The New Healthcare

Episode Description Pelvic floor health affects everyone — but it's rarely discussed until something goes wrong. In this episode, Dr. Adama Diarra sits down with Dr. Isabel Hoyven Cisneros to break down what the pelvic floor actually does, why it matters for men and women alike, and why so many common symptoms go unaddressed simply because patients don't know to ask about them. Dr. Cisneros walks through the "five S's" of pelvic floor function, what a healthy pelvic floor looks like versus a dysfunctional one, and the surprisingly wide range of conditions tied back to this single muscle group — from incontinence and prolapse to pelvic tension, diastasis recti, and sexual dysfunction. She also shares the screening questions every clinician should be asking, the tools reshaping pelvic floor therapy today, and real patient outcomes that show just how transformative this often-overlooked area of care can be. This episode is a practical primer for physicians who want to recognize pelvic floor dysfunction in their patients — and a reminder that whole-person care means asking the questions patients don't always know to bring up themselves.   Key Topics Why pelvic floor dysfunction goes unrecognized in everyday clinical visits The five S's: what the pelvic floor actually does What a healthy pelvic floor looks like vs. common signs of dysfunction Pelvic floor issues in men — an overlooked and undertreated area Pelvic floor tension: the lesser-known counterpart to weakness Diastasis recti, prolapse, and pressure management Sexual dysfunction and pain as pelvic floor symptoms, not standalone issues Screening questions physicians can start using today Innovative tools shaping the future of pelvic floor therapy

Season 2 Episode 2 "You Don't Need a Bestseller — You Need Authority": How Physicians Can Actually Write a Book with Rick Lite from Trust Pub Episode Description Most physicians have a book in them — and most never write it. In this episode, Rick Light, founder of TrustPub, breaks down why that gap exists and how to close it without blowing up your schedule or your identity as a clinician first. Rick walks through the real process of going from idea to published book: how to pick a topic that actually stands out in an oversaturated medical publishing space, the most common mistakes physicians make when they try to do it alone, and where AI fits into modern book writing — including how the publishing industry is actually responding to AI-assisted content. We also get into traditional vs. self-publishing, realistic timelines, and what a full-service publishing process looks like when you don't have time to become a part-time author. If you've been sitting on a book idea because you don't know where to start — or because you assumed it would take over your life — this episode is your starting point. Key Topics Why writing a book multiplies a physician's influence beyond the exam room The most common mistakes physicians make when writing their first book Choosing a topic that stands out in a crowded medical publishing market Step-by-step: what the writing-to-publishing process actually looks like TrustPub's full-service model for authors with no time to spare Realistic project timelines and expectation-setting AI in book writing: where it helps, where the industry draws the line Traditional publishing vs. self-publishing — which fits your goals Chapters  00:00 Introduction and Podcast Purpose 00:23 Guest Introduction: Rick Light and Background 01:20 The Mission of TrustPub and Helping Professionals Publish 02:21 Why Physicians Should Write Books to Expand Influence 03:05 Common Mistakes Physicians Make When Writing Books 04:20 The Process of Writing and Publishing a Book 07:01 TrustPub's Full-Service Publishing Process 09:42 Project Timelines and Managing Expectations 11:37 Choosing Topics and Identifying Market Gaps 13:07 Using AI in Book Writing: Opportunities and Concerns 16:40 Industry Perspectives on AI-Generated Content 19:10 Future of AI in Publishing and Ethical Considerations 21:14 How to Get Started with Your Book Project 22:02 Contact and Final Advice from Rick Light Resources TrustPub — https://trustpub.com IngramSpark — https://www.ingramspark.com KDP (Kindle Direct Publishing) — https://kdp.amazon.com Guest Links Website — https://trustpub.com Sound Bites "A book multiplies a physician's influence beyond the exam room." "Books can establish authority, build trust, and explain complex topics." "You don't need to aim for a bestseller — focus on your expertise." Adama Diarra, DO, FACP, DipABOM    

  Episode Description Most physicians building concierge or membership-based practices are operating without a map. They've been told to opt out of Medicare, keep their fees low, and pick a tribe — DPC, concierge, hybrid — without ever understanding that a compliant, tax-advantaged, bulletproof model for cash medicine has existed in federal law since 1913. No one told them about it. That changes today. In this episode, Dr. Adama Diarra sits down with James Eischen, Esq., founder of Eischen Law Office and one of the foremost legal authorities on concierge and membership-based medicine in the United States. With nearly four decades of legal experience and 17 years spent exclusively in this space, Jim breaks down what the major practice models — DPC, concierge, executive health, lifestyle and longevity — actually are under the law, why the names don't mean what you think they mean, and why the confusion in this space is not an accident. Jim explains the legal and historical framework that has protected annual and routine exam-based subscription medicine since 1965, why you almost certainly do not need to opt out of Medicare to run a cash practice, how to structure your patient agreement so that your patients can unlock FSA and HSA benefits from day one, and why pricing yourself too low may be quietly undermining your practice before it gets off the ground. This episode also covers the history most physicians have never heard — the corporate, political, and racial roots of why this model was kept hidden from most of the medical profession, and why the cost of that ignorance has been borne not just by physicians, but by the patients and communities they serve. If you have ever asked yourself whether you can charge a membership fee and still bill insurance, whether you need to opt out of Medicare, or what your patient agreement actually needs to say — this conversation is the one you have been waiting for. Dr Adama Diarra, DO, FACP, DipABOM

