The Podcast by KevinMD

What if the biggest threat to your success in medical training has nothing to do with how much you study? Vance Lehman, professor of neuroradiology and chief of neuroradiology education at the Mayo Clinic, spent over two years researching why capable trainees stumble despite strong clinical knowledge. In this episode, based on his KevinMD article "The hidden curriculum: What medical school does not teach you," he explains how unspoken expectations, invisible social dynamics, and stealth influences shape evaluations and career trajectories far more than most trainees realize. You will learn why making a strong first impression on a new rotation triggers a powerful psychological feedback loop, how generational biases from attendings quietly distort trainee evaluations, and why years of excelling at test scores can actually leave you blind to the skills that matter most in clinical settings. Lehman also shares practical steps any medical student or resident can take tomorrow to stop leaving their reputation to chance. If you are in medical training or teach those who are, this episode reveals the forces you feel every day but have never had a name for. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What if the real driver of aging isn't your mitochondria or your telomeres but the tiny capillaries you never think about? Double board-certified emergency and internal medicine physician Kenneth Ro returns to the show to make a compelling case that microvascular decline is the overlooked upstream force behind nearly every disease of aging. In this episode, based on his KevinMD article "How the microvasculature drives the human aging process," he explains why your body shuts down capillaries you stop using through a process called capillary rarefaction, and how that quietly starves tissues of oxygen long before symptoms appear. You will hear how microvascular disease connects diabetic complications, heart failure with preserved ejection fraction, and even sepsis under one unifying framework. He also shares why exercise works at a level deeper than most clinicians discuss, what GLP-1 agonists may be doing to your pericytes, and why VO2 max and heart rate variability are your best windows into microvascular health. This episode will change how you think about what it truly means to age well. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What if one of the most common escalation strategies for acute heart failure doesn't actually improve outcomes? Internal medicine physicians Benjamin P. Geisler, Jeffrey L. Greenwald, and Kathy May Tran, editors of 50 Studies Every Hospitalist Should Know, join the show to break down what the DOSE trial really tells us about managing diuretics on the wards. Based on their KevinMD article "Managing acute heart failure: evidence from the DOSE trial," they explain why continuous furosemide infusions showed no clinical advantage over intermittent boluses for decongestion, and what that means for your daily practice. You will hear how headline-driven medicine can mislead clinicians, why knowing who was excluded from a trial matters as much as the results, and how evidence-based medicine teaching is evolving in the age of AI. Whether you are a hospitalist, a trainee on the wards, or a primary care physician managing heart failure transitions, this episode will sharpen how you read and apply the studies that shape patient care. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when the nurses sent to care for your medically fragile child have never even touched the equipment keeping him alive? Patient advocate Ashley Youngdale knows firsthand. As the mother of a son with Mobius syndrome who required a trach and ventilator, she became his primary nurse, trainer, and care coordinator when the pediatric home health care system fell short. In this episode, based on her KevinMD article "Pediatric home health care oversight: Why accountability is failing," Ashley reveals how the nursing shortage does more than leave shifts unfilled. It erodes the very accountability structures meant to protect vulnerable patients. You will hear why credentials do not guarantee competence, how blurred boundaries with home care nurses can put families at risk, and why parents must learn to enforce their own standards when oversight systems fail. If you care for a medically complex child or work in home health nursing, this conversation will change how you think about who is truly responsible for patient safety. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a physician who spent decades treating patients suddenly finds himself on the other side of the exam table, unable to get a simple answer about his own aneurysm? Jeffrey Junig, a psychiatrist and addiction medicine specialist, shares how a life-saving surgery and a casually dropped diagnosis exposed the growing disconnect between clinical excellence and patient experience. Based on his KevinMD article, "Why quality of life in health care is often overlooked," this conversation digs into what gets lost in 15-minute visits, why patients turn to the internet when doctors won't engage, and how even a physician with full access to medical literature struggled to advocate for his own care. You'll hear practical advice for patients who feel rushed or dismissed, honest reflection on polypharmacy and the limits of app-based communication, and a powerful case for why the doctor-patient relationship remains the most undervalued tool in medicine. If you've ever left a clinic feeling unheard, this episode will remind you that your questions deserve real answers. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What if the biggest driver of unnecessary ER visits, malpractice claims, and patient anxiety isn't a missed diagnosis but a missed sentence? Alan P. Feren, a retired surgeon, independent physician, health care consultant, and patient advocate, returns to the show to break down why clinical reasoning that stays inside a doctor's head fails everyone involved. Based on his KevinMD article, "Clinical communication skills: the power of structured language," this conversation introduces his five disciplines of language, a practical framework that helps physicians translate their thinking into words patients can actually use. You'll learn why vague instructions like "return if symptoms worsen" leave patients guessing, how 30 to 40 percent of malpractice suits trace back to communication failures, and why naming what has been ruled out can matter just as much as naming the diagnosis. Feren also addresses treatment burden, the overlooked question of whether a patient can realistically follow the plan you just prescribed. None of this requires extra time or systemic overhaul, just a shift in how you structure what you already say. If you want one framework that improves patient satisfaction, reduces downstream costs, and restores meaning to the clinical encounter, press play. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when patients from opposite ends of the political spectrum sit together in your waiting room and start talking like neighbors? Psychiatrist Farid Sabet-Sharghi explores why the medical office remains one of the last spaces where shared humanity overrides division. Based on his KevinMD article, "Physician neutrality: a beacon of ethics in a divided world", this conversation moves from the exam rooms of a polarized America to the prisons of Iran, where physicians and nurses risked torture and death to treat wounded protesters. Sabet-Sharghi shares the story of his father, a pediatrician arrested for his Bahai faith, who opened a clinic inside the very prison that held him. He draws a line from that radical moral courage to the quieter tests physicians face every day: speaking up when colleagues are mistreated, pushing back when systems reduce healers to "providers" and "prescribers," and refusing to let financial stratification erode the dignity of primary care. You'll hear why he now prefers "unbending moral integrity" over neutrality, how physician burnout connects to a lost sense of calling, and what younger doctors need to hear about why their work still matters. This is a conversation that will remind you why you entered medicine in the first place. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a Division I athlete loses 40 pounds, can barely form sentences during practice, and keeps hearing from doctors that it might just be anxiety? Kamiah Gibson, a D1 women's volleyball player at Ohio State and psychology graduate student, shares how she had to diagnose herself after finding celiac disease information on TikTok, only to be told over the phone to "just eat gluten-free" days before a three-week road trip. Based on her KevinMD article, "Managing celiac disease: Overcoming the hidden social burden," this conversation reveals the gap between a celiac diagnosis and actually knowing how to live with one. Gibson describes training eight hours a day on a body that could not absorb nutrients, the isolation of being afraid to eat anywhere, and how a consumer gluten detection sensor gave her the confidence to travel and share meals with friends again. You'll hear why cross-contamination is the hidden danger that most newly diagnosed patients are never warned about, how the emotional toll of chronic illness redirected her career from pre-med to mental health therapy, and what advice she offers young adults navigating a diagnosis that reshapes every social interaction around food. If you or someone you know lives with celiac disease, this is the episode to share. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a physician searches her own name online and gets redirected to a billionaire-backed corporate clinic she has no connection to? Stephanie Waggel, a physician and founder of Improve Medical Culture, explains how vertical integration in health care is quietly suffocating independent practices while most doctors and patients have no idea it is happening. Based on her KevinMD article, "The dangers of vertical integration in health care," this conversation unpacks how a single corporate entity can own the insurance company, the pharmacy benefit manager, the drug distributor, the retail pharmacy, and the provider group all at once. Waggel breaks down why this consolidation drives up costs rather than lowering them, how private equity and venture capital firms pressure physician-owned practices into selling, and why the consumer ultimately loses when one entity controls pricing at every step. You'll hear her compare health care models across the U.S., U.K., Canada, and Australia, learn why she believes pharmacists should own pharmacies and doctors should own clinics, and discover the community-based survival strategies independent practitioners are using to stay visible. If you care about the future of the doctor-patient relationship and the survival of independent medicine, this one deserves your attention. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

When was the last time your dentist mentioned that artificial intelligence was scanning your X-rays before you even sat down in the chair? General dentist Sowjanya Gunukula explains how AI is quietly transforming routine dental checkups in ways most patients never hear about. Based on her KevinMD article, "How AI in dentistry is changing your next checkup," this conversation breaks down the two major applications reshaping dental care today: radiographic analysis that color-codes cavities and bone loss in real time, and predictive analytics that sort patients into risk categories for more personalized treatment plans. Gunukula describes how AI acts as a second set of eyes that never gets tired, catching early problems on busy days that the human eye might miss. You'll learn why dentistry is shifting from reactive to preventive, how AI-driven risk profiling can mean less time in the chair and lower costs, and why patients should feel empowered to ask their dentist how these tools are being used. She also addresses concerns about over-reliance and explains why responsible adoption keeps the patient relationship at the center. If you want to understand what is already happening behind the scenes at your next dental visit, this episode is worth your time. Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol. VISIT SPONSOR → https://kevinmd.com/cholesterol Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this sponsored episode from Novartis Pharmaceuticals Corporation, a leading preventive cardiologist walks through the 2026 cholesterol guideline update and what it means in practice. Seth J. Baum, a Columbia-trained preventive cardiologist, founder of Flourish Research, chairman of the Family Heart Foundation, and past president of the American Society of Preventive Cardiology, breaks down the major changes in the March 2026 ACC and AHA guideline release. You will hear why LDL targets are explicit again after nearly a decade, why universal lipoprotein A screening is now recommended, why a coronary calcium score above 300 places a patient in the highest-risk treatment tier, and why apolipoprotein B measurement can refine risk assessment when LDL is at goal. Baum also covers the alternatives available when a patient cannot tolerate a statin, including ezetimibe, PCSK9 inhibitors, inclisiran, and bempedoic acid, along with practical framing for the statin-hesitant patient. You will also hear his approach to discussing cholesterol with patients, from the science of lipoprotein physiology to the case for earlier and more aggressive lipid-lowering treatment. Dr. Baum was not compensated for his participation in today's episode. The opinions expressed are his alone and do not represent the opinions of Novartis Pharmaceuticals Corporation. At Novartis, our mission is to ensure no heart