He learned to stay calm defusing bombs. Now he uses the same steady hands and the same nervous system to take on medical misinformation online.

Dr. Zachary Meade took the least conventional route into medicine imaginable. A childhood in and out of foster care. Years as an explosive ordnance disposal technician in the military. A detour through electrical engineering. Then med school, and now a career as a military anesthesiologist in San Diego.

He and Dr. Nanos get into the whole thing: how he researches a viral health claim (start with the nugget of truth, then go to the actual evidence), why "big wellness" has quietly become bigger and in some ways worse than big pharma, and the simple rules he gives patients for spotting a fake — like the 60-second credential test and watching what someone's actually selling at the end of the video.

They also talk about the human side: informed consent in the OR, how he talks a terrified patient through the minutes before anesthesia, what a hard childhood and the bomb squad taught him about handling relentless online hate, and a closing message to anyone who's ever felt unloved or alone that is, honestly, the best part of the episode.

This is The Kind Revolution — where science meets courage and medicine meets humanity.

If this episode brings up a hard time for you, you're not alone. In the U.S. you can call or text 988 for the Suicide & Crisis Lifeline, any time.

A psychiatrist missed her own perimenopause. She thought her antidepressant was causing the night sweats.

Dr. Carlene MacMillan is a child and adolescent psychiatrist, the Chief Medical Officer at Radial, and spent years chairing the Clinical TMS Society's insurance committee — which means she is one of the few people in the country doing the tedious, unglamorous work of getting brain treatments actually covered. She is also a woman in midlife who walked into a routine OB-GYN appointment, got asked whether she still gets her periods, said yes, and watched the conversation end there.

"It's not a bad doctor," she tells Dr. Nanos. "The standard is just so low."

What follows is a conversation about where women's symptoms go to get misfiled. Dr. MacMillan describes patients whose depression she successfully treated — who then said I'm not depressed anymore, but I still feel awful — and who turned out to have PCOS, endometriosis, or autoimmune disease that had been dismissed for years as being in their heads.

They also get into high-THC cannabis and the adolescent brain, why TMS is covered after roughly two failed medications rather than four, what accelerated protocols mean for access, and why she'd like the field to stop calling itself psychiatry and start calling itself brain medicine.

This is The Kind Revolution — where science meets courage and medicine meets humanity.

🎙 Hosted by Dr. Georgine Nanos, MD, MPH | Kind Health Group, Encinitas, CA

👤 Guest: Dr. Carlene MacMillan, MD | Chief Medical Officer, Radial | https://www.meetradial.com/carlene-macmillan

Nobody asks their doctor the questions they actually Google at 2 AM. So we collected them anonymously.

Dr. Georgine Nanos sits down with Lauren Luscombe Holder, Director of Marketing and Operations at Kind Health Group, for a no-judgment round of the questions patients whisper but rarely say out loud. Peptides. Weight-loss medications. Nightly wine. A decade on SSRIs. What longevity medicine actually means once you strip out the biohacking.

Along the way, two patient stories that show what real medical oversight buys you: a woman in her early 60s who went from a vague hip pain to a multiple myeloma diagnosis and the start of treatment in ten days — a process that typically takes two months. And a woman in her late 60s whose "off, a little fatigued" turned out to be a significant coronary obstruction caught on advanced imaging before it became a heart attack.

In this episode:

• Whether a microdose of a weight-loss medication is safe long term — and the red flag that means you should find a different provider

• Why muscle preservation and protein are non-negotiable on these medications, and the osteoporosis fear circulating online

• What true medical oversight looks like week to week

• The peptide boom: why "not for human use, research only" is printed on the bottles, and the angiogenesis tradeoff nobody mentions

• What real longevity actually is — thinking clearly, hiking, keeping muscle, avoiding frailty, staying independent

• The unglamorous fundamentals: blood pressure, lipids, glucose, muscle mass, sleep, anti-inflammatory diet, not smoking

• Advanced screening: Galleri multi-cancer detection, Prenuvo whole-body MRI, Invitae genetics — and what epigenetics means for a bad genetic hand

• Advanced cardiac markers most primary care never orders: ApoB, lipoprotein(a), homocysteine, advanced lipid NMR, coronary CT angiogram

• The 10-day cancer catch, start to finish

• Why women rarely present with textbook cardiac symptoms

• Nightly wine, honestly — without the shame

• "California sober" — why swapping alcohol for daily cannabis isn't the win people think it is

• Ten years on SSRIs and birth control: why the medications aren't the problem, but autopilot is

• Why Dr. Nanos built a concierge practice after 4,000 assigned patients and 5-to-10-minute visits

🔗 CONNECT WITH KIND HEALTH GROUP

🌐 kindhealthgroup.com

📱 Instagram: @kindhealthgroup

📍 Encinitas, CA

Got a question you'd rather ask anonymously? DM us — we'll answer it on a future episode.