After months of conversations with physicians building independent practices — a concierge doctor who makes house calls, a DPC physician who traded a 2,000-patient panel for one capped at 300, an internal medicine doctor in Bend offering 60-minute first visits, and a cancer survivor running a holistic practice out of a converted space — Dr. Adama Diarra noticed the same four themes surfacing again and again. In this solo recap episode, Dr. Diarra pulls those threads together into one conversation: autonomy as a deliberate trade-off rather than an escape fantasy, AI as a tool to sharpen clinical judgment rather than replace it, the patient relationship as the actual product of medicine, and the constant temptation to let your brand outrun your care. Along the way: how an extra 45 minutes of autonomy helped one doctor catch a missed aortic aneurysm, why "physically ill" is how one physician described her old inbox, and why none of the doctors featured on this show built a following before they built trustworthy care. A practical, story-driven episode for any physician, NP, or PA weighing what independence actually costs — and what it's actually for.

The New Healthcare |  In this episode, Dr. Adama Diarra sits down with James Harrison, certified clinical hypnotist and author of Mental Foraging, to explore what clinical hypnosis actually is — and what it isn't. James strips away the pop-culture myths and grounds the conversation in contemporary neuroscience: predictive processing, allostasis, mirror neurons, and the stability-plasticity problem. The two discuss how hypnosis works as a guided state change that can help patients access their own capacity for pain modulation, habit updating, and emotional reconsolidation. Practical territory covered includes chronic pain, IBS, fibromyalgia, smoking cessation, and sleep — along with clear guidance on which patients are good referral candidates and which aren't. James also shares simple, in-office techniques any clinician can use to begin shifting a patient's relationship to their pain signal — right in the exam room. For physicians looking to expand their integrative referral network, this episode offers both the neuroscience rationale and the clinical roadmap to do it thoughtfully.

"I Don't Know" — The Three Words AI Can't Say (But Every Clinician Should) In this solo episode, Dr. Adama Diarra makes the case that saying "I don't know" is one of the most underused and undervalued tools in clinical medicine. Using a real patient encounter from the week of recording — a gastroenteritis case in late spring where the standard viral default turned out to be the wrong seasonal answer — he walks through what happened when he paused, admitted uncertainty out loud, did the research, and came back with a better answer. The data showed a meaningful seasonal shift toward bacterial pathogens like Campylobacter and Salmonella in warmer months, which changed how he counseled the patient and shaped their shared decision to pursue supportive care with a clear plan to escalate if needed. From that clinical story, Dr. Diarra draws out three things "I don't know" actually accomplishes: it preserves a clinician's calibration and credibility, it models intellectual honesty for trainees, and most importantly, it protects patients by creating a disclosure loop that a confident wrong answer never would. The episode then pivots to a May 2026 New England Journal of Medicine perspective piece — Can AI Say "I Don't Know"? by Sikora, Celi, and Abdulnour — which argues that AI tools, as currently deployed, lack the reflex to disclose uncertainty. They generate fluent, confident responses regardless of whether the underlying evidence is solid or absent. Dr. Diarra illustrates the danger with a methotrexate dosing example and maps it back to his own gastroenteritis case: an AI would have given the annual default answer with full confidence, missing the seasonal nuance entirely. He closes with a practical framework: become AI-fluent, not AI-dependent. Use multiple sources the way clinicians always have — PubMed, Cochrane, colleagues, subspecialists. Don't outsource critical thinking. And until the tools learn to say "I don't know," that responsibility stays with the clinician.

The New Healthcare by Adama Diarra, DO, FACP, DipABOM Guest: Rene Hermes Content Type: Interview Primary Goal: Educational Summary Most physicians enter independent practice with clinical confidence and financial blind spots. Rene Hermes entered with both — and built something different. In this episode, Rene shares how a background in corporate finance shaped her approach to running independent primary care practices, why she developed a hybrid insurance-plus-membership model, and what it actually takes to make concierge medicine accessible without sacrificing financial sustainability. Whether you're curious about leaving employed medicine or already making the leap, this conversation offers a grounded, practical roadmap. Key Topics Why corporate finance principles change how you see practice economics How a hybrid insurance + membership model works in real primary care Making concierge medicine accessible — and still viable The operational infrastructure independent practices often overlook What physicians consistently underestimate about building independence Sound Bites "Finance looks at the future, not just the past." "One emergency visit can pay for the entire year." "Living independently in medicine is achievable." Chapters 00:00 — Introduction: Who Is Rene Hermes? 03:48 — From Corporate Finance to Medical Management 06:46 — Building a Family Practice from the Ground Up 10:14 — What Finance Teaches You About Primary Care 13:53 — The Hybrid Practice Model, Explained 17:59 — Making Concierge Medicine Accessible 28:26 — Rethinking Concierge: A New Framework 32:33 — Operational Realities of Running a Private Practice 41:36 — Building Your Concierge Model: What to Consider First 47:56 — The Case for Independence in Medicine Resources Hermes Health American Academy of Professional Coders (AAPC) Certified Physician Practice Manager (CPPM) Certification Contact Rene: [email protected]

