Primary Care Voice

Kulmeet Kundlas M.D.
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Primary Care Voice With Kundlas M.D. is your dedicated space for delving into the intricate world of Primary Care. Hosted by the experienced and compassionate Primary Care Physician, Dr. Kulmeet Kundlas, this podcast sets out to bridge the gap between medical professionals and patients, unraveling the intricacies of healthcare. In each episode, Dr. Kundlas and his expert guests dive deep into essential topics that encompass everything from preventive measures and chronic and acute disease management to cutting-edge telemedicine innovations, nurturing patient relationships, and staying updated on the latest medical trends

  1. 5D AGO

    Early Warning Signs of Throat Cancer in Men (Doctor Explains)

    7 Early Warning Signs of Throat Cancer (Don’t Ignore These Symptoms for 2–3 Weeks) The script challenges common stereotypes about throat cancer and explains seven early warning signs that should not be ignored: persistent sore throat, hoarseness, trouble swallowing, unexplained weight loss, one-sided ear pain without other illness symptoms, a neck lump, and coughing up blood. It outlines key risk factors including smoking and alcohol, HPV-16 (described as causing about 70% of throat cancers), chronic acid reflux, occupational dust exposure, poor diet/malnutrition, and a weakened immune system, noting that symptoms lasting beyond 2–3 weeks require medical evaluation. It describes how throat cancer can arise across the nasopharynx, oropharynx, and larynx, creating a diagnostic trap, and explains the care pathway from primary care to ENT endoscopy and biopsy. The script emphasizes prevention through HPV vaccination, stopping smoking and drinking, treating reflux, and addressing exposures and immune deficiency. 00:00 Early Warning Signs of Throat Cancer in Men (Doctor Explains) 00:02 Introduction 00:51 Early Warning Signs 01:36 Risk Factors 02:35 Throat Anatomy 04:07 HPV Virus & Throat Cancer 06:09 Why Men Are at Higher Risk 09:08 Diagnosis & Detection 10:20 Prevention & Treatment 12:22 Conclusion

    13 min

  2. APR 4

    Why and HOW Stress and Sleep Deprivation Make Diabetes Worse (Doctor Explains)

    Dr. Kulmeet Kundlas explains why blood sugar can be high in the morning even after fasting, emphasizing that sleep and stress management contribute about 20% to diabetes control and complication prevention. He describes how modern psychological stress triggers the HPA axis, raising cortisol, catecholamines, glucagon, and inflammatory cytokines that increase liver glucose output and drive insulin resistance, with synergistic effects when multiple hormones rise together. He details how chronic sleep deprivation (less than about 7 hours 18 minutes) increases glucose intolerance and insulin resistance, alters hunger and satiety hormones, and increases cravings for simple carbohydrates, especially in shift workers. He distinguishes the dawn phenomenon (circadian cortisol rise) from the Somogyi effect (nighttime lows followed by rebound highs) and suggests using CGM time-in-range to differentiate. Action steps include strategic post-meal walking, mindful breathing/meditation, nutrition sequencing (fiber and protein first), and sleep hygiene with a 7-2-1 routine.

    25 min

  3. MAR 28

    What Is Diabetes Burnout? Signs, Causes, and How to Cope

    Diabetes Burnout: Stages, Warning Signs, and a Sustainable Plan to Prevent It Dr. K. Kundlas explains diabetes burnout as learned helplessness caused by the relentless burden of managing diabetes, noting many diabetics face it and make about 180 diabetes-related decisions daily. He outlines a progression from distress to depletion to learned helplessness and full disengagement, and explains why burnout is often mistaken for “non-compliance” or depression. He differentiates exhaustion, diabetes distress, burnout, and clinical depression, and describes evaluation tools including the PAID scale, DDS-17, and PHQ-9. He recommends reframing goals based on age and life stage, simplifying routines with micro-habits, building support systems, prioritizing

    24 min

  4. MAR 10

    What Does Your HRV Number Mean? Doctor Explains (2026)

    Got it—you want to keep your exact chapter names. Here is the description with your titles preserved: Heart rate variability, wearables, and your autonomic nervous system: can your Apple Watch really predict stress, sickness, and cardiac risk? — Dr. Kulmeet Kundlas explains. In this video, Dr. Kulmeet Kundlas uses heart rate variability (HRV) as the primary keyword to show how Apple Watch and other wearables can help you track stress, recovery, and early warning signs before you feel unwell. Chapters / Key Moments 00:00 Wearables That Predict Health 00:42 What HRV Really Means 02:32 Sympathetic vs Parasympathetic 03:49 No Perfect HRV Number 04:24 How to Track HRV Trends 07:53 What Lowers Your HRV 08:27 Does Low HRV Mean Sick 10:23 How to Increase HRV 12:13 When to See a Doctor 14:05 Final Takeaways and Wrap Up

