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Self-funded with Spencer shares inspiring conversations with the most successful and influential people in healthcare - company founders, CEOs, entrepreneurs, doctors, sales leaders, and more - to help educate and inspire YOU to become the best version of yourself.
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Plastic Surgery Decoded

Regina Nouhan MD

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Plastic Surgery Decoded is an educational podcast, with understandable, relatable information that is presented from the unique perspective of this experienced surgeon. It is a great way to learn about specific procedures, as well as general concepts. Interesting and helpful, this podcast appeals both to prospective patients, and to anyone else who is simply curious!
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"If you're an employer, if someone comes up and knocks on your door, take a second, breathe, and listen to what they have to say." - Christopher Cordon Christopher Cordon joined me this week to talk about something that may initially seem contradictory to what I typically preach: level-funding. Chris shares why worksite benefits sales for employers…
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Send us a text In this episode, we wanted to introduce ourselves and tell you why you should listen to us! After all, there are a multitude of podcasts centered around health and nutrition. Why us? Well, we believe that we have a unique viewpoint of how food should be, well, viewed, and we decided we wanted to share that perspective as best we coul…
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"If you know how a PBM gets paid, that's the best transparency you can ask for.” - Julie Wasserman Julie Wasserman, VP of Sales for VerusRx, joined me this week to discuss the PBM industry in 2025. If you’re a PBM, how do you gain trust with employers and build plans that work for them? We talk about what every PBM should be doing for their employe…
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Send us a text In this podcast episode, Kylie and Spencer explore the emerging trend of weight loss injections like Ozempic, Wegovy, and Mounjaro, diving into their science and societal impact. They trace the history of and evolution leading to GLP-1 receptor agonists. These injectable medications, initially approved for Type 2 Diabetes, are now ga…
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If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text. Last Month In Healthcare is officially a video podcast! Each month, producer Nathaniel joins me to discuss the previous month's podcasts, headlines, and listener-submitted questions. This episode covers healthcare news from March 2025…
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"Insurance is about health and wealth. It protects your health, it should protect your wealth." - Kylie Everhart Kylie Everhart, Chief Growth Officer at Oxbridge Health, joined me to discuss episode benefit plans and how they empower consumers to make better healthcare choices. Episode benefit plans bundle pricing for the entirety of an “episode of…
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Send us a text In this episode, discover how to avoid the most common mistakes people make when trying to create lasting change—including relying on extreme rules, taking on too much at once, or struggling with self-compassion. Hosts Kylie and Spencer unpack the difference between fixed mindsets and growth mindsets, sharing real-life examples and a…
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"I think innovation is supposed to be hard. That's why it's innovation.” - Seth Denson “Better consumption requires a lot more education.” - Trey Marinello "Don't compare GLP-1s to working out, because if they were working out, they wouldn't need the GLP1s." - Danish Nagda “I think what RFK has done with the MAHA movement is he's gotten people inte…
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Many are intrigued by the idea of changing their appearance through injections or surgery, yet fear the possibility of “Bad” plastic surgery. But what does good plastic surgery or bad plastic surgery really mean? Does it always have to do with the surgeon? Or are there “patient” factors that play a part, as well? And what are some ways to help avoi…
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Send us a text On today’s episode, we take a deep dive into the Mediterranean diet, hailed as the ultimate heart-healthy eating plan. With proven benefits for managing chronic diseases like cardiovascular disease and diabetes, enhancing cognitive function, and promoting anti-inflammatory nutrition, this lifestyle offers a wide variety of health ben…
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"Our business is predicated on two things: consolidating things that would otherwise be disparate, and then using that as a trusted chassis to communicate and engage effectively." - Ryan Coplon Ryan Coplon, co-founder of HealthWallet, joined me to discuss why improving member engagement actually reduces health plan expenses, how we get members to u…
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If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text. Welcome to our new monthly podcast series, Last Month In Healthcare! Each month, producer Nathaniel joins me to discuss the previous month's podcasts, headlines, and listener-submitted questions. This episode covers healthcare news fr…
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Send us a text Struggling with the ups and downs of yo-yo dieting? Have you lost and regained the same weight over and over again? In this episode, Kylie and Spencer explore the emotional, psychological, and practical sides of breaking free from the diet-deprivation cycle. We discuss the impact of scarcity versus abundance mindsets, how to make pea…
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"I think that's the difference with a contagious community. Like, I want to bring other people that I like into this community." - Scott Smith Scott Smith, President of True Network Advisors, joins the show for a third time for this podcast filmed at his boathouse in Guntersville, Alabama. Scott and I talked about contagious communities, which Scot…
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Send us a text In this episode, we dive into micronutrients, the essential vitamins and minerals your body needs for energy, immunity, and overall well-being. Learn what these nutrients do to support metabolism and what happens without them. We'll explore recommendations for supplements, who needs them, and how to choose the right ones for you. Mic…
