3DEEPERCUTS PODCAST

CHUCK-G
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"Running to the sound of chaos." Lifestyle, fitness and doctoring. Pathologist in community practice. Prior US Navy (FMF). Substack: 3DEEPERCUTS.substack.com Website: 3DEEPERCUTS.net 𝕏 Handle: @3deepercuts_pod

  1. 28/09/2025

    055 - What I learned about Section 6001 of the Obama's Affordable Care Act from an Article in Neurosurgeon Magazine.

    In this episode of 3DEEPERCUTS PODCAST we delve into Dr. Luis M. Tumialan’s detailed critique of Section 6001 of the Affordable Care Act, which prohibits physician ownership of hospitals. We analyze the origins, intentions, and unintended consequences of this legislation, comparing data from McAllen and El Paso, Texas, and debunking misconceptions about healthcare costs. Dr. Tumialan argues that physician-owned hospitals often perform better in quality, cost, and access, urging a repeal of Section 6001 to re-align incentives and foster competition. Our host shares personal insights from his career in private practice, highlighting the symbiotic relationship between surgeons, oncologists, and pathologists. Stay tuned for a well-rounded discussion on one of the most impactful yet controversial healthcare policies in recent history. 00:00 Introduction to Dr. Luis M. Tumialan and Section 6001 01:00 What is the health care “cost conundrum”? 04:05 What were the Flawed Assumptions of Section 6001 of the ACA? 05:55 What were the unintended Consequences of Section 6001? 07:09 What happened with the Shift in Physician Practice Ownership? 08:38 Why should Section 6001 be rescinded? 09:44 CHUCK-G’s personal reflections on the US healthcare system? 12:06 Conclusion and Podcast Information ARTICLE LINKS: https://aansneurosurgeon.org/the-origins-of-section-6001/ AANS Spine Surgeons on 𝕏 (@spinesection) HOST LINKS: https://x.com/chuckg_md https://x.com/3deepercuts_pod Website: www.3deepercuts.net Hope you enjoyed this week’s episode of 3DEEPERCUTS PODCAST. Until next time, be well and stay curious. In strength, CHUCK-G 3DEEPERCUTS PUBLISHING 2025

    13 min

  2. 24/09/2025

    054 - What I learned about TRT, protecting the gonads and physician-owned small business from CoffeeBlackMD.

    In this episode of 3DEEPERCUTS PODCAST we talk to my friend and colleague CoffeeBlackMD an ICU physician and weight-lifter, who runs a concierge practice focused on total health, including testosterone replacement therapy. The conversation covers common symptoms of low testosterone, treatment options, the expected costs associated with TRT, and the integration of weight loss medications like tirzepatide. We delve into the challenges and logistics of running a direct care practice (e.g. cash-based, no insurance) and examine the future of personalized medical care. 00:00 Introduction: An Essay by CoffeeBlackMD 06:04 What has CoffeeBlackMD been up to for the last year? 07:24 What are the main challenges in managing testosterone replacement? 08:24 What are some myths and misconceptions about modern TRT? 11:34 How do you define low-dose TRT? 15:46 How do you manage estrogen levels? 23:06 How did CoffeeBlackMD start his consultation practice? 29:56 What are some technical and business challenges he faced? 39:51 How does the average guy budget for TRT costs? 42:08 How is the dose of therapy adjusted for each patient? 42:40 What is the importance of testicular support? 43:33 What is the cost and frequency of treatments? 44:25 What are some pharmaceutical and research peptides being used? 46:02 What are the other TRT clinic models being used on the market? 47:57 What are some medications used for testicular support? 54:37 How do weight-loss and TRT go together? 55:11 What are the pros and cons of Semaglutide vs. Tirzepatide? 56:25 What type of patient benefits from combined GLP-1 and TRT? 01:00:02 What is the association between modern lifestyle and metabolic dysfunction? 01:04:08 What are the main challenges of our current health system? 01:12:30 How does direct primary care interface with a TRT consultancy practice? 01:15:26 Could health insurance be crowd-funded (instead of the current grifting model)? 01:17:53 Conclusion and Final Thoughts SPEAKER LINKS: X: @CoffeeBlackMD HOST LINKS: X: @chuckg_md PODCAST LINKS: X: @3deepercuts_pod www.3deepercuts.net Thanks for listening, Professors. Until next time, be well and stay curious. In strength, CHUCK-G

    1hr 19min

  3. 12/08/2025

    051 - What I learned from the Healthcare Mercenary, Heath Veuleman, on the state of the healthcare industry and the coming healthcare renaissance.

