The Health Exchange

Episode 71 of The Health Exchange Podcast shares the powerful journey of asthma advocate Dennisse Reyes, who opens up about living with severe, uncontrolled asthma since the age of 19 and how it dramatically limited her ability to live freely. Dr. Rutland and Dennisse explore the realities of asthma as more than a “manageable” condition, diving into how misdiagnosis, lack of early education, and improper treatment can lead to dangerous outcomes. The conversation unpacks the science behind asthma as a systemic inflammatory disease, the evolution of treatment from basic inhalers to advanced biologic therapies, and the importance of finding a physician who truly listens. Dennisse also highlights the emotional toll of chronic illness, the life-changing impact of finally finding the right treatment, and the broader disparities affecting Black and brown communities due to environmental and systemic factors. Ultimately, the episode emphasizes patient advocacy, awareness, and hope, showing how the right care can completely transform a life once defined by simply trying to breathe.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 70 of The Health Exchange Podcast explores the rapidly evolving and often controversial world of psychedelic medicine with neurologist Dr. Philip O'Carroll and pain management specialist Dr. Richard Paicius. Dr. Rutland leads a wide-ranging conversation on how compounds like psilocybin, MDMA, LSD, and ketamine are reshaping our understanding of mental health, particularly for treatment-resistant depression, PTSD, and chronic pain. The discussion breaks down the science of neuroplasticity and how these therapies may disrupt deeply ingrained neural pathways, offering patients a chance to “reset” patterns of thought and behavior that traditional medications often fail to address. The episode also examines the limitations of the long-standing chemical imbalance theory of depression, the importance of therapy alongside psychedelic use, and the real-world clinical experiences showing dramatic patient transformations. At the same time, the group addresses the regulatory challenges, safety considerations, and historical stigma that have slowed adoption in the United States, while highlighting growing global momentum and the potential for these treatments to fundamentally change the future of psychiatric care.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 69 of The Health Exchange Podcast takes a deep dive into bronchiectasis with Dr. Doreen J. Addrizzo-Harris, a leading pulmonary and critical care physician, uncovering why this often-overlooked lung disease is frequently misdiagnosed as asthma, COPD, or recurrent pneumonia. Dr. Rutland and Dr. Addrizzo-Harris explore how delayed diagnosis allows structural lung damage and chronic inflammation to quietly progress, emphasizing the importance of listening to patients, recognizing patterns of repeated infections, and utilizing proper imaging like CT scans to uncover the true cause. The conversation highlights the complexity of bronchiectasis, from its wide range of underlying causes, including genetic conditions, immune deficiencies, and chronic aspiration, to the evolving treatment strategies that go beyond antibiotics. Ultimately, the episode underscores the critical need for better education, earlier detection, and collaborative care, while empowering patients to advocate for themselves if persistent symptoms like chronic cough continue to go unexplained.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 68 of The Health Exchange Podcast features Tim Cason, who shares his extraordinary survival story after suffering a sudden, massive heart attack that led to multiple cardiac arrests and weeks on life support. Despite having no clear warning signs, Tim’s condition escalated rapidly, highlighting how unpredictable and silent cardiovascular events can be. Dr. Rutland and Tim walk through early symptoms and emergency response to intensive interventions like ECMO, dialysis, and multiple surgeries, while also exploring the emotional and psychological impact of coming close to death. The conversation goes beyond the medical details to examine Tim’s near-death experience, the role of his family during recovery, and how surviving such an event reshaped his perspective on time, health, and what truly matters.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 67 of The Health Exchange Podcast explores the shift in HIV from an uncertain and often devastating diagnosis to one that can be managed over time with guest Dr. Jon Persichino, an infectious disease specialist. Dr. Rutland and Dr. Persichino break down the science of how HIV affects the immune system, why it remains incurable despite effective treatments, and what “undetectable equals untransmittable” truly means in real life. The conversation highlights the critical importance of routine testing, early diagnosis, and prevention tools like PrEP and PEP, while also addressing persistent stigma, misinformation, and disparities in access to care. From real patient stories to cutting-edge treatments and long-term health considerations, this episode emphasizes that while HIV is no longer a death sentence, education, access, and honest conversations remain essential to controlling the epidemic and improving outcomes.