Podcasts about EHR

Sometimes it takes stepping far outside your normal routine to realize what you actually want your life to look like. In this episode of The Traveling Therapist Podcast, I sit down with returning guest Tara Wells to talk about how a trip through Asia completely shifted her perspective on work, travel, and possibility.As we talk, Tara shares how her experiences in India, Vietnam, and Thailand reshaped her vision of becoming a location independent therapist, and why Bangkok unexpectedly tied Mexico City as her favorite place in the world. We also dig into what it means to release rigid plans, trust what feels grounding, and build a therapy business that supports movement instead of limiting it.In This Episode, We Explore…How Tara's Asia trip changed her perspective on becoming a location independent therapist.Why some places feel grounding in a way others just don't.Letting go of long-term plans and giving yourself permission to change your mind.Tara's path toward Canadian citizenship and why it matters to her.Moving beyond one-to-one therapy through speaking, masterminds, and entrepreneurship.Connect with Tara:Finish Line Mindset: https://www.finishlinemindset.com/The Unpacked Mastermind: https://www.theunpackedmastermind.com/ Instagram: https://www.instagram.com/finishlinemindset/TikTok: https://www.tiktok.com/@finishlinemindset_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Aligned incentives change behavior faster than technology alone ever could. In this episode, Dr. Farzad Mostashari, co-founder and CEO of Aledade, discusses how value-based care finally makes prevention profitable by rewarding primary care for keeping patients healthy rather than treating avoidable disease. He reflects on his path from public health and federal EHR leadership to building a nationwide platform that partners with independent practices to take total-cost-of-care contracts. Dr. Mostashari covers why fee-for-service warped EHRs into billing tools, how accountable care models reversed that logic, and why culture, long-term thinking, and technology at scale matter. He shares results from thousands of practices achieving higher blood-pressure control by focusing on stroke prevention, explains the economics of Medicare Shared Savings and expanding private contracts, and explores how AI can deliver just-in-time insights across hundreds of EHRs without forcing workflow change.  Tune in and learn how aligning incentives, primary care, and AI can deliver better outcomes at lower cost! Resources: Connect with and follow Dr. Farzad Mostashari on LinkedIn. Follow Aledade on LinkedIn and discover their website. Follow Aledade on LinkedIn and visit their website. Check out Aledade's Public Benefit Report and Medicare Shared Savings Program announcement.

Brant Peterson, Vice President & Fellow at Valo Health, joins Data in Biotech to explore how his team leverages real-world data, genetic insights, and machine learning to de-risk drug discovery. From building causal DAGs to identifying patient subtypes in neurodegenerative diseases like Parkinson's, this episode dives deep into a patient-first, data-driven approach to biomedical innovation. What You'll Learn in This Episode: >> How Valo Health uses real-world evidence and EHR data to prioritize drug targets earlier in the development pipeline. >> Why integrating wet lab experiments and causal DAGs accelerates therapeutic validation. >> The importance of genetic pleiotropy and Mendelian randomization in refining disease hypotheses. >> How Valo Health identifies high-impact patient subgroups in neurodegenerative diseases like Parkinson's and Alzheimer's. >> Where machine learning models succeed and fall short, in uncovering mechanisms of disease from sparse longitudinal data. Meet Our Guest Brant Peterson is Vice President & Fellow in Data Science at Valo Health. He brings deep expertise in genetics, computational biology, and biomedical innovation. Formerly a Distinguished Data Scientist at Valo and Computational Biologist at Novartis, Brant focuses on leveraging patient-centric data to drive causal discovery in drug development. About The Host Ross Katz is Principal and Data Science Lead at CorrDyn. Ross specializes in building intelligent data systems that empower biotech and healthcare organizations to extract insights and drive innovation. Connect with Our Guest: Sponsor: CorrDyn, a data consultancyConnect with Brant Peterson on LinkedIn  Connect with Us: Follow the podcast for more insightful discussions on the latest in biotech and data science.Subscribe and leave a review if you enjoyed this episode!Connect with Ross Katz on LinkedIn Sponsored by… This episode is brought to you by CorrDyn, the leader in data-driven solutions for biotech and healthcare. Discover how CorrDyn is helping organizations turn data into breakthroughs at CorrDyn.

If you've ever felt burned out seeing client after client and wondered how passive income could fit into your therapy career, this episode is for you. In this episode of The Traveling Therapist Podcast, I sit down with Justin Montgomery to talk about how therapists and other healthcare professionals can step beyond the one-to-one model and build passive income through continuing education courses.Justin shares his journey from burnout as a nurse practitioner to building multiple businesses, including a highly successful CE course company. We talk honestly about what it really takes to build passive income, what works, what doesn't, and how therapists can start thinking like entrepreneurs without losing their professional integrity.In This Episode, We Explore…Why relying solely on one-to-one client work leads to burnout and income ceilings.What passive income actually looks like in a CE course business (and what it doesn't).How developing a strong value proposition is the foundation of a successful CE course.The difference between CE courses people take just to renew a license and courses that truly transform careers.How therapists can launch a CE course before accreditation and add CE credits later.The pros and cons of building a CE course business, including marketing, tech, and scalability.Why memberships and evergreen courses create long-term, recurring passive income.Connect with Justin:Pro Course Start: https://procoursestart.com/podcast/travelingInstagram: https://www.instagram.com/procoursestart25/LinkedIn: https://www.linkedin.com/company/procoursestart/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

State Auditor released their report of  an audit of the Veterans Home at Holyoke. VA in 2026 looks to get EHR rollout back on track, embark on health care reorganization

What does it actually take to build a healthcare company from scratch? In this episode of #TheShot, Eugene Borukhovich and Jim Joyce sit down with Daniel Kivatinos, co-founder of DrChrono, to unpack a real founder journey — from growing up in Queens with blue-collar parents to bootstrapping a healthcare startup through the 2008 crash, betting early on the iPad, and building DrChrono over 13+ years before selling in 2021. This is not a “how to get rich quick” story. It's about persistence, timing, relentless shipping, and ignoring most advice. We talked about:

Chronic Illness can completely change how you work, travel, and live, especially when your career depends on showing up for others. In this episode of The Traveling Therapist Podcast, I sit down with Dr. Sally Riggs to talk about what it really looks like to build a traveling therapist lifestyle while living with chronic illness and long COVID. We talk honestly about burnout, restructuring your business, creating flexibility through telehealth, and how Sally built a travel advising side hustle that supports both her health and her love of travel.In This Episode, We Explore…How Sally transitioned from traditional therapy roles to a fully remote private practice.Living and traveling with chronic illness and long COVID while running a business.Why restructuring her practice was essential for protecting her nervous system and health.How becoming a travel advisor created a portable income stream outside one-to-one therapy.What accessible and chronic-illness-aware travel planning actually looks like in real life.Connect with Dr. Sally:Instagram: https://www.instagram.com/dr.sallyriggs/If you have any psychosis patients to refer: https://www.nyccbtp.comFree Webinar: What You Don't Know You Don't Know About Psychosis: https://event.webinarjam.com/0oxmo/register/8m05miyLinktree: https://linktr.ee/sallyriggsTravel advisor profile: https://www.foratravel.com/advisor/sally-riggs_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Okay. This show today is part of our Relentless Health Value "The Inches Are All Around Us" series. This Inches Talk is a metaphor for finding all those little places where there is healthcare waste as a first step in an effort to excise all these little pockets of waste. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Shane Cerone said this phrase during episode 492, and I loved it because there are inches all around us for sure. And the thing with all these inches that we're gonna talk about today and last week and next week and the week after that, yeah, these are inches that actually you could cut them. And there are millions and billions of dollars, and you actually improve patient care. You improve clinical team experience. Also, you're cutting out friction and making it easier to do the right thing to care for patients. These are no-brainer kinds of stuff if your North Star is better and more affordable patient care, but they are also somebody else's bread and butter in a "one person's cost is another person's revenue" kind of way. So, yeah … what makes perfect common sense might not be as easy as it might look on paper, as we all know so well. So, last week we dug into all of the inches of expensive friction that develop when stakeholders interact—like, a clinical organization and a payer and a plan sponsor, self-insured employer. They try to get paid or pay. They try to direct contract because what will be found fast enough is that the data is not the data is not the data, as Mark Newman talked about last week (EP496); and a dollar is not a dollar is not a dollar. Again, you'll find this out fast enough. All of you know when you talk to entities up and down the patient journey or across the life of a claim, otherwise known as a healthcare transaction. It's mayhem to get a claim paid often enough. Each stakeholder comes in with their own priorities and views and accounting methods and various rollups. I like how Stephanie Hartline put it. She wrote, "Healthcare … moves through many hands without a rail that preserves truth along the way. Attribution breaks, and truth gets reassembled later. The difference isn't capability—it's infrastructure. Line-item billing ≠ line-item settlement." Or I also like how Chris Erwin put it. He wrote, "When the blueprint isn't standardized, you aren't scaling. You're just compounding chaos." And yeah, then all of a sudden when there's no through line, there's no rail that connects all the data to the data to the data, or all the dollars to the dollars to the dollars. Suddenly 30% of any given healthcare transaction goes to trying to straighten it all back out again—to reassemble it, as Stephanie said. It's like unleashing 100 chaos monkeys and then having to pay to recapture them all. Listen to the show with David Scheinker, PhD (EP363) from last year about "Hey, how about we all just use the same template and avoid a lot of this." Or read Zeke Emanuel's book about how the USA should potentially consider copying the Netherlands model because they have private insurance. But they cut admin costs 75% or something like that. Oh, right … through standardization. Jesse Hendon summarized this the other day. He wrote, "Providers don't need armies of coders to fight 50 different insurance rule books [when you have some standardization here]." I say all this to say after recording the episode with Mark Newman from last week, I have become intently fascinated by what goes on in this non-standardized or otherwise friction points between stakeholders. There are a lot of inches in this gray area land of confusion.   This show today digs into one of them, which is what does it take to process a claim? Just technically. What are the pipes involved to submit a claim and, again, get paid for it, which is a healthcare transaction—just simply the technology moving the data around—even if everything in the pipes is a non-standardized hot mess. Because just fixing up the processing and the pipes here—again, while this doesn't solve the entire data isn't a data isn't a data or a dollar isn't a dollar isn't a dollar problem—if we can just cut out some of the processing and the moving the data around costs, just this all by itself is $6 billion a year worth of inches. Plus, as an added bonus, fix up the pipes for better data flow and now patient care can be faster if, for example, the prior auth or etc. processes transpire faster. And clearinghouses have entered the chat. But you know, when clearinghouses come up, at least in my world, when the clearinghouse word gets dropped, it's usually accompanied by like a puff of smoke because no one is quite sure what those guys do all day. So, we all sort of look at each other in the conversation and move on. Lucky for me and possibly you if I've managed to suck you into my web of intrigue, I ran into Zack Kanter from Stedi, a new clearinghouse, who agreed to come on the pod here and aid my exploration into this demarcation zone between stakeholders. So, let's start here. What is a clearinghouse? Well, a clearinghouse is the same thing as a switch when we're talking about pharmacy data transfers, if you're familiar with that terminology and that's helpful. But either way, in the conversation with Zack Kanter that follows, Zack will explain this better; but clearinghouses are like a hub, maybe, that connects all the payers with all the providers. So, if you want an eligibility check or you wanna submit a claim or do a prior auth of the payer, whatever you're trying to do, get paid, you as an EHR system or a doctor's office or an RCM (revenue cycle management) company, you don't have to set up your own personal data connection with every single payer out there. You don't have to go through all the authentications and the BAAs (Business Associate Agreements) and map all the fields and set up the 100 SOC 2–compliant APIs (application programming interfaces). Instead, you can hook up to one clearinghouse, and then that clearinghouse connects with everybody else. So, most medical claims transactions have a clearinghouse in the middle, like an old-timey telephone operator routing your claim or denial or approval of that claim or eligibility check or whatever to the right place. And unfortunately, old-timey telephone operator is a pretty apt metaphor, depending on which clearinghouse you're using. Anyway, Zack Kanter told me that the price to just send and receive an electronic little piece of data in healthcare through a clearinghouse costs about 1,000 times more than any other industry would pay. Like, if you do an eligibility check, that's gonna cost 10 to 15 cents per. The trucking industry pays that much for 1,000 such data transfers. They would riot if someone asked them to spend a dollar for 10 data transfers. That'd be ridiculous in their eyes. But in healthcare, all these dimes add up to, again, $6 billion a year—them's some inches there—which also equal delays in payment and patient care. Now you might be thinking, "Oh, well, maybe it costs this much because healthcare is so much more complicated than trucking or whatever." Well, turns out the opposite is true: Because of HIPAA, ironically enough, healthcare is, in fact, much more standardized (we were talking about standardization before); but healthcare is actually much more standardized than many other industries due to HIPAA's administrative simplification rules, which mandate a universal language for transactions—the pipes I'm talking about now. So, actually, for as much as I was just kvetching about chaos monkeys, compared to other industries, the baseline construct here is actually much more orderly than, for example, the trucking industry or whatever, like Amazon or Walmart has to deal with with their millions of vendors. Now—and here's a really big point, especially for self-insured employers—you know who the main customer is for a lot of the more programmatic, the newer kinds of clearinghouses? I'll tell you: newer digital entities who do RCM (revenue cycle management) for provider organizations, and that can be great if you're a practice just trying to keep up with payer denials and expedite patient care. But look, all you plan sponsors and self-assured employers and maybe unions out there, the more RCM purveyors start working with programmatic clearinghouses, the more you not doing programmatic prepayment integrity programs with unconflicted third-party prepayment integrity vendors who are as hooked into the data streams and the clearinghouses as the RCM vendors are, the more, as I said last week, increasingly you're bringing an ever more rusty knife to a gunfight. So, that is certainly something to consider. There's a whole episode next week about this with Mark Noel from ClaimInsight. Or if you just can't wait, go back and listen to the show with Kimberly Carleson (EP480) just for the gist of it, or the one with Dawn Cornelis (EP285) from a few years ago. They're talking post-payment integrity programs, but a lot of the same rules apply. The show today is sponsored by Aventria Health Group, as usual. But I do want to say that we got some very appreciated financial support from Stedi, the only programmable healthcare clearinghouse. And here is my conversation about all of the inches that are all around us, specifically in the healthcare data pipes, with Zack Kanter, who is the CEO and founder over at Stedi. Also mentioned in this episode are Stedi; Shane Cerone; Mark Newman; Stephanie Hartline; Chris Erwin; David Scheinker, PhD; Zeke Emanuel, MD, PhD; Jesse Hendon; Mark Noel; ClaimInsight; Kimberly Carleson; Dawn Cornelis; Aventria Health Group; Preston Alexander; Eric Bricker, MD; and Kada Health. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at stedi.com. You can also follow Zack and Stedi on LinkedIn.   Zack Kanter is the founder and CEO of Stedi, the only programmable healthcare clearinghouse. Stedi has raised $92 million from Stripe, Addition, First Round, USV, Bloomberg Beta, and other top investors. He has previously appeared on podcasts, including In Depth by First Round Capital, Invest Like the Best, Village Global, and Rule Breaker Investing.   09:47 What things are being paid for that we might not be aware we're paying for in healthcare? 12:09 Why HIPAA actually makes healthcare more standardized than other industries. 15:35 How healthcare is ahead in some ways and behind in others. 18:03 Where do the 4 to 5 days come from in healthcare transaction processing? 20:39 Why these transaction delays affect care delay. 23:14 EP482 with Preston Alexander. 23:18 EP472 with Eric Bricker, MD. 27:10 How should the process work from the time a provider clicks "validate"? 30:19 Why is the clearinghouse the right place to solve all these issues? 31:41 Why are we where we are in terms of these issues? 35:28 Why people should be looking at their clearinghouse costs. 36:59 What to know about Stedi.   You can learn more at stedi.com. You can also follow Zack and Stedi on LinkedIn.   @zackkanter discusses #healthcaretransactions and #clearinghouses on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Mark Newman, Stacey Richter (INBW45), Stacey Richter (INBW44), Marilyn Bartlett (Encore! EP450), Dr Mick Connors, Sarah Emond (EP494), Sarah Emond (Bonus Episode), Stacey Richter (INBW43), Olivia Ross (Take Two: EP240)

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Point-of-care engagement only works when technology serves real clinical workflows instead of forcing new ones. In this episode, Angelo Campano, CEO of Flora Health, discusses how his company bridges pharmaceutical manufacturers, health systems, and digital platforms to deliver relevant content to physicians at the exact moment of care. He explains how Flora helps brands show up inside EHR workflows without disrupting clinicians, why partnerships with health systems and technology vendors matter more than reinventing distribution, and how education closes the language gap between pharma and health IT. Angelo also shares the origin story behind Flora, his contrarian bet on market access over AI hype, and how automating prior authorization and patient assistance can dramatically improve access to therapy, especially for underserved populations. Drawing from his experience as an ultramarathon runner, he explains how “thinking in chapters” applies to building companies, measuring impact, and sustaining long-term innovation in healthcare. Tune in and learn how point-of-care strategy, market access, and disciplined execution can reshape patient access and outcomes! Resources Connect with and follow Angelo Campano on LinkedIn. Follow Flora Health on LinkedIn and visit their website!

