The Nocturnists

While navigating a painful period in her personal life, ICU physician Nikki Mittal cares for a patient with severe brain injury whose family is preparing to withdraw life support. After a difficult earlier interaction that leaves her questioning herself, the family gathers on the day of withdrawal and unexpectedly asks to pray for her. In that moment, the usual direction of care shifts—the doctor who came to support the family finds herself receiving comfort and reassurance from them instead. Nikki originally performed this story at a live Satellites Storytelling event produced by Dr. Shayne Poulin and the Riverside-San Bernardino Chapter of CAFP in 2025. This event was generously funded by the California Health Care Foundation, as a part of our Satellites Program.   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 con

We're excited to be launching The Nocturnists+, a subscriber-only feed featuring a special monthly episode called The Nocturnists After Hours, as well as discounted rates on our awesome new merch. The Nocturnists After Hours episodes are more intimate and unstructured—a space where I step away from formal interviews to join executive producer Ali Block for casual, open conversations about medicine, culture, and our personal journeys. For our first episode, Ali and I talk about what it means to be "the doctor" in your family—the one people call when something feels off, when a diagnosis doesn't sit right, or when things start to fall apart. It's a role that comes with a strange mix of pride and pressure. There are moments where you can help in meaningful ways. And moments where all that knowledge just makes things harder. We found ourselves circling a question that doesn't have a clean answer: when do you step in, and when do you let go? We're really excited about this new corner of our community, and we'd lov

Tiffany Chan shares how her journey from a small-town family optometry practice to high-intensity academic medicine at Johns Hopkins was transformed when her mother suffered a major brain bleed, drawing her back home to care for her family. Ultimately, her mother's recovery, later passing, and the deep relationships her parents built with their patients helped Tiffany realize that the meaningful, community-rooted life she truly valued was in Grass Valley, where she now continues the family practice and honors her mother's legacy. Tiffany originally performed this story at Medicine Story: on the meanings of healing, a live storytelling event produced by Dr. Rebecca George from the Sierra Valley Health Center in Nevada City, CA in 2025. This event was generously funded by the California Health Care Foundation, as a part of our Satellites Program. The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is spo

Physician and writer Frances Southwick tells a deeply personal story about love and illness. Growing up queer in rural Colorado, Frances experiences mysterious episodes of sudden paralysis triggered by intense emotion, beginning in adolescence and persisting for decades without a diagnosis. After years of shame, misattribution, and near-abandonment of dreams, Frances falls in love with Judith, builds a life with her, and finally receives a diagnosis of type 1 narcolepsy with cataplexy—explaining why moments of beauty, joy, and love literally caused collapse. Frances originally performed this story at Medicine Story: on the meanings of healing, a live storytelling event produced by Dr. Rebecca George from the Sierra Valley Health Center in Nevada City, CA in 2025. This event was generously funded by the California Health Care Foundation, as a part of our Satellites Program. The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from

Community health workers Alicia Ashorn and Anthony Thigpen share their personal stories—Alicia's journey through addiction and recovery, and Anthony's path through grief, transformation, and reentry work—and how these experiences shape their care for people returning from incarceration. In the conversation that follows, they reflect on the power of storytelling, the emotional complexity of supporting clients in crisis, and the wisdom required to balance compassion with boundaries. Through vivid anecdotes from the field, they illuminate the essential yet often unseen role of community health workers as bridges between the clinic and the community, offering trust, dignity, and hope to people navigating systems that routinely fail them. Alicia and Anthony originally told their stories at Journeys of Healing: Stories of Resilience and Transformation, a storytelling event presented by Transitions Clinic Network in Los Angeles in 2025. The event was made possible by a generous grant from the California Health Care

Sharon Fennix spent 38 years incarcerated before becoming the hotline coordinator for the Transitions Clinic Network (TCN), where she now supports people returning to the community with empathy, compassion, and lived experience. In this episode, she talks with Emily about reentry, the power of peer support, and the creative life she built inside prison—evolving from seamstress to playwright, director, and storyteller whose productions bridged divides and transformed her own sense of self. Sharon was a producer for Journeys of Healing: Stories of Resilience and Transformation, a storytelling event presented by the Transitions Clinic Network in Los Angeles in 2025. The event was made possible by a generous grant from the California Health Care Foundation in support of our program, The Nocturnists Satellites. The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. 

Nurse practitioner Linda Wick has spent more than four decades in medicine, beginning her journey as a six-year-old watching nurses care for her injured brother. In today's story, she recalls the early lessons that shaped her career—from the strict nuns who taught her at the College of St. Scholastica to the life-and-death responsibilities of the ICU and dialysis unit. When a medical emergency reunites her with one of her toughest teachers, Sister Helen, Linda is forced to confront the words that haunted her for years. Linda originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. 

Birth doula Sarah Auna has attended nearly 500 births. Today, she shares the story of one particularly powerful birth—an experience that unfolded not only in the body, but in the mind and spirit of everyone present. Through vivid storytelling, Sarah reflects on the physiology and psychology of labor, the art of creating safety in moments of intensity, and the lessons birth has taught her about trust, presence, and self-knowledge. Sarah originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites.  Music by Rachel Kurtz (song: "Lioness") The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Stories from the World of Medicine is sponsored by The Physicians Foundation. 

Infectious disease Physician Meghan Rothenberger grew up feeling uncertain and disconnected from her body. As a teenager, she struggled with an eating disorder, trying to make sense of the changes of adolescence and the cultural messages around her. Years later, as a medical student studying anatomy, she began to see the body not as something to control, but as something wondrous and worthy of care. In this conversation, Meghan talks with Emily about growing up, navigating an eating disorder, and finding healing through science, pregnancy, and the everyday miracle of being alive. Together, they explore how understanding the body can open the door to compassion, connection, and belonging within oneself. Meghan originally performed this story live on stage at Intersections, a live storytelling event produced by the Center for the Art of Medicine in Minneapolis in 2024 through our program, The Nocturnists Satellites. The Nocturnists is made possible by the California Medical Association and donations from listen

Physician Jessica Zitter and chaplain Betty Clark to explore their partnership and the making of their film The Chaplain and The Doctor. The documentary, set in Oakland’s Highland Hospital, captures the real work of palliative care and spiritual care, alongside a growing friendship between two women who cross lines of race, power, and professional hierarchy. They discuss what it means to listen with compassion, how bias and racism manifest at the bedside, and how storytelling, humility, and friendship can become acts of healing. From funny hospital moments to scenes of deep moral reckoning, this episode shows how two healers learn from each other, and how humanity itself can be the best medicine. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

Pediatrician and author Perri Klass joins us to discuss the dramatic fall in child mortality, drawing from her book The Best Medicine. She traces how clean water, vaccines, antibiotics, and neonatal care transformed family life, revisits once-feared diseases and the breakthroughs that conquered them, and reflects on the cultural shift that made childhood death unacceptable. We also explore the return of measles amid misinformation, the evolution of pediatrics from infection-fighting to child development, and what it means to raise kids in the most medically protected era in history. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

Writer Sarah Manguso joins us to discuss Questions Without Answers—a book born from a single tweet that drew thousands of kids’ startling, funny, and profound questions, later shaped with New Yorker cartoonist Liana Finck. Part poetry, part philosophy, part comedy, it’s an anthology of childhood wonder. She also revisits her memoir Two Kinds of Decay, which chronicles her diagnosis with CIDP, a rare autoimmune disorder in which the body’s immune system attacks the peripheral nerves, and how it shaped her understanding of illness, vulnerability, and the power of storytelling. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

Michael Grassi, veteran TV writer, and Daniela Lamas, ICU physician and writer, join us to discuss Brilliant Minds, a medical drama inspired by the cases and philosophy of Oliver Sacks. Together, they reflect on what makes Brilliant Minds different from other medical dramas: a focus not on miracle cures or fast diagnoses, but on adaptation, empathy, and the human condition. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

Anne Basting, a scholar, writer, and advocate for creative aging, speaks about her groundbreaking work transforming dementia care through creativity and storytelling. As the founder of TimeSlips and author of "Creative Care," Basting shares how she discovered the power of improvisation to spark imagination, dignity, and joy in people with dementia. Together, we explore the “beautiful question,” the principles of “yes, and,” and “proof-of-listening” — simple but profound tools for building connection. Anne reflects on her journey from studying senior theater to pioneering a movement that redefines care as a creative, relational process, offering practical insights for caregivers, families, and communities to engage with people living with dementia in more meaningful ways. 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

Dr. Susan Nathan, a palliative care physician at the Boston VA, and Thor Ringler, a therapist and poet at the Madison VA, share the story of My Life, My Story — a groundbreaking program that brings veterans’ voices into their medical charts through first-person narratives. Born from a desire to foster empathy and human connection in clinical care, the program has now spread to over 80 VA hospitals nationwide. Susan and Thor reflect on the origins of the initiative, the impact these stories have on patient-clinician relationships, and the profound moments of vulnerability, dignity, and healing that emerge from the storytelling process. We discuss the art of deep listening, the logistics of writing and sharing these narratives, and their vision for expanding this model to institutions beyond the VA. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is spon

Corey Feist, co-founder of the Dr. Lorna Breen Heroes Foundation, shares the story of his sister-in-law, Dr. Lorna Breen, a dedicated New York City emergency physician who died by suicide in the early days of the COVID-19 pandemic. Corey reflects on her passion for medicine, the shock and grief that followed her death, and the flood of messages from healthcare workers that exposed deep stigma and barriers to seeking mental health care. He describes how this outpouring sparked the creation of the foundation and the passing of the Dr. Lorna Breen Health Care Provider Protection Act, driving systemic change to better support clinicians. We also explore ongoing advocacy, progress in reforming licensing and credentialing practices, and the power of community, collaboration, and action in preserving clinician wellbeing.  Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Con

Dr. Wendy Dean, psychiatrist, writer, and co-founder of Moral Injury of Healthcare, reveals how a profit-driven healthcare system is wounding the very clinicians sworn to care for patients. Drawing from her book If I Betray These Words, Dean explains the concept of moral injury—how systemic betrayal, not personal weakness, often drives physician distress—and shares harrowing true stories of doctors punished, silenced, or even destroyed for putting patient safety first. From corporate consolidation gutting primary care to non-compete clauses that trap physicians, she exposes the forces undermining patient-first medicine and highlights the courageous clinicians fighting back through lawsuits, new care models, and bold advocacy. Find show notes, transcript, and more on our substack and website.  The Nocturnists is made possible by the California Medical Association and donations from listeners like you. This episode of Conversations is sponsored by The Physicians Foundation. 

Today, we're releasing a special bonus episode featuring Emily and our "uncertainty correspondent" Alexa Miller, in conversation with the ABIM Foundation. Together, they reflect on the key insights from creating the Uncertainty in Medicine series. Thank you to the ABIM Foundation for hosting and recording this webinar. To sign up for a webinar in the future, visit buildingtrust.org/webinars. Find show notes, transcripts, and more at thenocturnists.org, and subscribe to our substack. The "Uncertainty in Medicine" series is generously funded by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation. The Nocturnists is supported by The California Medical Association and donations from listeners like you. Host: Pamela Browner White Uncertainty Correspondent: Alexa Miller Series Illustrations by Eleni Debo

In the series finale, we explore a different type of uncertainty—the uncertainty that arises around the healthcare system itself. This episode follows Ed Stratton, a stage IV cancer patient who beat his cancer, only to be denied a life-saving liver transplant by his insurance provider. His daughter Erin, armed with industry knowledge and unshakable determination, teams up with a healthcare whistleblower and an AI-powered startup to wage an extraordinary battle for his life. We end with a quiet reflection on uncertainty, and what it means to keep going.  Find show notes, transcripts, and more at thenocturnists.org, and subscribe to our substack. The "Uncertainty in Medicine" series is generously funded by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation. The Nocturnists is supported by The California Medical Association and donations from listeners like you. Host: Emily Silverman, MD Uncertainty Correspondent: Alexa Miller Series Illustrations by Eleni Debo

What does it mean to live well in a world where nothing is certain — not in medicine, not in life? In this episode, we follow a high school teacher who asks his students to examine “the good life” through philosophy, Buddhism, and existential inquiry. We meet two women — a Buddhist monk and a disability rights advocate — who bring spiritual wisdom to the messy realities of illness, caregiving, and embodiment. Their stories, woven with reflections on impermanence, suffering, and compassion, offer a new way of thinking about uncertainty: not as something to fix, but as something to live with. Find show notes, transcripts, and more at thenocturnists.org, and subscribe to our substack. The "Uncertainty in Medicine" series is generously funded by the ABIM Foundation, by the Josiah Macy Jr. Foundation, and the Gordon & Betty Moore Foundation. The Nocturnists is supported by The California Medical Association and donations from listeners like you. Host: Emily Silverman, MD Uncertainty Correspondent: Alexa Miller