The Podcast by KevinMD

President and chief executive officer of the National Psoriasis Foundation (NPF) Leah M. Howard discusses her article "Pharmacy benefit manager reform vs. direct drug plans." Leah analyzes the recent emergence of direct-purchase drug programs and argues that while innovative thinking is welcome, it cannot replace the need for deep systemic change. She advocates for bipartisan legislative solutions such as the Safe Step Act to address the root causes of high costs in the U.S. health care system rather than relying on siloed fixes that may not help everyone. The conversation emphasizes that true relief for patients with chronic...

Premedical student Samah Khan discusses her article "The crisis of physician shortages globally." Samah draws a powerful parallel between the medical exodus in Pakistan and the doctor deserts of California's Central Valley, revealing how structural neglect drives providers away from the communities that need them most. She explores the root causes of this brain drain, from low wages to limited residency spots, and argues that health care systems must reshape their values to retain talent. The conversation highlights promising solutions like local recruitment tracks while emphasizing that without systemic change, patients will continue to suffer the cost of delayed...

We have a special sponsored episode from MagMutual. We welcome William Kanich. He's an emergency physician and currently the executive chairperson of MagMutual Insurance Company. We explore how physicians can navigate unexpected medical outcomes while preserving trust with their patients. Through Dr. Kanich's clinical and leadership experience, the conversation examines common challenges, practical approaches, and the role of structured support programs like the Preserve Program. The discussion also looks ahead to how the healthcare industry can continue evolving to better support physicians in maintaining strong patient relationships.

VISIT SPONSOR → https://www.magmutual.com/

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Health care executive Jason Griffin discusses his article "The digital divide in rural health care." Jason explains how rural providers in the U.S. face critical infrastructure failures and staffing shortages that threaten their ability to serve communities. He explores why standard one-size-fits-all technological solutions often fail these hospitals and advocates for a collaborative model that prioritizes long-term strategic partnerships over temporary fixes. The conversation highlights the economic importance of keeping rural facilities open and the urgent need to listen to local leaders to bridge the digital gap effectively. Join us to learn how we can build resilient systems...

Physician executive Christina Johns discusses her article "Modernizing health care with AI and workflow." Christina explains how clinicians in the U.S. are facing unprecedented burnout due to administrative burdens that detract from patient care. She explores how artificial intelligence can serve as a supportive tool rather than a replacement by streamlining documentation and coding tasks to allow for more meaningful doctor-patient interactions. The conversation highlights the importance of moving away from fragmented point solutions toward a comprehensive care enablement platform that modernizes operations and restores the human connection in medicine. Join us to discover how technology can ethically...

Emergency physician Kenneth Ro discusses his article "Why midlife men feel unanchored and exhausted." Kenneth explains why men between 40 and 60 often visit clinics requesting hormone testing when they are actually suffering from a profound loss of identity and purpose. He distinguishes being unanchored from clinical depression and highlights how successful professionals like executives and veterans often face a silent crisis that standard medical metrics cannot measure. The conversation explores the need for physicians to look beyond biomarkers to address the existential erosion occurring behind closed doors. Medicine must evolve to help men rewrite their stories for the second half...

Board-certified pediatrician and certified coach Jessie Mahoney discusses her article "The burden of the eldest daughter." Jessie explores the unique psychological weight carried by firstborn women who are taught early on to hold everything together at the cost of their own well-being. She connects this childhood role to the high rates of burnout among women in health care where hyper-preparedness and self-sacrifice are rewarded until the body eventually breaks down. The conversation examines how the eldest daughter effect creates a cycle of over-responsibility that leads to resentment and even physical illness. Healing begins when we learn to release the...

Internal medicine and pulmonary physician Bharat Desai discusses his article "How Acthar Gel became a $250,000 drug." Bharat shares the shocking moment he realized an obsolete pituitary extract from 1952 was being sold for the price of a house. He explains how pharmaceutical companies exploited regulatory loopholes to reclassify a cheap animal derivative as a specialty biologic and effectively monopolize the market despite the existence of superior synthetic alternatives like prednisone. The conversation exposes the deep rot within the medical profession where key opinion leaders and institutions accepted industry funding to promote a physiological absurdity over evidence-based care. We must question...

Certified coach and professor Kathleen Muldoon and co-founder of Ryan House and Children's Respite Homes of America Jonathan Cottor discuss the article "The need for pediatric respite care." Kathleen shares the personal story of raising her son Gideon who lives with over 42 medical diagnoses and explain why the family had to move across the country to find safety. They highlight the critical difference between taking a break and surviving the relentless cycle of 24/7 medical vigilance required for medically complex children. The conversation advocates for the expansion of pediatric respite homes in the U.S. while urging clinicians to recognize...

Orthopedic surgeon Kevin J. Campbell discusses his article "Health care is having its Yahoo moment." Kevin explains how the current medical system is stuck in an obsolete pipeline model similar to early internet directories where human gatekeepers create dangerous delays in communication. He introduces the concept of delayed relevance where patient questions about fever or swelling lose value if answered days later and advocates for an AI-driven platform approach to provide immediate physician-vetted responses. The conversation explores how shifting to automated systems can relieve staff burnout while increasing patient trust through consistent and timely guidance. We must embrace this...

Psychotherapist and patient advocate Sara Rands discusses her article "Early-onset breast cancer: a survivor's story." Sara shares her harrowing journey of finding a lump at age 32 despite having no family history and receiving a stage 3C diagnosis. She highlights the terrifying reality that mammograms often miss tumors in dense tissue and challenges the medical community to address why young women are frequently dismissed or misdiagnosed. The conversation addresses the rising incidence of early-onset disease, racial disparities in mortality rates, and the desperate need for research focused on younger populations. We must demand better screening tools to ensure mothers get...

CEO, president, and founder of the Clinician Burnout Foundation Jodie Green and physician advocate and physical therapist Kim Downey discuss their article "Why wellness programs fail health care." Jodie and Kim explain why traditional wellness initiatives often add to the burden rather than relieving it for exhausted medical professionals. They introduce the concept of the quicksand effect where meaningful help becomes impossible to grasp amidst systemic failure and advocate for immediate practical support like transportation and child care. The conversation covers alarming statistics regarding physician suicide and nurse safety in the U.S. while addressing the critical difference between...

Orthopedic surgeon Yoshihiro Katsuura, medical student Mark Polemidiotis, and premedical student Cyrus Nasr discuss their article, "Why young people need to care about bone health now." Yoshihiro, Mark, and Cyrus explain that osteoporosis is not just an old person's disease but a result of peak bone mass missed during youth. They use the powerful metaphor of a "retirement account" to describe skeletal metabolism, where deposits must be made before age twenty to prevent a "moth-eaten" structure later in life. The discussion highlights the shocking mortality rates of insufficiency fractures and reveals why modern anabolic medications are revolutionizing treatment beyond...