Social media marketing can feel overwhelming, especially for therapists who were taught not to self-promote. In this episode of The Traveling Therapist Podcast, I sit down with social media expert Jenna Harding to talk about why social media marketing does not have to be perfect, polished, or complicated to actually work.We dig into why authenticity matters more than ever, how imperfect content can outperform polished posts, and how therapists can use social media marketing to get in front of the right clients without burning out or overthinking every post.If social media has felt intimidating, frustrating, or just exhausting, this conversation will help you rethink how you show up and make it feel a whole lot easier.In This Episode, We Explore…Why social media marketing works better when you show up as yourself.How imperfect, unpolished content often performs better than “perfect” posts.Simple ways to use B-roll content without overthinking what to post.Why engagement, even imperfect or unexpected engagement, helps your content reach more people.How taking small, manageable steps can help therapists get started on social media marketing without feeling paralyzed.Connect with Jenna:Instagram https://www.instagram.com/jennaspaige/Website https://magicmarketingmachine.com/Mentioned in this episode:FREE TRAINING FOR SERVICE-BASED BUSINESS OWNERS to get CLIENTS from Instagram without wasting hours glued to your phonehttps://insurancebillingtelehealth--parkdale-republic.thrivecart.com/magic-marketing-machine-program/67818541e8d40/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Erez Druk, CEO of Freed, was motivated to bring technology to the healthcare environment based on his wife's experience as a family medicine doctor.  Freed was founded to alleviate the provider's administrative burdens by leveraging AI to streamline pre-visit preparation, billing, and EHR maintenance.  The focus is on small and rural private practices, giving them tools to save time, reduce costs, and maintain their independence. Erez explains, "So the need that I identified, together with my wife Gabi, was that clinicians need more time in their lives. They want to spend less time on this admin work and more time again with their patients and families. And that was it, thinking about how we can use these new technologies and feel better products that really take care of that, help clinicians be happier and freer, hence the name Freed. Yes, super proud now to be supporting more than 25,000 clinicians who will use Freed to do a lot of this work for them. So that's how the need was identified for years of watching the pain, let's say."   "But my background is, so I studied mathematics and computer science back in Israel. So I'm originally from Israel. In the Technion, we like to think of Technion as the MIT of Israel. So I studied there as an undergrad, and then I moved to the Bay Area to work for Facebook as an engineer. I was very lucky to start on the same day on the same team with this guy named Andrey, who, 10 years later, after lots of convincing, is my co-founder and CTO. So he is the real technical brain behind what we're doing here. So I worked as an engineer and tech lead at Facebook, and then I started working in my first startup called UrbanLeap." "And with EHR integration- I'm going a bit into the weeds here- but EHR integration is a big problem in healthcare that is mostly unsolved. So, we built an agent, which we call "EHR Push," that goes into the EHR and, like a human, finds the right fields, navigates to the right places, and puts the note and everything in the EHR for the clinician. And it's working amazingly. It saves clinicians a lot of time. And that's another example of how we apply this agentic AI to solve more and more complex problems for the clinician, keep it simple, and just save as much time as we can for clinicians." #FreedAI  #AIscribes #HealthcareAI #ClinicianBurnout #HealthTech #AIinHealthcare #HealthcareAI #MedicalDocumentation #HealthcareInnovation #DigitalHealth #PhysicianWellness #HealthcareEfficiency #MedTech GetFreed.AI Listen to the podcast here  

Erez Druk, CEO of Freed, was motivated to bring technology to the healthcare environment based on his wife's experience as a family medicine doctor.  Freed was founded to alleviate the provider's administrative burdens by leveraging AI to streamline pre-visit preparation, billing, and EHR maintenance.  The focus is on small and rural private practices, giving them tools to save time, reduce costs, and maintain their independence. Erez explains, "So the need that I identified, together with my wife Gabi, was that clinicians need more time in their lives. They want to spend less time on this admin work and more time again with their patients and families. And that was it, thinking about how we can use these new technologies and feel better products that really take care of that, help clinicians be happier and freer, hence the name Freed. Yes, super proud now to be supporting more than 25,000 clinicians who will use Freed to do a lot of this work for them. So that's how the need was identified for years of watching the pain, let's say."   "But my background is, so I studied mathematics and computer science back in Israel. So I'm originally from Israel. In the Technion, we like to think of Technion as the MIT of Israel. So I studied there as an undergrad, and then I moved to the Bay Area to work for Facebook as an engineer. I was very lucky to start on the same day on the same team with this guy named Andrey, who, 10 years later, after lots of convincing, is my co-founder and CTO. So he is the real technical brain behind what we're doing here. So I worked as an engineer and tech lead at Facebook, and then I started working in my first startup called UrbanLeap." "And with EHR integration- I'm going a bit into the weeds here- but EHR integration is a big problem in healthcare that is mostly unsolved. So, we built an agent, which we call "EHR Push," that goes into the EHR and, like a human, finds the right fields, navigates to the right places, and puts the note and everything in the EHR for the clinician. And it's working amazingly. It saves clinicians a lot of time. And that's another example of how we apply this agentic AI to solve more and more complex problems for the clinician, keep it simple, and just save as much time as we can for clinicians." #FreedAI  #AIscribes #HealthcareAI #ClinicianBurnout #HealthTech #AIinHealthcare #HealthcareAI #MedicalDocumentation #HealthcareInnovation #DigitalHealth #PhysicianWellness #HealthcareEfficiency #MedTech GetFreed.AI Download the transcript here  

Today, I'm joined by Sunita Mohanty, co-founder & CEO of Vibrant Practice.   Fixing healthcare's foundational flaws, Vibrant Practice is building the AI-native electronic health record for preventative longevity practices — with tools built for personalized, data-driven care.   In this episode, we discuss building the operating system for modern medicine.   We also cover:   What human-in-the-loop healthcare looks like Why current EHRs fail forward-thinking clinicians Moving from insurance-based to consumer-centered models   Subscribe to the podcast → insider.fitt.co/podcast  Subscribe to our newsletter → insider.fitt.co/subscribe  Follow us on LinkedIn → linkedin.com/company/fittinsider    Vibrant's Website: www.vibrantpractice.com  Contact Sunita: sunita@vibrantpractice.com    -   The Fitt Insider Podcast is brought to you by EGYM. Visit EGYM.com to learn more about its smart fitness ecosystem for fitness and health facilities.   Fitt Talent: https://talent.fitt.co/  Consulting: https://consulting.fitt.co/  Investments: https://capital.fitt.co/    Chapters: (00:00) Introduction (01:37) Sunita's background (02:23) Functional medicine journey (03:30) The inevitability of personalized medicine (04:00) Why providers need better tools (05:00) Current state of EHR (06:30) What makes Vibrant Practice different (08:15) AI-native EHR built for data-driven care (10:30) Integrations for the future (12:45) Serving functional medicine and longevity clinics (15:00) Consumer vs. insurance-based models (17:30) Visualizing patient data over time (19:45) Human-in-the-loop healthcare (22:00) Beta launch (24:15) The "Stripe Atlas" model for new practices (26:30) 2026 roadmap (27:45) Community and ecosystem building (29:00) Technology with intention (30:45) Where to learn more (31:21) Conclusion  

The Big Unlock · Jonathan Bush, Founder & CEO, Zus Health In this episode, Jonathan Bush, Founder & CEO of Zus Health, shares a bold vision for the next phase of healthcare transformation. Drawing on decades of experience, Jonathan argues that while EHR adoption is largely complete, today's systems remain fee-for-service–oriented, creating fragmented views of patients – what he describes as the “blind men and the elephant” problem. The result: clinicians still lack a complete, longitudinal picture of the patient and rely on repeated tests and “bags full of records.” Jonathan explains how Zus Health is re-architecting healthcare data by creating a longitudinal, always-on common patient record. Zus is an API-first platform built on an AI-enabled backbone that aggregates, structures, and continuously updates data across multiple EMRs. He emphasizes the power of network effects, where shared intelligence can eliminate redundant tests and unnecessary care. The conversation also explores why interoperability must move beyond regulatory compliance to become core infrastructure for value-based care, and how AI-driven summarization and agentic workflows can reduce clinician burden while enabling proactive, patient-centered care. Take a listen.

In this episode, Joshua Weber, PharmD, MBA-HCM, CSP, BCMTMS, 340B ACE, Senior Director, St. Luke's Health System, highlights the organization's future-ready pharmacy transformation, including paperless workflows, AI-enabled prior authorizations, EHR-integrated benefits investigations, and expanded specialty drug access for 5,000 more patients.

Trust in health care AI won't happen by hype. It will be earned through transparent standards, independent evaluation, and real-world performance monitoring. In this episode, Dr. Brian Anderson, President & CEO and Co-Founder of the Coalition for Health AI (CHAI), discusses why health care needs a technically specific, use-case-by-use-case definition of “good” AI and how CHAI is building voluntary consensus-driven guidelines around fairness, transparency, safety, robustness, and privacy. He shares how his frustration with bloated EHR workflows pushed him into digital health innovation, then into pandemic-era public-private coordination during Operation Warp Speed, where rapid collaboration revealed what's possible when incentives align. Brian explores CHAI's “AI nutrition labels” (model cards), an emerging registry, and why vendors may opt into scrutiny to speed sales cycles and prove value. He also digs into ambient clinical documentation, performance metrics that matter to clinicians, cost pressure through apples-to-apples comparisons, agentic AI to expand rural access, and the alignment and biosecurity risks that demand vigilance. Tune in and learn how to build and verify AI that improves care without sacrificing safety, equity, or trust! Resources Connect with and follow Brian Anderson on LinkedIn. Learn more about the Coalition for Health AI (CHAI) on LinkedIn. Explore CHAI's website. Learn more about your ad choices. Visit megaphone.fm/adchoices

If marketing your practice feels overwhelming or like you're just throwing money at things that don't work, Google Ads might be something you've considered but never fully understood. In this episode of The Traveling Therapist Podcast, I sit down with Google Ads specialist John Sanders to talk through what Google Ads actually are, why so many therapists lose money trying to manage them on their own, and what really makes them effective for therapy practices.We dig into common mistakes therapists make, how Google can quietly drain your budget if you're not careful, and how to tell whether an agency is truly helping your business or just asking you to spend more. This episode is all about clarity, transparency, and using Google Ads in a way that actually supports your practice.In This Episode, We Explore…What Google Ads are and how they differ from social media advertising.Why Google Ads can be especially risky for therapists who try to DIY them.Common Google Ads traps that waste money without bringing in clients.How to tell if your Google Ads are generating real leads, not just clicks.What kind of ad budget therapists should realistically expect.Why clarity around online therapy and specialization matters so much.When it makes sense to start, pause, or scale Google Ads as a solo practitioner or group practice.Connect with John:Website https://www.revkey.com/podcasts_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

About Angelo Campano:Angelo Joseph Campano is a health IT strategist and operator known as The Original EHR Marketer™, with two decades of experience building and optimizing EHR, point-of-care, and CRM-driven commercial programs. As CEO of Flora Health, he helps healthcare companies turn clinical workflows into measurable growth through disciplined strategy, analytics, and execution. He has held senior leadership roles at Ogilvy Health, OptimizeRx, Doximity, and MDCalc, building new EHR and MCM practices and fixing underperforming ones. Angelo is trusted by global healthcare brands for his direct, results-first approach to EHR promotion, cross-channel optimization, and commercial scale.Things You'll Learn:Getting content in front of physicians only works when it fits naturally into existing EHR workflows rather than disrupting them.Collaboration with health systems and technology partners scales impact faster than building standalone tools.Market access, not AI hype, is where the biggest opportunity exists to improve patient outcomes.Automating forms, prior authorization, and financial assistance removes barriers that prevent patients from starting therapy.Measuring success means tracking how many patients get on therapy faster, not just engagement metrics.Resources:Connect with and follow Angelo Campano on LinkedIn.Follow Flora Health on LinkedIn and visit their website.