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 66 of The Health Exchange Podcast tells the powerful and eye-opening story of ovarian cancer survivor Megan Yoo Schneider, who joins Dr. Rutland to unpack how a life-threatening diagnosis can hide behind vague symptoms. Megan shares her journey from months of unexplained fatigue, bloating, and digestive issues to discovering a massive tumor that many providers initially misdiagnosed. The conversation explores the gaps in the healthcare system, the critical role of self-advocacy and being heard as a patient, and how one attentive pharmacist helped change the course of her diagnosis. They also dive into the complexities of treatment decisions, fertility considerations, and the emotional and physical toll of major surgery, while shedding light on why ovarian cancer awareness lags behind other cancers. Ultimately, Megan’s story emphasizes the importance of trusting your body, pushing for answers, and using survivorship as a platform to raise awareness for a disease that too often goes undetected until it’s too late.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 65 of The Health Exchange Podcast explores the science, safety, and evolving technology behind vision correction with guest Dr. Neda Shamie, a leading ophthalmologist specializing in LASIK, cataract, and corneal surgery. Dr. Rutland and Dr. Shamie break down how the eye functions like a highly sophisticated optical system, explaining how conditions like nearsightedness, astigmatism, and keratoconus develop and impact vision. The conversation demystifies LASIK by walking through what actually happens during the procedure, who makes a good candidate, and why proper screening is critical to achieving safe and successful outcomes. Beyond LASIK, the episode highlights newer alternatives like PRK and implantable lenses. Throughout the discussion, Dr. Shamie underscores the importance of advanced diagnostics, physician expertise, and patient education in delivering life-changing improvements in vision while avoiding the pitfalls of “drive-through” eye surgery.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 64 of The Health Exchange Podcast explores the often overlooked reality of kidney disease with guest Dr. Michelle Estrella, a nephrologist and leader in kidney health research. Dr. Rutland and Dr. Estrella break down how the kidneys function far beyond simply filtering toxins, highlighting their role in regulating blood pressure, electrolytes, and overall balance in the body. They also discuss how the disease is detected through routine lab work, why early screening is critical, and how new tools and evolving treatments are helping slow progression. Throughout the episode, Dr. Estrella underscores the importance of awareness, proactive testing, and stronger collaboration between patients, primary care providers, and specialists to catch kidney disease earlier and improve long-term outcomes.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 63 of The Health Exchange Podcast examines endometriosis with guest Dr. Mallory Stuparich, a gynecologist and endometriosis specialist who diagnoses and treats the condition. Dr. Rutland and Dr. Stuparich discuss what endometriosis actually is—an inflammatory disease where tissue similar to the uterine lining grows outside the uterus—and why it so often goes undiagnosed for years. The conversation explores how symptoms like severe menstrual pain, pelvic pain, fatigue, and infertility are frequently dismissed as “normal,” leaving many patients to struggle without answers. They also break down how the disease is evaluated and treated, from advanced imaging to excision surgery, while highlighting the limitations of common approaches like birth control alone. Throughout the episode, Dr. Stuparich emphasizes the importance of listening to patients, recognizing red flags early, and empowering individuals to advocate for themselves in a medical system that has historically overlooked chronic pelvic pain.

Episode 62 of The Health Exchange Podcast explores testosterone, hormone optimization, and the evolving field of longevity medicine with guest Christopher Asandra, MD, a physician specializing in anti-aging. Dr. Rutland and Dr. Asandra unpack how testosterone functions at the cellular level, why symptoms like fatigue, brain fog, low libido, and mood shifts matter more than a single lab number, and how individualized treatment can restore energy, muscle mass, and overall quality of life. The conversation tackles common misconceptions about therapy, safety concerns surrounding cardiovascular risk and overprescribing, the importance of proper monitoring, and how fertility factors into treatment decisions. Beyond hormones, the episode broadens into the difference between lifespan and healthspan, examining how sleep, resistance training, nutrition, inflammation, and lifestyle habits intersect with hormone balance to shape long-term vitality. Throughout, Dr. Asandra shares both clinical insights and personal experience, emphasizing a tailored, evidence-informed approach to helping patients not just live longer, but live better.

