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Host Dr. Leo Damasco welcomes Dr. Robyn Tiger, double board certified physician in diagnostic radiology and lifestyle medicine, founder of Stress Free MD, Blue Zone certified physician, and trauma informed mind body expert.
They discuss her journey from classic burnout, complete with migraines, paresthesias during procedures, dark thoughts, and the loss of three physician colleagues to suicide, to discovering yoga, meditation, and lifestyle medicine. Dr. Tiger explains why she left full time radiology, the importance of doing inner work before career pivots, the overlooked need for human connection in telemedicine/remote work, and her five step process for sustainable behavior change. She ends with powerful advice to her intern day one self: “You are exactly where you’re supposed to be.”
Top 3 Takeaways
About the Show
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine
About the Guest
Dr. Robyn Tiger is a double board certified physician in diagnostic radiology and lifestyle medicine, founder of Stress Free MD, Blue Zone certified physician, and trauma informed mind body expert. She combines medicine, yoga, meditation, and coaching to help healthcare professionals reduce stress and increase healthspan.
Connect with Dr. Robyn Tiger
Website: stressfreemd.net
About The Host
Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.
Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.
Connect with Phoebe Gutierrez:
https://www.linkedIn.com/in/pkgutierrez/
(mailto:[email protected])
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Physicians, NPs, PAs, and other clinicians are increasingly asking the same question: Can I actually own and run my own medical practice, even if I’m not a physician, or if I want to expand across multiple states?
In this repurposed episode of Telemedicine Talks, hosts Phoebe Gutierrez and Leo Damasco dig deep into the real mechanics of launching a compliant medical practice or telemedicine company. Phoebe shares the practical playbook she’s used to help countless clinicians and entrepreneurs set up PC-MSO (Professional Corporation Management Services Organization) structures, navigate state ownership laws, and avoid expensive compliance mistakes.
They cover the critical first step of researching state regulations, how to handle conflicting ownership rules across states, the essential startup checklist (business plan, tech stack, insurance, EHR, VA support), realistic cost estimates, and most importantly, the mindset shift clinicians must make to succeed as entrepreneurs.
Three Actionable Takeaways:
About the Show:
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine
About the Hosts:
Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.
Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.
Connect with Phoebe Gutierrez:
https://www.linkedIn.com/in/pkgutierrez/
[email protected]
(mailto:[email protected])
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
What happens when a board certified OBGYN who delivered thousands of babies realizes she can no longer be that person and has to reinvent herself from scratch through a computer screen?
Host Dr. Leo Damasco welcomes Dr. Kudzai Dombo, a board certified OBGYN and menopause expert with over 20 years of experience in women’s health. Raised between the US and Zimbabwe, she has worked with Doctors Without Borders and NGOs across multiple countries and now serves as Director of Advocacy and Outreach at Alloy Women’s Health while maintaining a boutique private practice.
They discuss her move into telemedicine in 2022 as an adjunct that grew into a full career pivot, the identity shift from delivering babies and surgeries to broader impact, personal challenges with perimenopause and moral injury in hospital settings, and the fear of caring for patients through a screen. Dr. Dombo shares how she proactively created an advocacy and outreach role to bridge patient hesitancy, the realities of rejection in the telehealth space versus brick and mortar, learning new skills, becoming a PC owner, and balancing clinical work with education and social media. She ends with advice to her intern day one self: believe in yourself as a unique individual.
Top 3 Takeaways:
About the Show:
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine
About the Guest:
Dr. Kudzai Dombo, MD, FACOG, MSCP is a board certified obstetrician gynecologist and menopause expert with more than 20 years dedicated to women’s health. Born in the US and raised partly in Zimbabwe, she brings a cross-cultural perspective shaped by global work with Doctors Without Borders and NGOs in Sri Lanka, Cambodia, El Salvador, South Africa, and Haiti. She is Director of Advocacy and Outreach and a prescribing physician at Alloy Women’s Health, runs a boutique private practice focused on menopause and midlife care, and is a Fellow of ACOG, Diplomat of the American Board of Obstetrics and Gynecology, Menopause Society Certified Practitioner, and member of the International Society for the Study of Women’s Sexual Health (Diversity and Equity Committee).
Connect with Dr. Kudzai Dombo
Instagram: @dr.kudzai
About the Host:
Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.
Connect with Leo Damasco:
telemedicinetalks.com
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this candid episode of Telemedicine Talks, host Phoebe Gutierrez welcomes healthcare attorney Brigid Maloney for a deep dive into the compliance landmines facing cash-pay telemedicine companies.
They discuss the flood of low-barrier platforms launched by marketers and coders who don’t understand clinical or regulatory rules, the marketing of unapproved substances like BPC-157, and the rise of white-label telemedicine companies that obscure physician accountability. Brigid highlights emerging trends such as non-licensed, sometimes offshore, call centers performing triage and the difficulty patients face reaching the original treating clinician.
The conversation covers upcoming regulatory shifts like DEA telemedicine registration for controlled substances, California’s private-equity ownership approval requirements, and growing medical-board scrutiny, while debating whether meaningful enforcement will come from federal agencies or the states. They stress the importance of physician involvement in governance, rigorous vendor and influencer due diligence, and building compliant systems from day one rather than trying to retrofit them later.
