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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

16:22

Why I would never compromise on withdrawing care...

The Podcast by KevinMD ·

2026/04/16

What happens when your deepest religious convictions collide with a patient suffering from metastatic cancer and no miracle in sight? Medical student Jonah Rocheeld shares the raw tension between his Orthodox Jewish upbringing and the medical ethics he is learning in clinical training, based on his KevinMD article, "End-of-life care and religion: Reconciling Jewish law and medicine." He unpacks the distinction Jewish law draws between withholding and withdrawing care, why that boundary feels certain

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18:57

Why your patient isn't filling that prescription (and...

The Podcast by KevinMD ·

2026/04/15

What happens when a patient can't afford the treatment you prescribe but is too embarrassed to say so? Health care executive Adam Cunningham joins the show to unpack the devastating ripple effects of medical debt, drawing on his KevinMD article, "The hidden toll of medical debt on patient health and survival," and sharing how one friend lost her job, her insurance, and nearly her ability to function before finding affordable biologic treatment for rheumatoid arthritis overseas. You'll hear why 16

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18:51

Silence isn't neutrality: Why medical students can't...

The Podcast by KevinMD ·

2026/04/14

What happens when medical students witness dehumanization during clinical rotations but feel too powerless to speak up? Kathleen Muldoon, a certified coach and professor in medical education, joins the show to unpack why moral courage is a skill you can practice right now, not something to defer until you hold a title. Based on her KevinMD article "Moral courage in medical training: the power of the powerless," this conversation reveals how the hidden curriculum in medical training quietly

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18:12

Oral Wegovy sounds easy, but the reality is more...

The Podcast by KevinMD ·

2026/04/13

Is the new oral Wegovy pill a breakthrough or a risk most patients never hear about? Shiv K. Goel, an internal medicine and functional medicine physician, joins the show to unpack his KevinMD article, "Oral Wegovy: the miracle and the mess of the new GLP-1 pill," and why treating this drug casually could hurt you. He breaks down emerging data linking high-dose semaglutide to ischemic optic neuropathy, with reporting odds nearly five times higher for Wegovy than Ozempic, and explains why the obesity

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14:38

Safety-net dentistry restores human dignity for...

The Podcast by KevinMD ·

2026/04/10

Clinical director at Franklin Park Family Dental in Dorchester and Tremont Family Dentistry in Boston, Charan Teja Bobba, discusses his article "Treating methamphetamine-associated dental disease in safety-net clinics." Charan reflects on the profound human reality behind treating patients with severe addiction, noting that a ruined smile often represents a lifetime of being let down by the health care system. He explains the physical devastation of meth mouth, where acidity, dry mouth, and teeth

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18:41

Finding peace and reclaiming humanity within a broken...

The Podcast by KevinMD ·

2026/04/09

Physician wellness coach Jessica Singh discusses the article "Physician burnout: Finding peace in a broken health care system." Jessica shares a powerful narrative of a grueling swing shift in a rural emergency department, managing critical patients and a mounting waiting room with minimal resources. She describes the intense pressure of a life-saving intubation and the spiritual strength she drew upon during the crisis. The conversation shifts to the toxic interpersonal dynamics often found in

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24:21

Why physicians pay more in taxes and how to reclaim...

The Podcast by KevinMD ·

2026/04/08

Physician and tax specialist Logan Foltz discusses the article "Physician tax strategies: Why your tax bill is so high and how to fix it." Logan explains why the Internal Revenue Code patterns are often unfavorable to physicians, who typically rely on clinical labor and face high marginal tax rates with limited control over income timing. He breaks down the structural reasons for sticker shock after residency, including heavy payroll taxes and the inability to deduct unreimbursed work related

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19:48

Why loving organizations are the secret to ending...

The Podcast by KevinMD ·

2026/04/07

Physician coach Apurv Gupta discusses the article "What is a loving organization?" Apurv describes his model of a loving organization as a system that designs the clinical environment to make safety and purpose natural rather than forced. He explores the bridge between individual cognitive shifts and organizational renewal using the INTEGRATE methodology to reduce burnout and improve patient outcomes. By replacing fear-based operating systems with emotional literacy and compassionate accountability,

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17:18

Why weight regain is a predictable biological...

The Podcast by KevinMD ·

2026/04/06

Obesity medicine physician Jessica Duncan discusses the article "GLP-1 weight regain: Why stopping medication leads to weight return." Jessica explains that expecting to maintain weight loss after abruptly stopping GLP-1 therapy is unrealistic because it ignores the physiological forces that defend a person's prior weight. She critiques a marketplace that often treats these powerful medications as consumer products rather than chronic disease therapies, noting the risks of obtaining prescriptions

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20:19

Why hospital systems fail to notice the human behind...

The Podcast by KevinMD ·

2026/04/03

Patient advocate Eric Goldfarb discusses the article "How a pregnancy test on a male patient revealed health care flaws." Eric shares the absurd and heartbreaking story of finding a pregnancy test charge on his 88 year old father's final hospital bill. He explains how this error was merely a symptom of a larger, systemic failure where institutional momentum often overrides common sense and patient safety. Eric details the struggle to stop a dangerous premature discharge after his father's brain

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21:12

True metabolic healing requires more than just...

