The Zach Highley Show: Recent Episodes

Zach Highley

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Dr. Lalitha Trivikram is a board-certified Internal Medicine physician who graduated from Penn State College of Medicine and completed her post-graduate training at the University of Michigan and New York Hospital - Cornell. She has over 20 years of experience in outpatient, inpatient, and congregate care settings, including skilled nursing, acute rehabilitation, and correctional facilities. Currently, she serves as a medical director in the Philadelphia Department of Prisons, the jail for the City of Philadelphia, which has a daily census of around 4,500 citizens and a patient population numbering nearly 18,000 individuals annually. In the spring of 2020, she stepped into public health when asked to be the lead physician in the COVID-19 response at the PDP. Under her leadership, the mortality rate from Covid has been one-tenth that of other regional jurisdictions. She is a family friend, and I had the luxury of shadowing her as an undergrad. Lalitha is a stunningly good diagnostician and a fantastic person all around.

Aug 28th

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0:00 - Intro

1:21 - Statistics About Internal Medicine

2:49 - Why is Internal Medicine?

3:41 - Why Internal Medicine?

10:32 - What was IM Residency Like?

15:05 - Differences in the Residency years

17:07 - inpatient vs outpatient

20:16 - Working as the Medical Director in the Philadelphia Jail

23:54 - An Average Day as the Medical Director

26:25 - Difference diseases/injuries found in a jail setting

32:41 - If I Give You $100 Million, What Would You Do?

34:14 - Memorable Experiences at the prison

38:37 - Thoughts about working in a prison

39:57 - prison life during COVID-19

50:06 - Best Thing About Internal Medicine

51:01 - Worst Thing About Internal Medicine

52:12 - Burning out

54:01 -Choosing between the clinic and industry

55:55 - Common myth about IM doctors

57:57 - What makes the best IM student?

1:04:40 - Characteristics of an IM student

1:05:36 - Advice to students looking into a specialty

1:06:44 - Future of Internal Medicine

1:12:31 - Any Mistakes That You Made Throughout Your Career?

1:16:16 - Closing Message

1:17:35 - Outro

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Resources

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View the Show Notes Page for This Episode for a transcript and more information: zhighley.com/podcast

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Connect With Zach

Main YouTube: @ZachHighley

Newsletter: https://zhighley.com/newsletter/

Instagram: https://www.instagram.com/zachhighley/?hl=en

Website: https://zhighley.com

Twitter: https://twitter.com/zachhighley

Linkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/

Business Inquiries: zachhighley@nebula.tv

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Listen for Free

Spotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4

Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777

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Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach a Resident Physician in Boston. Throughout these episodes, I’ll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.

The best way to help the show is to share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Here are 101 pieces of advice to myself for a better life.

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00:24 - #1. Create don’t consume

00:53 - #2. Ask for help

1:02 - #3. Surround yourself with people who excite you

1:22 - #4. Remove people from your life that drain you

1:25 - #5. Avoid lukewarm romantic relationships

1:36 - #6. Be in nature

1:49 - #7. Meditate

2:09 - #8. Have long dinners with your family

2:31 - #9. The squeaky wheel gets the oil

2:40 - #10. Take the blame and give the credit

2:46 - #11. Focus on a single task

2:58 - #12. Do a difficult task every day

3:04 - #13. Allocate 2-3 hours of uninterrupted time to personal projects

3:30 - #14. Purchase things that eliminate negatives

3:40 - #15. Put yourself in other people's shoes

4:16 - #16. Ask, "What is the incentive?"

4:45 - #17. Maintain important relationships

5:17 - #18. Think if your actions are emotional or logical

5:45 - #19. Everything can be learned

5:49 - #20. Everything can be forgotten

6:10 - #21. Everyone will die

6:14 - #22. Everyone is focused 99.99% on themselves

6:52 - #23. Everyone wants to feel important

7:16 - #24. Everyone wants to be happy

7:20 - #25. Every semi-pro wants to guide a beginner

7:45 - #26. Switch up your gym routine

8:00 - #27. Realize the difference between bad and good pains

8:29 - #28. Find the time you work best and utilize it!

