Podcasts about American Academy

Generalizations about ADHD haven't done girls any favors. ADHD often manifests very differently in girls than in boys. What causes parents, educators, and even doctors, to view the symptoms of ADHD differently with girls? We know that masking, and even variations in environments, often cause symptoms to be missed. How is that happening? We're revisiting the subject and chat with Stephen Hinshaw, a Distinguished Professor of Psychology at UC Berkeley and Professor of Psychiatry and Behavioral Sciences at UC San Francisco. Find out more about building neurodiversity-affirming schools, and about the courses we'll be offering soon, here. Stephen P. Hinshaw is Distinguished Professor of Psychology at UC Berkeley and Professor of Psychiatry and Behavioral Sciences at UC San Francisco. His focus is on developmental psychopathology, child and adolescent mental health (particularly ADHD), and the use of clinical trials to understand underlying mechanisms. He also actively investigates mental illness stigmatization and attempts to reduce such stigma. Hinshaw has authored over 400 articles, chapters, and commentaries, plus 12 books. He has won numerous national and international research awards, including the James McKeen Cattell Fellow Award from the Association for Psychological Science, the Distinguished Scientific Contributions Award from the American Psychological Association, and the Sarnat International Prize in Mental Health from the National Academy of Medicine. He was inducted into the American Academy of Arts and Sciences in 2021. His extensive media coverage includes the New York Times, Washington Post, Wall Street Journal, Today Show, CBS Evening News, ABC World News Tonight, and many more. BACKGROUND READING Berkeley, research, website, Straight Talk about ADHD in Girls: How to Help Your Daughter Thrive The Neurodiversity Podcast is on Facebook, Instagram, BlueSky, and you're invited to join our Facebook Group.

In this powerful episode of The Red Light Report, I'm joined by the brilliant Dr. Joy Kong — stem cell specialist, anti-aging physician, and founder of Chara Health and the American Academy of Integrative Cell Therapy.   We dive deep into: The science and clinical use of stem cell therapy Why umbilical cord-derived stem cells are safer and more potent than adult sources The truth about exosomes, cytokine storms, and foreign DNA fears How stem cells can transfer mitochondria, reverse tissue damage, and modulate immunity The importance of prepping your terrain with nutraceuticals, detox, and nitric oxide The role of red, green, and yellow light in stem cell activation and targeting Synergy between red light therapy and BioLight's enhanced methylene blue (BioBlue)   Whether you're exploring stem cells for longevity, healing, or neuroregeneration, this episode will reshape your understanding of what's truly possible.  

Edwin Howard Armstrong isn’t exactly a well-known inventor, but his work in radio literally changed communications around the globe. But his most famous invention – FM radio – became a source of constant frustration after he developed it. Research: Armstrong, Edwin H. “Frequency Modulation and Its Future Uses.” The Annals of the American Academy of Political and Social Science, vol. 213, 1941, pp. 153–61. JSTOR, http://www.jstor.org/stable/1024069 Armstrong, Edwin H. “Personalities in Science.” Scientific American, vol. 154, no. 1, 1936, pp. 3–3. JSTOR, http://www.jstor.org/stable/26144367 “First public radio broadcast.” Guinness World Records. https://www.guinnessworldrecords.com/world-records/381969-first-public-radio-broadcast “FM Inventor Dies in Fall.” The Patriot News. Feb. 2, 1954. https://www.newspapers.com/image/1094174282/?match=1&terms=%22Edwin%20Howard%20Armstrong%22 Lessing, Lawrence P.. "Edwin H. Armstrong". Encyclopedia Britannica, 14 Dec. 2024, https://www.britannica.com/biography/Edwin-H-Armstrong Lessing, Lawrence P. “Man of High Fidelity: Edwin Howard Armstrong.” Bantam. 1969. Lessing, Lawrence P. “The Late Edwin H. Armstrong.” Scientific American, vol. 190, no. 4, 1954, pp. 64–69. JSTOR, http://www.jstor.org/stable/24944524 “Proceedings of the Institute of Radio Engineers, Volume 5.” Institute of Radio Engineers. 1917. Accessed online: https://books.google.com/books?id=YEASAAAAIAAJ&source=gbs_navlinks_s “Radio Broadcast.” Garden City, N.Y.: Doubleday, Page & Co., 1922-1930. https://babel.hathitrust.org/cgi/pt?id=iau.31858044013914&view=1up&seq=277 “Telephoning Without Wires.” The Fort Wayne Journal Gazette. Oct. 20, 1907. https://www.newspapers.com/image/29125618/?match=1&terms=audion%20%22de%20Forest%22 Tsividis, Yannis. “Edwin Armstrong: Pioneer of the Airwaves.” Columbia Magazine. April 1, 2002. https://magazine.columbia.edu/article/edwin-armstrong-pioneer-airwaves Turner, H. M. “Dr. Edwin H. Armstrong, Edison Medalist.” The Scientific Monthly, vol. 56, no. 2, 1943, pp. 185–87. JSTOR, http://www.jstor.org/stable/17796 “What’s the Difference Between AM and FM Radio?” National Inventors Hall of Fame. Aug, 16, 2023. https://www.invent.org/blog/trends-stem/difference-between-am-fm See omnystudio.com/listener for privacy information.

In just a few short months on the job, Health And Human Services Secretary Robert F. Kennedy Jr. has managed to upend the American public health system, successfully inserting his decades of vaccine skepticism into national policy. Late last month, he fired every member of the Centers for Disease Control and Prevention's vaccine advisory panel, replacing them mostly with people who've voiced skepticism about vaccines. In May, he announced the CDC would stop recommending COVID vaccines for pregnant people and babies. The American Academy of Pediatrics and other health groups are now suing him and HHS over the latter decision. Dr. Fiona Havers, a former senior advisor on vaccine policy at the CDC, resigned from the agency over Kennedy's changes to federal vaccine policy. She joins us to talk about what everyday people should do to keep themselves and their family safe.And in headlines: President Donald Trump abruptly reversed course on sending defense weapons to Ukraine, Agriculture Secretary Brooke Rollins doubles down on “no amnesty” for undocumented farmworkers, and someone out there is using AI to impersonate Secretary of State/National Security Advisor/Acting Archivist Marco Rubio. Show Notes:Subscribe to the What A Day Newsletter – https://tinyurl.com/3kk4nyz8What A Day – YouTube – https://www.youtube.com/@whatadaypodcastFollow us on Instagram – https://www.instagram.com/crookedmedia/For a transcript of this episode, please visit crooked.com/whataday

Host Mikalyn DeFoor, MD Guest interviewee Nicholas A. Apseloff, MD, discussing his review article, “Primary Anterior Cruciate Ligament Injury: Extrinsic and Intrinsic Risk Factors” from the July 1, 2025 issue Article summarized from the July 1, 2025 issue Review article ““FATAL Graft”: A Diagnostic Algorithm for the Workup of Anterior Cruciate Ligament Reconstruction Graft Failure” Articles summarized from the July 15, 2025 issue Two-part series: Review article “Shoulder Arthroplasty: Current Evidence and Techniques on Infection Diagnosis and Treatment” Review article “Shoulder Arthroplasty: Current Evidence and Techniques on Infection Prevention” Follow this link to download these and other articles from the July 1, 2025 issue of JAAOS and the July 15, 2025 issue of JAAOS. The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

It's fun to be outside in the sun, but it also means you're at greater risk for sun burns, bug bites, and other skin issues. This week, dermatologist Dr. Victoria Perez of NewYork-Presbyterian and Columbia offers an expert guide to how to protect your skin this summer and all year round. She discusses the best sunscreen to use, how to manage bug bites and heat rashes, and when it's time to see a doctor for your skin ailment.NewYork-Presbyterian experts will be sharing simple tips all month long on how to stay healthy and safe this summer.___Dr. Victoria Perez earned her medical degree from Columbia University Vagelos College of Physicians and Surgeons and completed her dermatology residency at NewYork-Presbyterian/Columbia University Irving Medical Center, where she served as chief resident in her final year. Dr. Perez is an active member of the American Academy of Dermatology, the Women's Dermatologic Society, and the Skin of Color Society, where she serves on the Center for Leadership Learning Collaborative. She has authored numerous publications and presented research at both national and local conferences. She is committed to delivering compassionate, evidence-based care to all patients.Dr. Perez will provide dermatology services at NewYork-Presbyterian The One, a state-of-the-art center for advanced care with doctors from Columbia in Westchester. NewYork-Presbyterian The One is now accepting appointments and opens in September 2025. The facility will offer adult and pediatric care spanning more than 90 specialties and subspecialties, so patients can find the care they and their families need in one convenient location.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org

Dr. Madan is the immediate Past President for BC Doctors of Optometry and the Chair of the Government and Professional Affairs Committee. She completed a residency in ocular disease at the Eye Center of Texas in Houston and is a fellow of the American Academy of Optometry. In addition to all of this, Dr. Madan currently practices in an MD/OD setting, where she provides advanced services such as treating glaucoma and offering PRP eye drops to dry eye patients. All of this makes her the perfect guest to continue our series on scope optimization.In the first episode in this series of short interviews, we spoke with Dr. Cedrick Mah to understand how his experience with advanced procedures in Oklahoma can help us understand why scope advancement is important in Canada.In this episode we continue our conversation on scope with Dr. Madan by asking what the future of optometry looks like. What should primary care optometrist expect their job to look like? Why should we be asking for scope modernization?Keep the conversation about scope optimization going by sharing these interviews with our colleagues. Send in your thoughts and comments to help us improve these discussions so we can continue to elevate our profession.Love the show? Subscribe, rate, review & share! http://www.aboutmyeyes.com/podcast/

When you're parenting autistic children or kids with high support needs, it's easy to wonder how it all impacts their siblings. Do they feel forgotten? Overwhelmed? Lost in the shuffle? In this heartfelt episode of The Autism Dad Podcast, I sit down with autism mom Amy Kelly and her adult son Danny for a raw, emotional, and hopeful look at the sibling experience—and why it matters more than we often realize. Amy is a powerhouse in the autism community. She's the National Director of Family Engagement at Devereux and a longtime advocate for autism support for families. But this episode isn't about professional titles—it's about her lived experience as a mom raising profoundly autistic Annie, while trying to meet the needs of her neurotypical sons, including today's guest, Danny. Danny brings a sibling's perspective that every parent needs to hear. He opens up about what it was like growing up with a sister who needed constant care, the unspoken pressures siblings carry, and how he's now leading a national effort to support siblings like him. Whether you're parenting autistic children or raising neurodivergent kids of any kind, this episode offers valuable insight, encouragement, and a reminder that every child in your home deserves to feel seen. What You'll Learn in This Episode: What it's really like growing up with a sibling who has autism or profound disabilities Why siblings may feel isolated, unseen, or forgotten—even in loving homes How parents can better balance attention between neurodivergent and neurotypical kids The lifelong bond between siblings, and how it evolves into adulthood Danny's work creating resources and community through Devereux's sibling initiative Practical ways siblings can stay connected and prepare for future caregiving roles How autism reshaped (not ruined) their family in powerful ways Why redefining success and independence is key for autistic individuals Subscribe, Support, and Connect: If you found this episode helpful, please consider subscribing to The Autism Dad Podcast on your favorite platform and leave a review to help more families find this content. You can visit theautismdad.com for articles, resources, and updates—or if you're interested in sponsoring an episode, get in touch. This episode is sponsored by: Mama Bird – Brain-focused kids' multivitamins designed by a neurologist mom. Get 20% off your first order at lovemamabird.com/theautismdad. Mightier – Help your child build emotional regulation skills through biofeedback video games. Learn more at mightier.com and use the code "theautismdad22" to save 10%. About Rob Gorski (Host): Rob Gorski is a single dad to three autistic sons and the creator of The Autism Dad blog and podcast. He shares real-life stories, insights, and support for parents raising neurodivergent kids. Rob's work has been featured by CNN, ABC, BBC, and The Tamron Hall Show. Contact: rob@theautismdad.com About Amy Kelly: Amy Kelly, MBA, MNM, is the National Director of Family Engagement at Devereux Advanced Behavioral Health and mom to three kids, including her daughter Annie, who has profound autism. Amy is a national advocate for disability support, working with organizations like the Autism Care Network and the American Academy of Pediatrics. Contact: amy.kelly@devereux.org About Danny Kelly: Danny Kelly is the older brother of Annie, who has profound autism. He co-chairs Devereux's Sibling Engagement Committee and serves on the National Family Advisory Board. Danny uses his lived experience to advocate for siblings and inclusive support across the disability community.