Palliative care physician and certified physician development coach Christie Mulholland discusses her article, "Reclaiming physician agency in a broken system." She shares her personal story of leaving a prestigious academic position after realizing that "being a good doctor" was impossible within the constraints of corporate health care. Christie explains how for-profit entities now control seventy-eight percent of hospices, leading to worse patient care and deep moral injury for clinicians. The discussion explores the four paths physicians can take to reclaim agency: working within the system with boundaries, building alternatives like direct primary care, organizing through unions, or planning a...

Psychiatrist Farid Sabet-Sharghi discusses his article, "The psychological trauma of polarization." Farid explains how the human psyche is evolutionarily wired for connection, making the current climate of hostility and division deeply traumatic. He connects the panic and anxiety seen in his clinic to the reactivation of childhood wounds, where global discord mimics the volatility of a troubled family system. The discussion highlights the visceral impact of the 24-hour news cycle and offers clinical strategies for reclaiming agency through setting boundaries. Learn why unity is not just a social ideal but a fundamental psychological necessity for mental health.

Interventional physiatrist Francisco M. Torres discusses his article, "A doctor's own prostate cancer recovery." He shares his vulnerable story of undergoing a robot-assisted radical prostatectomy and the unexpected shame and "erosion of dignity" caused by severe urinary incontinence. Francisco explains how his medical assumption that anatomical knowledge would ensure a fast recovery was wrong, and how pelvic floor physical therapy with biofeedback finally restored his function. The conversation advocates for a systemic shift toward "prehabilitation," arguing that men should start pelvic floor training weeks before surgery rather than being sent home with a pamphlet and diapers.

Vascular surgeon Xzabia Caliste discusses her article, "The silent disease causing 400 amputations daily." She shares the heartbreaking personal story of witnessing both her aunt and uncle lose their limbs to peripheral artery disease (PAD), a preventable condition that causes over 400 amputations every day in the U.S. Xzabia explains how PAD restricts blood flow and why symptoms like leg pain or non-healing wounds are often dangerously dismissed as simple aging. The discussion addresses the critical "confidence gap" in primary care, where eighty percent of providers feel unprepared to diagnose vascular disease, and highlights the urgent need for early screening...

Pediatric endocrinologist Shara Bialo discusses her article, "Why type 1 diabetes screening should be part of back-to-school." She highlights that back-to-school visits are a critical window to screen for type 1 diabetes (T1D), a disease where sixty-two percent of new cases currently result in life-threatening hospitalizations. Shara shares her personal perspective as both a doctor and a mother with T1D, addressing the guilt and stigma that often stops parents from screening for autoantibodies. The discussion emphasizes that ninety percent of diagnoses happen with no family history, making universal awareness and early detection vital to preventing complications like diabetic ketoacidosis...

Double board-certified obstetrician-gynecologist and reproductive endocrinology and infertility specialist Erica Bove discusses her article, "Why do high-quality IVF embryos fail." Erica explores the heartbreaking reality of recurrent implantation failure, challenging the assumption that it is a rare phenomenon. She analyzes the physical factors often missed in standard studies, such as chronic endometritis, silent endometriosis, and adenomyosis, while explaining why the endometrial receptivity analysis is losing favor in the field. The conversation also highlights a critical, often overlooked variable: the role of stress and mental health in fertility outcomes. Erica advocates for a holistic approach that combines rigorous medical guidelines...

Physician advocate and physical therapist Kim Downey and counselor Shari Morin-Degel discuss their article, "Why burnout prevention starts with leadership." Shari shares her personal journey from a trauma-exposed mental health professional to a burned-out leader who initially expected her team to just "push through." The conversation highlights how she reached a breaking point and realized that true recovery requires more than just individual resilience, it requires systemic support. Kim and Shari explore the data behind the "My Work BALANCE" initiative, revealing that employee engagement with wellness tools soars only when leaders actively model participation and provide paid time for...

Health care executive Kevin King discusses his article, "How to stay safe from back-to-school illnesses." Kevin explains why the return to classrooms often triggers a surge in respiratory illnesses (like the flu, COVID-19, and RSV) and how diagnostic tests are a critical tool for managing them. He highlights how rapid diagnostics are essential for getting the right treatment quickly, such as antivirals, and perhaps more importantly, for preventing the wrong treatment, which helps combat the growing threat of antibiotic resistance. Kevin also offers insight into how epidemiologists predict outbreaks by monitoring school absenteeism and data from the Southern Hemisphere...

Developmental-behavioral pediatrician Ronald L. Lindsay discusses his article, "A pediatrician's reckoning with behavior therapy." He shares his profound professional and personal pivot, moving from a decades-long focus on measurable goals to understanding the deep trauma and harm caused by applied behavior analysis (ABA). Ronald explains why he now supports the #BanABA initiative, detailing how the therapy often prioritizes compliance over communication and normalization over neurodiversity, particularly for nonspeaking autistic individuals. He calls for a shift away from coercive behavioral interventions, which were driven by insurance mandates, toward dignity-centered alternatives like DIR/Floortime and robust AAC support. Learn why this...

Assistant professor of professional practice Adrian Reynolds discusses his article, "What is professional identity formation in medicine?" He explores how a student's frustrated question, "Did I get dumber?" reveals the deep crisis of professional identity formation (PIF) in medical education. Adrian argues that the role of academic coaches and learning specialists is often misunderstood as remedial, when in fact their "hidden work" in teaching metacognition, self-regulated learning, and growth mindset is the true backbone of the curriculum. This discussion reframes PIF by focusing on the non-clinical specialists who guide students, navigating their own identity dissonance and role ambiguity in...

Otolaryngologist Brian F. Worden discusses his article, "The surprising link between migraine and tinnitus." He reveals that for the 26-47 percent of tinnitus patients who also report migraines, the tinnitus may actually be an atypical migraine symptom, even without a headache. Brian explains how migraine, a complex neurological disorder, activates the trigeminal nerve, which can affect the inner ear and amplify sensory hypersensitivity, putting existing auditory hyperactivity into "overdrive." He outlines how to identify fluctuating, migraine-related tinnitus (which worsens with stress or sleep disruption) versus constant tinnitus. The discussion covers practical migraine-specific therapies that can reduce tinnitus severity, including...

Urologist William Lynes discusses his article, "Teaching medical students what it is really like to be a physician." He confronts the tragic reality of physician burnout and suicide, arguing the culture of overwork is bred into medical training from day one. William proposes a critical shift in medical education: a continuous course led by practicing physicians to teach students that maintaining their own mental health is essential to providing excellent clinical care. He shares his powerful personal story of learning this lesson "too late," urging for systemic change to address physician mental health before it becomes a crisis. Learn...

