We're breaking into our regular schedule with urgent news that affects everyone in the ketamine therapy space, not just Texas providers.

On January 2, 2026, the Texas Medical Board published proposed regulations in the Texas Register that could fundamentally change how ketamine therapy is delivered in the state. These would be the first comprehensive regulatory rules specifically for ketamine therapy clinics in Texas, and honestly, they could set a precedent for nationwide regulation.

Why should you care if you're not in Texas? Because Texas is the second most populous state with one of the largest medical communities in the country. When Texas moves on healthcare regulation, other states often follow.

These proposed rules cover mandatory clinic registration, onsite physician requirements, enhanced monitoring standards, a complete ban on take home parenteral ketamine, and enforcement mechanisms that would put ketamine clinics under the same scrutiny as pain management clinics.

What You'll Learn:

🔹 Mandatory PKT clinic registration requirements: what Texas providers need to know about the new registration process and renewal deadlines
🔹 The onsite physician mandate: why remote supervision models would no longer be acceptable under these proposed rules
🔹 Enhanced monitoring and training standards: new equipment requirements and airway management training mandates
🔹 Complete ban on take home parenteral ketamine: how this would eliminate certain treatment models entirely
🔹 National implications: why every ketamine provider should pay attention regardless of location

Episode 49 show notes:

00:00 Teaser - Remote Supervision Is Over

00:20 Episode Introduction

02:55 Mandatory Registration Requirements

03:51 The Onsite Physician Requirement

04:42 Enhanced Training and Monitoring Standards

05:49 Documentation and Safety Protocols

06:37 Complete Ban on Take-Home Parenteral Ketamine

06:57 Enforcement Framework

07:14 What This Means for Texas Clinics

08:10 The Broader Industry Implications

09:16 The Access vs. Safety Tension

10:01 Who This Favors and Who It Challenges

10:34 Public Comment Opportunity

10:56 What You Should Do Now

11:38 Final Thoughts

12:42 Where To Get Further Information

Thanks for listening

Links Relevant To The Episode:

Is Your Ketamine Clinic Ready? Texas Proposes Mandatory Registration and What It Means for the Industry includes a Quick Reference Table

Texas Register January 2, 2026 Volume: 51 Number: 1

Texas Medical Board Rule Changes

Chapter 173, Office-Based Anesthesia Services, Subchapter B, concerning Parenteral Ketamine Therapy, §§173.6-173.15.

Comments on the proposed rules may be submitted online or via email

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Welcome back to the Ketamine Startup Podcast! It's great to be back with you for our first new episode of 2026. After sharing a couple episodes from the vault in December, we are excited to dive back into fresh content.

In this episode, we tackle the most frequently asked question we get: "Do I need to be present in the room during every ketamine infusion?"

This isn't just about regulations. It's about balancing autonomy, patient safety, business scalability, and your personal values as you transition from traditional healthcare to private practice.

We explore the complex regulatory landscape across different states, the tension between wanting professional freedom and providing exemplary patient care, and the practical considerations every clinic owner must navigate.

We share our own philosophy and approach while acknowledging the legitimate business and personal factors that influence these critical decisions.

What You'll Learn:

・The "loved one test" for making staffing decisions: a simple framework to determine your comfort level and standards

・State by state regulatory variations: why Texas, Utah, and California have different requirements and what that means for you

・The business reality of scaling vs. safety: how to balance growth aspirations with quality patient care

・Building reputation in a small community: why integrity matters more than short term profit in the ketamine field

Episode 48 show notes:

00:00 Teaser - The most common question…

02:25 The "loved one test": What would you want for your family member receiving treatment?

04:23 Balancing autonomy vs. quality care: The tension clinicians face

06:32 Federal vs. state regulatory landscape: How regulations vary across different states

09:37 Scope of practice considerations and corporate practice of medicine laws

12:01 Philosophy behind practice decisions: What's right for you and your patients

13:28 Sam's approach: Why he's always present and recommends starting that way

16:56 Balancing physician wellbeing with high-quality patient care

19:26 State-specific research requirements: Medical board, legal, and insurance considerations

21:05 Malpractice insurance requirements and how they affect your practice decisions

23:03 Final recommendations: The decision framework based on your values

24:44 Closing thoughts: What would you want for your loved one?