Dr. Deb 0:01Welcome back to another episode of Let’s Talk Wellness Now, and I’m your host, Dr. Deb, and today we’re pulling back the curtain on a topic that barely gets a whisper in conventional medicine. Chronic bladder symptoms, biofilms, and the hidden genetic drivers that keep so many women stuck in a cycle of pain, urgency, and infection that never truly resolves. My guest today is someone who is not only brilliant, but battle-tested, like myself. Dr. Kristen Ryman is a physician, a mom, and the author of Life After Lyme, a book and blueprint that has helped countless people reclaim health after complex chronic illness. After healing herself from advanced Lyme, she has spent her career helping patients recover their most vibrant, resilient selves through her Inner Flow program. Her Healing Grove podcast, her membership community, and her deep dive work on bladder biofilms and stealth pathogens. And what I love about Kristen is that she teaches from lived experience. In 2022, she suffered a stroke. And not only survived it, but rebuilt her brain, resolved lateral strabismus, restored balance, and regained her ability to multitask That journey uncovered her own genetic predisposition to clotting, the very same patterns she sees in her chronic bladder patients. And that personal revelation ultimately led to her Introducing this groundbreaking work that we’re talking about today. So let’s get into it, because bladder biofilms, clotting genetics, stealth pathogens, and real recovery is the conversation women have been needing for decades. And we’ll get started. Where did this one go? There we go. Alright, so welcome back to Let’s Talk Wellness Now. I have Dr. Kristen with me, and I am so excited to talk to her for multiple reasons. A, she’s got a fabulous story, and B, she’s an expert in a topic that nobody’s talking about, and I want to learn from her, too. So, welcome to the show. Kristin Reihman 3:07Thank you! I’m so happy to be here, Dr. Deb. Dr. Deb 3:10Thank you. Well, let’s dive right in, because we have so much to talk about, and you and I could probably talk for hours. So, let’s dive into this conversation, and tell us a little bit about yourself and how you got involved in this. Kristin Reihman 3:23Well, I mean, like so many people, I think, on this path, I had, had to learn it the hard way. You know, I had to find my way into a mystery illness, a complex, mysterious set of symptoms that sort of didn’t fit the… the sort of description of what, you know, normal doctors do, and even though I was a normal doctor for many years, nothing I’d been trained in could help me when I was really debilitated from Lyme disease back in 2011, 20212, 2023. And so I kind of had to crawl my way out of that, using all the resources at my disposal, which, you know, started out with a lot of ILADS stuff, you know, a lot of the International Lyme and Associated Diseases Society, resources online, found some Lyme doctors, and then my journey really quickly evolved to sort of, like, way far afield of normal Western medicine, which is what my training is in you know, I think within a year of my diagnosis, I was, like, you know, at a Klingheart conference, and learning all sort of, you know, the naturopathic approach to Lyme, and really trying to heal my body and terrain, and heal the process that had led me to become so, so ill from, you know. A little bacteria. Dr. Deb 4:29Yeah. Yeah, same here. Like, I’ve been an ILADS practitioner for over 20 years, and when I got sick with Lyme, I was like… how did I not realize this? And I knew I had Lyme before I even was ILADS trained, but when I got really sick and got diagnosed with MS, I never thought about Lyme or mycotoxins or any of that, because I was too busy, head down, doing what I’m doing, helping people. And I, too, had to take that step back, not just physically, but more spiritually and emotionally, and say, how did my body get this sick? Like, what was I doing, and what was I not doing? That allowed this to happen, and now look at this from a healing aspect of not just the physical side, but that spiritual-emotional side as well. Kristin Reihman 5:13Totally. I have the same… I have the same realization as I was coming out of it. I was like, wow, this wasn’t just about, sort of, physically what I was doing and not doing. There was something spiritual here as well for me, and I… I feel like it really was a wake-up call for me to get on the path that I’m supposed to be on, the path that I’m on now, really, which is stepping away from the whole medicine matrix model and moving into, you know, working with really complex people. Listening to their bodies, understanding intuition, understanding energy, understanding all these different pieces that doctors just aren’t trained to look at. Dr. Deb 5:46Right? We don’t have time to learn everything, right? Like, you have time to learn the body and the medical side of things, and that’s a whole prism of itself, but then learning the spiritual energy medicine, that’s a completely different paradigm. That’s a full-time learning aspect, and it’s so different than what we learn in conventional medicine. Kristin Reihman 6:04Yeah, it’s a complete health system. Like, it’s a complete healthcare system. Dr. Deb 6:10Yes, and nobody takes it that seriously, but I, for myself, I’ve been spiritual healing for decades, and it wasn’t until I got really sick that I dived deeper into that and looked at what is it in this world that I’m owning, what belongs to generational things that were brought to me from childbirth and other generations in my family that I’m carrying their old wounds. And how do I clear some of that so that it’s not still following me? And then how do I help my kids so that they don’t have to carry what I brought forth? And it’s just… a lot of people, that may sound crazy, but that’s the kind of stuff that we need to be looking at if we want to truly heal. Kristin Reihman 6:54Yeah, and I think it’s also, it’s inspiring, you know, because when people… and I would tell this to my patients with Lyme and these sort of mystery illnesses, like, look, you are on this path for a reason, and this is going to teach you so much that you didn’t necessarily want to learn, but you need to learn. And this… nothing that you learn or change about your lifestyle or the way in which you move through the world is gonna make you a worse person. Like, it’s only gonna sort of up-level you. You know, it’s gonna up-level your diet, and your sleep habits, and your relationships, and your toxic thinking, like, it’s all gonna change for you to get better, and that’s… that’s a gift, really. Dr. Deb 7:27It really is, and I tell people the same thing. Like, we can look at this as… something that’s happening to us, or we can look at this as something that’s happening for us. And that’s how I looked at my MS diagnosis. This was happening for me, not to me. I wasn’t going to be the victim. And you have a very similar story, so tell us a little bit about your story and what kind of catapulted you into this in 2022. Kristin Reihman 7:52Well, by 2022, I was, like, 10 years out of my Lyme hole, and I had been seeing patients, you know, I had opened my own practice, and I was working for another company, seeing, families who have brain-injured children. I was their medical director, still am, actually. And so I was doing a patchwork of things, all of which really fed my soul. You know, all of which felt like this is, like, me, aligned with my purpose on the planet. And so, based on a lot of my thinking, I sort of figured, okay, well, I’m good now, right? Like, I’m on my path now, like, the universe is not going to send another 2×4. And then the universe sent another 2×4. And in 2022, I had an elective neck surgery. You kind of still see the little scar here for my two-level ACDF. Because I had crazy off-the-hook arm pain for, like, a year and a half that I just finally became, like, almost like it felt like I was developing fasciculations and fiery, fiery pain, and I just got the surgery, and the pain went away. But when I woke up, I was different. I didn’t have a voice. Which is a common side effect, actually, of that surgery that resolves after a few months, and in many cases, and mine did. But I also didn’t have, normal balance anymore, and my right eye turned out a little bit, and I couldn’t multitask. And my job is all about multitasking. As you know, with very complex people in front of you, you’re hearing all these pieces of their story, and you’re kind of categorizing it, and thinking about where they fit, and you’re making a plan for what to work up, and you’re making a plan for what to wait until next time. It’s like all these pieces, right? You’re in the matrix. And I… I couldn’t hold those pieces anymore. And I didn’t realize that until I went back to work a couple months after my, surgery, because my voice came back and was like, okay, well, now I’m going back to work. And then I realized, I can’t do simple math. In fact, I can’t remember what this person just said to me, unless I read my note, and I can’t remember taking that note. What is going on? And so I had a full workup, and indeed, I had some neurological deficits that didn’t show up on an MRI, so they must have been quite tiny. Possibly were even low-flow, you know, episodes during my surgery when my blood pressure drops really low with the medicines that you’re on for surgery. But I, basically had, like, a few mini strokes, and needed to recover from that. So that was sort of the… that was the 2×4 in 2022. Dr. Deb 10:09Wow. So, what are, what are some of the things that you learned during that process of that mini-stroke? Kristin Reihman 10:17Well, the first thing I learned is that, something that I already knew from working with the Family Hope Center, which is that organization I mentioned that helps families heal their kids’ brains, I know that motivation lives in the ponds, and if you have a ding or a hit to the ponds, like, you don’t want to get out of bed in the morning, you don’t want to do the work it takes to heal your brain, in my case. And I remember spending several months in the fall of 2022 just sort of walking around my yard. With my puppies, being like, This is enough. I don’t really need to work anymore, right? Like, I don’t… why do I need my brain back? Like, I don’t need to have my brain back to enjoy life. You know, I’ll have a garden, I have people I love and who love me, like, why do I need to work? Like, my whole, like, passion, purpose-driven mentality and motivation to kind of do and be all the things I always strive to do and be in the world, was, like, gone. It was really interesting, slash very alarming to those who knew me, but being inside the brain that wasn’t really working, it wasn’t alarming to me. I was just sort of like, oh, ho-hum, this is my new me.Well, luckily I have some people around me, I like to call them my healing team, who sort of held up a mirror, and they’re like, this is not you, and we’re gonna take you to a functional neurologist now. And so, I ended up seeing a functional neurologist who, you know, within… within, like probably 6 visits. I had all these, like, stacked visits with him. Within 6 visits, my brain just turned on. I was like, oh! Right! I need my brain back! I gotta fix this eyesight, I gotta get my balance back, and I gotta learn how to do simple math again and multitask. So, after that sort of jumpstart, I actually did the program that I, you know, know very well inside and out from the Family Hope Center, where I’d been medical director for 10 years. And, it’s a hard program, it’s not… not for wimps, and it’s certainly… I wasn’t about to do it when I had no motivation, so I’m really grateful to the functional neurologist who helped me kind of, like get my brain… get my pawns back, and my motivation back, my mojo. And then I’m really grateful to the Family Hope Center, because if I didn’t have that set of tools in my back pocket, I would still have an eye that turns out to the side, I would still have a positive Romberg, you know, closing my eyes, falling over backwards, and I would still have, a lot of trouble seeing patients, and probably wouldn’t be working anymore. Dr. Deb 12:32I can totally relate to that. When I got my MS diagnosis, you know, there’s a period of time where you go, okay reality kicks in, and I’m thinking, okay, how long am I going to be able to work? How long am I going to be able to play with my kids and my grandkids and be able to be me? And I started looking at, how do I sell my practice, just in case I need to do this? How do I step back? And I spent probably about 9 or 10 months in that place of, this is gonna be my life, and it’s not gonna be what I’m used to, and, you know, how are we gonna redesign my house, and do this, and that, and… Finally, my husband looked at me one day, and he’s like, what the hell is wrong with you? And I was like, what are you talking about? He’s like, this is ridiculous. He’s like, you fix everybody else. He’s like you can fix yourself. Why do you think you can’t fix yourself, or you don’t know the people that can fix you? You need to get out of this, and pick yourself up, and start doing what you tell your patients. And… and I sat there, and at first I was like just did he know that I’m sick? Like, I have MS. I took that victim mode for a little bit, and then I went, no, he’s right. Like, this is my wake-up call to say, I can reverse this, I can fix this, and total, total turnaround, too. Like, I started reaching out to my friends and colleagues, because I kept myself in this huge bubble, like, I didn’t want anyone to know what was going on with me, because I was afraid my patients wouldn’t see me, what are my staff going to say? My staff are going to leave, and if I lose my business, what am I going to do? And da-da-da-da, all those fears. And then… when I finally started opening up and sharing with people, people started bringing me other people, and you need to talk to this person, you need to talk to this person. They connected me here and there, and this place, and 18 months later, I was totally back to normal again. And now my practice is growing, and we’re adding on, and it’s bigger, and I’m taking on more projects than I feel like myself, and… and I was a lot like you, too. Like, I couldn’t remember my protocols that I’ve done for 20 years. I had to depend on what was in the EHR to pull forward, because I always had them in my notes, so I didn’t have to type them all the time, but I was like I have to pull that forward, because I don’t remember the name of the supplement that I’ve used for 15 years. I don’t remember what laps I’m ordering. I don’t remember the normal values of this stuff. And now it’s back on the tip of my tongue, but at the time, it was a little scary, for sure. Kristin Reihman 14:47Wow, so scary. Well, that’s a remarkable story, and why I can’t wait to have you on my podcast, but I’m really… I’m really happy that you had a healing team around you, too, who was like, yeah, nope, that’s not your… that’s not the train we’re on. Get off that train. Come back on your usual train. What are you doing over there? Dr. Deb 15:03Yeah, and you know, I hope that a lot of patients have that, or people that are experiencing this have that, but there’s so many people who don’t have that. And they need somebody, they need somebody in their corner, like we had in our corners, to help pick them up and say, this doesn’t have to be your reality. It can change, but it is a lot of work, like you said. It’s a lot of work. It’s not… Kristin Reihman 15:25Yeah, no, it’s a lot of work. So when I started off. I was work… I was doing probably 4 hours a morning, like, 4… basically, my entire morning was devoted to brain training and healing my brain through the ref… you know, we… I mean, I can get into the details of it, but basically it’s a lot of, like, crawling on the floor. On your belly, creeping on your hands and knees, doing reflex bags to stimulate, you know, more blood flow to the brain, doing a lot of smells. You know, and just staying with it, you know? And I remember balking, even in the beginning, I was, like, seeing some changes, I was feeling more motivated. I remember feeling this… I started noticing it was changing about 2 weeks in, when I would get up in the morning. And I would… I noticed I would start… I would do my, like, beginnings of the day, I would get the kids on the bus, I would do everyone’s breakfast, I’d do the dishes, and I’d be, like, sitting down and being like, hmm, like, what am I supposed to be doing now? Like, where… What is my purpose today? And because I had this plan, I was just like, well, I know that has to happen, so I may as well do that now. And I would get on the floor, and I would start crawling down the length of our hallway. And within about 8 laps, I would feel my brain, like. I felt like it integrating. I would feel things, like, just coming online, and I’d be like, oh, right. I know who I am, I know what I’m doing today, I have these other things this afternoon, I gotta get this done before noon, and I would do it. But it was really interesting, and I’ve never been a coffee drinker, but when I thought of what that felt like, to me, that’s how people often describe, like, my brain doesn’t wake up until I have coffee. I never needed coffee to have… my brain woke up before I’d wake up, and I’d be like, bing, and I’m ready to go. But when I had the brain injury for those 9 months, it wasn’t that way the whole time. In the beginning, it was very hard to get my brain back in the morning, and it was creeping and crawling that would pull it in. Dr. Deb 17:08Wow. Is there one particular thing that you did that you felt made the biggest difference to rebuilding your brain? Kristin Reihman 17:15Crawling on my belly like a commando, wearing elbow pads, knee pads, actually two sets of knee pads, wearing toe shoes, and just ripping laps on my floor. Dr. Deb 17:26Oh, and that’s so simple to do. So why does that work? Kristin Reihman 17:31So interesting, and I… this is the kind of… this is the… the story of this is something that I think is bigger than all of us, and I wish everybody knew how to optimize your brain using just the simple hallway in your house. But essentially, if you take a newborn baby. And you put them on mom’s belly, and they’re neurologically intact, and maybe you’ve seen videos of this. There used to be a video circulating about a baby born onto mom’s belly, nobody touches the baby, and in about 2 minutes and 34 seconds, that baby crawls on its belly, like, uses arms, uses its toe dig with its little babinsky, and pushes its way up to mom’s breast. Latches on with its reflexes, and there you go. That baby keeps itself alive through its primitive reflexes. So it’s essentially telling its brain, every time it runs those reflexes, every time it does a little toe dig, every time it, like, swings its arm across in a cross-later, hetero… what do we call, a homolateral pattern. That little baby is getting a message to its brain that says, grow and heal and organize. And because all the reflexes come out of the middle and lower brain stem. That’s the part of the brain that’s organizing as a baby. And as a baby grows and does the various things a baby does using its reflexes, like eventually on its belly, crawling across the floor, and then popping up to hands and knees, and creeping across the floor, and eventually standing and walking, all of those things are invoking a different set of reflexes that tell the brain to grow and heal and organize. So it’s almost like the function creates the structure, and if you run those pathways again and again and again your brain will get the message to basically invoke its own neuroplasticity, and that’s how a baby’s brain grows. And it turns out, any brain of any age, if you put it through those same pathways, it will send a message of neuroplasticity to the brain, and the brain will grow and heal and organize. Dr. Deb 19:16That was going to be my question, is why aren’t we using this for elderly people with dementia, or Alzheimer’s, or stroke, or Parkinson’s, or things like that, to help them regrow their brain? Kristin Reihman 19:28Well, because number one, nobody knows about it. Number two, even when people do know about it, nobody likes to be on the floor like a baby, creepy and crawling. And least of all the stubborn old people with dementia who are, like, who don’t even think they have a problem. I mean, the problem with the brain not working, as I discovered, and it sounds like you discovered, too, is the brain that’s not working doesn’t know it’s not working, or worse, doesn’t care. You know, and so it’s tricky with adults. With kids who, you know, you have some sort of power over, you can often make your kids do things that they don’t want to do, like eat their vegetables, or creep and crawl on the floor for 80, you know, 80 laps before they get to go, you know, do their thing. But adults are a little trickier. Dr. Deb 20:10Is there another way for us to be able to do that same thing without the crawling on the floor? Like, could they do it in a sitting motion, or do they need that whole connection to happen? Kristin Reihman 20:21Well, they need to be moving in a cross pattern, and they need to be moving their arms and their legs in such a way that stimulates the reflexes. But you can do that on your bed, you can do it face down on your bed by getting into a pattern, and switching sides and, you know, moving your legs and your arms in the opposite… in the, you know, an opposite cross pattern, and that will get you some of the benefit. And we, in fact, we have… we work with kids who are paralyzed and who don’t… aren’t able to independently move forward in a crawling pattern, who have people coordinating their movements so that they get the same movement, and the brain registers it, and they do make progress, and some of them eventually. Crawl, and then creep, and then walk. Dr. Deb 20:59Wow, that’s so… and it’s so simple and easy for people to do. Kristin Reihman 21:04Well, it’s simple. I don’t know that it’s easy. I do… I do… having done it myself, I will say it’s probably the hardest thing I’ve ever done, was literally crawl my way out of that brain injury. And I’m so glad that I knew what to do, and I’m so glad I had people push me to remind me that it was important, because… I’ll even… I’ll share another story of my own resistance. So, about 2 or 3 weeks into it, I was up to 300 meters of crawling on my belly. And 600 meters of creeping on hands and knees, which was really killing my knees, which was why I was wearing two knee pads. And, I started to get this feeling that maybe I wasn’t doing enough. Like, even though I was noticing changes, and even though I was feeling more purpose, and I was getting organized in the morning, I could tell it was making a difference. I… I knew, I remembered that usually the kids on our program are doing a lot more than that, including my own… my youngest kids, but I made them creep and crawl, even though they didn’t have serious brain injuries, I just thought, we’re gonna optimize everyone, get on the floor, get on the floor. Lord so I was… I was nervous about not doing enough, so I… I reached out to the member… one of the members of the team, and I said, you know, hey, Maria, what’s… what do you think about my numbers? And here’s a… here’s a video of me creeping and crawling, what do you think? Am I doing it right? And she said, you’re doing it right, but how many, how many meters are you doing? And I said, I’m doing 300 meters of crawling on my belly, and 600 meters of creeping, and she’s like, oh. Yeah, that’s not nearly enough for an adult. She’s like, Matthew probably gave you those numbers because he felt bad for you and thought you were going to be still working. He didn’t know you were going to take off from patients. Now that you’re… since you’re not working, you need to do more. I was like, okay, tell me… tell me how much I’m supposed to do. And she goes, you need 900 meters of crawling on your belly, and 3,600 meters, 3.6 kilometers of basically crawling on my hands and knees. Dr. Deb 22:51Oh my gosh. Kristin Reihman 22:52And I just shut down. Dr. Deb 22:54Yeah. Kristin Reihman 22:55I was like, okay, screw it. I’m not doing it. Dr. Deb 22:58And I spent a day or two just not doing it and feeling petulant, and then I was like, you know what? Kristin Reihman 23:01Forget that, I was noticing some benefit. I’m gonna do my 300-600. So, the next day, I went and did 300 and 600 while my daughter was at physical therapy, and we got back in the car, and I said, hey, I’m so excited, I finished my… all my creepy and crawling, and it’s only 10 a.m. on a Saturday, I’m done for the weekend. And she did this. She’s sitting in the car, she looks at me, she goes. Was that your whole program, or was that a third of your program? Dr. Deb 23:28How old is she? Kristin Reihman 23:01Well, she’s, like, 20 now, but she was 18 at the time, and she… she had my number, and I was like, Tula! How can you say that? I’m working so hard! And she’s like, Mom? You need to stop seeing patients completely, and do what they tell you at the Family Hope Center. Because we’re your family, and this is your brain we’re talking about, and we need you to have all your brain back. And I must have looked terrible, because she goes, too much? Dr. Deb 23:54You raised a good daughter. Kristin Reihman 23:58And I was like, well, let me tell… let me ask you, do you mean that? She goes, yeah, I really mean that. I’m like, then it’s not too much. I needed to hear that. Thank you. And I went home, and I finished another 600 of crawls. I didn’t… I never got up to 3,600 of creeps. It was just too much for my knees. I got to 900 and 900, but that was the end of my resistance, and I just did it. Dr. Deb 24:17I just did it. Yeah, your family needed you, right? I mean, when somebody in your family that you love tells you they need you, that’s a huge motivating factor. Kristin Reihman 24:27Yeah, yeah, I’m so grateful for that. So, I did that for 9 months, and at the end of 9 months, my eye was straight and stayed straight, my balance was back, I was multitasking again, and I could take, you know, days and days off of creeping and crawling and not notice a dip. I was like, I’m done. Dr. Deb 24:45Wow, that’s awesome. Kristin Reihman 24:46Yeah. Dr. Deb 24:47During this process, you also discovered that you’re part of 20% of the people with clotting genetics. Tell us a little bit about that. What’s your understanding in that? Kristin Reihman 24:58Well, so, I’ll back up. So, before I had my stroke, I had already been seeing patients with really complex, you know, patients like yours, really complex stories, lots of different things going on, kind of the perfect storm for if they got a tick bite, they tanked. Dr. Deb 25:12and… Kristin Reihman 25:13And I’m one of those people, and my patients were those people. And about 7 years ago, I had one of these patients who said to me, you know, I’ve never told you this, but when I was in my 20s, I had so many bladder infections, so much, like, you know, kind of interstitial cystitis, they said it was, and they said it wasn’t an infection, but it felt like one. And I’ve been doing a little research, and I’ve learned about this woman whose name’s Ruth Kriz, she’s a nurse practitioner, and she sees Patients, and she has… she works with practitioners, and she basically heals interstitial cystitis. And I want you to work with her, I want you to learn from her. And I was like, I’m game. That sounds really interesting, I have no idea what she’s doing, and you don’t usually hear the words cure and interstitial cystitis in the same sentence, so, like, I’m in. So I reached out to Ruth, and long story short, I’ve been working with her for the last 5 or 7 years basically increasing the number of patients who I’m diagnosing now with these hidden bladder infections that are really often what’s at the root of these interstitial cystitis symptoms, meaning, you know, you go to the doctor, you pee in a cup, they look for something, they say there’s no infection here, so, you know, you’re probably crazy, or, you know, you probably have just a pain syndrome, we can’t help you. And actually, if you look with a much more sensitive test, and if you break down the biofilms where these bugs kind of are living in the bladder, you find them. And then you can treat them, and then people get well. So I knew about this, and I, didn’t have any bladder infections that I knew about, and what I did start to think about after my stroke was, well, maybe, since these people who have these bladder infections often have issues breaking down biofilms, the same genetics that lead you to have trouble breaking down biofilms, which are these places where the bugs are kind of hiding in your body, have trouble breaking down clots. And I just had some strokes. I wonder if I have maybe some of these clotting genetics that I’m looking for in all my bladder people. And so I looked, and surprise, surprise, I had not one, not two, but, like, six of them. Ruth said to me, Ruth said, Darlin, I don’t know how you’re standing up. This is more than I’ve ever seen in any of my patients. And she’s been doing this for, like, 4 years now. I was like, oh boy, that’s not good. But in retrospect, it made a lot of sense to me, because having the clotting genetics I have. puts me at risk for severe, you know, chronic Lyme that’s intractable, which I had. It puts me at risk for trouble with, you know, having surgery and clotting and, you know, low blood pressure and low flow states. It puts me at risk for the cold hands and cold feet that I had my entire life until I started treating the clotting issues by taking an enzyme that breaks down little microclots. I mean, I was the person in med school who’d put my hands on people, be like, I’m so sorry. My hands are ice. Warm heart, cold hands, warm heart. Yeah, not anymore, because I’ve treated it. But yeah, so I was surprised slash not surprised to find that I’m one of the people in my community who is a setup for chronic infections and, strokes and bladder infections. Dr. Deb 28:22So you just had that predisposition that took you down that path. Kristin Reihman 28:28Yeah, I think so. Dr. Deb 28:30What are some of the layers of biofilm and the stealth pathogens, like tick-borne diseases and things like that, hiding inside us that… what are some of the symptoms look like, and how do they look different in people with clotting disorders versus the common tick-borne disease? Kristin Reihman 28:47I would say they’re very similar, so it tends to be poor peripheral circulation, so if you put your hands on your neck, and your hands feel cold to your neck difference in the heat, right? The amount of blood flow in your sort of axial skeleton and area as compared to the periphery. And that can indicate a biofilm kind of predisposition or a clotting disposition. It doesn’t necessarily mean it’s there, but it’s a clue, right? Another clue is a family history of any kind of clotting disorders. So, miscarriages, heart attacks, especially early heart attacks, strokes, especially strokes in young people. These things are… are clues that we should probably look for some kind of clotting issue. And of course, in my population, I’m always thinking about it now, because if you have not been able to get well with the usual things for Lyme disease, for example, or Babesia or Bartonella, all of which, by the way, can form biofilms or, you know, love to live and hide in biofilms, then chances are your body’s having a hard time addressing those biofilms. And it turns out, so the connection between the clotting and the biofilm piece is that the same proteins that our body uses to break down Biofilms are used to break down microclots, blood clots, and soluble fibrin, which are the sort of precursors to those clots. And so, if we have an issue kind of grinding up those just normal flotsam and jetsam in our blood flow, then our blood flow is going to become sticky, and our blood will become sort of stagnant and sludgy, and that’s sort of a setup for not being able to heal from infections. Dr. Deb 30:25Is one of the genetic markers you look at MTHFR? Kristin Reihman 30:28I look at that, but I don’t consider that a clotting issue, unless it leads to high homocysteine. So, homocysteine can be either high or low, they’re both problematic. And MTHFR can create either an over-methylation situation, and sometimes if people have low homocysteine, it’s almost worse, because they’re such poor detoxers that they can’t actually get anything out of their system, and they get sludgy for that reason. But I think in terms of the clotting, the bigger issue is high homocysteine, which, you know, typically the MTHFRs, the 1298 would be more implicated for that. Dr. Deb 31:02Yeah, it kind of sets you up. Dr. Deb 31:04Yeah, yeah. Kristin Reihman 31:05I’m curious what you’re seeing. I know since the pandemic, we see a lot of people with elevated D-dimer levels.Are you seeing some of that in your practice, too? Like, we’re seeing more of it, and now that you’re talking about this, I’m wondering if some of those people are predisposed to some of these genetic makeups, and that’s why we’re seeing such a high rise in that.It… and this is connected, and it’s a piece we’re missing. Kristin Reihman31:29Yes, I do think it’s a piece we’re missing. There was a very interesting study that came out of South Africa. A physician in his office did a clinical study on his patients using 3 blood thinners. So he put people on Plavix, and Eliquis, and aspirin, all at once. It… yeah, you’d be hard-pressed to find a doctor in the States to, like, you know, kind of risk that, because most people don’t even want people on aspirin and Flavix at the same time. Dr. Deb 31:55But Kristin Reihman 31:56They put them on 3 different blood thinners, people with long COVID, and in 6 months, 80% of those people were completely free of symptoms. Dr. Deb 32:04Wow. Kristin Reihman 32:05Yeah, yeah. Now, my question is, what about that 20%? Like, what’s going on with them? And I suspect, they weren’t looking at the other half of the pathway, because when you give a blood thinner, you’re not doing anything to help the body break down clot. You’re simply stopping the body from making more of it. And you rely on the body’s own mechanisms, you know, plasminogen activating inhibitor, for example to kind of grind up those clots and take them out. But when people have a mutation, say, in that protein, they’re not going to be able to grind up the clots, and so my suspicion is the 20% of people who didn’t get well in that study were people who had issues on the other side of the pathway. Dr. Deb 32:44Yeah, they weren’t able to excrete that out and maybe have some fiber and issues and things like that, and that wasn’t being addressed. Kristin Reihman 32:50Yeah Dr. Deb 32:51Yeah Kristin Reihman 32:52Of course, COVID makes its own biofilm. There’s a whole… there’s a whole new, you know, arm of research looking at sort of the different proteins that get folded in the body when COVID spike proteins are in there, kind of creating these almost, like, little amyloid plaque situations in your blood vessels. So, I do think that people who can’t break those down are really at risk for both COVID and the shots. You know, the spike protein comes at you for both of those, right? Dr. Deb 33:17Yeah. Did you use any lumbrokinase or natokinase in your situation? Kristin Reihman 33:22So lumbar kinase is what I use. It’s my main player. I use the Canada RNA one, which is, you know, I think, you know, more studied than any of the other ones, and because of its formulation, it’s about 12 times more potent than anything else out there. So that’s what I’m pretty much on for life. You know, that’s… I consider that kind of my…My… my main game. Dr. Deb 33:44Yeah, I agree, I love Limerocheinase for that, that’s really good. So you recently hosted a retreat around this topic. What were some of your biggest aha moments for the participants as they started unraveling some of these biofilm layers? Kristin Reihman 34:00Yeah, no, it was so fun. My sister and I host retreats together. She came out from California and did the yoga, and I did the teaching about biofilms and bladder issues, and it was really fabulous, because a lot of these folks are people already in my community. A few of them were new, and so we had this wonderful Kind of connection, and learning together, and just validation of what it is to live with symptoms that are super inconvenient, you know? Like, one of the… one of the members even, or participants even brought a big bag of, like, pads, and she’s like, listen, ladies. This is what I’m going to use to get through the week. If you want to borrow, I’ll put my little stash over there, and I think they all went by the end of the week. So we… my aha moment was just how powerful it is to be, hosting community and facilitating conversations where people really feel seen and heard, and just how important that is, especially post-COVID, right? When we, you know, so many people just really missed that piece of other humans. And, yeah, I love… I love being able to help people connect around stuff like that. Dr. Deb 35:00That’s awesome. So, for people who are listening that have that mystery, quote-unquote bladder issue, frequent UTIs, interstitial cystitis symptoms, or pelvic pain, or bladder spasms. Where should they start, and what are the first clues that tell you this is biofilm-driven? Kristin Reihman 35:20So, I think it’s always a good idea to… to do a test, you know, to take a microgen test. There’s a couple companies out there, I think Microgen’s the one that I rely on more than any of the others, and it requires, you know, not only doing a very sensitive test like Microgen, but breaking down biofilm before you take it. So, I always encourage people to take a biofilm breaker like lumbrokinase for 5 days leading up to the test, so you’re really grinding into the bladder wall and opening up those biofilms so that when you catch whatever comes out of your bladder, there’s something in there. If you don’t have bladder biofilm, nothing will come out, and you’ll have a negative test, and that’s usually confirmatory. If you’ve done a good provoking with BLUC or, you know, lumbrokinase for 5 days, and nothing comes out then I usually say mischief managed. That’s… that’s a great… that’s great news for you, right? And most people in my community, when they look, they find something, because, you know, not for nothing, but you’re in my community for a reason, right? Dr. Deb 36:17And so… Kristin Reihman 36:18So, yeah, and typically then we need to get into the ring with those bladder biofilms, and it doesn’t… it doesn’t usually take one or two tests, it’s many tests, because the layers are deep. I’m working with children, too, and even in small kids, they… if they have the right genetics, and if they’re living in an environment that is… that kind of can also push them to make more biofilms, like living in mold, for example, is a huge instigator of inflammation and biofilms, and also, you know, microclots and fibrin in the body. then those layers can go deep. And so, we’re peeling the layers one at a time, and we’re treating what comes out, and supporting people along the way. Dr. Deb 36:57With these microgen tests, can you find biofilms in other parts of the body as well, or is it primarily bladder? Kristin Reihman 37:03No, you can find… you can culture… and you can send a microgen PCR for any… any, you know, secretion you want. So they have a semen test, they have a vaginal test, they have a nasal test, you can send sputum, you can culture out what… you can stick a swab in your ear. There’s all sorts of… anything that you can put a swab in, you can… you can send in there. Oh, that’s awesome, that’s amazing. Yeah. Dr. Deb 37:26So, once you identify the drivers, genetics, environment, stealth infections, what does an effective treatment or reversal process look like for people? Kristin Reihman 37:36For the… for the bladder in particular? Well, I wish I could say it was herbs or oxidation, which are my favorite things for Lyme. I haven’t found those to work for the bladder, and so I’m using antibiotics. Which, even though I’m a Western-trained MD, it was not my bag of tricks. You know, when I left, sort of, the matrix medicine model, I really stopped using those things as much as possible, and I’ve had to come back to them, because they really, really work, and they’re really, really needed. So I love it if someone else out there is getting results with something other than antibiotics, please contact me and let me know, because I have plenty of patients who are like, really? Another antibiotic? I’m like, I know. But they work. We also do a really careful job, you know, I work with Ruth Kriz on every case, and we do a very careful job in finding the drug that’s going to be the least broad spectrum, and that’s really only going to tackle the highest percentage bug there. So, MicroGen does this really cool thing. It’s a PCR, next-gen sequencing, they’re looking at genetics, so you don’t have to have it on ice, it can sit on your countertop for a month, and you can still send it in. And they, they, they categorize by percentage, like, what’s there. And they’re not just looking for the 26 or 28 different bacteria that you would get if you were looking at a culture in your doctor’s office. They’re looking for 57,000 different organisms. Fungal and bacterial, yeah? And so, this is why I say, if there’s something there, and you’ve broken down the biofilm, microgen will find it. Dr. Deb 39:06That’s really great. That was going to be my question, is does it pick up fungal biofilms as well? So I’m so glad you mentioned that, because a lot of times with bladder stuff, it’s fungal in that bladder, too, and then we’re throwing an antibiotic at it and just making it worse if it’s fungal in there. Kristin Reihman 39:21Yeah, yeah, that’s… they… and I recently saw one, I had a little Amish girl who came back with 5 different fungal organisms in her bladder. And a whole flurry, a slurry of bacteria, too. Yeah, pretty sick. And that’s usually an indication that you’re living in mold, honestly. Dr. Deb 39:37Now, conventional medicine treats the bladder as a sterile organ, and rarely looks at biofilms. Why do we believe that this has been overlooked for so long, and what are they missing? Kristin Reihman 39:53Dr. Dr. Deb 39:53I’m loaded up. Kristin Reihman 39:54One of the many mysteries of medicine. I have no idea why people are like, la la la, biofilms. I mean, we know, so when I say we know, so when I trained, you know, I trained at Stanford for my medical school, I trained at Lehigh Valley for residency. Great programs, and I learned that, oh yes, biofilms, they exist in catheters of bladders. When people have an indwelling catheter for more than a month and they spike a fever, it’s a biofilm, but it’s only in the catheter. Really? Why does it stop at the catheter? Dr. Deb 40:23Yeah. Kristin Reihman 40:25Or, you know, now chronic sinusitis, people are recognizing this is a bladder… this is not a bladder, this is a biofilm infection in your sinuses. But we’re really reluctant to kind of admit that there’s, you know, that we’re teeming with microorganisms, that they might be setting up shop, and for good, right? Like, it’d be great if they were in biofilms as opposed to our bloodstream. Like, we don’t want them in our bloodstream, so thankfully they wall themselves off. But yeah, I think they’re everywhere. I mean, they found a microbiome in the brain, in the breast, in the, you know, the lung. There’s microbiome, there’s bugs everywhere. And the question is, are they friend or foe? And the bladder really shouldn’t have anybody in it. Because, think about it, you’re flushing it out, you know, 6 times a day. You know, most people who can break down biofilm because their clotting genetics are normal, and because they’re peeing adequately, will never set up an organism shop in their bladder. Even though things are always crawling up, we’re always peeing them out. Dr. Deb 41:23Yeah. Kristin Reihman 41:23And then there’s the 20% of us who… Who aren’t that way. Dr. Deb 41:30Oh, so you run the Interflow program and a number of healing communities. What tools and teachings have been the most transformational for people going through this journey? And tell us a little bit about the Interflow program, too, please. Kristin Reihman 41:44Okay, maybe I’ll start there, because honestly, I have to think about the which tools are most transformational. The Interflow program is my newest offering, and we developed it because my team and I were looking around at the patients we had, and so many folks were needing to go down this… we call it the microgen journey, like, get on the microgen train and just start that process. And there was just a lot of hand-holding and support, and… education that they were requiring. And by the way, their brains aren’t working that great, because when you have these infections, you know, you’re dealing with, like, downloads of ammonia from time to time from the bladder organisms, you’re dealing with a lot of brain fog, overwhelm, you know, there’s just a lot of… you know how our patients are, they… they… they’re struggling, and they really need a lot of hand-holding, and so we were providing that. But we kept thinking, like, gosh, it would be great to get these guys in community, like you know, we can say all we want, like, you know, it’s important to check your pH, it’s important to, like, stay on top of the whatever, but it’d be great to have them hear that from one another, and to have them also hear, sort of, that they’re not alone. So, because we had some experience running communities online, which we started during the pandemic and has been super successful, we said, let’s do this, let’s create a little online community of our inner… of our, you know, call them… informally, we call them our bladder babes. But, like, let’s create a community of people who are looking to really heal and get to this deep, deep root that no one else is doing. And that was really the key for me, that nobody else is really doing this. Very few people are doing it or aware of it. I wish that weren’t the case, but as it stands now, it’s pretty hard to find someone to take this seriously. Most doctors, if you even take a microgen to them, they’ll say, oh, there’s 10 organisms on here, that’s a contamination. That must be contaminated. Well, yeah, buy your biofilms, but they don’t know about biofilms, so they think it just comes from the lab. Dr. Deb 43:31Something. Kristin Reihman 43:32I don’t know. But, yeah, basically it was because I felt called to do this service that no one else is providing, and I wanted to do it in a way that was going to be really optimally supportive for people. So we created a membership, basically. Dr. Deb 43:44Do you see a difference in men and women? Obviously, women have this problem more than men, but do you see a difference in how many men that have these self-infections or live in mold compared to women? Kristin Reihman 43:57I… it’s hard to know, really, what the, sort of, prevalence is out there, I will say, in terms of who calls our office. Dr. Deb 43:03It’s, you know, 95% women call our office. Kristin Reihman 44:08And occasionally, we’ve had someone call our office on behalf of a husband or a son. I just saw a woman whose 2-year-old son is in our Bladder Babes community. But typically, it’s the women who are seeking care around this, and I don’t know if that’s a function of their having more of the issues. I suspect it is, because as you said before, so many more women deal with these complex mystery illnesses than men.But there certainly are men who have them. Dr. Deb 44:33Yeah. So, you’ve lived through Lyme, chronic illness, stroke, and now biofilm-driven bladder issues, and you’ve come out stronger. What mind shifts helped you stay resilient through all of these chapters? Kristin Reihman 44:50I think there have been many. I think the first one I had to really, Really accept and lean into and kind of internalize. Was this idea that, I… I couldn’t… I didn’t have to do the work that I was doing. Dr. Deb 45:09You know? Kristin Reihman 45:09In order to be of value to the world. You know, I’d trained in a certain way, I had, you know, I had this beautiful practice. I was working in the inner city, I was working with my best friend, we were seeing really needy people who had no money, and it felt really, like, you know, I felt very sort of service-driven and connected to a purpose. And I think the hardest thing in the beginning for me was realizing, I can’t do that work anymore. That’s not the work that I’m… needing to do, and to make a leap into the unknown. It felt like, you know, having a baby at 45 and not doing any ultrasounds, or any tests, and just being like, I’m birthing something here. I don’t know what it is, it’s me, but who knows what she’s gonna look like, or… what this doctor is going to be, you know, what, you know, peddling in terms of her tools. That was a big leap of faith, and I think letting go of the kind of control of needing to be… needing to look a certain way and be a certain kind of doctor was a big step for me, my big initial step. Dr. Deb 46:05That’s really hard, because you’re taught and ingrained in who you’re supposed to be as a doctor, and what that person’s supposed to be, what your persona’s supposed to be. And doing a lot of the Klinghart work and some of those things, and I’m sure on the days crawling through the floor, you’re like, this is not what I was trained to do. If my colleagues could only see me now, they’d… they’d… Commit me, right? But like you said, just giving that leap of faith and saying, I’m gonna turn this over to your higher power, and you’re gonna bring me out on the other side, and trusting that, that is a vulnerability for us that is huge. Kristin Reihman 46:43Yeah, and I mean, I’d like to say it’s because I’m some sort of strong person, but truthfully, I feel like there was no other choice. Like, I had to surrender because there was… the alternative was death or something. I didn’t… I don’t know, right? There was no other choice. Dr. Deb 46:56Yeah. Kristin Reihman 46:56I couldn’t move. I was in so much pain. I couldn’t move. Couldn’t get out of bed. Dr. Deb 47:01Thank you so much for sharing all of this and being vulnerable with our audience. Where can people find you? Find your book, your podcast, your programs, if they want to go deeper with you? Kristin Reihman 47:12Yeah, thanks for asking. So, I have a website, it’s my name, kristenRymanMD.com, and all my programs are listed there. I have several, you know, I have a, sort of, a wellness… I have an online membership for well people who want to stay well and pick my brain every week around, sort of, healthy, holistic tools. It’s called The Healing Grove.I have a podcast that people can listen to for free, where I interview people like you, and you’re gonna be on it, right? She’s gonna be on it soon. Dr. Deb 47:38I’d love to. Kristin Reihman 47:39So I can share stories of hope and transformational tools with people. I also have a Life After Lyme coaching program, which is kind of the place where I invite people who are dealing with a mystery illness to come get some support, community, and guidance from someone like me, and also just from the other people in the room. There’s a lot of wisdom in those groups. And that’s… I guess that’s the answer I’ll share for what you asked earlier, like, what’s the main tool they take away? I think they take away an understanding that community really matters, and that they’re not alone. You know, I think it can be very lonely to be stuck in these… to feel stuck in these illnesses, and people need to be reminded that they’re… that they’re human, you know, and that they’re worthy of love and acceptance. I think that’s what people get from my… from my community, is kind of like, that’s the common thread. Dr. Deb 48:23They definitely need that. Kristin Reihman 48:25Man. Dr. Deb 48:26Kirsten, thank you so much for sharing your powerful story. Your work is so needed, and your ability to weave personal experience and advanced clinical insight is exactly what our community craves. And this kind of conversation helps women finally be seen and heard, which is my motto too, and gives them just the real tools to get their life back. And for everyone listening, if you’re struggling with unexplained bladder pain, frequent UTIs, pelvic discomfort, or symptoms that never match your labs, because they never quite do. You are not crazy, you are not alone. You need to find the answers, you need to be with community, and there are solutions, and conversations like this is how we bring them forward. So, thank you all for tuning in to Let’s Talk Wellness Now. I’m your host.And until next time… Kristin Reihman 49:15Thanks, Dr. Dove. Dr. Deb 49:16Thank you. This was awesome. Thank you so much. This was… Kristin Reihman 49:21You’re so welcome, you’re such a great interviewer.The post Episode 251 – Chronic Bladder Symptoms, Biofilms, and the Hidden Genetic Drivers first appeared on Let's Talk Wellness Now.

