The Student Leader: Michael Walls, DO, MPH

Michael is the National President of AMSA and a recent graduate of Touro University, California. He joined AMSA in 2014 as a premed at Cal Poly SLO and first got involved nationally on the Health Policy Team in 2017. Michael was drawn to AMSA because of its dedication to creating physician-leaders and for its long history of advocacy, not just for future physicians, but for its dedication to creating equitable access to healthcare for patients. Michael has strong personal interests in healthcare access, medical education
reform, treating substance use disorder, and making change through systemic policy change. He will be applying for Emergency Medicine Residency this year. He is currently living in Connecticut and enjoys rock climbing, home-brewing beer, and hiking with his fiancé and two dogs.

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Dr. Walls’ Prescription for Success:

Number 1: Continue to enjoy your life.

Number 2: Don’t second guess yourself.

Connect with Dr. Walls

Website: amsa.org
Email: pres@amsa.org
Twitter: @mijwalls

Notable quotes from Dr. Walls’ interview:

[We are] continuing to build back a community of medical students.

Our biggest priority has been around reproductive health.

We are doing a lot of patient-focused advocacy, but also trying to keep up with advocating for medical students as well.

Whatever we decide is what AMSA stands for.


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Access the Show Transcript Here

Transcript

[0:00] But yeah, I definitely want to stay involved and just trying to help guide the sort of next generation of future physicians, but also of AMSA leaders into like what a successful AMSA looks like.

[0:12] And helping them with their advocacy and bird dogging and talking to lobbyists and trying to serve as sort of that mentor for what AMSA stands for.

[0:23] Music.

[0:28] Paging Dr. Cook. Paging Dr. Cook. Dr. Cook, you’re wanted in the OR. Dr. Cook, you’re.

[0:35] Music.

[0:59] Welcome to the Prescription for Success podcast with your host, Dr. Randy Cook. Hello everyone and welcome to Prescription for Success. I’m Dr. Randy Cook, your host for the podcast, which is a production of MD Coaches, providing
leadership and executive coaching for physicians by physicians. To overcome burnout, transition your career, develop as a leader or whatever your goal might be, visit MD Coaches on the web,
at MyMDCoaches.com because you’re not in this alone. And don’t forget that CME credit is available when you listen with us. Just look for CMFI in the show notes to learn how.

[1:37] My guest today just finished medical school only a few months ago, but he’s already established himself as a leader by serving as the president of the American Medical Student Association. So let’s.

[1:50] Hear my conversation with Dr. Michael Walls. Well, I’m really looking forward to my conversation today with Dr. Michael Walz, who has just recently finished his medical school training,
and we’re going to be talking about his involvement in the American Student Medical Association.
Michael, thank you so much for being here. I’m looking forward to the conversation.

[2:24] Hi, thanks for having me. I’m looking forward to it as well. Well, as is always the case on this podcast, we like to start with the beginnings. So, tell us about the beginnings of your interest in medicine. How did that come about?
Yeah. So, I grew up in San Jose, California from the whole time I was alive. My mom was an ICU nurse for a long time and a few years ago switched to palliative care. So, I sort of always grew up,
hearing her stories from the ICU over dinner, which I was very interested in. My younger sister very much was not. She ended up playing English. And then my dad, I want to say when I was in
middle school, went back to school and became a respiratory therapist. So I sort of always had that exposure to medicine and hearing their stories. And I think my, you know, little five
year old Michael heard that they worked in a hospital and just kind of lumped it all into their doctors. Obviously that is not the case, but since I was growing up, I always wanted to be a
doctor. And then as I went through high school and got really interested in math and science and into college, I majored in biochemistry. And so I sort of always maintained that level of interest in science and in particular like biology and biochemistry and how the body works. And then.

[3:38] Reinforcing that with my parents’ perspective on how they’re able to use science and working with with people on a daily basis, really reinforce all of that.
So I never had that aha moment that I think a lot of people in this profession have.
It was one of those things that it was just everything sort of lined up and I just sort of gradually checked off all the boxes of like, yep, this meets my criteria for science and working with people and the schedule is not too bad most of the time.
So it was a lot of things, but it was primarily my parents that really got me into medicine.

[4:11] Well, that was a good source of feedback for you, I’m sure. Oh, absolutely.
I have no doubt that you all had that conversation about, are you sure this is what you want to do? And you know it’s probably going to be a little different than what you expected.
Did you have those chats from time to time? I think so. I think my mom especially was always Thanks for watching!
She was always amazed by all of the doctors that she worked with and you know, she doesn’t give herself enough credit of course, but Yeah, so she had always sort of connected me with some of the physicians that she worked with and same with my dad They were some of the people that I was able to shadow mostly through college,
And so there was a lot of like hearing all of the you know, not so great parts of medical school and of medicine in general But I think what I what I got from most people was that as hard as it is and as hard as you know.

[5:05] Treating the patient who can’t afford their medication can be and sort of all of the more depressing parts of medicine. I think everyone was for the most part
pretty encouraging and enjoyed their job, enjoyed working with patients and really just showed that dedication to helping people that I think sort of maintained that even though it’s not a perfect profession that it’s still a good profession you can really make a difference. Yeah so you get yourself,
enrolled in undergraduate school at California Polytechnic in San Luis Obispo,
and did everything go fairly smoothly? Were there ever any temptations to.

[5:44] Change your mind at all? I’m sure there were not too many I think everything for the most part was somewhere in that science and health realm. I got really I
was one of the the weird kids and interested in organic chemistry and I really enjoyed that. So I briefly considered doing some organic chemistry, medicinal chemistry
research and going a little bit more on the PhD route. I still doubt I remember very much of it, but I still enjoyed organic chemistry and sort of that putting those pieces together.

[6:14] And so with that, I did consider a little bit, I considered the MD-PhD, but I think That was a little too much school for me.

[6:21] But then you actually got very seriously involved with the American Student Medical Association. I’m going to go ahead and call it AMSA if you think that’s okay for the audience. Oh, absolutely. We call it AMSA. American Student Medical Association is a mouthful.

[6:36] But you got involved with that very early. And I really want to hear more about that. And I can tell you a little bit about my understanding of AMSA literally 50 years ago.
But how did you happen to become connected with that organization? So yeah, I first got involved with AMSA my first probably month of undergrad at Cal Poly.
At Cal Poly, it was really just the pre-med club on campus and so I sort of joined as a, you know, how do I get into medical school? What is this process? When do I need to take the MCAT and how do I apply? And sort of really just trying to understand that whole process.
And so for most of my undergrad that was sort of how I used it was just like hearing from physicians about the different specialties and more of just.

[7:27] Like is this the right fit for me and then my third year at Cal Poly I went to the AMSA convention which happens every year and that year in 2017 it was in
Washington DC and the first day of the convention is what we call advocacy day where we’ll spend, we’ll take a whole day, we’ll take the morning to teach medical students and pre-meds about how to talk to legislators, talk about whatever bills are at the forefront at the time, which in 2017 was around the Affordable Care Act.
And then they’ll set up meetings and sort of send people off to talk to their legislators about whatever the bill was, which, like I said, was that year was the ACA. And so that first year, I of course had no idea what I was doing.
I didn’t know how to talk to the legislators, but I thought that was one of the coolest experiences I had had up to that point.

