This episode of The Patient Physician Podcast was recorded live from the 2025 ACGME Conference in Nashville, TN. Friend of the show, Dr. Michele Blackwell, shares her journey in the medical field and her expertise in hormone replacement therapy. Dr. Blackwell delves into the challenges and triumphs of balancing a demanding career with personal wellness, improving quality of life as we age, the benefits and drawbacks of bioidentical hormone therapy, and the importance of continual learning and adaptation in medicine. The conversation provides valuable insights into the evolving landscape of healthcare, emphasizing the critical need for self-compassion and resilience among medical professionals.

MEET OUR GUEST: MICHELE BLACKWELL, M.D. FACOG

Dr. Michele Blackwell is Board Certified in Anti-Aging and Regenerative Medicine and Obstetrics and Gynecology, currently practicing general Gynecology after retiring from the practice of Obstetrics in 2013. She has been in practice since 1998, working in an academic environment for the first 10 years of her career before transitioning to private practice in 2009. She now focuses on providing more individualized healthcare for both women and men as they age and experience the hormonal changes associated with aging.

Dr. Blackwell is fascinated by the aging human body, the ways to improve quality of life as we age, and the prevention of diseases. With this in mind, hormonal imbalances can occur as early as the third decade of life. She is constantly studying and learning to improve women's and men's quality of life.

TIME STAMPS:

00:00 Introduction to The Patient Physician Podcast

00:30 Meet the Hosts and Special Guest, Dr. Michele Blackwell

00:50 Dr. Michele Blackwell's Journey in Medicine

03:00 Transition from Academic Setting to Private Practice

04:45 Challenges and Changes in Private Practice

08:35 Specializing in Bioidentical Hormone Therapy

11:34 Balancing Family and Career

14:04 Navigating Perimenopause and Hormone Therapy

26:18 Validating Symptoms and Emotional Support

26:56 Impact of Hormone Replacement Therapy

28:44 Fitness and Strength Training for Women

31:06 Nutrition and Protein Intake

35:17 The Role of GLP-1 Medications

37:09 Challenges in Hormone Therapy Education

40:58 Future of Hormone Therapy and Virtual Services

45:06 Men's Hormone Therapy and Final Thoughts

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This episode of 'The Patient Physician' features brief interviews recorded from the 2025 ACGME conference exploring meaning in medicine. Participating attendees included program directors, administrators, doctors, educators, and their support staff, who discussed initiatives that promote community engagement and holistic healthcare, the integration of culinary medicine into training programs, and the impact of AI on medical practice. In their own voice, each emphasizes the importance of human connection in the medical field, the evolving role of wellness support, and the future of medicine amidst technological advancements. And they reflect on how these changes influence the development and education of future physicians, underscoring the crucial balance between professional responsibilities and personal well-being.

ACGME Annual Educational Conference 2025 in Nashville, TN - Over three days, more than 5,000 participants gathered for the world’s largest graduate medical education (GME) event to collaborate, innovate, and inspire. With the theme of Meaning in Medicine, the conference highlighted the importance of sustaining purpose and joy in the work of health care professionals.

TIME STAMPS:

00:00 Introduction to The Patient Physician

00:38 Finding Meaning in Medicine

01:46 Community Outreach Initiatives

03:51 Challenges and Solutions in Medical Education

05:30 Innovative Approaches in Residency Programs

09:16 Leadership and Wellness in Medicine

14:08 Future of Medicine

20:02 Personal Reflections and Experiences

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In this episode of 'The Patient Physician,' meet Dr. Georgeanne Freeman, a family medicine physician known as the 'Downtown Doctor' in Austin, Texas. Dr. Freeman shares her journey from practicing in rural America to establishing a concierge practice in Austin. She discusses her diverse experiences, including overcoming professional and personal challenges while working in rural Appalachia and the impact of life coaching. Dr. Freeman also elaborates on her transition away from traditional insurance models, underscoring the benefits of direct patient care and preventative medicine. Her story emphasizes the importance of holistic wellness and reclaiming physician autonomy.

MEET OUR GUEST: DR. GEORGEANNE FREEMAN

Board-certified in family medicine, Dr. Freeman has worked in emergency rooms, hospitals, and clinics. She is also trained in bio-identical hormones and botox and juvederm cosmetic procedures. As a country doctor, she learned much about medicine and made house calls. A favorite memory of Dr. Freeman is delivering flu shots on horseback with insulated saddlebags to an elderly couple who lived nearby.

Freeman Medical Clinic in downtown Austin, TX, offers a full spectrum of care. You can find services from ADHD evaluation and treatment to well-women and well-men exams. In addition, the clinic provides walk-in urgent care and even makes house calls. A particularly popular treatment is IV hydration (www.hippohydrate.com) - a custom mix of vitamins, electrolytes, medication, and IV fluids for migraine headaches, athletes, and those seeking optimal health.

TIME STAMPS:

00:00 Introduction to The Patient Physician

00:42 Meet Dr. Georgeanne Freeman

01:15 Dr. Freeman's Journey in Rural Medicine

02:43 Experiences and Challenges in Rural Practice

12:22 Transition to Austin and Personal Struggles

18:00 Starting a Concierge Practice in Austin

23:59 The Future of Healthcare and Insurance

31:31 The Reality of Insurance and Negotiation

32:05 Facing Catastrophic Events Without Insurance

36:59 The Future of Medicine: A New Approach

39:30 Preventive Medicine and Insurance

44:03 Transitioning to a Concierge Practice

47:29 Embracing Change and Personal Growth

51:29 Balancing Professional and Personal Life

57:24 Final Thoughts and Reflections

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