Article: https://www.contemporarypediatrics.com/view/redefining-type-1-diabetes-early-identification-staging-and-clinical-implications-for-pediatric-careTable: https://thepediatriclounge.com/screening-to-prevent-dkaPetiete Trial: https://link.springer.com/article/10.1007/s00125-025-06586-1#Sec5Prevent Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2308743Screening Summit: https://medschool.cuanschutz.edu/barbara-davis-center-for-diabetes/news-profdev/conferences-events/8th-childhood-diabetes-prevention-symposium---november-10th-11th--2025In this episode, Herb Bravo is joined by Dr. Andrew Cagel, a pediatric endocrinologist, and Dr. Dan Feiten, a pediatrician , to discuss groundbreaking advancements in Type 1 Diabetes (T1D) care. The episode delves into their recent publication, 'Redefining Type 1 Diabetes: Early Identification, Staging, and Clinical Implications of Pediatric Care,' highlighting the critical importance of early detection and intervention. The guests emphasize the urgent need for universal screening.00:00 Introduction to the Pediatric Lounge00:45 Meet the Guests: Dr. Andrew Cagel and Dr. Dan Fen01:08 Redefining Type 1 Diabetes01:36 Personal Stories and Experiences01:52 The Importance of Early Detection04:40 Advancements in Type 1 Diabetes Treatment13:55 The Role of EHR and AI in Pediatric Care19:13 Future Directions and Guidelines29:06 Pivotal Study in Pediatric Diabetes30:45 The Protect Trial: Slowing Disease Progression33:19 Challenges in Screening and Implementation37:46 The Role of Pediatricians and Influencers43:03 Advocacy and Future Directions56:22 Conclusion and Final ThoughtsA Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between. The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.Support the show