    051 - What I learned from the Healthcare Mercenary, Heath Veuleman, on the state of the healthcare industry and the coming healthcare renaissance in America. In this episode of 3DEEPERCUTS podcast, host CHUCK-G introduces healthcare administrator and consultant Heath Veuleman. They discuss the financial disparity in the healthcare system, particularly the excessive earnings of hospital leadership versus the financial struggles of patients and physicians. Heath shares insights from his career trajectory, starting from rural healthcare in Louisiana to founding his consulting business. The episode dives deep into the structural problems of American healthcare, the influence of boomers on current challenges, and the pressing issues with nursing, mid-levels, and anesthesiology. They also explore the emerging renaissance in medicine, characterized by direct physician-patient relationships, lower healthcare costs, and greater physician autonomy. The conversation concludes with advice for young physicians on financial planning and navigating systemic change in the medical field. 00:00 Introduction: The Healthcare Compensation Crisis 01:24 Meet Heath Veuleman: A Voice of Reason 02:41 Heath's Journey: From Rural Hospitals to Consulting 03:15 Challenges and Realities of Healthcare Administration 12:54 The Impact of COVID-19 on Healthcare Systems 31:52 The Future of Healthcare: AI and Mid-Level Providers 40:34 The Crisis in Nursing and Healthcare Quality 41:40 Physician-Led Enterprises and the Crisis in Healthcare 43:20 Optimistic Future: The Renaissance of Medicine 46:59 Advice for Pre-Med Students: Preparing for the Future 51:55 The Power of Physicians and the Impact of Stories 56:07 Financial Strategies for Physicians 01:01:01 Generational Differences and Their Impact on Healthcare 01:11:26 The Future of Medicine: Opportunities and Challenges 01:18:20 Conclusion and Final Thoughts SPEAKER LINKS: https://x.com/HeathVeuleman PODCAST LINKS: Uploading soon on Apple podcasts, Spotify and YouTube Enjoy the episode, Professors. We’ll catch you next time. Please feel free to reach out with feedback. In strength, CHUCK-G

    1hr 20min

  4. 01/11/2024

    047 - What OG learned from doing maintenance on F-15 fighter jets and how he transitioned into a career in cybersecurity.

    In this episode of 3DEEPERCUTS, we dive into a conversation with OG, an Air Force veteran and current reservist. We discuss OG's transition from aircraft maintenance to cybersecurity, his practical advice on staying secure online, and his journey into online writing and content creation. The episode also explores tips on RV life, enjoying nature, and the challenges of balancing a day job with personal projects. Packed with insights and experiences, this episode is a valuable listen for both veterans and professionals navigating career changes and personal growth. 00:00 Reading an Excerpt from OG’s Newsletter: The Repair Log 04:10 What influenced OG to join the AirForce 06:42 What OG experienced while doing maintenance on F-15 jets 10:58 What day-to-day life was like in the USAF 17:29 How OG transitioned into cybersecurity 19:11 How to keep your network secure in your apartment or home 30:58 How to balance work-flow when you work on a secure site 31:36 What a working veteran wants to accomplish on the internet 32:41 How OG is building an online presence 33:45 How OG overcomes resistance and doubt in the writing process 35:51 How you can maintain professionalism online when working in a leadership role 48:46 What video games can teach you about leadership and teamwork 52:55 Exploring RV Life and Minimalism 57:28 Final Thoughts and Podcast Conclusion SPEAKER LINKS: X/Twitter: https://x.com/TheBryan_OG The Repair Log: https://bryan-ortiz-gonzalez.ghost.io PODCAST LINKS: SubStack: https://3deepercuts.substack.com/podcast Website: https://3deepercuts.net YouTube: https://youtube.com/@3deepercuts?si=-Hbz-I4VWhwiOfmn Apple: https://podcasts.apple.com/us/podcast/3deepercuts/id1708760285 Spotify: https://podcasters.spotify.com/pod/show/3deepercuts HOST LINKS: Career Guides: https://chuckgmd.gumroad.com/ Writings: http://chuckgmd.substack.com More writings: https://rawcuts.substack.com Enjoy the episode, Professors. We’ll catch you next time. Please feel free to reach out with feedback to me. Always looking for ways to make this audio-experience better for you, the listeners. In strength, CHUCK-G Learn more about your ad choices. Visit megaphone.fm/adchoices

