The Healthcast

Phil Zappone

Welcome to NXAI HealthCast where we explore healthcare, technology, and business development. Each episode features conversations with healthcare leaders, founders, and specialists shaping the future of medicine. We discuss what’s working in healthcare today and the future of healthcare with Artificial Intelligence, with the goal of improving patient outcomes.  We highlight real solutions, share practical insights, and explore how technology can build a smarter healthcare system.

  1. Oct 28

    Cancer Came Back 5 Times. He’s Still Smiling. | Jonathan Gegerson

    Six experiences with cancer. Eight surgeries. And a perspective on life that will stay with you. In this episode of The Healthcast, Phil Zappone sits down with author and patient advocate Jonathan Gegerson, who joins the conversation while actively receiving chemotherapy. Jonathan shares how his first diagnosis changed his life, how his wife’s words—“We are going to get through this”—helped ground him, and why being present for his family matters more than any material achievement. They also discuss the emotional weight of ongoing treatment, the often-overlooked role of caregivers, and the nurses whose compassion made his hardest days more manageable. In this episode: • Facing a cancer diagnosis and seeking a second opinion • Navigating the daily mental and emotional challenges of treatment • Finding joy in everyday life, even during uncertainty • The importance of caregivers, family, and community • What exceptional nurses do that patients never forget • Speaking up and staying involved in your care • Why support shouldn’t end when patients leave the hospital Chapters: 00:17 Meet Jonathan Gegerson 00:49 Life before cancer 03:34 The first diagnosis 09:44 Facing cancer six times 10:23 The mental and emotional challenges 15:06 Recording while receiving chemotherapy 16:15 Redefining success and happiness 20:24 Love, caregiving, and a difficult recovery 26:47 What patients need from healthcare providers 29:01 Listening and patient advocacy 33:14 Why follow-up care matters 36:32 Living fully, one day at a time 38:44 Jonathan’s book and where to connect Learn more about Jonathan: Find Jonathan Gegerson on LinkedIn and explore his book, Perspective C, on Amazon. LinkedIn | https://www.linkedin.com/in/jonathan-gegerson-4633a814/ Perspective C | https://www.amazon.com/Perspective-Survivor-Jonathan-Gegerson-Suffering-ebook/dp/B0CT4Z9B1S?ref_=ast_author_dp_rw&th=1&psc=1&dib=eyJ2IjoiMSJ9._fMWG81CAYCV_Nzl7tooHA.H1d3foO73_km6XjukM320XtCxxgyqLT98uUIxKGy57s&dib_tag=AUTHOR Learn how I help small businesses: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

  2. Oct 28

    Can a C**k Ring Warn You Before a Heart Attack? | Dr. Elliot Justin

    What if conversations about men’s sexual health opened the door to better preventive care? In this episode of The Healthcast, Phil Zappone sits down with Dr. Elliot Justin, emergency physician, entrepreneur, and founder of FirmTech, to explore the connection between sexual and cardiovascular health. Dr. Justin shares the story behind FirmTech’s wearable technology and his vision for bringing objective data into a field often guided by subjective questionnaires. They discuss tracking nocturnal erections, understanding changes over time, and helping patients become more engaged in their care. In this episode: • Dr. Justin’s journey from emergency medicine and telehealth to founding FirmTech • The relationship between erectile function and cardiovascular health • Why Dr. Justin challenges conventional approaches to erectile dysfunction • Why trends matter more than a single measurement • How wearable data could support more personalized conversations about treatment • What’s next for FirmTech and women’s sexual health technology Chapters: 00:17 Meet Dr. Elliot Justin 00:57 From emergency medicine to sexual health technology 08:08 The design behind FirmTech’s wearable 10:45 Exploring the cardiovascular connection 16:32 Rethinking erectile dysfunction 23:25 Why trends matter more than snapshots 27:45 Personalized care and tracking treatment response 29:37 How the technology collects data 33:33 Building FirmTech and what comes next 37:12 Future goals and adoption challenges 38:57 Where to learn more Connect with Dr. Elliot Justin & FirmTech: Website | https://myfirmtech.com Instagram | https://www.instagram.com/myfirmtech/ FirmTech LinkedIn | https://www.linkedin.com/company/myfirmtech/ Dr. Justin’s LinkedIn | https://www.linkedin.com/in/elliot-justin-md/ Learn how I help small businesses: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