is lost too soon. We envision a world where preventable CV deaths are no longer part of our lives. We're proud of the positive impact we've made over the past 40 years and remain dedicated to tackling the most challenging problems in CVD. Through cutting-edge science and technology, we are focusing on areas of high unmet need, including scaling our xRNA platform across multiple risk factors and pioneering breakthroughs for genetically driven CVD risk factors and common heart conditions, including atrial fibrillation. We also work with patients, healthcare professionals, and organizations around the world to improve CV care beyond medicine alone. Together, we can help people with CVD enjoy longer, healthier lives and more time with their loved ones. Learn more here: https://Novartis.us/cardiovascular-disease VISIT SPONSOR → https://Novartis.us/cardiovascular-disease SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a woman is diagnosed with a rare, estrogen-sensitive lung disease at 28, in her first week of residency, with no roadmap for whether she can safely have children? Anesthesiologist Lyndsay Hoy shares her experience navigating family planning after being diagnosed with lymphangioleiomyomatosis (LAM), a rare disease that predominantly affects women of childbearing age. Her episode is based on her KevinMD article, "Reproductive care for rare diseases: the missing playbook," Even with a medical degree, institutional access, and a physician partner, Hoy found the answers incomplete, and she knows most women facing similar diagnoses have far less support. You will hear why rare disease patients so often become their own case managers, bridging pulmonology, reproductive endocrinology, and genetics with no coordinated system guiding them. Hoy draws on the oncofertility model built around hormone-sensitive breast cancer as proof that structured reproductive counseling can be developed even under uncertainty. She outlines what a minimum viable playbook for rare disease reproductive care should include and the work already underway at the LAM Foundation. If you care about closing the gaps in women's health care, this conversation will change how you see the problem. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a patient makes a reasonable, informed decision to skip a non-mandatory test and the system simply stops? Patient advocate Aaron S. Rosenberg shares how a routine dental visit became a case study in conditional care after he declined bite-wing X-rays and was told his cleaning could not proceed. His episode is based on his KevinMD article, "Informed refusal vs. denied care: a dental case study," You will hear how a recommendation quietly became a requirement, how licensure risk was invoked despite no such mandate existing in ADA guidelines, and how the visit ended with no care delivered at all. Rosenberg draws on his career spanning clinical practice, health systems, and insurance to examine how standardization, liability concerns, and billing structures can squeeze out shared decision making. He makes the case that informed refusal is a patient right that only has meaning if care remains available after a reasonable decline. He also explores where to draw the line, distinguishing non-mandatory diagnostics tied to preventive care from urgent clinical scenarios where compliance may be essential. If you have ever wondered whether health care systems are quietly replacing clinical judgment with rigid protocols, this episode will sharpen how you think about patient autonomy. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

When did volunteering stop being a choice and start being a condition of professionalism? Pediatrician, certified coach, and mindfulness and yoga teacher Jessie Mahoney realized she had donated over 2,000 hours of uncompensated work as a volunteer clinical professor, all while holding leadership roles and raising three kids, and she had never once questioned it. Her episode is based on her KevinMD article, "The hidden cost of uncompensated work on physician burnout," Mahoney traces how residency culture normalized unpaid labor and how systems now depend on it, framing obligation as generosity and penalizing anyone who pushes back. You will hear why she believes uncompensated work is low-hanging fruit in the fight against physician burnout and how the expectation of free labor disproportionately affects women, who now make up roughly 60 percent of the physician workforce. She offers practical language for setting boundaries, including the phrase "I wish I could, but I don't have capacity right now," and explains why compensation does not have to mean money alone. Mahoney also explores how generational tension among physicians reinforces the cycle and why collective action, from retreats to unionization, may be what finally shifts the culture. If you have ever felt guilty for questioning what medicine asks of you for free, this conversation will reframe that instinct entirely. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a doctor closes the chart but the patient leaves without understanding what was actually said? Retired surgeon, independent physician, health care consultant, and patient advocate Alan P. Feren describes what he calls "unfinishedness," the gap between administrative closure and true clinical closure that leaves patients disoriented and adrift. His episode is based on his KevinMD article, "Unfinishedness in medicine: When a good visit feels incomplete," Feren shares the story of his mother-in-law, who was diagnosed with very early chronic lymphocytic leukemia but only heard the word "cancer," never grasping that her condition called for watch and wait rather than alarm. She was dead within a year. He argues that physicians routinely achieve structural closure through documentation and prescriptions while failing to make their clinical reasoning visible and understandable to patients. You will hear why cognitive overload and system pressures cause well-meaning doctors to treat a finished chart as a psychological safety mechanism, what treatment burden means and why ignoring it undermines adherence, and how patients can ask orientation-based questions to close the gap themselves. Feren also explains how AI can serve as an add-on to clinical reasoning rather than a replacement. If you have ever left a doctor's visit unsure what just happened, this episode gives you the language to change that. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

