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 medications to the importance of evidence-based practice, this conversation reveals how nutrition and concierge medicine can work together to truly serve patients.

What You'll Learn

• Why the referral system between doctors and dietitians is fundamentally broken—and how insurance makes it worse
• How to navigate nutrition misinformation on social media and identify evidence-based advice
• The real story behind GLP-1 weight loss medications: benefits, risks, and how to use them safely
• Essential lessons from 10 years of healthcare entrepreneurship, including the importance of "imperfect action"

Timestamps

00:00 – Introduction to Andres Ayesta
03:00 – What is Planos Nutrition and the blueprint approach to health
10:00 – The broken physician-dietitian referral system
18:00 – Insurance challenges for dietitians and patients
24:00 – Social media nutrition wars and misinformation
35:00 – GLP-1 medications: the good, bad, and ugly
42:00 – Healthcare entrepreneurship lessons learned
50:00 – The marketing reality of healthcare businesses

About Our Guest
Andres Ayesta is a registered dietitian, CEO of Planos Nutrition, and healthcare entrepreneur. Originally from Venezuela, he's built a thriving nutrition practice focused on evidence-based care and holistic health approaches. Connect with him here:

Website: https://planosnutrition.com/
Instagram: https://www.instagram.com/andresayesta/
YouTube: http://youtube.com/c/andresayesta

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
Parker Medical - Las Vegas, NV → https://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

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 deeply personal conversation explores the broken healthcare system through a patient's eyes and celebrates the triumph of the human spirit.

What You'll Learn

• How a near-death COVID experience became the catalyst for complete life transformation
• The stark reality of patient experiences in traditional vs. concierge healthcare settings
• Why mindset and self-advocacy are crucial for health and recovery
• How one mother's health journey inspired her entire family's wellness transformation

Timestamps

00:00 Introduction to the Out of Network Podcast

00:07 Meet Laura Kadu: A Story of Resilience

01:10 Laura's COVID-19 Battle Begins

02:14 Hospitalization and Isolation

03:06 The Struggle for Survival

09:33 Recovery and the Road to Fitness

13:08 Reflections on Healthcare and Patient Experience

17:52 Personal Experience with Healthcare System Failures

18:51 Balancing Family and Personal Health

19:59 Journey into Running and Fitness

21:14 Mental and Physical Challenges of Fitness

22:48 Impact of Positive Influences and Role Models

27:03 Concierge Medicine vs. Traditional Healthcare

30:55 Inspiration and Support from Family

31:22 Final Thoughts and Podcast Conclusion

About Our Guest

Laura Cadieux is a wife, mother, and marathon runner whose story of overcoming a life-threatening COVID hospitalization has inspired many. From being case #26 in Nevada to completing multiple marathons, Laura exemplifies resilience and the power of taking control of your health.

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
Parker Medical - Las Vegas, NV → https://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

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, discusses the complexities of pancreatic surgery, and opens up about being a gay physician in a traditionally conservative field.

What You'll Learn

• The demanding 14-year journey to become a specialized surgeon (undergrad through fellowship)
• Why Las Vegas healthcare deserves better than its "third world" reputation
• How insurance bureaucracy creates dangerous delays in patient care
• The future of robotic surgery and its impact on patient outcomes
• Navigating identity and authenticity as an LGBTQ+ physician in medicine

Timestamps
00:00 – Introduction and Dr. Dan's background
03:15 – What inspired Dr. Dan to become a surgeon
05:45 – The long road: Medical education journey breakdown
08:30 – Hepatobiliary surgery and pancreatic cancer treatment
12:00 – Las Vegas healthcare stereotypes and reality
16:30 – Insurance bureaucracy horror stories
22:00 – Coming out as a gay physician in surgery
31:00 – The future of robotic surgery
37:00 – Advice for future surgeons
42:55 – Closing thoughts on healthcare reform

About Our Guest

Dr. Dan Barrera is a hepatobiliary and advanced GI surgical oncology specialist practicing in Las Vegas. He completed his general surgery residency in Denver, Colorado, and his fellowship training in Florida. Dr. Dan specializes in complex pancreatic surgeries and is passionate about advancing robotic surgical techniques. 