Listeners leave with a clear message: in cash-pay telemedicine, the physician’s license remains the ultimate backstop. Companies that treat doctors as true partners, protect patients, and prioritize compliance from the start are the ones positioned to last.
Three Actionable Takeaways:
About the Show:
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.
About the Guest:
Brigid Maloney is a healthcare attorney specializing in digital health, telemedicine, MSOs, and corporate practice of medicine issues. She advises telemedicine platforms and physician groups on compliance, contracting, marketing arrangements, and regulatory risk, and serves as personal counsel to the hosts of Telemedicine Talks.
About the Host:
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Is California About To Block Your Next Investment and Shut Down Your Telemedicine Company?
Hosts Dr. Leo Damasco and Phoebe Gutierrez welcome Shayln Watkins, as they dig into California’s newly released implementing regulations from the Office of Health Care Affordability (effective mid-September), the 90 day pre transaction notice requirement for deals over $25 million, the 10 year look back for serial transactions, and how these rules intersect with California’s recent CPOM statute and ongoing AG enforcement.
Shayln and the hosts explain the difference between statutes and regulations, why private equity investment in healthcare is under the microscope, and why most telemedicine and digital health startups still lack real compliance operations. They discuss the practical fallout for cash pay wellness, GLP-1, and peptide models; the dangers of “my lawyer cleared it”; and the critical roles of physician owners, medical directors, and inhouse compliance teams.
Top 3 Takeaways:
About the Show:
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine
About the Guest:
Shayln Watkins is Senior Counsel at Holland & Knight LLP. She advises physicians, medical groups, digital health companies, telehealth platforms, wellness and aesthetics clinics, and behavioral health providers on healthcare regulatory compliance, corporate practice of medicine, Stark and anti kickback matters, California privacy law, fraud and abuse, and the evolving framework for virtual and AI driven care. She is licensed in Alabama, California, New York, Ohio, and Texas and is a member of the American Health Lawyers Association.
Connect with Shayln Watkins:
Email : [email protected]
About the Hosts:
Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.
Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.
Connect with Phoebe Gutierrez:
https://www.linkedIn.com/in/pkgutierrez/
[email protected]
(mailto:[email protected])
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this repurposed episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco welcome Dr. Mark Chmiela, as he describes how COVID turned telemedicine into an essential lifeline, reaching 80–90% of his group’s chronic-pain patients, while also exposing access barriers for elderly and lower-income patients.
He walks through the post-2024 shift: insurers stopped or sharply cut reimbursement, credentialing hurdles multiplied, and the practice gradually transitioned patients back to the office, landing at roughly 95% in-person visits. Mark stresses that telemedicine remains valuable for stable medication management, patients with mobility or transportation challenges, and certain follow-ups, but cannot replace hands-on exams when new red-flag symptoms appear.
The conversation covers the practical realities of chronic-pain care (opioids, non-opioids, interventional procedures, lifestyle counseling), the risk of fraud that made payers cautious, the human connection that in-person visits still deliver better, and Mark’s optimistic view that technology should augment, not replace, thoughtful medicine when used for the right patients.
Top 3 Takeaways:
About the Show:
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine
About the Guest:
Dr. Mark Chmiela is a double board-certified anesthesiologist and interventional pain-management physician practicing with a multi-physician group in Las Vegas. His practice serves a broad mix of Medicaid, Medicare, commercial, personal-injury, and workers’-compensation patients and focuses on comprehensive chronic-pain care.
Website: https://health.usnews.com/doctors/mark-chmiela-1414283
LinkedIn: https://www.linkedin.com/in/mark-chmiela-1a5802194/
About the Hosts:
• Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.
• Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.
Connect with Phoebe Gutierrez:
https://www.linkedIn.com/in/pkgutierrez/
[email protected]
(mailto:[email protected])
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this repurposed episode of Telemedicine Talks, host Dr. Leo Damasco welcomes Dr. Anne Tsung as she explains how her path from seeking external validation to mastering efficiency and flow crystallized into a practical system for physicians.
Anne walks through the five stages of time freedom: Time Prisoner (reactive and depleted), Time Manager (busy but stuck trading time for money), Time Creator (delegating and automating yet overwhelmed by yeses), Time Liberator (energy and purpose filters), and Time Transcender (timeless presence and flow). She ties these stages to nervous-system states and real clinical life.
Listeners learn chronotype alignment (lark, third bird, owl), peak-zone deep work, flow meals versus ritual meals, non-negotiables, and simple audits that free cognitive space. Anne closes with advice to her intern self and an invitation to a complimentary strategy call for physicians building sustainable freedom.
Top 3 Takeaways:
About the Show
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine
About the Guest
Dr. Anne Tsung is a NASA flight surgeon triple-boarded in emergency medicine, critical care, and aerospace medicine. She is the founder of Productivity MD, a certified advisor in Performance Neuroscience by the Flow Research Collective, and a former physician at the Antarctica South Pole. Through her clinical and high-stakes experience she developed the five stages of time freedom to help leaders access flow on demand and create lasting presence.
