Podcasts about American Academy

My conversation with Dr Emanuel begins at about 34 minutes Subscribe and Watch Interviews LIVE : On YOUTUBE.com/StandUpWithPete ON SubstackStandUpWithPete Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. This show is Ad free and fully supported by listeners like you! Please subscribe now for as little as 5$ and gain access to a community of over 750 awesome, curious, kind, funny, brilliant, generous soul In Eat Your Ice Cream, renowned health expert Dr. Ezekiel J. Emanuel argues that life is not a competition to live the longest, and that "wellness" shouldn't be difficult; it should be an invisible part of one's lifestyle that yields maximum health benefits with the least work Ezekiel J. Emanuel, MD, PhD, is the Vice Provost for Global Initiatives, the Co-Director of the Healthcare Transformation Institute, and the Diane v.S. Levy and Robert M. Levy University Professor at the University of Pennsylvania Perelman School of Medicine. Emanuel is an oncologist and world leader in health policy and bioethics. He is a Special Advisor to the Director General of the World Health Organization, Senior Fellow at the Center for American Progress, and member of the Council on Foreign Relations.  He was the founding chair of the Department of Bioethics at the National Institutes of Health and held that position until August of 2011. From 2009 to 2011, he served as a Special Advisor on Health Policy to the Director of the Office of Management and Budget and National Economic Council. In this role, he was instrumental in drafting the Affordable Care Act (ACA). Emanuel also served on the Biden-Harris Transition Covid Advisory Board. Dr. Emanuel is the most widely cited bioethicist in history.  He has over 350 publications and has authored or edited 15 books. His recent publications include the books Which Country Has the World's Best Health Care (2020), Prescription for the Future (2017), Reinventing American Health Care: How the Affordable Care Act Will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System (2014) and Brothers Emanuel: A Memoir of an American Family (2013). In 2008, he published Healthcare, Guaranteed: A Simple, Secure Solution for America, which included his own recommendations for health care reform. Dr. Emanuel regularly contributes to the New York Times, the Washington Post, the Wall Street Journal, The Atlantic, and often appears on BBC, NPR, CNN, MSNBC and other media outlets. He has received numerous awards including election to the National Academy of Medicine, the American Academy of Arts and Sciences, the Association of American Physicians, and the Royal College of Medicine (UK). He has been named a Dan David Prize Laureate in Bioethics, and is a recipient of the AMA-Burroughs Wellcome Leadership Award, the Public Service Award from the American Society of Clinical Oncology, Lifetime Achievement Award from the American Society of Bioethics and Humanities, the Robert Wood Johnson Foundation David E. Rogers Award, President's Medal for Social Justice Roosevelt University, and the John Mendelsohn Award from the MD Anderson Cancer Center. Dr. Emanuel has received honorary degrees from Icahn School of Medicine at Mount Sinai, Union Graduate College, the Medical College of Wisconsin, and Macalester College. In 2023, he became a Guggenheim Fellow. Dr. Emanuel is a graduate of Amherst College. He holds a M.Sc. from Oxford University in Biochemistry, and received his M.D. from Harvard Medical School and his Ph.D. in political philosophy from Harvard University. On YOUTUBE.com/StandUpWithPete ON SubstackStandUpWithPete   Listen rate and review on Apple Podcasts Listen rate and review on Spotify Pete On Instagram Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on Twitter Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll  Gift a Subscription https://www.patreon.com/PeteDominick/gift Send Pete $ Directly on Venmo  

The news to know for Thursday, December 18, 2025! What to know about President Trump's primetime address to the nation last night—how he rates his first year back in office, and why some say it was the wrong message. Also, why the U.S. is now suing the U.S. Virgin Islands, who is donating to the so-called Trump Accounts this time, and what a new version of history at the White House shows. Plus: what it could mean now that federal funding has been cut to the American Academy of Pediatrics, why the Academy Awards will look very different in a few years, and how music can be like food for your brain. Those stories and even more news to know in about 10 minutes!    Join us every Mon-Fri for more daily news roundups!  See sources: https://www.theNewsWorthy.com/shownotes Become an INSIDER to get AD-FREE episodes here: https://www.theNewsWorthy.com/insider Get The NewsWorthy MERCH here: https://thenewsworthy.dashery.com/ Sponsors: You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/NEWSWORTHY and using code NEWSWORTHY at checkout. Get 15% off OneSkin with the code NEWSWORTHY at https://www.oneskin.co/NEWSWORTHY #oneskinpod To advertise on our podcast, please reach out to ad-sales@libsyn.com

In pediatric practice, few topics are as foundational and scientifically grounded as vaccinations. This season, a major shift in federal vaccine advisory guidance has sparked fresh discussion about how we protect infants from hepatitis B. The Center for Disease Control and Prevention's advisory committee on immunization practices voted to revise the more than 30-year guidance around the universal birth-dose of the Hepatitis B vaccine. In this episode, our goal is to provide clarity for clinicians on the best vaccination approach for our youngest patients.  For this important discussion, we are joined by Sean O'Leary, MD, a pediatric infectious disease specialist at Children's Colorado, as well as a professor at the University of Colorado School of Medicine. He is also chair of the American Academy of Pediatrics (AAP) Committee on Infectious Diseases, otherwise known as the Red Book Committee.  Some highlights from this episode include: The history of hepatitis B infection in children in the U.S.  Why the birth dose has been such a critical part of prevention  Breaking down the recent decision by the CDC advisory committee  Recommendations for this vaccine moving forward For more information on Children's Colorado, visit: childrenscolorado.org. 

Howie Kurtz on President Trump's address to the nation, House Republicans offering an alternative to Obamacare, and Secretary RFK Jr. terminating grants to the American Academy of Pediatrics over federal vaccine policy disagreements. Follow Howie on Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠@HowardKurtz⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠For more #MediaBuzz click here Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send us a textAbout Dr. Cheryl Chapman:Dr. Cheryl Chapman, OD, FIAOMC, FAAO, Diplomate ABOVice-President Board of Directors, American Academy of Orthokeratology and Myopia Control (AAOMC)Dr. Chapman works in private practice in Gretna, Nebraska.  She has instituted a full scope myopia management clinic within her practice and works tirelessly at spreading myopia management knowledge.  In addition to working one-on-one with doctors to implement practice protocols, she lectures within the optometric community as well as to local pediatricians and ophthalmologists.  Serving as an Adjunct Assistant Professor at the University of the Incarnate Word Rosenberg School of Optometry, Dr. Chapman also enjoys working closely in training 4th year extern students in current myopia management strategies.  She is a graduate of the University of Houston College of Optometry.----If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/

Send us a textAbout Dr. Kathryn Richdale:Dr. Kathryn Richdale received her BS from the University of Notre Dame and her OD, PhD, and Cornea and Contact Lens Advanced Practice Fellowship from The Ohio State University. She was founding director of the Clinical Vision Research Center, and established the Myopia Control Clinic at the State University of New York College of Optometry before joining the University of Houston College of Optometry (UHCO) as an Associate Professor in 2017. Dr. Richdale is an attending in the Cornea and Contact Lens Service, oversees the Myopia Management Service, and teaches in both the optometric and graduate programs at UHCO. She conducts research and teaches primarily in the areas of cornea, contact lenses and refractive error. Dr. Richdale earned her Diplomate in the American Academy of Optometry Cornea, Contact Lenses and Refractive Technologies section in 2019 and is currently a board member for our Academy's journal (OVS) and Foundation.---If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/

Send us a textAbout Dr. Dwight Barnes:Dr. Dwight Barnes is the co-owner of Cary Family Eye Care, along with his wife Kelly. He is also the director of their Myopia Control Clinic, where he has built a high volume myopia control practice. He is a graduate of the University of North Carolina and Southern College of Optometry. He is a Fellow of the American Academy of Orthokeratology and Myopia Control (FAAOMC) and lectures frequently on ortho-k and myopia management.Cary Family Eyecare ClinicLinkedIn:  https://www.linkedin.com/in/dwight-barnes-8b155515/---If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/

This week on Faisel and Friends, we are discussing Following the Information Blueprint: Restoring Joy in Primary Care. Faisel and Dan are talking with Karen Johnson, PhD: Vice President of Practice Advancement at the American Academy of Family Physicians.Our conversation explores reducing the burdens of practice by utilizing AI, improving information-sharing and data flow to guide impactful action, and rebuilding trust within the healthcare workforce.Read the Primary Care Information Blueprint here: https://www.aafp.org/dam/AAFP/documents/practice_management/payment/primary-care-information-blueprint-aafp.pdf

In the hospital setting, neurologists may be responsible for managing common end-of-life symptoms. Comprehensive end-of-life care integrates knowledge of the biomedical aspects of disease with patients' values and preferences for care; psychosocial, cultural, and spiritual needs; and support for patients and their families. In this episode, Teshamae Monteith, MD, FAAN, speaks with Claudia Z. Chou, MD, author of the article "End-of-Life Care and Hospice" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Knox is an assistant professor of neurology and a consultant in the Division of Community Internal Medicine, Geriatrics and Palliative Care at Mayo Clinic in Rochester, Minnesota. Additional Resources Read the article: End-of-Life Care and Hospice 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: @headacheMD 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 Monteith: This is Dr Teshamae Monteith. Today I'm interviewing Dr Claudia Chou about her article on end-of-life care and hospice, which is found in the December 2025 Continuum issue on neuropalliative care. Welcome to our podcast. How are you? Dr Chou: I'm doing well. Thank you for having me. This is really exciting to be here. Dr Monteith: Absolutely. So, why don't you introduce yourself to our audience? Dr Chou: Sure. My name is Claudia Chou. I am a full time hospice and palliative medicine physician at Mayo Clinic in Rochester. I'm trained in neurology, movement disorders, and hospice and palliative medicine. I'm also passionate about education, and I'm the program director for the Hospice and Palliative Medicine fellowship here. Dr Monteith: Cool. So just learning about your training, I kind of have an idea of how you got into this work, but why don't you tell me what inspired you to get into this area? Dr Chou: It was chance, actually. And really just good luck, being in the right place at the right time. I was in my residency and felt like I was missing something in my training. I was seeing these patients who were suffering strokes and had acute decline in functional status. We were seeing patients with new diagnosis of glioblastoma and knowing what that future looked like for them. And while I went into neurology because of a love of neuroscience, localizing the lesion, all of those things that we all love about neurology, I still felt like I didn't have the skill set to serve patients where they perhaps needed me the most in those difficult times where they were dealing with serious illness and functional decline. And so, the serendipitous thing was that I saw a grand rounds presentation by someone who works in neurology and palliative care for people with Parkinson's disease. And truly, it's not an exaggeration to say that by the end of that lecture, I said, I need to do palliative care, I need to rotate in this, I need to learn more. I think this is what I've been missing. And I had plans to practice both movement disorders neurology and palliative care, but I finished training in 2020… and that was not a long time ago. We can think of all the things that were going on, all the different global forces that were influencing our day-to-day decisions. And the way things worked out, staying in palliative care was really what my family and I needed. Dr Monteith: Wow, so that's really interesting. Must have been a great lecturer. Dr Chou: Yes, like one of the best.  Dr Monteith: So why don't you tell me about the objectives of your article? Dr Chou: The objectives may be to fill in some of the gaps in knowledge that may be present for the general neurologist. We learn so much in neurology training, so much about how to diagnose and treat diseases, and I think I would argue that this really is part and parcel of all we should be doing. We are the experts in these diseases, and just because we're shifting to end-of-life or transitioning to a different type of care doesn't mean that we back out of someone's care entirely or transition over to a hospice or palliative care expert. It is part of our job to be there and guide patients and their care partners through this next phase. You know, I'm not saying we all need to be hospice and palliative care experts, but we need to be able to take those first steps with patients and their care partners. And so, I think objectives are really to focus in on, what are those core pieces of knowledge for end-of-life care and understanding hospice so we can take those first steps with patients and their care partners? Dr Monteith: So, why don't you give us some of those essential points in your article? Dr Chou: Yeah. In one section of the article, I talk about common symptoms that someone might experience at the end of life and how we might manage those. These days, a lot of hospitals have order sets that talk us through those symptoms. We can check things off of a drop-down menu. And yet I think there's a little bit more nuance to that. There may be situations in which we would choose one medication over another. There may be medications that we've never really thought of in terms of symptom management before. Something that I learned in my hospice and palliative medicine fellowship was that haloperidol can be helpful for nausea. I know that's usually not one of our go-tos in neurology for any number of reasons. So, I think that extra knowledge can take us pretty far when we're managing end of life symptoms, particularly in the hospital setting. And then I think the other component is the hospice component. A lot of us may have not had experience talking about hospice, talking about what hospice can provide, and again, knowing how to take those first steps with patients. We may be referring to social work or palliative medicine to start those conversations. But again, I think this is something that's definitely learnable and something that should be part of our skill set in neurology. Dr Monteith: Great. And so, when you speak about symptom management and being more comfortable with the tools that we have, how can we be more efficient and more effective at that? Dr Chou: Think about what the common symptoms are at end of life. We may know this kind of intuitively, but what we commonly see are things like pain, nausea, dyspnea, anxiety, delirium or agitation. And so, I think having a little bit of a checklist in mind can be helpful. You know, how can I systematically think through a differential, almost, for why my patient might be uncomfortable? Why they might be restless? Have I thought through these different symptoms? Can I try a medication from my tool kit? See if that works, and if it does, we can continue on. If not, what's the next thing that I can pivot to? So, I think these are common skills for a little bit of a differential diagnosis, if you will, and how to work through these problems just with the end-of-life lens on it. Dr Monteith: So, are there any, like, validated tools or checklists that are freely available? Dr Chou: I don't think there's been anything particularly validated for end-of-life care in neurologic disease. And so, a lot of our treatments and our approaches are empiric, but I don't think there's been anything validated, per se. Dr Monteith: Great. So, why don't we talk a little bit about the approach to discussions on hospice? We all, as you kind of alluded to, want to be effective neurologists, care for our patients, but we sometimes deal with very debilitating diseases. And so, when we think that or suspect that our patient is kind of terminally ill, how do we approach that to our patients? Of course, our patients come from different backgrounds, different experiences. So, what is your approach? Dr Chou: So, when we talk about hospice and when a patient may be appropriate for hospice, we have to acknowledge that we think that they may be in the last six months of their disease. We as the neurologist are the experts in their disease and the best ones to weigh in on that prognosis. The patient and their care partners then have to accept that the type of care that hospice provides is what makes sense for them. Hospice focuses on comfort and treating a patient's comfort as the primary goal. Hospice is not as interested in treating cancer, say, to prolong life. Hospice is not as interested in life-prolonging measures and treatments that are not focused at comfort and quality of life. And so, when we have that alignment between our understanding of a patient's disease and their prognosis and the patient care partner's goal is to focus on comfort and quality of life above all else, that's when we have a patient who might be appropriate for hospice and ready to hear more about what that actually entails. Dr Monteith: And what are some, maybe, myths that neurologist healthcare professionals may have about hospice that you really want us to kind of have some clarity on? Dr Chou: That's a great question. What we often tell patients is that hospice's goal is to help patients live as well as possible in the time that they have left. Again, our primary objective is not life prolongation, but quality of life. Hospice's goal is also not to speed up or slow down the natural dying process. Sometimes we do get questions about that: can't you make this go faster or we're ready for the end. But really, we are there to help patients along the natural journey that their body is taking them on. And I think hospice care can actually be complex. In the inpatient setting, in particular in neurology, we may be seeing patients who have suffered large strokes and have perhaps only days to a few weeks of life left. But in the outpatient setting and in the home hospice setting, patients can be on hospice for many months, and so they will have new care needs, new urinary tract infections, sometimes new rashes, the need to change their insulin regimens around to avoid extremes of hyperglycemia or hypoglycemia. So, there is a lot of complexity in that care and a lot that can be wrapped up under that quality-of-life and comfort umbrella. Dr Monteith: And to get someone to hospice requires a bit of prognostication, right? Six months of prediction in terms of a terminal illness. I know there's some nuances to that. So how can you make us feel more comfortable about making the recommendations for hospice? Dr Chou: I think this is a big challenge in the field. We're normally guided by Medicare guidelines that say when a patient might be hospice-appropriate. And so, for a neurologic disease, this really only encompasses four conditions: ALS, stroke, coma, and Alzheimer's dementia. And we can think of all the other diseases that are not encompassed in those four. And so, I think we say that we paint the picture of what it means to have a prognosis of six months or less. So, from the neurologic side, that can be, what do you know about this disease and what end-stage might look like? What is the pattern of the patient's functional decline? What are they needing more help with? Are there other factors at play such as heart failure or COPD that may in and of themselves not be a qualifying diagnosis for hospice, but when it's taken together in the whole clinical picture, you have a patient who's very ill and one that you're worried may die in the next six months or less? Dr Monteith: Then you also had some nice charts on kind of disease-specific guidelines. Can you take us a little bit through that? Dr Chou: The article does contain tables about specific criteria that may qualify someone for hospice with these neurologic conditions. And they are pretty dense. I know they're a checklist of a lot of different things. And so, how we practice is by trying to refer patients to hospice based on those guidelines as much as possible and then using our own clinical judgment as well, what we have seen through taking care of patients through the years. So, again, really going back to that decline. What is making you feel uncomfortable about this patient's prognosis? What is making you feel like, gosh, this patient could be well supported by hospice, and they could have six months or less? So, all of that should go into your decision as well. And all of that should go into your discussion with the patient and their care partners. Dr Monteith: Yeah. And reading your article, what stood out was all the services that patients can receive under hospice. So, I think sometimes people think, okay, this is terminal illness, let's get to hospice for whatever reasons, but not necessarily all the lists and lists and lists of benefits of hospice. So, I don't know that everyone's aware of all those benefits. So, can you talk to us a little bit about that? Dr Chou: Yeah, I like that you brought that up because that's also something that I often say to patients and their care partners when we're talking about hospice. When the time is right for a patient to enroll in hospice, they should not feel like they're giving anything up. There should be no more clinical trial that they're hoping to chase down, and so they should just feel like they're gaining all of those good supports: care that comes to their home, a team that knows them well, someone that's available twenty-four hours a day by phone and can actually even come into the home setting if needed to help with symptom management. Hospice comes as well with the psychosocial supports for just coping with what dying looks like. We know that's not easy to be thinking about dying for oneself, or for a family member or care partner to be losing their loved one. So, all of those supports are built into hospice. I did want to make a distinction, too, that hospice does not provide custodial care, which I explain to patients as care of the body, those daily needs for bathing, dressing, eating, etc. Sometimes patients are interested in hospice because they're needing more help at home, and I have to tell them that unfortunately, our healthcare system is not built for that. And if that's the sole reason that someone is interested in hospice, we have to think about a different approach, because that is not part of the hospice benefit.  Dr Monteith: Thank you for that. And then I learned about concurrent care. So why don't you tell us a little bit about that? That's a little bit of a nuance, right? Dr Chou: Yeah, that is a little bit of a nuance. And so, typically when patients are enrolling in hospice, they are transitioning from care the way that it's normally conducted in our healthcare system. So, outpatient visits to all of the specialists and to their primary care providers, the chance to go to the ER or the ICU for higher levels of care. And yet there are a subset of patients who can still have all of those cares alongside hospice care. That really applies to two specific populations: veterans who are receiving care through the Veterans Administration, and then younger patients, so twenty six years old and less, can receive that care through, essentially, a pediatric carve out. Dr Monteith: Great. Well, I mean, you gave so much information in your article, so our listeners are going to have to read it. I don't want you to spill everything, but if you can just kind of give me a sense what you want a neurologist to take away from your article, I think that would be helpful. Dr Chou: I think what I want neurologist to take away is that, again, this is something that is part of what we do as neurologists. This is part of our skill set, and this is part of what it means to take good care of patients. I think what we do in this transition period from kind of usual cares, diagnosis, full treatment to end of life, really can have impact on patients and their care partners. It's not uncommon for me to hear from family members who have had another loved one go through hospice about how that experience was positive or negative. And so, we can think about the influence for years to come, even, because of how well we can handle these transitions. That really can be more than the patient in front of us in their journey. That is really important, but it can also have wide-reaching implications beyond that. Dr Monteith: Excellent. And I know we were talking earlier a little bit about your excitement with the field and where it's going. So why don't you share some of that excitement? Dr Chou: Yeah. And so, I think there is a lot still to come in the field of neuropalliative care, particularly from an evidence base. I know we talked a lot about the soft skills, about presence and communication, but we are clinicians at heart, and we need to practice from an evidence base. I know that's been harder in palliative care, but we have some international work groups that really are trying to come together, see what our approaches look like, see where standardization may need to happen or where our differences are actually our strength. I think there can be a lot of variability in what palliative care looks like. So, my hope is that evidence base is coming through these collaborations. I know it's hard to have a conversation these days without talking about artificial intelligence, but that is certainly a hope. When you look at morbidity, when you look at patients with these complicated disease courses, what is pointing you in the direction of, again, a prognosis of six months or less or a patient who may do better with this disease versus not? And so, I think there's a lot to come from the artificial intelligence and big data realm. For the trainees listening out there, there is no better time to be excited about neuropalliative care and to be thinking about neuropalliative care. I said that I stumbled upon this field, and hopefully someone is inspired as well by listening to these podcasts and reading Continuum to know what this field is really about. And so, it's been exponential growth since I joined this field. We have medical students now who want to come into neuropalliative care as a profession. We have clinicians who are directors of neuropalliative care at their institutions. We have an international neuropalliative care society and neuropalliative care at AAN. And I think we are moving closer to that dream for all of us, which is that patients living with serious neurologic illness can be supported throughout that journey. High-quality, evidence-based palliative care. We're not there yet, but I think it is a possibility that we reach that in my lifetime. Dr Monteith: Well, excellent. I look forward to maybe another revision of this article with some of that work incorporated. And it's been wonderful to talk to you and to reflect on how better to approach patients that are towards the end of life and to help them with that decision-making process. Thank you so much.  Dr Chou: Yeah, thank you for having me. And we're very excited about this issue. Dr Monteith: Today. I've been interviewing Dr Claudia Chou about her article on end-of-life care and hospice, which is found in the December 2025 Continuum issue on neuropalliative care. 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.