Medical student Chuka Onuh and orthopedic surgery resident Ogechukwu Onuh discuss their article, "A sibling's guide to surviving medical school." They share lessons learned as siblings navigating medical training, focusing on the critical need to be intentional with time and avoid the "illusion of productivity." Chuka and Ogechukwu emphasize that study habits must be adaptable (like switching from Anki to practice questions for USMLE exams) and that students must learn to advocate for themselves. The conversation also explores the biggest challenge of the medical school journey: protecting your identity outside the white coat, prioritizing relationships, and building resilience to...

Retired nurse practitioner Heidi Sykora discusses her article, "The case for regulating, not banning, kratom." She provides an evidence-based perspective on why kratom (Mitragyna speciosa) should not be treated as a dangerous opioid, clarifying the significant pharmacological difference between the natural kratom leaf and the potent, synthesized 7-OH. Heidi explains that while kratom dependence is possible, its addiction and withdrawal profile is much milder than classical opioids, and that severe psychiatric risks are rare and often linked to adulterated products. This discussion centers on the failure of prohibition and advocates for sensible regulation, like the Kratom Consumer Protection Act...

Family physician Rebecca Thompson discusses her article, "The weight of genetic testing in a family," an excerpt from her book. She shares a profoundly personal story from the memoir about a woman who is a carrier of the Huntington's disease mutation and an expectant mother facing the agonizing wait for her baby's genetic test results. Rebecca explores this powerful narrative, the emotional detachment used as a shield during the pregnancy, and the devastating impact of Huntington's disease on the family described, particularly the grandmother. The discussion explores the complex, personal ethics of genetic testing, the burden of knowledge, and...

Emergency physician Resa E. Lewiss and health care executive Jake Horowitz discuss their article, "Why women ER doctors earn $21,000 less than men." They reveal staggering new data that shatters the myth that the gender pay gap does not exist in emergency medicine, showing how it persists even after controlling for hours, experience, and patient volume. Resa and Jake explore the hard numbers: women ER physicians earn $21,000 less annually, a salary disparity that widens to over $40,000 late in their careers. This is not about output, it is about systemic inequity in the health care system that contributes directly to physician...

Nationally recognized psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article, "How insulin resistance may cause Alzheimer's disease." Muhamad introduces the paradigm-shifting concept of Alzheimer's as "Type 3 diabetes," arguing that insulin resistance in the brain is the root cause. He explains how this metabolic dysfunction starves neurons (especially in the memory-critical hippocampus), leading to the toxic beta-amyloid plaques and tau tangles associated with cognitive decline. Muhamad highlights the crucial link between diabetes and Alzheimer's risk and discusses breakthrough diagnostic tools (like new blood tests) that can identify the disease before memory loss begins. Discover the practical...

Health care executive Ronke Lawal discusses her article, "Digital mental health's $20 billion blind spot." Ronke explains how the booming digital mental health industry is systematically failing 40 percent of the U.S. population (racial and ethnic minorities), ignoring a $20 billion market opportunity. She argues that the "one-size-fits-all" model, based on Western-centric care, is a product failure that leads to algorithmic bias, misdiagnosis in diverse patients, and culturally incompetent artificial intelligence (AI) chatbots. This failure in digital mental health doesn't just alienate users; it creates real financial consequences for health systems, including higher emergency department use and readmission rates. Ronke makes...

Fertility specialist Oluyemisi (Yemi) Famuyiwa discusses her article, "How timing affects chemical exposure risks." Yemi introduces her fascinating concept of "chrono-exposomics," explaining how the time of day you are exposed to environmental chemicals may be as important as the dose. She reveals how our body's circadian rhythms (like liver detoxification and skin permeability) change over 24 hours, meaning the same exposure at 8 p.m. is not the same as at 8 a.m. Using the example of a manicure, Yemi explores how endocrine-disrupting chemicals (like phthalates and TPO) in nail products might be absorbed more heavily in the evening, posing a...

Psychiatrist and author Arthur Lazarus discusses his article, "Finding integrity at the end of a career." Arthur shares the poignant narrative of Dr. Raul Morales, a community internist facing retirement with a deep sense of despair, questioning if his forty-year medical career truly mattered. Through the powerful fable of the "cracked pot," Arthur explores how a physician's perceived failures, regrets, and "leaks" are often the unrecognized source of their greatest impact and legacy. This episode reframes the concept of professional integrity: moving it away from perfection and toward the simple, profound act of presence. Learn how to find meaning...

Health care strategist Dana Y. Lujan discusses her article, "Grief and leadership in health care." Dana shares her devastating personal story of losing both her son's father and, six years later, her only son, Joey, and how this profound grief exposed the failures of the health care system when faced with pain that cannot be captured by a diagnostic code. She describes her own experience (including a suggested 72-hour psychiatric hold) and how the system offered labels like complicated grief and PTSD but not true understanding. Dana contrasts this with her career in health care leadership, arguing that true...

Oncologist and health care executive Yousuf Zafar discusses his article, "When cancer costs too much: Why financial toxicity deserves a place in clinical conversations." Yousuf explains the concept of "financial toxicity," a severe burden caused by both direct medical bills and indirect costs (like time off work or child care) associated with cancer treatment. He reveals the sobering statistic that over forty percent of patients deplete their savings within two years, but emphasizes that this distress is more than just a financial problem: it directly compromises treatment adherence, forcing some to skip appointments or forgo prescriptions. Yousuf highlights the...

Licensed attorney Anu Murthy discusses her article, "A lawyer's guide to physician side gigs." Anu details why the pandemic caused an explosion in physician side gigs (from telehealth to passion projects) and why many doctors are seeking new income streams, driven by everything from burnout to the FIRE movement. She reveals the number one risk to a doctor's medical license: their primary employment contract. Anu explains the complex legal hurdles doctors must navigate, including contract prohibitions, conflicts of interest (like pharma consulting or expert witness work), the need for separate malpractice insurance, and intellectual property considerations. Discover the essential...

Pediatric emergency medicine physician Bronwen Carroll discusses her article, "The childhood risk we never talk about." Bronwen explains the staggering data showing child sexual abuse is far more common than many other hazards (like choking or drowning) that parents routinely prioritize for prevention. She explores why this epidemic of sexual abuse lives in the shadows: the topic feels taboo and the solutions often seem vague compared to installing a car seat. Bronwen breaks down a practical, three-pronged approach to child safety, focusing on access, compliance, and (most critically) secrecy. She provides a simple, non-threatening, and powerful conversation starter for...