  3. Oct 21

    Why Your Health Is Your Greatest Business Asset | Dr. Quinto Pauletti

    What happens when you build a successful business but neglect the health that makes it possible? In this episode of The HealthCast, Phil Zappone sits down with Dr. Quinto Pauletti to explore the connection between personal health, leadership, and sustained performance. Dr. Pauletti shares how his family’s experiences with serious illness shaped his career and why he built a concierge practice focused on executives, founders, and high-performing professionals. They discuss his approach to personalized diagnostics, the role of trust and motivation in behavior change, and why more time with patients matters. They also explore where AI can support healthcare—and why listening, relationships, and everyday habits remain central to his approach. In this episode: • How personal loss shaped Dr. Pauletti’s approach to care • Why he encourages founders to treat health as a core business asset • How his concierge model incorporates genetic, hormonal, and gut testing • Finding the personal “why” behind lasting behavior change • Building a practice around time, relationships, and quality of life • Using AI to support clinicians and reduce administrative work • Returning to the basics before chasing supplements and biohacking • His book, Running on Empty, and his interest in genetics and epigenetics ABOUT THE GUEST Dr. Quinto Pauletti is a chiropractor by training whose precision health practice serves executives, founders, and high-performing professionals. Over the past decade, his work has combined genomic, microbiome, and hormonal diagnostics with a root-cause clinical model focused on sustained high performance. CHAPTERS 00:00 Introduction 00:42 Family illness and the path into healthcare 03:20 Choosing chiropractic and exploring root causes 07:14 Entrepreneurship and lessons from building a practice 09:52 Health as a founder’s greatest asset 12:18 Connecting personal health and business performance 13:59 What concierge care makes possible 17:29 Motivation, trust, and behavior change 19:47 Growth, time freedom, and defining “enough” 22:33 Where AI belongs in personalized healthcare 24:03 Rethinking the patient experience 28:34 The future of healthcare 30:05 Back to basics: habits, supplements, and biohacking 32:05 Perspectives on GLP-1s and behavior change 34:44 Collaboration, humility, and listening in medicine 38:37 Running on Empty and what’s next for Doc Q 39:59 Where to connect and learn more CONNECT WITH DR. PAULETTI Doc Q: https://doc-q.com Running on Empty: https://runningonemptybook.com Running on Empty Quiz: https://runningonemptyquiz.com Check out what I do helping small businesses here: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

  4. Oct 16

    ADHD & Overwhelm: Rethinking Productivity | Matt Canning, NoPlex

    What if managing daily life isn’t about being more productive—but feeling less overwhelmed? In this episode of The HealthCast, Phil Zappone sits down with Matt Canning, founder and CEO of NoPlex AI, to discuss his approach to “chaos management.” Inspired by his daughter’s experience with ADHD, Matt set out to build a simpler way to manage everyday tasks, responsibilities, and routines. Matt explains why traditional productivity tools can fall short for people with ADHD and how NoPlex approaches reducing friction and decision fatigue. He also shares leadership lessons from his engineering career, the challenges of growing a consumer app, and his perspective on AI, fragmented healthcare data, and personalized care. In this episode: • The family story behind NoPlex. • Designing for simplicity with the “shortest path to intent.” • ADHD awareness, social media, and changing workplace conversations. • Supporting employees while giving experienced team members autonomy. • Turning collected data into actionable insights. • Scaling a business without overengineering. • Opportunities for AI in personalized care and elder care. CHAPTERS 00:00 Introduction 00:49 What is NoPlex? 01:54 The name and designing for simplicity 03:44 The family story behind the app 05:56 Why rethink productivity tools? 10:47 Social media and ADHD awareness 12:30 Matt’s personal mission 14:37 Leadership lessons and building teams 18:44 Decision fatigue and everyday overwhelm 24:02 Fragmented data and actionable insights 26:18 Meaningful user feedback 27:07 The challenges of growing NoPlex 28:24 Innovation, trust, and organizational buy-in 29:51 Rethinking how healthcare information connects 33:20 Scaling without overengineering 35:26 Healthcare opportunities and elder care challenges 37:15 AI’s potential in medical imaging 39:41 Personalization in apps and healthcare 40:43 What’s next for NoPlex? 41:45 Where to learn more Episode Resources: Website | https://www.noplex.com/ Check out what I do helping small businesses here: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

