Episode 011 | Sarah Asch, MD, FAAP, FAAD is a trailblazer in direct care pediatric dermatology. She's on a mission to expand high-quality pediatric dermatology care throughout underserved areas of the Upper Midwest and beyond. She LOVES her work in pediatric dermatology, and she wanted to love her job again. She decided to solve that problem by founding Hometown Pediatric Dermatology. Join us for the Part 2 of a wide ranging, provocative, educational, and fun conversation with a wildly talented doctor and delightful person. Part 1 aired last week as episode 010.

(This episode is marked as explicit. It's just one little a$$ :)

In this episode:🔥 Talk to people who are doing what you want to do
🔥 Under the hood of Dr. Asch's direct care practice
🔥 Thinking outside the box about how we get paid
🔥 Get good lawyers
🔥 The importance of texting in the physician-patient relationship
🔥 Maintaining integrity while integrating new tech
🔥 Making it not so dang hard to help people
🔥 Wart treatment without in office procedures
🔥 Expectation setting and management
🔥 Project ECHO
🔥 The scourge of CYA medicine
🔥 "Your brand is authenticity"

See the episode 010 description for more about today's guest, Sarah Asch, MD, FAAP, FAAD, a triple board-certified pediatric dermatologist who founded and is building Hometown Pediatric Dermatology, her pediatric teledermatology practice that operates via a direct care model, which she simply calls "practicing medicine". 
To learn more about Dr. Asch, check out these links👇

🔗 Connect with Dr. Asch
👩‍⚕️ Hometown Pediatric Dermatology
👥 LinkedIn
🔗 Connect with Dr. Lewellis and Learn More
👨‍⚕️ Subscribe to my newsletter and get a free gift! Your skin will thank you.
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🎙️ The Direct Care Derm Podcast
🐕 Pippa!

Episode 010 | Sarah Asch, MD, FAAP, FAAD is a trailblazer in direct care pediatric dermatology. She's on a mission to expand high-quality pediatric dermatology care throughout underserved areas of the Upper Midwest and beyond. She LOVES her work in pediatric dermatology, and she wanted to love her job again. She decided to solve that problem by founding Hometown Pediatric Dermatology. Join us for the Part 1 of a wide ranging, provocative, educational, and fun conversation with a wildly talented doctor and delightful person. Part 2 will be out next Thursday.

(This episode is marked as explicit. It's just one tiny BS. :)

In this episode:🔥 Hard things and simple things
🔥 Thinking about and doing things a bit differently
🔥 Things are great, and then things change
🔥 "I was no longer ethically and morally aligned with my leadership team."
🔥 Everything is figureoutable (shout out Marie Forleo!)
🔥 The riskiest thing you can tell yourself as an entrepreneur
🔥 Work-life integration
🔥 The importance of a stable financial foundation
🔥 What would this look like if it were easy?

Sarah Asch, MD, FAAP, FAAD, is a triple board-certified pediatric dermatologist (Temple University School of Medicine, MD; Residencies: Pediatrics, Children's Hospital of Pittsburgh; Dermatology, UCSF; Fellowship: Pediatric Dermatology, Mayo Clinic - Rochester). She founded and is building Hometown Pediatric Dermatology, her pediatric teledermatology practice that operates via a direct care model, which she simply calls "practicing medicine". 

She serves (r)evolving volunteer roles in her profession with leadership roles in the Minnesota Dermatologic Society, FIRST (Foundation for Ichthyosis and Related Skin Types), and the Teledermatology Committee of the Society for Pediatric Dermatology. She is a member of the Editorial Board of the journal Pediatric Dermatology.

Dr. Asch is the founder and organizer of the Middle Country Mentorship group, a case-sharing, self-mentorship group of mostly solo pediatric dermatologists primarily in the Central and Mountain time zones.  She is also the Project ECHO lead for Pediatric Dermatology for the Upper Midwest (HRSA grant supported via UMMC), first session scheduled for March 2024.  She fills her soul by volunteering at the American Academy of Dermatology's Camp Discovery.

She is currently Adjunct Faculty in Dermatology at the University of Minnesota and Clinical Assistant Professor at Michigan State University School of Human Medicine in Pediatrics.
To learn more about Dr. Asch, check out these links👇

🔗 Connect with Dr. Asch
👩‍⚕️ Hometown Pediatric Dermatology
👥 LinkedIn
More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
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Pippa! 🐕
Biolinky: All the links in once place

Episode 009 | Kathleen Brown, MD, is a visionary and pioneer in bringing high quality, affordable, accessible dermatology care directly to the people without the interference of meddling third parties. Join us as we explore her career and learn how we too can build a successful direct specialty care business, practice medicine with joy, and make lots of people happy along the way.