Connect with Dr. Anne Tsung:
Websites: https://zoomann.com
https://calendly.com/tsungannmd
LinkedIn: https://www.linkedin.com/in/ann-tsung-78541ab2
About the Host:
Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.
Connect with Leo Damasco:
[email protected]
https://www.telemedicinetalks.com
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
It was the summer telemedicine stopped getting a pass.
In this episode of Telemedicine Talks, Phoebe Gutierrez and Dr. Leo Damasco recap major telemedicine developments from the summer, focusing on increasing regulatory and enforcement activity. They discuss the DEA’s progress toward final controlled-substance prescribing rules and what greater federal oversight could mean for telemedicine companies operating in this rapidly evolving space.
They both examine FTC action against Hims & Hers, including subscription practices and cancellation requirements, while questioning whether traditional healthcare regulations adequately fit cash-pay telemedicine. They also discuss Eli Lilly’s lawsuits involving Retatrutide, emphasizing the potential risks physicians face when prescribing non-FDA-approved treatments and the growing attention from state medical boards.
Finally, they explore corporate practice of medicine enforcement, including Carbon Health’s settlement and evolving PC/MSO requirements, before turning to the growth of white-label telemedicine companies. The episode highlights why physicians must understand their responsibilities, review their agreements, stay informed about regulations, build specialized expertise, and find ways to distinguish themselves in an increasingly competitive telemedicine market.
Three Actionable Takeaways:
About the Show:
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine.
About the Hosts:
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
This episode is sponsored by NURP
NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.
Ready to put your money to work? Visit start.nurp.com/doctors to learn more.
Trading involves risk, and results may vary. This is not financial advice.
—----------------------------------------------
In this episode of Telemedicine Talks, hosts Phoebe Gutierrez and Dr. Leo Damasco welcome Dr. Mike Woo-Ming, as he shares his unconventional journey: family-medicine training, a multi-year exit into software, return to medicine to keep his mom happy, and the decision to build his own practice rather than work for someone else. He grew a weight-loss practice into a longevity-focused med spa with three locations, then layered in telemedicine (both for his own patients and as medical director for startups). He discusses the flexibility and patient-connection advantages of telemedicine, the value of hybrid models, and why many established practices leave money on the table.
The conversation covers real operational hurdles, getting staff (from Instagram-savvy nurses to flip-phone medical assistants) aligned across locations 50–60 miles apart, competition in the med-spa space, and the ongoing reality of faxes in healthcare. A candid segment explores peptides (BPC-157, TB-500, Semorelin, and emerging compounds), the gray-market risks for licensed physicians versus non-physician sellers, public demand, and state-level regulatory pushback. Mike closes with advice he would give his intern self: trust your gut and bet on yourself.
Top 3 Takeaways:
About the Show:
Telemedicine Talks explores the evolving world of digital health, helping physicians navigate new opportunities, regulatory challenges, and career transitions in telemedicine
About the Guest:
Dr. Mike Woo-Ming is a family-medicine-trained physician entrepreneur, practice coach, telemedicine doctor, and longevity/med-spa owner based in San Diego. He built a multi-location cash-based practice, serves as medical director for startups in the longevity space, and coaches physicians on growing independent practices without sacrificing personal freedom. He also runs a podcast network.
Connect with Dr. Mike Woo-Ming:
About the Hosts:
• Dr. Leo Damasco – Pediatrician and emergency medicine doctor turned telemedicine advocate, helping physicians transition to digital health.
• Phoebe Gutierrez – Former state regulator turned telehealth executive, specializing in compliance and sustainable virtual care models.
Connect with Phoebe Gutierrez:
https://www.linkedIn.com/in/pkgutierrez
(mailto:[email protected])
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
This episode is sponsored by NURP
NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.
Ready to put your money to work? Visit start.nurp.com/doctors to learn more.
Trading involves risk, and results may vary. This is not financial advice.
Dr. Damasco shares what most don’t see—managing crises across time zones, navigating compliance landmines, and translating executive goals into frontline action. He breaks down the skills every virtual leader needs, how to spot red flags in telehealth companies, and why understanding the full business ecosystem is essential.
If you’re a physician thinking about leadership in digital health, this episode is your roadmap—equal parts practical advice and behind-the-scenes truth.
About the Show
Telemedicine Talks explores the dynamic world of digital health, offering physicians insights into regulatory changes, compliance, and opportunities in telemedicine to enhance their practice and career.
Dr. Leo Damasco – Pediatrician and emergency medicine physician turned telemedicine advocate, now a virtual medical director guiding physicians through the complexities of leadership in digital care.
Phoebe Gutierrez – Former state regulator and telehealth executive, specializing in compliance and building sustainable, scalable virtual care models.
Connect with Leo Damasco
The information provided in Telemedicine Talks is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. While we discuss best practices, industry trends, and real-world experiences, every situation is unique. Listeners should consult with qualified professionals before making decisions related to telemedicine practice, compliance, contracts, or business operations. The views expressed by the hosts and guests are their own and do not necessarily reflect those of any organizations they may be affiliated with.
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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