Unstable Vitals
Unstable Vitals
Podcast Description
Welcome to Unstable Vitals, where healthcare experts Dr. Adam Brown and Dr. Lara Zibners navigate the ever-evolving healthcare landscape. Adam, an emergency physician, professor, and founder of ABIG Health, brings a wealth of leadership experience and expertise in healthcare strategy and DEI. Lara, a nationally recognized educator and co-founder of Calla Lily Clinical Care, combines clinical insights with business expertise to address the industry's most pressing challenges.In each episode, Adam and Lara break down complex topics, offering practical insights and clarity in the often unstable world of healthcare. From policy shifts to healthcare economics, they provide the knowledge you need to navigate today's healthcare system.Tune in for fresh perspectives, expert analysis, and a dose of reality in every episode!
Podcast Insights
Content Themes
The podcast focuses on themes such as healthcare policy, economics, and clinical practices, offering episodes that tackle topics like moral injury in medicine, the impact of public service layoffs, and insights from both the U.S. and U.K. healthcare systems.

Welcome to Unstable Vitals, where healthcare experts Dr. Adam Brown and Dr. Lara Zibners navigate the ever-evolving healthcare landscape. Adam, an emergency physician, professor, and founder of ABIG Health, brings a wealth of leadership experience and expertise in healthcare strategy and DEI. Lara, a nationally recognized educator and co-founder of Calla Lily Clinical Care, combines clinical insights with business expertise to address the industry’s most pressing challenges.
In each episode, Adam and Lara break down complex topics, offering practical insights and clarity in the often unstable world of healthcare. From policy shifts to healthcare economics, they provide the knowledge you need to navigate today’s healthcare system.
Tune in for fresh perspectives, expert analysis, and a dose of reality in every episode!
Dr. Adam Brown and Dr. Lara Zibners sit down with Allison Komiyama, PhD, RAC, former FDA reviewer, founder of Bluestocking Health, and self-proclaimed ”med tech hype woman”, to demystify what actually happens when a medical device tries to reach patients.
Allison breaks down PMA pathways, why ”the FDA is the big bad hurdle” is only half the story, and why getting cleared is often just the starting line: insurers won't pay, hospitals won't adopt, and promising life-saving tech can quietly shut down within a year.
They dig into AI's real (and overhyped) role in medical devices, why 8 of the last 10 drugs pulled from FDA clearance failed women specifically, and how the same inequality showing up in clinical trials shows up in art museums too.
Plus: summer camp chaos, killer houseplants, and why everyone needs a ”food distribution engineer.”

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