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Ready for a frank, field-tested guide to building a real telehealth business without losing your mind to 50-state rules? We sit down with the ER physician turned CEO of Guardian MD who turned COVID-era travel medicine lessons into a scalable system for compliance, collaboration, and patient outcomes. From multi-state licensing nightmares to the surprising places boards disagree, this conversation unpacks what it actually takes to protect your license and launch services that patients love.

We dig into the practical stuff: why ERs overflow with “bread and butter” cases better handled by telehealth, how protocol libraries can standardize safe care across med spa, wellness, functional medicine, and urgent care, and where a telemedicine arm can support RNs who can’t diagnose or treat. If you’ve wrestled with corporate practice of medicine, prescriptive authority, or those state portals that make you re-enter every detail, you’ll hear strategies that save time, money, and stress.

The big idea is simple and hard: build programs, not fads. Weight management beats “selling semaglutide.” Hormone health beats “selling testosterone.” Educate patients, measure outcomes, and the revenue follows. Along the way, we challenge the myth of autonomy—real clinicians collaborate, even in full-practice states. That mindset, paired with clear agreements, malpractice alignment, and living protocols, is how you scale without risking everything you’ve built.

If you’re an NP, PA, or RN dreaming of your own practice—or trying to make your existing one safer and stronger—this episode is your playbook for compliance, state-by-state collaboration, and outcomes-driven care. Subscribe, share with a colleague who needs a boost, and drop your toughest licensing or protocol question in the comments so we can tackle it next.

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