By Dr. Adama Diarra, DO, FACP, DipABOM | CEO & CMO, Diarra Health.  Is AI actually changing radiology — or is it just hype? Akshat Paliwal has a definitive answer. As the founder of FlexRad, a remote radiology company built on AI-enhanced workflows, he's not theorizing about the future of medical imaging. He's living it. In this episode, Akshat walks us through his journey from traditional academic and private radiology practice to building a scalable, AI-driven remote radiology business — including what COVID-19 forced him to rethink, the hard lessons of physician entrepreneurship, and why he believes the radiology workforce is at an inflection point that most practitioners aren't ready for. We dig into the practical realities of integrating AI into radiology workflows — not as a replacement for clinical judgment, but as a force multiplier for efficiency, accuracy, and autonomy. Akshat also shares how FlexRad's hybrid model is redefining what a sustainable radiology practice can look like in the age of remote work and intelligent automation. In this episode: How FlexRad's hybrid remote radiology model actually works Where AI is delivering real results in radiology workflows today — and where it isn't The risk profile every physician entrepreneur needs to understand before making the leap Why referrals and reputation remain the currency of growth even in a tech-forward practice What the radiology workforce will look like in 5 years — and how to position yourself now Whether you're a radiologist navigating a changing landscape, a physician considering entrepreneurship, or a healthcare leader thinking about AI integration, this conversation will challenge how you think about the future of your specialty. 🔗 Connect with Akshat: linkedin.com/in/akshatpaliwal 🌐 Learn more about FlexRad: flexrads.com 📧 Reach out directly: [email protected]

Episode Summary — Part 2: Clinics of the Future with Dr. Holly Tse The cliffhanger is over. In Part 1, Dr. Holly Tse laid out everything wrong with primary care today. In Part 2, she builds the thing she believes can replace it. Her framework is called the Clinic of the Future — and it starts with a radical proposition: break the visit. Break the PCP. Maybe even break the note. Replace all of it with a continuous flow of care, supported by a trusted multidisciplinary team, standardized clinical protocols, and AI tools that do the heavy lifting so physicians can do what only physicians can do. Dr. Tse introduces two AI agents at the center of her vision: Charlie, a patient-facing empathetic agent available around the clock to listen, coach, and navigate; and Emily, an in-EMR clinical intelligence agent that synthesizes patient data in real time — surfacing rising risk, flagging missed refills, summarizing entire workup histories before you even ask. Together, they represent a shift from reactive, encounter-based medicine to proactive, panel-level care. The conversation gets honest about what stands in the way: a fee-for-service payment model that still rewards discrete visits, clinicians who are skeptical by training, patients who are increasingly transactional, and real HIPAA and liability questions that nobody has fully answered yet. Dr. Tse's position on all of it is grounded — value-based care is the financial engine that makes the flow of care work, and CMS's stated goal of moving all Medicare patients into VBC arrangements by 2030 means the window is closer than it feels. She and Dr. Diarra also go somewhere most healthcare podcasts don't: the future role of the physician when AI can handle the bread-and-butter cases. Dr. Tse's honest read is that physicians who don't evolve toward higher-complexity cognitive work risk being compensated like advanced practice providers — and she thinks that conversation is already happening, just not loudly enough. The episode closes with practical advice for independent and small practice physicians on where to start with AI today: website chatbots for FAQ and scheduling, productivity tools like Claude's Cowork for synthesizing presentations and documents, and a simple guiding question — what keeps you up at night, and can a tool help with that first? If Part 1 was the diagnosis, Part 2 is the treatment plan — specific, ambitious, and delivered by someone who has lived at every level of the healthcare system and still believes it can be redesigned for good.

What does it feel like when the system weaponizes your own compassion against you? Dr. Holly Tse has a phrase for it — and it stopped a colleague in his tracks: my compassion has been hijacked. In this episode of The New Healthcare, Dr. Tse — dual board-certified internist, former hospital CMO, and founder of Novella Insights — makes the case that primary care isn't just strained. It's past the breaking point. And the only way through isn't another workflow patch. It's a complete redesign. Dr. Tse brings a rare combination to the conversation: 20+ years of frontline clinical experience, a humanities background that shaped how she listens and leads, and a systems lens built from running a 25-clinic medical home program and serving as CMO of an underserved community hospital. She sees the whole elevator — from the individual patient crying in the exam room to the structural forces that put her there in 20 minutes with a quality metric hanging over both of them. In this conversation, she and Dr. Diarra dig into: Why the clinic of 2026 is still running on a chassis built for 1995 — and why that matters How physician burnout is a design failure, not a resilience failure The "Clinic of the Future" framework — using AI and team-based care to protect the human moments that only physicians can deliver Shared medical decision making as both a clinical skill and a leadership philosophy What it actually looks like to leave a CMO role to have more influence on the future of medicine — not less If you're a physician wrestling with what sustainable, meaningful practice looks like in the AI era, this episode is for you.