Thanks for listening

Want to go deeper on some of these topics? Check out these related episodes:

Episode 007 - Who Can Open A Ketamine Therapy Clinic?

Episode 034 - Ketamine Clinic Insurance: Expert Insights with Canyon Clifton

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🚀 Want to fast track launching your ketamine clinic? If so, download our free checklist.

We're continuing our holiday break from regularly scheduled programming to bring you another foundational resource: the patient communication strategies that transform ketamine therapy from a clinical procedure into a truly healing experience.

This episode originally came from one of our mastermind sessions with students from our Ketamine Startup 101 course, where we dove deep into patient preparation and emotional safety protocols. It's become one of our most popular episodes..

Whether you're building a ketamine practice, looking to elevate your current patient communication, or trying to understand what separates exceptional clinics from those that simply provide treatment, this episode gives you the complete framework. 

This is part of our "Episodes from the Vault" series, bringing back content that continues to serve as the go-to resource for healthcare providers focused on patient experience excellence. 

For those who may recall, this was originally released as Episode 33. The mastermind format allowed us to go deep on each communication strategy while keeping everything immediately actionable for real-world implementation.

This episode is especially valuable if you're training staff members, standardizing patient communication protocols, or seeking to create the kind of trust and safety that enables true therapeutic transformation. The strategies we share bridge clinical excellence with emotional intelligence which is exactly what ketamine therapy demands.

What You'll Learn in This Episode 

• The four essential communications every ketamine patient needs before treatment

• Specific language and techniques for normalizing anxiety and fostering trust

• How to prepare patients for non-ordinary experiences while ensuring emotional safety

Episode 47 show notes:

00:00 Teaser - Why presence matters

00:49 Episode introduction 

01:59 The Patient Communication Framework - The four essential things patients need to know and why therapeutic experience begins before treatment

06:14 #1: Feeling Nervous is Normal - Acknowledging patient anxiety, pre-framing concepts, and diving board metaphor for first treatments

10:59 #2: They May See, Feel, or Realize Big Things - Preparing patients for non-ordinary states of consciousness and ensuring they understand experiences will end

15:08 #3: Physical Sensations May Happen - Managing nausea, dizziness, and physical side effects with proactive medical interventions

17:31 #4: Emotional Releases Are Possible - Creating safe space for tears, anger, and grief while normalizing emotional expression

27:31 Practical Implementation Tips - Team training strategies, consistent language protocols, and creating emotionally safe clinical environments

30:19 Episode wrap-up

Selected Links From the Episode: This book link in these show notes is an Amazon affiliate link. If you purchase through these links, we may earn a small commission at no additional cost to you.

📗Book mentioned  - Never Split The Difference by Chris Voss 

If you’re interested in learning more about creating a healing and therapeutic space definitely check out these other episodes:

• Episode 20 - Unlocking Transformation: Exploring Set, Setting, and Integration in Ketamine Therapy

• Episode 9 - Healing Journeys: Ayahuasca, Ketamine Therapy, & Spirituality With Dr. Joe Tafur

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🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

Disclaimer: This podcast is for educational purposes only and is not intended as medical or business advice. Always consult with qualified professionals for your specific situation.

We're taking a break from our regularly scheduled programming for the holidays to bring you something a bit different: a foundational episode that covers everything you need to know about ketamine therapy in one comprehensive resource.

Sam originally delivered this presentation to the UCLA and Betty Ford Addiction Medicine Fellowship, and it's become one of those episodes that medical professionals, curious physicians, and anyone seriously exploring this field have come back to. It covers ketamine's complete story, from its fascinating medical history to current research and real-world implementation protocols.