What happens to patient care when hospital systems suddenly go dark and clinicians are forced back to pen and paper in the middle of a crisis? In this episode of the Tech Talks Daily Podcast, I speak with Chao Cheng-Shorland, Co-founder and CEO of ShelterZoom, about a problem that many healthcare leaders still underestimate until it is too late. As ransomware attacks, cloud outages, and system failures become more frequent, electronic health record downtime has shifted from a rare incident to a recurring operational risk with real consequences for patient safety, staff wellbeing, and hospital finances. Chao explains why traditional disaster recovery plans fall short in live clinical environments and why returning to paper workflows is no longer viable for modern healthcare teams. We discuss how EHR downtime can stretch from hours into weeks, how reimbursement delays and cash flow pressure compound the damage, and why younger clinicians are often unprepared for manual processes they were never trained to use. The conversation also explores the mindset shift now taking place among CIOs and CISOs, as resilience moves from a compliance checkbox to a survival requirement. At the heart of the discussion is ShelterZoom's SpareTire platform and the thinking behind treating uninterrupted access to clinical data as a baseline rather than a backup. Chao shares how the idea emerged directly from hospital conversations, why an external, always-available system is essential during cyber incidents, and how ShelterZoom's tokenization roots shaped a design focused on security without disruption. We also look at how rising AI adoption is changing the threat landscape and why many healthcare organizations are reordering priorities to secure continuity before rolling out new AI initiatives. As we look toward 2026, this episode offers a grounded view of how healthcare organizations must rethink downtime tolerance, data governance, and operational readiness in a world where digital outages can quickly become clinical emergencies. If downtime is now inevitable rather than hypothetical, what does real resilience look like for hospitals, and are healthcare leaders moving fast enough to protect patients when systems fail? Useful Links Connect with Chao Cheng-Shorland Learn more about ShelterZoom Tech Talks Daily is Sponsored by Denodo

If you've ever wondered whether it's actually possible to make money doing something you love, this conversation will really open your eyes. In this episode of The Traveling Therapist Podcast, I sit down with Isabel Leong to talk about how a deep love for travel slowly turned into a full-time career.Isabel shares the real behind-the-scenes of building her blog over more than a decade, what it took to turn it into a sustainable travel blog business, and why SEO has been the long-game strategy that allowed her to travel full-time for years. We also dive into slow travel, digital nomad life, and the personal growth that comes from exploring the world solo.In This Episode, We Explore…How Isabel turned a passion for travel into a long-term travel blog business.What it actually takes to grow and monetize a travel blog over time.Why SEO has been the most effective and sustainable strategy for her business.The difference between fast travel and slow travel, and why she prefers slowing down.How solo travel and digital nomad life shaped her confidence and worldview.Connect with Isabel:Instagram https://www.instagram.com/belaroundtheworld_ | https://www.instagram.com/isabel.leong_Facebook https://www.facebook.com/belaroundtheworld/X https://x.com/belardtheworldYouTube https://www.youtube.com/c/Belaroundtheworld_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

