Beyond the Shore with Erika MacIntyre, MD
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What is Dr. Erika MacIntyre’s background and why did she join The Nocturnist?
Hey everyone, I hope you're having a wonderful spring. In the spirit of renewal, I wanted to share something new that we've been working on. It's called the Nocturnist Plus, our new subscriber-only feed. With a subscription, you'll get access to the Nocturnus After Hours, a monthly bonus series featuring original conversations between me and our executive producer, Allie Block, along with discounts on our new merch and access to all of our episodes in one place. To give you a taste of what it's like, here's a clip from our very first After Hours episode, where Allie and I talk about the ups and downs of being the doctors in our own families.
It was my first experience where a healthcare provider was sort of using lines on me that I knew. So the biggest thing was he was trying to transfer my dad out of the neuro ICU. And I was trying to argue that he was not ready to go to the floor. And I'm sure you're very familiar with this line. This ICU doc said what we say to patients in the hospital all the time, which is, you know, it's really much safer for your dad to be somewhere else. He could get an infection. He could get a DVT. And I was just like, don't pull that with me. I know those lines.
That's The Nocturnist After Hours. We're really excited to see how the series evolves. It's been really fun so far and would love to hear your ideas, questions, and suggestions along the way. If you want to join us in this new corner of our community, take a visit to the nocturnist.org slash plus subscription start at just $10 a month.
Hey Nocturnist listeners, if you like immersive, powerful storytelling, then take a listen to Overlooked. It's a podcast that features personal stories which bring the women's health gap to life. It's hosted by me, Golda Arthur, and you might say I've got skin in the game. On the show, we've covered topics like ovarian cancer, endometriosis, cervical screening, and funding from women's health research. You'll learn more and understand better, just as I do when I talk to women who tell me their stories. You can listen to Overlooked on your favorite podcast app or head to overlookedpod.com for more. At The Nocturnist, we are careful to ensure that all stories comply with healthcare privacy laws. Details may have been changed to ensure patient confidentiality.
All views expressed are those of the person speaking and not their employer.
You're listening to The Nocturnist. I'm Emily Silverman. Today's guest is Dr. Erica McIntyre, a pulmonary and critical care physician who tells the story of how pandemic pressures and personal upheaval led her to pause her career and take her family on a year-long sailing adventure across the Atlantic. In our conversation, we talked about how Erica found her niche in critical care and chronic ventilation medicine, what it was like working through COVID while losing the routines and supports that grounded her, and how stepping away to sail across the ocean reshaped her perspective on risk, work, and what really matters. I hope you enjoy this conversation as much as I did. But first, take a listen to a clip from Erika's live story, which she told on stage at the Nocturnist Satellites event, produced by the UCSF Institute for Global Health Sciences.
Here's Erika.
So now I'm crawling back to the helm, and I'm hoping that that Zofran that I popped at one in the morning is going to hang in there. 28 knots of wind, 30 knots of wind. We're in it. I'm looking out. It's dark now. I can't see the front of the boat. I'm thinking to myself, why couldn't I have been like a normal doctor having a 40-year-old midlife crisis and bought a Porsche and gone
on a
cruise? But no, I had to be special. I bought a boat and ended up in the Bay of Biscay.
I am sitting here with Dr. Erica McIntyre. Erica, thank you so much for coming on the show.
Thanks for
having me. I really enjoyed listening to the recording of your story and wanted to start by asking you what it was like to get on stage and tell your story in front of a group of your friends
and colleagues.
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Chapters
8 chapters
1
What is Dr. Erika MacIntyre’s background and why did she join The Nocturnist?
0:00–6:45
2
How did Dr. MacIntyre decide to specialize in critical care and chronic ventilation medicine?
6:45–12:14
3
What does chronic ventilation medicine involve and who are the patients you treat?
12:14–17:26
4
How did the COVID‑19 pandemic change your work environment and personal life?
17:26–21:47
5
What sparked the idea to leave medicine temporarily and embark on a sailing adventure?
21:47–27:50
6
How did you plan and prepare for the Atlantic crossing with your family?
27:50–33:38
7
What were the most memorable moments and challenges while sailing across the Atlantic?
33:38–40:12
8
What lessons did you take away from the year‑long voyage and how has it impacted your outlook on risk and career?
40:12–45:04