Whether you're considering ketamine therapy for your own practice, trying to understand this rapidly evolving field, or just want a solid clinical foundation, this is your starting point. We bridge the gap between academic research and practical clinical application, breaking down complex pharmacology and patient selection in a way that's actually accessible.

This is part of our "Episodes from the Vault" series, bringing back content that continues to serve as a go-to resource for healthcare providers across specialties. For those who may recall, this was originally released as Episode 31. The presentation format lets us go deep on each topic while keeping everything practically relevant for actual clinical decision-making.

This episode is especially valuable if you're evaluating ketamine therapy integration, seeking to understand the evidence base, or looking to enhance your patient education and staff training.

What You'll Learn in This Episode

・Ketamine's journey from battlefield anesthetic to breakthrough mental health treatment

・Evidence-based mechanisms of action and clinical research findings

・Practical patient selection criteria, dosing protocols, and safety considerations for clinical practice

Episode 46 show notes:

00:00 - Teaser - Mental health crisis statistics and ketamine's role

00:27 - Introduction to Episodes from the Vault series

01:19 - Sam's presentation introduction and off-label use disclosure

01:52 - Presentation Overview: Three-part structure: mental health/history, mechanisms/studies, patient selection/protocols

02:19 - Part 1: Current State of Mental Health - Depression, PTSD, anxiety statistics and the need for ketamine therapy

04:07 - The Need for More Treatment Options: Healthcare arsenal expansion with ketamine

04:20 - A Brief History of Ketamine: From phencyclidine to FDA approval and Vietnam War battlefield use

09:36 - Part 2: How Ketamine Works - NMDA receptor mechanisms and neuroplasticity effects

12:11 - Types of Patient Ketamine Experiences: Four levels of non-ordinary states of consciousness

14:49 - A Review of Scientific Studies: Yale study through recent research and meta-analyses

22:43 - Part 3: Ideal Patient Selection, Dosing & Scheduling: Contraindications, protocols, and safety considerations

32:33 - Episode wrap-up with YouTube resources, and more

Thanks for listening

Selected Related Links:

・For original Youtube version featuring slides during the presentation, go to https://youtu.be/u9XOQ2xnwsg

・For references and studies mentioned in this episode, go to www.ketaminestartup.com/podcast/episode-046

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Dr. Randy Frederick isn't your typical ketamine provider. As a former military flight surgeon and EM physician, he's spent nearly several years developing a "psychospiritual" approach to ketamine therapy. And his perspective challenges a lot of the conventional thinking in this field.

In this conversation, Randy shares his evolution from following traditional clinical protocols to building something completely different. He talks openly about viewing ketamine as a catalyst rather than a cure, and why that distinction fundamentally changes how he works with patients.

What makes this episode different? Randy doesn't just talk theory. He shares his own transformation journey. From losing his spiritual connection in college to rediscovering it through his own healing work, he's transparent about how his personal growth directly shapes the way he cares for patients. His focus on mind-body-spirit integration and helping patients reconfigure their relationship with their own minds comes from lived experience, not just clinical training.

What You'll Learn in This Episode

・ Why ketamine should be viewed as a catalyst, not a cure and how that philosophy changes everything about treatment

・ The real challenges and rewards of transitioning from physician employee to clinic owner

・ How meditation and awareness practices actually complement ketamine therapy

Episode 45 show notes:

00:00 - Teaser - Ketamine is not a cure…

00:28 - Episode introduction

01:43 - Welcome Dr. Frederick to the show

02:30 - Dr. Frederick’s background: ER medicine, social media discovery moment, initial research phase

05:20 - The stories that convinced Dr. Frederick: patient transformations and life-saving impact

08:00 - Dr. Frederick’s evolution from clinical to psychospiritual approach over the years

12:00 - Why ketamine is a facilitator/catalyst, not a cure - the consciousness perspective

16:30 - Dr. Frederick’s personal spiritual journey: losing faith in college, rediscovering spirituality

19:30 - Military background: Navy flight surgeon, Iraq deployment, veteran mental health insights