Podcast Episode Summary In this episode of The New Healthcare, Dr. Adama Diarra interviews Dr. Marilia Campos, a nephrologist and founder of Optima Kidney Care in Oregon. Dr. Campos shares her journey from employed nephrology practice to opening her own independent clinic after realizing she needed more autonomy, more control over her schedule, and more time with patients, especially after becoming a mother. A major theme of the conversation is how traditional healthcare schedules often force specialists to see too many patients too quickly, leaving little time for education, shared decision-making, or prevention. Dr. Campos explains that in her new practice, she schedules one hour for new patients and 30 minutes for follow-ups, which allows her to better explain kidney disease, reduce patient anxiety, and practice more thoughtfully. Clinically, Dr. Campos emphasizes that primary care clinicians should pay closer attention not only to eGFR, but also to urine albumin-to-creatinine ratio or protein-to-creatinine ratio, especially in patients with hypertension, diabetes, obesity, cardiovascular disease, or early CKD. She suggests referral to nephrology when patients reach approximately CKD stage 3B, eGFR 45 or below, or when proteinuria is 300 mg/g or higher, though she notes that earlier collaboration can be helpful. The episode also covers the importance of aggressive prevention in CKD, including managing proteinuria, using ACE inhibitors or ARBs, considering SGLT2 inhibitors, and recognizing the growing role of GLP-1 medications in slowing CKD progression, especially in patients with diabetes and cardiometabolic risk. On the business side, Dr. Campos shares practical insights for physicians considering independent practice. She discusses credentialing delays, insurance reimbursement realities, overhead planning, referral relationships, community visibility, and the emotional leap of starting a practice. Her advice to burned-out physicians is simple: talk to doctors who have done it, do the math, use available resources, and realize that private practice is possible. At its core, this episode is about reclaiming time, restoring the patient-physician relationship, and building a medical practice around real life instead of burning out inside a broken system.

Primary Goal: Educational   Summary: In this comprehensive interview, Chuck Palmer, a seasoned fractional CFO, shares invaluable insights on starting and managing a small healthcare business. Topics include choosing the right business entity, setting up accounting and payroll systems, tax strategies, and maintaining financial health for long-term success. keywords: small business, healthcare, accounting, taxes, LLC, S-Corp, payroll, financial management, startup tips key topics Business entity selection (LLC, S-Corp, etc.) Importance of proper accounting and payroll systems Tax strategies and compliance for small businesses Title: Mastering Small Business Finances: A Healthcare Perspective   Sound Bites "Electing S-Corp status can provide tax advantages" "Regular reconciliation catches mistakes early" "Trust professionals, there's no magic tax bullet" Chapters 00:00 Introduction to Class 4 Accounting 03:38 Understanding Business Entities and Compliance 06:16 The Importance of Choosing the Right Business Structure 09:04 Transitioning from LLC to S-Corp 11:39 Timing and Importance of Accounting Services 14:22 Common Mistakes New Business Owners Make 16:52 The Consequences of Not Filing Taxes 19:38 The Role of Financial Metrics in Business Success 24:01 Understanding Financial Health 27:24 Best Practices in Bookkeeping 30:13 Revenue vs. Profit: Key Differences 33:32 Fair Compensation and Business Valuation 38:18 Reinvesting Profits vs. Distributions 41:06 The Importance of Employee Well-being 42:54 Debunking Tax Myths

Interview Primary  goal: Educational Summary In this episode, Mary Taylor, founder of Thirst Aid Station, discusses the clinical and wellness applications of IV hydration, regulatory considerations, and the impact on patient care. She shares insights from her background in oncology and her entrepreneurial journey into mobile IV therapy. Keywords Key  Topics Clinical uses of IV hydration Regulatory landscape and safety protocols Patient experiences and outcomes Guest  Name: Mary Taylor, MSN, ACNPC-AG Titles: The Future of IV Hydration: Clinical/Wellness Applications & Regulatory Landscape  Sound bites "IV hydration has clear medical indications." "IV therapy can help people feel better quickly." "Building trust is key in home-based care." Chapters 00:00 Introduction to IV Hydration and Mary Taylor's Journey 02:13 The Dual Role: Oncology Nurse and IV Hydration Specialist 05:09 Understanding the IV Hydration Process 05:56 Mobile IV Hydration: Convenience and Accessibility 08:13 Common Misconceptions About IV Hydration 10:45 Clinical Considerations and Patient Safety 13:08 Evidence vs. Patient Demand in IV Hydration 15:40 Regulations and Best Practices in IV Hydration 19:36 Navigating Regulatory Pathways in IV Therapy 21:02 Patient Experiences and Outcomes 22:56 Meaningful Patient Interactions 24:41 Insights from Traditional vs. Alternative Care 26:26 Motivations Behind Starting a Business 27:38 Fun Myths and Facts about IV Therapy 30:43 Connecting with Thirst Aid Station 33:30 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3  resources Thirst Aid Station - https://thirstaidstation.com Regulations on IV Therapy - https://www.fda.gov/  guest links Website - https://thirstaidstation.com Email - [email protected]  

