The Podcast by KevinMD
Social media's leading physician voice, Kevin Pho, MD, shares the stories of the many who intersect with our health care system but are rarely heard from. 15 minutes a day. 7 days a week. Welcome to The Podcast by KevinMD.
Episodes
AI, standing orders, and the 9 p.m. call medicine still cannot handle
A patient with a urinary tract infection calls at 9 p.m. and gets told to call back in the morning. Frustrated patients default to the emergency room instead. Tod Stillson is a family physician, health care entrepreneur, and founder and CEO of ChatRx. This episode is based on his article "Why medicine is late to asynchronous telehealth," published on KevinMD. You will hear why traditional telemedi
Patients on ventilators have things to say, and no way to say them
Only 4 in 10 caregivers say a doctor asked how the patient prefers to communicate. The patients who cannot answer often have the most to report. Chris Ross is a speech-language pathologist and school administrator. This episode is based on her article "Communication access is a patient safety issue," published on KevinMD. She spent 35 years giving nonverbal children a way to be understood, then wo
How to be grateful when you are not a grateful person
Gratitude is easy to preach and hard to feel on a bad day. One physician spent a 40-year career learning to practice it on purpose. Scott Abramson is a neurologist and author. This episode is based on his article "A physician's three lessons on gratitude in medicine," published on KevinMD. You will hear the patient in a wheelchair who pointed out that his shoes never wear out, the colleague who st
Stop calling it burnout: COVID denial and the wounds ER doctors carry
An emergency physician bought a new iPad and found 53 phone numbers he had forgotten were there. Each one was a family he put on a video call to say goodbye before he intubated their loved one. Howie Mell is an emergency physician with a master's degree in public health. This episode is based on his article "COVID trauma in emergency physicians can surface suddenly," published on KevinMD. You will
Doctors on social media should ask this question first
Your patients can see everything you post. Tali Lando was posting funny videos from her office while two of her young patients lay in the hospital struggling to recover, and it left her torn. She is a pediatric otolaryngologist and airway surgeon. This episode is based on her article "The question doctors on social media should ask first," published on KevinMD. You will hear why she once had to st
Trusting the lab over the patient is the new medical error
The lab says the potassium is critically low. You walk in, and the patient looks completely fine. Duane Penshorn is an emergency physician and author. This episode is based on his article "Automation bias is the new medical error," published on KevinMD. He explains that automation bias got its name from studies of airline pilots, who had seen an alert be correct so many times that they stopped che
Hospice waits on a court order when no family can speak for you
A man is dying. He cannot speak, and no one in his life can say what he would have wanted. Kirsten Engel is a palliative medicine physician, and Medha Tripathi is a health writer and incoming Fulbright research scholar. This episode is based on their article "Guardianship and hospice care fail dying patients," published on KevinMD. They explain what happens when a patient has no family and no heal
Signs of depression families miss, and the stigma behind it
Someone you love says they are fine. They still eat, they still go to work, and no one asks a second time. Nneka Oluoha is an internal medicine physician and the author of a novel about a Nigerian immigrant living with depression. This episode is based on her article "The signs of depression a husband almost missed," published on KevinMD. She explains why depression is an illness the entire family
Hospitals are replacing bedside ICU doctors with a video screen
A young mother arrived in the intensive care unit sick but improving. Overnight, her care was handed to a telemedicine physician on a video screen. By morning she was beyond saving. Keith Corl is an emergency and critical care medicine physician who has worked in more than 40 community hospitals. This episode is based on his article "Why tele-critical care fails the sickest ICU patients," publishe
Doctors hide their PTSD out of fear for their license
A trauma surgeon spent two decades on call for the worst nights of other people's lives. Then he ran his hospital's pandemic response. Then he could not function. Jeremy Heffner is a trauma surgeon, speaker, and author. This episode is based on his article "Why frontline health care workers get no mental support," published on KevinMD. You will hear how compartmentalizing one case after another wo
