
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

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

How credentialing fears harm physician mental health
Clinicians are treated as invincible, so when their own mental health suffers, many stay silent. Namit Choksi, a physician entrepreneur and health care executive, joins to explain how credentialing forms and a culture that treats wellbeing as a perk push doctors to hide depression, anxiety, and substance use until they reach a breaking point. You will hear why disclosing a behavioral health condit

Why medicine makes doctors feel they are never enough
Clinicians are pushed to do more with less, until many quietly conclude they are not enough. J. C. Sue, a family medicine physician and adjunct faculty member, returns to unpack where that belief comes from and why it does so much damage across medical school, residency, and practice. You will hear how the business side of medicine and a competitive training culture teach doctors that they must be

Why patient engagement platforms must reduce staff burden
Orthopedic surgeon Kevin J. Campbell discusses the article "Understanding Generation 2 patient engagement platforms." Kevin discusses the article through a practical distinction between first-generation patient engagement tools that increase access but also increase staff workload, and second-generation platforms designed to answer routine patient questions without pulling every message into an in

Numbness after a mastectomy no one warns you about
Most women lose feeling in their chest after a mastectomy, and almost no one warns them ahead of time. Emily Hansen, a patient advocate who has spent nearly two decades in health care communication working with surgeons and breast cancer survivors, joins to explain a consequence of survivorship that stays largely hidden. You will learn why loss of sensation is nearly universal after mastectomy, wh

Why your treatment plan falls apart after you leave the doctor
Most doctor visits do not fail in the room. They fail after you walk out, holding a plan and no clear idea of when something has gone wrong enough to call back. In this episode, retired surgeon and patient advocate Alan P. Feren explains why "call me if it gets worse" is not real guidance, and what clear instructions actually look like. He argues that sharing responsibility with patients only work

How fear of the stock market quietly costs doctors a million dollars
Doctors spend over a decade training and then quietly leave a fortune on the table when they handle their own money. In this episode, economics professor Hernan Moscoso Boedo explains why high income and years of schooling do not make physicians good investors. He compares the way doctors avoid the stock market to the way some people distrust vaccines, not because they understand the science, but

Why physicians stay in jobs they could afford to leave
Most physicians who feel stuck in a job could actually afford to leave. They just can't stomach what the worst week might look like. Stanley Liu, cardiologist and fiduciary financial planner, discusses the KevinMD article "Physician career choices come down to risk tolerance." You will hear the gap between risk capacity (what your finances can actually absorb) and risk tolerance (what you can emot

When local doctors disappear, patients pay the price
A patient with a dying leg won't drive 20 miles for care. In Devin Zarkowsky's town, that's not a hypothetical. Vascular surgeon Devin Zarkowsky runs a solo office-based practice in a San Diego County town where peripheral arterial disease patients had nowhere local to go, and Jason McKittrick is the executive director of the Office-Based Facility Association. They discuss the KevinMD article "Why

How immersive travel can reshape identity and habits
A week off does not fix burnout. The same problems are waiting when you get home, and the same person is walking back into them. Stacey Funt is a radiologist who runs a boutique wellness adventure travel company, mostly for women in their 40s through 60s, including a high share of physicians. She discusses the KevinMD article "Why immersive travel may be a powerful tool for behavior change." You w

Why physician is not the same as provider
Calling a doctor a provider sounds harmless. The American College of Physicians says it isn't. Janet Jokela, former treasurer of the American College of Physicians, professor, and medical educator, discusses the KevinMD article "Physician vs. provider is an ethics issue, not just style." She walks through how the word "provider" entered medicine through Medicare in 1965 and ended up lumping physic

Patient involvement and the future of clinical research
Most clinical research treats patients like data points. What gets lost when researchers stop listening to the people they study, and what does it cost the science itself? Niharika Singh is a biomedical engineer and pre-medical student with research experience at Genentech, Abbott, AstraZeneca, and the Keck School of Medicine, and a global ambassador with the United Nations SURGhub. She discusses

How Medicare's new cut is closing private doctor practices
A 30 to 40 percent Medicare cut just hit the doctors who keep your local hospital running, and the policy meant to stop hospital monopolies is accelerating them instead. John Birkmeyer, president of the medical group at Sound Physicians and a former Dartmouth health services researcher, discusses the KevinMD article "Medicare practice expense cuts will hurt patients." You'll hear how CMS quietly s

