Podcasts about American Academy

Hey Doc—Let's talk about what it really costs to perform strength.Dr. Tolulope Olabintan is a family medicine physician, a private practice owner, and a woman of deep faith. She's also someone who—like so many of us—was raised to be “the strong one.” The Proverbs 31 woman. The helper. The one who keeps going, no matter what.Because “strong women” don't sit still.They endure. Power through. Serve.But what happens when that identity clashes with your actual humanity?In this conversation, Dr. Tolu shares her story of postpartum hypertension, pregnancy complications, hospital escapes (yes, literal), and learning to stop performing the role of the unshakable woman.We talk about:How she envisioned herself as a virtuous woman in motherhood — and how that image evolvedThe cost of silence when systems take advantage of your sacrificeHow postpartum hypertension, fatigue, and guilt finally led her to rewire everythingWhat it means to teach others how to love and support youDr. Tolu's story is full of grace, growth, and hard-won clarity.And you're going to feel every bit of it.Dr. Tolulope Olabintan, MD, FAAFP, DipABLM is a Board-Certified Family Physician, Board certified with American Board of Lifestyle Medicine, and a Fellow of the American Academy of Family Physicians. She also completed a Women's Health Fellowship and is a certified HIV specialist by the American Academy of HIV Medicine. She is fondly called by her patients as "Dr. O."Dr. O is also the owner and CEO of Livingspring Family Medical Center, a primary care center located in Mansfield, Texas. She has over 13 years of medical experience. She helps patients live long and well as she believes the quantity of life is just as important as the quality of life. She places emphasis on lifestyle changes that help patients thrive throughout life. Furthermore, Dr. O is a life-enthusiast, a Christian, wife, and mom who enjoys good cuisine and can't get enough of the colors teal and orange.For more information about Dr. O, you can visit her website and connect with her on Facebook, follow on Instagram, connect on Linkedin and subscribe to her What did you think of the episode, doc? Let me know! Remember to subscribe to "Stethoscopes and Strollers" on your favorite podcast platform so you never miss an episode of encouragement and empowerment. Apple Podcast | Spotify | YouTube Connect with me. Website | Instagram | Facebook Join my Email list to get tips on navigating motherhood in the medical field. If you feel you need direct support or someone to talk through the unique challenges of being a physician mom, schedule a free coaching session. Free Coaching Session with Dr. Toya

Subscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsStem cell therapy is transforming regenerative medicine, offering powerful treatments for chronic inflammation, aging, autism, and more. In this eye-opening interview, triple board-certified physician Dr. Joy Kong reveals how stem cells work, why they're more than just anti-aging tools, and how DNA and energy-based healing could be the future of healthcare.You'll learn how IV stem cell therapy works, how to avoid dangerous clinics, and why stem cells are revolutionizing treatment for autoimmune conditions, mental health, and skin and hair rejuvenation. Dr. Kong also shares her journey from psychiatry to founding the American Academy of Integrative Cell Therapy.This episode covers the powerful regenerative potential of stem cells, the rise of IV therapy, how to avoid unregulated clinics, and why true healing must always be holistic. Whether you're seeking answers for chronic illness or curious about the future of longevity, this is a must-watch.Connect further to Hol+ at https://holplus.co/- Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+.About Dr. Joy Kong:Dr. Joy Kong is a triple board-certified anti-aging physician and stem cell specialist, renowned for her expertise in stem cell therapy and commitment to educating both physicians and the public. With a strong presence in the industry, she has established herself as a trusted voice through her extensive lecturing at national and international conferences, as well as her publications in scientific journals.As a dedicated educator and pioneer in the field of regenerative medicine, Dr. Kong has founded the American Academy of Integrative Cell Therapy (AAICT) and trained numerous physicians from around the world. Her innovative approach has also led to the creation of Chara Health USA and Chara Biologics, premier companies providing cutting-edge products and services to patients across the United States. With numerous accolades, including Stem Cell Doctor of the Year and Stem Cell Doctor of the Decade, Dr. Kong continues to be a respected figure in the medical community, dedicated to advancing the field of regenerative medicine and improving patient outcomes through her emphasis on scientific data, passion, authenticity, and integrity.Her inspiring memoir, "Tiger of Beijing," which recounts her remarkable journey as an immigrant from China at the age of 20 starting with her visa rejection in 1991, was named 2020 Book of the Year by IAOTP.Stay ConnectedSubscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsFollow Dr. Taz on Instagram: https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Join the conversation on X: https://x.com/@drtazmdTikTok: https://www.tiktok.com/@drtazmdFacebook: https://www.facebook.com/drtazmd/Follow Dr. Kong on Instagram:https://www.instagram.com/dr_joy_kong/Host & Production TeamHost: Dr. Taz; Produced by Rainbow Creative (Executive Producer: Matthew Jones; Lead Producer: Lauren Feighan; Editors: Jeremiah Schultz and Patrick Edwards)Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+01:58 - Dr. Joy Kong's Journey into Regenerative Medicine  03:30 - Stem Cell Therapy for Autism and Chronic Conditions  05:15 - Inside the American Academy of Integrative Cell Therapy  08:14 - Stem Cells as Energy and DNA-Based Healing  12:31 - How Stem Cells Navigate the Body and Target Inflammation  16:36 - Umbilical vs. Fat-Derived Stem Cells: Safety and Sourcing  20:53 - Avoiding Stem Cell Scams: Testing, Regulations, and Red Flags  26:53 - IV Stem Cell Therapy: Benefits, Applications, and Costs  43:24 - Stem Cells for Skin, Hair Loss, and Anti-Aging Results

This week wraps up our Office Emergencies series on The Virtual Curbside! Tune in as host Paul Wirkus, MD, FAAP, and guest expert Stephanie Spanos, MD, answer listener questions and bring this insightful series to a close. Don't miss this final episode filled with practical takeaways, real-world scenarios, and thoughtful discussion to help your practice stay prepared. Have a question? Email questions@vcurb.com.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. 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.

In this episode, we kick off season 5 of the Lens Pod with an educational episode about Keratoconus: a corneal ectasia!Resources for this episode include:https://eyewiki.org/Keratoconushttps://www.aao.org/education/content/ophthalmology-okap-board-reviewAmerican Academy of Ophthalmology. (2023). External Disease and Cornea (Section 8, Basic and Clinical Science Course). American Academy of Ophthalmology.

Rheumatoid arthritis, lupus, and Crohn’s disease are autoimmune diseases that share a lot of commonalities. This episode covers when and how they were first recognized and described. Research: Aceves-Avila, Francisco Javier et al. “The Antiquity of Rheumatoid Arthritis: A Reappraisal.” The Journal of Rheumatology 2001; 28:4. Arnaud, Laurent et al. “The History of Lupus Throughout the Ages.” Journal of the American Academy of Dermatology. Volume 87, Issue 6, December 2022. https://www.sciencedirect.com/science/article/abs/pii/S0190962220307726 Barber, Megan R W et al. “Global epidemiology of systemic lupus erythematosus.” Nature reviews. Rheumatology vol. 17,9 (2021): 515-532. doi:10.1038/s41584-021-00668-1 Bornstein, Joseph E. and Randolph M. Steinhagen. “History of Crohn’s Disease.” From Crohn’s Disease: Basic Principles. Springer. 2015. Crohn & Colitis Foundation. “IBD before the Foundation.” https://www.crohnscolitisfoundation.org/about/our-beginning Entezami, Pouya et al. “Historical perspective on the etiology of rheumatoid arthritis.” Hand clinics vol. 27,1 (2011): 1-10. doi:10.1016/j.hcl.2010.09. Geller, Stephen A. and Fernando P F de Camposc. “Crohn disease.” Autopsy Case Rep [Internet]. 2015; 5(2):5-8. http://dx.doi.org/10.4322/acr.2015.001 Hyndman, I.J. (2017), Rheumatoid arthritis: past, present and future approaches to treating the disease. Int J Rheum Dis, 20: 417-419. https://doi.org/10.1111/1756-185X.12823 Kirsner, J B. “Historical origins of current IBD concepts.” World journal of gastroenterology vol. 7,2 (2001): 175-84. doi:10.3748/wjg.v7.i2.175 Laberge, Monique, and Philip E. Koth. "Rheumatoid Arthritis." The Gale Encyclopedia of Medicine, edited by Jacqueline L. Longe, 6th ed., vol. 7, Gale, 2020, pp. 4474-4480. Gale In Context: Science, link.gale.com/apps/doc/CX7986601640/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=8b8ee977. Accessed 30 Apr. 2025. Laurent Arnaud - I6 The history of lupus throughout the ages: Lupus Science & Medicine 2020;7:. https://doi.org/10.1136/lupus-2020-eurolupus.6 org. “The History of Lupus.” https://www.lupus.org/resources/the-history-of-lupus Mandal, Dr. Ananya. “Rheumatoid Arthritis History.” News Medical. 7/7/2023. https://www.news-medical.net/health/Rheumatoid-Arthritis-History.aspx Medical News Today. “The History of Rheumatoid Arthritis.” 5/2/2023. https://www.medicalnewstoday.com/articles/rheumatoid-arthritis-history Michniacki, Thomas. “Crohn’s Disease: An Evolutionary History.” University of Michigan Library. 2006-05 http://hdl.handle.net/2027.42/96969 Potter, Brian. “The History of the Disease Called Lupus.” Journal of the History of Medicine and Allied Sciences , JANUARY 1993, Vol. 48, No. 1 (JANUARY 1993). Via JSTOR. http://www.jstor.com/stable/24622869 Sathiavageesan, Subrahmanian, and Suganya Rathnam. “The LE Cell-A Forgotten Entity.” Indian journal of nephrology vol. 31,1 (2021): 71-72. doi:10.4103/ijn.IJN_249_19 Scofield, R Hal, and James Oates. “The place of William Osler in the description of systemic lupus erythematosus.” The American journal of the medical sciences vol. 338,5 (2009): 409-12. doi:10.1097/MAJ.0b013e3181acbd71 "Systemic Lupus Erythematosus." National Institute of Arthritis and Musculoskeletal and Skin Diseases Pamphlets, National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2001, p. 1. Gale Academic OneFile, link.gale.com/apps/doc/A79512544/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=534bac78. Accessed 30 Apr. 2025. Thomas, Donald E. et al. “The first use of “lupus” as a disease.” Lupus. 2025, Vol. 34(1) 3–9. Tish Davidson, and Rebecca J. Frey. "Crohn's Disease." The Gale Encyclopedia of Medicine, edited by Jacqueline L. Longe, 6th ed., vol. 2, Gale, 2020, pp. 1423-1427. Gale In Context: Science, link.gale.com/apps/doc/CX7986600509/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=2687d598. Accessed 30 Apr. 2025. Van Hootegem, Phillippe. “Is Crohn’s A Rightly Used Eponym?” J Crohns Colitis. 2020 Jul 9;14(6):867-871. doi: 10.1093/ecco-jcc/jjz183. See omnystudio.com/listener for privacy information.

In this mind-bending episode of Devolution Power Hour, Jon Herold and Chris Paul take listeners on a two-hour journey through quantum tech, media psyops, and the unraveling of physical reality itself. At the heart of the discussion is General Steven Kwast's bombshell interview on the Sean Ryan Show, where he outlines how quantum communication could rewrite history, and why it proves the existence of God. The hosts analyze what this means for military strategy, continuity of government, and even the foundational assumptions behind our reality. Trump's aggressive push for nuclear energy via the Defense Production Act is also dissected, alongside questions of executive power, devolution strategy, and wartime governance. The episode covers AI deepfakes, prompt theory, simulation parallels in media, and the potential misuse of quantum tech for surveillance or even historical erasure. Herold and Paul layer in philosophical and theological reflections, weaving in Trump's American Academy proposal, Harvard's colonial charter, Flynn's continuity of government warning, and Epstein file inconsistencies, all under a meta lens of truth, technology, and trust. This is not just political commentary, it's a philosophical expedition into power, perception, and the future