[8:20] I think that first year I talked to like Diane Feinstein’s office and Anna Hsu, not them explicitly, but their staffers, of course.
And so yeah, especially as an undergraduate student, I thought that was one of the coolest experiences and then the rest of the conference really enforced, reinforced what AMSA is on a national level. I love all the people. I love the networking.
I love just sort of like meeting medical students and premeds from all around the country.
I loved what AMSA stood for and how like throughout this conference we learned about the overlap and how you can use public health and policy.
And integrate that with patient care and sort of how well, how you can blend those all together to not just treat the patient right in front of you, but also to take their experiences and bring them to the public policy side and really make a difference on a larger scale.
And I thought all of that was just so cool and that coupled with the community, it was, I mean, that really sold me. And so I started applying for some of the national leadership
positions. I actually, funny enough, didn’t get any of them initially. And then someone I had met at AMSA Facebook message me and was like, Hey, a couple of these spots opened up. Do you want one of them? And I jumped all over it. So you actually had an interest in getting involved.

[9:37] With leadership at the very beginning and, and no surprise since your interest started in your undergraduate. Yeah, I don’t know that I had fully planned on it. I mean, I was the chapter president,
So I was interested to an extent, but I don’t think I understood how important public health and policy were and have continued to be for me until I really got involved with AMSA. So it was
a little bit of on a whim, I’m going to be the pre-med that’s on national leadership and it’s worked out and I’ve been with AMSA ever since. Hi, I’m Rhonda Crowe, founder and CEO
for MD coaches. Here on RX for Success, we interview a lot of great medical professionals,
on how they grew their careers, how they overcame challenges, and how they handle day-to-day work.

[10:32] I really hope you’re getting a lot of great information. But if you’re looking for an answer to a specific problem, management or administration challenge, or if you’re feeling just a bit burnt out,
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[11:02] Get the support you need today. Visit us at MyMDCoaches.com to schedule your complimentary consultation. Again, that’s MyMDCoaches.com because you’re not in this alone.

[11:19] We’ll get back to our interview in just a moment. But right now I want to tell you a little bit about Physician Outlook.
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[12:22] And now let’s get back to today’s interview.

[12:29] That’s a fascinating story. And so you’re right, you’re sort of in the midst of your term as president, is that correct? Yeah, I’m almost exactly halfway through.
Yeah. And tell me about what you hope to accomplish and are you on schedule? How’s all that going?

[12:50] I don’t know if we’re on schedule because there’s always something new that we want to accomplish. I think the biggest thing is continuing to build that community of medical students.

[13:00] Especially coming out of the pandemic. I think it’s been, well, I know it’s been very difficult for medical students to sort of build those connections. So we’re really trying to,
reinforce those and sort of bring back the connectedness that AMSA really brought, especially pre-pandemic. In terms of our sort of more political agenda, we’ve been doing a lot of
of work probably, or not probably, our biggest priority has been around reproductive health for obvious reasons. We have a grant that allows us to do quite a bit of work in that space or doing things like manual vacuum aspiration trainings where we can send medical schools the kit and then they can do them at their school, usually through the AMSA chapter,
working with legislators and teaching medical students about leadership and the importance of advocating for your patients inside and outside of the clinic.
So reproductive health has been our biggest issue.

[13:54] As for where we are in that agenda, I could not tell you any more than anyone else can. But outside of that, we’ve been doing a lot of work.
We’re working on a medical education scorecard where we’re surveying medical students to figure out how well their schools are actually teaching some of the things that are not necessarily on step one or level one.
Things like the social determinants of health, how well they’re teaching the socioeconomic impact and being able to treat patients that can’t afford their medications, how other schools targeting wellness and sort of trying to get an all encompassing like here’s how well a school’s,
doing on each of these individual categories, both to provide the school some feedback as well as for pre-meds who are applying if they’re saying I’m going to medical school specifically to be a
dermatologist for black patients so I really want to ensure that whatever school I go to teaches that well, they can use this sort of as that as that guide. We did a lot of work around the build,
back better in the Inflation Reduction Act, which even though it wasn’t everything we had hoped for, the passage of the Inflation Reduction Act was was really exciting for us at AMSA.

[14:59] So we’re sort of all over the place. We do a lot of patient-focused advocacy, but we’re also trying to keep up with all of our advocating for medical students too. And I’m also interested to know, and again, when I was a medical student, we were aware that AMSA existed.
However, it was my years in medical school were almost contemporaneous with the separation of AMSA from the American Medical Association.
Yeah.

[15:33] And I wonder if you’d like to tell us a little bit about that history, how AMSA became an independent organization. Have you got the data on that?
We’d be delighted to hear it.
Yeah, so I don’t know that I have all of the specific details, but I have a pretty good idea considering I wasn’t there.
But yeah, so AMSA was founded in 1950, essentially as the student section of the AMA.
And over the next 18 or so years, we established both the financial and then eventually a philosophical separation from the AMA.
And so it was 1967, 1968, where that separation became official.
And for about seven years, I believe, we were actually SAMA, the Student American Medical Association, and then changed our name to AMSA, American Medical Student Association. So those are sort of switched the letters around.
And so it was primarily because of philosophical reasons, especially during the civil rights movement.
And so since 1968, we’ve been 100% medical student run and have continued to advocate for medical students, which is really cool, because it allows us to, you know, we can.

[16:51] If we want to make a policy, any medical student member, or pre-med member, can submit a resolution for what they believe AMSA should stand for, and then that guides all of our education and advocacy moving forward. And we don’t need to rely on anyone else to also approve that.
Whatever we decide is what AMSA stands for. And if you were asked, because I’m going to ask you, I guess. How do you consider the relationship between AMSA and the AMA to function today?
Yeah, I mean, I think we do work with a lot of the other student organizations, including the, in particular, the student section of the AMA. I don’t think there’s any animosity or anything there. I think for the most part, we’ve worked well together. We have worked together on a few different issues and have been particularly on reproductive health.
And of course, a lot of times we’re in the same decision making spaces as the AMA. So there’s never really any animosity.
We don’t always see eye to eye, but for the most part, we try and work together as best we can. Okay. I’m going to frame the question a little bit differently.
I’m going to go out on a limb and try to speak for a lot of people in my generation who became very disenchanted with the American Medical Association a very long time ago.

[18:19] And as I mentioned, it literally has been a half century since I was in medical school and even when I got into practice.

[18:28] Most of my colleagues in the private practice world Felt like the AMA was really not doing much for them. Yes.
I mean, how does AMSA feel about that? How does AMSA feel about the AMA? I guess is what I’m going trying to ask you Yeah, I mean I think um.

[18:45] With the AMA’s history has not always been the best and there are still times where I think they they tend to lag behind I think one of the the biggest examples would be that their student section had voted to approve.

[18:59] That their AMA’s official stance should be the supporting the single-payer system And the general body of the AMA has not adopted that which is also something that that AMSA believes in so I.

[19:12] Think for a long time you’re right the AMA did not always stand on the right side of of the history of healthcare and there are a number of examples to point to, but I think,
especially in the last few years, they’ve really made a significant impact to trying addressing some of the like, making sure that social determinants of health are important and taught and really trying to branch out and make sure that they’re advocating for,
improved patient care and not always for the interests of physicians exclusively. But I.

[19:45] I do think AMSA tends to take a much more progressive stance.
Not I think, we do tend to take a much more progressive stance on the majority of issues compared to the AMA.
And I thought I heard you say or imply that the AMA actually has a student component that’s different from AMSA. Is that?
That’s correct. Fill me in on that. How does that work?

[20:10] Yeah, so they have their own student section. I believe they created or essentially like recreated that once we changed our name in 1975.
And it runs essentially as its own branch. They do put on their own initiatives.
I’ve worked with the chairs in various committees within the AMA student section, but they are technically separate.
And anytime the student section has their house of delegates and they’ll vote, for example, to say, we think the AMA should stand for a single payer system, And then it has to go to the general body and the general body would then vote on any of those policies.
And that’s one example that I know of that the student section voted on, I don’t know how long ago at this point, that the general AMA has not yet adopted.
So they sort of have to answer to the broader AMA. Sure.

