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/

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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.

In this candid episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth step away from discussing broken healthcare systems to share the raw, unfiltered lessons from their medical journey. From the struggles of foreign medical school to the challenges of starting a practice, they explore the wins, mistakes, doubts, debt, and grind that shaped them as physicians, husbands, fathers, and business owners.

What You'll Learn

• Why comparison truly is the thief of joy in medical practice
• The reality of starting a concierge practice with limited capital and massive student debt
• How attending a Caribbean medical school (Ross University) actually made them better doctors
• The importance of taking notes during residency rotations and learning from attendings
• Real talk about practice startup costs, renovation delays, and staffing challenges

Timestamps

00:00 – Introduction: The journey no one tells you about
03:15 – Starting humble: Learning not to compare yourself to others
10:42 – Ross University experience: Would they do it again?
24:30 – Residency lessons: What they wish they'd done differently
42:55 – Practice building mistakes and wins

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 tackle a topic most people never see but every healthcare worker knows too well—abuse inside the medical system. From physical assaults and verbal attacks to intimidation and impossible expectations, they break down the shocking reality that nurses, doctors, and staff face daily. This isn't about rare incidents; it's about systemic abuse happening in hospitals and clinics nationwide, and what needs to change to make healthcare feel human again.

What You'll Learn

• The staggering statistics: 52% of ER nurses report physical violence, and 1 in 7 physicians have been physically assaulted by patients or families
• How to distinguish between patients who are genuinely confused/delirious versus those with manipulative agendas
• When and how healthcare providers can legally terminate difficult patient relationships without abandonment charges
• Why the "customer is always right" mentality is destroying healthcare and what leaders can do instead

Timestamps

00:00 – Introduction: The hidden abuse crisis in healthcare

03:00 – Physical violence against healthcare workers: real stories from the frontlines

10:00 – Patient abandonment laws vs. provider safety: where's the line?

17:00 – The review system dilemma: when bad patients leave bad reviews

24:00 – Why healthcare violence is escalating and what's driving patient frustration

27:00 – Closing thoughts: stopping the normalization of abuse

About the Violence Crisis

Recent studies show that healthcare workers face violence at alarming rates, with 42 states now working to make violence against healthcare workers a felony. The Buffalo, Minnesota mass shooting by a disgruntled patient serves as a tragic reminder of how serious this crisis has become.

Resources & Links Mentioned

• Emergency Nurses Association 2024 workplace violence study: https://www.ena.org/news-publications/newsroom/emergency-nurses-association-launches-new-study-workplace-violence
• JAMA physician assault survey: https://pmc.ncbi.nlm.nih.gov/articles/PMC9707179/
• "From Worst to First" by Gordon Bethune (Continental Airlines customer service philosophy): https://www.amazon.com/Worst-First-Continentals-Remarkable-Comeback/dp/0471356522
• Nurse Blake's social media advocacy for safe staffing

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/

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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. Rishi Seth sits down with Andres Ayesta, registered dietitian, CEO of Planos Nutrition, and producer of this very podcast. Together, they explore the broken connections between physicians and dietitians, the wild west of social media nutrition advice, and the entrepreneurial challenges of building healthcare businesses outside traditional systems. From GLP-1 medications to the importance of evidence-based practice, this conversation reveals how nutrition and concierge medicine can work together to truly serve patients.

What You'll Learn

• Why the referral system between doctors and dietitians is fundamentally broken—and how insurance makes it worse
• How to navigate nutrition misinformation on social media and identify evidence-based advice
• The real story behind GLP-1 weight loss medications: benefits, risks, and how to use them safely
• Essential lessons from 10 years of healthcare entrepreneurship, including the importance of "imperfect action"

Timestamps

00:00 – Introduction to Andres Ayesta
03:00 – What is Planos Nutrition and the blueprint approach to health
10:00 – The broken physician-dietitian referral system
18:00 – Insurance challenges for dietitians and patients
24:00 – Social media nutrition wars and misinformation
35:00 – GLP-1 medications: the good, bad, and ugly
42:00 – Healthcare entrepreneurship lessons learned
50:00 – The marketing reality of healthcare businesses