As artificial intelligence (AI) tools become increasingly mainstream, they can potentially transform neurology clinical practice by improving patient care and reducing clinician workload. Critically evaluating these AI tools for clinical practice is important for successful implementation. In this episode, Katie Grouse, MD, FAAN speaks with Peter Hadar, MD, MS, coauthor of the article “Clinical Applications of Artificial Intelligence in Neurology Practice” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Hadar is an instructor of neurology at Harvard Medical School and an attending physician at the Massachusetts General Hospital in Boston, Massachusetts. Additional Resources Read the article: Clinical Applications of Artificial Intelligence in Neurology Practice 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 Guest: @PeterNHadar 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 subscribing to the journal, listening to verbatim recordings of the articles, and exclusive access to interviews not featured on the podcast. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Peter Hadar about his article on clinical applications of artificial intelligence in neurology practice, which he wrote with Dr Lydia Moura. This article appears in the April 2025 Continuum issue on neuro-ophthalmology. Welcome to the podcast, and please introduce yourself to our audience. Dr Hadar: Hi, thanks for having me on, Katie. My name is Dr Peter Hadar. I'm currently an instructor over at Mass General Hospital, Harvard Medical School, and I'm excited to talk more about AI and how it's going to change our world, hopefully for the better. Dr Grouse: We're so excited to have you. The application of AI in clinical practice is such an exciting and rapidly developing topic, and I'm so pleased to have you here to talk about your article, which I found to be absolutely fascinating. To start, I'd like to hear what you hope will be the key takeaway from your article with our listeners. Dr Hadar: Yeah, thank you. The main point of the article is that AI in medicine is a tool. It's a wonderful tool that we should be cautiously optimistic about. But the important thing is for doctors, providers to be advocates on their behalf and on behalf of their patients for the appropriate use of this tool, because there are promises and pitfalls just with any tool. And I think in the article we detail a couple ways that it can be used in diagnostics, in clinical documentation, in the workflow, all ways that can really help providers. But sometimes the devil is in the details. So, we get into that as well. Dr Grouse: How did you become interested in AI and its application, specifically in the practice of neurology? Dr Hadar: When I was a kid, as most neurologists are, I was- I nerded out on a lot of sci-fi books, and I was really into Isaac Asimov and some of his robotics, which kind of talks about the philosophy of AI and how AI will be integrated in the future. As I got into neurology, I started doing research neurology and a lot of folks, if you're familiar with AI and machine learning, statistics can overlap a lot with machine learning. So slowly but surely, I started using statistical methods, machine learning methods, in some of my neurology research and kind of what brought me to where I am today. Dr Grouse: And thinking about and talking about AI, could you briefly summarize a few important terms that we might be talking about, such as artificial intelligence, generative AI, machine learning, etcetera? Dr Hadar: It's a little difficult, because some of these terms are nebulous and some of these terms are used in the lay public differently than other folks would use it. But in general, artificial intelligence is kind of the ability of machines or computers to communicate independently. It's similar to as humans would do so. And there are kind of different levels of AI. There's this very hard AI where people are worried about with kind of terminator-full ability to replicate a human, effectively. And there are other forms of narrow AI, which are actually more of what we're talking about today, and where it's very kind of specific, task-based applications of machine learning in which even if it's very complex, the AI tools, the machine learning tools are able to give you a result. And just some other terms, I guess out there. You hear a lot about generative AI. There's a lot of these companies and different algorithms that incorporate generative AI, and that usually kind of creates something, kind of from scratch, based on a lot of data. So, it can create pictures, it can create new text if you just ask it. Other terms that can be used are natural language processing, which is a big part of some of the hospital records. When AI tools read hospital records and can summarize something, if it can translate things. So, it turns human speech into these results that you look for. And I guess other terms like large language models are something that also have come into prominence and they rely a lot on natural language processing, being able to understand human speech, interpret it and come up with the results that you want. Dr Grouse: Thank you, that's really helpful. Building on that, what are some of the current clinical applications of AI that we may already be using in our neurologic practice and may not even be aware that that's what that is? Dr Hadar: It depends on which medical record system you use, but a very common one are some of the clinical alerts that people might get, although some of them are pretty basic and they can say, you know, if the sodium is this level, you get an alert. But sometimes they do incorporate fancier machine learning tools to say, here's a red flag. You really should think about contacting the patient about this. And we can talk about it as well. It might encourage burnout with all the different flags. So, it's not a perfect tool. But these sorts of things, typically in the setting of alerts, are the most common use. Sorry, and another one is in folks who do stroke, there are a lot of stroke algorithms with imaging that can help detect where the strokes occur. And that's a heavy machine learning field of image processing, image analysis for rapid detection of stroke. Dr Grouse: That's really interesting. I think my understanding is that AI has been used specifically for radiology interpretation applications for some time now. Is that right? Dr Hadar: In some ways. Actually, my background is in neuroimaging analysis, and we've been doing a lot of it. I've been doing it for years. There's still a lot of room to go, but it's really getting there in some ways. My suspicion is that in the coming years, it's going to be similar to how anesthesiologists at one point were actively bagging people in the fifties, and then you develop machines that can kind of do it for you. At some point there's going to be a prelim radiology read that is not just done by the resident or fellow, but is done by the machine. And then another radiologist would double check it and make sure. And I think that's going to happen in our lifetime. Dr Grouse: Wow, that's absolutely fascinating. What are some potential applications of AI in neurologic practice that may be most high-yield to improve patient care, patient access, and even reduce physician burnout? Dr Hadar: These are separate sort of questions, but they're all sort of interlinked. I think one of the big aspects of patient care in the last few years, especially with the electronic medical record, is patients have become much more their own advocates and we focus a lot more on patient autonomy. So, they are reaching out to providers outside of appointments. This can kind of lead to physician burnout. You have to answer all these messages through the electronic medical record. And so having, effectively, digital twins of yourself, AI version of yourself, that can answer the questions for the patient on your off times is one of the things that can definitely help with patient care. In terms of access, I think another aspect is having integrated workflows. So, being able to schedule patients efficiently, effectively, where more difficult patients automatically get one-hour appointments, patients who have fewer medical difficulties might get shorter appointments. That's another big improvement. Then finally, in terms of physician burnout, having ambient intelligence where notes can be written on your behalf and you just need to double-check them after allows you to really have a much better relationship with the patients. You can actually talk with them one on one and just focus on kind of the holistic care of the patient. And I think that's- being less of a cog in the machine and focusing on your role as a healer would be actually very helpful with the implementation of some of these AI tools. Dr Grouse: You mentioned ambient technology and specifically ambient documentation. And certainly, this is an area that I feel a lot of excitement about from many physicians, a lot of anticipation to be able to have access to this technology. And you mentioned already some of the potential benefits. What are some of the potential… the big wins, but then also potential drawbacks of ambient documentation? Dr Hadar: Just to kind of summarize, the ambient intelligence idea is using kind of an environmental AI system that, without being very obtrusive, just is able to record, able to detect language and process it, usually into notes. So, effectively like an AI scribe that is not actually in the appointment. So, the clear one is that---and I've seen this as well in my practice---it's very difficult to really engage with the patient and truly listen to what they're saying and form that relationship when you're behind a computer and behind a desk. And having that one-on-one interaction where you just focus on the patient, learn everything, and basically someone else takes notes for you is a very helpful component of it. Some of the drawbacks, though, some of it has to do with the existing technology. It's still not at the stage where it can do everything. It can have errors in writing down the medication, writing down the exact doses. It can't really, at this point, detect some of the apprehensions and some of the nonverbal cues that patients and providers may kind of state. Then there's also the big one where a lot of these are still done by startups and other companies where privacy may be an issue, and a lot of patients may feel very uncomfortable with having ambient intelligence tools introduced into their clinical visit, having a machine basically come between the doctor and the patient. But I think that over time these apprehensions will lessen. A lot of the security will improve and be strengthened, and I think that it's going to be incorporated a lot more into clinical practice. Dr Grouse: Yeah, well, we'll all be really excited to see how that technology develops. It certainly seems like it has a lot of promise. You mentioned in your article a lot about how AI can be used to improve screening for patients for certain types of conditions, and that certainly seems like an obvious win. But as I was reading the article, I couldn't help but worry that, at least in the short term, these tools could translate into more work for busy neurologists and more demand for access, which is, you know, already, you know, big problems in our field. How can tools like these, such as, like, for instance, the AI fundoscopic screening for vascular cognitive risk factors help without adding to these existing burdens? Dr Hadar: It's a very good point. And I think it's one of the central points of why we wanted to write the article is that these AI in medicine, it's, it's a tool like any other. And just like when the electronic medical record came into being, a lot of folks thought that this was going to save a lot of time. And you know, some people would say that it actually worsened things in a way. And when you use these diagnostic screening tools, there is an improvement in efficiency, there is an improvement in patient care. But it's important that doctors, patients advocate for this to be value-based and not revenue-based, necessarily. And it doesn't mean that suddenly the appointments are shorter, that now physicians have to see twice as many patients and then patients just have less of a relationship with their provider. So, it's important to just be able to integrate these tools in an appropriate way in which the provider and the patient both benefit. Dr Grouse: You mentioned earlier about the digital twin. Certainly, in your article you mentioned, you know, that idea along with the idea of the potential of development of virtual chatbot visits or in-person visits with a robot neurologist. And I read all this with equal parts, I think excitement, but horror and and fear. Can you tell us more about what these concepts are, and how far are we from seeing technology like this in our clinics, and maybe even, what are the risks we need to be thinking about with these? Dr Hadar: Yeah. So, I mean, I definitely think that we will see implementation of some of these tools in our lifetime. I'm not sure if we're going to have a full walking, talking robot doing some of the clinical visits. But I do think that, especially as we start doing a lot more virtual visits, it is very easy to imagine that there will be some sort of video AI doctor that can serve as, effectively, a digital twin of me or someone else, that can see patients and diagnose them. The idea behind the digital twin is that it's kind of like an AI version of yourself. So, while you only see one patient, an AI twin can go and see two or three other patients. They could also, if the patients send you messages, can respond to those messages in a way that you would, based on your training and that sort of thing. So, it allows for the ability to be in multiple places at once. One of the risks of this is, I guess, overreliance on the technology, where if you just say, we're just going to have a chatbot do everything for us and then not look at the results, you really run the risk of the chatbot just recommending really bad things. And there is training to be had. Maybe in fifty years the chatbot will be at the same level as a physician, but there's still a lot of room for improvement. I personally, I think that my suspicion as to where things will go are for very simple visits in the future and in our lifetime. If someone is having a cold or something like that and it goes to their primary care physician, a chatbot or something like that may be of really beneficial use. And it'll help segment out the different groups of simple diagnosis, simple treatments can be seen by these robots, these AI, these machine learning tools; and some of the more complex ones, at least for the early implementation of this will be seen by more specialized providers like neurologists and subspecialist neurologists too. Dr Grouse: That certainly seems reasonable, and it does seem that the more simple algorithmic things are always where these technologies will start, but it'll be interesting to see where things can go with more complex areas. Now I wanted to switch gears a little bit in the article- and I thought this was really important because I see it as being certainly one of the bigger drawbacks of AI, is that despite the many benefits of artificial intelligence, AI can unfortunately perpetuate systemic bias. And I'm wondering if you could tell us a little bit more about how this happened? Dr Hadar: I know I'm beating a dead horse on this, but AI is a tool like any other. And the problem with it is that what you put in is very similar to what you get out. And there's this idea in computer science of “garbage in, garbage out”. If you include a lot of data that has a lot of systemic biases already in the data, you're going to get results that perpetuate these things. So, for instance, if in dermatologic practices, if you just had a data set that included people of one skin color or one race and you attempted to train a model that would be able to detect skin cancer lesions, that model may not be easily applicable to people of other races, other ethnicities, other skin colors. And that can be very damaging for care. And it can actually really, really hurt the treatments for a lot of the patients. So that is one of the, kind of, main components of the systemic biases in AI. The way we mitigate them is by being aware of it and actually implementing, I guess, really hard stops on a lot of these tools before they get into practice. Being sure, did your data set include this breakdown of sex and gender, of race and ethnicity? So that the stuff you have in the AI tool is not just a very narrow, focused application, but can be generalized to a large population, not just of one community, one ethnic group, racial group, one country, but can really be generalized throughout the world for many patients. Dr Grouse: The first step is being aware of it, and hopefully these models will be built thoughtfully to help mitigate this as much as possible. I wanted to ask as well, another concern about AI is the safety of private data. And I'm wondering, as we're starting to do things like use ambient documentation, AI scribe, and other types of technologies like this, what can we tell our patients who are concerned about the safety of their personal data collected via these programs, particularly when they're being stored or used with outside companies that aren't even in our own electronic medical records system? Dr Hadar: Yeah, it's a very good question, and I think it's one of the major limitations of the current implementation of AI into clinical practice, because we still don't really have great standards---medical standards, at least---for storing this data, how to analyze this data. And my suspicion is that at some point in the future, we're going to need to have a HIPAA compliance that's going to be updated for the 21st century, that will incorporate the appropriate use of these tools, the appropriate use of these data storage, of data storage beyond just PHI. Because there's a lot more that goes into it. I would say that the important thing for how to implement this, and for patients to be aware of, is being very clear and very open with informed consent. If you're using a company that isn't really transparent about their data security and their data sharing practices, that needs to be clearly stated to the patient. If their data is going to be shared with other people, reanalyzed in a different way, many patients will potentially consider not participating in an AI implementation in clinic. And I think the other key thing is that this should be, at least initially, an opt-in approach as opposed to an opt-out approach. So patients really have- can really decide and have an informed opinion about whether or not they want to participate in the AI implementation in medicine. Dr Grouse: Well, thank you so much for explaining that. And it does certainly sound like there's a lot of development that's going to happen in that space as we are learning more about this and the use of it becomes more prevalent. Now, I also wanted to ask, another good point that you made in your article---and I don't think comes up enough in this area, but likely will as we're using it more---AI has a cost, and some of that cost is just the high amount of data and computational processing needed to use it, as well as the effects on the environment from all this energy usage. Given this drawback of AI, how can we think about potential costs versus the benefits, the more widespread use of this technology? Or how should we be thinking about it? Dr Hadar: It's part of a balance of the costs and benefits, effectively, is that AI---and just to kind of name some of them, when you have these larger data centers that are storing all this data, it requires a lot of energy consumption. It requires actually a lot of water to cool these things because they get really hot. So, these are some of the key environmental factors. And at this point, it's not as extreme as it could be, but you can imagine, as the world transitions towards an AI future, these data centers will become huge, massive, require a lot of energy. And as long as we still use a lot of nonrenewable resources to power our world, our civilization, I think this is going to be very difficult. It's going to allow for more carbon in the atmosphere, potentially more climate change. So, being very clear about using sustainable practices for AI usage, whether it be having data centers specifically use renewable resources, have clear water management guidelines, that sort of thing will allow for AI to grow, but in a sustainable way that doesn't damage our planet. In terms of the financial costs… so, AI is not free. However, on a given computer, if you want to run some basic AI analysis, you can definitely do it on any laptop you have and sometimes even on your phone. But for some of these larger models, kind of the ones that we're talking about in the medical field, it really requires a lot of computational power. And this stuff can be very expensive and can get very expensive very quickly, as anyone who's used any of these web service providers can attest to. So, it's very important to be clear-eyed about problems with implementation because some of these costs can be very prohibitive. You can run thousands and you can quickly rack up a lot of money for some very basic analysis if you want to do it in a very rapid way, in a very effective way. Dr Grouse: That's a great overview. You know, something that I think we're all going to be having to think about a lot more as we're incorporating these technologies. So, important conversations I hope we're all having, and in our institutions as we're making these decisions. I wanted to ask, certainly, as some of our listeners who may be still in the training process are hearing you talk about this and are really excited about AI and implementation of technology in medicine, what would you recommend to people who want to pursue a career in this area as you have done? Dr Hadar: So, I think one of the important things for trainees to understand are, there are different ways that they can incorporate AI into their lives going forward as they become more seasoned doctors. There are clinical ways, there are research ways, there are educational ways. A lot of the research ways, I'm one of the researchers, you can definitely incorporate AI. You can learn online. You can learn through books about how to use machine learning tools to do your analysis, and it can be very helpful. But I think one of the things that is lacking is a clinician who can traverse both the AI and patient care fields and be able to introduce AI in a very effective way that really provides value to the patients and improves the care of patients. So that means if a hospital system that a trainee is eventually part of wants to implement ambient technology, it's important for physicians to understand the risks, the benefits, how they may need to adapt to this. And to really advocate and say, just because we have this ambient technology doesn't mean now we see fifty different patients, and then you're stuck with the same issue of a worse patient-provider relationship. One of the reasons I got into medicine was to have that patient-provider interaction to not only be kind of a cog in the hospital machine, but to really take on a role as a healer and a physician. And one of the benefits of these AI tools is that in putting the machine in medicine, you can also put the humanity back in medicine at times. And I think that's a key component that trainees need to take to heart. Dr Grouse: I really appreciate you going into that, and sounds like there's certainly need. Hoping some of our listeners today will consider careers in pursuing AI and other types of technologies in medicine. I really appreciate you coming to talk with us today. I think this is just such a fascinating topic and an area that everybody's really excited about, and hoping that we'll be seeing more of this in our lives and hopefully improving our clinical practice. Thank you so much for talking to us about your article on AI in clinical neurology. It was a fascinating topic and I learned a lot. Dr Hadar: Thank you very much. I really appreciate the conversation, and I hope that trainees, physicians, and others will gain a lot and really help our patients through this. Dr Grouse: So again, today I've been interviewing Dr Peter Hadar about his article on clinical applications of artificial intelligence in neurology practice, which he wrote with Dr Lydia Moura. This article appears in the most recent issue of Continuum on neuro-ophthalmology. 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. Thank you for listening to Continuum Audio.

In this lively Friday edition of The Daily Herold, Jon Herold juggles kid duty, crypto quips, and deep state drama while tackling the day's top stories. Trump's proposed 50% tariff on the EU and 25% on Apple imports dominate the headlines, with Herold dissecting the geopolitical and economic implications, especially after a curious White House meeting between Trump and Tim Cook. The show also explores Trump's crackdown on Harvard's international student program and the swift judicial response that followed. Jon revisits Trump's forgotten “American Academy” proposal and questions the media silence surrounding this potentially revolutionary education reform. He breaks down the FTC's investigation into Media Matters, the censorship tactics used against conservative platforms, and ActBlue's donor scandal. Updates on the Russia-Ukraine prisoner swap and nuclear policy add depth, while a viral meltdown, AI-generated animal cartoons, and WNBA drama provide comic relief. Topped with biting commentary on Disney's politics, Smartmatic's legal troubles, and Sean Ryan's questionable interview chops, this episode is a whirlwind of current events, irreverent humor, and razor-sharp insight, all delivered in classic Herold style.  

Hi friends! I have a new podcast episode live and I'm so thrilled to talk to Dr. Joy Kong about a HOT health topic: stem cells. Here's what we discuss: What exactly are stem cells, and how do they work to support healing and regeneration? What kinds of conditions or symptoms does she typically see stem cell therapy help with most? The difference between using your own stem cells vs. donor-derived stem cells - and when one might be better than the other? Her tips for being Healthy In Real Life and so.much.more 181: all about stem cells with Dr. Joy Kong Dr. Joy Kong is a triple board-certifiedanti-aging physician and stem cell specialist, renowned for her expertise in stem cell therapy and commitment to educating both physicians and the public. With a strong presence in the industry, she has established herself as a trusted voice through her extensive lecturing at national and international conferences, as well as her publications in scientific journals. As a dedicated educator and pioneer in the field of regenerative medicine, Dr. Kong has founded the American Academy of Integrative Cell Therapy (AAICT) and trained numerous physicians from around the world. Her innovative approach has also led to the creation of Chara Health USA and Chara Biologics, premier companies providing cutting-edge products and services to patients across the United States. With numerous accolades, including Stem Cell Doctor of the Year and Stem Cell Doctor of the Decade, Dr. Kong continues to be a respected figure in the medical community, dedicated to advancing the field of regenerative medicine and improving patient outcomes through her emphasis on scientific data, passion, authenticity, and integrity. Her inspiring memoir, "Tiger of Beijing," which recounts her remarkable journey as an immigrant from China at the age of 20 starting with her visa rejection in 1991, was named 2020 Book of the Year by IAOTP. You can connect with her on her Instagram and check out her website here. You can check out her skincare line here and use the code FITNESSISTA for a discount! I haven't tried it yet, but her skin was so amazing, I can't wait to give this a try. Partners: Check out We Feed Raw! Maisey goes crazy for this! I use it as a topper for her kibble or mix it into her pup loaf. You can try the raw version, the raw dehydrated kibble, and they'll help you customize a plan for your pup. Use FITNESSISTA40 for 40% off your Meal Plan Starter Box here! The Lifewave X39 patches have been a gamechanger for my energy; the Pilot is obsessed, too! Check them out here.  Check out my new favorite red light device here, and use the code FITNESSISTA for a huge discount.  I've been using Nutrisense on and off for a couple of years now. I love being able to see how my blood sugar responds to my diet and habits, and run experiments. You can try out Nutrisense here and use GINA50 for $50 off. If any of my fellow health professional friends are looking for another way to help their clients, I highly recommend IHP. You can also use this information to heal yourself and then go one to heal others, which I think is a beautiful mission. You can absolutely join if you don't currently work in the health or fitness industry; many IHPs don't begin on this path. They're friends who are passionate to learn more about health and wellness, and want to share this information with those they love. You can do this as a passion, or start an entirely new career. You can use my referral link here and the code FITNESSISTA for up to $250 off the Integrative Health Practitioner program. I highly recommend it! You can check out my review IHP Level 1 here and my review of Level 2 here. Thank you so much for listening and for all of your support with the podcast! Please be sure to subscribe, and leave a rating or review if you enjoyed this episode. If you leave a rating, head to this page and you'll get a little “thank you” gift from me to you. 

We have covered menopause on this show on various occasions. That's fitting and non-surprising as we are a women's health education podcast! While vaginal dryness and hot flashes get most of the attention in menopause, and they should, less attention often is given to skin changes. Nonetheless, these dermal manifestations of perimenopause and menopause can be just as disturbing to those affected. Estrogen helps skin produce oil and hold onto water, so extremely dry skin during menopause is common. Plus, according to the American Academy of Dermatology, collagen production drops 30% in the first 5 years of menopause and approximately 2% each year for about the next 20 years. Collagen gives skin its plumpness and structure. The direct-to-consumer market is replete with a variety of over-the-counter estrogen containing products, formulated as facial creams, which are meant to fight the battle of skin aging. But is topical estrogen applied to the face effective? What are the data? You'd be surprised to learn that there is published data on this- even level I data. Are there any safety concerns? We will summarize it in this episode. PLUS, as a “two-for one” special, we will also briefly highlight a brand new publication in the journal JAMA Network Open regarding antenatal corticosteroid dose to delivery interval and fetal benefits.

