Doctors Making A Difference

Peter M. Crane, MD

Not every doctor dreams of climbing the traditional ladder. Some dream of building their own. Doctors Making a Difference, hosted by Dr. Peter Crane, tells the stories we rarely hear, of physicians who dared to ask, “Is this all there is?” and then changed their lives to answer it. These are the moments after burnout, after bureaucracy, after sacrifice. When purpose called louder than protocol. Each week, listeners meet doctors who stepped off the expected path—into roles as entrepreneurs, advocates, creatives, and leaders redefining what it means to heal. They didn’t just survive medicine. They made it theirs.

  1. 2d ago

    Multi-Cancer Early Detection & the Future of Cancer Screening with Dr. Candace Westgate | DMD#97

    This episode is sponsored by NURP NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.  Ready to put your money to work? Visit start.nurp.com/doctors  to learn more.  Trading involves risk, and results may vary. This is not financial advice. —----------------------------- In this episode of Doctors Making a Difference, Dr. Peter Crane speaks with Dr. Candace Westgate about her journey into medicine, her passion for cancer prevention, and the rapidly developing field of MCED testing. They explore how blood-based testing may detect multiple cancers before symptoms appear, what current research shows, and the challenges surrounding guidelines, cost, and insurance coverage. Dr. Westgate also shares her deeply personal connection to cancer, including losing her father to pancreatic cancer and experiencing melanoma herself, and explains how these experiences shaped her mission to help patients detect cancer earlier. Episode Highlights Dr. Westgate's journey from South Africa to the United States and her unexpected path into OB/GYN Why she deliberately chose what she called “happy medicine” after losing her father to pancreatic cancer at age 16 Her transition from traditional OB/GYN practice into cancer prevention, hereditary cancer risk assessment, and personalized medicine The limitations of current cancer screening, particularly for cancers without established screening tests Why approximately 70% of cancer deaths in the United States involve cancers for which there is no established screening test, according to the discussion How multi-cancer early detection testing developed from research involving cell-free DNA in prenatal testing The difference between inherited genetic testing and MCED testing What PATHFINDER 2 revealed about MCED testing in a real-world U.S. population The importance of specificity and positive predictive value when evaluating multi-cancer screening tests Why MCED testing is intended to complement not replace, existing cancer screenings What the NHS-Galleri randomized controlled trial revealed about stage I–IV cancer detection The ongoing REACH trial and the need for more long-term evidence Current questions surrounding guidelines, appropriate patient populations, cost, and insurance coverage Dr. Westgate's personal melanoma experience and how it reinforced her passion for early detection Her transition away from delivering babies and toward menopause care, personalized medicine, and cancer prevention Why physicians should “stay curious” and continue following the rapidly evolving MCED field Top 3 Takeaways Cancer screening is entering a new era: Multi-cancer early detection aims to identify signals from multiple cancers through a single blood-based test, potentially expanding screening beyond the limited number of cancers currently covered by established screening programs. MCED is not a replacement for existing screening: Dr. Westgate emphasizes that emerging blood-based testing should currently be viewed as an addition to recommended screenings such as mammography, cervical cancer screening, and colorectal cancer screening. Personal experiences can become a powerful source of purpose: Westgate's experiences with her father's pancreatic cancer, her mother's breast cancer, and her own melanoma ultimately strengthened her commitment to helping patients detect cancer earlier. About Dr. Candace Westgate Dr. Candace Westgate is the Director of Personalized Medicine at Community Health Network, a board-certified OB/GYN, menopause specialist, and cancer prevention expert. Her work focuses on personalized medicine, hereditary cancer risk assessment, multi-cancer early detection, and helping patients take a more proactive approach to cancer prevention. She previously developed the AHEAD program to bring genetics and personalized genomics into routine clinical care. Connect with Dr Candace: LinkedIn:  Dr. Candace Westgate About the Host: Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference, in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Multi-Cancer Early Detection & the Future of Cancer Screening with Dr. Candace Westgate | DMD#97
  2. Aug 13

    Cancer Changed Everything, Except Her Joy : Lessons on Living Fully with Elizabeth Roberts |LMC#96