  5. Oct 15

    How AI Body Is Rethinking Clinical Training | Dr. Aaron Smith & Heather Tuttle

    What if healthcare learners could see how disease progresses—and explore the consequences of clinical decisions—in a simulated human body? In this episode of The HealthCast, Phil Zappone sits down with Dr. Aaron Smith, Chief Medical Officer, and Heather Tuttle, Chief Nursing Officer at AI Body, to discuss how digital physiology simulation can connect classroom learning with clinical practice. They explain how AI Body’s physiology-based models make complex concepts visual and interactive, giving students and practicing clinicians opportunities to explore disease progression and treatment responses. The conversation covers their journeys from bedside care into healthcare technology, the challenges facing new clinicians, and why frontline involvement matters when building tools healthcare teams will actually use. Topics include: • Connecting physiology education with clinical decision-making. • Supporting learner confidence, engagement, and retention. • Recognizing deterioration before a patient needs rescue. • Simulating burn injuries and fluid resuscitation for professional education. • Using constrained large language models with human oversight. • Building clinician trust through collaboration. • Preparing for AI’s potential impact on healthcare roles and scopes of practice. CHAPTERS 00:00 Introduction 00:53 What is AI Body? 02:55 Dr. Aaron Smith’s journey from the NHS to healthcare technology 04:37 Heather Tuttle’s path from emergency nursing to product development 08:08 Why healthcare education needs to evolve 11:54 Workforce shortages and retaining new clinicians 16:21 The personal purpose behind their work 21:59 Becoming part of the solution 23:52 Making physiology visual and interactive 28:01 Applications in higher education 30:54 Burn simulation and professional development 34:13 Why collaboration matters in healthcare innovation 39:16 Technology adoption challenges 41:15 Scaling a physiology platform 43:22 Building clinician trust 46:05 AI, clinical training, and the future of healthcare 52:33 Where to learn more about AI Body Learn more about AI Body: https://www.aibody.io Episode Resources: Website | https://www.aibody.io LinkedIn | https://www.linkedin.com/company/aibody/ Aaron | https://www.linkedin.com/in/dr-aaron-smith/ Heather | https://www.linkedin.com/in/heatherdaretuttlern/ Check out what I do helping small businesses here: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

  6. Oct 15

    AI in Healthcare: Who’s Liable When Something Goes Wrong? | Michael Tekely

    When AI influences a clinical decision, who owns the outcome? In this episode of The Healthcast, Phil Zappone sits down with Michael Tekely, founder of Medical Malpractice Insurance and Clinical Risk Management Academy LLC, to explore how AI is changing the conversation around patient safety, clinical judgment, and accountability. Drawing on his experience in malpractice insurance and clinical risk management, Michael discusses why healthcare organizations need to document how AI recommendations influence care—and how clinicians respond to them. He also introduces his framework and prototype tool for reconstructing AI-influenced clinical events. In this episode: • Potential gaps between AI adoption and malpractice insurance coverage. • Why clear documentation matters when investigating adverse outcomes. • Tracking AI recommendations, system versions, and independent clinical judgment. • How workplace culture and workflow pressures affect clinicians’ ability to question AI. • Michael’s perspective on AI and informed consent. • Three priorities for hospital leaders preparing to deploy clinical AI. Chapters: 00:19 — Introduction: AI, medicine, and malpractice 00:50 — Michael’s background in malpractice insurance 02:38 — A case that revealed the importance of documentation 06:23 — AI adoption and insurance coverage concerns 08:54 — A lawsuit that shaped Michael’s thinking about AI risk 14:48 — Building a culture of communication and accountability 18:01 — Reconstructing an AI-influenced clinical decision 24:39 — Michael’s academy, framework, and prototype tool 26:16 — What happens when clinicians follow AI recommendations? 27:53 — The human impact of malpractice and informed consent 29:39 — Will AI reduce malpractice or shift the risk? 30:43 — Three priorities for hospital leaders 31:51 — Opportunities and challenges ahead 33:18 — Protecting clinicians and improving patient outcomes 35:35 — Where to connect with Michael Episode Resources: LinkedIn | https://www.linkedin.com/in/michaeltekely/ Check out what I do helping small businesses here: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