Host Mitch Jeserich reads excerpts of the Iliad by Homer and translated by Emily Wilson. 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 scholarship, 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. Support KPFA!! Ancient Tales 3-Pack $250 The post The Iliad: War, Rage, and Sorrow appeared first on KPFA.

Dr. Sarah Nosal, President-Elect of the American Academy of Family Physicians, discusses the importance of family physicians in regard to mental health; Amelia Poulin, ASTHO Assistant Director of Emerging Infectious Disease at ASTHO, explains why a Disease Intervention Specialist is so important; an ASTHO webinar today, May 22nd at 2 p.m. ET, explores how regional data ecosystems can power smarter public health decisions; and an ASTHO resource walks you through the best ways to integrate sustainability into your implementation of the Healthy Brain Initiative. National Alliance on Mental Illness Web Page: Mental Health Awareness Month American Academy of Family Physicians Web Page ASTHO Web Page: Prioritizing Cases and Contacts: Considerations for STI Programs During Emergency Response ASTHO Webinar: INSPIRE – Readiness - Building a Data-Ready Ecosystem for Public Health Response ASTHO Web Page: Integrating Sustainability Into Healthy Brain Initiative Implementation  

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/ 

⁠⁠⁠⁠⁠⁠⁠Odkaz na celý díl⁠„Dobrá kampaň” hnutí STAN je krok vedle, politika má být politikou. Voliči chtějí koncepční řešení, dostupné bydlení nebo třeba návrat reálných mezd na předcovidovou úroveň. Nic z toho se Starostové ani nesnaží v kampani řešit, namísto toho akcentují euro a stejnopohlavní sňatky. Nejnovější vysokoškolské kauzy opět odkrývají nečinnost současné vlády v tomto resortu.Jak bude prezident vstupovat do povolebních jednání? Přestřelil Mikýř s tajným nahráváním influencerů, není vlastně dobrá zpráva, že se chytli jenom 3/40? Co si myslíte vy?Partnerem podcastu je advokátní kancelář ROWAN LEGAL a provozovatel zdravotnických zařízení PENTA HOSPITALS a American Academy.

Read the full transcript here. How big is the current mental health crisis? What's causing it? What do we know about the age distribution of people suffering from mental health issues right now? Is the crisis just that more people are suffering from anxiety and depression, or is there an increase in other disorders as well? Why are psychiatrists seemingly very picky about which insurance policies they'll accept? What percent of hospital psychiatric patients are repeat visitors? What would an ideal mental health system look like? How effective are addiction detox programs? Why might suicide prevention programs backfire? Which disorders are associated with the highest risks of suicide? If a person attempts suicide but is saved, how likely are they to attempt it again? When is it better to see a psychologist than a psychiatrist and vice versa? What are some of the most exciting and most worrying parts of genetic medicine? How should we decide which diseases to study and which treatments to develop? What's an "invisible" victim? Is there any solution to the problem of invisible victimhood? How effective was the Affordable Care Act (AKA "Obamacare")? Are we collectively spending too much money on end-of-life care? How can medicine better incorporate preventive care? What is body integrity disorder? Why do we have such a hard time combating our biases relating to physical beauty? Should polygamy be morally and/or legally permissible? Should medical aid in dying (AKA "assisted suicide") be morally and/or legally permissible? Are doctors too willing to resuscitate dying patients?Jacob M. Appel is currently Professor of Psychiatry and Medical Education at the Icahn School of Medicine at Mount Sinai in New York City, where he is Director of Ethics Education in Psychiatry, Associate Director of the Academy for Medicine and the Humanities, and Medical Director of the Mental Health Clinic at the East Harlem Health Outreach Program. Jacob is the author of five literary novels, ten short story collections, an essay collection, a cozy mystery, a thriller, two volumes of poems and a compendium of dilemmas in medical ethics. He is Vice President and Treasurer of the National Book Critics Circle, co-chair of the Group for the Advancement of Psychiatry's Committee on Psychiatry & Law, and a Councilor of the New York County Psychiatric Society and of the American Academy of Psychiatry & Law. Learn more about him at his website, jacobmappel.com.Further readingJacob (2019 documentary)"They Decide Who Lives, Who Dies" by Shana Alexander StaffSpencer Greenberg — Host / DirectorJosh Castle — ProducerRyan Kessler — Audio EngineerUri Bram — FactotumWeAmplify — TranscriptionistsMusicBroke for FreeJosh WoodwardLee RosevereQuiet Music for Tiny Robotswowamusiczapsplat.comAffiliatesClearer ThinkingGuidedTrackMind EasePositlyUpLift[Read more]

Emotion lies at the heart of all national movements, and Zionism is no exception. For those who identify as Zionist, the word connotes liberation and redemption, uniqueness and vulnerability. Yet for many, Zionism is a source of distaste if not disgust, and those who reject it are no less passionate than those who embrace it. The power of such emotions helps explain why a word originally associated with territorial aspiration has survived so many years after the establishment of the Israeli state.Zionism: An Emotional State (Rutgers UP, 2023) expertly demonstrates how the energy propelling the Zionist project originates from bundles of feeling whose elements have varied in volume, intensity, and durability across space and time. Beginning with an original typology of Zionism and a new take on its relationship to colonialism, Penslar then examines the emotions that have shaped Zionist sensibilities and practices over the course of the movement's history. The resulting portrait of Zionism reconfigures how we understand Jewish identity amidst continuing debates on the role of nationalism in the modern world. Derek Penslar is the William Lee Frost Professor of Jewish History and the Director of the Center for Jewish Studies at Harvard University. He previously taught at Indiana University, the University of Toronto, and the University of Oxford, where he was in inaugural holder of the Stanley Lewis Chair in Modern Israel Studies. Penslar has published a dozen books, most recently Zionism: An Emotional State (2023). He is currently writing a book titled The War for Palestine, 1947-1949: A Global History. Penslar is a past president of the American Academy for Jewish Research, a fellow of the Royal Society of Canada, and an Honorary Fellow of St. Anne's College, Oxford. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Neuro-ophthalmic deficits significantly impair quality of life by limiting participation in employment, educational, and recreational activities. Low-vision occupational therapy can improve cognition and mental health by helping patients adjust to visual disturbances. In this episode, Katie Grouse, MD, FAAN, speaks with Sachin Kedar, MD, FAAN, author of the article “Symptomatic Treatment of Neuro-ophthalmic Visual Disturbances” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Kedar is the Cyrus H Stoner professor of ophthalmology and a professor of neurology at Emory University School of Medicine in Atlanta, Georgia. Additional Resources Read the article: Symptomatic Treatment of Neuro-ophthalmic Visual Disturbances 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 Guest: @AIIMS1992 Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Sachin Kedar about his article on symptomatic treatment of neuro-ophthalmic visual disturbances, which appears in the April 2025 Continuum issue on neuro-ophthalmology. Welcome to the podcast, and please introduce yourself to our audience. Dr Kedar: Thank you, Katie. This is Sachin Kedar. I'm a neuro-ophthalmologist at Emory University, and I've been doing this for more than fifteen years now. I trained in both neurology and ophthalmology, with a fellowship in neuro-ophthalmology in between. It's a pleasure to be here. Dr Grouse: Well, we are so happy to have you, and I'm just so excited to be discussing this article with you, which I found to be a real treasure trove of useful clinical information on a topic that many find isn't covered enough in their neurologic training. I strongly recommend all of our listeners who work with patients with visual disturbances to check this out. I wanted to start by asking you what you hope will be the main takeaway from this article for our listeners? Dr Kedar: The most important takeaway from this article is, just keep vision on your radar when you are evaluating your patients with neurological disorders. Have a list of a few symptoms, do a basic screening vision, and ask patients about how their vision is impacting the quality of life. Things like activities of daily living, hobbies, whether they can cook, dress, ambulate, drive, read, interact with others. It is very important for us to do so because vision can be impacted by a lot of neurological diseases. Dr Grouse: What in the article do you think would come as the biggest surprise to our listeners? Dr Kedar: The fact that impairment of vision can magnify and amplify neurological deficits in a lot of what we think of as core neurological disorders should come as a surprise to most of the audience. Dr Grouse: On that note, I think it's probably helpful if you could remind us about the types of visual disturbances we should be thinking about and screening for in our patients? Dr Kedar: Patients who have neurological diseases can have a whole host of visual deficits. The simplest ones are deficits of central vision. They can have problems with their visual field. They can have abnormalities of color vision or even contrast sensitivity. A lot of our patients also complain of light sensitivity, eyes feeling tired when they're doing their usual stuff. Some of our patients can have double vision, they can have shaky vision, which leads to their sense of imbalance and maybe a fall risk to them. Dr Grouse: It's really helpful to think about all the different aspects in which vision can be affected, not just sort of the classic loss of vision. Now, your article also serves as a really important reminder, which you alluded to earlier, about how impactful visual disturbances can be on daily activities. Could you elaborate a little further on this, and particularly the various domains that can be affected when there are visual disturbances present? Dr Kedar: So, when I look at how visual disturbances affect quality of life, I look at two broad categories. One is activities of basic daily living. These would be things like, are you able to cook? Are you able to ambulate not just in your home, but in your neighborhood? Are you able to drive to your doctor's appointment or to visit with your family? Are you able to dress yourself appropriately? Are you able to visualize the clothing and choose them appropriately? And then the second category is recreational activities. Are you able to read? Are you able to watch television? Are you able to visit the theatre? Are you able to travel? Are you able to participate in group activities, be it with your family or be it with your social group? It is very important for us to ask our patients if they have problems doing any of this because it really can adversely impact the quality of life. Dr Grouse: I think, certainly with all the things we try to get through talking with our patients, this may not be something that we do spend a lot of time on. So, I think it's it is a good reminder that when we can, being able to ask about these are going to be really important and help us hit on a lot of other things we may not even realize or know to ask about. Now, I was really struck when I was reading your article by the meta-analysis that you had quoted that had showed 47% higher risk of developing dementia among the visually impaired compared to those without visual impairments. Should we be doing more in-depth visual testing on all of our patients with cognitive symptoms? Dr Kedar: This is actually the most interesting part of this article, and kind of hones in on the importance of vision in neurological disorders. Now I want to clarify that patients with visual disorders, it's not a causative influence on dementia, but if you have a patient with an underlying cognitive disorder, any kind of visual disturbance will significantly make it worse. And this has been shown in several studies, both in the neurologic and in the ophthalmological literature. So, I quoted one of the big meta-analysis over there, but studies have clearly shown that if you have these patients and treat them for their visual deficits, their cognitive indices can actually significantly improve. To answer your question, I would say a neurologist should include basic vision screening as part of every single evaluation. Now, I know it's a hard thing in, you know, these days when we are literally running on the hamster wheel, but I can assure you that it won't take you more than 2 to 3 minutes of your time to do this basic screening; in fact, you can have one of your assistants included as part of the vital signs assessment. What are these basic screening tools? Measure the visual acuity for both near and distance. Check and see if their visual field's off with the confrontation. Look at their eye movements. Are they able to move their eyes in all directions? Are the eyes stable when they're trying to fixate on a particular point? I think if you can do these basic things, you will have achieved quite a bit. Dr Grouse: That's really helpful, and thanks for going through some of the standard, or really, you know, solid basic foundation of visual testing we should be thinking about doing. I wanted to move on to some more details about the visual disturbances. You made an excellent point that there are many types of primary ophthalmologic conditions that can cause visual disturbances that we should keep in mind. So maybe not things that we think about a lot on a day-to-day basis, but, you know, are still there and very common. What are some of the most common ones, and when should we be referring them to see an ophthalmologist? Dr Kedar: So, it depends on the age group of your patient population. Now, the majority of us are adult neurologists, and so the kinds of ophthalmic conditions that we see in this population is going to be different from the pediatric age group. So in the adult population, we might see patients with uncorrected refractive error, presbyopia, patients who have cataracts creep on them, they may have glaucoma, they may have macular degeneration, and these tend to have a slightly higher incidence in the older age group. Now for those of us who are taking care of the younger population, uncorrected refractive errors, strabismus and amblyopia tend to be fairly common causes of visual deprivation in this age group. What I would encourage all of our neurologists is, make sure that your patients get a basic eye examination at least once a year. Just like you want them to go to their primary care and get an annual maintenance visit, everybody should go to the ophthalmologist or the optometrist and get a basic examination. And, if you're resourceful enough, have your patients bring a copy of that assessment. Whether it is normal or there's some abnormality, it is going to help you in the management. Dr Grouse: Absolutely. I think that's a great piece of advice, to think of it almost, like, them seeing their primary care doctor, which of course we offer encourage our patients to do, thinking of this as another very important piece of standard primary care. If a patient comes to you reporting difficulty reading due to possible visual disturbances, I'm curious, can you walk us through how you would approach this evaluation? Dr Kedar: It is not a very common presenting complaint of our patients, even in the neuro-ophthalmology clinic. It's a very rare patient that I see who comes and says, I cannot read or, I have difficulty reading. Most of the patients will come saying, oh, I cannot see. And then you have to dig in to find out, what does that actually mean? What can you not see? Is it a problem in your driving? Is it a problem in your reading? Or is it a problem that occurs at all times? Now you asked me, how do you approach this evaluation? One of the things that all of us, whether we are neurologists, ophthalmologists, or neuro-ophthalmologists, forget to do is to actually have the patient read a paragraph, a sentence, when they are in clinic. And that will give you a lot of ideas about what might actually be going wrong with the patient. Now, as far as how do I approach this evaluation, I will do a basic screening examination to make sure that their visual acuity is good for both distance and near. A lot of us tend to do either distance or near and we will miss the other parameter. You want to do a basic confrontation visual field to make sure that they do not have any subtle deficits that's impacting their ability to read. Examine the eye movements, do a fundoscopic examination. Now, once you've done this basic screening, as a neurologist, you already have some idea of whether your patient has a lesion along the visual pathways. If you suspect that this is a problem with, say, the visual pathways, ask your ophthalmology colleague to do a formal visual field assessment, and that'll pick up subtle deficits of central visual field. And lastly, don't forget higher visual function testing or cortical visual function testing. So basically, you're looking for neglect, phenomenon, or simultanagnosia, all of which tends to have an impact on reading. So, in the manuscript I have a schema of how you can approach a patient with reading difficulties, and in that ischemia you will see categories of where things can go wrong during the process of reading. And if you can approach your patient systematically through one of those domains, there's a fairly good chance that you'll be able to pick up a problem. Dr Grouse: Going a little further on to when you do identify problems with loss of central or peripheral vision, what are some strategies for symptomatic management of these types of visual disturbances? Dr Kedar: As a neurologist, if you pick up a problem with the vision, you have to send this patient to an eye care provider. The vast majority of people who have visual disturbances, it's from an eye disease. You know, as I alluded to earlier, it can be something as simple as uncorrected refractive error, and that can be fixed easily. A lot of patients in our older age group will have dry eye syndrome, which means they are unable to adequately lubricate the surface of the eye, and as a result, it degrades the quality of their vision. So, they tend to get intermittent episodes of blurred vision, or they tend to get glare. They tend to get various forms of optical aberration. Patients can have cataracts, patients can have glaucoma or macular degeneration. And in all of those instances, the goal is to treat the underlying disease, optimize the vision, and then see what the residual deficit is. By and large, if a patient has a problem with the central vision, then magnification will help them for activities that they perform at near; say, reading. Now for patients with peripheral vision problem, it's a different entity altogether. Again, once you've identified what the underlying cause is, your first goal is to treat it. So, for example, if your patient has glaucoma, which is affecting peripheral vision, you're going to treat glaucoma to make sure that the visual field does not progress. Now a lot of what happens after that is rehabilitation, and that is always geared towards the specific activities that are affected. Is it reading? Is it ambulating? Is it watching television? Is it driving? And then you can advise as a neurologist, you can advise your occupational therapist or low vision specialist and say, hey, my patient is not able to do this particular activity. Can we help them? Dr Grouse: Moving on from that, I wanted to also hit on your approach when patients have disorders of ocular motility. What are some things you can do for symptomatic management of that? Dr Kedar: So, patients with ocular motility can have two separate symptoms. Two, you know, two disabling symptoms, as they would call it. One is double vision and the other is oscillopsia, or the feeling or the visualization of the environment moving in response to your eyes not being able to stay still. Typically, you would see this in nystagmus. Now, let's start with diplopia. Diplopia is a fairly common presenting complaint for neurologists, ophthalmologists, and the neuro-ophthalmologist. The first aspect in the management of diplopia is to differentiate between monocular diplopia and binocular diplopia. Now, monocular diplopia is when the double vision persists even after covering one eye. And that is never a neurological issue. It's almost always an ophthalmic problem, which means the patient will then have to be assessed by an eye care provider to identify what's causing it. And again, refractive error, cataracts, opacities, they can do it. Now, if the patient is able to see single vision by covering one eye at a time, that's binocular diplopia. Now, in patients with binocular diplopia in the very early stages of the disease, the standard treatment regimen is just monocular occlusion. Cover one eye, the diplopia goes away, and then give it time to improve on its own. So, this is what we would typically do in a patient with, say, acute sixth nerve palsy or fourth nerve palsy or third nerve palsy, maybe expect spontaneous improvement in a few months. Now if the double vision does not improve and persists long term, then the neuro-ophthalmologist or the ophthalmologist will monitor the amount of deviation to see if it fluctuates or if it stays the same. So, what are the treatment options that we have in a patient who absolutely refuses any intervention or is not a candidate for any intervention? Monocular occlusion still remains the viable option. Now, patients who have stable ocular deviation can benefit from using prisms in their glasses, or they can be sent to a surgeon to have a strabismus surgery that can realign their eyes. So, again, a broad answer, but there are options available that we can use. Dr Grouse: Thank you for that overview. I think that's just really helpful to keep in mind as we're working with these patients and thinking about what their options are. And then finally, I wanted to touch on patients with higher-order vision processing and attention difficulties. What are some strategies for them? Dr Kedar: These are frankly the most difficult patients that I get to manage in my clinic, simply because there is no effective therapies for managing them. In fact, I think neurologists are far better at this than ophthalmologists or even neuro-ophthalmologists. In patients with attentional disorders, everything boils down to the underlying cause, whether you can treat it or whether it is a slowly progressive, you know, condition, such as from neurodegenerative diseases. And that tailors our goals towards therapy. The primary goal is for safety. A lot of these patients who have visual disturbances from vision processing or attention, they are at accident and fall risk. They have problems with social interactions. And, importantly, there is a gap of understanding of what's going on, not just from their side but also from the family's side. So, I tend to approach these patients from a safety perspective and social interaction perspective. Now, I have a table listed in the manuscript which will go into details of what the specific things are. But in a nutshell, if your patient has neglect in a specific part of the visual field, they have accident risk on that side. Simple things like walking through a doorway, they can hurt their shoulders or their knees when they bang into the wall on that side because they are unable to judge what's on the other side. Another example would be a patient who has simultanagnosia or a downgaze policy, such as from progressive super nuclear policy. They are unable to look down fast enough, or they are simply unable to look down and appreciate things that are on the floor, and so they can trip and fall. Walking downstairs is also not a huge risk because they are unable to judge distances as they walk down. A lot of what we see in these patients are things that we have to advise occupational therapists and help them improve these safety parameters at home. Another thing that we often forget is patients can inadvertently cause a social incident when they tend to ignore people on their affected side. So, if there is a family gathering, they tend to consistently ignore a group of people who are sitting on the affected side as opposed to the other side. And I've had more than a few patients who've come and said that, I may have offended some of my friends and family. In those instances, it's always helpful when they are in clinic to demonstrate to the family how this can be awkward and how this can be mitigated. So, having everybody sit on one side is a useful strategy. Advise your family and friends before a gathering that, hey, this may happen. And it is not because it is deliberate, but it's because of the medical condition. And that goes a lot, you know, further in helping our patients come out of social isolation because they are also afraid of offending people, you know. And they can also participate socially, and it can overall improve their quality of life. Dr Grouse: That's a really helpful tip, and something I'll keep in mind with my patients with neglect and visual field cuts. Thank you so much for coming to talk with us today. Your article has been so helpful, and I urge everybody listening today to take a look. Dr Kedar: Thank you, Katie. It was wonderful talking to you. Dr Grouse: I've been interviewing Dr Sachin Kedar about his article on symptomatic treatment of neuro-ophthalmic visual disturbances, which appears in the most recent issue of Continuum on neuro-ophthalmology. 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.