    This episode is sponsored by NURP NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.  Ready to put your money to work? Visit start.nurp.com/doctors  to learn more.  Trading involves risk, and results may vary. This is not financial advice. ____________________________________ In this episode of Living with Metastatic Cancer, Dr. Peter Crane interviews his friend Elizabeth Roberts. Elizabeth shares how she discovered her breast cancer via a MyChart text message, the later diagnosis of brain and spine metastases after a car accident, and how she kept leading travel tours and finding joy despite fatigue, treatment, and an advancing prognosis. The conversation explores practical ways to talk with family about limited time, the power of saying the word “cancer” openly, reframing perspective through faith and gratitude, and leaving a legacy of hope rather than bitterness. Elizabeth’s story offers honest, uplifting insight for patients, caregivers, and clinicians navigating metastatic disease. Episode Highlights Elizabeth’s four-year journey: initial breast cancer diagnosis, later leptomeningeal disease involving brain and spine, and ongoing treatment Finding out via a MyChart text alone at home, and the value of in-person delivery of hard news Starting The Happy Wanderer travel company and continuing to lead (or arrange) trips even after diagnosis Being hit by a drunk driver, persistent headaches, and the discovery of a brain tumor while in Switzerland Choosing to say the word “cancer” often so others feel free to talk about it How a metastatic diagnosis clarified what truly matters: family, relationships, and presence over busyness Talking openly with family about a possible “expiration date,” planning meaningful time, and reducing fear around the subject Faith, miracles, and the decision to remain joyful and present rather than bitter Practical counsel for newly diagnosed patients and their loved ones: accept, share, plan, forgive, and keep something on the calendar Top 3 Takeaways You can have cancer and still choose happiness, life is meant to be lived and enjoyed even with a difficult diagnosis. Talk openly with family about the diagnosis and possible limited time; planning together creates meaningful experiences and reduces isolation. Keep something to look forward to (a trip, a gathering, a simple drive) and focus on the relationships and moments that still remain fully available. About the Guest: Elizabeth Roberts is the founder of The Happy Wanderer, a travel company that organizes small-group trips (primarily to Europe and Switzerland). Diagnosed with breast cancer four years ago and later with leptomeningeal disease involving her brain and spine, Elizabeth has continued to travel, lead tours when possible, and approach life with remarkable positivity, faith, and openness. She lives in the same community as the host and is known for her uplifting example to friends and family. About the Host: Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Cancer Changed Everything, Except Her Joy : Lessons on Living Fully with  Elizabeth Roberts |LMC#96
  3. Aug 6

    Four Generations of Trust: Lessons from an Australian Dentist on Building Lifelong Patient Loyalty | DMD#95

    This episode is sponsored by NURP NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.  Ready to put your money to work? Visit start.nurp.com/doctors  to learn more.  Trading involves risk, and results may vary. This is not financial advice. —----------------------------- In this engaging episode of Doctors Making a Difference, Dr. Peter Crane welcomes Dr. Sasha Rutnam, a general dentist in Sydney, Australia, now caring for her fourth generation of patients. She discusses why allocating real time for communication is non-negotiable, how the mouth is a gateway to overall health, the realities of the Australian dental system, and the two books she wrote to help both patients and practitioners. The conversation explores trust-building, managing anxiety, prevention, emotional intelligence, and how soft skills drive long-term practice success and personal fulfillment. Episode Highlights Why spending 30–40 minutes talking with new patients builds trust that lasts generations “Love is spelled T-I-M-E” how scheduling and staff culture protect sacred patient time The Australian dental system: mostly private, limited public options, and insurance rebates Pathway to becoming a dentist in Australia (5–7 years for general practice) Oral-systemic connections: periodontal disease links to heart disease, diabetes, rheumatoid arthritis, Alzheimer’s, and more Why dentists should never start major treatment the same day as the consult How clear communication about risks and complications prevents complaints and builds loyalty Why relationship skills and emotional intelligence are better for business than rushing procedures Managing anxious or angry patients and turning them into lifelong advocates How patient interaction (not just clinical work) has sustained her passion after 30+ years Top 3 Takeaways Trust is built by allocating enough time, giving full attention, and communicating clearly  especially on the first visit. Oral health is inseparable from general health; prevention and patient education pay dividends for both patients and practices. Soft skills and emotional intelligence are not “nice extras” ; they are the foundation of referrals, retention, and long-term career satisfaction. About Dr. Sasha Rutnam Dr. Sasha Rutnam is a general dentist based in Sydney, Australia, with more than 30 years of experience. She practices comprehensive general dentistry with additional services in orthodontics, surgery, and implants. Known for exceptional patient communication and loyalty that spans four generations of families, she is also an author and coach who teaches other dentists how to build lasting connections. Her books focus on the oral-systemic health link and practical patient communication skills. Connect with Dr. Sasha Website: drsasharatnam.com LinkedIn: Dr.Sasha Rutnam BDS(Sydney) MRCDS AAICD  Books on Amazon: – Beyond the Smile by Dr. Sasha Rutnam About the Host:  Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—  through candid physician - patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Four Generations of Trust: Lessons from an Australian Dentist on Building Lifelong Patient Loyalty | DMD#95
  4. Jul 30

