Fertility specialist Oluyemisi Famuyiwa discusses their article "Why carrier screening results are complex [https://kevinmd.com/2025/11/why-carrier-screening-results-are-complex.html]." Oluyemisi explores the transition to "Genetic Carrier Screening 3.0," a new era where expanded panels reveal hidden complexities that defy simple positive or negative interpretations. The conversation highlights how specific variations in genes like CFTR and SMN1 can lead to unexpected clinical consequences, such as male infertility or silent carrier status in spinal muscular atrophy. By examining the nuances of hemoglobinopathies and X-linked conditions, Oluyemisi explains why being a "carrier" often has direct health implications for the parents themselves, particularly mothers. This episode emphasizes the urgent need for expert interpretation and counseling to ensure patients truly understand the genetic information in their hands. Advanced science demands advanced communication to protect your family's future.

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.

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Genetic testing requires more than just a binary result

Professor and coach Kathleen Muldoon discusses their article "Why humanity in medicine requires peace with a spine [https://kevinmd.com/2025/12/why-humanity-in-medicine-requires-peace-with-a-spine.html]." Kathleen explores the dangerous misconception that peace in health care means silence or compliance. The conversation highlights how teaching medical students to smooth their edges and avoid conflict often leads to burnout, moral injury, and emotional numbness. By redefining peace as an active skill that requires a spine, Kathleen outlines how clinicians can navigate hierarchy and uncertainty without erasing their own humanity. This episode examines the vital difference between keeping the peace and protecting dignity in high-pressure clinical environments. Real professionalism demands the courage to pause and stay present when the room feels chaotic.

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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True peace in medicine requires courage not silence

Obstetrician-gynecologist Priya Panneerselvam discusses their article "How medicine reflects women's silence [https://kevinmd.com/2025/11/how-medicine-reflects-womens-silence.html]." Priya discusses how the quiet deference observed in their mother's generation continues to manifest in patients who apologize for their pain and hesitate to ask questions. The conversation explores the cultural and national forces that suppress female voices, linking personal family history to the broader political landscape regarding women's rights and leadership. By examining the cost of this inherited silence, Priya advocates for speaking out as an act of rebellion and gratitude for those who could not. Breaking this cycle is necessary to honor the past while securing a freer future.

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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RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Silence is a survival mechanism that costs women their joy

Health care executive Dave Wessinger discusses their article "How to adopt AI in health care responsibly [https://kevinmd.com/2025/11/how-to-adopt-ai-in-health-care-responsibly.html]." Dave explains why organizations must move beyond the hype of artificial intelligence to focus on measurable goals like driving growth and improving quality. The conversation highlights specific high-value applications in documentation and patient intake while emphasizing the critical need for a clinician in the loop approach to ensure patient safety. By prioritizing administrative automation over clinical decision-making initially, leaders can build trust and avoid the risks associated with imperfect technology. This episode explores how to shape AI as a practical tool that enhances rather than replaces human judgment.

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

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

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Focusing on outcomes over novelty prevents AI failure in health care

Urologist Tracy Gapin discusses their article "Is your medical career a golden cage? [https://kevinmd.com/2025/10/is-your-medical-career-a-golden-cage.html]" Tracy explores the paradox of achieving professional success while feeling trapped in a demoralizing and insurance-driven health care system. The conversation highlights how factors like short visits and administrative burdens contribute to physician burnout and alarmingly high rates of suicide among doctors. By identifying the limiting beliefs that hold medical professionals hostage in their careers, Tracy outlines a path toward freedom through a cash-based precision medicine model. This episode examines the necessity of prioritizing personal well-being over systemic demands and encourages doctors to reinvent how they practice to find purpose again. Redefining your medical career might be the only way to save your life.

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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RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Escaping the golden cage of traditional medical practice to find joy again

Kenneth Botelho, founding director of the doctor of medical science (DMSc) program at The College of St. Scholastica and a physician assistant, discusses his article "Federal graduate-loan caps threaten rural health care access [https://kevinmd.com/2025/12/federal-graduate-loan-caps-threaten-rural-health-care-access.html]." Kenneth explains how impending borrowing limits for physician assistant and nurse practitioner programs create an insurmountable barrier for students from the very communities that need providers most. He illustrates the paradox where government grants aim to stabilize rural health care while loan policies simultaneously cut off the supply of future clinicians. The conversation highlights the urgent need to align financial aid with public health goals to prevent a rise in mortality rates in underserved areas. Join us to understand why financial barriers to education are becoming a matter of life and death for rural America.

