In this special two-part bonus series of Out of Network, Dr. Ryon Parker sits down with the people who truly help build concierge medical practices from the ground up. In Part 1, meet Neera Seth—a nurse, mother, and co-founder of Seth Premier Medical in Tampa.

We explore taking entrepreneurial risks, redefining healthcare roles, and how personalized care starts with the people delivering it. This candid conversation reveals the challenges and rewards of building a concierge practice as a husband-wife team.

What You'll Learn

• How nursing experience translates into healthcare entrepreneurship and practice management
• The real challenges of starting a concierge medical practice in a new city with young children
• Why personalized healthcare requires both clinical expertise and operational excellence

Timestamps
00:00 – Introduction to the special bonus series
01:15 – Neera's nursing background and journey from Canada to the US
04:00 – Leadership lessons from nursing management roles
07:00 – Comparing Canadian vs American healthcare systems from a nurse's perspective
09:45 – The decision to move to Tampa and start Seth Premier Medical
13:15 – Neera's dual role as nurse and practice manager
16:30 – Working with your spouse: challenges and strengths
20:30 – Future vision for Seth Premier Medical
23:45 – Advice for other healthcare couples considering concierge medicine

About Our Guest
Neera Seth is a registered nurse with 18 years of experience, co-founder of Seth Premier Medical in Tampa, FL, and mother of two. With a Master's in Nursing Management and Leadership, she brings both clinical expertise and operational leadership to the concierge medicine space.

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 and Dr. Rishi Seth tackle the top 20+ healthcare questions that patients most commonly ask ChatGPT. From chest pain and diabetes symptoms to insurance navigation and telehealth concerns, we provide straight answers to the health questions keeping you up at night. This practical episode cuts through medical jargon to give you actionable insights about your health.

What You'll Learn

• How to distinguish between heart attack chest pain and anxiety symptoms
• Early warning signs of type 2 diabetes and when to get tested
• When knee pain requires medical attention vs. home care
• The truth about bronchitis, pneumonia, and flu contagiousness
• UTI symptoms and why not every abnormal urine test needs antibiotics
• Cancer screening guidelines for different ages (spoiler: colonoscopy at 45!)

Timestamps
00:00 – Introduction: Answering your top health questions
01:30 – Chest pain: Heart attack vs. anxiety vs. other causes
04:15 – Type 2 diabetes early warning signs
06:30 – When knee pain needs a doctor visit
09:15 – Bronchitis, pneumonia, and flu: What's contagious?
13:00 – UTI symptoms and the overuse of antibiotics
18:00 – Managing headaches, hair loss, and fatigue
19:00 – Stress management: The four pillars approach
21:00 – Depression treatment and management
24:00 – Daily water intake recommendations
26:00 – Heart-healthy diets that actually work
29:00 – Sleep hygiene and managing insomnia
31:45 – Cancer screenings by age: What you need to know
37:00 – LGBTQ+ healthcare and PrEP therapy
44:00 – Telehealth: When it works and when it doesn't
49:30 – Urgent care vs. ER: Making the right choice
52:15 – Insurance basics: Premiums, deductibles, and copays
55:30 – Do healthy people need health insurance?
57:45 – HSA accounts and concierge medicine

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 and Dr. Rishi Seth pull back the curtain on America's broken healthcare system. From insurance denials that put profits over patients to the bureaucratic maze that's burning out physicians, this conversation exposes the harsh realities of modern medicine. With real stories from the front lines, they explore defensive medicine, the inequities plaguing our system, and most importantly—what patients can do to take back control of their healthcare.

What You'll Learn

• How insurance companies deny legitimate medical claims and force hospitals to fight for payment
• Why physicians are ordering unnecessary tests and practicing "defensive medicine"
• The real reasons behind physician burnout and why doctors are leaving traditional medicine
• How patients can navigate the complex healthcare system and advocate for themselves

Approximater Timestamps
00:00 – Introduction: The reality of healthcare denials
03:15 – Insurance company tactics: Denying sepsis and respiratory failure claims
09:30 – The cost of fighting insurance denials on hospitals and patients
15:00 – Defensive medicine: Why doctors order unnecessary tests
28:00 – Physician burnout: The human cost of a broken system
35:00 – Canada vs. US healthcare: A physician's perspective
45:00 – Taking healthcare into your own hands: Patient advocacy
52:30 – Closing thoughts: The future of healthcare

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 and Dr. Rishi Seth dive into the rapidly growing world of wellness—exploring advanced biomarkers, whole body MRI scans, GLP-1 medications, and hyperbaric therapy.

With a mix of clinical expertise and real patient stories, this conversation examines what's truly beneficial versus what's just hype in today's wellness landscape, and how concierge physicians can guide patients through these emerging trends.