The Podcast by KevinMD ·

2026/04/02

Internal medicine and functional medicine physician Shiv K. Goel discusses the article "Why lifestyle matters more than BPC-157 and semaglutide." Shiv explains how the modern longevity boom has trained patients to seek out quick fixes like peptides and weight loss injections while ignoring foundational habits. He shares a compelling patient story to illustrate why optimizing sleep, circadian rhythms, and stress management is far more powerful than any supplement drawer. Shiv argues that tracking

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17:56

Reclaiming human dignity as the foundation of medical...

The Podcast by KevinMD ·

2026/04/01

Former Treasurer of the American College of Physicians Janet A. Jokela discusses the article "The service of humanity: Recommitting to physicians' ethical duties." Janet reflects on her visit to the Ronald Reagan Museum where she found profound connections between the former president's views on diversity and the medical profession's ethical oath. Janet explains that the service of humanity is not just a phrase for white coat ceremonies, but a call to treat every patient with benevolence and

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19:45

Why physicians must lead the design of artificial...

The Podcast by KevinMD ·

2026/03/31

Family physician, medical device inventor, and health care entrepreneur Tod Stillson discusses the article "AI governance in health care: Why physicians must lead the design." Tod warns that the greatest threat to modern medicine is allowing artificial intelligence to be designed without physician oversight. He reflects on how hospital consolidation and private equity have previously redistributed power away from clinicians, and argues that AI could become the next structural layer that reduces

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17:32

Finding peace by unhooking from ego and achieving a...

The Podcast by KevinMD ·

2026/03/30

Pediatric hematology-oncology physician and co-founder of Pink Coat, MD Tammie Chang discusses the article "Unhooking from the ego in medicine." Tammie shares her personal journey through depression and clinical burnout, explaining how these challenges forced her to disconnect from a professional identity rooted in ego and achievement. She describes the neurological shift from a left-brain focus on analysis to a right-brain focus on intuition and interconnectedness. By choosing to show up as a

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15:13

Why physicians must reclaim their right to pause

The Podcast by KevinMD ·

2026/03/27

Integrative pediatrician Mary Wilde discusses the article "The pause medicine never taught us to take." Mary discusses how medical training conditions clinicians to fear rest and prioritize a treadmill of servitude over personal well-being. She shares insights from teaching medical students who found clarity and emotional release only when forced to step away from their studies. Mary describes her experience hosting retreats in southern Utah and how physical distance from the clinical environment

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16:31

Why hormonal shifts make traditional dieting...

The Podcast by KevinMD ·

2026/03/26

Metabolic health educator Marsha Shepherd Whitt discusses the article "Why 'eat less, move more' fails for midlife weight loss." Marsha explains that weight loss struggles in midlife are often driven by physiology rather than a lack of discipline. As women move through perimenopause and menopause, biological changes alter how the body partitions fuel, regulates blood sugar, and responds to insulin. Marsha highlights how frequent glucose exposure and rising cortisol levels can push the body into a

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17:31

Proactive monitoring can prevent emergencies by...

The Podcast by KevinMD ·

2026/03/25

Health care executive Chris Darland discusses their article "Why remote patient monitoring needs a preventive shift." Chris explains that remote patient monitoring is currently too reactive, functioning as a safety net that tracks problems rather than preventing them. He suggests that technology should shift toward a proactive approach where data is collected before routine visits to provide a real life snapshot of heart performance. Chris describes how advanced signal processing tools, similar to

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19:16

Why measuring muscle mass matters more than tracking...

The Podcast by KevinMD ·

2026/03/24

Physical therapist and certified lymphedema specialist Maureen McBeth discusses her article "Beyond BMI: Why weight management must look inside the body." Maureen explains why common tools like the bathroom scale and body mass index can misclassify up to 34 percent of the general population as obese while masking dangerous internal realities. Drawing from over 25 years in oncology rehabilitation and her own personal experience taking a GLP-1 medication after major surgery, Maureen warns that rapid

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25:18

Insulin resistance is a survival mechanism, not a...

The Podcast by KevinMD ·

2026/03/23

Metabolic health educator Kevin Whitt discusses his article "Insulin resistance is not a disease: a metabolic reframe." Kevin argues that the skyrocketing rates of Type 2 diabetes are not the result of defective biology, but rather a predictable response to chronically elevated blood sugar. The conversation challenges the traditional medical view of insulin resistance, reframing it as a protective mechanism where cells limit glucose uptake to prevent damage from substrate oversupply. Kevin

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17:16

Criticism stings because doctors care deeply about...

The Podcast by KevinMD ·

2026/03/20

Pediatrician and certified coach Jessie Mahoney discusses her article "Dealing with physician negative feedback." Jessie validates the pain that comes with criticism, noting that it hurts not because physicians are weak, but because they are human and deeply invested in their patients. The conversation explores the physiological response to negative reviews, suggesting practical mindfulness techniques like placing a hand on the heart to lower cortisol and signal safety. Jessie advises against the

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