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.

In this episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth dive into their personal journeys from traditional medicine to concierge practice—exploring the realities of America's healthcare system, what drove them to seek alternatives, and how personal struggles shaped them into better physicians. With a mix of bold truths, real stories, and evidence-based insights, this conversation sheds light on the hidden challenges of medical training, the burnout crisis in healthcare, and how concierge medicine offers a path to meaningful patient relationships.

What You'll Learn
• How attending offshore medical schools can create insecurity that ultimately drives excellence
• Why traditional medical education fails to prepare doctors for real-world practice challenges
• How personal trauma and loss can transform physicians into more compassionate caregivers

Timestamps
00:00 – Introduction and meeting anniversary reflection
03:15 – Dr. Seth's journey from finance to medicine in Canada
10:42 – The Caribbean medical school experience and overcoming insecurity
18:30 – Dr. Parker's coming-out story and small-town Nebraska roots
24:30 – Residency experiences and the gap in "real medicine" training
32:15 – Hospitalist life: 16 patients, 7 days, complex cases
38:45 – The ethics committee and goals of care conversations
42:20 – Dr. Seth's mother's cancer journey and the inspiration for concierge medicine
48:10 – Financial fears and sacrifices of starting a practice
52:30 – Dr. Parker's transition from Lifetime Fitness to independent practice
56:45 – Structured MD consulting and helping other physicians transition
58:55 – Closing thoughts on treating patients like family

Resources & Links Mentioned
Seth Premier Medical: https://sethmedical.com/
Parker Medical: https://parkermedical.org/

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

Episode Summary

In the very first episode of Out of Network, Dr. Ryon Parker and Dr. Rishi Seth introduce themselves and the mission behind this podcast. Both board-certified internal medicine physicians turned concierge doctors, they share why they chose to step away from the traditional, volume-driven model of medicine and how they’re reimagining healthcare with a patient-first approach. From the realities of physician burnout to the power of entrepreneurship in medicine, this episode sets the stage for bold conversations ahead.

What You’ll Learn

• Why many physicians are leaving traditional healthcare systems behind
• How concierge medicine re-centers the patient–doctor relationship
• The vision for Out of Network and what to expect in future episodes

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.

Welcome to Out of Network — the podcast that’s redefining healthcare, one bold conversation at a time. In this short intro, co-hosts Dr. Rishi Seth and Dr. Ryon Parker give you a quick taste of what’s to come: honest talk, real patient stories, and a mission to expose what’s broken in our medical system. Whether you're a frustrated physician or a disillusioned patient, this podcast is your new home.

🎧 Subscribe now — we’re just getting started.

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.