22:30 - The broader psychedelic landscape: psilocybin, MDMA, stakeholder challenges

26:30 - Harvard Law School psychedelic summit and Zero L course experience

29:30 - Reality of clinic ownership: wearing many hats, constant challenges, HR difficulties

34:30 - The five types of wealth: choosing time and lifestyle over maximum income

37:30 - Bombing story discussion, perspective shifts, and choosing growth over victimhood

42:00 - Mind-body-spirit integration: ego dissolution, mindfulness practice, meditation

49:00 - Advice for aspiring clinic owners: having your why, mentorship, team building

50:30 - Rapid fire questions: desert island choices, relaxation rituals, hidden talents

57:00 - Contact information and closing remarks

Thanks for listening

Connect with Dr. Frederick at:

Website

Instagram

Meta

Selected Links From the Episode:  These book links in these show notes are Amazon affiliate links. If you purchase through these links, we may earn a small commission at no additional cost to you.

📗 The 5 Types of Wealth: A Transformative Guide to Design Your Dream Life by Sahil Bloom   

📘 Being Ram Dass by Ram Dass

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What happens when an ER physician and a psychologist both hit burnout at the same time? In Dr. Jack Hay and Dr. Harry Pepper's case, they decided to build something different together.

In this episode, Dr. Hay and Dr. Pepper share the real story behind opening Oberlin Ketamine Clinic in Ohio. Including their unique physician-psychologist partnership model, how they've made personalized music a core part of their ketamine therapy approach, and why they're so intentional about trauma-informed care.

This isn't a polished success story. They walk us through their first-year challenges, the difference between integration coaching and traditional therapy (and why that distinction matters), and their philosophy of empowering patients to choose their own music playlists instead of prescribing one-size-fits-all soundtracks.

What really stood out? How they've built their practice around their core values instead of just copying what other clinics are doing.

What you’ll gain

🔹 How to maintain passion, patience, and perseverance through inevitable obstacles

🔹 Simple techniques that create profound patient experiences (whiteboard intentions, personalized playlists)

🔹 How to distinguish between coaching and therapy in integration work 

Episode 44 show notes:

00:00 - Teaser - A shamanic transfer of energy

00:26 - Episode Introduction

02:30 - Dr. Hay's background: Emergency medicine to ketamine therapy journey, COVID burnout experience

05:20 - Dr. Pepper's background: 30 years in psychology, psychedelic therapy insights

08:45 - Pivotal moments: Dr. Pepper's continuing education revelation and personal experience with long COVID

12:15 - Dr. Hay's decision point: Leaving ED directorship, timing with Harry's proposal

15:30 - Major obstacles faced: Timeline underestimation, patient education challenges, Midwest ketamine awareness

21:40 - Safety protocols and patient process: First contact approach, trauma-informed care, continuous monitoring

26:50 - Integration coaching philosophy: Present-moment forward orientation vs traditional therapy

32:20 - Music curation innovation: Challenging conventional wisdom, personalized playlists, patient choice

40:30 - Intention setting technique: Colored whiteboard process, embodiment practices

44:15 - Advice for new clinicians: Dr. Hay's "Three P's" - passion, patience, perseverance

47:30 - Dr. Pepper's advice: Don't give up, staying connected to values during challenges

50:45 - Personal questions begin: Desert island books/movies/food

56:20 - Hidden talents: Dr. Pepper's music performance background, Dr. Hay's artistic abilities

1:00:30 - Time travel question: Future space exploration vs MLK's "I Have a Dream" speech

1:02:45 - Contact information and closing remarks

Thanks for listening

Connect with Dr. Hay and Dr. Pepper at:

Oberlin Ketamine Website

Instagram

Meta

Infinite Leadership

Selected Links From the Episode: These book links in these show notes are Amazon affiliate links. If you purchase through these links, we may earn a small commission at no additional cost to you.

