Épisodes

  • S2E4 A Mother Sold Her Land to Pay a Hospital Bill — Then Stopped Feeding Her Other Child with Athena Hall, MD

    S2E4 A Mother Sold Her Land to Pay a Hospital Bill — Then Stopped Feeding Her Other Child with Athena Hall, MD
    Sep 1 2026
    A mother in Rwanda sold her family's land and livestock to save one of her children — and had to stop feeding another to do it. That's the story that changed how Dr. Athena Hall thinks about healthcare. A pediatric hospitalist and urgent care physician, Athena spent a year in Rwanda during a global health fellowship, watching a "gold standard" Western medical model create hospital-acquired infections, financial ruin, and impossible choices for the families it was meant to help. She's carried that lesson home ever since — because the same broken math shows up here too: two-thirds of U.S. bankruptcies are tied to medical debt, and the specialty that actually saves the system money, primary care, is the one getting squeezed hardest. In this conversation, Athena and Adama dig into why healthcare's foundation — not just its policies — is misaligned with why people go into medicine in the first place. They talk about Alaska's Nuka System of Care and what happens when communities take back control of their own health systems, the power dynamics between doctors and patients, and why Athena thinks fixing any of this requires what she calls "cathedral thinking" — building something we may not live to see finished. It's a conversation about incentives, power, and what it actually takes to redesign a system from the inside — one relationship at a time. Adama Diarra, DO, FACP, DipABOM
    Afficher plus Afficher moins
    50 min
  • S2E3 The Muscle Group Nobody Talks About — Until It Stops Working

    S2E3 The Muscle Group Nobody Talks About — Until It Stops Working
    Aug 17 2026
    Episode Description Pelvic floor health affects everyone — but it's rarely discussed until something goes wrong. In this episode, Dr. Adama Diarra sits down with Dr. Isabel Hoyven Cisneros to break down what the pelvic floor actually does, why it matters for men and women alike, and why so many common symptoms go unaddressed simply because patients don't know to ask about them. Dr. Cisneros walks through the "five S's" of pelvic floor function, what a healthy pelvic floor looks like versus a dysfunctional one, and the surprisingly wide range of conditions tied back to this single muscle group — from incontinence and prolapse to pelvic tension, diastasis recti, and sexual dysfunction. She also shares the screening questions every clinician should be asking, the tools reshaping pelvic floor therapy today, and real patient outcomes that show just how transformative this often-overlooked area of care can be. This episode is a practical primer for physicians who want to recognize pelvic floor dysfunction in their patients — and a reminder that whole-person care means asking the questions patients don't always know to bring up themselves. Key Topics Why pelvic floor dysfunction goes unrecognized in everyday clinical visits The five S's: what the pelvic floor actually does What a healthy pelvic floor looks like vs. common signs of dysfunction Pelvic floor issues in men — an overlooked and undertreated area Pelvic floor tension: the lesser-known counterpart to weakness Diastasis recti, prolapse, and pressure management Sexual dysfunction and pain as pelvic floor symptoms, not standalone issues Screening questions physicians can start using today Innovative tools shaping the future of pelvic floor therapy
    Afficher plus Afficher moins
    42 min
  • S2E2 "You Don't Need a Bestseller — You Need Authority": How Physicians Can Actually Write a Book

    S2E2 "You Don't Need a Bestseller — You Need Authority": How Physicians Can Actually Write a Book
    Aug 3 2026
    Season 2 Episode 2 "You Don't Need a Bestseller — You Need Authority": How Physicians Can Actually Write a Book with Rick Lite from Trust Pub Episode Description Most physicians have a book in them — and most never write it. In this episode, Rick Light, founder of TrustPub, breaks down why that gap exists and how to close it without blowing up your schedule or your identity as a clinician first. Rick walks through the real process of going from idea to published book: how to pick a topic that actually stands out in an oversaturated medical publishing space, the most common mistakes physicians make when they try to do it alone, and where AI fits into modern book writing — including how the publishing industry is actually responding to AI-assisted content. We also get into traditional vs. self-publishing, realistic timelines, and what a full-service publishing process looks like when you don't have time to become a part-time author. If you've been sitting on a book idea because you don't know where to start — or because you assumed it would take over your life — this episode is your starting point. Key Topics Why writing a book multiplies a physician's influence beyond the exam room The most common mistakes physicians make when writing their first book Choosing a topic that stands out in a crowded medical publishing market Step-by-step: what the writing-to-publishing process actually looks like TrustPub's full-service model for authors with no time to spare Realistic project timelines and expectation-setting AI in book writing: where it helps, where the industry draws the line Traditional publishing vs. self-publishing — which fits your goals Chapters 00:00 Introduction and Podcast Purpose 00:23 Guest Introduction: Rick Light and Background 01:20 The Mission of TrustPub and Helping Professionals Publish 02:21 Why Physicians Should Write Books to Expand Influence 03:05 Common Mistakes Physicians Make When Writing Books 04:20 The Process of Writing and Publishing a Book 07:01 TrustPub's Full-Service Publishing Process 09:42 Project Timelines and Managing Expectations 11:37 Choosing Topics and Identifying Market Gaps 13:07 Using AI in Book Writing: Opportunities and Concerns 16:40 Industry Perspectives on AI-Generated Content 19:10 Future of AI in Publishing and Ethical Considerations 21:14 How to Get Started with Your Book Project 22:02 Contact and Final Advice from Rick Light Resources TrustPub — https://trustpub.com IngramSpark — https://www.ingramspark.com KDP (Kindle Direct Publishing) — https://kdp.amazon.com Guest Links Website — https://trustpub.com Sound Bites "A book multiplies a physician's influence beyond the exam room." "Books can establish authority, build trust, and explain complex topics." "You don't need to aim for a bestseller — focus on your expertise." Adama Diarra, DO, FACP, DipABOM
    Afficher plus Afficher moins
    23 min
  • S2E1 The Secret Fishing Hole: The 100-Year Legal Blueprint for Cash Medicine No One Told You About — with Jim Eischen, Esq.