About Our Guest
Andres Ayesta is a registered dietitian, CEO of Planos Nutrition, and healthcare entrepreneur. Originally from Venezuela, he's built a thriving nutrition practice focused on evidence-based care and holistic health approaches. Connect with him here:

Website: https://planosnutrition.com/
Instagram: https://www.instagram.com/andresayesta/
YouTube: http://youtube.com/c/andresayesta

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://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
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 powerful episode of Out of Network, Dr. Ryon Parker sits down with his dear friend and patient Laura Cadieux to share her incredible story of resilience and transformation. From surviving a life-threatening COVID hospitalization as case #26 in Nevada to becoming a marathon runner, Laura's journey exemplifies the power of mindset, determination, and patient-centered healthcare. This deeply personal conversation explores the broken healthcare system through a patient's eyes and celebrates the triumph of the human spirit.

What You'll Learn

• How a near-death COVID experience became the catalyst for complete life transformation
• The stark reality of patient experiences in traditional vs. concierge healthcare settings
• Why mindset and self-advocacy are crucial for health and recovery
• How one mother's health journey inspired her entire family's wellness transformation

Timestamps

00:00 Introduction to the Out of Network Podcast

00:07 Meet Laura Kadu: A Story of Resilience

01:10 Laura's COVID-19 Battle Begins

02:14 Hospitalization and Isolation

03:06 The Struggle for Survival

09:33 Recovery and the Road to Fitness

13:08 Reflections on Healthcare and Patient Experience

17:52 Personal Experience with Healthcare System Failures

18:51 Balancing Family and Personal Health

19:59 Journey into Running and Fitness

21:14 Mental and Physical Challenges of Fitness

22:48 Impact of Positive Influences and Role Models

27:03 Concierge Medicine vs. Traditional Healthcare

30:55 Inspiration and Support from Family

31:22 Final Thoughts and Podcast Conclusion

About Our Guest

Laura Cadieux is a wife, mother, and marathon runner whose story of overcoming a life-threatening COVID hospitalization has inspired many. From being case #26 in Nevada to completing multiple marathons, Laura exemplifies resilience and the power of taking control of your health.

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://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
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 sits down with Dr. Dan Barrera, a talented hepatobiliary surgeon and subspecialty specialist, to explore what it's really like to be a surgeon in today's challenging healthcare landscape. From the realities of the OR to navigating Las Vegas healthcare stereotypes, Dr. Dan shares his journey from medical student to attending surgeon, discusses the complexities of pancreatic surgery, and opens up about being a gay physician in a traditionally conservative field.

What You'll Learn

• The demanding 14-year journey to become a specialized surgeon (undergrad through fellowship)
• Why Las Vegas healthcare deserves better than its "third world" reputation
• How insurance bureaucracy creates dangerous delays in patient care
• The future of robotic surgery and its impact on patient outcomes
• Navigating identity and authenticity as an LGBTQ+ physician in medicine

Timestamps
00:00 – Introduction and Dr. Dan's background
03:15 – What inspired Dr. Dan to become a surgeon
05:45 – The long road: Medical education journey breakdown
08:30 – Hepatobiliary surgery and pancreatic cancer treatment
12:00 – Las Vegas healthcare stereotypes and reality
16:30 – Insurance bureaucracy horror stories
22:00 – Coming out as a gay physician in surgery
31:00 – The future of robotic surgery
37:00 – Advice for future surgeons
42:55 – Closing thoughts on healthcare reform

About Our Guest

Dr. Dan Barrera is a hepatobiliary and advanced GI surgical oncology specialist practicing in Las Vegas. He completed his general surgery residency in Denver, Colorado, and his fellowship training in Florida. Dr. Dan specializes in complex pancreatic surgeries and is passionate about advancing robotic surgical techniques.

Read more about him here > https://www.southernnvsurgery.com/dr-daniel-a-barrera

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://parkermedical.org/
• Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
• Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
• 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.