📕The Elevated Leader: Level Up Your Leadership Through Vertical Development by Ryan Gottfredson

📗The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel van der Kolk

📘You Are Enough: Revealing the Soul to Discover Your Power, Potential, and Possibility by Panache Desai

🎶Explore more about music in Episode 032 - Music & Psychedelic Therapy: A Conversation with Author Steve Gelberg

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🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

Remember when you were a hospital employee and licensing was just... someone else's problem? Yeah, those days are over.

When you open a ketamine clinic, you're suddenly responsible for every license, permit, and regulatory checkbox that used to magically get handled by administrators. And here's the thing, get this stuff wrong and you can expect delays.

In this episode, we break down the exact licenses and permits you need to open a ketamine clinic, the specific order to tackle them (yes, order matters), and why trying to DIY this process is a terrible idea.

We share what we learned opening Reset Ketamine in Southern California plus insights from helping dozens of physicians navigate licensing requirements across different states. Because here's what we've learned: every state is different, and the details matter more than you think.

What You'll Learn in This Episode:

・The medical licenses you probably already have - and why you might need a second DEA license

・Business permits that confuse physicians - FNP vs DBA and when you can skip them

・The order of operations - 10 sequential steps that prevent costly delays

・Why AI and Google aren't enough - the critical role of state-specific professional guidance

Episode 43 show notes:

00:00 Teaser - The DEA License Address Rule

00:30 Episode Introduction

01:42 Why You Need Professional Guidance

03:48 Active Medical License & NPI

04:50 DEA License: The Tricky One

07:03 Order of Operation - The Foundation: Entity & Location

09:11 City Business License

10:22 Fictitious Name Permit (FNP)

12:33 DBA (Doing Business As)

15:27 EIN (Employer Identification Number)

16:39 Summary: The Complete Order of Operations

17:28 Key Takeaways & Closing Advice

18:30 The Medical Consult Analogy

20:50 Closing & Resources

Thanks for listening

Selected Links From the Episode:

Get your DEA related questions answered in Episode 023 - Mastering Clinic Compliance: Insights from Retired DEA Agent Dennis Wichern

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🚀 Want to fast track launching your ketamine clinic? If so, download our free checklist.

Running a ketamine clinic? Clinical skills alone won't cut it. You also need to protect your practice from regulatory and financial landmines.

In this compilation episode, two experts break down the complex world of DEA compliance and insurance coverage for ketamine clinics. Whether you're about to open your doors or already treating patients, understanding what triggers regulatory scrutiny and how to properly protect your practice isn't optional - it's critical.

Our guests reveal the most common mistakes clinics make and share practical strategies to keep your practice safe, compliant, and protected. We've combined insights from two full-length episodes to give you concentrated wisdom on the business foundations every ketamine clinic needs.

DISCLAIMER:  This episode is for educational and informational purposes only. The views expressed by our guests do not constitute legal, regulatory, or professional insurance advice for your specific practice. Insurance and compliance requirements vary significantly by state and individual circumstances. Always consult with qualified professionals before making decisions for your business or medical practice.

Featured Experts

Dennis Wichern - Retired DEA Special Agent in Charge and founder of Prescription Drug Consulting. Dennis spent over three decades with the DEA, including ten years focused specifically on pharmaceutical controlled substance compliance. He now helps healthcare providers understand DEA regulations and maintain proper compliance.

Canyon Clifton - CEO of Clifton Insurance Agency, a professional liability and high-risk niche market insurance corporation founded in 1982. Canyon has spent over two decades designing elaborate professional liability and medical malpractice policies for healthcare providers across the US.

What You'll Learn in This Episode:

・The 3 red flags that trigger DEA audits and how to avoid them

・The #1 insurance mistake ketamine clinics make (and how to verify coverage)

・Real claims data: What actually happens when things go wrong

Episode 42 show notes:

00:00 Teaser - The DEA are Humans too.