On the latest NFL Players: Second Acts podcast, Super Bowl champion Ben Utecht joins Peanut and Roman. Ben reflects on the moments that led to his NFL career and credits Tony Dungy for giving him his shot in the league. He shares what it was like competing with Peyton Manning and tells a story that sums up what it was like playing with him. Ben opens up about the concussion he sustained during practice that aired on Hard Knocks and how that experience led him to become an advocate for brain health and a spokesman for the American Academy of Neurology. Then, Ben talks about how a foot infection led to the launch of his company, Sole Care Rx. He shares what he’s learned since becoming a CEO and the leadership lessons he took from Tony Dungy into business. Later, Ben shares how his passion for music led him to a career as a singer and songwriter, and how the people of Indianapolis got to experience him for his voice first before they saw him on the football field. The NFL Players: Second Acts podcast is a production of the NFL in partnership with iHeartMedia.See omnystudio.com/listener for privacy information.

Emotion lies at the heart of all national movements, and Zionism is no exception. For those who identify as Zionist, the word connotes liberation and redemption, uniqueness and vulnerability. Yet for many, Zionism is a source of distaste if not disgust, and those who reject it are no less passionate than those who embrace it. The power of such emotions helps explain why a word originally associated with territorial aspiration has survived so many years after the establishment of the Israeli state.Zionism: An Emotional State (Rutgers UP, 2023) expertly demonstrates how the energy propelling the Zionist project originates from bundles of feeling whose elements have varied in volume, intensity, and durability across space and time. Beginning with an original typology of Zionism and a new take on its relationship to colonialism, Penslar then examines the emotions that have shaped Zionist sensibilities and practices over the course of the movement's history. The resulting portrait of Zionism reconfigures how we understand Jewish identity amidst continuing debates on the role of nationalism in the modern world. Derek Penslar is the William Lee Frost Professor of Jewish History and the Director of the Center for Jewish Studies at Harvard University. He previously taught at Indiana University, the University of Toronto, and the University of Oxford, where he was in inaugural holder of the Stanley Lewis Chair in Modern Israel Studies. Penslar has published a dozen books, most recently Zionism: An Emotional State (2023). He is currently writing a book titled The War for Palestine, 1947-1949: A Global History. Penslar is a past president of the American Academy for Jewish Research, a fellow of the Royal Society of Canada, and an Honorary Fellow of St. Anne's College, Oxford. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/jewish-studies

Emotion lies at the heart of all national movements, and Zionism is no exception. For those who identify as Zionist, the word connotes liberation and redemption, uniqueness and vulnerability. Yet for many, Zionism is a source of distaste if not disgust, and those who reject it are no less passionate than those who embrace it. The power of such emotions helps explain why a word originally associated with territorial aspiration has survived so many years after the establishment of the Israeli state.Zionism: An Emotional State (Rutgers UP, 2023) expertly demonstrates how the energy propelling the Zionist project originates from bundles of feeling whose elements have varied in volume, intensity, and durability across space and time. Beginning with an original typology of Zionism and a new take on its relationship to colonialism, Penslar then examines the emotions that have shaped Zionist sensibilities and practices over the course of the movement's history. The resulting portrait of Zionism reconfigures how we understand Jewish identity amidst continuing debates on the role of nationalism in the modern world. Derek Penslar is the William Lee Frost Professor of Jewish History and the Director of the Center for Jewish Studies at Harvard University. He previously taught at Indiana University, the University of Toronto, and the University of Oxford, where he was in inaugural holder of the Stanley Lewis Chair in Modern Israel Studies. Penslar has published a dozen books, most recently Zionism: An Emotional State (2023). He is currently writing a book titled The War for Palestine, 1947-1949: A Global History. Penslar is a past president of the American Academy for Jewish Research, a fellow of the Royal Society of Canada, and an Honorary Fellow of St. Anne's College, Oxford. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/middle-eastern-studies

Emotion lies at the heart of all national movements, and Zionism is no exception. For those who identify as Zionist, the word connotes liberation and redemption, uniqueness and vulnerability. Yet for many, Zionism is a source of distaste if not disgust, and those who reject it are no less passionate than those who embrace it. The power of such emotions helps explain why a word originally associated with territorial aspiration has survived so many years after the establishment of the Israeli state.Zionism: An Emotional State (Rutgers UP, 2023) expertly demonstrates how the energy propelling the Zionist project originates from bundles of feeling whose elements have varied in volume, intensity, and durability across space and time. Beginning with an original typology of Zionism and a new take on its relationship to colonialism, Penslar then examines the emotions that have shaped Zionist sensibilities and practices over the course of the movement's history. The resulting portrait of Zionism reconfigures how we understand Jewish identity amidst continuing debates on the role of nationalism in the modern world. Derek Penslar is the William Lee Frost Professor of Jewish History and the Director of the Center for Jewish Studies at Harvard University. He previously taught at Indiana University, the University of Toronto, and the University of Oxford, where he was in inaugural holder of the Stanley Lewis Chair in Modern Israel Studies. Penslar has published a dozen books, most recently Zionism: An Emotional State (2023). He is currently writing a book titled The War for Palestine, 1947-1949: A Global History. Penslar is a past president of the American Academy for Jewish Research, a fellow of the Royal Society of Canada, and an Honorary Fellow of St. Anne's College, Oxford. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/israel-studies

This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by Stephanie Spanos, MD, to talk all things planning and preparedness. From ambulatory bags and AEDs to team roles and EMS coordination, they break down what every pediatric office needs to be ready for emergencies. Tune in for practical tips, real-world scenarios, and tools to help your entire team stay calm and capable when it matters most. Have a question? Email questions@vcurb.com. Your questions will be answered next week. Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. 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.

Did you know that up to 50% of employees have allergies and/or asthma? And whether attributed to food or the environment, these conditions are covered by the Americans with Disabilities Act. Dr. Carla Davis — president-elect of the American Academy of Allergy, Asthma, and Immunology (AAAAI) — and host Wendy Fong discuss best practices for setting allergy and asthma accommodations across your organization. From establishing clear cleaning policies and emergency protocols to creating personalized action plans and comprehensive education strategies, learn how HR can work with everyone from senior leaders to facilities teams to keep the workplace safe, productive, and inclusive for all. Episode Transcript This podcast is approved for .5 PDCs toward SHRM-CP and SHRM-SCP recertification. Listen to the complete episode to get your activity ID at the end. ID expires June 1, 2026. Subscribe to HR Daily to get the latest episodes, expert insights, and additional resources delivered straight to your inbox: https://shrm.co/voegyz---Explore SHRM's all-new flagships. Content curated by experts. Created for you weekly. Each content journey features engaging podcasts, video, articles, and groundbreaking newsletters tailored to meet your unique needs in your organization and career. Learn More: https://shrm.co/coy63r Rate/review Honest HR on Apple Podcasts, Spotify, or wherever you listen to podcasts.

Infant Health with Family Connects In this episode of The Difference a Dad Makes, hosts J. Fotsch and Brian Mattson talk with Jordan Coiner from the Springfield-Greene County Health Department about the crucial role dads play in infant health. Jordan shares personal stories from his own parenting journey and introduces the Family Connects program, a home-visiting initiative offering support from registered nurses to every new family in Greene County. The conversation centers on how dads can stay curious, ask questions and get involved early in their child's life—especially when navigating sleep deprivation, changing family dynamics and emotional overwhelm. The discussion also highlights the overlooked mental health needs of new fathers. Jordan opens up about the postpartum challenges his family faced and encourages dads to prioritize self-care and emotional openness. Resources like Mental Health 417 and peer support are emphasized, as well as using reputable sources like the American Academy of Pediatrics to navigate conflicting parenting advice. The episode sends a strong message: Dads matter deeply and seeking help is a strength—not a weakness. Episode Highlights [06:32] “It's okay to not know the answer… being willing to ask the question is the biggest thing.” [07:13] “Every newborn in Greene County has access to our nurses… they'll come visit you in the home.” [14:37] “Talk to another friend of mine who is a dad as well… you realize you're not alone.” [17:10] “If I'm not taking care of myself, I can't fully take care of my family.” [18:39] “Health outcomes improve when dads are involved… for mom and baby.” [19:48] “Don't just trust what someone says on TikTok—go do your own research.” [25:17] “Hey man, you good? Let's have a conversation. Let's talk about our mental health.” Resources

00:00 Unpopular hair truths no one talks about but everyoneneeds to hear00:41 Unpopular hair truth #1 “Effortless” is a vibe, not areality02:21 Unpopular hair truth #2 Peri-menopause and menopausecan change your hair. It's not in your head and you're not doing anythingwrong.03:53 Unpopular hair truth #3 Seasonal shedding is normal(esp. in the summer)04:02 The three phases of hair growth05:57 Unpopular hair truth #4 The goal is to LOVE your hairat every age of your life.06:46 Hairstylists walk our clients through each phase oflife07:03 Unpopular hair truth #5 Hair is deeply emotional.08:55 Unpopular hair truth #6 A good shower filter will notsave your $300 color from cheap shampoo10:20 The issue with online product quizzes and AIrecommendations (most women don't know what hair they have)11:30 Unpopular hair truth #7 Only 10% of your hair healthis from what happens in the salon. 90% is what happens at home.13:36 Unpopular hair truth #8 Natural color still needsmaintenance, natural texture still needs effort.15:11 Unpopular hair truth #9 You don't have to follow societalbeauty “rules”DePolo, Jaime. (30 January, 2025). Menopausal Hair Changes. Breastcancer.org. https://www.breastcancer.org/treatment-side-effects/menopause/hair-changesKunz, Michael. (29 April, 2009). Seasonality of hair shedding in healthy women complaining of hair loss. Pubmed. https://pubmed.ncbi.nlm.nih.gov/19407435/10 Hair Care Habits that can Damage Your Hair. American Academy of Dermatology. https://www.aad.org/public/everyday-care/hair-scalp-care/hair/habits-that-damage-hair

Podcast summary of articles from the April 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include ECGs in cardiac arrest, strep toxic shock syndrome, diabetic ketoacidosis, chest pain work ups, exertional heat stroke, and pulmonary embolism controversies.  Guest speaker is Dr. Matthew Carvey.

⁠⁠⁠⁠⁠⁠Odkaz na celý díl⁠„Chci s hnutím ANO vyhrát sněmovní volby i Praze,” říká lídr pražské kandidátky a bývalý dvoj-ministr Karel Havlíček. Je přesvědčený, že podnikatelé nemají jinou možnost než volit ANO. O kom uvažuje jako koaličních partnerech? A jak si s Babišem plánují rozdělit kompetence?Havlíček přiznal, že hnutí ANO odmítá, že Babišova vláda v Evropě odsouhlasila Greendeal. Vedli jsme i debatu o zbrojení, 2 % na HDP na obranu, nebo ČEZu. V otázce dostavby Dukovan kritizoval „fatální” nerozhodnost premiéra Fialy. Zajímavé bylo i jak KH hovořil o budoucnosti Evropské unie, očekává náraz, který budou muset uklízet strany ala Patrioti.Partnerem podcastu je advokátní kancelář ROWAN LEGAL a provozovatel zdravotnických zařízení PENTA HOSPITALS a American Academy.

Real strength shows up when life knocks you down and you choose to rise with gratitude, faith, and community. Dr. Douglas Burton shares how a life-altering diagnosis transformed not just his health journey, but his entire perspective on what it means to truly live well. From the operating room to the other side of the patient experience, he opens his heart about the emotional weight of caregiving, the spiritual awakening that came through illness, and the small, intentional shifts that have brought him greater peace than ever before. His story is a powerful reminder that joy is not found in doing more—it's found in slowing down, showing up, and surrounding yourself with love. Key Takeaways: Slowing down and creating space for joy can be more healing than constant striving. Practicing daily gratitude builds emotional resilience and a deeper sense of peace. Community support is a critical part of mental, emotional, and spiritual well-being. Faith and surrender can bring clarity and calm when facing uncertainty or illness. True healing isn't just physical—it's also spiritual, relational, and deeply personal.   About Dr. Douglas Burton: Douglas Burton, M.D. is the Marc and Elinor Asher Spine Professor and Chair of the Department of Orthopedic Surgery at the University of Kansas Medical Center. He received his undergraduate degree from Kansas State University in Manhattan, KS and his MD from the University of Texas Southwestern in Dallas, TX. He completed his residency at the University of Kansas Medical Center and completed spine fellowships at The Texas Back Institute in Plano, TX and at Thomas Jefferson University in Philadelphia, PA. In 2003 he was awarded the Marc and Elinor Asher Spine Professorship. Dr. Burton's clinical practice is focused on the diagnosis and treatment of complex spinal disorders in both pediatric and adult patients. In addition to his primary practice location at the University of Kansas Hospital, he also travels to both Hutchinson and Salina, KS for a monthly outreach clinic to provide health care to patients in rural parts of Kansas. He is a member of the American Academy of Orthopaedic Surgeons, the American Orthopaedic Association, the Interurban Orthopaedic Society, the North American Spine Society and the Scoliosis Research Society, where he is the incoming Chair-Elect of the Research Council and member of the Board of Directors. He served as President of the Federation of Spine Associations from 2018 to 2019. In 2019, The American Association of Neurological Surgeons and the American Academy of Orthopaedic Surgeons announced a new partnership, the American Spine Registry (ASR), which will be jointly owned and developed by both organizations. Dr. Burton currently serves as co-chair of the Data Use Committee for the ASR. His research interests include the development of disease specific health related quality of life instruments and the study of complications and outcomes associated with spinal deformity surgery. He has authored or co-authored over 236 peer reviewed publications and serves as a Deputy Editor of Spine Deformity, the official journal of the Scoliosis Research Society. In 2006 he helped found and remains on the Executive Council of the International Spine Study Group. This is a consortium of spinal deformity surgeons and researchers at over 15 top academic centers in the United States and Canada with collaborators in Europe and Japan. They have been performing prospective and retrospective studies on surgical and non-surgical Adult Spinal Deformity patients since their inception.   Connect with Dr. Michelle and Bayleigh at: https://smallchangesbigshifts.com hello@smallchangesbigshifts.com https://www.linkedin.com/company/smallchangesbigshifts https://www.facebook.com/SmallChangesBigShifts https://www.instagram.com/smallchangesbigshiftsco   Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app. Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.