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"Reversing obesity, reversing diabetes is possible. You don't just have to manage a chronic condition." - Steve Hastings Steve Hastings, Leader of Health Plans at Virta Health, joined me to share Virta’s strategy to help members reverse type 2 diabetes, prediabetes, and obesity. He also shared their findings on just how important food is to our ove…
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"If you're not going to be excited when I'm calling you, we're probably not a mutual fit." - Maggie Quinn Maggi Quinn, SVP of Consulting at Intrepid Benefits, joined me to discuss working at an all-female insurance agency, why specialization is so important in today’s market, and some innovative approaches to self-funded healthcare. Maggi shares he…
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Skin care is an essential aspect of self-care and has gained significant attention recently. Increasingly, individuals wish to present their best appearance. However, with the abundance of products and advice available, it can be challenging to determine the appropriate steps to achieve and sustain a healthy glow. In this episode, we engage with fa…
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Send us a text The word "carbohydrate" gives an automatic cringe right? Maybe it brings up feelings of embarrassment, shame, guilt, hesitation. A love hate relationship perhaps. Maybe you've tried cutting out sugar or doing the keto diet, but failed. Are they really that bad? Should we feel guilty eating them? This episode we explore the science be…
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"Be kind, be focused on others, be a steward of your craft and take the opportunity to take action.” - Sean Wood Sean Wood, SVP of National Partnerships at ParetoHealth, joined me for a podcast that is far less about captives than it is about being a sales ninja. We talk about getting started in sales, the buyer as a skeptic, collaborative selling,…
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Send us a text Protein drinks, protein bars, protein supplements, protein is all the craze. But should it really be up on a pedestal? This episode we explain the science of protein as well as the recommendations. We break down the myths about protein with weight loss, muscle gains, and blood sugars.By Kylie and Spencer
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“Whatever your clients find attractive about you and the reason they want to work with you is the exact same reason that a buyer is going to find you attractive and want to acquire your agency.”- Shelby Cowley Shelby Cowley joined me this week to discuss the complicated world of insurance mergers & acquisitions. How do you get the best valuation fo…
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“Organ transplant is not something that the employer or even the TPAs are necessarily all experts in." - Guy Finley “There are still going to be some situations and some events inside that episode of care that are going to be stop-loss related, so we want the two to work together.” - Robby Kerr Guy Finley and Robby Kerr from HCC joined me in studio…
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Send us a text What does it even mean to be healthy? There is so much information online about what health is, how many calories, how many grams of protein, what foods to avoid, what foods to eat more of....It can get overwhelming. This episode we dive into defining what being healthy looks like from a nutrition stand point. We simplify the very ov…
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“It's everything. Exposure, knowledge, education, generating new business, solving clients, risk management objectives. It's all here." - John Capasso “And the question comes up year over year, what is the ROI of SIIA? Did we have a legitimate hard dollar return on investment? And the answer is yes, we've always seen a return.” - Amy Gasbarro This …
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In the 100th episode of Plastic Surgery Decoded, we speak with plastic surgeon and educator Dr. Robert Grant about the state of Plastic Surgery now, and where it’s headed. His career has spanned decades, so he’s seen it all! And, he’s got some strong opinions to share from his perspective about what’s been successful in this field, and what could i…
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"If we're not accessible to you, we can't help you." - David Kinzler David Kinzler, CEO of One-to-One Health, joined me this week to talk about the importance of primary care, restoring the doctor-patient relationship, and TextCare, which provides text messaging access to a dedicated care team with response times under 5 minutes. David is a former …
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"The problem with a lot of healthcare is everybody is coming in, making their own solution. So you have thousands of point solution vendors and all we're doing is confusing the end user and the people that we really want to be educated." - Chelsea Ryckis One of the most influential duos in healthcare, Chelsea and Donovan Ryckis, joined me this week…
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"I think I'd say our patients deserve better. Our Americans who are encountering the healthcare system deserve better." - Binu SamuelBinu Samuel, Director of Commercial Partnerships at Carrum Health, joined me for the first podcast of 2025 to discuss how we lower healthcare costs for self-funded employers. Binu, and Carrum’s, mission is to make hea…
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"Everybody makes an excuse at the end as to why they didn't post or why they didn't start the thing they really wanted to start." - Me Happy New Year! As a bonus episode this week, I’m sharing a talk I gave at a recent ParetoHealth event about getting started with social media content, and how it can be used effectively for sales. Whether you’re ne…
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Every day, we subconsciously register traits of beauty and attractiveness in others. But what are those? And how might they differ from culture to culture? These differences in aesthetics reveal a rich tapestry of values and traditions that shape how beauty is perceived across the globe. A fascinating conversation takes place in this episode with g…
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"They have to understand the value. That’s how you get people to use it." - Megan Glaros “I had somebody who said once, why take a pill when you can get a shot? That's the way we kind of treat health, is like, just treat us with medication.” - Matt Glaros For the final podcast of 2024, Matt and Megan Glaros joined me (in a different studio than usu…