Angel Studios https://Angel.com/HermanJoin the Angel Guild today where you can stream Thank You, Dr. Fauci and be part of the conversation demanding truth and accountability.  Renue Healthcare https://Renue.Healthcare/ToddYour journey to a better life starts at Renue Healthcare. Visit https://Renue.Healthcare/Todd Bulwark Capital https://KnowYourRiskPodcast.comBe confident in your portfolio with Bulwark! Schedule your free Know Your Risk Portfolio review. Go to KnowYourRiskPodcast.com today. Alan's Soaps https://www.AlansArtisanSoaps.comUse coupon code TODD to save an additional 10% off the bundle price.Bonefrog https://BonefrogCoffee.com/ToddThe new GOLDEN AGE is here!  Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.LISTEN and SUBSCRIBE at:The Todd Herman Show - Podcast - Apple PodcastsThe Todd Herman Show | Podcast on SpotifyWATCH and SUBSCRIBE at: Todd Herman - The Todd Herman Show - YouTubeGod loves marriage, and abhors divorce. Oprah WinfreyEpisode Links:Relationship coach blames Oprah for pushing family estrangement 'for decades'; Expert says Winfrey helped normalize 'cutoff culture' as study shows a third of Americans are estranged from familyBREAKING: High Court Judge blocks Enoch Burke's family from courtroom.BREAKING: Florida AG sues WPATH, American Academy of Pediatrics, and The Endocrine Society for m*tilating kids in the name of “gender affirming care.”We wrote the HHS review on treatment for minors with gender dysphoria. We hope our critics actually read our report; Some may be skeptical of our findings, but we believe that our work speaks for itselfWhen we critique Trump, we often hear, “But where were your critiques of Biden?” Here's the difference: the Biden administration didn't use Jesus, the Bible, or Christian language to justify its policies. MAGA does, and large parts of the evangelical church cheer it on. Any administration that uses Christianity to defend something blatantly unchristian will get a Holy Post call-out. If you think it's a sin to have an abortion, then don't have an abortion." The Rev. Dr. Sarah Halverson-Cano of IUCC get teary-eyed at the thought that her daughter and granddaughter WON'T have access to abortion and "reproductive justice."

A replay episode from our powerful interview with Lisa Kays on how improv can deepen conversations around tough topics like race and oppression. Click Here to View the Original Episode Shownotes Improv in Therapy and in Life – Explore the power – and sheer fun – of using improvisation in therapy! Dr. Ann Kelley and Lisa Kays discuss how improv can deepen conversations around tough topics like race and oppression. They examine white supremacy culture and show how improv values like collaboration, slowing down, and embracing complexity can challenge these norms. Improv fosters creativity, playfulness, and self-reflection to help reduce defensiveness and strengthen relationships in everyday life, at work, or in our closest relationships. By creating a supportive, collaborative environment, improv deepens connections and helps people tap into a wider range of emotions. “A culture of improvisation is collaborative – it is nature – you cannot do it by yourself.” – Lisa Kays Time Stamps for Improv in Therapy & Life 03:30 The integration of improv and tough conversations 10:03 The origins of improv and its connection to social justice 14:27 Contrasting white supremacy culture and improv culture 19:20 Questioning cultural norms and valuing relationships 25:29 The power of the ‘And’ in joining and connecting 38:27 The power of improv in building secure relationships 53:25 Embracing creativity and letting go of perfectionism 58:12 Creating a culture of support and collaboration 01:05:04 Applying improv in everyday life 01:09:10 Deepening connections and accessing different emotions About our Guest for Improv Therapy – Lisa Kays LICSW, LCSW, LCSW-C Lisa Kays, LICSW, LCSW-C, LCSW, is an independently licensed clinical social worker in Washington, D.C, Maryland, Virginia, Oregon and New Jersey. She obtained her MSW from Catholic University in 2011 and has worked in a variety of clinical settings. Since 2013, she has been in private practice, providing individual, couples and group therapy to adults. She has interest in social work ethic and has published on and leads ethics training on the intersection of technology, social media and social work ethics as well as anti-racism and systemic oppression. Her practice also provides opportunities for other presenters to develop CE trainings on under-taught topics linked to social justice, systemic racism, and oppression. In addition to her traditional psychotherapy work, Lisa was a performing improviser from 2007-2019 and was on the faculty of Washington Improv Theatre from 2008-2016. She developed Washington Improv Theater’s first Improv for Therapist’s class and has offered Improv for Therapists courses, workshops and trainings to individual clinicians, pastors, life coaches, and psychiatrists, as well as clinical agencies. Since its inception, Lisa has trained more than 500 people in the application of improvisation to foster personal growth and stronger and more cohesive groups. Lisa has been invited to lead trainings in improv-informed therapy at the American Academy of Psychotherapists, the Mid-Atlantic Group Psychotherapy Association, the American Group Psychotherapy Association, and at The Psychotherapy Networker, among others. Her work has been featured in The Washington Post and on NBC4. Recently, Lisa launched a humor, humility-infused podcast, “What if Nothing’s Wrong With You?” with co-host Paula D. Atkinson on themes related to therapy, mental health, oppression, patriarchy and how it’s all interconnected. Resources for Improv Therapy –  Lisa Kay’s – Website & Resources The Fierce Urgency of Now: Improvisation, Rights, and the Ethics of Cocreation (Improvisation, Community, and Social Practice) – by Fischlin, Daniel; Heble, Ajah; Lipsitz, George Theater Games – Viola Spolin Resources Rehearsals for Growth – Website and Educational Resources Decolonizing Therapy: Oppression, Historical Trauma, and Politicizing Your Practice – book by Jennifer Mullan, PsyD The Artist’s Way by Julia Cameron – Book and Resources Free Play: Improvisation in Life and Art – Nachmanovitch, Stephen Beyond Attachment Styles course is available NOW!   Learn how your nervous system, your mind, and your relationships work together in a fascinating dance, shaping who you are and how you connect with others. Online, Self-Paced, Asynchronous Learning with Quarterly Live Q&A’s – Next one is January 23rd! Earn 6 Continuing Education Credits – Available at Checkout As a listener of this podcast, use code BAS15 for a limited-time discount. Get your copy of Secure Relating here!! You are invited!  Join our exclusive community to get early access and discounts to things we produce, plus an ad-free, private feed. In addition, receive exclusive episodes recorded just for you. Sign up for our premium Neuronerd plan!! Click here!!

In this heartfelt episode, we explore why grandparent-grandchild relationships matter, not just emotionally, but based on decades of research. Join us for this episode and learn how grandparents support children's development, ease the parenting journey, and build lifelong bonds through simple, intentional acts of love, presence, and consistency. This episode might prepare you for grandparenting in your future or take you on a walk down memory lane with your own grandparents. Either way, we hope you'll be blessed and encouraged by it.Show Notes:1. Harvard Graduate School of Education – “The Supporting Role of Grandparents”https://www.gse.harvard.edu/ideas/21st-century-learning-lab/supporting-role-grandparents2. American Academy of Pediatrics – Grandparents and Child Developmenthttps://www.healthychildren.org/English/family-life/family-dynamics/Pages/Grandparents-and-Childrens-Development.aspx3. AARP – The Value of Grandparent-Grandchild Relationshipshttps://www.aarp.org/home-family/friends-family/info-2020/value-of-grandparent-relationships.html4. Pew Research Center – Grandparenting in the 21st Centuryhttps://www.pewresearch.org/social-trends/2015/05/21/raising-kids-and-helping-grandkids/5. Journal of Family Issues – Emotional Closeness Between Grandparents and Grandchildrenhttps://journals.sagepub.com/doi/10.1177/0192513X166768576. The Gerontologist – Benefits of Intergenerational Bonds for Children & Older Adultshttps://academic.oup.com/gerontologist/article/58/3/472/2632080

In Episode 3 of our hemolytic disease of the fetus and newborn (HDFN) series, host Paul Wirkus, MD, FAAP and guest Tim Bahr, MD, FAAP focus on clinical management and emerging consensus around care. Our discussion reviews key elements of the recently published consensus paper, including proposed guidelines for evaluation, monitoring, and treatment across the perinatal and neonatal periods. They address management of hyperbilirubinemia and anemia, escalation of care when disease severity increases, and the critical role of early recognition.We also explore high-risk presentations, including hydrops fetalis, and discuss delivery room considerations and coordination with Neonatal Resuscitation Program (NRP) protocols. Emphasis is placed on interdisciplinary collaboration between obstetrics, neonatology, hematology, and pediatrics to ensure timely intervention and continuity of care for affected infants.Have a question? Email questions@vcurb.com. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Send us a textAbout D. Kaleb AbbottDr. Kaleb Abbott is an optometrist and assistant professor of ophthalmology at the University of Colorado School of Medicine. He is affiliated with both the Dry Eye Clinic and the Center for Ocular Inflammation, where he specializes in complex ocular surface diseases and participates in clinical trials and research related to these conditions. In addition to his clinical and research roles, he serves as vice-president for the Ocular Wellness and Nutrition Society, is Chair of the Nutrition, Disease Prevention, and Wellness Special Interest Group (SIG) for the American Academy of Optometry (AAO), and is a member of the advisory council for the Academic Medical Center Optometry AAO SIG. He also holds a position on the editorial advisory board for Modern Optometry and Optometry360 and is a graduate of the AAO Flom Leadership Academy. Furthermore, he hosts the Dry Eye and Ocular Surface Disease section of the Clinical Podcast Series through the American Academy of Optometry Foundation. In 2024, he was nominated for Colorado's Young Optometrist of the Year and recognized as a “One-to-Watch” by Modern Optometry.In 2019, Kaleb co-founded SunSnap Kids, a start-up that won first place in the inaugural Bright Ideas Pitch Competition in 2022 and third place in the Optometry Innovation Awards in 2023. He recently sold the majority of the company to focus more on his clinical and research responsibilities at the University of Colorado.When he's not seeing patients, conducting research, or working on SunSnap Kids, Dr. Abbott lectures on ocular surface diseases, writes articles, and serves as a medical reviewer for multiple journals, including The Ocular Surface and Optometry and Vision Science. He resides in Denver, CO, with his wife, daughter, and newborn twins.