Holy smokes, theology nerds – buckle up for a prophetic ride through Black Christology that'll completely recalibrate your understanding of Jesus and faith in times of empire. I am joined by Dr. Adam Clark as he traces the revolutionary lineage from Howard Thurman's mystical Jesus who refuses the "hounds of hell" (after being called a traitor to dark peoples for following Christianity), through Albert Cleage's literal Black Messiah who'd be riding in the colored section of Jim Crow buses, to James Cone's God who shows up at the lynching tree. At a moment when Christian nationalism weaponizes the gospel to enforce xenophobic authoritarianism, this prophetic tradition reminds us that authentic Christian witness is found in loving solidarity with the crucified of today. This isn't polite reflection, friends – it's resistance theology that exposes how God deliberately identifies with the oppressed, choosing foolishness to shame the wise and weakness to shame the strong. This episode might flip your theological world upside down, but that's precisely what good theology should do. To get Adam's lecture and four more, join the class,⁠⁠The Many Faces of Christ Today⁠⁠. You can WATCH the conversation on YouTube Dr. Adam Clark is Associate Professor of Theology at Xavier University. He currently serves as co-chair of Black Theology Group at the American Academy of Religion, actively publishes in the area of black theology and black religion and participates in social justice groups at Xavier and in the Cincinnati area. He earned his PhD at Union Theological Seminary in New York where he was mentored by James Cone. Previous Episodes w/ Adam: Thinking Liberation From Contemplation to Liberation The Living & Liberating Mystery Cancel Culture, Rogan, Whoopi, Chappelle, & the NFL Gary Dorrien & Adam Clark: James Cone and the Emergence of Black Theology Serene Jones & Adam Clark: Theology Matters and the Legacy of James Cone The Crisis of American Religion & Democracy: 1/6 a year later Christmas, BLM, Abortion, & the War on White Evangelicalism Jan 6th Theological Debrief: Adam Clark and Jeffrey Pugh Adam Clark: What is Black Theology? From Lebron James to the Black Panther: Black Theology QnA w/ Adam Clark Adam Clark: James Cone was right Upcoming Online Class:⁠ Rediscovering the Spirit: Hand-Raisers, Han, & the Holy Ghost⁠ "⁠Rediscovering the Spirit: Hand-Raisers, Han, and the Holy Ghost⁠" is an open-online course exploring the dynamic, often overlooked third person of the Trinity. Based on Grace Ji-Sun Kim's groundbreaking work on the Holy Spirit (pneumatology), this class takes participants on a journey through biblical foundations, historical developments, diverse cultural perspectives, and practical applications of Spirit theology. Moving beyond traditional Western theological frameworks, we'll explore feminist interpretations, global perspectives, and innovative approaches to understanding the Spirit in today's world. Whether you've felt the Spirit was missing from your faith journey or are simply curious to deepen your understanding, this class creates space for thoughtful discussion, personal reflection, and spiritual growth. ⁠As always, this class is donation-based, including 0. To get class info and sign up, head over here. ⁠ _____________________ ⁠⁠⁠Hang with 40+ Scholars & Podcasts and 600 people at Theology Beer Camp 2025 (Oct. 16-18) in St. Paul, MN. ⁠⁠⁠ This podcast is a ⁠⁠⁠Homebrewed Christianity⁠⁠⁠ production. Follow ⁠⁠⁠the Homebrewed Christianity⁠⁠⁠, ⁠⁠⁠Theology Nerd Throwdown⁠⁠⁠, & ⁠⁠⁠The Rise of Bonhoeffer⁠⁠⁠ podcasts for more theological goodness for your earbuds. Join over 80,000 other people by joining our⁠⁠⁠ Substack - Process This!⁠⁠⁠ Get instant access to over 45 classes at ⁠⁠⁠www.TheologyClass.com⁠⁠⁠ ⁠⁠⁠Follow the podcast, drop a review⁠⁠⁠, send ⁠⁠⁠feedback/questions⁠⁠⁠ or become a ⁠⁠⁠member of the HBC Community⁠⁠⁠. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textIn this episode, Joe sits down with Lieutenant General Mary Izaguirre, the 46th Surgeon General of the U.S. Army and Commanding General of Army Medical Command, for a wide-ranging conversation on leadership, vulnerability, culture, and purpose. Drawing on over three decades of service, LTG Izaguirre shares hard-earned lessons on how to lead authentically and navigate professional complexity.Together, they discuss the evolving role of Army Medicine, the power of modeling vulnerability, and how intentionality—not balance—is the key to managing life's trade-offs. Joe and LTG Izaguirre cover:Why vulnerability is a leadership strength, not a weaknessHow leaders can model safety, trust, and curiosity within their teamsThe importance of asking the right questions—and being okay not knowing the answersHow trade-offs, not balance, define sustainable leadershipThe impact of journaling and reflection in high-responsibility rolesBreaking down the “us vs. them” mentality in large organizationsWhat Army Medicine's true mission is—and why it matters more than everWhether you're a leader in uniform, a parent navigating a demanding career, or someone wrestling with how to show up fully for both your mission and your people, this episode is packed with wisdom, candor, and practical insights.Lieutenant General Mary K. Izaguirre is the 46th Surgeon General of the U.S. Army and the Commanding General of Army Medical Command. A board-certified family physician and Fellow of the American Academy of Family Physicians, she brings over three decades of military and medical leadership to her role. LTG Izaguirre has held key command and senior staff positions across the Army and deployed in support of operations in Iraq and Afghanistan. She holds multiple advanced degrees, including a Doctor of Osteopathic Medicine, Master of Public Health, and Master in National Security and Resource Strategy. She and her husband, Joseph, are the proud parents of five children.A Special Thanks to Our Sponsors!Veteran-founded Adyton. Step into the next generation of equipment management with Log-E by Adyton. Whether you are doing monthly inventories or preparing for deployment, Log-E is your pocket property book, giving real-time visibility into equipment status and mission readiness. Learn more about how Log-E can revolutionize your property tracking process here!Meet ROGER Bank—a modern, digital bank built for military members, by military members. With early payday, no fees, high-yield accounts, and real support, it's banking that gets you. Funds are FDIC insured through Citizens Bank of Edmond, so you can bank with confidence and peace of mind. 

John Holdren is the Teresa and John Heinz Research Professor for Science and International Affairs at Harvard University's Kennedy School of Government and co-director of the Science, Technology, and Public Policy Program at the School's Belfer Center for Science and International Affairs. He is a former Professor of Environmental Science and Policy in the Department of Earth and Planetary Sciences, and Affiliated Professor in the John A. Paulson School of Engineering and Applied Science. He is also President Emeritus and Senior Advisor to the President at the Woodwell Climate Research Center, a pre-eminent, independent, environmental-research organization. From 2009 to 2017, Holdren was President Obama's Science Advisor and Director of the White House Office of Science and Technology Policy, becoming the longest-serving Science Advisor to the President in the history of the position. Before joining Harvard, was a professor of energy resources at the University of California, Berkeley, where he founded and led the interdisciplinary graduate-degree program in energy and resources. Prior to that he was a theoretical physicist in the Theory Group of the Magnetic Fusion Energy Division at the Lawrence Livermore National Laboratory and a Senior Research Fellow at Caltech. He has been a member of the Board of Trustees of the MacArthur Foundation and Chairman of the Committee on International Security and Arms Control at the National Academy of Sciences. During the Clinton Administration, he served for both terms on the President's Council of Advisors on Science and Technology, leading multiple studies on energy-technology innovation and nuclear arms control. He is a member of the U.S. National Academy of Sciences, the U.S. National Academy of Engineering, the American Philosophical Society, the American Academy of Arts and Sciences, the American Academy of Political and Social Science, and the Council on Foreign Relations. He is also a foreign member of the Royal Society of London and the Indian National Academy of Engineering and a former President of the American Association for the Advancement of Science. His many honors include one of the first MacArthur Prize Fellowships (1981) and the Moynihan Prize of the American Academy of Political and Social Sciences. In 1995, he gave the acceptance speech for the Nobel Peace Prize on behalf of the Pugwash Conferences on Science and World Affairs, an international organization of scientists and public figures. He holds SB and SM degrees from MIT in aeronautics and astronautics and a Ph.D. from Stanford in aeronautics and astronautics and theoretical plasma physics.Jennifer Spence is the Director of the Arctic Initiative at Harvard Kennedy School's Belfer Center for Science and International Affairs, with expertise related to sustainable development, international governance, institutional effectiveness, and public policy. Spence currently co-chairs the Arctic Research Cooperation and Diplomacy Research Priority Team for the Fourth International Conference on Arctic Research Planning (ICARP IV), participates as a member of the Climate Expert Group for the Arctic Council's Arctic Monitoring and Assessment Programme, and sits as a member of the Yukon Arctic Security Advisory Council. Spence was the Executive Secretary of the Arctic Council's Sustainable Development Working Group from 2019-2023. Previously, she taught and conducted research at Carleton University and worked for a 2-year term at the United Nations Development Programme. She also worked for 18 years with the Government of Canada in senior positions related to resource management, conflict and change management, strategic planning, and leadership development. Spence holds a Ph.D. in public policy from Carleton University, a MA from Royal Roads University in conflict management and analysis, and a BA in political science from the University of British Columbia.Ralph Ranalli of the HKS Office of Communications and Public Affairs is the host, producer, and editor of HKS PolicyCast. A former journalist, public television producer, and entrepreneur, he holds an BA in political science from UCLA and a master's in journalism from Columbia University.Scheduling and logistical support for PolicyCast is provided by Lilian Wainaina.Design and graphics support is provided by Laura King and the OCPA Design Team. Web design and social media promotion support is provided by Catherine Santrock and Natalie Montaner. Editorial support is provided by Nora Delaney and Robert O'Neill. 