    1 hr

  5. 01/11/2024

    048 - How Nick (@writealready) dug copper-wire ditches, became an electrical field engineer and how he’s keeping the lights on so you can work.

    048 - How Nick (@writealready) dug copper-wire ditches, became an electrical field engineer and how he’s keeping the lights on so you can work. What’s up Professors. This past week I had an illuminating conversation with my friend and colleague Nick Bibeau. In this conversation we delve into the critical and dangerous world of electrical field engineering work. Nick is one of the quiet heroes who monitors electrical substations and transformers so all of us have access to the basics of modern living. The discussion begins when Nick got a job digging copper grounding grids at substations around San Francisco and the Bay Area. He shares first-hand accounts of near-miss experiences where 500,000 volts brought him within inches of his life. When wildlife or other interferences strike the local power lines, Nick and his crew are the first professionals on the scene to fix the problem. We later delve into Nick’s personal life and his motivations for writing online, which is to leave a legacy for his family. Nick is a true blue-collar philosopher and you will enjoy this episode of 3DEEPERCUTS. 00:00 The Unsung Hero of Electrical Safety (Excerpt of Nick’s post) 01:51 Introduction to 3DEEPERCUTS Podcast 02:06 Connecting with Nick on the internet in Spaces 02:17 What is the importance of the electrical grid? 04:44 How did Nick land up in his job? 07:10 What is a substation and how does it work? 10:20 What are the dangers of being in the field? 15:51 Are there any threats to the national power grid? 22:58 Why Nick began writing about Stoicism and stuff 27:20 What day to day life is like for an electrical field engineer 32:42 Why Nick wakes up early 32:55 The challenges of working outdoors 34:19 Nick’s explanation of how electricity works (Here kitty kitty) 48:28 Grounding and Safety Measures 52:13 Capacitors and Electrical Systems 56:26 Writing and Mortality 01:02:40 Conclusion and Reflections SPEAKER LINKS: X/Twitter: https://x.com/WriteAlready Nick’s Substack: nickbibeau.substack.com Nick’s Podcast (Laughing Stoic Buddha): https://www.youtube.com/@laughingstoicbuddha 3DEEPERCUTS LINKS: SubStack: https://3deepercuts.substack.com/podcast Website: https://3deepercuts.net YouTube: https://youtube.com/@3deepercuts?si=-Hbz-I4VWhwiOfmn Apple: https://podcasts.apple.com/us/podcast/3deepercuts/id1708760285 Spotify: https://podcasters.spotify.com/pod/show/3deepercuts HOST LINKS: Career Guides: https://chuckgmd.gumroad.com/ Writings: http://chuckgmd.substack.com Raw writings: http://rawcuts.substack.com Enjoy the episode, Professors. We’ll catch you next time. Please feel free to reach out with feedback to me. Always looking for ways to make this audio-experience better for you, the listeners. In strength, CHUCK-G Learn more about your ad choices. Visit megaphone.fm/adchoices

    1hr 5min

  6. 25/08/2024

    045 - How JJ became an accountant, auditor and how he’s helping working professionals optimize their finances for freedom.