ICU telemedicine done right is a program, not a doctor on a screen
A patient in intensive care gets worse at 2 a.m., and the hospital has no critical care doctor in the building. Chris Gallagher, a cardiologist and founder of Access TeleCare, has spent 15 years building virtual care programs inside hospitals, and he explains why that gap is so hard to close. This episode is based on his article "Why tele-critical care deserves expansion, not retreat," published o
Why women doctors leave in their forties and what keeps them
Women physicians are walking away from practice in their forties, and not because they stopped loving the work. Dawn Sears is a gastroenterologist of 25 years and the founder of GutGirlMD Consulting, where she coaches physicians and runs Women in Medicine groups. This episode is based on her article "10 ways to keep women physicians from leaving," published on KevinMD. You will hear why the job as
Loneliness, not weakness, is driving women out of medicine
Medical training hands you a ready-made group of friends. Then it ends, and many women physicians find themselves starting over alone in a new city. Cassie Burton Greenbaum is a pediatric critical care physician and the founder of Off Service Mom Co., a friendship matchmaking service for physician moms. This episode is based on her article "Physician loneliness is driving women out of medicine," p
Diagnosing the data: Applying clinical rigor to AI adoption
Fear of AI is not the problem. Refusing to test it is. Eric Jennings, a board-certified, fellowship-trained ophthalmologist and the senior medical director of ophthalmology at ModMed, argues that hesitancy about AI is a protective clinical instinct, and that the right response is the one physicians are already trained to use: appraise it the way you would appraise a new drug or a new procedure. Yo
Why more medicine isn't making us healthier
America spends nearly a fifth of its economy on health care, yet chronic disease keeps rising and prevention lags. Narinder Singh Parhar, an internist and intensivist with four decades of experience across outpatient, hospital, and ICU care, argues that American medicine has grown top-heavy, brilliant at acute rescue but neglectful of the everyday habits that keep people well. This episode is base
Amazon and Uber set the bar that primary care is judged against
A car shows up when you click a button and groceries arrive by tonight, but a doctor's appointment takes weeks. Payam Zamani started MY DR NOW while he was still a resident, in a clinic of twelve hundred square feet, and now runs more than eighty of them as founder and chief executive officer. This episode is based on his article "Primary care access is the real problem, not the system," published
Why patients stop trusting doctors who listened to them
A patient says her hip has hurt for a while. Whether she leaves trusting her doctor depends on what happens next. Alan P. Feren, a retired surgeon, health care consultant, and patient advocate, separates active listening, which makes a patient feel heard, from careful listening, which changes the reasoning. This episode is based on his article "Trust in medicine is restored by method, not empathy,
Some relationships work like medicine. Others work like a diagnosis.
A patient came in with weight gain nobody could explain. Every test came back fine. Shiv K. Goel is a board-certified internal medicine and functional medicine physician. This episode is based on his article "How relationships affect health, seen from the exam room," published on KevinMD. He treats the people in a patient's life as part of the same picture as sleep, alcohol, and diet. A difficult
Food allergies are treated differently, airline by airline
A doctor cracked open an airplane emergency kit and found a sticker saying there was no epinephrine inside. Lianne Mandelbaum, president of No Nut Traveler and airline correspondent for Allergic Living, has spent a decade collecting accounts like it. This episode is based on her article "Epinephrine on airplanes should not depend on the airline," published on KevinMD. You will hear what a proposed
Staying salaried may now be the riskier bet for doctors
An eye surgeon who used to see forty patients a day now sees one to three in a morning, and he has no staff. Oren Fass, a board-certified ophthalmologist and cataract surgeon, has been an employed physician, a practice owner, and an owner who sold to private equity, and he now runs a solo micro practice. This episode is based on his article "The hidden variable in the physician burnout debate," pu
Doctors' kids miss them, and the family builds its own fixes