Episode 61 of The Health Exchange Podcast tells the powerful story of Kahley Schiller, founder of Pilates by Kahley, who at 39 years old was given just 90 days to live after being diagnosed with acute liver failure caused by autoimmune hepatitis. What began as subtle fatigue and nausea quickly escalated to jaundice, an ICU admission, and the realization that a liver transplant was her only chance at survival. Dr. Rutland walks through the science of how the immune system can mistakenly attack the liver, while Kahley shares the emotional reality of waiting for an organ—knowing her life depended on another family’s loss. The conversation explores the physical deterioration of liver failure, the complications she endured during transplant surgery including blood clots and strokes, and the often-overlooked mental health challenges that follow survival. From advocating for herself when symptoms were dismissed to rebuilding her strength through movement and faith, Kahley reflects on resilience, grief, gratitude, and what it truly means to carry someone else’s legacy while navigating life after transplant.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 60 of The Health Exchange Podcast dives into the overlooked and often misunderstood world of women’s pelvic health with guest Dr. Maria Uloko, a urologist and pelvic health expert. Dr. Rutland and Dr. Uloko explore why conditions like pelvic floor dysfunction, urinary incontinence, recurrent UTIs, and hormonally mediated vestibular pain are frequently misdiagnosed or underrecognized. They discuss how hormonal changes, inflammation, and pelvic muscle health intersect to affect comfort, urinary function, and overall well-being. The conversation also examines the cultural and educational gaps that have historically neglected female health, while highlighting practical interventions—from hormone therapies to pelvic floor therapy—that can restore function and quality of life. This episode emphasizes the importance of listening to patients, validating their pain, and empowering them with knowledge and options for care.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 59 of The Health Exchange Podcast explores the demanding and deeply human world of pediatric neurosurgery with guest Tony Adkins, PA-C, who works on the front lines helping children and families navigate some of the most overwhelming diagnoses imaginable. Dr. Rutland and Tony discuss what pediatric neurosurgery really looks like day to day—from emergency calls and operating room care to the emotional weight of delivering life-altering news to parents. The conversation breaks down complex conditions like hydrocephalus, brain tumors, and neural tube defects in clear, accessible terms, while highlighting the critical role physician associates play as translators between medical teams and families. Beyond the medicine, Tony shares how empathy, humility, and even dance have become tools for connection, helping reduce fear and build trust in moments of crisis. The episode ultimately underscores the balance between science and compassion, and what it takes to care for children while carrying the emotional realities of the work.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 58 of The Health Exchange Podcast explores the powerful connection between oral health, overall wellness, and personal confidence with guest Dr. Bill Dorfman, a leading cosmetic dentist. Dr. Rutland and Dr. Dorfman discuss how the mouth often serves as an early window into systemic health, touching on inflammation, cardiovascular risk, immune function, and chronic disease. The conversation breaks down common dental procedures—such as bonding, veneers, crowns, implants, and root canals—while emphasizing a conservative, patient-centered approach focused on restoring function before aesthetics. Beyond clinical care, Dr. Dorfman shares how dental treatment can profoundly impact confidence, mental well-being, and quality of life, drawing from decades of experience, including transformative patient stories and work with complex congenital conditions. The episode also highlights the importance of collaboration between dentists and physicians, early disease detection, and removing fear and stigma from dental care, reinforcing that oral health is not cosmetic—it is foundational to whole-body health.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 57 of The Health Exchange Podcast goes inside the fast-paced, high-stakes world of the emergency department with guest Dr. Italo Brown, an emergency medicine physician. Dr. Rutland and Dr. Brown explore what it really takes to navigate the chaos of trauma, critical care, and high-acuity patients, while balancing technical skill, rapid decision-making, and deep compassion. They discuss the realities behind life-saving procedures, the emotional highs and lows of patient outcomes, and the importance of communication and teamwork in the E.R. The conversation also touches on challenges like managing chronic conditions, understanding complex respiratory and cardiovascular cases, and providing care for vulnerable populations. Beyond the medicine, Dr. Brown highlights the human side of emergency care—staying present with patients and families, mentoring trainees, and coping with the emotional weight of loss—offering listeners an honest, unfiltered look at what it means to work on the front lines of healthcare.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 56 of The Health Exchange Podcast examines how autoimmune disease care is evolving when advanced medicine is paired with lifestyle-based intervention. Host Dr. Rutland speaks with Drs. Melissa Mondala and Micah Yu, a married physician team who combine rheumatology, lifestyle, and integrative medicine in their practice. They share their personal journeys—Micah’s own autoimmune diagnosis and Melissa’s early patient experiences—that shaped their approach to care. The conversation covers how autoimmune diseases like rheumatoid arthritis and lupus affect energy, mood, and overall health, and why assessment of diet, sleep, stress, and environment is critical alongside advanced medications. Through real patient stories, they illustrate how combining biologics with lifestyle changes—plant-forward diets, stress management, and movement—can improve symptoms, reduce medication needs, and empower patients to reclaim control over their health.