  7. Sep 24

    How AI Could Personalize Autism Support | Cait Russell, Multiple

    How can technology better support the individual needs of autistic people and their families? On this episode of The Healthcast, Phil Zappone speaks with Cait Russell, occupational therapist and Chief Operating Officer at Multiple, a nonprofit accelerator supporting entrepreneurs building autism-related technology. Cait shares how her background in business and occupational therapy led her toward systems-level change. She explains why accessibility, individualized support and meaningful outcomes should guide product development—and why even promising technologies can struggle to reach the people who need them. The conversation explores tools that help therapists launch in-home practices, camera-free sleep tracking and personalized AI companions for everyday routines. Cait also discusses how Multiple brings families, clinicians, founders and investors together to help shape products and support their adoption. In this episode: • Moving from occupational therapy into nonprofit and innovation leadership • Designing accessible, individualized technology from the start • Evaluating whether products deliver meaningful outcomes • Helping therapists build in-home private practices • Using sleep data to inform support and interventions • Why distribution and adoption are critical for startups • Personalized AI companions for routines, work and school • Involving autistic people and families in product development • Multiple’s goal of connecting one million neurodivergent people to life-changing technology by 2030 • The personal story behind Multiple’s founding CHAPTERS 00:00 Introduction 00:41 From Clinical Care to Systems-Level Impact 02:50 Finding a Mission in Autism and Neurodiversity 04:18 Designing Accessible Technology with Meaningful Outcomes 07:14 Cait’s Path from Occupational Therapy to Multiple 10:20 How Multiple Supports Autism Innovation 11:59 Startup Examples: Therapy Access and Sleep Tracking 15:02 Why Startups Struggle with Adoption 16:09 Connecting Startups with Families and Clinicians 17:28 Personalized AI Companions for Everyday Support 20:02 Building an Autism Innovation Ecosystem 21:09 AI and the Potential for Individualized Support 24:05 Multiple’s Vision and Its 2030 Goal 26:04 The Story Behind Multiple’s Founding 28:53 Closing Reflections Episode Resources: Website | https://www.multiplehub.org/ LinkedIn | https://www.linkedin.com/company/multiplehub/ Ryan L. | https://www.linkedin.com/in/caitrussellotd/ Check out what I do helping small businesses here: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

  8. Sep 21

    AI is Only As Good As Your Data | Ryan Leurck, Kythera Labs

    Can AI transform healthcare if the underlying data is incomplete, fragmented or inaccurate? On this episode of The Healthcast, Phil Zappone speaks with Ryan Leurck, Chief Analytics Officer and Co-Founder of Kythera Labs, about healthcare’s hidden data problem and why better data—not simply more advanced AI—will shape the industry’s future. Ryan shares how his background in aerospace engineering and complex systems optimization led him into healthcare analytics. He explains why claims and EHR data are difficult to analyze, how Kythera Labs turns fragmented records into structured information and why healthcare leaders must verify the answers produced by AI. They also discuss how hospitals can use data to understand patient leakage, referral patterns, market share and opportunities to improve service lines. Ryan shares an example in which a health system discovered substantially more patient leakage than it previously recognized, leading the organization to revise its strategy. In this episode: • Ryan’s transition from aerospace engineering to healthcare analytics • Why healthcare data is often incomplete, inconsistent and difficult to interpret • How medical claims can be reconstructed into meaningful patient-care events • Why raw data can produce confident but inaccurate AI answers • Increasing AI accuracy by cleaning and structuring healthcare data • How hospitals identify patient leakage and out-of-market care • Reducing the data-preparation burden on analytics teams • Protecting patient information when implementing AI • Why verification, validation and governance are essential • The opportunities and challenges AI may create over the next five years CHAPTERS 00:00 Introduction 00:43 From Aerospace Engineering to Healthcare Analytics 03:55 The Meaning Behind Kythera Labs 05:08 Discovering Healthcare’s Hidden Data Problem 08:59 Building Companies with a Trusted Founding Team 10:38 Business Challenges and Finding Focus 12:20 How Kythera Turns Messy Claims into Usable Data 17:40 Who Uses Kythera Labs? 19:30 Helping Rural Hospitals Understand Patient Flows 21:46 Why Better AI Starts with Better Data 26:33 Customer Story: Uncovering Patient Leakage 29:24 Starting Analytics with the Right Questions 32:02 Supporting Patient Care Behind the Scenes 33:37 Healthcare’s Next Five Years: AI Opportunities and Challenges 36:02 What Hospital CEOs Should Know About Data and AI 38:41 What’s Next for Kythera Labs? 40:00 Where to Learn More and Closing Remarks Episode Resources: Website | https://www.kytheralabs.com/ LinkedIn | https://www.linkedin.com/company/kythera-labs/ Ryan L. | https://www.linkedin.com/in/ryanleurck/ Check out what I do helping small businesses here: Website | https://nxaihealth.com/ LinkedIn | https://www.linkedin.com/in/phil-zappone-647957379/ Subscribe to The HealthCast for more conversations with the people shaping healthcare.

About

Welcome to NXAI HealthCast where we explore healthcare, technology, and business development. Each episode features conversations with healthcare leaders, founders, and specialists shaping the future of medicine. We discuss what’s working in healthcare today and the future of healthcare with Artificial Intelligence, with the goal of improving patient outcomes.  We highlight real solutions, share practical insights, and explore how technology can build a smarter healthcare system.