The KIND Revolution

Kind Health Group

San Diego physician Dr. Georgine Nanos, MD, MPH delivers evidence-based medicine for women navigating perimenopause, heart health, and hormones. Real medical expertise, zero medical BS. From cardiac blind spots to menopause myths, get the straight talk your doctor won't give you. Serving women nationwide who deserve healthcare that actually listens and validates their experiences. Breaking down complex health topics into actionable insights for women who refuse to suffer in silence or accept dismissive care.

  1. 28 jul

    Treatment-Resistant Doesn't Mean Hopeless. It Means Under-treated

    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

  2. 22 jul

    Real Longevity Is Not Sexy: Dr. Nanos on Peptides, GLPs, and the Boring Stuff That Actually Works

    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.

  3. 9 jun

    When the System Breaks the Doctor - Rebuilding Medicine

    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

  4. 2 jun

    Rethinking Mental and Women's Health: Innovative Care at Kind Minds and Beyond

    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

    Rethinking Mental and Women's Health: Innovative Care at Kind Minds and Beyond
  5. 20 may

    Your Nervous System Is Still in the Emergency. SGB, Ketamine, and the Future of Regenerative Medicine

    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 missingThe 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 painWhy the SGB works: the amygdala, the sympathetic chain, and what happens when you interrupt the signal between themA 91% response rate for PTSD — and how that compares to SSRIs, which land around 50% with significant side effect dropoutHow long results last, who it works best for, and why your job being your trauma changes the equationHow Dr. How decides between SGB and ketamine when a patient walks in with overlapping depression, anxiety, and PTSDRegenerative medicine vs. traditional orthopedic care — why "wait it out" fails a significant portion of patientsPRP, nerve hydrodissection, and the pain generator most providers completely missThe 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 scienceWhy chronic pain and mental health aren't two separate problems — and what happens neurologically when pain signals spill over into your sympathetic nervous systemThe population most resistant to asking for help — and why Dr. How keeps showing up for them anywayRapid 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.

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San Diego physician Dr. Georgine Nanos, MD, MPH delivers evidence-based medicine for women navigating perimenopause, heart health, and hormones. Real medical expertise, zero medical BS. From cardiac blind spots to menopause myths, get the straight talk your doctor won't give you. Serving women nationwide who deserve healthcare that actually listens and validates their experiences. Breaking down complex health topics into actionable insights for women who refuse to suffer in silence or accept dismissive care.

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