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The New Healthcare

The New Healthcare

De : Dr Adama Diarra
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 The New Healthcare is a podcast for doctors, residents, and medical students who believe medicine can be better—including through independent practice. Hosted by Dr. Adama Diarra, an internal medicine physician, the show explores how clinicians and the experts who support them are rethinking how care is delivered, how practices are built, and how we can reclaim autonomy, purpose, and humanity in medicine—while delivering better care for our patients and our communities. Each episode dives into the evolving world of private practices, concierge medicine, direct primary care, and other innovative practice models, including micro-practices, telehealth-first clinics, and hybrid systems. Through conversations with physicians and thought partners across healthcare, the podcast offers practical insights into building sustainable practices, navigating nontraditional career paths, and practicing medicine on your own terms. While the primary audience is clinicians in training and practice, the show also welcomes listeners who are curious about personalized care models and the future of healthcare delivery. Whether you're a medical student exploring what's possible beyond the traditional system, a resident thinking critically about your career path, or a physician building or joining an independent practice, The New Healthcare provides thoughtful conversations, real-world lessons, and inspiration for the next era of medicine. The future of healthcare is being built right now—and you're part of it. Dr. Adama Diarra Internal Medicine Physician©2025 Economie Hygiène et vie saine Maladie et pathologies physiques Marketing et ventes
Épisodes
  • S1E15 The Nephrologist Who Left the System to Save Her Patients—and Herself. With Marilia Campos, MD

    S1E15 The Nephrologist Who Left the System to Save Her Patients—and Herself. With Marilia Campos, MD
    Apr 27 2026
    Podcast Episode Summary In this episode of The New Healthcare, Dr. Adama Diarra interviews Dr. Marilia Campos, a nephrologist and founder of Optima Kidney Care in Oregon. Dr. Campos shares her journey from employed nephrology practice to opening her own independent clinic after realizing she needed more autonomy, more control over her schedule, and more time with patients, especially after becoming a mother. A major theme of the conversation is how traditional healthcare schedules often force specialists to see too many patients too quickly, leaving little time for education, shared decision-making, or prevention. Dr. Campos explains that in her new practice, she schedules one hour for new patients and 30 minutes for follow-ups, which allows her to better explain kidney disease, reduce patient anxiety, and practice more thoughtfully. Clinically, Dr. Campos emphasizes that primary care clinicians should pay closer attention not only to eGFR, but also to urine albumin-to-creatinine ratio or protein-to-creatinine ratio, especially in patients with hypertension, diabetes, obesity, cardiovascular disease, or early CKD. She suggests referral to nephrology when patients reach approximately CKD stage 3B, eGFR 45 or below, or when proteinuria is 300 mg/g or higher, though she notes that earlier collaboration can be helpful. The episode also covers the importance of aggressive prevention in CKD, including managing proteinuria, using ACE inhibitors or ARBs, considering SGLT2 inhibitors, and recognizing the growing role of GLP-1 medications in slowing CKD progression, especially in patients with diabetes and cardiometabolic risk. On the business side, Dr. Campos shares practical insights for physicians considering independent practice. She discusses credentialing delays, insurance reimbursement realities, overhead planning, referral relationships, community visibility, and the emotional leap of starting a practice. Her advice to burned-out physicians is simple: talk to doctors who have done it, do the math, use available resources, and realize that private practice is possible. At its core, this episode is about reclaiming time, restoring the patient-physician relationship, and building a medical practice around real life instead of burning out inside a broken system.
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    55 min
  • S1E14 Mastering Private Practice Accounting: Healthcare Perspective with Chuck Palmer, CFO

    S1E14 Mastering Private Practice Accounting: Healthcare Perspective with Chuck Palmer, CFO
    Apr 20 2026
    Primary Goal: Educational Summary: In this comprehensive interview, Chuck Palmer, a seasoned fractional CFO, shares invaluable insights on starting and managing a small healthcare business. Topics include choosing the right business entity, setting up accounting and payroll systems, tax strategies, and maintaining financial health for long-term success. keywords: small business, healthcare, accounting, taxes, LLC, S-Corp, payroll, financial management, startup tips key topics Business entity selection (LLC, S-Corp, etc.) Importance of proper accounting and payroll systems Tax strategies and compliance for small businesses Title: Mastering Small Business Finances: A Healthcare Perspective Sound Bites "Electing S-Corp status can provide tax advantages" "Regular reconciliation catches mistakes early" "Trust professionals, there's no magic tax bullet" Chapters 00:00 Introduction to Class 4 Accounting 03:38 Understanding Business Entities and Compliance 06:16 The Importance of Choosing the Right Business Structure 09:04 Transitioning from LLC to S-Corp 11:39 Timing and Importance of Accounting Services 14:22 Common Mistakes New Business Owners Make 16:52 The Consequences of Not Filing Taxes 19:38 The Role of Financial Metrics in Business Success 24:01 Understanding Financial Health 27:24 Best Practices in Bookkeeping 30:13 Revenue vs. Profit: Key Differences 33:32 Fair Compensation and Business Valuation 38:18 Reinvesting Profits vs. Distributions 41:06 The Importance of Employee Well-being 42:54 Debunking Tax Myths
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    46 min
  • S1E13 The New Healthcare_The Future of IV Hydration: Clinical/Wellness Applications & Regulatory Landscape_Mary Taylor, MSN, ACNPC-AG

    S1E13 The New Healthcare_The Future of IV Hydration: Clinical/Wellness Applications & Regulatory Landscape_Mary Taylor, MSN, ACNPC-AG
    Apr 5 2026
    Interview Primary goal: Educational Summary In this episode, Mary Taylor, founder of Thirst Aid Station, discusses the clinical and wellness applications of IV hydration, regulatory considerations, and the impact on patient care. She shares insights from her background in oncology and her entrepreneurial journey into mobile IV therapy. Keywords Key Topics Clinical uses of IV hydration Regulatory landscape and safety protocols Patient experiences and outcomes Guest Name: Mary Taylor, MSN, ACNPC-AG Titles: The Future of IV Hydration: Clinical/Wellness Applications & Regulatory Landscape Sound bites "IV hydration has clear medical indications." "IV therapy can help people feel better quickly." "Building trust is key in home-based care." Chapters 00:00 Introduction to IV Hydration and Mary Taylor's Journey 02:13 The Dual Role: Oncology Nurse and IV Hydration Specialist 05:09 Understanding the IV Hydration Process 05:56 Mobile IV Hydration: Convenience and Accessibility 08:13 Common Misconceptions About IV Hydration 10:45 Clinical Considerations and Patient Safety 13:08 Evidence vs. Patient Demand in IV Hydration 15:40 Regulations and Best Practices in IV Hydration 19:36 Navigating Regulatory Pathways in IV Therapy 21:02 Patient Experiences and Outcomes 22:56 Meaningful Patient Interactions 24:41 Insights from Traditional vs. Alternative Care 26:26 Motivations Behind Starting a Business 27:38 Fun Myths and Facts about IV Therapy 30:43 Connecting with Thirst Aid Station 33:30 riverside_tnh_— outro_ jan 10, 2026 _adama_diarra's stud.mp3 resources Thirst Aid Station - https://thirstaidstation.com Regulations on IV Therapy - https://www.fda.gov/ guest links Website - https://thirstaidstation.com Email - info@thirstaidstation.com
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    38 min
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