Join host Nicholas O. Biasotto, DO, and special guest Shachi Patel, MD, Executive Medical Director of Delmarva Pain & Spine Center, for an engaging conversation about chronic and acute pain—what pain really is, how pain signals work, and why treatment isn’t one-size-fits-all. Explore different types of pain, the Gate Control System, TENS therapy, opioids, ketamine, and other treatment options.

Dr. Patel also shares real patient cases, common pain conditions, and newer approaches that are changing how pain is managed.

What causes pain—and what can we do when it won’t go away? Tune in to find out!

Delaware Health Care Reality – Episode 49

October is Breast Cancer Awareness Month, making it the perfect time for an important conversation about breast cancer—what we know today and what’s changing for the future.

Join Delaware Health Care Reality host Nicholas O. Biasotto, DO, and Renee Quarterman, MD, FACS, Surgical Breast Oncologist, as they discuss breast cancer trends, risk factors, prevention, screening, and treatment.

Hear about advances in mammography and MRI, the growing role of AI-assisted screening, genetic mutations and testing, and what terms such as estrogen receptor, progesterone receptor, and HER2 mean for treatment. Dr. Quarterman also explores potential contributors to rising breast cancer rates and the technologies that may shape the future of detection and care.

Delaware Health Care Reality — Episode 48

Join host Nicholas O. Biasotto, DO, and special guest Christina Fannin, Marketing Manager with BAYADA Hospice, for an informative and compassionate conversation that helps take the mystery out of hospice care.

Learn who qualifies for hospice, the services available to patients and families, who oversees care, where hospice services can be provided, insurance coverage, and when it may be time to reach out for support. Christina also addresses common misconceptions about hospice and explains the many ways hospice can provide comfort, guidance, and support to patients and their loved ones during a difficult time.

Whether you are a patient, caregiver, family member, or health care professional, this episode offers valuable information everyone should know about hospice care.

When should women consider hormone therapy? Is it safe? And what treatment options are available today?

Join host Nicholas O. Biasotto, DO, and Nancy Fan, MD, OB/GYN, and MSD Past President, for an informative conversation about perimenopause, menopause, and hormone therapy.

Dr. Fan discusses the latest questions surrounding Hormone Replacement Therapy (HRT), including risks and side effects, newer treatment options, bioidentical versus conventional hormones, bioequivalence, dyspareunia, alternatives to HRT, and who may, or may not be a candidate for treatment. They also discuss when women should begin the conversation and which health care professionals should be part of the decision-making process. Whether you're experiencing symptoms, approaching menopause, or simply want to understand today's options, this is a conversation worth hearing.

Disclaimer: Dr. Fan is speaking solely on her own behalf and not on behalf of any other organization or product. Her comments and opinions do not constitute an endorsement of any specific product, medication, or treatment.

Join host Nicholas O. Biasotto, DO, and special guest Richard W. Henderson, MD, FACOG, Chair of the Medical Society of Delaware Government Affairs Committee and MSD Past President, for an engaging recap of the year's most significant health care legislation. From health care rebalancing and prior authorization reform to scope of practice, mental health parity, credentialing improvements, charity care billing, and more, Recorded during the 2026 legislative session, this episode examines the major health care bills under debate at the time and the potential impact they could have on physicians, patients, and health care delivery in Delaware. This episode offers valuable insights into the laws and policies shaping patient care across the First State.

Join Nicholas O. Biasotto, DO, as he talks with Rama Peri, MD, PhD, Medical Director, The Rosa Health Center, about providing life-changing care to uninsured patients of all ages. Then, hear from Cynthia A. Heldt, MD, FACP, retired general internist, about volunteering at Wilmington’s Sunday Breakfast Mission, where a small team of doctors care for hundreds of men, women, and children experiencing homelessness. Dr. Heldt notes that their program is Christian faith based and works on the principal that the treatment of addiction requires dependence on a merciful God. Stories of compassion, innovation, and health care in action await — don’t miss it!

Donations can be made to the Sunday Breakfast Mission or the Delaware Foundation for Medical Services. Please check with the mission prior to donating supplies. Volunteers gratefully accepted- email Kelley Rivera, RN, lead nurse at Kelley.rivera@gmail.com.

Join host Nicholas O. Biasotto, DO, and Shannon Lotus Ashley, MD, Senior Preventive Medicine physician at Prenuvo, for an eye-opening discussion on Prenuvo’s full-body MRI screening. Explore what these scans can and cannot detect, who may benefit most, and the advantages and limitations, including early detection, peace of mind, cost, false positives, false negatives, and image resolution. Whether you're simply curious or considering a full-body MRI, this conversation provides practical insights and a compelling real-life success story.

Join host Nicholas O. Biasotto with special guests Robin E. Miller, MD, Director of the Sickle Cell Disease Program and Emi Caywood, MD, Director of Transplant and Cellular Therapy, both from Nemours Children’s Health in Delaware, for a fascinating conversation exploring the discovery of DNA, the science behind Sickle Cell Disease, and the groundbreaking advances transforming its treatment.

Together, they discuss how genetic changes lead to disease, the challenges of current therapies, and the promise of emerging treatments like gene therapy and CRISPR-Cas9 gene editing innovations that may allow scientists to address genetic conditions at their source. Discover how these advances are creating new hope for individuals living with Sickle Cell Disease and how breakthroughs in genetic medicine could shape the future of health care for many other conditions.