Episode 191: Diagnosis of ADHDFuture Dr. Granat explains how to diagnose Attention Deficit Hyperactivity Disorder. She explained the influence of social media in increasing awareness of ADHD. Dr. Arreaza added input about the validated tools for ADHD diagnosis and highlighted the importance of expert evaluation for the diagnosis of this disorder.  Written by Yen Stephanie Granat, MSIV. Ross University School of Medicine. Comments and editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Steph: I love podcasts—many of us do—and if you, like me, spend any amount of your leisure time listening to podcasts, perusing the news, or scrolling social media; you've likely noticed an alarming trend in the number of discussions we seem to be having about ADHD. It has grown into a very hot topic over the past couple of years, and for some of us, it seems to have even begun sneaking into our “recommended videos” and across our news feeds! Naturally, for the average person this can spur questions like:“Do I have ADHD? Do we all have it? How can I be certain either way, and what do I do if I find myself relating to most of the symptoms that I'm seeing discussed?”Granted that there is a whirlpool of information circulating around this hot topic, I was hoping to spend a bit of time clearly outlining the disorder for anyone finding themselves curious. I believe that can best be achieved through outlining a clear, concise, and easy-to-understand definition of what ADHD is; outlining what it is not; and helping people sift through the fact and the fiction. As with many important things we see discussed on the internet, we're seeing is that there is much more fiction than fact. Arreaza: I'm so glad you chose this topic! I think it is challenging to find reliable information about complex topics like ADHD. Tik Tok, Instagram and Facebook are great social media platforms, but we have to admit that fake news have spread like a fire in recent years. So, if you, listener, are looking for reliable information about ADHD, you are in the right place. With ADHD, there aren't any obvious indicators, or rapid tests someone can take at home to give themselves a reliable “yes” or “no” test result. People's concerns with ADHD are valid, and important to address, so we will discuss the steps to identify some of signs and symptoms they are seeing on TikTok or their favorite podcaster. Steph: Healthcare anxiety is a vital factor to consider when it comes to large cultural conversations around our minds and bodies; so, I hope to sweep away some of the misconceptions and misinformation floating around about ADHD. In doing so, I want to help alleviate any stress or confusion for anyone finding themselves wondering if ADHD is impacting their lives! We might even be able to more accurately navigate these kinds of “viral topics” (for lack of a better term) next time we see them popping up on our news feeds.Arreaza: The first thing I want to say about ADHD is “the crumpled paper sign.”Steph: What is that?Arreaza: It is an undescribed sign of ADHD, I have noticed it, and it is anecdotal, not evidence based. When I walk into a room to see a pediatric patient, I have noticed that when the paper that covers the examination table is crumpled, most of the times it is because the pediatric patient is very active. Then I proceed to ask questions about ADHD and I have been right many times about the diagnosis. So, just an anecdote, remember the crumpled paper sign.  Steph: When you have patients coming to you asking for stimulants because they think they have ADHD, hopefully, after today, you can be better prepared to help those patients. So, for the average person—anyone wanting to be sure if this diagnosis applies to them—how can we really know?”Arreaza: So, let's talk about diagnosis.Steph: Yes, the clearest information we have is the DSM-5, which defines these disorders, as well as outlines the specific criteria (or “checkpoints”) one needs to meet to be able to have a formal diagnosis. However, this manual is best utilized by a trained professional—in this case, a physician—who can properly assess your signs and symptoms and give you a clear answer. Steph: ADHD stands for Attention Deficit Hyperactivity Disorder. It is among the most common neurodevelopmental disorders of childhood. That is not to say it does not affect adult—it does—and because it can be easy to miss, it's very possible for someone to have ADHD without knowing. Arreaza: I recently learned that ADD is an outdated term. Some people with ADHD do not have hyperactivity but the term still applies to them. Steph: Yes, there are multiple types that I will explain in just a bit. But overall the disorder is most simply characterized by a significant degree of difficulty in paying attention, controlling impulsive behaviors, or in being overly active in a way that the individual finds very difficult to control. (CDC)Arreaza: How common is ADHD?Steph: The most recently published data from The CDC estimates that 7 million (11.4%) of U.S. children between the ages of 3 and 17 have been diagnosed with ADHD. For adults, it is estimated that there are 15.5 million (6%) individuals in the U.S. who currently have ADHD. Arreaza: I suspected it would be more than that. [Anecdote about Boy Scout camp]. Steph: I totally agree. With short videos on TikTok, or paying high subscription fees to skip ads, it feels like as a society we all have a shorter attention span. Arreaza: Even churches are adapting to the new generation of believers: Shorter sermons and shorter lessons.Steph: When it comes to better understanding these numbers, it's also important to know that there are three distinct presentations of ADHD recognized by The CDC and The World Health Organization. Arreaza: The DSM-5 TR no longer uses the word “subtypes” for ADHD. Instead, it uses the word "presentation" to describe the different ways that ADHD may manifest in a person. That reminded me to update my old DSM-5 manual and I ordered it while reading today about ADHD. This means people with ADHD are no longer diagnosed as having a “subtype”. Instead, they are diagnosed with ADHD and a certain “presentation” of symptoms.Steph: These presentations are:Inattentive TypePeople often have difficulty planning or completing tasksThey find themselves easily distracted (especially when it comes to longer, focus-oriented tasks)They can often forget details and specifics, even with things that are part of their daily routineThis used to be referred to as “ADD” (you'll notice the absence of an “H”, segue).Hyperactive-Impulsive TypePeople often have a sense of intense “restlessness”, noticeable even in calm environments.They tend to be noticeably more talkative, and might often be seen interrupting others, or finishing their sentences.They find significant difficulty in being still for extended periods. Because of this, they are often unable to sit through a movie or class time, without fidgeting or getting up and moving around.With this category of ADHD, we often see an impulsiveness that unwittingly leads to risky behavior. Because of this, accidents and bodily injury are more common in individuals with this type of ADHD.Combined TypeThese are individuals who exhibit symptoms from both “Inattentive” and “Hyperactive-Impulsive” ADHD equally.Some listeners might have noticed that the categories are quite different, meaning that ADHD presents in different ways depending on the person! Two people who have ADHD can be in the same room and have vastly different presentations, whilst still having many of the same types of challenges. You also might have noticed what makes the discussion so interesting to the general public, which is also the thing that makes speaking to a professional to get formally tested so important:The diagnostic criteria rely heavily on patterns of behavior, or external variables; rather than on how a person might feel, or certain measurements taken from lab tests.Arreaza: Diagnosing ADHD requires evaluation by a professional who is properly trained for this. Fortunately, we have tools to assist with the diagnosis. The attention deficit must be noted in more than one major setting (e.g., social, academic, or occupational), that's why the information should be gathered from multiple sources, including parents, teachers, and other caregivers, using validated tools, such as:The Neuropsychiatric EEG-Based ADHD Assessment Aid (NEBA), recommended by the American Academy of NeurologyThe Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) and the Vanderbilt ADHD Diagnostic Teacher Rating Scale (VADTRS), recommended by the Society for Developmental and Behavioral Pediatrics.For adults: The validated rating scales include the Adult ADHD Self-Report Scale (ASRS) and the Conners Adult ADHD Rating Scales (CAARS).Steph: This is important because nearly everyone alive has experienced several, if not most, of these behavioral patterns at least once. Whether or not an individual has ADHD, I'm certain we could all think of moments we've had great difficulty focusing or sitting still. Perhaps some of us are incredibly forgetful, or act more impulsively than the average person might find typical. Getting a professional diagnosis is important because it is in skillfully assessing “the bigger picture” of a person's life, or their patterns of behavior, that a skilled physician, who understands the nuances and complexities in these disorders, can properly tell each of us whether we have ADHD, or not.Essentially, most of us could stand to use a bit more focus these days, but far fewer of us would meaningfully benefit from the kinds of treatments and therapies needed by individuals with ADHD to live healthier, more happy and regulated lives.Arreaza: I had a mother who came to discuss the results of the Vanderbilt Questionnaire. I think she left a little disappointed when she heard that, based on the responses from her and the teacher, her son did not have ADHD. Some kids may have behaviors such as being distracted during a meeting, forgetting about homework or having a lot of energy, but that does NOT mean necessarily that they have ADHD, right?Steph: Absolutely! The important thing to remember here is that these patterns of behavior outlined in the DSM-5 are merely an external gauge for a neurological reality. What the science is showing us is that the brains of people with ADHD are wired differently than that of the more “neurotypical” brain. Much like a check engine light would serve as a signal to a driver that something under the hood needs attention; these patterns of behavior, when they begin impeding our day to day lives, might tell us that it's time to see a professional (whether it be an auto mechanic or a trained physician). I think we all know someone who drives with their check engine light and not a care in the world. Arreaza: How serious/urgent is ADHD? Why should we care to make the diagnosis?Steph: Although we've yet to see anyone incur harm solely from having ADHD, it does lead to quite a range of more serious issues, some of which might prove more urgent. In the cases of ADHD, specifically, what we know is that there is a notable degree of dysregulation in some key neurotransmitters, like dopamine and norepinephrine. More plainly, what we are seeing in the brains of people with ADHD is a disruption, or alteration, of some of the brain's key chemicals.These neurotransmitters are largely responsible for much-needed processes like Motivation, Satisfaction, Focus, Impulse control, even things like energy and feelings of happiness. Many of these things serve as “fuel” for our day-to-day lives; things we'd call our “executive function”.  These are also what prove dysfunctional in those struggling with ADHD. It is in this sense that we might be able to bridge a meaningful gap between ADHD as being seen through patterns of behaviorthat signal a real, neurological reality.Steph: We often hear of the brain referenced as a kind of supercomputer. A more accurate assessment might be that the brain is more of a network of interconnected computers that run different processes and require continual communication with one another for our brain to function properly and seamlessly. What we're seeing in members of the population with this diagnosis, is a significant disruption in these lines of communication. Although this is a very broad oversimplification, for the purposes of our metaphor is to think of it like our brain chemicals getting caught in a traffic jam, or parts of our brain attempting to communicate to one another with poor cell signal. Arreaza: Making the diagnosis is critical to start treatment because having that level of dysfunction sounds like having a very difficult life.Steph: Yeah! I think that's why this conversation matters so much. There's a sense of urgency there, because much of life is, in fact, boring. Things like paying bills, exercising and eating well, work and school—these are all things that are vital to health and wellbeing in day-to-day life; and for the more neurotypical brain, these things might prove occasionally challenging. Yet, they are still doable. For those with ADHD however, this goes far beyond mere boredom or “laziness” (which proves to be a trigger term for many—more on that in just a bit).For folks listening, I wanted to offer some statistics that show why this is such a big concern for the public, whether one has a formal ADHD diagnosis or not. The facts are figures are:Children with ADHD are more than five times as likely as the child without ADHD to have major depression.A significant increase in the prevalence of anxiety is seen in ADHD patients, ranging from 15% to 35%, when accounting for overlap in symptoms.There are significant correlations in youth diagnosed with ADHD, and those diagnosed with what are known as “externalizing disorders”. These are things like Conduct Disorder, Disruptive Mood Dysregulation Disorder, and Oppositional Defiant Disorder.We are seeing a much higher rate of academic problems in kids who have ADHD, like reading disorder, impaired verbal skills, and visual motor integration.We're finding that many, if not most, of these connections are being made after diagnosis. In the case of the “internalized disorders”, like depression and anxiety, we're often seeing years between ADHD diagnoses and the diagnoses of major depressive disorder or anxiety disorders. Given this framework, much of the data is theorized to point towards what we call “negative environmental circumstances”, otherwise known as “ADHD-related demoralization”.For children, this often looks like struggling with sitting still during class, failing to get homework done (because they forgot, or couldn't focus on the tasks at hand), and struggling to focus their attention on what their teacher is saying during lecture. These things often lead to bad grades, discipline or forced time sitting still in detention. This can be seen in more problems at home, with children being disciplined often for behavior that they struggle immensely to control.For adults, this can mean forgetting to pay your bills, missing work meetings, having trouble making appointments, or having difficulty with day-to-day tasks, really anything that requires sustained attention. We often see adults with ADHD who are chasing normalcy with caffeine addictions or even struggling with substance use. Arreaza: Substance use disorder actually can be a way for some people living with ADHD to self-treat their symptoms. Steph: These differences between the individual's experience and the world around them can lead to really powerful feelings of failure or inadequacy. They can affect your social life, your sense of community, and even further limit your capacity to seek help.Literacy in these things is so important—not just for the individual who feels that they may have ADHD, but also for those who are likely to encounter people with ADHD in their own lives. Understanding why some of these patterns pop up, even those who might not have a formal diagnosis, can go a long way to properly approaching these behaviors with success and with empathy.Arreaza: Learning about ADHD is fundamental for primary care doctors. We talked about the high prevalence and the influence of the media in increasing awareness and sometimes increasing public panic. So, we have to be prepared to diagnose or undiagnosed ADHD. Steph: Whether we're the physicians in the room, or the patient in the chair, I think it's important to have a clear understanding of what ADHD is and how it can affect lives. Thanks for listening, I hope we were able to teach you a little more about ADHD. ______________Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _______________References:NICHQ-Vanderbilt-Assessment-Scales PDF: https://nichq.org/wp-content/uploads/2024/09/NICHQ-Vanderbilt-Assessment-Scales.pdfADHD: The facts. ADDA - Attention Deficit Disorder Association. (2023, January 11). https://add.org/adhd-facts/American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596.Gnanavel S, Sharma P, Kaushal P, Hussain S. Attention deficit hyperactivity disorder and comorbidity: A review of literature. World J Clin Cases. 2019 Sep 6;7(17):2420-2426. doi: 10.12998/wjcc.v7.i17.2420. PMID: 31559278; PMCID: PMC6745333.Staley BS, Robinson LR, Claussen AH, et al. Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October – November 2023. CDC.Gov, MMWR Morb Mortal Wkly Rep 2024;73:890-895.Danielson ML, Claussen AH, Arifkhanova A, Gonzalez MG, Surman C. Who Provides Outpatient Clinical Care for Adults With ADHD? Analysis of Healthcare Claims by Types of Providers Among Private Insurance and Medicaid Enrollees, 2021. J Atten Disord. 2024 Jun;28(8):1225-1235. doi: 10.1177/10870547241238899. Epub 2024 Mar 18. PMID: 38500256; PMCID: PMC11108736. https://pubmed.ncbi.nlm.nih.gov/38500256/Mattingly G, Childress A. Clinical implications of attention-deficit/hyperactivity disorder in adults: what new data on diagnostic trends, treatment barriers, and telehealth utilization tell us. J Clin Psychiatry. 2024;85(4):24com15592. https://www.psychiatrist.com/jcp/implications-adult-adhd-diagnostic-trends-treatment-barriers-telehealth/Didier J. My four kids and I all have ADHD. We need telehealth options. STAT News. Published October 10, 2024. Accessed October 10, 2024. https://www.statnews.com/2024/10/10/adhd-medication-shortage-telehealth-dea-congress/.Hong J, Mattingly GW, Carbray JA, Cooper TV, Findling RL, Gignac M, Glaser PE, Lopez FA, Maletic V, McIntyre RS, Robb AS, Singh MK, Stein MA, Stahl SM. Expert consensus statement for telepsychiatry and attention-deficit hyperactivity disorder. CNS Spectr. 2024 May 20:1-12. doi: 10.1017/S1092852924000208. Epub ahead of print. PMID: 38764385. https://pubmed.ncbi.nlm.nih.gov/38764385/Gabor Maté: The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture. (2022). Youtube. Retrieved April 27, 2025, from https://www.youtube.com/watch?v=ttu21ViNiC0. Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

⁠⁠⁠⁠⁠⁠Odkaz na celý díl⁠Zruší se tendr a uchýlí se vláda nakonec k G2G zakázce? Dával tendr vůbec někdy smysl? Michal Šnobr roky upozorňoval, že ne! Z vývoje výstavby Dukovan nemůže mít nikdo radost. Politicky z chaosu vytěží opoziční až antisystémové síly. Shoda na výstavbě jádra jde v ČR napříč spektrem, přesto se to současné vládě nedaří dotáhnout. S odstupem času jsme probrali i ne/úspěchy Donalda Trumpa a opravili data z minulého týdne o výstavbě v ČR.Partnerem podcastu je advokátní kancelář ROWAN LEGAL a provozovatel zdravotnických zařízení PENTA HOSPITALS a American Academy.

#ThisMorning on #BRN #Wellness #2070 | Your #Eyes Could Be the #Windows to Your #Health | Amita Vadada, MD, American Academy of Opthamology | #Tunein: broadcastretirementnetwork.com #Aging, #Finance, #Lifestyle, #Privacy, #Retirement, #Wellness and #More - #Everyday

Host Mikalyn DeFoor, MD Guest interviewee Gabriella E. Ode, MD, FAAOS, FAOA, discussing her research article, “Examining the Outliers: Characteristics of the Most and Least Diverse Programs in Orthopaedics” from the May 15, 2025 issue Article summarized from the May 1, 2025 issue Research article “Geographic Location Markedly Affects Academic Productivity of Pediatric Orthopaedic Surgeons” Article summarized from the May 15, 2025 issue Research article “Assessing the Linking Between the Orthopaedic In-Training Examination and the American Board of Orthopaedic Surgery Part I Certification Examination” Follow this link to download these and other articles from the May 1, 2025 issue of JAAOS and the May 15, 2025 issue of JAAOS. The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

From arsenic to antifreeze, we're diving deep into the dark world of deadly doses. Get ready for tales of twisted intentions and silent killers. This episode is toxic!You can check out Murder and Such here!Research links below! The Journal of the American Academy of Psychiatry and the Law - "Arsenic, Familicide, and Female Physiology in Nineteenth-Century America"Alexandria Gazette - "A Terrible Confession"Morning Journal and Courier - "A Modern Borgia's Deeds"The Wheeling Daily Intelligencer - "A Woman Executed""Periodic Insanity as Illustrated in the Case of Sarah J. Whiteling, and Others" by Alice Bennett, MDMurderpedia - "Sarah Jane Whiteling"Medium - "Sarah Jane Whiteling: The Wholesale Poisoner"BBC News - "Patricia Dagorn: France's 'Black Widow' jailed for poisonings"The Guardian - "France's 'black widow' jailed for 22 years after killing two elderly men"Pulse - "France's 'Black Widow' has prison term cut on appeal"South China Morning Post - "'Perverse' woman who seduced and murdered old men is jailed for 22 years in France"The Guardian - "France's 'black widow' on trial for killing two old men for their money"Getty Images - "Files in the case of Patricia Dagorn"New York Post - "How 'black widow' became the femme fatale of the French Riviera"The Times - "Black Widow of Côte d'Azur robbed and poisoned lonely men"RFI - "'Black Widow' gets 22-year jail term for poisoning wealthy old men"

How would you describe “longevity” to your patients? We've got an expert who can help. This week, we're just joined by Dr. Doris Day as she walks us through the concept of longevity. Listen in as she discusses diet, medications, psoriasis, eating schedules, the mTOR pathway, and why it makes sense to spoil your appetite. Each Thursday, join Dr. Raja and Dr. Hadar, board-certified dermatologists, as they share the latest evidence-based research in integrative dermatology. For access to CE/CME courses, become a member at LearnSkin.com.   Doris Day, MD, is a board-certified dermatologist who specializes in cosmetic dermatology on the Upper East Side in New York City. She is a clinical professor of dermatology at the New York University Medical Center, where she received the Award for Dedication and Excellence in the Teaching of Dermatology. She has also been honored with the American Skin Association Award for Mentorship in Dermatology and the AAD Presidential Citation in recognition of her dedication and leadership in the field of aesthetic dermatology. Most recently, she was named the #3 Top Cosmetic Dermatologist in the U.S. by Newsweek. Dr. Day has received awards for her work in laser research and continues to actively participate in FDA clinical trials and publish in peer-reviewed medical journals. She regularly lectures both nationally and internationally to peers and the public. She is an active member of numerous professional organizations, including the American Society for Dermatologic Surgery and the American Academy of Dermatology, where she has served on the Board of Directors. She also holds a master's degree in medical journalism and has hosted The Dermatology Show on Doctor Radio (SiriusXM 110) for over 15 years. In addition to frequent appearances on national media and podcasts, she is the author of four books—her most recent titled Rebooting the Biome.

In this episode of Talking Practice, host Grace La interviews Sheila O'Donnell, architect, educator and co-founder of O'Donnell + Tuomey. Sheila reflects on the creation of O'Donnell + Tuomey, the practice she formed with John Tuomey in 1988. She traces the evolution of her practice through the workings of Group 91 and shares her insights on how their collective energy reshaped Dublin's Temple Bar District.  She discusses how context fundamentally influences her design approach and the professional opportunities that opened for many of Ireland's most successful practitioners. Sheila describes the collaborative spirit within her firm, the challenge of competing against large corporate offices, and the creative benefits that a smaller, design-focused team offers its clients. She explores the evolving conversation around sustainability and material choice, offering a grounded yet optimistic view on how contemporary practices navigate design, context, and climate responsibility. The podcast highlights the early significance of working with existing buildings and honing an acute attention to context — characteristics that have become central themes of O'Donnell + Tuomey's practice. For more on Sheila O'Donnell, check out her GSD Department of Architecture lecture – “Conversations with Place.”       Sheila O'Donnell established O'Donnell + Tuomey with John Tuomey in 1988. O'Donnell + Tuomey's work is developed in the spirit of architectural, social and cultural investigation. The practice has been commissioned with a variety of work, including renowned projects such as the Photographers' Gallery and LSE Student Centre, a new museum for the V&A and a dance theatre and academy for Sadler's Wells. She is an Honorary fellow of the American Institute of Architects. In 2009 she was elected a member of Aosdána, an affiliation of Irish Artists. In 2015 she was joint recipient with John Tuomey of the RIBA Royal Gold Medal and the American Academy of Arts and Letters Brunner Prize, both awarded in recognition of a lifetimes work.  Sheila has been a lecturer in Architectural design in UCD since 1981 and a Professor since 2016. She has taught and lectured at schools of Architecture in Europe, Japan and the USA, including Harvard GSD, Princeton, Yale, Columbia, among others. About the Show Developed by Harvard Graduate School of Design, Talking Practice is the first podcast series to feature in-depth interviews with leading designers on the ways in which architects, landscape architects, designers, and planners articulate design imagination through practice. Hosted by Grace La, Professor of Architecture and Principal of LA DALLMAN, these dynamic conversations provide a rare glimpse into the work, experiences, and attitudes of design practitioners from around the world. Comprehensive, thought-provoking, and timely, Talking Practice tells the story of what designers do, why, and how they do it—exploring the key issues at stake in practice today. About the Host Grace La is Chair of the Department of Architecture and Professor of Architecture at Harvard University Graduate School of Design, where she served as Chair of the Practice Forum, and former Director of the Master of Architecture Programs. Grace is also Principal of LA DALLMAN Architects, internationally recognized for the integration of architecture, engineering and landscape. Cofounded with James Dallman, LA DALLMAN is engaged in catalytic projects of diverse scale and type. The practice is noted for works that expand the architect's agency in the civic recalibration of infrastructure, public space and challenging sites. Show Credits Talking Practice is produced and edited by Maggie Janik. Our Research Assistant is Victor Ohene. Contact For all inquiries, please email practicepodcast@gsd.harvard.edu.

