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Many thanks to Matthew Hermann, MD, a radiologist and Founder of the teleradiology company Right Read MD. Dr. Hermann began his career as a conventional radiologist but soon saw the virtues and opportunities of off-site practice.

Now based in Puerto Rico, he leads a team of physicians who provide high-quality radiology care to multiple hospitals. Matt loves Puerto Rico’s culture and doesn’t object to their low tax rates either!

During our 40-minute discussion, Dr. Hermann discussed the potential downsides of conventional telemedicine models. For example, groups that are incentivized solely by productivity, especially those run by private equity companies, may yield suboptimal results.

Radiologists working at home can also feel isolated and miss out on learning from colleagues that would occur in a more traditional patient care setting. Dr. Hermann explored whether teleradiology is a good long-term career option. While today’s demand is great, it’s unclear what the future holds for this type of medical service.

Dr. Hermann emphasized the hidden value of dedicated on-site radiologists who can develop professional relationships with referring physicians. Relationships between radiologists and surgeons, for example, have proven to influence surgical decision-making.

However, when hospitals lack the resources for permanent on-site radiologists, teleradiology becomes a clinically necessary and attractive option. Chart access for teleradiologists, along with a focus on patient care rather than pure productivity, can help mitigate the negatives of operating off-site.

Dr. Hermann’s company handles licensing and credentialing. He also ensures that radiologists on his team are appropriately compensated. Right Read MD continues to grow.

To learn more or to contact Dr. Hermann, please check out his website: www.rightreadmd.com

or email info@rightreadmd.com

#teleradiology #entrepreneur #burnout #hospitalmedicine #radiology #telemedicine

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This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to Heather Signorelli, DO, for joining me on The Art of Medicine with Dr. Andrew Wilner. Heather is a practicing pathologist and owner of a medical billing company. Heather’s interest in medicine and business began at an early age. Her father was an obstetrician for his entire career, and her mother was involved in hospital management.

At medical conferences, physicians who struggled with running their offices frequently asked Heather for help and inspired her to start her company. Heather began her medical billing business with her husband five years ago. Currently, she supervises 70 employees and assists 200 physician practices in collecting payments for their services.

The current complexity of the number of carriers, plans, and rules conspires to prevent physicians from receiving prompt reimbursement for their services. The industry average is 40 days to get paid, although Heather’s company tries to shorten this considerably. Heather explained the top 3 things that physicians can do to improve collections.

During our 30-minute discussion, we explored the growing concept of the Concierge Practice, which is a cash-based model. We also addressed the role of AI in streamlining office procedures and controlling overhead.

Micro-practices, as presented on this program by Kara Pepper, MD, on August 31, 2025, are another option to traditional insurance-based practices. Both Dr. Pepper and Dr. Signorelli have studied with business guru and pediatrician

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This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to Paul Sippil, CPA, for joining me on today’s episode of “The Art of Medicine with Dr. Andrew Wilner!” Paul is a CPA with a special interest in retirement planning for physicians. He started his career as an auditor, but soon moved on to work in financial services, which he found more satisfying.

Although he trained as a CPA, today Paul’s practice focuses on optimizing 401(k) and pension plans for medical practices rather than on personal tax questions. Paul identifies himself as a “forensic 401 (k) consultant” or more loosely, a “401 (k) Vigilante.”

During our 30-minute discussion, Paul emphasized that “hidden” fees are often part of 401 (k) retirement plans. To optimize savings, these fees must first be identified and then, potentially, negotiated. We discussed the current absurd fee structure of “assets under management,” which should be avoided. Paul recommended that physicians seek out financial advisors who are “fee for service,” which is definitely sound advice based on discussions with other wealth managers we have had on this program! We also discuss the role of the personal CPA.

To learn more or to contact Paul, please check out his website: https://www.paulsippil.com/ and YouTube channel: at https://www.youtube.com/@paulsippil

Thanks again to Paul Sippil for sharing your expertise on The Art of Medicine with Dr. Andrew Wilner!

@paulsippil #feeforservice #assetsundermanagement #401k #fiduciary

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This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to Functional Diagnostic Nutrition Practitioner Courtney Cowie, LBT, NTP, FDN-P, PN2-MHC, for joining me on the Art of Medicine with Dr. Andrew Wilner. Courtney is a nutrition health coach who specializes in helping people with gastrointestinal distress or excessive weight gain when conventional medical approaches fail.

Courtney is certified in functional diagnostic nutrition testing. These tests assess adrenal health, hormone balance, and oxidative stress, and can help explain chronic, disagreeable gastrointestinal symptoms.

Courtney has had great success working with patients to identify dietary triggers and alter their eating behaviors and lifestyles. These interventions can have a surprisingly beneficial effect on gastrointestinal symptoms such as bloating, frequent bowel movements, and lack of energy.

During our 30-minute conversation, we addressed the potential harms of ultraprocessed foods and excessive weight gain. Courtney advised healthier food alternatives, as well as the benefits of an individualized, holistic approach to health.

To contact Courtney Cowie, please check out her website: www.courtneycowie.com. You can find a free PDF guide to naturally achieve IBS-D and IBD symptom relief on her website.