    Beyond The Stethoscope : Mindset, Entrepreneurship and Success with Curtis Wilkerson | DMD #94

    This episode is sponsored by NURP NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.  Ready to put your money to work? Visit start.nurp.com/doctors  to learn more.  Trading involves risk, and results may vary. This is not financial advice. —----------------------------- In this inspiring episode of Doctors Making a Difference, Dr. Peter Crane interviews Curtis Wilkerson, a driven second-year medical student, National Guard member, and founder of The Physician’s Mind podcast. Curtis discusses his journey from high school wrestler to future physician, the origins of his podcast, his views on AI in medicine, financial literacy for trainees, and his ambitious vision for a self-improvement platform and conference for medical professionals. He emphasizes maximizing personal potential, resilience, and purposeful living. Episode Highlights Knee injury as a wrestler sparked curiosity in anatomy and led him from nursing to medicine The pivotal family friend comment: “Why not go all the way and be a doctor?” Founding The Physician’s Mind podcast during a gap year to learn from successful physicians Vision to become the go-to self-improvement platform for medical professionals Thoughts on AI as a powerful tool rather than a replacement for physicians Financial advice for medical students: smart budgeting, long-term thinking, and leveraging physician opportunities Key interviews with Dr. Anna Lembke (Dopamine Nation), Dr. Jason Ryan (Boards & Beyond), Dr. Kevin Jubbal (Medical School Insiders), and Dr. Antonio Webb Advice on setting ambitious goals and pursuing maximum potential Top 3 Takeaways Everyone has untapped potential,  commit to the greatest version of yourself and pursue it relentlessly. Use AI as a tool to increase efficiency while keeping the human healing connection at the center of medicine. Early financial decisions and daily habits compound; focus on long-term success rather than short-term comfort. About Curtis Wilkerson Curtis Wilkerson is a second-year medical student, National Guard member, fitness enthusiast, and founder/host of The Physician’s Mind podcast. Passionate about entrepreneurship and self-improvement, he interviews exceptional physicians to help medical students and doctors optimize their careers and lives. He is developing courses, writing a book, and planning a national conference for high-performing medical professionals. Websites: www.thephysiciansmind.com Instagram: @thephysiciansmind LinkedIn: Curtis Wilkerson About the Host: Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference, in their communities, in medicine, and in the lives they touch.  Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations.   The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Beyond The Stethoscope : Mindset, Entrepreneurship and Success  with Curtis Wilkerson | DMD #94
  5. Jul 23

    From Saving Limbs to Saving Lives: Dr. James Wittig on Sarcoma Surgery, Purpose & Physician Resilience | LMC#93

