Healing Addiction with Jason Schiffman, MD

Just four days after giving birth, pediatrician Dr. Gabby Pina returned to the hospital for what she thought would be a routine blood pressure check—and instead found herself readmitted with postpartum preeclampsia. In this deeply personal conversation, she reflects on postpartum depression, the invisible labor of caregiving, and how learning to accept help transformed the way she thinks about medicine and motherhood.

Language doesn't just describe aging—it shapes it. Geriatrician and storyteller Dr. Anna Chodos reflects on the words that dominate conversations about growing older, and why rethinking terms like "burden," "old," and "dignity" could transform the way we care for older adults, support caregivers, and imagine our own lives as we age.

After surviving addiction himself, psychiatrist Dr. Jason Schiffman has devoted his career to understanding why people become addicted—and how they heal. We discuss trauma, shame, attachment, and his belief that lasting recovery begins not with treating addictive behaviors alone, but by healing deeper psychological injuries.

Drawing on philosophy, bioethics, and decades in pediatrics, Dr. John Lantos reflects on how artificial intelligence is reshaping the doctor-patient relationship. We explore what medicine has gained through technology, whether the physician "aura" is disappearing, and why the rise of AI could ultimately renew our understanding of medical humanism. Looking for more from The Nocturnists? Explore The Nocturnists+, our subscriber-only feed featuring The Nocturnists After Hours—a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch. Learn more or subscribe at thenocturnists.org/plus.

As a college student seeking an abortion, Alejandra was unknowingly referred to a crisis pregnancy center instead of an abortion provider. In this conversation, she reflects on how that experience fractured her trust in healthcare, the years it took to reclaim her voice, and why she is now committed to providing compassionate, patient-centered reproductive healthcare as a future family physician.

Drawing on a lifetime in medicine and the stories behind his new book Failure to Treat, cardiologist Dr. Peter Kowey explores how profit, bureaucracy, and the corporatization of healthcare have transformed the practice of medicine. We discuss what has been lost, what can still be reclaimed, and why he remains hopeful that technology may ultimately give physicians back their most precious resource: time with patients. Looking for more from The Nocturnists? Explore The Nocturnists+, our subscriber-only feed featuring The Nocturnists After Hours—a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch. Learn more or subscribe at thenocturnists.org/plus.

Dr. Giulia Enders—physician, gastroenterologist, and bestselling author of Gut—joins us to discuss her new book, Organ Speak. She invites us to see the body not as a machine in need of repair, but as a living source of intelligence, metaphor, and meaning. Reflecting on her early fascination with the gut and her years treating patients with complex gastrointestinal conditions, Giulia explores how language shapes our experience of illness. The conversation ranges across the skin, grief, immunity, and sleep, revealing how a sense of wonder can emerge when we stop viewing the body solely as a problem to be solved. Looking for more from The Nocturnists? Explore The Nocturnists+, our subscriber-only feed featuring The Nocturnists After Hours—a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch. Learn more or subscribe at thenocturnists.org/plus.

Cardiologist Dr. Lisa Rosenbaum tells the story of how her grandfather—a physician-writer whose experience as a patient transformed his view of medicine—influenced her sense of purpose, storytelling, and care. As she navigated her own path through medicine and writing, she became increasingly interested in the cultural narratives shaping physicians' experiences, particularly during the COVID-19 era. Drawing on a viral "Milk Duds" story and broader shifts in burnout discourse, she explores the tension between systemic failures and individual agency, arguing that meaning in medicine can sometimes come not from stepping back, but from choosing deeper engagement with patients.  Looking for more from The Nocturnists? Explore The Nocturnists+, our subscriber-only feed featuring The Nocturnists After Hours—a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch. Learn more or subscribe at thenocturnists.org/plus.

In this crossover episode with Remo Health, Kaylee Glenn of the Day By Day Project shares how a childhood moment playing violin in a memory care facility inspired her to create a music-focused nonprofit for people living with dementia. This episode was originally produced by Remo Health as a part of their "Talking Dementia" podcast. Remo Health is an innovative telehealth company providing whole-person care to people living with dementia and their caregivers. To learn more about Remo, visit remo.health. This episode of The Nocturnists is sponsored by Claimable. Every year, insurers deny over 850 million claims in the United States. Fewer than one percent are ever appealed. Claimable exists to change that, with an online platform that helps patients overturn unjust denials and restore access to the care they need. With Claimable's easy to use appeal builder, patients create and submit personalized, expert-backed appeals combining clinical, policy, and legal evidence into powerful coverage arguments. If you or someone you know has ever lost access to a medication because of an insurance denial, Claimable was built for that moment. To learn more, and explore how Claimable works with partners in healthcare to expand access, visit www.getclaimable.com Looking for more from The Nocturnists? Explore The Nocturnists+, our subscriber-only feed featuring The Nocturnists After Hours—a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch. Learn more or subscribe at thenocturnists.org/plus.

Historian Susan Wise Bauer tells the story of how, across centuries—from ancient civilizations to modern medicine—humans have tried to make sense of illness through evolving frameworks, from divine punishment to bodily imbalance to germs. Drawing on historical accounts and cultural analysis, she explores how fear, suffering, and uncertainty shape not only medical knowledge but also trust in authority and social behaviors—and ultimately shows that our present-day struggles with medicine and trust are not new, but part of a long, repeating human story. This episode of The Nocturnists is sponsored by Claimable. Every year, insurers deny over 850 million claims in the United States. Fewer than one percent are ever appealed. Claimable exists to change that, with an online platform that helps patients overturn unjust denials and restore access to the care they need. With Claimable's easy to use appeal builder, patients create and submit personalized, expert-backed appeals combining clinical, policy, and legal evidence into powerful coverage arguments. If you or someone you know has ever lost access to a medication because of an insurance denial, Claimable was built for that moment. To learn more, and explore how Claimable works with partners in healthcare to expand access, visit www.getclaimable.com Looking for more from The Nocturnists? Explore The Nocturnists+, our subscriber-only feed featuring The Nocturnists After Hours—a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch. Learn more or subscribe at thenocturnists.org/plus.