9:00 - #29. If you wouldn’t replace it, throw it away

9:23 - #30. Do not be afraid to confront haters

9:52 - #31. Remember your roots

9:58 - #32. Go first!

10:09 - #33. Connect with everyone you meet

10:34 - #34. Lean in

10:57 - #35. Make your own rules and stick to them

11:34 - #36. Just start!

11:38 - #37. Apologize quickly and sincerely

11:51 - #38. Don’t let your core products expire

12:15 - #39. Stay publicly a-political

12:32 - #40. Insanity is doing the same thing over and over and expecting different results

13:05 - #41. Act like your hero

13:30 - #42. Don’t wallow in sadness

13:58 - #43. People undervalue execution and overvalue ideas

14:28 - #44. Be humble

14:38 - #45. Be real

15:19 - #46. Sharing happiness doesn't dilute it, it concentrates it

15:40 - #47. Side projects and hobbies will change your life

15:55 - #48. Never complain

16:01 - #49. Use the 80/20 rule

16:51 - #50-84

30:43 - #85. Stop listening to junk

31:03 - #86. If your backups fail, it is your fault

31:45 - #87. Put on a show, tell a story

32:48 - #88. Do one thing every day you don't want to do

33:05 - #89. Don't hire mercenaries; inspire soldiers

33:14 - #90. Your appearance matters

33:34 - #91. Always make deadlines

33:57 - #92. If you are not sleeping 6 1/2 hours, you are not sleeping

34:03 - #93. Keep your sleep optimal

34:22 - #94. Wake up and go to bed at the same time

34:27 - #95. Call customer service

34:29 - #96. Always exercise

34:34 - #97. No one likes a know-it-all

34:43 - #98. Stop complaining about your New York strip steak

34:54 - #99. The top 1% of the business runs off connections

35:01 - #100. Get 1% better every day

35:17 - #101. Everything passes

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Resources

Wait But Why - https://waitbutwhy.com/

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View the Show Notes Page for This Episode for a transcript and more information: zhighley.com/podcast

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Connect With Zach

Main YouTube: @ZachHighley

Newsletter: https://zhighley.com/newsletter/

Instagram: https://www.instagram.com/zachhighley/?hl=en

Website: https://zhighley.com

Twitter: https://twitter.com/zachhighley

Linkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/

Business Inquiries: zachhighley@nebula.tv

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Listen for Free

Spotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4

Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777

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Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach a Resident Physician in Boston. Throughout these episodes, I’ll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.

The best way to help the show is to share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Jason Han was Born and raised in South Korea until age 10. Came here with his family and attended Columbia University and Perelman School of Medicine, where he was the student body president. I'm currently a cardiac surgery resident at the Hospital of the University of Pennsylvania and the vice president of the TSRA, which is our national governing body. I'm broadly interested in communication, education, and leadership, especially concerning our patients and staff. I've written a column for the Philadelphia Inquirer for seven years and have written essays for the New England Journal of Medicine, the Journal of American College of Cardiology, and more.

July 31st

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0:00 - Intro

0:41 - Statistics About Cardiothoracic Surgery

9:03 - Managing Things Other Than Medicine

16:10 - Choosing Medicine

19:23 - What Is Cardiothoracic Surgery?

29:37 - CT Residency

33:21 - Working Hours

34:44 - Tips/Tricks to Maximize Competitiveness

40:14 - Getting Feedback From Attendings

41:24 - Symptoms of Burnout and Maintaining Happiness

46:45 - Family

47:25 - Being an Immigrant in America

52:49 - Best Thing About Cardiothoracic Surgery

54:42 - Worst Thing About Cardiothoracic Surgery

56:25 - If I Give You $100 Million, What Would You Do?

58:28 - Projects to Educate People About Surgery

1:08:19 - General Advice for People Picking Careers in Medicine

1:11:51 - Any Advice for Your Younger Self?

