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Big Pharma's drug marketing got stealthy, and you are the target Jul 29, 2026

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The pharma rep with the free lunch is gone. What replaced it is harder to see, and aimed at you and your doctor. Martha Rosenberg is an investigative reporter who has worked at two medical schools and two medical ad agencies, seeing drug marketing from the inside. This episode is based on her article "3 new pharma marketing tactics every physician should know," published on KevinMD. Reporting from a pharma conference, Martha breaks down three tactics drug makers no longer hide. You will hear how AI apps track where a prescriber sits on the "prescription journey," how disease mongering and TikTok influencers turn everyday worries into conditions worth medicating, and how the industry is shifting from "ask your doctor" ads to pop-up and online practices that sell straight to patients and sidestep the FDA. She also flags a Maryland bill that would force disclosure of pharma funding behind patient advocacy groups. Press play to learn how to spot the marketing dressed up as medicine, and why your skepticism is the best defense you have.

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What ChatGPT revealed when a medical student asked it to analyze him Jul 28, 2026

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What happens when you ask ChatGPT to study every conversation you have had and tell you who you really are? One medical student did that, and what it told him changed how he sees his future in medicine. Jack Tiller is a medical student in an MD-PhD program, with doctoral work in neuroscience and neurodegeneration. This episode is based on his article "The reluctant achiever: Navigating identity in medical training," published on KevinMD. You will hear why the AI labeled him a reluctant achiever, and how a single line about having many possible lives but only one timeline stopped him cold. Jack explains how board-exam burnout, perfectionism, and an identity built on achievement all came into focus. He talks about exploring careers beyond clinical medicine, from science writing to policy, and about using AI alongside therapy to understand his own thinking. Press play to hear how AI helped one medical student see himself more clearly, and why he is giving himself permission to imagine a life beyond the path he was told to follow.

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Your kidney never fully recovered from surgery, and the labs won't show it Jul 27, 2026

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Your kidney test comes back normal after surgery, so you must have recovered. Except the damage can be hiding in plain sight. John Erbey is an epidemiologist by training and the founder and CEO of Roivios, where he works at the intersection of science and business. This episode is based on his article "When normal creatinine hides post-operative kidney injury," published on KevinMD. He explains why kidney function is dynamic, like the heart, and why the reserve you lose during surgery rarely returns even when creatinine looks fine. You will hear what a JAMA Network Open study found about elevated death and complication risk in the years after a "normal" recovery, why readmissions blamed on heart failure or infection may trace back to the kidney, and why John makes the case for protecting the kidney during the riskiest windows, from cardiac surgery to sepsis, instead of trusting the discharge number. Press play to learn why a normal kidney result can mislead you, and how to protect the kidney before the damage is locked in.

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Doctors burn out from a guilt that was never theirs Jul 24, 2026

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You feel guilty for calling in sick, taking earned vacation, or setting a boundary at work. What if that guilt was never really yours? Christie Mulholland is a palliative care physician and certified physician development coach. This episode is based on her article "Why your physician guilt may not actually be yours," published on KevinMD. She unpacks what psychoanalyst Laurence Blum called hidden guilt, the kind that often begins in childhood and turns capable kids into compulsive achievers who feel wrong for resting. You will hear how administrators and insurance companies can step into the role an authority figure once held, and why that quietly fuels burnout. Christie also shares how she helps physicians question where the guilt comes from, and the small first steps, from using all your PTO to weighing a part-time role or sabbatical. Press play to learn how to tell whether your guilt is real or inherited, and what to do the next time it shows up.

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Doctors who ignore AI will get left behind Jul 23, 2026

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When your hospital decides how to use AI, will you be in the room or will you be handed whatever someone else picked? Physicians have done this before, letting insurance and then EMRs reshape medicine before they reacted, and AI is the next force they cannot afford to ignore. Augusta Uwah is a hospitalist, physician advisor, and founder and CEO of ClinEfficiency Pro, where she builds AI tools for hospitals and revenue cycle management. This episode is based on her article "Why physician-led AI adoption is essential for health care," published on KevinMD. You will hear why doctors who stay out risk becoming vulnerable to vendors and sidelined in their own field. You will hear the real difference between casually using ChatGPT and using AI responsibly. And you will hear where to start, from securing your ChatGPT to evaluating vendors, and why being in the room is the difference between leading AI and being handed it.