Read more about him here > https://www.southernnvsurgery.com/dr-daniel-a-barrera

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

• Parker Medical - Las Vegas, NV → https://parkermedical.org/
• Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
• Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
• Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

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 reveals how the right partnership can transform both a medical practice and a marriage.

What You'll Learn

• How military HR experience translates to healthcare practice management
• The critical decision-making process behind leaving stable careers for entrepreneurship
• Why protecting your clinical staff from difficult patients is essential for practice success

Timestamps
00:00 – Introduction
01:00 – Jason's military background and meeting Dr. Parker
03:30 – Educational journey and MBA in organizational management
05:00 – The leap into private practice and working seven days a week
08:30 – The conversation about joining the practice full-time
13:00 – Learning clinical operations without medical background
16:30 – Zero-tolerance policy for staff protection
21:30 – Birth of Structured MD consulting business
26:00 – Future vision for concierge medicine

About Our Guest

Jason Parker is the operational director of Parker Medical and owner of Structured MD. With 12 years of U.S. Coast Guard service and an MBA in organizational management, he specializes in helping physicians transition from traditional practice to successful concierge medicine models.

Resources & Links Mentioned

Structured MD - Concierge practice consulting
Parker Medical - Las Vegas concierge practice

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

• Parker Medical - Las Vegas, NV → https://parkermedical.org/
• Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
• Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
• Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

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 candid conversation reveals the challenges and rewards of building a concierge practice as a husband-wife team.

What You'll Learn

•  How nursing experience translates into healthcare entrepreneurship and practice management
•  The real challenges of starting a concierge medical practice in a new city with young children
•  Why personalized healthcare requires both clinical expertise and operational excellence

Timestamps
00:00 – Introduction to the special bonus series
01:15 – Neera's nursing background and journey from Canada to the US
04:00 – Leadership lessons from nursing management roles
07:00 – Comparing Canadian vs American healthcare systems from a nurse's perspective
09:45 – The decision to move to Tampa and start Seth Premier Medical
13:15 – Neera's dual role as nurse and practice manager
16:30 – Working with your spouse: challenges and strengths
20:30 – Future vision for Seth Premier Medical
23:45 – Advice for other healthcare couples considering concierge medicine

About Our Guest
Neera Seth is a registered nurse with 18 years of experience, co-founder of Seth Premier Medical in Tampa, FL, and mother of two. With a Master's in Nursing Management and Leadership, she brings both clinical expertise and operational leadership to the concierge medicine space.

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
Parker Medical - Las Vegas, NV → https://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

​​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 about your health.

What You'll Learn

• How to distinguish between heart attack chest pain and anxiety symptoms
• Early warning signs of type 2 diabetes and when to get tested
• When knee pain requires medical attention vs. home care
• The truth about bronchitis, pneumonia, and flu contagiousness
• UTI symptoms and why not every abnormal urine test needs antibiotics
• Cancer screening guidelines for different ages (spoiler: colonoscopy at 45!)

Timestamps
00:00 – Introduction: Answering your top health questions
01:30 – Chest pain: Heart attack vs. anxiety vs. other causes
04:15 – Type 2 diabetes early warning signs
06:30 – When knee pain needs a doctor visit
09:15 – Bronchitis, pneumonia, and flu: What's contagious?
13:00 – UTI symptoms and the overuse of antibiotics
18:00 – Managing headaches, hair loss, and fatigue
19:00 – Stress management: The four pillars approach
21:00 – Depression treatment and management
24:00 – Daily water intake recommendations
26:00 – Heart-healthy diets that actually work
29:00 – Sleep hygiene and managing insomnia
31:45 – Cancer screenings by age: What you need to know
37:00 – LGBTQ+ healthcare and PrEP therapy
44:00 – Telehealth: When it works and when it doesn't
49:30 – Urgent care vs. ER: Making the right choice
52:15 – Insurance basics: Premiums, deductibles, and copays
55:30 – Do healthy people need health insurance?
57:45 – HSA accounts and concierge medicine

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
Parker Medical - Las Vegas, NV → https://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth

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.

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 inequities plaguing our system, and most importantly—what patients can do to take back control of their healthcare.