In this episode:🔥 How to talk to people about direct care
🔥 Good faith estimates before they were mandated
🔥 "We want them to be raving fans."
🔥 Learning from our patients and seeking help from experts
🔥 The value of having some skin in the game
🔥 What about Medicare and Medicaid?
🔥 A walk-in dermatology clinic
🔥 A mobile dermatology clinic
🔥 Inspirational advice
🔥 The Seinfeld dermatologist joke 🤣
🔥 Dr. Lewellis' WHY for this podcast
🔥 Integrity and not shortchanging people
🔥 Balancing family life and entrepreneurship
🔥 Servant Leadership
 Kathleen M. Brown, MD, is a board-certified dermatologist who started a solo direct pay practice in 2011. 

Over 13 years in a group practice prior to that, arrangements with third party payers became more complex and difficult, making it almost impossible to continue practicing medicine as she saw fit. Dr. Brown wanted more control over the way she practiced medicine, and felt that physicians should not allow billing and diagnosis codes to affect or control the practice of medicine, and also that fees should be predictable and reasonable. Because of all this, in 2011 she opened her own solo direct pay dermatology practice, Oregon Coast Dermatology. It operated free from third-party payers such as insurance companies, Medicare, and Medicaid. For almost eight years, Dr. Brown worked directly for her patients by getting rid of the middlemen and posting prices in public, based on time spent with the patient. 

In 2019 she closed her practice in order to move with her husband to their property in Montana. They chose to have more time for life outside of medicine, including their time for family and outdoor recreation. She has continued to help other physicians succeed in third-party-free practices. She has also kept up with her specialty of dermatology and is ready to open a part-time mobile direct pay dermatology practice. She is a director on the board of the Frontier Institute, and stays involved with the Free Market Medical Association. 
To learn more about Dr. Brown, check out these links👇

🔗 Connect with Dr. Brown
👩‍⚕️ Montana Dermatology (website coming soon!)
👥 LinkedIn
More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Episode 008 | New York City-based functional medicine doctor for chronic foot and ankle pain, Dr. Robert Kornfeld, on his journey from the doldrums of insurance-dependency to a thriving and joyful, direct care, functional podiatry practice.

In this episode:🔥 The good ol' days of indemnity health insurance🔥 50 patients a day and "everybody was expecting a lot from me"🔥 Dr. Kornfeld's tipping point: "I started to develop symptoms..."
🔥 "Nothing was done for me except pills."
🔥 "My whole world changed... this resonates with me, and I'm having fun!"🔥 It's not your fault that you're suffering. It's your fault that you're cooperating with the suffering.🔥 In a world of insurance dependency, you have to work fast. A lot of doctors have their heads buried in their computers. They're not really present.
🔥 Not everyone needs a 60 minute visit, but some people do, and it requires a flexible business model to serve these people.
🔥 How having skin in the game matters for patients.
🔥 "The Last Stop Doc" -- You have to give them a compelling reason.
🔥 A virtuous cycle
🔥 How to handle criticism from peers
🔥 The skinny on supplements
🔥 The morbidity threshold
🔥 The art of communicating as a teacher
🔥 Branding and Marketing: Focusing on benefits, not features.
🔥 Doctors who answer the phone -- "I do all my own reception work."
🔥 The only real edge you'll always have over everyone else and how to use it
 Dr. Kornfeld has been practicing functional medicine for chronic foot and ankle pain for 37 years. In the year 2000, he left insurance-dependency so he could direct the care his patients needed and not be controlled by insurance companies. He is the Founder of The Institute for Functional Podiatric Medicine – a teaching institute for podiatrists who want to take their practice to the next level of care and create a practice free from the stresses and constraints of commercial health insurance and Medicare.
To learn more about Dr. Kornfeld, check out these links👇

🔗 Connect with Dr. Kornfeld
🦶 Dr. Kornfeld's Chronic Foot Pain Center (Manhattan & Long Island)🎓 Institute for Functional Podiatric Medicine (Dr. Kornfeld's course and coaching)
👥 LinkedIn

127 East 56th St. 4th Floor New York, N.Y. 10022551 Port Washington Blvd. Port Washington, N.Y. 11050   P: 516-369-3172F: 516-945-0888
More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Episode 007 | Resident physician, podcaster, and blogger, Dr. Bryce Bowers, on hitting rock bottom and fighting his way back with a little help from his friends (and family).

In this episode:🔥 The wheels come off.🔥 Dr. Bowers' humble beginnings and an unexpected mentor.🔥 Sometimes someone else needs to believe in you before you believe in yourself.
🔥 Tipping points and the critical importance of a supportive network.
🔥 Two residency programs as model cultures of physician trainee wellness.🔥 The art of being a great listener -- he gets it from his mama.🔥 Being vulnerable and moving on from shame and guilt.
🔥 Substance abuse among physicians and second chances.
🔥 Should Bryce and I start a Red Table TikTok for Docs series a la Jada Pinkett Smith?
Bryce Bowers, DO is a family medicine physician, currently in his last year of residency in Detroit, Michigan. He attended the Michigan State University College of Osteopathic Medicine in East Lansing, Michigan. Thereafter, he began his military career and intern year as a Lieutenant in the United States Navy at Naval Hospital Camp Pendleton. 

