Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I sat down with Dr. Joni Sago, a remarkable physician, internist, and dermatologist, to discuss her journey into opening a cash-based dermatology practice and what that means for patient care. We talked through the evolving state of medicine, where corporate models and insurance structures dominate how doctors practice—often to the detriment of perso

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I talked about an exciting development in cancer screening—a new blood test called Cancerguard. Early cancer detection can be the difference between a smaller intervention and a life-altering diagnosis, and cancer continues to remain one of the leading causes of death in the United States. Traditional screening methods like mammograms, colonoscopies,

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I had the privilege of sitting down with my longtime friend Miles Burdine, who shared his powerful and deeply personal journey with PTSD following his long and storied service in the Marines. Miles recounted how, despite having a successful public life after the military, signs of severe depression and anxiety were so well-hidden that even he hadn’t

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I sat down again with Dr. Joni Sago to talk about a skin condition that’s more common than most people realize—rosacea. April was Rosacea Awareness Month, and it’s a perfect time to shed light on the causes, common triggers, and treatments for this stubborn condition. We dug deep into how rosacea is often misunderstood, particularly the old myth that

Welcome to another edition of the Doctor's Note where we talk about what’s on our minds when it comes to your health. This week I had the privilege of sitting down with my longtime colleague, friend, and trusted dermatologist, Dr. Joni Sago, to dig into what your skin might be telling you about your overall health. Dr. Sago reminds us how the skin, far from being just a surface organ, often acts as a mirror for what’s happening on the inside. Inflammatory skin conditions like

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I was honored to sit down with my longtime friend Bill Clark to share an extraordinary story of resilience, resourcefulness, and hope in the face of a daunting cancer diagnosis. Bill Clark recounted his journey—beginning with a small, irritated spot on his eye that was initially dismissed, only to later be diagnosed as a rare and aggressive form of c

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. This week, I had the pleasure of sitting down with two incredible individuals, Keena Walton and Greg Taylor, to dive into the benefits of yoga—specifically hot yoga and its impact on prenatal and postnatal health. Greg Taylor, owner of On Center Yoga Studio, shared his journey from CrossFit injuries to falling in love with hot yoga, describing the remarkable m

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. This week I had the privilege of welcoming Dr. Tyler Wilson , a child psychiatrist, to the podcast . We kicked things off with some talk about pickleball, but quickly dove into the pressing issues of children's mental health—a topic that's become increasingly urgent in recent years. Dr. Wilson emphasized the magnitude of the child and adolescent mental health

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I had the pleasure of sitting down with my younger brother, Dr. Bob Rogers , who recently joined us at Performance Medicine after a 25-year career as a general surgeon. We reflected on the changes in medicine over decades and the reasons we’ve shifted focus—namely, to move away from quick prescription-writing and toward a more holistic, lifestyle-ori

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I want to shed some light on a daily ritual that has truly changed the way I feel and approach longevity—consuming high-quality olive oil . Over the past few years, I’ve made it a point to take at least a tablespoon of the best olive oil I can find every single day. Olive oil has been around for thousands of years and was even referred to as “ liquid

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. This week I dove into a topic that truly fascinates me both as a physician and a longevity enthusiast: nattokinase. Derived from fermented soybeans, nattokinase is an enzyme that’s been used for centuries in Japan, where people tend to live longer, healthier lives than in much of the world. In our clinic, interest in nattokinase has ramped up, especially since

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. Today I want to dive into a supplement that's making waves in the longevity and wellness sphere: Fatty15. As someone who's spent decades examining the intersection of nutrition, supplements, and holistic health, I always strive to bring you practical, balanced insights—and Fatty15 is a great example of how science continues to challenge our old beliefs about

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I’m sharing highlights from a seminar I recently gave at BIOSTAXX™ , diving into the vital but often misunderstood world of hormone balance. Many of you know my journey from a traditional, conservative medical background—where I was trained to treat symptoms by prescribing medications rather than addressing root causes. My approach shifted dramatica

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. In this week’s episode we dove into a topic that’s rapidly gaining traction in the world of medicine and longevity: peptides . I had the pleasure of sitting down with one of my amazing nurses, Ivey Clary, RN, to unravel the mysteries and practicalities of peptide therapies—from what they are, to how to use them safely, to the real-world results we’re seeing.

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. This past week I had the genuine pleasure of sitting down with father-and-son proprietors Joey and Joe Nachio at The Spice & Tea Exchange in Delray Beach, Florida. What began as a simple visit quickly grew into an easy and meaningful connection, rooted in our shared respect for family, health, and the responsibility we carry for those we love. As Joey spoke ab

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. This week I had the privilege of sitting down with Dr. Michael Wilkinson , one of our region’s most esteemed pain specialists. We dove deep into the multifaceted world of chronic pain—especially spinal pain—and the importance of a “common sense” approach to both prevention and treatment. Dr. Wilkinson shared his remarkable journey from West Point to Yale and J

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. This week I had the pleasure of sitting down with my good friend Josh Davis, PT, DPT, CSCS, owner of Tri Star Strength x Rehab , at his brand new gym in Kingsport. We dove into the unique approach he’s developed—combining physical therapy and strength training under one roof. Josh shared how his facility isn’t just for elite athletes, but is designed for the e

Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health. This week I had the pleasure of sitting down with my longtime friend and colleague, Dr. James Denham, at Elite Health and Longevity in Johnson City, TN. We dove deep into the world of longevity medicine, focusing on why accurate measurements like DEXA scans and VO2 max testing are changing the game in preventive health. Dr. Denham shared his personal journey f