Interesting listen, thanks for sharing. I thought I would offer some counter-perspective.

Medicine is full of burnout, as pointed out, largely because of the evil insurance companies (prior auths are the worst) pushing primary care doctors to see up to 40 patients in 8 hours. Physician facebook groups are filled with literally 10's of thousands of burned-out members looking for escape hatches, side hustles etc. It has become very popular to go the "functional medicine" route for the lifestyle rather than any real patient-oriented benefit. Who wouldn't rather see 12 young, healthy patients paying in cash rather than 30+ comorbid patients each trying to squeeze in their 10 different complaints?

Startups and entrepreneurs have been complaining for decades that we only focus on "treating the symptoms" but don't focus on preventative health. The only problem is they never provide an evidence-based alternative to the status quo. They skim money from the healthy population for VCs and when patients do get really sick, they toss them back to the band-aid medical system at a cost to the tax-payers.

For the most part people simply don't need a doctor until your 6th decade of life (outside of female obgyn issues). Part of the great joy of pediatrics is kids can get pretty darn sick and mangled and for the most part they still get better. 20 and 30 year olds can abuse themselves with over-the-top crossfit workouts and ultra-marathons and are mostly ok.

The healthier you are, the harder it is to prove causation and the easier it is to sell cures. Placebo is a hell of a drug. Everyone is trying to sell you something, especially those captured by their audience (Huberman comes to mind). Fitness expos and IG influencers are full of people selling snake oil. For every bone-broth-inspired-by-my-IBD story there's an entrepreneur on the other side giving a $20k talk about how they sold their roll-up to private equity for millions.

I'm not saying she's wrong about anything per-se, just that it's important to realize when you're operating and optimizing within an evidence-free environment. 90-10 rule applies here: Eat less (calories in general but probably processed foods) and don't be fat. I do recommend keto to many patients if they can stick with it.

Will also say bedside manner is a poor proxy for good medical care. Patients ask me all the time to be their doctor because I'm a good schmoozer but I've never been the guy you wanted when you're really sick in the ICU. In fact higher patient-satisfaction scores have famously been tied to worse patient outcomes.