Nationally recognized psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article, "The rise of digital therapeutics in medicine." Muhamad explains what prescription digital therapeutics (PDTs) are, emphasizing they are not wellness apps but Food and Drug Administration (FDA)-cleared, evidence-based software prescribed by clinicians to treat specific diagnoses. He explores the groundbreaking examples already authorized by the FDA, including software for substance use disorder, a video game for pediatric attention-deficit/hyperactivity disorder (ADHD), and a new adjunct treatment for major depressive disorder. Muhamad breaks down how these digital therapeutics are designed to work alongside (not replace...

Urologist William Lynes discusses his article, "The decline of the doctor-patient relationship." William explains why he believes this relationship, the critical center of medical care, is broken after 40 years of insidious deterioration. He argues that physicians (including himself) gradually relinquished control of clinical decisions, allowing non-clinicians, committees, and government agencies to take over. William discusses how this loss of physician autonomy and the rise of medical bureaucracy have led to delayed, inefficient, and frustrating patient care. This is a call for physicians to "claw back" control of the health care system. Learn why restoring this relationship is the only...

Gerontologist Michael Pessman discusses his article, "Why what you do in midlife matters most." Michael explains why the ages of 45-55 are a critical window and final opportunity to build healthy habits that profoundly impact future aging. He highlights new research on "super-agers" and the power of strength training (reducing early death risk by up to 20 percent), the importance of community, and the proven benefits of a Mediterranean diet. Michael also explores the crucial role of a positive mindset toward aging and the concept of "gerodiversity," reminding us that aging well is not a one-size-fits-all journey. Learn how intentional...

Pediatric anesthesiologist Irim Salik discusses her article, "The hidden danger in pediatric dental offices." Irim reveals a terrifying oversight in ambulatory pediatric dental care: children are suffering neurologic injuries or dying during routine sedation, and there is no national database to track these adverse events. She explains how the convenience of office-based procedures (versus hospitals) introduces massive risks, including the "single provider model" where the dentist also directs anesthesia. Irim breaks down how inadequate monitoring (like lacking EtCO2 monitors), oversedation, and the inability to manage a respiratory emergency can lead to catastrophe. Learn what every parent needs to know...

Dentist Lincoln Harris discusses his article, "How cloud-based simulation training is revolutionizing dentistry." Drawing on his background as a pilot, Lincoln exposes the critical training gap in modern dentistry, arguing that dentists (unlike pilots) are not prepared for real-world, high-stress scenarios. He explains why traditional dental school and "weekend courses" fail to build the necessary muscle memory for advanced procedures, leading to mixed results and poor patient outcomes, especially in rural areas. Lincoln details how cloud-based simulation technology is changing the game, allowing dentists to practice procedures repeatedly and build confidence without risking patient safety. Learn how this aviation-inspired...

Neurologist Carolyn Larkin Taylor discusses her article, "How medical gaslighting almost cost me my life." Carolyn shares her terrifying personal story of being dismissed by her long-time gynecologist, who labeled her cancer symptoms as "just stress." She details the frustrating journey of seeking a second opinion, the shocking discovery of her malignancy after a results mix-up, and the life-or-death stakes of the diagnostic delay. Carolyn explores the subtle, devastating impact of medical gaslighting, how it erodes a patient's reality (even when the patient is a physician), and why women's health issues are so often misdiagnosed. Learn how trusting your...

Pediatrician Wendy Schofer discusses her article, "Why food perfectionism harms parents." Wendy explains how the intense worry over family eating habits and ultraprocessed foods is often a symptom of a deeper issue: perfectionism. She highlights the crushing stress parents, particularly physicians, face when trying to meet unrealistic, idyllic standards of health (often seen on social media) while juggling real-life chaos. Wendy argues that this perfectionism, combined with exhaustion, fuels black-and-white thinking about food (healthy vs. unhealthy) and a constant feeling of failure. This conversation is a call to say "enough" to these damaging ideals. Learn how dismantling perfectionism and...

Certified financial planner Michelle Neiswender discusses her article, "Why physicians should not be their own financial planner." Michelle explains why physicians, despite being brilliant, often make costly financial mistakes when managing their own money. She argues that financial planning is a complex specialty (just like medicine) and that a doctor's time is too valuable to be spent decoding tax rules or tracking stocks. Michelle highlights the unique tax challenges physicians face as high-income earners and how emotional bias (like fear during a market dip) can derail a financial plan. This discussion covers why delegating to a CFP is a...

Professor and senior associate dean of engagement Janet A. Jokela discusses her article, "Celebrating internal medicine through our human connections with patients." Janet shares moving stories from medical students who are discovering the profound importance of human connection, often for the first time. She explores how these early, sacred connections (like listening to a grieving patient or advocating for the uninsured) are the true reward of internal medicine, reminding us that medicine is not black and white. Janet champions the power of storytelling as a critical tool for patient advocacy and refutes the bias that technical backgrounds preclude compassionate...

Counselor and certified coach Mary Remón and oncologist Tiffany Troso-Sandoval discuss their article, "Clear communication is kind patient care." They explore the common scenario of patients leaving the office more confused and anxious than when they arrived, overwhelmed by medical jargon and frightening online research. Mary and Tiffany address the root causes of poor patient communication, including physician burnout and compassion fatigue, arguing that "unclear is unkind." They offer practical, powerful strategies (like using the teach-back method, addressing patient fears from "Dr. Google" directly, and validating emotions) to improve health literacy and build trust. This conversation explains how c...

Registered nurse June Pomeroy discusses her article, "How physician obesity affects patient care." June explores the complex realities of weight bias within the medical field, examining how a physician's own struggle with obesity can impact patient care. She highlights the professional stigma physicians face and the documented bias from patients, which often leads to reduced treatment confidence and delayed diagnoses for obesity. June digs deep into why obesity is a complex chronic disease (not just a willpower issue) and discusses how the health care system fails both patients and providers by lacking adequate training on obesity. This conversation covers...

Health care strategist Dana Y. Lujan discusses her article "Why direct primary care (DPC) models fail." Dana argues that the DPC community's obsession with "purity" is missing the point, stating that these models don't fail over ideology, they fail because of bad math. She uses the University of Houston's $1 million clinic failure as a prime example of a "fundamental market mismatch," where a DPC model was placed in a low-income area that couldn't sustain its membership fees (a ~70 percent revenue deficit). Dana also debunks the myth that institutions can't run successful DPC programs, citing CHI Health and Johns Hopkins...

Physician and professional certified coach Chrissie Ott discusses her article "How an insider advocate can save a loved one." Chrissie shares a terrifying recent story of a friend's elderly, Spanish-speaking mother who was admitted to the hospital and declined rapidly due to medication and dehydration, highlighting how the patient's daughter suspected abuse while the real, urgent medical issues were being missed. She explains how she acted as an "insider advocate," providing her friend with the exact script (including terms like "agitated delirium" and "acute kidney injury") and the escalation path needed to get her mother life-saving fluids. This episode...