What happens when the founder of Mint.com takes on one of healthcare's most broken experiences—patient communication? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Aaron Patzer, Founder and CEO of Vital, to explore how simplicity, clarity, and human-centered design can drive real impact in healthcare. Drawing from his journey building Mint, Aaron shares why most healthcare technology misses the mark, how better communication improves outcomes and ROI, and what leaders must do to design experiences people actually use. The conversation goes deep on: Why simplifying complexity—not adding more tech—is the real innovation How better patient communication drives measurable ROI for hospitals What healthcare leaders can learn from consumer tech about trust, adoption, and engagement The leadership principles Aaron relies on when innovating inside highly regulated, slow-moving systems If you're a healthcare leader navigating digital transformation, AI investment decisions, or experience strategy, this episode offers clear thinking, hard-earned lessons, and proof that when you make it easier for people to understand what's happening, everything works better.   References: Book Reference - The Design of Everyday Things by Don Norman About Aaron: Aaron Patzer is a renowned entrepreneur, engineer, and innovator best known as the founder of Mint.com, the personal finance platform that revolutionized money management for millions of users. After launching Mint in 2007, Patzer led it to rapid success, growing the user base to over 25 million and overseeing its acquisition by Intuit in 2009. A passionate advocate for user-centered design and simplicity in complex systems, Patzer built Mint.com by combining his technical acumen with a deep understanding of user experience and behavioral finance. He holds degrees in Electrical Engineering, Computer Science, and a Master's from Princeton University. Following Mint, Patzer continued to push boundaries in tech and health innovation. He co-founded Vital, a healthcare startup focused on improving hospital emergency room, urgent care, and inpatient experiences using AI and design thinking. Ranked by KLAS as #1 in patient experience, Vital achieves concrete results: 30–50% fewer LWOBS/AMA, 10–15% higher NPS, stronger HCAHPS scores, reduced ED bounce- back, and 10% lower 30-day readmissions. Designed to integrate seamlessly with existing EHR systems, Vital provides a user-friendly interface that engages patients, resulting in 60%+ adoption rates, 5-10x higher than the competition. View our product overview. Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com   About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com. Visit our website:  www.brightspotsinhealthcare.com. Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect/

AI, interoperability, and real-world readiness are converging to define the next era of healthcare IT. In this episode, Shaman Akhtar, Mike Costa, and Tom Stafford break down the challenges and opportunities shaping healthcare IT, as well as the growing need for true downtime resilience.Shaman Akhtar, senior leader at ELLKAY, discusses how interoperability remains a “data plumbing” problem, warning that even with HL7 and FHIR, vendors still “speak different dialects,” creating ongoing challenges in exchanging patient information and even between emerging AI tools and agents.Next, Mike Costa, Client Relationship Executive at Impact Advisors, reflects on the journey from EHR implementation to true optimization, arguing that many organizations have barely unlocked the value of their systems and that AI and ambient technologies could finally help harvest that potential while addressing persistent adoption and operational challenges. Finally, Tom Stafford, Healthcare Strategist at CDW and a recovering CIO, explains how CDW evolved from a logistics company into a turnkey healthcare partner, helping systems with security, cloud, and, especially, downtime resilience so they can safely operate when core systems fail. Together, they highlight common themes from the South Florida HIMSS Integrate Conference, ranging from regulatory and political pressures to the promise of AI, demonstrating that leaders across payers, providers, and vendors are grappling with similar issues. Tune in and learn how interoperability, optimization, and resilience are reshaping healthcare's digital future!ResourcesConnect with Shaman Akhtar on LinkedIn.Follow ELLKAY on LinkedIn here and explore their website.Connect with and follow Mike Costa on LinkedIn.Learn more about Impact Advisors on LinkedIn and visit their website.Email Mike directly here.Follow and connect with Tom Stafford on LinkedIn.Discover more about CDW•G on LinkedIn and their website.Email Tom directly here.

The ultimate challenge of operating an OBL is staying profitable. In this episode of BackTable, we bring on healthcare administrator Laurie Bouzarelos and interventional radiologist Dr. Mary Costantino to talk through the intricacies of revenue cycle management as an IR managing an OBL. --- SYNPOSIS The conversation covers the full lifecycle of getting paid in an IR practice, from initial patient contact through final claim resolution. Key topics include credentialing, determining medical necessity, coordination of benefits, prior authorizations, and the importance of working with billing and practice management teams experienced in interventional radiology. The episode also examines how EHR and practice management platform selection impacts clinical workflows and reimbursement, and closes with a discussion on payment plans and how emerging technologies, including AI, may shape the future of revenue management in IR-led OBLs. --- TIMESTAMPS 00:00 - Introduction 01:08 - The Importance of Revenue Cycle Management09:29 - The No Surprises Act and Data Transparency12:03 - Professional Societies and Continuing Education17:50 - Credentialing and Taxonomy Codes40:28 - Impact of Insurance Credentialing on Patient Care42:08 - Revenue Cycle Management Walkthrough48:18 - Challenges with Medicare Advantage and Coordination of Benefits54:20 - Covered vs. Non-Covered Services59:03 - Medical Necessity and Insurance Policies01:01:04 - Prior Authorization and Payment Issues01:13:11 - Payment Plans and Compliance01:23:10 - Practice Management Software01:31:10 - AI in Healthcare and Compliance01:38:57 - Final Thoughts --- RESOURCES Medical Group Management Administration (MGMA)https://www.mgma.com/

Productivity is one of those words that can feel exhausting, especially if you're a therapist juggling sessions, admin, and maybe even travel or changing time zones. In this episode of The Traveling Therapist Podcast, I sit down with Demir Bentley to talk about why productivity actually starts with planning, and why skipping this step is one of the biggest reasons therapists burn out.We talk specifically about what this looks like for traveling therapists and location-flexible clinicians who are seeing clients across time zones, working from new environments, and trying to build a sustainable life while still doing meaningful work. Demir breaks down why tools and AI alone are not the answer, and how a simple weekly planning practice can completely change how your work and life feel. If you've ever felt like you're doing all the right things but still exhausted, this conversation will hit home.In This Episode, We Explore…Why productivity is really about freedom, not hustle culture.How traveling and changing locations can quietly drain your energy and focus.The importance of weekly planning as a foundation, not an add-on.Why tools and AI only work when you have a clear framework first.How planning helps therapists avoid burnout and reclaim time and mental space.Connect with Demir:Website http://winningtheweek.comFacebook https://web.facebook.com/demirandcarey/Instagram https://www.instagram.com/lifehackmethod_/LinkedIn https://www.linkedin.com/in/demirbentley/YouTube http://www.youtube.com/c/LifehackBootcampLifehack Method https://lifehackmethod.com/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Scaling a chiropractic business will break you if you try to do it with a lifestyle-practice model.This episode unpacks one of the biggest obstacles facing chiropractors who want to grow: the traditional owner-operator model simply is not financially scalable. Dr. Pete and Dr. Stephen break down why so many practices hit a ceiling when they add associate doctors, and they reveal how a clear platform built on chiropractic philosophy allows you to diversify, increase revenue, and protect the main thing. Their insights from the first Remarkable CEO Summit will challenge your assumptions and give you a clearer path to building a true business that can support greater impact and income.In this episode you willUnderstand why the classic chiropractic model breaks when you scaleLearn the three real levers for increasing revenueSee how the platform approach keeps chiropractic first while expanding servicesDiscover why most associate relationships become unfair exchangeHear how to evolve your practice into a scalable, profitable business Episode Highlights03:28 – Learn how separating the practice from the business creates clarity for CEOs.05:13 – See how throughput and output reveal the true economic engine of your practice.06:54 – Understand why aligning events and operations with core values strengthens culture and growth.08:57 – Gain perspective on the difference between amateur and professional CEOs.09:38 – Recognize why scaling requires mentorship, training, and professional guidance.10:31 – Learn why transitioning from owner-operator to CEO requires a completely different mindset.12:11 – Discover the three levers that increase revenue: price, volume, and diversification.14:17 – See why the classic owner-operator model collapses when associates enter the picture.15:10 – Understand how underpaid or overpaid associates create unfair exchange on both sides.16:53 – Learn why high-volume practices can temporarily mask structural financial issues.17:42 – Explore why most chiropractic models are not financially scalable without strategic redesign.20:08 – Learn how to diversify without losing your chiropractic identity or purpose.25:03 – See how the chiropractic paradigm becomes your platform for adding services correctly.28:26 – Understand why all added services must support, accelerate, or amplify the adjustment.29:41 – Hear how maturing your business model prepares you for scalable, profitable growth over the next three years.33:02 – Dr. Lona sits down with Success Partner Dr. Brian Capra of ClinicMind to talk about how one unified platform can replace the long list of tools most chiropractors' juggle. Dr. Brian explains how ClinicMind brings EHR, billing, AI-driven patient communication, scheduling, and marketing under one system so teams can stay focused on care instead of tech headaches. It's a smart look at how streamlined systems create space for clinics to grow, serve more people, and operate with far greater ease. Resources MentionedLearn more about the TRP Remarkable Business Immersion March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceoFor more information about ClinicMind please visit: www.clinicmind.comBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.

Safety for children under anesthesia shouldn't depend on luck or location. We walk through 100+ years of progress in pediatric anesthesia and focus on the next wave of innovations that can make first attempts safer, dosing smarter, and systems more reliable—especially for neonates and infants who face the highest risk.We start with the historical milestones that changed outcomes: pulse oximetry, capnography, standardized monitoring, and the rise of pediatric training and ICUs. Then we examine where progress must accelerate. Video laryngoscopy is improving first-pass success and reducing desaturation by giving teams a brighter, shared view of the airway. Ultrasound enhanced by AI promises needle guidance, better vascular access, and more consistent regional anesthesia. Gastric ultrasound could reshape fasting practices, reducing hypotension, nausea, and anxiety while safeguarding against aspiration. Alongside these tools, processed EEG helps tailor volatile agents and propofol to the developing brain, pushing practice from population averages to precision dosing.We also look ahead to artificial intelligence as a connective layer across perioperative care. Think risk stratification in the EHR, early-warning analytics for intraoperative instability, and smarter OR management that reduces cancellations and costs. With expert insights from pediatric anesthesiologist, Dr. Elizabeth Malinzak, we name the real barriers—training, cost, bias, regulation—and stake a claim for proactive safety science over reactive fixes. The goal is equitable, high-quality anesthesia care for every child, in every setting.If this conversation resonates, follow the show, share it with a colleague, and leave a quick review. Your support helps spread practical tools and ideas that keep our smallest patients safe.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/286-pediatric-anesthesia-safety-past-gains-next-frontiers/© 2025, The Anesthesia Patient Safety Foundation

What if the key to curing today's most complex diseases has been hiding in plain sight inside electronic health records all along?In this episode of Straight Out of Health IT, Vish Srivastava, CEO of Century Health, explores how artificial intelligence can unlock the vast potential of real-world healthcare data that has long been trapped inside electronic health records. He explains why traditional clinical trials, although essential, often fail to accurately reflect how treatments perform across diverse, real-world patient populations, and how this gap hinders innovation. Drawing from both his professional journey and the personal experience of losing his grandfather to Alzheimer's, Vish shares what motivates his mission to better understand disease progression and accelerate breakthrough treatments.Vish breaks down what real-world data actually is, why more than 80% of it remains unstructured, and how fragmented EHR systems have made research slow, expensive, and inaccessible. He describes how observational studies and patient registries can take years and cost millions due to manual chart abstraction, and how carefully validated AI can now automate this process, turning clinical notes, PDFs, and imaging data into high-quality research-ready insights. The conversation also highlights how this approach can broaden research beyond historically narrow clinical trial populations.Ultimately, the episode addresses the crucial issues of trust, bias, and patient privacy. Vish discusses how AI can either perpetuate or correct historical biases in healthcare data, why transparency and published validation are essential, and how strict de-identification and governance frameworks protect patient privacy. Together, these advances point toward a future where real-world data fuels faster, more inclusive, and more impactful medical research.Tune in to hear how AI is reshaping clinical research and bringing us closer to treatments that truly work for real patients in the real world!ResourcesConnect with Vish Srivastava on LinkedIn here.Follow Century Health on LinkedIn here and visit their website here.

Transforming T1D Care: Innovations, Early Detection, and Empowered Pediatric PracticeArticle: https://www.contemporarypediatrics.com/view/redefining-type-1-diabetes-early-identification-staging-and-clinical-implications-for-pediatric-careTherapy: https://www.contemporarypediatrics.com/view/novel-therapies-for-type-1-diabetesTable: https://thepediatriclounge.com/screening-to-prevent-dkaPetiete Trial: https://link.springer.com/article/10.1007/s00125-025-06586-1#Sec5Prevent Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2308743Screening Summit : https://medschool.cuanschutz.edu/barbara-davis-center-for-diabetes/news-profdev/conferences-events/8th-childhood-diabetes-prevention-symposium---november-10th-11th--2025In this episode of The Pediatric Lounge, host Herb Bravo is joined by Dr. Andrew Cagel, a pediatric endocrinologist, and Dr. Dan Feiten, a pediatrician and Chief Medical Officer of Office Practicum, to discuss groundbreaking advancements in Type 1 Diabetes (T1D) care. The episode delves into their recent publication, 'Redefining Type 1 Diabetes: Early Identification, Staging, and Clinical Implications of Pediatric Care,' highlighting the critical importance of early detection and intervention. The guests emphasize the urgent need for universal screening.00:00 Introduction to the Pediatric Lounge00:45 Meet the Guests: Dr. Andrew Cagel and Dr. Dan Fen01:08 Redefining Type 1 Diabetes01:36 Personal Stories and Experiences01:52 The Importance of Early Detection04:40 Advancements in Type 1 Diabetes Treatment13:55 The Role of EHR and AI in Pediatric Care19:13 Future Directions and Guidelines29:06 Pivotal Study in Pediatric Diabetes30:45 The Protect Trial: Slowing Disease Progression33:19 Challenges in Screening and Implementation37:46 The Role of Pediatricians and Influencers43:03 Advocacy and Future Directions56:22 Conclusion and Final ThoughtsSupport the show

In this episode, Dr. Tim Bertelsman joins the podcast for the second time to discuss how AI is revolutionizing the chiropractic profession, particularly through its applications in Electronic Health Records (EHR). Dr. Bertelsman shares his excitement about the future of healthcare and the role data plays in improving patient outcomes and satisfaction. The conversation covers the challenges of documentation, the potential of AI to streamline administrative tasks, and the importance of adopting new technologies to remain competitive. Practical examples of how AI can assist in clinical decision-making and content creation are also explored. The episode concludes with insights on the ongoing development of an EHR system designed specifically for chiropractors, aimed at reducing overhead, enhancing efficiency, and elevating the profession.

