Out of Network Podcast

Plastic Surgeon Talks Future of Healthcare w/ Dr. Joshua Goldman | OON Ep. 23

In this episode of Out of Network, Dr. Ryon Parker sits down with Dr. Joshua Goldman (Board-Certified Plastic & Reconstructive Surgeon, co-founder of Vegas Plastic Surgery Institute) to discuss the challenges of modern healthcare, physician burnout, and why so many are moving away from traditional insurance models. You’ll learn: ✅ How burnout is caused by the administrative burdens of insurance ✅ The broken system that limits time doctors can spend with patients ✅ Why concierge medicine is growing as a solution to care delivery issues ✅ The surgery outcomes that set realistic expectations and prevent patient frustration ✅ Why volume-based models are hurting both physicians and patients ✅ The shift in expectations when it comes to patient care ✅ How healthcare is often about balancing time with quality outcomes Timestamps  00:00 – Intro: Dr. Joshua Goldman + Vegas Plastic Surgery Institute  03:33 – What craniofacial + microsurgery means  10:47 – What elite surgical training selects for  19:10 – Leaving academia to build a new model  21:33 – Why insurance-based care breaks (admin + overhead)  25:10 – Denials and recoupments: getting paid, then losing it  27:21 – The “third model” (concierge feel without cash-only)  33:30 – Concierge-level experience standards  35:10 – Expectation-setting and why volume kills quality  40:08 – Patient selection: when to say no  01:01:37 – Closing takeaways: access and “time to care”  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/ Parker Medical: https://parkermedical.org/ Dr. Rishi Seth → https://www.instagram.com/drrishiseth/ Seth Premiere Medical: https://sethmedical.com/ Dr. Goldman → https://vegaspsi.com/meet-dr-joshua-goldman/ https://www.instagram.com/goldstandardplasticsurgery/ Enjoyed the Episode? If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare. 🎙 About Out of Network  Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories. 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. #OutOfNetwork #Healthcare #PlasticSurgery #MedicalBurnout #ConciergeMedicine #ReconstructiveSurgery #MedicalCare #PhysicianBurnout #HealthcareSystem 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.

Why Doctors Get Sued Even When They’re Right w/ Adam Garth | OON Ep. 22

In this episode of Out of Network, Dr. Ryon Parker sits down with Attorney Adam Garth (healthcare defense attorney) for a behind-the-scenes look at how malpractice cases, board complaints, documentation, AI notes, and telemedicine risk actually play out - and why it’s driving physicians out of certain markets. You’ll learn: ✅ Why doctors are “under assault” in some jurisdictions - and why they leave ✅ The real cost of a lawsuit: 2–3 years with a cloud over your head ✅ How concierge medicine can reduce risk by giving you time to practice and document well ✅ AI scribing: powerful, but risky if you don’t verify (because the chart becomes evidence) ✅ Why many board complaints aren’t malpractice - they’re billing/respect/front desk issues (and still consume hours and legal fees) ✅ Telemedicine’s blind spot when you can’t put hands on the patient ✅ The simplest legal advice in medicine: “Document, whatever you’re doing.” Timestamps 00:02 – Who Adam Garth is (healthcare defense attorney) 03:10 – Why physicians are leaving certain jurisdictions 04:37 – The “2–3 year cloud” of malpractice cases 08:34 – Concierge medicine: less volume, more time, lower risk 11:41 – AI scribing: advantage vs liability (verify your notes) 23:45 – Board investigations and what triggers them 24:10 – “Billing / respect” complaints and why they waste time 27:17 – Telemedicine risk when you can’t examine hands-on 47:14 – The best free legal advice for physicians Connect with Out of Network:  🌐 Website: https://www.outofnetworkpod.com/ [https://www.outofnetworkpod.com/] 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/ [https://www.instagram.com/outofnetworkpodcast/] ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast [https://www.youtube.com/@OutofNetworkPodcast] 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcast [https://www.tiktok.com/@outofnetworkpodcast] Connect with the Hosts: Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/ [https://www.instagram.com/dr.ryonparker/] Parker Medical: https://parkermedical.org/ [https://parkermedical.org/] Dr. Rishi Seth → https://www.instagram.com/drrishiseth/ [https://www.instagram.com/drrishiseth/] Seth Premiere Medical: https://sethmedical.com/ [https://sethmedical.com/] Adam Garth → https://www.linkedin.com/in/adam-garth-86b00b36/ [https://www.linkedin.com/in/adam-garth-86b00b36/] Enjoyed the Episode? If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare. 🎙 About Out of Network Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories. 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. 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.