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"I felt like I was putting $10,000 bandaids on someone's diabetic ketoacidosis instead of actually helping them to never be there in the first place." - Tiffany Ryder Tiffany Ryder, medical physician associate and healthcare advocate, joined me this week to continue the theme of my previous episode: how do we empower patients to make informed decis…
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"I think that the general public thinks that health care is just expensive and this is just the way it has to be. It doesn't. And I think if more people knew that they would rise up and fight the system, fight for change.” - Jenni Nolan Jenni Nolan, Board-Certified Patient Advocate at Clear Healthcare Advocacy, joined me this week to discuss the ne…
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"Any time you can reward employees for doing the right thing, to me, it's benefiting the employer group, it’s benefitting everybody.” - David Mallen You can provide employees with the best healthcare benefits in the world, but if they don’t know how to navigate the healthcare system, those benefits aren’t very effective. David Mallen, EVP of Partne…
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"Looking back now, cancer gave me something to fight for at a time when I felt like maybe life wasn't worth fighting for." - Dylan Slattery Dylan Slattery, VP at ClaimsBridge and motivational speaker at Stage Four 2 On Stage, joined me this week to share his powerful story of beating stage four cancer against all odds, beating it again when it recu…
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What social media myths need to be debunked about nutrition around the time of surgery? You might be surprised that the best and worst foods may not be what you thought! It’s remarkable how much of an impact proper perioperative nutrition can have on the outcome of a procedure. The truth is, it can have significant influence on how you feel, and on…
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“I’m going to say something that people claim isn’t true, but it is. I’m an ear nose and throat doctor. I don't remember your eardrum from last year. I don't care what people tell you, doctors don't remember 3,000 eardrums.” - Danish Nagda Danish Nagda, founder of Rezilient, has come up with a pretty unique solution to doctor burnout in primary car…
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"In what other industry could a purveyor put out 99% bad bills and stay in business?" - Linda Komisak “They're diagnosing things for things that you don't even have. And that’s scary.” - Kimberly Carleson Kimberly Carleson, CEO of US Beacon, and Linda Komisak, founder of Upturn Consulting LLC, joined me to talk about two critical ways of increasing…
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"Quit tolerating mediocrity. Go get in action. Find the right broker consultant that will take you to a new place. Don't give up hope." - Scott Conard Dr. Scott Conard tragically lost 3 patients one summer to unexpected heart problems, and immediately changed how he thought of healthcare. This week on Self-Funded, we talk about “conscious capitalis…
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"It's progress we couldn't have envisioned decades ago." - Oscar “I felt interested in being part of something bigger than my practice and something that will impact even more people that I was able to in the hospital.” - Carolina Dr. Oscar Bronsther and Dr. Carolina Escobar from Interlink joined me this week to discuss the exciting and scary world…
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"If my child needs a gene therapy to live, they should get it and anyone's child should. So let's figure out how to pay for it." - Jake Frenz On the final of four podcasts filmed at a recent healthcare thinktank I hosted in Frisco, Texas, Jake Frenz, the founder and CEO of SmithRx, joined me to share his journey from the Marine Corps to Pharmacy Be…
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More and more people of All genders are seeking improvement for thinning hair or areas of complete hair loss. Whether from genetic tendencies, hormonal changes, medical conditions, or environmental factors, hair loss can be a major source of concern, and luckily a lot more can be done these days. Yes! The treatment options have become more specific…
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"I would say a lot of it is education, helping both the member and the provider realize that it's okay for them to get healthcare in home." - Dan Cochran On the third of four podcasts filmed at a recent healthcare thinktank I hosted in Frisco, Texas, Dan Cochran, CEO of Cochran Health Ventures, joined me to discuss infusions, in-home healthcare, wh…
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"There can be a better path forward. We don't have to remain adherent to the system that is built against us. It's just going to take some rolling up of the sleeves and a commitment to it." - Shawn Sanford This week, another ParetoHealth colleague joins the show: Shawn Sanford, RVP of Sales and Pod Leader. Shawn and I discussed his transition from …
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“There's a reason why every insurance carrier likely owns or is owned by a pharmacy benefit management company, that’s one of the ways that they can drive revenue." - Kristen Rivers My guest this week, Kristen Rivers from ParetoHealth, is one of the strongest healthcare advocates I know. This week on Self-Funded, Kristen and I discuss her upbringin…
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Luke Aslesen, founder of INFRMD, joined me a few weeks ago for the podcast, and we also filmed this extended interview after, in which Luke asks me about my comedy background, upbringing, relationship with my wife, and more. If you’re a long-time listener of the podcast and want to get to know me a bit better, or you just stumbled onto the podcast …
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“PBM is one of the most complicated concepts out there and it's incredibly difficult to understand. But it's not because the system itself is complicated. It's because pbms make it complicated.” - Justin Jasniewski Justin Jasniewski, CEO of Serve You Rx, joined me this week to discuss the state of the pharmacy benefit management (PBM) market in 202…
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Let's clear up the confusion about when to use Botox, Filler, or Fat for facial rejuvenation! Dr. Bonnie Baldwin is a plastic surgeon in Texas with extensive experience getting the best results out of each of these. In our discussion, she lays out what each type of injectable is designed for, and how to use it best. Sometimes a combination can actu…
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