The MEDQOR Podcast Network

Innovation is rampant in orthodontics—to the point that we're seeing innovation within innovation. Take 3D printing, for example. The 3D printer alone—just the printer itself—has been revolutionary. It has allowed the orthodontic practice to take control and fabricate aligners in-office, on their own schedule. But it wasn't the 3D printer alone that facilitated this. Along the way, additional innovations were needed—chief among them the thermoforming plastic material. And now, these materials are further evolving with a new material that allows for direct 3D-printed aligners. Orthodontic Products Chief Editor Alison Werner spoke to Ki Beom Kim, DDS, PhD, the Dr Lysle Johnston Endowed Chair in Orthodontics, and the program director in the orthodontic department at the Center for Advanced Dental Education at Saint Louis University, on a recent podcast episode about a new material that allows for direct 3D-printed aligners.Kim and his colleagues have spent the last 3 years testing the Direct Aligner photopolymer material from the South Korean 3D printing material company Graphy. Their findings were recently published in Progress in Orthodontics. The team found that controlling material dimensions, structure, and properties of aligners directly—compared to thermoforming plastic sheets—has the potential to make the process of tooth movement faster, less wasteful, and more precise. “If you have a 3D printer, you can now directly print this aligner without having [a] model, without going through the thermoforming process,” said Kim, adding that, with this new FDA approved material, the in-office lab can skip several steps in the current manufacturing workflow, including cutting out the aligners and polishing before delivery to the patient. What's more, according to Kim, with a direct printed aligner, the clinician can more precisely control the thickness and insert bumps as needed. Kim shared that he and his team found that when the orthodontist can control the thickness they can “control the geometric inside of the aligner.” That, and the ability to add bumps, creates a huge opportunity for the orthodontist because it helps reduce the need for attachments, he said. For Kim, the shape memory polymer used to make the material is very interesting.He says it somewhat mimics the behavior of NiTi wire. The difference being that a NiTi wire can be exposed to cold temperature to become more flexible, while this Direct Aligner material becomes totally flexible when placed in warm/hot water. The advantage of this shape memory, according to Kim, is that the patient can maintain the shape—and thus the forces—of the aligner at home. Kim points out that patients remove their aligner up to 10 to 20 times a day to eat. “So think about the plastic deformation” every time they remove the aligner, said Kim. But with this material and some warm water, the shape can be restored. Kim uses the analogy of a deformed plastic Coke bottle. Once it's deformed, it's not going back to its original shape. But with this material, he can advise patients to put their aligner in warm water at the end of the day if they notice it's not tight enough. “It will go back to the original shape so they can maintain [a better fit] every day,” he added.Now when it comes to forces, Kim shares he has been able to apply bigger activations per aligner, thus saving time in treatment and decreasing the number of aligners over the course of treatment. With traditional thermoforming plastics, Kim points out, something like a .5 mm activation per aligner can create a force level that causes the patient too much discomfort and even pain. But with this material, Kim can do that.“I'm constantly putting .5 mm activations and even 5° rotation per aligner, and then have patients wear [the aligner] just a little bit longer—maybe 2 weeks. Sometimes we go longer,” said Kim, adding that with a standard activation of .25 mm per aligner, to move 1 mm you need four aligners. “But if I can put .5 mm activation per aligner [and] have them wear [it] for 2 weeks, then I need only two aligners.”In this episode, Kim also talks about the hardware requirements, including 3D printer compatibility with the material needed, and the need for a specific type of curing machine. He also talks about the staging software needed to plan cases using direct 3D-printed aligners. What's more, he talks about retention and his plans to test an on-site retainer-bending machine from YOAT, a medical technology manufacturer based in Seattle. OP

While the pathophysiology of idiopathic hypersomnia is unknown, emerging science suggests that nighttime sleep dysfunction may contribute to daytime sleepiness in patients with idiopathic hypersomnia. A systematic review and meta-analysis that included 10 studies found that, on average, several sleep architecture hallmarks were different in patients with idiopathic hypersomnia relative to controls. Total sleep time and percent of REM sleep were increased in patients with idiopathic hypersomnia compared with controls. Sleep-onset latency and percent of slow-wave sleep were decreased in patients with idiopathic hypersomnia compared with controls. Sleep efficiency and REM latency were similar between patients with IH and controls. In addition to nighttime sleep dysfunction, other physiological changes have been observed in some patients with idiopathic hypersomnia and theorized as possible contributors to its pathophysiology including: Dysfunction of the GABAergic system Autonomic system dysfunction Altered functional or regional connectivity in the brain Circadian system dysfunction Dysfunction of energy metabolism This episode is produced by Sleep Review and is episode 5 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and SleepCountsHCP.com for more information. In episode 5, listen as Sleep Review's Sree Roy and neurologist-sleep specialist Isabelle Arnulf, MD, PhD, discuss: Science doesn't fully understand the pathophysiology of idiopathic hypersomnia. Research has revealed potential clues, however. For example, idiopathic hypersomnia is associated with changes in sleep staging and architecture. What does emerging science suggest are differences in nighttime sleep? How might the arousal index differ in idiopathic hypersomnia versus in people without it, and why might that matter? In addition to nighttime sleep dysfunction, other physiological changes have been observed in some patients with idiopathic hypersomnia and theorized as possible contributors to its pathophysiology. What is the GABAergic system and its possible role? What are some emerging findings surrounding idiopathic hypersomnia and autonomic system dysfunction? What is the evidence that supports the idea of altered functional or regional connectivity in the brain in people with idiopathic hypersomnia? There were fascinating studies done on skin fibroblasts, suggesting that circadian period length may be different in people with idiopathic hypersomnia versus in people without it. What role might circadian rhythm dysfunction have in idiopathic hypersomnia? What has science discovered about the possible role of dysfunction of energy metabolism in idiopathic hypersomnia? What further research would you like to see conducted on the pathophysiology of idiopathic hypersomnia? Listen to Episode 1: Symptoms of Idiopathic HypersomniaListen to Episode 2: Diagnosis of Idiopathic HypersomniaListen to Episode 3: Differential Diagnosis of Idiopathic HypersomniaListen to Episode 4: Burden of Idiopathic Hypersomnia

In this episode of Clinical Lab Chat, Chris Wolski, CLP's director of Business Intelligence, David West, CEO of Proscia, and Lou Welebob, vice president and general manager of pathology at Agilent, take a deep dive into the big challenges facing clinical labs today, including workforce shortages, scaling lab operations, and reimbursement, along with some of their solutions, including increased automation, agnostic platforms, and more coherent reimbursement coordination with regulatory agencies.

People with idiopathic hypersomnia face a significant disease burden. Idiopathic hypersomnia is associated with challenges that impact daily living activities, such as limitations at school, work, interpersonal relationships, and social activities. Various impairments include  Impacts on attention and cognition, which can be characterized as “brain fog” The burden of memory problems and a feeling of the mind going blank or making a mistake in a habitual activity Public health and safety are also impacted, as more severe causes of sleepiness can be cause for accidents. Management strategies may not address the underlying sleep dysfunction associated, resulting in suboptimal symptom management. Patient survey and registry data suggest patients continue to experience symptoms of idiopathic hypersomnia and residual disease burden. This episode is produced by Sleep Review and is episode 4 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and SleepCountsHCP.com for more information. In episode 4, listen as Sleep Review's Sree Roy and pulmonologist-sleep specialist Richard K. Bogan, MD, discuss:  What are some limits that people with idiopathic hypersomnia can experience in their daily living activities? How do people with idiopathic hypersomnia commonly describe "brain fog," and what are some of the real-life consequences it? How does prolonged sleep inertia place a burden on the people with idiopathic hypersomnia who experience this symptom? What do you see as the burden of idiopathic hypersomnia on public health and safety? Beyond medications, how is idiopathic hypersomnia typically managed to control for symptoms as much as possible? How do you determine when therapy for idiopathic hypersomnia has been optimized, and what symptoms may remain at this point?

In the latest episode of Clinical Lab Chat, CLP's director of business intelligence, Chris Wolski, has a wide-ranging discussion with Jeff Andrews, MD, FRCSC, vice president of Medical Affairs for BD, about BD's recent STI health survey and what the findings mean for women's health and their access to care. They also discuss the poor state of medical health education in the U.S., solutions that can help healthcare providers more efficiently test women for sexually transmitted infections, and how laboratorians can help improve testing rates.

This episode also provides valuable advice for sleep techs dealing with patients wanting to use mouth tape during in-lab sleep studies. DeNike underlines the importance of ensuring patients have a healthy nasal passageway and clarifies the role of mouth tape as a supportive accessory, not a standalone treatment. This episode is sure to provide you with a deeper understanding of mouth taping during sleep, armed with expert advice and valuable insights, whether you're a sleep professional or someone simply interested in optimizing your sleep health. In this episode, we answer the questions: What exactly is mouth taping during sleep? How has the practice of mouth taping during sleep evolved in popularity over the years? Is there any evidence that mouth taping is useful for healthy sleepers, that is, people without any sleep disorders? Is there any evidence that mouth taping is useful for people with any sleep disorders, perhaps as an add-on to a device such as an oral appliance for sleep apnea? What dangers are associated with mouth taping during sleep? What is your advice to sleep techs for how to handle the situation of an in-lab sleep study patient who wants to use mouth taping during an in-lab sleep study? What is your evidence to sleep medicine professionals if their patients confide in them that they using mouth tape, either with or without their prescribed device, to treat a sleep disorder?

The differential diagnosis of idiopathic hypersomnia is challenging for several reasons. Its hallmark symptom, excessive daytime sleepiness, is a common symptom of many disorders, and ts ancillary symptoms also overlap with other disorders. A lack of validated biomarkers adds to the challenge. Assessing for key symptoms and medical history is a first step to help identify patients presenting with excessive daytime sleepiness who may have idiopathic hypersomnia. From there, there are several symptoms that can differentiate the diagnosis of idiopathic hypersomnia from other disorders such as sleep apnea or narcolepsy. These include:Sleep inertia: sleep inertia is common in patients with idiopathic hypersomnia but can also be reported by individuals with mood disordersPatients with idiopathic hypersomnia often find naps to be long and unrefreshing, while patients with narcolepsy generally find short naps to be restorativeIf a patient has prolonged nighttime sleep, long sleeper syndrome should be considered; in contrast to patients with idiopathic hypersomnia, long sleepers feel refreshed and do not have daytime sleepiness and difficulty awakening if they are allowed to sleep as long as they needCognitive complaints, often described as "brain fog" are common symptoms of idiopathic hypersomnia but also can occur in patients with various sleep-wake disorders (including narcolepsy type 1 and insufficient sleep syndrome)This episode is produced by Sleep Review and is episode 3 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and SleepCountsHCP.com for more information. In episode 3, listen as Sleep Review's Sree Roy and neurologist-sleep specialist Yves Dauvilliers, MD, PhD, discuss:Idiopathic hypersomnia can be particularly challenging to diagnose because of its lack of specific biomarkers, as well as its symptoms resembling those of other disorders. How do you differentiate idiopathic hypersomnia from hypersomnias of a specific cause, such as narcolepsy type 1 and type 2, insufficient sleep syndrome, or hypersomnia due to a neurodegenerative disease?A minority of people simply need to sleep longer than most, even 10 hours or more, to feel refreshed. How do you determine if that applies to a given person, who may not have a sleep disorder at all?How do you differentiate idiopathic hypersomnia from hypersomnia comorbid to psychiatric disorders, such as prolonged sleep time tied to depression?At what point in ruling out other disorders should objective sleep testing, such as polysomnography and multiple sleep latency testing, be done?Why is idiopathic hypersomnia sometimes confused with sleep-breathing disorders? When would you recommend a CPAP trial to address possible apneas, hypopneas, or respiratory-event related arousals?How do you distinguish chronic fatigue syndrome from idiopathic hypersomnia?Listen to Episode 1: Symptoms of Idiopathic Hypersomnia Listen to Episode 2: Diagnosis of Idiopathic Hypersomnia

Sleep specialist Indira Gurubhagavatula, MD, MPH, is our guest and chair of the Count on Sleep Tool Development and Surveillance Workgroup for The Obstructive Sleep Apnea: Indicator Report, which provides an in-depth analysis of the symptoms, risk factors, prevalence, and burden of obstructive sleep apnea and serves as a resource for both the public and the health care communities on the importance of diagnosis and long-term treatment. Gurubhagavatula and Sleep Review editor Sree Roy discuss the hidden risks of obstructive sleep apnea—the mortality and morbidity that makes obstructive sleep apnea (OSA, for short) particularly insidious. We discuss obstructive sleep apnea's links to vehicle crashes, treatment-resistant hypertension, impaired brain function, erectile dysfunction and female sexual dysfunction, type 2 diabetes, and early death. We also discuss treatments for obstructive sleep apnea and how healthcare providers can screen patients to intervene early for patients at risk of obstructive sleep apnea. Specifically, this episode about the hidden risks of obstructive sleep apnea provides answers to: What is obstructive sleep apnea, also known as OSA for short? What do you think is the most troubling risk of not treating obstructive sleep apnea? How has treatment-resistant hypertension been linked to OSA? How can the impaired brain function linked to OSA manifest in patients? What evidence is out there that erectile dysfunction and female sexual dysfunction can be tied to OSA? How has obstructive sleep apnea been linked to diabetes? The worst link in my view is that obstructive sleep apnea has been linked to an earlier death. Why is that? Treatment of sleep apnea typically involves a device, such as a CPAP machine or an oral appliance, though surgery can be an option for some patients. Is there any evidence that treating OSA can alleviate some of sleep apnea morbidities or mortality? With all of this evidence in mind, what should healthcare providers do to help identify patients who are likely to have obstructive sleep apnea? What should any patients listening to this podcast do if they think they have symptoms of obstructive sleep apnea?

The International Classification of Sleep Disorders, 3rd ed, lists the criteria needed for a diagnosis idiopathic hypersomnia.For a diagnosis of idiopathic hypersomnia, the following must be met:o excessive daytime sleepiness daily for at least 3 monthso cataplexy is not presento multiple sleep latency test (MSLT) shows 90%)o Long, unrefreshing naps (>1 hour)This episode is produced by Sleep Review. It is episode 2 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and SleepCountsHCP.com for more information.In episode 2, listen as Sleep Review's Sree Roy and neurologist-sleep specialist Margaret S. Blattner, MD, PhD discuss:o What are some barriers to diagnosing idiopathic hypersomnia?o Objective sleep testing is needed to diagnosis idiopathic hypersomnia. What polysomnography and multiple sleep latency test findings support a diagnosis of idiopathic hypersomnia?o What are some best practices for conducting a PSG and MSLT for a patient with suspected idiopathic hypersomnia?o What are some of the additional commonly seen supportive features of idiopathic hypersomnia?

Join 24x7 chief editor Keri Forsythe-Stephens as she sits down with cybersecurity expert Scott Trevino to delve into the pressing issue of medical device cybersecurity. As senior vice president for cybersecurity at comprehensive clinical asset management service provider TRIMEDX, Trevino shares how he stays at the forefront of cybersecurity trends, with a keen focus on medical devices. Moreover, he reveals his pivotal role in developing cutting-edge cybersecurity solutions for TRIMEDX's clients, aiming to fortify their defense against evolving cyber threats. The podcast provides a comprehensive analysis of the current state of healthcare cybersecurity. Trevino points out that the healthcare industry, particularly medical devices, has lagged significantly behind other critical infrastructure sectors in terms of cybersecurity maturity. He cites alarming statistics, showcasing a staggering 200% increase in ransomware attacks in the past five years. He also highlights the severe impact of cyberattacks on patient care, clinicians, and HTM professionals. Trevino emphasizes that delays in treatment due to cyber incidents result in a 30%-plus increase in direct patient harm or complications, profoundly affecting patient outcomes. The conversation turns to the legislation and regulations surrounding medical device cybersecurity. And Trevino discusses the recent legislative actions empowering the U.S. FDA to enforce cybersecurity requirements on medical device manufacturers. However, he warns against relying solely on legislation and encourages healthcare providers to proactively assess and improve their cybersecurity practices. Finally, Trevino shares how TRIMEDX has launched a revolutionary cybersecurity solution called Vigilor. This product provides comprehensive cybersecurity services to hospitals, even those without TRIMEDX's clinical engineering program. Scott discusses how Vigilor works collaboratively with existing biomed teams and IT departments to assess risks and drive improvement. To learn more about Vigilor from TRIMEDX or to request a Cyber Current State Assessment, visit trimedx.com/cybersecurity.

Excessive daytime sleepiness is an essential feature of idiopathic hypersomnia, but other key symptoms and aspects of the medical history are crucial when evaluating patients who present with excessive daytime sleepiness. Patients with idiopathic hypersomnia commonly report the following symptoms in addition to excessive daytime sleepiness: severe and prolonged sleep inertia, long and unrefreshing naps, prolonged sleep time, and cognitive dysfunction.Knowing the key symptoms and utilizing sleep testing can increase a healthcare professional's confidence in his/her diagnosis of idiopathic hypersomnia.The Idiopathic Hypersomnia Severity Scale is a 14-item questionnaire that is a clinical tool designed specifically to measure patients' idiopathic hypersomnia symptoms and provide a touchpoint that might be useful for patient identification, follow-up visits, and idiopathic hypersomnia management.This episode is produced by Sleep Review. It is episode 1 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and SleepCountsHCP.com for more information.In episode 1, listen as Sleep Review's Sree Roy and sleep specialist Logan Schneider, MD, discuss:The symptom of idiopathic hypersomnia that people are most familiar with is excessive daytime sleepiness. Will you define and briefly explain this core symptom?But excessive daytime sleepiness is not the only symptom typically reported by people with idiopathic hypersomnia. Prolonged sleep time is another common symptom. What can this mean over the course of a 24-hour day?Sleep inertia, that feeling of difficulty waking up, can happen to all of us. How can sleep inertia differ in people with idiopathic hypersomnia versus in those without it?Are naps generally restorative for people with idiopathic hypersomnia? Does length matter?What ancillary cognitive symptoms are commonly reported with idiopathic hypersomnia?In 2019, the Idiopathic Hypersomnia Severity Scale was developed to measure the severity, frequency, and functional impact of the key symptoms of excessive daytime sleepiness, prolonged nighttime sleep, and sleep inertia. What do you think is the clinical utility of this questionnaire?To dive even deeper:https://sleepreviewmag.com/sleep-disorders/hypersomnias/idiopathic-hypersomniaTrotti LM. Idiopathic hypersomnia. Sleep Med Clin. 2017;12(3):331-44.Dauvilliers Y. Idiopathic hypersomnia severity scale. 2018.Arnulf I, Leu-Semenescu S, Dodet P. Precision medicine for idiopathic hypersomnia. Sleep Med Clin. 2019;14(3):333-50.Vernet C, Leu-Semenescu S, Buzare MA, Arnulf I. Subjective symptoms in idiopathic hypersomnia: beyond excessive sleepiness. J Sleep Res. 2010;19(4):525-34.Dauvilliers Y, Evangelista E, Barateau L, et al. Measurement of symptoms in idiopathic hypersomnia: The Idiopathic Hypersomnia Severity Scale. Neurology. 2019;92(15):e1754-62.Rassu AL, Evangelista E, Barateau L, et al. Idiopathic Hypersomnia Severity Scale to better quantify symptoms severity and their consequences in idiopathic hypersomnia. J Clin Sleep Med. 2022;18(2):617-29.

Infection prevention expert Jackie Dorst, RDH, BS, is back on the Orthodontic Products podcast to talk to host Alison Werner about the end of the COVID-19 public health emergency and what is means for the orthodontic practice.The COVID-19 public health emergency, issued on January 31, 2020, by the U.S. government put in place temporary measures to increase the federal government's ability to detect and contain the virus. On May 11, 2023, the U.S. Department of Health and Human Services allowed the public health emergency to expire. This will bring an end to a number of programs, including those that gave access to free vaccines and treatment for COVID infections. But, as Dorst explains in this episode, the sunsetting of the CDC's COVID data tracking efforts will have the most impact on the healthcare sector. As Dorst explains, that data provided information on community infectivity which could be used to guide the sector's infection control protocols. In this episode, Dorst breaks down what the end of the public health emergency means for orthodontic practices and her recommendations going forward. She points to the end of staff and patient health screenings for COVID, but reminds practices that basic health screening is still important to protect staff and other patients from other infections. Dorst also talks about the importance of having a return to work policy for staff members who are ill, whether it's COVID or not and the role masking can still play in the practice beyond those procedures that result in splatters and splashes. And from there, Dorst reminds listeners that OSHA's respiratory protection standard, which predates the COVID-19 pandemic, and vaccine guidelines are unaffected by the end of the public health emergency. She talks about best practices and shares resources for practices.To close out the episode on the public health emergency, Dorst addresses the CDC's recent announcement regarding ventilation in buildings and public spaces. And while it doesn't pertain to healthcare spaces, she reminds listeners of the CDC guidance for healthcare spaces, including orthodontic offices. OPResources mentioned in this episode: Immunize.org—Healthcare Personnel Vaccination Recommendations

In this podcast, American Association of Orthodontists (AAO) President Myron Guymon, DDS, MS, joins host Alison Werner for the Orthodontic Products podcast on the Medqor Podcast Network. Guymon, who just started his 1-year term as AAO president, shares his priorities for his term and talks about the ongoing work of the AAO.Guymon, who is a graduate of Baylor Dental College (now known as Texas A&M School of Dentistry) and went on to open his practice in northern Utah, started in leadership at the component level with the Utah Association of Orthodontists before moving on to leadership roles within the Rocky Mountain Society of Orthodontists. As he was closing out his presidency of the Utah state association, he had his first opportunity to become involved with the AAO with its Council on Communications.In this episode, Guymon talks about the benefits of being involved in state, regional, and national orthodontic associations. As Guymon says, “We are so much better together as a group.” At the same time, he acknowledges that not every orthodontist wants to get involved in leadership; but there are still a myriad of opportunities to still get involved and make a difference—whether it's serving on a committee or task force, or simply sending a text to a legislator.Guymon, who stepped into his term as AAO president for 2023-2024 at the close of the recent AAO Annual Session in Chicago, shares that his number one priority for his term is to be help shepherd the many initiatives that have been launched in recent years—such as TechSelect and the New Product Showcase. As Guymon puts it, the AAO seeks to support and encourage innovation in the profession.From there, Guymon talks about the latest campaign from the AAO Consumer Awareness Program—or CAP—and the association's advocacy work. At the federal level, the AAO remains focused on such issues as student load relief and the RAISE Act. But it's at the state and regulatory level, that Guymon says the AAO has been able to have a more immediate impact. He talks about the AAO's approach and how its team has been able to monitor and react quickly to ensure the health and safety of the profession and patients.In this interview, Guymon also shares his thoughts on how the profession has evolved, the AAO's diversity and inclusion work and upcoming Winter Conference in San Antonio and next Annual Session in New Orleans, and how the AAO can work with DSOs/OSOs. OP

In this podcast, Plastic Surgery Practice Co-Chief Editors Alison Werner and Keri Stephens interview James Beckman, MD, founder and CEO of Therapon Skin Health. They talk about the company's Theraderm Clinical Skin Care line, its proprietary peptides, and how Theraderm grew out of Beckman's works to develop a product to improve the skin of burn victims with skin-grafted hands. They also talk to him about where skin care is headed.Beckman, who spent 20 years in private practice as a plastic and reconstructive surgeon and has a degree in biochemistry, shares his journey to creating a commercial product with active peptides for skin showing the signs of aging. The product grew out of his work with patients who had suffered burns or lost skin that resulted in skin grafts to close the wound and with patients who were just experiencing extremely dry skin as a result of their working conditions.Working with a local pharmacist, he created his first product: Beckman's Dry Skin Therapy. The product caught on with fellow plastic surgeons and he soon had his first company. From there, he sought to develop a product that restored elasticity and collagen of aging skin.Today, the Theraderm Clinical Skin Care line has three product systems—an anti-aging, a skin renewal, and a revision clear skin system. As Beckman puts it, “Those three systems developed out of one system, and that one system developed out of one product that restored the oil depletion in dry hands.”When looking to the future for the skin care company and its products lines, Beckman shares his philosophy on product development overall—and it centers on helping the consumer actually solve a problem. “I think the key for skin care product manufacturers is to—with any product—go out and see what the consumers are suffering with and try to find an answer that solves that problem rather than an advertising campaign that sells more of your product.”In this interview, Beckman takes the listener through his career journey as a plastic surgeon in rural Arkansas and shares how word-of-mouth marketing is so much more valuable than having a huge advertising budget. After all, that's how he found success with Beckman's Dry Skin Therapy, and that pattern continues today with Theraderm's skin care product lines. PSP

In this podcast, sponsored by DentalMonitoring, Orthodontic Products Chief Editor Alison Werner is joined by Blake Davis, DDS, an orthodontist in private practice at Kirkland Redmond Orthodontics in Washington to talk about remote monitoring, the role it plays in practice growth, and how it fits into the digital workflow of today's orthodontic practice.When Davis started his private practice 6 years ago, he was limited on space; the only spaces available were under 1,200 feet. But within this space, Davis built out four chairs and relied on technology and a digital workflow to make that small space as useful and productive as possible. Three year's later, Davis' practice went a step further and went fully digital—adopting customized treatment for both aligners and brackets, and with that remote monitoring—all in an effort to grow the practice.As Davis describes it, the decision to go fully digital was a big one, but it was also purposeful and intentional. And a key component of that was choosing the right technologies. On the bracket front, that was LightForce's custom 3D-printed bracket system. And for remote monitoring, it was DentalMonitoring. That platform, he says, allowed him to “exponentially grow and change” his practice's capacity. In the 2+ years since implementing DentalMonitoring, Davis says his practice has seen increased production, starts, and volume, all while not growing the team—and having more time to spend with family. Davis, who didn't implement DentalMonitoring until the latter half of 2020, talks about he relied on a self-created app in the early days of the pandemic to monitor patients virtually. But he and his staff could only manage 50 to 60 patients at a time. Knowing he needed a more robust system to expand, he turned to DentalMonitoring and with its AI tools now monitors close to 1,000 patients in his practice. DentalMonitoring, he says, has allowed him to increase his practice's capacity without adding additional salaries or infrastructure costs. In this episode, Davis not only shares the advice he was given when implementing DentalMonitoring—to go all in and use it with both his bracket and aligner patients—but also how DentalMonitoring has been key to growing his practice while keeping his fixed costs in check. He also talks about the data he looks at to know that this platform is helping him grow and giving him the ROI he needs to know this is a worthwhile investment. What's more, he talks about how his practice manages patients using DentalMonitoring, including the staffing and scheduling considerations. OP

In this episode of Clinical Lab Chat, Chris Wolski and his guest, medical lead at Hurdle, Alex Owens, MD, MPH, discuss the reasons for the rise of at-home testing during COVID, how at-home test improves healthcare access, and the win-win-win it brings to clinical laboratories.

Join PSP co-chief editor Keri Stephens as she sits down with Alexander Zuriarrain, MD, FACS, a board-certified plastic surgeon and owner of Miami-based Zuri Plastic Surgery, to delve into all things rhinoplasty.The conversation kicks off with the impact of the so-called “Zoom Boom” on the popularity of rhinoplasty. As people spend more time on video calls, they find themselves scrutinizing their own appearances, leading to a surge in interest for nasal corrections. Zuriarrain explains how the advent of remote work has contributed to this phenomenon, with individuals seeking rhinoplasty to address nasal deformities and enhance their facial features.Zuriarrain then discusses the evolution of rhinoplasty techniques and outcomes over the past few decades. From traditional methods involving chisels and hammers to modern innovations like ultrasonic rhinoplasty, the field has seen remarkable advancements, Zuriarrain explains. The use of sophisticated technologies, such as 3D imaging and computer-assisted surgery, has also made a significant impact. However, Zuriarrain cautions against relying solely on 3D imaging due to potential discrepancies between the generated images and the actual surgical results.The podcast moves on to discuss patient selection, emphasizing the importance of identifying individuals who are genuinely good candidates for rhinoplasty. Zuriarrain shares his selective approach, highlighting specific patient populations, such as those exhibiting body dysmorphia or unrealistic expectations, who may not be suitable candidates. He further emphasizes the importance of ethnic considerations, as different geographic backgrounds have unique nasal anatomies that require specialized approaches.Complications associated with rhinoplasty are also addressed in the podcast. Zuriarrain explains that swelling is a common concern, with patients often underestimating the recovery time needed for optimal results. He discusses potential complications, including “whistleblower” deformities, collapse of the tip, and issues with the nostril base, highlighting the need for skilled surgical techniques and patient education to minimize risks.The episode concludes with a discussion on how surgeons balance patient desires for specific nose shapes with overall facial features and aesthetic goals.

In this episode of the 24x7 podcast on the MEDQOR Podcast Network, 24x7 chief editor Keri Forsythe-Stephens welcomes good friend of the podcast Chace Torres (aka: “The Bearded Biomed”) to discuss the launch of his new book, “Ollie the Biomed.” Torres shares that the book was inspired by the impending arrival of his firstborn son and his desire to create awareness and interest in the biomed field at an early age. He believes that building awareness among children is crucial and compares it to how kids learn about other professions through cartoons and books.Torres describes the process of writing and publishing the book, starting with multiple drafts and revisions of the script. He reveals how he collaborated with an artist via an online app to create the illustrations, ensuring they reflected his vision. The industry's response to the book has been overwhelmingly positive, with biomeds and their children enjoying the story and illustrations. Torres' goal is to extend the book's reach beyond biomeds and into schools and libraries, and he has already donated copies to Children's Health Hospital. He plans to explore various avenues, including school programs and awards, to further promote the book's outreach.Overall, the podcast highlights Torres' journey in writing and publishing “Ollie the Biomed” and emphasizes the importance of introducing children to the biomed field at an early age. Interested parties can buy the book here.

In this podcast episode, host Alison Werner is joined by Deborah Solomon, DDS, an orthodontist in private practice in Beverly Hills and Los Angeles to talk about her boutique practice, which includes an at-home concierge service, and why she recently implemented a Retainers for Life program into her practice.To get started, Solomon talks about how she spent the first part of her career as an active-duty general dentist with the U.S. Air Force and then worked for a corporate practice after finishing her orthodontics residency. It wasn't until the pandemic hit, when she had time on her hands, that she decided it was time to start her own practice from scratch. Solomon shares how two local dentists—one a general dentist, the other a pediatric dentist—helped her start her boutique practice, offering her space within their practices. The two doctors seeing her work were soon referring their patients to her.The pandemic was also the reason Solomon built out an at-home concierge service. The city of Beverly Hills had stricter rules than the city of Los Angeles around orthodontists seeing patients in-person in those early days. To keep seeing patients in her boutique practice, Solomon took advantage of the fact that she had an iTero Flex intraoral scanner from Align Technology and a portable dental unit and hit the road. In this episode, she shares what the set up looks like for her and her assistant; why this is a great way to connect with the rest of the patient's family, and how this service can be a great way to connect with and serve immunocompromised patients and those with anxiety.From there, Solomon talks about how she recently implemented a Retainers for Life program into her boutique practice. Solomon's goal is to make the program affordable for her patients and to make it something they sign up for when they sign up for orthodontic treatment. She breaks down her fees and how her treatment coordinator includes it as part of the initial consultation. As Solomon puts it, “No patient starts treatment without understanding that you need to do retainers after.”Finally, Solomon talks about the orthodontic technologies and products that have her attention—from uLab Systems and Brava by Brius to 3D printing; and how she has carved out a niche for herself in the very saturated Los Angeles orthodontic market with a boutique practice that stands out with its unique at-home concierge and retainers for life offerings. OP

Join Sleep Review's Sree Roy in conversation with sleep expert Russell P. Rosenberg, PhD, and primary care physician Paul Doghramji, MD, FAAFP about managing insomnia in primary care. They share insights from an expert consensus group and answer the questions:What are the challenges that prevent insomnia from being diagnosed in the primary care setting?Can you provide practical advice on how to fit in insomnia screening and diagnosis into primary care settings?In what circumstances should primary care physicians refer patients to sleep specialists?What are best practices for CBT-I in primary care settings?Why is trazodone so frequently prescribed and is it a good choice for insomnia patients?What is novel about dual orexin receptor antagonists? For more information on insomnia in primary care, visit:A 2023 Update on Managing Insomnia in Primary Care: Insights From an Expert Consensus Grouphttps://sleepreviewmag.com/insomnia/https://www.thensf.org/do-i-have-insomnia/

In this episode, sponsored by ClearCorrect, Orthodontic Products Chief Editor Alison Werner talks to Mark Lowe, DDS, an orthodontist in private practice in Fresno, Calif. A frequent lecturer on aligner therapy, he joins the podcast to talk about aligner treatment, why he's opted to use ClearCorrect aligners in his practice, and the features the brand brings to the table.In practice since 1991, Lowe is an early adopter of clear aligners, and has watched the treatment modality evolve over the last 25 years. Digital technology has been a key driver of the evolution in aligner treatment, he says, even more so in the last 5 years. But it's not just intraoral scanning, treatment planning, remote monitoring, and AI technology that have moved the treatment modality forward; the thermal plastics have increased the range and predictability of movement. As Lowe puts it, there has been “tremendous change” in the last 5 years. Lowe has been a ClearCorrect user for much of his career. He shares how he initially came to the brand with the intention of treating mild malocclusions with aligners, but after using it for some time, he saw how the ClearCorrect aligners could be effective with moderate and then more complex malocclusions. What's more, he talks about patient response to the aligners. At times, Lowe has used other aligner brands in his practice—and has even used multiple aligner brands with the same patient, which allowed him to receive some unique patient feedback. One point they made, they preferred ClearCorrect's high trimline over the scalloped trimline found on other brands. That increased comfort translates into better retention and more predictable movement, according to Lowe. As Lowe talks about the more predictable movement that comes with better retention, he makes the point that more predictable movement allows him to avoid using a lot of attachments. Lowe believes much of aligner therapy today is over engineered, with an over reliance on attachments. From a clinical standpoint, for him, ClearCorrect's high trimline allows him to treat the way he wants to treat. In this episode, Lowe also talks about ClearPilot 6.0, ClearCorrect's latest treatment planning platform and its global footprint. ClearCorrect accepts scans from multiple intraoral scanners when planning aligner treatment. In addition, the company has the ClearCorrect Clinic app which the team can use to communicate with and educate patients. He also shares how he appreciates his relationship to ClearCorrect and the fact that they listen to experienced clinicians as they seek to improve the product. As he says, “They understand that the orthodontist is truly their customer.”Lowe also shares his experience growing his solo orthodontic practice and working with a pediatric dentistry group practice. He talks about the benefits and challenges of each, balancing his clinical and business owner roles, and the dynamics of the two practices. In addition, he talks about how he has embraced remote monitoring to make treating patients who are on the go easier and more efficient. OP

In this episode, sponsored by Ormco, Orthodontic Products Chief Editor Alison Werner takes a deep dive into the company's Damon Ultima System, with Michael Bicknell, DDS, MS, an orthodontist in private practice in Illinois. Bicknell, who was part of the team of clinicians who validated the system before its roll out in 2021, has since transitioned his practice into a full-Ultima practice, giving him a keen understanding of the bracket system's mechanics and how it can impact treatment. As a frequent lecturer, Bicknell talks about the evolution of brackets and how the biggest challenge has always been an issue of geometry. With the Damon Ultima System, Bicknell sees a pre-manufactured bracket that is able to apply forces in three dimensions that are predictable and exact, addressing that issue of geometry. Bicknell is quick to point out that Ultima isn't an upgrade of a previous version of Damon passive self-ligating brackets. As he says, “What Ormco did is they went back to the drawing board, and they tried to get their engineers and people in the same room to develop a system of brackets and wires that are engineered to work together from the ground up to deliver a certain expectation.” And that expectation was to create a “pure system that would put the teeth where they want to go in about a year, but also have a passive system.” Damon Ultima was designed so that the brackets and wires talk to each other and express exactly what the orthodontist wants, says Bicknell. He further explains that this system eliminates the times that you, as the orthodontist, aren't moving teeth. That translates into fewer visits and shorter treatment time.In this episode, Bicknell shares how the Ultima system has impacted his cases and finishes, practice productivity, and how it allows his team to feel like experts. What's more, he talks about how this has translated into improved job satisfaction for his staff at a time with many practices are facing staffing shortages. Bicknell, who has been practicing for 20 years, talks about how he is so much more excited about orthodontics now than he has ever been. For him, the juxtaposition of enhanced technology and manufacturing capabilities are allowing more exciting products to come to market. As he says, “If we can invent something, but we can't make it, what's the point?” What's more, he points out that products and technology have evolved so that the treatment pathway is not only a straighter line, but a shorter one as well. In addition to sharing his experience with Damon Ultima System, Bicknell shares his experience building his two-office practice west of Chicago. He talks about the differences between building a practice from the ground up and acquiring an established practice. And finally, he shares what excites him about the future of orthodontics. OP

In this podcast, Melanie Hamilton-Basich, chief editor of Rehab Management and Physical Therapy Products, talks with Karen Danchalski, PT, DPT, who has been practicing physical therapy for 25 years and has a special interest in mindful movement. They discuss how incorporating qigong and other types of mindful movement practice into physical therapy can benefit both patients and therapists. For more information about mindful movement and physical therapy, read Karen Danchalski's series of articles on the subject:The Case for Mindful Movement in PTThe Benefits of Mindful Movement in Physical TherapyQigong for the Physical TherapistHow to Start a Mindful Movement Practice Karen Danchalski, PT, DPT, has been practicing physical therapy for 25 years. She currently practices in an outpatient orthopedic clinic and delivers outpatient level of care in the home setting. Karen is the education coordinator at Rehab at Home at Northwell Health where she organizes lectures for homecare therapists. She has a special interest in mindful movement and uses the practices of qigong and Pilates with her therapy clients. Karen has been a certified Stott Pilates instructor since 2013 and is a member of the National Qigong Association. She is the author of several articles written for therapists on the topics of mindful movement, pain, and personalized healthcare. She is pursuing a science writing certificate from University of California San Diego and is a member of the American Medical Writers Association.

Orthodontic Products and Levin Group teamed up again for the 2nd Annual Orthodontic Practice Performance Survey to find out how practices faired in 2022. In this podcast, Orthodontic Products Chief Editor Alison Werner is joined by Roger P. Levin, DDS, founder and CEO of the practice management consulting firm, Levin Group, to take a deep dive into the results. Levin shares strategies to help listeners navigate the impact of increased overhead costs and economic uncertainty in the year ahead.

In this episode of Clinical Lab Chat, Chris Wolski meets the Texas A&M team behind what could be an effective, highly sensitive test for Lyme disease. Artem Rogovskky, PhD, ACVM, and Dmitry Kurouski, PhD, outline why Lyme disease is a diagnostic challenge and their work on developing a Lyme disease test using Raman spectroscopy.

Medical tourism has been on the rise in recent years as people seek cheaper cosmetic surgery options in foreign countries. However, this trend has been associated with a range of risks and complications, as discussed by Alexander Zuriarrain, MD, FACS, a board-certified plastic surgeon and owner of Miami-based Zuri Plastic Surgery, in this podcast with PSP co-chief editor Keri Stephens. According to Zuriarrain, patients seeking affordable cosmetic surgeries often consider traveling to the Dominican Republic, Venezuela, Colombia, or Mexico, where the costs are significantly lower than in the United States. However, there are a number of concerns associated with medical tourism, including the potential for patient exploitation, the risk of complications arising from long flights, and the difficulty of diagnosing and treating complications without in-person consultations. One of the major worries associated with medical tourism is the potential for patient exploitation. Patients who seek cosmetic surgery in foreign countries may be unaware of the quality of care they will receive or may not have access to adequate post-operative care. This can lead to a range of complications, including infections, necrosis, and blood clots, which can be difficult to diagnose and treat remotely. Another risk of medical tourism is the financial cost associated with undergoing cosmetic surgery abroad. Patients may believe that they are getting a better deal by traveling to a foreign country for surgery, but they may not consider the additional costs associated with follow-up care and complications. These costs can quickly add up, making the overall cost of surgery much higher than expected. Overall, Zuriarrain advises patients to mull the risks and benefits of medical tourism before deciding to undergo cosmetic surgery abroad. Patients should be aware of the potential for patient exploitation, the risks associated with long flights, and the difficulty of diagnosing and treating complications remotely. Instead, patients should consider seeking surgery from U.S.-based board-certified plastic surgeons, who can provide them with high-quality care and adequate follow-up care at a reasonable cost.

A large proportion of mental health professionals misunderstand the nature of sleep problems in mental health patients, according to sleep specialist Barry Krakow, MD, who has worked in the field of sleep research and clinical sleep medicine for more than 30 years. Such professionals view sleep issues as a symptom of mental health disorders, rather than as a distinct disorder that needs to be addressed. Healthcare professionals fail to understand that treating sleep problems can help to alleviate mental health issues. The sleep medicine community itself also struggles with how to serve the mental health community. Many sleep centers are still discounting or ignoring the significance of upper airway resistance syndrome (UARS). According to Krakow, many sleep doctors are uncomfortable treating patients with mental health conditions, such as PTSD, depression, or anxiety, and will refer them to therapists or psychiatrists rather than addressing their sleep problems. This lack of understanding and training in the connection between sleep disorders and mental health leads to patients not receiving proper treatment and being left with the impression that sleep medicine cannot help them. Sleep medicine needs to recognize that insomnia and sleep-disordered breathing are prevalent in this population and that effective treatments, such as advanced PAP machines, are available. With regard to bureaucracy surrounding treating mental health patients, Krakow advises that sleep centers can implement efficiencies using modern technology, and offer reimbursable services, such as PAP Naps, to assist with the business aspects. Krakow's new book Life Saving Sleep: New Horizons in Mental Health Treatment explores the link between sleep and mental health, and how the quality of sleep is often overlooked in mental health treatment. Mental health patients with sleep complaints are typically prescribed medication to help them sleep, without addressing the quality of their sleep. Many patients are unable to describe the quality of their sleep beyond the number of hours they sleep each night. For further information: https://barrykrakowmd.com/ https://www.lifesavingsleep.com/ https://fastasleep.substack.com/ Follow Sleep Review on LinkedIn, Facebook, Twitter, & YouTube.

Join Orthodontic Products' Chief Editor Alison Werner as she talks with Alyssa Emory-Carter, DDS, MS. In this podcast episode, sponsored by Ormco, Emory-Carter, who is in private practice in Texas, shares her experience as a solo practitioner, building a three-office practice, and how she is using Ormco's Spark Clear Aligners in her practice and the benefits she has found, from achieving better outcomes and to more efficient systems. Only 6 years out of her residency, Emory-Carter is early in her career. But in that short time, she has taken ownership of three orthodontic offices, starting with the one owned by the orthodontist who treated her as a child. Each office has one thing in common—it serves the community she grew up in. In this episode, Emory-Carter shares how she knew the time was right to jump on these opportunities and why the decision is about more than potential extra income. From there, Emory-Carter talks about building out these offices to run at full capacity, and how staffing, systems, and technology have been key. Included in that is Ormco's Spark Clear Aligners. Emory-Carter talks about how each of the offices she bought didn't previously offer aligners and shares how she integrated them and got staff to see the benefits to the system. Emory-Carter talks about the benefits of Spark Clear Aligners, from the integrated hooks and CBCT integration in the software platform to the proprietary TruGEN materials used to manufacture the aligners. What's more, Emory-Carter talks about the results of her own in-office analysis comparing Spark to other clear aligner brands. A key finding was how many fewer refinements she was doing with Spark Clear Aligners. This translates into less patient burnout, better compliance, and shorter treatment times. In this episode, Emory-Carter also talks about both her patients' and her staff's experience with Spark. She shares how the former find the aligners comfortable and less likely to stain, while the latter appreciates the attachment template and the Spark dashboard. To round out the episode, Emory-Carter talks about the role remote monitoring plays in managing her aligner cases and the technology that she has on her radar. OP

In this podcast, 24x7's chief editor Keri Stephens sits down with Chace Torres, aka “The Bearded Biomed,” to discuss the results of 24x7's 2022 compensation and job satisfaction survey. Notably, the survey saw an increase in engagement, with female respondents doubling from the previous year.Stephens and Torres discuss the factors that may have contributed to this increase, including outreach from educational parties and social media engagement from industry professionals. The pair also highlight the value of continuing education, which 35% of survey respondents said they were pursuing, and how it is vital for healthcare technology management professionals to grow in their career field.Another key theme from 24x7's 2022 compensation and job satisfaction survey was the number of respondents who said they would promote the HTM profession to others, with 36% very likely to do so and 29% likely, despite a prevalent theme of feeling overworked. Stephens and Torres also delve into the problem of an aging workforce and the need to replace those retiring from the HTM industry. Overall, the survey results indicate positive trends in the HTM industry, with an increase in engagement, diversity, and education.Finally, Stephens and Torres get into the weeds of the salary survey and discuss some of the most surprising findings from it.

Plastic surgeons today face a unique set of challenges, from changing patient demographics to increased competition in the marketplace. In this podcast episode, Plastic Surgery Practice Editors Keri Stephens and Alison Werner talk to Nicole Chiaramonte, CEO of Advanced MedAesthetic Partners (AMP). Chiaramonte joins them to discuss how AMP can help plastic surgeons overcome these challenges and grow their practices. What's more, she explains why AMP is an alternative to the private equity consolidation model sweeping the industry. AMP works as a management service organization, coming in, as Chiaramonte describes it, as a consulting firm of sorts to take care of the business side of running a medical practices—specifically those aspects doctors often don't want to deal with or don't feel they have the knowledge to handle effectively and efficiently. According to Chiaramonte, AMP takes care of HR, IT, marketing, and overall day-to-day management, including inventory systems and data management for its partner practices. As she explains, AMP allows “physicians to do what they love without the headache of the business side of medicine.” In this episode, Chiaramonte talks about how private equity is changing the playing field, and how she wanted to create a model that protects private plastic surgery practices. As she explains it, Advanced MedAesthetic Partners partner practices retain their public-facing identity. AMP's goal is optimize the business side, investing heavily in marketing and training, while allowing the plastic surgeon to focus in on what he/she knows best: clinical treatment. As Chiaramonte explains it in this podcast, for plastic surgery practices looking to partner with Advanced MedAesthetic Partners, the key characteristics include a commitment to patient satisfaction, a willingness to adapt to changing market conditions, and a desire to grow and scale their business over the long term. She also explains how this model can be just as attractive to mid-career plastic surgeons as those at the beginning and end of their careers. From there, Chiaramonte shares how AMP has helped partner practices scale up their business. That has included adding additional surgeons to fully book out the practice to building out a practice's non-surgical recurring revenue opportunities. Chiaramonte also shares how AMP can help practices struggling with staffing—a problem affecting all of healthcare. To close out the episode, Chiaramonte and PSP's editors talk about trends and how the industry is evolving. And Chiaramonte explains the role she sees Advanced MedAesthetic Partners playing in the future.

Keeping up with the latest advancements in technology is crucial to staying competitive in today's fast-paced healthcare landscape. But did you know that moving to the cloud could be the key to unlocking your full potential?We're excited to share this podcast featuring two experts in radiology technology: Sonia Gupta, MD, Chief Medical Officer, and Eric Lacy, Senior Product Manager, both from Change Healthcare. In this video, you'll discover how cloud computing can help you transform your practice for the better.Our experts will cover:The many benefits of cloud computing for radiology practices, from increased accessibility and collaboration to cost savings and streamlined workflows.The challenges and considerations of moving your practice to the cloud, including data security and compliance with industry regulations.Real-world examples of successful cloud-based radiology practices and how they've revolutionized patient care.You'll gain a fresh perspective on the future of radiology practice and learn how to leverage cloud technology to stay ahead of the curve. You'll come away with practical insights and actionable tips from two industry leaders who are passionate about helping you succeed.Our interview is perfect for radiologists and hospital administrators who want to explore the cutting edge of radiology technology and find new ways to improve patient care.

For #sleepawarenessweek (March 12-18, 2023), Sleep Review is joined by sleep psychologist Jade Wu, PhD, DBSM. She is the author of Hello Sleep: The Science and Art of Overcoming Insomnia Without Medications. She is also a Mattress Firm Sleep Advisor. Sleep Review's Sree Roy and Dr. Wu discuss common #sleep myths including: -What is the most damaging sleep myth you have heard?-What is one sleep myth that you previously believed, but was disproven over your career? -Have you seen other sleep physicians perpetuate certain sleep myths?-Do those who move around in their sleep get worse rest? -Does the brain truly “shut off” when we go to sleep? -Do dreams only occur during REM sleep? -Do scents, such as lavender essential oil in a diffuser, benefit sleep in any way?-Do eye masks and/or earplugs benefit sleep?-Is over-the-counter melatonin a good place to start if you're having sleep problems?Dr. Wu recommends the following resources for further information:American Academy of Sleep Medicine: https://sleepeducation.org/sleep-disorders/obstructive-sleep-apnea/ Society of Behavioral Sleep Medicine:https://sleepeducation.org/sleep-disorders/obstructive-sleep-apnea/ Hypersomnia Foundationhttps://www.hypersomniafoundation.org/ Pediatric Sleep Councilwww.babysleep.com Follow Sleep Review on LinkedIn, Facebook, Twitter, & YouTube.

As an orthodontist, you are always looking for ways to improve your practice and provide the best possible care for your patients—and clear aligners can meet both those needs simultaneously. Join Orthodontic Products Chief Editor Alison Werner as she talks to Daniel Berant, DMD, a dual certified orthodontist and periodontist in private practice in New York City, about the many benefits of clear aligners, how they impact the practice, and why he has chosen ClearCorrect aligners for his patients. First, Berant shares his experience working in a multi-specialty practice, Smile Design Manhattan, founded by Lee Gause, DDS, a cosmetic dentist, and how his own multi-disciplinary approach to care ensures not only a beautiful smile, but also healthy teeth. In addition, Berant talks about how rewarding it can be to work with a team to ensure excellent patient care. From there Berant talks about why he prefers to work with ClearCorrect aligners to treat his cases. One of the key reasons he was drawn to ClearCorrect was its parent company, Straumann Group. As a periodontist, he was familiar with many of their subsidiaries and their product lines. When ClearCorrect came under the Straumann Group umbrella, Berant saw an opportunity for synergies in how he practices. Berant offers his take on patient experience with ClearCorrect aligners. He points to the fact that patients seem happy with the fit. Given that an aligner that isn't fitting properly can quickly lead to poor tracking and patient non-compliance, Berant welcomes the fact that he sees less of this with the ClearCorrect aligners, keeping treatment plans on track and finishes on time. In this podcast, Berant also shares his take on the ClearCorrect treatment planning platform. He shares how he appreciates that ClearCorrect has given the clinician the freedom to place the attachments and cutouts where and how they want them, while also providing responsive customer support. For Berant, digital technology and aligners go hand in hand when it comes to practice growth. He shares how the ability to use the treatment planning software to show potential aligner patients their final smile during a consult eliminates the need to “sell” patients on treatment. And he shares his decision-making process for deciding on an aligner brand for his patients. To close out the episode, Berant puts on his periodontist and orthodontist hats simultaneously and talks about how orthodontics fits into overall oral health. He shares a story about the daughter of one of his patients and how recognizing that her teeth grinding was related to an airway problem helped get her the treatment she needed to find better overall health and improve academically.

Join Plastic Surgery Practice Co-Chief Editors Alison Werner and Keri Stephens as they talk to ELEVAI Labs Founder and CEO Jordan Plews, PhD, to talk about the company's ELEVAI E-series post-procedure aftercare products featuring a proprietary exosome technology. ELEVAI Labs is a biotechnology company developing regenerative skincare applications. The company is focused on physician-dispensed products that can work to support patient skin health following a range of procedures, from microneedling to laser resurfacing. Plews, who has a background in biochemical engineering, shares how his work in stem cell research related to regenerative medicine brought him to aesthetics. He developed a proprietary technology centered around exosomes and the role they play in the cellular repair process of the skin. These exosomes are ultra-small, nanoparticle compartments packed with growth factors known to support skin health. The proprietary ELEVAI Exosomes are the key ingredient in the company's post-treatment aftercare system, the ELEVAI E-series, launched in 2021, which includes ELEVAI empower and ELEVAI infinity. In this episode, Plews not only provides a deep dive into how exosomes in skin care work, but also explains how the ELEVAI E-series products can be used for post-treatment aftercare for procedures including microneedling to laser resurfacing. As he says, these products work well where “you're causing a low level of damage and you want to give the patient something that's going to really supercharge their recovery.” ELEVAI empower is a concentrated serum, designed specifically for single-use in office application post-procedure. ELEVAI enfinity is a daily serum that can then be sent home with the patient to support their skin health post procedure. According to ELEVAI, both products aim to help activate the skin's natural healing process; reduce the appearance of fine lines and wrinkles; improve the appearance of uneven skin tone, skin texture, and laxity; and reduce the appearance of pigmentation and redness. This podcast episode sees Plews talk about the ingredients in these post-procedure aftercare products that work with the ELEVAI Exosome technology, and what both plastics surgeons, their staff, and patients can expect with use. He also explains why these products are only available for sale from authorized providers, for instance, physicians and their trained staff, and why it is important for ELEVAI to work with plastic surgeons and staff like this. PSP

While the US Department of Health and Human Services recommends a sodium intake of less than 2,300 mg/day, about 9 of 10 American adults exceed that limit. Increased sodium intake is believed to have a direct effect on a variety of negative cardiovascular outcomes such as coronary heart disease, left ventricular hypertrophy, and stroke. Recognizing the impact of dietary sodium on diseases like hypertension and CVD, the FDA recently released voluntary guidance for industry on the target mean and upper concentrations for sodium in commercially processed, packaged, and prepared foods. The guidance was intended to provide a measurable voluntary goal to help Americans to reduce their average sodium intake by 12% over the next 2.5 years, and plans for further iterative reductions in the future. In addition to daily dietary (food and drink) sodium, both prescription and over-the-counter medications can contribute to increasing patients' total sodium intake per day. Additionally, other risk factors—such as smoking the absence of physical activity, and poor sleep hygiene—that contribute to developing cardiovascular conditions can be modified by maintaining a healthy and balanced lifestyle. This episode is produced by Sleep Review. It is episode 5 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and NarcolepsyLink.com for more information. In episode 5, listen as Sleep Review's Sree Roy and cardiologist-sleep specialist Barbara Hutchinson, MD, PhD, FACC, discuss:The FDA recently released guidance on voluntary target concentrations for sodium, in commercially processed packaged and prepared foods. What are your thoughts on this reduced goal for sodium intake, in terms of impact on cardiovascular risk?What are some links between high sodium intake and adverse cardiovascular outcomes?What should people be aware of with regard to medication use and sodium intake?How should cardiovascular risk be discussed when determining the management plan for sleep disorders?Can you share an example of modifying a sleep disorder patient's management plan, due to an emerging cardiovascular risk or disease?Beyond sodium intake, what are some of the other modifiable cardiovascular risk factors that everyone, regardless of whether they have a sleep disorder or not, should be aware of?

As an orthodontist, you're committed to helping your patients achieve healthy, beautiful smiles. But did you know that orthodontic treatment can also have a significant impact on their overall oral health? In this podcast, Orthodontic Products Chief Editor Alison Werner talks to Kami Hoss, DDS, MS, author of the book, If Your Mouth Could Talk: An In-Depth Guide to Oral Health and Its Impact on Your Entire Life, who shares his insights into the connection between oral health and orthodontics, and how you can help your patients achieve optimal outcomes.The link between orthodontics and oral health is clear. Misaligned teeth can make it difficult to clean properly, leading to a buildup of plaque and bacteria that can cause cavities, gum disease, and other oral health problems. By correcting these issues with orthodontic treatment, you can help your patients maintain good oral hygiene and reduce their risk of developing these conditions. But orthodontics is about more than just straightening teeth. As Hoss explains in this podcast, it's also important to consider the impact of orthodontic treatment on the entire craniofacial complex. This includes the jaw, the airway, and other structures that can affect breathing, speech, and other aspects of oral health. By taking a comprehensive approach to orthodontic treatment, you can help your patients achieve optimal results that improve both their oral health and overall quality of life. This may include using advanced techniques such as digital scanning and 3D modeling to create customized treatment plans that address their unique needs. Of course, orthodontic treatment is only part of the equation. As Hoss emphasizes in this podcast, it's also important to educate your patients about the importance of good oral hygiene habits and regular dental checkups. By working together, you can help your patients achieve healthy, beautiful smiles that last a lifetime. The fact is oral health and orthodontics are closely linked, and, as an orthodontist, you have a critical role to play in helping your patients achieve optimal outcomes, says Hoss. By taking a comprehensive approach to treatment, using advanced techniques, and emphasizing the importance of good oral hygiene, you can help your patients achieve healthy, beautiful smiles that last a lifetime. OP

Join Plastic Surgery Practice Co-Chief Editor Keri Stephens as she talks to Michael Tantillo, MD, MBA, a board-certified plastic surgeon and founder of Clareo Centers in Massachusetts, about the popular trend of buccal fat removal. The conversation covers what the procedure is, how it works, and its benefits and risks. Tantillo explains that buccal fat removal has been around for decades but has gained significant popularity recently, particularly among Gen Z patients who are more open-minded to aesthetic procedures. He notes that the procedure is safe when performed by a properly trained surgeon and has minimal risks and downtime. The surgery involves a partial removal of the buccal fat pad, which lies in the mid-face between the muscles, through an incision inside the mouth. Patients can expect a quick recovery and high satisfaction rate, as the procedure results in a slimmed mid-face with reliable and reproducible results, according to Tantillo.The episode also discusses the reasons behind the trend of buccal fat removal, which Tantillo attributes to a drive toward slimming down the mid-face and avoiding the “round face” look. The popularity of buccal fat removal has been driven by its virality on social media platforms like TikTok, Tantillo says. Learn more about the procedure in this informative podcast.

Join Plastic Surgery Practice Co-Chief Editors Alison Werner and Keri Stephens as they talk to Los Angeles-based, board-certified plastic surgeon and inventor Gregory Mueller, MD, FACS, about a trending device in aesthetic medicine. A public speaker who educates surgeons about the minimally evasive MyEllevate procedure that he developed, Mueller discusses another technology in this podcast: the Sofwave energy-based device, which he uses in his practice. In December, the U.S. FDA cleared Sofwave to treat the appearance of cellulite, complementing its previous clearances to lift the eyebrow lax submental tissue as well as neck tissue. Here, Mueller reveals how Sofwave is different from other devices on the market, in addition to which patient population Sofwave benefits most. He also shares what the learning curve is like for using Sofwave, along with his advice about the device to his plastic surgeon peers.

The prevalence of certain comorbidities is higher in people with narcolepsy compared with matched controls—both at diagnosis and at prolonged follow up.Comorbidities that are more prevalent in patients with narcolepsy include psychiatric and sleep conditions, as well as cardiovascular and cardiometabolic conditions.Hypocretin (orexin) dysfunction in patients with narcolepsy may partially explain the increased risk of certain comorbidities in these patients.An increased prevalence of cardiovascular and cardiometabolic conditions, such as hypertension, obesity, diabetes, and hypercholesterolemia have been reported in people with narcolepsy compared with matched controls. One interview study of 320 patients with narcolepsy and 1,464 age-matched individuals from the general population identified that the odds of heart disease in patients with narcolepsy (5.9%) were twice that compared to the age-matched general population (2.9%) (AOR, 2.07 [95% CI, 1.22 to 3.51]). By an average age of 38 (mean age during study), an increased incidence of cardiovascular comorbidities has been observed among patients with narcolepsy compared with matched non-narcolepsy controls.This episode is produced by Sleep Review and is episode 4 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and NarcolepsyLink.com for more information. In episode 4, listen as Sleep Review's Sree Roy and cardiologist-sleep specialist-intensivist Younghoon Kwon, MD, MS, FACC, discuss:Narcolepsy is linked with multiple cardiovascular risk factors and comorbidities. Can you inform our audience to any of the specifics of the cardiovascular burden among patients with narcolepsy?Why is it that patients with narcolepsy commonly present with cardiovascular comorbidities? Is there a potential mechanistic link between narcolepsy and these conditions?Does sleep disruption itself impact cardiovascular risk? If so, what is the evidence for the connection between sleep disruption that's a hallmark of narcolepsy and increased cardiovascular risk?How do you balance narcolepsy management with the management of cardiovascular health factors, both in terms of lifestyle and pharmacotherapy?Are there any published studies about narcolepsy and cardiovascular risk that you'd recommend for additional information?

Join Plastic Surgery Practice Co-Chief Editor Keri Stephens as she talks to Anna Steve, MD, FRCSC, (or “Dr. Anna,” as her patients call her) about all things breast reconstruction. A breast specialist at the New York City-based Neinstein Plastic Surgery, Dr. Anna endorses an “elegant” approach to breast surgery—although she's quick to point out that the reconstruction process can present unique challenges. In this podcast, Dr. Anna reveals why breast reconstruction is rarely a one-and-done procedure and why referring to post-mastectomy reconstruction as a “free boob job” is deeply erroneous. She also divulges what excites her most in breast reconstruction right now. (Hint: It involves nipple reconstruction.)Finally, Dr. Anna shares one important aspect of medicine that surgeons are “not historically great” at—and why that should change.

In this podcast, Alexander Zuriarrain, MD, FACS, joins Plastic Surgery Practice Co-Chief Editors Keri Stephens and Alison Werner to talk about ethics in plastic surgery—a subject Zuriarrian recently wrote about for Plastic Surgery Practice. The three discuss how social media and the way plastic surgeons are using it are raising some ethical questions. Zuriarrian—a board-certified plastic surgeon and owner of Zuri Plastic Surgery in Miami—talks about how he's seeing plastic surgeons post altered and airbrushed images on social media platforms like Instagram and TikTok and how these posts raise concerns. He talks about how photos showcasing certain procedures are more easy to manipulate and give patients unrealistic expectations. When it comes down to it, Zuriarrian contends that this is one of the reasons patients should search out board-certified plastic surgeons. He points out that the American Board of Plastic Surgery certification process is not just about how good a surgeon's technique is, but also about ethical behavior—and that includes the ethics around their marketing practices. Zuriarrian specifically points to board guidance on website content and how images are used to illustrate procedures. The fact is social media is a whole new frontier and there are ethical issues that need to be addressed. And while the conversation has started around the responsibilities of board-certified plastic surgeons, it's going to take time to create guidelines. In the meantime, Zuriarrian reminds listeners of the four guiding principles of medical ethics and talks about why it's important as a plastic surgeon to look to one's conscience and always focus on what is in the best interest of the patient. PSP

In this Rehab Management podcast episode, Chief Editor Melanie Hamilton-Basich is joined by Amanda Clark, PT, DPT, NCS, director of Good Shepherd Creates at Good Shepherd Rehabilitation Network in Allentown, Pa, to discuss how they'll be using 3D printing to make custom creations to help their patients. In her role, Amanda works to incorporate technological innovations that can enhance patient care and outcomes – including 3D printing using the new printer that will be part of Good Shepherd's new rehabilitation hospital in Center Valley, Pa, scheduled to open later in 2023. Amanda Clark, PT, DPT, NCS, is the director of Good Shepherd Creates at Good Shepherd Rehabilitation Network in Allentown, Pa. Amanda champions innovation at all levels of the organization by helping to create a culture of curiosity and identifying current and emerging technology trends that can enhance patient care and outcomes. She helps to ensure that Good Shepherd keeps innovation at the forefront to better serve the community. Amanda received her Bachelor of Arts from State University of New York at Geneseo and her Doctor of Physical Therapy degree from State University of New York Upstate Medical University. Amanda began her career at Good Shepherd 10 years ago as a physical therapist, predominantly on the stroke unit of Good Shepherd Rehabilitation Hospital, where she later served as the specialty stroke program co-chair. After obtaining her board certification as a neurologic certified specialist, Amanda became director of Good Shepherd's physical therapy neurologic residency. Related:Good Shepherd Rehabilitation Wants You to Help Name Their 3D Printer

In this podcast, I will be speaking with Ben Sun, CEO and founder of Orka. He was a former hardware engineer at Apple. He left life in the big tech to design and launch a hearing aid product called Orka One. Ben will be speaking with us about the role of a chip inside a hearing aid and how technology innovates the hearing aid performance and enhances the user experience.

Join 24x7 Chief Editor Keri Stephens as she talks to Daniel dos Santos—head of security research at cybersecurity provider Forescout—about the riskiest medical devices in enterprise networks. The podcast, which follows Forescout's Vedere Labs' “2022 Riskiest Devices in Enterprise Networks Report,” reveals into what healthcare providers need to know about the security of the devices they house. Hint: Patient monitors are especially problematic from a cybersecurity perspective. Dos Santos also discloses how medical devices can be a key entry point for a hospital-wide cyberattack and why cybercriminals target legacy equipment, in particular. Finally, he shares why everyone—from device manufacturers to those configuring the equipment—has a role to pay in medical device cybersecurity.

During the latest installment of Clinical Lab Chat, CLP Director of Business Intelligence Chris Wolski and Prasanth Perugupalli, chief product officer for Pramana, tackle why there have been delays in pathology labs adopting digital solutions, the business case for digital pathology, how it can change laboratory workflows, and what the future holds for digital pathology.

Join Plastic Surgery Practice Co-Chief Editors Alison Werner and Keri Stephens as they talk to Alexander Zuriarrain, MD, FACS—a board-certified plastic surgeon and owner of Zuri Plastic Surgery in Miami—about the prevalence of body dysmorphic disorder (BDD) among plastic surgery patients. The podcast, which follows Zuriarrain's PSP article about the subject, reveals what's contributing to the surge of BDD and what red flags surgeons should look out for when encountering possible BDD patients. Hint: The mnemonic “SIMON” comes into play. Zuriarrain also divulges the role eating disorders play in BDD and what cosmetic procedures BDD patients commonly request. Finally, he shares how plastic surgeons should respond to patients who exhibit signs of BDD.

With the October 31 CDC Health Advisory Alert to the dental community on dental waterlines, orthodontic practices where reminded of the importance of best practices when it comes to dental waterline maintenance. While the alert concerned outbreaks of non-tuberculosis mycobacteria infections related to dental waterlines in pediatric dental clinics., it rightly is a wake up call to make sure your orthodontic practice is doing the right thing to protect patients and staff.To learn more about best practices when it comes to maintenance and testing of dental waterlines, Orthodontic Products Chief Editor Alison Werner spoke to Kellie Thimmes and Mike Rust from ProEdge Dental Water Labs. Thimmes is a senior consultant and education specialist at the company, while Rust is a regional sales manager. Both have extensive experience working with dental and orthodontic practices to help them maintain safe dental waterlines.In this episode, they talk about why orthodontic practices should pay attention to the CDC alert, the need for more awareness on the issue of dental waterline safety in general, and the risks to the patient, the practice, and the doctor's license if dental waterlines are not maintained properly. As Thimmes and Rust point out, often, inspectors come to the practice to investigate a complaint unrelated to waterlines; but, once there, they'll ask to see the practice's latest water test results. And if those aren't in order, the practice could have fines levied against it, while the doctor could face actions against their license.They then take a deep dive on best practices for maintaining dental waterlines in the orthodontic practice and explain that while this is about protecting the health and safety of the patient and practice staff, it is also about ensuring equipment, such as handpieces, aren't needlessly damaged. Rust and Thimmes explain what it means to have a compliant dental unit waterline, needed documentation, and the three main steps to dental unit waterline maintenance: shocking, treating, and testing. They breakdown how often you should be testing, testing options, and what to use to treat your waterlines between testings. And if your practice fails a waterline test, Rust and Thimmes say don't panic. Address the problem and reach out to the experts if you need help. OP

The American Association of Orthodontists (AAO) announced last month that beginning in 2023 it will open its AAO-Wharton Mastering the Business of Orthodontics (MBO) program to office managers employed by AAO member practices. The online program, launched in 2021, was created to give AAO member orthodontists formal business training to help them succeed as entrepreneurs and small business owners. Recognizing that office managers are often key to a practice's success, the AAO is now offering the same training to office managers. As AAO President Normal J. Nagel, DDS, recently stated, office managers are often to “whom many practice owners entrust significant management and leadership duties.”The AAO-Wharton program is taught asynchronously by faculty from the Wharton School of Business at the University of Pennsylvania who have teamed up with expert orthodontists and orthodontic practice consultants.To learn more about the program in general and the inclusion of office managers, Orthodontic Products Chief Editor Alison Werner spoke to Anil J. Idiculla, DMD, a graduate of one of the first cohorts and now one of the AAO instructors with the program, and Renee Doyle, DDS, MS, an orthodontist in private practice in Illinois, who completed the program this fall.Idiculla not only talks about his experience as a student but also breaks down the 8-week MBO cohort program and what attendees, both orthodontists and office managers, can expect. Meanwhile, Doyle shares where she was as a small business owner before starting the program and how the program has changed her approach. She also explains why she thinks the program is ideal for office managers.Both AAO member doctors and their office managers can now enroll for the next program cohort, which will begin January 11, 2023. The program includes access to AAO Business Coaches who will support attendees throughout the course and will lead peer-to-peer discussions.Those who complete the program will earn a Wharton certificate and 18 units of CE. OP

Join AXIS Imaging News Chief Editor Keri Stephens as she talks to Tracy Byers, senior vice president and general manager of enterprise imaging at Change Healthcare. The in-person interview, conducted at the 108th Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA) in Chicago, delves into all things enterprise imaging and why cloud-native solutions are especially beneficial. Particularly, Byers shares the impetus behind Change Healthcare's introduction of Stratus Cloud PACS and the cybersecurity implications of the launch. After all, Byers maintains, hospital chief information officers lie awake at night wondering when—not if—they're going to get hacked.

For supporting material on this episode, visit: The increased frequency of comorbidities among people with narcolepsy should be thoroughly reviewed while creating individualized management strategies. Comorbidities that are more prevalent in patients with narcolepsy include psychiatric and sleep conditions, as well as cardiovascular and cardiometabolic conditions. Hypocretin dysfunction in patients with narcolepsy may partially explain the increased risk of certain comorbidities in these patients. An increased prevalence of cardiovascular and cardiometabolic conditions, such as hypertension, obesity, diabetes, and hypercholesterolemia have been reported in people with narcolepsy compared with matched controls. One interview study of 320 patients with narcolepsy and 1464 age-matched individuals from the general population identified that the odds of heart disease in patients with narcolepsy (5.9%) were twice that compared to the age-matched general population (2.9%) (AOR, 2.07 [95% CI, 1.22 to 3.51]). By an average age of 38 (mean age during study), an increased incidence of cardiovascular comorbidities has been observed among patients with narcolepsy compared with matched non-narcolepsy controls.This episode is produced by Sleep Review and is episode 3 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and NarcolepsyLink.com for more information. In episode 3, listen as Sleep Review's Sree Roy and neurologist-sleep specialist W. Chris Winter, MD, discuss:What comorbidities do you typically see in patients who are newly diagnosed with narcolepsy?What about comorbidities that tend to develop over time in people with narcolepsy?What health conditions do you screen for when you have a patient who is newly diagnosed with narcolepsy?How, if at all, does the existence or emergence of comorbidities impact decision making?Can you share any best practices for monitoring the emergence and management of narcolepsy-related comorbidities?What other specialists and healthcare professionals do you recommend sleep physicians develop reliable referrals with to adequately manage comorbidities in their patients with narcolepsy?Are there any particular screening tools such as specific questionnaires that you'd recommend to other sleep physicians for this demographic?

For most people with narcolepsy, management plans require implementation of ongoing pharmacological therapy to keep symptoms under control. Patients may also need substantial lifestyle adjustments, such as maintaining nocturnal sleep hygiene and regular scheduling of daytime naps. Narcolepsy management plan development should consider balance between the tolerance to available medications and impact of certain comorbidities associated with the disorder. The prevalence of certain comorbidities is higher in patients with narcolepsy compared with matched controls; this is true both at diagnosis and at prolonged follow up. The increased frequency of comorbidities among patients with this condition should be thoroughly reviewed while creating individualized management strategies. Comorbidities that are more prevalent in patients with narcolepsy include psychiatric and sleep conditions, as well as cardiovascular and cardiometabolic conditions.This episode is produced by Sleep Review and is episode 2 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and NarcolepsyLink.com for more information.In episode 2, listen as Sleep Review's Sree Roy and pulmonologist-sleep specialist Richard K. Bogan, MD, discuss:What comorbidities you need to consider when determining whether a patient is an appropriate candidate for a given pharmacotherapy?Why are these important in management decisions?Can you share any best practices for monitoring the emergence and management of narcolepsy related comorbidities?What sleep lifestyle changes are typically incorporated into a narcolepsy management plan?