Content  type: Interview Primary  goal: Educational  Summary In this insightful interview, Dr. Joan Fleishman shares her journey into psychology, the importance of connection and belonging, and practical strategies for mental health and resilience, especially for healthcare professionals. Discover how understanding your nervous system, emotional intelligence, and self-care practices can transform your well-being.  keywords psychology, mental health, resilience, emotional intelligence, healthcare professionals, connection, belonging, stress management, therapy, self-care  Key  topics Journey into psychology and the importance of connection The role of the nervous system in stress and resilience Practical self-care and emotional intelligence strategies Impact of COVID-19 on mental health practices Innovations in telehealth and mental health services Guest  name Dr. Joan Fleishman Sound bites "We are wired for connection and belonging" "Running helps reset our nervous system" "Humor and levity are essential in healthcare" Chapters 00:00 The Neuroscience of Connection and Healing 25:13 The Importance of Social Connections 27:46 Finding Humor in Healthcare 30:34 The Role of Learning in Cognitive Health 33:10 Understanding Therapy and Overcoming Stigma 35:22 Emotional Resilience and Intelligence 37:50 Navigating Emotional Experiences 39:51 The Impact of Lifestyle on Emotional Resilience 42:09 Defining Emotional Intelligence 52:42 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3  resources Joan Fleishman PsyD Website - https://jonefleishmansid.com LinkedIn Profile of Joan Fleishman - https://www.linkedin.com/in/jonefleishmansid Tend Mental Health Startup - https://tendhealth.com  guest links LinkedIn - https://www.linkedin.com/in/jonefleishmansid Website - https://jonefleishmansid.com  

Content  Type: Interview Primary  Goal: Educational Summary: In this episode, Dr. David Westerdahl, a seasoned sports medicine physician, shares insights on the evolving role of ultrasound in musculoskeletal care, diagnosis, and treatment options for common joint issues. Discover how technology is transforming outpatient care, improving diagnostic accuracy, and guiding effective treatments. Key  Topics Role of ultrasound in musculoskeletal diagnosis Advances in treatment options including PRP and shockwave therapy The impact of technology on outpatient sports medicine care  Sound bites "Starting a practice during COVID was a bold move." "Ultrasound guidance is less painful and more accurate." "PRP can stimulate a more robust healing response." Chapters 00:00 Introduction and Background 01:01 Advancements in Sports Medicine and Ultrasound Technology 01:56 The Role of Ultrasound in Musculoskeletal Care 03:17 Understanding Shoulder Pathologies 04:42 Ultrasound vs. Traditional Imaging Techniques 06:51 Training Primary Care Physicians in Ultrasound 08:34 Ultrasound in Knee and Ankle Evaluations 09:22 Differentiating Knee Effusions with Ultrasound 11:09 Real-Time Imaging Guidance for Joint Procedures 13:26 NEWCHAPTER 14:40 Cost-Effectiveness of Ultrasound in Patient Care 16:05 Ultrasound in Ankle Diagnosis 18:18 Understanding Tendon Injuries 19:49 Differentiating Tendonitis and Tendinopathy 21:27 Ultrasound for Accurate Diagnosis 22:42 Managing Stubborn Tendinopathy 23:55 Injection Therapies for Tendon Issues 25:18 Exploring PRP and Shockwave Therapy 28:08 Evolving Perspectives on PRP 30:50 Addressing Patient Expectations 30:55 Navigating Arthritis Diagnoses 32:53 Understanding Knee Pain and Non-Surgical Care 35:35 The Role of Imaging in Knee Injuries 38:19 Navigating MRI Approvals and Challenges 41:16 The Evolution of Ultrasound Technology 44:04 Building a Successful Private Practice 46:32 Balancing Clinical Duties and Personal Life 49:02 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3  resources Sports Health Northwest - https://sportshealthnorthwest.com  

Keywords pain management, psychiatry, chronic pain, mental health, epidural steroid injections, patient care, referrals, insurance, healthcare, pain relief Summary In this conversation, Dr. Suresh Chand discusses his dual role as a pain management specialist and psychiatrist, emphasizing the intricate relationship between chronic pain and mental health. He shares insights into various pain management techniques, including epidural steroid injections and radiofrequency nerve ablation, while highlighting the importance of addressing both physical and mental health in treatment. The discussion also covers patient experiences, the referral process, and navigating insurance challenges in healthcare. Takeaways Chronic pain often coexists with mental health issues. Pain management requires a holistic approach. Epidural steroid injections are effective for certain conditions. Patient education is key in pain management. Trust between patient and provider enhances care. Successful procedures can significantly improve patient quality of life. Insurance criteria can complicate treatment decisions. Referrals are essential for comprehensive care. Communication is crucial in managing patient expectations. The healthcare system can be challenging for patients.    Sound Bites "Chronic pain management is my specialty." "We don't see a clear clinical picture." Chapters 00:00 Introduction to Dr. Suresh Chand 01:42 Overview of the Clinic and Patient Demographics 02:47 The Intersection of Pain Management and Psychiatry 07:05 Common Pain Diagnoses and Treatment Options 09:08 Understanding Lower Back Pain 10:37 Epidural Steroid Injections Explained 14:57 Radiofrequency Nerve Ablation and Other Procedures 18:31 Insurance and Referral Processes 25:57 Patient Relationships and Trust 28:27 NEWCHAPTER 28:32 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3

