Episodios

  • Insulin resistance is a survival mechanism, not a broken system
    Mar 23 2026

    Metabolic health educator Kevin Whitt discusses his article "Insulin resistance is not a disease: a metabolic reframe." Kevin argues that the skyrocketing rates of Type 2 diabetes are not the result of defective biology, but rather a predictable response to chronically elevated blood sugar. The conversation challenges the traditional medical view of insulin resistance, reframing it as a protective mechanism where cells limit glucose uptake to prevent damage from substrate oversupply. Kevin highlights how modern medical education structurally privileges pharmacological treatments over nutritional interventions, leaving doctors equipped to manage symptoms rather than address root causes. Discover why addressing the dietary carbohydrate load is the key to resolving this metabolic mismatch.

    Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

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    25 m
  • Criticism stings because doctors care deeply about their work
    Mar 20 2026

    Pediatrician and certified coach Jessie Mahoney discusses her article "Dealing with physician negative feedback." Jessie validates the pain that comes with criticism, noting that it hurts not because physicians are weak, but because they are human and deeply invested in their patients. The conversation explores the physiological response to negative reviews, suggesting practical mindfulness techniques like placing a hand on the heart to lower cortisol and signal safety. Jessie advises against the habit of rumination, encouraging doctors to instead create a "generous story" that frames the feedback through a lens of curiosity rather than shame. Discover why prioritizing integrity over being liked is essential for sustainable medical practice.

    Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

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    17 m
  • Why early detection matters: Transforming lung cancer care
    Mar 19 2026

    In this special sponsored episode from Eli Lilly and Company, I am joined by Dr. Lee James, senior vice president of oncology medical affairs at Lilly, to discuss the importance of lung cancer screening, early detection, and advances in biomarker testing. We explore how low-dose CT screening can reduce mortality, yet remains underused, and why comprehensive genomic profiling is essential to understanding the molecular drivers of non-small cell lung cancer and guiding targeted treatment decisions. Tune in to learn how expanding access to screening and precision medicine is helping create new hope for people affected by lung cancer.

    VISIT SPONSOR → https://www.lilly.com/conditions/cancer/lung-cancer

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    20 m
  • Politics and fear have replaced science in U.S. pain management
    Mar 18 2026

    Patient advocate Richard A. Lawhern, PhD, discusses the article "U.S. opioid policy history: How politics replaced science in pain care." Richard argues that for decades, public policy on pain treatment has been driven by sociopolitical factors rather than medical science. He traces the history from the "business corruption" phase of pill mills to the current "political phase" launched by the 2016 CDC guidelines. The conversation highlights how anti-opioid zealotry and legal fears have forced physicians to abandon effective pain care, leaving patients to suffer or turn to illicit markets. Richard also critiques the rising reliance on buprenorphine, suggesting it is popular not because of superior efficacy for pain, but because it offers a legal "safe harbor" for clinicians. Discover why Richard believes the confusion between physical dependence and addiction is driving a public health failure.

    Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

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    25 m
  • Shift from universal to optional vaccination risks normalizing preventable disease
    Mar 17 2026

    Medical student Umayr R. Shaikh discusses his article "The impact of CDC's new childhood immunization guidance." Umayr argues that recent CDC changes, moving vaccines like flu, Hep B, and meningococcal from universal recommendation to shared decision making, risk normalizing preventable illness. He highlights how his medical training now focuses on diagnosing diseases that should be rare footnotes. The conversation explores the danger of treating public health as an individual choice, warning that this shift will disproportionately harm vulnerable populations and widen health inequities. Discover why rebuilding trust in evidence based prevention is critical to avoiding a future of predictable outbreaks.

    Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

    PARTNER WITH KEVINMD → https://kevinmd.com/influencer

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    23 m
  • Emergency nurses struggle to turn off survival mode after the pandemic
    Mar 16 2026

    Retired emergency department nurse Amy Dinaburg discusses her article "Lowercase PTSD: Why emergency staff are still hypervigilant." Amy reflects on the relentless pressure of the COVID-19 pandemic where nurses were forced to override their nervous systems to keep patients alive. She describes the concept of "Lowercase PTSD" as the result of prolonged exposure to death and uncertainty rather than a single catastrophic event. The conversation highlights how the "hero" narrative often masked a survival mode that many staff are still struggling to turn off years later. Amy explains that healing requires small recalibrations, like consciously softening the body and allowing rest without earning it, to move from unconscious reactivity back to feeling fully alive.

    Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

    PARTNER WITH KEVINMD → https://kevinmd.com/influencer

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    RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

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    16 m
  • Autonomous AI agents could strip the soul from medicine
    Mar 15 2026

    Internal medicine and functional medicine physician Shiv K. Goel discusses his article "Agentic AI in medicine: the danger of automating the doctor." Shiv analyzes the new ARPA-H "ADVOCATE" program which aims to deploy autonomous AI agents for heart disease care within three years. The conversation highlights the critical difference between processing data and understanding a patient, noting that AI cannot read the fear in a voice or the silence between words. Shiv warns of the "liability black hole" that arises when algorithms make high-stakes decisions and argues that technology must serve the healer rather than replace the human connection. Discover why the next three years will determine whether code redefines the sacred responsibility of medicine.

    Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

    PARTNER WITH KEVINMD → https://kevinmd.com/influencer

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    RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

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    18 m
  • Wellness requires safe spaces outside the medical system
    Mar 14 2026

    Pediatrician and certified coach Jessie Mahoney discusses her article "Why physician wellness programs must evolve beyond institutions." Jessie reflects on her seventeen years leading in-house wellness initiatives and argues that while institutional programs provide legitimacy, they are ultimately insufficient for deep healing. She explains that true recovery requires stepping away from the very environments that cause distress to find spaces free from agendas and evaluation. The conversation highlights the unique power of independent, physician-led programs that prioritize mindfulness, somatic healing, and connection with nature. Jessie contends that physicians cannot transform the health care system if they are barely surviving within it, making external wellness spaces not a luxury, but a foundational necessity for sustaining the profession.

    Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

    PARTNER WITH KEVINMD → https://kevinmd.com/influencer

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    RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

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    15 m