[21:02] And so your day-to-day life now and throughout the remainder of your term as president, what is that like?
You do a lot of traveling or presenting or I’m sure you’re involved in a lot of publicity but give us a little picture of what that’s like for you.
Yeah, it’s a little bit of everything, to be honest. So the president used to be exclusively in DC or in the DMV area and would very often go to Capitol Hill and talk to legislators and going from room to room and seeing open.

[21:39] Doors and popping their heads in.
Obviously, that’s especially since COVID is not so much a thing anymore. So the last few presidents have been primarily virtual.
And I’m continuing to be virtual, but I do do a fair amount of traveling. So I’ve gone to DC in my, I guess, seven months now, as president gone to DC, maybe a dozen
or so times and still get a fair amount of invitations to talk to legislators or go to events at the White House type of thing that are really exciting.

[22:15] It, it’s a little bit of a drive, but not not too bad. And then yeah, a lot of traveling for conferences. So actually,
the last this month of November, I went from the APHA American Public Health Association conference to the WMC
conference. So I was traveling around from Boston home for a day to Nashville and then home for a little bit. And so going
to conferences and occasionally doing some presentations, I did like a presentation at FMAC, which is the family, family
Medicine Education Consortium that was in DC. So it’s a fair amount of travel. Most of the meetings or most most of my days, I mean, are working with our local chapters. I also am the chair of the
Board of Trustees, which is all medical students with a resident and a premed mixed in that sort of run the governance of the organization. And so we’ll one of our big projects recently has been
like working on our strategic plan and sort of trying to guide generally what direction we want want the organization to go in. So it’s a little bit of that governance, a little bit of public speaking, a fair amount of writing. I was working on this morning was on an op ed.

[23:26] And then, you know, putting out statements on behalf of AMSA when when key issues in the media come up. So it’s really all over the place. But it’s I mean, it’s a lot of fun. I get to talk to a lot of really cool people meet a lot of interesting chapters. Yeah, it’s been it’s been great.

[23:44] Have you got like a short list of things that you hoped that you would be able to accomplish during your term or are you playing it shooting from the hip?
A little bit shooting from the hip. I think I came into the year, you know, we’re going to get better salaries for residents and we’re going to get the Build Back Better Pass and we’re going to protect reproductive rights and I think to a limited degree, some of those have happened,
some of those have not. So it’s a little bit of being able to adapt quickly, especially in the,
political realm of just adapting to what’s happening at the time. So when the Dobbs decision hit.

[24:23] We did a lot of like I was in DC for the protests, we tried to do as much as we could through our reproductive health grant, and just trying to educate and make sure that medical students were
still getting the education they deserve through their medical schools. And that’s still something that we’ve been working on quite a bit, but a lot of it is just being able to adapt to the political climate at the time, which seems to vary almost weekly at this point.
Yeah, it really does. So let’s talk about what’s next for you. My understanding is you have an interest in emergency medicine, is that right?
That’s correct. I’m applying to emergency medicine residency right now. And any particular place that you would prefer to be doing that training?
Not too picky. little bit focused mostly on the coasts. So being from California, I have a fair amount in California. I’m currently living in Connecticut. So I have some Massachusetts, Rhode Island,
Connecticut, New York, Jersey, like sort of trickling all the way down to like the DC area.
And then my fiance who’s also applying is from Florida. So we have a little bit in Florida scattered in there. So all over the place, but mostly on the coast. So are you thinking once,
residency is behind you, is it likely to be private practice or do you have any aspirations to be a professor somewhere?

[25:40] More than likely it’ll just be working in any old emergency department. I have considered academic medicine, I think more important for me is just the demographic of the patients that the hospital serves.

[25:53] So there are some academic centers that do that really well and others not quite as well. So I do really enjoy teaching.
Most of my jobs through like college and high school were tutoring jobs. So I really enjoy teaching and wouldn’t be opposed to that more academic medicine.
But I’m mostly focused on sort of what patient population I want to treat, which is the generally more vulnerable populations.

[26:20] So I think probably the thing that I’m really interesting in learning from you right now is once you get into that territory,
once you’re in your true professional setting where you’re dedicated to being emergency room physician.
Do you expect to maintain a connection with AMSA? Oh, absolutely.
Yeah, we have a lot of our alumni that stay very closely entwined. So I had alluded to earlier that our Board of Trustees has one, our graduate trustee who’s a resident this year.
Her name is Avanti Javira. She’s a family physician at University of North Carolina or a resident, I should say. So she stays heavily involved and then we also have a board of foundations that sort
of guides or a little bit advises the association side and a lot of them are, I think there’s like four former AMSA presidents and then a couple who were national leaders who stay involved quite intimately actually.
But yeah, I definitely want to stay involved and just trying to help guide the sort of next generation of future physicians but also of AMSA leaders into like what a successful
AMSA looks like and helping them with their advocacy and bird dogging and talking to lobbyists and trying to serve as sort of that mentor for what AMSA stands for.

[27:44] Well, I’m not at all surprised to hear that. And I’m really glad to hear that.

[27:51] Those that are going to come behind you are going to be in serious need of guidance, as I’m sure you’re already aware. Yes. And it’s good to know that people like you and AMSA will be there.
Michael, I’ve really enjoyed the conversation up to this point, but what I’d like to do now is what we came here for, and that is hear from you. Hear what you got on your mind.
And I’m going to close my mic and audience. Dr. Michael Walz is going to share his personal prescriptions for success.

[28:19] Yeah. Thank you so much, Randy. I really enjoyed this conversation as well. I think for my prescriptions for success, I think there are a number of different things that I thought about as I was sort of preparing for this.
And I think some of the biggest things that struck me were really making sure that you’re identifying the people who have gone through what you’ve been, what you’re going through.
So whether that’s going through the medical school applications or residency applications and talking to those. For me, I found it most helpful to talk to the people who were just a few years ahead of me. So when I was applying to medical school, those were the people who,
were in medical school. And while I’m applying to residency right now, talking to people who are current residents and you know, you’re going to get a lot of advice from a lot of different people and some of it’s going to be good and some of it’s going to be bad.
And you’re really not going to know which is which until you’ve tried it. And so I tell this to students when they’re starting medical school and trying to figure out how best to study is that you know advice doesn’t doesn’t fit everyone.
Somebody what worked for one person is not gonna work for the next person and so really trying to get your advice from a number of different people and sort of taking it all with a grain of salt but saying you know based off of my personality or what’s worked for me in the past I think this is what’s gonna be the best approach for me and then being able to adapt so taking that like you.

[29:41] Know, if you tried tried one way of studying and it really didn’t work, then then trying what what someone else suggested. But I think it’s it’s difficult to sort of filter through the amount of advice you get, especially in health care, because so many people are want to help you, which is not a problem,
but it can make it difficult and at times overwhelming. So making sure to take all that into consideration, but ultimately, you need to decide what’s.
What’s best for you. But with that, of course, being said, there are a couple things that I will say that worked for me.
The first one is just continuing to enjoy your life and having fun.
Medicine, and I fell into this trap, has a tendency to sit at home and study and make sure that we’re getting good grades so we can get where we want to.
But if you’re not happy with your life, then none of the prestige and none of the, what school you went to really matters at all.
And then the second one is just don’t.

[30:34] Second guess yourself, I noticed myself doing that a lot of, you know, whether or not I was qualified or whether or not I should participate in this research that sounds really cool, but it’s like, I don’t know if I have the time, but every single time to to date so far that I’ve decided that to commit when I was on on the fence, it’s ended up working out for me. even applying to or running to be the AMSA president
was something that I considered for a really long time and was sort of on the fence.
And then when I finally decided like, no, this is, I need to just commit and do it,
has ended up being definitely the best decision I’ve made for my professional career, but also from a personal perspective, I’ve really enjoyed working with AMSA and being able to do this full time and talk to medical students.
So I mean, really, I think the only thing I should have been asking myself is whether or not this decision was gonna make my life better, either whether that’s personally of whether it’ll make me happier now or in the future, or if it’s gonna help me accomplish a personal goal of mine.
If I’d been thinking with that frame of mind several years ago, it would have saved me a lot of second guessing and a lot of time, but I think that’s really important to setting your priorities and then not second guessing yourself when you get to making those difficult decisions.
But I think those are my prescriptions for success.

