In this episode of Out of Network, Dr. Ryon Parker sits down with Attorney Adam Garth (healthcare defense attorney) for a behind-the-scenes look at how malpractice cases, board complaints, documentation, AI notes, and telemedicine risk actually play out - and why it’s driving physicians out of certain markets.

You’ll learn:

✅ Why doctors are “under assault” in some jurisdictions - and why they leave
✅ The real cost of a lawsuit: 2–3 years with a cloud over your head
✅ How concierge medicine can reduce risk by giving you time to practice and document well
✅ AI scribing: powerful, but risky if you don’t verify (because the chart becomes evidence)
✅ Why many board complaints aren’t malpractice - they’re billing/respect/front desk issues (and still consume hours and legal fees)
✅ Telemedicine’s blind spot when you can’t put hands on the patient
✅ The simplest legal advice in medicine: “Document, whatever you’re doing.”

Timestamps
00:02 – Who Adam Garth is (healthcare defense attorney)
03:10 – Why physicians are leaving certain jurisdictions
04:37 – The “2–3 year cloud” of malpractice cases
08:34 – Concierge medicine: less volume, more time, lower risk
11:41 – AI scribing: advantage vs liability (verify your notes)
23:45 – Board investigations and what triggers them
24:10 – “Billing / respect” complaints and why they waste time
27:17 – Telemedicine risk when you can’t examine hands-on
47:14 – The best free legal advice for physicians

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:
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Parker Medical: https://parkermedical.org/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/
Seth Premiere Medical: https://sethmedical.com/

Adam Garth → https://www.linkedin.com/in/adam-garth-86b00b36/

Enjoyed the Episode?
If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.

🎙 About Out of Network
Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.

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.

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.

Modern pediatrics is breaking parents and burning out doctors - and most families have no idea why it feels so rushed, confusing, and lonely.

In this episode of Out of Network, Dr. Rishi Seth sits down with Dr. Lisa Hayes (founder of Hayes Pediatric) for a no-fluff conversation about what changes when pediatric care is built around families instead of throughput.

You’ll hear:

• A behind-the-scenes look at why many pediatric visits feel like a blur (10 to 15 minutes is the reality in a lot of practices)
• What concierge / direct pediatric care actually looks like in real life
• Why Dr. Hayes does home visits within 48 hours of newborn discharge and continues home visits until 2 months
• The baby “products” parents waste money on (and the ones that don’t belong in the crib)
• What’s normal vs not normal in the first months, including crying and sleep
• Why sleep training is not one-size-fits-all and how she frames it without guilt
• How she handles vaccine anxiety in a world where parents are drowning in noise and fear
• What made her leave traditional pediatrics and build a model she would want for her own family

Timestamps

00:50 – What “pediatrics designed around families” actually means
03:49 – What it looks like to join Hayes Pediatric
04:17 – Home visits within 48 hours after discharge
05:18 – The baby product trap parents don’t need
06:50 – The crib setup mistake families don’t realize is risky
09:10 – Crying peaks around 6 weeks and what parents should know
10:30 – Sleep training: when to start and why it’s not one method for everyone
24:53 – The part that breaks doctors: “Did I listen long enough?”
25:00 – The reality: 10 to 15 minutes per child
41:10 – Why you can’t counsel vaccine questions in 15 minutes
42:10 – CDC vs AAP confusion and what parents actually need

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:
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Parker Medical: https://parkermedical.org/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/
Seth Premiere Medical: https://sethmedical.com/

Dr. Lisa Hayes → https://www.instagram.com/hayespediatrics/

Enjoyed the Episode?
If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.

🎙 About Out of Network
Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.

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.

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.

Psychedelics are everywhere right now - and most physicians still feel uneasy even saying the words out loud.

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth have a no-hype conversation about psychedelics in medicine: ketamine, psilocybin, MDMA, and what these therapies could mean for patients with refractory depression, anxiety, and PTSD who feel like they’ve run out of options.

You’ll hear:

• A real clinical case where a patient had tried “everything,” including multiple meds and therapy, and still wasn’t okay
• Why Dr. Seth is skeptical (FDA approval, data quality, who these therapies are NOT for)
• Dr. Parker’s decision to refer to a guided retreat option after clinical trials weren’t available
• A personal story from Dr. Parker that adds a completely different layer to the conversation
• Ketamine’s role today (anesthesia, pediatrics, refractory pain) and why “ketamine clinics” raise real questions

Timestamps

00:00 – Why psychedelics in medicine makes doctors uncomfortable
01:26 – Clinical scenario: “nothing is working” for severe depression/anxiety
03:44 – The lineup: ketamine, MDMA, LSD, psilocybin
04:07 – Skepticism: “not FDA approved,” limited robust data
05:23 – A Colorado retreat enters the conversation
09:20 – The hard part: tapering off meds safely, risks, close follow-up
10:10 – Outcome: “first time I feel better” after the retreat
13:16 – Who psychedelics are NOT for (bipolar/psychotic disorders risk)
14:07 – What the research hints at (and what we still don’t know)
16:20 – Dr. Parker shares his personal experience and why this topic matters
28:40 – Ketamine: what it’s used for, what’s legit, what’s questionable
34:21 – Takeaways: hope, ambiguity, and why this deserves a real conversation

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:
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Parker Medical: https://parkermedical.org/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/
Seth Premiere Medical: https://sethmedical.com/

Enjoyed the Episode?
If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.

🎙 About Out of Network
Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.

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.