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.