Joy Kong, M.D. is a UCLA-trained, triple board-certified physician, and the president of Chara Health in Los Angeles, where she specializes in stem cell therapy and peptide therapy. Dr. Kong is the founder of American Academy of Integrative Cell Therapy (AAICT), and is a sought-after speaker at national and international conferences. She was named as "Stem Cell Doctor of the Decade" in 2021 for her contribution to the regenerative medicine field.   Stem cell cream: www.CharaOmni.com 10% off with code CHARA10  Contact Dr. Joy Kong:  Website: https://Joykongmd.com Website: www.chara-health.com  YouTube: https://youtube.com/@joykongmd    Memoir Tiger of Beijing: https://amzn.to/3Ufdzx3  Podcast: Dr Joy Kong Podcast https://open.spotify.com/show/3QOd5Vm2CxenAPHEn5DLAB?si=JSWpKrpHQKiilGIEtj4CLQ Instagram: https://www.instagram.com/dr_joy_kong/ Give thanks to our sponsors: Try Vitali skincare. 20% off with code ZORA here - https://vitaliskincare.com Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - http://oxfordhealthspan.com/discount/ZORA Get Mitopure Urolithin A by Timeline. 20% discount with code ZORA at https://timeline.com/zora Try Suji to improve muscle 10% off with code ZORA at TrySuji.com - https://trysuji.com Try OneSkin skincare with code ZORA for 15% off https://oneskin.pxf.io/c/3974954/2885171/31050   Join the Hack My Age community on: YouTube: https://youtube.com/@hackmyage Facebook Page: ⁠⁠⁠⁠⁠@⁠Hack My Age⁠     Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠   Biohacking Menopause Private Women's Only Support Group: https://hackmyage.com/biohacking-menopause-membership/ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠    Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠    For partnership inquiries: https://www.category3.ca/  For transparency: Some episodes of Hack My Age are supported by partners whose products or services may be discussed during the show. The host may receive compensation or earn a minor commission if you purchase through affiliate links at no extra cost to you. All opinions shared are those of the host and guests, based on personal experience and research, and do not necessarily represent the views of any sponsor. Sponsorships do not imply medical endorsement or approval by any healthcare provider featured on this podcast.

On December 24th, 1971, 17-year-old Juliane Koepcke boarded LANSA Flight 508 with her mother Maria, bound for a Christmas reunion with her father in the Peruvian Amazon. What should have been a routine one-hour flight became one of aviation's most catastrophic disasters—and one of its most miraculous survival stories. When lightning struck the aircraft at 21,000 feet, the plane disintegrated mid-air. Juliane fell nearly two miles through the sky, still strapped to her seat, and somehow survived the impact with the jungle canopy below. She was the sole survivor among 92 people. But survival was just the beginning. Injured, nearly blind without her glasses, and wearing only a mini-dress and one sandal, Juliane spent 11 days navigating the Amazon rainforest alone. With a broken collarbone, deep arm wound, torn knee ligament, and severe concussion, she drew on lessons learned from her zoologist parents to find her way to rescue. This is a story about preparation meeting catastrophe, about knowledge becoming instinct, and about the thin line between miracle and tragedy. 00:00 Introduction to Case Knives 00:31 Welcome to the Crux True Survival Story Podcast 00:55 Celebrating 200 Episodes 01:23 Revisiting Julianne Koepcke's Survival Story 02:21 The Plane Crash 04:15 Julianne's Background and Upbringing 08:43 The Fateful Flight 17:09 Julianne's Miraculous Fall 26:10 Surviving the Jungle 28:43 Julianne's Immediate Reaction and Isolation 29:15 The Terrifying Reality of the Amazon 30:35 Survival Odds and Strategies 31:56 Julianne's Remarkable Composure 34:34 Navigating the Jungle 35:01 Jungle Dangers and Misconceptions 39:06 The Real Killers in the Jungle 42:44 Julianne's Journey to Rescue 53:53 The Aftermath and Julianne's Legacy 57:20 Conclusion and Listener Engagement Listen AD FREE: Support our podcast at patreaon: http://patreon.com/TheCruxTrueSurvivalPodcast Email us! thecruxsurvival@gmail.com Instagram https://www.instagram.com/thecruxpodcast/ Get schooled by Julie in outdoor wilderness medicine! https://www.headwatersfieldmedicine.com/ References: "LANSA Flight 508." Wikipedia. https://en.wikipedia.org/wiki/LANSA_Flight_508 "Juliane Koepcke." Wikipedia. https://en.wikipedia.org/wiki/Juliane_Koepcke Koepcke, Juliane. "Juliane Koepcke: How I Survived a Plane Crash." BBC, March 24, 2012. Pleitgen, Frederik. "Survivor still haunted by 1971 air crash." CNN, July 2, 2009. https://www.cnn.com/2009/WORLD/europe/07/02/germany.aircrash.survivor/ Herzog, Werner. Wings of Hope (Documentary). 1998. Koepcke, Juliane. When I Fell From the Sky (German: Als ich vom Himmel fiel). Piper Verlag, 2011. "How Juliane Koepcke Survived the Crash of LANSA Flight 508." HowStuffWorks, March 12, 2024. https://history.howstuffworks.com/historical-figures/juliane-koepcke.htm "The Incredible Story Of Juliane Koepcke, The Teenager Who Fell 10,000 Feet Out Of A Plane And Somehow Survived." All That's Interesting, April 28, 2025. https://allthatsinteresting.com/juliane-koepcke "The Story Of Juliane Koepcke: Surviving The Amazon Rainforest." Rainforest Cruises, July 28, 2021. https://www.rainforestcruises.com/guides/the-story-of-juliane-koepcke "The Incredible Survival Story Of Juliane Koepcke And LANSA Flight 508." Simple Flying, November 15, 2022. https://simpleflying.com/lansa-flight-508-survival-story-juliane-koepcke/ "Her Plane Disintegrated in Mid-Air, and That Was the Easy Part: How This Teen Survived An Impossible Ordeal." Explorersweb, January 16, 2025. https://explorersweb.com/juliane-koepckes-impossible-peruvian-survival/ "Was Teenager Juliane Koepcke the Lone Survivor of a 1971 Plane Crash?" Snopes, April 15, 2021. https://www.snopes.com/fact-check/juliane-koepcke-plane-crash/ "Maria Koepcke." Wikipedia. https://en.wikipedia.org/wiki/Maria_Koepcke "Panguana Research Station." Wikipedia. https://en.wikipedia.org/wiki/Panguana "Lockheed L-188 Electra." Wikipedia. https://en.wikipedia.org/wiki/Lockheed_L-188_Electra "Amazon Rainforest." Wikipedia. https://en.wikipedia.org/wiki/Amazon_rainforest "Terminal Velocity and Skydiving." Skydive California. https://www.skydivecalifornia.com "Clavicle Fractures (Broken Collarbone)." OrthoInfo, American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org "Myiasis: Fly Larva Infestation." Centers for Disease Control and Prevention (CDC). https://www.cdc.gov "Survival in Tropical Rainforest Environments." Adventure Alternative, jungle survival guidelines for Borneo expeditions. "Amazon Basin Biodiversity and Population Density." World Wildlife Fund (WWF). https://www.worldwildlife.org Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Full Show notes: Bengreenfieldlife.com/sleepbetter Michael J. Breus, Ph.D., is a Clinical Psychologist and both a Diplomate of the American Board of Sleep Medicine and a Fellow of The American Academy of Sleep Medicine. He is one of only 168 psychologists in the world to have passed the Sleep Medical Specialty board without going to Medical School. Dr. Breus was recently named the Top Sleep Specialist in California by Reader’s Digest and one of the 10 most influential people in sleep. Dr. Breus is on the clinical advisory board of The Dr. Oz Show and on the show (40 times). Dr Breus pens a monthly column in WebMD magazine, 'Sleep Matters,' and writes regularly for WebMD, The Huffington Post, and Psychology Today. He is also the author of The Sleep Doctor's Diet Plan and Beauty Sleep. Dr. Breus is the author of 4 books, with his newest was released in Dec of 2024 called Sleep, Drink, Breathe: Wellness is too complicated. This book gives an easy-to-follow 3-week program to teach everyone how these 3 simple biobehaviors are the foundation for wellness. He is an expert resource for most major publications, doing more than 300 interviews per year. Visit : bengreenfieldlife.com/orionsleep and use code - GREENFIELD15 to save 15% off Episode Sponsors: Just Thrive: For a limited time, you can save 20% off a 90 day bottle of Just Thrive Probiotic and Just Calm at justthrivehealth.com/ben with promo code: BEN. That’s like getting a month for FREE! Take control today with Just Thrive! The Medicin: Immune Intel AHCC is a clinically studied shiitake mushroom extract that enhances immune cell communication through a patented fermentation process creating highly bioavailable alpha glucans. Backed by 30+ human studies and used in over 1,000 clinics worldwide, AHCC supports immune function for everyday wellness and chronic health challenges—learn more at TheMedicin.com and use code BEN for 10% off. Organifi Shilajit Gummies: Harness the ancient power of pure Himalayan Shilajit anytime you want with these convenient and tasty gummies. Get them now for 20% off at organifi.com/Ben. LVLUP Health: I trust and recommend LVLUP Health for your peptide needs as they third-party test every single batch of their peptides to ensure you’re getting exactly what you pay for and the results you’re after! Head over to lvluphealth.com/BGL and use code BEN15 for a special discount on their game-changing range of products. Timeline: Give your cells new life with high-performance products powered by Mitopure, Timeline's powerful ingredient that unlocks a precise dose of the rare Urolithin A molecule and promotes healthy aging. Go to shop.timeline.com/BEN and use code BEN to get 20% off your order.See omnystudio.com/listener for privacy information.

It's so interesting to see how medical evidence evolves, and changes, over time. The result of course is that clinical practice evolves and changes as well. The story of umbilical cord management at time of delivery highlights this very issue very well. The ACOG first recommended delayed cord clamping (DCC) in 2012, for preterm infants, as data showed marked improvement in neonatal outcomes in that population. In this episode, we will briefly walk through the timeline from 2012 to the latest update on DCC which came from the AAP in October 2025, just one month after the ACOG had their DCC update. This story also exemplifies how professional medical societies don't always have the SAME recommendations, with small tweaks, in their guidance. So, Dr Chapa and I will summarize these key updates…Listen in for details!1. ACOG 2012: DCC for preterm infants only 2. ACOG 2016: ACOG Recommends Delayed Umbilical Cord Clamping for All Healthy Infants, including term: https://mdedge.com/obgynnews/article/121349/obstetrics/acog-supports-delayed-umbilical-cord-clamping-term-infants3. ACOG Dec 2020, CO 814: Delayed Umbilical Cord Clamping After Birth4. ACOG Obstet Gynecol. January 2022; 139(1): 121–137. doi:10.1097/AOG.0000000000004625. Management of Placental Transfusion to Neonates After Delivery5. ACOG (ePUB July ) Sept 2025: ACOG releases a Clinical Practice Update: An Update to Clinical Guidance for Delayed Umbilical Cord Clamping After Birth in Preterm Neonates6. AHA/AAP Oct 2025 Update: Neonatal Resuscitation: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

In this final episode, we learn where the killers are today (spoiler: they're all still in prison and likely always will be), the two laws passed in Channon and Chris's names that protect future victims, the families' ongoing fight to ensure they're never forgotten, a little about the families and some personal struggles they've faced, the racial controversy that surrounded the case, and more.Resources and Support For Survivors of Sexual Violence:RAINN National Sexual Assault Hotline: 1-800-656-HOPE (4673)RAINN Online Chat: online.rainn.orgFor Crime Victims and Families:National Center for Victims of Crime: 1-855-4-VICTIM (1-855-484-2846)Parents of Murdered Children: www.pomc.orgFor Mental Health Support:National Suicide Prevention Lifeline: 988Crisis Text Line: Text HOME to 741741SAMHSA National Helpline: 1-800-662-4357IN LOVING MEMORYChannon Gail Christian April 29, 1985 - January 9, 2007 Beloved daughter, friend, student, golfer, and beautiful soul.Hugh Christopher Newsom Jr. September 21, 1983 - January 7, 2007 Beloved son, carpenter, baseball player, and kind heart.They were loved. They are remembered. They will never be forgotten.Sources:https://www.newspapers.com/ (Historical archive - subscription required)https://www.knoxnews.com/ (Search "Christian Newsom" for extensive archive)https://abcnews.go.com/ (Search "Channon Christian")https://www.cnn.com/ (Coverage of trials and scandal)https://www.foxnews.com/ (Michelle Malkin coverage 2007)https://www.wbir.com/ (WBIR-TV extensive trial coverage)https://www.wate.com/ (WATE 6 On Your Side)https://www.wvlt.tv/ (WVLT Local 8 News)https://www.tncourts.gov/ (Tennessee State Courts)https://www.tsc.state.tn.us/ (Tennessee Supreme Court opinions)https://www.knoxcounty.org/criminal/ (Knox County Criminal Court)https://law.justia.com/cases/tennessee/ (Tennessee case law database)https://scholar.google.com/ (Search: "State v. Davidson" "State v. Cobbins" etc.)https://www.govinfo.gov/app/collection/uscourts (Federal case records)https://pacer.uscourts.gov/ (Public Access to Court Electronic Records - fee required)https://www.capitol.tn.gov/ (Tennessee General Assembly)https://publications.tnsosfiles.com/acts/108/pub/pc0962.pdf (Chris Newsom Act - SB 2552/HB 2658)https://publications.tnsosfiles.com/acts/108/pub/pc0963.pdf (Channon Christian Act - SB 2553/HB 2659)https://www.rainn.org/ (RAINN - Rape, Abuse & Incest National Network)https://www.pomc.org/ (Parents of Murdered Children)https://victimsofcrime.org/ (National Center for Victims of Crime)University of Tennessee Foundation: https://www.utfi.org/"The Christian-Newsom Murders: 10 Years Later" - Knoxville News Sentinel Special Reporthttps://www.aetv.com/ (A&E "Injustice with Nancy Grace")https://www.oxygen.com/ (Oxygen Network coverage)https://www.investigationdiscovery.com/ (Investigation Discovery features)https://www.aafs.org/ (American Academy of Forensic Sciences)https://www.forensicscienceeducation.org/ (Forensic science education resources)https://www.ncjrs.gov/ (National Criminal Justice Reference Service)https://bjs.ojp.gov/ (Bureau of Justice Statistics)https://apps.tn.gov/foil-app/ (Tennessee Felon Offender Information Lookup)Search names: Davidson, Cobbins, Thomas, Coleman, Boydhttps://www.tn.gov/correction/sp/death-row.html (Tennessee Death Row information)https://www.knoxnews.com/archives/ (January-February 2007)https://www.knoxnews.com/archives/ (Trial coverage)https://www.knoxnews.com/archives/ (March-December 2011)https://www.knoxnews.com/archives/ (Coleman & Thomas retrials)https://www.knoxnews.com/archives/ (August 2019)https://www.tba.org/ (Tennessee Bar Association resources)https://www.knoxcounty.org/ (Knox County government)https://www.knoxvilletn.gov/ (City of Knoxville)https://www.britannica.com/place/Knoxville-Tennessee (Knoxville history)https://www.utk.edu/ (University of Tennessee)Become a supporter of this podcast: https://www.spreaker.com/podcast/reverie-true-crime--4442888/support.Keep In Touch:Twitter: https://www.twitter.com/reveriecrimepodInstagram: https://www.instagram.com/reverietruecrimeTumblr: https://reverietruecrimepodcast.tumblr.comFacebook: https://www.facebook.com/reverietruecrimeContact: ReverieTrueCrime@gmail.com Intro & Outro by Jahred Gomes: https://www.instagram.com/jahredgomes_official 

