Totally Booked with Zibby – Episode Featuring Dr. David I. Sandberg, M.D.: "Brain and Heart: The Triumphs and Struggles of a Pediatric Neurosurgeon"
Release Date: July 22, 2025
In this compelling episode of Totally Booked with Zibby, host Zibby Owens engages in an insightful conversation with Dr. David I. Sandberg, a renowned pediatric neurosurgeon and author of the memoir "Brain and Heart: The Triumphs and Struggles of a Pediatric Neurosurgeon." Joined by a special guest host, Miriam Padberg Owens, Zibby delves deep into Dr. Sandberg's professional journey, the motivations behind his book, and his personal experiences balancing a demanding career with family life.
About Dr. David I. Sandberg
Dr. Sandberg serves as the Director of Pediatric Neurosurgery at the McGovern Medical School, University of Texas Health Science Center at Houston (UT Health). With over two decades of experience, his expertise spans pediatric brain tumors, minimally invasive endoscopic approaches, hydrocephalus, arteriovenous malformations, congenital spinal anomalies, and craniofacial anomalies. A Harvard University alumnus, he earned his medical degree from the Johns Hopkins University School of Medicine and has been instrumental in pioneering novel treatment approaches for pediatric brain tumors.
Motivation Behind Writing the Book
Dr. Sandberg revealed that his foray into writing was driven by a desire to document the extraordinary and often heart-wrenching stories he encounters daily.
“I started writing down stories, little tidbits of stories because the stories we see are crazy and memorable. I want families to know what I'm actually thinking as I have these conversations.”
— Dr. Sandberg [04:53]
He aimed to provide transparency and insight not only for families of his patients but also for aspiring medical professionals contemplating a career in neurosurgery.
Training and Communication in Medicine
A significant theme in the conversation was the lack of formal training in patient communication during medical education. Dr. Sandberg emphasized the importance of mentorship and observational learning in developing effective communication skills.
“I received absolutely none [of the training], and when I have these difficult conversations, I bring along the most junior person on our team to learn by watching.”
— Dr. Sandberg [06:24]
He advocates for a personalized approach, encouraging young doctors to develop their own communication styles by learning from experienced mentors.
Work-Life Balance and Medical Regulations
Discussing the evolution of medical training, Dr. Sandberg touched upon the introduction of work-hour restrictions aimed at reducing physician fatigue. However, he pointed out that these regulations inadvertently increased the risk of medical errors due to fragmented communication during handovers.
“The more handoffs there are... the more opportunities for miscommunication, which can lead to disaster.”
— Dr. Sandberg [08:06]
He believes that fostering a sense of ownership and responsibility towards patients is crucial, even amidst regulatory changes.
International Surgical Missions and Ethical Dilemmas
Dr. Sandberg shared his experiences from medical missions in countries like Haiti, where limited resources necessitate difficult decisions about which patients receive surgery.
“We basically had to play God and choose which patients would get surgery and which wouldn't. It is an awful feeling.”
— Dr. Sandberg [10:00]
He underscores the emotional toll of these decisions and the importance of team discussions to cope with the ethical burdens.
Personal Story: A Doctor and a Father
A poignant moment in the episode was Dr. Sandberg recounting a terrifying incident involving his two-year-old daughter, Dalia, who suffered a head injury.
“I was on the phone with Amy, and I could hear Dalia screaming in the background. We rushed her to the hospital, and fortunately, the CT scan was clear. It was a moment that allowed me to empathize deeply with my patients' families.”
— Dr. Sandberg [12:53]
This experience provided him with a personal perspective on the anxiety that families endure during medical crises.
Advocacy for Child Safety
The conversation also highlighted Dr. Sandberg's advocacy for child safety, particularly the use of helmets while biking.
“I've never seen one [a child wearing a helmet] who’s wearing a helmet have a serious head injury. It’s essential for parents to enforce helmet use to prevent life-changing brain injuries.”
— Dr. Sandberg [14:47]
He passionately discusses the increased risks associated with activities like biking and tackle football, emphasizing preventive measures to protect children.
Navigating Medical Malpractice
Dr. Sandberg opened up about his experience with a medical malpractice lawsuit, detailing the emotional and professional challenges it presented.
“After the trial and the verdict in our favor, I felt that we had all lost. I felt for the child and wished I could have done something differently.”
— Dr. Sandberg [27:44]
He critiques the current malpractice system, highlighting its impact on medical practice through defensive medicine and increased mistrust.
Personal Health and Career Transition
In a candid revelation, Dr. Sandberg shared his recent diagnosis of Parkinson's disease and his decision to retire from active surgery to prevent potential harm to patients.
“I decided to stop doing neurosurgery at the peak of my career because I don't want to harm a patient or even have the perception that I would.”
— Dr. Sandberg [21:26]
Looking ahead, he plans to pursue a master's in social work, aiming to address childhood poverty and support underserved children through his newfound focus.
Advice to Future Medical Professionals
Addressing the next generation, Dr. Sandberg offered heartfelt advice emphasizing empathy and patient-centered care.
“Remember, you're not operating on a knee or a hip or a shoulder. You're operating on a person... Treat them as though they're your family member.”
— Dr. Sandberg [28:04]
He encourages upcoming doctors to maintain compassion and prioritize the human aspect of medicine amidst technological advancements and systemic changes.
Conclusion
This episode of Totally Booked with Zibby provides a profound look into the life of a dedicated pediatric neurosurgeon who not only excels in his medical career but also seeks to make a broader impact through his writing and upcoming endeavors in social work. Dr. Sandberg's reflections offer valuable lessons on empathy, ethical decision-making, and the importance of balancing professional responsibilities with personal well-being.
Notable Quotes:
- Dr. Sandberg: "I want families to know what I'm actually thinking as I have these conversations." [04:53]
- Dr. Sandberg: "The more handoffs there are... the more opportunities for miscommunication, which can lead to disaster." [08:06]
- Dr. Sandberg: "I decided to stop doing neurosurgery at the peak of my career because I don't want to harm a patient or even have the perception that I would." [21:26]
- Dr. Sandberg: "Remember, you're not operating on a knee or a hip or a shoulder. You're operating on a person... Treat them as though they're your family member." [28:04]
Connect with Dr. Sandberg: For more insights and to follow Dr. Sandberg's journey, visit zibbymedia.com and follow Zibby Owens on Instagram @zibbyowens.
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