[31:55] Well, Michael, it looks like you’ve accumulated a good bit of wisdom in your brief years, and I really appreciate you being here to share that with us. It was really good of you to take the time.
Before we go, I want to give you an opportunity to tell our audience where you can be found. So if you have email addresses or Twitter handles websites or whatever you’d like to share, please do.
Absolutely. So our the AMSA website is amsa.org just amsa.org. You’re always welcome or able to reach me or any presidents that come after me at prez at amsa.org that’s P R E s at amsa.org. which keeps it pretty easy. All of our AMSA social media are at,
AMSA National and then if anyone’s interested in following me personally I’m mostly on Twitter at M I J Walls, W A L L S and I look forward to
answering any questions that come out of that. Dr. Michael Walls, it’s been a pleasure talking to you today and thanks again for being on Prescription for success. Of course. Thank you so much, Randy.

[33:07] Thank you so much for joining us today. We’d be most grateful if you’d leave us a five-star rating. That gives our podcast much more visibility and it helps us reach many more listeners.
Exclusive content is available on our Patreon page, including membership-only material like personal rapid-fire Q&A sessions with our guests. To be sure you never miss an episode,
visit our website at rxforsuccesspodcast.com to subscribe, and while you’re there, learn how to get CME credit from CMFI just by listening. Special thanks to Ryan Jones, who created and performs our,
theme music, and also to Craig Claussen of Claussen Solutions Group, who edits the show.
And remember, be sure to fill your prescription for success with my next episode.

[33:57] Music.
about your experiences working the holidays as a healthcare professional.

[0:13] So please, share your stories with us, tell us what you’ve learned, and you might just be featured in a very special RX4Success holiday episode.

[0:24] Visit rxforsuccesspodcast.com forward slash contact hyphen us that’s where you can leave us an email or a voice message we’d really like to hear from you so do.

[0:32] Music.

[0:46] Paging Dr. Cook. Paging Dr. Cook. Dr. Cook, you’re wanted in the OR. Dr. Cook, you’re wanted in the OR.

[0:57] Music.

[1:18] Welcome to the Prescription for Success podcast with your host, Dr. Randy Cook. Hello everyone and welcome to Prescription for Success. I’m Dr. Randy Cook, your host for the podcast, which is a production of MD Coaches,
providing leadership and executive coaching for physicians by physicians.
To overcome burnout, transition your career, develop as a leader or whatever your goal might be, visit MD Coaches on the web at mymdcoaches.com because you’re not in this alone.
And don’t forget, CME credit is available when you listen with us, just look for CMFI in the show notes to learn how.
My guest today had a lengthy and distinguished career as a podiatric physician and surgeon, both in private practice and in academia.

[2:06] More recently, he’s pivoted to industry and applied his skills to development of products and devices for wound healing, limb preservation, and orthopedics.

[2:16] So let’s hear my conversation with Dr. Stephen Kavros.

[2:24] One of the things that I really enjoy about doing this podcast is that I get to talk to some really brilliant people and get deeply down into their brain.
And I’m going to do exactly that today. But in addition to that, I’m going to get to talk to an old friend. So that makes this episode especially enjoyable for me.
I hope so. For our guest, Dr. Stephen Kavros, thank you so much for being with us today. It’s great to talk to you again.
Thank you, Randy. It is an absolute honor and a privilege and a pleasure to be discussing our mutual interests that we’ve had in the past.
Well, let’s do exactly that. Let’s have a conversation in which I intend to learn some things about you that I never knew. And I like to start at the beginning, as most of our listeners know and understand you were born in New York, is that right?
Correct. And did you’re growing up there? Early on, I was born in New York City, affectionately known as the Big Apple.
I am a product of a generation called the Baby Boomers. I’m sure you’re aware of them, right?
Yeah, welcome to the club. Welcome to the club.

[3:41] So, yeah, about 10 years after the completion of World War II, I was brought into this world. I started in one of the boroughs of New York City called Queens, five boroughs in New York.
Queens is one of them. And about a year after that, my parents built a home in Long Island in Nassau County, which is not very, very far from the five boroughs in New York.
And I spent my first five years there in New York City. My core family, grandparents, aunts, uncles, cousins, 99.9% of them were in New York City.
So my dad moved out of the city. My grandparents thought he left the world, but only went probably 10 miles away. And again, I spent my first five years on Long Island.

[4:35] And then as a kindergarten transfer, we, our family, picked up and I moved to southern New Jersey just adjacent to Philadelphia.
So that’s really where I grew up. From halfway through kindergarten all the way through high school, I attended that school system in New Jersey, southern New Jersey.
And it was quite an excellent education, excellent time.
I guess you probably know I’m of Greek descent.
I’m second generation. All four of my grandparents are from the island of Crete. All came over on a boat. My wife’s parents, my wife’s side on the other side, they came over on a boat too, but it was the Nina, the Pinta, and the Santa Maria.
So they’re blue bloods. And Mike came over with a little, called a valise, which we know as a suitcase today, and they came to Ellis Island.
So my family, immediate family, is a 15-month-old brother and a sister three years younger.
We are basically second generation and we’re the first ones that really went to college.

[5:47] Prior to us, another set of my cousins went to college that’s a little bit older than us, but we were always instilled that the pathway to success is get an education. We didn’t have one,
You’re going to get one. So that’s how we that’s how we rolled at that time.
And, uh, Well, let’s talk about that a little bit. I’m assuming by what you say that there were.
There were no physicians and surgeon relatives around to influence you. So I’m wondering how you got interested in medicine. Yeah, exactly. So I have no one in my family.

[6:23] In the sciences, not just medicine, but in the sciences. So I actually, as a young, young, young boy, I really didn’t have an academic pathway, probably until high school,
school, sophomore year, high school. Basically, I was much more interested in playing ball, whatever the season was, football, basketball, baseball. But when I was about seven years old and there’s certain sentinel moments in your life that you can remember very clearly.
Growing up in South Jersey, we used to have pretty good effects of hurricanes that used to come up the coast. And one late summer, we had a hurricane come through and on the
area about a block or two behind my house, it was kind of a swampy area anyway. But I was riding my bike after the storm and I came upon this frog that had been killed and kind
of eviscerated in the street. Got off my bike. I just was, I guess, mesmerized to see these internal organs, see viscera, see the muscular system, the osteosystem, the bones.

[7:39] And from that day on, I just fell in love with science, especially biology. Again…
And that is one of the most fascinating path to medicine. Yeah. I mean, it was…
A dead frog brought you… A dead frog. And I brought that frog home, showed it to my mom and explained what some of these…
Oh, she must have been delighted. She was really excited because again, my path in life was athletics. It was not academic at that time, far from it.
In fact, again, I mentioned my brother is 15 months older. We grew up.
Very, very close in a family. Our family is very close, but he from probably, you know, his APGAR score coming out of the womb was in the 150 range of an IQ. And, you know.

