kristin lyerly show

Meeting Patients Where the System Fails Them

Meeting Patients Where the System Fails Them

Sat Jan 10, 2026

43:49

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What happens when telling patients the truth gets you fired? This week, Dr. Kristin Lyerly sits down with Nikki Sapiro Vinckier, PA-C—an OB/GYN physician assistant who spent over a decade in clinical practice before being pushed out for refusing to stay silent. 

Nikki's new book We Deserve More: Why Reproductive Healthcare is Broken—And What You Can Do About It exposes the gap between what clinicians know, what lawmakers think they know when they write abortion bans, and the flood of misinformation patients face online.

In this conversation, Kristin and Nikki dig into:

  • Why advocacy and clinical practice became incompatible
  • How abortion bans expose lawmakers' dangerous ignorance about real women’s health
  • The dark history of medicine
  • How OB/GYN training is still crisis-driven—leaving gaps in menopause care, sexual health, and chronic conditions
  • Practical tools patients can use TODAY to advocate for themselves in a broken system

This is medicine, unfiltered.