 Normal pressure hydrocephalus (NPH) is a clinical syndrome of gait abnormality, cognitive impairment, and urinary incontinence. Evaluation of CSF dynamics, patterns of fludeoxyglucose (FDG) uptake, and patterns of brain stiffness may aid in the evaluation of challenging cases that lack typical clinical and structural radiographic features. In this episode, Katie Grouse, MD, FAAN, speaks with Aaron Switzer, MD, MSc, author of the article “Radiographic Evaluation of Normal Pressure Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Switzer is a clinical assistant professor of neurology in the department of clinical neurosciences at the University of Calgary in Calgary, Alberta, Canada. Additional Resources Read the article: Radiographic Evaluation of Normal Pressure Hydrocephalus 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 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 Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Aaron Switzer about his article on radiographic evaluation of normal pressure hydrocephalus, which he wrote with Dr Patrice Cogswell. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr. Switzer: Thanks so much for having me, Katie. I'm a neurologist that's working up in Calgary, Alberta, Canada, and I have a special interest in normal pressure hydrocephalus. So, I'm very happy to be here today to talk about the radiographic evaluation of NPH. Dr Grouse: I'm so excited to have you here today. It was really wonderful to read your article. I learned a lot on a topic that is not something that I frequently evaluate in my clinic. So, it's really just a pleasure to have you here to talk about this topic. So, I'd love to start by asking, what is the key message that you hope for neurologists who read your article to take away from it? Dr. Switzer: The diagnosis of NPH can be very difficult, just given the clinical heterogeneity in terms of how people present and what their images look like. And so, I'd like readers to know that detailed review of the patient's imaging can be very helpful to identify those that will clinically improve with shunt surgery. Dr Grouse: There's another really great article in this edition of Continuum that does a really great job delving into the clinical history and exam findings of NPH. So, I don't want to get into that topic necessarily today. However, I'd love to hear how you approach a case of a hypothetical patient, say, where you're suspicious of NPH based on the history and exam. I'd love to talk over how you approach the imaging findings when you obtain an MRI of the brain, as well as any follow-up imaging or testing that you generally recommend. Dr. Switzer: So, I break my approach down into three parts. First, I want to try to identify ventriculomegaly and any signs that would support that, and specifically those that are found in NPH. Secondly, I want to look for any alternative pathology or evidence of alternative pathology to explain the patient's symptoms. And then also evaluate any contraindications for shunt surgery. For the first one, usually I start with measuring Evans index to make sure that it's elevated, but then I want to measure one of the other four measurements that are described in the article, such as posterior colossal angle zed-Evans index---or z-Evans index for the American listeners---to see if there's any other features that can support normal pressure hydrocephalus. It's very important to identify whether there are features of disproportionately enlarged subarachnoid space hydrocephalus, or DESH, which can help identify patients who may respond to shunt surgery. And then if it's really a cloudy clinical picture, it's complicated, it's difficult to know, I would usually go through the full evaluation of the iNPH radscale to calculate a score in order to determine the likelihood that this patient has NPH. So, the second part of my evaluation is to rule out evidence of any alternative pathology to suggest another cause for the patient's symptoms, such as neurodegeneration or cerebrovascular disease. And then the third part of my evaluation is to look for any potential contraindications for shunt surgery, the main one being cerebral microbleed count, as a very high count has been associated with the hemorrhagic complications following shunt surgery. Dr Grouse: You mentioned about your use of the various scales to calculate for NPH, and your article does a great job laying them out and where they can be helpful. Are there any of these scales that can be reasonably relied on to predict the presence of NPH and responsiveness to shunt placement? Dr. Switzer: I think the first thing to acknowledge is that predicting shunt response is still a big problem that is not fully solved in NPH. So, there is not one single imaging feature, or even combination of imaging features, that can reliably predict shunt response. But in my view and in my practice, it's identifying DESH, I think, is really important---so, the disproportionately enlarged subarachnoid space hydrocephalus---as well as measuring the posterior colossal angle. I find those two features to be the most specific. Dr Grouse: Now you mentioned the concept of the NPH subtypes, and while this may be something that many of our listeners are familiar with, I suspect that, like myself when I was reading this article, there are many who maybe have not been keeping up to date on these various subtypes. Could you briefly tell us more about these NPH subtypes? Dr. Switzer: Sure. The Japanese guidelines for NPH have subdivided NPH into three different main categories. So that would be idiopathic, delayed onset congenital, and secondary normal pressure hydrocephalus. And so, I think the first to talk about would be the secondary NPH. We're probably all more familiar with that. That's any sort of pathology that could lead to disruption in CSF dynamics. These are things like, you know, a slow-growing tumor that is obstructing CSF flow or a widespread meningeal process that's reducing absorption of CSF, for instance. So, identifying these can be important because it may offer an alternative treatment for what you're seeing in the patient. The second important one is delayed onset congenital. And when you see an image of one of these subtypes, it's going to be pretty different than the NPH because the ventricles are going to be much larger, the sulcal enfacement is going to be more diffuse. Clinically, you may see that the patients have a higher head circumference. So, the second subtype to know about would be the delayed onset congenital normal pressure hydrocephalus. And when you see an image of one of these subtypes, it's going to be a little different than the imaging of NPH because the ventricles are going to be much larger, the sulcal enfacement is going to be more diffuse. And there are two specific subtypes that I'd like you to know about. The first would be long-standing overt ventriculomegaly of adulthood, or LOVA. And the second would be panventriculomegaly with a wide foramen of magendie and large discernomagna, which is quite a mouthful, so we just call it PAVUM. The importance of identifying these subtypes is that they may be amenable to different types of treatment. For instance, LOVA can be associated with aqueductal stenosis. So, these patients can get better when you treat them with an endoscopic third ventriculostomy, and then you don't need to move ahead with a shunt surgery. And then finally with idiopathic, that's mainly what we're talking about in this article with all of the imaging features. I think the important part about this is that you can have the features of DESH, or you can not have the features of DESH. The way to really define that would be how the patient would respond to a large-volume tap or a lumbar drain in order to define whether they have this idiopathic NPH. Dr Grouse: That's really helpful. And for those of our listeners who are so inclined, there is a wonderful diagram that lays out all these subtypes that you can take a look at. I encourage you to familiarize yourself with these different subtypes. Now it was really interesting to read in your article about some of the older techniques that we used quite some time ago for diagnosing normal pressure hydrocephalus that thankfully we're no longer using, including isotope encephalography and radionuclide cisternography. It certainly made me grateful for how we've come in our diagnostic tools for NPH. What do you think the biggest breakthrough in diagnostic tools that are now clinically available are? Dr. Switzer: You know, definitely the advent of structural imaging was very important for the evaluation of NPH, and specifically the identification of disproportionately enlarged subarachnoid space hydrocephalus, or DESH, in the late nineties has been very helpful for increasing the specificity of diagnosis in NPH. But some of the newer technologies that have become available would be phase-contrast MRI to measure the CSF flow rate through the aqueduct has been very helpful, as well as high spatial resolution T2 imaging to actually image the ventricular system and look for any evidence of expansion of the ventricles or obstruction of CSF flow. Dr Grouse: Regarding the scales that you had referenced earlier, do you think that we can look forward to more of these scales being automatically calculated and reported by various software techniques and radiographic interpretation techniques that are available or going to be available? Dr. Switzer: Definitely yes. And some of these techniques are already in development and used in research settings, and most of them are directed towards automatically detecting the features of DESH. So, that's the high convexity tight sulci, the focally enlarged sulci, and the enlarged Sylvian fissures. And separating the CSF from the brain tissue can help you determine where CSF flow is abnormal throughout the brain and give you a more accurate picture of CSF dynamics. And this, of course, is all automated. So, I do think that's something to keep an eye out for in the future. Dr Grouse: I wanted to ask a little more about the CSF flow dynamics, which I think may be new to a lot of our listeners, or certainly something that we've only more recently become familiar with. Can you tell us more about these advances and how we can apply this information to our evaluations for NPH? Dr. Switzer: So currently, only the two-dimensional phase contrast MRI technique is available on a clinical basis in most centers. This will measure the actual flow rate through the cerebral aqueduct. And so, in NPH, this can be elevated. So that can be a good supporting marker for NPH. In the future, we can look forward to other techniques that will actually look at three-dimensional or volume changes over time and this could give us a more accurate picture of aberrations and CSF dynamics. Dr Grouse: Well, definitely something to look forward to. And on the topic of other sort of more cutting-edge or, I think, less commonly-used technologies, you also mentioned some other imaging modalities, including diffusion imaging, intrathecal gadolinium imaging, nuclear medicine studies, MR elastography, for example. Are any of these modalities particularly promising for NPH evaluations, in your opinion? Do you think any of these will become more popularly used? Dr. Switzer: Yes, I think that diffusion tract imaging and MR elastography are probably the ones to keep your eye out for. They're a little more widely applicable because you just need an MR scanner to acquire the images. It's not invasive like the other techniques mentioned. So, I think it's going to be a lot easier to implement into clinical practice on a wide scale. So, those would be the ones that I would look out for in the future. Dr Grouse: Well, that's really exciting to hear about some of these techniques that are coming that may help us even more with our evaluation. Now on that note, I want to talk a little bit more about how we approach the evaluation and, in your opinion, some of the biggest pitfalls in the evaluation of NPH that you've found in your career. Dr. Switzer: I think there are three of note that I'd like to mention. The first would be overinterpreting the Evans index. So, just because an image shows that there's an elevated Evans index does not necessarily mean that NPH is present. So that's where looking for other corroborating evidence and looking for the clinical features is really important in the evaluation. Second would be misidentifying the focally enlarged sulci as atrophy because when you're looking at a brain with these blebs of CSF space in different parts of the brain, you may want to associate that to neurodegeneration, but that's not necessarily the case. And there are ways to distinguish between the two, and I think that's another common pitfall. And then third would be in regards to the CSF flow rate through the aqueduct. And so, an elevated CSF flow is suggestive of NPH, but the absence of that does not necessarily rule NPH out. So that's another one to be mindful of. Dr Grouse: That's really helpful. And then on the flip side, any tips or tricks or clinical pearls you can share with us that you found to be really helpful for the evaluation of NPH? Dr. Switzer: One thing that I found really helpful is to look for previous imaging, to look if there were features of NPH at that time, and if so, have they evolved over time; because we know that in idiopathic normal pressure hydrocephalus, especially in the dash phenotype, the ventricles can become larger and the effacement of the sulci at the convexity can become more striking over time. And this could be a helpful tool to identify how long that's been there and if it fits with the clinical history. So that's something that I find very helpful. Dr Grouse: Absolutely. When I read that point in your article, I thought that was really helpful and, in fact, I'm guessing something that a lot of us probably aren't doing. And yet many of our patients for one reason or other, probably have had imaging five, ten years prior to their time of evaluation that could be really helpful to look back at to see that evolution. Dr. Switzer: Yes, absolutely. Dr Grouse: It's been such a pleasure to read your article and talk with you about this today. Certainly a very important and helpful topic for, I'm sure, many of our listeners. Dr. Switzer: Thank you so much for having me. Dr Grouse: Again, today I've been interviewing Dr Aaron Switzer about his article on radiographic evaluation of normal pressure hydrocephalus, which he wrote with Dr Patrice Cogswell. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining 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.