    In this heartfelt episode of Living With Metastatic Cancer, Dr. Peter Crane interviews Dr. James C. Wittig, an orthopedic oncologist and sarcoma specialist. Dr. Wittig reflects on his unconventional path into medicine, the evolution of limb-sparing surgery for sarcoma patients, his deep commitment to vulnerable populations, and the personal calling that led him to launch the Pediatric Cancer Foundation. He also shares candid insights on physician burnout, finding joy in medicine, and living with purpose after facing his own health challenges. Episode Highlights Early aspiration to become a doctor, work as an EMT, and unexpected discovery of orthopedic oncology Training with limb-sparing surgery pioneers Ralph Marcove and Martin Malawer The shift from amputation to limb salvage in the 1980s–90s and the role of chemotherapy Starting the first orthopedic oncology clinic at Bellevue Hospital for underserved patients Performing over 200 complex cases in his first year of practice Personal story as a first responder at Ground Zero on 9/11 and its lasting impact Founding the Pediatric Cancer Foundation to support families with financial, nutritional, and holistic care (brain, body, soul, spirit) Practical advice for physicians facing burnout: focus on joy, meditation, purpose, and compartmentalizing “noise” Why he continues to compete only with himself to deliver better patient care Top 3 Takeaways True fulfillment in medicine comes from focusing on patients and competing with yourself rather than external pressures. Even during personal health challenges, it’s possible to create meaningful impact,  Dr. Wittig started a foundation while on medical leave. Living every day with purpose and making your own happiness a priority allows you to show up fully for your patients and family. About Dr. James Wittig Dr. James C. Wittig is a board-certified orthopedic oncologist and sarcoma surgeon with over 25 years of experience. He specializes in the surgical treatment of bone and soft tissue tumors in children and adults. A graduate of NYU School of Medicine, he completed fellowships with leading experts in limb-sparing surgery. He previously served as Chair of Orthopedics and founded an orthopedic oncology clinic at Bellevue Hospital serving vulnerable populations. He is the founder of the Pediatric Cancer Foundation of New Jersey and maintains active educational and humanitarian efforts. Websites: jamescwittigmd.com tumorsurgery.org pediatriccancerfoundationnj.org About the Host: Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations.   The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    From Saving Limbs to Saving Lives: Dr. James Wittig on Sarcoma Surgery, Purpose & Physician Resilience | LMC#93
  6. Jul 16

    Pickleball After Chemo: The Future of Cancer Treatment with Dr. Brandon Mancini | LMC #92

    This episode is sponsored by NURP NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.  Ready to put your money to work? Visit start.nurp.com/doctors  to learn more.  Trading involves risk, and results may vary. This is not financial advice. —----------------------------- In this episode of Living with Metastatic Cancer, Dr. Peter Crane (physician and SFT patient) interviews Dr. Brandon Mancini. They cover Dr. Mancini’s journey from traditional radiation oncology to leading theranostics at Banff Health, the science behind molecularly targeted radiopharmaceuticals, current FDA-approved treatments, ongoing clinical trials, and how this field offers hope with highly precise, well-tolerated therapies. The conversation highlights opportunities for patients with rare and common cancers, practical access to treatments, and the rapid evolution of the field. Episode Highlights Dr. Mancini’s personal motivation: influenced by his mother’s breast cancer journey and her work as a clinical trials research nurse in radiation oncology Career pivot from community radiation oncology to subspecializing in theranostics after training in Germany Explanation of theranostics: pairing diagnostic and therapeutic radiotracers that target specific proteins on or around tumor cells FDA-approved treatments for metastatic prostate cancer (Pluvicto) and neuroendocrine tumors Exciting targets like FAP (fibroblast activation protein) for pan-cancer “basket” trials, including sarcomas and SFT Combination therapies, alpha vs. beta emitters, dosing/scheduling innovations, and moving treatments earlier in the disease course Banff Health’s comprehensive program, clinical trials across ~15 tumor types, and serving patients from 26 states and 2 countries Patient experience: minimal side effects allowing normal activities soon after treatment Future outlook: more approvals, earlier use, broader targets, and reduced reliance on traditional chemotherapy Top 3 Takeaways Theranostics represents a new era of precision medicine, highly targeted radiopharmaceuticals attack cancer at the molecular level while sparing healthy tissue, often with excellent tolerability. Patients with rare cancers like solitary fibrous tumors can benefit from emerging FAP-targeted trials and should explore clinical trial options and specialized centers. The field is advancing rapidly: centralized expertise, more trials, and earlier intervention are expanding access and improving outcomes across many tumor types. About Dr. Brandon Mancini Dr. Brandon Mancini is a radiation oncologist and Medical Director at Banff Health in Grand Rapids, Michigan, one of the world’s leading centers for theranostics. After a decade in traditional radiation oncology, he trained in Germany and helped launch Banff Health’s program in 2022. He specializes in targeted radiopharmaceutical therapies and is deeply involved in clinical trials expanding this field. Connect with Dr. Brandon Mancini Banff Health: banffhealth.com About the Host: Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com   LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversation   The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Pickleball After Chemo: The Future of Cancer Treatment with Dr. Brandon Mancini | LMC #92
  7. Jul 9