[8:30] Picture yourself following him in school every single academic year. You’re Harry’s brother.
Oh, we expect this. I said, no, you know, in second grade, I said, let’s stop that. I am not him. And they quite quickly saw that I was not him. He was again, just that he’s
a brilliant individual. And so is my sister. I’m the middle child. So you know what the middle child syndrome is like, right? Oh, yeah. So in any event, I brought this frog
home and showed it to my mom and I was just enamored. My mom took the cue to go get me a book and I still have this book in my armor now. It’s a science book. It’s probably a,
a little five by seven book on zoology.
And it went through everything from Darwinism all the way up to genetics and into anatomy, physiology, you name it.
And that captured my attention.
And again, it wasn’t until high school when I had my first biology course, my biology teacher who became a very important mentor in my life took me to a different path in life.
She just opened my eyes to the sciences, biology primarily, but also chemistry, and then it went to physics and so on and so forth.
But she was a very, very powerful influence in my life.

[9:52] So at the end of my junior year in high school, my high school was directly adjacent to a hospital in town here.
She said, there’s a program over there and they’re going to take two students. Did typically take a two seniors but they might consider taking you steve if you apply i think she was kind of like when you apply go ahead.
And that’s this program centered around being.
In the department of pathology and working with a technician who did histology preparing slides and the pathologist and i’ll never forget him or when lock he. mentored myself as a junior going from junior to senior and another one of my friends who was senior going into college.
And basically we learned histology and we actually participated in autopsies that summer. Wow.
Yeah, that was my actual first true experience to the medical fields. And he gave me a book, Ham’s, Ham was the author, it’s Human Histology.
And that’s the same book we used in our first year of medical school.
But again, I just couldn’t get enough. I just loved it, loved it and loved it.

[11:12] From high school biology, you know, you go to the chemistry, you go to the physics. And then in my senior year, we had advanced biology, which I took,
which led to some other opportunities with getting more involved with other academic programs in school, which led me to my collegiate opportunities.
At that time, in the mid-70s, There was a little bit of a change in the college curriculum where you could measure in your love of your biology and your chemistry, but they also wanted you to have a little,
bit better balance with humanities.

[11:55] But even at that point, I was so engrossed and enthralled with the sciences, I ended up taking 75% of sciences and only 25% of humanities.
Now, if you were to ask me today, would you do it all over again? I’d say no. I would take 75% humanities and 25% science because in your professional school, it’s nothing but science, as you know.
And I think it makes you a better well-rounded person to understand philosophy, religion, language, history, European, American, whatever it is, literature.
But again, that’s all 2020 is hindsight, right? Well, I’m thinking you probably got a broader experience than a lot of people going to medical school even today, even though they still talk about a broad-based education.
But you got a Bachelor of Arts, not a Bachelor of Science.
So you had some humanities experience. Yeah. Rutgers University did give… I always kind of questioned that during my collegiate years. I said, you know, my buddies are getting a Bachelor of Science. How can you give a Bachelor of Arts?
And I said, you know what? It was King’s College. Now it’s Rutgers University.
Way back when, when it was King’s College, it was one of the Ivy League schools. It’s certainly not now. It’s a great school, but it’s not in that same genre as the Harvard, the Gales, and the Princeton’s.

[13:19] But they went with a Bachelor of Arts, even if you had a science degree.
Background, because they wanted you to have the humanities and come out as a quote-unquote well-rounded person.
So your baccalaureate degree was in biology and the sciences, and it sounds like even from back in high school you were thinking about a medical career, but you focused it fairly quickly.
You decided to go into podiatry. Can you tell us how that happened? Certainly, but in college, just as a little precursor, in college I had quite a bit of
sciences, but one of my mentors in college was, his name was Dr. Sin Lee, L-E-E. He was from Taiwan. He was from Michael Reese. He was educated in University of Chicago at Michael
Reese, and he was kind of a world leader in developmental biology. And during my time in college, I was very heavily involved in the research aspect. So I thought I was going
to go down this path of a PhD and doing research in developmental biology. And developmental biology and especially cell biology at that time in the mid-70s was kind of a virgining.

[14:38] Field. We knew mitochondria, we knew DNA, RNA, we knew Golgi complex, all those things, But it wasn’t really that deep yet.
And I ended up doing research with him and did research.

[14:53] His animal model was a chick embryo. So we ate a lot of eggs after the experiment. But the chick embryo model was a really great one for developmental biology.
And my senior year when I did my thesis on this cytotulation being the effect of nautochord development in chick embryos, it was this formula, this chemical that would affect how,
cells divide and how cells act against one another.
I had to give a presentation at the New Jersey Academy of Natural Science. At that time, I was scared to death because I never was up in front of an audience, especially
New Jersey Academy of Natural Science and give a senior thesis, but I practiced in front of a mirror ad nauseum.
My wife or my girlfriend at that time, that became my wife much later on, she said, boy, you can’t really practice this much more. You’re just beating yourself to death. I gave that…

[15:59] I graduated thinking I was going to be going into a research field and doing that. I actually took a year off between college and when I matriculated at Temple University
for Podiatric Medicine because I was really kind of torn between veterinary medicine and,
something on the human side.
Coming from New Jersey, New Jersey was a state that had no affiliation with a veterinary school.
Getting into a veterinary school from New Jersey was almost very, very difficult because all the other schools were accepted on a regional basis. If you were in the Midwest, if you were in the South, whatever.
I could apply to University of Pennsylvania and Ohio State. They’re the only two people that would accept my application.
I did that as a senior in college.
Rejected from Penn and I got on the waiting list at Ohio State, but not enough people left or didn’t matriculate.
So anyway, I spent that year between post-college as a biology and a chemistry teacher at where I actually went to high school.

[17:10] And during that year, one of my classmates who was one year ahead of me at Rutgers came back and saw me and he said, Steve, I’m a freshman at this College of Podiatric Medicine at Temple University in Philadelphia.
It’s really exciting. It’s really novel. It’s got a lot of growth in surgery, in diabetic fluid, in podopediatrics, and research.
He said, you know, to mix your research interest and your clinical interest, why don’t you take a look at it? So I did.
I went over. I applied. I got in. And that’s, as I say, that’s all she wrote.
In the College of Podiatric Medicine in Temple, I engrossed myself in research from almost the get-go.
But also, I quickly gravitated to the clinical aspect of patient.

[18:02] Interaction patient care and i call myself even to this day a grunt a worker be because my heart and soul is really patient care even with the other things that i’ve been fortunate enough to do and lucky enough to do,
it’s the patient care that really gave me the satisfaction and let’s just talk so much i want to talk to you about but once you got into,
podiatry school, did you immediately feel like you were in exactly the right place?
And man, I really hit a home run.
I did. I did. Again, going back to that 70-year-old kid finding a frog, inviscid in the street, all the way through my middle, end of high school, in college.

[18:54] I really focused on the anatomical sciences. I loved gross anatomy, histology, and biology, development of biology. So my first year, it was a traditional academic process. I mean,
as opposed to the much more integrated process that they have today, where you’re in clinic as a first year student, right? Now, when we went to school, I assume we’re pretty close in age.

[19:20] The first two years was basic science, the second two years was clinical science, your clinical rotations. So in my first two years, I just ate up. I spent more time in gross anatomy than.

[19:33] I don’t think any of any other of my classmates. I just loved the dissection. I loved the.

[19:40] Process of learning as much as I could on the anatomical sciences, which helped me immensely later in the surgical field or the diagnostic field because when you look at something.

[19:56] You remember the old x-rays on an x-ray view box, you’re looking at a two-dimensional item. When now, you know, you and I are in practice and all of a sudden CTs and MRs come out.
Well, you’re looking at something still on a plain film, a two-dimensional on a computer, but really you have to envision this 3D. And that’s where I think I really was blessed.