Today's West Coast Cookbook & Speakeasy Podcast for our especially special Daily Special, Smothered Benedict Wednesday is now available on the Spreaker Player!Starting off in the Bistro Cafe, the American public knows Donald Trump is lying about tariffs and they've figured it out without any help from the White House press corps who continue to accept his lies as answers.Then, on the rest of the menu, RFK Jr.'s vaccine policy sparks a lawsuit from the American Academy of Pediatrics; Trump appointees have ties to companies that stand to benefit from privatizing weather forecasts; and, Trump blocked a ‘click-to-cancel' rule, intended to make cancelling subscriptions easier, just before it was to go in effect.After the break, we move to the Chef's Table where a Turkish court ordered a ban on Elon Musk's AI chatbot Grok for offensive content; and, French police raided the far-right National Rally headquarters in a new finance probe.All that and more, on West Coast Cookbook & Speakeasy with Chef de Cuisine Justice Putnam.The Netroots Radio Live Player​Keep Your Resistance Radio Beaming 24/7/365!“It may be safely averred that good cookery is the best and truest economy, turning to full account every wholesome article of food, and converting into palatable meals what the ignorant either render uneatable or throw away in disdain.” - Eliza Acton ‘Modern Cookery for Private Families' (1845)Bon Appétit!Become a supporter of this podcast: https://www.spreaker.com/podcast/west-coast-cookbook-speakeasy--2802999/support.

This month, host Dr. Paul Wirkus is joined by experts Megan Jensen, CEDS, MPH, RDN, CD and Nicole Holland, Intern (RD) to discuss how pediatric providers can better recognize the early signs and symptoms of eating disorders. They'll cover red flags to watch for in clinical settings, subtle behavioral cues, and how early identification can lead to timely, life-saving intervention.Tune in for a practical, evidence-based conversation to help you spot disordered eating early and support adolescent patients with compassion and confidence.Have a question? Email questions@vcurb.com. Your questions 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.

Dr. Ravi D. Goel, MD is a board-certified ophthalmologist and cataract surgeon at Regional Eye Associates in Cherry Hill, NJ. He serves as Senior Secretary for Ophthalmic Practice and Trustee of the American Academy of Ophthalmology. A passionate advocate for patient education, he creates ophthalmology and cataract surgery education content at ProtectingSight.com. Dr. Goel is also Chair of the AMA Ophthalmology Section Council and an Instructor at Wills Eye Hospital. His expertise spans ophthalmic innovation and practice management.https://www.seniorcareauthority.com/resources/boomers-today/

The first days, weeks, and months after a baby is born are filled with so many emotions—joy, exhaustion, love, and sometimes, even uncertainty. I've been right there, too, and felt all of them. But in those early moments, something incredibly powerful is happening beneath the surface: your baby is learning how to trust the world through you. It's pretty incredible when you think about it. So we had to learn more about this and the significance of developing a strong bond with our babies. In this episode of Chick Chat, I had the privilege of speaking with Dr. Joanna Parga-Belinkie, a neonatologist, pediatrician, and AAP spokesperson, all about the science and soul of bonding with your baby and why it's critical for our babies' development. Who is Dr. Joanna Parga-Belinkie? Dr. Joanna Parga-Belinkie is an associate professor of pediatrics and a practicing clinical neonatologist at the Children's Hospital of Philadelphia and the Hospital of the University of Pennsylvania. She's a trusted voice for parents as a spokesperson for the American Academy of Pediatrics and co-host of their flagship podcast, "Pediatrics On Call." With three kids of her own and years of expertise in newborn medicine, Dr. Joanna bridges the worlds of evidence-based research and real-life parenting in a way that's truly empowering. What Did We Discuss? In this episode, Dr. Joanna and I cover: Dr. Joanna's background and how she became passionate about the emotional bond between parent and baby What bonding really means and why it matters so much What happens when bonding is delayed or doesn't come easily How birth choices (like C-sections, skin-to-skin, or delayed cord clamping) affect bonding Practical ways to build an emotional connection even if it doesn't feel instant Small steps parents can take every day to strengthen attachment Common mistakes that unknowingly interfere with bonding How routines like feeding, sleeping, and responding to cries shape emotional security What the latest science tells us about attachment and long-term child development Sleep training, co-sleeping, and how to decide what works for your family Dr. Joanna's biggest takeaway for new and expecting parents Final Thoughts Whether bonding feels natural or takes more time, the good news that we heard from Dr. Joanna is that attachment isn't a one-time moment. It's a relationship that grows with daily care, presence, and love. Dr. Joanna reminds us that small acts of responsiveness and warmth go a long way in shaping your baby's sense of safety and confidence. It's also reassuring hearing from an experienced baby doctor that you don't have to be perfect as a parent; you just have to keep showing up. We're so grateful to Dr. Joanna for joining us and sharing her expertise and heart with our listeners. You can follow her work through the American Academy of Pediatrics, tune in to her podcast, Pediatrics On Call, and get her book The Baby Bonding Book to learn more. Until next time, remember—your presence and love matter more than anything. You are exactly what your baby needs. Dr. Joanna's Resources Website: JPBelinkieMD.com Instagram: @jopargalinkiemd LinkedIn: @joannaparga Podcast: Pediatrics On Call Book: The Baby Bonding Book: Connecting With Your Newborn Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of The Dr. Joy Kong Podcast, Dr. Joy speaks with Dr. Mike Jamshidi, a naturopathic doctor at Chara Health, about natural, hands-on approaches to pain relief beyond pills and surgery. Dr. Mike shares his journey from healing his own chronic health issues to helping patients address root causes of pain through bodywork, acupuncture, nutrition, and lifestyle changes.They also discuss advanced regenerative treatments like stem cells and exosomes, and Dr. Mike shares powerful stories of patients finding relief from severe conditions. This conversation highlights the power of working with the body's innate healing abilities for deeper, long-lasting recovery.--Additional Resources:Visit My Clinic: Chara Health

This Day in Legal History: Vermont Abolishes Slavery for MenOn July 8, 1777, the Vermont Republic adopted a constitution that became the first in what would eventually become the United States to formally abolish slavery. At the time, Vermont was not yet a state—it was an independent republic formed after declaring independence from both New York and British colonial rule. The new constitution, influenced by Enlightenment principles and revolutionary ideals, declared that “no male person born in this country, or brought from over sea, ought to be held by law, to serve any person, as a servant, slave or apprentice” after the age of 21.This clause effectively outlawed slavery for adult men and set the groundwork for emancipation, although enforcement was inconsistent. Vermont's action was revolutionary, especially considering that slavery remained deeply entrenched in both the southern and northern American colonies. While other Northern states like Pennsylvania and Massachusetts would later take steps toward abolition, Vermont's constitutional ban was a bold and early legal rebuke of human bondage.Despite its symbolic significance, the legal impact was somewhat limited. Vermont did not join the Union until 1791, and historical records indicate that some slavery-like practices may have persisted unofficially. Nevertheless, the 1777 constitution established an early legal precedent for anti-slavery sentiment, showing how legal documents could be used to challenge institutional oppression. The language also hinted at the contradictions between American ideals of liberty and the reality of enslavement.Several major U.S. medical organizations filed a lawsuit on July 7 against Health and Human Services Secretary Robert F. Kennedy Jr. and the HHS, challenging recent changes to federal COVID-19 vaccine policy. The plaintiffs—including the American Academy of Pediatrics and the American College of Physicians—are seeking to overturn Kennedy's directive removing COVID-19 vaccines from the CDC's immunization schedules for children and pregnant women. They argue that the move poses an immediate threat to public health and undermines evidence-based medical policy.The complaint accuses Kennedy of dismantling the federally established vaccine framework that has historically saved millions of lives. Kennedy, a longtime vaccine skeptic, took control of HHS earlier this year and has taken steps to reshape vaccine policy. In addition to altering the immunization schedules, he also dismissed all 17 members of the CDC's independent vaccine advisory committee and replaced them with seven individuals, some of whom have publicly opposed vaccination.Medical groups contend that these actions are not grounded in science and place vulnerable populations at significant risk of preventable diseases. HHS has not yet commented on the lawsuit.Medical groups sue HHS, Kennedy over vaccine policy | ReutersThe Biden administration had extended Temporary Protected Status (TPS) for Hondurans and Nicaraguans in 2023, citing lingering effects of Hurricane Mitch, political instability, and economic hardship. But on July 7, the Department of Homeland Security under President Donald Trump announced it will end those protections effective September 6, 2025, impacting roughly 72,000 Hondurans and 4,000 Nicaraguans. TPS offers deportation relief and work permits to migrants from countries experiencing crisis, but Trump officials argue the program has been overused.Homeland Security Secretary Kristi Noem said both countries have recovered significantly, referencing tourism, real estate, and energy developments. Critics, including Democrats and migrant advocates, say ending TPS will uproot people who have legally lived and worked in the U.S. for decades and may force them to return to dangerous or unstable conditions. The Honduran deputy foreign minister acknowledged the decision wasn't country-specific, but part of a broader rollback of TPS protections.Trump's administration has already targeted TPS designations for migrants from Venezuela, Haiti, Afghanistan, and Cameroon. Legal battles continue over the policy's rollback: while the Supreme Court recently upheld ending TPS for Venezuelans, a federal judge blocked the termination for Haitians just last week.Trump to end deportation protections for thousands of Hondurans and Nicaraguans | ReutersMy column for Bloomberg this week focuses on Maryland's new 3% digital services tax, which took effect on July 1. I argue that while the state's goal of modernizing its tax base is understandable, the execution creates more problems than it solves. Rather than taxing consumption—the standard, more efficient route—Maryland is taxing business inputs like data hosting and web services. This approach violates basic tax principles, potentially stifling investment and driving up operational costs for firms doing business in the state.The administrative burden is uniquely complex. Vendors must determine how much of each service is used in Maryland, secure pre-approval for calculation methods, and issue separate certificates per transaction. No other state requires this, which leaves businesses with a costly choice: build a Maryland-specific tax compliance system, risk penalties, or exit the market entirely. The true burden, then, is not just the 3% rate, but the compliance infrastructure that must be created from scratch.Ultimately, the tax may hurt the very businesses Maryland is counting on for economic growth. Consumers may face higher prices, companies may route around the state, and the tax may collapse under its own administrative weight. I argue that the smarter path forward lies in multistate coordination, where shared definitions and harmonized rules could make enforcement more efficient and less distortionary. Without collaboration, Maryland risks substituting short-term revenue for long-term competitiveness. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe

Join Kayla Hicks, MD, and Harry DeCabo, AAO-HNS Director for Advocacy, for an essential discussion on advocacy in otolaryngology, exploring why physician and resident engagement in healthcare policy has never been more critical. This episode breaks down the key legislative priorities affecting otolaryngologists and their patients, with a special emphasis on why residents must be active participants in shaping their professional future. Whether you're a resident feeling unsure about advocacy or an established physician wanting to make a difference, this episode demonstrates how otolaryngologists can effectively bridge clinical expertise with legislative decision-making to ensure policies truly serve patients and physicians alike. Resources: ENT Advocacy Network: https://www.entnet.org/the-ent-advocacy-network/  Project 535: https://www.entnet.org/project535  State Tracker Program: https://www.entnet.org/state-trackers  ENT PAC: https://www.entpac.org  More Ways to Listen: Spotify: https://open.spotify.com/show/3UeVLtFdLHDnWnULUPoiin Apple Podcasts: https://podcasts.apple.com/us/podcast/voice-of-otolaryngology/id1506655333   Connect the AAO-HNS: Instagram: https://www.instagram.com/aaohns  X (Twitter): https://x.com/AAOHNS  Facebook: https://www.facebook.com/AAOHNS  LinkedIn: https://www.linkedin.com/company/american-academy-of-otolaryngology/  Website: https://www.entnet.org  Shop AAO-HNS Merchandise: https://www.otostore.org  Help Us Improve Future Episodes: Share your feedback and topic suggestions at https://forms.office.com/r/0XpA83XNBQ  Subscribe to Voices of Otolaryngology for more insights from leading voices in ENT. New episodes released every Tuesday. Note: Contributions to ENT PAC are not deductible as charitable contributions for federal income tax purposes. Contributions are voluntary, and all members of the American Academy of Otolaryngology–Head and Neck Surgery have the right to refuse to contribution without reprisal. Federal law prohibits ENT PAC from accepting contributions from foreign nationals. By law, if your contributions are made using a personal check or credit card, ENT PAC may use your contribution only to support candidates in federal elections. All corporate contributions to ENT PAC will be used for educational and administrative fees of ENT PAC, and other activities permissible under federal law. Federal law requires ENT PAC use its best efforts to collect and report the name, mailing address, occupation, and the name of the employer of individuals whose contributions exceed $200 in a calendar year. ENT PAC is a program of the AAO-HNS which is exempt from federal income tax under section 501 (c) (6) of the Internal Revenue Code.