Returning home to Michigan to finish Residency after serving his military commitment, he discovered a passion for physician wellness and burnout and now has created both a blog and a podcast known as “Badge of Burnout”, aiming to help normalize and understand the unique mental health struggles physicians face. 

Dr. Bowers considers is currently working on writing a book, launching a public speaking career, learning about investing, and exploring physician coaching. 

To learn more about Dr. Bowers, check out these links👇

🔗 Connect with Dr. Bowers
📚 Substack (Blog and Podcast)🎙️ Badge of Burnout (Apple Podcasts)🎙️ Badge of Burnout (Spotify Podcast)👥 LinkedIn📷 Instagram🥼 SoMeDocs (Doctors on Social Media)🎶 Tik Tok
More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Episode 006 | Physician and author, Dr. Dhaval Desai, on his experience burning out on the COVID front lines, recovering, and living to write about it.

In this episode:🔥 How Dhaval helped save me without knowing it.🔥 The big power of small gestures.🔥 Systemic racism, George Floyd, and white passing with vitiligo.🔥 Talking about getting help — Men can be vulnerable, too.🔥 Don't compare your despair.🔥 The Dr. Lorna Breen Heroes' Foundation. (The recipient of all sales proceeds of Dr. Desai's book.)
Dhaval Desai, MD is a dedicated father, husband, son, and doctor. In his work as a caregiver and a colleague, he places a priority on the well-being of both the patient and the healthcare provider. His commitment to fostering and advocating for humanity in medicine inspired him to write a personal narrative of his experience as a frontline physician during the COVID-19 pandemic, Burning Out on the Covid Front Lines: A Doctor’s Memoir of Fatherhood, Race and Perseverance in the Pandemic. 

Along with sharing the story of his own struggles as a leader and healer during a time of intense pressure and uncertainty for countless doctors, nurses, and hospital workers, Dr. Desai calls attention to ongoing issues plaguing the healthcare system, including health inequality, racial injustice, an emphasis on metrics over compassion in treatment, and the alarming rate of burnout and suicide among healthcare professionals.

To learn more about Dr. Desai or his book, check out these links👇

🔗 Connect with Dr. Desai
📚 Dr. Desai's Memoir
👨‍⚕️ DhavalDesaiMD.com
👥 LinkedIn
📷 Instagram
🐦 Twitter/X
Facebook
Pinterest

More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Episode 005 | In this episode, we share a a sneak peek of board-certified dermatologist Dr. Stephen Lewellis' upcoming eBook entitled:

Your Derm's Secret to Looking 40 at 50 without Needles & Knives — Your Simple, Cost-Effective, Science-Based System to Looking Younger than Your Friends Starts Today

More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Episode 004 | Dr. Adam Swigost on his journey to building a solo direct care practice in his home state of North Dakota.

Dr. Adam Swigost is a board-certified dermatologist and the founder of Dapper Dermatology, North Dakota's first and only entirely virtual dermatology clinic. As a North Dakota native, Dr. Swigost wanted to create a clinic that would help to expand access to dermatology services in a state where wait times can exceed several months. Additionally, Dapper Dermatology is a direct patient care clinic that is working to lower costs, increase financial transparency, and improve access to dermatology services. Dr. Swigost is an advocate for physician autonomy and reinvigorating the patient-physician relationship. 
Dr. Swigost completed his undergraduate degrees and medical training at the University of North Dakota. He completed his internship through the University of Central Florida in Ocala, FL, and his dermatology residency at Medstar Georgetown University Hospital and Washington Hospital Center in Washington, DC. He is a member of the American Academy of Dermatology, the American Society for Dermatologic Surgery, and the Gay and Lesbian Dermatology Association.

Thank you to my partners at RegimenPro for sponsoring the Treat Yo' Self Skincare Giveaway! Learn more here.
🔗 Connect with Dr. Swigost
👨‍⚕️ Dapper Dermatology
📷 Instagram
📧 [email protected]

More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Episode 003 | My reflections on 107 units of creative output in 5 months

Create more than you consume. You won't regret it.

More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Episode 001 | What, Why, and a Quick Win

In this episode, I share what this podcast is all about, my WHY for creating it, and one quick win that you can take home right away to help you succeed on your direct care journey.

More from Dr. Lewellis and Above & Beyond Dermatology

Need a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at [email protected] if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.

Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Above & Beyond Dermatology
Nutrafol -- special pricing and physician exclusive products
NeoGenesis -- my favorite source of stem cell released molecules for skin/hair
Silagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)
Newsletter
LinkedIn
Facebook
Dr. Lewellis on Instagram
Above & Beyond Dermatology on Instagram
YouTube
TikTok
Twitter/X
Change Your Mind, Change Your Life
SoMeDocs (Doctors on Social Media)
Pippa! 🐕
Biolinky: All the links in once place

Full Show Notes and Transcript

If you enjoy this, the best way to support the continued production of more content like it is to subscribe/follow and leave an honest review on Apple Podcasts or your favorite podcast platform. Thank you!

If you have any questions or concerns, feel free to reach out to me at [email protected] or text me at 715-391-9774.