Most doctors are overpaying in taxes—not because they earn too much, but because no one ever taught us how the business side of medicine works. LLC. PLLC. PC. S-Corp. C-Corp. These aren't just letters. They can mean tens of thousands of dollars per year—legally—depending on how you practice. 🎙️ New episode: How Doctors Pay Less in Taxes (Legally): LLC, PLLC, PC, S-Corp, C-Corp—What Every Physician Should Know Whether you're: • Employed W-2 • Moonlighting • Starting a side hustle • Building a concierge, DPC, or telehealth practice • Or just tired of feeling financially clueless This episode is for you. 👉 Listen now. Your future self will thank you. Summary In this episode of 'The New Healthcare,' host Adama Diarra and feature Dr Riyad Fares, MD.  In this episode we interview Carly Carlson, a CPA and co-host of the podcast 'Retirement Redefined.' Carly shares her extensive experience in public accounting, particularly in advising medical and dental practices on tax strategies and entity structures. The conversation delves into the complexities of choosing the right business entity, such as LLCs, PCs, and S-Corps, and how these choices impact liability protection and tax obligations. Carly emphasizes the importance of planning for future growth and the potential pitfalls of selecting an entity based solely on current circumstances. Throughout our discussion, Carly provides Dr Diarra and Dr Fares valuable insights into tax-saving strategies for healthcare professionals, including the benefits of S-Corps in minimizing self-employment taxes. She also highlights common misconceptions about tax deductions, explaining that not all write-offs result in dollar-for-dollar savings. The episode concludes with practical advice for physicians considering private practice, stressing the need for collaboration between accountants, attorneys, and financial advisors to ensure a well-rounded approach to business management and tax planning.     Chapters 00:00 Introduction to Carly Carlson 01:27 Understanding Business Entities: LLCs, PCs, and S-Corps 09:41 Tax Strategies for Healthcare Professionals 26:54 Practical Advice for Starting a Practice 47:13 Common Tax Misconceptions and Deductions

Keywords Direct Primary Care, healthcare innovation, patient-centered care, chronic disease management, preventive care, physician burnout, healthcare technology, patient advocacy, DPC business model, healthcare transformation Summary In this episode, Dr. Yusuf Mathai discusses the transformative approach of Direct Primary Care (DPC) in the healthcare system. He shares his journey from traditional insurance-based practices to establishing a DPC model that prioritizes patient relationships, transparency, and quality care. The conversation explores the benefits of DPC, including improved patient outcomes, the importance of preventive care, and the integration of technology in practice. Dr. Mathai emphasizes the need for physicians to adopt a growth mindset and encourages patients to advocate for their own health needs. Takeaways Direct Primary Care focuses on building relationships with patients. Transitioning to DPC can lead to better patient outcomes. Quality of care improves when physicians have more time with patients. Business acumen is essential for running a successful DPC practice. Mindset shifts are crucial for physicians moving to DPC. Burnout is a common theme among healthcare providers. DPC allows for better management of chronic diseases. Preventive care is more effective in a DPC model. Technology integration enhances patient care and practice efficiency. Patient advocacy is vital in navigating the healthcare system. Sound bites "I need to do something different." "DPC is not just for the wealthy." "I genuinely enjoy what I do." Chapters 00:00 Introduction to Direct Primary Care 02:59 Journey into Medicine and DPC 05:20 Transitioning from Insurance-Based Medicine 08:15 Quality of Care in DPC 10:44 Business Insights for DPC Practices 13:15 Mindset and Overcoming Fear of Failure 16:01 Managing Chronic Diseases in DPC 18:45 Preventive Care Strategies in DPC 21:12 Technology Integration in DPC 24:07 Future Growth and Community Impact 26:52 Patient Advocacy and Self-Advocacy 29:31 Motivation and Passion in Practice 33:21 Introduction to New Healthcare Practices 33:28 Exploring Innovative Medical Approaches