According to the American Academy of Sleep Medicine (AACM) and the American College of Physicians (ACP), Chronic insomnia occurs when you have trouble falling asleep or staying asleep. In this episode, I discuss Cognitive Behavioral Therapy-Insomnia (CBT-I) and medicines used to treat insomnia. Connect --> https://drmatmonharrell.bio.link/Music provided by PodcastleReferencesCooper, M., & Nelson, L.A. (2025). Better night equals better days: Strategies for effective treatment in chronic insomnia disorder. Pharmcon The Rx Consultant, 34(1). Hosted on Acast. See acast.com/privacy for more information.

Celý díl najdete na našem Patreonu.Letního klidu jsme se rozhodli využít pro nadčasový díl o prezidentství, tak jak ho definovali Václavové Havel & Klaus. Pozvání přijali mluvčí a poradce Václava Havla, Michael Žantovský a prezidentský kancléř Václava Klause, Jiří Weigl. Moderátorskou židli Michala Půra velmi výjimečně obsadil Vladimír Mlynář.Skrze historii jsme se dostali i k velmi aktuálním až ústavním otázkám, zda prezident může odmítnout jmenovat ministry, co má dělat, když má odlišný názor než 90 % společnosti. Probrali jsme i jak technicky funguje chod kanceláře.Dejte nám do komentářů vědět, jak vás díl bavil. Ihned po nahrávání nás napadlo pokračování, které by šlo více v osobní rovině a reflektovalo by zlomové okamžiky vztahu VH a VK. Než se do toho pustíme, zajímá nás, zda o to stojíte.Partnerem podcastu je advokátní kancelář ROWAN LEGAL a provozovatel zdravotnických zařízení PENTA HOSPITALS, American Academy a ARETE Transition Fund pro kvalifikované investory.

Geoff Dyer is the author of the memoir Homework, available from Farrar, Straus, & Giroux.  Dyer's other books include The Last Days of Roger Federer, Out of Sheer Rage, Yoga for People Who Can't Be Bothered to Do It, Zona,See/Saw, and the essay collection Otherwise Known as the Human Condition (winner of a National Book Critics Circle Award for criticism). A fellow of the Royal Society of Literature and a member of the American Academy of Arts and Sciences, Dyer lives in Los Angeles, where he is a writer in residence at the University of Southern California. His books have been translated into twenty-four languages. *** Otherppl with Brad Listi⁠⁠⁠⁠⁠⁠⁠⁠ is a weekly podcast featuring in-depth interviews with today's leading writers. Available where podcasts are available: ⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠⁠⁠, etc. Subscribe to ⁠⁠⁠⁠⁠⁠⁠⁠Brad Listi's email newsletter⁠⁠⁠⁠⁠⁠⁠⁠. ⁠⁠⁠⁠⁠⁠⁠⁠Support the show on Patreon⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠Merch⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠  ⁠⁠⁠⁠⁠⁠⁠⁠Bluesky⁠⁠⁠⁠⁠⁠⁠⁠ Email the show: letters [at] otherppl [dot] com The podcast is an ⁠⁠⁠⁠⁠⁠⁠⁠affiliate partner of Bookshop⁠⁠⁠⁠⁠⁠⁠⁠, working to support local, independent bookstores. Learn more about your ad choices. Visit megaphone.fm/adchoices

This Flashback Friday and 10th show is from episode 340, published last Sep 25, 2013. Renowned author, physiologist, evolutionary biologist and bio geographer, Dr. Jared Diamond, joins Jason Hartman for a discussion of his newest book, The World Until Yesterday. Dr. Diamond's unique background has shaped his integrated version of human history. He posits that success – and failure – depends on how well societies adapt to their changing environment. Dr. Diamond is also a medical researcher and professor of physiology at the UCLA School of Medicine. His book "Guns, Germs and Steel" won a Pulitzer Prize and "The Third Chimpanzee" was a best-selling award winner. Elected to the American Academy of Arts and Sciences, the National Academy of Sciences and the American Philosophical Society, Professor Diamond is a MacArthur Fellow who has published over 200 articles in Discover, Natural History, Nature and Geo magazines. In his books Guns, Germs and Steel and Collapse (and the popular PBS and National Geographic documentaries they inspired), big-picture scholar Jared Diamond explores civilizations and why they all seem to fall. Now in his latest book, The World Until Yesterday, Diamond examines the traditional societies of New Guinea -- and discovers that modern civilization is only our latest solution to survival.     Follow Jason on TWITTER, INSTAGRAM & LINKEDIN Twitter.com/JasonHartmanROI Instagram.com/jasonhartman1/ Linkedin.com/in/jasonhartmaninvestor/ Call our Investment Counselors at: 1-800-HARTMAN (US) or visit: https://www.jasonhartman.com/ Free Class:  Easily get up to $250,000 in funding for real estate, business or anything else: http://JasonHartman.com/Fund CYA Protect Your Assets, Save Taxes & Estate Planning: http://JasonHartman.com/Protect Get wholesale real estate deals for investment or build a great business – Free Course: https://www.jasonhartman.com/deals Special Offer from Ron LeGrand: https://JasonHartman.com/Ron Free Mini-Book on Pandemic Investing: https://www.PandemicInvesting.com  

Dr. Thomas A. Tweed, who did his graduate study at Harvard and Stanford, is the Harold and Martha Welch Professor of American Studies and Professor of History at Notre Dame University. Dr. Tweed served as president of the American Academy of Religion in 2015, the largest learned society for the study of religion. He is the author of many books, including his more recent: Religion in the Lands That Became America: A New History (Yale University Press) Learn more about your ad choices. Visit megaphone.fm/adchoices

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 700 awesome, curious, kind, funny, brilliant, generous souls Karen Elliott House is a senior fellow at Harvard Kennedy School's Belfer Center for Science and International Affairs. Elliott House retired in 2006 as publisher of The Wall Street Journal, senior vice president of Dow Jones & Company, and a member of the company's executive committee.  She is a broadly experienced business executive with particular expertise and experience in international affairs stemming from a distinguished career as a Pulitzer Prize winning reporter and editor. She is author of On Saudi Arabia: Its People, Past, Religion, Fault Lines—and Future, published in September 2012 by Knopf. During a 32-year career with Dow Jones and The Wall Street Journal, Elliott House also served as foreign editor, diplomatic correspondent, and energy correspondent based in Washington D.C.  Her journalism awards include a Pulitzer Prize for international reporting for coverage of the Middle East (1984), two Overseas Press Club awards for coverage of the Middle East and of Islam and the Edwin M. Hood award for Excellence in Diplomatic Reporting for a series on Saudi Arabia (1982). In both her news and business roles, she traveled widely over many years and interviewed world leaders including Saddam Hussein, Lee Kwan Yew,  Zhu Rongji, Vladimir Putin, Shimon Peres, Benjamin Natanyahu, Saudi King Abdullah, Hosni Mubarak, Margaret Thatcher, Richard Nixon, Helmut Kohl, George H.W. Bush, the late King Hussein and Yasser Arafat. She  has appeared frequently on television over the past three decades as an executive of the Wall Street Journal and as an expert on international relations. Elliott House has served and continues to serve on multiple non-profit boards including the Rand Corp., where she is chairman of the board, the Trilateral Commission, the Council on Foreign Relations, the Asia Society, the German-American Council, and Boston University.  She also is a member of the advisory board of the College of Communication at the University of Texas. She is a graduate of the University of Texas at Austin where in 1996 she was the recipient of the University's “Distinguished Alumnus” award.  She studied and taught at Harvard University's Institute of Politics and she holds honorary degrees from Pepperdine University (2013), Boston University (2003) and Lafayette College (1992).  She also is a fellow of the American Academy of Arts and Sciences.

Today, we're continuing our exploration of the fascinating intersection between positive psychology and travel and I couldn't be more excited to have one of the leading minds in the field with us.  Shige Oishi is a Professor of Psychology at the University of Chicago, an elected member of the American Academy of Arts and Sciences, and one of the most cited psychologists in the world. With over 200 journal articles and books to his name — including his latest book, Life in Three Dimensions — Shige has spent decades researching happiness, meaning, and cultural influences on well-being. In today's episode, we unpack what psychological richness really means, how it differs from happiness and meaning, and how travel is one of the very best ways tap into this powerful dimension of life.  If you've ever felt that travel enriches your life in unexpected ways, this episode is for you. So sit back, relax, and get ready to dive into the world of curiosity and perspective shifts with one of the foremost experts on the subject.  Let's dive in!  Learn more at www.luxtravelinsider.com   Connect with me on Social: Instagram LinkedIn  

Dr. Steven Flanagan, a nationally renowned expert in the field of traumatic brain injury (TBI), has worked at the Rusk Rehabilitation Institute at NYU Langone Health since 2008. He serves as the Howard A. Rusk Professor of Rehabilitation Medicine and Chairperson of the Department of Rehabilitation Medicine at NYU Grossman School of Medicine. A former President of the American Academy of Physical Medicine & Rehabilitation (PM&R), he is certified by the American Board of PM&R (Brain Injury Medicine). A graduate of the University of Medicine & Dentistry of New Jersey, he completed his medical residency at Mt. Sinai Medical Center/Cabrini, Rehabilitation. Part 2 The discussion covered the following topics: Rusk's interprofessional approach to patient care, future hiring needs, health promotion efforts to enhance health of staff, preparing Rusk residents for the future in health care, and putting patients first.  

There are few people who have the depth and breadth of knowledge about long-term services and supports than Jennie Chin Hansen, who we are honored to have as the 300th guest on today's episode. With a rich background in nursing and a penchant for solving problems, Hansen's career spans decades of leading top healthcare organizations such as the American Geriatrics Society, AARP, and On Lok, which is the flagship/prototype for what is now known as People for All-Inclusive Care for the Elderly (PACE). She currently serves on the boards of the Medicare Advantage SCAN Health Plan and HelpAge USA. In 2019, she helped to craft the California Masterplan for Aging, now in implementation.  For this week's episode, Hansen sits down with Susan Ryan to discuss how her childhood experience as an Asian girl living in Boston shaped her career choices. She also discusses her desire to see more upstream work that focuses getting “people prepared for their own aging changes.”  Finally, Hansen shares her vision for what she believes will help to not only “hold the line,” but also move it with regard to ensuring economic security for older Americans. Among Hansen's many awards are the American Academy of Nursing's Health Care Leader Award, American Society on Aging's Hall of Fame Award, and the National Council on Aging's Lifetime Achievement Award.  In 2024, she received an honorary Doctorate of Humane Letters degree from Harvard University at its commencement ceremony in May of 2024. Here is video of highlights from that event: https://youtu.be/lzDYU7sNddA?si=W0hGbEWsS8osCaRq. 