[20:21] With the ability to look at something and be able to look at it from the front, the side, the back, the middle, the top, the bottom, and get a very good impression of what’s happening,
in a three-dimensional aspect. So for surgery or for a diagnostic procedure, I was really,
very, very comfortable understanding what I’m looking at. Or more importantly, when something goes wrong and something always goes wrong, usually in a surgery, how do you remedy that?
And how do you go from a cookbook process to an innovative way of repairing something without thinking that, well, that’s not what the book said.
You’ve got to think on your feet and you have to have the vision to do that.
Do you think your early experience in the autopsy room sort of informed you in a way that most young medical students are just not able to process?
Do you think that really helped you in that regard in that three-dimensional imaging and then those sorts of things?

[21:29] Immensely. Again, I was 16 years old when I was doing that assisting in autopsies. It was just an incredible experience to visualize the anatomy that is actually a fresh anatomy
compared to a preserved cadaver that we’re dealing with in our education.
But when you’re dealing with something that was beating a couple hours ago, totally different perspective.

[22:04] It sounds like the educational process up to that point was possibly in excess of your expectations. I’m wondering how it felt to get into private practice, which you started there in Philadelphia, I believe.

[22:19] Yes. Private practice, after my residency, I had a really phenomenal residency. I couldn’t have asked for a better one.
I had a combination of an in-depth view of foot and ankle surgery, but I think more importantly, I had an orthopedic group that ran the hospital there, the surgical part of the hospital,
that was probably an easy 75% of my education too, and also some plastics.
The orthopedic team there.

[22:55] Saw right away how interested and how engaged I was to participate in anything that they did, whether it was a hip, a wrist, an arm, a knee, foot, an ankle, it didn’t matter.
I grew very close to those gentlemen. They were five guys in the group, as well as my podiatric mentors too.
What it taught me was a lot of the podiatrists that were lucky enough to get residencies at the time that we were coming out, I was coming out, they really just focused on, you,
know, let me understand how to do a forefoot surgery real well or a midfoot or hindfoot surgery, but it didn’t give them the entire view of the entire patient.
And the entire patient is so much more important than just a hammer toe, for example. And the reason I say not to diminish a hammer toe, because that hurts somebody.
And you have to fix it if all conservative efforts fail. But what I’m trying to say is that hammer toe is attached to a person.

[24:03] That bone that you’re treating is no different than the way you would treat a fracture or another surgical entity in a tibia, an ulna, a radius, a hand, a metacarpal, and learning
the principles of bone physiology, of bone surgery, of compression, of fracture care,
would only enhance the ability for you to be a better practitioner of what you are eventually going to do.
Again, I was very fortunate to have a dynamic, one of the best programs in the country at the time. But when I came out, I had done a ton of different procedures, even in the
foot and ankle, many, many more procedures in depth, complicated procedures that most of my colleagues. But when I came into practice, I said to myself, okay, I’ve got this great training. However, ever.

[24:56] If somebody comes to me and they need a really complex thing done, and if I’m not doing that every day or every other day or multiple times a week, my skill set is not going to be as good.
I refer that patient out because I’m just not doing it. And that’s whether it’s my foot and ankle work that I did initially, or if someone were to come to me and say, hey, Steve, I need my,
knee scoped or I need my hip replaced, who do you suggest I go to? My reply is go to somebody who does it all the time because you’re going to get a better result. And when I went to Mayo later in my.

[25:37] Practice time, I became involved with physicians, especially in the orthopedic department, for for example, where I was part of that team right there,
that they were doing 150 hips a year,
instead of the average orthopedist that might’ve done 10 total hips a year.
Who would you rather go to? I viewed myself the same way. If I can’t do that ankle fusion that I was trained to do, but if I’m only doing two a year, I’m not gonna be any good at it as compared to someone that’s doing 100 a year.
And that’s how I feel medicine should be practiced, by who’s doing.

[26:14] Who’s got the best skill set? I don’t think there’s any arguing with the data on that. The better results always go to the people with the most experience.
And what I want to do at this point is talk about that move to Rochester, the Mayo Clinic. Now there is a prestigious place where you can be surrounded with really smart people,
And I can imagine you must have been delighted to have the opportunity.
You want to fill us in on that?

[26:47] Yeah. Again, you know what I said about a curve ball? You never know when it’s coming.
So here I am. I’m in private practice for nine, almost 10 years in Philadelphia, South Jersey. And one of my mentors, orthopedic mentors, Gad Gutman, he just took a great interest
in my academic interest and my surgical skills, my manual skills and so on.
And he said, Steve, when I left the program, he said, you’re going to be bored out of your head in private practice. You’ll just be despondent. I said, why?
Because he said, you just have a different path in life, a different path in life than I know what you’re doing.
You’re going out to private practice and you’re going out to solo private practice.
And I said, yes, I know, I’m one of the dinosaurs, even in the early 80s, not too many people were going into solo practice anymore.
They were joining groups because they couldn’t compete with the, they had to compete rather with the HMOs and the managed care.

[27:54] But the economic decisions were there even in the early 80s, in mid 80s. But I said, no, in my education, my training, I visited a whole bunch of different podiatric offices and I saw the same recurring theme.

[28:10] They take somebody young as a junior associate and they say, we’ll give you a partnership in five years, three and a half, four years, four and a half years comes by. Hey, you know what? It’s not working out. See ya.

[28:22] And I’ve saw that over and over and over. And I said to my wife at that time, I am not going down that rabbit hole. I’ll start from scratch and we’re going to be eating hot dogs and macaroni and cheese.
Because if I build something, it’s for me. It’s not for me to waste five years of my life after this and then start over again in your own practice.
So that’s what we did. We bit the bullet and we gave up a ton of stuff. We had a family started at that time. Priority was taking care of her and children, but nine years it worked out.
And then through our other processes, I got this call from the head of orthopedics at Mayo Clinic.

[29:09] And he said, you know, I talked to Dr. Gutman, Gad Gutman at one of our national meetings. And he said, I know this guy who really would benefit from this type of environment.
And he said, by the way, I, you know, at that time, I had really gravitated more from, you know, I did the general, what I call elective foot surgeries, the hammer toes, the bunions, the metatarsal things, all the simple clean surgery.
But I was also gathering a very good referral base from a lot of my family physicians that would trust me to take care of their patients that had foot ulcers, leg ulcers.
And I developed a really good interest in that.

[29:54] And in my residency, I got some of that also because one of the hospitals that I did work at was a police and firemen hospital and we had a lot of diabetics in there even at that time and I would see a lot of people with ulcers, venous and diabetic, ulcers from diabetes,
etiology.
And one of the plastic surgeons that I used to try to pick his brain all the time, I said, you know, what do you do for this? What do you do for that?
He says, I don’t know, I just wing it.
You know, this is how I was taught in my residency. I do wet to dry and I put some betadine ointment in there and that’s it. See you later.” I said, well, I’ve been looking around and I think there’s some other opportunities here. He said, well, go to it then.
So I found this book, Biology and Surgery of Wound Healing, and it was by a gentleman, Earl Peacock.

[30:43] And Earl Peacock was the head of plastic surgery and hand surgery at University of North Carolina, a World War II vet who came out, went to medical school, became a plastic surgeon, and actually I.

[30:55] I devoured his book because it was on the science of healing what what are the phases what do these faces mean not just how you what what does it look like and how do you fix it. That’s what really turn me on to a lot of the wound healing biology that’s when i started digging deeper and getting a little bit more inquisitive in the late eighties.
About wound healing. There were no societies, wound healing societies at that time. It was all kind of learned by the seat of your pants. So that’s how I basically, when I spoke with
Dr. Mori, I said, look, you know, I would love to come here, but I’m really interested in wound healing, not just general foot science and medicine. And he says, well, we’re starting this new integrated multidisciplinary vascular center here, which will include vascular surgery,
vascular medicine, interventional radiology, PM&R. I think you’d be a great fit to go in there and do,
wound care, wound healing for them. We’ll get back to our conversation in just a moment.