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 55 of The Health Exchange Podcast dives into the science, stigma, and real-world impact of migraines with neurologist Dr. Philip O’Carroll and pain management specialist Dr. Richard Paicius. Dr. Rutland leads a wide-ranging conversation on why migraines are not “just headaches,” but complex neurological and inflammatory events shaped by genetics, hormones, brain signaling, and lived experience. The episode explores how migraines are misdiagnosed, why women are disproportionately affected, and how central nervous system sensitization, trauma, and emotional stress can drive chronic pain. From breakthrough CGRP medications and Botox to nerve blocks and emerging psychedelic therapies, the doctors explain how modern, precision-based treatments are transforming care—while emphasizing that empathy, accurate diagnosis, and coordinated, whole-person treatment remain just as critical as the science.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 54 of The Health Exchange Podcast features interventional cardiologist Priya Rao Kothapalli in a wide‑ranging conversation about what really determines heart health — from emergency procedures that save lives in minutes to the invisible forces that shape disease over decades. Dr. Rutland and Dr. Rao explore how heart attacks happen, how blocked arteries and faulty valves are treated in the cath lab, and why technologies like transcatheter valve replacement and intravascular imaging have transformed modern cardiology. They also dive into the concept of “vulnerable plaque,” showing why heart attacks often come from hidden inflammation rather than obvious blockages, and how new blood markers and cardiac imaging can identify risk long before symptoms appear. Beyond procedures and lab values, the episode emphasizes prevention, stress, genetics, and personalized care — reframing heart disease not just as a plumbing problem, but as a lifelong, whole‑body process shaped by biology, environment, and how people live.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 53 of The Health Exchange Podcast features urologist and men’s health specialist Dr. Rena Malik in a candid, evidence-based conversation about what really drives men’s intimate wellness. Dr. Rutland and Dr. Malik explore how male function is shaped by hormones, blood flow, nerves, and psychology, why issues like performance difficulties and early climax can be early warning signs of deeper health concerns, and how treatments range from simple lifestyle adjustments to medications, devices, and injections. The episode also dives into prostate health, including BPH, prostatitis, PSA screening, and when to be concerned about prostate cancer, while connecting these topics to overall quality of life, relationships, and aging. Beyond the biology, Dr. Malik speaks openly about communication, desire in long-term partnerships, and why men are often taught to suffer in silence — reframing male wellness not as performance, but as a vital part of feeling connected, confident, and alive.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Filmsinstagram.com/bornreadyfilms

Episode 52 of The Health Exchange Podcast takes a deep dive into foot health and why the feet are far more connected to overall wellness than most people realize, featuring board-certified podiatrist Dr. Ebonie Vincent-Sleet. Dr. Rutland and Dr. Vincent-Sleet explore how biomechanics, genetics, footwear, and daily habits influence everything from chronic pain and athletic performance to long-term conditions like diabetes. The conversation breaks down common but misunderstood issues such as bunions, flat feet, ankle instability, diabetic ulcers, and fungal infections, while emphasizing prevention, early intervention, and conservative care before surgery. Along the way, Dr. Vincent-Sleet shares patient stories that highlight podiatry’s unique blend of technical precision and deeply personal impact, touching on athlete recovery, pediatric foot development, sneaker culture, and even holistic concepts like grounding. The episode ultimately reframes foot care as foundational medicine—critical not just for mobility, but for quality of life across every stage of health.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 51 of The Health Exchange Podcast features board-certified dermatologist Dr. Tia Paul, who joins Dr. Rutland for a wide-ranging conversation on skin health, acne, lasers, and the realities of modern dermatology. The episode explores how different laser technologies actually work, why choosing the wrong treatment can cause serious harm—especially for patients with darker skin—and how individuals can better advocate for themselves when seeking cosmetic or medical procedures. Dr. Paul breaks down acne as a chronic medical condition influenced by hormones, stress, lifestyle, and skin type, discussing treatment options from over-the-counter products to Accutane and biologics. The discussion also tackles skincare misinformation fueled by social media, the rise of influencer and celebrity brands, and the limitations of product regulation. This episode offers a grounded, patient-centered look at what healthy skin really means and how thoughtful care can change lives.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 50 of The Health Exchange Podcast features allergist and immunologist Dr. Malika Gupta, MD, who brings clarity to the confusing and often frustrating world of allergies. She and Dr. Rutland discuss why symptoms can flare at unexpected times, how to tell the difference between seasonal and year-round triggers, and what actually happens inside the immune system during an allergic response. Dr. Gupta explains the strengths and limitations of skin testing and blood work, emphasizing how accurate diagnosis depends just as much on patient history as on lab results. She also breaks down when treatments like antihistamines, nasal steroids, and immunotherapy are truly helpful — and when they’re not. Practical and highly accessible, this episode gives listeners a clearer path to understanding their symptoms and finding lasting, personalized relief.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 49 of The Health Exchange Podcast breaks down the childhood vaccine schedule with pediatrician Dr. Lori Livingston, who explains what each shot protects against, why the timing matters, and how vaccines prevent not just illness but hospitalizations and long-term complications. Dr. Livingston walks listeners through the early series (hepatitis B, DTaP, polio, Hib, pneumococcal, rotavirus), the important one-year and preteen boosters (MMR, varicella, Tdap, meningococcal, HPV), and respiratory protections parents should watch for each season — including influenza, COVID-19, and the new RSV tools (maternal vaccination and infant monoclonal antibodies). The conversation balances science with real-world examples — from rotavirus wards cleared after vaccine rollout to the resurgence risks of measles and polio — while addressing common parental concerns, myths (especially around HPV and vaccine safety), and practical tips for making shots easier for kids.