Food allergy advocate Lianne Mandelbaum discusses her article "Why Hollywood's allergy jokes are dangerous." As the mother of a child with a life-threatening food allergy, Lianne shares her personal trauma and outrage over media portrayals that turn anaphylaxis into a punchline, citing a new film that misrepresents the condition and the use of epinephrine. She argues that these "jokes" are not harmless; they directly contribute to public misunderstanding, bullying, and a dangerous lack of seriousness from airlines, schools, and restaurants. This conversation explores how media misinformation increases the burden on allergy families and why treating a medical trauma as...

Public health professional Nishat Uddin discusses her article "Why culturally compassionate care matters for South Asian communities." Nishat explains why South Asians, one of the fastest-growing U.S. populations, face disproportionate rates of diabetes, heart disease, and PCOS. She highlights the key cultural and systemic barriers (like dietary disconnects, language barriers, and deep-seated stigma around mental health and infertility) that prevent individuals from seeking or following care. This episode dives into practical, compassionate strategies for clinicians to bridge these gaps, such as adapting dietary advice to include staple foods (like rice and chapati) and understanding collective family decision-making. Learn...

Certified financial planners Michael Lynch and Alisa Olsen discuss their article "Create your own financial vision for independence," an excerpt from their book Taking Care of Your Future: Your Simple System for a Big Retirement. Michael and Alisa explain why your financial plan must be driven by your personal vision, not someone else's. They share a critical concept for planning: your income drives your working life, but your expenses drive your retired life. This single shift in perspective determines how much you need to save and what your financial independence will look like. This episode explores how to set...

Certified financial planner Paul Morton discusses his article "Physician practice ownership: risks, rewards, and reality." Paul breaks down the massive differences between an employed physician's financial journey and that of an equity owner physician, exploring the reasons doctors choose the high-risk, high-reward path of private practice: the desire for control over patient culture, the "visionary" mindset, and the potential for a nonlinear financial reward. Paul dives into the challenging realities of managing overhead, dealing with inconsistent income from reimbursements, and the critical importance of strategic tax planning. This episode is a must-listen for any physician weighing the risks of...

Diagnostic radiologist Rakesh A. Shah discusses his article "A critique of medicine's response to RFK Jr." Rakesh argues that major physician organizations have failed in their duty to protect public health by remaining silent and timid in the face of Robert F. Kennedy Jr.'s anti-vaccine misinformation. He contends that this "cowardice" prioritizes institutional self-interest over patient welfare and endangers not just immunization programs but the future of medical research, including promising mRNA-based cancer treatments. This episode explores the crisis of leadership in organized medicine, the difference between being apolitical and surrendering to a public health threat, and why...

Health attorney Dennis Hursh discusses his article "First physician employment agreement mistakes." Dennis shares his amazement after 30 years in health law at the timidity of new attending physicians during contract negotiations. He explains why the "seller's market" created by a massive physician shortage means that young doctors have far more leverage than they think. Dennis debunks the myths of the "standard contract" and the fear of "losing the job" by asking for reasonable, median compensation. This episode is a critical guide for any new physician, exploring why the employer is the "motivated buyer" and why the competition is already...

Health care executive Kimberly Smith discusses her article "Why clinicians must lead health care tech innovation." Kimberly explains why clinicians, who are on the front lines of patient care, are in the unique position to solve health care's most complex challenges. As a registered wound care nurse, Kimberly has seen how technology like AI and advanced EHRs can both help and hinder clinical workflows. She argues that for health care tech to be effective, it must be developed with clinicians, not just for them, to ensure new tools ease administrative burdens and enhance patient care. This conversation explores how...

Patient advocate and author Irene Tanzman discusses her article "A mother's question about PCOS and her son's autism." Irene shares her personal journey as a mother to a son with severe autism and intellectual and developmental disabilities (IDD), exploring the challenging but necessary questions about the link between maternal PCOS (polycystic ovary syndrome), the modern metabolic crisis, and fetal neurodevelopment. Irene advocates for looking "upstream" at maternal health before conception, questioning if fertility treatments are addressing the underlying hormonal environment needed for optimal development. This episode dives into the realities of caregiving for severe autism, the need for better...

Cardiologist Saurabh Gupta discusses his article "Physicians must lead the vetting of AI." In this episode, Saurabh explores how artificial intelligence is reshaping medicine and why its future depends on physician leadership, not passive adoption. Drawing from his experience in cardiology and AI development, he explains why every algorithm influencing clinical care must meet the same rigorous standards as any medical device or drug. Saurabh emphasizes that unvetted AI, not AI itself, is the real risk, underscoring the need for continuous validation, bias testing, and transparency. Viewers will learn how clinicians can move from users to stewards of technology...

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "The crisis in inpatient psychiatric care." In this episode, Muhamad examines the growing dysfunction within the nation's psychiatric hospital system, where patients in crisis are too often turned away or kept too long because of policy failures, financial pressures, and insurance algorithms that override clinical judgment. Drawing from two decades on the front lines, he describes the moral tension faced by psychiatrists navigating laws that punish both over- and under-admission, and insurers that cut coverage precisely when patients begin to improve. Muhamad calls for a new social...

Patient advocates Alan P. Feren and Joyce Griggs discuss the article "Why agency and partnership are vital in modern health care." In this episode, Alan and Joyce explore how collaboration, advocacy, and shared responsibility create stronger, more effective care. Together, they unpack the four pillars of good medicine—agency, advocacy, responsibility, and partnership—and highlight how each empowers patients to play an active role in their health. Through Alan's personal story about a missed follow-up that could have had serious consequences and Joyce's perspective on navigating the system as an advocate, they reveal why mutual trust and communication are esse...

Family physician Grace Yu discusses her article "The backbone of health care is breaking." In this episode, Grace reflects on the urgent decline of the primary care workforce and the growing crisis facing family medicine. She shares personal stories from more than two decades of practice—delivering babies, guiding families, and caring for patients across generations—to illustrate why strong, relationship-based primary care remains essential for equitable and effective medicine. Grace explores how debt, burnout, and institutional culture drive medical students away from primary care and calls for reforms in education, payment, and technology that honor its value. Viewers will...

Psychiatrist Yekaterina Angelova discusses her article "Are you addicted to false urgency?" In this episode, Yekaterina explores how modern professionals, including physicians, get caught in a cycle of constant busyness and fabricated emergencies that drain focus, health, and joy. She explains the neuroscience behind the "mere urgency effect," where our brains prioritize quick tasks over meaningful ones, and how this addiction to urgency fuels burnout and anxiety. Drawing on both research and clinical experience, Yekaterina offers practical strategies to pause, regain perspective, and break the reward cycles that keep us trapped in stress. Viewers will learn how to reclaim...

