There are places in medicine where the stakes are unmistakable, where a single decision or breath becomes the turning point in a story still unfolding. The cardiac ICU is one of those places. It asks for precision, intuition, and a level of humanity that is rarely taught. This conversation opens that world with honesty and depth through someone who carries both clinical mastery and grounded purpose.

Chapters

00:00 The Hidden World of Critical Care Cardiology
01:52 Inside the CICU: Teamwork and Humanity
03:40 Systems Change and the Deferred Dream
05:35 Courage, Identity, and Trusting Yourself
07:21 Vulnerability as Power in Medicine
10:48 The Immigrant Story and Human Truths
12:04 Lessons from Cardiac Arrest and Resilience
14:17 Team Harmony and Leadership in Crisis
17:59 Breaking Groupthink in Medicine
19:31 Women in Cardiology and Belonging
21:24 Psychological Safety in the Cath Lab
24:17 Creating Energetic Safety in Clinical Spaces
26:36 The Power of Intention and Positive Words
29:40 Patients and the Second Lease on Life
32:59 Compassion, Guilt, and Caring for the Healer
41:45 Purpose, Self Promotion, and Finding Your Path
43:46 Trust, Energy, and the Unseen Layers of Connection
55:26 Final Reflections and Finding Your People

Dr. Rosy Thachil, MD, MBA, FACC is a critical care cardiologist and healthcare leader whose work reflects the complexity of modern cardiac care. She understands that healing is clinical, emotional, and deeply human. Her lens invites us to look at medicine not only as a system but as a place where presence and authenticity truly matter.

Rosy shares what it means to care for the sickest cardiac patients and how trust forms among interdisciplinary teams during the most intense moments. She describes how the CICU reveals both the strength and fragility of being human. Her experiences highlight the connection between technical skill and compassionate care, a balance that defines true holistic cardiology.

She also speaks about her deferred dream of earning an MBA and how stepping outside the expected path gave her a new language for leadership and systems change. Her journey shows how courage grows when we let go of groupthink and develop confidence in our own direction. Rosy reflects on vulnerability as an essential part of connection and how it can soften even the most difficult clinical conversations.

Her immigrant story adds another layer to this reflection. Rosy speaks about belonging, identity, and the early messages that shape how many of us learn to protect our deeper truths. Together, we discuss mentorship, representation, and the experience of women in cardiology where visibility still matters. Priya shares her own path as a structural interventional cardiologist and the resilience required to walk into rooms where few women stand.

This conversation lives where medicine and humanity meet, where the heart is understood through both physiology and connection. It is a reminder that healing is a blend of knowledge, intuition, emotional intelligence, and presence. For anyone in healthcare or anyone seeking clarity in their own life, this dialogue offers grounding and a return to what is real.

Guest
Rosy Thachil, MD, MBA, FACC
Website: https://ThachilMD.com
Instagram: https://www.instagram.com/rosythachilmd

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