Why Modern Pediatrics Feels Broken w/ Dr. Lisa Hayes | OON Ep. 21

Modern pediatrics is breaking parents and burning out doctors - and most families have no idea why it feels so rushed, confusing, and lonely. In this episode of Out of Network, Dr. Rishi Seth sits down with Dr. Lisa Hayes (founder of Hayes Pediatric) for a no-fluff conversation about what changes when pediatric care is built around families instead of throughput. You’ll hear: * A behind-the-scenes look at why many pediatric visits feel like a blur (10 to 15 minutes is the reality in a lot of practices) *  What concierge / direct pediatric care actually looks like in real life *  Why Dr. Hayes does home visits within 48 hours of newborn discharge and continues home visits until 2 months *  The baby “products” parents waste money on (and the ones that don’t belong in the crib) *  What’s normal vs not normal in the first months, including crying and sleep *  Why sleep training is not one-size-fits-all and how she frames it without guilt *  How she handles vaccine anxiety in a world where parents are drowning in noise and fear *  What made her leave traditional pediatrics and build a model she would want for her own family Timestamps 00:50 – What “pediatrics designed around families” actually means 03:49 – What it looks like to join Hayes Pediatric 04:17 – Home visits within 48 hours after discharge 05:18 – The baby product trap parents don’t need 06:50 – The crib setup mistake families don’t realize is risky 09:10 – Crying peaks around 6 weeks and what parents should know 10:30 – Sleep training: when to start and why it’s not one method for everyone 24:53 – The part that breaks doctors: “Did I listen long enough?” 25:00 – The reality: 10 to 15 minutes per child 41:10 – Why you can’t counsel vaccine questions in 15 minutes 42:10 – CDC vs AAP confusion and what parents actually need 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/ Parker Medical: https://parkermedical.org/ Dr. Rishi Seth → https://www.instagram.com/drrishiseth/ Seth Premiere Medical: https://sethmedical.com/ Dr. Lisa Hayes → https://www.instagram.com/hayespediatrics/ Enjoyed the Episode? If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare. 🎙 About Out of Network  Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories. 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. 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.

Doctors Talk Psychedelics - Ketamine, Psilocybin, MDMA | OON Ep. 20

Psychedelics are everywhere right now - and most physicians still feel uneasy even saying the words out loud. In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth have a no-hype conversation about psychedelics in medicine: ketamine, psilocybin, MDMA, and what these therapies could mean for patients with refractory depression, anxiety, and PTSD who feel like they’ve run out of options. You’ll hear: * A real clinical case where a patient had tried “everything,” including multiple meds and therapy, and still wasn’t okay * Why Dr. Seth is skeptical (FDA approval, data quality, who these therapies are NOT for) * Dr. Parker’s decision to refer to a guided retreat option after clinical trials weren’t available * A personal story from Dr. Parker that adds a completely different layer to the conversation * Ketamine’s role today (anesthesia, pediatrics, refractory pain) and why “ketamine clinics” raise real questions Timestamps 00:00 – Why psychedelics in medicine makes doctors uncomfortable 01:26 – Clinical scenario: “nothing is working” for severe depression/anxiety 03:44 – The lineup: ketamine, MDMA, LSD, psilocybin 04:07 – Skepticism: “not FDA approved,” limited robust data 05:23 – A Colorado retreat enters the conversation 09:20 – The hard part: tapering off meds safely, risks, close follow-up 10:10 – Outcome: “first time I feel better” after the retreat 13:16 – Who psychedelics are NOT for (bipolar/psychotic disorders risk) 14:07 – What the research hints at (and what we still don’t know) 16:20 – Dr. Parker shares his personal experience and why this topic matters 28:40 – Ketamine: what it’s used for, what’s legit, what’s questionable 34:21 – Takeaways: hope, ambiguity, and why this deserves a real conversation 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/ Parker Medical: https://parkermedical.org/ Dr. Rishi Seth → https://www.instagram.com/drrishiseth/ Seth Premiere Medical: https://sethmedical.com/ Enjoyed the Episode? If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare. 🎙 About Out of Network  Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories. 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.

GLP-1 Medications Explained: The $200 Billion Healthcare Revolution | OON Episode 19

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive deep into the explosive world of GLP-1 medications—exploring the realities of semaglutide, tirzepatide, Ozempic, Wegovy, and Zepbound. With a projected $200 billion market by 2029, these drugs have transformed weight management, but they've also created chaos in the healthcare landscape. From med spa injections to proper medical supervision, this conversation sheds light on what safe GLP-1 treatment should actually look like. What You'll Learn * The difference between proper medical weight loss programs and dangerous "syringe-in-a-fridge" clinics * Why tirzepatide (Mounjaro/Zepbound) outperforms semaglutide (Ozempic) in most patients * Real strategies for patients who plateau or don't respond to GLP-1 medications * Insurance coverage realities and the new $50/month Medicare pricing * Serious side effects to watch for, including pancreatitis and gallbladder issues Timestamps * 00:00 – Introduction: The $200 billion GLP-1 economy * 03:15 – Wild West of GLP-1 prescribing: Med spas and strip mall clinics * 10:42 – Proper patient screening and medical supervision * 24:30 – Insurance coverage, pricing, and access issues * 32:00 – Tirzepatide vs. Semaglutide: Which is better? * 42:55 – The future of GLP-1s and closing thoughts 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/ Parker Medical: https://parkermedical.org/ Dr. Rishi Seth → https://www.instagram.com/drrishiseth/ Seth Premiere Medical: https://sethmedical.com/ Enjoyed the Episode? If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare. 🎙 About Out of Network  Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories. 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.