Internal medicine physician Robert C. Smith discusses his article "Why medicine needs a second Flexner Report." In this episode, Robert explores how modern medical education has fallen behind the science it was built on, leaving today's physicians unprepared to address mental health, chronic disease, and prevention. He examines how the historical "mind-body split" continues to shape curricula and care delivery, calling for a new nationwide investigation—akin to Abraham Flexner's 1910 report—to ensure medicine once again aligns with the most current scientific understanding. Viewers will gain insight into how reforming physician training could restore medicine's scientific integrity, improve health outc...

Neurologist Scott Abramson discusses his article "Why 'the best physicians' risk burnout and isolation." In this YouTube-optimized episode, Scott reflects on the ancient Talmudic teaching that warns how pride and perfectionism can become a physician's downfall. He explores how the culture of grit, self-sacrifice, and fear of vulnerability leads many doctors to burnout and emotional isolation. Drawing on decades of medical experience, Scott emphasizes humility, connection, and the courage to seek help when the weight of responsibility becomes too heavy. Viewers will gain insight into how physicians can protect their well-being, sustain empathy, and rediscover meaning in medicine by...

Internal medicine physician Harry Oken discusses his article "mRNA post vaccination syndrome: Is it real?" In this episode, Harry explores the science, uncertainty, and human stories surrounding post-vaccination syndrome (PVS) linked to mRNA COVID-19 vaccines. Drawing on clinical data and personal experience, he explains how lingering immune reactions may affect patients and why research is urgently needed to clarify causes and treatments. Harry emphasizes compassion, scientific rigor, and the importance of investigating rare outcomes without undermining public trust in vaccines. Viewers will gain a deeper understanding of PVS, ongoing studies like Yale's LISTEN project, and how medicine continues to...

Physician executive Mona Potter discusses her article "When anxiety runs the show: How medication can help kids thrive." In this episode, Mona explores how clinical anxiety differs from everyday worry, why it can become paralyzing, and how medication can be a key part of restoring balance in children's lives. She emphasizes that medication alone isn't a cure, but when combined with cognitive behavioral therapy, it can create the mental space kids need to learn coping skills and regain confidence. Mona also explains the importance of giving treatments enough time to work, understanding the difference between helpful and harmful anxiety...

Emergency physician Drew Remignanti discusses his article "A world without vaccines: What history teaches us about public health." In this conversation, Drew reflects on historical lessons from smallpox, polio, and measles to reveal what life looked like before modern immunization. He explores the dangers of misinformation, the importance of science-based health care guidance, and the global success stories that vaccination campaigns have produced. Drew also explains how confirmation bias and the spread of anti-vaccine sentiment threaten progress toward disease eradication. Listeners will gain insight into how to evaluate evidence critically, advocate for public health, and understand the human cost...

Board-certified pediatrician and certified coach Jessie Mahoney discusses her article, "Why don't women in medicine support each other?" She explores how scarcity, competition, and cultural conditioning have discouraged women physicians from advocating for themselves and one another. Jessie shares how authentic connection, praise, and recommendations can shift the culture of medicine toward abundance and mutual growth. Viewers will learn how small acts of support, like recognition, referrals, and celebration, can transform careers, confidence, and the collective well-being of women in medicine.

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Certified coach and professor Kathleen Muldoon discusses her article, "The humanity we bring: a call to hold space in medicine." She shares how her experience as a mother in the neonatal intensive care unit transformed her understanding of empathy and reshaped how she teaches future clinicians. Kathleen explains why health care professionals must hold space for patients and themselves, embracing presence, storytelling, and authenticity as tools for healing. Viewers will learn how humanity is not separate from medicine but its foundation, and how connection and compassion can restore both patients and practitioners.

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Physician executive Joseph Pepe discusses his article, "A doctor's guide to preparing for your death." He shares practical and compassionate advice on planning for life's inevitable end, from organizing essential documents and creating a "death folder" to protecting loved ones through wills, trusts, and life insurance. Joseph explains why facing mortality head-on allows people to live more freely and meaningfully. Viewers will learn how thoughtful preparation transforms fear into peace and why readiness is the greatest gift you can leave behind.

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Internal medicine physician Augusta Uwah discusses her article, "The dying man who gave me flowers changed how I see care." She shares the emotional story of a terminally ill patient whose simple act of gratitude transformed her understanding of compassion, presence, and what it means to truly care. Augusta reflects on the challenges of patient care, the importance of listening, and the quiet moments that redefine medicine beyond treatment. Viewers will learn how empathy and presence can leave lasting impacts, even in the face of loss.

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Hematology-oncology physician Adeel Khan discusses his article, "Universities must tap endowments to sustain biomedical research." He explains how declining federal support for the National Institutes of Health threatens America's position as a global leader in medical science and why universities must use a fraction of their massive endowments to sustain research innovation. Adeel highlights the moral and economic case for investing in science, the urgency of supporting early-career investigators, and the need for academic institutions to bridge funding gaps left by federal cuts. Viewers will learn why this call to action matters for medicine, patients, and the future of...

Internal medicine physician Rajeev Khanna discusses his article, "I passed my medical boards at 63. And no, I was not having a midlife crisis." He shares his journey of studying for the ABIM exams decades after medical school, balancing family skepticism, humor, and determination. Rajeev reflects on aging in medicine, the evolution of study tools, and the deeper purpose behind lifelong learning. Viewers will learn how passion, perseverance, and self-belief can redefine success at any age, and why ambition does not expire; it simply adapts. This episode delivers insight and motivation for anyone chasing a goal later in life.

Neurologist Ray Dorsey discusses the article "Expanding the Parkinson's universe of care for patients, caregivers, clinicians, and communities." In this episode, Ray reimagines Parkinson's care through a cosmic analogy, with patients as the sun at the center and caregivers, specialists, technologies, and advocacy networks orbiting around them. He highlights challenges such as access barriers, stigma, and fragmented gatekeeper systems, and proposes a hub-based model that colocates interdisciplinary specialists, integrates research with care, and emphasizes bidirectional relationships between patients and providers. Ray also explores how technologies like telemedicine and wearables serve as satellites to extend care access. Listeners will gain...

Physician and coach Jessie Mahoney discusses her article "Stepping down in medicine is an evolution." In this episode, Jessie challenges the cultural belief that stepping down from medical roles is a sign of weakness, reframing it instead as "graduating." She explains how physicians often hold onto positions out of fear, habit, or identity attachment, even after the role no longer fuels them. Jessie shares how recognizing restlessness, depletion, or loss of joy can serve as invitations to evolve rather than warnings of failure. She introduces tools like Martha Beck's Body Compass to guide decision-making and advocates for normalizing transitions...