    045 - How JJ became an accountant, auditor and how he’s helping working professionals optimize their finances for freedom (and what the working doctor can learn from him). In this episode of the 3DEEPERCUTS, we begin with insights from the book “Poor Charlie’s Almanack,” delving into the psychological tendency of excessive self-regard and its implications on various aspects of decision-making, from personal relationships to financial choices. Special guest JJ, a financial advisor and certified public accountant, joins the discussion to share his journey in the financial services industry, offer practical advice on investing and saving, and emphasize the importance of financial discipline for the working physician. The conversation covers topics such as avoiding lifestyle inflation, the pitfalls of shorting stocks, the benefits of exchange-traded funds (ETFs), and the relevance of 529 plans for education savings. The episode aims to equip listeners with strategies to better manage their finances and avoid common pitfalls. 00:00 Introduction: Excerpt from Poor Charlie’s Almanack 10:24 Introduction to JJ 11:46 JJ Career Path as an Accountant 16:57 Common Financial Mistakes made by workers 22:47 The Impact of Social Media on Spending 28:15 Understanding Financial Goals and Limits 29:09 The Risks of Shorting Stocks 31:35 Top Exchange Traded Funds (ETFs) to Invest In 33:37 Comparing ETFs and Target Date Funds 40:11 The Importance of Education and AI's Impact 46:09 The Buy Now, Pay Later Market (and why you should avoid it) 52:36 Financial Advice for Physicians 55:55 Conclusion and Final Thoughts SPEAKER LINKS: Website: https://jjsfinclub.com/subscribe/ X/Twitter: https://x.com/JJsFinclub Poor Charlie’s Almanack: https://www.poorcharliesalmanack.com Think and Grow Rich: https://www.naphill.org/shop/books/paperback/think-and-grow-rich/ Happy Money: https://www.simonandschuster.com/books/Happy-Money/Elizabeth-Dunn/9781451665079 PODCAST LINKS: SubStack: https://3deepercuts.substack.com/podcast Website: https://3deepercuts.net YouTube: https://youtube.com/@3deepercuts?si=-Hbz-I4VWhwiOfmn Apple: https://podcasts.apple.com/us/podcast/3deepercuts/id1708760285 Spotify: https://podcasters.spotify.com/pod/show/3deepercuts HOST LINKS: Career Guides: https://chuckgmd.gumroad.com/ Writings: http://chuckgmd.substack.com Enjoy the episode, Professors. We’ll catch you next time. Please feel free to reach out with feedback to me. Always looking for ways to make this audio-experience better for you, the listeners. In strength, CHUCK-G Learn more about your ad choices. Visit megaphone.fm/adchoices

    57 min

  7. 18/08/2024

    044 - How Dr. Heath transformed loss, hurt and tragedy into a life of abundance through stoic resilience, exercise and faith.

    044 - How Dr. Heath transformed loss, hurt and tragedy into a life of abundance through stoic resilience, exercise and faith (and how he’s helping others to do the same). In this enriching episode of 3DEEPERCUTS PODCAST, join Dr. Heath, a licensed clinical psychologist, as he uncovers the art of managing expectations, emotions, and anger. Delving into the principles of Epictetus as well as Dr. Aaron Beck's 'Prisoners of Hate,' we address the prevalent mindset pitfalls leading to anger and burnout among professionals. He emphasizes the importance of an internal locus of control and accurate, realistic thinking to enhance mental health. Also featured is a discourse on Stoic philosophy's relevance, illustrated through Epictetus and Marcus Aurelius, showing how personal control over reactions can mitigate verbal criticism and foster mental resilience. The episode bridges cognitive behavioral therapy principles with Stoic wisdom to offer practical insights on self-empowerment and emotional resilience. 00:00 Exploring tactics from “Prisoners of Hate” 03:57 Introduction to Dr. Heath 04:30 Dr. Heath's Professional Journey 06:10 Burnout in the Medical Profession 08:32 The Importance of Mindset in Medicine 11:59 What is “resilience”? 23:44 Dr. Heath's Personal Insights 30:56 How Dr. Heath runs social audio 38:18 What is “locus of control” and how can you use it? 39:07 Why you should operate from personal values 40:21 What Dr. Heath learned from professional experience 41:51 On relationships 44:01 How to raise resilient children 44:46 What is Vitamin N? 46:46 How to face harsh realities of life? 47:52 What is the greatest mental health issue today? 53:42 How Dr. Heath overcame a violent childhood. 01:05:00 What Dr. Heath learned about PTSD working at the VA 01:15:46 Is “Toxicity” a real thing? 01:22:29 Final Thoughts and Takeaways SPEAKER LINKS: X/Twitter Community: X-Posium. X/Twitter: https://x.com/therapy_bites PODCAST LINKS: SubStack: https://3deepercuts.substack.com/podcast Website: https://3deepercuts.net YouTube: https://youtube.com/@3deepercuts?si=-Hbz-I4VWhwiOfmn Apple: https://podcasts.apple.com/us/podcast/3deepercuts/id1708760285 Spotify: https://podcasters.spotify.com/pod/show/3deepercuts HOST LINKS: Career Guides: https://chuckgmd.gumroad.com/ Writings: http://chuckgmd.substack.com Enjoy the episode, Professors. We’ll catch you next time. Please feel free to reach out with feedback to me. Always looking for ways to make this audio-experience better for you, the listeners. In strength, CHUCK-G Learn more about your ad choices. Visit megaphone.fm/adchoices

