Out of Network Podcast

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 insuran...

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 le...

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 l...

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 op...

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 prop...

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into AI's rapid integration into healthcare—exploring how artificial intelligence is transforming medical documentation, diagnostics, and patient care. With a mix of personal experiences, honest concerns, and evidence-based insights, this conversation sheds light on both the promise and perils of AI in medicine, and ho...

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into the overwhelming world of wellness trends—exploring what's helpful, what's harmless, and what patients should avoid. From IV vitamin drips and NAD injections to hyperbaric chambers and supplement claims, they break down the science (or lack thereof) behind popular wellness treatments. With honest physician pe...

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth explore the world of telemedicine and reveal how it's revolutionizing healthcare access in rural America. Dr. Seth shares his firsthand experience as a telehealth hospitalist—running emergency codes from hundreds of miles away, managing critical patients over a screen, and keeping small-town hospitals alive. From a patient...

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into the FDA's recent removal of the black box warning on hormone replacement therapy—exploring the realities of what this change actually means for women's health. With a mix of bold truths, real stories, and evidence-based insights, this conversation sheds light on the complex nuances behind HRT, the original Wo...

In this candid episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth step away from discussing broken healthcare systems to share the raw, unfiltered lessons from their medical journey. From the struggles of foreign medical school to the challenges of starting a practice, they explore the wins, mistakes, doubts, debt, and grind that shaped them as physicians, husbands, fathers, and busines...

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth tackle a topic most people never see but every healthcare worker knows too well—abuse inside the medical system. From physical assaults and verbal attacks to intimidation and impossible expectations, they break down the shocking reality that nurses, doctors, and staff face daily. This isn't about rare incidents; it's a...

In this episode of Out of Network, Dr. Rishi Seth sits down with Andres Ayesta, registered dietitian, CEO of Planos Nutrition, and producer of this very podcast. Together, they explore the broken connections between physicians and dietitians, the wild west of social media nutrition advice, and the entrepreneurial challenges of building healthcare businesses outside traditional systems. From GLP-1...

In this powerful episode of Out of Network, Dr. Ryon Parker sits down with his dear friend and patient Laura Cadieux to share her incredible story of resilience and transformation. From surviving a life-threatening COVID hospitalization as case #26 in Nevada to becoming a marathon runner, Laura's journey exemplifies the power of mindset, determination, and patient-centered healthcare. This de...

In this episode of Out of Network, Dr. Ryon Parker sits down with Dr. Dan Barrera, a talented hepatobiliary surgeon and subspecialty specialist, to explore what it's really like to be a surgeon in today's challenging healthcare landscape. From the realities of the OR to navigating Las Vegas healthcare stereotypes, Dr. Dan shares his journey from medical student to attending surgeon, disc...

In this episode of Out of Network, Dr. Rishi Seth sits down with Jason Parker, the operational backbone behind Parker Medical's success. Jason shares his journey from 12 years in the U.S. Coast Guard to becoming the non-clinical leader of one of Las Vegas's most successful concierge practices. With a mix of military discipline, MBA expertise, and real-world insights, this conversation re...

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...

​​ 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...

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 inequi...

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 h...

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 syste...

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 t...

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 conversatio...

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 conci...

Welcome to Out of Network — the podcast that’s redefining healthcare, one bold conversation at a time. In this short intro, co-hosts Dr. Rishi Seth and Dr. Ryon Parker give you a quick taste of what’s to come: honest talk, real patient stories, and a mission to expose what’s broken in our medical system. Whether you're a frustrated physician or a disillusioned patient, this podcast is your ne...