  Summary In this conversation, Dr. Meenakshi Aggarwal discusses the importance of family medicine and holistic care in addressing women's health issues. She emphasizes the need for a comprehensive approach that considers physical, emotional, and lifestyle factors. The discussion covers various topics, including common women's health concerns, preventive measures, the significance of creating a safe space for sensitive discussions, and the role of lifestyle interventions in promoting long-term health. Dr. Aggarwal also shares insights on menopause, hormone replacement therapy, and the intersection of her passion for poetry with her medical practice. Takeaways Family medicine is a holistic approach to patient care. The body reflects emotional and mental states. Creating a safe space encourages open discussions about health. Annual checkups are crucial for preventive health. Irregular periods can indicate underlying health issues. Hormone therapy can effectively manage menopausal symptoms. Lifestyle changes significantly impact women's health. Understanding the body is key to advocating for health needs. Poetry enhances empathy and understanding in medicine. Women should feel empowered to discuss intimate health concerns. Sound bites "The body reflects what's happening inside us." "Irregular periods are incredibly common." "Menopause is a natural, universal transition." Chapters 00:00 Understanding Family Medicine 05:43 Common Women's Health Concerns 07:24 Preventive Care for Women 09:02 Encouraging Open Conversations about Intimate Health 10:42 Navigating Contraceptive Options 13:02 Understanding Irregular Periods 15:24 Treatment Options for Fibroids 18:48 Navigating Menopause 21:28 Recognizing Hormonal Changes 21:47 Understanding Perimenopause Symptoms 23:31 Hormone Replacement Therapy: Current Insights 25:46 Exploring Non-Hormonal Alternatives 27:49 Cardiovascular Health Post-Menopause 29:41 Navigating Sexual Health Changes 31:19 The Role of Mental Health in Menopause 32:46 Integrating OB-GYN and Family Medicine 34:00 Lifestyle Interventions for Long-Term Health 35:33 The Intersection of Poetry and Medicine 37:13 Empowering Women in Their Health Journey 42:52 Exploring Innovative Medical Approaches 42:53 Introduction to New Healthcare Practices

Keywords healthcare, concierge medicine, mental health, technology, personalized medicine, patient engagement, exercise, lifestyle changes, primary care, healthcare providers Summary In this conversation, Adama Diarra discusses the evolving landscape of healthcare, focusing on concierge medicine, mental health, and the importance of personalized care. He emphasizes the need for deeper patient relationships, the role of technology in healthcare, and the significance of lifestyle changes, particularly exercise, in managing health. Diarra also shares insights for future healthcare providers on navigating the challenges of private practice and the importance of emotional awareness in patient care. Takeaways Concierge medicine offers a more personalized approach to healthcare. Building strong doctor-patient relationships is crucial for effective care. Mental health is an integral part of primary care. Technology can enhance patient engagement and care delivery. Exercise is essential for maintaining health and preventing disease. Personalized medicine tailors treatment to individual patient needs. Future healthcare providers should embrace the challenges of private practice. Emotional awareness can improve patient outcomes. Effective communication is key in navigating patient concerns. Lifestyle changes are often necessary for long-term health improvements. Sound bites "The legal landscape is definitely changing." "Exercise is so important for our health." Chapters 00:00 Introduction to Family Medicine and Bayberry Clinic 02:11 The Journey into Private Practice 04:01 Understanding Direct Primary Care vs. Concierge Medicine 25:42 Essential Health Habits for Everyone 27:59 The Future of Direct Primary Care 30:50 Public Health Challenges and Misinformation 33:07 The Importance of Education in Health 35:39 Personal Insights and Patient Connections 38:08 Advice for Aspiring Healthcare Practitioners 39:19 Introduction to New Healthcare Practices 39:19 Exploring Innovative Medical Approaches

Title: This episode may change the way you breathe for the rest of your life. What if the way you breathe—something you do over 20,000 times every day—is quietly harming your health, fueling your stress, or limiting your performance? In this groundbreaking conversation, I sit down with Dr. Andy Sabatier, DPT, founder of Academy West Breathing Performance, who challenges everything we think we know about breathing. He explains why breath is not just a passive act, but a powerful driver of your nervous system, inflammation, recovery, mental health, and even your athletic and cognitive performance. We explore: The 14 words that can completely reframe how you breathe Why chest and shoulder breathing signals stress to your brain How a terminally ill patient found profound relief through breathing The ultra-marathon runner who finished 200 miles with his mouth closed And why functional breathing is the most cost-effective health investment you can make Whether you're a clinician, athlete, high performer, or navigating chronic illness, this episode reveals how mastering your breathing may be the most transformative health decision you'll ever make.

Title: Transforming Lives Through Medical Practice Summary In this conversation, Matthew Ingrassia discusses the significance of personalized healthcare and the impact of opening smaller private practices. He shares a poignant story about a patient with a large aneurysm, emphasizing the life-saving potential of tailored medical care. Takeaways Personalized healthcare can lead to life-saving interventions. Smaller practices allow for more focused patient care. Concierge and DPC models enhance patient-physician relationships. Real-life cases highlight the importance of proactive healthcare. Healthcare innovation is driven by the need to address individual patient needs. Practitioners are motivated by the desire to make a difference. The healthcare system benefits from diverse practice models. Patient stories can inspire healthcare professionals. Collaboration among staff is crucial in patient care. The future of medicine lies in personalized approaches. Sound bites "This is why we do this." "Help save lives." Chapters 00:00 The Journey Begins: From Training to Practice 27:20 The Value of Independence in Healthcare 36:43 Exploring Innovative Medical Approaches