00:20 Introduction & Episode Overview

01:51 Dennis Wichern

02:01 The 3 Red Flags That Trigger DEA Audits

05:16 State-Level DEA Enforcement Differences

08:37 Biannual Inventory Requirements & What to Do If You Missed Them

09:39 The DEA's Human Side

10:48 Witnessing Requirements for Small Clinics

13:47 Canyon Clifton

13:57 The #1 Insurance Mistake Ketamine Clinics Make

14:59 Where to Find Coverage Details in Your Policy

17:03 Why Insurance Applications Matter (They Become Part of Your Policy)

18:39 How the Insurance Landscape Has Changed for Ketamine Therapy

20:00 Admitted vs. Non-Admitted Insurance Carriers Explained

23:29 The Top Insurances Your Ketamine Clinic Needs

25:54 Ending & Resources

Thanks for listening

Listen to each of their full conversations:

Episode 023 - Mastering Clinic Compliance: Insights from Retired DEA Agent Dennis Wichern

Episode 034 - Ketamine Clinic Insurance: Expert Insights with Canyon Clifton

Connect with the experts:

Prescription Drug Consulting Website

LinkedIn

Email: [email protected]

Phone: (312) 859-2430

Clifton Insurance Agency Website - Mention “Ketamine StartUp” and receive FREE quotes & exclusive policy discounts.

Phone: 877-212-4368

Clifton Insurance Agency | LinkedIn

Clifton Insurance Agency | Instagram 

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🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

Starting a ketamine clinic can mean challenging the status quo - and that can feel isolating when colleagues question your vision or patients don't understand the treatment. But here's what's reassuring: every major breakthrough in medicine started with physicians who were willing to stand alone and persist through doubt.

In this compilation episode, we're featuring three remarkable doctors who faced the exact same resistance you might be experiencing. Each was told their ideas wouldn't work. Each had colleagues who doubted them. And each proved that individual practitioners can create massive change when they refuse to take "no" for an answer.

Dr. Howard Kornfeld revolutionized addiction medicine by advocating for buprenorphine years before anyone believed in it. Dr. Joe Tafur bridges traditional healing with modern ketamine therapy despite skepticism from both sides. And Dr. Mel Herbert transformed global medical education from a single idea that everyone initially dismissed.

These aren't just inspiring stories - they're road maps for how to navigate the challenges in the medical space. If you're building a practice or considering taking the leap, their experiences will show you that the resistance you face isn't a sign you're wrong - it's often a sign you're onto something important.

What You'll Learn in This Episode

・ How medical pioneers overcome institutional resistance and persist through years of colleagues doubting their vision

・  Revolutionary approaches to addiction medicine including Dr. Kornfeld's early advocacy for buprenorphine treatment

・ Bridging traditional and modern healing through Dr. Tafur's integration of ceremonial medicine with ketamine therapy

・ Global medical education transformation and how Dr. Herbert built a company impacting training in 160+ countries despite never wanting to be an entrepreneur

Episode 41 show notes:

00:00 Teaser - “I didn’t want to be an entrepreneur…”

00:23 Welcome To The Podcast

01:36 Dr. Howard Kornfeld: The Power of Small Groups & Early Mentorship

02:37 Buprenorphine Breakthrough & Early Adoption

13:09 Dr. Joe Tafur: His perspective on colleague resistance

21:11 Bridging Worlds: First Ketamine Ceremony

21:34 Dr. Mel Herbert: The Birth of EM:RAP Vision

22:51 Overcoming Initial Rejections

23:21 Building Global Impact

30:01 Finding Meaning in Simple Medicine

30:23 Ending & Resources

Thanks for listening

Listen to each of their full conversations:

🛡️Episode 039 - Pain, Addiction, and Medical Practice with Dr. Howard Kornfeld

🌿Episode 009 - Healing Journeys: Ayahuasca, Ketamine Therapy, & Spirituality With Dr. Joe Tafur

🎓Episode 025 - Breaking the Stigma: Ketamine, Forgiveness, & Mental Health with Dr. Mel Herbert

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✅ Want to fast track launching your ketamine clinic? If so, download our free checklist.

Most doctors dream about leaving the ER grind, but here's what's remarkable: Dr. Nico Grundmann didn't just escape - he built something that's actually changing how we think about mental healthcare at scale.