Suzanne's Top 5 Clifton Strengths are: Harmony, Empathy, Arranger, Connectedness & Activator. Suzanne Fox Trotter is an Associate Professor and the Director of Student Affairs at the Tufts University Doctor of Physical Therapy Program in Seattle. A proud Auburn Tiger, she began her academic journey in Public Relations but felt a powerful calling to physical therapy—and she's never looked back. Suzanne earned her Master's in Physical Therapy from Emory University in 1995 and went on to complete her Doctor of Science at Texas Tech University Health Sciences Center in 2014. She is a Fellow of the American Academy of Orthopedic Manual Physical Therapists, a recognition of her dedication to advanced clinical practice and dedication to lifelong learning. Suzanne is also one of the co-founders of Tesoro Project, a nonprofit organization committed  that is on mission  to empower healthcare leaders to heal and transform lives primarily in local Guatemalan communities.  Find out your strengths by taking the CliftonStrengths Top 5 Assessment   Workshops and Coaching with Barbara Culwell Subscribe & Leave a Review on Embrace Your Strengths  

Dysfunction of the supranuclear ocular motor pathways typically causes highly localizable deficits. With sophisticated neuroimaging, it is critical to better understand structure-function relationships and precisely localize pathology within the brain. In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Gregory P. Van Stavern, MD, author of the article “Supranuclear Disorders of Eye Movements” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Van Stavern is the Robert C. Drews professor of ophthalmology and visual sciences at Washington University in St Louis, Missouri. Additional Resources Read the article: Internuclear and Supranuclear Disorders of Eye Movements Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today I'm interviewing Dr Gregory Van Stavern, who recently authored an article on intranuclear and supranuclear disorders of eye movements for our latest Continuum issue on neuro-ophthalmology. Dr Van Stavern is the Robert C Drews professor of ophthalmology and visual sciences at Washington University in Saint Louis. Dr Van Stavern, welcome, and thank you for joining us today. Why don't you introduce yourself to our audience? Dr Van Stavern: Hi, my name is Gregory Van Stavern. I'm a neuro-ophthalmologist located in Saint Louis, and I'm pleased to be on this show today. Dr Jones: We appreciate you being here, and obviously, any discussion of the visual system is worthwhile. The visual system is important. It's how most of us and most of our patients navigate the world. Roughly 40% of the brain---you can correct me if I'm wrong---is in some way assigned to our visual system. But it's not just about the sensory experience, right? The afferent visual processing. We also have motor systems of control that align our vision and allow us to accurately direct our vision to visual targets of interest. The circuitry is complex, which I think is intimidating to many of us. It's much easier to see a diagram of that than to describe it on a podcast. But I think this is a good opportunity for us to talk about the ocular motor exam and how it helps us localize lesions and, and better understand diagnoses for certain disorders. So, let's get right to it, Dr Van Stavern. If you had from your article, which is outstanding, a single most important message for our listeners about recognizing or treating patients with ocular motor disorders, what would that message be? Dr Van Stavern: Well, I think if we can basically zoom out a little to the big picture, I think it really emphasizes the continuing importance of the examination. History as well, but the examination. I was reading an article the other day that was essentially downplaying the importance of the physical examination in the modern era with modern imaging techniques and technology. But for neurology, and especially neuro-ophthalmology, the history and the examination should still drive clinical decision-making. And doing a careful assessment of the ocular motor system should be able to tell you exactly where the lesion is located, because it's very easy to order a brain MRI, but the MRI is, like Forrest Gump might say, it's like a box of chocolates. You never know what you're going to find. You may find a lot of things, but because you've done the history and the examination, you can see if whatever lesion is uncovered by the MRI is the lesion that explains what's going on with the patient. So even today, even with the most modern imaging techniques we have, it is still really important to know what you're looking for. And that's where the oculomotor examination can be very helpful. Dr Jones: I did not have Forrest Gump on my bingo card today, Dr Van Stavern, but that's a really good analogy, right? If you order the MRI, you don't know what you're going to get. And then- and if you don't have a really well-formed question, then sometimes you get misleading information, right?  Dr Van Stavern: Exactly. Dr Jones: We'll get into some technology here in a minute, because I think that's relevant for this discussion. I think most of our listeners are going to agree with us that the exam is important in neuro-ophthalmology, and neurology broadly. So, I think you have some sympathetic listeners there. Again, the point of the exam is to localize and then lead to a diagnosis that we can help patients with. When you think about neurologic disorders where the ocular motor exam helps you get to the right diagnosis, obviously disorders of eye movements, but sometimes it's a clue to a broader neurologic syndrome. And you have some nice discussions in your article about the ocular motor clues to Parkinson disease or to progressive supranuclear palsy. Tell us a little more about that. In your practice, which neurologic disorders do you find the ocular motor exam being most helpful? Dr Van Stavern: Well, just a very brief digression. So, I started off being an ophthalmology resident, and I do two years of ophthalmology and then switch to neurology. And during neurology residency, I was debating which subspecialty to go into, and I realized that neuro-ophthalmology touches every other subspecialty in neurology. And it goes back to the fact that the visual system is so pervasive and widely distributed throughout the brain. So, if you have a neurologic disease, there is a very good chance it is going to affect vision, maybe in a minor way or a major way. That's why careful assessment of the visual system, and particularly the oculomotor system, is really helpful for many neurologic diseases. Neuromuscular disease, obviously, myasthenia gravis and certain myopathies affect the eye movements. Neurodegenerative diseases, in particular Parkinson's disease and parkinsonian conditions, often affect the eye movements. And in particular, when you're trying to differentiate, is this classic Parkinson's disease? Or is this progressive supranuclear palsy? Is it some broad spectrum multisystem atrophy? The differences between the eye movement disorders, even allowing for the fact that there's overlap, can really help point in one direction to the other, and again, prevent unnecessary testing, unnecessary treatment, and so on. Dr Jones: Very good. And I think, to follow on a thread from that concept with patients who have movement disorders, in my practice, seeing older patients who have a little bit of restriction of vertical gaze is not that uncommon. And it's more common in patients who have idiopathic Parkinson disease. And then we use that part of the exam to help us screen patients for other neurodegenerative syndromes like progressive nuclear- supranuclear palsy. So, do you have any tips for our listeners to- how to look at, maybe, vertical gaze and say, this is maybe a normal age-related degree of change. This is something that might suggest idiopathic Parkinson disease. Or maybe something a little more progressive and sinister like progressive super nuclear palsy? Dr Van Stavern: Well, I think part of the issue- and it's harder to do this without the visual aspect. One of my colleagues always likes to say for a neurologist, the eye movement exam begins and ends with the neurology benediction, just doing the sign of the cross and checking the eye movements. And that's a good place to start. But I think it's important to remember that all you're looking at is smooth pursuit and range of eye movements, and there's much more to the oculomotor examination than that. There's other aspects of eye movement. Looking at saccades can be really helpful; in particular, classically, saccadic movements are selectively abnormal in PSP versus Parkinson's with progressive supranuclear palsy. Saccades, which are essentially rapid movements of the eyes---up and down, in this case---are going to be affected in downward gaze. So, the patient is going to have more difficulty initiating downward saccades, slower saccades, and less range of movement of saccades in downgaze. Whereas in Parkinson's, it's classically upward eye movements and upgaze. So, I think that's something you won't be able to see if you're just doing, looking at, you know, your classic, look at your eye movements, which are just assessing, smooth pursuit. Looking carefully at the eye movements during fixation can be helpful. Another aspect of many parkinsonian conditions is saccadic intrusions, where there's quick movements or saccades of the eye that are interrupting fixation. Much, much more common in PSP than in Parkinson's disease. The saccadic intrusions are what we call square-wave jerks because of what they look like. Eye movement recordings are much larger amplitude in PSP and other multisystem atrophy diseases than with Parkinson's. And none of these are perfect differentiators, but the constellation of those findings, a patient with slow downwards saccades, very large amplitude, and frequent saccadic intrusions might point you more towards this being PSP rather than Parkinson's. Dr Jones: That's a great pearl, thinking about the saccades in addition to the smooth pursuit. So, thank you for that. And you mentioned eye movement measurements. I think it's simultaneously impressive and a little scary that my phone can tell when I'm looking at it within a few degrees of visual attention. So, I imagine there are automated tools to analyze eye movement. Tell us, what's the state of the art there, and what should our listeners be aware of in terms of tools that are available and what they can and can't do? Dr Van Stavern: Well, I could tell you, I mean, I see neuro-ophthalmic patients with eye movement disorders every day and we do not have any automated tools for eye movement. We have a ton of imaging techniques for imaging the optic nerve and the retina in different ways, but we don't routinely employ eye movement recording devices. The only time we usually do that is in somebody where we suspect they have a central or peripheral vestibular disease and we send them for vestibular testing, for eye movement recordings. There is interest in using- I know, again, sort of another digression, but if you're looking at the HINTS technique, which is described in the chapter to differentiate central from peripheral disease, which is a very easy, useful way to differentiate central from peripheral or peripheral vestibular disease. And again, in the acute setting, is this a stroke or not a stroke? Is it the brain or is it the inner ear? Part of the problem is that if you're deploying this widespread, the people who are doing it may not be sufficiently good enough at doing the test to differentiate, is a positive or negative test? And that's where some people have started introducing this into the emergency room, these eye movement recording devices, to give the- using, potentially, AI and algorithms to help the emergency room physicians say, all right, this looks like a stroke, we need to admit the patient, get an MRI and so on, versus, this is vestibular neuritis or an inner ear problem, treat them symptomatically, follow up as an outpatient. That has not yet been widely employed. It's a similar way that a lot of institutions are having fundus photography and OCT devices placed in the emergency room to aid the emergency room physician for patients who present with acute vision issues. So, I think that could be the future. It probably would be something that would be AI-assisted or AI-driven. But I can tell you at least at our institution and most of the ones I know of, it is not routinely employed yet. Dr Jones: So maybe on the horizon, AI kind of facilitated tools for eye movement disorder interpretation, but it's not ready for prime time yet. Is that a fair summary? Dr Van Stavern: In my opinion, yes. Dr Jones: Good to know. This has struck me every time I've read about ocular motor anatomy and ocular motor disorders, whether they're supranuclear or intranuclear disorders. The anatomy is complex, the circuitry is very complicated. Which means I learn it and then I forget it and then I relearn it. But some of the anatomy isn't even fully understood yet. This is a very complex real estate in the brainstem. Why do you think the neurophysiology and neuroanatomy is not fully clarified yet? And is there anything on the horizon that might clarify some of this anatomy? Dr Van Stavern: The very first time I encountered this topic as an ophthalmology resident and later as a neurology resident, I just couldn't understand how anyone could really understand all of the circuitry involved. And there is a lot of circuitry that is involved in us simply having clear, single binocular vision with the afferent and efferent system working in concert. Even in arch. In my chapter, when you look at the anatomy and physiology of the smooth pursuit system or the vertical gaze pathways, there's a lot of, I'll admit it, there's a lot of hand waving and we don't completely understand it. I think a lot of it has to do with, in the old days, a lot of the anatomy was based on lesions, you know, lesion this area either experimentally or clinically. And that's how you would determine, this is what this region of the brain is responsible for. Although we've gotten more sophisticated with better imaging, with functional connectivity MRI and so on, all of those have limitations. And that's why I still don't think we completely understand all the way this information is integrated and synthesized, and, to get even more big level and esoteric, how this makes its way into our conscious mind. And that has to do with self-awareness and consciousness, which is a whole other kettle of fish. It's just really complicated. I think when I'm at least talking to other neurologists and residents, I try to keep it as simple as possible from a clinical standpoint. If you see someone with an eye movement problem, try to see if you can localize it to which level you're dealing with. Is it a muscle problem? Is it neuromuscular junction? Is it nerve? Is it nucleus? Is it supranuclear? If you can put it at even one of those two levels, you have eliminated huge territories of neurologic real estate, and that will definitely help you target and tailor your workup. So, again, you're not costing the patient in the healthcare system hundreds of thousands of dollars. Dr Jones: Great points in there. And I think, you know, if we can't get it down to the rostral interstitial nucleus of the medial longitudinal fasciculus, if we can get it to the brainstem, I think that's obviously- that's helpful in its own right. And I imagine, Dr Van Stavern, managing patients with persistent ocular motor disorders is a challenge. We take foveation for granted, right, when we can create these single cortical images. And I imagine it's important for daily function and difficult for patients who lose that ability to maintain their ocular alignment. What are some of the clinical tools that you use in your practice that our listeners should be aware of to help patients that have a persistent supranuclear disorder of ocular movement? Dr Van Stavern: Well, I think you tailor your treatment to the symptoms, and if it's directly due to underlying condition, obviously you treat the underlying condition. If they have sixth nerve palsy because of a skull base tumor, obviously you treat the skull base tumor. But from a practical standpoint, I think it depends on what the symptom is, what's causing it, and how much it's affecting their quality of life. And everyone is really different. Some patients have higher levels of tolerance for blurred vision and double vision. For things- for patients who have double vision, depending upon the underlying cause we can sometimes use prisms and glasses. Prisms are simply- a lot of people just think prism is this, like, mystical word that means a lot. It's simply just an optical device that bends light. So, it essentially bends light to allow the eyes- basically, the image to fall on the fovea in both eyes. And whether the prisms help or not is partly dependent upon how large the misalignment is. If somebody has a large degree of misalignment, you're not going to fix that with prism. The amount of prism you'd need to bend the light enough to land on the fovea in both eyes would cause so much blur and distortion that it would essentially be a glorified patch. So, for small ranges of misalignment, prisms are often very helpful, that we can paste over glasses or grind into glasses. For larger degrees of misalignment that- let's say it is due to some skull base tumor or brain stem lesion that is not going to get better, then eye muscle surgery is a very effective option. We usually like to give people a long enough period of time to make sure there's no change before proceeding with eye muscle surgery. Dr Jones: Very helpful. So, prisms will help to a limited extent with misalignment, and then surgery is always an option if it's persistent. That's a good pearl for, I think, our listeners to take away. Dr Van Stavern: And even in those circumstances, even prisms and eye muscle surgery, the goal is primarily to cause single binocular vision and primary gaze at near. Even in those cases, even with the best results, patients are still going to have double vision, eccentric gaze. For most people, that's not a big issue, but we have had a few patients… I had a couple of patients who were truck drivers who were really bothered by the fact that when they look to the left, let's say because it's a 4th nerve palsy on the right, they have double vision. I had a patient who was a golfer who was really, really unhappy with that. Most people are okay with that, but it all depends upon the individual patient and what they use their vision for. Dr Jones: That's a great point. There's not enough neurologists in the world. I know for a fact there are not enough neuro-ophthalmologists in the world, right? There's just not many people that have that dual expertise. You mentioned that you started with ophthalmology and then did neurology training. What do you think the pipeline looks like for neuro-ophthalmology? Do you see growing interest in this among trainees, or unchanged? What are your thoughts about that? Dr Van Stavern: No, that's a continuing discussion we're having within our own field about how to attract more residents into neuro-ophthalmology. And there's been a huge shift. In the past, this was primarily ophthalmology-driven. Most neuro-ophthalmologists were trained in ophthalmology initially before doing a fellowship. The last twenty years, it switched. Now there's an almost 50/50 division between neurologists and ophthalmologists, as more neurologists have become more interested. This is probably a topic more for the ophthalmology equivalent of Continuum. One of the perceptions is this is not a surgical subspecialty, so a lot of ophthalmology residents are disincentivized to pursue it. So, we have tried to change that. You can do neuro-ophthalmology and do eye muscle surgery or general ophthalmology. I think it really depends upon whether you have exposure to a neuro-ophthalmologist during your neurology residency. If you do not have any exposure to neuro-ophthalmology, this field will always seem mysterious, a huge black box, something intimidating, and something that is not appealing to a neurologist. I and most of my colleagues make sure to include neurology residents in our clinic so they at least have exposure to it. Dr Jones: That's a great point. If you never see it, it's hard to envision yourself in that practice. So, a little bit of a self-fulfilling prophecy. If you don't have neuro-ophthalmologists, it's hard to expose that practice to trainees. Dr Van Stavern: And we're also trying; I mean, we make sure to include medical students, bring them to our meetings, present research to try to get them interested in this field at a very early stage. Dr Jones: Dr Van Stavern, great discussion, very helpful. I want to thank you for joining us today. I want to thank you for not just a great podcast, but also just a wonderful article on ocular motor disorders, supranuclear and intranuclear. I learned a lot, and hopefully our listeners did too. Dr Van Stavern: Well, thanks. I really appreciate doing this. And I love Continuum. I learn something new every time I get another issue. Dr Jones: Well, thanks for reading it. And I'll tell you as the editor of Continuum, I learn a lot reading these articles. So, it's really a joy to get to read, up to the minute, cutting-edge clinical content for neurology. Again, we've been speaking with Dr Gregory Van Stavern, author of a fantastic article on intranuclear and supranuclear disorders of eye movements in Continuum's most recent issue on neuro-ophthalmology. Please check it out, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Wells JonesAuthorA Line in the Sand MediaWells Jones (aka Tad Jones) is former Navy Antarctic Pararescue & Survival Instructor, American Academy of Dramatic Arts NYC graduate with Off-broadway, commercial, TV & film credits, producer/director of multiple live events in venues including Kennedy Center Opera House, Lincoln Center Avery Fisher Hall and along the Red Sea Coast, Kingdom of Saudi Arabia. Wells is co-author of Wells Jones (aka Tad Jones) is former Navy Antarctic Pararescue & Survival Instructor, American Academy of Dramatic Arts NYC graduate with Off-broadway, commercial, TV & film credits, producer/director of multiple live events in venues including Kennedy Center Opera House, Lincoln Center Avery Fisher Hall and along the Red Sea Coast, Kingdom of Saudi Arabia. Wells is co-author with Miles Spencer of the Amazon best seller “A Line in the Sand: A Novel (Adventures in Understanding with Magnus & Finn). He finds peace scrambling up 12k+ mountains for sunrise summits in all seasons.summaryIn this episode of the Big World Made Small podcast, host Jason Elkins interviews Wells Jones, an adventurer and co-author of 'A Line in the Sand.' Wells shares his incredible journey from a military upbringing to his experiences in Antarctica, his transition into acting, and ultimately his work in production and directing. The conversation delves into his travels in the Middle East, the cultural insights he gained, and the importance of empathy in understanding different perspectives. Wells emphasizes the role of adventure tourism and the significance of travel organizations in facilitating unique experiences. The episode concludes with reflections on the power of storytelling and the shared humanity that connects us all.takeawaysWells Jones emphasizes the importance of being prepared for unique opportunities.His military background instilled discipline and adaptability in his life.Isolation can teach you a lot about yourself.Theater and acting provided Wells with skills that translated into his later work.Travel organizations play a crucial role in facilitating safe and enriching experiences.Cultural exchanges can foster empathy and understanding between different groups.Adventure can take many forms, from extreme sports to cultural experiences.Storytelling is a powerful tool for creating connections and understanding.Wells' journey highlights the importance of following one's passions and interests.The book 'A Line in the Sand' aims to provide a deeper understanding of the Middle East beyond the headlines. Learn more about Big World Made Small Adventure Travel Marketing and join our private community to get episode updates, special access to our guests, and exclusive adventure travel offers on our website.