    S2E1 The Secret Fishing Hole: The 100-Year Legal Blueprint for Cash Medicine No One Told You About — with Jim Eischen, Esq.
    Jul 6 2026
    Episode Description Most physicians building concierge or membership-based practices are operating without a map. They've been told to opt out of Medicare, keep their fees low, and pick a tribe — DPC, concierge, hybrid — without ever understanding that a compliant, tax-advantaged, bulletproof model for cash medicine has existed in federal law since 1913. No one told them about it. That changes today. In this episode, Dr. Adama Diarra sits down with James Eischen, Esq., founder of Eischen Law Office and one of the foremost legal authorities on concierge and membership-based medicine in the United States. With nearly four decades of legal experience and 17 years spent exclusively in this space, Jim breaks down what the major practice models — DPC, concierge, executive health, lifestyle and longevity — actually are under the law, why the names don't mean what you think they mean, and why the confusion in this space is not an accident. Jim explains the legal and historical framework that has protected annual and routine exam-based subscription medicine since 1965, why you almost certainly do not need to opt out of Medicare to run a cash practice, how to structure your patient agreement so that your patients can unlock FSA and HSA benefits from day one, and why pricing yourself too low may be quietly undermining your practice before it gets off the ground. This episode also covers the history most physicians have never heard — the corporate, political, and racial roots of why this model was kept hidden from most of the medical profession, and why the cost of that ignorance has been borne not just by physicians, but by the patients and communities they serve. If you have ever asked yourself whether you can charge a membership fee and still bill insurance, whether you need to opt out of Medicare, or what your patient agreement actually needs to say — this conversation is the one you have been waiting for. Dr Adama Diarra, DO, FACP, DipABOM
    Afficher plus Afficher moins
    1 h et 9 min
  • S1E22 Why Four Doctors Quit the Machine — And What It Actually Cost Them.

    S1E22 Why Four Doctors Quit the Machine — And What It Actually Cost Them.
    Jun 22 2026
    After months of conversations with physicians building independent practices — a concierge doctor who makes house calls, a DPC physician who traded a 2,000-patient panel for one capped at 300, an internal medicine doctor in Bend offering 60-minute first visits, and a cancer survivor running a holistic practice out of a converted space — Dr. Adama Diarra noticed the same four themes surfacing again and again. In this solo recap episode, Dr. Diarra pulls those threads together into one conversation: autonomy as a deliberate trade-off rather than an escape fantasy, AI as a tool to sharpen clinical judgment rather than replace it, the patient relationship as the actual product of medicine, and the constant temptation to let your brand outrun your care. Along the way: how an extra 45 minutes of autonomy helped one doctor catch a missed aortic aneurysm, why "physically ill" is how one physician described her old inbox, and why none of the doctors featured on this show built a following before they built trustworthy care. A practical, story-driven episode for any physician, NP, or PA weighing what independence actually costs — and what it's actually for.
    Afficher plus Afficher moins
    27 min
  • S1E21 The New Healthcare-Your Brain on Hypnosis: Pain, Prediction, and the Science of State Change with James Harrison