Passing the Torch at Optometry Giving Sight | Dr. Allen Interviews Lois Schoenbrun & Donna Mikulecky In this inspiring episode of the podcast, Dr. Joseph Allen sits down with two visionary leaders in global eye care: Lois Schoenbrun, outgoing Executive Director of Optometry Giving Sight (OGS), and Donna Mikulecky, who had just stepped into the role. With over three decades of nonprofit leadership, Lois reflects on her journey—from leading the American Academy of Optometry to guiding OGS through a time of global need. Together with Donna, they explore the mission and future of Optometry Giving Sight: to support sustainable, optometry-led programs that educate local eye care providers and expand access to vision care and eye health worldwide. They also discuss what sets OGS apart from traditional mission models, the importance of building long-term, local solutions, and how optometry as a profession continues to lead the way in volunteerism and global service. Their conversation is filled with insight, encouragement, and real stories that highlight how OGS is working toward a world where optometry enables universal access to vision care and eye health. Whether you're a practitioner, student, or advocate for global health, this episode will leave you hopeful and ready to be part of the change. Eye Give a Damn hosted by Dr. Joseph Allen is produced by FluoreSCENE Media. For more information on Dr. Joseph Allen visit https://doctoreyehealth.com/ Visit https://odcommunity.com/ to learn more about FluoreSCENE Media. 

Normal pressure hydrocephalus (NPH) is a clinical syndrome characterized by the triad of gait apraxia, cognitive impairment, and bladder dysfunction in the radiographic context of ventriculomegaly and normal intracranial pressure. Accurate diagnosis requires consideration of clinical and imaging signs, complemented by tests to exclude common mimics. In this episode, Lyell Jones, MD, FAAN speaks with Abhay R. Moghekar, MBBS, author of the article “Clinical Features and Diagnosis of Normal Pressure Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Moghekar is an associate professor of neurology at Johns Hopkins University School of Medicine in Baltimore, Maryland. Additional Resources Read the article: Clinical Features and Diagnosis of Normal Pressure Hydrocephalus 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: @LyellJ 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 Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today I'm interviewing Dr Abhay Moghekar, who recently authored an article on the clinical features and diagnosis of normal pressure hydrocephalus for our first-ever issue of Continuum dedicated to disorders of CSF dynamics. Dr Moghekar is an associate professor of neurology and the research director of the Cerebrospinal Fluid Center at Johns Hopkins University in Baltimore, Maryland. Dr Moghekar, welcome, and thank you for joining us today. Why don't you introduce yourself to our listeners? Dr Moghekar: Thank you, Dr Jones. I'm Abhay Moghekar. I'm a neurologist at Hopkins, and I specialize in seeing patients with CSF disorders, of which normal pressure hydrocephalus happens to be the most common. Dr Jones: And let's get right to it. I think most of our listeners who are neurologists in practice have encountered normal pressure hydrocephalus, or NPH; and it's a challenging disorder for all the reasons that you outline in your really outstanding article. If you were going to think of one single most important message to our listeners about recognizing patients with NPH, what would that be? Dr Moghekar: I think I would say there are two important messages. One is that the triad is not sufficient to make the diagnosis, and the triad is not necessary to make the diagnosis. You know these three elements of the triad: cognitive problems, gait problems, bladder control problems are so common in the elderly that if you pick 10 people out in the community that have this triad, it's unlikely that even one of them has true NPH. On the other hand, you don't need all three elements of the triad to make the diagnosis because the order of symptoms matters. Often patients develop gait dysfunction first, then cognitive dysfunction, and then urinary incontinence. If you wait for all three elements of the triad to be present, it may be too late to offer them any clear benefit. And hence, you know, it's neither sufficient nor necessary to make the diagnosis. Dr Jones: That's a really great point. I think most of our listeners are familiar with the fact that, you know, we're taught these classic triads or pentads or whatever, and they're rarely all present. In a way, it's maybe a useful prompt, but it could be distracting or misleading, even in a way, in terms of recognizing the patient. So what clues do you use, Dr Moghekar, to really think that a patient may have NPH? Dr Moghekar: So, there are two important aspects about gait dysfunction. Say somebody comes in with all three elements of the triad. You want to know two things. Which came first? If gate impairment precedes cognitive impairment, it's still very likely that NPH is in the differential. And of the two, which are more- relatively more affected? So, if somebody has very severe dementia and they have a little bit of gait problems, NPH is not as likely. So, is gait affected earlier than cognitive dysfunction, and is it affected to a more severe degree than cognitive dysfunction? And those two things clue me in to the possibility of NPH. You still obviously need to get imaging to make sure that they have large ventricles. One of the problems with imaging is large ventricles are present in so many different patients. Normal aging causes large ventricles. Obviously, many neurodegenerative disorders because of cerebral atrophy will cause large ventricles. And there's an often-used metric called as the events index, which is the ratio of the bitemporal horns- of the frontal horns of the lateral ventricles compared to the maximum diameter of the skull at that level. And if that ratio is more than 0.3, it's often used as a de facto measure of ventriculomegaly. What we've increasingly realized is that this ratio changes with age. And there's an excellent study that used the ADNI database that looked at how this ratio changes by age and sex. So, in fact, we now know that an 85-year-old woman who has an events index of 0.37 which would be considered ventriculomegaly is actually normal for age and sex. So, we need to start adopting these more modern age- and sex-appropriate age cutoffs of ventriculomegaly so as not to overcall everybody with big ventricles as having possible NPH. Dr Jones: That's very helpful. And I do want to come back to this challenge that we've seen in our field of overdiagnosis and underdiagnosis. But I think most of us are familiar with the concept of how hydrocephalus could cause neurologic deficits. But what's the latest on the mechanism of NPH? Why do some patients get this and others don't? Dr Moghekar: Very good question. I don't think we know for sure. And it for a long time we thought it was a plumbing issue. Right? And that's why shunts work. People thought it was impaired CSF absorption, but multiple studies have shown that not to be true. It's likely a combination of impaired cerebral blood flow, biomechanical factors like compliance, and even congenital factors that play a role in the pathogenesis of NPH. And yes, while putting in shunts likely drains CSF, putting in a shunt also definitely changes the compliance of the brain and affects blood flow to the subcortical regions of the brain. So, there are likely multiple mechanisms by which shunts benefit, and hence it's very likely that there's no single explanation for the pathogenesis of NPH. Dr Jones: We explored this in a recent Continuum issue on dementia. Many patients who have cognitive impairment have co-pathologies, multiple different causes. I was interested to read in your article about the genetic risk profile for NPH. It's not something I'd ever really considered in a disorder that is predominantly seen in older patients. Tell us a little more about those genetic risks. Dr Moghekar: Yeah, everyone is aware of the role genetics plays in congenital hydrocephalus, but until recently we were not aware that certain genetic factors may also be relevant to adult-onset normal pressure hydrocephalus. We've suspected this for a long time because nearly half of our patients who come to us to see us in clinic with NPH have head circumferences that are more than 90th percentile for height. And you know, that clearly indicates that this started shortly at the time after birth or soon afterwards. So, we've suspected for a long time that genetic factors play a role, but for a long time there were not enough large studies or well-conducted studies. But recently studies out of Japan and the US have shown mutations in genes like CF43 and CWH43 are disproportionately increased in patients with NPH. So, we are discovering increasingly that there are genetic factors that underlie even adult onset in patients. There are many more waiting to be discovered. Dr Jones: Really fascinating. And obviously getting more insight into the risk and mechanisms would be helpful in identifying these patients potentially earlier. And another thing that I learned in your article that I thought was really interesting, and maybe you can tell us more about it, is the association between normal pressure hydrocephalus and the observation of cervical spinal stenosis, many of whom require decompression. What's behind that association, do you think? Dr Moghekar: That's a very interesting study that was actually done at your institution, at Mayo Clinic, that showed this association. You know, as we all get older, you know, the incidence of cervical stenosis due to osteoarthritis goes up, but the incidence of significant, clinically significant cervical stenosis in the NPH population was much higher than what we would have expected. Whether this is merely an association in a vulnerable population or is it actually causal is not known and will need further study. Dr Jones: It's interesting to speculate, does that stenosis affect the flow of CSF and somehow predispose to a- again, maybe a partial degree for some patients? Dr Moghekar: Yeah, which goes back to the possible hydrodynamic theory of normal pressure hydrocephalus; you know, if it's obstructing normal CSF flow, you know, are the hydrodynamics affected in the brain that in turn could lead to the development of hydrocephalus. Dr Jones: One of the things I really enjoyed about your article, Abhay, was the very strong clinical focus, right? We can't just take an isolated biomarker or radiographic feature and rely on that, right? We really do need to have clinical suspicion, clinical judgment. And I think most of our listeners who've been in practice are familiar with the use and the importance of the large-volume lumbar puncture to determine who may have, and by exclusion not have, NPH, and then who might respond to CSF diversion. And I think those of us who have been in this situation are also familiar with the scenario where you think someone may have NPH and you do a large-volume lumbar puncture and they feel better, but you can't objectively see a difference. How do you make that test useful and objective in your practice? What do you do? Dr Moghekar: Yeah, it's a huge challenge in getting this objective assessment done carefully because you have to remember, you know, subconsciously you're telling the patients, I think you have NPH. I'm going to do this spinal tap, and if you walk better afterwards, you're going to get a shunt and you're going to be cured. And you can imagine the huge placebo response that can elicit in our subjects. So, we always like to see, definitely, did the patient subjectively feel better? Because yes, that's an important metric to consider because we want them to feel better. But we also wanted to be grounded in objective truths. And for that, we need to do different tests of speed, balance and endurance. Not everyone has the resources to do this, but I think it's important to test different domains. Just like for cognition, you know, we just don't test memory, right? We test executive function, language, visuospatial function. Similarly, walking is not just walking, right? It's gait speed, it's balance, and it's endurance. So, you need to ideally test at least most of these different domains for gait and you need to have some kind of clear criteria as to how are you going to define improvement. You know, is a 5% improvement, is a 10% improvement in gait, enough? Is 20%? Where is that cutoff? And as a field, we've not done a great job of coming up with standardized criteria for this. And it varies currently, the practice varies quite significantly from center to center at the current time. Dr Jones: So, one of the nice things you had in your article was helpful tips to be objective if you're in a lower-resource setting. For you, this isn't a common scenario that someone encounters in their practice as opposed to a center that maybe does a large volume of these. What are some relatively straightforward objective measures that a neurologist or someone else might use to determine if someone is improving after a large-volume LP? Dr Moghekar: Yeah, excellent question, Dr Jones, and very practically relevant too. So, you need to at least assess two of the domains that are most affected. One is speed and one is balance. You know, these patients fall ultimately, right, if you don't treat them correctly. In terms of speed, there are two very simple tests that anybody can do within a couple of minutes. One is the timed “up-and-go” test. It's a test that's even recommended by the CDC. It correlates very well with faults and disability and it can be done in any clinic. You just need about ten feet of space and a chair and a stopwatch, and it takes about a minute or slightly more to do that test. And there are objective age-associated norms for the timed up-and-go test, so it's easy to know if your patient is normal or not. The same thing goes for the 10-meter walk test. You do need a slightly longer walkway, but it's a fairly easy and well-standardized test. So, you can do one of those two; you don't need to do both of them. And for balance, you can do the 30-second “sit-to-stand”; and it's literally, again, 30 seconds. You need a chair, and you need somebody to watch the patient and see how many times they can sit up and stand up from a seated position. Then again, good normative data for that. If you want to be a little more sophisticated, you can do the 4-stage balance test. So, I think these are tests that don't add too much time to your daily assessment and can be done with even trained medical assistants in any clinic. And you don't need a trained physical therapist to do these assessments. Dr Jones: Very practical. And again, something that is pretty easily deployed, something we do before and then after the LP. I did see you mentioned in your article the dual timed up-and-go test where it's a simultaneous gait and executive function test. And I've got to be honest with you, Dr Moghekar, I was a little worried if I would pass that test, but that may be beyond the scope of our time today. Actually, how do you do that? How do you do the simultaneous cognitive assessment? Dr Moghekar: So, we asked them to count back from 100, subtracting 3. And we do it particularly in patients who are mildly impaired right? So, if they're already walking really good, but then you give them a cognitive stressor, you know, that will slow them down. So, we reserve it for patients who are high-performing. Dr Jones: That's fantastic. I'm probably aging myself a little here. I have noticed in my career, a little bit of a pendulum swing in terms of the recognition or acceptance of the prevalence of normal pressure hydrocephalus. I recall when I was a resident, many, many people that we saw in clinic had normal pressure hydrocephalus. Then it seemed for a while that it really faded into the background and was much less discussed and much less recognized and diagnosed, and less treated. And now that pendulum seems to have swung back the other way. What's behind that from your perspective? Dr Moghekar: It's an interesting backstory to all of this. When the first article about NPH was published in the Newman Journal of Medicine, it was actually a combined article with both neurologists and neurosurgeons on it. They did describe it as a treatable dementia. And what that did is it opened up the floodgates so that everybody with any kind of dementia started getting shunts left, right, and center. And back then, shunts were not programmable. There were no antibiotic impregnated catheters. So, the incidence of subdural hematomas and shunt-related infections was very high. In fact, one of our esteemed neurologists back then, Houston Merritt, wrote a scathing editorial that Victor and Adam should lose their professorships for writing such an article because the outcomes of these patients were so bad. So, for a very long period of time, neurologists stopped seeing these patients and stopped believing in NPH as a separate entity. And it became the domain of neurosurgeons for over two or three decades, until more recently when randomized trials started being done early on out of Europe. And now there's a big NIH study going on in the US, and these studies showed, in fact, that NPH exists as a true, distinct entity. And finally, neurologists have started getting more interested in the science and understanding the pathophysiology and taking care of these patients compared to the past. Dr Jones: That's really helpful context. And I guess that maybe isn't rare when you have a disorder that doesn't have a simple, straightforward biomarker and is complex in terms of the tests you need to do to support the diagnosis, and the treatment itself is somewhat invasive. So, when you talk to your patients, Dr Moghekar, and you've established the diagnosis and have recommended them for CSF diversion, what do you tell them? And the reason I ask is that you mentioned before we started recording, you had a patient who had a shunt placed and responded well, but continued to respond over time. Tell us a little bit more about what our patients can expect if they do have CSF diversion? Dr Moghekar: When we do the spinal tap and they meet our criteria for improvement and they go on to have a shunt, we tell them that we expect gait improvement definitely, but cognitive improvement may not happen in everyone depending on what time, you know, they showed up for their assessment and intervention. But we definitely expect gait improvement. And we tell them that the minimum gait improvement we can expect is the same degree of improvement they had after their large-volume lumbar puncture, but it can be even more. And as the brain remodels, as the hydrodynamics adapt to these shunts… so, we have patients who continue to improve one year, two years, and even three years into the course of the intervention. So, we're, you know, hopeful. At the same time, we want to be realistic. This is the same population that's at risk for developing neurodegenerative disorders related to aging. So not a small fraction of our patients will also have Alzheimer's disease, for example, or go on to develop Lewy body dementia. And it's the role of the neurologist to pick up on these comorbid conditions. And that's why it's important for us to keep following these patients and not leave them just to the neurosurgeon to follow up. Dr Jones: And what a great note to end on, Dr Moghekar. And again, I want to thank you for joining us, and thank you for such a wonderful discussion and such a fantastic article on the clinical diagnosis of normal pressure hydrocephalus. I learned a lot reading the article, and I learned a lot more today just in the conversation with you. So, thank you for being with us. Dr Moghekar: Happy to do that, Dr Jones. It was a pleasure. Dr Jones: Again, we've been speaking with Dr Abhay Moghekar, author of a wonderful article on the clinical features and diagnosis of NPH in Continuum's first-ever issue dedicated to disorders of CSF dynamics. Please check it out. And thank you to our listeners for joining 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.