About Mary Varghese Presti:Mary Varghese Presti is a transformational healthcare leader with over two decades of experience spanning clinical care, federal reform, biopharma, and health technology. As Corporate Vice President of Microsoft Health & Life Sciences, she drives growth in complex environments by creating clear strategy, aligning organizations, and operationalizing execution with discipline. Her prior roles include leading Nuance's Dragon Medical business, overseeing IBM Watson Health's Life Sciences portfolio, incubating new ventures at athenahealth, and driving digital-health transformation at Pfizer. She began her career as a pediatric nurse at Johns Hopkins and later helped shape national health IT and payment reforms at Booz Allen. Known for navigating complexity with optimism and rigor, she consistently turns ambiguity into strategy and strategy into measurable results.Things You'll Learn:AI in healthcare is evolving from simple assistants to agentic services that can independently execute predictable workflows, allowing clinicians to regain time and focus. This shift enables a hybrid workforce where human and digital colleagues work side by side.Dragon Copilot for nurses was designed specifically to support the way nurses document care, capturing structured inputs such as vitals, intake/output, and observations through natural speech. By reducing EHR time and ambiently recording bedside interactions, it helps turn “caring out loud” into complete documentation.Nurses spend more than a quarter of their 12-hour shifts documenting in the EHR, often feeling emotionally torn between screens and patients. AI that listens in the background can significantly reduce this burden while allowing for more presence at the bedside.New tools are starting to expose the “invisible work” nurses perform, from constant micro-assessments to coordination with ancillary departments. Making this work visible is a critical step toward properly valuing nursing labor and improving workforce planning.Real-world use cases, such as AI agents assembling data for tumor boards at academic centers, show that agentic workflows can compress decision timelines from weeks to days. These same principles can be extended to many clinical and non-clinical tasks, accelerating care while preserving clinician judgment.Resources:Connect with and follow Mary Varghese Presti on LinkedIn.Follow Microsoft on LinkedIn.Visit the Microsoft and Life Sciences website.Listen to Mary's previous interview on our podcast here.Watch Mary's keynote presentation at the HLTH conference here.

You don't hire a COO like Tori Grimm, you grow her. This conversation walks you through how a frontline CA can evolve into the operations leader who holds your entire team, builds structure, and frees you up to lead. You'll hear how Tori moved from check-in, to checkout, to office manager, to COO, and what it took on both sides to make that identity shift feel real instead of forced.Together, Dr. Lona and Tori unpack practical ways to give your team real autonomy without losing accountability, use simple scorecards and one-on-ones to keep everyone aligned, and spot the people who are quietly asking for more responsibility through their actions. They also talk about how personal transformation through care, philosophy events, and TRP immersions keeps your CAs connected to the “big idea” so the chaos feels worth it. If you're ready to stop being the bottleneck and start nurturing your own Tori, this one will hit home.Key Highlights00:53 – Hear how Tori's first team meeting PowerPoint showed she was already thinking like a leader and raised the bar for everyone.01:58 – Learn how she moved from check-in CA to exams, checkout and financials, then into office manager and COO while still supporting the front desk.03:58 – Explore the identity shift from “I do everything” owner to true CEO and COO, and why claiming the leader seat can feel so vulnerable.05:13 – See how giving CAs decision-making autonomy inside clear guardrails helps them feel like the conductor of their own ship, not just an order taker.06:58 – Understand how bottlenecks show up at every level and why adding virtual CAs and a virtual assistant created more flow without losing culture.08:33 – Learn how monthly one-on-ones, simple scorecards, and short written summaries keep everyone aligned while looping the CEO in without extra meetings.10:28 – Hear how different communication styles between CEO and COO help team members feel heard in different ways and surface issues before they explode.12:23 – Find out what to look for when growing leaders from within: follow-through, appetite for more, strong relationships, and consistent execution in their current role.14:03 – Learn why staged ascension, executive assistant time, and steady mentoring conversations made it safer for Tori to step into bigger leadership.16:13 – See how Tori's own healing story, philosophy seminars, and TRP immersions anchored her belief in the work so the “octopus on roller skates” life still feels meaningful18:22 - ​​Dr. Lona sits down with Success Partner Dr. Brian Capra of ClinicMind to talk about how one unified platform can replace the long list of tools most chiropractors' juggle. Dr. Brian explains how ClinicMind brings EHR, billing, AI-driven patient communication, scheduling, and marketing under one system so teams can stay focused on care instead of tech headaches. It's a smart look at how streamlined systems create space for clinics to grow, serve more people, and operate with far greater ease. Resources MentionedFor more information about ClinicMind please visit: www.clinicmind.comTo schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcastTo schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcastLearn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast

For Dr. Zak Kohane, this year's advances in AI weren't abstract. They were personal, practical, and deeply tied to care. After decades studying clinical data and diagnostic uncertainty, he finds himself building his own EHR, reviewing his child's imaging with AI, and re-thinking the balance between incidental and missed findings. Across each story is the same insight: clinicians and machines make mistakes for different reasons — and understanding those differences is essential for safe deployment. In this episode, Zak also highlights where AI is spreading fastest, and why: reimbursement. While dermatology and radiology aren't broadly using AI for interpretation, revenue-cycle optimization is advancing rapidly. Meanwhile, ambient documentation has exploded — not because it increases accuracy or throughput, but because it improves clinician satisfaction in strained systems. Yet the most profound theme, he argues, is values. Models already show implicit preferences: some conservative, some aggressive. And unlike human clinicians, no regulatory framework examines how those preferences form. Zak calls for a new form of oversight that centers patients, recognizes bias, and bridges clinical expertise with technical transparency. Transcript.

Human design can completely change how you understand yourself, your energy, and the way you build your business. In this episode of The Traveling Therapist Podcast, I sit down with Mel McSherry to talk about what it really means to honor your energy, trust yourself, and build success that actually feels sustainable.Mel shares their non-linear journey from fitness and network marketing to business coaching, and how discovering human design helped them reconnect with who they truly are and how they are meant to work. If you have ever felt successful on paper but disconnected on the inside, this conversation is for you.In This Episode, We Explore…What human design is and how it combines multiple systems into a personal operations manual.Why honoring your time and energy is key to sustainable success.How copying others in business can create burnout and disconnection.Redefining profitability beyond just money.Using human design to build trust, confidence, and clarity in your work and life.Connect with Mel:Website https://www.melmcsherry.com/Instagram https://www.instagram.com/mel_mcsherry/LinkedIn https://www.linkedin.com/in/melmcsherry/Facebook https://www.facebook.com/BtbByMel/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

If you're done wasting money on low-quality Facebook leads, this conversation is your wake-up call. Dr. Pete sits down with Dr. Nick Silveri of LVRG Media to unpack what it actually takes to attract high-quality new patients who show up ready for care. They break down why content is the real engine of trust, how to build a comprehensive presence across Google, social, and YouTube, and why long-term brand authority beats every short-term offer. You'll discover how to get your associates creating content, align your online experience with your in-office excellence, and use AI responsibly without hurting your SEO. It's a clear path to doing marketing the way you coach patients to do health: consistent habits, long-term thinking, and a message that makes you the obvious choice in your town. In this conversation you will:Learn why “quality new patients” start with your own expertise and message. See how content across Google, social, and YouTube works together to build brand and trust. Understand the difference between relevance and value in patient focused content. Discover how to scale content beyond the owner by using associates and team members. Get clear on smart ways to use AI for emails and nurture instead of blog spam. Episode Highlights01:32 – Hear why this conversation centers on quality new patients, content strategy, and AI as key drivers of growth.07:22 – Learn how Dr. Nick shifted from personality-driven marketing to a system-focused approach based on what chiropractors truly want.08:55 – See why most chiropractors bounce between agencies and why content-first marketing outperforms short-term tactics.09:58 – Understand why the only reliable path to quality new patients is leveraging your expertise across the platforms where patients search for answers.11:12 – Learn the difference between relevance and value and how patient priorities move from symptom relief to long-term wellness.14:12 – Hear the health-and-fitness analogy that illustrates why marketing shortcuts fail just like shortcuts in health.18:19 – See how to align your online presence with the in-office experience so patients know who you are before they ever meet you.19:55 – Discover how to remove yourself as the bottleneck and empower associates or team members to create content.23:40 – Learn how Leverage Media simplifies the process so doctors only follow the plan and record the content.27:23 – Explore what a comprehensive marketing plan looks like today across social, Google, YouTube, and emerging AI platforms.29:28 – Understand how long-term brand building makes people choose you even when you aren't the top search result.31:14 – Hear why patients ignore coupons and choose the doctor they already trust from their consistent content.32:24 – Learn why most clinics misuse AI for SEO and how search engines are already penalizing AI-generated blogs.38:20 – Get clear on using AI correctly for emails, nurture, and text instead of search-ranking content.40:29 – Take away a simple strategy: share real expertise consistently so your clinic becomes the obvious choice in your town.41:46 - Dr. Lona sits down with Success Partner Dr. Brian Capra of ClinicMind to talk about how one unified platform can replace the long list of tools most chiropractors' juggle. Dr. Brian explains how ClinicMind brings EHR, billing, AI-driven patient communication, scheduling, and marketing under one system so teams can stay focused on care instead of tech headaches. It's a smart look at how streamlined systems create space for clinics to grow, serve more people, and operate with far greater ease. Resources MentionedLearn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/  To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceoFor more information about ClinicMind please visit: www.clinicmind.comBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com What if hospitals could reduce hours of administrative work to minutes, without ever compromising sensitive patient data? In this episode, Nicholas Lin, cofounder and CEO of Guava, explains that their company automates prior authorization for hospitals without accessing PHI or EHR data. Their AI agents handle up to 95% of time-consuming administrative tasks, like coverage checks and policy reviews, by performing automated calls and warm transfers to human specialists only when necessary. The solution arose from their personal healthcare backgrounds and conversations with providers, aiming to streamline workflows while addressing hospitals' strict data privacy concerns. Currently piloting with NewYork-Presbyterian, Guava hopes to scale nationally and sees education around AI's capabilities as key to overcoming provider hesitation. Tune in to hear Nicholas Lin explain how Guava's AI agents are revolutionizing prior authorization, helping specialists work faster, smarter, and stress-free! Resources Connect with and follow Nicholas Lin on LinkedIn. Follow Guava on LinkedIn and explore their website!

What if your biggest career advantage didn't come from your wins, but from the projects that didn't go as planned? Missy Krasner's career includes some of the boldest bets in healthcare: Google Health, Amazon Care, Box's healthcare vision. None went the way she originally envisioned. And she wouldn't change any of it. Because what she extracted from those experiences—being inside big tech's most ambitious healthcare ventures—gave her something more valuable than a conventional win: a clear understanding of what it actually takes to make change stick in the most regulated, fragmented industry in America. Now, as co-founder of Penguin AI, Missy is applying those hard-won insights to tackle the trillion-dollar administrative burden crushing healthcare. But this isn't another AI hype story. Missy has been at the forefront of healthcare innovation for over 20 years. She was building Google Health before meaningful use existed. She was evangelizing platform thinking when electronic health records were still competing with manila folders. She's witnessed three watershed moments transform the industry: meaningful use driving EHR adoption, COVID accelerating telehealth adoption, and now AI. And she believes this moment is fundamentally different. Why Missy's experiences at Google, Amazon, and Box taught her more about healthcare transformation than conventional success ever could What's really happening with the trillion-dollar administrative burden and how AI can finally address it at scale Why the current political and economic disruption will accelerate consumer-driven healthcare innovation Missy's candid assessment of the headwinds facing women leaders right now and what it means for advancement Why "nobody's coming to save us" and what that means for how women need to show up in leadership What fuels Missy after decades of innovation and her advice for anyone trying to push through when it's hard About the Guest: Missy Krasner brings 35+ years of healthcare experience spanning big tech (Amazon, Google, Box), government (helped launch the Office of the National Coordinator for Health IT), venture capital (Canvas Ventures, Redesign Health), and now as co-founder of Penguin AI, which recently closed a $30 million Series A. She serves on multiple digital health boards including Uplift, Overalls, and Syntax, and holds degrees from Stanford (M.A.) and UCLA (B.A.). Chapters 00:00 - Introduction at Health Conference 01:14 - Journey Through Google, Box, and Amazon 02:53 - Three Watershed Moments in Healthcare 06:59 - Penguin AI and the Trillion-Dollar Administrative Burden 10:34 - Women Healthcare Leaders for Progress Reflection 14:15 - Finding Innovation Opportunities in Chaos 16:45 - Advancing Women in Leadership 22:13 - Learning from Failure and What Drives Success Guest & Host Links Connect with Laurie McGraw on LinkedIn Connect with Missy Krasner on LinkedIn Connect with Inspiring Women Browse Episodes | LinkedIn | Instagram | Apple | Spotify

Quick Announcement for EHR listeners! For a limited time Matt Blackburn is giving Extreme Health Radio show listeners 25% off his line of products. Just enter code EHR25 at checkout while it lasts! Today we had some scheduling mishaps and I’ve been researching high blood pressure lately so I figured I’d jump on and kick […] The post FFAF – How To Beat High Blood Pressure, Listener Questions & More Fun appeared first on Extreme Health Radio.

Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we chat with Ben Cutler, CEO of Hushmail, about how a secure email service can be a crucial part of your practice's tech stack.  We discuss: How secure email can complement the communication features of your EHR Communication gaps in EHRs that can impact your security circle Pairing secure forms with secure email to optimize the intake process Secure communications as a marketing asset Creating more efficient streamlined services for clients and providers Addressing burnout via efficient business systems Using Hushmail to customize forms and coordinate care Misconceptions around non-secure communications The difference between HIPAA friendly and HIPAA secure  Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. Resources Free Trial of Hushmail! Hushmail provides HIPAA-compliant secure email and encrypted online forms designed specifically for behavioral health professionals. It fills the critical gaps your EHR can't cover—especially during first contact, referrals, and communication with people outside your EHR's closed messaging system. With encrypted email, customizable secure forms, legally binding e-signatures, and ready-to-use templates, Hushmail helps therapists protect client information from the very first inquiry through the entire clinical journey. Clinicians can securely manage intake, collect sensitive documents, send referrals, and maintain compliant records—even during practice transitions or retirement. Hushmail's behavioral-health-specific plans include a signed BAA, automatic archiving to support HIPAA compliance, and access to a customer care team deeply familiar with the needs of therapy practices. Exclusive for listeners: Try Hushmail for Healthcare free for 14 days and explore secure email and forms tailored for your practice. PCT Resources PCT CE course: Smooth and Secure Use of Phone, Text, Email, and Video to Meet Modern Clients Where They Are: Legal-Ethical and Real-World Considerations (3 legal-ethical CE credit hours) PCT Podcast Episode: Episode 317: [Compliance] Can Clients Waive the Need for HIPAA Compliance? PCT's  Sample Request for Non-Secure Communications Form

In this episode of The Gist Healthcare Podcast, we cover Senate Republican plans for the potential expiration of enhanced Affordable Care Act tax credits, a CDC advisory committee proposal that would shift vaccine recommendations for newborns, and new survey findings that connect clinician turnover to negative EHR experiences. Hosted on Acast. See acast.com/privacy for more information.