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 48 of The Health Exchange Podcast features an intimate and powerful conversation with Patty Jo, who shares her journey as a single mother navigating career pressures, personal challenges, and the realities of raising two sons through adversity. The episode traces her path from an unconventional childhood overseas to parenting amid instability, addiction, ADHD, and the pursuit of law school, all while relying on extended family during medical and emotional crises. Through humorous memories, difficult truths, and hard-won lessons, the conversation highlights how love, structure, and determination shaped her family’s trajectory and the men her sons ultimately became.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 47 of The Health Exchange Podcast tells the extraordinary story of Dr. Gary Gibbon, a pulmonologist who became a patient himself through a landmark dual lung and liver transplant. Dr. Rutland speaks with him about the unique challenges of transitioning from doctor to patient, how vulnerability reshaped his perspective on care, and the lessons he learned from the transplant team that treated him like family. The conversation also explores how Dr. Gibbon’s own medical knowledge allowed him to recognize his symptoms early, guiding him to seek care that ultimately led to his life-saving dual transplant. The episode explores resilience, advocacy, and the power of patient-centered care, offering insights not just for medical professionals but anyone navigating the healthcare system.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

#sponsored #sanofi_partner Episode 46 of The Health Exchange Podcast dives into type 1 diabetes (T1D) and the challenges inherent in shared decision-making about risk assessment and screening. This discussion with Robin Arzón—who was diagnosed in her 30s—explores strategies for fostering awareness and timely action, breaks down the potential misconceptions that could be swirling, and highlights why early screening and early understanding is important. Dr. Rutland and Robin unpack why a T1D diagnosis doesn't have to start with symptoms and discuss @TZIELD (teplizumab-mzwv), a prescription medication that can delay the onset of Stage 3 T1D in patients 8 years and older with Stage 2 diabetes. With humor and determination that are quintessential to Robin’s can-do fitness attitude, this episode celebrates the ability of patients and caregivers to face the challenges of T1D and shares strategies HCPs can use with their patients.I've been engaged by Sanofi to raise awareness of TZIELD as well as highlight the importance of taking action to screen and monitor for T1D. There's more we can do to support and advocate for patients who may be at risk of T1D. Check out https://bit.ly/475fP1M for more info!As with any treatment, it’s important to understand the potential adverse reactions with TZIELD. Greater incidences of cytokine release syndrome, serious infections, hypersensitivity reactions and serum sickness, lymphopenia, and neutropenia were reported in TZIELD-treated patients vs placebo-treated patients. Most common adverse reactions (>10%) were lymphopenia, rash, leukopenia, and headache. TZIELD may also interfere with immune response to vaccination and decrease vaccine efficacy. These are not all the adverse reactions reported with TZIELD.Please see full Important Safety Information here https://bit.ly/44nc0TS, and Prescribing Information here https://bit.ly/3IbU9Xn.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/MAT-US-2508671-v1.0-10/2025

Episode 45 of The Health Exchange Podcast looks at resilience, recovery, and the evolving science of orthopedic care with guest Dr. Steve Mora, a board-certified orthopedic surgeon and sports-medicine specialist. Dr. Rutland and Dr. Mora dig into how modern orthopedics blends mechanics with biology — from PRP, stem-cell and fat-based therapies to peptides and tailored anesthesia — and why metabolic health, sleep, and movement matter as much as the scalpel. Drawing on stories from UFC fighters to an Olympic athlete he helped return to gold, the conversation balances high-level sports medicine with everyday guidance for anyone facing pain or injury: prevention, realistic recovery expectations, and practical steps to keep moving well for life.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 44 of The Health Exchange Podcast dives deep into the science and emotion behind fertility with guest Dr. Sasha Hackman, a reproductive endocrinologist who blends expertise with lived experience. From the realities of IVF and egg freezing to the myths that cloud public understanding, Dr. Hackman explains how hormones, sleep, and stress intertwine with fertility outcomes and why personalized care matters more than one-size-fits-all advice. She opens up about her own infertility journey, offering rare insight into the emotional toll, resilience, and empathy that shape her work today. This conversation shines a light on the complex, deeply human side of reproductive medicine—balancing data, hope, and heart in every patient’s path to parenthood.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 43 of The Health Exchange Podcast features Dr. Cameron Chesnut who takes listeners inside the world of advanced facial plastic and regenerative medicine. Dr. Rutland and Dr. Chesnut discuss the intersection of art and science in aesthetic procedures, exploring topics from eyelid surgery and facial volume restoration to the role of stem-cell rich fat transfers, peptides, and hyperbaric oxygen in optimizing healing. The conversation highlights how personalized treatment, patient education, and cutting-edge science come together to create natural, long-lasting results. Beyond the technical aspects, Dr. Chesnut shares his philosophy on patient care, including the importance of realistic expectations, emotional support during recovery, and integrating neuroprotective anesthesia and nutrition strategies to enhance outcomes. Listeners get a rare glimpse into both the technical and human sides of cosmetic medicine, making this episode a deep dive into how beauty, science, and regenerative medicine converge.