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"

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Please rate and review each episode.

To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com

This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to J. Paul Luftman, MD, for joining me on today’s episode of “The Art of Medicine with Dr. Andrew Wilner.” Dr. Luftman has been a family and sports physician for 25 years. He is also the author of the new book “The Widowmaker’s Gift: Balancing Science and Well-Being in Healthcare.”

Dr. Luftman was prompted to reevaluate life’s priorities after a sudden massive heart attack. “The Widowmaker’s Gift” describes his healing journey as he began to appreciate his many life stresses and compulsion to always please others, often at the expense of his own emotional well-being.

During our 35-minute interview, we discussed his exploration of Western and Eastern philosophies to find a remedy for years of suffering from “Imposter Syndrome” and excessive perfectionism. In his book, Dr. Luftman offers brief, practical exercises for physicians and others to help achieve balance and wellness in their busy lives.

Dr. Luftman also revealed his new venture, “Saturation of Sound,” which he hopes will help others, especially young physicians facing an overload of information and excessive stimulation from nonstop social media and relentless 24/7 news updates.

To learn more or to contact Dr. Luftman, check out his website:

https://saturationofsound.com

@saturationofsound #burnout #impostersyndrome @theartofmedicine

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This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to Barry Prizant, PhD, for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner!

Dr. Prizant is the author of “Uniquely Human” and co-host with Dave Finch of the highly successful “Uniquely Human “podcast.

Dr. Prizant has more than 50 years of experience working with people with autism. He began working with children with disabilities as a teenager and never stopped.

Dr. Prizant is one of the developers of the SCERTS (SC-social communication, ER-emotional regulation, TS-transactional support) model for children and adults with autism spectrum disorder and their families. He has authored 150 scholarly articles and chapters and frequently lectures on autism.

During our 45-minute discussion, Dr. Prizant defined autism and neurodiversity. He also addressed the apparent rising incidence of autism. We talked about the challenges that many people with autism face, as well as the fact that 10-15% possess “savant” abilities.

Dr. Prizant shared his perspective on ABA (Applied Behavior Analysis) therapy, which is often prescribed to newly diagnosed children with autistic spectrum disorder. He contrasted ABA therapy with DRBI (Developmental Relationship-Based Intervention), a therapeutic approach that fosters meaningful relationships in order to enhance communication skills. Dr. Prizant expressed concerns that many ABA therapists are not trained in child development and may not fully understand a child’s behavior.

We discussed Steve Silberman’s landmark book “Neurotribes,” perhaps the most comprehensive book on the history of autism ever written. I’ve read both “Uniquely Human” and “Neurotribes,” and highly recommend both of them. (“Uniquely Human” is an easier read, and I would start with that one!)

In a recent episode of the “Uniquely Human” podcast, Dr. Prizant paid tribute to Steve Silberman, who recently passed away. Here’s the

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Please rate and review each episode.

To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com

This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to Kara Pepper, MD, for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner!

Dr. Pepper is an internal medicine physician and former professional ballet dancer.

After her residency in internal medicine, Dr. Pepper joined a corporate medical practice. Although she felt it wasn't the perfect fit, she stuck with it. After about seven years, she succumbed to burnout and left on sabbatical. She resumed her job but still wasn't satisfied.

The stark reality of the COVID pandemic forced Kara to reassess her priorities. Three years ago, she left corporate medicine to create a solo practice. What began as a telemedicine practice now includes in-person visits as well. She specializes in treating patients with eating disorders. By running her own practice, Dr. Pepper feels she can better serve patients, especially those who feel marginalized by the health care system.

Dr. Pepper also discovered a community of physicians who struck out on their own and developed satisfying and successful practices. She happily shares her experience as a physician coach with other doctors who are unhappy in medicine and considering solo practice. She emphasized that "physicians have a voice and autonomy…are not prisoners of their jobs, and can create something new."

To learn more about creating a successful solo practice, check out her website: www.karapeppermd.com or contact Kara Pepper, MD: hello@karapeppermd.com

#AI #ambientscribe #locumtenens #solopractice #eatingdisorders #womenentrepreneur

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To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com

This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to Rashie Jain for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner!

Rashie is an engineer and Co-Founder of Marvix.AI, her second start-up. Rashie observed that many physicians struggle with high administrative burdens, especially medical specialists who spend more time with patients and deal with complex cases. With the advent of large language models, she created an "ambient scribe" that takes notes during a patient encounter, organizes them, and presents them for review as a finished product. With just a little tweaking, doctors can embed these notes into the electronic medical record (EMR).

I tried out Rashie's software at the recent American Academy of Neurology meeting in San Diego, CA. Her Co-Founder played the role of a migraine patient, and we chatted for about 10 minutes. Truth be told, the ambient scribe did a great job capturing the essential details. I could have edited it in just a couple of minutes, which would save time compared to typing it into the EMR myself!

To learn more about Marvix.AI, or to try it in your own office, please contact Rashie Jain at https://www.marvixapp.ai

#AI #ambientscribe #largelanguagemodel #womenentrepreneur

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Please rate and review each episode.

To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com

This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

Or paste this link into your browser:

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