When is the most powerful thing a medical student can do in a patient's room simply to stop talking? Medical students Jay Pendyala and Jonathan Berg draw on years of competitive chess to explain how the game quietly trains skills that medical school rarely teaches directly. Their episode is based on their KevinMD article, "What chess taught me about clinical reasoning and humanism," Pendyala and Berg break down how chess mirrors clinical encounters across three phases, from the structured opening of patient intake through the ambiguity of the middle game hospital course to the high-stakes endgame of discharge or difficult family meetings. You will hear why prophylaxis, the chess concept of anticipating your opponent's threats, maps directly onto anticipating disease progression and surgical complications. They explore how playing thousands of games under time pressure prepared them for real-world urgency like door-to-balloon times and trauma bays, and why resilience built at the chessboard transfers to moments when a clinical plan falls apart. Perhaps most striking is their reflection on silence, the comfort with saying nothing that chess cultivates and that proves essential in psychiatry rotations and conversations with seriously ill patients. If you are looking for a fresh lens on clinical reasoning, pattern recognition, and preventing medical student burnout, this conversation delivers all three. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What if the biggest problem with electronic health records was not the technology itself, but that we expected it to transform medicine when it could only lay the foundation? Robert Wachter, professor and chair of the Department of Medicine at the University of California, San Francisco, joins the show to discuss his book, A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future. He explains why AI is the first technology that replicates what doctors thought only they could do, from diagnosing complex cases to demonstrating empathy. You will hear how Open Evidence dethroned UpToDate as the go-to clinical knowledge tool, why AI scribes went from experiment to expectation in just two years, and what the Waymo model of incremental trust teaches us about avoiding a catastrophic setback in medical AI. Wachter also explores the deskilling debate in medical education, why the doctor-patient relationship may not be as irreplaceable as physicians believe, and how primary care could look radically different within a decade. If you are trying to understand where AI in health care is headed and what it means for your career and your patients, this is the conversation to hear. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What if the moment women stop seeing their gynecologist is exactly when their cervical cancer risk matters most? Nenrot S. Gopep, a physician and public health researcher, joins the show to discuss her KevinMD article, "Menopause and the drop in cervical cancer screening." Her research found that postmenopausal women are 24 percent less likely to receive a Pap smear compared to premenopausal women, even after controlling for insurance, age, and socioeconomic status. You will hear why the persistent myth that cervical cancer is only a concern for sexually active women is keeping older patients from getting screened, and why HPV can lie dormant for years before developing into cancer. Gopep explains how the shift away from gynecologists after menopause places greater responsibility on primary care physicians to continue screening through age 65. She also discusses the expanded availability of the HPV vaccine, what Australia's elimination of cervical cancer teaches us about what is possible, and the specific questions patients should be asking their doctors about screening and vaccination. If you or someone you care about has put off cervical cancer screening after menopause, this episode could change that decision. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens to patients with disabilities when the government signals their lives don't matter, and what does that mean for the doctors fighting alongside them? Ashna Shome, a pediatrics resident with cerebral palsy, joins the show to discuss her KevinMD article, "The impact of policy cuts on ableism in health care." She explains how proposed Medicaid cuts, the rollback of physical access requirements for federal buildings, and harmful rhetoric around autism and vaccines are compounding to create a more hostile environment for the one in four U.S. adults living with disabilities. You will hear how anti-vax discourse tacitly suggests that developmental disabilities are worse than death, why she now relies almost exclusively on the American Academy of Pediatrics as a trusted source of health information, and how her own experience navigating medicine with cerebral palsy has shaped her advocacy. Shome also makes a compelling case for physician unionization as a tool for disability justice, arguing that the artificial barrier between doctor and patient must be dismantled. If you care about disability rights, health equity, or the future of physician advocacy, this conversation demands your attention. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when you ask clinicians to hit dozens of quality metrics but never explain why those metrics matter or how to manage them? Kenneth Botelho, founding program director of the Doctor of Medical Science program at the College of St. Scholastica, joins to discuss his KevinMD article, "Value-based care workforce: Bridging the gap in clinical education," and why medical education still trains you to treat one patient at a time in a world that demands population health thinking. He breaks down the disconnect between fee-for-service training and value-based care realities, from dashboard management and HCC coding to compensation tied to screening rates you were never taught to influence. You will hear why this knowledge gap fuels burnout and early career attrition, what PA and NP programs are starting to do about it, and how postgraduate training could give clinicians the framework they need to regain control over their day-to-day work. If you have ever felt graded on a system no one explained to you, this episode will change how you see your role in it. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when your deepest religious convictions collide with a patient suffering from metastatic cancer and no miracle in sight? Medical student Jonah Rocheeld shares the raw tension between his Orthodox Jewish upbringing and the medical ethics he is learning in clinical training, based on his KevinMD article, "End-of-life care and religion: Reconciling Jewish law and medicine." He unpacks the distinction Jewish law draws between withholding and withdrawing care, why that boundary feels certain in a classroom but fractures at the bedside, and how a heated debate with a fellow Jewish medical student forced him to confront where faith ends and patient suffering begins. You will hear why he believes any mature faith must evolve from rules-based absolutism toward nuanced moral reasoning, and what advice he offers religious medical students struggling to separate personal identity from clinical duty in end-of-life care. If you have ever wrestled with where your own ethics stop and your obligations as a health care professional start, this conversation will stay with you. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a patient can't afford the treatment you prescribe but is too embarrassed to say so? Health care executive Adam Cunningham joins the show to unpack the devastating ripple effects of medical debt, drawing on his KevinMD article, "The hidden toll of medical debt on patient health and survival," and sharing how one friend lost her job, her insurance, and nearly her ability to function before finding affordable biologic treatment for rheumatoid arthritis overseas. You'll hear why 16 percent of U.S. suicides have a contributing factor of medical debt, how patients weigh financial ruin against ending their lives, and what makes China's tier one hospitals a surprisingly viable option for Americans priced out of care at home. Cunningham explains the accreditation systems that ensure quality abroad, the role patient advocates play in navigating costs, and the one question every physician should ask before assuming a patient will follow through on a treatment plan. If you've ever wondered whether medical tourism is legitimate or just risky, this episode offers a grounded, practical perspective you need to hear. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when medical students witness dehumanization during clinical rotations but feel too powerless to speak up? Kathleen Muldoon, a certified coach and professor in medical education, joins the show to unpack why moral courage is a skill you can practice right now, not something to defer until you hold a title. Based on her KevinMD article "Moral courage in medical training: the power of the powerless," this conversation reveals how the hidden curriculum in medical training quietly normalizes harm through small, unreported moments. You will hear practical strategies for reclaiming power in clinical hierarchies, from stating your own name to recentering a patient in grand rounds with a single clarifying question. Muldoon explains why kicking moral concerns down the line fuels burnout and erodes professional identity formation, and how attendings can foster psychological safety by modeling vulnerability. If you are a medical student, resident, or physician who has ever felt the gap between what health care should be and what it is, this episode will remind you that middle power is still power. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Is the new oral Wegovy pill a breakthrough or a risk most patients never hear about? Shiv K. Goel, an internal medicine and functional medicine physician, joins the show to unpack his KevinMD article, "Oral Wegovy: the miracle and the mess of the new GLP-1 pill," and why treating this drug casually could hurt you. He breaks down emerging data linking high-dose semaglutide to ischemic optic neuropathy, with reporting odds nearly five times higher for Wegovy than Ozempic, and explains why the obesity population faces unique hemodynamic risks. You will learn why he never prescribes a GLP-1 without prescribing a plan, including slow titration, protein and resistance training to protect lean mass, hormone optimization, and red flag education. Goel also addresses the rebound weight gain most patients face after stopping, the dangers of buying compounded GLP-1 medications from medical spas, and why losing just 10 pounds may not warrant these drugs at all. If you are considering oral Wegovy or already on a GLP-1, this episode could change how you approach weight loss medication. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Clinical director at Franklin Park Family Dental in Dorchester and Tremont Family Dentistry in Boston, Charan Teja Bobba, discusses his article "Treating methamphetamine-associated dental disease in safety-net clinics." Charan reflects on the profound human reality behind treating patients with severe addiction, noting that a ruined smile often represents a lifetime of being let down by the health care system. He explains the physical devastation of meth mouth, where acidity, dry mouth, and teeth grinding create a perfect storm of enamel erosion and decay. The conversation emphasizes why safety-net practices are vital for restoring not just oral health, but a person's identity and self-esteem. By prioritizing patience and trust over rushed clinical work, dentists can help vulnerable populations feel human again. Discover how providing full dental care to those in recovery is a fundamental step toward restoring true medical equity and wholeness. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician wellness coach Jessica Singh discusses the article "Physician burnout: Finding peace in a broken health care system." Jessica shares a powerful narrative of a grueling swing shift in a rural emergency department, managing critical patients and a mounting waiting room with minimal resources. She describes the intense pressure of a life-saving intubation and the spiritual strength she drew upon during the crisis. The conversation shifts to the toxic interpersonal dynamics often found in medical culture, as Jessica recounts a difficult "changing of the guard" with a hostile administrator. This experience led to a profound reckoning with her professional identity and the realization that her value as a human being extends far beyond hospital walls. Discover how perspective, faith, and the simple act of a deep breath can help clinicians navigate the "trance of servitude" and find peace amidst systemic failure. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician and tax specialist Logan Foltz discusses the article "Physician tax strategies: Why your tax bill is so high and how to fix it." Logan explains why the Internal Revenue Code patterns are often unfavorable to physicians, who typically rely on clinical labor and face high marginal tax rates with limited control over income timing. He breaks down the structural reasons for sticker shock after residency, including heavy payroll taxes and the inability to deduct unreimbursed work related expenses as an employed physician. The conversation explores how understanding the tax code as a problem to be solved can empower clinicians to leverage self employment, business entity structures, and geographic considerations to improve their annual tax liability. Logan also discusses the importance of diversifying income beyond labor alone and navigating a complex U.S. health care system that leaves doctors with little bandwidth for financial planning. Learn how to stop feeling trapped by your tax bill and start engaging with the system more deliberately to secure your financial future. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician coach Apurv Gupta discusses the article "What is a loving organization?" Apurv describes his model of a loving organization as a system that designs the clinical environment to make safety and purpose natural rather than forced. He explores the bridge between individual cognitive shifts and organizational renewal using the INTEGRATE methodology to reduce burnout and improve patient outcomes. By replacing fear-based operating systems with emotional literacy and compassionate accountability, medical teams can achieve high performance through unconditional acceptance. Discover how creating a workplace rooted in love can transform the health care environment into a space where both healers and patients thrive. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Obesity medicine physician Jessica Duncan discusses the article "GLP-1 weight regain: Why stopping medication leads to weight return." Jessica explains that expecting to maintain weight loss after abruptly stopping GLP-1 therapy is unrealistic because it ignores the physiological forces that defend a person's prior weight. She critiques a marketplace that often treats these powerful medications as consumer products rather than chronic disease therapies, noting the risks of obtaining prescriptions through brief online questionnaires without ongoing medical oversight. The conversation highlights the complexity of appetite regulation and metabolism, emphasizing that obesity must be managed as a chronic condition rather than a short term problem to be solved. Jessica advocates for longitudinal care relationships and individualized plans that address hunger cues, sleep, and food environment to prevent weight return. Discover why mistaking predictable biology for personal failure is the greatest hurdle in modern obesity care. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Patient advocate Eric Goldfarb discusses the article "How a pregnancy test on a male patient revealed health care flaws." Eric shares the absurd and heartbreaking story of finding a pregnancy test charge on his 88 year old father's final hospital bill. He explains how this error was merely a symptom of a larger, systemic failure where institutional momentum often overrides common sense and patient safety. Eric details the struggle to stop a dangerous premature discharge after his father's brain surgery and the subsequent bureaucratic fog that prevented the hospital from correcting a biologically impossible billing error. The conversation explores how patients become ticket numbers and how the simple act of noticing can be the difference between a system that heals and one that harms. Discover why advocacy often requires repeating the obvious until the system finally listens. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Internal medicine and functional medicine physician Shiv K. Goel discusses the article "Why lifestyle matters more than BPC-157 and semaglutide." Shiv explains how the modern longevity boom has trained patients to seek out quick fixes like peptides and weight loss injections while ignoring foundational habits. He shares a compelling patient story to illustrate why optimizing sleep, circadian rhythms, and stress management is far more powerful than any supplement drawer. Shiv argues that tracking endless biomarkers with wearables without understanding a patient's personal story only creates anxiety. By prioritizing deep listening and addressing the root causes of metabolic dysfunction, clinicians can offer real solutions rather than just another health care transaction. Discover how aligning your daily routines with your biology is the ultimate biohack for a longer, healthier life. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Former Treasurer of the American College of Physicians Janet A. Jokela discusses the article "The service of humanity: Recommitting to physicians' ethical duties." Janet reflects on her visit to the Ronald Reagan Museum where she found profound connections between the former president's views on diversity and the medical profession's ethical oath. Janet explains that the service of humanity is not just a phrase for white coat ceremonies, but a call to treat every patient with benevolence and goodwill regardless of their background or political status. The conversation highlights courageous actions taken by Minnesota physicians to protect vulnerable populations and reaffirms that health is a human right grounded in dignity. By prioritizing empathy over technology, Janet believes clinicians can rediscover their true identities as healers in an increasingly fractured world. Discover how a simple commitment to kindness can transform the entire landscape of modern medicine. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Family physician, medical device inventor, and health care entrepreneur Tod Stillson discusses the article "AI governance in health care: Why physicians must lead the design." Tod warns that the greatest threat to modern medicine is allowing artificial intelligence to be designed without physician oversight. He reflects on how hospital consolidation and private equity have previously redistributed power away from clinicians, and argues that AI could become the next structural layer that reduces physicians to mere units in a revenue architecture. Tod outlines five non-negotiable characteristics of trustworthy AI, emphasizing that technology must augment clinical judgment rather than impersonate it. He highlights the "accountability test," reminding listeners that the responsibility for clinical decisions remains with the doctor, not the algorithm. Discover why physicians must move from being passive consumers to active architects to ensure that AI creates leverage with integrity. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatric hematology-oncology physician and co-founder of Pink Coat, MD Tammie Chang discusses the article "Unhooking from the ego in medicine." Tammie shares her personal journey through depression and clinical burnout, explaining how these challenges forced her to disconnect from a professional identity rooted in ego and achievement. She describes the neurological shift from a left-brain focus on analysis to a right-brain focus on intuition and interconnectedness. By choosing to show up as a loving presence in the exam room, Tammie found that she could complete her work with more joy and less exhaustion. This transformation allowed her to move away from being an automaton of productivity and toward a state of equanimity. Her experience suggests that physicians can find peace even amidst global uncertainty by reclaiming their true selves. True healing begins when we prioritize human connection over the need to always be right. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Integrative pediatrician Mary Wilde discusses the article "The pause medicine never taught us to take." Mary discusses how medical training conditions clinicians to fear rest and prioritize a treadmill of servitude over personal well-being. She shares insights from teaching medical students who found clarity and emotional release only when forced to step away from their studies. Mary describes her experience hosting retreats in southern Utah and how physical distance from the clinical environment provides a necessary vantage point for accurate self-assessment. The conversation explores the physiological benefits of silence, including neurogenesis and cortisol reduction, while highlighting the systemic and personal barriers that prevent doctors from seeking renewal. Discover why creating open space is not a sign of weakness but an essential act of wisdom for every healer. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Metabolic health educator Marsha Shepherd Whitt discusses the article "Why 'eat less, move more' fails for midlife weight loss." Marsha explains that weight loss struggles in midlife are often driven by physiology rather than a lack of discipline. As women move through perimenopause and menopause, biological changes alter how the body partitions fuel, regulates blood sugar, and responds to insulin. Marsha highlights how frequent glucose exposure and rising cortisol levels can push the body into a defensive conservation mode that protects fat stores at the expense of muscle and bone. Instead of forcing a deficit, she advocates for restoring metabolic stability by lowering chronic glucose exposure and preserving muscle mass. Discover how aligning with your biology can end the cycle of self-blame and finally unlock sustainable fat loss. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Health care executive Chris Darland discusses their article "Why remote patient monitoring needs a preventive shift." Chris explains that remote patient monitoring is currently too reactive, functioning as a safety net that tracks problems rather than preventing them. He suggests that technology should shift toward a proactive approach where data is collected before routine visits to provide a real life snapshot of heart performance. Chris describes how advanced signal processing tools, similar to those used by NASA, can now capture high-fidelity cardiac signals over several days while patients live their normal lives. By using AI to turn raw data into actionable insights, health care teams can detect subtle trends and make small adjustments before emergencies occur. This new approach moves beyond simply turning homes into hospitals and instead focuses on building a digital model of whole body health. Find out how listening to the heart's hidden clues can help clinicians see ahead to what might become a problem. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physical therapist and certified lymphedema specialist Maureen McBeth discusses her article "Beyond BMI: Why weight management must look inside the body." Maureen explains why common tools like the bathroom scale and body mass index can misclassify up to 34 percent of the general population as obese while masking dangerous internal realities. Drawing from over 25 years in oncology rehabilitation and her own personal experience taking a GLP-1 medication after major surgery, Maureen warns that rapid weight loss can lead to severe muscle depletion and malnutrition if not properly monitored. She highlights the critical importance of tracking three core components of health: muscle mass, intracellular water, and balanced extracellular water. By utilizing noninvasive bioimpedance spectroscopy assessments, clinicians can provide actionable insights to protect a patient's structural and metabolic foundation during their weight loss journey. Discover how looking beyond the scale can transform your approach to long-term health and resilience. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Metabolic health educator Kevin Whitt discusses his article "Insulin resistance is not a disease: a metabolic reframe." Kevin argues that the skyrocketing rates of Type 2 diabetes are not the result of defective biology, but rather a predictable response to chronically elevated blood sugar. The conversation challenges the traditional medical view of insulin resistance, reframing it as a protective mechanism where cells limit glucose uptake to prevent damage from substrate oversupply. Kevin highlights how modern medical education structurally privileges pharmacological treatments over nutritional interventions, leaving doctors equipped to manage symptoms rather than address root causes. Discover why addressing the dietary carbohydrate load is the key to resolving this metabolic mismatch. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatrician and certified coach Jessie Mahoney discusses her article "Dealing with physician negative feedback." Jessie validates the pain that comes with criticism, noting that it hurts not because physicians are weak, but because they are human and deeply invested in their patients. The conversation explores the physiological response to negative reviews, suggesting practical mindfulness techniques like placing a hand on the heart to lower cortisol and signal safety. Jessie advises against the habit of rumination, encouraging doctors to instead create a "generous story" that frames the feedback through a lens of curiosity rather than shame. Discover why prioritizing integrity over being liked is essential for sustainable medical practice. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this special sponsored episode from Eli Lilly and Company, I am joined by Dr. Lee James, senior vice president of oncology medical affairs at Lilly, to discuss the importance of lung cancer screening, early detection, and advances in biomarker testing. We explore how low-dose CT screening can reduce mortality, yet remains underused, and why comprehensive genomic profiling is essential to understanding the molecular drivers of non-small cell lung cancer and guiding targeted treatment decisions. Tune in to learn how expanding access to screening and precision medicine is helping create new hope for people affected by lung cancer. VISIT SPONSOR → https://www.lilly.com/conditions/cancer/lung-cancer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Patient advocate Richard A. Lawhern, PhD, discusses the article "U.S. opioid policy history: How politics replaced science in pain care." Richard argues that for decades, public policy on pain treatment has been driven by sociopolitical factors rather than medical science. He traces the history from the "business corruption" phase of pill mills to the current "political phase" launched by the 2016 CDC guidelines. The conversation highlights how anti-opioid zealotry and legal fears have forced physicians to abandon effective pain care, leaving patients to suffer or turn to illicit markets. Richard also critiques the rising reliance on buprenorphine, suggesting it is popular not because of superior efficacy for pain, but because it offers a legal "safe harbor" for clinicians. Discover why Richard believes the confusion between physical dependence and addiction is driving a public health failure. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Medical student Umayr R. Shaikh discusses his article "The impact of CDC's new childhood immunization guidance." Umayr argues that recent CDC changes, moving vaccines like flu, Hep B, and meningococcal from universal recommendation to shared decision making, risk normalizing preventable illness. He highlights how his medical training now focuses on diagnosing diseases that should be rare footnotes. The conversation explores the danger of treating public health as an individual choice, warning that this shift will disproportionately harm vulnerable populations and widen health inequities. Discover why rebuilding trust in evidence based prevention is critical to avoiding a future of predictable outbreaks. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Retired emergency department nurse Amy Dinaburg discusses her article "Lowercase PTSD: Why emergency staff are still hypervigilant." Amy reflects on the relentless pressure of the COVID-19 pandemic where nurses were forced to override their nervous systems to keep patients alive. She describes the concept of "Lowercase PTSD" as the result of prolonged exposure to death and uncertainty rather than a single catastrophic event. The conversation highlights how the "hero" narrative often masked a survival mode that many staff are still struggling to turn off years later. Amy explains that healing requires small recalibrations, like consciously softening the body and allowing rest without earning it, to move from unconscious reactivity back to feeling fully alive. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Internal medicine and functional medicine physician Shiv K. Goel discusses his article "Agentic AI in medicine: the danger of automating the doctor." Shiv analyzes the new ARPA-H "ADVOCATE" program which aims to deploy autonomous AI agents for heart disease care within three years. The conversation highlights the critical difference between processing data and understanding a patient, noting that AI cannot read the fear in a voice or the silence between words. Shiv warns of the "liability black hole" that arises when algorithms make high-stakes decisions and argues that technology must serve the healer rather than replace the human connection. Discover why the next three years will determine whether code redefines the sacred responsibility of medicine. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatrician and certified coach Jessie Mahoney discusses her article "Why physician wellness programs must evolve beyond institutions." Jessie reflects on her seventeen years leading in-house wellness initiatives and argues that while institutional programs provide legitimacy, they are ultimately insufficient for deep healing. She explains that true recovery requires stepping away from the very environments that cause distress to find spaces free from agendas and evaluation. The conversation highlights the unique power of independent, physician-led programs that prioritize mindfulness, somatic healing, and connection with nature. Jessie contends that physicians cannot transform the health care system if they are barely surviving within it, making external wellness spaces not a luxury, but a foundational necessity for sustaining the profession. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Occupational medicine physician and life coach Claudine Holt discusses her article "Nervous system dysregulation vs. stress: Why 'just relaxing' doesn't work." Claudine challenges the common advice to treat burnout with self-care like massages or vacations. She explains that for many, stress is not a mindset issue but a physiological state of the nervous system. The conversation highlights how behaviors like perfectionism and people-pleasing are actually adaptive survival strategies, not character flaws. Claudine argues that when the body is stuck in a fight-or-flight state, relaxation actually feels dangerous. She advocates for "bottom-up" somatic approaches rather than willpower or cognitive therapies alone. Discover why healing requires updating the nervous system's safety cues rather than just trying to force calm. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Hematologist-oncologist Khushali Jhaveri discusses her article "What the research really says about infrared saunas." Khushali shares her personal journey from skepticism to advocacy after experiencing the profound physiological shifts of infrared heat therapy. The conversation dives into the science of heat shock proteins, explaining how thermal stress helps the body repair cellular damage and manage inflammation. She reviews a landmark study from Finland showing massive reductions in cardiovascular mortality among frequent sauna users. Khushali also distinguishes between traditional and infrared saunas, noting that while the latter operate at lower temperatures, they offer similar benefits through passive heat exposure. Discover how this ancient practice might be a key to healthier aging and longevity. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Intensivist Cristin Mount and business operations lead Steve Lettrich from All Levels Leadership discuss their article "A 6-step framework for new health care leaders." The authors address the common challenge where clinicians step into leadership roles with little formal training. They outline a practical framework designed to help new leaders navigate complex organizational webs. The conversation details six critical steps: understanding organizational priorities, building relationships with stakeholders, defining goals through needs assessment, categorizing challenges by timeline, developing 90-day action plans, and remaining adaptable. Cristin and Steve emphasize that success relies on aligning departmental goals with the broader mission to secure necessary resources and support. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Double board-certified obstetrician-gynecologist and reproductive endocrinology and infertility specialist Erica Bove discusses her article "A clinician's guide to embryo grading in IVF." Erica breaks down the complex metrics used to evaluate embryo quality, a subject often reserved for subspecialty fellowship training. The conversation guides listeners through the critical developmental milestones from fertilization to the blastocyst stage. Erica demystifies the alphanumeric grading system used by embryologists to assess viability and explains why a "perfect" grade does not always guarantee a healthy pregnancy. The discussion also weighs the nuances of genetic testing (PGT-A), clarifying when it offers a true benefit versus when it might add unnecessary risk to the embryo. Discover how to interpret these technical reports to manage expectations and make informed choices during the IVF process. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended