The Health Exchange

Episode 58 of The Health Exchange Podcast explores the powerful connection between oral health, overall wellness, and personal confidence with guest Dr. Bill Dorfman, a leading cosmetic dentist. Dr. Rutland and Dr. Dorfman discuss how the mouth often serves as an early window into systemic health, touching on inflammation, cardiovascular risk, immune function, and chronic disease. The conversation breaks down common dental procedures—such as bonding, veneers, crowns, implants, and root canals—while emphasizing a conservative, patient-centered approach focused on restoring function before aesthetics. Beyond clinical care, Dr. Dorfman shares how dental treatment can profoundly impact confidence, mental well-being, and quality of life, drawing from decades of experience, including transformative patient stories and work with complex congenital conditions. The episode also highlights the importance of collaboration between dentists and physicians, early disease detection, and removing fear and stigma from dental care, reinforcing that oral health is not cosmetic—it is foundational to whole-body health.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 57 of The Health Exchange Podcast goes inside the fast-paced, high-stakes world of the emergency department with guest Dr. Italo Brown, an emergency medicine physician. Dr. Rutland and Dr. Brown explore what it really takes to navigate the chaos of trauma, critical care, and high-acuity patients, while balancing technical skill, rapid decision-making, and deep compassion. They discuss the realities behind life-saving procedures, the emotional highs and lows of patient outcomes, and the importance of communication and teamwork in the E.R. The conversation also touches on challenges like managing chronic conditions, understanding complex respiratory and cardiovascular cases, and providing care for vulnerable populations. Beyond the medicine, Dr. Brown highlights the human side of emergency care—staying present with patients and families, mentoring trainees, and coping with the emotional weight of loss—offering listeners an honest, unfiltered look at what it means to work on the front lines of healthcare.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 56 of The Health Exchange Podcast examines how autoimmune disease care is evolving when advanced medicine is paired with lifestyle-based intervention. Host Dr. Rutland speaks with Drs. Melissa Mondala and Micah Yu, a married physician team who combine rheumatology, lifestyle, and integrative medicine in their practice. They share their personal journeys—Micah’s own autoimmune diagnosis and Melissa’s early patient experiences—that shaped their approach to care. The conversation covers how autoimmune diseases like rheumatoid arthritis and lupus affect energy, mood, and overall health, and why assessment of diet, sleep, stress, and environment is critical alongside advanced medications. Through real patient stories, they illustrate how combining biologics with lifestyle changes—plant-forward diets, stress management, and movement—can improve symptoms, reduce medication needs, and empower patients to reclaim control over their health.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 55 of The Health Exchange Podcast dives into the science, stigma, and real-world impact of migraines with neurologist Dr. Philip O’Carroll and pain management specialist Dr. Richard Paicius. Dr. Rutland leads a wide-ranging conversation on why migraines are not “just headaches,” but complex neurological and inflammatory events shaped by genetics, hormones, brain signaling, and lived experience. The episode explores how migraines are misdiagnosed, why women are disproportionately affected, and how central nervous system sensitization, trauma, and emotional stress can drive chronic pain. From breakthrough CGRP medications and Botox to nerve blocks and emerging psychedelic therapies, the doctors explain how modern, precision-based treatments are transforming care—while emphasizing that empathy, accurate diagnosis, and coordinated, whole-person treatment remain just as critical as the science.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 54 of The Health Exchange Podcast features interventional cardiologist Priya Rao Kothapalli in a wide‑ranging conversation about what really determines heart health — from emergency procedures that save lives in minutes to the invisible forces that shape disease over decades. Dr. Rutland and Dr. Rao explore how heart attacks happen, how blocked arteries and faulty valves are treated in the cath lab, and why technologies like transcatheter valve replacement and intravascular imaging have transformed modern cardiology. They also dive into the concept of “vulnerable plaque,” showing why heart attacks often come from hidden inflammation rather than obvious blockages, and how new blood markers and cardiac imaging can identify risk long before symptoms appear. Beyond procedures and lab values, the episode emphasizes prevention, stress, genetics, and personalized care — reframing heart disease not just as a plumbing problem, but as a lifelong, whole‑body process shaped by biology, environment, and how people live.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Films:instagram.com/bornreadyfilms

Episode 53 of The Health Exchange Podcast features urologist and men’s health specialist Dr. Rena Malik in a candid, evidence-based conversation about what really drives men’s intimate wellness. Dr. Rutland and Dr. Malik explore how male function is shaped by hormones, blood flow, nerves, and psychology, why issues like performance difficulties and early climax can be early warning signs of deeper health concerns, and how treatments range from simple lifestyle adjustments to medications, devices, and injections. The episode also dives into prostate health, including BPH, prostatitis, PSA screening, and when to be concerned about prostate cancer, while connecting these topics to overall quality of life, relationships, and aging. Beyond the biology, Dr. Malik speaks openly about communication, desire in long-term partnerships, and why men are often taught to suffer in silence — reframing male wellness not as performance, but as a vital part of feeling connected, confident, and alive.Follow Our Host:instagram.com/drjrutlandProduced by Born Ready Filmsinstagram.com/bornreadyfilms

Episode 52 of The Health Exchange Podcast takes a deep dive into foot health and why the feet are far more connected to overall wellness than most people realize, featuring board-certified podiatrist Dr. Ebonie Vincent-Sleet. Dr. Rutland and Dr. Vincent-Sleet explore how biomechanics, genetics, footwear, and daily habits influence everything from chronic pain and athletic performance to long-term conditions like diabetes. The conversation breaks down common but misunderstood issues such as bunions, flat feet, ankle instability, diabetic ulcers, and fungal infections, while emphasizing prevention, early intervention, and conservative care before surgery. Along the way, Dr. Vincent-Sleet shares patient stories that highlight podiatry’s unique blend of technical precision and deeply personal impact, touching on athlete recovery, pediatric foot development, sneaker culture, and even holistic concepts like grounding. The episode ultimately reframes foot care as foundational medicine—critical not just for mobility, but for quality of life across every stage of health.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 51 of The Health Exchange Podcast features board-certified dermatologist Dr. Tia Paul, who joins Dr. Rutland for a wide-ranging conversation on skin health, acne, lasers, and the realities of modern dermatology. The episode explores how different laser technologies actually work, why choosing the wrong treatment can cause serious harm—especially for patients with darker skin—and how individuals can better advocate for themselves when seeking cosmetic or medical procedures. Dr. Paul breaks down acne as a chronic medical condition influenced by hormones, stress, lifestyle, and skin type, discussing treatment options from over-the-counter products to Accutane and biologics. The discussion also tackles skincare misinformation fueled by social media, the rise of influencer and celebrity brands, and the limitations of product regulation. This episode offers a grounded, patient-centered look at what healthy skin really means and how thoughtful care can change lives.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 50 of The Health Exchange Podcast features allergist and immunologist Dr. Malika Gupta, MD, who brings clarity to the confusing and often frustrating world of allergies. She and Dr. Rutland discuss why symptoms can flare at unexpected times, how to tell the difference between seasonal and year-round triggers, and what actually happens inside the immune system during an allergic response. Dr. Gupta explains the strengths and limitations of skin testing and blood work, emphasizing how accurate diagnosis depends just as much on patient history as on lab results. She also breaks down when treatments like antihistamines, nasal steroids, and immunotherapy are truly helpful — and when they’re not. Practical and highly accessible, this episode gives listeners a clearer path to understanding their symptoms and finding lasting, personalized relief.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 49 of The Health Exchange Podcast breaks down the childhood vaccine schedule with pediatrician Dr. Lori Livingston, who explains what each shot protects against, why the timing matters, and how vaccines prevent not just illness but hospitalizations and long-term complications. Dr. Livingston walks listeners through the early series (hepatitis B, DTaP, polio, Hib, pneumococcal, rotavirus), the important one-year and preteen boosters (MMR, varicella, Tdap, meningococcal, HPV), and respiratory protections parents should watch for each season — including influenza, COVID-19, and the new RSV tools (maternal vaccination and infant monoclonal antibodies). The conversation balances science with real-world examples — from rotavirus wards cleared after vaccine rollout to the resurgence risks of measles and polio — while addressing common parental concerns, myths (especially around HPV and vaccine safety), and practical tips for making shots easier for kids.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 48 of The Health Exchange Podcast features an intimate and powerful conversation with Patty Jo, who shares her journey as a single mother navigating career pressures, personal challenges, and the realities of raising two sons through adversity. The episode traces her path from an unconventional childhood overseas to parenting amid instability, addiction, ADHD, and the pursuit of law school, all while relying on extended family during medical and emotional crises. Through humorous memories, difficult truths, and hard-won lessons, the conversation highlights how love, structure, and determination shaped her family’s trajectory and the men her sons ultimately became.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 47 of The Health Exchange Podcast tells the extraordinary story of Dr. Gary Gibbon, a pulmonologist who became a patient himself through a landmark dual lung and liver transplant. Dr. Rutland speaks with him about the unique challenges of transitioning from doctor to patient, how vulnerability reshaped his perspective on care, and the lessons he learned from the transplant team that treated him like family. The conversation also explores how Dr. Gibbon’s own medical knowledge allowed him to recognize his symptoms early, guiding him to seek care that ultimately led to his life-saving dual transplant. The episode explores resilience, advocacy, and the power of patient-centered care, offering insights not just for medical professionals but anyone navigating the healthcare system.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

#sponsored #sanofi_partner Episode 46 of The Health Exchange Podcast dives into type 1 diabetes (T1D) and the challenges inherent in shared decision-making about risk assessment and screening. This discussion with Robin Arzón—who was diagnosed in her 30s—explores strategies for fostering awareness and timely action, breaks down the potential misconceptions that could be swirling, and highlights why early screening and early understanding is important. Dr. Rutland and Robin unpack why a T1D diagnosis doesn't have to start with symptoms and discuss @TZIELD (teplizumab-mzwv), a prescription medication that can delay the onset of Stage 3 T1D in patients 8 years and older with Stage 2 diabetes. With humor and determination that are quintessential to Robin’s can-do fitness attitude, this episode celebrates the ability of patients and caregivers to face the challenges of T1D and shares strategies HCPs can use with their patients.I've been engaged by Sanofi to raise awareness of TZIELD as well as highlight the importance of taking action to screen and monitor for T1D. There's more we can do to support and advocate for patients who may be at risk of T1D. Check out https://bit.ly/475fP1M for more info!As with any treatment, it’s important to understand the potential adverse reactions with TZIELD. Greater incidences of cytokine release syndrome, serious infections, hypersensitivity reactions and serum sickness, lymphopenia, and neutropenia were reported in TZIELD-treated patients vs placebo-treated patients. Most common adverse reactions (>10%) were lymphopenia, rash, leukopenia, and headache. TZIELD may also interfere with immune response to vaccination and decrease vaccine efficacy. These are not all the adverse reactions reported with TZIELD.Please see full Important Safety Information here https://bit.ly/44nc0TS, and Prescribing Information here https://bit.ly/3IbU9Xn.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/MAT-US-2508671-v1.0-10/2025

Episode 45 of The Health Exchange Podcast looks at resilience, recovery, and the evolving science of orthopedic care with guest Dr. Steve Mora, a board-certified orthopedic surgeon and sports-medicine specialist. Dr. Rutland and Dr. Mora dig into how modern orthopedics blends mechanics with biology — from PRP, stem-cell and fat-based therapies to peptides and tailored anesthesia — and why metabolic health, sleep, and movement matter as much as the scalpel. Drawing on stories from UFC fighters to an Olympic athlete he helped return to gold, the conversation balances high-level sports medicine with everyday guidance for anyone facing pain or injury: prevention, realistic recovery expectations, and practical steps to keep moving well for life.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 44 of The Health Exchange Podcast dives deep into the science and emotion behind fertility with guest Dr. Sasha Hackman, a reproductive endocrinologist who blends expertise with lived experience. From the realities of IVF and egg freezing to the myths that cloud public understanding, Dr. Hackman explains how hormones, sleep, and stress intertwine with fertility outcomes and why personalized care matters more than one-size-fits-all advice. She opens up about her own infertility journey, offering rare insight into the emotional toll, resilience, and empathy that shape her work today. This conversation shines a light on the complex, deeply human side of reproductive medicine—balancing data, hope, and heart in every patient’s path to parenthood.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 43 of The Health Exchange Podcast features Dr. Cameron Chesnut who takes listeners inside the world of advanced facial plastic and regenerative medicine. Dr. Rutland and Dr. Chesnut discuss the intersection of art and science in aesthetic procedures, exploring topics from eyelid surgery and facial volume restoration to the role of stem-cell rich fat transfers, peptides, and hyperbaric oxygen in optimizing healing. The conversation highlights how personalized treatment, patient education, and cutting-edge science come together to create natural, long-lasting results. Beyond the technical aspects, Dr. Chesnut shares his philosophy on patient care, including the importance of realistic expectations, emotional support during recovery, and integrating neuroprotective anesthesia and nutrition strategies to enhance outcomes. Listeners get a rare glimpse into both the technical and human sides of cosmetic medicine, making this episode a deep dive into how beauty, science, and regenerative medicine converge.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Pulmonology critical care physician, Dr. Chase Hall, joins our host, Dr. Jamie Rutland, to talk about lung imaging and how it shapes the future of lung disease.Important Safety Information Indication XENOVIEW®, prepared from the Xenon Xe 129 Gas Blend, is a hyperpolarized contrast agent indicated for use with magnetic resonance imaging (MRI) for evaluation of lung ventilation in adults and pediatric patients aged 6 years and older. Limitations of Use XENOVIEW has not been evaluated for use with lung perfusion imaging. CONTRAINDICATIONS None. WARNINGS AND PRECAUTIONS Risk of Decreased Image Quality from Supplemental Oxygen: Supplemental oxygen administered simultaneously with XENOVIEW inhalation can cause degradation of image quality. For patients on supplemental oxygen, withhold oxygen inhalation for two breaths prior to XENOVIEW inhalation, and resume oxygen inhalation immediately following the imaging breath hold. Risk of Transient Hypoxia: Inhalation of an anoxic gas such as XENOVIEW may cause transient hypoxemia in susceptible patients. Monitor all patients for oxygen saturation and symptoms of hypoxemia and treat as clinically indicated. ADVERSE REACTIONS Adverse Reactions in Adult Patients: The adverse reactions (> one patient) in efficacy trials were oropharyngeal pain, headache, and dizziness. Adverse Reactions in Pediatric Patients: In published literature in pediatric patients aged 6 to 18 years, the following transient adverse reactions were reported: blood oxygen desaturation, heart rate elevation, numbness, tingling, dizziness, and euphoria. In at least one published study of pediatric patients aged 6 to 18 years, transient decrease in SpO2% and transient increase in heart rate were reported following hyperpolarized xenon Xe 129 administration. Please see full Prescribing Information.

Episode 41 of The Health Exchange Podcast features Dr. Sydney Pokard, who shares an inside look at veterinary medicine — from intricate surgeries on small animals to caring for exotic pets. She shares memorable stories of hamsters, guinea pigs, lions and zebras, highlighting moments that exemplify why she loves her job. Dr. Pokard explains the “One Health” approach, showing how diseases can transfer between animals and humans, and the importance of PPE and preventative care. She also addresses common misconceptions about animal health, husbandry mistakes among pet owners, and the mental health challenges veterinarians face. This episode is a heartfelt exploration of the science, care, and compassion involved in treating animals — and supporting the people who love them.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 40 of The Health Exchange Podcast takes a deep dive into sports cardiology with guest Dr. Merije Chukumerije, a board-certified cardiologist who works with elite athletes. Dr. Rutland and Dr. Chukumerije break down the difference between a heart attack and sudden cardiac arrest, why some conditions go undetected until tragedy strikes, and what parents and coaches should watch for in young athletes. They explore how factors like infections, genetics, and performance supplements can affect the heart, and why honest conversations and individualized care are key to keeping athletes safe. The episode also highlights the evolving approach to return-to-play decisions, showing how nuanced guidance can make the difference between ending a career and giving an athlete a second chance.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/

Episode 39 of The Health Exchange Podcast takes listeners inside the world of pediatric nephrology with guest Dr. Cristina Farkas-Skiles, a specialist who cares for children with kidney conditions. She and Dr. Rutland discuss what families can expect during a first nephrology visit, how testing and treatment plans are explained in child-friendly ways, and why building trust with parents is just as important as caring for the patient. The episode covers complex topics like kidney biopsies, dialysis, and transplant risks while grounding them in practical advice about diet, blood pressure control, and long-term outlook. Dr. Farkas-Skiles also shares a moving story of resilience from one of her young patients, illustrating the hope and strength that families can find even in the face of chronic disease.Sponsored by Sanofi; Sanofi and Regeneron through an unrestricted educational grant.https://www.instagram.com/thehealthexchangepodcast/Follow Our Host:https://www.instagram.com/drjrutland/