Lauren Luscomb Holder is not a physician. She's Kind Health Group's Director of Marketing and Operations — which means she hears everything patients are too embarrassed to say in the exam room before they work up the courage to say it at all. She knows which questions get whispered at the front desk. She knows what women are Googling at midnight. And she knows exactly which topics have been sitting in the "we should really talk about that on the podcast" pile for months.

This episode is that pile. All of it.

In this conversation with Dr. Georgine Nanos, Lauren asks the questions patients genuinely want answered but can't bring themselves to raise — about bowel habits, fertility timelines, dating in your 50s, HPV after menopause, and the CO2 laser treatment that showed up in a TV show and sent half their patient base to their phones. Nothing is off limits. Nothing is treated like it should be.

Connect with Kind Health Group:
kindhealthgroup.comInstagram: @kindhealthgroupEncinitas, CA

In this conversation with Dr. Georgine Nanos, Dr. Burn pulls back the curtain on imaging — what's real in the AI hype, what whole body MRI can and can't do, why 1.5 Tesla actually outperforms 3 Tesla for screening, and what a Lancet paper on pancreatic cancer just revealed about early detection lead time that should change how we think about prevention entirely.For the high performer who assumes they're fine:Dr. Burn's message is simple — looking healthy and being healthy internally are two completely different things. The people least likely to get their cardiac markers checked are often the ones who need it most. VO2 max and longevity are linked. So are Lp(a) and a heart attack at 52 that nobody saw coming.Subscribe to the Kind Revolution Podcast for conversations at the intersection of medicine, mental health, and the real lives of the people navigating both. Share this episode with the endurance athlete in your life who hasn't had their cardiac labs checked.

The healthcare system isn't broken by accident — and your doctor is as trapped in it as you are.

Dr. Georgine Nanos sits down with Dr. Natalie Gentile, family physician, entrepreneur, fitness instructor, and founder of Direct Care Physicians of Pittsburgh and Rebel Wellness — Pittsburgh's only woman physician-owned wellness studio with a culinary medicine teaching kitchen. Dr. Gentile watched the system swallow her father's solo practice after 60 years, then felt it happening to her own career. She got out. Here's what she built instead.

In this episode:

- Why patients blame doctors for a system that has stripped physicians of nearly every meaningful decision

- The moment Dr. Gentile knew she had to leave — and what her father's 60-year career in medicine showed her first

- What direct primary care (DPC) actually is: monthly membership, panel of under 300 patients, same-day access, no per-visit fees

- Who DPC is designed for — the uninsured, under-insured, small business owners, and anyone on a high-deductible plan

- Why physicians are siloed from each other by design — and the underground uprising happening in Pittsburgh and across the country

- Dr. Gentile's own burnout: the patient interaction that triggered a year and a half of PTSD, nightmares, and flashbacks

- What lifestyle medicine looks like through the lens of a 20-year fitness instructor who runs her studio next door to her practice

- Perimenopause and women's health: why so many PCPs still aren't equipped to handle it — and why that's dangerous

- Performative wellness: what it is, why it's harmful, and how Instagram health claims make real medicine harder

- Weight-inclusive care as a practice-wide philosophy — and the patients it's changed

- If she could change one thing: why employer-tied health insurance is quietly destroying continuity of care

- What she'd say to every physician who feels trapped right now

Discover how the mental health landscape is evolving away from traditional models to personalized, direct, and comprehensive care.

Join Dr. Nanos and Lauren as they uncover breakthroughs in TMS treatments, women’s health, gut health, and the importance of candid conversations with healthcare providers.

Timestamps:

00:00 - Rethinking mental health care: Why current models fall short

00:45 - Targeted TMS: from traditional protocols to the innovative one-day treatment

02:25 - Continuous care: Monitoring and maintaining results over the long term

04:10 - Gut health importance and the Bristol stool chart’s role in bowel health assessment

06:00 - Risks associated with GLP medications and bowel obstructions

09:00 - Advancements in rapid TMS protocols and their transformative effects

11:20 - Real patient breakthroughs: From severe mental health struggles to full recovery

16:30 - Building resilience through TMS: coping with life’s chaos

19:00 - The power of comprehensive, ongoing care and patient engagement

22:00 - Women’s reproductive health: Fertility, egg freezing, and hormonal changes

25:00 - Navigating the emotional and physical aspects of dating in later life

28:00 - Laser Vaginal Therapy (Mona Lisa Touch): A transformative treatment for menopausal symptoms

34:00 - Practical advice for addressing common health concerns with your doctor

36:00 - Summary: Everything you need to know about holistic, patient-centered health care

Resources & Links:

Transcranial Magnetic Stimulation (TMS) Treatments - kindmindstms.com

Bristol Stool Chart - https://my.clevelandclinic.org/health/articles/bristol-stool-chart

Mona Lisa Touch vaginal laser therapy - https://www.kindhealthgroup.com/monalisa-touch

Women's Health - https://www.kindhealthgroup.com/kind-midlife-edit

Dr. John How spent more than 15 years in emergency medicine watching the same story play out. Someone comes in at their worst moment, gets stabilized, and goes home — carrying unresolved pain, trauma, and a nervous system that never got the memo that the emergency was over.