Professor and patient advocate Edward G. Rogoff discusses his article "How to choose the right doctor for you." In this episode, Edward explains why selecting the right physician is one of the most important health decisions a patient can make. He shares practical guidelines such as finding a doctor who specializes in your condition, evaluating service orientation and training background, and applying a "chemistry test" to assess personal connection and trust. Edward emphasizes that patients should not settle for rushed encounters or profit-driven practices but instead seek physicians who act as teachers, motivators, and true partners in care. Listeners...

Physical therapists Kim Downey, Ziya Altug, and Shirish Sachdeva discuss their article "How physicians can reclaim resilience through better sleep, nutrition, and exercise." In this episode, Kim, Ziya, and Shirish explain how the triad of sleep, balanced nutrition, and physical activity forms the foundation of physician resilience. They outline practical strategies such as circadian-friendly sleep routines, meal planning to stabilize energy and mood, and integrating aerobic activity with mindful practices like yoga. The conversation emphasizes small, sustainable changes, institutional supports, and peer accountability systems that make self-care realistic for busy clinicians. Listeners will come away with actionable lifestyle medicine...

Neurosurgeon Jeffrey Hatef, Jr. discusses his article "Guilty until proven innocent? My experience with a state medical board." In this episode, Jeffrey shares the shocking story of how his medical license was summarily suspended without a hearing and how incomplete records, flawed expert testimony, and questionable legal tactics created a process stacked against him. He recounts how independent reviews from spine surgeons and letters of support from nearly sixty physicians affirmed his standard of care, yet the board pursued the case with relentless determination. Jeffrey emphasizes the dangers of a system that prioritizes winning over fairness, the impact on...

Veteran attorney Dennis Hursh discusses his article "Private practice employment agreements: What happens if private equity swoops in?" In this episode, Dennis explains how private equity acquisitions of medical practices complicate the traditional path for employed physicians who expect eventual ownership. He highlights risks such as working years at below-median pay without ever reaching partnership and inheriting underpaying contracts after a sale. Dennis also offers strategies for physicians to negotiate protections, including provisions for equity-equivalent bonuses or safeguards in case of a private equity takeover. He emphasizes that while some private equity firms bring resources and technology, others impose...

Family nurse practitioner Erica Dorn discusses her article "ChatGPT in health care: Risks, benefits, and safer options." In this episode, Erica explains how clinicians are experimenting with ChatGPT to help with HPI prompts, procedure documentation, and discharge instructions, while also cautioning against its risks such as inaccuracy, lack of HIPAA compliance, and limited integration with EHRs. She highlights the advantages of AI medical scribes, which provide secure, real-time, and health care-specific documentation solutions. Erica emphasizes practical takeaways for providers: use ChatGPT carefully for brainstorming, but adopt specialized AI tools for safer, more efficient, and compliant documentation.

Kidney transplant recipient Charlie Cloninger and nephrologist Nauman Shahid discuss their article "How early care saved my life from silent kidney disease." Charlie shares his personal story of being diagnosed with kidney disease while feeling healthy, making lifestyle changes with the help of his care coordinator, and ultimately receiving a transplant before dialysis. Nauman explains how early detection, coordinated care, and proactive treatment models are transforming nephrology and giving patients better outcomes. Together they highlight the importance of patient education, lifestyle support, and health care systems that reward prevention over crisis management. Listeners will take away both a patient's...

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "It's time to operationalize physician wellness." Muhamad explains why wellness cannot remain a slogan or a poster in the breakroom but must be embedded into the structure of health care systems. He outlines practical steps such as protecting confidentiality, revising credentialing practices, investing in real peer support, and creating opt-out touchpoints to normalize help-seeking. He also emphasizes the difference between burnout and mental illness, highlighting the need for targeted interventions. Listeners will gain a blueprint for how leaders and organizations can reduce stigma, prevent suicide, and build a...

Licensed counselor and coach Mary Remón discusses her article "A mindset shift for physicians: Retrain your brain to see what's going well." Mary explains how physicians are trained to scan constantly for risks, but that habit can carry over into daily life and lead to stress and burnout. She shares how intentional practices like reflecting on what went well each day can rewire the brain, strengthen relationships, and enhance diagnostic accuracy. Mary also highlights research showing how positive emotions fuel creativity and problem-solving, and she offers practical ways physicians can reconnect with meaning in their work. Listeners will t...

Amanda Heidemann, family physician and senior clinical content consultant for clinical effectiveness at Wolters Kluwer Health, discusses her article, "Gen Z's DIY approach to health care." Amanda explains how digital natives are turning to TikTok, friends, and online research as their primary sources of health information, often disregarding professional guidance in favor of accessible advice. She highlights the rise of telehealth, retail clinics, and urgent care as central parts of Gen Z's health ecosystem, and the need for providers to adapt to this consumer-driven shift. Amanda also emphasizes the importance of collaboration, encouraging health care professionals to meet patients...

Infectious disease physician Tyler B. Evans discusses his article "Meeting transgender patients where they are: a health care imperative." Tyler, an infectious disease specialist and author of Pandemics, Poverty, and Politics: Decoding the Social and Political Drivers of Pandemics from Plague to COVID-19, shares striking data on violence, mental health, and HIV disparities affecting transgender and nonbinary communities worldwide. He recalls formative patient experiences that reshaped his understanding of gender affirming care, emphasizing the need to move beyond outdated disease models and rigid medical training. Tyler explains why social determinants from housing to acceptance are critical to health outcomes...

Health care data strategist Lee Ann McWhorter discusses her article "Why health care reform must start with ending monopolies." Lee Ann explains how monopolistic control by entities like GPOs, PBMs, EHR vendors, and MMIS platforms drives up costs, suppresses innovation, and undermines patient safety. She highlights how opaque contracts and data silos leave hospitals flying blind, why favoritism often trumps performance, and how COVID-19 revealed the dangers of centralized sourcing models. Lee Ann emphasizes that hospitals have the power to break this cycle by rejecting monopolistic contracts and investing in transparent, independent, and sustainable solutions. Listeners will learn why...

Surgeon Fateh Entabi discusses his article "A surgeon's take on God, intelligence, and cosmic responsibility." Fateh reflects on how the complexity of the human body inspired him to think more broadly about intelligence, consciousness, and the idea of God—not as a distant creator, but as an evolving intelligence embedded in the universe itself. He explains how this perspective shapes his sense of responsibility as both a physician and a person, drawing parallels between healthy cells in the body and ethical individuals in society. Fateh also explores how religious belief systems evolve, why adaptability is a sign of life, an...

Neurologist Scott Tzorfas discusses his article "The crushing bureaucracy that's driving independent physicians to extinction." Scott shares his firsthand experience as a neurologist in private practice for three decades, where endless pre-authorizations, insurance denials, and regulatory burdens have eroded the physician-patient relationship. He explains how excessive rules and third-party interference have pushed many doctors to sell their practices or retire early, leaving patients with fewer choices and longer wait times. Scott also highlights his petition calling for policymakers to roll back unnecessary regulations and restore the autonomy of independent physicians. Listeners will take away a deeper understanding of how...

Rheumatologist Ananta Subedi discusses his article "The 4 foundations that sustain physicians through burnout and balance." Ananta reflects on his journey from medical education in Nepal to building a rheumatology practice in the U.S., sharing how faith, family, meaningful work, and friendships form the pillars of resilience for physicians. He explains how spiritual grounding shapes compassionate patient care, why work-life integration matters more than rigid balance, and how entrepreneurship allows physicians to reconnect with the purpose of medicine. Ananta also emphasizes the importance of professional friendships and mentoring young physicians. Listeners will gain practical insights into sustaining personal well-being...

Nurse practitioner Elisabeth Evans discusses her article "The critical role of nurse practitioners in colorectal cancer screening." Elisabeth shares why colorectal cancer is the second-deadliest cancer in the U.S. yet remains under-screened, and why early detection can mean the difference between a 14 percent survival rate and over 90 percent. She highlights the lowered screening age, the role of public figures in raising awareness, and how nurse practitioners and physician associates can normalize conversations, provide multiple screening options, and ease patient fears. Elisabeth also discusses environmental risk factors, the importance of family history, and the potential of emerging technologies like...

Internal medicine physician Sally Daganzo discusses her article "How functional medicine fills the gaps left by conventional care." Sally explains how a systems-based, evidence-informed approach can uncover root causes of complex conditions like fatigue, brain fog, anxiety, digestive issues, and eating disorders, especially when standard lab tests and specialist visits fail to provide answers. She highlights how functional medicine complements conventional care by considering factors such as nutrition, sleep, inflammation, microbiome health, and environmental stressors. Listeners will gain practical insights into how functional medicine reconnects doctors with clinical reasoning, expands treatment tools, and helps patients find healing when traditional...

Anesthesiologist and clinical mental health counselor Maire Daugharty discusses her article "How therapy helps uncover hidden patterns." Maire explains how psychotherapy leverages the brain's pattern-seeking nature to reveal implicit beliefs formed in early life, often outside conscious awareness. She describes how therapy provides a unique relational space for exploring assumptions, processing emotions, and reframing expectations—leading to profound shifts in self-reliance, resilience, and meaning-making. Drawing on depth psychology and Erik Erikson's stages of psychosocial growth, Maire illustrates how uncovering hidden narratives can transform relationships, ease life transitions, and help individuals face aging and mortality with integrity. Listeners will learn ho...

Clinical psychologist Annia Raja discusses her article "Why more physicians are quietly starting therapy." Annia explains how growing numbers of physicians are turning to therapy—not because they are failing, but because they are recognizing they cannot carry the weight of medicine alone. She outlines cultural shifts that are breaking down the "invincible doctor" myth, from generational openness to the impact of the pandemic, and highlights what doctors are really seeking in therapy: depth, safety, and understanding. Annia also emphasizes why quiet participation still matters, how therapy can be an investment in career longevity, and how these changes benefit bo...

Physical therapist and physician advocate Kim Downey, mental health counselor Nikolai Blinow, and family physician and physician coach Tonya Caylor discuss their article "Focusing on well-being versus wellness: What it means for physicians (and their patients)." Together, Kim, Nikolai, and Tonya examine why the language of "wellness" often feels performative and unattainable, while "well-being" reflects a dynamic, values-based, and relational practice that supports both physicians and patients. They highlight how well-being fosters flexibility, belonging, and system-level change, while empowering individual clinicians to reconnect with purpose and presence. Listeners will gain insights into how embracing well-being can transform physician culture...

Orthopedic surgeon Michael Day discusses his article "Why it's time for doctors to become performance coaches." Michael explains why public trust in U.S. health care is declining and how patients are increasingly turning to high performers and influencers outside medicine for health inspiration. He argues that physicians must expand their role beyond disease treatment to become performance coaches—providing accountability, context, and specialized knowledge to help patients pursue fitness, resilience, and longevity. Michael emphasizes the lessons learned from elite athletes, the power of exercise in preventing chronic disease, and the importance of patient ownership in a tech-enabled health fu...

Certified coach Michael Carlini discusses his article "Why physicians with ADHD are burning out." Michael explains how high-IQ physicians often mask their ADHD symptoms through hyper-organization, perfectionism, and hyperfocus, which allows them to succeed professionally but takes an immense internal toll. He outlines how misdiagnosis, overcompensation, and lack of accommodations contribute to severe burnout, strained relationships, and declining well-being. Michael also highlights solutions, including increasing awareness of ADHD's diverse presentations, encouraging comprehensive assessments, and building supportive, neurodiversity-affirming environments. Listeners will take away strategies to recognize hidden ADHD in high-achieving physicians and insights on fostering resilience in the medical profession.<...

Health care executive Sujay Jadhav discusses his article "How AI is revolutionizing health care through real-world data." Sujay explains how artificial intelligence tools like machine learning and natural language processing are turning unstructured electronic health record data into actionable insights that accelerate clinical research, drug development, and patient care. He highlights how AI can expand research cohorts, improve trial efficiency, and drive personalized medicine while stressing the importance of high-quality data curation, oversight, and multidisciplinary collaboration to avoid bias and ensure accuracy. Listeners will take away practical perspectives on how real-world data is reshaping diagnostics, treatment plans, and the...

Pediatrician Kelly Curtin-Hallinan discusses her article "My improbable survival of stage 4 cancer." Kelly shares her year-long journey of facing a dire diagnosis, enduring rounds of tests, managing the anxiety of waiting for results, and ultimately experiencing an unexpected recovery with immunotherapy. She reflects on the skepticism she once held about miracle stories, the emotional toll of uncertainty, and the balance between fear and hope that defines living with cancer. Kelly also describes the strain of protecting her daughters from the harshest realities while carrying her own doubts about survival. Listeners will gain insight into the fragility of medical certainty...

Patient advocate Timothy Thomas discusses his article "The Cap'n Crunch philosophy of medicine." Timothy shares his personal experiences with gaps in primary care, from learning of his diabetes diagnosis at a Walmart pharmacy instead of through his clinic, to promised tests never being ordered, to medication changes delivered without clear communication. He uses the metaphor of Cap'n Crunch, a title without true rank, to highlight how many clinics assign responsibility by availability rather than expertise, leaving patients vulnerable to rushed care and dangerous oversights. Timothy calls for greater regulation, stronger accountability, and clear communication standards to ensure patients receive...