Dr. Jeanette MacLean, a trailblazer in minimally invasive SDF practices, joins Dr. Joel Berg to discuss how observations and a willingness to try a different approach can positively benefit both providers and patients. Dr. MacLean shares how her own learning experiences seeing the same patients year after year in private practice led to her desire to consider less aggressive treatment options. She also delves into how the collaborative pediatric dental community was imperative in guiding her path. Guest Bio: Dr. Jeanette MacLean has been in private practice as an Owner for 20 years. As an appointee to the American Academy of Pediatric Dentistry's Speakers Bureau and has provided lectures across the United States, Canada, and Mexico, as well as webinars viewed in over 40 countries. Dr. MacLean graduated summa cum laude with a Bachelor of Science in Chemistry from Northern Arizona University in 1999. She received her dental degree, with honors, from the University of Southern California in 2003 and completed her specialty training in pediatric dentistry in 2005 at the Sunrise Children's Hospital through the University of Nevada School of Medicine. Dr. MacLean is a Fellow of the American Academy of Pediatric Dentistry, Fellow of the American College of Dentists, Fellow of the Pierre Fauchard Academy, and Diplomate of the American Board of Pediatric Dentistry. Her research has been published in the journals Pediatric Dentistry, the Journal of Clinical Pediatric Dentistry, the British Dental Journal, and Compendium. She has been featured twice in the New York Times: She is also an active member of the Central Arizona Dental Society, the Arizona Dental Association, the American Dental Association, the Arizona Academy of Pediatric Dentistry and the American Academy of Pediatric Dentistry. She is married to Timothy Budd, an attorney, and they have a son, Charlie, and a daughter, Sabrina. She has donated her time to underprivileged children both locally and in Mexico, Belize, and Costa Rica, and has been honored for her volunteer work and humanitarian achievements. She speaks conversational Spanish, and her interests include party planning, crafts, Jazzercise and all things Disney. She is also active in Local First Arizona, the Arizona Dental Associations' AHCCCS Subcommittee and Women in Dentistry group. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, I'm talking with pediatrician and author Ken Ginsburg about his new book Lighthouse Parenting. Ken shares his powerful framework for showing up as a steady, loving guide for our kids—offering both support and boundaries as they grow. We get into what it means to really know and prepare our kids, how to be their safe harbor in tough times, and why our own self-care matters just as much as theirs, especially in today's world of social media and constant pressure. About Dr. Ken Ginsburg Dr. Ken Ginsburg practices Adolescent Medicine at The Children's Hospital of Philadelphia and is a Professor of Pediatrics at the University of Pennsylvania School of Medicine. Dr. Ginsburg practices social adolescent medicine – service with special attention to prevention and the recognition that social context and stressors affect both physical and emotional health. His research over the last 35 years has focused on facilitating youth to develop their own solutions to social problems and to teach adults how to better serve them. He is the Founding Director of The Center for Parent and Teen Communications which works to empower parents with the skill-sets to strengthen their family connections and position them to guide their teens to become their best selves. It works to shift the cultural narrative about adolescence from being a time to survive to one in which development is to be optimized. His books include, Building Resilience in Children and Teens: Giving Kids Roots and Wings; Congrats- You're Having a Teen!: Strengthen Your Family and Raise a Good Person; and Lighthouse Parenting:Raising your Child with Loving Guidance for an Enduring Bond. All of these works are published by The American Academy of Pediatrics. He currently works with Covenant House International's 35 sites to solidify and magnify their practice model rooted in the healing power of loving and respectful adult connections with youth. Things you'll learn from this episode What “lighthouse parenting” is and how it offers a research-backed framework for guiding kids to grow up as resilient, thriving adults What it means to be a “secure base” for our kids and the power of stability in fostering resilience in all children Why preparing kids for life's challenges starts with feeling unconditionally loved and truly known Why self-care, authentic modeling, and genuine repair are essential for strong parent-child relationships What it means to “actively see the best in our child” and why it matters  Resources mentioned About Dr. Ken Ginsburg Center for Parent and Teen Communication Fostering Resilience Lighthouse Parenting: Raising your Child with Loving Guidance for an Enduring Bond by Dr. Ken Ginsburg Congrats—You're Having a Teen! Strengthen Your Family and Raise a Good Person by Dr. Ken Ginsburg Building Resilience in Children and Teens: Giving Kids Roots and Wings by Dr. Ken Ginsburg Dr. Devorah Heitner on Helping Kids Thrive in a Digital World (Tilt Parenting Podcast) Dr. Devorah Heitner on Parenting Kids Growing Up in Public (Tilt Parenting Podcast) Learn more about your ad choices. Visit podcastchoices.com/adchoices

We're continuing our summer throwback series with a powerful episode that's simply too important to leave behind. While we're taking a short break this summer, we'll be resurfacing some of our most impactful conversations — the ones that made us think, challenged the status quo, and sparked meaningful dialogue. Today's rerun is one of those episodes. Originally aired as Episode 72, this conversation with Jessica Setnick dives headfirst into the controversial 2023 guidelines issued by the American Academy of Pediatrics (AAP). These guidelines made headlines — and not in a good way. Recommending behavioral interventions and even weight loss medications and surgery for children as young as 2, 12, and 13, respectively, the AAP ignited a firestorm of concern within the eating disorder treatment community. Jessica, a fierce advocate and long-time voice in the eating disorder field, joins me to unpack what these guidelines really say, why they're so troubling, and how they reflect a deeper cultural problem rooted in weight stigma. We question authority, untangle complex motivations (hello, pharma profits), and explore what weight-inclusive, ethical pediatric care should actually look like. In this episode, we're talking about: Why the AAP's new guidelines on pediatric weight management are sparking outrage in the eating disorder community. The alarming recommendations to introduce weight loss medications by age 12 and surgery by 13. The pervasive weight stigma built into these guidelines, including the problematic use of BMI as a screening tool. How profit motives, particularly from big pharma, may be influencing the creation of these “medical” guidelines. The real consequences of these interventions: malnutrition, stunted growth, cognitive impacts, and the risk of lifelong eating disorders. The false logic that shrinking a child's body will reduce weight stigma and why that belief is not just wrong, but dangerous. The importance of separating weight from health, and why any medical concerns should be treated based on symptoms, not size. How weight changes can be relevant when viewed contextually, but should never be the sole focus of medical intervention. Why trusting your gut and challenging medical advice is not only okay, but it might be necessary for protecting your child's wellbeing. Where to find weight-inclusive providers and what to ask when choosing a new pediatrician. Tweetable Quotes “Anyone who works in the eating disorder field at all – and probably many humans – knows multiple people, if not themselves, who have had failed weight loss interventions when they were children that then resulted in bigger problems.” – Jessica Setnick “The key is not to just single out the big kids. Any kid with an eating disorder should be evaluated. Any kid with a medical condition should be evaluated.” – Jessica Setnick “Shrinking children does not change their medical conditions.” – Jessica Setnick “‘Does my child have a medical condition, or are you saying my child is too big? Because if it's a medical condition, we'd like to get treatment independent of his size. But if you're saying his size is a problem, that's not a conversation I'm willing to have.'” – Jessica Setnick Resources AAP Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity News release for the AAP new guidelines Understanding Disordered Eating, Ep. 30: Eating Disorders are the Solution Not the Problem with Jessica Setnick, MS, RD, CEDRD-S Jessica on Facebook  Jessica on Instagram  Jessica Setnick: Understanding Nutrition Jessica's Website Grab my Journal Prompts Here! Looking for a speaker for an upcoming event? Let's chat! Accepting new clients in July - Find out if we're a good fit!   LEAVE A REVIEW + help someone who may need this podcast by sharing this episode. Be sure to sign up for my weekly newsletter here You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com

In the premiere episode of Soundscapes N.Y.C., host Ryan Purcell talks with celebrated writer Lucy Sante about the landscape of gender logics within the New York rock scene. It was a nebulous soundscape of counterculture formed around gender explorations and social upheaval set to the soundtrack of an aggressive style of rock 'n' roll that critics would identify as punk rock by the end of the seventies.   Lucy Sante is the author of Low Life, Evidence, The Factory of Facts, Kill All Your Darlings, Folk Photography, The Other Paris, Maybe the People Would Be the Times, and Nineteen Reservoirs. Her awards include a Whiting Writers Award, an Award in Literature from the American Academy of Arts and Letters, a Grammy Award (for album notes), an Infinity Award from the International Center of Photography, and Guggenheim and Cullman Center fellowships. She recently retired after twenty-four years of teaching at Bard College.  Contact Soundscapes NYC Here Support the show 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

What role can psychedelics play in helping terminally ill patients face death with peace, clarity, and meaning?  In this episode, we welcome Hannah Whitmore, PhD, RN, CHPN®, a Registered Nurse and PhD researcher whose work—The Pragmatism of Palliative Care—explores the clinical potential of Psychedelic-Assisted Therapy (PAT) to support death acceptance in patients at the end of life. Dr. Whitmore brings a compassionate and evidence-based lens to a topic that challenges long-standing models of care, offering insight into how PAT could be thoughtfully integrated into palliative and hospice settings.  Together, we explore:  The latest research on PAT for existential distress and death anxiety  Clinical and ethical considerations when working with terminally ill populations  Barriers to implementation and the future possibilities for PAT in end-of-life care  How nursing science is shaping new approaches to healing at the end of life  This episode is a grounded, deeply human conversation at the intersection of medicine, mortality, and meaning—guided by a nurse scientist dedicated to easing suffering when it matters most.      Hannah Whitmore, PhD, RN, CHPN Certified hospice and palliative care nurse and clinician scientist, Dr. Whitmore supports individuals, families, and healthcare teams navigating serious illness and end-of-life transitions. Currently a post-doctoral fellow at the University of California, San Francisco (UCSF), she combines hands-on experience with a holistic approach informed by the latest research, mindfulness practices, and symptom management expertise. Her research focuses on symptom science and the integration of psychedelic-assisted therapy to address existential distress, depression, and promote death acceptance in seriously ill individuals. A member of Sigma Global Nursing Excellence, Dr. Whitmore guides healthcare teams and provides culturally sensitive care to diverse populations. She collaborates with healthcare organizations to enhance palliative care services and empowers individuals and teams to find resilience and dignity in complex end-of-life situations.    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.

In the premiere episode of Soundscapes N.Y.C., host Ryan Purcell talks with celebrated writer Lucy Sante about the landscape of gender logics within the New York rock scene. It was a nebulous soundscape of counterculture formed around gender explorations and social upheaval set to the soundtrack of an aggressive style of rock 'n' roll that critics would identify as punk rock by the end of the seventies.   Lucy Sante is the author of Low Life, Evidence, The Factory of Facts, Kill All Your Darlings, Folk Photography, The Other Paris, Maybe the People Would Be the Times, and Nineteen Reservoirs. Her awards include a Whiting Writers Award, an Award in Literature from the American Academy of Arts and Letters, a Grammy Award (for album notes), an Infinity Award from the International Center of Photography, and Guggenheim and Cullman Center fellowships. She recently retired after twenty-four years of teaching at Bard College.  Contact Soundscapes NYC Here Support the show Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/gender-studies

In this solo episode, Dr. Joy Kong breaks down the 5 biggest mistakes patients make when undergoing stem cell therapy—and how to avoid them to get the most out of your investment. Learn why using your own cells may not be ideal, the dangers of over-expanded lab-grown cells (especially from overseas clinics), and how lifestyle habits like overexertion, alcohol, and poor diet can sabotage your results. If you're considering regenerative therapy, this is essential listening for safer, more effective outcomes.Additional Resources:Visit My Clinic: Chara Health

In the premiere episode of Soundscapes N.Y.C., host Ryan Purcell talks with celebrated writer Lucy Sante about the landscape of gender logics within the New York rock scene. It was a nebulous soundscape of counterculture formed around gender explorations and social upheaval set to the soundtrack of an aggressive style of rock 'n' roll that critics would identify as punk rock by the end of the seventies.   Lucy Sante is the author of Low Life, Evidence, The Factory of Facts, Kill All Your Darlings, Folk Photography, The Other Paris, Maybe the People Would Be the Times, and Nineteen Reservoirs. Her awards include a Whiting Writers Award, an Award in Literature from the American Academy of Arts and Letters, a Grammy Award (for album notes), an Infinity Award from the International Center of Photography, and Guggenheim and Cullman Center fellowships. She recently retired after twenty-four years of teaching at Bard College.  Contact Soundscapes NYC Here Support the show Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/music

In Part 2 of our discussion on Homer's Iliad, translator Emily Wilson returns to discuss the red and gold cover design of the Norton Library edition, recount her decision to recreate a new translation of the epic, and give a performance in the original ancient Greek. Emily Wilson is a professor of classical studies at the University of Pennsylvania. She has been named a Fellow of the American Academy in Rome in Renaissance and early modern studies, a MacArthur Fellow, and a Guggenheim Fellow. In addition to Homer's Iliad and Odyssey, she has also published translations of Sophocles, Euripides, and Seneca. She lives in Philadelphia.To learn more or purchase a copy of the Norton Library edition of The Iliad, go to https://wwnorton.com/books/9781324102076. Learn more about the Norton Library series at https://wwnorton.com/norton-library.Have questions or suggestions for the podcast? Email us at nortonlibrary@wwnorton.com or find us on Twitter at @TNL_WWN and Bluesky at @nortonlibrary.bsky.social. 

Pain is often what prompts patients to seek the care of a musculoskeletal rehabilitation clinician. In today's episode, Dr Paul Mintken guides listeners through different ways to work with a person to help make sense of, and explain, unexplained pain. Dr Mintken (Hawai'i Pacific University) is a board-certified Orthopaedic Clinical Specialist and a Fellow of the American Academy of Orthopaedic and Manual Physical Therapists. ------------------------------ RESOURCES JOSPT Viewpoint article - The Worst Pain is an Unexplained Pain: https://www.jospt.org/doi/10.2519/jospt.2025.13167

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Odkaz na celý díl⁠: patreon.com/insiderpodcastMartin Wichterle je jedním z ambasadorů 2. ekonomické transformace. To, že Česko potřebuje změnu, se shodneme všichni. Dochází vám už trpělivost, nebo stále vidíte ve všech těch konferencích, vizích, křižovatkách a strategických dokumentech smysl, či dokonce výsledky a změny?Jak si stojí Česko v rámci Evropy a Evropa v rámci světa? O tom jsme debatovali i s Petrem Smutným z PwC. Má evropská společnost špatný mindset? Fungují správně vysoké školy? Otevřeli jsme otázku technické vs. humanitní obory. Kde v Česku vzniká přidaná hodnota? Máme se sice dobře, ale bude to platit i za 20 let?Partnerem podcastu je advokátní kancelář ROWAN LEGAL a provozovatel zdravotnických zařízení PENTA HOSPITALS, American Academy a ARETE Transition Fund pro kvalifikované investory.

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram As the founder and director of Spear Education, Dr. Spear continues to be recognized as one of the premier educators in esthetic and restorative dentistry in the world today. Dr. Spear earned his dental degree from the University of Washington in 1979, and an MSD in periodontal prosthodontics in 1982, also from the University of Washington. Dr. Spear has been recognized by numerous associations for his contributions to dentistry. In 1993, he was awarded the Christensen Award for Excellence in Restorative Education from the Chicago Dental Society. In 1995, the American Academy of Cosmetic Dentistry presented him with a special award for having advanced the Art and Science of cosmetic dentistry in the United States. In 1996, he received the Saul Schluger Memorial Award for Excellence in Diagnosis and Treatment Planning from the Seattle Study Club. In 2003 he and colleague Vincent G. Kokich were awarded the first ever Presidents Award for excellence in education from the American Academy of Esthetic Dentistry. He also earned the 2004 Distinguished Alumnus Award from Pacific Lutheran University his undergraduate Alma Mater. And in 2013 was named Distinguished Alumnus for the University of Washington School of Dentistry. In 2018 he received the first ever Charles Pincus - Ronald Goldstein Lifetime Achievement Award in Esthetic Dentistry from the American Academy of Esthetic Dentistry. He belongs to multiple dental organizations including the American Academy of Esthetic Dentistry, American Academy of Restorative Dentistry, and the American College of Prosthodontics.

Dr. Clayton Moss, MD is a Physical Medicine & Rehabilitation (PM&R) physician currently completing his residency at the University of South Florida. He's also pursuing advanced training in functional, regenerative, and metabolic medicine through the American Academy of Anti-Aging Medicine (A4M). Clayton's mission is to help patients reclaim their health by getting to the root cause. He's an advocate for lifestyle changes and strength training as medicine, and has helped pilot the VA's first inpatient metabolic rehabilitation program. He believes the future of medicine is personal, preventative, and performance-focused — and he's building his career around that belief. Instagram: https://www.instagram.com/drclaymoss/ Timestamps: 00:00 Trailer 00:42 Introduction 03:07 Comprehensive rehabilitation medicine 07:11 Seeking deeper medical learning 09:30 Medical field mental vs. physical load 15:35 Effective physical exam and body composition 17:43 Optimal lean mass and body fat 20:18 Preventing hip fractures & metabolic syndrome 23:48 Carnivore diet as a tool 28:50 Medical profession and social media 30:20 Restoring the art of medicine 35:31 Wellness through mindful living 37:28 Where to find Clay Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs ‪#Revero #ReveroHealth #shawnbaker  #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.

In this episode of Talking Sleep, Drs. Michelle Cantwell and Aaron Glick discuss the updated American Academy of Dental Sleep Medicine (AADSM) Standards for Practice. Dr. Michelle Cantwell received her DMD through the University of Pittsburgh's School of Dental Medicine, where she also completed a three-year residency in prosthodontics. Following dental school, she served as a lieutenant commander in the US Navy. She is a diplomate of the ABDSM and the president-elect of the AADSM. She works in the pulmonary and sleep medicine department of WellSpan Health. Aaron Glick, DDS, FAGD, FICOI, D.ABDSM, is a dentist who has committed his practice to dental sleep medicine. He has been recognized as a “Top 10 Dentist to Watch” and works clinically utilizing teledentistry for efficient patient care. Dr. Glick educates fellow practitioners as the Mastery Program Director at the American Academy of Dental Sleep Medicine, focusing on mandibular advancement devices. Additionally, he is on the faculty at the University of Texas Health Science Center at Houston School of Dentistry. He actively lectures nationally and publishes on obstructive sleep apnea and technology. He enjoys all technologies and has a medical device and software programming background

Join us to hear Jennifer's incredible unexpected journey from mysterious, itchy skin blotches leading to a full psoriasis diagnosis and how she found the right treatment for her with dermatologist Dr. Christina Feser and Mind.Px. Listen as Jennifer tells her diagnostic odyssey from itchy, skin blotches to psoriasis with host Max Blitstein as together they explore her journey from topical treatments to biologics, and the emotional toll this disease can take. Learn how this psoriasis patient found relief with Dr. Christina Feser through the use of new precision medicine technology to find the right treatment for her. This episode highlights the importance of proactive care and the life-changing impact of finding the right medical support. Timestamps: ·       (0:00)  Intro to Psound Bytes™ and guest welcome dermatologist Dr. Christina Feser and her patient Jennifer Kirsch. ·       (1:26)  Jennifer's life prior to her diagnosis journey with psoriasis. ·       (2:29)  Symptoms, diagnosis, and initial treatment course. ·       (4:26)  The path to taking control of Jennifer's psoriasis begins with a Mind.Px test. ·       (9:15)  Timeline for the Mind.Px test results and how it felt to get the test. ·       (12:14) Implementation and results of the treatment recommended by Dr. Feser and the Mind.Px test. ·       (17:22) The emotional impact of living with psoriasis.   ·       (19:24) Be proactive when something is not right. Listen to your body. ·       (19:57) Getting on the right medicine initially has value.  ·       (21:16) While the journey is not easy, taking advantage of available technology offers better management of patients with psoriasis. 3 Key Takeaways: ·       Diagnosis of psoriasis can be challenging but it all starts with finding the right health care provider who listens to you as a patient.   ·       Technology now exists through Mind.Px to help providers and patients select a therapy that is more biologically appropriate to manage their psoriasis. ·       Be proactive in taking steps to ensure you receive the right treatment for you and your health. Guest Bios:   Dr. Christina Feser is a board-certified dermatologist with Nashville Skin, a comprehensive dermatology center for adults and children where she specializes in the latest medical treatments for skin diseases such as psoriasis that impact the skin, scalp, hair, and nails. She has a passion for research, serving as Principal Investigator on numerous clinical trials with a focus on psoriasis, eczema, alopecia, vitiligo, and other skin diseases. She is a fellow of the American Academy of Dermatology, the American Osteopathic College of Dermatology, and is a member of the Nashville Dermatology Society and the Tennessee Dermatology Society. Jennifer Kirsch, a patient of Dr. Feser's, was diagnosed with psoriasis in November 2024 after initially being diagnosed with eczema. Taking matters into her own hands, Jennifer not only found the right care with Dr. Feser, but also the right treatment to help her live her life without the itch associated with psoriasis.  Resources: Ø  Current Biologics on the Market https://www.psoriasis.org/current-biologics-on-the-market/ Ø  Mindera Health – Shaping the Era of Digital Predictive Skin Analytics       https://minderahealth.com

On this episode of Newly Erupted, host Dr. Joel Berg talks about the keys to avoiding burnout with Dr. Trudy-Ann Frazer. Dr. Frazer shares her three-step approach to mitigating burnout, particularly for female practitioners and what steps to take once you realize burnout has taken hold – either in yourself or your team. Guest Bio: Dr. Trudy-Ann Frazer has experience working exclusively with children. It is her goal to promote good oral habits to children and parents as a part of preserving beautiful, healthy smiles for a lifetime. She earned her DDS from Meharry Medical College in Nashville, Tennessee as the Valedictorian, then completed her certificate in Pediatric Dentistry residency from the Albert Einstein College of Medicine/ Montefiore Medical Center in the Bronx, New York. She is a proud graduate of Oakwood University in Huntsville, Alabama where she received her Bachelor of Science in Biology. Dr. Frazer was born in Negril, Jamaica and grew up in Stone Mountain, Georgia. She has dedicated much of her professional career to educating and serving children and participated in numerous outreach activities, which include several mission trips to offer dental services to children in Jamaica. She is also involved in various organizations, including the American Academy of Pediatric Dentistry, American Dental Association, and National Dental Association, as well as a diplomate of the American Board of Pediatric Dentistry. She enjoys swimming, basketball, camping, traveling and spending quality time with her family and friends.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Adam Biles speaks with acclaimed author Geoff Dyer live from Shakespeare and Company about his new memoir, Homework. Dyer reflects on growing up in 1960s Cheltenham, navigating family, class, and the formation of self. With characteristic wit and insight, he paints portraits of his quietly disappointed mother and parsimonious father, capturing an era that feels remote yet familiar. The conversation explores the power of memory, the weirdness of grammar schools, the ambient presence of war, and the subtle tyranny of the English class system. Dyer discusses how language, books, and music shaped him—and how the past persists in surprising phrases and daily habits. By turns hilarious and moving, this event reminds us why Dyer remains one of the UK's most original and generous literary voices.Buy Homework: https://www.shakespeareandcompany.com/books/homework-3*Geoff Dyer is an award-winning author of four novels and numerous non-fiction books, including Out of Sheer Rage, Yoga for People Who Can't Be Bothered to Do It, Zona and, most recently, See/Saw. A fellow of the Royal Society of Literature and a member of the American Academy of Arts and Science, Dyer lives in Los Angeles, where he is Writer in Residence at the University of Southern California. His books have been translated into twenty-four languages.Adam Biles is Literary Director at Shakespeare and Company.Listen to Alex Freiman's latest EP, In The Beginning: https://open.spotify.com/album/5iZYPMCUnG7xiCtsFCBlVa?si=h5x3FK1URq6SwH9Kb_SO3w Hosted on Acast. See acast.com/privacy for more information.

In this special episode, recorded on June 24 and released on June 25, we bring you a timely dispatch from Washington, D.C., where the Hospice and Palliative Nurses Association (HPNA) leadership and staff engaged in direct advocacy on Capitol Hill.   Join Gayle Gerdes, Vice President of Health Policy Source and consultant to HPNA, and HPNA Manager of Advocacy and Health Policy Sarah Potter as they reflect on their experiences meeting with congressional staffers about HPNA's public policy priorities and amplifying the voices of hospice and palliative care nurses. This episode offers an insider look at the policy priorities that matter in 2025, from protecting federal programs that support nursing research, education, and workforce development to enactment of policies that improve access to quality hospice and palliative care—and how HPNA is uniquely positioned as an interprofessional voice in the conversation.   Key highlights include:   The purpose and power of advocacy—why storytelling matters   Updates on the current climate in Washington, proposed cuts to healthcare programs that impact the interprofessional team and patient access to care, and HPNA's efforts to advance legislation supporting hospice and palliative care nursing  HPNA's collaborations with national coalition partners and legislative champions in the House and Senate  Reflections on the importance of nurse-led advocacy and new opportunities for HPNA members to share their stories and effect policy change at the state and national levels  Whether you're new to policy or a seasoned advocate, this episode will leave you inspired to raise your voice—and equipped to do so effectively.       Gayle Gerdes  Gayle Gerdes is Vice President at Health Policy Source, a government relations firm in Washington, D.C. that provides strategic consulting and lobbying services to a broad group of clients in the health care space. Her health care background is an extensive mix of government and private sector experience. She spent several years on Capitol Hill where she worked in both the House and the Senate focusing her time on health care legislation. Later she moved to The Concord Coalition where she worked with the media, Members of Congress, and related organizations to educate the public on the federal budget and deficit. In particular, she delved into the relationship of Medicare and Social Security with the federal budget. In addition, Gayle has experience serving on the board of the Los Alamos Medical Center, and she has recently consulted for The Brooks Group and The Concord Coalition. Gayle graduated from the University of Arkansas with a B.A. in English and Communications.    Sarah PotterSarah Potter is the Manager of Advocacy and Health Policy at the Hospice and Palliative Nurses Association (HPNA). Sarah has more than 20 years of experience in government relations, health policy, and communications, with a focus on healthcare workforce issues, Medicare, Medicaid, children's health, quality improvement, and the Affordable Care Act. She has developed and implemented state and federal advocacy campaigns and advocacy education programs for several national organizations, including the Pew Charitable Trusts, Independent Sector, the Premier Healthcare Alliance, and the Brookings Institution. Sarah began her career on Capitol Hill as a legislative and communications staffer for Rep. Karen McCarthy of Missouri and Senator Joe Lieberman of Connecticut and holds dual degrees in Journalism and Political Science from the University of Missouri     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.

Episode Summary Join Dr. Eric Balcavage and Dr. Kelly Halderman for this milestone 200th episode of Thyroid Answers! This comprehensive discussion covers the evolution of thyroid care, key lessons learned from treating hundreds of patients, and the future of thyroid recovery. Dr. Eric shares his 70% patient recovery rate and explains why the shift from management to recovery is revolutionizing thyroid care. Key Topics & Timestamps

This Week on The Virtual Curbside: Measles Q&A  In this final episode of the measles series, host Paul Wirkus, MD, FAAP, is joined by experts Andy Pavia, MD, and TW Jones, MD, to answer listener questions. The conversation covers practical clinical concerns around measles, including diagnosis, outbreak response, and prevention strategies. The group also dives into broader vaccine topics—discussing the MMR vaccine, mRNA vaccines, and lessons learned from COVID-19. Have a question? Email questions@vcurb.com.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.

Honorary third host of the podcast Kaylee is back this week to join us in discussing the R.J. Hackett, a vessel that changed the way bulk cargo was transported on the Great Lakes and laid the groundwork for the designs we still see today. gazafunds.comSources: Baker, Newton D. “Transportation on the Great Lakes.” The Annals of the American Academy of Political and Social Science, vol. 171, Jan 1934, pp. 204 - 210. Bowlus, Bruce. “Bold Experiments: The Evolution of the Great Lakes Ore Carrier.” Michigan Historical Review, vol. 22, no. 1, Spring 1996, pp. 1 - 17. “Steamer Hackett Burns.” The Sturgeon Bay Advocate, vol. 44, no. 34, 18 Nov 1905. Support the show

Mark Twain didn't just write American classics, he lived one of the most powerful personal transformations in history. In Part 2 of this conversation, Pulitzer Prize-winning biographer Ron Chernow returns to join Ryan for a deep dive into Twain's remarkable moral evolution. They discuss how Twain's journey mirrors those of Ulysses S. Grant and John D. Rockefeller, reflect on the tragic cost of chasing fortune over purpose, and explore what makes a biography timeless and a life unforgettable.Plus, a special moment: Ryan's 8-year-old son jumps in to ask Ron about Hamilton, his favorite musical.Ron Chernow is the prizewinning author of seven previous books and the recipient of the 2015 National Humanities Medal. His first book, The House of Morgan, won the National Book Award, Washington: A Life won the Pulitzer Prize for Biography, and Alexander Hamilton—the inspiration for the Broadway musical—won the George Washington Book Prize. He has twice been a finalist for the National Book Critics Circle Award and is one of only three living biographers to have won the Gold Medal for Biography of the American Academy of Arts and Letters. Ron's latest book is on the fascinating and complex life of American writer Mark Twain. Follow Ron Chernow on Instagram: @RonChernow

Brilliance without emotional control is often a recipe for destruction. In this episode, Ryan sits down with Pulitzer Prize-winning biographer Ron Chernow, whose acclaimed biographies on Alexander Hamilton, George Washington, Ulysses S. Grant, John D. Rockefeller, and most recently, Mark Twain have reshaped our understanding of American greatness. Ron and Ryan talk about how these men's deepest personal struggles and their ability to manage emotion became the defining factor in their lives and legacies.Ron Chernow is the prizewinning author of seven previous books and the recipient of the 2015 National Humanities Medal. His first book, The House of Morgan, won the National Book Award, Washington: A Life won the Pulitzer Prize for Biography, and Alexander Hamilton—the inspiration for the Broadway musical—won the George Washington Book Prize. He has twice been a finalist for the National Book Critics Circle Award and is one of only three living biographers to have won the Gold Medal for Biography of the American Academy of Arts and Letters. Ron's latest book is on the fascinating and complex life of American writer Mark Twain. Follow Ron on Instagram: @RonChernow