In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into the overwhelming world of wellness trends—exploring what's helpful, what's harmless, and what patients should avoid. From IV vitamin drips and NAD injections to hyperbaric chambers and supplement claims, they break down the science (or lack thereof) behind popular wellness treatments. With honest physician perspectives and real patient stories, this conversation sheds light on how to navigate wellness confusion while maintaining trust in evidence-based medicine.

What You'll Learn

• How to approach patients who've received conflicting wellness advice from other providers
• The real science behind popular treatments like IV vitamins, NAD, and hyperbaric oxygen therapy
• Why the wellness industry thrives on aging fears and how to address patient concerns compassionately
• Red flags to watch for in wellness claims and when treatments cross into dangerous territory

Timestamps
00:00 – Introduction to wellness world confusion
01:12 – Navigating conflicting advice from different providers
08:09 – IV vitamins and NAD: separating hype from science
11:50 – Hyperbaric oxygen therapy: medical vs. wellness applications
15:15 – The supplement industry and "nutraceuticals"
16:43 – Why people seek wellness solutions: aging, fear, and social media
25:32 – Dangerous wellness trends: chiropractic overreach and chronic conditions
30:40 – The importance of staying in your lane as healthcare providers
33:37 – Final thoughts on evidence-based wellness

Connect with Out of Network
Website: https://www.outofnetworkpod.com/
Instagram: https://www.instagram.com/outofnetworkpodcast/
YouTube: https://www.youtube.com/@OutofNetworkPodcast
TikTok: https://www.tiktok.com/@outofnetworkpodcast

Connect with the Hosts
Parker Medical - Las Vegas, NV → https://bit.ly/parkermedical
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiere
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

Enjoyed the Episode?
If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth explore the world of telemedicine and reveal how it's revolutionizing healthcare access in rural America. Dr. Seth shares his firsthand experience as a telehealth hospitalist—running emergency codes from hundreds of miles away, managing critical patients over a screen, and keeping small-town hospitals alive. From a patient with "3 out of 10" chest pain who turned out to have a life-threatening heart attack, to the technology and expertise required to provide remote care, this conversation uncovers the hidden infrastructure that's changing medicine as we know it.

What You'll Learn

• How telehealth hospitalists manage critical emergencies remotely—including running codes over a screen
• The reality of rural hospitals where there may be no doctor on-site at all
• The dramatic story of catching a full-blown STEMI (heart attack) from 100 miles away
• Why telemedicine requires 5+ years of clinical experience before going remote
• The technology behind telehealth carts and remote patient monitoring
• How small-town hospitals stay open thanks to telehealth coverage
• State licensing requirements and the Interstate Medical Licensure Compact
• Best practices for using telemedicine in outpatient and concierge settings
• The future of AI integration in telehealth

Timestamps

00:00 – Introduction: What if there's no doctor in the building?
01:00 – Dr. Seth's journey into telehealth hospitalist work
02:30 – What are critical access hospitals and why do they matter?
04:00 – The technology: Telehealth carts, stethoscopes, and zoom capabilities
07:00 – Why rural hospitals are the lifeblood of small-town America
08:00 – The gray patient: Catching a life-threatening STEMI remotely
10:30 – Why experience matters more than technology in telehealth
14:00 – The business model keeping rural hospitals financially viable
18:00 – State licensing requirements and legal considerations
21:00 – How Dr. Parker uses telemedicine in his concierge practice
24:00 – Documentation requirements and billing for telehealth visits
26:00 – The future of telehealth and AI integration
28:00 – Final thoughts: Why telemedicine is revolutionary for rural America

Connect with Out of Network
Website: https://www.outofnetworkpod.com/
Instagram: https://www.instagram.com/outofnetworkpodcast/
YouTube: https://www.youtube.com/@OutofNetworkPodcast
TikTok: https://www.tiktok.com/@outofnetworkpodcast

Connect with the Hosts
Parker Medical - Las Vegas, NV → https://bit.ly/parkermedical
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiere
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

Enjoyed the Episode?
If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into the FDA's recent removal of the black box warning on hormone replacement therapy—exploring the realities of what this change actually means for women's health. With a mix of bold truths, real stories, and evidence-based insights, this conversation sheds light on the complex nuances behind HRT, the original Women's Health Initiative study, and why headlines rarely match the science.

What You'll Learn

• Why the FDA removed the black box warning and what it actually means (spoiler: it's not a universal green light)
• The real story behind the Women's Health Initiative study and why Premarin vs. bioidentical hormones matters
• How to navigate HRT decisions based on age, symptoms, and individual risk factors

Timestamps
00:00 – Introduction
01:15 – FDA removes black box warning: What does it really mean?
03:28 – The concerning conflicts of interest behind the decision
07:25 – Breaking down the Women's Health Initiative study
12:00 – Estrogen types: Premarin vs. bioidentical hormones
16:00 – The age factor: Why timing matters in HRT
24:00 – Real patient case: Factor V Leiden and HRT complications
30:47 – Key takeaways for patients and physicians

Resources & Links Mentioned
Women's Health Initiative Study > https://www.nhlbi.nih.gov/science/womens-health-initiative-whi

Connect with Out of Network
Website: https://www.outofnetworkpod.com/
Instagram: https://www.instagram.com/outofnetworkpodcast/
YouTube: https://www.youtube.com/@OutofNetworkPodcast
TikTok: https://www.tiktok.com/@outofnetworkpodcast

Connect with the Hosts
Parker Medical - Las Vegas, NV → https://bit.ly/parkermedical
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://bit.ly/sethpremiere
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

Enjoyed the Episode?
If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.