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

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

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Capping student loans destroys the rural medical pipeline

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "Physician suicide prevention: a call to action [https://kevinmd.com/2025/10/physician-suicide-prevention-a-call-to-action.html]." Muhamad opens with the tragic losses of Dr. Nolan R. Williams and Dr. Charles Szyman to illustrate the devastating toll of the profession on even its most accomplished members. He examines the alarming data showing suicide as a leading cause of death among medical residents and outlines specific, actionable steps for trainees, program directors, and hospital executives to build safety nets rather than barriers. The conversation emphasizes the importance of using neutral language like "died by suicide," removing intrusive credentialing questions, and creating a culture where seeking help is viewed as an asset rather than a liability. Join us to learn how we can protect the people who dedicate their lives to healing others.

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

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

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician suicide represents a silent epidemic demanding urgent reform

Professor and senior associate dean of engagement Janet A. Jokela discusses her article "Reflecting on the significance of World AIDS Day from the 1980s to now [https://kevinmd.com/2025/12/reflecting-on-the-significance-of-world-aids-day-from-the-1980s-to-now.html]." Janet shares harrowing memories from her time as a medical student in the mid-1980s, recalling the fear and stigma that surrounded the early days of the AIDS epidemic. She traces the evolution of treatment from a time of hopelessness to the revolutionary arrival of protease inhibitors and the global impact of PEPFAR. The conversation highlights touching patient stories that illustrate how a diagnosis once considered a death sentence has become a manageable condition, allowing people to live full and service-oriented lives. Join us to honor those lost and celebrate the resilience of the human spirit in the face of a terrifying disease.

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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RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Personal memories reveal the transformation of HIV care over four decades

Health care strategist Dana Y. Lujan discusses her article "Is direct primary care sustainable in a downturn? [https://kevinmd.com/2025/11/is-direct-primary-care-sustainable-in-a-downturn.html]" Dana explains how the rising cost of living and subscription fatigue are challenging the retail model of direct primary care for middle-class families. She contrasts this fragility with the stability of employer-sponsored models where organizations absorb the cost to ensure consistent access for their workforce. The conversation highlights the critical need to align medical business models with the actual economic capabilities of the communities they serve rather than relying solely on ideological goals. Join us to explore how financial strategy determines the longevity of patient care.

This episode is presented by Scholar Advising [https://scholaradvising.com/kevinmd], a fee-only financial advising firm specializing in providing advice for DIY investors. If you want clear, actionable strategies and confidence that your financial decisions are built on objective advice without AUM fees or commissions, Scholar is designed for you. Physicians often navigate complex compensation structures, including W-2 income, 1099 work, production bonuses, and practice ownership. Scholar's highly credentialed advisors guide high-earners through decisions like optimizing investments for long-term tax efficiency and expert strategies for financial independence. Every recommendation is tailored to the financial realities physicians face.

VISIT SPONSOR → https://scholaradvising.com/kevinmd

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RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Economic reality tests the limits of subscription medicine

Otolaryngologist Alan P. Feren and patient advocate Joyce Griggs discuss their article "Why health self-advocacy is an essential life skill." Alan and Joyce share the personal journey of becoming a "chief health executive" and explain why managing medical care should be treated with the same seriousness as financial planning. They outline the eight core pillars of advocacy, ranging from health literacy to financial navigation, and argue for the creation of condition-agnostic tools that help patients regardless of their specific diagnosis. The conversation highlights how preparation and organization not only reduce anxiety for caregivers but also save time for clinicians and improve overall outcomes. Join us to find out how you can build the confidence to navigate a complex system effectively.

This episode is presented by Scholar Advising [https://scholaradvising.com/kevinmd], a fee-only financial advising firm specializing in providing advice for DIY investors. If you want clear, actionable strategies and confidence that your financial decisions are built on objective advice without AUM fees or commissions, Scholar is designed for you. Physicians often navigate complex compensation structures, including W-2 income, 1099 work, production bonuses, and practice ownership. Scholar's highly credentialed advisors guide high-earners through decisions like optimizing investments for long-term tax efficiency and expert strategies for financial independence. Every recommendation is tailored to the financial realities physicians face.

VISIT SPONSOR → https://scholaradvising.com/kevinmd

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

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Navigating the medical system requires specific life skills

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.

Kevin Pho

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