In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss the rise in norovirus infections, contamination of infant formula and botulism outbreak, confusion and response to the CDC's ACIP decision to reverse the recommendation for a birth dose of the hepatis B virus vaccine and how states in the Northwest and Northeast are responding as well as some insurance companies, then deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, South Carolina's imposed quarantine of individuals due to their accelerated measles outbreak, neurotropism of H1N1, benefits of the RSV and COVID vaccines, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Norovirus season! (Wastewater Scan) Outbreak Investigation of Infant Botulism: Infant Formula (November 2025) (FDA: Foodborne illnesses) Botulism outbreak sickens more than 50 babies and expands to all ByHeart products (AP News) CDC advisers drop decades-old universal hepatitis B birth dose recommendation, suggest blood testing after 1 dose (CIDRAP) Health and Economic Benefits of Routine Childhood Immunizations in the Era of the Vaccines for Children Program — United States, 1994–2023 (CDC: MMWR) Universal Hepatitis B vaccination at birth: safety, effectiveness and public health impact (CIDRAP) Recommended Child and Adolescent Immunization Schedule for Ages 18 years or younger (American Academy of Pediatrics) West Coast health experts reject RFK Jr. panel, say hepatitis B vaccines at birth should continue (The Oregonian) Statement from the Northeast Public Health Collaborative In Response to ACIP's Hepatitis B Vote (NJ.Gov Health) Governors Denounce ACIP Recommendation on Hepatitis B Vaccination, Reaffirm Commitment to Strong, Evidence-Based Childhood Vaccination Programs (Governors Public Health Alliance) Blue Cross and Blue Shield Companies Statement on Vaccines (Blue Cross Blue Shield) AHIPStatement on Vaccine Coverage (AHIP) Pediatricians reject CDC advisers' guidance, plan to continue vaccinating all newborns against hepatitis B (CIDRAP) Survey: Social media on par with CDC as trusted vaccine source (Healio) FDA to investigate whether adult deaths linked to COVID vaccine (Washington Post) Exclusive: US FDA launches fresh safety scrutiny of approved RSV therapies for infants (Reuters) Marburg Outbreak in Ethiopia: Current Situation (CDC: Marburg Virus Disease) Contemporary highly pathogenic avian influenza (H5N1) viruses retain neurotropism in human cerebral organoids (OFID) Confirmations of Highly Pathogenic Avian Influenza in Commercial and Backyard Flocks (USDA: Animal and Plant Health Inspection Service) Indiana, cases of New World screwworm in Mexico, rising US flu 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Infectious Diseases) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Effectiveness of the maternal RSVpreF vaccine against severe disease in infants in Scotland, UK: a national, population-based case–control study and cohort analysis (LANCET: Infectious Diseases) Effectiveness of Nirsevimab in Preventing Respiratory Syncytial Virus-related Burden: A Test-negative Case-control Study in Infants With Bronchiolitis in Lombardy Region, Italy (The Pediatric Infectious Disease Journal) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Maternal and Neonatal Outcomes After Respiratory Syncytial Virus Prefusion F Protein Vaccination During Pregnancy (Obstetrics & Gynecology) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) 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“Delivering a baby one day and holding a patient's hand at the end of life literally the next day...that continuity is very powerful,” says Dr. Jen Brull, board chair of the American Academy of Family Physicians (AAFP). And as she points out, that continuity also builds trust with patients, an increasingly valuable commodity when faith in medicine and science is declining. As you might expect given her role, Dr. Brull believes strengthening family medicine is the key to improving health and healthcare. Exactly how to do that is at the heart of her conversation with host Lindsey Smith on this episode of Raise the Line, which covers ideas for payment reform, reducing administrative burdens, and stronger support for physician well-being. And with a projected shortage of nearly forty thousand primary care physicians, Dr. Brull also shares details on AAFP's “Be There First” initiative which is designed to attract service-minded medical students – whom she describes as family physicians at heart -- early in their educational journey. “I have great hope that increasing the number of these service-first medical students will fill part of this gap.”Tune-in for an informative look at a cornerstone of the healthcare system and what it means to communities of all sizes throughout the nation.  Mentioned in this episode:AAFP If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Vaccines are one of public health's greatest success stories—but what happens when people start saying no? In this episode, Kevin and Dr. Lisa Wolf dig into the rising tide of vaccine refusal, what's fueling it, and how it's already impacting what we see in the emergency department.  If you've ever struggled to explain vaccine science to a skeptical patient, this episode is essential listening. Resources mentioned: ·       American Academy of Pediatrics vaccination recommendations ·       American College of Obstetricians and Gynecologists vaccine guidelines ·       Studies on shingles vaccine and dementia reduction ·       HPV vaccine and cervical cancer elimination in Scotland ·       Vaccination in the emergency department study Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/  YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber  Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/  To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!

In this episode, Jess and special guest co-host Dr. Elana Pearl Ben-Joseph welcome Dr. Susan Kressly, President of the American Academy of Pediatrics, for an in-depth discussion about the future of pediatric healthcare. The scientists explore the urgent need to redesign healthcare systems to prioritize prevention and wellness rather than reactive treatment. Dr. Kressly shares valuable insights on building trust between pediatricians and parents, addressing the critical challenges facing healthcare delivery today. The conversation examines vaccine confidence issues while emphasizing the importance of human-centered approaches to medical care. Throughout the episode, the experts highlight both the obstacles and opportunities in pediatric healthcare, offering a hopeful vision for creating better health outcomes for children and supporting families more effectively in navigating the complex healthcare landscape. Watch the conversation on YouTube: https://youtu.be/X8Bil_aW2UA (00:00) Intro (02:15) What Is A News Item That Caught Your Attention And Why? (06:54) Supporting Pediatricians In A Challenging Environment (09:14) How Can Parents Navigate Today's Healthcare System? (13:56) Vaccine Hesitancy Report Findings (16:05) Building Trust In Vaccination And Healthcare (26:22) Hope That Healthcare Is Improving? (29:59) What Is Giving Hope In Public Health? https://aap.org https://healthychildren.org https://www.pewresearch.org/science/2024/11/14/public-trust-in-scientists-and-views-on-their-role-in-policymaking/ https://www.pewresearch.org/science/2025/11/18/how-do-americans-view-childhood-vaccines-vaccine-research-and-policy/ https://www.instagram.com/p/DRNCjgwko6u/ ----------------------------------------------------------------------------------------------------------------------- Interested in advertising with us? Please reach out to advertising@airwavemedia.com, with “Unbiased Science” in the subject line. PLEASE NOTE: The discussion and information provided in this podcast are for general educational, scientific, and informational purposes only and are not intended as, and should not be treated as, medical or other professional advice for any particular individual or individuals. Every person and medical issue is different, and diagnosis and treatment requires consideration of specific facts often unique to the individual. As such, the information contained in this podcast should not be used as a substitute for consultation with and/or treatment by a doctor or other medical professional. If you are experiencing any medical issue or have any medical concern, you should consult with a doctor or other medical professional. Further, due to the inherent limitations of a podcast such as this as well as ongoing scientific developments, we do not guarantee the completeness or accuracy of the information or analysis provided in this podcast, although, of course we always endeavor to provide comprehensive information and analysis. In no event may Unbiased Science or any of the participants in this podcast be held liable to the listener or anyone else for any decision allegedly made or action allegedly taken or not taken allegedly in reliance on the discussion or information in this podcast or for any damages allegedly resulting from such reliance. The information provided herein do not represent the views of our employers. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, ASTHO member and Michigan Department of Health & Human Services Chief Medical Executive Dr. Natasha Bagdasarian breaks down a major development in national vaccine policy: the CDC Advisory Committee on Immunization Practices' decision to narrow its guidance on the hepatitis B birth dose. Dr. Bagdasarian, who serves as ASTHO's liaison to the Advisory Committee on Immunization Practices, shares why the shift toward “individual decision-making” raises concerns for newborn safety, health equity, and public trust in vaccines.  She discusses the vulnerabilities in our health system that could leave some infants unprotected, how localized transmission risks extend beyond maternal infection, and why softening long-standing guidance may unintentionally fuel doubt about other vaccines. Dr. Bagdasarian also explains why Michigan—and many other states—are choosing to follow the American Academy of Pediatrics' recommendation to continue the universal birth dose.Designing for Connection Webinar Series | ASTHOHome | Public Health Careers.org

Tom Sleigh is a multiple award winning poet, dramatist and essayist. He's written eleven books of poetry. His most recent is “The King's Touch”, which won the Paterson Poetry Prize. His other works include “Army Cats”, winner of the John Updike Award, “Space Walk”, winner of the Kingsley Tufts Award, and “Far Side Of The Earth”, which won an Academy Award from the American Academy of Arts and Letters. His poems and prose have appeared in The New Yorker, American Poetry Review, Yale Review and The Village Voice. He is a Professor (Emeritus) at Hunter College. And he has also worked as a journalist in Syria, Lebanon, Somalia, Kenya, Iraq, and Libya. In the PoetryFest portion of this episode Tom will read his poem "A Man Plays Debussy for a Blind, Eighty-Four-Year-Old Elephant" from “The King's Touch”.My featured song is my version of Thelonious Monk's “Well, You Needn't” from my debut 1994 album Miles Behind. Spotify link.—-----------------------------------------------------------The Follow Your Dream Podcast:Top 1% of all podcasts with Listeners in 200 countries!Click here for All Episodes Click here for Guest List Click here for Guest Groupings Click here for Guest TestimonialsClick here to Subscribe Click here to receive our Email UpdatesClick here to Rate and Review the podcast—----------------------------------------CONNECT WITH TOM:www.tomsleigh.com—----------------------------------------ROBERT'S LATEST SINGLE:“MA PETITE FLEUR STRING QUARTET” is Robert's latest release. It transforms his jazz ballad into a lush classical string quartet piece. Praised by a host of classical music stars.CLICK HERE FOR YOUTUBE LINKCLICK HERE FOR ALL LINKS—---------------------------------------ROBERT'S RECENT SINGLE“MI CACHIMBER” is Robert's recent single. It's Robert's tribute to his father who played the trumpet and loved Latin music.. Featuring world class guest artists Benny Benack III and Dave Smith on flugelhornCLICK HERE FOR YOUTUBE LINKCLICK HERE FOR ALL LINKS—--------------------------------------ROBERT'S LATEST ALBUM:“WHAT'S UP!” is Robert's latest compilation album. Featuring 10 of his recent singles including all the ones listed below. Instrumentals and vocals. Jazz, Rock, Pop and Fusion. “My best work so far. (Robert)”CLICK HERE FOR THE OFFICIAL VIDEOCLICK HERE FOR ALL LINKS—----------------------------------------Audio production:Jimmy RavenscroftKymera Films Connect with the Follow Your Dream Podcast:Website - www.followyourdreampodcast.comEmail Robert - robert@followyourdreampodcast.com Follow Robert's band, Project Grand Slam, and his music:Website - www.projectgrandslam.comYouTubeSpotify MusicApple MusicEmail - pgs@projectgrandslam.com  

Neurologists are privileged to act as guides for patients as they navigate the complex course of serious neurologic illnesses. Because of the impact on quality of life, personhood, and prognosis, neurologists must be able to conduct serious-illness conversations to improve rapport, reduce patient anxiety and depression, and increase the likelihood that treatment choices agree with patient goals and values. In this episode, Teshamae Monteith, MD, FAAN speaks with Jessica M. Besbris, MD, author of the article "The Approach to Serious-Illness Conversations" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Besbris is an assistant professor of neurology and internal medicine, and the director of the neuropalliative care, at Cedars-Sinai Medical Center in Los Angeles, California. Additional Resources Read the article: The Approach to Serious-Illness Conversations 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: @headacheMD Guest: @JessBesbris 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 Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Jessica Besbris about her article on the approach to serious illness conversation, which is found in the December 2025 Continuum issue on neuropalliative care. How are you? Dr Besbris: I'm doing great. Thank you so much for having me here today. Dr Monteith: Well, thank you for being on our podcast. Dr Besbris: My pleasure. Dr Monteith: Why don't we start off with you introducing yourself? Dr Besbris: Sure. So, my name is Jessica Besbris. I am a neurologist with fellowship training in palliative care, and I am currently at Cedars Sinai Medical Center in Los Angeles, where I am the director of our neuropalliative care program. Dr Monteith: Excellent. So, how did you get involved in that? Dr Besbris: Like, I think, many neurologists, I always knew I wanted to be a neurologist---or, I should say, from the moment I decided to be a doctor I knew that that was the type of doctor I wanted to be, a neurologist. So, I went into medical school with the aim of becoming a neurologist. And very quickly, when I started my clinical years, I was exposed to patients who were living with very serious illnesses. And I found myself really drawn to opportunities to help, opportunities to make people feel better, opportunities to improve quality of life in situations that on the face of it seemed really challenging, where maybe it seemed like our usual treatments were not necessarily the answer or were not the only answer. And so, I pretty quickly recognized that taking care of patients with serious illness was going to be a big part of my life as a neurologist and that palliative care was the way I wanted to help these patients and families. Dr Monteith: And you mentioned you're leading the group. So, how many colleagues do you have in the program? Dr Besbris: We have a very large palliative care group, but within neuropalliative care, it's myself and one other physician, a nurse practitioner, and a social worker. Dr Monteith: Okay, well, I know you guys are busy. Dr Besbris: Yes, we are very happy to be busy. Dr Monteith: Yes. So, let's talk about the objectives of your article. Dr Besbris: Sure. So, the goal of this article is to impress upon neurologists that it really is all of our jobs as neurologists to be having these conversations with our patients who are affected with serious illness. And then, in most areas of neurology, these conversations will come up. Whether it's giving a life changing diagnosis, or talking about treatment choices, or treatment not going the way that we had hoped, or even sometimes progression of disease or end-of-life care. These topics will come up for most of us in neurology, and really, we're hoping that this article not only makes the case that neurologists can and should be having these conversations, but that there are skills that we can teach in this article and with other resources to improve the skill level and sense of confidence that neurologists have when they enter into these conversations. Dr Monteith: Great. I read that there are some developments in the field, on organizational levels, about really making these skills part of standard of care in terms of education. So, can you speak to that? Dr Besbris: Yes. So, there have been a couple of really landmark papers and changes in the educational landscape that I think have really brought neuropalliative care in general, and serious illness conversation in particular, to the forefront. So, there were the position statements released by the American Academy of Neurology in 1996 and 2022, both of which really said, hey, all neurologists should be doing this and receive training on how to have these conversations and provide this care. And the ACGME, the Accreditation Council for Graduate Medical Education, also requires neurology residency programs to learn how to communicate with patients and families, assess goals, and talk about end-of-life care. So, there's a real structural imperative now for neurologists to learn early on how to have serious illness conversations with their patients. Dr Monteith: Great. If there's anything for our listeners to get out of this conversation, what are the essential points? Dr Besbris: If you only take away one or two things from this conversation, I hope that they're that this is an awesome responsibility to be in a moment with a patient going through something challenging, to meet them in that moment with thoughtful, honest, empathic conversations about who they are and what's important to them. And that, just like any other procedure, these are skills that can be taught so that you can feel really confident and comfortable being in these moments. Dr Monteith: Excellent. Wow. Okay, I feel your energy and your empathy already. And so, why don't we just talk about skills? What is the best way to deliver tough news? I read this wonderful chart on SPIKES protocol. Dr Besbris: Yeah, the SPIKES protocol is one really well-known way to deliver serious news. And what's nice about SPIKES is it gives a mnemonic. And as neurology learners, we all love a good mnemonic to help you really center yourself when you're entering into these conversations so that you have a structured format to follow, just like with any procedure. So, the SPIKES protocol stands for Setting: so, making sure you have the right environment; Perception, or assessing what your patient or surrogate decision maker knows already so that you know where to begin; receiving an Invitation to deliver serious news. And then K stands for Knowledge, delivering in a clear and concise way the information that you want to make sure the family or patient walk away with. E for exploring Emotion; and S for really Summarizing what's been discussed and Strategizing on next steps. I think that having these kinds of conversations, it's just like being expert in anything. When you first start learning, it's helpful to have a set of very concrete steps you can follow. And you might even think through the mnemonic as you get ready to walk into that room. And as you become more expert, the flow becomes more natural. And maybe what you do before walking in to prepare is just honing what is that headline? What is that concise statement that I'm really going to give? And the rest may start to feel more natural and less protocolized. Dr Monteith: And there are a few other mnemonics. There's the NURSE mnemonic, which I like. You know, there's a balance between saying things and sounding kind of… you know, sometimes they're like, well, how could you understand what I'm going through? Have you been through something like this? And people shy away, and they're afraid to kind of be a part of these conversations. So how do we approach that with this, a NURSE mnemonic in a way that's kind of sincere? Dr Besbris: Absolutely. So, the NURSE mnemonic, unlike SPIKES, is not a step-by-step protocol. So, NURSE is a mnemonic, but you don't go through each letter and sort of give a naming statement and then an understanding statement and then a respecting statement and so on. Nurse is really a toolkit of different types of statements that we can give in response to emotions so that when you find yourself in a situation where a patient or family member is tearful, is scared, is angry, is expressing feelings, you have some phrases ready that feel authentic to you and that you feel are going to meet the moment and allow you to empathically respond to those emotions. Because until we do that, we really can't move further in this conversation with our patients and families feeling heard and respected. So, that NURSE mnemonic, those Naming, Understanding, Respecting, Supporting and Exploring statements, are really examples of statements that we can use to meet that moment with empathy and understanding and without implying that we have walked in their shoes. We want to avoid being presumptuous and really focus on just being present and empathic. Dr Monteith: So, let's just kind of run through, I think it's really important. Let's run through some of these examples. Maybe if someone's crying hysterically, how would we respond to that? Dr Besbris: So, this is an opportunity for Naming. And I made this one, I think, in the chart, a little bit obvious, meaning that we recognize when someone is crying that they are feeling probably very sad. This is an opportunity for us to name and thus normalize that emotion. I just think something as simple as, I think anyone would be really sad hearing this. These responses are not intended to fix this emotion. I'm not trying to get someone to stop crying or to, you know, necessarily not feel sad. It's really just to say, yeah, it's normal that you're feeling sad. It's okay. I'm here with you while you're feeling sad. And I'm going to be with you no matter what you're bringing to the table. Dr Monteith: Yeah. Let's go through just a couple of others. I mean, these are really good. Dr Besbris: Sure. Maybe Respecting. Dr Monteith: Yeah. So, my Dad is a fighter. Only God, not doctors, can know the future. Dr Besbris: Yeah. So, I love giving these examples with our learners because these statements, things like my Dad is a fighter or God will bring me a miracle or you don't know the answer. Only God knows what's going to happen, I think that they give a lot of doctors a feeling of confrontation, a feeling of anxiety. And I think there are a few reasons for that. And I think one of the main ones is that they're statements that imply that we as doctors are not all-powerful and it's our patients or families sort of looking for a different locus of control, whether it's internal fortitude or a higher power. They're looking to something other than us, and maybe that makes us feel a little bit uncomfortable. And I think that sometimes physicians think that these statements imply that someone doesn't even understand what's going on. But maybe they're coming to this from a place of denial. And I would argue that when someone comes to you with a statement like my dad is a fighter or, you know, I'm looking to God to bring me a miracle or to show me the future. I think that what they're really saying is, wow, I'm really hearing that things are serious, so much so that I'm reaching for these other resources to give me strength and hope. I don't think anyone asks for a miracle if they think that a miracle is not needed, if the problem is easy to fix. And so, rather than come to these types of statements from a confrontational place of I'm the doctor and I know best, I think this is a great opportunity to show some respect and give some respecting statements. Your dad is a fighter. I don't think he could have come this far without being a fighter. Or, you know, I am so grateful that you have your faith to lean on during times like these to give you strength. These are also nice opportunities for exploring statements. For example, I'm so grateful to learn more about your dad. Can you tell me what it is that he has been fighting for all of this time? Dr Monteith: I love that. It's like a follow-up, and also validating. Dr Besbris: Yeah, it's validating. And it allows us to learn a little bit more about this person and to learn, well, is he fighting for a life that we can still achieve with our interventions to lead into the next part of a conversation? Or, is God is going to bring me a miracle? Well, tell me what a miracle looks like for you. I can't tell you how many times I thought someone was going to tell me that a miracle would be cure. And sometimes that is what comes up. But other times I hear, a miracle would be, you know, my loved one surviving long enough for the rest of the family to gather. And, you know, that is certainly something we can work towards together. Dr Monteith: So, why don't we talk a little bit about approach to goals of care discussions? They are tough, and let's just put it into perspective to the critical care team. It's time, the person's been in the ICU, the family wants everything thrown at medically. And it's to the point that the assessment is that would be medical futility. Dr Besbris: Lots to unpack there. Dr Monteith: I wanted to make it hard for you. Dr Besbris: No, no, this is good! I mean, this is something- I work in a, you know, almost one thousand-bed hospital with a massive critical care building. And so, these are not unusual circumstances at all. First of all, I would just say that goals of care conversations are not only about end-of-life care. And I make that point a few different times in the article because I think when people imagine goals of care, and one of the reasons that I think clinicians may sometimes shy away from goals of care discussions, is that they think they have to be sad, they have to be scary, they have to be about death and dying. And I would argue that, really, goals of care discussions are about understanding who a person is, how they live their life, what's most important to them. Most of these conversations should be about living. How are we going to together achieve a quality of life that is meaningful for you and treatments that are going to fit your needs and your preferences? But there is a little slice of that pie in the pie chart of goals of care discussions that is in the arena of end-of-life care. For example, ICU care with, really, the highest levels of intensity of care, and having to talk about whether that still is meeting the moment from the perspective of goals as well as the perspective of efficacy. So, from the goals standpoint, I approach these conversations just like any other goals of care conversation. Usually at this point, we're speaking to family members and not our patients because in a neurocritical care unit, if someone is that sick, they probably are incapacitated. And so, it's a moment to really sit down with family and say, please tell me about the human being lying in that bed. They can't introduce themselves. What would they tell me about themselves if they could speak right now? What kinds of things were important to them in the course of their treatment? What kind of a life did they want to live or do they want to live? So that then we can reflect on, well, can our treatment achieve that? And this process is called shared decision making. This is really where we take in data from the family, who are experts in the patient, and then our own expertise in the illness and what our treatments can achieve, and then bring all of that information together to make a recommendation that aligns with what we believe is right for a particular patient.  So, in the example that you gave, the extreme circumstance where someone is receiving maximal intensive care and we're starting to reach the point of futility, I think that we need to first really understand, well, what does futility mean for this particular patient? Is it that we as healthcare providers would not value living in the state this person is in? Or is it that the treatments truly cannot physiologically keep them alive or meet their stated goals? If it's the first one, that I wouldn't want to be on machines unconscious, you know, at the end of my life, well, I have to set that aside. It's really about what this patient wants. and if the family is telling you they valued every breath, every moment, and if we have care that can achieve that, we should continue to offer and recommend that care. And as healthcare providers, it is so important that we do explain when treatments are not going to be able to physiologically meet a patient's needs or achieve their goals. And that's where we can say, I'm going to continue to do everything I can, for example, to, you know, keep your loved one here for these meaningful moments. And we are at a point where performing CPR would no longer be able to restart his heart. And I just wanted to let you know that that's not something that we're going to do because I have an obligation not to provide painful medical treatments that will not work. So, my approach to futility is really different than my approach to shared decision-making because in the context of objective futility, it's not about necessarily- it's not about decision-making, it's not about shared decision-making as much as it is explaining why something is simply not going to work. Does that make sense? Dr Monteith: Absolutely. And what I love in your article is that, you know, you go beyond the skills, but also potential communication challenges---for example, patients' neurologic status, their ability to understand complex communication, or even cultural differences. So, can you speak about that briefly? Dr Besbris: Absolutely. In the world of neurological serious illness, it is incredibly common for our patients to face challenges in communication. That might be because they are aphasic, because they have a motor speech deficit, it might be because they're intubated, it might be because their capacity is diminished or absent. And so, there are a lot of challenges to keeping patients in these conversations. And in the article, I summarize what those challenges can look like and some strategies that we can use to continue to engage our patients in these conversations to the greatest extent possible and also turn to their surrogate decision makers where the patients themselves are no longer able to participate or participate fully. In terms of cultural considerations, I mean, there could be an entire article or an entire Continuum just on cultural considerations in neurology and in serious illness communication. And so, the key points that I really tried to focus on were exploring from a place of cultural humility what the beliefs and practices of a particular patient and family are in their cultural context, to ask questions to help you understand how those cultural differences may impact the way you approach these conversations. And being sensitive to folks with limited English proficiency, to ensure that we are using medical interpreters whenever possible. Dr Monteith: Excellent. Well, there's so much in the article. There's already so much that we just discussed, but our listeners are going to have to go to the article to get the rest of this. I do want to ask you to just kind of reflect on, you know, all the different cases and experiences that you have, and just, if you can give us a final remark? Dr Besbris: I can think of a number of cases that I've seen in my work as both an inpatient and outpatient neuropalliative provider where I've seen patients after strokes in the hospital with uncertain prognosis, whose families were struggling with a decision around feeding tubes. And where we have made a determination based on goals; for example, to pursue what's called a time-limited trial, to say let's place a feeding tube, let's meet again in the clinic in a few months after some rehab and let's just see, is this meeting this patient 's goals and expectations? I have been pleasantly surprised by the number of patients who have walked into my office after a period of rehabilitation who have regained the ability to eat, who are living an acceptable quality of life, and who have expressed gratitude for the work that I did in eliciting their goals, helping support their families. And some of whom have even come in and said, now that I'm doing better, I'd really like to do an advance directive to better guide my family in the future. People asking for more goals of care discussions, having seen how successful and helpful these conversations have been. Dr Monteith: Great. That's really life-altering for that patient, the family, so many people. Thank you so much for the work you do and for writing this great article and sharing all of this that we really need to learn more about. Dr Besbris: It's been a privilege. Thank you so much for talking with me today. Dr Monteith: Today I've been interviewing Dr Jessica Besbris about her article on the approach to serious illness conversation, which is found in the December 2025 Continuum issue on neuropalliative care. 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.