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Pulmonology critical care physician, Dr. Chase Hall, joins our host, Dr. Jamie Rutland, to talk about lung imaging and how it shapes the future of lung disease.Important Safety Information Indication XENOVIEW®, prepared from the Xenon Xe 129 Gas Blend, is a hyperpolarized contrast agent indicated for use with magnetic resonance imaging (MRI) for evaluation of lung ventilation in adults and pediatric patients aged 6 years and older. Limitations of Use XENOVIEW has not been evaluated for use with lung perfusion imaging. CONTRAINDICATIONS None. WARNINGS AND PRECAUTIONS Risk of Decreased Image Quality from Supplemental Oxygen: Supplemental oxygen administered simultaneously with XENOVIEW inhalation can cause degradation of image quality. For patients on supplemental oxygen, withhold oxygen inhalation for two breaths prior to XENOVIEW inhalation, and resume oxygen inhalation immediately following the imaging breath hold. Risk of Transient Hypoxia: Inhalation of an anoxic gas such as XENOVIEW may cause transient hypoxemia in susceptible patients. Monitor all patients for oxygen saturation and symptoms of hypoxemia and treat as clinically indicated. ADVERSE REACTIONS Adverse Reactions in Adult Patients: The adverse reactions (> one patient) in efficacy trials were oropharyngeal pain, headache, and dizziness. Adverse Reactions in Pediatric Patients: In published literature in pediatric patients aged 6 to 18 years, the following transient adverse reactions were reported: blood oxygen desaturation, heart rate elevation, numbness, tingling, dizziness, and euphoria. In at least one published study of pediatric patients aged 6 to 18 years, transient decrease in SpO2% and transient increase in heart rate were reported following hyperpolarized xenon Xe 129 administration. Please see full Prescribing Information.

Episode 41 of The Health Exchange Podcast features Dr. Sydney Pokard, who shares an inside look at veterinary medicine — from intricate surgeries on small animals to caring for exotic pets. She shares memorable stories of hamsters, guinea pigs, lions and zebras, highlighting moments that exemplify why she loves her job. Dr. Pokard explains the “One Health” approach, showing how diseases can transfer between animals and humans, and the importance of PPE and preventative care. She also addresses common misconceptions about animal health, husbandry mistakes among pet owners, and the mental health challenges veterinarians face. This episode is a heartfelt exploration of the science, care, and compassion involved in treating animals — and supporting the people who love them.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 40 of The Health Exchange Podcast takes a deep dive into sports cardiology with guest Dr. Merije Chukumerije, a board-certified cardiologist who works with elite athletes. Dr. Rutland and Dr. Chukumerije break down the difference between a heart attack and sudden cardiac arrest, why some conditions go undetected until tragedy strikes, and what parents and coaches should watch for in young athletes. They explore how factors like infections, genetics, and performance supplements can affect the heart, and why honest conversations and individualized care are key to keeping athletes safe. The episode also highlights the evolving approach to return-to-play decisions, showing how nuanced guidance can make the difference between ending a career and giving an athlete a second chance.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 39 of The Health Exchange Podcast takes listeners inside the world of pediatric nephrology with guest Dr. Cristina Farkas-Skiles, a specialist who cares for children with kidney conditions. She and Dr. Rutland discuss what families can expect during a first nephrology visit, how testing and treatment plans are explained in child-friendly ways, and why building trust with parents is just as important as caring for the patient. The episode covers complex topics like kidney biopsies, dialysis, and transplant risks while grounding them in practical advice about diet, blood pressure control, and long-term outlook. Dr. Farkas-Skiles also shares a moving story of resilience from one of her young patients, illustrating the hope and strength that families can find even in the face of chronic disease.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 38 of The Health Exchange Podcast takes a deep dive into how skin disease sits at the crossroads of medicine, identity, and daily life. Dr. Rutland and Dr. Helia Eragi, Dermatologist, discuss the common conditions patients bring to clinic—from eczema and acne to psoriasis and rosacea—and explain why the right care often requires looking beyond symptoms to triggers and mental health. Rather than treating skin issues as purely cosmetic, the conversation walks through how clinicians decide between topical therapies, systemic medications and newer biologics, how to separate hype from evidence in the crowded skincare marketplace, and practical steps patients can use now to manage flares and prevent complications. The episode also addresses barriers to care, the importance of clear doctor–patient communication, and how thoughtful, individualized treatment can restore both skin and confidence.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 37 of The Health Exchange Podcast features Olympian Shae Anderson, a world-class sprinter whose journey has been shaped by resilience, family, and a lifelong battle with asthma. Dr. Rutland speaks with her about the sacrifices and struggles behind making the U.S. Olympic team, from training through the pandemic and competing alongside track legends to coping with her father’s illness during trials. Shae opens up about the unique challenges of being coached by her dad, the delicate balance between athletics and family health, and what it means to carve out her own path with new coaches and teammates. More than a story about racing, this conversation highlights perseverance, perspective, and the pursuit of joy in sport—even when the odds are stacked against you.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 36 of The Health Exchange Podcast features Rene Roberts-Nijinsky, an advocate, athlete, and retired educator living with cerebral palsy who has turned her challenges into resilience and purpose. In conversation with Dr. Rutland, Rene reflects on her experiences with major surgeries, the realities of growing up with a disability, and the discrimination and silence she faced even within her own home. She shares how finding safe spaces, forgiving but not forgetting, and choosing a path of strength helped her build a full life. From dragon boat racing to completing 16 triathlons, Rene shows what it means to embrace possibility, speak out for others, and live beyond the limits people once placed on her.