    Algorithmic Trading, Financial Freedom & Alternatives for Busy Physicians With Jeff Sekinger | DMD#91

    This episode is sponsored by NURP NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.  Ready to put your money to work? Visit start.nurp.com/doctors  to learn more.  Trading involves risk, and results may vary. This is not financial advice. —----------------------------- In this episode of Doctors Making a Difference, Dr. Peter Crane interviews Jeff Sekinger, founder of NURP (algorithmic trading software), Zero Percent (financial education), and Orca Capital (digital asset hedge fund). Jeff shares his journey from JPMorgan to entrepreneurship, the inspiration behind creating accessible quant strategies for non-accredited investors, and how NURP’s Midas strategy brings hedge fund-level tools to individual brokerage accounts. The conversation covers the challenges physicians face with time, financial education, and diversification; the power of positive expectancy strategies; market-neutral trading vs. traditional buy-and-hold; liquidity and autonomy in algorithmic trading; and realistic portfolio allocation (1-20%). Jeff emphasizes education, risk management, backtesting, and third-party verification while stressing that this is not financial advice and trading involves significant risk. Episode Highlights Jeff’s early investing lessons from his dad and transition from JPMorgan to founding three finance companies The gap between ultra-high-net-worth access (private equity, hedged products) and what most physicians can realistically get Modern Portfolio Theory, the Efficient Frontier, and the role of uncorrelated alternatives Why most day traders lose money and how algorithmic software removes emotion, timing, and execution errors Midas strategy: Gold-focused, backtested 15+ years, live 16-month track record with strong outperformance Investor autonomy, keep capital in your own brokerage, full liquidity, adjustable risk settings, equity protection Market-neutral exposure: Strategy sits in cash and only trades on high-probability setups Common physician investing pitfalls and the value of diversification beyond 401(k)s and index funds Demo/trial option for physicians to test the strategy risk-free before committing capital Transparency through MyFXBook verification and Alpha Performance Services Top 3 Takeaways Financial independence gives physicians the freedom to pursue mission-driven work,  lack of it quietly limits options. Algorithmic trading can provide uncorrelated, market-neutral exposure with positive expectancy, but it still carries real risk of loss and belongs as a small, diversified portion (1-20%) of a broader portfolio. Busy professionals benefit from tools that remove emotion and manual execution, education, backtesting, liquidity, and personal control are essential when exploring alternatives. About the Guest Jeff Sekinger is the founder of NURP, Zero Percent, and Orca Capital. With experience at JPMorgan in asset management, he builds financial education tools and algorithmic trading strategies designed to give higher-net-worth individuals (including many medical professionals) access to sophisticated, quantitative approaches in their own brokerage accounts. Connect with Jeff Sekinger  Website: start.nurp.com/doctors Learn more and try the demo at nurp.com About the Host: Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Algorithmic Trading, Financial Freedom & Alternatives for Busy Physicians With Jeff Sekinger | DMD#91
  8. Jul 2

    Bariatric Surgery Versus GLP-1s: The Real Talk on Weight Loss That Works | Dr. Alexa Roth | DMD#90

