Dr. Patient

Heather Johnston

I was a patient then a doctor then a patient again. I write and podcast about  healthcare from both sides of the bed.

  1. Aug 11

    Ep 36 A What, Not a Who - AI for Healthcare

    AI can translate an MRI report into plain English, summarize your test results, and answer a medication question with total confidence. The problem is that confidence is false, and in healthcare, the cost of a bad answer can be huge. I’m Heather Johnston, MD, and I’m living the patient side right now: heart failure that demands consistent cardio, plus a hip injury and other orthopedic issues that make the gym feel like a minefield. After getting vague guidance from real clinicians who were focused on their own “slice,” I tried something different. I uploaded my MRI reports and heart testing into Claude, got a customized routine, and then did the most important step: I asked my physical therapist to sanity-check it before I followed it. From there, I zoom out to how other patients are using AI chatbots like ChatGPT, Claude, and Gemini for healthcare advice, symptom searches, test interpretation, and insurance questions. I break down what large language models actually are, why the specific model you’re talking to matters, and what the latest research says about medical accuracy, user error, and the risk of misleading answers delivered in a polished tone. I also dig into privacy: most chatbots are not covered by HIPAA, which changes the stakes when you share sensitive health information. Then I’m joined by viral TikTok creator Ty Eveland, whose “AI doctor” trolling with baby Tuna is hilarious and deeply instructive. His clips show how bots can miss sarcasm, context, and reality, while still sounding authoritative and confident. I finish up with practical, safer ways to use AI as a patient today, plus what tools like ChatGPT Health may mean for the near future. Subscribe, share this with a friend who asks chatbots for medical advice, and leave a review with your biggest AI-in-healthcare question.

    Ep 36 A What, Not a Who - AI for Healthcare
  2. Jul 21

    Ep 35 Healthcare Laws That Protect Patients

    You sign the clipboard forms, tap the signature pad, and hope for the best but what if you actually understood the laws sitting underneath that moment? I’m Heather Johnston, MD, and I went down the rabbit hole on patient rights so you don’t have to. We start with HIPAA in plain English, including the part most people miss: it’s not only about privacy, it’s also about your right to get a copy of your own medical records. We also talk about the proposed HIPAA Security Rule updates and why cybersecurity upgrades could change how your electronic health information is protected and accessed. From there, we move to the rules that matter when life gets urgent. EMTALA requires most emergency rooms to screen and stabilize you regardless of your ability to pay, insurance status, or immigration status and we unpack why this has become more legally uncertain around pregnancy complications in states with abortion restrictions. We then connect the dots to Affordable Care Act protections that still shape coverage today: no pre-existing condition discrimination, no lifetime or annual caps on essential health benefits, preventive services with zero cost sharing, and the two-step process for appealing denied insurance claims, including external review. We also cover informed consent as the difference between real choice and a rushed signature, the 21st Century Cures Act and “information blocking” (why your labs now show up in the portal so fast), and the No Surprises Act protections that curb surprise medical bills and require good faith estimates for self-pay patients. Finally, we zoom in on Illinois-specific laws around visitation rights, record changes, prior authorization reform, mental health protections, and medical debt no longer appearing on credit reports plus a practical checklist for what to do when something feels off. If this helped you feel more confident navigating health care, subscribe, share the episode with a friend who’s fighting a bill or a denial, and leave a review. What patient-rights question do you want answered next? LINKS: IL Attorney General Healthcare Consumer Protections 877-305-5145 IL Public Act 103-0648 (medical debt can't affect credit report) ACA/Affordable Care Act  EMTALA/ER protection law HIPAA 21st Century Cures Act

