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!
Why does almost nobody talk about how hard it can be to get pregnant?
Dr. Lara Zibners and Dr. Adam Brown are joined by Audrey Ward, a former Sunday Times writer and editor and the author of The Waiting Room: Stories of Love, Loss, and Hope on the Path to Parenthood. Audrey went through recurrent miscarriage and failed rounds of IVF before she had her two sons. For the book, she gathered stories from people aged 28 to 68 who took every possible route: IVF, egg donation, surrogacy, adoption, and choosing a life without children.
In this episode:
- Why men rarely talk about infertility, even though a large share of fertility problems start on the male side
- How clinical language like ”spontaneous abortion” and ”incompetent cervix” makes a hard moment worse, and what doctors can do better
- The economics of fertility care: add-ons with little evidence behind them, prepaid IVF packages, private equity, and money as the thing that decides who gets options
- Egg freezing sold as an ”insurance policy”
- What to say, and what not to say, when someone tells you they're struggling to conceive
- Audrey's view on what would stabilize the system, from fertility education in schools to investigating miscarriage sooner
Content note: This episode discusses infertility, miscarriage, and pregnancy loss.

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