The Podcast by KevinMD

25:18

Genetic test results, social media advice, and an...

The Podcast by KevinMD ·

2026/09/15

Your genetic test results now arrive on your phone before anyone is available to explain them. So the questions go to an online mom group, or to ChatGPT, and strangers answer first. Stephanie Waggel, physician and founder of Improve Medical Culture, has been watching that happen in real time. This episode is based on her article "Social media told her to abort her Turner syndrome baby," published on KevinMD. You will hear why a screening result is not a confirmation, and what has to happen before

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21:11

A cure for aggressive lymphoma exists, and most...

The Podcast by KevinMD ·

2026/09/14

A treatment exists that can cure aggressive lymphoma after chemotherapy has failed. Only about two in ten eligible patients receive it. Manali Kamdar is clinical director of lymphoma services at the University of Colorado Anschutz, and Paolo Strati is an associate professor of lymphoma and myeloma at MD Anderson Cancer Center. This episode is based on their article "CAR-T therapy can cure cancer. Why is it so underused?" published on KevinMD. You will hear what this therapy asks of a patient, from

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14:48

Doctors were told to be blind to the cost of care

The Podcast by KevinMD ·

2026/09/13

He counts four wounds in American medicine. Patients rarely bring up the first one, which is what health care costs. Narinder Singh Parhar is a physician with more than three decades in internal medicine, hospital medicine, and intensive care. This episode is based on his article "Health care affordability is now a moral crisis," published on KevinMD. A retired Korean War veteran had Medicare, a supplemental plan, and a lifetime of work behind him. He still could not fill a $500 prescription near

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22:01

Hurricane season is a fifth season, and medicine has...

The Podcast by KevinMD ·

2026/09/12

In South Louisiana, hurricane season is treated like a fifth season of the year. Angela C. Johnson explains what that means for physicians and patients. She is an internal medicine physician and member of the American College of Physicians Board of Regents. This episode is based on her article "Physicians and natural disasters: the fifth season," published on KevinMD. You will hear what care looks like inside a medical shelter, where the exam rooms, the records, and the staffing are gone and the

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17:46

Antibiotics for sinusitis without a real diagnosis

The Podcast by KevinMD ·

2026/09/11

Most people who get antibiotics for a sinus infection never needed them, and the real problem goes untreated. Franklyn R. Gergits is a board-certified otolaryngologist who sees the patients that three, four, and five rounds of antibiotics did not fix. This episode is based on his article "We prescribe antibiotics for sinusitis without a diagnosis," published on KevinMD. He separates a sinus infection from a cold, allergies, and COVID, and names the ten-day rule he uses before anyone gets a

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14:39

Your AI judges patients by how they write, not their...

The Podcast by KevinMD ·

2026/09/10

What if medical AI judges you by how you write instead of what's actually wrong? A health care executive says it already does. Craig Hauben has spent 30 years in health care and the last several years researching AI, and he walks through studies showing that large language models trained on decades of human writing pick up on typos, misspellings, and emotional tone, then quietly route people away from the care they need. Close to 10 percent of the time patients who should have been seen were told

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20:04

Leaving medicine isn't a loss, it's a translation...

The Podcast by KevinMD ·

2026/09/09

Leaving medicine can feel like erasing 20 years of work. What if it isn't a loss at all, but a language problem you can solve? Physician executive Shveta Gupta, a pediatric hematologist-oncologist, joins to unpack why so many doctors quietly fuse their identity with the white coat, and why a change in role can feel like being sent back to zero. This episode is based on her article "Leaving medicine is a translation problem, not a loss," published on KevinMD. You'll hear the six words in a job

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19:20

Why value-based care hasn't lowered your medical bills

The Podcast by KevinMD ·

2026/09/08

Everyone agrees health care should reward better outcomes at lower cost. So why hasn't it happened? The answer isn't payment models or policy. It comes down to the everyday choices individual clinicians make, and whether anyone can actually see them. Jeanne Cohen, a health care analytics founder and CEO, argues that the value in value-based care lives in the quality of each clinical decision, not the contract structure around it. This episode is based on her article "The real reason value-based care

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24:57

Why weak branding is costing private practices...

The Podcast by KevinMD ·

2026/09/07

Patients now choose doctors the way they shop for everything else, judging your practice online before they walk in. Ashley Gay, a branding expert, argues that a strong brand is not about ego but about earning trust, and that physicians who ignore this are quietly losing patients and talent to competitors who look more polished. This episode is based on her article "Branding a medical practice is not vanity, it is trust," published on KevinMD. You will hear why a logo is not a brand, why owning your

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17:04

Bloated from all that fiber? You added it too fast.

The Podcast by KevinMD ·

2026/09/06

Social media says to spike your fiber intake as fast as you can. That is where the bloating starts. Lisa Talamini is a registered dietitian nutritionist and senior vice president of clinical solutions at Wondr Health. This episode is based on her article "How to eat more fiber without the bloating," published on KevinMD. You will hear why fibermaxxing with pills, powders, and fortified bars tends to bring gas, bloating, and sometimes diarrhea while delivering few of the nutrients whole food carries

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19:35

Addiction stigma costs lives, and one word can change...