This week's episode host Paul Wirkus, MD, FAAP and guest Tim Bahr, MD, FAAP take a deep dive into evaluating newborn jaundice and identifying early signs of hemolysis. We walk through the key elements of maternal testing that set the stage for newborn risk assessment, then explore how to interpret bilirubin trajectories to distinguish normal patterns from concerning trends. Our guests also review the role of the reticulocyte count, what a peripheral smear can reveal, and how these tools come together to guide clinical decision-making. The discussion closes with practical guidance on when pediatricians should involve hematology or neonatology to ensure timely, coordinated care for infants at risk of significant disease. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

As NPR reports, the Centers for Disease Control and Prevention's vaccine advisors have recommended narrowing the hepatitis B immunization guidance for newborns. The result would be a rollback of a practice credited with dramatically lowering disease. But some states are already stepping in to issue guidance of their own to circumvent the process. It can be confusing for parents. We discuss it with pediatricians. Our guests: Elizabeth Murray, D.O., pediatrician at Golisano Children's Hospital Strong at the University of Rochester Medical Center Justin Rosati, M.D., assistant professor of neurology in the child neurology division at the University of Rochester Medical Center David Topa, M.D., vice president of New York Chapter 1 of the American Academy of Pediatrics, and assistant medical director at RIT's Student Health Center ---Connections is supported by listeners like you. Head to our donation page to become a WXXI member today, support the show, and help us close the gap created by the rescission of federal funding.---Connections airs every weekday from noon-2 p.m. Join the conversation with questions or comments by phone at 1-844-295-TALK (8255) or 585-263-9994, email, Facebook or Twitter. Connections is also livestreamed on the WXXI News YouTube channel each day. You can watch live or access previous episodes here.---Do you have a story that needs to be shared? Pitch your story to Connections.

Welcome to the Legal Nurse Podcast, where complex medical topics meet the world of litigation. In this episode, host Pat Iyer sits down with Dr. Allison Muller, a seasoned toxicologist who brings her expertise to the forefront of the ongoing opioid crisis. Together, they delve into the multifaceted role opioids play in patient care, legal cases, and toxicology, offering invaluable insights for legal nurse consultants and medical professionals alike. Throughout their conversation, Pat Iyer and Allison Muller unpack the intricacies of opioid administration, the significance of accurate medical record documentation, and the challenges of interpreting toxicology reports, especially in postmortem cases. Dr. Muller sheds light on key concepts such as opioid tolerance versus naivety, risks of over-sedation, and the life-saving but often misunderstood role of naloxone in reversing opioid overdoses. Whether you're navigating your first toxicology-related case or looking to deepen your understanding of opioid implications in acute care settings, this episode offers practical guidance and real-world examples. From common pitfalls in toxicology interpretation to the criteria for bringing a toxicologist onto your legal team, Dr. Muller and Pat Iyer provide a roadmap for safer patient care and stronger case outcomes. What you'll learn in this episode on Navigating Opioid Cases: Insights from a Toxicologist on Medical Records and Overdose Risks Here are five intriguing questions that this podcast answers: How should medical records be reviewed to accurately track opioid administration in acute care settings, and what are the limitations of toxicology blood levels in this context? Why do toxicology reports from autopsies take so long to be completed, and what complexities are involved in determining the substances present in a decedent's system? What is the difference between opioid naive and opioid tolerant patients, and why is understanding these distinctions critical for safe opioid prescribing? What are the best practices for administering Naloxone (Narcan) in cases of opioid overdose, and why is timing so crucial for its effectiveness? When is it appropriate for a legal nurse consultant to recommend involving a toxicologist in a case, especially when interpreting complex toxicology results? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Grow Your LNC Business 13th LNC SUCCESS® ONLINE CONFERENCE April 23, 24, and 25, 2026 Skills, Strategy, Results Gain deposition mastery, marketing confidence, and clinical–legal insight from industry leaders you can apply to your next case and client call. Build a Practice Attorneys Remember Learn exactly how to showcase expertise, attract referrals, and turn complex medical records into clear, defensible stories that win trust. Learn From the Best—Then Ask Them Anything Get step-by-step training, live “hot seat” solutions, and exclusive VIP Q&A time with Pat Iyer to accelerate your LNC growth. Register now- Limited spots available Your Presenters for Navigating Opioid Cases: Insights from a Toxicologist on Medical Records and Overdose Risks Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Allison Muller Toxicologist with a passion for science, family, and the outdoors. Board-certified clinical toxicologist, fellow of the American Academy of Clinical Toxicology, affiliate fellow of the American College of Medical Toxicology, and faculty at the University of Pennsylvania School of Veterinary Medicine. Scientist with a flair for explaining the hard stuff to the triers of fact and anyone who wants to learn toxicology! When she isn't on this podcast, she's caring for an orange tabby cat and a dwarf bunny (luckily the tabby doesn't know his best friend is a bunny!) Connect with Allison Muller by email at Allison@AcriMullerConsulting.com

This member-driven podcast is a benefit of membership of the Arizona Chapter of the American Academy of Pediatrics (AzAAP) and is intended for AzAAP pediatric healthcare members.AzAAP would like to acknowledge the generous support of the podcast by the Arizona Department of Health Services through the Title V Maternal and Child Health Services Block Grant funding. No information or content in this podcast is intended to substitute or replace a consultation with a healthcare provider or specialist. All non-healthcare providers should reach out to their child's pediatrician for guidance. Music: Wallpaper by Kevin MacLeodLink: https://incompetech.filmmusic.io/song/4604-wallpaperLicense: http://creativecommons.org/licenses/by/4.0/ 

The Author Events Series presents The Aeneid: Translating the Classics with Emily Wilson, Scott McGill, and Susannah Wright Crafted during the reign of Augustus Caesar at the outset of the Roman Empire, Virgil's Aeneid is a tale of thrilling adventure, extreme adversity, doomed romance, fateful battles, and profound loss. Through its stirring account of human struggle, meddling gods, and conflicting destinies, the poem brings to life the triumphs and trials that led to one of the most powerful societies the world has ever known. Unlike its Homeric predecessors, which arose from a long oral tradition, the Aeneid was composed by a singular poetic genius, and it has ever since been celebrated as one of the greatest literary achievements of antiquity. This exciting new edition of the Aeneid, the first collaborative translation of the poem in English, is rendered in unrhymed iambic pentameter, the English meter that corresponds best, in its history and cultural standing, to Virgil's dactylic hexameter. Scott McGill and Susannah Wright achieve an ideal middle ground between readability and elevation, engaging modern readers with fresh, contemporary language in a heart-pounding, propulsive rhythm, while also preserving the epic dignity of the original. The result is a brisk, eminently approachable translation that captures Virgil's sensitive balance between celebrating the Roman Empire and dramatizing its human costs, for victors and vanquished alike. This Aeneid is a poem in English every bit as complex, inviting, and affecting as the Latin original. With a rich and informative introduction from Emily Wilson, maps drawn especially for this volume, a pronunciation glossary, genealogies, extensive notes, and helpful summaries of each book, this gorgeous edition of Rome's founding poem will capture the imaginations and stir the souls of a new generation of readers. 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. Scott McGill is Deedee McMurtry Professor in Humanities at Rice University. He lives in Houston, Texas. Susannah Wright is an assistant professor of classical studies and Roman history at Rice University. She lives in Houston, Texas. Because you love Author Events, please make a donation when you register for this event to ensure that this series continues to inspire Philadelphians. Books will be available for purchase at the library on event night! All tickets are non-refundable. (recorded 10/14/2025)

The Author Events Series presents Nicholas Boggs | Baldwin: A Love Story In Conversation with Rachel L. Swarns Baldwin: A Love Story, the first major biography of James Baldwin in three decades, reveals how profoundly the writer's personal relationships shaped his life and work. Drawing on newly uncovered archival material and original research and interviews, this spellbinding book tells the overlapping stories of Baldwin's most sustaining intimate and artistic relationships: with his mentor, the Black American painter Beauford Delaney; with his lover and muse, the Swiss painter Lucien Happersberger; and with his collaborators, the famed Turkish actor Engin Cezzar and the iconoclastic French artist Yoran Cazac, whose long-overlooked significance as Baldwin's last great love is explored in these pages for the first time. Nicholas Boggs shows how Baldwin drew on all the complex forces within these relationships-geographical, cultural, political, artistic, and erotic- and alchemized them into novels, essays, and plays that speak truth to power and had an indelible impact on the civil rights movement and on Black and queer literary history. Richly immersive, Baldwin: A Love Story follows the writer's creative journey between Harlem, Paris, Switzerland, the southern United States, Istanbul, Africa, the South of France, and beyond. In so doing, it magnifies our understanding of the public and private lives of one of the major literary figures of the twentieth century, whose contributions only continue to grow in influence. Nicholas Boggs was an undergraduate when he discovered James Baldwin's out-of-print children's book, Little Man, Little Man: A Story of Childhood, in the Beinecke Rare Book and Manuscript Library. After he tracked down its illustrator, the French artist Yoran Cazac, he went on to coedit an acclaimed new edition of the book in 2018. His writing has also been anthologized in The Cambridge Companion to James Baldwin, James Baldwin Now, and Speculative Light: The Arts of Beauford Delaney and James Baldwin. He is the recipient of a 2023 Whiting Creative Nonfiction Grant and fellowships from the National Endowment for the Humanities, the Leon Levy Center for Biography, the Beinecke Library and Gilder Lehrman Center at Yale, the Schomburg Center Scholars-in-Residence Program, and the National Humanities Center, as well as residencies at Yaddo and MacDowell. He received his BA in English from Yale, his MFA in creative writing from American University, and his PhD in English from Columbia. Born and raised in Washington, DC, he lives in Brooklyn, New York. Rachel L. Swarns is a journalist, author and associate professor of journalism at New York University, who writes about race and history as a contributing writer for The New York Times. She is a fellow of the American Academy of Arts and Sciences and the Society of American Historians and her work has been recognized and supported by the National Endowment for the Humanities, the Ford Foundation, the Leon Levy Center for Biography, the Biographers International Organization and others. Her latest book, The 272: The Families Who Were Enslaved and Sold to Build the American Catholic Church, was published by Random House. Because you love Author Events, please make a donation when you register for this event to ensure that this series continues to inspire Philadelphians. Books will be available for purchase at the library on event night! All tickets are non-refundable. (recorded 9/30/2025)

I presented this lecture to help medical providers see just how much data we actually have when it comes to stem cell therapy. If we never look at the studies, we assume they don't exist, but they do. And they're not just encouraging but very inspiring.As the founder of the American Academy of Integrative Cell Therapy, I've spent years digging into peer-reviewed research and applying it in real clinical settings. In this talk, I walk through compelling studies that show how mesenchymal stem cells (MSCs) are being used to treat autoimmune diseases, neurological disorders, cardiovascular conditions, and even things like erectile dysfunction and autism.I look at the regenerative power of MSCs, how they travel where they're needed, and the wide-ranging ways they modulate inflammation, restore function, and enhance healing.Stem cell research is moving fast, and we're witnessing the early days of a major shift in modern medicine.

Dr. Sue Kressly, president of the American Academy of Pediatrics, joins Dr. Vin Gupta of Meidas Health for an emergency episode to discuss the recommended changes to the Hepatitis B vaccine schedule for babies. She clearly explains why the proposed test-and-immunize strategy would take us back decades to a time when tens of thousands of children were needlessly infected with a serious virus. Learn more about your ad choices. Visit megaphone.fm/adchoices

By January 2007, all five suspects were in custody. Prosecutors had charged them with 46 counts including murder, rape, kidnapping, and robbery. Between 2008-2010, four separate trials resulted in convictions. It seemed like justice had finally been served and the families could breathe. Then a scandal involving the judge, who presided over the trials, would rock their worlds. Because of his demons, the families would have to go through it all over again.Support ResourcesFor Survivors of Violence:https://www.rainn.org/ - RAINN (1-800-656-4673)https://www.thehotline.org/ - National Domestic Violence Hotline (1-800-799-7233)https://www.crisistextline.org/ - Crisis Text Line (Text HOME to 741741)https://988lifeline.org/ - 988 Suicide & Crisis LifelineFor Families of Murder Victims:https://www.pomc.org/ - Parents of Murdered Childrenhttps://victimsofcrime.org/ - National Center for Victims of Crimehttps://www.ncvc.org/ - National Crime Victim Law InstituteSources:https://www.newspapers.com/ (Historical archive - subscription required)https://www.knoxnews.com/ (Search "Christian Newsom" for extensive archive)https://abcnews.go.com/ (Search "Channon Christian")https://www.cnn.com/ (Coverage of trials and scandal)https://www.foxnews.com/ (Michelle Malkin coverage 2007)https://www.wbir.com/ (WBIR-TV extensive trial coverage)https://www.wate.com/ (WATE 6 On Your Side)https://www.wvlt.tv/ (WVLT Local 8 News)https://www.tncourts.gov/ (Tennessee State Courts)https://www.tsc.state.tn.us/ (Tennessee Supreme Court opinions)https://www.knoxcounty.org/criminal/ (Knox County Criminal Court)https://law.justia.com/cases/tennessee/ (Tennessee case law database)https://scholar.google.com/ (Search: "State v. Davidson" "State v. Cobbins" etc.)https://www.govinfo.gov/app/collection/uscourts (Federal case records)https://pacer.uscourts.gov/ (Public Access to Court Electronic Records - fee required)https://www.capitol.tn.gov/ (Tennessee General Assembly)https://publications.tnsosfiles.com/acts/108/pub/pc0962.pdf (Chris Newsom Act - SB 2552/HB 2658)https://publications.tnsosfiles.com/acts/108/pub/pc0963.pdf (Channon Christian Act - SB 2553/HB 2659)https://www.rainn.org/ (RAINN - Rape, Abuse & Incest National Network)https://www.pomc.org/ (Parents of Murdered Children)https://victimsofcrime.org/ (National Center for Victims of Crime)University of Tennessee Foundation: https://www.utfi.org/"The Christian-Newsom Murders: 10 Years Later" - Knoxville News Sentinel Special Reporthttps://www.aetv.com/ (A&E "Injustice with Nancy Grace")https://www.oxygen.com/ (Oxygen Network coverage)https://www.investigationdiscovery.com/ (Investigation Discovery features)https://www.aafs.org/ (American Academy of Forensic Sciences)https://www.forensicscienceeducation.org/ (Forensic science education resources)https://www.ncjrs.gov/ (National Criminal Justice Reference Service)https://bjs.ojp.gov/ (Bureau of Justice Statistics)https://apps.tn.gov/foil-app/ (Tennessee Felon Offender Information Lookup)Search names: Davidson, Cobbins, Thomas, Coleman, Boydhttps://www.tn.gov/correction/sp/death-row.html (Tennessee Death Row information)https://www.knoxnews.com/archives/ (January-February 2007)https://www.knoxnews.com/archives/ (Trial coverage)https://www.knoxnews.com/archives/ (March-December 2011)https://www.knoxnews.com/archives/ (Coleman & Thomas retrials)https://www.knoxnews.com/archives/ (August 2019)https://www.tba.org/ (Tennessee Bar Association resources)https://www.knoxcounty.org/ (Knox County government)https://www.knoxvilletn.gov/ (City of Knoxville)https://www.britannica.com/place/Knoxville-Tennessee (Knoxville history)https://www.utk.edu/ (University of Tennessee)Become a supporter of this podcast: https://www.spreaker.com/podcast/reverie-true-crime--4442888/support.Keep In Touch:Twitter: https://www.twitter.com/reveriecrimepodInstagram: https://www.instagram.com/reverietruecrimeTumblr: https://reverietruecrimepodcast.tumblr.comFacebook: https://www.facebook.com/reverietruecrimeContact: ReverieTrueCrime@gmail.com Intro & Outro by Jahred Gomes: https://www.instagram.com/jahredgomes_official 

Dr. Robert Rhoton is the Chief Clinical Officer of the Arizona Trauma Institute and President of the Trauma Institute International. A Diplomate of the American Academy of Experts in Traumatic Stress, he has spent decades advancing the understanding and treatment of developmental and family trauma. Dr. Rhoton has supervised outpatient clinics, juvenile justice and substance abuse programs, day treatment centers, and child and family therapeutic services. Formerly a professor at Ottawa University, he trained counselors to work with traumagenic family dynamics using non-egoic, compassionate models of care. Today, he consults with agencies and organizations across the globe, helping them strengthen trauma-informed systems and improve therapeutic outcomes for both individuals and families.In This EpisodeArizona Trauma InstituteBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.You can learn more about what I do here:The Trauma Therapist Newsletter: celebrates the people and voices in the mental health profession. And it's free! Check it out here: https://bit.ly/4jGBeSa———If you'd like to support The Trauma Therapist Podcast and the work I do you can do that here with a monthly donation of $5, $7, or $10: Donate to The Trauma Therapist Podcast.Click here to join my email list and receive podcast updates and other news.Thank you to our Sponsors:Incogni - Use code [traumatherapist] and get 60% off annual plans: https://incogni.com/traumatherapistJane App - use code GUY1MO at https://jane.app/book_a_demoJourney Clinical - visit https://join.journeyclinical/trauma for 1 month off your membershipTherapy Wisdom - https://therapywisdom.com/jan/

In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Maisha T. Robinson, MD, MSHPM, FAAN, FAAHPM, who served as the guest editor of the December 2025 Neuropalliative Care issue. They provide a preview of the issue, which publishes on December 2, 2025. 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. Robinson is the Chair of the Division of Palliative Medicine and an assistant professor of neurology at Mayo Clinic in Jacksonville, Florida. Additional Resources Read the issue: continuum.aan.com Subscribe to Continuum®: shop.lww.com/Continuum 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 Guest: @neuropalldoc Full episode transcript available here Dr Jones: Most of us who see patients with chronic progressive neurologic disease are aware of the value of palliative care. The focus on symptom management and quality of life is a key aspect of helping these patients. But how many of us are comfortable starting the conversation about palliative care or care at the end of life? Today we have the opportunity to speak with a leading expert on neuropalliative care, Dr Maisha Robinson, about how we can better integrate neuropalliative care into our practices. 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 subscribing to the journal, listening to verbatim recordings of the articles, 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 Maisha Robinson, who is Continuum's Guest Editor for our latest issue of Continuum on neuropalliative care, and our first-ever issue fully dedicated to this topic. Dr Robinson is an assistant professor of neurology at Mayo Clinic in Florida, where she is Chair of the Division of Palliative Medicine, and she also serves on the AAN Board of Directors as Chair of the Member Engagement Committee. Dr Robinson, welcome. Thank you for joining us today. Why don't you introduce yourself to our listeners? Dr Robinson: Well, Dr Jones, thank you for having me. Really a pleasure to be here. I'm Maisha Robinson at the Mayo Clinic in Jacksonville, Florida. I spent my time as a neurohospitalist, a general palliative care physician, and a neuropalliative care physician. Dr Jones: So, this is a topic that at Continuum, we have heard about from subscribers for a long time requesting a fully dedicated issue to palliative care. And we've titled this neuropalliative Care. So, we want to respond to our subscribers and bring them content that they're interested in. I also think that palliative medicine is a big education gap in our specialty of neurology and something that we have room to improve on. So, let's start with the basics, Dr Robinson. Palliative medicine has been around for a long time, but this concept of "neuropalliative care" feels relatively new. What is neuropalliative care? Dr Robinson: That's a great question. Generally, what I would say is palliative care, first of all, is really just a specialty that focuses on trying to improve quality of life for people that have a serious or advanced medical condition. And neuropalliative care is really palliative care for people with neurologic conditions. And you'll see a number of neurologists doing neuropalliative care, but also there are internists as well, and people from other specialties, who focus on patients with neurologic disease and really trying to improve their quality of life. Dr Jones: Got it. And so, it's really the principles of palliative medicine in a specialty-specific context, which I think is important for us given the prevalence of chronic disease in our specialty. And I was obviously reading through these articles in this issue, and in the really wonderful articles, there are some themes that came up multiple times in various different articles. And one of them was obviously the importance of communication with patients and families. I think, and I'm speaking a little bit from personal experience here, many physicians feel uncomfortable bringing up the discussion of palliative care. And I'm sure that is something that reflects on your practice, too. How often do you have a patient who shows up to clinic and they ask you, why am I here? Dr Robinson: It happens all the time, because colleagues who are referring patients are nervous to tell them that they're sending them to palliative care. But we try to tell people it's really just to normalize it, to say that the palliative care team is going to see you, they're going to help with some symptoms, they're going to help you think about big picture, and they're going to be sort of an added layer of support to your team. And I think if people approach it from that standpoint, then patients and family members will say, that sounds great, I need a little extra support. Dr Jones: So, I think most neurologists have a threshold at which they would feel more comfortable having specialty support, having a palliative medicine specialist to help them in symptom management with the patient. For the palliative care that they provide themselves---and we want our subscribers to read this issue and feel more comfortable with delivering some palliative care on their own---how would you encourage them to begin that conversation? How should they initiate that conversation with a patient about working more toward palliative management of symptoms? Dr Robinson: So, one of the things we recommend is really introducing an approach to palliative care very early in the disease process. So, discussions about big picture and goals of care, discussions about who might help make medical decisions if the person can't make them for themselves. Those kinds of things can be discussed very early on. And in fact, that's palliative care. And then they can talk to patients more about the fact that as the disease progresses, there may be an additional team that can help walk along alongside the neurologist in helping you prepare for what's to come. You know, I think it's very important for patients and family members who feel like you're not abandoning them, but you're adding additional resources. And so, I like the way that we often will suggest to people to say partner or collaborate or bring in extra resources with the palliative care team. I think patients and family members will respond to that. Dr Jones: Yeah. So, by talking about it early, you kind of, at least, help to avoid that problem of the patient perceiving the introduction of palliative care as the quote-unquote "giving-up problem." Is that right? Dr Robinson: Correct. Because we also don't want to see people who are just being referred to us for end-of-life care. Palliative care is about much more than that. But if patients will Google palliative care, they may see hospice come up. And so, introducing the concept early and discussing some palliative topics early will allow the patient and family members to think that, okay, this isn't because I'm at the end of life. This is just because my clinician wants to make sure that I have all the bases covered. Dr Jones: This was also mentioned in several of the articles, the studies that have shown how frequently palliative care is initiated very near the end of life, which is usually, I think, perceived as a missed opportunity, right? To not wait so long to take advantage of what palliative care has to offer. Dr Robinson: That's correct. And the benefit of palliative care is that oftentimes we work alongside an interdisciplinary team, a team that could be quite helpful to patients and their support systems throughout the course of the disease. So, we have chaplains, we have nurses, we often have other clinicians, advanced practice providers as well, who work with us. We have spiritual advisors as well. And the patients and family members could benefit from some of those resources throughout the course of the disease. Who they might need to meet with may vary depending on what the disease is and how they're doing. But there's definitely some benefit to having a longitudinal relationship with the palliative care team and not just seeking them out at the end of life. Dr Jones: So- that's very helpful. So, it'll obviously vary according to an individual provider's level of comfort, right, where they're comfortable providing certain palliative management care versus when they need to have some assistance from a specialist. Are there types of care or are there certain thresholds that you say, wow, this patient really should go see a specialist in palliative medicine or neuropalliative care? Dr Robinson: So, I think that if there are, for instance, refractory symptoms, where the neurologist has been working with a patient for a while trying to manage certain symptoms and they're having some challenges, that person may benefit from being referred to palliative care. If patients are being hospitalized multiple times and frequently, that may suggest that a good serious-illness conversation may be necessary. If there are concerns about long-term artificial nutrition, hydration, or functional and cognitive decline, then some of those patients have benefited from palliative care. Not only the patient, but also the caregiver, because our team really focuses on trying to make sure that we're walking through the course of disease with these patients to ensure that all of the needs are managed both for the patient and the family member. Dr Jones: Got it. And that's very helpful. And I know that we talk about a lot of these decisions happening in an ideal environment when there's good access to the neurologist and good access to a palliative medicine specialist or even a neuropalliative medicine expert. In your general sense, I- and maybe we'll talk a little bit here in a minute or two about the growing interest in neuropalliative care. But in terms of access, in terms of availability of really, truly neuropalliative expertise, what is your sense of how widely available that is in the US? Dr Robinson: There's a shortfall of palliative care clinicians in the United States. Everybody who needs a palliative care clinician won't have access to one. And I think your point about the primary palliative care is so important. That's really what we encourage all clinicians, neurologists, neurosurgeons, even, physiatrists, the neurology care team members need to be comfortable with at least initiating some of these conversations. Because, to your point, not everyone's going to have access to a palliative care physician. But by reading issues such as this one, attending some courses---for instance at the American Academy of Neurology meetings---, doing some online trainings, those types of things can be helpful to bring any neurology clinician up to speed who certainly may not have access to a palliative care physician. Dr Jones: So, I know---and this is in part from my own conversations with patients in my own practice---there are a number of fears that patients have when they have a chronic disease, something that's progressive or something that we don't have a curative treatment for. But I think one of, if not the most common fear among patients is pain, and pain that can't be managed adequately during the course of chronic illness or at the end of life. One of the interesting concepts that I saw mentioned in a few of the articles in this issue is this concept of total pain. So, not just the somatic pain that I think we tend to think of as clinicians and patients tend to think of as patients, but a more holistic definition of pain. Walk us through that and how that relates to palliative medicine. Dr Robinson: So, Dame Cicely Saunders, the modern-day founder of palliative medicine, really described this biopsychosocial model for pain. And so, you're right, it's not just physical pain, but it's psychological pain, it's spiritual pain. And oftentimes when we are taking care of patients with neurologic disease, they may have some physical pain, but a lot of them are thinking about, for instance, the things that they will miss, which may cause some internal discomfort. Things that they're grieving, the life they thought they were going to have, the person that they used to be, the life they used to have, and what they anticipated their life as being. And some of that can cause people to have not only the spiritual discomfort, but also some psychological discomfort as well. And so, when we're thinking about how to provide rehensive care to these patients, we have to be thinking about all of these aspects. Dr Jones: It's really helpful. And I guess the more you can identify those, the more you can either help yourself or find the right expert to help the patient. I thought that was an interesting expansion of, of my view of how to think about pain. And another observation that came up in several of the articles was a lack of high-quality clinical trial evidence to inform a lot of the interventions in neuropalliative care. Some of them are common-sense, some of them are based on clinical experience or expert advice. In your own practice, if there was one key knowledge gap to close---in other words, if there was one pivotal trial that we could do to answer one question in helping patients with chronic neurologic disease---what would you say is the main gap? Dr Robinson: I think the real gap is, who needs palliative care and when? That seems very simple. We have tried things such as automatic triggers for palliative care, for instance, in patients with ALS, or we've said that maybe all glioblastoma patients should see palliative care. But is that true? Are we utilizing the resources in the best possible way that we can? We're not sure. And so, you'll see these practices doing things all a little bit different because we don't have a best practice and it's not really standardized about when people should see palliative care, or why, for instance, they should see palliative care, or who should see palliative care. And I think if we could help drill that down, we can provide some better guidance to our colleagues about when and why and who should see palliative care. Dr Jones: It's a really kind of a fundamental, foundational, who needs the service to begin with or who needs to care. Okay, that's- that is a big gap. So, one of the interesting concepts that I read- and it was in Benzi Kluger's article on neuropalliative care for patients who have movement disorders. I think it's a concept that is interesting, really, maybe in the management of patients with a lot of different chronic, progressive neurologic diseases. And it's this idea of stealing victories or bringing joy to patients. In other words, not just managing or trying to minimize some of the negative aspects or symptoms of disease, but looking for opportunities to bring something positive to their experience or improving their quality of life. Tell us a little more about that, because I think that's something patients would appreciate, but I think neurologists would appreciate that, too. Dr Robinson: Dr Kluger loves to talk about sustaining and finding joy in patients who have really serious or advanced neurologic conditions. He likes to talk about stealing victories, which can relate to the fact that patients and their loved ones can find even some benefit despite having a serious or advanced neurologic condition. Neurologists and neurology clinicians also can steal victories in their patients when they notice, for instance, that they've gained a new skill, and they've lost a skill that they used to love because of the advancing disease. And this is just an opportunity for not only the patients and family members, but also the care providers to recognize that in the midst of decline, there are positive things to be found. Dr Jones: I think it gives patients a sense of maybe reclaimed autonomy when they can say, well, there's maybe nothing I can do to cure this disease in the conventional sense, but I can maybe go on this trip with my family, which has been something I've always wanted to do. Or, I can do these things, so I can attend certain events that I want to. And I think that autonomy and independence aspect of that, I think that I think that was really meaningful and something that I'm going to bring back to my own practice in my care of patients who have ALS, for example. When you think about neuropalliative care---and you've been a leader in this area, Dr Robinson---what do you think the biggest change in neuropalliative care has been over the last few years? Dr Robinson: I think there's a growing cohort of people who are recognizing that there is some benefit in having dedicated specialists who focus on palliative care for patients with neurologic disease. When I said I was going to do neuropalliative care, somebody asked me, why would a neurologist be interested in palliative care? Over the last decade and a half, we've seen that shift. And not only are our colleagues recognizing the benefit, but also patients and caregivers are. Some are even asking for palliative care. I think people are recognizing that not only having their primary neurologist or neurology clinician taking care of them, they have this extra layer of support, and this extra team really focused on quality-of-life issues can be beneficial. Dr Jones: So, one of the things that I think you and I have both seen, Dr Robinson, is a growing interest among neurology trainees in palliative medicine. And maybe that's anecdotal, but in my own practice, I've seen more and more trainees express an interest in this. For neurology residents who are interested in this as a component of or maybe a focus of their career, what would you recommend to them? How should they go about this? Dr Robinson: Yes, it used to be that every neurology resident interested in palliative care would call me or email me or send me a message, but now there are so many that I can't keep up. We're excited about the growing number of people interested in neuropalliative care. What I would say to those people is that you can really try to hone your skills by, for instance, doing a rotation with the palliative care team at your hospital, if there is one. If there isn't one, you might even ask to spend some time with the local hospice agency, which may be helpful to you. If you're attending some of the national meetings---for instance, the American Academy of Neurology meeting---you may want to go to a course and learn a little bit about palliative care. There are a couple that are offered every year. There is an education opportunity for education in palliative and end-of-life care as well. And so, there are a number of resources that you can find in addition to this issue of Continuum as well. Dr Jones: I find it gratifying that trainees ask about this. And I'm sorry, I think I've probably sent a bunch of trainees your way for advice about this, and you've been incredibly generous with your time and expertise. So, I find it very gratifying that our neurology trainees are interested in this area, because it's an important area of medicine. It's also probably a challenging practice just from the cognitive load and the emotional load of caring for patients who are moving through a progressive illness. What is your thinking about how to have a sustainable career in palliative medicine? What is your approach to that? Is it for everyone? Dr Robinson: Yeah, the issue with palliative care is that we do see some very challenging situations, and frankly some very sad situations. But I actually love what I do because I think that we're helping patients and their family members during very, very difficult times. I feel like this is why I went to medical school, to try to be there for people when they need me the most. The way that I think about it is, the patients and family members will be going through this anyway. We're trying to help improve their quality of life as they're going through it. And what you might find interesting is that these patients are so grateful. And their loved ones, they're so grateful. Even if they're nearing the end of life, just to have someone who's helping them see that, for instance, the pain could be better, or that they have more resources for the loved ones to be able to take care of them. And so, I think that helps sustain us, realizing that we are really having a positive benefit on the patients and also their family members. Dr Jones: Well, I think that's a great point to end on. And these are patients who need help. Even if we don't have a curative therapy, they do need support. And that's an important service and a function and an important facet of our profession. So, Dr Robinson, I want to thank you for joining us, and I want to thank you for such a great discussion of neuropalliative care. I learned a lot from our conversation today. I've learned a lot reading the articles and the experts that you put together. This is an important topic. I'm really grateful to you to having assembled this team of expert authors and put together an issue that I think will be really important for not only our junior readers, but also our more experienced subscribers as well. Dr Robinson: Thank you, Dr Jones, for the opportunity. Dr Jones: Again, we've been speaking with Dr Maisha Robinson, Guest Editor of Continuum's most recent issue and first issue fully dedicated to neuropalliative care. 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. Thank you for listening to Continuum Audio.