    S1E21 The New Healthcare-Your Brain on Hypnosis: Pain, Prediction, and the Science of State Change with James Harrison
    Jun 15 2026
    The New Healthcare | In this episode, Dr. Adama Diarra sits down with James Harrison, certified clinical hypnotist and author of Mental Foraging, to explore what clinical hypnosis actually is — and what it isn't. James strips away the pop-culture myths and grounds the conversation in contemporary neuroscience: predictive processing, allostasis, mirror neurons, and the stability-plasticity problem. The two discuss how hypnosis works as a guided state change that can help patients access their own capacity for pain modulation, habit updating, and emotional reconsolidation. Practical territory covered includes chronic pain, IBS, fibromyalgia, smoking cessation, and sleep — along with clear guidance on which patients are good referral candidates and which aren't. James also shares simple, in-office techniques any clinician can use to begin shifting a patient's relationship to their pain signal — right in the exam room. For physicians looking to expand their integrative referral network, this episode offers both the neuroscience rationale and the clinical roadmap to do it thoughtfully.
    Afficher plus Afficher moins
    1 h
  • S1E20 "I Don't Know" — The Three Words AI Can't Say (But Every Clinician Should)

    S1E20 "I Don't Know" — The Three Words AI Can't Say (But Every Clinician Should)
    Jun 8 2026
    "I Don't Know" — The Three Words AI Can't Say (But Every Clinician Should) In this solo episode, Dr. Adama Diarra makes the case that saying "I don't know" is one of the most underused and undervalued tools in clinical medicine. Using a real patient encounter from the week of recording — a gastroenteritis case in late spring where the standard viral default turned out to be the wrong seasonal answer — he walks through what happened when he paused, admitted uncertainty out loud, did the research, and came back with a better answer. The data showed a meaningful seasonal shift toward bacterial pathogens like Campylobacter and Salmonella in warmer months, which changed how he counseled the patient and shaped their shared decision to pursue supportive care with a clear plan to escalate if needed. From that clinical story, Dr. Diarra draws out three things "I don't know" actually accomplishes: it preserves a clinician's calibration and credibility, it models intellectual honesty for trainees, and most importantly, it protects patients by creating a disclosure loop that a confident wrong answer never would. The episode then pivots to a May 2026 New England Journal of Medicine perspective piece — Can AI Say "I Don't Know"? by Sikora, Celi, and Abdulnour — which argues that AI tools, as currently deployed, lack the reflex to disclose uncertainty. They generate fluent, confident responses regardless of whether the underlying evidence is solid or absent. Dr. Diarra illustrates the danger with a methotrexate dosing example and maps it back to his own gastroenteritis case: an AI would have given the annual default answer with full confidence, missing the seasonal nuance entirely. He closes with a practical framework: become AI-fluent, not AI-dependent. Use multiple sources the way clinicians always have — PubMed, Cochrane, colleagues, subspecialists. Don't outsource critical thinking. And until the tools learn to say "I don't know," that responsibility stays with the clinician.
    Afficher plus Afficher moins
    22 min
  • S1E19 How to Build a Membership Based Private Practice That Still Takes Insurance with Rene Hermes

    S1E19 How to Build a Membership Based Private Practice That Still Takes Insurance with Rene Hermes
    Jun 1 2026
    The New Healthcare by Adama Diarra, DO, FACP, DipABOM Guest: Rene Hermes Content Type: Interview Primary Goal: Educational Summary Most physicians enter independent practice with clinical confidence and financial blind spots. Rene Hermes entered with both — and built something different. In this episode, Rene shares how a background in corporate finance shaped her approach to running independent primary care practices, why she developed a hybrid insurance-plus-membership model, and what it actually takes to make concierge medicine accessible without sacrificing financial sustainability. Whether you're curious about leaving employed medicine or already making the leap, this conversation offers a grounded, practical roadmap. Key Topics Why corporate finance principles change how you see practice economics How a hybrid insurance + membership model works in real primary care Making concierge medicine accessible — and still viable The operational infrastructure independent practices often overlook What physicians consistently underestimate about building independence Sound Bites "Finance looks at the future, not just the past." "One emergency visit can pay for the entire year." "Living independently in medicine is achievable." Chapters 00:00 — Introduction: Who Is Rene Hermes? 03:48 — From Corporate Finance to Medical Management 06:46 — Building a Family Practice from the Ground Up 10:14 — What Finance Teaches You About Primary Care 13:53 — The Hybrid Practice Model, Explained 17:59 — Making Concierge Medicine Accessible 28:26 — Rethinking Concierge: A New Framework 32:33 — Operational Realities of Running a Private Practice 41:36 — Building Your Concierge Model: What to Consider First 47:56 — The Case for Independence in Medicine Resources Hermes Health American Academy of Professional Coders (AAPC) Certified Physician Practice Manager (CPPM) Certification Contact Rene: rene@hermeshealth.net
    Afficher plus Afficher moins
    53 min