How true crime is radicalizing your kids online
Your child is messaging neo-Nazis on Discord, role-playing the Columbine shooting on Roblox, or making fan art of mass killers, and you have no idea. That is the pattern Matthew Turner, an emergency medicine physician at Hershey Medical Center, is now seeing in his pediatric ER, where parents bring in children after spotting a chat-message leak that exposes months of online radicalization. He disc

How Medicare is breaking nursing home care
Imagine being penalized for delivering good care to your frailest patients. Medicare's quality scoring program was built for healthy outpatients, not the elderly residents of nursing homes, but it is the system doctors who round in skilled nursing facilities are forced to play. Steve Buslovich, a physician executive and geriatrician, discusses the KevinMD article "How Medicare's MIPS impacts skill

Why "failed cycle" and "poor responder" wound infertility patients
The words doctors use during fertility care can wound the patient sitting across the desk. "Failed cycle." "Poor responder." "Ovarian failure." For a woman already carrying the grief of a child she has never had, those words can feel like nails in a coffin. Oluyemisi Famuyiwa, a fertility specialist, argues that infertility grief is compounded by cultural stigma and by clinical language medicine r

Dark money is writing your health care laws
Patients are being cut off from medications they need, doctors are afraid to prescribe, and the reason traces back to political donations most Americans never see. Richard A. Lawhern, health care educator and patient advocate, joins us to explain how lobbying money shapes health care legislation and what patients can do about it. This episode is based on his article "Health care lobbying is destro

Why doctors burn out connecting with patients, and how to fix it
Most doctors were never taught how to sit with a patient's grief, anger, or fear without absorbing it. Eva Minkoff, a health care executive coach, and Kim Downey, a physical therapist and physician advocate, join Kevin to discuss their KevinMD article "How regulating clinical empathy prevents physician burnout." You'll hear why physicians who lean too far into patient emotion burnout, why those wh

Why the people funding health care startups have never treated a patient
Most of the people deciding where billions of health care dollars get invested have never treated a patient. Harsha Moole, a physician scientist and health care venture capital founder, joins Kevin to discuss his KevinMD article "The crash cart that taught me physician-led investing." You'll hear how a single overlooked workflow problem on a hospital crash cart became a multi-hospital company, why

What's actually behind medical students using AI
Medical students who skip writing their own reflections are not lazy, they are surviving an irrational system. Kathleen Muldoon, a coach and professor, returns to discuss what student AI use in medical education actually reveals about the curriculum, the hidden incentives behind it, and why she calls students in instead of catching them. This episode is based on her article "Driving medical educat

Why most methylene blue cases came from anesthesia, not pills
Most patients on antidepressants are told they can't take methylene blue, even for brain fog. Steven E. Warren, a physician and longevity medicine clinician, joins Kevin to discuss his KevinMD article "51 cases that reframe methylene blue serotonin syndrome." You'll hear why 50 of the 51 published serotonin-syndrome cases involved high-dose IV methylene blue given under anesthesia, mostly during p

Low T treatment is silently destroying sperm counts
Up to 40 percent of infertility cases involve combined male and female factors, but the male partner is often skipped. Erica Bove, a reproductive endocrinology and infertility specialist, returns to discuss why that gap exists and what can be done about it. This episode is based on her article "What is often overlooked about male factor infertility," published on KevinMD. You will hear how prescri

Why your ER doctor doesn't know your medical history
Your ER doctor has about 25 minutes to figure out your medical history and decide what to do next. Hamad Husainy, an emergency physician and physician executive, explains why so much of that data never reaches the bedside and what AI can do about it. This episode is based on his article "AI in health care data management: Curing the EHR overload," published on KevinMD. You will hear why records fr

Why the risk aversion that makes you a good doctor wrecks your finances
The same instinct that makes you a careful clinician may be the one sabotaging your financial future. Cardiologist and fiduciary financial planner Stanley Liu joins this episode to explain why physicians' deeply trained aversion to risk becomes maladaptive once it leaves the hospital. This episode is based on his article "Physician financial risk: Balancing capacity and tolerance," published on Ke

Physician burnout is not your fault, and here's why blaming yourself keeps you stuck
What if the cure for physician burnout has been making it worse the whole time? Lisa Rubiano, an internal medicine physician and physician coach, spent over a decade as a hospitalist before burning out in 2021 and stepping back to figure out what really went wrong. This episode is based on her article "Why resilience is not the cure for physician burnout," published on KevinMD. You will hear why t
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