Dr. Carole Keim welcomes Dr. David Tusek, board-certified Family Physician and Founder of Cloud Medical, to the show to discuss early childhood development and the good habits that set children up for life. Dr. Tusek identifies the five pillars of health and discusses personalized and preventive childhood medicine with Dr. Keim. The conversation explores modern habits and their impact on children, the critical role of parents, and the idea of introducing a whole-person health framework into children's growth to ensure emotional and physical well-being.The five pillars of health identified by Dr. Tusek are hydration, nutrition, exercise, sleep, and stress reduction. He and Dr. Keim expand on each pillar, describing how sugar functions in nutrition, the glycemic index and its relation to prediabetes in children. The importance of movement and outdoor play is highlighted, especially as screens take priority in children's lives, and they stress the need for better sleep hygiene. The conversation investigates how healthy whole-person habits can be fostered from a young age and how the right habits can help steer children away from chronic disease.   Dr. David Tusek:Dr. Tusek is a board-certified family physician who also has experience as an emergency room doctor.  He is a member of the American Academy of Anti-Aging Medicine and the Institute of Functional Medicine.Dr. Tusek relishes the close connectivity with his Cloud DPC patient-members, whether they are training for the Olympics, dealing with an illness, or simply trying to lose a few pounds.  He believes that enhancing one's quality of life is just as important as extending the quantity of our years.Dr. Tusek combines expertise in advanced diagnostics and optimization of brain and body function using a broad-based approach, blending cutting-edge technologies with a natural orientation.  He uses a wide variety of gentle, needle-based therapies to treat musculoskeletal and neuromuscular conditions and injuries (including PRP and Botox).  He performs various office-based surgeries, cryosurgeries, and treatments of minor trauma.  In 2004, he became one of the first practitioners in Colorado to offer bio-identical hormone implants, and has been working closely with compounding pharmacies (those pharmacies that prepare personalized medications for patients), to provide the purest, most effective forms of natural therapies.In 2009, Dr. Tusek founded one of the nation's first DPC programs, which he sold in 2016.  He then went on to launch Cloud Medical DPC, and currently oversees several other healthcare ventures and projects related to health optimization, behavior change, and addiction medicine.He believes that the soul of primary care medicine lies both in diagnosing and treating existing health problems with the most advanced technologies, as well as deeply considering what it means to be healthy and to heal as human beings, and how to most efficiently unlock our innate capacities for thriving and flourishing.  In the spirit of this pursuit, Cloud Medical has launched a variety of programs under the “School of Health” banner.As a previous member of the steering committee of the Direct Primary Care Coalition based in Washington, DC, Dr. Tusek is a recognized leader in healthcare transformation and was invited to the White House to discuss the future of American medicine.  He was named among the “Top Doctors in Concierge Medicine” and is a former qualifier for the Ironman Triathlon World Championships in Kona, Hawaii.  He enjoys skiing, cycling, and spending time with his wife and two daughters in the playground that is Colorado.__ Resources discussed in this episode:The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon“Heartful Kitchen: A Cookbook for Every Body” by Chef Maria Cooper__Contact Dr. Carole Keim MDlinktree | tiktok | instagram Contact Dr. David TusekWebsite: CloudMedical.ioBlog: CloudMedical.io/blogLinkedIn: drtusek Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week's episode focuses on alloimmunization the prevention of hemolytic disease of the fetus and newborn (HDFN). Our host Paul Wirkus, MD, FAAP and Tim Bahr, MD break down the immunologic mechanisms behind HDFN, discuss how maternal sensitization occurs, and explain why timely screening and prophylaxis are essential. We review current recommendations, practical considerations for pediatric and perinatal providers, and the role of coordinated care across obstetrics and pediatrics to reduce the risk of this preventable condition. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Description: Psoriatic disease affects far more than just the skin. Hear leading dermatologist Dr. April Armstrong and Dr. Benoît Guérrette discuss this and more with Jensen, a patient advocate. Psoriatic disease affects not only the skin but it can impact confidence, emotional and social well-being, and daily life. In this episode, join moderator Dr. Guy Eakin, Chief Scientific and Medical Officer at NPF, as we explore the disconnect between clinical classifications of psoriasis and what patients experience in real-life with leading dermatologist Dr. April Armstrong, Dr. Benoît Guérrette, Vice President of Dermatology & Rheumatology at Takeda, and Jensen, a NPF patient advocate and former Lead Youth Ambassador. Listen as we address the need for a more nuanced approach to classifying disease severity that accounts for the holistic needs of psoriatic disease, as well as share insights into how advocacy and awareness can drive change in treatment access and care standards.  The intent of this episode is to identify how clinical severity classifications of psoriasis are evolving to meet the needs of those who live with the disease and how that change impacts overall management. This episode is sponsored by Takeda. Timestamps: (0:00) Intro to Psoriasis Uncovered and guest welcome to dermatologist Dr. April Armstrong, Vice President of Takeda, Dr. Benoît Guérette, and patient advocate Jensen, who discuss the unmet needs of people with moderate psoriasis and how as a community we can better serve those living with the disease. 2:22 How health care providers and the biopharmaceutical industry are coming together to address systemic eligibility and the unmet needs of people living with psoriasis. 4:25 Quality of life should be included when assessing clinical severity in psoriasis and identification of appropriate treatment choices. 6:52 The impact of misdiagnosis, inappropriate treatment, and effect on high impact sites can be life- altering. 8:30 How appropriate treatment and knowledge can make all the difference when diagnosed with plaque psoriasis.  9:40 Views on the psoriasis disease classification system and how it's evolving to include real life impact from physical and emotional needs, to more personalized care for those living with psoriasis, even when small body surface areas are involved. Severity isn't defined by skin coverage alone. 12:38 What's needed to prioritize the care and outcomes of people living with psoriasis. 14:18  The future of management and care for psoriatic disease. 15:53  "My skin tells a story." Wisdom from what I wish I had known previously. 16:52  Moving closer to care that truly reflects the lives and needs of those who live with psoriasis. Key Takeaways: ·       Severity of psoriasis isn't defined by skin coverage or body surface area (BSA) alone. The impact on quality of life should also be considered in the assessment, selection of treatment, and management of the disease.  ·       The psoriasis disease classification system is evolving to be more of a patient centered approach.  Many clinicians are now using the International Psoriasis Council (IPC) or 2 bucket approach to identify whether someone should receive a topical or systemic treatment based on location and response to treatment, as well as impact on quality of life.  ·       With continued research and  development, the next 5 to 10 years could see a shift in effective treatment options while also treating sooner to initiate better outcomes for people living with psoriasis and psoriatic arthritis. Guest Bios:   April Armstrong, M.D., M.P.H. is an internationally renowned dermatologist and clinical researcher who is a Professor and Chief of Dermatology at the University of California Los Angeles (UCLA) where she specializes in inflammatory skin diseases such as psoriasis, atopic dermatitis, and hidradenitis suppurativa (HS). Dr. Armstrong is also the Co-Director for Network Resources at the UCLA Clinical and Translational Research Institute. She has conducted over 150 clinical trials and published over 350 high impact articles in scientific journals. Dr. Armstrong holds multiple leadership positions including the immediate Past Chair of the National Psoriasis Foundation Medical Board, Co-President of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), councilor for the International Psoriasis Council, and board member for the International Dermatology Outcome Measures and the American Academy of Dermatology.  Benoît Guérette, Ph.D. is an accomplished leader in medical affairs with extensive experience across academia and the pharmaceutical industry. Since March 2025, Dr. Guérette has served as Vice President of Dermatology and Rheumatology US Medical Affairs at Takeda Pharmaceutical. Prior to joining Takeda, he held several strategic and leadership roles at various pharmaceutical companies, including overseeing clinical development, global and U.S. medical affairs, global access & pricing, translational sciences and more. Before transitioning to the industry, Dr. Guérette was an Associate Professor of Immunology at Laval University, leading research in cancer immunology. He holds a Ph.D. in Medicine, Microbiology, and Immunology from Laval University and completed postdoctoral studies in Inflammation and Immunology at  Harvard Medical School.  Jensen is a volunteer and former Lead Youth Ambassador for the National Psoriasis Foundation. Jensen developed psoriasis at age 7 but wasn't formally diagnosed until age 14 being misdiagnosed along the way, trying different management approaches that were ineffective. She was a competitive swimmer from elementary through high school and in the last 2 years of high school played lacrosse. Upon finishing high school she attended college becoming a registered nurse in an intensive care unit. Jensen wants "youth living with psoriatic disease to feel a  community that is behind them and with them every step of the way. I really want to be able to make a difference in a way that would've helped me as a child when I was diagnosed." Resources: Ø  "Reassessing Psoriasis Severity" Advance Online, National Psoriasis Foundation. H. Onorati. January 16, 2024,  https://www.psoriasis.org/advance/psoriasis-severity-high-impact-sites/   Ø  "Psoriasis Involving Special Areas is Associated with Worse Quality of Life, Depression, and Limitations in the Ability to Participate in Social Roles and Activities". Blauvelt, A., Strober, B., Gondo, G., Journal of Psoriasis and Psoriatic Arthritis Volume 8, Issue 3.  https://journals.sagepub.com/doi/full/10.1177/24755303231160683

Episode 54: What Is Dermatology? – features board-certified dermatologist Dr. Edidiong Kaminska as she breaks down the most common skin issues, the biggest myths in skin care, and how to build an effective routine backed by science.Episode Summary: This episode of The Simple Questions Podcast features a conversation with Dr. Edidiong Kaminska, a board-certified medical and surgical dermatologist, published author, and reviewer for the Journal of the American Academy of Dermatology.Listen as Dr. Kaminska explains what dermatology really is, the most frequent skin concerns people face, the science behind proper skin care, and the misconceptions that often lead people astray.In this episode we discuss:00:27 - Introducing Dr. Edidiong Kaminska08:41 - Common Dermatology Visits19:07 - Skin Care Product Selection22:56 - Common Skin Conditions by Age Group27:14 - Dermatology Misunderstandings35:42 - How to Select a Provider39:19 - Learning More40:21 - ConclusionResources:⁠⁠⁠Kaminska DermatologyLinkedInThis episode includes the track 'RSPN' by Blank & Kytt. The song is used under the Creative Commons Attribution 3.0 Unported License. You can find more of Blank & Kytt's music ⁠⁠⁠⁠⁠⁠⁠⁠⁠here.⁠

This episode of the Forum podcast follow a years-long tradition of giving a review of the place of religion and ecology at the annual meeting of the American Academy of Religion (AAR). In this episode, our host Sam Mickey talks with the co-chair of the religion and ecology unit of the AAR -- Kimberly Carfore -- to discuss the present and future of this field of study. You'll hear about important attention to Indigenous traditions, interreligious dialogue. religious practice, extractivism, and more.

