PODCAST · health
Out of Network Podcast
by Ryon Parker and Rishi Seth
Out of Network is a bold, physician-led podcast reimagining American healthcare through honest conversations, real patient stories, and evidence-based insights. Hosted by Dr. Ryon Parker and Dr. Rishi Seth, this show explores what medicine could be—if we dared to change it.
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Plastic Surgeon Talks Future of Healthcare w/ Dr. Joshua Goldman | OON Ep. 23
In this episode of Out of Network, Dr. Ryon Parker sits down with Dr. Joshua Goldman (Board-Certified Plastic & Reconstructive Surgeon, co-founder of Vegas Plastic Surgery Institute) to discuss the challenges of modern healthcare, physician burnout, and why so many are moving away from traditional insurance models.You’ll learn:✅ How burnout is caused by the administrative burdens of insurance✅ The broken system that limits time doctors can spend with patients✅ Why concierge medicine is growing as a solution to care delivery issues✅ The surgery outcomes that set realistic expectations and prevent patient frustration✅ Why volume-based models are hurting both physicians and patients✅ The shift in expectations when it comes to patient care✅ How healthcare is often about balancing time with quality outcomesTimestamps 00:00 – Intro: Dr. Joshua Goldman + Vegas Plastic Surgery Institute 03:33 – What craniofacial + microsurgery means 10:47 – What elite surgical training selects for 19:10 – Leaving academia to build a new model 21:33 – Why insurance-based care breaks (admin + overhead) 25:10 – Denials and recoupments: getting paid, then losing it 27:21 – The “third model” (concierge feel without cash-only) 33:30 – Concierge-level experience standards 35:10 – Expectation-setting and why volume kills quality 40:08 – Patient selection: when to say no 01:01:37 – Closing takeaways: access and “time to care” Connect with Out of Network: 🌐 Website: https://www.outofnetworkpod.com/ 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/ ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts:Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Parker Medical: https://parkermedical.org/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Seth Premiere Medical: https://sethmedical.com/Dr. Goldman → https://vegaspsi.com/meet-dr-joshua-goldman/https://www.instagram.com/goldstandardplasticsurgery/Enjoyed the Episode?If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.🎙 About Out of Network Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.#OutOfNetwork #Healthcare #PlasticSurgery #MedicalBurnout #ConciergeMedicine #ReconstructiveSurgery #MedicalCare #PhysicianBurnout #HealthcareSystemEnjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Why Doctors Get Sued Even When They’re Right w/ Adam Garth | OON Ep. 22
In this episode of Out of Network, Dr. Ryon Parker sits down with Attorney Adam Garth (healthcare defense attorney) for a behind-the-scenes look at how malpractice cases, board complaints, documentation, AI notes, and telemedicine risk actually play out - and why it’s driving physicians out of certain markets.You’ll learn:✅ Why doctors are “under assault” in some jurisdictions - and why they leave✅ The real cost of a lawsuit: 2–3 years with a cloud over your head✅ How concierge medicine can reduce risk by giving you time to practice and document well✅ AI scribing: powerful, but risky if you don’t verify (because the chart becomes evidence)✅ Why many board complaints aren’t malpractice - they’re billing/respect/front desk issues (and still consume hours and legal fees)✅ Telemedicine’s blind spot when you can’t put hands on the patient✅ The simplest legal advice in medicine: “Document, whatever you’re doing.”Timestamps00:02 – Who Adam Garth is (healthcare defense attorney)03:10 – Why physicians are leaving certain jurisdictions04:37 – The “2–3 year cloud” of malpractice cases08:34 – Concierge medicine: less volume, more time, lower risk11:41 – AI scribing: advantage vs liability (verify your notes)23:45 – Board investigations and what triggers them24:10 – “Billing / respect” complaints and why they waste time27:17 – Telemedicine risk when you can’t examine hands-on47:14 – The best free legal advice for physiciansConnect with Out of Network: 🌐 Website: https://www.outofnetworkpod.com/ 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/ ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts:Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Parker Medical: https://parkermedical.org/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Seth Premiere Medical: https://sethmedical.com/Adam Garth → https://www.linkedin.com/in/adam-garth-86b00b36/Enjoyed the Episode?If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.🎙 About Out of Network Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Why Modern Pediatrics Feels Broken w/ Dr. Lisa Hayes | OON Ep. 21
Modern pediatrics is breaking parents and burning out doctors - and most families have no idea why it feels so rushed, confusing, and lonely.In this episode of Out of Network, Dr. Rishi Seth sits down with Dr. Lisa Hayes (founder of Hayes Pediatric) for a no-fluff conversation about what changes when pediatric care is built around families instead of throughput.You’ll hear:A behind-the-scenes look at why many pediatric visits feel like a blur (10 to 15 minutes is the reality in a lot of practices) What concierge / direct pediatric care actually looks like in real life Why Dr. Hayes does home visits within 48 hours of newborn discharge and continues home visits until 2 months The baby “products” parents waste money on (and the ones that don’t belong in the crib) What’s normal vs not normal in the first months, including crying and sleep Why sleep training is not one-size-fits-all and how she frames it without guilt How she handles vaccine anxiety in a world where parents are drowning in noise and fear What made her leave traditional pediatrics and build a model she would want for her own familyTimestamps00:50 – What “pediatrics designed around families” actually means03:49 – What it looks like to join Hayes Pediatric04:17 – Home visits within 48 hours after discharge05:18 – The baby product trap parents don’t need06:50 – The crib setup mistake families don’t realize is risky09:10 – Crying peaks around 6 weeks and what parents should know10:30 – Sleep training: when to start and why it’s not one method for everyone24:53 – The part that breaks doctors: “Did I listen long enough?”25:00 – The reality: 10 to 15 minutes per child41:10 – Why you can’t counsel vaccine questions in 15 minutes42:10 – CDC vs AAP confusion and what parents actually needConnect with Out of Network: 🌐 Website: https://www.outofnetworkpod.com/ 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/ ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts:Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Parker Medical: https://parkermedical.org/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Seth Premiere Medical: https://sethmedical.com/Dr. Lisa Hayes → https://www.instagram.com/hayespediatrics/Enjoyed the Episode?If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.🎙 About Out of Network Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Doctors Talk Psychedelics - Ketamine, Psilocybin, MDMA | OON Ep. 20
Psychedelics are everywhere right now - and most physicians still feel uneasy even saying the words out loud.In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth have a no-hype conversation about psychedelics in medicine: ketamine, psilocybin, MDMA, and what these therapies could mean for patients with refractory depression, anxiety, and PTSD who feel like they’ve run out of options.You’ll hear:A real clinical case where a patient had tried “everything,” including multiple meds and therapy, and still wasn’t okayWhy Dr. Seth is skeptical (FDA approval, data quality, who these therapies are NOT for)Dr. Parker’s decision to refer to a guided retreat option after clinical trials weren’t availableA personal story from Dr. Parker that adds a completely different layer to the conversationKetamine’s role today (anesthesia, pediatrics, refractory pain) and why “ketamine clinics” raise real questionsTimestamps00:00 – Why psychedelics in medicine makes doctors uncomfortable01:26 – Clinical scenario: “nothing is working” for severe depression/anxiety03:44 – The lineup: ketamine, MDMA, LSD, psilocybin04:07 – Skepticism: “not FDA approved,” limited robust data05:23 – A Colorado retreat enters the conversation09:20 – The hard part: tapering off meds safely, risks, close follow-up10:10 – Outcome: “first time I feel better” after the retreat13:16 – Who psychedelics are NOT for (bipolar/psychotic disorders risk)14:07 – What the research hints at (and what we still don’t know)16:20 – Dr. Parker shares his personal experience and why this topic matters28:40 – Ketamine: what it’s used for, what’s legit, what’s questionable34:21 – Takeaways: hope, ambiguity, and why this deserves a real conversationConnect with Out of Network: 🌐 Website: https://www.outofnetworkpod.com/ 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/ ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts:Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Parker Medical: https://parkermedical.org/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Seth Premiere Medical: https://sethmedical.com/Enjoyed the Episode?If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.🎙 About Out of Network Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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GLP-1 Medications Explained: The $200 Billion Healthcare Revolution | OON Episode 19
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive deep into the explosive world of GLP-1 medications—exploring the realities of semaglutide, tirzepatide, Ozempic, Wegovy, and Zepbound. With a projected $200 billion market by 2029, these drugs have transformed weight management, but they've also created chaos in the healthcare landscape. From med spa injections to proper medical supervision, this conversation sheds light on what safe GLP-1 treatment should actually look like.What You'll LearnThe difference between proper medical weight loss programs and dangerous "syringe-in-a-fridge" clinicsWhy tirzepatide (Mounjaro/Zepbound) outperforms semaglutide (Ozempic) in most patientsReal strategies for patients who plateau or don't respond to GLP-1 medicationsInsurance coverage realities and the new $50/month Medicare pricingSerious side effects to watch for, including pancreatitis and gallbladder issuesTimestamps00:00 – Introduction: The $200 billion GLP-1 economy03:15 – Wild West of GLP-1 prescribing: Med spas and strip mall clinics10:42 – Proper patient screening and medical supervision24:30 – Insurance coverage, pricing, and access issues32:00 – Tirzepatide vs. Semaglutide: Which is better?42:55 – The future of GLP-1s and closing thoughtsConnect with Out of Network: 🌐 Website: https://www.outofnetworkpod.com/ 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/ ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts:Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Parker Medical: https://parkermedical.org/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Seth Premiere Medical: https://sethmedical.com/Enjoyed the Episode?If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.🎙 About Out of Network Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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AI in Medicine: Benefits, Risks, and Reality | OON Episode 18
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into AI's rapid integration into healthcare—exploring how artificial intelligence is transforming medical documentation, diagnostics, and patient care. With a mix of personal experiences, honest concerns, and evidence-based insights, this conversation sheds light on both the promise and perils of AI in medicine, and how physicians can harness its power without losing the clinical skills that make them effective doctors.What You'll LearnHow AI scribes are changing medical documentation (and why one doctor got "see Brad Pitt movies" as a treatment recommendation)The risk of "de-skilling" physicians when AI handles too much of the diagnostic processWhy AI chatbots for patient triage could be dangerous—and when they might be helpfulHow AI bias can reinforce physician mistakes and create dangerous feedback loopsTimestamps00:00 – Introduction: AI's rapid rise in healthcare03:15 – AI scribes: Making doctors better or lazier?10:42 – The de-skilling concern: Are we training lazy physicians?16:00 – AI liability and the Brad Pitt diagnosis story21:30 – Patient self-diagnosis with AI: Benefits and dangers24:30 – Why concierge practices should resist AI automation27:20 – Closing thoughts: AI oversight and physician responsibilityConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://bit.ly/parkermedicalDr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiereDr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 17: Evidence-Based Wellness: Navigating Trends and Trust
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into the overwhelming world of wellness trends—exploring what's helpful, what's harmless, and what patients should avoid. From IV vitamin drips and NAD injections to hyperbaric chambers and supplement claims, they break down the science (or lack thereof) behind popular wellness treatments. With honest physician perspectives and real patient stories, this conversation sheds light on how to navigate wellness confusion while maintaining trust in evidence-based medicine.What You'll LearnHow to approach patients who've received conflicting wellness advice from other providersThe real science behind popular treatments like IV vitamins, NAD, and hyperbaric oxygen therapyWhy the wellness industry thrives on aging fears and how to address patient concerns compassionatelyRed flags to watch for in wellness claims and when treatments cross into dangerous territoryTimestamps00:00 – Introduction to wellness world confusion01:12 – Navigating conflicting advice from different providers08:09 – IV vitamins and NAD: separating hype from science11:50 – Hyperbaric oxygen therapy: medical vs. wellness applications15:15 – The supplement industry and "nutraceuticals"16:43 – Why people seek wellness solutions: aging, fear, and social media25:32 – Dangerous wellness trends: chiropractic overreach and chronic conditions30:40 – The importance of staying in your lane as healthcare providers33:37 – Final thoughts on evidence-based wellnessConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://bit.ly/parkermedicalDr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiereDr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 16: Running Codes Over a Screen | How Telemedicine Is Saving Rural America
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth explore the world of telemedicine and reveal how it's revolutionizing healthcare access in rural America. Dr. Seth shares his firsthand experience as a telehealth hospitalist—running emergency codes from hundreds of miles away, managing critical patients over a screen, and keeping small-town hospitals alive. From a patient with "3 out of 10" chest pain who turned out to have a life-threatening heart attack, to the technology and expertise required to provide remote care, this conversation uncovers the hidden infrastructure that's changing medicine as we know it.What You'll LearnHow telehealth hospitalists manage critical emergencies remotely—including running codes over a screenThe reality of rural hospitals where there may be no doctor on-site at allThe dramatic story of catching a full-blown STEMI (heart attack) from 100 miles awayWhy telemedicine requires 5+ years of clinical experience before going remoteThe technology behind telehealth carts and remote patient monitoringHow small-town hospitals stay open thanks to telehealth coverageState licensing requirements and the Interstate Medical Licensure CompactBest practices for using telemedicine in outpatient and concierge settingsThe future of AI integration in telehealthTimestamps00:00 – Introduction: What if there's no doctor in the building?01:00 – Dr. Seth's journey into telehealth hospitalist work02:30 – What are critical access hospitals and why do they matter?04:00 – The technology: Telehealth carts, stethoscopes, and zoom capabilities07:00 – Why rural hospitals are the lifeblood of small-town America08:00 – The gray patient: Catching a life-threatening STEMI remotely10:30 – Why experience matters more than technology in telehealth14:00 – The business model keeping rural hospitals financially viable18:00 – State licensing requirements and legal considerations21:00 – How Dr. Parker uses telemedicine in his concierge practice24:00 – Documentation requirements and billing for telehealth visits26:00 – The future of telehealth and AI integration28:00 – Final thoughts: Why telemedicine is revolutionary for rural AmericaConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://bit.ly/parkermedicalDr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiereDr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 15: HRT Black Box Warning Removed: What Women Need to Know
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into the FDA's recent removal of the black box warning on hormone replacement therapy—exploring the realities of what this change actually means for women's health. With a mix of bold truths, real stories, and evidence-based insights, this conversation sheds light on the complex nuances behind HRT, the original Women's Health Initiative study, and why headlines rarely match the science.What You'll LearnWhy the FDA removed the black box warning and what it actually means (spoiler: it's not a universal green light)The real story behind the Women's Health Initiative study and why Premarin vs. bioidentical hormones mattersHow to navigate HRT decisions based on age, symptoms, and individual risk factorsTimestamps00:00 – Introduction01:15 – FDA removes black box warning: What does it really mean?03:28 – The concerning conflicts of interest behind the decision07:25 – Breaking down the Women's Health Initiative study12:00 – Estrogen types: Premarin vs. bioidentical hormones16:00 – The age factor: Why timing matters in HRT24:00 – Real patient case: Factor V Leiden and HRT complications30:47 – Key takeaways for patients and physiciansResources & Links MentionedWomen's Health Initiative Study > https://www.nhlbi.nih.gov/science/womens-health-initiative-whiConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/ Instagram: https://www.instagram.com/outofnetworkpodcast/ YouTube: https://www.youtube.com/@OutofNetworkPodcast TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://bit.ly/parkermedicalDr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiereDr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 14: Life Lessons from Residency and Entrepreneurship (Should've, Could've, Would've)
In this candid episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth step away from discussing broken healthcare systems to share the raw, unfiltered lessons from their medical journey. From the struggles of foreign medical school to the challenges of starting a practice, they explore the wins, mistakes, doubts, debt, and grind that shaped them as physicians, husbands, fathers, and business owners.What You'll LearnWhy comparison truly is the thief of joy in medical practiceThe reality of starting a concierge practice with limited capital and massive student debtHow attending a Caribbean medical school (Ross University) actually made them better doctorsThe importance of taking notes during residency rotations and learning from attendingsReal talk about practice startup costs, renovation delays, and staffing challengesTimestamps00:00 – Introduction: The journey no one tells you about03:15 – Starting humble: Learning not to compare yourself to others10:42 – Ross University experience: Would they do it again?24:30 – Residency lessons: What they wish they'd done differently42:55 – Practice building mistakes and winsConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://bit.ly/parkermedicalDr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiereDr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 13: Abuse in Healthcare: The Hidden Reality Every Medical Worker Faces
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth tackle a topic most people never see but every healthcare worker knows too well—abuse inside the medical system. From physical assaults and verbal attacks to intimidation and impossible expectations, they break down the shocking reality that nurses, doctors, and staff face daily. This isn't about rare incidents; it's about systemic abuse happening in hospitals and clinics nationwide, and what needs to change to make healthcare feel human again.What You'll LearnThe staggering statistics: 52% of ER nurses report physical violence, and 1 in 7 physicians have been physically assaulted by patients or familiesHow to distinguish between patients who are genuinely confused/delirious versus those with manipulative agendasWhen and how healthcare providers can legally terminate difficult patient relationships without abandonment chargesWhy the "customer is always right" mentality is destroying healthcare and what leaders can do insteadTimestamps00:00 – Introduction: The hidden abuse crisis in healthcare03:00 – Physical violence against healthcare workers: real stories from the frontlines10:00 – Patient abandonment laws vs. provider safety: where's the line?17:00 – The review system dilemma: when bad patients leave bad reviews24:00 – Why healthcare violence is escalating and what's driving patient frustration27:00 – Closing thoughts: stopping the normalization of abuseAbout the Violence CrisisRecent studies show that healthcare workers face violence at alarming rates, with 42 states now working to make violence against healthcare workers a felony. The Buffalo, Minnesota mass shooting by a disgruntled patient serves as a tragic reminder of how serious this crisis has become.Resources & Links MentionedEmergency Nurses Association 2024 workplace violence study: https://www.ena.org/news-publications/newsroom/emergency-nurses-association-launches-new-study-workplace-violenceJAMA physician assault survey: https://pmc.ncbi.nlm.nih.gov/articles/PMC9707179/"From Worst to First" by Gordon Bethune (Continental Airlines customer service philosophy): https://www.amazon.com/Worst-First-Continentals-Remarkable-Comeback/dp/0471356522Nurse Blake's social media advocacy for safe staffingConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://bit.ly/parkermedicalDr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiereDr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 12: Nutrition and Entrepreneurship: Building Better Healthcare with Dietitian Andres Ayesta
In this episode of Out of Network, Dr. Rishi Seth sits down with Andres Ayesta, registered dietitian, CEO of Planos Nutrition, and producer of this very podcast. Together, they explore the broken connections between physicians and dietitians, the wild west of social media nutrition advice, and the entrepreneurial challenges of building healthcare businesses outside traditional systems. From GLP-1 medications to the importance of evidence-based practice, this conversation reveals how nutrition and concierge medicine can work together to truly serve patients.What You'll LearnWhy the referral system between doctors and dietitians is fundamentally broken—and how insurance makes it worseHow to navigate nutrition misinformation on social media and identify evidence-based adviceThe real story behind GLP-1 weight loss medications: benefits, risks, and how to use them safelyEssential lessons from 10 years of healthcare entrepreneurship, including the importance of "imperfect action"Timestamps00:00 – Introduction to Andres Ayesta03:00 – What is Planos Nutrition and the blueprint approach to health10:00 – The broken physician-dietitian referral system18:00 – Insurance challenges for dietitians and patients24:00 – Social media nutrition wars and misinformation35:00 – GLP-1 medications: the good, bad, and ugly42:00 – Healthcare entrepreneurship lessons learned50:00 – The marketing reality of healthcare businessesAbout Our GuestAndres Ayesta is a registered dietitian, CEO of Planos Nutrition, and healthcare entrepreneur. Originally from Venezuela, he's built a thriving nutrition practice focused on evidence-based care and holistic health approaches. Connect with him here:Website: https://planosnutrition.com/Instagram: https://www.instagram.com/andresayesta/YouTube: http://youtube.com/c/andresayestaConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://sethmedical.com/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 11: From Near Death to Marathon Runner with Laura Cadieux
In this powerful episode of Out of Network, Dr. Ryon Parker sits down with his dear friend and patient Laura Cadieux to share her incredible story of resilience and transformation. From surviving a life-threatening COVID hospitalization as case #26 in Nevada to becoming a marathon runner, Laura's journey exemplifies the power of mindset, determination, and patient-centered healthcare. This deeply personal conversation explores the broken healthcare system through a patient's eyes and celebrates the triumph of the human spirit.What You'll LearnHow a near-death COVID experience became the catalyst for complete life transformationThe stark reality of patient experiences in traditional vs. concierge healthcare settingsWhy mindset and self-advocacy are crucial for health and recoveryHow one mother's health journey inspired her entire family's wellness transformationTimestamps00:00 Introduction to the Out of Network Podcast00:07 Meet Laura Kadu: A Story of Resilience01:10 Laura's COVID-19 Battle Begins02:14 Hospitalization and Isolation03:06 The Struggle for Survival09:33 Recovery and the Road to Fitness13:08 Reflections on Healthcare and Patient Experience17:52 Personal Experience with Healthcare System Failures18:51 Balancing Family and Personal Health19:59 Journey into Running and Fitness21:14 Mental and Physical Challenges of Fitness22:48 Impact of Positive Influences and Role Models27:03 Concierge Medicine vs. Traditional Healthcare30:55 Inspiration and Support from Family31:22 Final Thoughts and Podcast ConclusionAbout Our GuestLaura Cadieux is a wife, mother, and marathon runner whose story of overcoming a life-threatening COVID hospitalization has inspired many. From being case #26 in Nevada to completing multiple marathons, Laura exemplifies resilience and the power of taking control of your health.Connect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://sethmedical.com/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 10: In and Out of the OR with Dr. Dan Barrera
In this episode of Out of Network, Dr. Ryon Parker sits down with Dr. Dan Barrera, a talented hepatobiliary surgeon and subspecialty specialist, to explore what it's really like to be a surgeon in today's challenging healthcare landscape. From the realities of the OR to navigating Las Vegas healthcare stereotypes, Dr. Dan shares his journey from medical student to attending surgeon, discusses the complexities of pancreatic surgery, and opens up about being a gay physician in a traditionally conservative field.What You'll LearnThe demanding 14-year journey to become a specialized surgeon (undergrad through fellowship)Why Las Vegas healthcare deserves better than its "third world" reputationHow insurance bureaucracy creates dangerous delays in patient careThe future of robotic surgery and its impact on patient outcomesNavigating identity and authenticity as an LGBTQ+ physician in medicineTimestamps00:00 – Introduction and Dr. Dan's background03:15 – What inspired Dr. Dan to become a surgeon05:45 – The long road: Medical education journey breakdown08:30 – Hepatobiliary surgery and pancreatic cancer treatment12:00 – Las Vegas healthcare stereotypes and reality16:30 – Insurance bureaucracy horror stories22:00 – Coming out as a gay physician in surgery31:00 – The future of robotic surgery37:00 – Advice for future surgeons42:55 – Closing thoughts on healthcare reformAbout Our GuestDr. Dan Barrera is a hepatobiliary and advanced GI surgical oncology specialist practicing in Las Vegas. He completed his general surgery residency in Denver, Colorado, and his fellowship training in Florida. Dr. Dan specializes in complex pancreatic surgeries and is passionate about advancing robotic surgical techniques. Read more about him here > https://www.southernnvsurgery.com/dr-daniel-a-barreraConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://sethmedical.com/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 9: Behind the Scenes - Jason Parker on Building Parker Medical
In this episode of Out of Network, Dr. Rishi Seth sits down with Jason Parker, the operational backbone behind Parker Medical's success. Jason shares his journey from 12 years in the U.S. Coast Guard to becoming the non-clinical leader of one of Las Vegas's most successful concierge practices. With a mix of military discipline, MBA expertise, and real-world insights, this conversation reveals how the right partnership can transform both a medical practice and a marriage.What You'll LearnHow military HR experience translates to healthcare practice managementThe critical decision-making process behind leaving stable careers for entrepreneurshipWhy protecting your clinical staff from difficult patients is essential for practice successTimestamps00:00 – Introduction 01:00 – Jason's military background and meeting Dr. Parker 03:30 – Educational journey and MBA in organizational management 05:00 – The leap into private practice and working seven days a week 08:30 – The conversation about joining the practice full-time 13:00 – Learning clinical operations without medical background 16:30 – Zero-tolerance policy for staff protection 21:30 – Birth of Structured MD consulting business 26:00 – Future vision for concierge medicineAbout Our GuestJason Parker is the operational director of Parker Medical and owner of Structured MD. With 12 years of U.S. Coast Guard service and an MBA in organizational management, he specializes in helping physicians transition from traditional practice to successful concierge medicine models.Resources & Links MentionedStructured MD - Concierge practice consultingParker Medical - Las Vegas concierge practiceConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://sethmedical.com/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 8: The Power Couple Revolutionizing Healthcare in Tampa
In this special two-part bonus series of Out of Network, Dr. Ryon Parker sits down with the people who truly help build concierge medical practices from the ground up. In Part 1, meet Neera Seth—a nurse, mother, and co-founder of Seth Premier Medical in Tampa. We explore taking entrepreneurial risks, redefining healthcare roles, and how personalized care starts with the people delivering it. This candid conversation reveals the challenges and rewards of building a concierge practice as a husband-wife team.What You'll Learn How nursing experience translates into healthcare entrepreneurship and practice management The real challenges of starting a concierge medical practice in a new city with young children Why personalized healthcare requires both clinical expertise and operational excellenceTimestamps 00:00 – Introduction to the special bonus series 01:15 – Neera's nursing background and journey from Canada to the US 04:00 – Leadership lessons from nursing management roles 07:00 – Comparing Canadian vs American healthcare systems from a nurse's perspective 09:45 – The decision to move to Tampa and start Seth Premier Medical 13:15 – Neera's dual role as nurse and practice manager 16:30 – Working with your spouse: challenges and strengths 20:30 – Future vision for Seth Premier Medical 23:45 – Advice for other healthcare couples considering concierge medicineAbout Our Guest Neera Seth is a registered nurse with 18 years of experience, co-founder of Seth Premier Medical in Tampa, FL, and mother of two. With a Master's in Nursing Management and Leadership, she brings both clinical expertise and operational leadership to the concierge medicine space.Connect with Out of Network Website: https://www.outofnetworkpod.com/ Instagram: https://www.instagram.com/outofnetworkpodcast/ YouTube: https://www.youtube.com/@OutofNetworkPodcast TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts Parker Medical - Las Vegas, NV → https://parkermedical.org/ Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/ Seth Premiere Medical - Tampa, FL → https://sethmedical.com/ Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 7: Your Top Healthcare Questions Answered
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth tackle the top 20+ healthcare questions that patients most commonly ask ChatGPT. From chest pain and diabetes symptoms to insurance navigation and telehealth concerns, we provide straight answers to the health questions keeping you up at night. This practical episode cuts through medical jargon to give you actionable insights about your health.What You'll LearnHow to distinguish between heart attack chest pain and anxiety symptomsEarly warning signs of type 2 diabetes and when to get testedWhen knee pain requires medical attention vs. home careThe truth about bronchitis, pneumonia, and flu contagiousnessUTI symptoms and why not every abnormal urine test needs antibioticsCancer screening guidelines for different ages (spoiler: colonoscopy at 45!)Timestamps00:00 – Introduction: Answering your top health questions01:30 – Chest pain: Heart attack vs. anxiety vs. other causes04:15 – Type 2 diabetes early warning signs06:30 – When knee pain needs a doctor visit09:15 – Bronchitis, pneumonia, and flu: What's contagious?13:00 – UTI symptoms and the overuse of antibiotics18:00 – Managing headaches, hair loss, and fatigue19:00 – Stress management: The four pillars approach21:00 – Depression treatment and management24:00 – Daily water intake recommendations26:00 – Heart-healthy diets that actually work29:00 – Sleep hygiene and managing insomnia31:45 – Cancer screenings by age: What you need to know37:00 – LGBTQ+ healthcare and PrEP therapy44:00 – Telehealth: When it works and when it doesn't49:30 – Urgent care vs. ER: Making the right choice52:15 – Insurance basics: Premiums, deductibles, and copays55:30 – Do healthy people need health insurance?57:45 – HSA accounts and concierge medicineConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/ Instagram: https://www.instagram.com/outofnetworkpodcast/ YouTube: https://www.youtube.com/@OutofNetworkPodcast TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/ Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/ Seth Premiere Medical - Tampa, FL → https://sethmedical.com/ Dr. Rishi Seth → https://www.instagram.com/drrishisethEnjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 6: The Broken Healthcare System: Insurance Battles, Physician Burnout & What Patients Can Do
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth pull back the curtain on America's broken healthcare system. From insurance denials that put profits over patients to the bureaucratic maze that's burning out physicians, this conversation exposes the harsh realities of modern medicine. With real stories from the front lines, they explore defensive medicine, the inequities plaguing our system, and most importantly—what patients can do to take back control of their healthcare.What You'll Learn How insurance companies deny legitimate medical claims and force hospitals to fight for paymentWhy physicians are ordering unnecessary tests and practicing "defensive medicine"The real reasons behind physician burnout and why doctors are leaving traditional medicineHow patients can navigate the complex healthcare system and advocate for themselvesApproximater Timestamps00:00 – Introduction: The reality of healthcare denials03:15 – Insurance company tactics: Denying sepsis and respiratory failure claims09:30 – The cost of fighting insurance denials on hospitals and patients15:00 – Defensive medicine: Why doctors order unnecessary tests28:00 – Physician burnout: The human cost of a broken system35:00 – Canada vs. US healthcare: A physician's perspective45:00 – Taking healthcare into your own hands: Patient advocacy52:30 – Closing thoughts: The future of healthcareConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/ Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://sethmedical.com/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 5: What Doctors Wish You Knew About Wellness Trends
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into the rapidly growing world of wellness—exploring advanced biomarkers, whole body MRI scans, GLP-1 medications, and hyperbaric therapy. With a mix of clinical expertise and real patient stories, this conversation examines what's truly beneficial versus what's just hype in today's wellness landscape, and how concierge physicians can guide patients through these emerging trends.What You'll Learn The truth about advanced biomarkers and functional medicine labs—when they help vs. when they create unnecessary anxietyReal stories of whole body MRI scans catching pancreatic cancer early and saving livesEverything you need to know about GLP-1 medications (Ozempic, Mounjaro) from dosing to long-term effectsHow hyperbaric oxygen therapy works and why it's gaining popularity in concierge practicesTimestamps 00:00 – Introduction to wellness trends in medicine 01:15 – Advanced biomarkers and functional medicine labs 07:30 – Whole body MRI imaging: life-saving or unnecessary? 14:15 – Cardiovascular screening beyond basic tests 21:30 – Deep dive into GLP-1 medications (Ozempic vs Mounjaro) 46:15 – Hyperbaric oxygen therapy in concierge practices 52:30 – Wearables and health tracking devices 56:15 – Future wellness services and closing thoughtsResources & Links Mentioned Clearly Heart Scan for cardiovascular assessment Quest Diagnostics cash pricing vs insuranceHyperbaric oxygen therapy research studiesConnect with Out of Network Website: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/ YouTube: https://www.youtube.com/@OutofNetworkPodcast TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts Parker Medical - Las Vegas, NV → https://parkermedical.org/ Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/ Seth Premiere Medical - Tampa, FL → https://sethmedical.com/ Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 4: The Patient Stories That Made Us Leave Traditional Medicine
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth share the powerful patient stories that defined their medical careers and ultimately led them to leave traditional healthcare. From a life-saving emergency on a cruise ship to a forgotten patient left in stirrups, these aren't just medical anecdotes—they're the experiences that revealed what's broken in our system and inspired them to build something better.What You'll Learn How a massive heart attack in the middle of the ocean tested Dr. Parker's skills as a cruise ship physicianWhy Dr. Seth's airplane medical emergency led to an unforgettable cockpit landing experienceThe devastating story of delivering a pancreatic cancer diagnosis as a medical studentHow a patient forgotten in stirrups became the final straw that drove the move to concierge medicineTimestamps 00:00 – Introduction with special guests Archie and Bella 04:15 – Dr. Parker's defining moment: Delivering terminal diagnosis as a student •18:00 – Dr. Seth's ethics work and the power of sitting with patients 25:00 – Cruise ship medicine: Life and death in the middle of the ocean 44:00 – Airplane emergencies and unexpected cockpit invitations 56:30 – The patient left behind: A system failure that changed everything01:00:00 – Why these stories led to concierge medicineConnect with Out of Network Website: https://www.outofnetworkpod.com/ Instagram: https://www.instagram.com/outofnetworkpodcast/ YouTube: https://www.youtube.com/@OutofNetworkPodcast TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts Parker Medical - Las Vegas, NV → https://parkermedical.org/ Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/ Seth Premiere Medical - Tampa, FL → https://sethmedical.com/ Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 3: Understanding Concierge Medicine: Beyond the Luxury Myth
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into concierge medicine—exploring what it really is, debunking the "luxury only" myth, and revealing how it's reshaping patient care in America's broken healthcare system. With real stories from their practices and honest insights about the business of medicine, this conversation sheds light on how concierge medicine is giving power back to patients and joy back to doctors.What You'll LearnWhat concierge medicine actually is (and what it's not) - from guaranteed 48-hour appointments to 24/7 accessThe real economics behind concierge medicine - why it's not just for the wealthy and how it can actually save patients moneyHow concierge medicine addresses physician burnout and the broken primary care systemThe difference between concierge medicine, direct primary care (DPC), and traditional insurance-based practicesTimestamps00:00 – Introduction: What is concierge medicine?05:30 – Breaking down the "luxury myth" - Royal Pains vs. reality12:15 – The economics: Why doctors charge membership fees and still bill insurance18:45 – Patient panel sizes: 3,500 patients vs. 200 patients25:20 – Real patient stories: From 40 medications to 532:10 – Building relationships with specialists and the "quarterback" model38:45 – The future of concierge medicine and physician shortage debate45:30 – What sets great concierge practices apart52:00 – Closing thoughts on hospitality in healthcareResources & Links MentionedParker Medical - Las Vegas concierge practice modelSeth Premiere Medical - Tampa concierge practiceConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://sethmedical.com/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 2: From Insecurity to Impact: Two Doctors' Journey to Concierge Medicine
In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into their personal journeys from traditional medicine to concierge practice—exploring the realities of America's healthcare system, what drove them to seek alternatives, and how personal struggles shaped them into better physicians. With a mix of bold truths, real stories, and evidence-based insights, this conversation sheds light on the hidden challenges of medical training, the burnout crisis in healthcare, and how concierge medicine offers a path to meaningful patient relationships.What You'll Learn• How attending offshore medical schools can create insecurity that ultimately drives excellence• Why traditional medical education fails to prepare doctors for real-world practice challenges• How personal trauma and loss can transform physicians into more compassionate caregiversTimestamps00:00 – Introduction and meeting anniversary reflection03:15 – Dr. Seth's journey from finance to medicine in Canada10:42 – The Caribbean medical school experience and overcoming insecurity18:30 – Dr. Parker's coming-out story and small-town Nebraska roots24:30 – Residency experiences and the gap in "real medicine" training32:15 – Hospitalist life: 16 patients, 7 days, complex cases38:45 – The ethics committee and goals of care conversations42:20 – Dr. Seth's mother's cancer journey and the inspiration for concierge medicine48:10 – Financial fears and sacrifices of starting a practice52:30 – Dr. Parker's transition from Lifetime Fitness to independent practice56:45 – Structured MD consulting and helping other physicians transition58:55 – Closing thoughts on treating patients like familyResources & Links MentionedSeth Premier Medical: https://sethmedical.com/Parker Medical: https://parkermedical.org/Connect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsDr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 1: Why We Left the System
Episode SummaryIn the very first episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth introduce themselves and the mission behind this podcast. Both board-certified internal medicine physicians turned concierge doctors, they share why they chose to step away from the traditional, volume-driven model of medicine and how they’re reimagining healthcare with a patient-first approach. From the realities of physician burnout to the power of entrepreneurship in medicine, this episode sets the stage for bold conversations ahead.What You’ll LearnWhy many physicians are leaving traditional healthcare systems behindHow concierge medicine re-centers the patient–doctor relationshipThe vision for Out of Network and what to expect in future episodesConnect with Out of NetworkWebsite: https://www.outofnetworkpod.com/Instagram: https://www.instagram.com/outofnetworkpodcast/YouTube: https://www.youtube.com/@OutofNetworkPodcastTikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the HostsParker Medical - Las Vegas, NV → https://parkermedical.org/Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Seth Premiere Medical - Tampa, FL → https://sethmedical.com/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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Episode 0: Introduction to the Out Of Network Podcast
Welcome to Out of Network — the podcast that’s redefining healthcare, one bold conversation at a time. In this short intro, co-hosts Dr. Rishi Seth and Dr. Ryon Parker give you a quick taste of what’s to come: honest talk, real patient stories, and a mission to expose what’s broken in our medical system. Whether you're a frustrated physician or a disillusioned patient, this podcast is your new home.🎧 Subscribe now — we’re just getting started.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.
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ABOUT THIS SHOW
Out of Network is a bold, physician-led podcast reimagining American healthcare through honest conversations, real patient stories, and evidence-based insights. Hosted by Dr. Ryon Parker and Dr. Rishi Seth, this show explores what medicine could be—if we dared to change it.
HOSTED BY
Ryon Parker and Rishi Seth
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