The Doctors’ Lounge

Real Doc Speaks: Bureaucracy, Bad Incentives, and the Fight to Keep Doctors in Charge

September 21, 2026·1h 4m
Episode Description from the Publisher

Send us Fan Mail In this special add-on episode, Anish Koka and Anthony DiGiorgio welcome Dr. James O'Leary — a Mayo-trained OB-GYN with forty years of experience, former department chairman, ACO board member, and host of the Real Doc Speaks podcast — for a wide-ranging conversation on the erosion of physician-led care. The trio dissects a tragic Nashville case in which four outpatient knee-replacement patients were injected with potassium phosphate instead of bupivacaine after a multi-step, ...

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