In Locust Radio 31,  Tish and Adam read poems from the forthcoming issue, discuss Trumpism and art in Venice, and try to unpack the editorial for Locust Review  13. Tish and Adam also listen to the song “Dortn” by Sister Wife Sex Strike. Discussed in this episode: Alma Allen; Suvrat Arora, “People are using AI to talk to God,” BBC (October 18, 2025); Editorial, “Lucky 13,” Locust Review 13 (Winter 2025/2026); Emily M. Bender, Alex Hanna, The AI Con: How to Fight Big Tech's Hype and Create the Future We Want (Harper Collins, 2025); Timothy Binkley, “Autonomous Creations: Birthing Intelligent Agents,” Leonardo 31.5 (1998), 333-336; Ben Davis, “What is the Mysterious New Group Behind Trump's Venice Biennale Pick?,” Artnet (November 25, 2025); Benoit Dillet, “Technofascism and the AI Stage of Late Capitalism,” Blog of the APA (American Philosophical Association), (March 10, 2025); Marcel Duchamp, Fountain (1917); Robert M. Geraci, "Apocalyptic AI: Religion and the Promise of Artificial Intelligence,” Journal of the American Academy of Religion 76.1 (March 2008), 138-166; Jesse Clyde Howard; Holly Lewis, “Towards AI Realism: Opening Notes on Machine Learning and Our Collective Future,” Spectre (June 7, 2024); Alex Press, “US Unions Take on Artificial Intelligence,” Jacobin (November 8, 2024); Michael A. Rosenthal, “Benjamin's Wager on Modernity: Gambling and the Arcades Project,” The Germanic Review: Literature, Culture, Theory 87.3 (2012), 261-278; Victor Tangermann, “AI Now Claiming to Be God,” Futurism (September 16, 2025); Adam Turl, “All is Concealed: CAM's Direct Drive,” West End Word (October 5, 2016); Adam Turl, “Selling Out,” Locust Review 13 (Winter 2025/2026); Tish Turl, “Elegy for the Faithful Mapmakers,” Locust Review 13 (Winter 2025/2026); Gareth Watkins, “AI: The New Aesthetics of Fascism,” New Socialist (February 9, 2025); Luke Winkie, “Lost Vegas,” Slate (November 18, 2025); Eliezer Yudkowsky, Nate Soares, If Anyone Builds It, Everyone Dies: Why Superhuman AI Would Kill Us All (Little, Brown and Company, 2025)

Shawn Martin, executive vice president and CEO of the American Academy of Family Physicians (AAFP), joins Josh Israel, MD, and Sean Cavanaugh to discuss challenges with the future of primary care, particularly independent primary care practices. Martin believes that value-based care has helped sustain rural health care practices and that the Medicare Shared Savings Program (MSSP) will serve as the foundation for value-based care moving forward. Martin stresses the benefits of partnering with support organizations, like accountable care organizations (ACOs), in succeeding in value-based care and outlines opportunities for the AAFP to partner with ACOs to support physician independence, provide value-based care training and advocate for rural health care funding.

Send us a textMost people think memory loss is a downhill slide you can't stop. We don't. In this conversation with neurologist and neuroscientist Dr. Majid Fotuhi, we map out a twelve‑week blueprint that measurably improves memory, focus, and even grows hippocampal volume by targeting the real drivers of decline: poor sleep, chronic stress, insulin resistance, hearing loss, inactivity, and hidden medical issues.Dr. Majid Fotuhi is a pioneering neurologist, neuroscientist, and professor with more than thirty-five years of experience in brain health, memory, neuroplasticity, and the prevention of Alzheimer's disease. His work bridges research, clinical innovation, and public education.He earned his PhD in neuroscience from Johns Hopkins University, completed medical training at Harvard Medical School, and returned to Johns Hopkins for his neurology residency. He currently serves as an adjunct professor at Johns Hopkins University.An author and communicator, Dr. Fotuhi has written several books and is known for making complex science accessible. His excellence in teaching earned him the American Academy of Neurology's prestigious award. His research has appeared in peer-reviewed journals, been presented at major conferences, and cited widely by scientists worldwide.Dr. Fotuhi has created a twelve-week program that has helped thousands of patients with memory loss, brain fog, concussion, mild cognitive impairment, and early Alzheimer's disease. His expertise has been featured by CNN, NBC News, the Today Show, ABC News, The New York Times, The Washington Post, and The Times (London).We start by clarifying what mild cognitive impairment is, how it differs from dementia, and why so many cases are preventable. Dr. Fotuhi explains the “type 3 diabetes” model—how decades of sugar spikes and inflammation erode the blood‑brain barrier and starve neurons of a stable environment. Then we get practical. You'll hear how a personalized “brain portfolio” guides treatment: VO2 max testing to shape exercise, sleep studies and CPAP when needed, targeted brain training that matches deficits, and labs for vitamin D, B12, and omega‑3 status. The results? Early wins in two to three weeks, statistically significant gains at six and twelve, and habits that stick.We don't stop at diet and steps. Oral health impacts cognition by limiting whole foods and increasing inflammation; chewing itself engages neural circuits. Hearing loss quietly accelerates decline—hearing aids can move people from mild impairment back to normal. Add a simple, sustainable food approach—ditch ultra‑processed foods, eat vegetables, legumes, fruits, quality proteins, and healthy fats—and consider targeted supplementation with DHA/EPA omega‑3s and corrected D and B12 levels. Along the way, we address why amyloid hogged the spotlight, and point to powerful data: the Lancet's estimate that 45% of dementia cases are preventable and the American Heart Association's claim that 80% of strokes can be avoided.If you want a sharper brain by summer, this is your starting line. Subscribe, share this with someone you love, and leave a review telling us the one habit you'll change this week. Your future brain will thank you.Links:Majid Fotuhi, MD, PhD: https://drfotuhi.com/https://krieger.jhu.edu/mbi/directory/majid-fotuhi/https://neurogrow.com/about-us/dr-majid-fotuhi-md-phd/https://psychology.columbian.gwu.edu/majid-fotuhiTweet me @realdrhamrahIG @drhamrah

This special episode is brought to you by Zoll RespicardiaIn this episode of SleepTech Talk, we explore the newest breakthroughs in treating Central Sleep Apnea (CSA).Our guest, Timothy Morgenthaler, MD, Professor and Vice Chair, Quality and Affordability at the Mayo Clinic, and past President of the American Academy of Sleep Medicine (AASM), helps explain the updated AASM treatment guidelines and how Transvenous Phrenic Nerve Stimulation (TPNS) is now recognized as an effective therapy for CSA.We also dive deep into the Remede implant, an FDA-approved TPNS device that stimulates the phrenic nerve to help patients breathe normally during sleep. Dr. Morgenthaler breaks down how it works, which patients may benefit most, and what the AASM's new recommendations mean for clinicians and patients going forward.⭐ Main topics we cover:What's new in the AASM guidelines for Central Sleep Apnea (2025 update)Why TPNS is now an accepted therapy for CSAHow the Remede implant works and who it helpsDifferences between obstructive, central, and complex sleep apneaReal-world impact of the updated guidelines on patient careWhere TPNS fits among PAP therapy, ASV, oxygen, medications, and other treatmentsWhether you're a sleep clinician, technologist, or someone affected by sleep apnea, this episode provides a clear, practical breakdown of the latest evidence-based options for CSA.Learn more about Remede athttps://remede.zoll.com/ ABOUT SLEEPTECH TALKSleepTech Talk brings together leaders in sleep medicine, technology, and innovation to explore the tools and trends shaping the future of sleep health.Catch the show on most podcast platforms or on YouTubewww.youtube.com/@sleeptechtalk Don't forget to Like, Share, and Comment! Subscribe to SleepTech Talk for more insights into sleep apnea, CPAP therapy, and innovations shaping the future of sleep care.Whether you're a sleep professional or a healthcare innovator, this episode explores the intersection of technology, patient care, and sleep medicine.Learn more about the show at https://www.sleeptechtalk.com/thetechroomCredits:Audio/ Video: Diego R Mannikarote; Music: Pierce G MannikaroteHosts: J. Emerson Kerr, Robert Miller, Gerald George MannikaroteCopyright: ⓒ 2025 SleepTech Talk ProductionsEpisode 112The views and opinions expressed by guests on SleepTech Talk are their own and do not necessarily reflect those of the podcast hosts or SleepTech Talk as a whole. This podcast is intended for educational and informational purposes only and should not be considered medical advice. Listeners are encouraged to consult with a qualified healthcare professional for any medical concerns or questions.Sleep apnea, obstructive sleep apnea, oral sleep appliance, inspire, surgery, sleep surgery, CPAP, AI, Artificial Intelligence

Between January 6-9, 2007, Channon Christian and Christopher Newsom were held captive, tortured, raped, and murdered by five perpetrators at a house on Chipman Street in Knoxville, Tennessee.The details are documented through court testimony, medical examiner reports, and forensic evidence are among the most horrific ever presented in an American courtroom. Prosecutors, judges, and jurors struggled to maintain composure. This episode documents what happened during those 36 hours. It is extremely difficult to hear but their families insisted the world know the truth because only by understanding the full horror can we appreciate why justice mattered so much.In memory of Channon and Chris, whose families demanded the truth be told.Support ResourcesFor Survivors of Violence:https://www.rainn.org/ - RAINN (1-800-656-4673)https://www.thehotline.org/ - National Domestic Violence Hotline (1-800-799-7233)https://www.crisistextline.org/ - Crisis Text Line (Text HOME to 741741)https://988lifeline.org/ - 988 Suicide & Crisis LifelineFor Families of Murder Victims:https://www.pomc.org/ - Parents of Murdered Childrenhttps://victimsofcrime.org/ - National Center for Victims of Crimehttps://www.ncvc.org/ - National Crime Victim Law InstituteSources:https://www.newspapers.com/ (Historical archive - subscription required)https://www.knoxnews.com/ (Search "Christian Newsom" for extensive archive)https://abcnews.go.com/ (Search "Channon Christian")https://www.cnn.com/ (Coverage of trials and scandal)https://www.foxnews.com/ (Michelle Malkin coverage 2007)https://www.wbir.com/ (WBIR-TV extensive trial coverage)https://www.wate.com/ (WATE 6 On Your Side)https://www.wvlt.tv/ (WVLT Local 8 News)https://www.tncourts.gov/ (Tennessee State Courts)https://www.tsc.state.tn.us/ (Tennessee Supreme Court opinions)https://www.knoxcounty.org/criminal/ (Knox County Criminal Court)https://law.justia.com/cases/tennessee/ (Tennessee case law database)https://scholar.google.com/ (Search: "State v. Davidson" "State v. Cobbins" etc.)https://www.govinfo.gov/app/collection/uscourts (Federal case records)https://pacer.uscourts.gov/ (Public Access to Court Electronic Records - fee required)https://www.capitol.tn.gov/ (Tennessee General Assembly)https://publications.tnsosfiles.com/acts/108/pub/pc0962.pdf (Chris Newsom Act - SB 2552/HB 2658)https://publications.tnsosfiles.com/acts/108/pub/pc0963.pdf (Channon Christian Act - SB 2553/HB 2659)https://www.rainn.org/ (RAINN - Rape, Abuse & Incest National Network)https://www.pomc.org/ (Parents of Murdered Children)https://victimsofcrime.org/ (National Center for Victims of Crime)University of Tennessee Foundation: https://www.utfi.org/"The Christian-Newsom Murders: 10 Years Later" - Knoxville News Sentinel Special Reporthttps://www.aetv.com/ (A&E "Injustice with Nancy Grace")https://www.oxygen.com/ (Oxygen Network coverage)https://www.investigationdiscovery.com/ (Investigation Discovery features)https://www.aafs.org/ (American Academy of Forensic Sciences)https://www.forensicscienceeducation.org/ (Forensic science education resources)https://www.ncjrs.gov/ (National Criminal Justice Reference Service)https://bjs.ojp.gov/ (Bureau of Justice Statistics)https://apps.tn.gov/foil-app/ (Tennessee Felon Offender Information Lookup)Search names: Davidson, Cobbins, Thomas, Coleman, Boydhttps://www.tn.gov/correction/sp/death-row.html (Tennessee Death Row information)https://www.knoxnews.com/archives/ (January-February 2007)https://www.knoxnews.com/archives/ (Trial coverage)https://www.knoxnews.com/archives/ (March-December 2011)https://www.knoxnews.com/archives/ (Coleman & Thomas retrials)https://www.knoxnews.com/archives/ (August 2019)https://www.tba.org/ (Tennessee Bar Association resources)https://www.knoxcounty.org/ (Knox County government)https://www.knoxvilletn.gov/ (City of Knoxville)https://www.britannica.com/place/Knoxville-Tennessee (Knoxville history)https://www.utk.edu/ (University of Tennessee)Become a supporter of this podcast: https://www.spreaker.com/podcast/reverie-true-crime--4442888/support.Keep In Touch:Twitter: https://www.twitter.com/reveriecrimepodInstagram: https://www.instagram.com/reverietruecrimeTumblr: https://reverietruecrimepodcast.tumblr.comFacebook: https://www.facebook.com/reverietruecrimeContact: ReverieTrueCrime@gmail.com Intro & Outro by Jahred Gomes: https://www.instagram.com/jahredgomes_official 

Brad and Dan are back from the American Academy of Religion conference in Boston and kick off this episode with some love for the folks they met there before diving into a wild week in American politics and religion. They start with the viral moment between Erika Kirk and JD Vance at a TPUSA event, unpacking the media frenzy, the rumors about Kirk's political aspirations, and what this says about the internal dynamics of a GOP that's trying to blend celebrity, piety, and power. From there, they break down the Department of Justice's statement implicating Kristi Noem in deportation flights and what that level of entanglement means for accountability within the MAGA movement. The second half of the episode takes a thoughtful turn as Brad and Dan dig into Bill McKibben's essay “They're Doing to America What They Did to Christianity,” exploring how nostalgia and selective memory shape everything from Christian identity to policy debates. They look at why both right wing and progressive versions of Christian nationalism are so dangerous, how civilizational populism reshaped politics during and after the Obama years, and why the GOP still has no coherent healthcare plan. Despite the heavy topics, the hosts offer reasons for hope with updates on recent legal wins, global news like Bolsonaro's sentencing in Brazil, and reminders of why staying engaged matters. Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

Before you hand your child their first device, consider this: tech boundaries aren't rules, they're love in action. In today's Facing in the Dark, Wayne Stender and Dr. Kathy Koch unpack why shared expectations around phones and screens help kids feel secure, valued, and connected. Drawing from the American Academy of Pediatrics, Dr. Kathy explains how a family media plan, and a "we, not you" mindset, creates clarity, prevents conflict, and protects character. They explore co-authoring agreements with kids, resetting tech habits when things have slipped, and why thoughtful shifts don't harm a child's security, they strengthen it. This honest, grace-filled conversation centers on identity, belonging, and how families can create a tech culture rooted in peace, faith, and love. Find Dr. Kathy's Family Media Covenant developed with Techless Wireless here>> Considering a phone for your child? Check out Techless Wireless>>

About this episode: Since 2015, the American Academy of Pediatrics has recommended that parents and caregivers introduce peanuts to children's diets at around four to six months old to avoid the onset of a peanut allergy. In this episode: Pediatric allergist David Hill explains why early allergen introduction is safe and effective and how these recommendations have led to a significant reduction in peanut allergies in children. Guests: Dr. David Hill, PhD, is an allergist, immunologist, and an attending physician at the Children's Hospital of Philadelphia. He is also an assistant professor of pediatrics at the Perelman School of Medicine at the University of Pennsylvania. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs. Show links and related content: Guidelines for Early Food Introduction and Patterns of Food Allergy—Pediatrics Peanut Allergies Have Plummeted in Children, Study Shows—New York Times Randomized Trial of Peanut Consumption in Infants at Risk for Peanut Allergy—New England Journal of Medicine Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.