A pediatrician gave a child vaccines the chart said he needed. The record showing he had already had them was buried in the system. Dennis Hursh is a health law attorney and founder of Physician Agreements Health Law. This episode is based on his article "EMR errors get blamed on physicians, not systems [https://kevinmd.com/2026/06/emr-errors-get-blamed-on-physicians-not-systems.html]," published on KevinMD. The health system did not fix the record system. It counseled the physician and moved to put her on a corrective action plan for failing to follow its vaccine policy. He explains why she resigned rather than carry that on her record, what a corrective action plan does to you at credentialing for the next five years, and why a non-compete means she will not see those patients again after 40 years in that community. He also walks through the contract language he negotiates: an agreed independent reviewer, and 60 days to fix anything the reviewer finds. Stay to the end for his argument that due process belongs in your contract before anyone accuses you of poor quality care.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Blaming the doctor is cheaper than fixing the record system

A condition named for the ovaries turns out to run through the muscle, the liver, and the pancreas. Insulin is the signal connecting them, and different organs hear it differently. Oluyemisi Famuyiwa, reproductive endocrinologist and founder of the Montgomery Fertility Center, returns to walk through it. This episode is based on her article "How insulin drives polyendocrine metabolic ovarian syndrome [https://kevinmd.com/2026/06/how-insulin-drives-polyendocrine-metabolic-ovarian-syndrome.html]," published on KevinMD. You will hear why the pancreas makes more insulin when muscle stops responding, and why the ovary and the liver are still listening when it does. You will hear what that does to androgen levels, and why acne, chin hair, and stubborn weight show up before irregular cycles. You will hear why body weight is a poor guide to who has PCOS, since lean patients carry the same elevated androgens and irregular cycles. And you will hear which tests she orders and why she works this across internal medicine and endocrinology. Press play for the reframe she leaves clinicians with: this is more than the ovary and more than insulin.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Why acne, chin hair, and irregular cycles are more than an ovary problem

Your insurance company says these therapists take your plan. Most of them do not. That is the allegation behind seven class action lawsuits now moving through courts from Massachusetts to California. Attorney Steve Cohen returns to explain what his firm found when it called the names on those lists. This episode is based on his article "Mental health ghost networks are badly hurting patients [https://kevinmd.com/2026/06/mental-health-ghost-networks-are-badly-hurting-patients.html]," published on KevinMD. You will hear what a ghost network is, and why the problem is worst in mental health. You will hear why the listings stay wrong, which has less to do with sloppy record keeping than with what insurers will pay. You will hear which patients get hurt worst, including the ones whose plans carry no out-of-network benefit at all. And you will hear about the provision buried in most policies that requires your insurer to cover an out-of-network therapist when there is no in-network one. Press play for the two steps he tells patients to take in order, get the care first and fight for the reimbursement second.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Insurance companies are being sued over directories that aren't real

Physicians stay in jobs they cannot afford to leave. The wellness conversation talks about resilience and meaning, and never about what is in your bank account. Stanley Liu, cardiologist, financial planner, and founder of DocEmpowered, returns with a concept traditional financial planning does not have. This episode is based on his article "Unlocking career flexibility with a Courage Fund [https://kevinmd.com/2026/05/why-a-courage-fund-matters-more-than-an-emergency-fund.html]," published on KevinMD. You will hear what separates a courage fund from an emergency fund, and why the difference is intent rather than structure. You will hear how to size one in months rather than dollars, and why a big non-compete or a thin local job market calls for a bigger number. You will hear why this is leverage your employer cannot see, since they may know about your mortgage but not your accounts. And you will hear where it belongs against student loans, retirement, and everything else competing for the same dollar. Press play for the one question he asks before any of the math, which has nothing to do with money.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Burnout isn't only about autonomy, it's about your bank account

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 [https://kevinmd.com/2026/05/social-media-told-her-to-abort-her-turner-syndrome-baby.html]," published on KevinMD. You will hear why a screening result is not a confirmation, and what has to happen before anyone knows for certain. You will hear why familiarity, speed, and distrust of institutions pull patients toward voices they have never met. Artificial intelligence gets a hard look too, since it can be convincingly wrong and learns from other artificial intelligence. And the comment sections run from parents who say their daughter is fine to strangers who say you are torturing the baby. Press play for the checks that separate a credentialed medical voice online from a convincing one.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Genetic test results, social media advice, and an irreversible choice

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? [https://kevinmd.com/2026/06/car-t-therapy-can-cure-cancer-why-is-it-so-underused.html]" published on KevinMD. You will hear what this therapy asks of a patient, from cell collection through the wait for manufacturing to the weeks spent living near a treatment center. They walk through the barriers a stakeholder summit identified, including the two-week payer authorization that runs while the cancer grows, the small number of accredited centers, and the myth that eligibility works like transplant eligibility. Press play to hear why they say a relapse should trigger a referral, and why they measure success by who can deliver this treatment rather than who receives it.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A cure for aggressive lymphoma exists, and most patients never get it

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 [https://kevinmd.com/2026/06/health-care-affordability-is-now-a-moral-crisis.html]," 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 the end of the year. Narinder argues that spending has piled up in hospitals, imaging, procedures, and specialty care while primary care and the basic work of keeping people well go underfunded. He is blunt about the profession's part in it, saying physicians were taught to be blind to what care costs. You will hear him walk through the ordinary decisions where that shows up: the generic, the office biopsy, the shoulder MRI. He closes with a take-home for physicians that starts somewhere unexpected, with their own health.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Doctors were told to be blind to the cost of care

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 [https://kevinmd.com/2026/06/physicians-and-natural-disasters-the-fifth-season.html]," 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 work comes back to a doctor and a patient. She describes who ends up in a shelter, why getting people home is its own problem, and why a community without power, water, or open doctor's offices is not ready to take them back. She also tells you what to bring and what to ask your providers before an evacuation, and why she watches storm intensity as closely as the count. Stay to the end for her case that the differences a storm exposes are the ones to work on between storms.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Hurricane season is a fifth season, and medicine has to plan for it

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 [https://kevinmd.com/2026/07/we-prescribe-antibiotics-for-sinusitis-without-a-diagnosis.html]," 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 prescription. You will hear why a patient's certainty that the antibiotic worked last time is often wrong, what a normal CAT scan should tell you to look for next, and which conditions turn out to be driving the symptoms when the culture keeps coming back clean. He is direct about the pressure clinicians face to write something, and about what patients can try at home before they call. Press play to hear when an antibiotic is the right call, and what to check first when it is not.

Partner with me on the KevinMD platform [https://kevinmd.com/kevinmd-influencer-opportunities]. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

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Antibiotics for sinusitis without a real diagnosis

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 not to come in, and women were hit hardest. This episode is based on his article "AI bias in health care reads the writer, not the symptom [https://kevinmd.com/2026/06/ai-bias-in-health-care-reads-the-writer-not-the-symptom.html]," published on KevinMD. You will learn why the bias survives even after the obvious warning signs are scrubbed, why ChatGPT-style tools can carry the same blind spots into the exam room, and why trusting the AI too quickly is the real trap. Press play to hear the three questions every clinician should ask before trusting AI with a patient.

This episode is brought to you by ModMed [https://www.modmed.com/].

Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control.

Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience.

Start building your AI-Powered Practice at modmed.com [https://www.modmed.com/].

VISIT SPONSOR → https://www.modmed.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

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

Kevin Pho (@kevinmd) · Zencastr

Kevin Pho (@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.