, imposter syndrome, the differing skills of the people making up our teams, efficiency, understanding when patients are dying, podcasting, wellbeing and parting advice. Thank you for listening to Dr Peter Brindley. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to work, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links Peter Brindley, MD, FRCPC (Canada), FRCP (Lond), FRCP (Edin) Critical Care Commute podcast Opinion piece "Diagnosing dying: is it time for doctors to write 'dying certificates'?" (by Peter Brindley & Matt Morgan) Mastering Intensive Care podcast Mastering Intensive Care podcast - Episode 15 with Peter Brindley Mastering Intensive Care podcast - Persevering Through A Pandemic - Series Trailer Mastering Intensive Care podcast - Persevering Through A Pandemic - 1 - Sick Of COVID Mastering Intensive Care podcast - Persevering Through A Pandemic - 2 - It Was Inconceivable Mastering Intensive Care podcast - Persevering Through A Pandemic - 3 - Ultramarathon Mastering Intensive Care podcast - Persevering Through A Pandemic - 4 - Best & Worst Year Mastering Intensive Care podcast - Persevering Through A Pandemic - 5 - 'Life' Support For Our People Mastering Intensive Care podcast - Persevering Through A Pandemic - 6 - Learnings We Might Take Away Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

Mastering Intensive Care is back after a long hiatus between episodes, and a fun divergence into a series about at athletic adventure. This episode features Dr Andrew Holt, a highly experienced intensivist at Flinders Medical Centre in Adelaide, who was one of the mentors who significantly shaped my career. You'll discover why Andrew was pivotal in my journey, what he sees as the key aspects of a good intensivist, what he has done in coaching and supporting trainees, how he was nearly waylaid by an early career mishap, and what's been profoundly challenging him in recent years. This conversation is personal, candid, sombre and essential listening - even if it has taken me longer to publish than I would have liked. I'm grateful to Andrew for courageously and vulnerably sharing his recent difficulties in amongst some valuable lessons and wisdom. Thank you for listening to Dr Andrew Holt. Andrew Davies -------------------- About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing. -------------------- Relevant links Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on X (Twitter): @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

Thank you for listening to the ninth and final episode of the Mastering Intensive Challenges - Run Larapinta series. If you've listened to the series, you'll know my friend Ed Litton and I entered a four-day stage trail running event, the Run Larapinta Stage Race, and ran, climbed, descended, scrambled and walked with 200 other enthusiastic participants along a mountainous and rugged trail in the spectacular red centre of Australia. Ed and I thought these conversations on the podcast might help others in setting and completing endurance exercise challenges, something we both prioritise in supporting our well-being to keep bringing our best selves to work in the ICU. In this episode, we thought we'd record a final episode to reflect on how we have recovered, what the whole experience meant, what we learned from the challenge and what might be next for each of us? Thank you for listening.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   --------------------   Relevant links Image Credit: James Tudor from Forktail Ed Litton on Twitter: @ed_litton Ed Litton at University of Western Australia Ed Litton on Strava Andrew Davies on Strava Run Larapinta Stage Race Mastering Intensive Care podcast - Episode 40 with Ed Litton Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 1 Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 2  Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 3 Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 4 Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 5 Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 6 Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 7 Mastering Intensive Care podcast - Mastering Intensive Challenges - Run Larapinta - Episode 8 Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care page on Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies