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The CDC announced Monday a major overhaul of the U.S. childhood vaccine schedule, reducing the number of routine immunizations recommended for children. In December, President Trump directed Health and Human Services officials to examine how other developed nations schedule vaccines and to reconsider the U.S. approach. FDA Commissioner Dr. Marty Makary said the changes are intended to restore public trust in health institutions that was lost during the pandemic. However, criticism has been fierce. Lawmakers on both sides of the aisle have pushed back, and the American Academy of Pediatrics has called the move dangerous and unnecessary. Vaccine schedules are handled by the states, meaning states may continue to mandate certain vaccines for school attendance. The updated recommendations also do not eliminate insurance coverage for any vaccines. The CDC changes create three categories. The eleven vaccines that remain in the recommended category include measles, mumps, rubella, polio, pertussis, HPV, and chickenpox. A second category recommends vaccines for individuals considered high-risk, including hepatitis A and B and RSV. The third category includes vaccines available by personal choice after consultation with a doctor, including COVID-19, flu, rotavirus, and others. Earlier this week, former CDC Director Dr. Robert Redfield joined FOX News Rundown host Jessica Rosenthal to discuss the new and reduced childhood vaccine schedule recommendations. Dr. Redfield, author of the new book Redfield's Warning: What I Learned (But Couldn't Tell You) Might Save Your Life, explained why he supports the changes, while also emphasizing the importance of doctors clearly explaining the benefits of vaccines. He also discussed why public trust has eroded and why encouraging vaccine choice and transparency could ultimately lead more Americans to get the shots needed to protect themselves from disease. We often have to cut interviews short during the week, but we thought you might like to hear the full conversation. Today on Fox News Rundown Extra, we share our entire interview with former CDC Director Dr. Robert Redfield—and more of his perspective on vaccines. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Joint pain is a common concern in pediatric practice. If a child is limping after sports or describes vague aches and pains, it often points to a minor injury or a self-limited condition. But in some cases, joint pain may signal something more serious. The challenge for pediatricians is knowing how to distinguish benign, mechanical causes from symptoms that warrant further evaluation. In this episode, we explain how to identify red herrings versus true red flags in pediatric joint pain. While awaiting a rheumatology referral, we'll talk about what primary care pediatricians can do in the meantime to support children and families facing the possibility of arthritis. This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Angela Chun, MD, is the associate program director for the Division of Rheumatology at Lurie Children's Hospital of Chicago. She is also an assistant professor at the Northwestern University Feinberg School of Medicine. Some highlights from this episode include: The most common reasons for joint pain in children Understanding juvenile idiopathic arthritis (JIA) and how it presents Common pitfalls that may lead to misdiagnosis What providers can do in their offices before a referral For more information on Children's Colorado, visit: childrenscolorado.org.
This month we begin a new series on common pediatric eye issues, starting with viral conjunctivitis. In this episode, host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD review the clinical features that help distinguish viral conjunctivitis from other causes of red and pink eye, discuss typical disease course, and address common misconceptions around treatment and contagion. They also explore practical counseling points for families, including symptom management, infection control, and guidance on school and daycare attendance. This discussion is designed to help pediatricians confidently diagnose viral conjunctivitis and provide clear, evidence-based reassurance to families. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Can swim lessons be neurodiversity-affirming? Dr. Molly O'Shea believes they must be. In this episode, she shares how her neurodivergent swim school embraces each child's unique learning style, sensory needs, and communication preferences. Learn how she's reimagining water safety, building confidence, and honoring neurodivergent identities—one splash at a time. About Dr. Molly (ib her words)Hey there—I'm Dr. Molly O'Shea. I'm a keynote speaker, strategic advisor, and founder of Birmingham Pediatrics and Campground Pediatrics. I share stories from both my personal and professional life—on stage, in print, and across media—talking about everything from pediatric care and mental health to parenting, wellness, and the messy, meaningful parts of raising kids.For more than 30 years, I've owned and operated my own practice while consulting for a wide range of organizations—from Goldfish Swim Schools to On My Own Michigan—and serving as a media spokesperson for the American Academy of Pediatrics. I also spent years busting parenting myths and answering big questions as the “Ask the Pediatrician” columnist at The Detroit News.Learn more from Dr. Molly at: https://www.drmollyoshea.com/About TheresaA wife and a mother to two children and grandmother, Theresa Alexander Inman is a Parenting Coach, Board Certified Behavior Analyst, Infant Toddler Development Specialist, Autism Spectrum Disorder Clinical Specialist. Introduced to behavior analysis in 2007 after years in the juvenile justice system.Her goal is to improve the lives of children and families by helping them strategize child development skills to prevent or reduce the effects of possible delays while having fun! She also served as a panelist on the first annual Autism World Summit.Theresa is also an author, having published “Pathways to Early Communication” in 2022. Find it at your favourite book seller.Connect with Theresa today!• Instagram | Theresa Inman• LinkedIn | Theresa Inman• BabyBoomer.org | Theresa Inman• YouTube | Parenting with Confidence• Tiktok | https://www.tiktok.com/@parentcoachtheresa• Spotify via Anchor.fm | Parenting with Confidence Website: https://www.theresaalexanderinman.com/About Parenting on the SpectrumRaising autistic children comes with unique joys, challenges, and learning moments. Join host Theresa as she explores the diverse experiences of parenting kids on the spectrum. Each episode features expert insights, real-life stories, and practical strategies to help you navigate this journey with understanding, compassion, and strength. Whether you're a parent, caregiver, or ally, this podcast is your go-to resource for fostering connection and celebrating neurodiversity. Please share if this has been helpful to you. Thank you for your comments and ratings. Be well! Theresa
Sean Carroll's Mindscape: Science, Society, Philosophy, Culture, Arts, and Ideas
It's become increasingly clear that the Turing Test -- determining whether human interlocutors can tell whether a conversation is being carried out by a human or a machine -- is not a good way to think about consciousness. Modern LLMs can mimic human conversation with extraordinary verisimilitude, but most people would not judge them to be conscious. What would it take? Is it even possible for a computer program to achieve consciousness, or must consciousness be fundamentally "meat-based"? Philosopher Ned Block has long argued that consciousness involves something more than simply the "functional" aspects of inputs and outputs.Blog post with transcript: https://www.preposterousuniverse.com/podcast/2026/01/05/339-ned-block-on-whether-consciousness-requires-biology/Support Mindscape on Patreon.Ned Block received his Ph.D. in philosophy from Harvard University. He is currently Silver Professor in the Department of Philosophy at New York University, with secondary appointments in Psychology and Neural Science. He is also co-director of the Center for Mind, Brain, and Consciousness. He is Past President of the Society for Philosophy and Psychology and was elected a Fellow of the American Academy of Arts & Sciences.Web siteNYU web pagePhilPeople profileGoogle Scholar publicationsWikipediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Randy Blakely is a Professor of Biomedical Science at Florida Atlantic University and Executive Director of the Florida Atlantic University Brain Institute. Randy is examining how neurons control neurotransmitter signaling, as well as how medicinal drugs and drugs of abuse impact neurotransmitters. He is interested in how normal neurotransmitter regulation and changes in neurotransmission due to drugs ultimately impact behavior. Randy lives in beautiful South Florida near the Everglades, and he likes to spend is free time enjoying nature and observing the local wildlife. While commuting between campuses, Randy listens to a variety of audiobooks, and he is also a big fan of Americana and folk music. He received his B.A. in Philosophy from Emory University and his Ph.D. in Neuroscience from the Johns Hopkins School of Medicine. He next conducted postdoctoral research at the Yale/Howard Hughes Medical Institute Center for Molecular Neuroscience. Randy was an investigator and faculty member at Emory University and Vanderbilt University before accepting his current position at Florida Atlantic University. Randy is the recipient of numerous awards and honors for his research and mentorship. He was awarded the Daniel Efron Award from the American College of Neuropsychopharmacology, two Distinguished Investigator Awards from the Brain and Behavioral Research Foundation, a MERIT Award from the National Institute of Mental Health, a Zenith Award from the Alzheimer's Association, the Delores C. Shockley Partnership Award in recognition of minority trainee mentorship, as well as the Astellas Award in Translational Pharmacology and the Julius Axelrod Award both from the American Society for Pharmacology and Experimental Therapeutics. In addition, he is a Fellow of the American Academy for the Advancement of Science. Randy joins us in this episode to talk more about his life and science.
Robert Armstrong and Sanford Fisch join Joe Pardavila to explain why most attorneys struggle to build sustainable law firms and how the Enterprise Law Firm Model helps them change that. Drawing on decades of mentoring estate planning attorneys, they break down the five essential systems every firm needs, why flat-fee value pricing builds stronger client relationships, and how recurring revenue transforms a practice from a monthly grind into a long-term asset.They also share the origin story of the American Academy of Estate Planning Attorneys, why attorneys resist systemization, and how AI will reshape rule-based legal work. Robert and Sandy walk through the shift from a two-meeting model to a five-meeting relationship model, why bundling legal, financial, and insurance services creates deeper trust, and what attorneys leave on the table when they avoid this approach.The conversation ends with practical steps for attorneys who want more freedom, more predictable revenue, and a business that supports their life instead of draining it.
Did Fentanyl Almost Kill a Cop? One Deputy's Story of Trauma, Survival, and a Mission to Help Others. Special Episode. For years, fentanyl has dominated headlines as a driving force behind America's overdose crisis. What's discussed far less often is how this drug impacts the first responders who encounter it in the line of duty. For Deputy Jeff Brown, a long-serving law enforcement officer, accidental fentanyl exposure didn't just spark a frightening moment, it caused permanent injuries, ongoing trauma, and a new mission focused on helping others. The Law Enforcement Talk Radio Show and Podcast on social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. By any measure, Jeff Brown is a law enforcement hero. But one accidental fentanyl exposure nearly ended his life, and forever changed it. This special episode is streaming for free on the Law Enforcement Talk Radio Show and Podcast website, on Apple Podcasts, Spotify, YouTube, and most every major Podcast platform This is not just a story for the news-cycle. It's a story meant to be shared on Facebook, Instagram, YouTube, and across platforms like the Law Enforcement Talk Radio Show and Podcast website, Apple Podcasts and Spotify, because it speaks to the hidden cost of service, the reality of trauma, stress, PTSD, and the lasting injuries many heroes carry long after the call ends. Supporting articles about this and much more from Law Enforcement Talk Radio Show and Podcast in platforms like Medium , Blogspot and Linkedin . Accidental Fentanyl Exposure Almost Claimed His Life Jeff Brown had built a distinguished law enforcement career when one routine encounter with drug abusers turned into a life-threatening emergency. During the incident, Jeff and his backup deputies were accidentally exposed to fentanyl. The effects were immediate and terrifying. Had it not been for department-issued Narcan and the training the deputies received, Jeff believes he and others would not have survived. In a matter of minutes, deputies were forced to save each other's lives. Did Fentanyl Almost Kill a Cop? One Deputy's Story of Trauma, Survival, and a Mission to Help Others. Special Episode. Look for The Law Enforcement Talk Radio Show and Podcast on social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. They lived, but not without consequence. For Jeff, the exposure caused permanent damage to his heart, altering his health and his future. What should have been just another shift became the defining moment of his life. The Aftermath: Injuries, Recovery, and a Broken System Surviving the incident was only the beginning. Jeff openly talks about: The physical recovery and lingering medical issues The emotional toll and ongoing stress Battles with Worker's Compensation The lack of understanding surrounding first responder injuries The rarely discussed crime problem in a tourist-driven resort area Like many first responders, Jeff learned that surviving the job does not guarantee support afterward. The system often struggles to recognize invisible injuries, especially when fear, misinformation, and stigma surround incidents involving fentanyl. Did Fentanyl Almost Kill a Cop? One Deputy's Story of Trauma, Survival, and a Mission to Help Others. Special Episode. Available for free on their website and streaming on Apple Podcasts, Spotify, Youtube and other podcast platforms. Fentanyl Misinformation and First Responder Trauma In 2016, the U.S. Drug Enforcement Administration (DEA) released advisories warning that simply touching or inhaling fentanyl could be fatal within minutes. Images of tiny, allegedly lethal doses circulated widely, reinforcing fear among first responders. At the time, the narrative felt plausible. Illicit fentanyl was flooding the streets, and officers had limited information. Later, medical experts, including the American College of Medical Toxicology and the American Academy of Clinical Toxicology clarified that incidental exposure leading to overdose is extremely unlikely. Other countries adjusted their guidance accordingly. Special Episode. The Law Enforcement Talk Radio Show and Podcast episode is available for free on their website , Apple Podcasts , Spotify and most major podcast platforms. But misinformation lingers, and it carries consequences. Officers who believe they've been exposed can experience panic attacks, hyperventilation, vertigo, and racing heart rates. These symptoms are real and distressing, yet often misinterpreted as fentanyl toxicity. In a culture where fear is seen as weakness, these events can go under-reported or misdiagnosed, potentially leading to delayed or inappropriate medical care. We stand by this critical point: Accidental fentanyl exposure can have drastic effects when combined with preexisting health conditions, particularly involving the heart. These incidents deserve serious, compassionate, and accurate medical evaluation. Did Fentanyl Almost Kill a Cop? One Deputy's Story of Trauma, Survival, and a Mission to Help Others. Special Episode. The special episode can be found on The Law Enforcement Talk Radio Show and Podcast website, on Apple podcasts, Spotify, Youtube and on LinkedIn, Facebook, Instagram, and across most podcast platforms where listeners will find authentic law enforcement stories. The FDA Warning: When Fentanyl Exposure Is Truly Deadly While incidental exposure myths persist among adults, there is one area where the danger is undisputed. The FDA warns that accidental exposure to fentanyl patches continues to be deadly to children. Fentanyl patches are prescribed for opioid-tolerant patients and release fentanyl through the skin over several days. Tragically, children have died after: Putting used or unused patches in their mouths Sticking patches onto their skin Even used patches can contain enough fentanyl to be fatal. The FDA urges caregivers to: Store patches securely Dispose of them properly Keep naloxone readily available If a child is suspected of exposure, call 911 immediately. Trauma, PTSD, and the Cost of Service Jeff's story highlights a truth many don't want to face: trauma doesn't end when the sirens stop. First responders routinely carry: Cumulative stress Psychological trauma PTSD Chronic health problems These issues affect not only their careers but their families, hobbies, and identities. For many even the simple joys of fishing and hunting, once outlets for peace, were impacted by his injuries and recovery. Did Fentanyl Almost Kill a Cop? One Deputy's Story of Trauma, Survival, and a Mission to Help Others. Special Episode. The full podcast episode is streaming now on their website, on Apple Podcasts, Spotify, Youtube and across Facebook, Instagram, and LinkedIn. Turning Pain Into Purpose: Hometown Heroes Alliance Instead of walking away, Jeff chose to give back. He now dedicates his time to Hometown Heroes Alliance, a nonprofit organization that supports wounded, injured, and disabled first responders, those who are often left financially and emotionally vulnerable after serving their communities. Hometown Heroes Alliance focuses on: Raising awareness for injured first responders Providing financial, physical, and emotional support Hosting benefit events, including concerts Producing brand-funded television and digital media to amplify impact From hurricane-stricken areas in Florida and Texas to less-publicized tragedies across the country, the organization helps heroes who lost homes, suffered disabling injuries, or sacrificed everything while protecting others. Did Fentanyl Almost Kill a Cop? One Deputy's Story of Trauma, Survival, and a Mission to Help Others. Special Episode. On the Law Enforcement Talk Radio Show and Podcast website on Apple Podcasts, Spotify, Youtube, Facebook, Instagram, LinkedIn, and most major podcast platforms. As long as there are heroes answering the call, there will be a need for compassion—and action. A Story That Needs to Be Heard Jeff Brown's journey is more than a headline. It's a reminder that behind every badge is a human being who absorbs trauma so others don't have to. This story belongs on every platform, Facebook, Instagram, YouTube, Apple, Spotify, and Podcast networks, because awareness saves lives, corrects misinformation, and honors those who continue to serve, even after the job nearly takes everything from them. He survived fentanyl exposure. He lives with the injuries. And he refuses to stop fighting for his fellow heroes. Find a wide variety of great podcasts online at The Podcast Zone Facebook Page , look for the one with the bright green logo. Be sure to check out our website . Be sure to follow us on X , Instagram , Facebook, Pinterest, Linkedin and other social media platforms for the latest episodes and news. Listeners can tune in on the Law Enforcement Talk Radio Show website, on Apple Podcasts, Spotify, YouTube, and most every major Podcast platform and follow updates on Facebook, Instagram, and other major News outlets. You can find the show on Facebook, Instagram, Pinterest, X (formerly Twitter), and LinkedIn, as well as read companion articles and updates on Medium, Blogspot, YouTube, and even IMDB. Background song Hurricane is used with permission from the band Dark Horse Flyer. You can contact John J. “Jay” Wiley by email at Jay@letradio.com , or learn more about him on their website . Stay connected with updates and future episodes by following the show on Facebook, Instagram, LinkedIn, their website and other Social Media Platforms. Interested in being a guest, sponsorship or advertising opportunities send an email to the host and producer of the show jay@letradio.com. Listen to this special episode on the Law Enforcement Talk Radio Show and Podcast website on Apple Podcasts, Spotify, Youtube, Facebook, Instagram, LinkedIn, and most major podcast platforms. Did Fentanyl Almost Kill a Cop? One Deputy's Story of Trauma, Survival, and a Mission to Help Others. Special Episode. Attributions NIH FDA.gov Hometown Heroes Alliance Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
On episode 248, we welcome Dorothy Roberts to discuss the history of interracial marriage in the US, how it was used to help sustain Black slavery, Dorothy's resistance to and eventual acceptance of being biracial, her disagreements with her father (a fellow researcher) on the benefits of interracial marriages, defining race and why Nazis and white supremacists both struggled to define whiteness, whether love can overcome social injustice on its own, the Black Belt being populated with whites, and how culture and power influence whom we feel attracted to and love. Dorothy Roberts is the George A. Weiss University Professor of Law and Sociology at the University of Pennsylvania, where she directs the Penn Program on Race, Science, and Society. The author of five books, including Killing the Black Body, a MacArthur Fellow, and member of the American Academy of Arts and Sciences. Her newest book is called, The Mixed Marriage Project: A Memoir of Love, Race, and Family. | Dorothy Roberts | ► Website | https://www.dorothyeroberts.com/ ► Website 2 | https://www.law.upenn.edu/faculty/roberts1 ► Twitter | https://x.com/dorothyeroberts ► Instagram | https://www.instagram.com/dorothyeroberts ► The Mixed Marriage Project Book | https://bit.ly/TheMixedMarriageProject Where you can find us: | Seize The Moment Podcast | ► Facebook | https://www.facebook.com/SeizeTheMoment ► Twitter | https://twitter.com/seize_podcast ► Instagram | https://www.instagram.com/seizethemoment ► TikTok | https://www.tiktok.com/@seizethemomentpodcast
This 'Media Buzz Meter' first aired on December 18th, 2025… Howie Kurtz on President Trump's address to the nation, House Republicans offering an alternative to Obamacare, and Secretary RFK Jr. terminating grants to the American Academy of Pediatrics over federal vaccine policy disagreements. Follow Howie on Twitter: @HowardKurtz For more #MediaBuzz click here Learn more about your ad choices. Visit podcastchoices.com/adchoices
Rowan Ricardo Phillips is an acclaimed American poet and writer. He's the author of several books, including the poetry collection “Silver”, which was a finalist for the National Book Award, and “I Just Want Them To Remember Me: Black Baseball In America”. He is also the author of the poetry collections The Ground, Heaven, Living Weapon and When Blackness Rhymes With Blackness. He's also a sportswriter and he wrote The Circuit: A Tennis Odyssey about the 2017 pro tour, and a book about Roberto Clemente. He is the recipient of an Award from the American Academy of Arts and Letters. He's the poetry editor of “The New Republic”. And he is a Professor of English at Stony Brook University. My featured song is “New York City Groove”, from the album Made In New York by my band Project Grand Slam. Spotify link.—-----------------------------------------------------------The Follow Your Dream Podcast:Top 1% of all podcasts with Listeners in 200 countries!Click here for All Episodes Click here for Guest List Click here for Guest Groupings Click here for Guest TestimonialsClick here to Subscribe Click here to receive our Email UpdatesClick here to Rate and Review the podcast—----------------------------------------CONNECT WITH ROWAN:www.rowanricardophillips.com—----------------------------------------ROBERT'S LATEST RELEASE:“MA PETITE FLEUR STRING QUARTET” is Robert's latest release. It transforms his jazz ballad into a lush classical string quartet piece. Praised by a host of classical music stars.CLICK HERE FOR YOUTUBE LINKCLICK HERE FOR ALL LINKS—---------------------------------------ROBERT'S RECENT SINGLE“MI CACHIMBER” is Robert's recent single. It's Robert's tribute to his father who played the trumpet and loved Latin music.. Featuring world class guest artists Benny Benack III and Dave Smith on flugelhornCLICK HERE FOR YOUTUBE LINKCLICK HERE FOR ALL LINKS—--------------------------------------ROBERT'S LATEST ALBUM:“WHAT'S UP!” is Robert's latest compilation album. Featuring 10 of his recent singles including all the ones listed below. Instrumentals and vocals. Jazz, Rock, Pop and Fusion. “My best work so far. (Robert)”CLICK HERE FOR THE OFFICIAL VIDEOCLICK HERE FOR ALL LINKS—----------------------------------------Audio production:Jimmy RavenscroftKymera Films Connect with the Follow Your Dream Podcast:Website - www.followyourdreampodcast.comEmail Robert - robert@followyourdreampodcast.com Follow Robert's band, Project Grand Slam, and his music:Website - www.projectgrandslam.comYouTubeSpotify MusicApple MusicEmail - pgs@projectgrandslam.com
In this first episode of 2026, picture yourself in Boston in late November. It's chilly, a little rainy, and there are scholars everywhere. Rachel is on the road, meeting Regent alums and early career researchers at the American Academy of Religion and Society of Biblical Literature Conference. In this special episode, she catches up with Madison Lyonhart, Abraham Wu, James Smoker and Rachel Wilkowski, hearing about their presentations, research projects, and perspectives on the conference. They also share about how their Regent days influenced their career trajectories and interests. We're moving through history, theology, the arts, and biblical studies, so it's a smorgasbord of topics and perspectives. We hope you enjoy this episode and it whets your appetite for an array of great conversations in 2026.Regent College Podcast Thanks for listening. Please like, rate and review us on your podcast platform of choice and share this episode with a friend. Follow Us on Social Media Facebook Instagram Youtube Keep in Touch Regent College Summer Programs Regent College Newsletter
Galina Gheihman speaks with American Academy of Neurology President Dr. Natalia Rost and International Parkinson and Movement Disorders Society past-president Dr. Victor Fung, about their paths to society presidencies, what it entails, why they valued the role, and their concepts of what makes an effective leader.
In this moving episode of HPNA Palliative Perspective, we welcome Esther Pepper, RN, BSN, CHPN®, a veteran hospice nurse from Alaska whose more than two decades of compassionate service have shaped her debut memoir, My Calling: Chronicles of an Alaskan Hospice Nurse. Drawing from years on the front lines of end-of-life care, Esther shares what hospice nursing truly looks like—the challenges, the grace, and the profound human connections formed along the way. Together, we explore the emotional and spiritual dimensions of dying that often go unspoken, practical strategies for symptom management, and how caregivers can nurture both their patients and themselves. Join us for a heartfelt conversation that celebrates the courage, compassion, and calling behind hospice work—and the enduring lessons learned from those at life's final threshold. Esther Pepper, RN, BSN, CHPN® Esther Pepper, RN, BSN, CHPN®, a veteran hospice nurse from Alaska with more than 20 years of compassionate service. Her debut memoir, My Calling: Chronicles of an Alaskan Hospice Nurse (MindStir Media, October 2024), reflects her deep commitment to caring for others in their final stages of life. Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.
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Careful assessment and individualized care, provided by a skilled multidisciplinary care team, are emphasized in the holistic approach to neuropalliative care, which considers physical, psychological, social, spiritual, and existential aspects for people with neuromuscular diseases. In this episode, Gordon Smith, MD, FAAN, speaks with David J. Oliver, PhD, FRCP, FRCGP, FEAN, author of the article "Neuropalliative Care in Neuromuscular Disorders" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Oliver is an honorary professor of Tizard Centre at the University of Kent in Canterbury, United Kingdom. Additional Resources Read the article: Neuropalliative Care in Neuromuscular Disorders Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: Hello, this is Dr Gordon Smith. Today I've got the great pleasure of interviewing Dr David Oliver about his article on neuropalliative care and neuromuscular disorders, which appears in the December 2025 Continuum issue on neuropalliative care. David, welcome to the Continuum podcast, and please introduce yourself to our audience. Dr Oliver: Thank you. It's a pleasure and a privilege to be here. I'm a retired consultant in palliative medicine in the UK. I worked at the Wisdom Hospice in Rochester for over thirty years, and I'm also an honorary professor at the University of Kent in Canterbury in the UK. I've had a long interest in palliative care in neurological diseases. Hopefully we can talk about a bit later. Dr Smith: I really look forward to learning a little bit more about your path and experiences. But I wonder if, before we get into the meat of neuropalliative care with a focus on neuromuscular, if maybe you can kind of set the stage by just defining palliative care. I mean, my experience is that people think of this in different ways, and a lot of folks think- hear palliative care, and they immediately go to end-of-life care or comfort care. So, what- how should we think about maybe the discipline of palliative care or neuropalliative care? Dr Oliver: I see palliative care as very much responding to people's needs, whether that's physical needs, psychological needs, social or spiritual or existential. So, it can be much earlier in the disease progression. And I think particularly for neurological diseases, early involvement may be very important. Dr Smith: That was actually going to be my first substantive question, really, was when to begin the conversation and what does that look like and how does it evolve over time. You have a really great figure in the article that kind of emphasizes the various stages within a patient's journey that, you know, palliative care can become involved. But I wonder if you could use ALS as a good example and describe what that looks like from when a patient is first diagnosed with ALS through their course? Dr Oliver: I think particularly in ALS at the beginning, soon after diagnosis, someone may have a lot of distress and a lot of questions that they need answering. This is a disease they've not had any contact with before. And they don't understand what's going on, they don't understand the disease. So, there may be a great need to have the opportunity to talk about the disease, what may happen, what is happening, how it's going to affect them and their family. As think time goes on, there may be later they develop swallowing problems, and that will need to be talking about a feeding tube and gastrostomy. And again, there may be a lot of issues for the person and their family. As they deteriorate, they may have respiratory problems and need to have discussion about ventilatory support, either by PAP, noninvasive ventilation, or even tracheostomy. And again, I think that's a big issue that needs wide discussion. And then it may be at the final few months of the disease, where they are deteriorating, that they may have increased needs, and their families may have those needs after the death. And I think often families bereaved from someone with a neurological disease such as ALS need a great deal of support, having many mixed emotions. There may be a feeling of relief that they're not involved in that caring, but then a feeling of guilt that they shouldn't be having those feelings. So, I think that can happen over a period of… what with ALS it may be two, three, four years, but it may be similar changes over time with any patient with a neurological disease. It may be ten or fifteen years with Parkinson's or five to ten years with a progressive supranuclear palsy, but there'll be this similar need to look at palliative care during their disease progression. Dr Smith: So, I'm curious at the time of diagnosis of ALS, how far out in the future do you provide information? So a specific question would be, do you talk about end-of-life management? In my experience, ALS patients are sometimes interested in knowing about that. Or do you really focus on what's in front of you in the next three to six months, for instance? Dr Oliver: I think it's both. Obviously, we need to talk about the next three to six months, but often giving patients the opportunity to talk about what's going to happen in the future, what may happen at the end of life, I think is important. And I think a disease like ALS, if they look it up on the Internet, they may have a lot of very distressing entries there. There's a lot about how distressing dying with ALS is. And actually confront those and discuss those issues early is really important. Dr Smith: So of course, the other thing that comes up immediately with an ALS diagnosis---or, for that matter, with any other neurodegenerative problem---is prognosis. Do you have guidance and how our listeners who are giving a diagnosis of ALS or similar disorder should approach the prognostication discussion? Dr Oliver: It's often very difficult. Certainly in the UK, people may have- be a year into their disease from their first symptoms before they're diagnosed, and I've seen figures, that's similar across the world. So, people may be actually quite way through their disease progression, but I do think we have to remember that the figures show that at five years, 25% of people are still alive, and 5 to 10% are still alive at ten years. We mustn't say you are going to die in the next two or three years, because that may not be so. And I think to have the vagueness but also the opportunity to talk, that we are talking of a deterioration over time and we don't know how that will be for you. I always stress how individual I think ALS is for patients. Dr Smith: One of the other concepts that is familiar with anyone who does ALS and clearly comes through in your article---which is really outstanding, by the way. So, thank you and congratulations for that---is the importance of multidisciplinary teams. Can you talk a little bit about how neuropalliative care sits within a multidisciplinary care model? Dr Oliver: I think the care should be multidisciplinary. Certainly in the UK, we recommended multidisciplinary team care for ALS in particular, from the time of diagnosis. And I think palliative care should be part of that multidisciplinary team. It may be a member of the team who has that palliative care experience or someone with specialist experience. Because I think the important thing is that everyone caring for someone with ALS or other neuromuscular diseases should be providing palliative care to some extent: listening to people, discussing their goals, managing their symptoms. And a specialist may only be needed if those are more complicated or particularly difficult. So, I think it is that the team needs to work together to support people and their families. So, looking at the physical aspects where the physiotherapist or occupational therapist may be very important, the psychologicals are a counsellor or psychologist. The social aspects, most of our patients are part of wider families, and we need to be looking at supporting their carers and within their family as well as the person. And so that may involve social work and other professionals. And the spiritual, the why me, their fears about the future, may involve a spiritual counsellor or a chaplain or, if appropriate, a religious leader appropriate to that- for that person. So, I think it is that wider care provided by the team. Dr Smith: I'm just reflecting on, again, your earlier answers about the Continuum of neuropalliative care. Knowing your patient is super valuable here. So, having come to know someone through their disease course must pay dividends as you get to some of these harder questions that come up later during the disease progression. Dr Oliver: I think that's the very important use of palliative care from early on in the diagnosis. It's much easier to talk about, perhaps, the existential fears of someone while they can still talk openly. To do that through a communication aid can be very difficult. To talk about someone's fear of death through a communication aid is really very, very difficult. The multidisciplinary team, I think, works well if all the members are talking together. So that perhaps the speech therapist has been to see someone and has noticed their breathing is more difficult, comes back and talks to the doctor and the physiotherapist. The social worker notices the speech is more difficult and comes back and speaks to the speech therapist. So, I think that sort of team where people are working very closely together can really optimize the care. And as you said, knowing the person, and for them to know you and to trust you, I think that's important. Those first times that people meet is so important in establishing trust. And if you only meet people when they're very disabled and perhaps not able to communicate very easily, that's really difficult. Dr Smith: I think you're reading my mind, actually, because I was really interested in talking about communication. And you mentioned a few times in your article about voice banking, which is likely to be a new concept for many of our listeners. And I would imagine the spectrum of tools that are becoming available for augmented communication for patients who have ALS or other disorders that impair speech must be impressive. I wonder if you could give us an update on what the state of the art is in terms of approaching communication. Dr Oliver: Well, I think we all remember Stephen Hawking, the professor from Cambridge, who had a very robotic voice which wasn't his. Now people may have their own voice on a communication aid. I think the use of whether it's a mobile phone or iPad, other computer systems, can actually turn what someone types into their own voice. And voice banking is much easier than it used to be. Only a few years ago, someone would have to read for an hour or two hours so the computer could pick up all the different aspects of their voice. Now it's a few minutes. And it has been even- I've known that people have taken their answer phone off a telephone and used that to produce a voice that is very, very near to the person. So that when someone does type out, the voice that comes out will be very similar to their own. I remember one video of someone who'd done this and they called their dog, and the dog just jumped into the air when he suddenly heard his master's voice for the first time in several months. So, I think it's very dramatic and very helpful for the person, who no longer feels a robot, but also for their family that can recognize their father, their husband, their wife's speech again. Dr Smith: Very humanizing, isn't it? Dr Oliver: There is a stigma of having the robotic voice. And if we can remove that stigma and someone can feel more normal, that would be our aim. Dr Smith: As you've alluded to, and for the large majority---really all of our ALS patients, barring something unexpected---we end up in preparing for death and preparing for end of life. I wonder what advice you have in that process, managing fear of death and working with our patients as they approach the end of their journey. Dr Oliver: I think the most important thing is listening and trying to find what their particular concerns are. And as I said earlier, they may have understood from what they've read in books or the Internet that the death from ALS is very distressing. However, I think we can say there are several studies now from various countries where people have looked at what happens at the end of life for people with ALS. Choking to death, being very distressed, are very, very rare if the symptoms are managed effectively beforehand, preparations are made so that perhaps medication can be given quickly if someone does develop some distress so that it doesn't become a distressing crisis. So, I think we can say that distress at the end of life with ALS is unusual, and probably no different to any other disease group. It's important to make sure that people realize that with good symptom control, with good palliative care, there is a very small risk of choking or of great distress at the end of life. Dr Smith: Now, I would imagine many patients have multiple different types of fear of death; one, process, what's the pain and experience going to be like? But there's also being dead, you know, fear of the end of life. And then this gets into comments you made earlier about spirituality and psychology. How do you- what's your experience in handling that? Because that's a harder problem, it seems, to really provide concrete advice about. Dr Oliver: Yeah. And so, I think it's always important to know when someone says they're frightened of the future, to check whether it is the dying process or after death. I've got no answer for what's going to happen afterwards, but I can listen to what someone may have in their past, their concerns, their experience. You know, is their experience of someone dying their memories of someone screaming in pain in an upstairs bedroom while they were a child? Was their grandfather died? Trying to find out what particular things may be really a problem to them and that we can try and address. But others, we can't answer what's going to happen after death. If someone is particularly wanting to look at that, I think that may be involving a spiritual advisor or their local spiritual/religious leader. But often I think it's just listening and understanding where they are. Dr Smith: So, you brought up bereavement earlier and you discussed it in the article. In my experience is that oftentimes the families are very, very impacted by the journey of ALS. And while ALS patients are remarkably resilient, it's a huge burden on family, loved ones, and their community. Can you talk a bit about the role of palliative care in the bereavement process, maybe preparing for bereavement and then after the loss of their loved one? Dr Oliver: Throughout the disease progression, we need to be supporting the carers as much as we are the patient. They are very much involved. As you said, the burden of care may be quite profound and very difficult for them. So, it's listening, supporting them, finding out what their particular concerns are. Are they frightened about what's going to happen at the end of life as well? Are they concerned of how they're going to cope or how the person's going to cope? And then after the death, it's allowing them to talk about what's happened and how they are feeling now, cause I think having had that enormous input in care, then suddenly everything stops. And also, the support systems they've had for perhaps months of the carers coming in, the doctor, the nurse, the physiotherapist, everyone coming in, they all stop coming. So, their whole social system suddenly stops and becomes much reduced. And I'm afraid certainly in the UK if someone is bereaved, they may not have the contact with their friends and family because they're afraid to come and see them. So, they may become quite isolated and reduced in what they can do. So, I think it's allowing them to discuss what has happened. And I think that's as important sometimes for members of the multidisciplinary team, because we as doctors, nurses and the wider team will also have some aspects of bereavement as we face not seeing that person who we've looked after for many years and perhaps in quite an intensive way. So, we need to be looking at how we support ourselves. And I think that's another important role of the multidisciplinary team. I always remember in our team, sometimes I would say, I find this person really difficult to cope with. And the rest of the people around the team would go have a sigh of relief because they felt the same, but they didn't like to say. And once we could talk about it, we could support each other and work out what we could do to help us help the patient in the most effective way. Dr Smith: Well, David, I think that's a great point to end on. I think you've done a really great job of capturing why someone would want to be a palliative care specialist or be involved in palliative care, because one of the themes throughout this conversation is the very significant personal and care impact that you have on patients and families. So, I really appreciate your sharing your wisdom. I really encourage all of our listeners to check out the article, it's really outstanding. I wonder if maybe you might just briefly tell us a little bit about how you got into this space? It's obviously one for which you have a great deal of passion and wisdom. How did you end up where you are? Dr Oliver: I became interested in palliative care as a medical student, and actually I trained as a family doctor, but I went to Saint Christopher's Hospice following that. I had actually had contact with them while I was a medical student, so I worked Saint Christopher's Hospice in South London when Dame Cecily Saunders was still working there. And at that time Christopher's had sixty-two beds, and at least eight of those beds were reserved for people with ALS or other neurological diseases. And I became very involved in one or two patients and their care. And Dame Sicily Saunders asked me to write something on ALS for their bookshelf that they had on the education area. So, I wrote, I think, four drafts. I went from sort of C minus to just about passable on the fourth draft. And that became my big interest in particularly ALS, and as time went on, in other neurological diseases. When I went to the Wisdom Hospice as a consultant, I was very keen to carry on looking after people with ALS, and we involved ourselves with other neurological patients. That's how I got started. Having that interest, listening to patients, documenting what we did became important as a way of showing how palliative care could have a big role in neurological disease. And over the years, I've been pressing again and again for the early involvement of palliative care in neurological diseases. And I think that is so important so that there can be a proper holistic assessment of people, that they can build up the trust in their carers and in the multidisciplinary team so that they can live as positively as possible. And as a result of that, that their death will be without distress and with their family with them. Dr Smith: Well, David, you've convinced and inspired me, and I'm confident you have our listeners as well. Thank you so much for a really informative, enjoyable, inspiring conversation. Dr Oliver: Thank you for inviting me. Dr Smith: Again, today I've been interviewing Dr David Oliver about his article on neuropalliative care and neuromuscular disorders, which appears in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this and other issues, and thanks to our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
Host Mikalyn DeFoor, MD Guest interviewee Matthew T. Provencher, MD, MBA, FAAOS, CAPT, MC, USNR (Ret),discussing his review article, "Advancement in Care Through Applied Translational and Clinical Research in Anterior Shoulder Instability: Military Contribution Over 25 Years: Kappa Delta Award" from the December 1, 2025 issue (https://journals.lww.com/Jaaos/toc/2025/12010) Article summarized from the December 1, 2025 issue (https://journals.lww.com/Jaaos/toc/2025/12010) Review article "2025 Arnold Caplan Award RECLAIM: A Translational Platform for Cartilage Repair and Musculoskeletal Tissue Regeneration Using Allogeneic MSCs" Articles summarized from the December 15, 2025 issue (https://journals.lww.com/Jaaos/toc/2025/12150) Research article "Comparing Fixation Techniques in Metacarpal Fractures: Intramedullary Screw Versus Open Reduction Internal Fixation With Plate and Screw Construct" Follow this link to download these and other articles from the December 1, 2025 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2025/12010) and the December 15, 2025 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2025/12150). The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.
„Geh doch mal zur Osteopathin, das hilft bestimmt!“ – ein Satz, den fast alle Eltern irgendwann hören. Aber was steckt eigentlich hinter der Kinderosteopathie? In dieser Folge sprechen wir mit dem Kinder- und Jugendarzt Pierre Teichmann darüber, warum sie so beliebt ist, welche Versprechen sie gibt und was die Wissenschaft wirklich dazu sagt. +++Shownotes:Pierres Artikel "Wie der Ast gebogen wird, so wächst der Baum": https://kinderaerzte-im-aerztehaus.de/wp-content/uploads/2025/06/Thema-Kinderosteopathie.pdf, Pierre erwähnte folgende Studien: KiSS/ Asymmetrie: Sacher, R. et al (2024). Multicentric RCT on one-time manual medicine treatment of infantile postural and motor asymmetries (KISS)—Spreewald trial II. Manuelle Medizin, 62(2), 102–109. https://doi.org/10.1007/s00337-024-01046-0, Philippi, H. et al (2006). Infantile postural asymmetry and osteopathic treatment: A randomized therapeutic trial. Developmental Medicine and Child Neurology, 48(1), 5–9. https://doi.org/10.1017/S001216220600003X, Metaanalyse muskuloskeletale Beschwerden/ Rückenschmerzen: Ceballos-Laita, L. et al (2024). Is Osteopathic Manipulative Treatment Clinically Superior to Sham or Placebo for Patients with Neck or Low-Back Pain? A Systematic Review with Meta-Analysis. In Diseases (Bd. 12, Nummer 11). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/diseases12110287, Metaanalysen kraniosakrale Therapie: Ceballos-Laita, L. et al (2024). Is Craniosacral Therapy Effective? A Systematic Review and Meta-Analysis. In Healthcare (Switzerland) (Bd. 12, Nummer 6). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/healthcare12060679, Amendolara, A. et al (2024). Effectiveness of osteopathic craniosacral techniques: a meta-analysis. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1452465, Reviews Kinderosteopathie: Posadzki, P. et al (2013). Osteopathic manipulative treatment for pediatric conditions: A systematic review. In Pediatrics (Bd. 132, Nummer 1, S. 140–152). American Academy of Pediatrics. https://doi.org/10.1542/peds.2012-3959, Posadzki, P. et al (2022). Osteopathic Manipulative Treatment for Pediatric Conditions: An Update of Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 11(15). https://doi.org/10.3390/jcm11154455, Franke, H. et al (2022). Effectiveness of osteopathic manipulative treatment for pediatric conditions: A systematic review. Journal of Bodywork and Movement Therapies, 31, 113–133. https://doi.org/10.1016/j.jbmt.2022.03.013, exzessives Schreien und Osteopathie: Schwerla, F. et al (2021). Osteopathic Treatment of Infants in Their First Year of Life: A Prospective Multicenter Observational Study (OSTINF Study). Complementary Medicine Research, 28(5), 395–406. https://doi.org/10.1159/000514413, Cabanillas-Barea, S. et al (2023). Systematic review and meta-analysis showed that complementary and alternative medicines were not effective for infantile colic. In Acta Paediatrica, International Journal of Paediatrics (Bd. 112, Nummer 7, S. 1378–1388). John Wiley and Sons Inc. https://doi.org/10.1111/apa.16807, Carnes, D. et al (2024). Usual light touch osteopathic treatment versus simple light touch without intent in the reduction of infantile colic crying time: A randomised controlled trial. International Journal of Osteopathic Medicine, 51. https://doi.org/10.1016/j.ijosm.2024.100710, Stellungnahmen Gesellschaft für Neuropädiatrie: Gesellschaft für Neuropädiatrie e.V. (GNP). (2005). Stellungnahme: Manualmedizinische Behandlung des KISS-Syndroms und Atlastherapie nach Arlen. In Manuelle Medizin (Bd. 43, Nummer 2). Springer Science and Business Media LLC. https://doi.org/10.1007/s00337-005-0351-y, Gesellschaft für Neuropädiatrie (GNP), Deutsche Gesellschaft für Sozialpädiatrie und Jugendmedizin (DGSPJ), Berufsverband der Kinder- und Jugendärzte (BVKJ), & Deutsche Akademie für Kinder- und Jugendmedizin (DAKJ). (2015). Stellungnahme Osteopathie bei Kindern. https://www.dgspj.de/wp-content/uploads/service-stellungnahme-osteopathie-2015.pdf, Weitere Literatur: Teichmann, P. (2025). Kinderosteopathie - Falsche Versprechen. Deutsche Hebammen Zeitschrift (DHZ), 77(4), 66–71. https://staudeverlag.de/falsche-versprechen/, Maier , J. (2016). In guten Händen? DIE ZEIT. https://www.zeit.de/2016/33/osteopathie-babies-orthopaedie-gesundheit-medizin-saeuglinge/+++ Alle Rabattcodes und Infos zu unseren Werbepartnern findet ihr hier: https://linktr.ee/Wunschkind_Podcast ++++++ Unsere allgemeinen Datenschutzrichtlinien finden Sie unter https://datenschutz.ad-alliance.de/podcast.html +++ Wir verarbeiten im Zusammenhang mit dem Angebot unserer Podcasts Daten. Wenn Sie der automatischen Übermittlung der Daten widersprechen wollen, klicken Sie hier: https://datenschutz.ad-alliance.de/podcast.htmlUnsere allgemeinen Datenschutzrichtlinien finden Sie unter https://art19.com/privacy. Die Datenschutzrichtlinien für Kalifornien sind unter https://art19.com/privacy#do-not-sell-my-info abrufbar.
Drs. Mahinda Yogarajah, Benjamin Tolchin, and Jon Stone discuss recommendations for clinicians, patients, and other stakeholders on the management of functional seizures. Show citation: Tolchin B, Goldstein LH, Reuber M, et al. Management of Functional Seizures Practice Guideline Executive Summary: Report of the AAN Guidelines Subcommittee. Neurology. 2026;106(1):e214466. doi:10.1212/WNL.0000000000214466 Show transcript: Dr. Mahinda Yogarajah: Welcome to this edition of Neurology Minute. I'm your host for this. My name's Mahinda Yogarajah. I've just finished interviewing Dr. Ben Tolchin and Jon Stone for this week's Neurology® Podcast. For today's Neurology Minute, I'm hoping Ben can tell us the main points of the podcast and the paper discussed in that podcast. Dr. Ben Tolchin: We discussed the AAN guideline on the Management of Functional Seizures. This is the first American Academy of Neurology evidence-based guideline on functional neurologic disorder. It includes a systematic review of the randomized controlled trials relating to the treatment of this disorder, which found that psychological interventions are possibly effective in improving the chance of achieving freedom from functional seizures, in reducing the frequency of functional seizures, in improving quality of life, and in improving anxiety. In addition to the systematic review, there are clinical recommendations based on the systematic review and on related evidence. The recommendations deal with all stages of the diagnosis, management, and treatment of functional seizures and are particularly relevant to neurologists caring for patients with functional seizures. In addition, there are recommendations for future research relating to the diagnosis and management of functional seizures. Dr. Mahinda Yogarajah: Thank you, Ben. For more information, I'd recommend go to the main podcast or go and have a read of the article that's been published in Neurology® on the Management of Functional Seizures Practice Guidelines.
Podcast summary of articles from the October 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine. Topics include pediatric sepsis, anaphylaxis, POCUS for pneumothorax and pulmonary edema, acid base disturbances, and hantavirus. Guest speaker is Dr. Eric Lewis.
Resources:ACOG:https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=inthttps://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-rsv-vaccine-top-3-reasonsCDChttps://www.cdc.gov/rsv/vaccines/index.htmlSociety for Maternal Fetal Medicinehttps://www.highriskpregnancyinfo.org/vaccine-guide-for-pregnancy-2024https://www.smfm.org/rsvVideo: https://youtu.be/BnpKnTlWZaI?si=mN4bxvw-S3NcAaKzHealthy Children.orghttps://www.healthychildren.org/English/family-life/Media/Pages/follow-pediatricians-for-trustworthy-content-on-childrens-health.aspxACOG:https://www.acog.org/programs/immunization-infectious-disease-public-health/tools-and-resources/infographic-respiratory-syncytial-virus?utm_source=redirect&utm_medium=web&utm_campaign=intAmerican Academy of Family Physicians https://www.aafp.org/pubs/fpm/issues/2024/0700/maternal-rsv-vaccination.pdfAmerican College of Nurse Midwiveshttps://midwife.org/immunization-resources-for-providers/Association of women's health and neonatal nurses (AWHONN)https://www.awhonn.org/resources-and-information/rsv/Advisory Committee on Immunization Practices (ACIP)**Website: ACIP RSV Recommendationswww.Immunize.org/askexpertsHealthy Children.org (American Academy of Pediatrics)HealthyChildren.orgMarch of Dimeshttps://www.marchofdimes.org/No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical...
Today's West Coast Cookbook & Speakeasy Podcast for our especially special Daily Special, Blue Moon Spirits Fridays, is now available on the Spreaker Player!Starting off in the Bistro Cafe, Ghislaine Maxwell is caught plotting with Trump as the cover-up continues to be exposed.Then, on the rest of the menu, The American Academy of Pediatrics sued the MAGA HHS for cutting funds for children's health programs; the MAGA DOJ sued Illinois Governor Pritzker over state laws protecting immigrants at courthouses and hospitals; and, a federal judge blocked Trump's effort to strip the security clearance from a prominent attorney who represented whistleblowers.After the break, we move to the Chef's Table where an independent counsel demanded a 10-year prison term for South Korea's ousted President Yoon Suk Yeol in the first of seven criminal cases over his ill-fated attempt to impose martial law in 2024; and, Somalis vote in the first one-person, one-vote local election since 1969.All that and more, on West Coast Cookbook & Speakeasy with Chef de Cuisine Justice Putnam.Bon Appétit!The Netroots Radio Live PlayerKeep Your Resistance Radio Beaming 24/7/365!“Structural linguistics is a bitterly divided and unhappy profession, and a large number of its practitioners spend many nights drowning their sorrows in Ouisghian Zodahs.” ― Douglas Adams "The Restaurant at the End of the Universe"Become a supporter of this podcast: https://www.spreaker.com/podcast/west-coast-cookbook-speakeasy--2802999/support.
Severe acute brain injury presents acute and longitudinal challenges. Addressing total pain involves managing physical symptoms and providing emotional, social, and spiritual support to enhance quality of life for patients and their families. In this episode, Kait Nevel, MD, speaks with Claire J. Creutzfeldt, MD, author of the article "Neuropalliative Care in Severe Acute Brain Injury and Stroke" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Liewluck is a professor in the department of neurology at the University of Washington in Seattle, Washington. Additional Resources Read the article: Neuropalliative Care in Severe Acute Brain Injury and Stroke With Dr. Claire Creutzfeldt Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @cj_creutzfeldt Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Nevel: Hello, this is Dr Kait Nevel. Today I'm interviewing Dr Claire Creutzfeldt about her article on neuropalliative care in severe acute brain injury and stroke, which appears in the December 2025 Continuum issue on neuropalliative care. Claire, welcome to the podcast, and please introduce yourself to the audience. Dr Creutzfeldt: Thanks, thanks for having me. Yeah, I'm an associate professor of neurology at the University of Washington. I'm a stroke neurologist and palliative care researcher and really have focused my career on how we can best integrate palliative care principles into the care of patients with severe stroke and other neurocritical illness. Dr Nevel: Wonderful. Well, I'm looking forward to talking to you today about your excellent article that I really enjoyed reading. To get us started, can you tell us what you feel is the most important takeaway from your article for the practicing neurologist? Dr Creutzfeldt: Yeah. You know, I think one is always a little biased by what one is working on currently. And I think what I'm most excited about or feel more strongly about is this idea that stroke and severe acute brain injury are not an event, but really a chronic illness that people are left with usually for the rest of their lives, that change their life radically. And I think that education, research funding, also the clinical setting, current healthcare models aren't set up for that. And this idea that severe acute brain injury, you know, should be viewed as a lifelong condition that requires support across all ranges of goals of care. So curative, restorative, palliative and end-of-life care. Dr Nevel: Yeah, I love that part of your article, how you really highlighted that concept. And I think obviously that's something that we see in neurology and learn, especially as we transition out of our residency stages. But I think especially for the trainees listening, can sometimes be hospital inpatient-heavy, if you will, that kind of you can lose sight of that, that these acute strokes, severe acute brain injury, it turns into a chronic illness or condition that patients are dealing with lifelong. Dr Creutzfeldt: Often what we do in a very acute setting is like, is really cool and sexy and like, we can cure people from their stroke if they come, you know, at the right time with the right kind of stroke to the right hospital. And often the symptoms that people come in with much later on are harder to treat and address, partly because the focus in education, clinical and research just hasn't been as much on that time. Dr Nevel: Yeah, absolutely. So, can you talk to us about this concept of total pain? What does it mean, and how do we incorporate this concept into the way that we view our approach, our patient care? Dr Creutzfeldt: Total pain is a very old word, but it's sort of coming back into fashion in the palliative care world because it really describes all those sources of suffering or sources of distress, like, beyond what we sort of really think of as sort of the physical symptoms in recovery of stroke. As many of you know, palliative care often thinks in this multidimensional way of the physical distress, physical pain, but also psychological, emotional, social and spiritual, existential. And both- we sort of created sort of a figure that incorporates all of them and also includes both patients and their family members. They share some of these sources of distress, but they also have distinct ones that need to be addressed. And at the core of that total pain is what we need to provide, is sort of optimal communication and goals-of-care prognosis. Dr Nevel: Yeah, I'm thinking about all of those aspects and not just focusing on one. How does the disease trajectory of severe acute brain injury and stroke play a role in the palliative care approach? And how should we kind of going back to that original point of this idea of severe acute brain injury being an acute event and then oftentimes turning into kind of a chronic condition? How does that play a role in how we address palliative care with our patients, or kind of the stages of palliative care with our patients? Dr Creutzfeldt: Yeah, I think several things, especially for neurologists, is the more traditional palliative care illnesses, like cancer or congestive heart failure, illnesses where people are diagnosed when they're still functioning at a relatively high level and tend to have time to consider their prognosis and their goals of care in the end of life wishes and to meet with palliative care and to consider their personhood. Who am I? What's most important for me? And stroke, people with stroke, they not only present at their worst, they meet us at their worst, at a time when the patient themselves usually can't speak for themselves, when their personhood has been stripped from them. And then as providers, we, you know, we often really just get that one opportunity to get the conversation right and to guide people towards, you know, what we would call optimal and goal-concordant care. So, the challenges are many. I do think that the burden of these early conversations is on neurologists and really requires the neurologists to show compassion, to learn communication skills, think really hard about how you want to communicate prognosis and goals of care early on, because it's going to color people's experiences and decisions longitudinally. You asked about, sort of, this trajectory. And I do think it's important to think about, you know, what really happens even after the thrombectomy or even after we discharge people, especially from the ICU. Because for us, often after sort of day five or six, you know, we're sort of done. We're thinking about secondary stroke prevention. And, you know, how do I get the patient to rehab or out of the hospital? For the patients and families, this is when it really all just starts. You know, this is when they- when they're first memories are usually, you know, they hardly remember that acute setting. And so, when they are medically stable, we're done with the acute blood pressure treatment where we've removed the Foley, we've made a decision about nutrition. For us that tends to be a time where we let go a little; for patients and families that tends to actually be the time when they have to think about how am I going to live with this and what are the next several months or years going to look like? And so being there for them is important. Dr Nevel: That's such a, I think, important point, that when we have our plan in place, we know medically what the plan is for that patient and we're starting to step back, think about rehab or discharge. That's when oftentimes more quote-unquote "reality" steps in for patients and families about what their future is going to look like. Dr Creutzfeldt: And medical stability is not even close to neurological stability. And so, they are still in the middle of real prognostic uncertainty, and often waxing and waning symptoms or new symptoms coming up for them. Like pain, you know, post thalamic pain syndrome, just as an example, tends to be something that doesn't develop until later. Dr Nevel: Right, right. Absolutely. And since you touched on this concept of prognostic uncertainty, and, you know, that's something that's so challenging in severe acute brain injury, especially the early days when you talk about this, you know, that things tend to become a little bit more certain as more time passes. But these are really hard conversations because a lot of times feel like big decisions that need to be made early on, you know? Dr Creutzfeldt: Huge! Dr Nevel: Sometimes things like trach and PEG and things like that. How do you approach that conversation? I know you talk about that a little bit in your article. You touch on that, some of the, kind of, strategies or concepts that we use in palliative care to approach this prognostic uncertainty with patients. Dr Creutzfeldt: Yeah, I think the challenge is to balance this acknowledging uncertainty with still being able to guide the families and allow them to trust you. So, there are a few things that I have said in the past, and I have taught in the past, and I don't use anymore. They include sentences like I don't have a crystal ball, for example. Nobody was asking you for one. The other one that I want us to avoid, I think, is the sentence we are terrible at prognosticating. Because what I have seen is that that sentence carries on for families. And families at nine months are still saying, well, you guys are terrible at prognosticating. That's what you told me. First of all, it's all relative, and relative to non-neural providers---even at this time using Google and AI, we're actually quite good at prognosticating. It's just that a wide range early on. So that's how I would change that sentence is, early on after stroke, the range of possible outcomes is still very wide. And so, you've communicated uncertainty without saying I have no idea what I'm doing, which is not true. That is in order to help families be able to trust you and also to trust the person who comes after you, because we all know that a week or two after admission, we do know a lot more. And if we told them on day one that we're terrible at prognosticating, it's hard to sort of build that trust again later. You also asked about, you know, communication strategies. And I think it's this range of possible outcomes that I think is a good guideline for us to work on. And that range, sort of like a confidence interval, is still very wide early on. And as we collect more information over time, both about the clinical scenario that is evolving in front of us and about the patient who we are learning more about over time, this confidence interval becomes smaller. And that's where this idea of the best case/worst case scenario sort of conversation, for example, comes from: that range of possible outcomes. Dr Nevel: So, what to you is most challenging about palliative care for patients with severe acute brain injury and stroke? Dr Creutzfeldt: I think the biggest challenge in stroke care is balancing restorative and curative care with palliative and end-of-life. And that is especially early on when sort of everything is possible, when patients and families want to hear the good news and, I think, are also quite willing to hear the bad news, and probably should. So, I think that that communication is hard when, you know, really we want to provide goal-concordant care. We want to make sure that people get that care that is most important to them and can meet the outcomes that are most important to them. Dr Nevel: Yeah, agree. What is most rewarding? Dr Creutzfeldt: I think these patients and families have enormous needs and are extremely grateful if they can find someone that they can trust and who can guide them and who will stick with them. And when I say someone, I think that can be a team. That always depends on how we communicate. In the ideal world, it would be the same person following someone over time, the patient and the family over time. But in our current healthcare system, we're usually moving on from one place to another and being able to communicate with the people that come after you. Telling the family that you're a team and supporting them through that, I think, is really important. Dr Nevel: Yeah. And like you touched upon, patients and families, I think oftentimes they're looking for, you mentioned, you know, the sharing and communication and they're looking for information. Dr Creutzfeldt: You know, what's really rewarding is working with a team. And health care has really excelled at that. And I think we have a lot done from them is that it's not always the MD that family needs. And we have a lot of people at our side, and I think we need more of them. Chaplains, social workers; psychologists, actually, I think; and nurses or- in an ideal world, would really work together to support these multidisciplinary, multidimensional symptoms. Dr Nevel: Yeah. I think it benefits both the patient and the care team, too. Dr Creutzfeldt: Absolutely! Dr Nevel: It's helpful to be part of a team. You know, there's camaraderie in that and, like, a shared goal, and I think the thought is rewarding, too. Dr Creutzfeldt: If we really try and think about severe stroke as a chronic illness or severe acute brain injury as a chronic illness not unlike cancer, then if you think about the systems that have been built for cancer where an entire team of providers follows the patient and their family member over time, I think we need that, too. Dr Nevel: Yeah, I agree. That point, every member of the team has overlapping things, but has a slightly individual role to a degree too, which is also helpful to the patient and the family. You talked about this a little bit in your article, and I want to hear more from you about what we know about healthcare disparities in this area of medicine and in providing palliative care for patients with severe acute brain injury and stroke. Dr Creutzfeldt: Yeah, I think actually a lot of the huge decisions that we make, especially early on, are highly variable. And can identify people by various things, whether it's their race or ethnicity or sex or age, or even where they live in the United States. But decisions tend to be made differently. And so, just as an example, we know that I think people who identify as black, for sure, are less likely to receive the acute, often life-saving interventions like TNK or thrombectomy and more likely to undergo longer-term, life-prolonging treatment like PEG and trach. That seems true, after adjusting for clinical severity and things like that. And so disparities like that may be based on cultural preferences or well-informed decisions, and then we can support them. But of course, unfortunately there's a clear idea when we see, often, unexplained variability that a lot is due to uninformed decisions and poor communication and possibly racism in certain parts. And that is, of course, something that has to be addressed. Dr Nevel: Yeah, absolutely. What are future areas of research in this area? I know you do a lot of research in this area and I'd love to hear about some of it and what you think is exciting or kind of new and going to change the way we think about things, perhaps. Dr Creutzfeldt: I think every aspect of stroke continues to be exciting and just, you know, our focus of today and my research is on palliative care. I mean, obviously, the things we can do in rehab these days have to be embraced, and the acute stuff. But I think this longitudinal support, an ideally longitudinal multidisciplinary support for patients and families, requires more research. I think it will help us with prognosis. It will help us with communicating things early on and learning more about sort of multidimensional symptoms of these patients over time. That requires more research. And then, how can we change the healthcare system---in a sustainable way, obviously---to maximize quality of life for the survivors and their families? Dr Nevel: Going back to that total pain again, making sure that we're incorporating that longitudinally. Dr Creutzfeldt: I think there are currently 94 million people worldwide living with the aftermath of a stroke. I joined a stroke survivor support group recently. People are supporting each other that have that had their stroke, like, 14 years ago and are still in that just to show that this is not one and done. People are still struggling with symptoms afterwards and want support. Dr Nevel: Before we close out, is there anything else that you'd like to add? Dr Creutzfeldt: Your questions have all been great, and I think one observation is that we've talked a lot about, sort of, new ideas of the need for longitudinal care for patients after severe stroke. There's still a ton for all of us to do to optimize the care we provide in the very acute setting, to optimize the way we communicate in the very acute setting. To make sure we are, for example, providing the same message as our team members and providing truly compassionate goal-concordant care from the time they hit the emergency room throughout. Including time-limited trials, for example. Dr Nevel: Well, thank you so much for chatting with me today about your article on this really important topic. Again, today I've been interviewing Dr Claire Creutzfeldt about her article on neuropalliative care in severe acute brain injury and stroke, which appears in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this and other issues. And as always, to our listeners, please check out the article. It's great, highly recommend. And thank you to our listeners for joining us today. And thank you so much, Claire, for sharing your expertise with us today. Dr Creutzfeldt: Thanks for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
From a newborn's first trip home to the day a teenager buckles into the driver's seat, car rides are milestones throughout childhood. Between those moments lie years of transition: rear-facing to forward-facing seats, boosters to seat belts, and countless opportunities for confusion, error and learning. This episode breaks down the latest recommendations in child passenger safety, addresses common misconceptions, and offers practical guidance pediatricians can use to help families keep children safe at every stage. This episode was recorded on the exhibit floor of the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Meghan Beucher, MD, is an assistant professor of emergency medicine and pediatrics, as well as a trained child passenger safety technician instructor, with Hasbro Children's Hospital and the Warren Alpert Medical School of Brown University. Raquel Denis, MD, is an assistant professor of pediatrics at Prisma Health and the University of South Carolina, as well as a child passenger safety technician. Some highlights from this episode include: When to switch from rear facing to forward facing seats Why medical guidance can differ from local laws How to best support families unfamiliar with car seat safety Why recommendations have changed in recent years For more information on Children's Colorado, visit: childrenscolorado.org.
In this Q&A episode, host Paul Wirkus, MD, FAAP and guest Tim Bahr, MD, FAAP address important clinical questions surrounding hyperbilirubinemia, with a focus on longer-term complications and complex presentations. The discussion explores outcomes associated with severe or prolonged hyperbilirubinemia, including cases with late presentation or persistent jaundice, and how these scenarios may differ from typical newborn courses. We also review key considerations for escalation of care, including when transfer to a higher level of care is warranted and how to make those decisions in real-world practice. This episode offers practical guidance to support timely recognition, appropriate management, and improved outcomes for infants at risk. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Elizabeth McCracken is the author of nine books: Here's Your Hat What's Your Hurry, The Giant's House, Niagara Falls All Over Again, An Exact Replica of a Figment of My Imagination, Thunderstruck & Other Stories, Bowlaway, The Souvenir Museum, The Hero of This Book, and A Long Game: Notes on Writing Fiction. She's received grants and fellowships from United States Artists, the Guggenheim Foundation, the National Endowment for the Arts, the Liguria Study Center, the American Academy in Berlin, the Fine Arts Work Center in Provincetown, and the Radcliffe Institute for Advanced Study. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of Healthy Sleep Revolution, we're joined by Dr. Mayoor Patel, DDS, MS, a leading expert in dental sleep medicine and co-editor of Dental Sleep Medicine: A Clinical Guide, a comprehensive textbook used by clinicians to understand the intersection of dentistry and sleep medicine. Dr. Patel has spent decades focused on TMJ disorders, orofacial pain, and sleep-disordered breathing, bringing a depth of clinical experience and academic insight that challenges how many dental and sleep practices currently operate. Boswell Books+1 We discuss the significant gaps that exist between traditional dental practice and effective sleep medicine, including why sleep-disordered breathing often goes unrecognized in dental settings and how expanding screening protocols can change patient outcomes. Dr. Patel explains practical approaches for dentists and sleep clinicians to better identify, assess, and manage sleep-disordered breathing, emphasizing the role of thorough airway evaluation, collaboration across disciplines, and taking patient symptoms seriously rather than overlooking them. Boswell Books We also delve into the clinical realities that are frequently missed, including the nuanced presentation of airway issues in patients, and why oral appliance therapy and comprehensive management strategies need to be more widely adopted. Dr. Patel further explores the often-overlooked connection between pain and sleep, highlighting how unresolved orofacial pain and airway dysfunction can create a cycle of poor sleep, increased pain sensitivity, and systemic health consequences. This episode equips listeners with a clearer framework for bridging dental care and sleep health, empowering both providers and patients to pursue more holistic, effective solutions. About Dr. Mayoor Patel Dr. Patel received his dental degree from the University of Tennessee in 1994. After graduation he completed a one-year residency in Advanced Education in General Dentistry (AEGD). In 2011 he completed a Masters in Science from Tufts University in the area of Craniofacial Pain and Dental Sleep Medicine. Dr. Patel is Board certified in Orofacial pain and Dental sleep medicine. Presently, Dr. Patel is a co-founder of the British Academy of Dental Sleep Medicine, Ben-Pat Institute and a visiting faculty at Tufts University. He also served on the American Academy of Craniofacial Pain as secretary, board member of the British Society of Dental Sleep Medicine, and a board member and as examination chair for the American Board of Craniofacial Pain and Craniofacial Dental Sleep Medicine. In the past has served as a founding and board member of the Georgia Association of Sleep Professionals. Since 2003, Dr. Patel has limited his practice to the treatment of TMJ Disorders, Headaches, Orofacial Pain and Sleep Apnea. Additional contributions have been published: a textbook for Dental Sleep Medicine and numerous textbook chapters on orofacial pain and dental sleep medicine, consumer books, one on treatment options for sleep apnea and the other on understanding temporomandibular disorders, and various professional and consumer articles. Dr. Patel speaks nationally and internationally on topics of dental sleep medicine, Orofacial pain and TMJ disorders. Instagram: https://www.instagram.com/cpcgeorgia/ and https://www.instagram.com/benpatinst/ Websites: https://mpateldds.com/ and https://benpatinstitute.com/ About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep. Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/meghna_dassani/ Youtube: https://www.youtube.com/@meghna-dassani
December 21, 2025; 9am: Health and Human Services terminated millions of dollars in grants to the American Academy of Pediatrics after the group previously criticized health secretary Robert F. Kennedy Jr's changes to the federal vaccine policy. The health secretary is also expected to announce sweeping changes to how American children should be immunized in the new year. Dr. Karen Remley, the former CEO of the American Association of Pediatrics, joins “The Weekend” to share what this could mean for families.For more, follow us on social media:Bluesky: @theweekendmsnow.bsky.socialInstagram: @theweekendmsnowTikTok: @theweekendmsnow To listen to this show and other MS podcasts without ads, sign up for MS NOW Premium on Apple Podcasts. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Happy Holidays, everyone!
In this episode, Sean MacCracken reflects on his experience at the American Academy of Religion, noticing a shift toward more participatory, contemplative, and integrative approaches in religious studies. He discusses his course, Kashmiri Shaivism: Supreme Non-Dualism, highlighting how meditation, contemplation, and embodied practices cultivate awareness, ethical self-reflection, and creative engagement with the world. Sean also explores how his study of Indian philosophy and Tantric traditions opens broader, integral ways of knowing that move beyond reductionist frameworks. He discusses his article, “Regarding Humanism: Some Observations Concerning the Tibetan Buddhist and Transhumanist Dialogue,” showing how Buddhist and Tantric insights deepen our understanding of humanism, development, and collective ethical responsibility. This episode offers listeners a glimpse into how contemplative and Integralist approaches can reshape learning, thinking, and living—showing philosophy as a path toward grounded, ethically engaged, and transformative ways of being in the world. Sean K. MacCracken is adjunct faculty at California Institute of Integral Studies. He recieved a M.A. and Ph.D in Asian and Comparative Studies from CIIS, and a M.A. in Religious Studies from University of Virginia. “Regarding Humanism: Some Observations Concerning the Tibetan Buddhist and Transhumanist Dialogue” https://processcenturypress.com/unprecedented-evolution-continuities-and-discontinuities-between-human-and-animal-life-and-the-future-of-humanity/ The EWP Podcast credits Connect with EWP: Website • Youtube • Facebook Hosted by Stephen Julich (EWP Core Faculty) and Jonathan Kay (EWP PhD grad) Produced by: Stephen Julich and Jonathan Kay Edited and Mixed by: Jonathan Kay Music: Mosaic, by Monsoon on the album Mandala Introduction Voiceover: Roche Wadehra Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Today's HighWire pulls no punches. Del breaks down HHS's decision to withdraw funding from the American Academy of Pediatrics and the media reaction to RFK Jr.'s bold move. Jefferey Jaxen reports on the quiet return of flu lockdowns overseas—and the next pandemic narrative already taking shape. Then, Jefferey examines what's truly at stake as the AI race threatens to replace human labor at scale. Finally, epidemiologist Nick Hulscher, MPH, joins Del in-studio to reveal new findings from a reanalysis of the Henry Ford “vaxxed vs. unvaxxed” data—results that could redefine modern public health.Guests: Nicolas Hulscher, MPHBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.
GBH's Adam Reilly and The Bay State Banner's Ron Mitchell join for Press Play media analysis. This week, they talk about media reaction to Trump's White House address, Brian McGrory returning to the Globe and a profile of the photographer who captured Trump staff for the Susie Wiles Vanity Fair profile. Boston Medical Center's Dr. Katherine Gergen Barnett on the CDC reversing its position on Hepatitis B vaccines for infants, cutting funding for the American Academy of Pediatrics, RFK Jr.'s move to ban gender affirming care for young people, and the so-called "Christmas Coronary effect." Atikin Rose is an up-and-coming R&B singer songwriter with a new EP due out next year. She joins for Live Music Friday alongside talent manager Rob Kelley-Morgan.Tony Williams and Peter Gwiazda celebrate 25 years of the Urban Nutcracker. Tony is the show's founder and creative visionary. Peter is a dancer with Les Ballets Trockadero de Monte Carlo.NBC10 Boston media maven Sue O'Connell talks Epstein files, Brian Walshe, and a NYTimes profile of the woman caught in that Coldplay kiss-cam last summer.
In this December 19 episode of MAHA News, the hosts break down major health policy shifts shaping the MAHA movement. The discussion opens with President Trump's decision to reclassify marijuana from Schedule I to Schedule III, examining the medical, research, and financial implications for cannabis, CBD, and hemp industries. The show then turns to HHS actions targeting transgender surgeries for minors, including the removal of federal funding and scrutiny of organizations like the American Academy of Pediatrics. The conversation expands into Lyme disease, highlighting new federal acknowledgment of long-dismissed patient experiences and revelations surrounding its origins. The episode also covers food system reform, spotlighting local farm networks, raw milk resources, and corporate moves to remove harmful additives. The second half features an in-depth interview on red light therapy, exploring its science, applications, and potential benefits for inflammation, recovery, and chronic illness. The episode closes with reflections on health sovereignty, decentralization, and the broader cultural shift underway.
Dr. Avi Loeb visits for the 4th time -- this time around the sun to discuss 3I/Atlas, the 3rd, and most notable interstellar object observed in our galaxy. Anomaly, "Dark Comet", or Alien Intelligence? The World is watching. You decide!In addition to audio, you can now watch the episode on The Signal Network channel on Youtube.BIOAbraham (Avi) Loeb is the Frank B. Baird, Jr., Professor of Science at Harvard University and a bestselling author (featured in the New York Times, Wall Street Journal, Publishers Weekly, Die Zeit, Der Spiegel, L'Express, and more). He earned his PhD in Physics from the Hebrew University of Jerusalem at age 24, led the first international project supported by the Strategic Defense Initiative, and was a long-term member of the Institute for Advanced Study at Princeton. Dr. Loeb has written 9 books, including Extraterrestrial and Interstellar, and published over a thousand papers on black holes, the first stars, extraterrestrial life, and the future of the Universe. Loeb directs the Institute for Theory and Computation at the Harvard-Smithsonian Center for Astrophysics and heads the Galileo Project. He was the longest-serving Chair of Harvard's Astronomy Department and founding director of the Black Hole Initiative. Loeb is a fellow of the American Academy of Arts & Sciences, the American Physical Society, and the International Academy of Astronautics. He has served on the President's Council of Advisors on Science and Technology, chaired the Board on Physics and Astronomy of the National Academies, and currently advises “Einstein: Visualize the Impossible” at the Hebrew University. He also chaired the Breakthrough Starshot Initiative and directed theory for the Breakthrough Prize Foundation. His latest TED talk ranked among the ten most popular of 2024.Professional website: https://www.cfa.harvard.edu/~loeb/$10 Afraid of Nothing merch - and more - at the Afraid of Nothing Shopify store. Visit afraidofnothingpodcast.com or use this url:https://www.afraidofnothingpodcast.com/p/shopify-store/Never be afraid to look good and have cool merch! Support the showSUPPORT THE PODCAST NEW: SHOP OUR STORE ON SHOPIFY!Never Be Afraid to Look Good at https://383e86-d1.myshopify.com/.FOLLOW/SUBSCRIBE/REVIEW...On our website at afraidofnothingpodcast.com.SUBSCRIBE...Your gracious donation here helps defray production costs. Beyond my undying gratitude, you will also will be shouted out in an upcoming episode.WATCH ON YOUTUBE...We are uploading past episodes on our Youtube channel. WATCH THE DOC… VIMEO ON DEMAND: Rent the Afraid of Nothing documentary here: https://vimeo.com/ondemand/aondoc. TUBI: watch for free with ads on tubitv.com. REVIEW OUR FILM ON ROTTEN TOMATOES...Write your five-star review here.
My conversation with Dr Emanuel begins at about 34 minutes Subscribe and Watch Interviews LIVE : On YOUTUBE.com/StandUpWithPete ON SubstackStandUpWithPete Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. This show is Ad free and fully supported by listeners like you! Please subscribe now for as little as 5$ and gain access to a community of over 750 awesome, curious, kind, funny, brilliant, generous soul In Eat Your Ice Cream, renowned health expert Dr. Ezekiel J. Emanuel argues that life is not a competition to live the longest, and that "wellness" shouldn't be difficult; it should be an invisible part of one's lifestyle that yields maximum health benefits with the least work Ezekiel J. Emanuel, MD, PhD, is the Vice Provost for Global Initiatives, the Co-Director of the Healthcare Transformation Institute, and the Diane v.S. Levy and Robert M. Levy University Professor at the University of Pennsylvania Perelman School of Medicine. Emanuel is an oncologist and world leader in health policy and bioethics. He is a Special Advisor to the Director General of the World Health Organization, Senior Fellow at the Center for American Progress, and member of the Council on Foreign Relations. He was the founding chair of the Department of Bioethics at the National Institutes of Health and held that position until August of 2011. From 2009 to 2011, he served as a Special Advisor on Health Policy to the Director of the Office of Management and Budget and National Economic Council. In this role, he was instrumental in drafting the Affordable Care Act (ACA). Emanuel also served on the Biden-Harris Transition Covid Advisory Board. Dr. Emanuel is the most widely cited bioethicist in history. He has over 350 publications and has authored or edited 15 books. His recent publications include the books Which Country Has the World's Best Health Care (2020), Prescription for the Future (2017), Reinventing American Health Care: How the Affordable Care Act Will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System (2014) and Brothers Emanuel: A Memoir of an American Family (2013). In 2008, he published Healthcare, Guaranteed: A Simple, Secure Solution for America, which included his own recommendations for health care reform. Dr. Emanuel regularly contributes to the New York Times, the Washington Post, the Wall Street Journal, The Atlantic, and often appears on BBC, NPR, CNN, MSNBC and other media outlets. He has received numerous awards including election to the National Academy of Medicine, the American Academy of Arts and Sciences, the Association of American Physicians, and the Royal College of Medicine (UK). He has been named a Dan David Prize Laureate in Bioethics, and is a recipient of the AMA-Burroughs Wellcome Leadership Award, the Public Service Award from the American Society of Clinical Oncology, Lifetime Achievement Award from the American Society of Bioethics and Humanities, the Robert Wood Johnson Foundation David E. Rogers Award, President's Medal for Social Justice Roosevelt University, and the John Mendelsohn Award from the MD Anderson Cancer Center. Dr. Emanuel has received honorary degrees from Icahn School of Medicine at Mount Sinai, Union Graduate College, the Medical College of Wisconsin, and Macalester College. In 2023, he became a Guggenheim Fellow. Dr. Emanuel is a graduate of Amherst College. He holds a M.Sc. from Oxford University in Biochemistry, and received his M.D. from Harvard Medical School and his Ph.D. in political philosophy from Harvard University. On YOUTUBE.com/StandUpWithPete ON SubstackStandUpWithPete Listen rate and review on Apple Podcasts Listen rate and review on Spotify Pete On Instagram Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on Twitter Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll Gift a Subscription https://www.patreon.com/PeteDominick/gift Send Pete $ Directly on Venmo
The news to know for Thursday, December 18, 2025! What to know about President Trump's primetime address to the nation last night—how he rates his first year back in office, and why some say it was the wrong message. Also, why the U.S. is now suing the U.S. Virgin Islands, who is donating to the so-called Trump Accounts this time, and what a new version of history at the White House shows. Plus: what it could mean now that federal funding has been cut to the American Academy of Pediatrics, why the Academy Awards will look very different in a few years, and how music can be like food for your brain. Those stories and even more news to know in about 10 minutes! Join us every Mon-Fri for more daily news roundups! See sources: https://www.theNewsWorthy.com/shownotes Become an INSIDER to get AD-FREE episodes here: https://www.theNewsWorthy.com/insider Get The NewsWorthy MERCH here: https://thenewsworthy.dashery.com/ Sponsors: You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/NEWSWORTHY and using code NEWSWORTHY at checkout. Get 15% off OneSkin with the code NEWSWORTHY at https://www.oneskin.co/NEWSWORTHY #oneskinpod To advertise on our podcast, please reach out to ad-sales@libsyn.com
In pediatric practice, few topics are as foundational and scientifically grounded as vaccinations. This season, a major shift in federal vaccine advisory guidance has sparked fresh discussion about how we protect infants from hepatitis B. The Center for Disease Control and Prevention's advisory committee on immunization practices voted to revise the more than 30-year guidance around the universal birth-dose of the Hepatitis B vaccine. In this episode, our goal is to provide clarity for clinicians on the best vaccination approach for our youngest patients. For this important discussion, we are joined by Sean O'Leary, MD, a pediatric infectious disease specialist at Children's Colorado, as well as a professor at the University of Colorado School of Medicine. He is also chair of the American Academy of Pediatrics (AAP) Committee on Infectious Diseases, otherwise known as the Red Book Committee. Some highlights from this episode include: The history of hepatitis B infection in children in the U.S. Why the birth dose has been such a critical part of prevention Breaking down the recent decision by the CDC advisory committee Recommendations for this vaccine moving forward For more information on Children's Colorado, visit: childrenscolorado.org.
Howie Kurtz on President Trump's address to the nation, House Republicans offering an alternative to Obamacare, and Secretary RFK Jr. terminating grants to the American Academy of Pediatrics over federal vaccine policy disagreements. Follow Howie on Twitter: @HowardKurtz For more #MediaBuzz click here Learn more about your ad choices. Visit podcastchoices.com/adchoices
Send us a textAbout Dr. Dwight Barnes:Dr. Dwight Barnes is the co-owner of Cary Family Eye Care, along with his wife Kelly. He is also the director of their Myopia Control Clinic, where he has built a high volume myopia control practice. He is a graduate of the University of North Carolina and Southern College of Optometry. He is a Fellow of the American Academy of Orthokeratology and Myopia Control (FAAOMC) and lectures frequently on ortho-k and myopia management.Cary Family Eyecare ClinicLinkedIn: https://www.linkedin.com/in/dwight-barnes-8b155515/---If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/
Send us a textAbout Dr. Kathryn Richdale:Dr. Kathryn Richdale received her BS from the University of Notre Dame and her OD, PhD, and Cornea and Contact Lens Advanced Practice Fellowship from The Ohio State University. She was founding director of the Clinical Vision Research Center, and established the Myopia Control Clinic at the State University of New York College of Optometry before joining the University of Houston College of Optometry (UHCO) as an Associate Professor in 2017. Dr. Richdale is an attending in the Cornea and Contact Lens Service, oversees the Myopia Management Service, and teaches in both the optometric and graduate programs at UHCO. She conducts research and teaches primarily in the areas of cornea, contact lenses and refractive error. Dr. Richdale earned her Diplomate in the American Academy of Optometry Cornea, Contact Lenses and Refractive Technologies section in 2019 and is currently a board member for our Academy's journal (OVS) and Foundation.---If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/
Send us a textAbout Dr. Cheryl Chapman:Dr. Cheryl Chapman, OD, FIAOMC, FAAO, Diplomate ABOVice-President Board of Directors, American Academy of Orthokeratology and Myopia Control (AAOMC)Dr. Chapman works in private practice in Gretna, Nebraska. She has instituted a full scope myopia management clinic within her practice and works tirelessly at spreading myopia management knowledge. In addition to working one-on-one with doctors to implement practice protocols, she lectures within the optometric community as well as to local pediatricians and ophthalmologists. Serving as an Adjunct Assistant Professor at the University of the Incarnate Word Rosenberg School of Optometry, Dr. Chapman also enjoys working closely in training 4th year extern students in current myopia management strategies. She is a graduate of the University of Houston College of Optometry.----If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/
This week on Faisel and Friends, we are discussing Following the Information Blueprint: Restoring Joy in Primary Care. Faisel and Dan are talking with Karen Johnson, PhD: Vice President of Practice Advancement at the American Academy of Family Physicians.Our conversation explores reducing the burdens of practice by utilizing AI, improving information-sharing and data flow to guide impactful action, and rebuilding trust within the healthcare workforce.Read the Primary Care Information Blueprint here: https://www.aafp.org/dam/AAFP/documents/practice_management/payment/primary-care-information-blueprint-aafp.pdf
In this episode of the Society of Actuaries Research Insights Podcast, Dale Hall, Managing Director of Research at the SOA Research Institute, welcomes Geralyn Trujillo, Senior Director of Public Policy at the American Academy of Actuaries. Together, they provide an insightful recap of the 2025 NAIC Fall Meeting held in Hollywood, Florida, December 8-11, 2025. The discussion covers key takeaways from the meeting, including updates from the SOA on climate-related research such as climate-induced migration, sea level rise, and wildfires, as well as important developments in long-term care experience studies and global mortality experience studies from Canada and China. Tune in for a deep dive into the issues shaping regulatory, policy, and actuarial landscapes in the U.S. and globally.
Angel Studios https://Angel.com/HermanJoin the Angel Guild today where you can stream Thank You, Dr. Fauci and be part of the conversation demanding truth and accountability. Renue Healthcare https://Renue.Healthcare/ToddYour journey to a better life starts at Renue Healthcare. Visit https://Renue.Healthcare/Todd Bulwark Capital https://KnowYourRiskPodcast.comBe confident in your portfolio with Bulwark! Schedule your free Know Your Risk Portfolio review. Go to KnowYourRiskPodcast.com today. Alan's Soaps https://www.AlansArtisanSoaps.comUse coupon code TODD to save an additional 10% off the bundle price.Bonefrog https://BonefrogCoffee.com/ToddThe new GOLDEN AGE is here! Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.LISTEN and SUBSCRIBE at:The Todd Herman Show - Podcast - Apple PodcastsThe Todd Herman Show | Podcast on SpotifyWATCH and SUBSCRIBE at: Todd Herman - The Todd Herman Show - YouTubeGod loves marriage, and abhors divorce. Oprah WinfreyEpisode Links:Relationship coach blames Oprah for pushing family estrangement 'for decades'; Expert says Winfrey helped normalize 'cutoff culture' as study shows a third of Americans are estranged from familyBREAKING: High Court Judge blocks Enoch Burke's family from courtroom.BREAKING: Florida AG sues WPATH, American Academy of Pediatrics, and The Endocrine Society for m*tilating kids in the name of “gender affirming care.”We wrote the HHS review on treatment for minors with gender dysphoria. We hope our critics actually read our report; Some may be skeptical of our findings, but we believe that our work speaks for itselfWhen we critique Trump, we often hear, “But where were your critiques of Biden?” Here's the difference: the Biden administration didn't use Jesus, the Bible, or Christian language to justify its policies. MAGA does, and large parts of the evangelical church cheer it on. Any administration that uses Christianity to defend something blatantly unchristian will get a Holy Post call-out. If you think it's a sin to have an abortion, then don't have an abortion." The Rev. Dr. Sarah Halverson-Cano of IUCC get teary-eyed at the thought that her daughter and granddaughter WON'T have access to abortion and "reproductive justice."
A replay episode from our powerful interview with Lisa Kays on how improv can deepen conversations around tough topics like race and oppression. Click Here to View the Original Episode Shownotes Improv in Therapy and in Life – Explore the power – and sheer fun – of using improvisation in therapy! Dr. Ann Kelley and Lisa Kays discuss how improv can deepen conversations around tough topics like race and oppression. They examine white supremacy culture and show how improv values like collaboration, slowing down, and embracing complexity can challenge these norms. Improv fosters creativity, playfulness, and self-reflection to help reduce defensiveness and strengthen relationships in everyday life, at work, or in our closest relationships. By creating a supportive, collaborative environment, improv deepens connections and helps people tap into a wider range of emotions. “A culture of improvisation is collaborative – it is nature – you cannot do it by yourself.” – Lisa Kays Time Stamps for Improv in Therapy & Life 03:30 The integration of improv and tough conversations 10:03 The origins of improv and its connection to social justice 14:27 Contrasting white supremacy culture and improv culture 19:20 Questioning cultural norms and valuing relationships 25:29 The power of the ‘And’ in joining and connecting 38:27 The power of improv in building secure relationships 53:25 Embracing creativity and letting go of perfectionism 58:12 Creating a culture of support and collaboration 01:05:04 Applying improv in everyday life 01:09:10 Deepening connections and accessing different emotions About our Guest for Improv Therapy – Lisa Kays LICSW, LCSW, LCSW-C Lisa Kays, LICSW, LCSW-C, LCSW, is an independently licensed clinical social worker in Washington, D.C, Maryland, Virginia, Oregon and New Jersey. She obtained her MSW from Catholic University in 2011 and has worked in a variety of clinical settings. Since 2013, she has been in private practice, providing individual, couples and group therapy to adults. She has interest in social work ethic and has published on and leads ethics training on the intersection of technology, social media and social work ethics as well as anti-racism and systemic oppression. Her practice also provides opportunities for other presenters to develop CE trainings on under-taught topics linked to social justice, systemic racism, and oppression. In addition to her traditional psychotherapy work, Lisa was a performing improviser from 2007-2019 and was on the faculty of Washington Improv Theatre from 2008-2016. She developed Washington Improv Theater’s first Improv for Therapist’s class and has offered Improv for Therapists courses, workshops and trainings to individual clinicians, pastors, life coaches, and psychiatrists, as well as clinical agencies. Since its inception, Lisa has trained more than 500 people in the application of improvisation to foster personal growth and stronger and more cohesive groups. Lisa has been invited to lead trainings in improv-informed therapy at the American Academy of Psychotherapists, the Mid-Atlantic Group Psychotherapy Association, the American Group Psychotherapy Association, and at The Psychotherapy Networker, among others. Her work has been featured in The Washington Post and on NBC4. Recently, Lisa launched a humor, humility-infused podcast, “What if Nothing’s Wrong With You?” with co-host Paula D. Atkinson on themes related to therapy, mental health, oppression, patriarchy and how it’s all interconnected. Resources for Improv Therapy – Lisa Kay’s – Website & Resources The Fierce Urgency of Now: Improvisation, Rights, and the Ethics of Cocreation (Improvisation, Community, and Social Practice) – by Fischlin, Daniel; Heble, Ajah; Lipsitz, George Theater Games – Viola Spolin Resources Rehearsals for Growth – Website and Educational Resources Decolonizing Therapy: Oppression, Historical Trauma, and Politicizing Your Practice – book by Jennifer Mullan, PsyD The Artist’s Way by Julia Cameron – Book and Resources Free Play: Improvisation in Life and Art – Nachmanovitch, Stephen Beyond Attachment Styles course is available NOW! Learn how your nervous system, your mind, and your relationships work together in a fascinating dance, shaping who you are and how you connect with others. Online, Self-Paced, Asynchronous Learning with Quarterly Live Q&A’s – Next one is January 23rd! Earn 6 Continuing Education Credits – Available at Checkout As a listener of this podcast, use code BAS15 for a limited-time discount. Get your copy of Secure Relating here!! You are invited! Join our exclusive community to get early access and discounts to things we produce, plus an ad-free, private feed. In addition, receive exclusive episodes recorded just for you. Sign up for our premium Neuronerd plan!! Click here!!
In this heartfelt episode, we explore why grandparent-grandchild relationships matter, not just emotionally, but based on decades of research. Join us for this episode and learn how grandparents support children's development, ease the parenting journey, and build lifelong bonds through simple, intentional acts of love, presence, and consistency. This episode might prepare you for grandparenting in your future or take you on a walk down memory lane with your own grandparents. Either way, we hope you'll be blessed and encouraged by it.Show Notes:1. Harvard Graduate School of Education – “The Supporting Role of Grandparents”https://www.gse.harvard.edu/ideas/21st-century-learning-lab/supporting-role-grandparents2. American Academy of Pediatrics – Grandparents and Child Developmenthttps://www.healthychildren.org/English/family-life/family-dynamics/Pages/Grandparents-and-Childrens-Development.aspx3. AARP – The Value of Grandparent-Grandchild Relationshipshttps://www.aarp.org/home-family/friends-family/info-2020/value-of-grandparent-relationships.html4. Pew Research Center – Grandparenting in the 21st Centuryhttps://www.pewresearch.org/social-trends/2015/05/21/raising-kids-and-helping-grandkids/5. Journal of Family Issues – Emotional Closeness Between Grandparents and Grandchildrenhttps://journals.sagepub.com/doi/10.1177/0192513X166768576. The Gerontologist – Benefits of Intergenerational Bonds for Children & Older Adultshttps://academic.oup.com/gerontologist/article/58/3/472/2632080
In Episode 3 of our hemolytic disease of the fetus and newborn (HDFN) series, host Paul Wirkus, MD, FAAP and guest Tim Bahr, MD, FAAP focus on clinical management and emerging consensus around care. Our discussion reviews key elements of the recently published consensus paper, including proposed guidelines for evaluation, monitoring, and treatment across the perinatal and neonatal periods. They address management of hyperbilirubinemia and anemia, escalation of care when disease severity increases, and the critical role of early recognition.We also explore high-risk presentations, including hydrops fetalis, and discuss delivery room considerations and coordination with Neonatal Resuscitation Program (NRP) protocols. Emphasis is placed on interdisciplinary collaboration between obstetrics, neonatology, hematology, and pediatrics to ensure timely intervention and continuity of care for affected infants.Have a question? Email questions@vcurb.com. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Full Show notes: Bengreenfieldlife.com/sleepbetter Michael J. Breus, Ph.D., is a Clinical Psychologist and both a Diplomate of the American Board of Sleep Medicine and a Fellow of The American Academy of Sleep Medicine. He is one of only 168 psychologists in the world to have passed the Sleep Medical Specialty board without going to Medical School. Dr. Breus was recently named the Top Sleep Specialist in California by Reader’s Digest and one of the 10 most influential people in sleep. Dr. Breus is on the clinical advisory board of The Dr. Oz Show and on the show (40 times). Dr Breus pens a monthly column in WebMD magazine, 'Sleep Matters,' and writes regularly for WebMD, The Huffington Post, and Psychology Today. He is also the author of The Sleep Doctor's Diet Plan and Beauty Sleep. Dr. Breus is the author of 4 books, with his newest was released in Dec of 2024 called Sleep, Drink, Breathe: Wellness is too complicated. This book gives an easy-to-follow 3-week program to teach everyone how these 3 simple biobehaviors are the foundation for wellness. He is an expert resource for most major publications, doing more than 300 interviews per year. Visit : bengreenfieldlife.com/orionsleep and use code - GREENFIELD15 to save 15% off Episode Sponsors: Just Thrive: For a limited time, you can save 20% off a 90 day bottle of Just Thrive Probiotic and Just Calm at justthrivehealth.com/ben with promo code: BEN. That’s like getting a month for FREE! Take control today with Just Thrive! The Medicin: Immune Intel AHCC is a clinically studied shiitake mushroom extract that enhances immune cell communication through a patented fermentation process creating highly bioavailable alpha glucans. Backed by 30+ human studies and used in over 1,000 clinics worldwide, AHCC supports immune function for everyday wellness and chronic health challenges—learn more at TheMedicin.com and use code BEN for 10% off. Organifi Shilajit Gummies: Harness the ancient power of pure Himalayan Shilajit anytime you want with these convenient and tasty gummies. Get them now for 20% off at organifi.com/Ben. LVLUP Health: I trust and recommend LVLUP Health for your peptide needs as they third-party test every single batch of their peptides to ensure you’re getting exactly what you pay for and the results you’re after! Head over to lvluphealth.com/BGL and use code BEN15 for a special discount on their game-changing range of products. Timeline: Give your cells new life with high-performance products powered by Mitopure, Timeline's powerful ingredient that unlocks a precise dose of the rare Urolithin A molecule and promotes healthy aging. Go to shop.timeline.com/BEN and use code BEN to get 20% off your order.See omnystudio.com/listener for privacy information.
It's so interesting to see how medical evidence evolves, and changes, over time. The result of course is that clinical practice evolves and changes as well. The story of umbilical cord management at time of delivery highlights this very issue very well. The ACOG first recommended delayed cord clamping (DCC) in 2012, for preterm infants, as data showed marked improvement in neonatal outcomes in that population. In this episode, we will briefly walk through the timeline from 2012 to the latest update on DCC which came from the AAP in October 2025, just one month after the ACOG had their DCC update. This story also exemplifies how professional medical societies don't always have the SAME recommendations, with small tweaks, in their guidance. So, Dr Chapa and I will summarize these key updates…Listen in for details!1. ACOG 2012: DCC for preterm infants only 2. ACOG 2016: ACOG Recommends Delayed Umbilical Cord Clamping for All Healthy Infants, including term: https://mdedge.com/obgynnews/article/121349/obstetrics/acog-supports-delayed-umbilical-cord-clamping-term-infants3. ACOG Dec 2020, CO 814: Delayed Umbilical Cord Clamping After Birth4. ACOG Obstet Gynecol. January 2022; 139(1): 121–137. doi:10.1097/AOG.0000000000004625. Management of Placental Transfusion to Neonates After Delivery5. ACOG (ePUB July ) Sept 2025: ACOG releases a Clinical Practice Update: An Update to Clinical Guidance for Delayed Umbilical Cord Clamping After Birth in Preterm Neonates6. AHA/AAP Oct 2025 Update: Neonatal Resuscitation: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Dr. Sue Kressly, president of the American Academy of Pediatrics, joins Dr. Vin Gupta of Meidas Health for an emergency episode to discuss the recommended changes to the Hepatitis B vaccine schedule for babies. She clearly explains why the proposed test-and-immunize strategy would take us back decades to a time when tens of thousands of children were needlessly infected with a serious virus. Learn more about your ad choices. Visit megaphone.fm/adchoices
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