1:13:11 - Advice for Med Students Looking Into CT

1:17:00 - Things to Look For While Choosing a Program

1:24:42 - Characteristics of a Student for Cardiothoracic Surgery

1:28:54 - Future Career Plans

1:32:49 - Super Important Question!!!

1:35:36 - Closing Message

1:37:47 - Outro

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Resources

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View the Show Notes Page for This Episode for a transcript and more information: zhighley.com/podcast

___

Connect With Zach

Main YouTube: @ZachHighley

Newsletter: https://zhighley.com/newsletter/

Instagram: https://www.instagram.com/zachhighley/?hl=en

Website: https://zhighley.com

Twitter: https://twitter.com/zachhighley

Linkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/

Business Inquiries: zachhighley@nebula.tv

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Listen for Free

Spotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4

Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777

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Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach a Resident Physician in Boston. Throughout these episodes, I’ll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.

The best way to help the show is to share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Dr. Harkness is a Pediatrician at Nemours in Paoli. Originally from Philadelphia, and has been a hospital pediatrician in the past. He went to medical school at University of Pittsburgh and trained in Pediatric at the University of Alabama at Birmingham. He has been with my his practice for the last 31 years treating pediatric patients in the outpatient setting. Dr. Harkness was actually my pediatrician as well, and, amazingly, I had the opportunity to work under him in a 3rd year rotation last year. I’ve had experiences with many Pediatrician’s in the past and he is easily one of the best. Dr. Harkness has an amazing way of making the children and parents feel comfortable, while, of course, being an amazingly skilled diagnostician. Welcome Dr. Harkness.

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0:00 - Intro

0:57 - Statistics About Pediatrics

3:33 - Pediatricians and Stickers

5:16 - What Is Pediatrics?

6:01 - Why Pediatrics?

9:52 - What Was Pediatrics Residency Like?

16:02 - Practicing After Residency

21:26 - Being Happy as an Outpatient Pediatrician

28:51 - Average Day of a Pediatrician

29:35 - How Did COVID Change Your Practice?

32:57 - If I Give You $100 Million, What Would You Do?

36:50 - Best Thing About Being a Pediatrician

38:14 - Worst Thing About Being a Pediatrician

41:15 - Things You Wish You Knew Before Coming Into Pediatrics

44:50 - Sneaky Tips and Tricks With Kids

51:26 - Characteristics of a Student for Pediatrics

54:13 - General Advice for People Picking Careers in Medicine

58:31 - Any Mistakes That You Made Throughout Your Career/Life?

58:59 - Common Mistakes

59:53 - Positive Qualities & Characteristics

1:03:04 - Advice for Students Looking Into Pediatrics

1:04:24 - Very Important Question!

1:06:39 - Closing Message

1:09:30 - Outro

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Resources

Co-parenting Through Separation and Divorce: Putting Your Children First by David L. Hill and Jann Blackstone - https://a.co/d/5skU6ZV

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View the Show Notes Page for This Episode for transcript and more information: zhighley.com/podcast

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Connect With Zach

Main YouTube: @ZachHighley

Newsletter: https://zhighley.com/newsletter/

Instagram: https://www.instagram.com/zachhighley/?hl=en

Website: https://zhighley.com

Twitter: https://twitter.com/zachhighley

Linkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/

Business Inquiries: zachhighley@nebula.tv

___

Listen for Free

Spotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4

Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777

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Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach and I’m a medical student, and soon to be physician, in Philadelphia. Throughout these episodes I’ll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.

The best way to help the show is share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Halle grew up in Minneapolis, MN and went to undergrad at St. Olaf College, a small liberal arts school about an hour south of the Twin Cities. She went to Medical College of Wisconsin in Milwaukee, WI and ultimately matched out in Philadelphia at TJUH for my urology residency. She graduated summa cum laude from St. Olaf and was inducted into Phi Beta Kappa. In medical school she was in AOA. She studied abroad twice in undergrad and recently went on a pediatric urology medical mission trip to Amman, Jordan.

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0:00 - Intro

0:42 - Statistics About Urology

3:23 - Residency Trip to Amman, Jordan

7:58 - Why Urology?

