Voices in Health and Wellness

Send us Fan MailEveryone seems to be asking how AI can do a doctor’s job. We go the other way and it changes the whole picture: what if AI’s best role is deleting the admin work that crushes clinicians and slows down care?I’m joined by Dr James Ries, a board-certified family medicine physician, active duty US Navy provider, and founder behind 20 Mile Medical. James explains how years in telehealth exposed a hard truth about modern healthcare efficiency: the real bottleneck is not clinical decision making, it’s the clutter around it. We dig into where costs actually hide (patient communication, coordination, follow-ups, fragmented systems) and why targeting clinicians first is the wrong optimisation.James walks us through his AI layer, Telora, built to compile patient intake, highlight red flags, and surface evidence-based protocols in one place before a consultation even starts. We unpack deterministic AI vs generative AI, why patient-facing chatbots can be unsafe at scale, and how reducing cognitive load can lead to more personalised care even in shorter visits. We also explore why more frequent follow-ups can improve continuity and reduce the “three-month pile-up” of questions, plus the broader shift in telehealth towards lifestyle and concierge care.If you care about AI in healthcare, clinician burnout, telehealth platforms, electronic health records, and safer automation, you’ll take a lot from this conversation. Subscribe, share with a colleague, and leave us a review with your take: where should AI stop and the human clinician begin?Guest BiographyDr. James Ries is a board-certified family medicine physician, active-duty US Navy Commander and healthcare entrepreneur who has spent approximately a decade working in telehealth.He is Co-Founder of Twenty Mile Medical, a telehealth platform created from his experience of trying to improve inefficient healthcare systems from inside them.After finding existing software poorly aligned with real provider workflows, James began developing his own technology, combining an electronic health record with an AI-enabled layer called Telora. The system is designed to reduce the administrative and cognitive workload surrounding clinical care by organising patient information, supporting evidence-based workflows and streamlining processes such as documentation and communication, while keeping providers responsible for clinical care.His work focuses on improving healthcare access, provider efficiency and patient experience without treating AI as a replacement for the clinician. Longer term, James hopes that dramatically reducing the cost of delivering telehealth could help make care accessible to uninsured and underserved populations.Websites: https://www.twentymilemedical.com and https://www.telora.healthLinkedIn: https://www.linkedin.com/in/drjamesries/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA packed dermatology market does not reward vague promises, it rewards clarity. We sit down with Anshul Meshwari, Managing Partner at Balanced Skin Dermatology and Aesthetics, to unpack how a modern clinic earns trust, delivers better outcomes, and grows without sacrificing the patient experience. His path runs from biomedical engineering and medical technology commercialisation to consulting across pharma and life sciences, and now to scaling a specialist dermatology and medical aesthetics practice in Newport Beach, California. We dig into what makes Balanced Skin different: a deliberate focus on lasers for darker skin tones, where safety, device choice, and protocol matter deeply for avoiding hyperpigmentation and other complications. Anshul shares how culture becomes a growth engine, from writing a vision statement to paying above market and training for great “people interactions”. We also cover the practical balancing act of demand generation versus capacity, plus the marketing foundations many clinics underestimate: differentiators, websites that actually say something specific, referrals, and visible authority. The conversation turns to trends shaping aesthetics and dermatology strategy, including AI in clinic operations (note-taking, organisation, imaging), the growing impact of GLP-1 weight loss on patient needs, and the rapid advance of laser technology into medical conditions as well as cosmetic concerns. We close on entrepreneurship in healthcare, cash pay versus insurance trade-offs, and a vision for a national model of care for diverse skin tones. If you enjoy this, subscribe, share it with a colleague, and leave a review so more clinicians can find it.Guest BiographyAnshul Maheshwari is Managing Partner of Balanced Skin Dermatology & Aesthetics, a Newport Beach, California practice specialising in dermatology, medical aesthetics and laser treatments for diverse and darker skin tones.With bachelor's and master's training in biomedical engineering, alongside experience in entrepreneurship, innovation strategy and healthcare consulting, Anshul has built a career at the intersection of medicine, business and commercialisation. His experience spans medical technology, pharmaceuticals, life sciences, corporate strategy and healthcare operations.Today, alongside growing Balanced Skin, Anshul advises medical professionals and small healthcare teams on practice development, differentiation, marketing, operations and entrepreneurship. His broader mission is to empower clinicians to build sustainable practices that give them greater autonomy while maintaining a strong focus on patient outcomes and experience.At Balanced Skin, Anshul and his team are working toward a larger vision: creating a nationally recognised dermatology practice specialising in the treatment of diverse skin tones using advanced laser technologies.LinksWebsite: https://www.balancedskin.comLinkedIn: https://www.linkedin.com/in/anshulmaheshwari/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailFeeling stuck even after you’ve “done everything right” can be one of the most frustrating parts of chronic illness and burnout. We sit down with Dr Rachael Clark, a family physician turned functional and integrative medicine practitioner at Village Health and Healing, to unpack why standard healthcare often runs out of road for fatigue, gut issues, hormone problems, and autoimmune-style symptoms and what she does differently now.Rachael shares how Covid-era patterns, including her own long Covid experience, pushed her beyond quick fixes and short appointments. We talk about root cause healing in real-world terms: deeper history, targeted testing, nutrition and supplements, lifestyle change, and the slower work of rebuilding resilience. She also explains why she started exploring energy healing, how she introduces it to sceptical patients, and what she means by “life force energy” as a missing ingredient when progress stalls despite good protocols.We also go behind the scenes on the business of modern holistic healthcare: a cash-pay model, out-of-network reimbursement realities, long consults, membership-based care, virtual sessions, and the biggest bottleneck most founders hit scaling without giving up every hour. If you’re a clinician thinking about private practice, or a patient trying to make sense of conflicting advice, this conversation offers a grounded look at where functional medicine, energetic medicine, and conventional care might finally meet.If you enjoyed the conversation, subscribe for more, share it with someone navigating chronic symptoms, and leave us a review with the part you want to hear more about.Guest BiographyDr Rachael Clark, MD, FMACP is a Family Medicine physician and Functional and Integrative Medicine practitioner at Village Health & Healing.After becoming increasingly frustrated by the limitations she experienced treating chronic health problems within conventional medicine - and navigating her own journey through long COVID and burnout -Dr Clark began exploring a more holistic approach to health.Her work now considers not only physical root causes but also mental, emotional, spiritual and energetic components of wellbeing. She combines virtual and in-person patient care through Village Health & Healing and is expanding her work to incorporate energy healing alongside her Functional Medicine approach.Dr Clark is also developing educational programmes designed to extend her impact beyond one-to-one consultations, with future plans to create resources specifically for physicians and healthcare professionals.Website: https://www.villagehealthandhealing.comLinked In: https://www.linkedin.com/in/rachael-clark-6a794133b/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailSuccess in private medicine often gets defined by numbers: more patients per day, more staff, more locations, higher revenue. We challenge that story with Dr Mark Rosenberg, a board-certified emergency medicine physician and former emergency department leader at Walter Reed who chooses the opposite path: a deliberately low-volume clinical practice built around time, depth, and fewer mistakes. He explains why he sits with patients for an hour, how that changes decision-making, and why he refuses to let “throughput” become the main measure of good medicine. Mark also shares the personal moment that redirected his career into integrative oncology and cancer research: his mother walking into the emergency department with chest pain, leading to a devastating metastatic diagnosis. From that point, he dives into the science of cancer metabolism, cancer stem cells, and the uncomfortable reality that many breakthroughs never reach patients. We explore what blocks progress in oncology: trial funding, bureaucracy, and the lack of intellectual property that can make potentially helpful treatments commercially invisible. We also talk longevity medicine, the practical pros and cons of concierge-style fees, and why boundaries become the hidden operational risk when patients have direct access to their doctor. Mark discusses current innovation, including an extracorporeal approach aimed at circulating tumour clusters, and a canine hemangiosarcoma study designed to prove impact quickly in veterinary oncology and potentially fund human trials. The conversation ends somewhere unexpected: meaning, suffering, and how science shaped his evolving beliefs while he writes A Doctor’s Conversation With God. If you care about patient-centred care, medical leadership, oncology innovation, and redefining what a successful medical career can look like, subscribe, share this with a colleague, and leave a review. What would you prioritise if you could redesign your working week?Guest BiographyDr. Mark A. Rosenberg is a board-certified Emergency Medicine physician whose career spans emergency medicine, longevity, integrative oncology, medical leadership, research and innovation.After training and working in Emergency Medicine - including leadership of an Emergency Department at Walter Reed - Dr. Rosenberg became involved with the American Academy of Anti-Aging Medicine and developed a growing interest in preventive health and longevity.His professional direction changed profoundly following his mother's diagnosis with metastatic cancer in 2004. His subsequent work has included integrative oncology, cancer stem-cell research and the development of novel approaches to cancer treatment. He has also served as Program Director for an integrative cancer fellowship and holds leadership and advisory roles across several healthcare organisations.More recently, Dr. Rosenberg was awarded a patent relating to an extracorporeal filter intended to remove circulating tumour clusters and is working toward further studies of the technology.Alongside his medical and research work, he writes about science, medicine, mortality and the nature of human life.Contact Dr RosenbergWebsite: https://amtcare.comLinkedIn: https://www.linkedin.com/in/mark-rosenberg-6092006/Book: 'Curing Death' https://www.amazon.com/s?k=%22Curing+Death%22+%22Mark+Rosenberg%22 Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailWaiting weeks for an appointment, rushing through a 10 minute slot, then struggling to reach your doctor afterwards is treated as “normal” in modern healthcare. We wanted to challenge that assumption, so we sat down with Dr Ryan Gannon, a family physician and co-founder of Blue Ocean Health, to unpack direct primary care (DPC) in plain terms and show what changes when insurance is no longer at the centre of the relationship.Ryan explains how a membership-based primary care practice works day to day: predictable monthly pricing, longer consultations, and easy access through texts, emails, calls, video visits, and in-office care. We explore why time is not just nicer, it is clinically meaningful. Using examples like anxiety, we talk about how understanding sleep, stress, nutrition, coping skills, and context can change the plan from a quick algorithm to truly personalised care.We also get into the practical realities of building a DPC clinic as a small business: patient panel size, overhead, retention, and the challenge of educating communities where big health systems dominate. Ryan shares how his passion for lifestyle medicine and strength training shapes the way he works with patients, including using nutrition and sleep logs, starting with realistic behaviour change, and helping people build long-term strength and health. We close by discussing physician burnout as a systemic volume problem, and the future of primary care tools, from wearables data to VO2 max and expanded sleep testing, while keeping the model sustainable.If you care about better access to a GP, preventative medicine, and new models of primary care in the US healthcare system, this conversation is for you. Subscribe, share with a friend who is fed up with rushed care, and leave us a review with one change you would make to primary care.Guest Biography Dr Ryan Gannon is a family physician and co-founder of Blue Ocean Health, a Direct Primary Care (DPC) practice based in King of Prussia, Pennsylvania. Passionate about restoring the doctor–patient relationship, Ryan left the traditional insurance-driven model to build a practice that prioritises accessibility, longer consultations, prevention, and personalised care. Alongside his work at Blue Ocean Health, Ryan serves as a Medical Director for a correctional facility and has a particular interest in lifestyle medicine, nutrition, sleep, and strength training. A former semi-professional football (soccer) player and competitive powerlifting enthusiast, he integrates evidence-based fitness and behavioural change principles into everyday primary care. Ryan also writes about medicine, agency, and personal development through his Forge Substack, encouraging healthcare professionals and patients alike to think differently about health, responsibility, and human potential.Connect with Dr GannonWebsite: https://www.blueoceanhealthdpc.comLinkedIn: https://www.linkedin.com/in/ryan-gannon/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA “zero calcium score” sounds like a clean bill of health, but JD Enright learnt the hard way that it can still hide dangerous coronary artery disease. After five years of high-end executive screening and a mountain of reassuring results, one focused consultation using advanced imaging showed stage two cardiovascular disease and a heavy burden of soft plaque, the kind most associated with plaque rupture and sudden heart attack or stroke. That moment became the spark for Clear Cardio’s mission: move cardiology from reacting to symptoms to preventing the event in the first place. We unpack what breaks in the traditional pathway when you feel fine: why ECGs and treadmill stress tests often miss the real problem, why calcium scoring can be falsely comforting, and how plaque actually builds inside the artery wall. JD explains plaque rupture in clear, practical terms, then walks through how a cardiac CT angiogram (CCTA) paired with AI plaque analysis can map plaque type, quantify burden, and show exactly where risk sits, giving patients a way to track progress rather than guess. The conversation also gets honest about incentives. Insurance often covers late-stage procedures but not early prevention, which makes education and direct-to-consumer access essential. We talk about resistance from parts of the system that profit from interventional volume, why Clear Cardio stays tightly focused on one problem, and how YouTube and content-led marketing are driving patient demand. If you care about preventive cardiology, heart attack prevention, stroke prevention, and the future of AI in healthcare, press play, then subscribe, share with a friend, and leave a review. What would it take for prevention to become the default?Guest BiographyJD Enright is the CEO and Co-Founder of ClearCardio, a preventative cardiology organisation dedicated to identifying and reducing cardiovascular risk before symptoms develop. With a background spanning engineering, biotechnology, pharmaceuticals, strategic acquisitions and technology commercialisation, JD has led global business growth initiatives across multiple industries before founding ClearCardio alongside preventative cardiologist Dr John Osborne. Following his own unexpected diagnosis of significant coronary artery disease despite extensive executive health screening, JD set out to build a business that combines advanced coronary CT angiography (CCTA), AI-powered plaque analysis and personalised prevention strategies to help patients detect and manage cardiovascular disease earlier. Today, he leads ClearCardio's mission to transform cardiovascular care through innovation, education and proactive prevention.LinksWebsite: https://www.clearcardio.comLinkedIn: https://www.linkedin.com/in/jdenright/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailMost clinics don’t fail because the care is bad. They fail because the business model, systems, and boundaries never get built. We’re joined by Dr Danielle Lewis, founder of Harmony Integrative Healthcare, to talk honestly about what it takes to run a sustainable naturopathic and functional medicine practice while staying grounded in excellent patient care. Dr Lewis shares how early exposure to holistic health shaped her clinical lens, then walks us through the real evolution of a women’s health clinic: the moment you realise you’re undercharging, the pressure of loans and overheads, and the decision to stop trying to “see everyone” and instead specialise in hormones, thyroid, fertility, and complex gynaecological concerns. We also unpack the membership-based model she now uses and why it improves follow-through, keeps patients accountable, and protects the long-term maintenance phase that so often gets missed in fee-for-service care. We go deep on the parts nobody teaches in medical training: market research, pricing, coaching, mindset shifts, hiring, and leadership. Dr Lewis explains her team structure, the communication systems that protect the patient experience, and the personal routines and boundaries that reduce stress. Finally, we explore multi-state virtual practice across Arizona, Maryland, and DC, including scope-of-practice limits around prescribing and acupuncture, and what that means for operations and advocacy. If you’re building a clinic, leading a team, or rethinking how integrative healthcare should work, this conversation will give you practical ideas you can use today. Subscribe, share with a colleague, and leave a review telling us what you want to improve in your own practice.Guest Biography Dr Danielle Lewis, NMD is the founder of Harmony Integrative Healthcare, a naturopathic medical practice specialising in women's health, hormones, thyroid disorders and fertility. Now celebrating more than ten years in practice, Danielle has built a successful multi-state clinic and developed a membership-based care model designed to improve patient accountability and long-term outcomes. Alongside clinical practice, she teaches gynaecology at her alma mater, mentors future practitioners and is passionate about helping clinicians bridge the gap between excellent patient care and sustainable business ownership.Website: https://www.harmony.careLinkedIn: https://www.linkedin.com/in/drdaniellenlewis/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA type 1 diabetes diagnosis used to come with a countdown. Dr Dwight Baker was fifteen in 1966, with no finger sticks, no A1C, no insulin pumps, and no continuous glucose monitors, yet he was told he could still outlive the odds if he committed to tight control. Sixty years on, he is 75, active, and free from the major complications many people fear, and he joins us to explain exactly what he did, what he learned, and what he wishes every newly diagnosed person understood from day one. We get into the real mechanics of long-term diabetes management: why diet remains the foundation, how to think about exercise and hypoglycaemia, and where modern tools like CGMs and automated insulin delivery can genuinely change outcomes when they sit on top of solid habits. We also clear up confusion around type 1 versus type 2 diabetes and why the distinction matters for education, expectations, and day-to-day decisions. If you care about improving A1C, reducing complications, and building routines that last decades, this conversation is packed with grounded guidance. Dr Baker also shares his career journey through general, vascular, and plastic surgery before moving into wound care medicine, where he treats diabetic foot ulcers and venous stasis ulcers and sees how quickly small problems become limb-threatening when people delay care. We talk about the biggest barriers to healing, the role of compliance, footwear, elevation, compression stockings, and the hard truth of socioeconomic constraints that stop patients doing what they already know they should do. He finishes with a forward-looking take on stem cells and regenerative approaches, informed by his experience with fat grafting in plastic surgery. If this perspective helps you, subscribe for more clinically grounded conversations, share the episode with someone managing diabetes or chronic wounds, and leave a review so more listeners can find us. What is the one habit you think makes the biggest difference over 10 years?Guest BiographyDr Dwight Baker, MD, FACS is a Mayo Clinic-trained, board-certified plastic surgeon with more than four decades of experience spanning general surgery, vascular surgery, plastic and reconstructive surgery, cosmetic surgery and wound care. Throughout his distinguished career, he has dedicated himself to improving patient outcomes through both surgical excellence and compassionate, evidence-based care. Diagnosed with Type 1 diabetes at just 15 years old, Dr Baker was told his long-term outlook was poor. Nearly 60 years later, he remains free from the major complications of diabetes—a testament to his unwavering commitment to tight glucose control, healthy lifestyle habits and patient discipline. His unique perspective as both physician and lifelong patient brings exceptional insight into chronic disease management and preventative healthcare. After completing his medical degree at the University of South Alabama College of Medicine, Dr Baker trained in General and Vascular Surgery before returning to the Mayo Clinic to complete a residency in Plastic and Reconstructive Surgery. He spent more than 25 years specialising in breast reconstruction and cosmetic surgery before transitioning into wound care, where he now focuses on helping patients with complex wounds, diabetic foot ulcers and limb preservation. Beyond clinical practice, Dr Baker is passionate about mentoring, medical consulting and advancing the future of wound healing. His interests include stem cell therapies, patient education and improving long-term outcomes through lifestyle medicine and preventative care.Connect with Dr Dwight BakerLinkedIn: linkedin.com/in/dwight-baker-md-821b5733MD Legal Consulting of the Southeast: SEAK Expert ProfileSubscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailSteroid injections can feel like a miracle for joint pain, until you ask what they might be doing to the joint itself. We sit down with Dr Thomas Buchheit, founder of Triangle Regen Medicine and Biologic Centre in North Carolina, to unpack why orthobiologics and regenerative medicine are so often misunderstood and why the next chapter of musculoskeletal care may be about harnessing inflammation rather than suppressing it. We talk through the “immune cascade” that follows injury and how that framework helps make sense of platelet-rich plasma (PRP), stem cell therapy claims, and newer approaches such as the Regenokine programme. Dr Buchheit explains why he focuses on restoring tissue function, why exercise is one of the most regenerative tools we have, and why repeated corticosteroid injections and heavy NSAID use can clash with long-term healing goals. You’ll also hear the practical, patient-side details that rarely make it into marketing: how he uses MRI and ultrasound to teach people what’s actually happening in their knee, shoulder, tendon or nerve; why dosing matters in PRP; and what “quality control” can look like when clinics measure platelet counts and aim for repeatable biological signals. We also go behind the scenes on building a regenerative medicine practice outside the insurance system, the real business lessons, and the challenge of patient education in a noisy field. If you want clearer answers on regenerative medicine, orthobiologics, PRP dosing, exosomes and osteoarthritis treatment options, this conversation will help you ask better questions and set better expectations. Subscribe, share with someone weighing steroids or surgery, and leave us a review with your biggest takeaway.Guest BiographyDr Thomas Buchheit is the founder of Triangle Regen Medicine & Biologics Center in Chapel Hill, North Carolina. A former Duke physician and specialist in interventional pain medicine, he has dedicated his career to advancing regenerative medicine and orthobiologics.His work focuses on helping patients restore joint, tendon and nerve function by harnessing the body's natural healing mechanisms through treatments such as platelet-rich plasma (PRP), Regenokine and other regenerative therapies.Dr Buchheit is also the author of Healing Joints and Nerves, a book that translates the science of regenerative medicine into practical, patient-friendly language while exploring the immune system's central role in healing.Website: https://www.triregenmed.comLinkedIn: https://www.linkedin.com/in/thomas-buchheit-a1063a4/Book: https://amzn.eu/d/09a2rMa4Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailRegenerative medicine is one of the most used phrases in aesthetics right now, but the meaning often gets lost somewhere between marketing, social media and genuine clinical science. We sit down with Dr Philippe Hamida-Pisal, Medical Director at PHP Health First and PHP Aesthetic in London, to separate what’s real from what’s wishful thinking and to talk about how longevity medicine is reshaping the day-to-day decisions inside a modern clinic. We start with the fundamentals of a holistic, 360 degree approach to ageing: why “looking younger” is rarely just about wrinkles, and why inflammation, stress, nutrition, sleep and exercise show up in the treatment room even when a patient books something simple like Botox or fillers. Philippe explains why the first consultation matters so much, how patient trust is built, and why results often improve when patients understand the cause of their condition rather than chasing quick fixes. From there we get specific about regenerative aesthetics, including exosomes, polynucleotides and stem cell related concepts, plus the uncomfortable truth that the evidence base and standardisation are still catching up with demand. We also dig into the practical ethics of injectables in the UK: sourcing, traceability, cold chain, legality, and why transparency protects both patients and practitioners. Along the way we discuss “healthy ageing” versus “anti-ageing”, biological versus chronological age, and where the next five to ten years of aesthetic medicine is heading as the trend shifts back towards natural results and skin quality. If you care about regenerative medicine, longevity, aesthetic medicine, and running an ethical private clinic, subscribe, share the episode with a colleague, and leave a review that tells us what topic you want us to tackle next.Guest BiographyDr Philippe Hamida-Pisal is the Owner and Director of PHP Health First and PHP Aesthetic, a Harley Street-based practice specialising in aesthetic medicine, dermatology, wellness, and private medical care.With clinics across multiple countries, Philippe has developed a distinctive 360-degree approach to patient care that integrates aesthetics, lifestyle medicine, nutrition, and longevity principles. His philosophy centres on addressing the root causes of aging rather than simply treating visible symptoms.A regular international speaker and trainer, Philippe recently presented on the topic "Regenerative Medicine: Myth or Reality?", exploring the opportunities and limitations of regenerative therapies in modern aesthetic practice.Website: https://www.phpaesthetic.comLinkedIn: https://www.linkedin.com/in/philippe-hamida-pisal-58047022/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailGLP-1 injections are everywhere, bariatric surgery numbers are shifting, and patients are arriving more informed than ever. We sit down with Dr Seun Sowemimo, a board-certified bariatric and gastrointestinal surgeon and founder of Prime Surgic Care, to make sense of what actually works for sustainable weight loss and better metabolic health when real life, real budgets, and real habits collide. We talk candidly about how GLP-1 receptor agonists affect the role of weight loss surgery, why access and insurance changes can derail progress, and why many people need ongoing medication to maintain results. Sean explains how he assesses whether someone is best suited to bariatric surgery, GLP-1 therapy, or a combination, including the importance of psychological readiness and structured follow-up. If you have ever wondered why some people keep weight off for a decade while others regain, his “escalator” analogy gives a clear, memorable answer. Nutrition and lifestyle medicine run through the entire conversation. We dig into a whole foods, plant-forward approach, how processed food culture shapes chronic disease, and why exercise supports health even when diet drives most weight change. We also explore the business realities behind modern obesity treatment, from corporate consolidation to how small practices can use technology and AI to improve care without losing the human touch. If this conversation helps you think differently about obesity care, medical weight loss, bariatric surgery, or long-term weight maintenance, subscribe, share it with a friend, and leave us a review. What tool or habit has made the biggest difference to your health journey?👤 Guest BiographyDr Seun Sowemimo is a board-certified bariatric and gastrointestinal surgeon and founder of Prime Surgicare in New Jersey. With advanced training in surgery, metabolic health, and healthcare leadership, he combines surgical expertise with lifestyle medicine and medical weight management strategies, including GLP-1 therapies. Dr Sowemimo is passionate about helping patients achieve sustainable health improvements through evidence-based obesity treatment and comprehensive long-term care.LinksWebsite: https://primesurgicare.comLinkedIn: https://www.linkedin.com/in/seunsowemimo/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailMost cosmetic and plastic surgery clinics can tell you they’re “specialist”. The harder question is: how do you prove it in a way patients can feel from the first enquiry to the final follow-up? We talk with Alon Ben Harry, Director of CREO Clinic in London, about what it takes to build a high-trust private healthcare business in one of the most competitive markets in the UK. We get into the decisions that shape real differentiation: premium positioning that is backed by consultant-led care, high clinical standards, and a patient experience designed to reduce anxiety. Alon explains why CREO bundles value into the core fee rather than upselling essentials, including unlimited consultations, generous follow-up, and practical post-op support like lymphatic drainage and scar treatments. We also explore how clinics can earn trust consistently through reviews, organic visibility, and a team culture that gives clinicians the space to do their best work. From there, we zoom out to what’s changing across aesthetic medicine and private plastic surgery: shifting demand away from exaggerated BBL looks, rising skin tightening needs linked to weight-loss drugs, and the “comparison shift” driven by social media. On the business side, Alon is candid about marketing spend, lead conversion rates, why hiring for accountability can make or break expansion, and the growing uncertainty as AI and search reshape how patients discover clinics. If you run a clinic, lead a patient-facing medical business, or you’re simply curious about how high-quality private care is built, subscribe, share, and leave a review. What’s the single biggest lever for trust in your world: outcomes, communication, or consistency?Guest BiographyAlon Ben Arie is Director and Co-Founder of CREO Clinic, a London-based specialist plastic surgery practice focused on consultant-led care, patient experience, and clinical excellence.Before entering private healthcare, Alon trained and worked as a solicitor before moving into the medical devices sector, where he managed international markets across the Asia-Pacific region. After relocating to the UK, he worked on introducing innovative medical technologies into the NHS before co-founding CREO Clinic alongside Consultant Plastic Surgeon Mr Omar Tillo.Today, Alon leads the commercial and operational side of the business, overseeing growth strategy, marketing, patient acquisition, and service delivery. His approach centres on specialisation, premium patient care, and building sustainable healthcare businesses through trust and long-term value creation.LinksWebsite (Main): https://creoclinic.com Website (Gender-Affirming Surgery) https://gender.creoclinic.comLinkedIn: https://www.linkedin.com/in/alon-ben-arie-73b3b168/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA food allergy can turn ordinary moments into high-stakes calculations, and the hard part is not always the ingredient. We sit down with Dr Amanda Whitehouse, a licensed psychologist and founder of The Food Allergy Psychologist, to unpack the psychological impact of food allergies on children, parents, and adults who are trying to live safely without shrinking their lives. We talk about why food allergy anxiety so often gets misunderstood: the very behaviours that keep you safe (label checking, questioning restaurants, advocating at school) can look like “overreacting” to anyone who does not grasp the real-world gaps in labelling and food environments. Amanda explains how chronic fear and hypervigilance build over time, how trauma can come from more than just a severe reaction, and why vicarious trauma can keep the nervous system on constant alert. From there we get practical, using a nervous system lens to make sense of vagus nerve signalling, stress responses, and why classic mindfulness advice can feel impossible when the body believes danger is near. We also explore the mental health side of oral immunotherapy and other emerging treatments: choice can be calming, but the process can trigger deep fear, guilt, and shame if families are not supported properly. If you care about food allergy mental health, multidisciplinary care, and evidence-informed ways to feel safer in your own body, this conversation is for you. Subscribe, share with someone who needs it, and leave a review with your biggest takeaway.Guest BiographyDr Amanda Whitehouse is a licensed psychologist, food allergy anxiety and trauma specialist, speaker, author, and founder of The Food Allergy Psychologist.Drawing on both professional expertise and personal experience as a food allergy parent, Amanda has spent more than 14 years helping individuals and families navigate the psychological challenges that accompany food allergy management.She specialises in trauma-informed care, nervous system regulation, anxiety treatment, and supporting patients through food allergy therapies such as Oral Immunotherapy (OIT).Amanda is also host of the popular Don't Feed the Fear podcast and author of From Fear to Freedom: A Guide for Navigating Allergy Immunotherapy.LinksWebsite: https://www.thefoodallergypsychologist.comLinkedIn: https://www.linkedin.com/in/amanda-desio-whitehouse-phd-4661a0357/Podcast: https://www.thefoodallergypsychologist.com/podcastBook: https://www.amazon.com/s?k=From+Fear+to+Freedom+A+Guide+for+Navigating+Allergy+Immunotherapy+Amanda+WhitehouseSubscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailMost mental health care is built for speed, not understanding and patients feel it. When appointments are short and the plan is mostly symptom management, even smart, motivated people can end up “stable” but nowhere near well. We sit down with psychiatrist and healthcare innovator Dr Sonia Diaz, founder and medical director of Wellmivia Medical, to talk about what changes when you stop treating diagnoses like destinations and start treating the whole person.We dig into precision psychiatry and metabolic psychiatry, including why blood sugar swings can destabilise mood, how thyroid dysfunction can look like depression or anxiety, and why hormonal health such as testosterone may sit quietly behind fatigue, low drive, and poor sleep. Dr Diaz also explains how pharmacogenetics and pharmacogenomics can guide medication choices, not as a gimmick, but as a way to reduce trial-and-error and tailor treatment to real biology and real life.You will also hear the practical side of building a modern practice: direct pay and concierge psychiatry, a 90-minute evaluation model, what patients actually value most (time, trust, and direct access), and why some premium telehealth platforms deliver slick experiences without better outcomes. We finish with a grounded look at AI in healthcare, where it helps, where it does not, and how smart documentation tools can restore human connection instead of replacing it.If you care about better mental health outcomes, more personalised care, and the future of psychiatry, subscribe, share this with a colleague or friend, and leave us a review with your biggest takeaway.Guest Biogrophy Dr. Sonia Mia Diaz, MD is a psychiatrist, healthcare innovator, and founder of Welmivia Medical, a direct-pay precision psychiatry practice serving patients in Virginia and Florida. Drawing on experience in academic medicine, community psychiatry, and healthcare innovation, Dr. Diaz takes a root-cause approach to mental health by integrating psychiatric care with metabolic, hormonal, and lifestyle factors. Her work focuses on helping high-performing professionals optimise both mental wellbeing and overall function. Dr. Diaz has also worked as a physician expert in AI and is exploring how artificial intelligence can help clinicians deliver more personalised care while reducing administrative burden. Through Welmivia, she is building a modern model of psychiatry that combines technology, accessibility, and deeply individualised care.LinksWebsite: https://welmivia.com LinkedIn: https://www.linkedin.com/in/sonia-mia-diaz-md/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailAnxiety, low mood, sleep problems, confidence that never quite arrives: what if the real issue is not the symptom you can name, but the experience you never processed? I’m joined by Lynne Douglas, founder of Healthy Minds for You, to unpack how trauma can sit underneath everyday struggles and why EMDR therapy can help people move past “coping” towards genuine change.We start with Lynne’s path through mental health nursing, CBT, and the moment she realised she was spending too much time firefighting. From there, she explains EMDR in refreshingly simple terms, using an analogy of a wound that cannot heal until what’s blocking it is removed. We also dig into the idea that trauma is not limited to PTSD or headline events. Repeated “smaller” experiences, especially early in life, can quietly drive patterns of fear, hypervigilance, low mood, and a world that keeps getting smaller.A powerful part of our conversation focuses on carers and traumatic grief, including families supporting loved ones with Alzheimer’s. Lynne describes the repeated losses, the guilt beliefs that can trap people in a grief loop, and why carers so often neglect their own wellbeing. We then switch to the realities of building a sustainable online EMDR practice: what makes online therapy work, how admin can erode work-life balance, why hiring a virtual assistant can protect mental health, and Lynn’s push towards outcome-focused therapy rather than selling by the hour.If you care about effective trauma therapy, EMDR, online counselling, and sustainable mental health practice in the UK, this one will give you both insight and practical takeaways. Subscribe for more conversations, share this with someone who needs it, and leave a review: what part of the discussion hit closest to home for you?📧 Guest BiographyLynne Douglas is the founder of Healthy Minds 4U and an accredited EMDR therapist specialising in trauma, anxiety, grief, and emotional wellbeing.Beginning her career in mental health nursing before training in Cognitive Behavioural Therapy (CBT), Lynne later discovered EMDR and became passionate about helping clients address the root causes of emotional distress rather than simply managing symptoms.Today she leads a fully online practice supporting individuals affected by trauma and traumatic grief, while also supervising and mentoring EMDR therapists. Her work includes supporting family members caring for loved ones with Alzheimer's disease and helping clients navigate experiences that continue to impact their lives long after the original events have passed.LinksWebsite: 🌐 https://healthyminds4u.co.ukLinked In: https://www.linkedin.com/in/lynne-douglas-4222329b/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailDrill and fill is not the only story dentistry can tell anymore. We sit down with Dr Roumiana Tzvetkova, a dentist and practice owner with a prevention-first philosophy, to talk about what it looks like to preserve natural teeth in the real world, especially when patients arrive carrying years of delay, anxiety, and limited dental benefits. If you’ve ever wondered whether modern dentistry can be gentler, clearer, and less reactive, this conversation brings practical answers. We dig into two game-changers reshaping clinical decisions and patient trust: AI in dentistry for earlier, clearer radiograph interpretation, and enamel regeneration for non-cavitated lesions. Roumiana explains how she uses the VIDIA AI platform as an aid, not a replacement, to spot small lesions the human eye may miss and to show patients what the clinician sees through colour-coded visuals. That transparency matters because it reduces suspicion, supports informed consent, and often improves treatment acceptance without turning care into a sales pitch. Then we get scientific and practical about prevention-focused dentistry, including Curodont by vVardis (Vivardis) and how enamel remineralisation works by rebuilding hydroxyapatite using minerals from saliva. We also tackle common oral health myths, from “I stopped flossing because my gums bleed” to the belief that implants are a simple cosmetic upgrade. On the business side, we talk dental practice ownership challenges, rising costs, the limits of insurance incentives, and why dental fear still drives no-shows and last-minute walkouts. If you care about minimally invasive dentistry, early cavity detection, better patient communication, and a future where healthcare prevents disease instead of managing it, you’ll get a lot from this one. Subscribe for more conversations on innovation in healthcare, share this episode with someone who avoids the dentist, and leave a review with your biggest question about AI-assisted diagnosis or tooth preservation.Guest Biography Dr Roumiana Tzvetkova, DMD is a dentist and practice owner at Aspen Dental in Long Island, New York. Originally from Sofia, Bulgaria, she has over a decade of clinical experience and is passionate about minimally invasive, prevention-focused dentistry. A graduate of Tufts University School of Dental Medicine, Dr Tzvetkova is recognised for her work with AI-assisted diagnostics and regenerative dental technologies. She has become one of Aspen Dental's leading providers of Curodont, a groundbreaking treatment designed to regenerate enamel and reverse early-stage tooth decay. Her mission is simple: preserve natural teeth whenever possible and help patients avoid unnecessary and costly dental procedures through early intervention and education.LinksWebsite: https://www.aspendental.com/providers/roumiana-tzvetkova/1508426123/LinkedIn: https://www.linkedin.com/in/roumiana-t-55b97119a/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailPerimenopause is hard for most women, but for many neurodivergent women it can feel like someone turned the volume up on everything: emotions, sensory load, anxiety, fatigue, brain fog, sleep problems, and the everyday friction of ADHD or autistic traits. We sit down with Dr Sarah Secor-Jones, an integrative and functional medicine physician and founder of Left Lifestyle, to unpack why this happens and why so many patients are misdiagnosed, dismissed, or treated with a one-size-fits-all plan that never quite fits. We talk candidly about what clinicians often miss when they focus on mental health alone: hormone changes, progesterone and oestrogen sensitivity, neurotransmitter balance, and the role of mitochondrial health in energy, mood, and resilience. Sarah shares practical nuance around HRT dosing, why “standard” protocols can backfire for sensitive nervous systems, and how a root cause approach connects symptoms that look unrelated on paper but are tightly linked in real life. You will also hear what relationship-based medicine looks like day to day: longer appointments, rapid check-ins, and care that adapts as the body responds. We zoom out into the business and systems side too, including the challenge of building a clinic without transactional care, the power of honest patient education, and why platforms like Substack can help create supportive communities for late-diagnosed women asking “now what?”. If you care about women’s health, menopause care, ADHD and autism in adults, functional medicine, and longevity, this conversation offers both clarity and a better standard to aim for. If this resonates, subscribe, share it with someone navigating midlife, and leave a review so more people can find the support they deserve.👤 GUEST BIOGRAPHYDr. Sarah Secor-Jones, DO, CHSE, FACEP is an integrative and functional medicine physician, founder of Lesh Lifestyle, and former military physician with 25 years of service. She specializes in helping neurodivergent women in midlife navigate hormone changes, brain health, and longevity through a personalized, root-cause approach. Sarah combines expertise in emergency medicine, functional medicine, and women's health to help patients optimize mitochondrial function, neurotransmitter balance, and overall wellbeing. She is also the creator of the rapidly growing Substack Neurodivergent Women in Midlife, where she educates thousands of readers worldwide on health, hormones, and neurodivergence.Website: https://www.leshlifestyle.comLinkedIn: https://www.linkedin.com/in/dr-sarah-secor-jones-6b8884299/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailFeeling “just tired” should not be the reason a heart problem gets missed. We sit down with Dr Hwaida Hannoush, a specialist in metabolic cardiology and functional medicine and the founder of Pressi Med Clinic, to unpack why women’s heart disease is still under-recognised and under-treated, even when the stakes are life-changing.We talk about the real-world ways women present differently, from fatigue and breathlessness to vague chest pressure or stomach discomfort, and how that can lead to delayed care. Dr Hannoush explains why women’s cardiovascular risk is more complex than the standard checklist, including microvascular disease, HFPEF, autoimmune links, and the often-forgotten impact of reproductive history. We dig into pregnancy complications such as pre-eclampsia and gestational diabetes as early warning signals that should trigger prevention, not a shrug after delivery.We also get practical about what “functional medicine” looks like when applied to heart health prevention. Rather than treating cholesterol numbers in isolation, we discuss a whole-body cardiometabolic approach that considers inflammation, gut health, hormones, and the deeper “why” behind persistent symptoms. Finally, we go behind the scenes of building a virtual clinic: rapid access, direct messaging, remote testing, automation, and the hard parts too, like mindset barriers and the cost of testing.If you care about women’s heart health, prevention, and smarter risk assessment, listen now, share this with someone who needs it, and leave us a review to help more people find the show.Guest BiographyDr Hwaida Hannoush is a specialist in metabolic cardiology and functional medicine and the founder of Precimed Clinic, a virtual prevention-focused practice dedicated to women’s cardiovascular health. After years in conventional cardiology and academic research, she transitioned into root-cause medicine to better address the overlooked drivers of heart disease in women. Her work focuses on prevention, patient empowerment, and bridging the gap between traditional cardiology and functional medicine.Website: https://precimedclinic.com LinkedIn: https://www.linkedin.com/in/hwaida-hannoush-md-fase-02523130/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan Mail“Everything looks normal” can be one of the most discouraging lines a patient hears, especially when the fatigue, brain fog, gut symptoms, or weight loss resistance are very real. Dr Megha Mohey joins me to unpack why that mismatch happens and how integrative and functional medicine aims to close the gap by looking for root causes and patterns, not just isolated lab values.Dr Mohey is board-certified in internal medicine with advanced training in integrative medicine, functional medicine, and medical acupuncture. She shares her journey from nearly two decades in traditional practice, where shrinking appointment times and growing admin load made meaningful chronic disease care harder, to launching Way Integrative and Functional Health, a physician-led concierge model based in Michigan. We talk about what actually changes when you can spend 60 to 75 minutes on a first visit, how she structures follow-ups and written plans, and why she starts with foundations like sleep, nutrition, stress, lifestyle, and relationships before piling on supplements or complex protocols.We also dig into what she’s seeing right now: patients doing “all the things” from social media stacks to extensive testing, yet still feeling stuck, and others who have been told their conventional labs are fine despite ongoing symptoms. Gut health comes up repeatedly, including IBS, dysbiosis, malabsorption, and how these can connect with hormone transitions and metabolic health goals. Finally, we go behind the scenes on building a sustainable clinic business: scaling with a team, using technology and online resources, exploring group programmes, and expanding telehealth across state lines through additional licensing.If you’re a clinician, founder, or curious patient who wants a clearer view of modern integrative healthcare and the realities of running it, listen now, then subscribe, share with a colleague, and leave a review with your biggest takeaway.👤 Guest BiographyDr Megha Mohey is a board-certified physician in Internal and Integrative Medicine with advanced training in Functional Medicine, Medical Acupuncture, and lifestyle-focused care. She is the founder of Way Integrative and Functional Health, where she helps patients address root causes related to metabolic health, gut health, longevity, and chronic disease through a personalized, whole-person approach. Alongside her concierge-style functional medicine practice, she continues to practice traditional internal medicine, bringing a unique perspective on the evolving future of healthcare.Contact DetailsWebsite: https://www.way.health/LinkedIn: https://www.linkedin.com/in/megha-mohey-md-facp-aboim-2b522340/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA decade of chronic pain and chronic fatigue with “normal” results is not just a medical problem, it is a systems problem. I’m joined by Dr Dacon Knight, Associate Professor of Medicine at the University of Virginia, to unpack why hypermobile Ehlers-Danlos syndrome (hEDS) and related connective tissue disorders still slip through the cracks, even when the signs have been there for years.We explore what clinicians should look for beyond a single aching joint: instability, subluxations, dislocations, fatigue, and the way connective tissue can affect multiple organ systems from gut to lungs to nerves. We also get honest about the diagnostic odyssey, why imaging can mislead, and how the lack of a definitive genetic test for hEDS forces diagnosis to depend on clinical pattern recognition and experience. That gap in training is where many patients lose time, confidence, and trust.From there, we move into what good care can look like when it is genuinely multidisciplinary: physical therapy, occupational therapy, specialist collaboration, and mental health support that recognises the stress and harm caused by years of dismissal. Dr Knight then shares how his team is using AI in healthcare research and clinical decision support, including work on large patient datasets, the possibility of voice signatures as biomarkers, and digital twin models for education and safer experimentation.If you care about earlier diagnosis, better chronic illness care, and practical uses of machine learning that improve real lives, subscribe, share this with a colleague, and leave a review with the one change you want to see in how we handle chronic pain.Guest BiographyDr Dacre Knight is Associate Professor of Medicine at the University of Virginia and Medical Director of the UVA Health Ehlers-Danlos Syndrome Center. His work focuses on complex chronic illness, connective tissue disorders, multidisciplinary care, and the use of emerging technologies including artificial intelligence to improve diagnosis, research, and patient outcomes. Contact DetailsWebsite: https://uvahealth.comLinkedIn: https://www.linkedin.com/in/dacre-knight-md-ms-facp-9b279a61/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailDementia is one of the biggest fears people carry quietly, and the hardest part is not knowing what to do with that fear. We sit down with Dr Ashanthi Gajaweera, a neurologist with more than two decades in traditional practice, to unpack why she stepped outside the insurance-based model and founded HealthSpan Neurology, a preventative neurology clinic built around cognitive longevity and dementia risk reduction long before symptoms show up. We talk through what a real dementia prevention programme looks like when you finally have time to do it properly: longer visits, a clear sequence of assessment and testing, and a stepwise plan that prioritises what matters most for the individual rather than dumping “a million things” on one to-do list. Shashanti shares how she thinks about mechanisms that drive cognitive decline such as metabolic health and inflammation, how she sets expectations for patients who feel subtle change, and why empowerment and agency are just as important as lab results. A standout thread is menopause and brain health. Ashanthi explains why hormonal change can intersect with memory, mood, migraines, and overall neurological resilience and why women deserve prevention guidance that takes menopause seriously instead of treating it as an afterthought. We also get candid about the “jungle” of brain health claims, how to avoid pseudoscience without becoming cynical, and what it takes to market a prevention service that many people do not even realise exists. If you care about evidence-based brain health, cognitive longevity, and practical dementia prevention, subscribe, share this with someone who worries about their future, and leave us a review with your biggest takeaway.Guest BiographyDr Ashanthi Gajaweera is a neurologist and founder of Healthspan Neurology, a preventative practice focused on dementia prevention and cognitive longevity. After 20+ years in traditional medicine, she transitioned away from the insurance-based model to create a more proactive, patient-centred approach to brain health.Her work centres on helping individuals understand and reduce their risk of cognitive decline before symptoms appear, using an evidence-informed and personalised framework. With certification in menopause care, she brings a unique perspective to how hormonal changes in midlife impact brain health.Known for her clear, data-driven approach and her stance against pseudoscience, Dr Gajaweera empowers patients to move from fear to agency, with practical strategies to take control of their long-term cognitive health.LinksWebsite: healthspanneurology.com LinkedIn: https://www.linkedin.com/in/drgajaweera/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailWhen depression does not lift with medication, people often assume the next step is simply “try another tablet” and wait. That waiting can cost years of energy, work, relationships, and self-belief. I sit down with Dr Scott West, Chief Medical Officer at Nashville Neurocare Therapy and a board-certified psychiatrist with over 30 years of experience, to talk plainly about what options look like when standard care stalls and what modern neurocare is doing differently.We dig into transcranial magnetic stimulation (TMS therapy) as an outpatient neuromodulation treatment, how it moved from early research to real-world clinical use, and why it has become a meaningful tool for treatment-resistant depression. We also explore how TMS has expanded into anxious depression and OCD, why diagnosis labels can lag behind what brain-circuit treatments are actually doing, and how combining approaches like psychotherapy and medication management can improve response and remission. Along the way, we tackle a topic patients feel immediately: expectations. Even with symptom improvement, stress at home, work conflict, and unmet coping skills can pull people back into relapse if those pieces stay untouched.Then we go behind the scenes of mental health care delivery: hiring and training great staff, tracking outcomes, managing bottlenecks, and navigating insurance coverage for TMS and treatments like esketamine. We also talk about the awareness gap, why many clinicians still do not refer, and how digital monitoring tools could help clinics understand longer-term results after patients return to the community. If you care about practical mental health innovation, this is a grounded look at where neurocare is now and where it is heading next. Subscribe for more conversations like this, share the episode with someone who needs better options, and leave a review telling us what topic you want us to unpack next.Guest BiographyDr. Scott West is a board-certified psychiatrist with over 30 years of clinical experience, specializing in the treatment of depression and treatment-resistant mental health conditions. He is the Chief Medical Officer at Nashville NeuroCare Therapy, where he focuses on integrating advanced neurotherapies such as transcranial magnetic stimulation (TMS) into patient care. Dr. West’s work bridges traditional psychiatry and emerging neuromodulation approaches, with a focus on improving patient outcomes and expanding access to innovative mental health treatments.LinksWebsite: https://nashvilleneurocare.com/LinkedIn: https://www.linkedin.com/in/scott-west-90190323/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailMost chronic pain care breaks down at the exact moment it needs to get more precise. When someone has failed back surgery, persistent post-op pain, nerve symptoms that do not match the scan, or years of “nothing worked”, the usual five-minute consultation cannot hold the complexity. We sit down with Dr David Glick, a pain physician with decades of experience, to unpack what changes when you slow the process down and treat diagnosis as the main intervention.We talk through his method of building a nerve “roadmap” using careful examination, detailed history, and specialised electrodiagnostic testing, then translating that into a clear plan patients can trust. Along the way we challenge one of the biggest traps in modern musculoskeletal medicine: treating MRI findings as the cause, even when disc bulges and tears are common in people without pain. You’ll hear why clinical correlation, timeline, and symptom distribution matter more than a dramatic report, and how rushed care can funnel people towards procedures and even surgery that never targets the true pain generator.We also get practical about neuroplastic pain, expectation setting, and medication management. Chronic pain can become wired into the nervous system, meaning improvement may come in stages, and patients may not recognise progress without guidance. Finally, we explore how telemedicine second opinions can still deliver real results when they focus on clarity and reducing catastrophising, plus what it takes to build a sustainable model for time-intensive, quality-first care. If this conversation helps, subscribe, share it with someone navigating chronic pain, and leave a review with the one change you wish healthcare would make.👤 Guest BiographyDr David Glick is a pain specialist with over 36 years of clinical experience and the Medical Director of HealthQ2. He focuses on complex chronic pain cases, including patients who have failed conventional treatments or undergone unsuccessful surgeries.David is known for his highly detailed, patient-centered approach, including extended consultations, advanced diagnostic techniques, and a strong emphasis on patient and practitioner education. He is also a co-founder of the American Society of Pain Educators (now Pain Week), where he has helped train clinicians to better interpret imaging, manage patient expectations, and deliver more effective care.His work challenges conventional models of medicine, advocating for deeper clinical thinking, better alignment of incentives, and more meaningful patient outcomes.Contact DetailsWebsite: https://www.healthq2.com/LinkedIn: https://www.linkedin.com/in/david-glick-30145512/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailPrimary care is supposed to prevent illness, not just react to it, yet the way healthcare is paid for often pushes doctors into an impossible pace. I’m joined by Dr Frank Okuson Jr, a board-certified internal medicine physician and medical director in Texas, to talk candidly about what it’s like managing thousands of patients with complex chronic disease while trying to do the right thing with diabetes, hypertension, obesity and metabolic health. When the day is built around volume, the “root cause” conversation becomes the first thing to disappear. Frank explains why he’s transitioning away from the standard insurance-driven workflow towards a smaller, prevention-focused practice model of roughly 300 patients. We dig into what that extra time unlocks: closer follow-up, better coordination with specialists, real conversations about sleep, stress, diet and exercise, and support that improves medication adherence. He also shares why advanced screening can matter, including deeper cardiovascular risk markers such as apolipoprotein B and lipoprotein(a), plus tests for inflammation and insulin resistance, especially when standard lipid panels look normal but risk is still high. We also get into the parts people avoid saying out loud: the cost fears that shape patient decisions, the hours lost to paperwork and prior authorisations, and the emotional reality of not being able to bring every long-term patient into a smaller model. If you care about preventive healthcare, physician burnout, patient-centred care, and what a more sustainable future for primary care could look like, this conversation will give you both the frustration and the blueprint. Subscribe for more honest clinician conversations, share this with someone who’s frustrated by rushed care, and leave a review with the one change you want most in primary care.👤 Guest BiographyDr Frank Okosun Jr. is a board-certified internal medicine physician and Medical Director at Brazos Primary Care in Texas. With over 20 years of experience in medicine, he specialises in managing complex chronic conditions including diabetes, hypertension, and cardiovascular disease.Driven by a passion for delivering deeper, more meaningful patient care, Dr Okosun is transitioning his practice from a traditional high-volume model to a prevention-focused approach, centred on root-cause medicine, advanced diagnostics, and personalised care.He is also a Clinical Assistant Professor of Internal Medicine, contributing to the education and development of future physicians.🔗 Guest Contact & LinksWebsite: https://frankokosunmd.com/LinkedIn: https://www.linkedin.com/in/frankokosunmd/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailPatient experience isn’t a slogan, it’s a system, and most clinics are trying to run a Ferrari on square wheels. We sit down with Karen Farah, CEO and founder of The Melting Pot Studio, to unpack what top medical practices do differently when they want patients to feel safe, supported, and genuinely cared for. We get practical about healthcare workflow design and digital transformation, starting where most software projects fail: messy processes, unclear ownership, and poor adoption. Karen shares her four-phase roadmap, from stakeholder interviews and workflow mapping to low-risk automation, integration, and finally more advanced AI in healthcare. The focus stays human-centred throughout, because the best tech only works when staff trust it and know how to use it in real clinic operations. We also explore how smoother intake, smarter follow-ups, and pattern recognition can cut admin load, reduce staff burnout, and improve patient retention. Along the way, Karen explains why many clinics still treat patient experience as a transactional A-to-B workflow, and how practices can shift towards an ongoing, tailored journey that patients actually want to return to. If you’re building or scaling a health and wellness practice, you’ll leave with clear ideas you can apply immediately. Subscribe, share this with a practice owner who needs it, and leave a review with the one workflow you would fix first.Guest BiographyKaren Farah is the CEO and Founder of The Melting Pot Studio, a digital transformation firm serving healthcare and other highly regulated industries. With a background in construction engineering, operations, and technology, Karen helps organisations improve patient and staff experience through better systems, workflow standardisation, and practical technology adoption. Her work focuses on making innovation more human-centred, helping clinics and healthcare teams reduce friction, improve retention, and build trust through smarter operational design.Contact DetailsWebsite: https://www.themeltingpotstudio.com/LinkedIn: https://www.linkedin.com/in/karenpfarah/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailYour labs can look “fine” while your body feels like it’s falling apart, and it’s not because you’re weak or lazy. We sit down with Dr Negin Rajaipour, board-certified family medicine physician and founder of Vita Rican Medical, to talk about what happens when chronic stress and trauma shape the nervous system so deeply that symptoms become a default setting.We dig into her E3 Method: Elevate, Embody, Evolve. Elevate starts with the story, shifting the clinical lens from “What’s wrong with you?” to “What happened to you?” and bringing in both adverse childhood experiences and the often-ignored adverse adulthood experiences that can rewire the nervous system just as powerfully. Embody covers the functional medicine and integrative medicine work, including how HPA axis disruption and cortisol patterns can affect thyroid function, sex hormones, sleep, insulin resistance, and stubborn weight. Evolve tackles what many care models miss: rebuilding identity so healing can actually hold.We also explore psychedelic-assisted therapy through a safety-first, structured approach, including ketamine therapy and supervised plant medicine work where legal, with a clear message that integration is where real change takes root. And we don’t dodge the hard truth about physician burnout: the system often demands clinicians perform like robots while carrying human grief, moral injury, and trauma.If you care about nervous system regulation, trauma-informed care, functional medicine, and modern healing that treats the whole person, this conversation will land. Subscribe, share with someone who needs it, and leave a review so more people can find the show.👤 GUEST BIOGRAPHYDr. Negin Rajaipour is a board-certified family medicine physician and the Founder and Medical Director of VitaRegen Medical. She is the creator of the E3 Method (Elevate, Embody, Evolve), an integrative framework that combines functional medicine, nervous system regulation, and trauma-informed care to address the root causes of chronic illness.Drawing from both her clinical background and personal healing journey, Dr. Negin’s work focuses on helping patients rebuild their health and identity after physical and emotional collapse. She is also the author of The Resurrection Algorithm and is currently developing a telehealth-first practice alongside a future flagship clinic in San Diego.Contact Details🌐 Website: https://vitaregenmedical.comLinkedIn: https://www.linkedin.com/in/dr-negin-rajaipour-md-52b486166/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailMost people assume rehabilitation ends when the hospital says you’re ready to go home. The truth can be harsher: many families walk into a gap where therapy stops, confidence collapses, and a loved one becomes afraid to move in the very place they’re meant to recover. We sit down with Susan Pattison, founder of SP Therapy Services in Greater Manchester, to talk about community rehabilitation, home physiotherapy, and neuro physiotherapy for adults living with stroke, brain injury, spinal injury, MS, and Parkinson’s. Susan explains why practising on a smooth gym floor can miss the point, and how real progress is built around carpets, stairs, doorsteps, toys on the floor, and the daily tasks that define independence. We also dig into falls prevention and balance training, including the uncomfortable idea of being “disabled by love” when carers remove too many chances to move. From neuroplasticity to goal-setting, Susan shares how she measures progress when change is subtle and non-linear, and why patient-centred functional goals often matter more than neat outcome scores. We also talk honestly about referral timing, NHS capacity pressures, the role of group programmes, and the practical challenges of running a specialist community clinic while trying to deliver ideal care. You’ll leave with a clearer view of what good neurorehabilitation looks like and how to support recovery without wrapping someone in cotton wool. If this conversation helps you think differently about rehab after injury or illness, please subscribe, share with someone who needs it, and leave a review so more people can find the show.Guest BiographySusan Pattison is a specialist neurophysiotherapist and founder of SP Therapy Services, a community-based rehabilitation practice serving Greater Manchester and surrounding regions. With over 20 years of experience, she supports adults recovering from strokes, brain injuries, and long-term neurological conditions such as MS and Parkinson’s. Susan is passionate about delivering personalised, home-based care that helps patients regain independence and reach their full rehabilitation potential.🔗 Guest DetailsWebsite: https://www.sptherapyservices.co.ukLinkedIn: https://www.linkedin.com/in/susan-pattison-22080734/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan Mail“How much is PRP?” is often the wrong first question. I’m joined by Dr Tammy Penhollow, an osteopathic physician and founder of Precision Med PRP, to talk about why regenerative medicine outcomes hinge on what happens before treatment not just the injection itself. If you’re dealing with spine pain, disc problems, knee pain or shoulder injuries and trying to avoid surgery, her message is simple: you cannot expect great results from platelet rich plasma or bone marrow concentrate if your body is running on chronic inflammation, poor sleep and missing nutritional basics. We dig into her prehab model: building an anabolic, healing state through sleep, protein, vitamin D and targeted lifestyle changes, guided by baseline labs and a functional assessment. We also discuss why dynamic ultrasound matters, why “chasing higher platelet numbers” can miss the point, and how expectations change when patients have multiple high quality touch points rather than a rushed, transactional consult. We also get honest about the current orthobiologics landscape, including the rise of bolt on regenerative services, the ongoing myths around PRP as a one time fix, and the need for ethical patient education as the field grows. If you’re curious about functional medicine, orthobiologics, and what high integrity regenerative care should look like, this conversation offers a clear framework you can use straight away. If this helped you, subscribe, share it with someone weighing PRP or surgery, and leave a review with your biggest takeaway.Guest BiographyDr Tammy Penhollow is an osteopathic physician based in Arizona and the founder of Precision Med PRP. Originally trained in anesthesiology and pain medicine, she transitioned into regenerative medicine after seeing the limitations of high-volume conventional care. Her practice focuses on orthobiologics for spine, knee, shoulder, and other joint issues, with a strong emphasis on “Prehab” — optimizing sleep, nutrition, inflammation, and structural function before treatment to improve outcomes. She is also an educator and content creator committed to helping patients and practitioners navigate regenerative medicine in a more ethical, evidence-informed way.Website: https://precisionmedprp.comLinkedIn: https://www.linkedin.com/in/tammy-penhollow-d-o-6a52085a/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailSurviving a stroke or traumatic brain injury is only the beginning. The real question is what happens next when someone needs to walk, think, speak, swallow, dress, toilet, work, and live safely again. We sit down with Dr Tanya Harris, a Physical Medicine and Rehabilitation (PM&R) physician and medical director of a 40-bed inpatient rehabilitation hospital, to pull back the curtain on how recovery is built day by day and why rehab medicine is still widely misunderstood.We unpack what physiatry actually covers, from musculoskeletal physical medicine to high-acuity rehabilitation after catastrophic illness and injury. Dr Harris explains the PM&R mindset of “adding life to years”, why early referral matters for neuroplasticity after stroke and brain injury, and what a truly multidisciplinary rehab team does differently: coordinated nursing, physiotherapy, occupational therapy, speech and language therapy, neuropsychology and more, all aligned to the patient’s goals and the family’s reality at home.Then we get into the hard part: healthcare access. Dr Harris shares what it looks like to spend hours on prior authorisations, peer-to-peers and appeals, why insurance denials have increased, and how short-term cost decisions can push patients away from intensive inpatient rehabilitation towards lower-intensity settings. We also explore what a fairer system could look like, including the case for universal coverage and lessons drawn from New Zealand’s approach.If you care about stroke recovery, brain injury rehabilitation, inpatient rehab, and the future of healthcare, subscribe, share this conversation, and leave a review. What part of the rehab journey do you think the public most misunderstands?Guest BiographyDr. Tanya Harris is a physician specializing in Physical Medicine and Rehabilitation, with a subspecialty focus in brain injury medicine. She serves as Medical Director of a 40-bed rehabilitation hospital at Good Samaritan, where she leads multidisciplinary care for patients recovering from complex injuries and illnesses including stroke, traumatic brain injury, amputation, and spinal cord injury. Passionate about restoring function, independence, and quality of life, Dr. Harris is also a committed advocate for greater awareness of PM&R and for better access to intensive rehabilitation services.Contact DetailsWebsite: https://multicare.orgLinkedIn: https://www.linkedin.com/in/tanya-harris-md-79a7ab66/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailIf you’ve ever wondered why TMJ pain, headaches, poor sleep, and stubborn neck tension so often travel together, this conversation makes the case that the jaw is rarely acting alone. We sit down with Dr Curtis Westersund, a dentist with 46 years in practice and 25 years focused on functional, systems-based dentistry, to challenge a familiar clinical reflex: treating pain as the main target. Curtis argues that pain can be a poor metric for health because it’s easy to mute while the underlying biomechanics keep pulling the body further off course.Curtis shares his own turning point, from weekly migraines and heavy ibuprofen use to the day a dental orthotic changed everything and he hasn’t had a migraine since 2002. From there we dig into what he actually sees in practice: worn and cracked teeth, grinding, gum recession, temporalis pain, limited jaw opening, head and neck restriction, and a steady overlap with airway and sleep-related breathing problems. The core idea is adaptive capacity: humans survive and thrive by compensating, but those compensations eventually create new strain. When breathing is harder, posture shifts to protect the next breath, and that can ripple from the bite to the neck and beyond.We also talk shop on how digital diagnostics such as CBCT imaging and T-Scan bite analysis reduce “wild guessing”, why biomechanics is still under-taught in dentistry, and how business incentives, time constraints, and insurance structures shape what care patients can access. Curtis closes with what he’s building next: teaching platforms, global education, and AI-enabled ways to help clinicians learn faster and patients find the right kind of support.Subscribe for more practitioner-level conversations, share this with a colleague who treats complex pain patterns, and leave a review so more clinicians can find the show. What’s the biggest link you see between bite, breathing, and posture?Guest BiographyDr Curtis Westersund is a Calgary-based dentist with more than 46 years of clinical experience, including the last 25 years focused on functional, systems-based dentistry. Through his work at Dentalife, he helps patients with complex TMJ, structural, airway, and bite-related issues using a whole-person, biomechanical approach. Known for his “teeth to toes” philosophy, Dr Westersund combines digital diagnostics, patient education, and interdisciplinary collaboration to address root causes rather than simply manage symptoms.Contact Details Websites: www.dentalife.com and www.digitaltmj.comLinkedIn: https://www.linkedin.com/in/curtis-westersund-5727323/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailMost women are told to accept postpartum leakage, bowel changes, reduced sensation, or discomfort as “normal”. We don’t buy that, and neither does Dr Troy Hailparn, a board-certified gynaecologist and pioneer in functional and cosmetic gynaecology. She explains how her work began as a response to patients whose concerns were brushed off, and why a better standard starts with one simple habit: ask about bladder function, bowel function, and sexual function, then examine and name external vulvar anatomy with the same seriousness as internal findings.We talk about procedures that most clinicians never learn in residency, including labioplasty and other vulvar surgeries, and why motivation is often misunderstood as purely aesthetic. Dr Hailparn shares how irritation, pain, hygiene issues, sport discomfort, and trauma history can shape what patients ask for, and why counselling and team-based support matter. We also get practical about pelvic floor myths, when kegels fail, and how “normal after childbirth” can become a dangerous excuse to stop investigating.On the systems side, we dig into informed consent, patient understanding, and the realities of building a cash pay solo clinic that makes time for long consultations. Dr Hailparn also outlines her evidence-led interest in regenerative medicine like PRP and exosomes, plus the bigger goal she wants next: proper training pathways through residency education or fellowship programmes. If women’s health, pelvic floor care, postpartum recovery, menopause counselling, and patient-centred gynaecology matter to you, subscribe, share this conversation with a friend, and leave us a review. What part of women’s care do you think medicine still avoids talking about?Guest BiographyDr. Troy Robbin Hailparn, MD, FACOG, FICS is a board-certified gynecologist with more than 30 years of clinical experience and the founder of the Cosmetic Gynecology Center of San Antonio. A pioneer in cosmetic and functional gynecology, she has spent more than two decades addressing overlooked issues in women’s sexual health, pelvic function, postpartum recovery, and quality of life. Dr. Hailparn authored ACOG’s first labiaplasty training module, teaches other physicians, and is known for her patient-centered, science-based approach to care.Contact DetailsWebsite: https://cosmeticgyn.net/LinkedIn: https://www.linkedin.com/in/drhailparn/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailSurgery is rarely a single moment in theatre. The real make-or-break work happens in the quieter weeks beforehand, when patients are anxious, deconditioned, undernourished, or simply unsure what to do next. We sit down with Dr Scott Russo, founder of Recover Health and a long-time spine surgeon, to talk about surgical optimisation and why “getting ready” is not a nice-to-have but a clinical pathway that can change outcomes.We walk through the practical building blocks of prehabilitation: finding a patient’s why, training the mind with breath practice and visualisation, improving sleep and resilience, and making realistic nutrition upgrades that support healing. Scott shares a striking story of an elderly patient repeatedly cancelled for surgery who rebuilds mobility and confidence through a structured plan using pool therapy and simple home training. We also get specific about what to measure, from anxiety and depression screening to frailty tests, walk distance, and nutrition risk.Telehealth threads through the model as a way to expand access, especially for patients far from specialist care, while also raising important questions about older patients and digital barriers. If you lead a practice, manage a service line, or want to understand where surgical pathways leak value, this conversation connects clinical detail with operational reality.If this resonates, follow the show, share it with a colleague, and leave a review so more healthcare leaders can find it. What part of surgical preparation do you think the system ignores most?Guest BiographyDr. Scott Russo is the founder of Recover Health and a former orthopedic and spine surgeon with more than three decades of clinical experience. After performing over 9,000 surgeries and facing his own life-threatening illness, he developed a deep interest in how patients can be better prepared to recover from serious health events. Through Recover Health, Dr. Russo helps patients improve surgical readiness through mindset, nutrition, physical conditioning, and behavioral support, with the goal of reducing complications and improving long-term outcomes.LinksWebsite: www.recoverhealth.netLinked In: https://www.linkedin.com/in/scott-s-russo-61110253/ Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA patient can spend years chasing an explanation for arm pain, numbness, tingling, or a shoulder that simply stops working under load, only to be told nothing shows up on tests. That gap between lived symptoms and clinical certainty is where thoracic outlet syndrome (TOS) so often falls apart, especially the neurogenic form involving the brachial plexus. I’m joined by Dr Scott Werden, a diagnostic radiologist at Vanguard Specialty Imaging in San Francisco, who has spent decades building better ways to see and explain what is happening at the crowded junction of neck, chest and shoulder. We talk through what thoracic outlet syndrome is in clear terms, why arm motion can dynamically compress nerves, and why standard neurological exams can miss the problem entirely. Scott shares what patients usually endure before reaching the right clinician, plus the controversial tools people lean on, from provocative manoeuvres to selective scalene injections. He also challenges the over-reliance on EMG and nerve conduction studies for early neurogenic TOS, and explains how advanced MRI imaging can shift care from guesswork to an anatomical, treatable plan. Along the way we dig into medical dogma, the history of “disputed” neurogenic TOS, and what a true multidisciplinary model looks like when one clinician quarterbacks input from imaging, physiotherapy, pain management and surgery. If you care about diagnostic accuracy, patient advocacy, sports medicine, or collaborative healthcare, this conversation will sharpen how you think about brachial plexus compression and missed diagnoses. Subscribe, share this with a clinician or athlete who needs it, and leave a review with your biggest takeaway.Guest BiographyDr Scott Werden is a physician and radiologist with Vanguard Specialty Imaging in San Francisco, California. He has spent more than two decades focused on improving the diagnosis and understanding of thoracic outlet syndrome, helping patients and clinicians navigate one of medicine’s most misunderstood conditions. His work centers on advanced imaging, specialist collaboration, and raising awareness to improve outcomes for people living with TOS.LinksWebsite: https://www.tosmri.comLinkedIn: https://www.linkedin.com/in/scottwerden/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailNeuropsych testing looks clinical from the outside, but from the inside it is a high-stakes mix of patient anxiety, complex logistics, and constant financial pressure. We sit down with Tiffany Miller-Bolerjak, Office Manager and Administrator at Dallas Neuro Rehab Centre and the CEO behind a credentialing and consulting firm, to show what it really takes to run a specialist neurorehabilitation and neuropsychology clinic day to day. We talk about the patient journey across the lifespan, from children being assessed for ADHD, autism, learning issues, anxiety, and behaviour challenges to older adults worried that memory testing will take away their independence. Tiffany explains how neuropsychological assessment batteries vary by age, education, and background, why some appointments must start with the clinician to reduce fear, and how the final report turns into practical treatment plan recommendations around sleep, movement, hydration, diet, and cognitive strategies. Then we go behind the scenes into healthcare operations: six-week psychometrist training, costly materials, scoring platforms, and the shift to subscription-based assessment tools that require continual retraining. We also dig into accessibility and affordability, including the reality of patients delaying care for financial reasons and how insurance deductibles create dramatic seasonal demand swings that can distort clinic growth strategy and staffing. Finally, Tiffany shares leadership lessons that apply to any medical practice: listening to office managers, building flexibility into policies, reducing no-shows through better communication, and creating a workplace culture that keeps good people. If you found this useful, subscribe, share it with a practice owner or clinic manager, and leave a review to help more healthcare teams find the show.Guest BiographyTiffany E. Miller-Bolerjack, MHSA is the Office Manager and Administrator at Dallas NeuroRehab Center, where she oversees the operational and administrative systems behind a specialist neurorehabilitation practice serving children, adults, and geriatric patients. She also serves as CEO and Managing Member of Dragon Slayers Credentialing and Consulting, supporting healthcare organisations with credentialing, policy development, and operational improvement. With a background spanning in-home care, case management, psychiatric practice management, and healthcare administration, Tiffany brings a practical, systems-level perspective on staffing, patient experience, referral growth, and the realities of running complex specialist clinics.LinksWebsite: www.dallasneurorehabcenter.comLinkedIn: https://www.linkedin.com/in/tiffany-emmalee-miller/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailYour blood tests can look perfect while your body feels anything but. We sit down with Dr Jeff Matz, functional medicine practitioner and founder of Via Nova Health, to unpack why that happens and what to do when fatigue, weight gain, low mood, low libido, or brain fog keep showing up despite being told “everything is normal”. Jeff shares how his work evolved from pain management into root cause care built on education, realistic behaviour change, and a plan you can actually stick to. We get specific about the patterns he sees most often in women aged roughly 35 to 55 navigating hormonal transitions and early signs of metabolic dysfunction. Jeff explains why the old calories in calories out story often falls short, how people end up on piles of supplements and conflicting diets, and how he simplifies treatment so it becomes manageable. We also dig into functional medicine testing: when it’s worth going deeper, when it’s a waste of money, and the simple question he asks before ordering any lab. Finally, we talk tools and trade-offs, including HRT, peptides, lifestyle interventions, and supplementation, with an emphasis on informed consent and long-term thinking. If you’re looking for a clearer, calmer approach to hormone health, weight loss resistance, and sustainable wellness, this conversation will give you a strong starting point. Subscribe, share with a friend and leave a review with the one symptom you most want answered.Guest BiographyDr. Jeff Matz, DC, MS is a functional medicine practitioner and founder of Via Nova Health, serving patients across the Carolinas and southeastern United States. With more than 15 years of clinical experience, he helps people uncover the root causes behind persistent symptoms that are often dismissed as “normal.” His work focuses on hormonal imbalances, autoimmune issues, GI dysfunction, metabolic health, and proactive aging through lifestyle medicine, targeted supplementation, and advanced therapies including peptides, IV therapy, and ozone.LinksWebsite: https://via-nova-health.comLinkedIn: https://www.linkedin.com/in/jeffrey-matz-35964b2b/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA career can be built twice, but it rarely happens without a cost. We talk with Dr Yasmin Areida, who starts out as a plastic surgeon in Egypt, retrains across continents, and rebuilds her clinical life in the US after discovering her credentials are not recognised. That professional reset collides with something even more personal: a rheumatoid arthritis diagnosis that forces her to rethink what “getting better” actually looks like when you live with autoimmune disease. We walk through the functional medicine and clinical nutrition principles she uses with patients, starting with a gut health first foundation and then expanding into movement, sleep, stress management, and targeted nutrition support. Yasmin explains why “food is medicine” is true but incomplete without time, consistency, and realistic expectations, especially when symptoms have built up over years. You will also hear how she uses deep breathing techniques to support high stress states and how she frames progress for people who feel stuck. If you are curious about the practical side of functional nutrition, we break down her patient journey from comprehensive intake forms and food journals to 45 to 60 minute consults that build a health timeline. We also discuss advanced diagnostics in a clear, grounded way, including stool analysis, hormone testing such as DUTCH style testing, and assessments related to mould or Lyme, plus how scope of practice rules shape referrals and team based care. Finally, we compare the US and Egypt in terms of access, perceptions of functional medicine, and the real business constraints behind delivering high touch healthcare. If this conversation helps you, subscribe, share it with a colleague, and leave a review so more practitioners and patients can find the show. What part of Yasmin’s journey or approach do you want to hear more about next?Guest biographyDr Yasmin Areida, MD, MS, CNS, LDN is a functional medicine and clinical nutrition practitioner based in Malvern, Pennsylvania. Originally trained and licensed as a physician in Egypt, she rebuilt her career in the United States after relocating, combining her medical background with advanced training in functional medicine, nutrition, and patient-centered wellness care. Her work focuses especially on GI health, autoimmune conditions, and hormone imbalances, informed in part by her own experience with rheumatoid arthritis. Dr Areida also has a background in aesthetics and education, bringing a broad, integrative perspective to modern healthcare.LinksWebsite: https://www.dryasobeautyclinic.com/aboutLinkedIn: https://www.linkedin.com/in/dr-yasmin-arieda-md-ms-cns-ldn-14500792/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailHealthcare can be world-class and still feel impossible to navigate. When you are bounced between specialities, sent for duplicate tests, or left holding results you cannot interpret, the real gap is often ownership of the journey. We sit down with Dr Michael Averbukh, CEO and managing partner at Serenity, to talk about a practical answer: nurse-led health case management built around patient advocacy, continuity, and clear next steps.We break down what “dedicated nurse case manager” actually means day to day, from onboarding and clinical intake to planning preventive care, preparing for appointments, and debriefing after consultations so nothing gets lost. Michael also explains why Serenity chooses to complement existing GPs and specialists rather than replace them, and why the service avoids commercial links to preferred providers. The goal is simple but demanding: reduce friction in a fragmented healthcare system while protecting clinical integrity and a genuinely human patient experience.We also go inside the operating model: how to hire for attitude as well as clinical competence, how to maintain consistent quality, and how a tailored CRM and future platform can support high-touch care at scale. Finally, we explore why the model resonates with expats in Portugal, why London’s mix of NHS pathways and abundant private choice creates a different kind of overwhelm, and what it takes to grow without compromising standards.If you found this useful, subscribe, share it with a colleague in healthcare leadership, and leave a review to help more listeners find the show.Guest BiographyDr Michael Averbukh is a healthcare leader with more than 25 years of experience spanning clinical practice, hospital leadership, strategy, and operations. He is the CEO and Managing Partner of Serenity, where he leads a high-touch health case management model designed to help clients navigate fragmented medical systems through dedicated nurse support, personalised advocacy, and coordinated care planning.LinksWebsite: https://serenity-portugal.comLinkedIn: https://www.linkedin.com/in/michael-averbukh-md-mha-7b935a44/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailImagine adding years to your life by fixing your bite. That’s not hype; it’s the real-world impact of restoring chewing and reducing chronic oral inflammation, and it sits at the heart of our conversation with advanced implant surgeon Dr Mark Whitefield. We connect the dots between teeth, metabolism, and the brain, showing how the mouth acts as the body’s sentinel and why ignoring it can derail health far beyond the jaw.We dig into the numbers and the mechanisms. When people lose effective chewing, diet quality collapses and malnutrition rises. Restore mastication with well-planned implants, and you don’t just bring back comfort—you open the door to fibre-rich foods and steadier blood sugar. We talk through evidence that A1C can drop meaningfully when patients regain function, and we examine periodontal disease as a chronic inflammatory driver tied to cardiovascular risk, insulin resistance, and even cognitive decline. From the oral microbiome to amyloid research, we explore why targeted management of high-risk pathogens matters.Technology is the accelerator. Dr Whitefield walks us through modern digital dentistry: intraoral and facial scanning, photogrammetry, 3D printing, surgical design software, and dynamic guidance that elevates precision and outcomes. On the operational side, AI tools streamline eligibility checks, patient communication, and scheduling, cutting friction so teams can focus on care. We also face the system head-on—insurance complexity, access gaps, and the rise of corporate DSOs—while sharing practical ways clinicians can collaborate across disciplines, from quick oral screenings to salivary DNA testing that directs treatment.If you care about metabolic health, brain health, or simply eating well without pain, you’ll find a new framework for prevention that starts in the mouth and ripples through the whole body. Subscribe for more deep, no-spin conversations at the edge of medicine and dentistry, share this episode with someone who needs it, and leave a review to help others discover the show.Guest BiographyDr. Mark Whitefield is a fourth-generation dentist and founder of Implant Evolution and Whitefield Biomed in Nashville, Tennessee. With over 30 years of clinical experience, he specialises in advanced implant dentistry and oral-systemic health integration. Dr. Whitefield is a strong advocate for the role of mastication in longevity and metabolic function and is pioneering the integration of AI and digital technologies into modern dental practice. His work focuses on restoring real function to patients while driving innovation in the digital revolution of dentistry. LinksWebsite: https://implantevolution.comLinkedIn: https://www.linkedin.com/in/dr-mark-whitefield-afaaid-aaacd-3995ab40/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailWhat if the most powerful growth strategy for an aesthetics clinic isn’t ads or discounts, but trust? We sit down with Dr Cian McLoughlin, Medical Director at OSO Clinic in London, to unpack how a doctor-led, boutique model can deliver natural results, safer decisions, and stronger patient relationships in a noisy market.Cian traces his journey from a stretched hospital system to a practice that puts clinical judgment first. We dig into why OSO combines medical aesthetics with IV therapy and diagnostics, and how “inside-out” care tackles root causes like fatigue and nutrient gaps while improving skin quality and confidence. From anti-wrinkle and dermal fillers to biostimulators and longevity-focused supplementation, Cian explains how he evaluates treatments, trials new products himself, and sets honest timelines so outcomes match expectations.We get candid about misconceptions in cosmetic medicine, including the viral fear that filler never goes away, and how better education is shifting patients from quick fixes to one-to-five-year plans. Cian shares a clear stance on ethics over profit, why the right answer is sometimes “no treatment,” and how that integrity turns retention into word-of-mouth acquisition. We also explore UK regulation, the realities of compliance (GMC, CQC, MHRA), and why clearer oversight would raise standards and make safe choices easier for patients.Behind the scenes, Cian walks through the rhythm of a medical director’s week: consults, treatments, team training, protocol updates, and the unglamorous admin that keeps care safe. He reveals the clinic’s operational edge, including a custom stock and traceability system that automates lot numbers, expiries, and IV formulations to reduce risk without drowning the team in paperwork. Looking ahead, OSO is focused on thoughtful growth—expanding capacity while avoiding commoditised device services that prioritise volume over nuance.If you care about natural results, transparent guidance, and a clinic where systems and ethics drive every decision, this conversation offers a grounded blueprint. Subscribe, share with a friend who values doctor-led care, and leave a review to tell us what you want explored next.Guest Biography Dr. Cian McLoughlin is an aesthetic doctor and the Medical Director at OSO Clinic in London — a doctor-led boutique clinic blending medical aesthetics, IV therapy, and longevity-focused wellness. Trained in Ireland and based in the UK, Cian is known for an ethics-first approach to patient care, with an emphasis on long-term relationships, thoughtful clinical decision-making, and sustainable clinic systems. In this episode, he shares what’s changing in patient expectations, how regulation shapes practice standards, and why patient acquisition is often a by-product of trust and retention rather than marketing tactics. Contact / Links: Website: https://osoclinic.comLinkedIn: https://www.linkedin.com/in/cian-mcloughlin-202a8b225/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailA surprising path led Jono Goosen from Zimbabwe’s gyms and rugby fields to a chicken farm—and then to a London practice changing how people think about back pain. Along the way, he learned a lesson that now shapes every session: environment and systems govern outcomes. That insight fuels his work with myoreformation, a whole-body manual approach that separates muscles and ligaments, opens joints, resets fascia, and restores blood and lymph flow while guiding the nervous system out of high alert.We dive into what a session actually feels like, why the first three treatments in two weeks matter, and how the method blends Bowen roots, elements of VHT, and lymphatic stimulation to create a calm, responsive body. Expect clear talk on why “strengthen your core” can miss the mark when the back is already overloaded, and how decompressing soft tissue first makes strength safer and more effective. Johnno explains the common scenario where scans look “fine,” yet pain persists—highlighting the gap between being medically stable and physically confident—and how careful manual work plus mindful participation bridges that space.You’ll hear a frank look at conventional approaches—steroid injections, surgical pathways, and load-based rehab—and where they help or fall short. We discuss preventative care, early tension as a key signal, and the psychology of healing, including why brief regressions can be a normal part of resetting long-held patterns. On the business side, Johnno shares what actually grows a practice built on results: education, trust, and word of mouth. He also outlines the next step—a training school to meet demand across the UK, with the goal of more practitioners who can deliver this integrative, system-aware care.If you’re living with persistent back pain, working in rehab, or simply curious about smarter, kinder ways to restore movement, this story offers practical takeaways and a hopeful roadmap. Subscribe, share this episode with someone who needs it, and leave a review to help others find the show. What’s the biggest back pain myth you want us to tackle next?Guest BiographyJono Goosen is a London-based back pain and movement specialist and founder of Jono Goosen Limited. Originally from Zimbabwe, Jono trained in sports science before discovering Myoreformation — a full-body therapy designed to separate muscle structures, restore lymphatic and blood flow, and reset the body’s natural healing capacity.Now one of only three Myoreformation practitioners in the UK, Jono focuses on helping clients move beyond chronic back pain and regain confidence in their bodies. He is currently working toward establishing a UK-based training school to expand access to the modality nationwide.LinksWebsite: https://www.jonogoosen.comLinkedIn: https://www.linkedin.com/in/jonogoosen/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailWhat if recovery isn’t about the number on a scale—but whether life starts working again?That question anchors our conversation with Dr. Dany McCurdy-McKinnon, a Los Angeles psychologist who blends neuroscience, trauma-informed therapy, and coordinated team-based care to treat complex eating disorders—and is now developing a carefully designed AI tool to extend support between sessions.We trace Dany’s path from neuroimaging research to leading a specialist practice and how shifting economics and the closure of academic units forced many clinicians to rethink access. She explains how cash-pay demand declined after COVID while low-cost therapy platforms surged—and why patients often can’t see the difference between convenience and true specialist care.Dany challenges persistent myths: eating disorders affect all ages, genders, and backgrounds. Traits like perfectionism, overcontrol, impulsivity, and emotional dysregulation can increase vulnerability—but, when channelled through DBT and Radically Open DBT, can also become strengths in recovery.We explore why she prioritises functionality—returning to school or work, eating with friends, fewer crisis calls—over weight-focused metrics. She outlines the importance of coordinated care led by the psychotherapist alongside a GP, dietitian, and psychiatrist, and highlights underserved groups including gender-diverse clients and perimenopausal women.On technology, Dany shares how her AI therapist is built with strict guardrails: narrow clinical scope, protocol-driven design, de-identified training inputs, and a required human component through live roundtables and optional sessions.If you care about eating disorder recovery, clinician sustainability, and ethical mental health innovation, this episode offers a grounded look at what works: clear boundaries, coordinated teams, expanded access through trainees and selective insurance, and technology that supports—not replaces—human connection.Guest BiographyDr. Dany McCurdy-McKinnon, PhD, is a Los Angeles–based licensed psychologist specialising in neurobiological approaches to eating disorders. She is the founder of DMM Clinic and Calai Health, where she integrates neuroscience, trauma-informed therapy, and whole-person care to treat complex eating disorders across the lifespan.She emphasises coordinated, multidisciplinary care and believes recovery extends far beyond weight restoration—focusing instead on functionality, relationships, and long-term resilience. She is currently developing an AI-supported platform designed to expand access to specialty-informed care while preserving human connection.Links 🌐 https://dmmeatingdisordersclinic.comLinkedIn: https://www.linkedin.com/in/drmccurdymckinnon/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailPelvic health isn’t a niche problem—it’s something most people will face at some point, from teenage athletes and new mums to high-stress executives, ageing men, and cancer survivors. In this episode, physical therapist and clinic founder Laura Bunso explains how a once-undervalued speciality became the centrepiece of a thriving, patient-first practice that quietly changes lives every day.Laura shares the personal turning point that shaped her mission, then outlines what real pelvic floor care looks like: respectful assessment, clear education, and tailored plans focused on restoring coordination—not chasing perfection. We explore surprising recoveries in men misdiagnosed with "prostatitis", the emergency-room reality of severe constipation, and why paradoxical contraction makes straining the worst thing to do. She explains how surface EMG biofeedback gives patients real-time insight into hidden muscles and how small behaviour shifts—caffeine, breath, posture, voiding habits—unlock relief faster than expected.Beyond treatment, Laura discusses how hip pathology can drive pelvic floor tension, why reimbursement still lags behind evidence, and how billing systems often misunderstand pelvic care. We also cover her clinic’s growth: private one-to-one sessions, new satellite locations, and telehealth delivering much of the behavioural change work remotely. Her ethos is simple: common does not mean normal—and people deserve help long before surgery or long-term medication.Whether you’re a clinician building a focused service, a patient searching for answers, or someone who suspects there’s more to “going when you can", this conversation offers tools, hope, and a blueprint for better care. Subscribe, share with someone who needs it, and leave a review to help more people discover pelvic health that truly works.Guest BiographyLaura Bunso, PT, MTC, is a certified manual therapist and founder of Smart Body Physical Therapy in Jacksonville, Florida. With over 20 years of experience, she leads a specialised pelvic health clinic serving men and women with incontinence, pelvic pain, and post-surgical recovery needs.Trained in orthopaedics and pelvic health, Laura made the bold decision to focus exclusively on pelvic therapy after recognising a major gap in care. Her practice integrates internal manual therapy, behavioural retraining, and surface EMG biofeedback to treat bowel, bladder, and sexual health dysfunctions.She is also the host of the podcast Pelvic Like It Is, where she shares practical pelvic health education for the public. Links / Social Media Handles🌐 Website:  https://smartbodypt.comLinkedIn: https://www.linkedin.com/in/laura-bunso-pt-mtc-88bb428/🎙 Podcast: 'Pelvic Like It Is': (Available on Spotify and Apple Podcasts)Instagram: https://www.instagram.com/smartbodyptFacebook: https://www.facebook.com/SmartBodyPTSubscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailImagine if every patient heard a short, thoughtful message from their clinician each morning—delivered in the doctor’s own voice—nudging healthier choices and reinforcing care plans. That vision sits at the heart of our conversation with Victor Brown, founder and CEO of Xcellent Life, who brings a seasoned engineer’s mindset from the energy sector to the realities of running a modern private clinic.We dig into why reactive care keeps clinics on the back foot and how proactive, AI-driven engagement raises satisfaction and drives natural referrals without drowning teams in admin. Victor explains how simple automations—integrated scheduling, digital intake, eligibility checks, and AI summaries—tighten operations so practices can handle growth without breaking billing, data entry, or staff morale. He shares what’s fading (legacy, proximity-only marketing) and what’s rising (telehealth touchpoints, highly personalised outreach), along with clear examples any clinic can pilot in weeks, not months.Trust is a recurring theme. We talk about building it across generations, pairing new tools with education so patients understand how and why they’re being supported. We also cover the guardrails: clinical oversight, review loops, and the “garbage in, garbage out” reality of any powerful system. For owners, we highlight the metrics that matter—patient growth rate, revenue per patient, and seasonal trend analysis—to steer smarter investments. Victor closes with a look at Xcellent Life’s next-gen platform and global plans, underscoring a simple truth: clinics that experiment, learn, and operationalise AI will thrive; those that delay will struggle to compete.If this conversation sparks ideas for your practice, follow the show, share it with a colleague, and leave a quick review telling us which workflow you’ll automate first.Guest BiographyVictor Brown is the Founder and CEO of Xcellent Life, a healthcare technology company focused on leveraging AI-driven systems to improve patient engagement, acquisition, and long-term outcomes. With over 20 years in the energy sector working in highly regulated environments, Victor brings a systems-engineering mindset to healthcare — applying proactive, data-driven approaches to patient care and clinic growth.Inspired by personal experiences within his own family, Victor transitioned into healthcare technology to build solutions that shift care from reactive treatment to proactive vitality management. Through intelligent automation and personalized AI engagement, Xcellent Life helps medical practices increase patient satisfaction, improve operational efficiency, and grow sustainably.Victor is passionate about using technology responsibly to protect what he calls our greatest infrastructure: human life.LinksWebsites: www.xcellentlife.com and www.xcellentagent.aiLinkedIn: https://www.linkedin.com/in/victorlbrown/Facebook: https://www.facebook.com/xcellentlifeInstagram: https://www.instagram.com/xcellentlifellcSubscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailWhat if most therapy “failures” aren’t about motivation at all, but about a broken first match? Dr Ayelet Hirshfeld, clinical psychologist, psychoanalyst, and founder of PsyEcology Inc., joins us to unpack the biggest quiet crisis in mental health: early dropout within the first one to two sessions. She explains why private practice tends to keep people longer, how large systems flatten nuance, and why forcing clients to retell their story across multiple starts erodes trust, courage, and outcomes.We dive into ANNA, an ethical AI platform designed to solve a deceptively simple problem: fit. Each clinician trains a virtual therapist persona that mirrors their real relational style, pace, tone, and areas of expertise. Clients can interact with these personas via text before booking, ask how the therapist would approach their problem, and decide whether the cadence and worldview resonate. Instead of static directories and rushed intakes, ANNA uses implicit communication signals to match people with clinicians who are more likely to help them stay, engage, and heal. It’s not therapy by machine; it’s a low-friction preview that respects the human bond.Ayelet also maps the scale of unmet need: tens of millions in the US without adequate care, dropout rates as high as 65 percent in large systems, and a massive indirect economic burden on both sides of the Atlantic. We talk candidly about ethical risks when AI lacks safeguards, the necessity of flagging harm and routing to human support, and why the industry must adopt tools that strengthen—not replace—clinical judgment. Beyond product, we explore clinician wellbeing, from sleep and movement to organisational health, and how trauma-informed design should guide innovation, especially amid global stressors.If you care about mental health access, clinician burnout, and technology that genuinely serves care, this conversation offers a grounded, hopeful path forward. Subscribe, share with a colleague, and leave a review with your take on how AI should support the first step into therapy.GUEST BIOGRAPHYDr. Ayelet Hirshfeld is a clinical psychologist, psychoanalyst, and the founder of DiversItUS® Psychotherapy & Psychoanalysis Inc. and most recently, PsyEcology Inc. — an ethical AI platform designed to reduce therapy dropout rates by improving therapist-client matching. With a background that spans trauma treatment, AI system design, and executive health leadership, Ayelet is pioneering how relational intelligence and technology can work hand-in-hand to transform mental healthcare. She also serves as an advisor to international organizations addressing clinician burnout and trauma recovery.Links 🌐 Website: https://diversitus.orgLinkedIn: https://www.linkedin.com/in/ayelethirshfeldphd/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailWhat if healing could be engineered by tuning the body’s software? We sit down with Dr Joe Purita, a pioneer in orthobiologic and regenerative medicine, to explore how a modern clinic moves beyond single fixes and toward systems that reboot health. From his early leap into PRP and stem cells to a clinic built around oxygen, light, ozone, and advanced IVs, Joe explains how to turn mechanisms into outcomes—without the hype.We unpack hyperbaric oxygen through a different lens: nitric oxide signalling that mobilises stem cells from the bone marrow. Then we step inside EBO2, where blood meets ozone in a dialysis filter and photobiomodulation across six wavelengths to lower viral load, activate NRF2, and support detoxification. Waste analyses have revealed mycotoxins and petroleum compounds, pointing toward practical strategies for microplastics and “forever chemicals.” Add plasmapheresis—an “oil change” swapping plasma for albumin—and you get a powerful clean-up sequence for complex cases.Energy takes centre stage. Intermittent hypoxia therapy stimulates mitochondrial biogenesis; red and infrared light enhance ATP production; refined NAD protocols improve efficiency and comfort. For mycotoxin illness or post-viral syndromes, we discuss practical stacking: EBO2 to reduce burden, phosphatidylcholine for membranes, hydrogen gas for selective antioxidant support, and targeted IVs when appropriate. Throughout, Joe keeps claims grounded—no cure promises, just clear mechanisms and measured gains.Looking ahead, Muse cells—pluripotent and stress-enduring—may integrate into tissues at higher rates, shifting the field from repair toward regeneration. With gene therapy costs falling, senolytics maturing, and smarter detox strategies emerging, the next wave of regenerative care is coming into focus. If you're curious how oxygen, light, and cell intelligence can reshape recovery and healthspan, this conversation delivers the science, the ethics, and the playbook.GUEST BIOGRAPHYDr. Joe Purita is a globally recognized pioneer in orthobiologic and regenerative medicine and Chief Medical Officer of PUR-FORM in Boca Raton, Florida. Trained as an orthopedic surgeon at the University of Miami and Jackson Memorial Hospital, he transitioned from joint replacement surgery into cellular and regenerative therapies after early work with PRP revealed the body’s innate healing potential.He now leads a 12,000-square-foot multimodal clinic offering advanced therapies including EBO2, hyperbaric oxygen, plasmapheresis, photobiomodulation, intermittent hypoxia therapy, exosomes, and Muse cell treatments. Dr. Purita lectures internationally on regenerative medicine and longevity science and remains at the forefront of biologic innovation.LINKS🌐 Website: https://www.purformhealth.comLinkedIn: https://www.linkedin.com/in/joe-purita-md-00544423/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailHere is a tightened version reduced by well over 50 characters while keeping the substance and flow strong:A 50-year career doesn’t just tell stories; it reveals patterns we can finally change. Mike Delaney joins us to trace his path from overcrowded NHS wards and pub-based “supervision” to designing trauma-informed, somatic programmes that work when words fail. After confronting his own addiction in the 90s, Mike returned with a clear insight: most substance use sits on unprocessed trauma. That belief led him to pioneer equine-facilitated psychotherapy in UK rehabs, build LEAP’s training pathway, and help design Delamere’s Stop-Start-Grow model—where safety, environment, breathwork, yoga, and horse work drive transformation.We explore what makes somatic therapy different: the body speaks first under threat, and horses mirror states we struggle to name. Mike shares outcomes from his work with London Underground after 7/7, where non-verbal approaches supported staff back to work and life. He also explains why purpose-built spaces and well-supported teams improve engagement and results.Post-COVID shifts shape the conversation. Mike has seen a sharp rise in ADHD and autism diagnoses, believing lockdowns stripped away masking. That demands flexible formats and careful thinking around stimulant use for clients with addiction risk. We also confront the ketamine surge among young people—rapid bladder damage, dissociation, isolation—and the limits of traditional recovery models. Mike argues for honest education, tailored harm-reduction without abandoning abstinence, and funding systems that recognise treatment’s true return.We close on running a clinic that works: time-bound therapy blocks, clear homework, respectful challenge, strategic use of Zoom, and equine-led retreats on the horizon. His guiding principle remains simple—create safety, meet people where they are, and let the body lead lasting recovery.Guest BiographyMike Delaney is a veteran mental health professional with over 50 years of experience spanning psychiatric nursing, addiction recovery, trauma therapy, and holistic care. A former NHS nurse turned clinical innovator, Mike introduced equine-assisted psychotherapy and somatic breathwork into UK recovery programmes—long before they were mainstream.He currently serves as Clinical Director at Delamere rehab in Cheshire and is a co-founder of multiple therapeutic centres and training programs, including LEAP and EquiScotia. Mike is also a published author and a passionate advocate for trauma-informed, person-centred care that meets clients where they are.Social MediaWebsite: www.mikedelaneytherapy.comLinkedIn: https://www.linkedin.com/in/mike-delaney-reg-mbacp-senior-fellow-accph-cctp-5124645/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan Mail“There’s nothing you can do” might be the most damaging sentence a person with cognitive decline ever hears. We sit down with Dr Ivan Cichowicz, a board‑certified adult and geriatric psychiatrist, to unpack a more hopeful, practical path: combine the right medications with targeted lifestyle changes, clear education and steady support so patients can feel and function better.Dr Ivan shares how he moved from standard outpatient psychiatry to a focus on brain health after wave upon wave of anxious, newly diagnosed patients arrived with a prescription and no plan. We walk through the first steps he takes—cutting through online noise, protecting families from scams, and starting with high‑yield basics like daily movement, sleep quality and lower‑sugar, nutrient‑dense meals. He explains how he adapts Bredesen‑inspired strategies without perfectionism, using short “bursts” of ketosis or structured exercise to build momentum. When motivation is fragile or a patient is brought in by family, he shifts the environment: simpler breakfasts, neighbour dinners, chair yoga and short walks that make the healthier choice the easier one.We dig into team care—how psychiatry, neurology, endocrinology and direct primary care can share a lane without turf wars—and why he remains medication‑friendly while championing integrative tools. Expect practical talk on prevention: sleep’s role in glymphatic clearance, exercise and inflammation, glucose control and mood, plus why metabolic thinking is gaining ground across psychiatry. Dr Ivan also previews his upcoming dementia education platform designed to scale what works: community, accountability and simple tech that keeps people engaged long after the first surge of motivation fades.If you or a loved one has felt stranded after a dementia diagnosis, this conversation offers a map. Subscribe, share with a caregiver or clinician who needs it, and leave a review to help more people find a realistic, hopeful approach to brain health.Guest BiographyDr. Ivan Cichowicz, MD is a board-certified adult and geriatric psychiatrist based in Florida. He is the co-founder of Mindful Behavioral Health, an outpatient psychiatric practice focused on adult and cognitive mental health, and serves as a primary investigator in brain health research at COGNITIVA Brain Health.A passionate advocate for functional and lifestyle-based care, Ivan is currently building an education platform to empower patients and caregivers with proactive tools to delay or prevent dementia. His approach blends conventional psychiatry with integrative, evidence-based interventions — rooted in the belief that early lifestyle change can meaningfully shape long-term brain health outcomes.Social Media:Websites: 🌐 mindfulbh.com 🌐 cognitivabrainhealth.comLinkedIn: https://www.linkedin.com/in/ivan-cichowicz-md-psychiatry/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailSlow regulation and rising de novo autoimmune conditions in younger patients are at the heart of this conversation. Aly’s prescription is practical and empowering: remove common sources of harm (think water filtration, safer food contact, smarter cleaning and personal care), then add what strengthens cells—nutrient-dense food, targeted supplements, quality sleep, movement, and stress relief. No gimmicks, no silver bullets—just steps that stick.We also go behind the scenes of The Smart Human: why Aly refuses brand deals to keep her message clean, how she rebuilt after a major hack, and what she’s creating next. From a researcher-first podcast to a new women’s health summit featuring seasoned clinicians “talking turkey,” she’s focused on turning evidence into action for patients, parents, and practitioners.Aly also shares insights from her role supporting WHO’s global work on traditional and tribal medicine, bridging modern rheumatology with time-tested healing systems to widen the lens on what works.If you’ve wondered which exposures matter most, how to prioritize change on a budget, or how clinicians can counsel on environment in a 15-minute visit, this conversation offers real answers and a humane roadmap.👤 Guest BiographyDr. Aly Cohen, MD, FACR is a board-certified rheumatologist and integrative medicine specialist based in Princeton, NJ. She is the founder of The Smart Human, a platform that bridges the gap between scientific research and everyday health strategies, with a focus on environmental exposures and disease prevention. Aly is a contributing expert to the World Health Organization’s Global Plan on Traditional and Tribal Medicine and the author of Non-Toxic: Guide to Living Healthy in a Chemical World. Through clinical care, public speaking, podcasting, and curriculum development, Dr. Cohen is helping to redefine how we think about health in the modern world.🔗 Key Links:🌐 Website: https://www.thesmarthuman.com📷 Instagram – https://www.instagram.com/thesmarthuman/Facebook: https://www.facebook.com/thesmarthuman🌐 Smart Human Women’s Health Summit 2026: https://www.thesmarthuman.com/summit📘Detoxify (Simon & Schuster)📘Non-Toxic (Oxford University Press)TEDx Talk – How to Protect Your Kids from Toxic Chemicals: https://www.youtube.com/watch?v=5gWo53wKShIThe Smart Human Podcast:  https://www.thesmarthuman.com/podcastSubscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailWhat would change if we stopped chasing comfort and started building function into daily life? That question sits at the heart of our conversation with Dr Michele Bechor, licensed psychologist and founder of Emblem Psychology and Consulting. Michelle shares how a pre‑med start gave way to a career defined by stories, context, and behaviour—where lasting outcomes come from what we practise, not what we promise.We dig into a practical, behaviour‑first blueprint for treating anxiety, OCD, and body‑focused repetitive behaviours like hair pulling and skin picking. Michele’s framework, “parenting the environment,” treats caregivers as catalysts for change by shifting reinforcement, replacing reassurance with small exposures, and aligning the home with the person’s goals. She explains how she flexes between parent coaching and individual therapy to meet readiness, and why moving from relief‑seeking to function‑seeking unlocks freedom for both kids and adults.The conversation also tackles a thorny industry trend: quick fixes and the seductive certainty of AI. Michele highlights what technology can’t replicate—the weight of nuance, the therapeutic alliance, and the in‑the‑moment personalisation that turns skills into change. At the same time, she shares clever ways to use digital tools to strengthen motivation, and what the pandemic taught us about telehealth’s reach and limits. As a new practice founder operating across PSYPACT states, Michele opens up about marketing, niche pressure, ethical guardrails, and designing a business that honours evidence‑based care.If you’re a clinician, caregiver, or anyone navigating anxiety or BFRBs, you’ll leave with clear strategies, smarter questions, and a grounded path forward. Subscribe, share this with someone who needs it, and leave a review to help more listeners find the show.Guest BiographyDr. Michele Bechor is a licensed psychologist and the founder of Emblem Psychology & Consulting. With a deep focus on anxiety, OCD, and body-focused repetitive behaviors, Michele brings a behavioral lens to both individual and family-based care. Her standout approach — “parenting the environment” — empowers caregivers to actively support behavior change for loved ones facing chronic mental health or behavioral challenges. Michele is especially passionate about bridging clinical science with practical strategies, and she’s currently building a multi-state virtual practice grounded in evidence-based care.Contact Details and Social Media HandlesWebsite: https://www.emblempsych.comLinkedIn: https://www.linkedin.com/in/michele-bechor-ph-d-33bb3114a/Facebook: https://www.facebook.com/profile.php?id=61579592342279Instagram: https://www.instagram.com/emblempsychology/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.

Send us Fan MailBeauty shouldn’t feel like a sales pitch. It should feel like being seen, heard, and guided with care. That’s the spirit Raquel Merlini brings to her aesthetics practice—where combination therapy, honest education, and thoughtful follow-up create results that look real in daylight and last beyond the selfie.We talk about how a patient-first journey starts at the front desk and continues through tailored consultations, baseline photos, and proactive check-ins. Raquel explains why injectables alone fall short, and how blending neurotoxins, hyaluronic fillers, biostimulators like Sculptra and Radiesse, lasers, and solid skincare repairs both structure and texture. With rapid weight loss on GLP‑1 medications rising, she unpacks the trade-offs—skin laxity, collagen decline—and how regenerative strategies can rebuild integrity rather than chase volume.Expectations are the battleground of modern aesthetics. Raquel shares how she navigates filtered images, influencer ideals, and 20‑year throwbacks with clear anatomy-led guidance and the courage to say no when a request threatens safety or taste. We also dive into functional threads: peptides such as BPC‑157 and GHK‑Cu, NAD and glutathione for recovery, and how stress, menopause, and sleep shape outcomes. Beyond treatments, Raquel shows why culture is a clinical tool—mentoring new injectors, offering scholarships, and building a team that genuinely enjoys working together. That unity translates into smoother operations, calmer rooms, and better care when demand spikes.If you’re curious about ethical aesthetics, how to get natural results, or what’s next in regenerative medicine, this conversation offers a grounded roadmap. Subscribe for more smart, human-centred health insights, share this episode with a friend who loves evidence-based skincare, and leave a review to tell us what you want to hear next.Guest Biography Raquel Merlini is a Registered Nurse and Certified Aesthetic Nurse Specialist with over 14 years in the plastics and aesthetics industry. She’s the founder of R SKIN Aesthetics, a values-driven clinic focused on safe, ethical, and empowering aesthetic care. Raquel blends clinical expertise with mentorship, education, and scholarship programs — all designed to uplift women and promote integrity in beauty. A former IFBB Pro Bodybuilder and personal trainer, she brings a holistic, compassionate approach to every client and conversation.Contact Details and Social Media Handles🌐 Website: https://rskin.net📸 Instagram: https://www.instagram.com/rskinnurseraquel/https://www.instagram.com/rskinnurseraquel/rskinaestheticshttps://www.instagram.com/rskinadmission🎵 TikTok: https://www.tiktok.com/@rskinaesthetics💼 LinkedIn: Raquel MerliniSubscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.