What You'll Learn

•  How insurance companies deny legitimate medical claims and force hospitals to fight for payment
• Why physicians are ordering unnecessary tests and practicing "defensive medicine"
• The real reasons behind physician burnout and why doctors are leaving traditional medicine
• How patients can navigate the complex healthcare system and advocate for themselves

Approximater Timestamps
00:00 – Introduction: The reality of healthcare denials
03:15 – Insurance company tactics: Denying sepsis and respiratory failure claims
09:30 – The cost of fighting insurance denials on hospitals and patients
15:00 – Defensive medicine: Why doctors order unnecessary tests
28:00 – Physician burnout: The human cost of a broken system
35:00 – Canada vs. US healthcare: A physician's perspective
45:00 – Taking healthcare into your own hands: Patient advocacy
52:30 – Closing thoughts: The future of healthcare

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

• Parker Medical - Las Vegas, NV → https://parkermedical.org/
•  Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
• Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
• Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

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 how concierge physicians can guide patients through these emerging trends.

What You'll Learn

•  The truth about advanced biomarkers and functional medicine labs—when they help vs. when they create unnecessary anxiety
• Real stories of whole body MRI scans catching pancreatic cancer early and saving lives
• Everything you need to know about GLP-1 medications (Ozempic, Mounjaro) from dosing to long-term effects
• How hyperbaric oxygen therapy works and why it's gaining popularity in concierge practices

Timestamps
00:00 – Introduction to wellness trends in medicine
01:15 – Advanced biomarkers and functional medicine labs
07:30 – Whole body MRI imaging: life-saving or unnecessary?
14:15 – Cardiovascular screening beyond basic tests
21:30 – Deep dive into GLP-1 medications (Ozempic vs Mounjaro)
46:15 – Hyperbaric oxygen therapy in concierge practices
52:30 – Wearables and health tracking devices
56:15 – Future wellness services and closing thoughts

Resources & Links Mentioned

•  Clearly Heart Scan for cardiovascular assessment
•  Quest Diagnostics cash pricing vs insurance
• Hyperbaric oxygen therapy research studies

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
Parker Medical - Las Vegas, NV → https://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

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 system and inspired them to build something better.

What You'll Learn 

• How a massive heart attack in the middle of the ocean tested Dr. Parker's skills as a cruise ship physician
• Why Dr. Seth's airplane medical emergency led to an unforgettable cockpit landing experience
• The devastating story of delivering a pancreatic cancer diagnosis as a medical student
• How a patient forgotten in stirrups became the final straw that drove the move to concierge medicine

Timestamps 

00:00 – Introduction with special guests Archie and Bella 

04:15 – Dr. Parker's defining moment: Delivering terminal diagnosis as a student •

18:00 – Dr. Seth's ethics work and the power of sitting with patients 

25:00 – Cruise ship medicine: Life and death in the middle of the ocean 

44:00 – Airplane emergencies and unexpected cockpit invitations 

56:30 – The patient left behind: A system failure that changed everything

01:00:00 – Why these stories led to concierge medicine

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 

Parker Medical - Las Vegas, NV → https://parkermedical.org/ 

Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/ 

Seth Premiere Medical - Tampa, FL → https://sethmedical.com/ 

Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.

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 concierge medicine is giving power back to patients and joy back to doctors.

What You'll Learn

• What concierge medicine actually is (and what it's not) - from guaranteed 48-hour appointments to 24/7 access
• The real economics behind concierge medicine - why it's not just for the wealthy and how it can actually save patients money
• How concierge medicine addresses physician burnout and the broken primary care system
• The difference between concierge medicine, direct primary care (DPC), and traditional insurance-based practices

Timestamps

00:00 – Introduction: What is concierge medicine?
05:30 – Breaking down the "luxury myth" - Royal Pains vs. reality
12:15 – The economics: Why doctors charge membership fees and still bill insurance
18:45 – Patient panel sizes: 3,500 patients vs. 200 patients
25:20 – Real patient stories: From 40 medications to 5
32:10 – Building relationships with specialists and the "quarterback" model
38:45 – The future of concierge medicine and physician shortage debate
45:30 – What sets great concierge practices apart
52:00 – Closing thoughts on hospitality in healthcare

Resources & Links Mentioned

Parker Medical - Las Vegas concierge practice model
Seth Premiere Medical - Tampa concierge practice

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

Parker Medical - Las Vegas, NV → https://parkermedical.org/
Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/
Seth Premiere Medical - Tampa, FL → https://sethmedical.com/
Dr. Rishi Seth → https://www.instagram.com/drrishiseth/

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.