15:10 - What Was Urology Residency Like?

21:53 - If I Give You $100 Million, What Would You Do?

23:28 - Best Things About Urology

26:29 - Worst Things About Urology

28:56 - Good and Bad Consults

30:30 - Things You Wish You Knew Before Coming Into Urology

31:19 - Common Myths About Urology

31:57 - Memorable Patient Encounters

34:36 - Advice for Students Looking Into Urology

37:28 - Maximizing Competitiveness Going Into Urology

40:32 - Were You Ever Burned Out?

42:53 - Advice to People to Have a Successful/Long-Term Career

46:11 - What Advice Would You Give Your 18-Year-Old Self?

46:53 - Common Mistakes Made by Attendings

48:38 - Positive Qualities & Characteristics Seen in Attendings

49:40 - Favorite Book Recommendation

51:23 - Closing Message

53:59 - Outro

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Resources

The Emperor of All Maladies by Siddhartha Mukherjee - https://amzn.eu/d/5llEmiM

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View the Show Notes Page for This Episode for transcript and more information: zhighley.com/podcast

___

Connect With Zach

Main YouTube: @ZachHighley

Newsletter: https://zhighley.com/newsletter/

Instagram: https://www.instagram.com/zachhighley/?hl=en

Website: https://zhighley.com

Twitter: https://twitter.com/zachhighley

Linkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/

Business Inquiries: zachhighley@nebula.tv

___

Listen for Free

Spotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4

Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777

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Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach and I’m a medical student, and soon to be physician, in Philadelphia. Throughout these episodes I’ll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.

The best way to help the show is share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Today I have the privilege of sitting down with my Dad, Ivan Gergel, again. My dad was born and raised in London where he went to medical school and became a psychiatrist. He then joined the pharmaceutical company GSK in developing new antidepressant drugs, famously some of the SSRIs we all are of course aware of today. This job took him to the US where he started our family with my Mom. Dad was responsible for the running of hundreds of clinical trials, directed R&D for various pharmaceutical companies, and personally led the development and approval of 14 new therapies such as Lexapro, Paxil, and Namenda that have had fantastic impacts on patient’s lives. He currently is working in healthcare investing with new startup drug and device companies. Today, we will be discussing alternative careers in medicine, specifically because my Dad only practiced medicine for two years before switching over to Industry.

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0:00 - Intro

0:54 - Going Into Medicine

5:37 - Specializing in Psychiatry

8:58 - Why Leave Medicine?

13:36 - Disliked Aspects of Clinical Medicine

15:55 - Transitioning From Medicine and Second Thoughts

23:54 - First Job in the Industry

29:52 - Why Go Into Pharma?

31:18 - Career Rundown in Pharma

34:08 - Key Factors in Changing Careers

35:52 - Leadership Lessons Learned by Leading 900 People

42:51 - Advice for People to Navigate the Corporate World

48:54 - Top 3 Important Decisions in Your Life?

51:27 - Considering Other Careers

53:56 - Why Change Into VC Now?

58:35 - Advice to a High School Student

1:00:52 - Common Bad Advice High School Students Receive

1:04:16 - Are MBA’s and Ph.D’s Any Useful?

1:07:57 - Characteristics of Someone Who Would Do Well in Corporations

1:11:26 - What Do You Look For in a Person While Hiring Them?

1:14:08 - Any New Life-Changing Habits in the Last 5 Years?

1:16:15 - Closing Message

1:18:00 - Outro

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View the Show Notes Page for This Episode for transcript and more information: zhighley.com/podcast

___

Connect With Zach

Main YouTube: @ZachHighley

Newsletter: https://zhighley.com/newsletter/

Instagram: https://www.instagram.com/zachhighley/?hl=en

Website: https://zhighley.com

Twitter: https://twitter.com/zachhighley

Linkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/

Business Inquiries: zachhighley@nebula.tv

___

Listen for Free

Spotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4

Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777

___

Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach and I’m a medical student, and soon to be physician, in Philadelphia. Throughout these episodes I’ll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.

The best way to help the show is share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.