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A doctor's kindness changed how my wife survived cancer Jul 22, 2026

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When a doctor shows real kindness, does it change how a patient heals? For Randy McNeely, the answer arrived the day his wife was diagnosed with cancer, and the calm, caring doctors who treated her became part of her recovery. Randy McNeely is a motivational speaker known as Captain Kindman, joined by physician advocate and physical therapist Kim Downey, who has survived cancer three times herself. This episode is based on their article "Compassionate health care transforms the patient journey," published on KevinMD. You will hear why a doctor's presence and reassurance can matter as much as the treatment itself. You will hear where AI helps, like a scribe that frees a doctor to spend more time with you, and what no tool can replace. And you will hear Randy's challenge to clinicians to build a kind relationship with themselves first. Press play to hear why the people who cared for them mattered as much as the treatment, and what every clinician can do to bring that kindness back to the bedside.

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What no one teaches you about fertility before you need help Jul 21, 2026

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Fertility specialist and Montgomery Fertility Center founder Oluyemisi "Yemi" Famuyiwa discusses the article "What no one tells you about fertility, from a doctor." Yemi discusses the article through a compassionate look at the emotional, biological, and practical realities patients often discover only after struggling to conceive. She explores fertility myths, reproductive timing, menstrual cycle awareness, egg health, sperm production, male factor infertility, patient anxiety, and the hope and grief that often coexist during the fertility journey. This episode examines why being healthy does not guarantee pregnancy, why both partners need evaluation, and why fertility care must address the human soul as well as the science. It is a reassuring conversation about replacing silence and shame with understanding, support, and choices that help patients feel less alone.

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Why women doctors get sick and blame themselves for it Jul 20, 2026

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Women doctors joke about being cursed with every complication, but what if the job itself is quietly damaging their health? Jessie Mahoney, a pediatrician and certified coach, returns to share her own story of pregnancy complications, an ICU stay, and a string of surgeries she spent years writing off as bad luck. This episode is based on her article "Women physicians' health is paying the price of medicine," published on KevinMD. You will hear why so many women physicians carry chronic illness, early cancers, and infertility at rates that feel too common to be coincidence, and why almost no one has studied the link. Jessie explains how the culture of medicine teaches women to blame themselves, hide what is wrong, and treat their own bodies as a liability when they fail. She makes the case for retiring the word curse, pushing for real data, and building a culture where taking time to heal is not seen as weakness. Jessie reframes a problem medicine has laughed off for generations and asks what it would take to finally take it seriously.

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Medicare will pay you to keep patients well. Most practices miss it. Jul 17, 2026

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Medicare will pay your practice to keep chronically ill patients out of the hospital, so why do most practices leave that money unused? Rachel Yates, a registered nurse and health care executive, joins to explain two reimbursement programs Medicare introduced in 2024, Community Health Integration and Principal Illness Navigation, and why two years later most practices still are not using them. This episode is based on her article "Patients pay when Medicare care coordination codes go unused," published on KevinMD. You will hear who actually qualifies, the patients you already see every day who keep cycling back through the ED, and how a single missed medication instruction can turn into a preventable readmission. Rachel makes the case that this is clinical care, not a billing add-on, and that the work can be delivered by contracted nurses under your supervision without piling more onto your existing staff. She walks through what a real between-visit coordination relationship looks like and why a 15-minute appointment was never going to fix everything. She lays out who qualifies, why the codes go unused, and the decision every practice now has to make.

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Cardiac arrest is a human problem, not a training problem Jul 16, 2026

Show notes

When a patient's heart stops, the person leading the code is running on memory alone, and memory fails under that kind of pressure. Michael Peck is an anesthesiologist and retired faculty member at George Washington University who spent more than 30 years watching skilled clinicians get cognitively overwhelmed during a cardiac arrest. In this episode he explains why the problem is not a lack of training but the hard limits of human attention, memory, and decision making during a crisis. This conversation is based on his article "Cognitive overload in cardiac arrest is a human problem," published on KevinMD. You will hear what it actually feels like to run a code with no reference to lean on, why aviation and nuclear power lean on checklists while medicine still does not, and why hospital reviews built on memory may miss what went right as well as what went wrong. Press play to hear why he believes patient safety starts with admitting our limits.

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