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PODCAST

The Podcast by KevinMD

Social media"s leading physician voice, Kevin Pho, MD, shares the stories of the many who intersect with our health care system but are rarely heard from. 15 minutes a day. 7 days a week. Welcome to The Podcast by KevinMD.

health & fitness medicine

All Episodes

15:08

A surgeon's startling ketamine experience

The Podcast by KevinMD ·

2025/04/19

General surgeon Arthur Williams discusses his article "A surgeon's battle with ketamine-induced hallucinations." He shares an account from his novel of an experience needing a pacemaker for a "janky heart" prone to atrial fibrillation and bradycardia (sick sinus node), complicated by a low ejection fraction. Arthur vividly describes the anxiety and vulnerability of being a surgeon on the patient side of the gown, his candid and sometimes critical inner thoughts during interactions with the nursing

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19:31

Leading with care: a new approach to health care...

The Podcast by KevinMD ·

2025/04/18

Internal medicine and infectious disease physician and author Joshua D. Hartzell discusses his article "Leading with care: How health care leadership can transform patient and provider well-being." He addresses the crisis of burnout and attrition in health care, arguing that leaders often fail to extend the same level of care to their teams as they do to patients. Joshua introduces "caring-inspired leadership," an evidence-based approach where every leadership action centers on caring for the team

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22:43

Why the FDA's outdated prescription rules hinder...

The Podcast by KevinMD ·

2025/04/17

Surgeon and author Jeffrey A. Singer discusses his article "The FDA's outdated prescription rules are failing women and opioid users." He argues that the U.S. Food and Drug Administration's requirement for prescriptions for certain safe medications, specifically hormonal contraceptives and the opioid antidote naloxone, creates significant barriers to access and reflects outdated paternalism. Jeffrey highlights that obtaining prescriptions for birth control pills adds cost and inconvenience,

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18:33

Reforming the 340B drug discount program through...

The Podcast by KevinMD ·

2025/04/16

Health care executive Gavin Magaha discusses his article "Advancing drug discount programs starts with collaboration and clarity." He outlines how the 340B drug discount program, established over 30 years ago, has not evolved with modern health care delivery, leading to complexity, poorly defined standards, compliance issues, and misaligned incentives that hinder its original intent to serve vulnerable patients. Gavin highlights challenges like the outdated package-based discount model, the use of

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17:52

Funding physician wellness: a guide to getting...

The Podcast by KevinMD ·

2025/04/15

Pediatrician and certified coach Jessie Mahoney discusses her article "How to get physician wellness programs funded: a proven path forward." Drawing on nearly two decades of experience navigating institutional hurdles and five years designing wellness programs, she provides a practical roadmap for securing funding. Jessie asserts that funding is possible, countering common skepticism by highlighting diverse funding sources like philanthropy grants, departmental funds, leadership development

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21:37

How to build a culture where physicians feel valued

The Podcast by KevinMD ·

2025/04/14

Health care executive Jeffry A. Peters discusses his article "Ending physicians' addiction to unhappiness," focusing on the systemic factors fueling widespread dissatisfaction among doctors. Jeffry outlines how declining reimbursement, increased patient volume, and reduced support staff have turned physicians into disempowered production workers. He offers a blueprint for reversing this trend by creating a culture where physicians feel valued, supported, and heard. Key solutions include competitive

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23:17

Managing social media for better teen mental health

The Podcast by KevinMD ·

2025/04/13

Child psychiatrist Ellen K. Feldman discusses her article "How social media is shaping teen mental health and what we can do about it," highlighting the growing concerns about social media's impact on adolescents. She emphasizes the importance of monitoring social media usage, setting screen time limits, and teaching digital literacy to help young people protect themselves from harmful content. Ellen also stresses the value of in-person socialization to counteract social media's isolating effects,

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17:02

Why more medical students are leaving medicine before...

The Podcast by KevinMD ·

2025/04/12

Medical student Christopher Nmai discusses his article, "Leaving medicine is not a failure: It might be the change you always needed." Christopher shares his deeply personal decision to forgo residency and explore non-clinical paths, highlighting the toll that chronic illness and burnout took during his training. He contextualizes his story within a broader trend—rising rates of physician dissatisfaction and exits from clinical practice—citing stress, administrative burdens, and mental health stigma

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17:05

Why health care workers deserve more than a thank you

The Podcast by KevinMD ·

2025/04/11

Anesthesiologist Colleen Naglee discusses her article, "We should tip health care workers too." Colleen reflects on the rise of tipping culture in everyday services and questions why health care workers—who risk violence, burnout, and underpayment—are left out of these gestures of appreciation. She highlights the realities of declining Medicare reimbursements, the dangers of temporary staffing, and the toll of corporate ownership on patient outcomes. With sharp wit, Colleen suggests tipping as a

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19:53

Why health care is collapsing under corporate greed

The Podcast by KevinMD ·

2025/04/10

Family nurse practitioner Bettina Reed discusses her article, "The hidden crisis in health care: How corporate greed is destroying patient care." Drawing from four decades of experience across hospitals, private practices, FQHCs, hospice, and corporate medicine, Bettina shares a powerful account of how the health care system has been dismantled by corporate interests. She details how profit-driven practices—ranging from insurance denials and billing pressures to rising drug costs and

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17:41

How AI and genetics are revolutionizing psychiatric...