[32:05] But first I want to let you know about a great gift idea from MD Coaches. You can actually give the gift of coaching with an MD Coaches gift certificate. All you have to do is let us know,
the amount you’d like to give, and we’ll issue a certificate that your special someone can redeem,
for a coaching session or sessions whenever they’re ready. Just visit us at mdcoaches.com to get started. And now, let’s get back to our conversation.

[32:32] And this was truly at the true genesis of the discipline that is fairly well recognized and.

[32:45] Available in a lot of places, and that is the discipline of wound management, which prior to that was you just didn’t see anybody that was going to, well I wouldn’t say anybody, but you
But you didn’t see a lot of people that were going to develop a great interest in an altar that had been present for months, if not years.
And it truly was the beginning of an entirely new scientific and clinical discipline. And you were certainly part of that.
And clearly it opened some new avenues for you in terms of other interests that you might follow. You want to talk about that a little bit?
Oh, sure. During my, again, I called myself to work in Grunt, seeing patients all day long. But I would come in early in the morning and then stay later in the evening and do my research.
Because early on, I didn’t have funded research. It wasn’t until later that I had some NIH and I had some industry-sponsored stuff. But that industry-sponsored stuff research enabled me to really dig deep in the weeds and develop some interesting products and technologies.
And fortunately, some of those are available now for…

[34:08] National and international use for our colleagues. And that process, for example, one of the xenografts that I did a lot of work with, which is for the listeners that aren’t
familiar with that term, it’s an animal product that is processed FDA clear to be placed into a human. So an allograft and an autographed comes, you know, is skin that comes from you and is put on you. An autograft is a human product that goes to a human product and a xenograft is,
an animal product that goes to a human person. So I worked on this one xenograft and I did about four years of work, got it through so many processes and then it was well commercialized
by a company. And then at the latter stage of my time at Mayo, I had the privilege of,
developing a couple other medical devices. And I got very, very interested in that aspect of.

[35:06] Delivering that type of service. And I thought, well, if I could help 100 people, maybe with this process on the medical device side, I could affect thousands of people. So long story short,
I ended up going into this one company out of Boston for this new Zinnigraf product that,
actually did quite well. And it filled a void for very, very deep wounds, for burns, and limb preservation, which again was one of my main goals in life, was how to save somebody’s limb
that was in jeopardy of losing it, whether it was from diabetes or vascular or some other neuropathic,
process and it just allowed me to develop a different skill set.
Even before that, I developed a little bit more of a business skill set after private practice with some work at Pfizer and some other private companies.
And it gave me a business background and then the medical background. And I made that leap of faith into the medical device world.

[36:19] It was a jump into a cold bucket of water. because how my values looked at taking care of a patient wasn’t exactly parallel to the business
world, I guess. So there was a little bit more pressure to do things in a revenue path instead of just a pure clinical path. And my goal is to marry both of them, have a great clinical story and a great clinical outcome and a great evidence-based reason why you should use it,
it, and then go to the payer and say, this can affect your number of patients that you cover. If you use this, it can decrease the recidivism of another episode or whatever.
It’s basically trying to marry those both together. And that’s where I landed for a few years. Then I did some more clinical work on the private side. And then I just returned again,
to more of a industry position. I’m currently Chief Medical Officer for a medical device company,
that basically started as an R&D company in the oral and the dental arena. And you say, well, Why would a guy doing wound and limb preservation go to oral and dentistry?
Well, it’s because the foundational technology that they have.

[37:49] Can go into the wound world, into the burn world, into a drug world, into a tumor world to mitigate a tumor.
And it’s all tissue. And you have to be able to understand where some of these things can go and how do you get them there through the regulatory process.
I am not a regulatory person. But I’ll tell you by the seat of my pants.
Yeah. I mean, you learn a lot by having to take something that, it’s termed de novo, which means there’s not a predicate out there to give you a smooth path into the FDA clearance.

[38:29] It’s an eye-opening process, but it can be accomplished with the right people. Surround yourself with good people, have faith, have the people that you work with, make sure that they’re on the same page as you,
and then you can have a successful process.
And that is really exciting. So I still love seeing patients. I still see patients a day a week for specifically advanced wound issues.
But I have at this stage of my life, most of my efforts being directed towards medical device and very shortly drug development.
You know, Steve, you’ve clearly made quite a number of really pivotal moves in your life, life, both personally and professionally.
And I’m just curious to sort of get into the, the more philosophical area here, um, uh, particularly with this, with this last change, did you, did you ever have
any reservations about leaving a situation that was as scientifically and,
personally satisfying as the Mayo Clinic environment, and then moving on to do something in a completely different environment.

[39:49] Was that a struggle for you at all, or did you wake up one day and say, you know what, it’s time to move along? How did that work out? Well, Brandy, to be succinct, every day I think about that, every single day.
Why am I doing this? Why did I, I had such a good opportunity, why? But diversity is a part of me. For example, I couldn’t in private practice.

[40:15] It just bored it. It didn’t hold my attention to do the same thing every day It became very mundane. I needed more diversity.

[40:25] Going to Mayo gave me that diversity. I mean my other two colleagues in podiatry at Mayo.

[40:33] Were very happy doing what they were doing. I was not I I took that and I I Expanded the breath and the scope of the foot and ankle medical delivery at Mayo, and then I went over very shortly to the vascular wound center and expanded the capabilities of what I knew I was capable of doing.
The same thing with being there for 20 years.
I knew I had something else in me that I was meant to do and to accomplish. accomplish and Yes, giving up those patients. You know, I still in my desk have a folder full of,
probably 200 letters that are handwritten from patients that when I.

[41:18] When they found that I was leaving the clinic they wrote to me and you know wished me, you know Good success and good luck and you know, who am I gonna go to now?
I said there’s plenty of other good people out there. You’ll find them and they’re right here, you know But I knew I just needed that leap.

[41:34] And I’ve never been one to say, well, I’m just going and I’m going to go do it. I do it with trepidation. I do it with butterflies in my stomach.
And typically it takes a couple of months to say, hey, did I do the right thing?
And then sooner or later you get comfortable and you see that you’re making an impression. You see you’re making forward movement and you say, yes, this is why I did it because I am making an impact somewhere.
And I’m not saying a huge impact, but it can be incremental. It can be tiny, but it’s still an impact.
And it gives me the professional satisfaction that I’ve accomplished something else.

[42:14] Sounds to me like that wherever you go you come with a sense of determination to to make it right for absolutely again diversity and.

[42:26] I Guess I would just say thoughtful decisions,
You know think my dad was an aviation mechanic And he started a Campbell Soup aviation department, and he was a great mechanic He taught me why I think I’m good at mechanics, but I can’t hold a candle to him.
In fact, way back when, when I was a resident and I was doing rheumatoid foot repairs, these poor people have such bad knuckle joints where their toes meet the long bones, they’re overlapped and so on.
I said to my dad, I said, I need to make a device. I need to take this bone screw and put it on a handle of like a hemostat because I want to screw it into the distal medullary canal, pull up and cut with my other hand because I’m doing it ineffectively.
My dad took the cancela screw and the hemostat, cut it, silver soldered it. I sterilized it and I used it.
I still have those to today. Zimmer, the big company Zimmer wanted to take that, but they already had their own. That was probably the beginning of my love for medical device.
But you’re right.

[43:51] It’s thinking, how do you think to make a situation better? And I think I’m a really good carpenter.