The Podcast by KevinMD ·

2026/09/05

A man told his doctor he was struggling with addiction. The doctor told him this was not something he could help with. Devika Bhushan is a public health physician and a former acting surgeon general of California. This episode is based on her article "How addiction stigma in health care costs lives," co-written with medical student Taylor Moss and published on KevinMD. You will hear what happened when about 500 clinicians read the same patient described two ways, as a substance abuser in one version

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23:47

Health insurance mergers are why your doctor is leaving

The Podcast by KevinMD ·

2026/09/04

In a lot of towns there is only one health insurer left, and that is starting to show up in patient care. Rita Agarwal is a pediatric anesthesiologist who started asking why colleagues in a specialty she loves are heading for the door. This episode is based on her article "Insurance consolidation is a patient safety problem," published on KevinMD. She explains why anesthesiology went from a top residency choice to the specialty with the highest intent to leave, and what happens to a team when the

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25:29

Ketamine for depression: what actually makes it...

The Podcast by KevinMD ·

2026/09/03

Ketamine made headlines for the wrong reasons, and people who could be helped by it are staying away. Jim Ellwood is an anesthesiologist who has given ketamine in the operating room and taken it himself for depression that nine medications failed to touch. This episode is based on his article "The truth about ketamine: an anesthesiologist explains drug safety," published on KevinMD. He explains what the research shows about how it works in the brain, and what to ask before you walk into a clinic

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15:43

When you have five doctors and no one is directing...

The Podcast by KevinMD ·

2026/09/02

You can have five doctors and still have no one actually in charge of your care. That gap is where patients get lost. In this episode, retired surgeon and patient advocate Alan P. Feren walks through a common case where the surgeon, primary care, and specialists each assume someone else is directing the plan, and no one is. This episode is based on his article "Fragmented care needs clinical direction, not more data," published on KevinMD. You will hear why coordination is not the same as clinical

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18:58

She spent weeks on her personal statement. Then...

The Podcast by KevinMD ·

2026/09/01

A resident read a student's personal statement and asked why she didn't just use ChatGPT. The comment landed like a wound. In this episode, certified coach and professor Kathleen Muldoon returns to unpack what a residency personal statement is actually for, and why an algorithm can't do it for you. This episode is based on her article "Why ChatGPT can't write your residency personal statement," published on KevinMD. You will hear why the product was never the essay but the self-knowledge that comes

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18:59

Why overdiagnosis is failing the students it claims...

The Podcast by KevinMD ·

2026/08/31

At one university, the share of students receiving disability accommodations rose sevenfold in a decade. Is that progress? In this episode, health care educator and patient advocate Richard A. Lawhern argues that psychiatric overdiagnosis is handicapping the very students it aims to help, and that the research underneath much of modern psychiatry may not hold up. This episode is based on his article "Why psychiatric overdiagnosis fails the students who suffer," published on KevinMD. You will hear

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17:06

What a dragonfly teaches physicians about burnout and...

The Podcast by KevinMD ·

2026/08/28

After 20 years as a pediatrician, she stopped believing burnout meant she couldn't hack it. The problem was never her. In this episode, pediatrician and physician career development coach Gita Balakumar reframes burnout as a systemic burden wrongly blamed on the individual, and offers a different way to think about it. This episode is based on her article "What physicians and dragonflies share in resilience and agility," published on KevinMD. Drawing on the dragonfly, an insect revered across

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14:54

How a doctor with no coding background built his own...

The Podcast by KevinMD ·

2026/08/27

At 2 a.m., a surgeon needed an answer fast and had no one to ask. So he built the tool himself, with no coding background. In this episode, consultant cardiac anesthesiologist Ahmed Elsonbaty explains how a single bleeding-patient case in the operating room pushed him to create bedside clinical decision-support tools now used by more than 10,000 doctors across 150 countries. This episode is based on his article "I built clinical decision-support tools at the bedside," published on KevinMD. You will

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20:24

Why telemedicine should be a career, not a side gig

The Podcast by KevinMD ·

2026/08/26

When his shifts were cut during the pandemic, he took a telemedicine job to pay the bills and ended up loving it. Suneer Chander is an emergency physician who co-wrote the article "Telemedicine as a career, not a side gig," published on KevinMD. He makes the case that telemedicine is the most impactful public health advance to come out of the pandemic, yet most doctors treat it as weekend income instead of the career patients actually need it to be. You will hear why so few physicians work in it

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21:33

Doctors and patients are not the enemy here

The Podcast by KevinMD ·

2026/08/25

He was sued for a case he barely remembered, and five years later it pushed him out of medicine. It is not just malpractice. Jordan Grumet is an internal medicine physician and the author of The Healthcare Heist: How Physicians and Patients Can Unite to Transform Health Care. In this conversation he traces how third parties like insurers, pharmaceutical companies, private equity, and malpractice lawyers pull money and agency out of the system and leave doctors and patients worse off. You will hear

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