The Podcast by KevinMD ·

2025/04/09

Psychiatrist Muhamad Aly Rifai discusses his article, "The future of psychiatry: How AI and genetics are reshaping mental health care." Muhamad explores how the integration of genetic research, biomarkers, electrophysiology, and artificial intelligence is transforming psychiatry into a more precise and preventative field. He explains how advances in pharmacogenomics and digital diagnostics are helping tailor treatment strategies and improve patient outcomes. From AI-assisted diagnostic tools to

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19:35

How AI can eliminate bias and inefficiency in health...

The Podcast by KevinMD ·

2025/04/08

Physician executive Tim Wetherill discusses his article, "Why AI is the perfect neutral arbiter for health care claims." Tim explores how deeply embedded incentives, inefficiencies, and subjectivity in the current claims adjudication process create opportunities for manipulation and inefficiency. He explains how AI, when trained on clear, bias-free rules, can standardize decision-making and eliminate ambiguity, reducing the need for multiple vendors and decreasing billing errors. Tim argues that AI

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24:13

Disability insurance done right: the financial...

The Podcast by KevinMD ·

2025/04/07

We have a special sponsored episode from Set for Life Insurance. Joining us today is Jamie Fleischner. She is the founder and president of Set for Life Insurance. With over 32 years of experience in the industry, Jamie has helped countless clients protect themselves from life's biggest risks. In this episode, we dive into why disability insurance is an essential safeguard for physicians—not just an optional add-on. Jamie guest breaks down the biggest mistakes doctors make when choosing coverage and

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22:19

Why SIBO is often misdiagnosed as IBS

The Podcast by KevinMD ·

2025/04/06

Gastroenterologist Mark Pimentel discusses his article, "SIBO and IBS: the hidden link keeping millions in pain." Mark explains how small intestinal bacterial overgrowth (SIBO) is frequently misdiagnosed or overlooked due to its symptom overlap with other GI conditions, particularly irritable bowel syndrome (IBS). He outlines the evolution of diagnostic tools like hydrogen, methane, and hydrogen sulfide breath tests, the clinical relevance of new ICD-10 codes, and the FDA-approved treatment

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19:12

How systemic racism impacts health outcomes across a...

The Podcast by KevinMD ·

2025/04/05

Physician coach Seema Pattni discusses her article, "Why racism in health care is still an emergency." Seema reflects on a painful encounter with an eight-year-old Black patient who wished to be white, illustrating the devastating impact of systemic racism. She outlines the profound racial disparities in health outcomes from birth to death, and highlights the lack of urgency within medical education and leadership to address these issues. Seema also calls out the exclusion of ethnic minorities from

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22:02

How to reduce diagnostic error in the emergency...

The Podcast by KevinMD ·

2025/04/04

Health care executives Susan L. Montminy and Marlene Icenhower discuss their article, "Solving a hidden challenge: 10 tips to reduce diagnostic error in the emergency department." Susan and Marlene explore the complex, high-pressure nature of ED environments and the often-overlooked dangers of diagnostic error, which can result in severe injury or death. They offer 10 actionable strategies to improve diagnostic accuracy, such as using "working diagnoses," implementing diagnostic time-outs,

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16:15

Starting a pediatric critical care transport program...

The Podcast by KevinMD ·

2025/04/03

Pediatric critical care physician Kyle Willsey discusses his article, "When every second counts: the evolving challenges of pediatric transport." He shares the high-stakes realities of transporting critically ill children, from his experience stabilizing a severely injured toddler during fellowship to his current role in building a pediatric transport team from the ground up. Kyle highlights the lack of standardization in pediatric transport medicine, the financial barriers to maintaining

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19:20

How endometriosis affects fertility and what you can do

The Podcast by KevinMD ·

2025/04/02

Fertility specialist Oluyemisi Famuyiwa discusses her article, "Endometriosis and fertility: What every woman should know." She explores how endometriosis, an inflammatory condition affecting 10 percent of reproductive-age women, disrupts fertility through pelvic adhesions, ovarian damage, and chronic inflammation. Yemi breaks down treatment strategies, from laparoscopic surgery and hormonal therapy to assisted reproductive technologies like IVF. She also highlights the role of dietary and lifestyle

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14:41

Data accuracy failures in health care

The Podcast by KevinMD ·

2025/04/01

Internist and psychiatrist Muhamad Aly Rifai discusses his article, "How data accuracy failures are costing lives and money in health care." He explores the consequences of inaccurate data in health care, from billing errors and wrongful prosecutions to the broader impact on medical decision-making and patient care. Muhamad highlights real-world cases, including his own legal battle over Medicare claims and the flawed prosecution of an interventional cardiologist, to illustrate how poor data

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18:56

Why it's OK to feel conflicted about motherhood

The Podcast by KevinMD ·

2025/03/31

Psychotherapist and author Margo Lowy discusses her article, "Maternal ambivalence: the side of motherhood no one talks about." She explores the often unspoken emotional complexities of motherhood, where love and frustration coexist. Margo delves into the concept of maternal ambivalence, a term that acknowledges the full spectrum of emotions mothers experience, including joy, guilt, resentment, and even fleeting moments of hatred. She explains how naming and accepting these emotions can foster

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