A surgeon's kids FaceTime him from their iPads while he is in the operating room, and he cannot pick up. Alyssa Kressel, a strategic communications professional, has spent more than fifteen years alongside her husband's surgical training. This episode is based on her article "What the children of physicians carry," published on KevinMD. You will hear why the usual advice about adjusting hours does
Why exhaustion can make you see things that aren't there
You drive home after a long shift and see someone standing at the roadside. It turns out to be a sign. Chinelle Miller had that happen more than once, and her first thought was that something was wrong with her. She is a physician and multidisciplinary artist. This episode is based on her article "Why seeing things doesn't mean you're losing your mind," published on KevinMD. You will hear what she
Making AI work for physicians
Doctors have heard promises about health technology for decades. Now artificial intelligence has to deliver something better than what health care already has. Seema Verma, executive vice president and general manager of Oracle Health and Life Sciences and former administrator of the Centers for Medicare and Medicaid Services, explains where health systems stand with AI today. You will hear why am
Why business pressure and threats ended a career she loved
She loved the job for 20 years. She left anyway. Christine King, certified registered nurse anesthetist, returns to explain what changed in the operating room and what it cost her. This episode is based on her article "Why I left health care after almost 20 years," published on KevinMD. You will hear why decisions about whether a procedure happens started to feel like insurance decisions rather th
Retirement isn't the end of medicine, it's a second act
Many doctors picture themselves practicing until the day they die. Andrea Hayes decided otherwise, and tells you what came next. She is a retired endocrinologist, author, and speaker. This episode is based on her article "From endocrinologist to writer: a doctor's second act," published on KevinMD. You will hear how 30 years in practice, 25 of them independent and five in concierge medicine, ended
Blaming the doctor is cheaper than fixing the record system
A pediatrician gave a child vaccines the chart said he needed. The record showing he had already had them was buried in the system. Dennis Hursh is a health law attorney and founder of Physician Agreements Health Law. This episode is based on his article "EMR errors get blamed on physicians, not systems," published on KevinMD. The health system did not fix the record system. It counseled the physi
Why acne, chin hair, and irregular cycles are more than an ovary problem
A condition named for the ovaries turns out to run through the muscle, the liver, and the pancreas. Insulin is the signal connecting them, and different organs hear it differently. Oluyemisi Famuyiwa, reproductive endocrinologist and founder of the Montgomery Fertility Center, returns to walk through it. This episode is based on her article "How insulin drives polyendocrine metabolic ovarian syndr
Insurance companies are being sued over directories that aren't real
Your insurance company says these therapists take your plan. Most of them do not. That is the allegation behind seven class action lawsuits now moving through courts from Massachusetts to California. Attorney Steve Cohen returns to explain what his firm found when it called the names on those lists. This episode is based on his article "Mental health ghost networks are badly hurting patients," pub
Burnout isn't only about autonomy, it's about your bank account
Physicians stay in jobs they cannot afford to leave. The wellness conversation talks about resilience and meaning, and never about what is in your bank account. Stanley Liu, cardiologist, financial planner, and founder of DocEmpowered, returns with a concept traditional financial planning does not have. This episode is based on his article "Unlocking career flexibility with a Courage Fund," publis
Genetic test results, social media advice, and an irreversible choice
Your genetic test results now arrive on your phone before anyone is available to explain them. So the questions go to an online mom group, or to ChatGPT, and strangers answer first. Stephanie Waggel, physician and founder of Improve Medical Culture, has been watching that happen in real time. This episode is based on her article "Social media told her to abort her Turner syndrome baby," published
A cure for aggressive lymphoma exists, and most patients never get it
A treatment exists that can cure aggressive lymphoma after chemotherapy has failed. Only about two in ten eligible patients receive it. Manali Kamdar is clinical director of lymphoma services at the University of Colorado Anschutz, and Paolo Strati is an associate professor of lymphoma and myeloma at MD Anderson Cancer Center. This episode is based on their article "CAR-T therapy can cure cancer.
Doctors were told to be blind to the cost of care
He counts four wounds in American medicine. Patients rarely bring up the first one, which is what health care costs. Narinder Singh Parhar is a physician with more than three decades in internal medicine, hospital medicine, and intensive care. This episode is based on his article "Health care affordability is now a moral crisis," published on KevinMD. A retired Korean War veteran had Medicare, a s
Hurricane season is a fifth season, and medicine has to plan for it
In South Louisiana, hurricane season is treated like a fifth season of the year. Angela C. Johnson explains what that means for physicians and patients. She is an internal medicine physician and member of the American College of Physicians Board of Regents. This episode is based on her article "Physicians and natural disasters: the fifth season," published on KevinMD. You will hear what care looks
Antibiotics for sinusitis without a real diagnosis
Most people who get antibiotics for a sinus infection never needed them, and the real problem goes untreated. Franklyn R. Gergits is a board-certified otolaryngologist who sees the patients that three, four, and five rounds of antibiotics did not fix. This episode is based on his article "We prescribe antibiotics for sinusitis without a diagnosis," published on KevinMD. He separates a sinus infect
Your AI judges patients by how they write, not their symptoms
What if medical AI judges you by how you write instead of what's actually wrong? A health care executive says it already does. Craig Hauben has spent 30 years in health care and the last several years researching AI, and he walks through studies showing that large language models trained on decades of human writing pick up on typos, misspellings, and emotional tone, then quietly route people away
Leaving medicine isn't a loss, it's a translation problem
Leaving medicine can feel like erasing 20 years of work. What if it isn't a loss at all, but a language problem you can solve? Physician executive Shveta Gupta, a pediatric hematologist-oncologist, joins to unpack why so many doctors quietly fuse their identity with the white coat, and why a change in role can feel like being sent back to zero. This episode is based on her article "Leaving medicin
Why value-based care hasn't lowered your medical bills
Everyone agrees health care should reward better outcomes at lower cost. So why hasn't it happened? The answer isn't payment models or policy. It comes down to the everyday choices individual clinicians make, and whether anyone can actually see them. Jeanne Cohen, a health care analytics founder and CEO, argues that the value in value-based care lives in the quality of each clinical decision, not
Why weak branding is costing private practices patients and talent
Patients now choose doctors the way they shop for everything else, judging your practice online before they walk in. Ashley Gay, a branding expert, argues that a strong brand is not about ego but about earning trust, and that physicians who ignore this are quietly losing patients and talent to competitors who look more polished. This episode is based on her article "Branding a medical practice is
Bloated from all that fiber? You added it too fast.
Social media says to spike your fiber intake as fast as you can. That is where the bloating starts. Lisa Talamini is a registered dietitian nutritionist and senior vice president of clinical solutions at Wondr Health. This episode is based on her article "How to eat more fiber without the bloating," published on KevinMD. You will hear why fibermaxxing with pills, powders, and fortified bars tends
Addiction stigma costs lives, and one word can change that
A man told his doctor he was struggling with addiction. The doctor told him this was not something he could help with. Devika Bhushan is a public health physician and a former acting surgeon general of California. This episode is based on her article "How addiction stigma in health care costs lives," co-written with medical student Taylor Moss and published on KevinMD. You will hear what happened
Health insurance mergers are why your doctor is leaving
In a lot of towns there is only one health insurer left, and that is starting to show up in patient care. Rita Agarwal is a pediatric anesthesiologist who started asking why colleagues in a specialty she loves are heading for the door. This episode is based on her article "Insurance consolidation is a patient safety problem," published on KevinMD. She explains why anesthesiology went from a top re
Ketamine for depression: what actually makes it dangerous
Ketamine made headlines for the wrong reasons, and people who could be helped by it are staying away. Jim Ellwood is an anesthesiologist who has given ketamine in the operating room and taken it himself for depression that nine medications failed to touch. This episode is based on his article "The truth about ketamine: an anesthesiologist explains drug safety," published on KevinMD. He explains wh
When you have five doctors and no one is directing your care
You can have five doctors and still have no one actually in charge of your care. That gap is where patients get lost. In this episode, retired surgeon and patient advocate Alan P. Feren walks through a common case where the surgeon, primary care, and specialists each assume someone else is directing the plan, and no one is. This episode is based on his article "Fragmented care needs clinical direc
She spent weeks on her personal statement. Then someone asked why she didn't use AI.
A resident read a student's personal statement and asked why she didn't just use ChatGPT. The comment landed like a wound. In this episode, certified coach and professor Kathleen Muldoon returns to unpack what a residency personal statement is actually for, and why an algorithm can't do it for you. This episode is based on her article "Why ChatGPT can't write your residency personal statement," pu
Why overdiagnosis is failing the students it claims to help
At one university, the share of students receiving disability accommodations rose sevenfold in a decade. Is that progress? In this episode, health care educator and patient advocate Richard A. Lawhern argues that psychiatric overdiagnosis is handicapping the very students it aims to help, and that the research underneath much of modern psychiatry may not hold up. This episode is based on his artic
What a dragonfly teaches physicians about burnout and self-compassion
After 20 years as a pediatrician, she stopped believing burnout meant she couldn't hack it. The problem was never her. In this episode, pediatrician and physician career development coach Gita Balakumar reframes burnout as a systemic burden wrongly blamed on the individual, and offers a different way to think about it. This episode is based on her article "What physicians and dragonflies share in
How a doctor with no coding background built his own bedside AI tools
At 2 a.m., a surgeon needed an answer fast and had no one to ask. So he built the tool himself, with no coding background. In this episode, consultant cardiac anesthesiologist Ahmed Elsonbaty explains how a single bleeding-patient case in the operating room pushed him to create bedside clinical decision-support tools now used by more than 10,000 doctors across 150 countries. This episode is based
Why telemedicine should be a career, not a side gig
When his shifts were cut during the pandemic, he took a telemedicine job to pay the bills and ended up loving it. Suneer Chander is an emergency physician who co-wrote the article "Telemedicine as a career, not a side gig," published on KevinMD. He makes the case that telemedicine is the most impactful public health advance to come out of the pandemic, yet most doctors treat it as weekend income i
Doctors and patients are not the enemy here
He was sued for a case he barely remembered, and five years later it pushed him out of medicine. It is not just malpractice. Jordan Grumet is an internal medicine physician and the author of The Healthcare Heist: How Physicians and Patients Can Unite to Transform Health Care. In this conversation he traces how third parties like insurers, pharmaceutical companies, private equity, and malpractice l
Leaving her practice to reinvent herself from scratch
She built a thriving practice in Manhattan and appeared all over the media. Then she walked away, and it was never burnout. Samantha Nazareth is a gastroenterologist and the author of the memoir I Left Anyway: The Life I Was Supposed to Want. In this conversation she describes a deliberate triple exit from her practice, her home, and a ten-year relationship, and the six-week sabbatical that became
Your leaky gut tests aren't fixing you
A teacher came in for migraines and weight loss with a stack of leaky gut test results and a diagnosis that never fixed her. Shiv K. Goel is a board-certified internal medicine and functional medicine physician who argues that leaky gut is not a diagnosis but a physiological response, and that the upstream driver is often chronic stress and a dysregulated cortisol rhythm. This episode is based on
A back procedure that can weaken a young spine
A young patient walks in with ordinary back pain and leaves on a path that can quietly weaken the muscle holding the spine together. Francisco M. Torres is an interventional physiatrist who noticed these patients coming back to him sooner, and traced it to radiofrequency ablation denervating the multifidus, the back's most important stabilizer, until the muscle atrophies and fills with fat. This e
A wrong diagnosis that almost killed a doctor
For years, doctors told this pediatrician her pain was fibromyalgia and depression. It was quietly starving her aorta. Victoria Rundus is a board-certified pediatrician who spent four years being misdiagnosed before an ER physician finally listened to her abdomen and heard what everyone else had missed. This episode is based on her article "Diagnostic bias almost cost me my life," published on Kev
Who should own the AI that doctors built
A tech founder used one pediatrician's public advice to train her own AI. Sonal Patel decided doctors should own the tools built on their knowledge instead. Patel is a pediatrician and neonatologist who built and controls her own AI for the fourth trimester. This episode is based on her article "Physicians must shape AI in medicine, not watch it," published on KevinMD. You will hear why she believ
Why your doctor never asks if intimacy still matters to you
Your doctor may help you live longer, but has likely never asked if intimacy still matters to you. In this episode, Michael Reed, a board-certified obstetrician-gynecologist, certified menopause practitioner, and fellowship-trained cosmetic gynecologic surgeon, explains why so many women are never given the chance to raise sexual health concerns with their physician. You will hear why medicine tau
When your labs are normal but you still feel sick
Your blood pressure is fine. Your cholesterol looks great. So why do you still feel exhausted, wired, and unwell? Internal medicine and functional medicine physician Shiv K. Goel returns to explain what standard lab panels miss when chronic stress quietly reshapes the body. This episode is based on his article "Normal labs miss what most patients are living through," published on KevinMD. You will
Medical students aren't cheating on their essays: They're afraid
A medical student offered a professor $1,000 to write their residency essay, and the reason why was not laziness. In this episode, Kathleen Muldoon, a certified coach and medical education professor, shares what she learned when she sat that student down for an honest conversation. You will hear why so many students freeze on the personal statement, why the fear is less about writing and more abou
Why soldiers are athletes and their bodies pay for it
A 30-year-old soldier can have the knees of a 60-year-old. Not from one bad injury, but from carrying a load every single day for years. Family medicine and sports medicine physician Ann Lebeck returns to explain why she came to see soldiers as tactical athletes, and what that means for their bodies. This episode is based on her article "Military sports medicine and the cost of readiness," publish
Doctors are now the second opinion, AI is the first
Your patients are asking ChatGPT what's wrong with them before they call your office, and getting an answer in seconds. In this episode, Tod Stillson, a board-certified family physician, medical device inventor, and health care entrepreneur, explains how AI chatbots became the new waiting room, and what that means for the doctor who used to be the first call. You will hear why patients turn to Cha
When patients ask for a knee surgery brand they don't understand
A patient asked for her knee surgery by its brand name. She used the term perfectly. She just had no idea what it actually meant. Orthopedic surgeon Cory Calendine, who does nearly 700 to 800 hip and knee replacements a year, returns to unpack how marketing is quietly reshaping what patients ask for in the exam room. This episode is based on his article "Knee replacement marketing undermines infor
When good parenting looks different across cultures
Two families raise their kids in completely different ways. Both are doing it right. So why do clinicians so often assume one of them is doing something wrong? Najat Fadlalla, a developmental behavioral pediatric fellow, returns to unpack how cultural bias creeps into parent coaching, the first-line, evidence-based approach for children with or at risk of ADHD. This episode is based on her article
He spoke up in residency, then got walked out in front of his patients
A doctor spoke up about problems in his residency, and months later he was walked out in front of his patients. In this episode, Vasilii Khammad, a physician and researcher who came to the United States as a Fulbright Scholar, shares what happened after he and fellow residents raised concerns about their training program. You will hear how the feedback against him was anonymous and never documente
Nurses are getting assaulted at work and no one listens
A nurse survived a violent assault at work, then watched her hospital treat her like a liability, not a victim. In this episode, June Garen, a retired psychiatric and operating room nurse and author, and Carleigh Beriont, a former union organizer who teaches U.S. history and public policy, explain why violence against nurses and doctors gets treated as part of the job. You will hear what actually
Burnout blames the doctor for a broken system
What if burnout is the wrong word for what doctors are actually going through? Gus W. Krucke argues that calling physicians burned out treats a systemic failure as a personal one, and that physicians are not failing, they are grieving a profession that has changed around them. Using a malpractice case over a reversal drug, he shows how doctors are judged in retrospect for decisions made under pres
Bedsore lawsuits are won and lost on the record
When a family finds a loved one with a severe bedsore in a nursing home, they often sue. But these cases are rarely decided by the wound itself. They are decided by what the medical record shows. Tracy Liberatore is an attorney and former physician assistant who does expert witness work on these claims, and she explains why a four-step test, not the size of the ulcer, determines whether it is rule
PCOS was never just about your ovaries
If you have acne, irregular periods, and trouble with your weight, the cause may not be three separate problems. It may be one condition affecting your whole body. PCOS, long called polycystic ovary syndrome, was recently proposed for renaming to reflect its hormonal and metabolic roots, and Oluyemisi "Yemi" Famuyiwa explains why the old name sent patients to separate specialists who each treated
Why your sinus infections keep coming back, and antibiotics may be the reason
You keep getting sinus infections, so you keep getting antibiotics. What if the antibiotics are part of the problem? Franklyn R. Gergits is a board-certified otolaryngologist and fellowship-trained otolaryngic allergist with about 30 years in practice. This episode is based on his article "Recurrent sinus infections leave damage beyond your sinuses," published on KevinMD. He explains why 2025 guid
Big Pharma's drug marketing got stealthy, and you are the target
The pharma rep with the free lunch is gone. What replaced it is harder to see, and aimed at you and your doctor. Martha Rosenberg is an investigative reporter who has worked at two medical schools and two medical ad agencies, seeing drug marketing from the inside. This episode is based on her article "3 new pharma marketing tactics every physician should know," published on KevinMD. Reporting from
What ChatGPT revealed when a medical student asked it to analyze him
What happens when you ask ChatGPT to study every conversation you have had and tell you who you really are? One medical student did that, and what it told him changed how he sees his future in medicine. Jack Tiller is a medical student in an MD-PhD program, with doctoral work in neuroscience and neurodegeneration. This episode is based on his article "The reluctant achiever: Navigating identity in
Your kidney never fully recovered from surgery, and the labs won't show it
Your kidney test comes back normal after surgery, so you must have recovered. Except the damage can be hiding in plain sight. John Erbey is an epidemiologist by training and the founder and CEO of Roivios, where he works at the intersection of science and business. This episode is based on his article "When normal creatinine hides post-operative kidney injury," published on KevinMD. He explains wh
Doctors burn out from a guilt that was never theirs
You feel guilty for calling in sick, taking earned vacation, or setting a boundary at work. What if that guilt was never really yours? Christie Mulholland is a palliative care physician and certified physician development coach. This episode is based on her article "Why your physician guilt may not actually be yours," published on KevinMD. She unpacks what psychoanalyst Laurence Blum called hidden
Doctors who ignore AI will get left behind
When your hospital decides how to use AI, will you be in the room or will you be handed whatever someone else picked? Physicians have done this before, letting insurance and then EMRs reshape medicine before they reacted, and AI is the next force they cannot afford to ignore. Augusta Uwah is a hospitalist, physician advisor, and founder and CEO of ClinEfficiency Pro, where she builds AI tools for
A doctor's kindness changed how my wife survived cancer
When a doctor shows real kindness, does it change how a patient heals? For Randy McNeely, the answer arrived the day his wife was diagnosed with cancer, and the calm, caring doctors who treated her became part of her recovery. Randy McNeely is a motivational speaker known as Captain Kindman, joined by physician advocate and physical therapist Kim Downey, who has survived cancer three times herself
What no one teaches you about fertility before you need help
Fertility specialist and Montgomery Fertility Center founder Oluyemisi "Yemi" Famuyiwa discusses the article "What no one tells you about fertility, from a doctor." Yemi discusses the article through a compassionate look at the emotional, biological, and practical realities patients often discover only after struggling to conceive. She explores fertility myths, reproductive timing, menstrual cycle
Why women doctors get sick and blame themselves for it
Women doctors joke about being cursed with every complication, but what if the job itself is quietly damaging their health? Jessie Mahoney, a pediatrician and certified coach, returns to share her own story of pregnancy complications, an ICU stay, and a string of surgeries she spent years writing off as bad luck. This episode is based on her article "Women physicians' health is paying the price of
Medicare will pay you to keep patients well. Most practices miss it.
Medicare will pay your practice to keep chronically ill patients out of the hospital, so why do most practices leave that money unused? Rachel Yates, a registered nurse and health care executive, joins to explain two reimbursement programs Medicare introduced in 2024, Community Health Integration and Principal Illness Navigation, and why two years later most practices still are not using them. Thi
Cardiac arrest is a human problem, not a training problem
When a patient's heart stops, the person leading the code is running on memory alone, and memory fails under that kind of pressure. Michael Peck is an anesthesiologist and retired faculty member at George Washington University who spent more than 30 years watching skilled clinicians get cognitively overwhelmed during a cardiac arrest. In this episode he explains why the problem is not a lack of tr
How to fix health care without Medicare for All
Medicare for All keeps dying in Congress. So what would actually get the major players to agree on universal coverage? Health care journalist Ken Terry returns to lay out a different model, one that keeps insurance companies in the system while putting primary care doctors back in charge of basic care. This episode is based on his article "A Medicare for All alternative that keeps insurers in," pu
Why doctors hide their own depression until it nearly breaks them
For 23 years, an emergency physician stayed calm in the chaos and held the line. Then one night he sat in the hospital parking lot, unable to start his car and drive home. In this episode, Kenneth Scott Burnham shares how depression crept up on him gradually, how his clinical training gave him the tools to deny it for years, and what he learned once he was the patient instead of the doctor. He exp
Why the cure for physician burnout is seeing fewer patients
For 15 years, a primary care physician saw more than 22 patients a day and slowly lost herself to exhaustion. It followed her home every night and onto every vacation. In this episode, Jerina Gani explains how she broke that cycle by doing the opposite of what administrators push: she saw fewer patients, gave each one more time, and found her life again. The counterintuitive twist is that slowing
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