    1hr 26min

  8. 20/07/2024

    043 - How Colton helps young people in British Columbia become financially literate, retire early, spend more time with family, and travel the world.

    In this episode of 3DEEPERCUTS PODCAST we discuss a cautionary tale of a wedding gone wrong, with Colton, an experienced financial advisor from Vancouver, BC. Colton elaborates on the importance of financial planning, basic literacy and personal cash flow analysis. He shares insights on managing debt, budgeting, and making smart financial decisions to achieve financial freedom and success. Additionally, he emphasizes understanding and balancing enjoyment of life with fiscal responsibility, finding harmony in spending and saving. He also touches upon the role of behavioral finance and the significance of tracking expenses and setting financial goals. Colton's expertise serves as a valuable guide for young professionals aiming to secure their financial future while avoiding common pitfalls. 00:00 A Cautionary Wedding Tale 02:31 Meet Colton: Financial Advisor Extraordinaire 03:40 The Importance of Financial Planning 07:14 Balancing Enjoyment and Financial Responsibility 08:58 Navigating Vancouver's High Cost of Living 13:37 How to use credit cards 20:26 Personal Finance Lessons and Mistakes 26:09 The Emotional Side of Spending 33:16 Navigating Financial Transparency in Relationships 34:24 Building Financial Stability Through Side Hustles 37:36 Exploring Geographical Arbitrage 41:25 Preparing Financially for Parenthood 44:26 Why you need an emergency fund. 48:59 Insights from Tim Grover's 'Relentless' 53:15 The Role of Cryptocurrency in Your Portfolio 56:57 Spreading Financial Literacy on X 01:00:09 Conclusion and Resources SPEAKER LINKS: Website: https://genwealth00.gumroad.com/l/yrxga X/Twitter: https://x.com/gen__wealth PODCAST LINKS: SubStack: https://3deepercuts.substack.com/podcast Website: https://3deepercuts.net YouTube: https://youtube.com/@3deepercuts?si=-Hbz-I4VWhwiOfmn Apple: https://podcasts.apple.com/us/podcast/3deepercuts/id1708760285 Spotify: https://podcasters.spotify.com/pod/show/3deepercuts HOST LINKS: Career Guides: https://chuckgmd.gumroad.com/ Writings: http://chuckgmd.substack.com Enjoy the episode, Professors. We’ll catch you next time. Please feel free to reach out with feedback to me. Always looking for ways to make this audio-experience better for you, the listeners. In strength, CHUCK-G Learn more about your ad choices. Visit megaphone.fm/adchoices

    1hr 2min
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About

"Running to the sound of chaos." Lifestyle, fitness and doctoring. Pathologist in community practice. Prior US Navy (FMF). Substack: 3DEEPERCUTS.substack.com Website: 3DEEPERCUTS.net 𝕏 Handle: @3deepercuts_pod

Information

  • Creator
    CHUCK-G
  • Years Active
    2023 - 2025
  • Episodes
    39
  • Rating
    Explicit
  • Copyright
    © 3DEEPERCUTS