If you've been craving more freedom in your business, this episode is going to land in such a helpful way. In this episode of The Traveling Therapist Podcast, I chat with Nicole McCance about how she built and sold her group practice and now teaches therapists her five-step scaling method to create more space, ease, and possibility in their practices. She walks through the exact systems, hiring decisions, and marketing strategies that helped her grow to multiple seven figures.We also break down the biggest mistakes therapists make when trying to scale, the simple shifts that lead to better retention, and why following up with clients can create a surprising boost in revenue. Nicole shares so many takeaways that show how structure and support can open the door to more freedom.In This Episode, We Explore…How Nicole went from burnout to building and selling a multi-seven-figure practice.Why systemizing your solo practice is the crucial first step to scaling.What “hiring your mini me” actually means and why it matters for retention.The website updates every therapist needs before turning on digital marketing.Nicole's tips for converting consult calls and increasing retention with simple follow-ups.Connect with Nicole:Instagram https://www.instagram.com/nicole.mccancemethod/Podcast https://mccancemethod.com/podcast/Facebook Group https://www.facebook.com/groups/947689352498639Sign up for Nicole's FREE Masterclass- How to Build a 7-Figure Group Practice → https://mccancemethod.com/webinar-free-masterclass-from-solo-to-superteam/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Sponsored by the Institute for Functional Nursing (IFN) www.fxnursing.com In this episode, Brigitte interviews Ryan Obermeier of Evexia Diagnostics to show nurses exactly how to streamline functional lab testing inside a holistic or functional nursing practice. We break down how Evexia centralizes thousands of functional and specialty tests, simplifies ordering, integrates with systems like Practice Better, and reduces the administrative burden that often slows down new and growing practices. Ryan explains Evexia's Internal Physician Network, which supports nurses who need physician authorization for specialty testing, as well as the Ask the Doctor program for clinical interpretation of advanced labs. We also cover Evexia's Functional Health Report, supply management, troubleshooting support, white-label marketing tools, and how nursing using the link below can access exclusive perks, waived fees, and discounted resources. Whether you're launching a functional nursing practice or scaling an established clinic, this episode gives you a clear roadmap for improving efficiency, patient outcomes, and clinical confidence through better lab workflows. What We Cover in This Conversation: • How Evexia centralizes thousands of functional & specialty lab tests • Streamlined ordering, processing, and automated reporting • EHR integration with Practice Better and other platforms • Functional Health Report for blood chemistry interpretation • Internal Physician Network for non-licensed or collaborating providers • Ask the Doctor program for specialty lab interpretation • Reducing hidden costs, operational friction, and admin overwhelm • White-label and marketing tools available through the link below • How nurses can register and access waived fees + bonus support Functional Nurses Offer: Register With Evexia Diagnostics Evexia is extending exclusive benefits for our functional nursing community of RNs and NPs, including waived fees and access to additional support tools. Create your account here: https://www.evexiadiagnostics.com/lp/brigitte-sager-landing-registration-page

This episode of The Dish on Health IT features Denny Brennan, Executive Director of the Massachusetts Health Data Consortium (MHDC), in conversation with host Tony Schueth, CEO of Point-of-Care Partners (POCP), and co-host Ross Martin, MD, Senior Consultant with POCP. Together, they examine how MHDC is translating national interoperability policy into practical, statewide action, specifically around the CMS-0057 rule.After brief introductions, the conversation quickly turns to MHDC's long history and why it matters. Founded in 1978, before the internet, MHDC guided Massachusetts through nearly every major health IT transition: HIPAA, Meaningful Use, ICD-10, and now interoperability and automation. Denny explains that this continuity has created something rare in healthcare: sustained trust across payers, providers, vendors, regulators, and associations. That trust, he notes, is what allows competitors to work through shared infrastructure problems that no single organization could solve on its own.From there, the discussion turns to why the MHDC community chose to coordinate and support members in their CMS-0057 compliance journey, versus just letting each member organization go it alone. Denny emphasizes that while healthcare is regulated federally, it functions locally. Each state has its own mix of insurers, hospital systems, rules, and market pressures. In Massachusetts, where long-standing relationships already exist, MHDC saw an opportunity to move faster, test real workflows, and generate lessons that could inform efforts far beyond the state.The discussion then moved to how work to improve prior authorization became such a high-priority focus. Denny describes how the process has grown into one of the most disruptive administrative burdens for clinicians. Rules vary by plan, criteria change frequently, and the information providers need is often hard to access in real time. The result is defensive behavior. Offices routinely submit prior authorizations “just in case,” often by fax or phone, simply to avoid denials and treatment delays. That inefficiency, he explains, ripples outward by slowing patient care, driving up providers' overhead, and requiring health plans to spend more time and resources processing and reviewing the required PA alongside the unneeded submissions.The financial impact quickly becomes apparent. Denny points to evidence showing that administrative costs consume a massive share of U.S. healthcare spending, with prior authorization playing a meaningful role. If automation is implemented through a neutral, nonprofit infrastructure, MHDC believes there is a much greater chance that savings will flow back into premiums and public program costs rather than being swallowed by inefficiency.Ross adds an important dose of realism. Prior authorization friction, he notes, is not always accidental. In some cases, operational complexity functions as a utilization control mechanism. That creates a built-in tension between access, cost containment, and patient experience, and helps explain why national reform has moved slowly despite widespread frustration.At that point, the conversation shifts from why this is broken to how MHDC is trying to fix it. Denny walks through MHDC's operating model: convene the full ecosystem early and often. In a recent deep-dive session, roughly 60 representatives from health plans, providers, and the state participated in a working session focused on what an automated prior authorization workflow could realistically look like. MHDC brought a draft framework to the table. The community pressure tested it and surfaced workflow conflicts, operational blind spots, and policy misalignments that no single organization could see on its own.That collaborative process, Denny explains, is the real engine behind adoption. When stakeholders help build the solution themselves, implementation becomes a shared commitment rather than a compliance exercise. It also reduces resistance later because decisions are not delivered top-down. They are constructed collectively.The discussion then turns to FHIR adoption and why, while real, progress has taken time. Denny traces the turning point back to the 21st Century Cures Act, which reframed patient access to health data as a legal right and categorized data blocking as a regulatory violation. That policy shift, combined with the growing maturity of API-based interoperability, created the conditions for real-time data exchange to finally move from theory to practice.Ross provides a historical perspective from the standards side. Earlier generations of health data standards were conceptually elegant but extremely difficult to implement consistently. FHIR changed that equation by aligning healthcare data exchange with the same API-driven architecture that supports the modern web. He points to accelerating real-world adoption, particularly from large EHR platforms, as evidence that FHIR has entered a phase of broad, practical deployment.Although pharmacy prior authorization falls outside the formal scope of CMS 0057, Denny makes clear that MHDC could not ignore it. For many physicians, especially in oncology, dermatology, and primary care, PA for prescriptions is far more frequent and far more disruptive than PAs for medical services. If MHDC solved only one side of the problem, much of the daily burden for clinicians would remain unchanged.Pharmacy prior authorization, however, introduces a new level of complexity. PBMs, pharmacists, prescribing systems, payers, and patients are all involved, often across fragmented workflows. Denny explains that the challenge looks less like a pure technology gap and more like an orchestration problem. It is about getting the right information to the right party at the right moment across multiple handoffs.Ross shares insights from the pharmacy PA research work conducted with MHDC and POCP. One of the most striking findings was the massive year-end renewal surge that hits providers every benefit cycle as authorizations tied to prior coverage suddenly expire. He also reflects on a recent national electronic prior authorization roundtable, where deep stakeholder discussion ultimately led most participants to conclude that today's technology alone still is not sufficient to fully solve pharmacy PA. The tools are improving, but the problem remains deeply multi-layered.As the episode winds down, the tone shifts toward practical calls to action.Denny challenges the industry to separate where competition belongs from where collaboration is essential. Contract negotiations may be adversarial by nature, he notes, but interoperability initiatives cannot succeed under the same mindset. Real progress depends on bringing collaboratively minded people into the room. These are people willing to solve shared infrastructure problems even when their organizations compete elsewhere.Ross builds on that message with a longer-term challenge: sustained participation in standards development. Organizations cannot sit back and hope others shape the future on their behalf. Active involvement in national standards organizations is critical. This is not for immediate quarterly returns, but to influence the systems everyone will be required to use in the years ahead.The episode closes with a clear takeaway. MHDC did not wait for perfect conditions. It moved when the pieces were good enough, tested real workflows with real stakeholders, adjusted in the open, and began sharing lessons nationally. In an industry often slowed by fragmentation and risk aversion, this conversation offers a grounded look at what forward motion actually looks like when collaboration, policy, and technology finally align.You can find this and other episodes of The Dish on Health IT wherever you get your podcasts, including Spotify and Healthcare Now Radio. If you found this conversation valuable, share it with a colleague and be sure to subscribe so you never miss an episode. Have an idea for a topic you would like us to cover in future episodes? Fill out the form and tell us about it. Until next time, Health IT is a dish best served hot. 

Sean Cassidy, CEO and Co-Founder of Lucem Health, is applying AI to identify patients at high risk of undiagnosed conditions like cancer and diabetes.  The goal is to facilitate earlier diagnosis and treatment by flagging patients that need screening based on the AI plaform's ability to analyze EHR data and demographics of diverse patient populations to ensure broad scalability. This technology was designed to integrate into existing clinical workflows for established screening procedures rather than making direct treatment recommendations.  Sean explains, "The origin of the company, the idea for the company, originated within Mayo Clinic in about 2020. Mayo Clinic has faced a challenge, and I think sometimes continues to face a challenge that a lot of researchers in AI have faced, which is how do you get promising AI in a clinical context from the so-called bench to the bedside? How do you get it from the lab into clinical practice? And what they realized was that while the data science and the AI part of it is really interesting, what was needed was scaffolding around the AI to facilitate integration with data and integration with workflows, a measurement and monitoring system, and so on and so forth." "We are trying to facilitate, and you're going to see us begin to expand the aperture, if you like, or open the aperture of how we position the company. Because as we've gone on, we have realized that the opportunity here is to actually help healthcare provider organizations, health systems, and so on, create really high-impact care delivery programs that have at their core or feature at their core earlier diagnosis, accelerated treatment, earlier treatment and therefore better outcomes for patients and hopefully even saved lives. So that's the generic approach that we take."  #LucemHealth #AIinHealthcare #HealthcareAI  #HealthTech #EarlyDiseaseDetection lucemhealth.com Listen to the podcast here

In today's Ask Allison, we're tackling a big one: how to start a private practice when ADHD makes organization feel impossible. The quickest way to get moving? The Getting Started Checklist. It breaks everything into clear, bite-sized steps so you can take action without the overwhelm. After that, it's all about working with your brain, not against it—body doubling, timeboxing, EHR automations, batching, and delegating the tasks you'll never do anyway. These simple supports keep things moving without burning you out. Bottom line: ADHD isn't the barrier. You just need systems built for how you work. Sponsored by TherapyNotes®: Looking to switch EHRs? Try TherapyNotes® for 2 months free by using promo code ABUNDANT at therapynotes.com.    Links You'll Love: Grab my FREE weekly worksheet (plus other free tools to grow your practice) here: www.abundancepracticebuilding.com/links  Ready to fill your practice faster? Join the Abundance Party today and get 75% off your first month with promo code PODCAST: www.abundancepracticebuilding.com/abundanceparty

In this episode, Dr. Steven K. Barnett of CAN Community Health explains how his organization improved access to long acting injectable PrEP by optimizing EHR workflows, strengthening payer authorization processes, and coordinating multidisciplinary teams to reduce barriers for patients and providers.

Online tutoring has become such a lifeline for therapists trying to navigate the pressure of licensure exams, especially when traditional studying just isn't enough. In this episode of The Traveling Therapist Podcast, I chat with Dr. Pam Turner about her journey from clinician and professor to running a thriving online tutoring company that helps therapists pass exams like the LCSW, LMFT, NCE, CPCE, and more.She shares how she built a program that meets therapists exactly where they are, especially those who have taken their exam multiple times or struggle with test anxiety and standardized testing. We also talk about how she blends travel, online work, and a deep passion for helping clinicians succeed in their careers. It is such an inspiring conversation, and I know so many listeners will relate to her story.In This Episode, We Explore…Dr. Pam's transition from teaching college to traveling the world while running her online tutoring business.How her company tutors therapists preparing for U.S. licensure exams through Academic Coaching for World Changers.The study strategies, test-taking skills, and accommodations she recommends for clinicians who struggle with standardized exams.Her inspiring story of reinventing herself after major life changes.The growth of her team and the process of scaling her tutoring company.Connect with Dr. Pam:Website https://academiccoachingforworldchangers.comLinkedIn https://www.linkedin.com/in/dr-pam-turner-b78529229/Instagram https://www.instagram.com/academic_coachingfwc/Facebook https://www.facebook.com/AcademicCoachingforWorldChangersYouTube https://www.youtube.com/@DrPamTurner/featured_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

This podcast continues the important conversation on osteoporosis, shining a spotlight on how health systems can leverage features within their Electronic Health Record (EHR) systems to improve care for postmenopausal osteoporosis patients.Christen Buseman, Health Systems and Key Accounts Marketing Director at Amgen for the US bone health franchise speaks with Barry Wendt, MD, of St. Elizabeth Healthcare about how health systems can leverage Diagnosis-Aware Notes (DAN) within EHR systems to improve postmenopausal osteoporosis care. This episode is sponsored by Amgen and the participants have been compensated for their time.This episode is sponsored by Amgen.

How do we build a healthcare system where physicians and healthcare professionals can not only survive but truly thrive? In this illuminating episode of Life Changing Moments, host Dr. Dael Waxman sits down with a pioneer in the field, Dr. Jonathan Ripp, Chief Wellness Officer at the Icahn School of Medicine at Mount Sinai and co-founder of CHARM (the Collaborative for Healing and Renewal in Medicine). Dr. Ripp traces his 25-year journey from studying physician identity formation in residency to leading a national movement focused on structural well-being. He provides a masterclass on the evolution of the physician well-being movement, explaining why we've moved beyond individual "resilience" to address systemic issues like work design, clerical burden, and organizational culture. We dive deep into the genesis and mission of CHARM, the professional society for healthcare well-being leaders, and explore its foundational charter that has become a blueprint for institutions nationwide. Discover the most promising interventions today, from the explosive growth of physician coaching to the potential of AI and ambient scribes to reclaim time for meaningful work. In this episode, you'll learn: The story behind the CHARM collaborative and how it creates community for well-being leaders. Why the CHARM charter remains a critical document for defining the principles of systemic well-being. The four key domains of effective well-being programs: mental health, individual strategies, leadership culture, and work design. Why physician coaching and AI tools are among the most exciting advancements for reducing burnout. Practical advice for medical students and early-career physicians on how to choose a workplace that will support their well-being. Dr. Ripp's vision for a future where addressing healthcare worker well-being is a consistent, standardized priority across all health systems. If you are a physician, healthcare leader, medical student, or anyone passionate about healing the healers, this conversation is a source of grounded hope and a clear-eyed look at the path forward. Mentioned in this episode: CHARM: The Collaborative for Healing and Renewal in Medicine Connect with Us: Subscribe to Life Changing Moments for more conversations on finding purpose and success in medicine. What is the most pressing well-being challenge in your organization? Share your thoughts in the comments below! Chapters: 0:00 - Meet a Pioneer in Physician Well-Being 3:22 - Dr. Ripp's 25-Year Journey from Resident to CWO 7:10 - The "Transformation" of Physicians in Training 12:16 - The Birth of the CHARM Collaborative 15:08 - The CHARM Charter: A Blueprint for Well-Being 18:47 - The State of Physician Well-Being Today 25:05 - Most Promising Interventions: Coaching & AI 27:22 - The Future of Healthcare Well-Being in 5 Years 29:47 - Advice for the Next Generation of Physicians 33:58 - Final Thoughts: Perseverance and Community Keywords: Physician Well-Being, Doctor Burnout, CHARM, Collaborative for Healing and Renewal in Medicine, Dr. Jonathan Ripp, Chief Wellness Officer, Mount Sinai, Physician Coaching, Healthcare Leadership, Physician Identity, Medical Resident Burnout, Structural Change, Work Design, Clerical Burden, Electronic Health Record, EHR, AI in Medicine, Ambient Scribing, Physician Retention, Healthcare Culture, Organizational Culture, Mental Health, Resilience, Life Changing Moments, MD Coaches, Dr. Dael Waxman, Joy in Medicine, ACGME, AMA, Lorna Breen Foundation.   -+=-+=-+=-+= Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe   Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- There's more at https://mymdcoaches.com/podcast Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com