  Title: Reimagining Healthcare: The DPC Model   Summary: In this episode of The New Healthcare, Dr. Cara Lutze shares her journey into medicine, her transition to Direct Primary Care (DPC), and the profound impact it has on patient relationships and care. She discusses the benefits of DPC over traditional models, emphasizing the importance of preventive health and patient awareness. Dr. Lutze also highlights innovations in preventive scanning and the exciting trends in obesity management and menopause therapy. Throughout the conversation, she reflects on the challenges faced in her practice and the significance of mentorship in shaping her career.   Chapters 00:00Introduction to Dr. Cara Lutze 02:52Journey into Medicine and Direct Primary Care 05:27Understanding Direct Primary Care (DPC) 08:16Transitioning from Traditional to DPC Practice 11:03Patient Care Philosophy and Preventive Health 13:25Challenges and Wins in DPC Practice 15:45Innovative Health Technologies: Pranuvo Scans 18:40Exciting Trends in Medicine: Obesity and Menopause 21:08Advice for Future Medical Professionals 23:56Personal Insights and Staying Grounded 26:29Conclusion and How to Connect with Dr. Lutze 35:43Introduction to New Healthcare Practices 35:44Exploring Innovative Medical Approaches

Keywords concierge medicine, direct primary care, patient relationships, healthcare innovation, telehealth, physician burnout, primary care enhancement act, healthcare marketing, technology in medicine, family medicine Summary In this conversation, Dr. Michael Jaczko shares his journey from traditional corporate medicine to establishing a concierge practice that emphasizes patient relationships, accessibility, and personalized care. He discusses the challenges faced in the corporate healthcare model, the benefits of house calls, and the importance of technology in enhancing patient care. Dr. Jaczko also highlights the significance of mentorship and personal well-being in sustaining a fulfilling medical career, while providing insights into the evolving landscape of primary care and the impact of recent legislative changes. Takeaways Concierge medicine allows for more personalized patient care. House calls can rejuvenate the physician-patient relationship. Marketing through word of mouth is crucial for practice growth. Technology, like AI scribing, can streamline practice management. Building rapport with patients enhances compliance and satisfaction. The traditional healthcare model often leads to burnout for physicians. Direct care models can provide better access and transparency for patients. The Primary Care Enhancement Act is a game changer for DPC practices. High deductible plans have evolved, impacting patient care access. Family medicine offers a diverse and fulfilling practice experience. Title: From Corporate Medicine to House Calls: A Doctor's Journey Sound bites "This is why I went into medicine." "You couldn't be more correct." "It really is word of mouth." Chapters 00:00 Introduction to Concierge Medicine 02:07 The Shift from Corporate to Concierge Medicine 05:19 The Benefits of House Calls 07:55 A Day in the Life of Dr. Jasco 10:42 Patient Interaction and Marketing Strategies 13:03 The Role of Technology in Modern Medicine 16:30 Building Strong Patient Relationships 19:58 The Direct Care Model Explained 23:38 The Shift to Direct Patient Payments 26:40 Impact of the Primary Care Enhancement Act 31:18 The Evolution of High Deductible Plans 33:49 The Importance of Primary Care 35:14 The Joy of Family Medicine 38:00 Innovations in Telehealth 39:06 The Non-Medical Influences on Medical Practice 41:39 Mentorship and Personal Growth 45:42 Advice for Future Medical Professionals 48:10 Introduction to New Healthcare Practices 48:10 Exploring Innovative Medical Approaches

Keywords   healthcare, empowerment, patient care, private practice, women in medicine, burnout, self-care, technology in medicine, medical advice, patient trust   Summary   In this enlightening conversation, Dr. Alia Paquette shares her journey from a personal health crisis to establishing her own private practice, Repose Wellness Center. She discusses the importance of patient empowerment, the challenges of navigating gender dynamics in medicine, and the need for a compassionate approach to healthcare. Dr. Paquette emphasizes the significance of self-care for healthcare providers and the necessity of embracing a holistic view of patient care that includes both traditional and non-traditional methods. The discussion also touches on the evolving landscape of healthcare, the role of technology, and the importance of building trust with patients.     Takeaways   Empowerment in healthcare is crucial for both patients and providers. Self-care is essential for avoiding burnout in medical professionals. Patients should be treated as individuals, not numbers. The healthcare system often relies on fear, which can hinder patient autonomy. Quality time with patients leads to better health outcomes. Navigating gender dynamics in medicine requires awareness and sensitivity. Technology can enhance patient care but should not replace human connection. A holistic approach to health includes both traditional and non-traditional methods. Compassionate care involves meeting patients where they are. Open-mindedness is key to effective patient-provider relationships.     Titles   Reimagining Healthcare: A New Approach Empowerment in Patient Care     Sound bites   "Empowerment takes time." "I want to meet you where you are." "I hope I find that balance."     Chapters   00:00 Introduction to Holistic Medicine 03:54 The Journey to Private Practice 06:52 Patient Perception and Gender Dynamics in Medicine 09:39 Daily Life at Repose Wellness 12:30 Quality vs. Quantity in Patient Care 15:15 Empowerment in Patient Relationships 18:09 Technology and Tools in Modern Medicine 21:03 Advice for Patients on Health Empowerment 23:47 Business Models in Healthcare 29:37 Navigating Direct Patient Care 32:53 Innovative Approaches to Healthcare 36:39 Balancing Motherhood and Professional Life 49:29 Embracing Spirituality and Open-Mindedness in Medicine 58:53 Exploring Innovative Medical Approaches