[44:01] Which made me good manually dexterity to be handling surgery. But where the weight peels from the shaft is when you have a problem. When that cuff goes down, when that oscillating
saw breaks, when that screw breaks in deep and you can’t get it, how do you rectify that?
That’s to me separates somebody really good versus somebody who’s just good.
You know, how do you handle the adversity? And you know, life is adversity.
I mean, I don’t know too many people who go through life and say, hey, I’ve never had a hiccup.
You know, I’ve never had a problem.
How do you handle it? It’s the people who are successful are the ones that know how to handle it and can resurface. You know, I was just thinking how fascinating it is that it sounds like everywhere you’ve
been, you have really made your life as good as it can be and you’ve been very effective with it.
And I’ve really enjoyed hearing you talk about the success in your professional life, but I’m wondering if you’d like to talk a little bit about what you like to do for fun. for fun. Do you ever have any fun?

[45:20] Oh my gosh. My wife says when you retire, you’re going to be busier than when you’ve worked. And you know, I’ve been working 70 hour weeks most of my life. My love, I love
fishing. I love hunting. Photography is a great passion. I love the creativity of those things. I’m still an avid sports enthusiast. Although, you know, my rotator cuff is gone.
I can’t pitch like I did in college and high school.
But even in my busiest of busiest times, I coached baseball for 16 years with one of my sons or both my sons, really. I just involve myself in community activities.
I’m a strong believer in giving back.
We didn’t touch on this, but I was the last year of the Vietnam draft.
I was 17 and by the time I turned 18, I went and signed up. Luckily, unfortunately, my number was high enough, and I was in college at the time.
But I always wanted to do some type of military service.

[46:28] Even in podiatry school, I tried to get in to the Army, the Air Force, or the Navy. But the guys and the girls that were in there as podiatric surgeons and podiatrists, they.

[46:40] They weren’t coming out because they had it too damn good.
It wasn’t until I developed low frequency ultrasound, another medical device that I did at Mayo starting in 99 to 2000, got it through the FDA.
The biggest satisfaction professionally in my life is when this technology, I finally got this technology to go over to Iraq and Iran to take care of blast injuries.
These poor soldiers and Marines and seamen, their abdomen and thorax were well protected, but their limbs were getting blown off.
This technology, the slow frequency ultrasound was able to… It wasn’t specifically for wound healing, but it was for the antimicrobial action.
There was a bacteria that’s in the sand, a synobacter bogmani, it’s a gram negative of rod that we didn’t have an antibiotic to treat it.
And these poor people were getting infected and they were losing limbs, not just from the blast injury, but from the secondary infection.
And it was in 2008, the technology finally went in there to the Navy SEALs and some of the Marines. And I can’t tell you how satisfying that was.
But during that process of developing this, I again.

[47:59] Fought hard to go into the Army or the Navy as a reservist at Mayo while I was at Mayo and I was over 40 at the time and there’s a hard cutoff for Benoitri as 40 years old and I had letters from.

[48:12] As high as the White House to let this this this this this working grunt get in there and do some service and again,
Even a congressional act couldn’t get me in there. So anyway, I found this path with the US Coast Guard Coast Guard Auxiliary, we support the Coast Guard, Active Coast Guard and Department of Homeland Security.
And this goes back to what do you do for fun? I’m a member of the Coast Guard Auxiliary and I serve the Coast Guard and Department of Homeland Security on my spare time.
And you’d say, what the hell are you going to do? What are you doing in Minnesota?
Well, there’s a big river here called the Mississippi and there’s a lot of contrabandic.
Yeah, contraband comes up and down and there’s also a lot of other things that we do, but that gives me satisfaction to give back. And you know, the busier the person, typically the more they can accomplish.
And again, as I said, when I retire, if I retire, when I retire, I probably have more things to keep me busy than I’d ever want.
But right now, I’m just living the life. Well, Steve, I have really had a lot of fun picking your brain for the last hour or so.
I’ve learned a lot of things about you that I didn’t know and have learned a lot more about things that I’ve been curious about since I first met you. And I appreciate you so much being here to share the story with us.

[49:41] But at this point, I want to do what we came for, and that is I’ll get out of your way and close my mic and the audience. Dr. Steven Kavros is going to give us his personal prescriptions for success.

[49:54] Thank you very much randy again this is what pleasure to participate in your podcast i have three that i kind of focus on the first one is basically surround yourself with people. Have the same mission and culture that you have because if you do that you’re.

[50:18] Eventually going to be successful in whatever you do and I’m not talking about monetary. I’m talking about Anything that you value as successful.

[50:29] In my decades and Mayo I’ve taken care of hundreds of CF CEOs of small cap companies mid cap and large companies and there was an underlying
message from each one of them and they’re basically this I became as I became a lawyer I got educated and got a law degree not because I wanted to
practice law but because I wanted to reason and and understand the world in a different way which it taught me number two I surrounded myself with good people,
who knew their specific domain much better than I did.

[51:12] And number three, I’ve made mistakes, but I never make that same mistake twice.
So again, surround yourself with people that you trust and that you value and you’ll be successful.
Number two, I alluded to this, listening skills. Listening skills for a clinician, Doesn’t matter what domain you’re in, what specialty you’re in.
God gave you two ears and one mouth.

[51:41] Listen. Even if you’re constrained with a 12 minute visit today for your patient, like a lot of family practitioners, 12 minutes, that’s all I get.
Listen, listen, listen. They know their bodies better than I know their bodies.
And then you can help them out better. That is absolutely imperative. Take the time to listen.

[52:05] If I had that benefited home, in my home situation, my wife would be much happier. But I guess you can’t do it on both sides of the fence.

[52:16] The third is rely on people that are very special to you in your life to keep you centered, to keep you focused, and to keep you from straying off of your mission. It sounds simple,
but family to me is the most important thing.
Without a strong family from my grandparents to my parents to my spouse and to my kids and all extended family, I probably wouldn’t have had that drive as vehemently as I did.
My wife has been the strongest proponent of who I am and what I’ve done. And there are many times that I said, I just don’t know if I’m going to continue.
And she said, get a grip.
You can do it. You’ve always done it. You’re different. You can navigate through this.
Listen to people who believe in you because if you just listen to yourself, you might be pushed in a different direction.
So listen to people who really have your best interest involved also. And that can be, again, a partner, a spouse, a mentor, an old colleague, it doesn’t matter.
But when you think the world is closing in on you, take a breath and go ask for help. Go ask for somebody else’s advice.

[53:45] And I think it’ll be the best for it. So those are the three things that I kind of still value today and how I kind of go day by day.

[53:55] I again appreciate the opportunity to spend some time with you.
Dr. Stephen Cavarose, I want to thank you so much for sharing your wisdom with us today. It has been very insightful and I have really, really enjoyed the conversation and learning some things about you that I have been unable to acquire over the years that we’ve known each other.
Before we go, I want to give you an opportunity to tell the audience where they can find you, whatever you would like to share, whether it be email addresses or Facebook pages or or whatever you got, we’d like to know where you can be found.

[54:36] Oh, well, thank you. Well, the simplest is my personal email. It’s my last name, K-A-V-R-O-S, another S and a J, at gmail.com. You can also find me on LinkedIn. Those are probably the two,
that would be the easiest. I do have an email at work also, which is just scavros at epien.com.
So those are the three. Well, thank you again, Steve. Dr. Steven Cavros, it has been a real pleasure having a conversation with you this afternoon. And thank you again for being here.

[55:21] Thank you so much for joining us today. You know, you can really help us with a five-star rating. That’ll give our podcast much more visibility, and that helps us reach many more
listeners. Exclusive content is available for you on our Patreon page, including membership-only material, like personal rapid-fire Q&A sessions with our guests. To be sure you never miss an episode, visit our website at rxforsuccesspodcast.com to subscribe. And while you’re there, learn,
how to get CME credit from CMFI just by listening. Special thanks to Ryan Jones, who created and performs our theme music, also Craig Claussen of Claussen Solutions Group, who edits the show. And remember, be sure to fill your prescription for success with my next,
episode.

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