What You'll Learn

• The truth about advanced biomarkers and functional medicine labs—when they help vs. when they create unnecessary anxiety
• Real stories of whole body MRI scans catching pancreatic cancer early and saving lives
• Everything you need to know about GLP-1 medications (Ozempic, Mounjaro) from dosing to long-term effects
• How hyperbaric oxygen therapy works and why it's gaining popularity in concierge practices

Timestamps
00:00 – Introduction to wellness trends in medicine
01:15 – Advanced biomarkers and functional medicine labs
07:30 – Whole body MRI imaging: life-saving or unnecessary?
14:15 – Cardiovascular screening beyond basic tests
21:30 – Deep dive into GLP-1 medications (Ozempic vs Mounjaro)
46:15 – Hyperbaric oxygen therapy in concierge practices
52:30 – Wearables and health tracking devices
56:15 – Future wellness services and closing thoughts

Resources & Links Mentioned

• Clearly Heart Scan for cardiovascular assessment
• Quest Diagnostics cash pricing vs insurance
• Hyperbaric oxygen therapy research studies

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 and Dr. Rishi Seth share the powerful patient stories that defined their medical careers and ultimately led them to leave traditional healthcare.

From a life-saving emergency on a cruise ship to a forgotten patient left in stirrups, these aren't just medical anecdotes—they're the experiences that revealed what's broken in our system and inspired them to build something better.

What You'll Learn

• How a massive heart attack in the middle of the ocean tested Dr. Parker's skills as a cruise ship physician
• Why Dr. Seth's airplane medical emergency led to an unforgettable cockpit landing experience
• The devastating story of delivering a pancreatic cancer diagnosis as a medical student
• How a patient forgotten in stirrups became the final straw that drove the move to concierge medicine

Timestamps

00:00 – Introduction with special guests Archie and Bella

04:15 – Dr. Parker's defining moment: Delivering terminal diagnosis as a student •

18:00 – Dr. Seth's ethics work and the power of sitting with patients

25:00 – Cruise ship medicine: Life and death in the middle of the ocean

44:00 – Airplane emergencies and unexpected cockpit invitations

56:30 – The patient left behind: A system failure that changed everything

01:00:00 – Why these stories led to concierge medicine

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 and Dr. Rishi Seth dive into concierge medicine—exploring what it really is, debunking the "luxury only" myth, and revealing how it's reshaping patient care in America's broken healthcare system. With real stories from their practices and honest insights about the business of medicine, this conversation sheds light on how concierge medicine is giving power back to patients and joy back to doctors.

What You'll Learn

• What concierge medicine actually is (and what it's not) - from guaranteed 48-hour appointments to 24/7 access
• The real economics behind concierge medicine - why it's not just for the wealthy and how it can actually save patients money
• How concierge medicine addresses physician burnout and the broken primary care system
• The difference between concierge medicine, direct primary care (DPC), and traditional insurance-based practices

Timestamps

00:00 – Introduction: What is concierge medicine?
05:30 – Breaking down the "luxury myth" - Royal Pains vs. reality
12:15 – The economics: Why doctors charge membership fees and still bill insurance
18:45 – Patient panel sizes: 3,500 patients vs. 200 patients
25:20 – Real patient stories: From 40 medications to 5
32:10 – Building relationships with specialists and the "quarterback" model
38:45 – The future of concierge medicine and physician shortage debate
45:30 – What sets great concierge practices apart
52:00 – Closing thoughts on hospitality in healthcare

Resources & Links Mentioned

Parker Medical - Las Vegas concierge practice model
Seth Premiere Medical - Tampa concierge practice

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 and Dr. Rishi Seth dive into their personal journeys from traditional medicine to concierge practice—exploring the realities of America's healthcare system, what drove them to seek alternatives, and how personal struggles shaped them into better physicians. With a mix of bold truths, real stories, and evidence-based insights, this conversation sheds light on the hidden challenges of medical training, the burnout crisis in healthcare, and how concierge medicine offers a path to meaningful patient relationships.

What You'll Learn
• How attending offshore medical schools can create insecurity that ultimately drives excellence
• Why traditional medical education fails to prepare doctors for real-world practice challenges
• How personal trauma and loss can transform physicians into more compassionate caregivers

Timestamps
00:00 – Introduction and meeting anniversary reflection
03:15 – Dr. Seth's journey from finance to medicine in Canada
10:42 – The Caribbean medical school experience and overcoming insecurity
18:30 – Dr. Parker's coming-out story and small-town Nebraska roots
24:30 – Residency experiences and the gap in "real medicine" training
32:15 – Hospitalist life: 16 patients, 7 days, complex cases
38:45 – The ethics committee and goals of care conversations
42:20 – Dr. Seth's mother's cancer journey and the inspiration for concierge medicine
48:10 – Financial fears and sacrifices of starting a practice
52:30 – Dr. Parker's transition from Lifetime Fitness to independent practice
56:45 – Structured MD consulting and helping other physicians transition
58:55 – Closing thoughts on treating patients like family

Resources & Links Mentioned
Seth Premier Medical: https://sethmedical.com/
Parker Medical: https://parkermedical.org/

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/
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.

Episode Summary

In the very first episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth introduce themselves and the mission behind this podcast. Both board-certified internal medicine physicians turned concierge doctors, they share why they chose to step away from the traditional, volume-driven model of medicine and how they’re reimagining healthcare with a patient-first approach. From the realities of physician burnout to the power of entrepreneurship in medicine, this episode sets the stage for bold conversations ahead.

What You’ll Learn

• Why many physicians are leaving traditional healthcare systems behind
• How concierge medicine re-centers the patient–doctor relationship
• The vision for Out of Network and what to expect in future episodes

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.