    Ep 35 Healthcare Laws That Protect Patients
  3. May 19

    Ep 32 Last Call: Alcohol, Breast Cancer and the Advice Gap

    Date: 5/19/26 Name of podcast: Dr. Patient Episode title and number: 32 Last Call: Alcohol, Breast Cancer and the Advice Gap Episode summary:  In this episode of the Dr. Paitnet Podcast, I’m going to be exploring the growing disconnect between what decades of breast cancer research shows and what women are told in the exam room when it comes to alcohol. Some women are told an occasional drink is fine. Others are told to avoid alcohol entirely. Many are never counseled on the topic at all. As both a physician and a breast cancer survivor, I found myself increasingly unsettled by how inconsistent these conversations remain despite years of established research linking alcohol to breast cancer risk. But let me just say that this episode is not about shame, judgment or fear-based messaging. I want you to understand how research moves, or sometimes fails to move, from medical journals into the conversation that you have with your doctor. References:  Bagnardi meta-analysis from 2015: https://www.annalsofoncology.org/article/S0923-7534%2819%2936858-9/fulltext Article on alcohol affecting young womens' breast tissue: https://pubmed.ncbi.nlm.nih.gov/19409844/ Study looking at what % of US adults know alcohol is a risk for cancer:  https://jamanetwork.com/journals/jamaoncology/fullarticle/2834641?utm_source=openevidence&utm_medium=referral#google_vignette What % of US doctors ask patients about alcohol use:  https://pubmed.ncbi.nlm.nih.gov/32163383/ News article links: Sorry, some of these will have paywalls you'll have to get through: WaPo 2022 https://www.washingtonpost.com/health/2022/09/19/alcohol-cancer-risk-labels/ WHO statement that no amount of alcohol is safe https://www.who.int/europe/news/item/04-01-2023-no-level-of-alcohol-consumption-is-safe-for-our-health NYTimes 2023 Even a little alcohol can harm your health https://www.nytimes.com/2023/01/13/well/mind/alcohol-health-effects.html Podcast website: www.drpatientpodcast.com Podcast email, become a guest: drpatientpodcast@gmail.com

    Ep 32 Last Call: Alcohol, Breast Cancer and the Advice Gap
  4. Apr 14

    Ep 30 Prevent Illness in the First Place

    Date: 4/15/26 Name of podcast: Dr. Patient Episode title and number: 30 Prevent Illness in the First Place Episode summary:  Preventive healthcare involves trying to keep illness from occurring, and trying to catch diseases early on in their process. It has a long history of success as an overall health approach, but less and less adults in the US are utilizing it and seeing a primary care provider. This episode reviews what preventive healthcare entails and addresses some of the more common reasons why people don't seek it out. References:  Current screening recommendations: Cancers:  - Colorectal cancer screening (variety of methods including colonoscopy) at 45-75 - Breast cancer screening (mammogram, ultrasound most common) at 40-74 - Cervical cancer screening (PAP smear) at 21-65 - Lung cancer screening (low dose CT scan) at 50-80 IF you have a 20 pack-year smoking history, or if you quit within the last 15 years Heart and metabolic conditions: - Hypertension/high blood pressure screening  - every 2 years if blood pressure is 25) - every 3 years if normal BMI - High cholesterol screening (blood test) - lots of caveats on this one - generally, a lipid panel at 40-75  - some sources say every 4-6 years starting at 20 - American Heart Associaion says waist circumference and BMI and lipid panel every 3 years for adults 40-75 with one risk factor Infectious Diseases - Hepatitis C (blood test) once between 18-79 - HIV (blood test) once 15-65 or for anyone pregnant, then regularly only if high risk  Bone health - Osteoporosis screening (bone scan) all women over 65, all post menopausal women even if less than 65 years old if increased risk Other - Abdominal aortic aneurysm screening (ultrasound) for men 65-75 who have ever smoked - Depression screening (questionnaire) for everyone over 19 including pregnant/postpartum - Beyond these, your healthcare provider might also/should ask you questions about safety at home, seat belt use, your diet and exercise Links: USPSTF/US Preventive Services Task Force: https://www.uspreventiveservicestaskforce.org/uspstf/ ACIP/Advisory Committee on Immunization Practices: https://www.cdc.gov/acip/index.html American Heart Association: https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease/heart-health-screenings American Diabetes Association: https://diabetes.org/newsroom/latest-ada-annual-standards-of-care-includes-changes-to-diabetes-screening-first-line-therapy-pregnancy-technology American Cancer Society: https://www.cancer.org/cancer/screening/american-cancer-society-guidelines-for-the-early-detection-of-cancer.html Podcast website: www.drpatientpodcast.com Podcast email, become a guest: drpatientpodcast@gmail.com

    Ep 30 Prevent Illness in the First Place

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Ratings & Reviews

4.9
out of 5
19 Ratings

About

I was a patient then a doctor then a patient again. I write and podcast about  healthcare from both sides of the bed.