    This episode is sponsored by NURP NURP helps busy physicians grow their wealth through AI-powered algorithmic trading designed for demanding careers. No day trading, no guesswork, and no constant market watching required.  Ready to put your money to work? Visit start.nurp.com/doctors  to learn more.  Trading involves risk, and results may vary. This is not financial advice. —----------------------------- In this episode of Doctors Making a Difference, Dr. Peter Crane interviews Dr. Alexa Roth, a bariatric surgeon and obesity medicine specialist running a Center of Excellence program in Idaho. Dr. Roth discusses her path from competitive athlete and reluctant surgery student to falling in love with bariatric surgery, the psychological aspects of weight management, and how to approach patients with empathy and evidence-based options. They explore the strengths and limitations of lifestyle changes, GLP-1 medications, and surgical interventions, cost comparisons, insurance challenges, medical tourism risks, and early intervention in pediatric obesity. Dr. Roth also shares insights on public education through social media and her website. Episode Highlights From competitive athlete and internal medicine leanings to discovering a passion for surgery during a long Nissen redo case Why bariatric surgery offers uniquely rewarding long-term patient relationships and near-100% satisfaction The combination of technical laparoscopic skill, psychology/psychiatry overlap, and life-changing outcomes that drew her to the field Patient-centered approach: Meeting patients where they are, understanding their story, and avoiding shame/blame messaging Spectrum of treatments, lifestyle (5-7% TBWL), medications (up to ~22%), and surgery (20-40%+ TBWL), and how to match them to patient goals GLP-1 revolution making obesity more approachable and increasing patient willingness to seek care Cost comparison: Bariatric surgery often pays for itself in under a year vs. ongoing brand GLP-1 costs; long-term savings for the healthcare system Risks of medical tourism (lack of follow-up, complications, nutritional issues) and the importance of comprehensive lifelong support Early intervention in children and adolescents; family-wide benefits when adults pursue treatment Using authentic, short-form social media content to combat misinformation and educate the public Top 3 Takeaways Obesity is a chronic disease driven by genetics, epigenetics, and environment. Treat it with the same nuance and tools (lifestyle + meds + surgery) as diabetes or hypertension, not just “eat less and move more.” The best treatment is the one the patient will actually stick with; shared decision-making using realistic expectations on efficacy, cost, and lifelong commitment leads to better adherence. Surgery and medications are complementary tools, not competitors. Comprehensive programs that offer all options deliver superior, sustainable results and change entire families. About Dr. Alexa Roth Dr. Alexa Roth is a board-certified bariatric surgeon and obesity medicine specialist in Idaho. She leads a comprehensive weight management program recognized as a Center of Excellence. A former competitive swimmer and triathlete, she brings discipline and empathy to her practice. She is passionate about patient education, reducing stigma around obesity, and using social media to share evidence-based information. Website: www.drrothweightloss.com Instagram: @drrothweightloss Dr. Peter Crane is a board-certified physician, educator, and storyteller with a heart for service and a calling to spotlight doctors who make a difference—in their communities, in medicine, and in the lives they touch. Through Doctors Making a Difference, he brings you into intimate conversations with physicians who have overcome challenges, redefined success, and found purpose in and beyond the clinic. His goal is simple: to help more doctors stay in medicine by showing them what's possible. About the Show: Doctors Making a Difference is more than a podcast—it’s a movement to highlight the good, the gritty, and the deeply human side of medicine. In every episode, Dr. Peter Crane interviews physicians whose stories defy the script. From burnout recovery to bold career pivots, health challenges to quiet leadership, this show honors the truth that healing begins with connection—and doctors, too, deserve to be whole. Visit: doctorsmakingadifference.com LMC Series Note: Living with Metastatic Cancer (LMC) explores the science, decisions, and day-to-day realities of life with advanced disease—through candid physician–patient conversations. The Doctors Making a Difference Podcast is for informational purposes only and does not substitute for medical, legal, or professional advice. Always consult appropriate experts regarding your unique circumstances. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Bariatric Surgery Versus GLP-1s: The Real Talk on Weight Loss That Works | Dr. Alexa Roth | DMD#90
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Not every doctor dreams of climbing the traditional ladder. Some dream of building their own. Doctors Making a Difference, hosted by Dr. Peter Crane, tells the stories we rarely hear, of physicians who dared to ask, “Is this all there is?” and then changed their lives to answer it. These are the moments after burnout, after bureaucracy, after sacrifice. When purpose called louder than protocol. Each week, listeners meet doctors who stepped off the expected path—into roles as entrepreneurs, advocates, creatives, and leaders redefining what it means to heal. They didn’t just survive medicine. They made it theirs.

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