In this episode we are joined by my coresident, @undercoverdoc who has a special interested in fitness culture and bodybuilding. With the protein intake, food weighing and gym discipline also comes “extracurriculars,” or anabolic steroids. Rob describes his observationss being in the fitness space as both an athlete and a physician and we discuss the impact of steroid use, its prevalence and what it can actually look like. 

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Code ORANGE.

We had to break the between-seasons hiatus for this one. If you've been on healthcare TikTok in the last month and you haven't seen the burnt-out fruit basket emerging, you have some catching up to do. And it all started with Dr. Orange.

Margaret and I sat down with the anonymous primary care doctor behind the orange filter that's been unleashing the truest, funniest, most honest takes on what it's actually like to practice medicine in 2026.

We get into all of it. Why she finally hit record. How she picked an orange. What she actually wishes she could change about her day-to-day if she had a magic wand. Her thoughts on direct pay, PSLF golden handcuffs, and the unhinged loyalty arc she's developing toward Tropicana.

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As we wrap up Season 3, Margaret and I are looking back at the long journey from our first late-night recording sessions in 2025 to where we are now: mid-fellowship for Margaret and fourth year for me. This season wasn't just about "yapping"; it was a masterclass in learning how to podcast and excavating the narratives hidden inside clinical papers.

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In the final episode of a four part series on existential psychotherapy, Margaret and I take on the problem of meaning. This one is a little different that the other problems of man but they all intertwine like a single cable when it comes to living your life. Join us for discussion of philosophy, purpose and how to talk to your patients about your questions of meaninglessness. 

chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.carepatron.com/files/purpose-in-life-test.pdf

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Margaret and I decided to tackle the questions that have been circling our DMs, including the controversial continuum of harm reduction, where does "good enough" care end and "enabling" begin? We also touch on the complexities of diagnosing autism across genders, the "stolen valor" of internet neuroscientists, and why I’m convinced that oppositional defiant disorder (ODD) might sometimes just be a side effect of adults who’ve forgotten how to listen.

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I’m flying solo for most of this one while Margaret is off saving dolphins (or just finishing a hospital admission ), but I’ve brought in a heavy hitter to help me tackle one of the most awkward parts of medical training: feedback. Paul Tran, the creative force behind Alimentary School, joins me to discuss why the feedback we give and receive in the clinic usually, to put it bluntly, sucks.

We dive into the "Politeness Concept," where supervisors give a quick "good job" just to save face and get out of the room, leaving learners with zero actionable data. Paul introduces the concept of "Wise Feedback", 19 words that can completely change how a student engages with their work, and we break down the "Four T’s" of delivery: Tact, Timing, Intent, and Tone. From the trauma of childhood soccer critiques about our noses to the "glass-shattering" realizations of a former competitive figure skater, this episode is about turning subjective observations into meaningful coaching.

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In this journal club episode, we break down the recent findings from a landmark (in my opinion) study on the associated risks between caffeine consumption and dementia risk. Spoiler alert! More coffee might actually be protective against dementia; however, we need to take these findings with a grain of salt (or creamer) and understand how the nuance of this information can help both our lives and our understanding of neurodegenerative diseases. 

Zhang Y, Liu Y, Li Y, et al. Coffee and Tea Intake, Dementia Risk, and Cognitive Function. JAMA. 2026;335(11):961–974. doi:10.1001/jama.2025.27259

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A topic that we were silent on during our Aphasia episode was the importance of Speech-Language Pathologists in the care of patients with Aphasia and, more broadly, throughout different types of care for patients in the hospital, in rehab, and outpatient. Today, we are joined by SLPs and co-hosts of Speech Talk Eva Johnson and Emily Brady to ask all our questions about how SLPs approach cognition, dysphasia, and values in care. Check out their podcast (which is also part of the Human Content family!) at Speech Talk! 

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If you’re ready to simplify the business side of your practice, now the perfect time to try SimplePractice. Do it with me! Start with a 7-day free trial, then get 50% off your first three months. Just go to http://www.SimplePractice.com to claim the offer.

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Spoiler Alert! The key to not feeling isolated is to (wait for it) be around other people! Humans are naturally driven social creatures, but the ways in which we attempt to run from isolation become the problem. In this episode, we discuss how isolation is an ever-present fear, how existential isolation differs from interpersonal and intrapersonal isolation, and how meaningful, balanced relationships can form to fill the void.

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If you’re ready to simplify the business side of your practice, now the perfect time to try SimplePractice. Do it with me! Start with a 7-day free trial, then get 50% off your first three months. Just go to http://www.SimplePractice.com to claim the offer.

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In the second part of our intro to DBT episodes, we welcome expert education and DBT clinician, Dr. Kiki Fehling. We talk about how Dr. Fehling found DBT, how her teaching made it to TikTok, and then get into cases about how to talk about DBT with patients and what an introductory session might sound like. In our Patreon section, we go further into some favorite exercises in DBT with Dr. Fehling.

Oh, Margaret also has to walk back an error she made on the previous DBT episode, and Preston gets to enjoy seeing Margaret be wrong. 

Check out the full uninterrupted episode and bonus segments every week at our Patreon, ⁠https://www.patreon.com/howtobepatientpod⁠.

Check out Dr. Fehling’s book and work at ⁠https://www.kikifehling.com/books⁠.

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If you’re ready to simplify the business side of your practice, now the perfect time to try SimplePractice. Do it with me! Start with a 7-day free trial, then get 50% off your first three months. Just go to http://www.SimplePractice.com to claim the offer.

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