Episode 35 of The Health Exchange Podcast dives into the world of plastic and reconstructive surgery with Dr. Josh Waltzman, a board-certified plastic surgeon. Dr. Rutland speaks with him about how modern plastic surgery is often misunderstood, highlighting the balance between cosmetic goals and life-changing reconstructive procedures. They explore the impact of body image, the emotional side of patient care, and how surgery can both restore confidence and improve overall health. The discussion also covers how advances in surgical techniques have broadened the field, the importance of managing patient expectations, and why authenticity and compassion are essential in building trust between surgeon and patient.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 34 of The Health Exchange Podcast offers a behind-the-scenes look at the Neonatal Intensive Care Unit (NICU) with guest Tori Meskin, MSN RNC-NIC. Dr. Rutland and Tori explore the specialized care premature and critically ill newborns require, from life-saving interventions to the emotional realities of working with families during their most vulnerable moments. They discuss how NICU nurses balance advanced medical skills with compassionate communication, the evolving technologies improving survival rates, and the teamwork essential to navigating complex cases. The conversation also sheds light on common misconceptions about the NICU, the importance of parental involvement in care, and the resilience it takes to show up for the smallest patients every single day.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 33 of The Health Exchange Podcast dives into the realities of parenting from the perspective of both a physician and a parent, with guest Dr. Lori Livingston, a pediatrician who blends medical expertise with personal experience. She and Dr. Rutland discuss common challenges parents face—including sleep deprivation, breastfeeding struggles, and managing children’s behavior—and why empathy is just as important as clinical advice. The conversation covers practical strategies for sleep training, navigating parental guilt, building a supportive “village,” and reframing discipline as an opportunity to teach rather than punish. Drawing on her own journey and favorite parenting resources, Dr. Livingston offers reassurance that there’s no single “right” way to parent, and that mistakes, when met with repair, can actually strengthen the parent-child relationship.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 32 of The Health Exchange Podcast explores the world of physical therapy with Dr. Tony Dang, a PT and movement specialist who’s changing how people think about pain, healing, and mobility. He joins Dr. Rutland to break down what makes good physical therapy truly effective—beyond just stretching and strength work. They talk through common misconceptions, what recovery can and should feel like, and why building trust with patients is often just as crucial as the physical treatment itself. This episode reframes physical therapy as a dynamic, individualized process that helps people take control of their health and stay moving for life.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 31 of The Health Exchange Podcast addresses the intersection of medicine and humanitarian crisis through the eyes of physicians Dr. Ahlia Kattan and Dr. Sameer Khan. Drawing on their experience in Gaza treating civilians amidst war, they talk with Dr. Rutland about the physical and psychological toll of displacement, the ethics of care during conflict, and the long road to recovery after trauma. This powerful conversation sheds light on what it means to be a doctor in a crisis—how to maintain compassion under pressure and when medicine becomes advocacy. This episode is an emotional look at global health through a deeply personal and human lens.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 30 of The Health Exchange Podcast spotlights chronic obstructive pulmonary disease (COPD), a condition that affects millions but is still widely misunderstood. Guest Mr. Tom Gill, a long time COPD patient and advocate, joins Dr. Rutland to unpack what makes this disease so complex to manage and why early diagnosis often slips through the cracks. They talk through key lifestyle changes, how pulmonary rehab actually works, and the importance of breaking down stigma for patients who feel blamed for their condition. Whether you're a caregiver, clinician, or someone living with COPD, this episode offers a grounded and human look at what better care and communication could look like.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 29 of The Health Exchange Podcast tackles the myths and realities of digestive health with gastroenterologist Dr. Kumkum Patel. From irritable bowel syndrome (IBS) to inflammatory bowel disease, celiac, and motility issues, Dr. Patel breaks down what’s actually going on when your gut isn’t working right—and why so many of these conditions get overlooked or misdiagnosed. She and Dr. Rutland explore how gut health connects to mood, immunity, and even hormones, while unpacking buzzy terms like “leaky gut” and “probiotics” with clarity and nuance. Whether you’re managing chronic symptoms or simply trying to understand your digestion, this episode offers real answers with a healthy mix of science and humor.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 28 of The Health Exchange Podcast brings together returning guest Dr. Richard Paicius and Dr. Jen Armstrong—an expert in pain and regenerative medicine, and a Real Housewives of Orange County alum known for her work in aesthetic care—to explore how innovative treatments are reshaping how we think about aging. From joint pain to facial symmetry, Dr. Rutland leads a wide-ranging conversation on regenerative strategies, patient trust, and how inflammation plays a critical role in both chronic pain and skin health. Midway through the episode, Dr. Armstrong receives a live injection, offering a behind-the-scenes look at how these procedures are actually performed. They discuss the latest in stem cells, platelet-rich plasma, and why good medicine means knowing when not to treat. Whether it’s cosmetic or clinical, this episode unpacks what it really means to help people feel like themselves again.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 27 of The Health Exchange Podcast explores the realities of launching and running a private medical practice with returning guest Dr. Jihan Ansari. Drawing from her experience founding Harbor Direct Primary Care, Dr. Ansari opens up about the fears, logistics, and personal sacrifices that come with leaving the corporate model behind. She and Dr. Rutland unpack the differences between U.S. and Canadian healthcare systems, discuss burnout versus fulfillment, and explain why medical training rarely prepares doctors to be entrepreneurs. From credentialing delays to social media marketing and chasing insurance claims, this episode offers an honest look at the business side of medicine—and the passion it takes to build something of your own.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 26 of The Health Exchange Podcast dives into ADHD and teenage mental health with psychiatrist Dr. Sayeh Beheshti. The discussion explores early signs parents should watch for and how to navigate challenges like screen time and social pressure. It also covers how ADHD often gets missed—especially in girls—and why early understanding can change lives. Dr. Rutland and Dr. Beheshti unpack why diagnosis doesn’t always mean medication and share non-pharmacological strategies that can make a difference. With warmth and clarity, this episode emphasizes the power of presence, patience, and communication when supporting kids through a critical phase of life.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 25 of The Health Exchange Podcast dives into the fast-moving world of stroke care with returning guest Cris Medina, a family nurse practitioner. He and Dr. Rutland break down the urgency behind early intervention and explain how each decision—from symptom recognition to treatment—can impact a patient’s outcome. The conversation touches on the evolving role of technology in stroke detection and why public education around symptoms still lags behind. Cris closes the episode by sharing a personal story from the ER that illustrates the emotional weight—and life-saving potential—of this work.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 24 of The Health Exchange Podcast pulls back the curtain on often overlooked blood disorders—with guest Dr. Joomee Shim. From iron deficiency anemia to sickle cell disease, Dr. Shim explains how tiny changes in our blood can have major health consequences. She and Dr. Rutland also explore diagnostic blind spots, racial disparities in funding and treatment, and what everyday lab tests can reveal when read correctly. This episode is a deep dive into a field where proper interpretation, early action, and the right care plan can change someone’s life.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 23 of The Health Exchange Podcast offers a personal, unfiltered look into what it’s really like to be married to a doctor. Guest host Dorey Rutland joins her husband, Dr. Jamie Rutland, for a candid conversation with clinical psychologist Dr. Nicole Johnson-Nguyen about partnership, parenting, grief, and emotional labor. From navigating long hours and shifting roles to building a life and a business together, they reflect on the pressures that can strain relationships—and the communication tools that help strengthen them. This episode is an honest exploration of love, loss, and the daily work it takes to stay connected.

Episode 22 of The Health Exchange Podcast explores the complex and deeply personal topic of depression and anxiety with guest Dr. Jihan Ansari, a family medicine physician who integrates mental health into everyday care. Dr. Rutland speaks with her about how these conditions show up differently in each patient and why early intervention can be so difficult to achieve. The conversation moves beyond surface-level symptoms to examine how factors like childhood trauma, hormone shifts, and even chronic inflammation can shape mental health. Rather than focusing solely on medication, the episode highlights the value of personalized treatment, honest conversations, and removing stigma from care that many people need but are afraid to seek.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/