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  <title>6 - Uncertainty in Medicine: Navigating Uncertainty with Admiral Mike LeFever</title>
  <description>When a 7.6 magnitude earthquake leveled entire villages in Pakistan, retired U.S. Navy Admiral Mike LeFever was thrust into the heart of the disaster with no playbook and a simple directive: provide humanitarian aid and strengthen U.S.-Pakistan relations. In this episode, LeFever recounts what it was like to lead a massive relief effort in the chaotic aftermath—coordinating aid, rebuilding schools, and navigating diplomacy in a country where his presence was politically charged. As his mission evolved from emergency response to long-term relationship-building, including during the fallout of the Bin Laden raid, LeFever shares hard-won lessons on leadership, humility, and decision-making in extreme uncertainty. Find show notes, transcripts, and more at&amp;amp;nbsp;thenocturnists.org, and subscribe to&amp;amp;nbsp;our substack. The &amp;quot;Uncertainty in Medicine&amp;quot; series is generously funded by the&amp;amp;nbsp;ABIM Foundation, by&amp;amp;nbsp;the Josiah Macy Jr. Foundation, and the&amp;amp;nbsp;Gordon &amp;amp;amp; Betty Moore Foundation. The Nocturnists is supported by&amp;amp;nbsp;The California Medical Association and donations from listeners like you. Host: Emily Silverman, MD Uncertainty Correspondent:&amp;amp;nbsp;Alexa Miller Series Illustrations by&amp;amp;nbsp;Eleni Debo </description>
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