    15 min

  5. FEB 24

    Seizures(Epilepsy) and Driving in Florida

    Florida Seizures & Driving: How Long You Must Wait, Your Rights, and DMV Medical Advisory Board Exceptions Dr. Kulmeet Kundlas explains Florida driving restrictions for people with seizures/epilepsy, emphasizing that seizures can occur without warning even on medication and that many patients still drive despite being told not to. He outlines that Florida physicians are not legally required to report seizures to the DMV, placing responsibility on patients to self-restrict and self-report. The script reviews the typical two-year no-driving period after a seizure, the follow-up process with a primary care physician and neurologist (including possible repeat EEG, MRI, and other testing), and the importance of documented medication compliance. He describes potential exceptions through the DMV Medical Advisory Board—often at six months and, in rare cases, three months—especially for reversible or unprovoked seizures, while structural causes commonly require two years. He also notes that a breakthrough seizure restarts the six-month minimum and that medication titration can require refraining from driving for three months. The episode stresses physician and patient responsibilities, public safety, and making science-based decisions rather than emotional ones.

    7 min

  6. FEB 17

    Thyroid Tests Lying to You? Check Your Medications

    Abnormal thyroid function tests affect patients taking common medications, hormone therapies, and over-the-counter supplements. It is commonly associated with estrogen therapy, birth control pills, testosterone replacement, biotin supplements, opioid pain medications, and amiodarone use. If untreated or unrecognized, it increases the risk of misdiagnosis, unnecessary thyroid medication, chronic fatigue, and metabolic dysfunction. [Visual Aid: Diagram showing thyroid regulation pathway — hypothalamus → pituitary → thyroid → T4/T3 binding and conversion — with interference points labeled for each medication category] Q: Can birth control pills affect thyroid blood test results? A: Yes. Estrogen-containing medications increase thyroid-binding globulin levels, which can alter your total thyroid hormone readings and lead to confusing results. Q: Does biotin supplementation interfere with thyroid lab tests? A: Yes. Biotin is a well-known cause of thyroid test interference. It can falsely alter TSH and thyroid hormone levels. Most labs recommend stopping biotin 48–72 hours before testing. Q: Why do opioid pain medications cause fatigue related to thyroid function? A: Medications like hydrocodone, oxycodone, and methadone can impair the conversion of T4 to the active T3 hormone, effectively slowing down metabolism and causing persistent tiredness. Q: Can testosterone replacement therapy change thyroid test results? A: Yes. Androgens and testosterone replacement decrease thyroid-binding globulin, which can lower total thyroid hormone levels on blood work even when thyroid function is actually normal. Q: What is the difference between a true thyroid disorder and medication-induced abnormal results? A: A true thyroid disorder involves dysfunction of the gland itself, while medication-induced changes affect how thyroid hormones are bound, converted, or measured in the blood without actual gland disease. Educational content by a board-certified primary care physician. Based on current clinical guidelines and peer-reviewed evidence. This content is for education only and does not replace medical care. Pinned Comment Suggestion: "Have you ever had an abnormal thyroid test that turned out to be caused by a medication or supplement? Share your experience below — it might help someone else avoid unnecessary worry."

    7 min

  7. FEB 13

    The Truth About Reverse T3 Testing

    Understanding Reverse T3: Why It Shouldn't Be Tested in Outpatient Settings Dr. Kulmeet Kundlas addresses common questions about reverse T3, explaining its role in thyroid function and why it shouldn't be tested outside hospital settings. He highlights the physiological mechanisms behind T3 and RT3 conversion and discusses the lack of evidence supporting RT3 testing in non-critical situations. Dr. Kundlas clarifies the misconceptions and shares expert recommendations against RT3 testing in outpatient practices.

    3 min

  8. FEB 11

    Thyroid Function Tests Step‑By‑Step: From Blood Draw to Results and Follow‑Up

    Understanding Thyroid Tests: A Step-by-Step Guide by Dr. Kulmeet Kundlas In this video, Dr. Kulmeet Kundlas lays out a comprehensive guide on thyroid tests, explaining the reasons for ordering these tests, the steps involved, and how to interpret the results. He discusses why thyroid tests are commonly requested, the role of TSH and free T4 levels, and additional tests such as TPO antibodies and radioactive scans. Dr. Kundlas emphasizes the importance of sharing your supplement intake with your doctor, as it can impact test results. He also provides tips on test preparations and explains potential outcomes. For further detailed understanding, Dr. Kundlas invites viewers to watch additional videos on his channel. Don't forget to like, share, and subscribe to 'kundlasmd' for more informative content.

    5 min
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About

Primary Care Voice With Kundlas M.D. is your dedicated space for delving into the intricate world of Primary Care. Hosted by the experienced and compassionate Primary Care Physician, Dr. Kulmeet Kundlas, this podcast sets out to bridge the gap between medical professionals and patients, unraveling the intricacies of healthcare. In each episode, Dr. Kundlas and his expert guests dive deep into essential topics that encompass everything from preventive measures and chronic and acute disease management to cutting-edge telemedicine innovations, nurturing patient relationships, and staying updated on the latest medical trends

Information

  • Creator
    Kulmeet Kundlas M.D.
  • Years Active
    2023 - 2026
  • Episodes
    100
  • Rating
    Clean
  • Copyright
    © Copyright 2023 All rights reserved.
  • Show Website
    Primary Care Voice