Christian and Rosny talk with Julian, a critical care specialist and associate director of a fellowship in California. They discuss why he moved from the Emergency Department to full-time Intensive Care Unit work. Julian describes a typical work day, the intensivist role as “plumber, chemist, and priest,” and explains how Covid intensified his exposure to prolonged suffering and death, prompting a reframing of healthcare outcomes, which led him to develop “reflection rounds” for trainees. These longitudinal, systems-based sessions emphasize group processing, normalizing distress, cognitive restructuring, celebrating wins, and sports-psychology tools like centering breaths, visualization, positive self-talk, and “highlight reels.”
This episode was recorded remotely in June 2026. Presented by Christian and Rosny. Music by Nylonia. Production support by Ilia Rogatchevski.
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