He started asking different questions. And then he started becoming the patient himself.

Back pain. PTSD. A search for something beyond what traditional medicine was offering. He found providers thinking outside the box, had results that changed his life, and built a clinic around the idea that the most powerful interventions available are often the last ones people are offered — not the first.

In this conversation with Dr. Georgine Nanos, Dr. How breaks down the treatments most doctors don't talk about, why your nervous system is running the show whether you know it or not, and what's actually happening when someone gets a stellate ganglion block and their nightmares stop the same week.

What you'll hear in this conversation:

• What 15 years in the ER taught Dr. How about everything medicine was missing
• The stellate ganglion block explained — what it is, where it goes, and why a 100-year-old procedure is now changing outcomes for PTSD, anxiety, long COVID, and chronic pain
• Why the SGB works: the amygdala, the sympathetic chain, and what happens when you interrupt the signal between them
• A 91% response rate for PTSD — and how that compares to SSRIs, which land around 50% with significant side effect dropout
• How long results last, who it works best for, and why your job being your trauma changes the equation
• How Dr. How decides between SGB and ketamine when a patient walks in with overlapping depression, anxiety, and PTSD
• Regenerative medicine vs. traditional orthopedic care — why "wait it out" fails a significant portion of patients
• PRP, nerve hydrodissection, and the pain generator most providers completely miss
• The honest conversation about stem cells, peptides, and the Wild West of wellness products neither Dr. How nor Dr. Nanos is willing to pretend is settled science
• Why chronic pain and mental health aren't two separate problems — and what happens neurologically when pain signals spill over into your sympathetic nervous system
• The population most resistant to asking for help — and why Dr. How keeps showing up for them anyway
• Rapid fire: the one thing every patient should prioritize (spoiler: both doctors gave the same answer)

On the stigma that's costing people years:

Dr. How is direct about this. The people who could benefit most from these treatments — first responders, veterans, high-functioning professionals — are often the last to reach for them. Not because the tools aren't there. Because asking for help still feels like losing something. He's working on that.

Connect with Dr. John How:How Clinic — https://thehowclinic.com/

Subscribe to the Kind Revolution Podcast for conversations at the intersection of medicine, mental health, and the real lives of the people navigating both. Share this episode with someone who's been told to wait it out long enough.

Dr. Heather Volpp trained at Cedars-Sinai and UCLA, spent 15 years in traditional allergy and immunology, and kept seeing the same thing: patients who looked fine on paper but weren't getting better.

That pattern led her to found Synergy O3 in Encinitas, where she now practices integrative medicine with a focus on ozone dialysis therapy and the upstream role of inflammation in chronic disease.

In this episode, she joins Dr. Georgine Nanos to challenge the clean line between traditional and alternative medicine — and make a case for why that line was never as useful as we thought.

In this conversation:

What ozone dialysis is and why it's safer than standard 10-pass ozone therapy

The 80% reduction in inflammatory markers Dr. Volpp consistently sees post-treatment

The blood clot patient told his clot would never dissolve — and what happened four months later

Why cold plunges may be the wrong tool for perimenopausal womenHow inflammation connects cholesterol, cardiac risk, autoimmune disease, and cancer

Why curiosity is disappearing from medicine — and what's lost when it goes

Learn more about

Dr. Heather Volpp:

🌐 Synergy O3 — Encinitas, CA

Subscribe for new episodes every week. Share this with anyone who's been told their labs look fine — but knows something still isn't right.

In this inspiring interview, Dr. Olivia Richman shares her journey from medical student to influential healthcare advocate. Discover how she leverages social media to combat misinformation, promote health education, and drive healthcare policy change.Chapters00:00 Introduction to Dr. Olivia Richman and Her Mission01:36 Olivia's Journey into Medicine04:25 The Importance of Using a Voice in Healthcare06:36 Starting a YouTube Channel for Sex Education08:11 Transitioning to Social Media and Advocacy12:38 Addressing Misinformation in Healthcare17:19 The Docfluencer Conference and Its GoalsDocfluencer MDO - https://www.docfluencermdo.comDoc Fluencer Conference 2024 - https://www.docfluencermdo.com/conferenceTwitter - https://twitter.com/OliviaRichmanMDInstagram - https://www.instagram.com/oliviarichmanmd/