In this conversation, Sam sits down with Dr. Grundmann, an emergency physician who took his systems-thinking background and created something unprecedented: a five-location ketamine practice that's generating the kind of data insurance companies actually pay attention to. We're talking about going from solo practitioner to managing 30 team members while maintaining the clinical rigor that makes this work sustainable.

What makes this conversation essential listening? Dr. Grundmann's approach shows exactly how individual practices can drive policy-level change - but it requires thinking beyond your patient panel to the broader healthcare system. His story proves that with the right framework, you can build something that's both profitable and positioned to influence national coverage decisions.

If you've ever wondered how to scale beyond a single clinic without losing clinical quality, or if you're curious about what it really takes to collect data that insurance companies respect, this conversation will give you the roadmap you need.

What You'll Learn in This Episode

🔹 The mindset shifts required when moving from ER medicine to longitudinal ketamine therapy practice

🔹 Clinical evidence behind protocol decisions including the 4 vs 6 infusion debate and IV superiority data 

🔹 Systematic approach to scaling from single pilot site to five-location practice with team management insights

🔹 Insurance advocacy through data collection and the long-term strategy for coverage expansion

Episode 40 show notes:

00:00 Teaser - Ketamine isn’t Treat-And-Release

00:22 Welcome to the Ketamine Startup Podcast

00:29 Interview with Dr. Nico Gruman

01:42 Dr. Gruman's Background and Journey

04:28 Founding Ember Health

05:50 Scaling the Practice

06:29 Challenges and Strategies

07:24 Building a Collaborative Care Model

09:10 Pilot Site and Early Days

16:45 Navigating Insurance and Policy

19:10 Advice for Aspiring Clinic Owners

27:01 Longitudinal Care and Patient Relationships

32:35 Hands-On Training and Patient Care

33:47 The Importance of Patient Trust

35:14 Patient Onboarding Process

36:54 Treatment Protocols and Success Rates

38:12 Long-Term Care and Maintenance

40:17 The 4 vs 6 Treatment Debate

43:07 Mechanisms of Ketamine

47:10 Route of Administration and Safety

51:59 Advice for New Practitioners

54:07 Personal Insights and Hobbies

01:00:02 Final Thoughts and Contact Information

Thanks for listening

Listen to the episode on Apple Podcasts, Spotify, Overcast, or on your favorite podcast platform. Watch the discussion on YouTube here.

Connect with Dr. Grudmann at:

Ember Health Website

Linkedin

Instagram

Selected Links From the Episode:

McIntyre RS, Rodrigues NB, Lee Y, Lipsitz O, Subramaniapillai M, Gill H, Nasri F, Majeed A, Lui LMW, Senyk O, Phan L, Carvalho IP, Siegel A, Mansur RB, Brietzke E, Kratiuk K, Arekapudi AK, Abrishami A, Chau EH, Szpejda W, Rosenblat JD. The effectiveness of repeated intravenous ketamine on depressive symptoms, suicidal ideation and functional disability in adults with major depressive disorder and bipolar disorder: Results from the Canadian Rapid Treatment Center of Excellence. J Affect Disord. 2020 Sep 1;274:903-910. doi: 10.1016/j.jad.2020.05.088. Epub 2020 May 26. PMID: 32664031.

Wilkinson ST, Rhee TG, Joormann J, Webler R, Ortiz Lopez M, Kitay B, Fasula M, Elder C, Fenton L, Sanacora G. Cognitive Behavioral Therapy to Sustain the Antidepressant Effects of Ketamine in Treatment-Resistant Depression: A Randomized Clinical Trial. Psychother Psychosom. 2021;90(5):318-327. doi: 10.1159/000517074. Epub 2021 Jun 29. PMID: 34186531.

🤖 OpenEvidence

📗 Stranger in a Strange Land by Robert Heinlein

Linkedin

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YouTube

✅ Want to fast track launching your ketamine clinic? If so, download our free checklist.