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Unstable Vitals

Unstable Vitals

By: Dr. Adam Brown and Dr. Lara Zibners
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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!

© 2025 © 2025 Unstable Vitals
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Episodes
  • Policy, Patients, and Public Service: A Conversation with Mac Deford
    Nov 4 2025

    In this episode of Unstable Vitals, we sit down with Mac Deford, former local government attorney, community advocate, and congressional candidate from South Carolina. From his time in the Coast Guard to his work in behavioral health and affordable housing, Mac has seen firsthand how policy decisions ripple through people’s lives.

    We talk about what inspired him to run for Congress, the realities of healthcare and housing access in South Carolina, and why public service still matters, even when the system feels a little… unstable.

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    49 mins
  • Why Smart Women Still Get Silenced with Alison Fragale
    Oct 7 2025

    In this episode of Unstable Vitals, Dr. Lara Zibners and Dr. Adam Brown welcome Alison Fragale, organizational psychologist, professor, and author of Likeable Badass, to talk about the science of respect, influence, and why women in leadership still face steep uphill battles.

    From trading nail files for shoes to unpacking why “likeable” and “badass” aren’t opposites, this conversation dives into how gender bias shapes pay, leadership, and culture, and what can be done to change it.

    Alison breaks down the psychology behind earning respect and why bias isn’t just a “men vs. women” problem. Lara and Adam bring it home with real-world reflections on mentorship and what it means to balance warmth and authority in a system that often rewards the opposite.

    Smart psychology, unfiltered honesty, and a little bit of chaos the Unstable Vitals way.

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    44 mins
  • Stronger Bones, Stronger Health: Rethinking Orthopedics with Dr. Jocelyn Wittstein
    Sep 30 2025

    In this episode of Unstable Vitals, hosts Dr. Adam Brown and Dr. Lara Zibners sit down with orthopedic surgeon, researcher, and author Dr. Jocelyn Wittstein. Together, they dig into an often-overlooked area of medicine: bone and joint health as the foundation for long-term wellness.

    Dr. Wittstein shares insights from her new book, The Complete Bone and Joint Health Plan, exploring why osteoporosis and arthritis are more than “aging problems” — they’re critical, preventable drivers of disability that ripple into cardiovascular health, cognitive decline, and overall quality of life. The conversation covers:

    • Why mobility is medicine and how preventing fractures protects independence.
    • The evidence (and myths) behind supplements like glucosamine, collagen, and more.
    • How proactive, cross-specialty care (from hormone therapy to strength training) can reduce complications and extend healthy years.
    • Dr. Wittstein’s journey as one of the 6% of women in orthopedics, and how her perspective shapes both her practice and her advocacy for women’s health.

    Blending humor, real-life stories, and evidence-based strategies, this episode shines a light on the connection between musculoskeletal health and the stability of our entire healthcare system.

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    56 mins
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