This week on The Virtual Curbside, we're talking about one of the most practical tools in pediatric emergency preparedness: simulations. From front desk protocols to medical assistant roles and procedure planning, simulations help ensure every member of the care team knows what to do - and has what they need - when seconds count. Host Paul Wirkus, MD, FAAP, and guest Stephanie Spanos, MD, explore how to run effective simulations, evaluate your equipment (especially for pediatric-specific needs), and build muscle memory that can save lives. Learn why practicing together matters more than perfection, and how letting go of the need to “know and do it all” as the doctor makes your office stronger and safer. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. 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.

On episode #80 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 4/24/25 – 5/7/25. Hosts: Daniel Griffin and Sara Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral Incidence and Timing of Epstein–Barr Virus Whole Blood DNAemia in Epstein–Barr Virus-Mismatched Adult and Pediatric Solid Organ Transplant Recipients (Transplant Infectious Disease) Infant Respiratory Syncytial Virus Immunization Coverage in the Vaccine Safety Datalink: 2023–2024 (American Academy of Pediatrics) Impact of Nirsevimab on RSV and Non-RSV Severe Respiratory Infections in Hospitalized Infants (Influenza and other respiratory viruses) Hospital admissions of respiratory infections in infants plungewith nirsevimab RSV antibody (CIDRAP) Time to antiviral treatment in mild–moderate COVID-19 in the emergency department (Internal and Emergency Medicine) Delays in COVID antiviral receipt raised risk of poor outcomes after ED visits by 18%, data suggest (CIDRAP) Antiretroviral Postexposure Prophylaxis After Sexual, Injection Drug Use, or Other Nonoccupational Exposure to HIV (MMWR) Bacterial Validation and clinical implementation of cerebrospinal fluid C-reactive protein for the diagnosis of bacterial meningitis (LANCET: Regional Health) Bridging to transplant: TDM-Guided Outpatient Dalbavancin Therapy in Chronic Granulomatous Disease with deep-seeded Inoperable Abscesses over 11 Months (OFID) Nitrites for Urinary Tract Infection—Time to Say Goodbye? (JAMA: Internal Medicine) Fungal The Last of US Season 2 (YouTube) High Mortality and Associated Risk Factors in Kidney Transplant Recipients with Cryptococcosis – A Nationwide Cohort Study Over a Decade Using USRDS Data (OFID) Use of Dog Serologic Data for Improved Understanding of Coccidioidomycosis (JID) Parasitic Performance of a novel P. falciparum rapid diagnostic test in areas of widespread hrp2/3 gene deletion (CID) Prevalence of Anopheles stephensi in the Horn of Africa: a systematic review and meta-analysis (BMC Infectious Diseases) Raising awareness of Demodex mites: a neglected cause of skin disease (Infection) Miscellaneous Scientific Integrity Under Threat: The Role of the IDSA, PIDS, and SHEA Journals in an Evolving Political Landscape (CID) Reasoning on Rounds Volume 2: a Framework for Teaching Management Reasoning in the Inpatient Setting (Journal of General Internal Medicine) Billing for and documentation of provider-to-provider interprofessional consults in infectious diseases (Journal of the Pediatric Infectious Diseases Society) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.

Dr. Katrina Nguyen was just 14 months old when her family fled Vietnam by boat during the Fall of Saigon, a journey marked by near-death experiences and unimaginable courage. Now a board-certified pediatric gastroenterologist, bestselling author, and founder of the nonprofit Faithful-2-Fitness, she channels that legacy of resilience into helping families fight childhood obesity and build healthier futures. In this powerful conversation, Dr. Nguyen shares her refugee story, her path to medicine, and why compassion, gratitude, and generosity remain at the heart of everything she does.Interview recorded in Loves Park, Illinois.Key Takeaways:Dr. Nguyen's family escaped Communist Vietnam by boat in 1975, surviving multiple near-death experiencesHer upbringing as one of 10 children shaped her resilience and gratitudeShe founded Faithful-2-Fitness to provide free health education and lifestyle tools to underserved familiesCultural context and compassion are essential in addressing childhood obesityHer Catholic faith deeply informs her work in medicine, service, and philanthropyWriting Live to Give and other books helped her process grief and inspire generositySmall acts of compassion can spark long-term transformation—personally and societallyDr. Katrina Nguyen's Bio:Dr. Katrina Nguyen is a board-certified pediatric gastroenterologist, a two-time best-selling author, and founder of Faithful-2-Fitness, a nonprofit to fight childhood obesity. She was just 14 months old when her family escaped by boat from Communist Vietnam in April 1975 after the Fall of Saigon. She nearly died twice during her journey to freedom and the American Dream. She is a Clinical Associate Professor at the University of Illinois College of Medicine in Rockford. She has shared her expertise via EWTN Global Catholic Network, YMCA podcast, and the American Academy of Pediatrics.Her Christian faith drives her to serve others. She established charity funds with Raymond James and Northwestern Mutual. Her nonprofit's sponsors include Chick-fil-A and Fleet Feet.Dr. Nguyen lives in Illinois with her husband Dr. Deladisma. She enjoys being a dog mom, gardening and traveling.Connect with Katrina:https://www.instagram.com/mdkatrina/#https://www.tiktok.com/@mdkatrina#TheHumanExperiencePodcast Follow Along:Website: https://www.thehxpod.com/Instagram: https://www.instagram.com/thehxpod/Facebook: https://www.facebook.com/getthehxTikTok: https://www.tiktok.com/@thehxpodYouTube: https://www.youtube.com/@thehxpodSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textAs its title implies, Joanna Parga-Belinkie's new book – The Baby Bonding Book: Connecting With Your Newborn – is centered on the connection between the infant and the primary caregiver. The book is thoughtful, smart, practical, and a pleasure to read. It is no wonder that the American Academy of Pediatrics selected Joanna as an official spokesperson and the co-host of its flagship podcast, Pediatrics On Call. Joanna and I discuss her book and tips for parents of newborns next. More information about Joanna and links to resources are at talkingaboutkids.com.

What happens when the doctor becomes the patient?

You can't be moral on your own. That's a radical idea in this time of moral outrage, but thriving in public life requires a sense of mutual accountability, belonging, and hospitality for each other.Mona Siddiqui is a professor of religion and society, an author, commentator, and public intellectual, and she suggests that the virtues of loyalty, gratitude, hospitality, and hope can lead us through the common struggle of being human together, living forward into a thriving life of public faith and renewed moral imagination.As Professor of Islamic and Interreligious Studies, Assistant Principal for Religion and Society, and Dean international for the Middle-East at the University of Edinburgh, she is an international beacon of hope that we might find restoration, hospitality, and flourishing in our world of struggle. Working through questions of loyalty, responsibility, belonging, gratitude, robust faith, and what we owe each other, we can find abundant resources for thriving and spiritual health.In this conversation with Mona Siddiqui, we discuss:What is a moral life?The connection between faith, spirituality, and living a moral life of responsibility and integrityThe difference between cultivating virtuous character and doing justiceHow to thrive in a pluralistic society marked by constant struggle and conflictThe promise of gratitude and hospitality in a life of thrivingAnd how to pursue a hopeful, forward-looking approach to restoration in the wake of harm, loss, pain, and suffering.Episode Highlights"Our moral life only becomes alive when we are in a relationship—you can't be moral on your own.""Life is all about searching. Life is all about introspection. Life is all about reflection.""The good life is hard; it's not about ease, but about living with accountability and responsibility.""Hospitality isn't just welcoming—it's negotiating belonging, loyalty, and a sense of shared life.""Gratitude can liberate, but it can also create hierarchies and transactional indebtedness.""Hope is not naive optimism—without hope, how do you live, build relationships, or carry forward at all?"Helpful Links and ResourcesFollow Mona on X (Twitter) at @monasiddiqui7*Christians, Muslims, and Jesus,* by Mona SiddiquiHuman Struggle, Christian and Muslim Perspectives, by Mona SiddiquiA Theology of Gratitude: Christian and Muslim Perspectives, by Mona SiddiquiMy Way: A Muslim Woman's Journey by Mona SiddiquiThe Moral Maze, BBC Radio 4Show NotesMona Siddiqui's personal background in Islamic jurisprudence and public theology“I got into Islamic jurisprudence because of personal connection and intellectual curiosity.”Navigating public discourse post-9/11 as a non-white, non-Christian scholarImportance of pluralism and living within diverse identities"I need to create a space that appeals to a wider audience—not just about what I think."Growing up with intellectual freedom in a traditional Islamic householdHow faith upbringing seeds lifelong moral introspection"You are always answering to yourself—you know when you have not lived rightly."Developing comparative theology through seminars with Christian scholarsOverlapping themes between Islamic and Christian thought on the good lifeThe significance of accountability over blanket forgiveness"Belonging is crucial to being a good citizen—you can't flourish alone."Exploration of loyalty: loyalty to people vs loyalty to principlesCivic loyalty and critical engagement with the state“Because I feel loyal to my country, I should also be its critic.”The role of prayer in cultivating internal moral awarenessReflection on virtues: gratitude, loyalty, hopeThe dark sides of gratitude and loyalty in institutionsParenting with a focus on integrity, accountability, and faithfulness“Live so that whatever you say in public, you can say at home—and vice versa.”Emphasis on public engagement: speaking clearly, making complex ideas accessible"Radio became a gift—people want complex ideas made simple and meaningful."Remaining hopeful despite the culture of outrage and cynicismYoung people's resilience and persistent hopefulnessHospitality as a fundamental ethic for creating trust and belongingStruggle as a normative, transformative experience that shapes flourishing"Thriving is not just freedom—it's centering, writing, speaking, and deep human connection."The importance of relationships in thriving and flourishing“Most of us realize—relationships are the hardest, but the most rewarding.”Redefining gratitude: avoiding transactional gratitude, cultivating authentic gratefulnessStruggle cultivates introspection, resilience, creativity, and a deeper moral lifePam King's Key TakeawaysI can't be moral on my own. But my decisions are my own. In the end, living with integrity means living with virtue.Personal and public flourishing are deeply connected to our lives of faith and spirituality; and all of us need to bring the depths of our personal spiritual commitments into public life.We can offer hope and freedom from fear to each other when we expand our hospitality to all persons.The practice of gratitude in the face of our vulnerability is easier said than done—but is a strengthening response to uncertainty and suffering.And finally, human struggle is something we hold in common, and it can be redeemed for creativity, beauty, healing restoration, and a reminder of our dignity as human creatures.About Mona SiddiquiMona Siddiqui is Professor of Islamic and Interreligious Studies, Assistant Principal for Religion and Society, and Dean international for the Middle-East at the University of Edinburgh.Her research areas are primarily in the field of Islamic jurisprudence and ethics and Christian-Muslim relations. She's the author of many books, including Human Struggle: Christian and Muslim Perspectives,Hospitality in Islam: Welcoming in God's Name, and My Way: A Muslim Woman's Journey. A scholar of theology, philosophy, and ethics, she's conducted international research on Islam and Christianity, gratitude, loyalty and fidelity, hope, reconciliation and inter-faith theological dialogue, and human struggle.Mona is well known internationally as a public intellectual and a speaker on issues around religion, ethics and public life and regularly appears as a media commentator on BBC Radio 4 and BBC Radio Scotland's Thought for the Day and The Moral Maze.A recipient of numerous awards and recognition, she is a fellow of the Royal Society of Edinburgh, she gave the prestigious Gifford Lectures in Natural Theology. She was elected to the American Academy of Arts and Sciences as an International Honorary Member. And Dr. Siddiqui was appointed Officer of the Order of the British Empire, which is just steps below the highest Knighting—specifically for her public interfaith efforts.To learn more, I'd highly recommend her books, but you can also follow her on X @monasiddiqui7. About the Thrive CenterLearn more at thethrivecenter.org.Follow us on Instagram @thrivecenterFollow us on X @thrivecenterFollow us on LinkedIn @thethrivecenter About Dr. Pam KingDr. Pam King is Executive Director the Thrive Center and is Peter L. Benson Professor of Applied Developmental Science at Fuller School of Psychology & Marriage and Family Therapy. Follow her @drpamking. About With & ForHost: Pam KingSenior Director and Producer: Jill WestbrookOperations Manager: Lauren KimSocial Media Graphic Designer: Wren JuergensenConsulting Producer: Evan RosaSpecial thanks to the team at Fuller Studio and the Fuller School of Psychology & Marriage and Family Therapy.

Check out Dr. Mina's top picks for skin care here. In this conversation, Dr. Mina and Dr. Nicole Salame delve into the complexities of laser treatments in dermatology. They discuss the nuances of different laser technologies, the importance of provider expertise, and the safety considerations for patients. The conversation also highlights the need for patients to be informed about their providers' credentials and the specific lasers suitable for various skin types. Additionally, they explore innovative uses of lasers in treating medical conditions like skin cancer, emphasizing the potential benefits and limitations of these treatments.    Key Takeaways: Lasers are customizable devices that target specific skin issues. Provider expertise is crucial for safe and effective laser treatments. Misconceptions about lasers being simple can lead to complications. Patients should prioritize safety and provider qualifications. Darker skin types can safely receive laser treatments with the right technology. Intense pulse light is risky for darker skin types. Lasers can be used innovatively for treating skin cancers. Understanding laser physics is essential for effective treatment. Patients should be aware of the potential for complications. Choosing the right provider can minimize risks and enhance outcomes. Patients often feel exhausted from frequent skin treatments. Laser resurfacing can treat precancers and rejuvenate skin. Non-ablative and ablative lasers are effective for skin health. Regular laser treatments can reduce skin cancer incidents. Choosing a board-certified dermatologist is crucial for skin care. A holistic approach to skin health leads to better results. De-influencing trends in skincare is important for patients. Innovative devices are changing the landscape of dermatology. The future of dermatology includes regenerative treatments. Understanding the difference between medical and cosmetic treatments is key. In This Episode: 03:06 Understanding Laser Technology 05:49 The Importance of Provider Expertise 09:10 Navigating Patient Safety and Complications 12:11 Choosing the Right Provider 15:04 Lasers for All Skin Types 18:00 Innovative Uses of Lasers in Medicine 22:30 The Emotional Toll of Skin Treatments 23:10 Laser Treatments for Skin Cancer Prevention 26:28 Choosing the Right Laser Treatment 31:08 The Importance of a Trusted Dermatologist 33:02 Innovations in Laser Technology 36:10 The Future of Regenerative Dermatology   Nicole Salame, MD, FAAD is a double board-certified and fellowship-trained cosmetic dermatologist and Mohs micrographic surgeon. She attended college at the University of California, Los Angeles (UCLA) on numerous scholarships, graduating Cum Laude. She earned her MD from the University of California, Irvine (UCI) School of Medicine with induction into the Alpha Omega Alpha (AOA). She completed her dermatology residency at Emory University where she served as Chief Resident. Dr. Salame then completed an American Society of Dermatologic Surgery (ASDS)-accredited fellowship in Cosmetic Dermatologic Surgery at the prestigious SkinCare Physicians under the exceptional mentorship of innovators in the field. Dr. Salame is a Fellow of the American Academy of Dermatology (AAD), serves on several committees for the American Society for Laser Medicine and Surgery (ASLMS), and is an active member of the ASDS and Women's Dermatology Society (WDS). She has been a sub-investigator for numerous clinical trials and serves as a peer reviewer for Dermatologic Surgery and JAMA Dermatology. Her scholarly work has culminated in the authorship of over 30 peer-reviewed manuscripts and book chapters and more than 40 presentations at national conferences. Her expertise includes medical, procedural, and cosmetic dermatology with specialized-training in lasers, energy-based devices, injectables, regenerative dermatology, rejuvenation, and pre-juvenation.   Follow Dr. Salame here: https://www.drnicolesalame.com/ https://www.instagram.com/dr.nicolesalame/   Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Website- https://www.atlantadermsurgery.com/ Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

Host Michael Taft speaks with Andrew Holecek about the transformative practice of Dark Retreat, how the mind “falls into itself,” light as obfuscator, the revelation of the construction of reality, the power—and very real dangers—of Dark Retreat, ways to begin the practice of Dark Retreat, nondual view, Andrew's own journey into this practice, and the “collision with the infinite.”Andrew Holecek is an interdisciplinary scholar-practitioner in Tibetan Buddhism and other nondual wisdom traditions. He is the Resident Contemplative Scholar at the Institute for Advanced Consciousness Studies, and a research consultant for the Cognitive Neuroscience Program at Northwestern University. His work involves studies on dream yoga and the practice of dark retreat. Dr. Holecek is a member of the American Academy of Sleep Medicine, the author of nine books, and a concert pianist. He has completed the Tibetan Buddhist three-year retreat and is a frequent subject in scientific studies on meditation and lucid dreaming. His work integrates ancient wisdom traditions with contemporary perspectives, aiming to help individuals navigate spiritual challenges and end-of-life experiences. He is currently writing two books on dark retreat. Holecek holds degrees in classical music, biology, and a doctorate in dental surgery.Andrew Holecek's websiteYou can support the creation of future episodes of this podcast by contributing through Patreon.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This is The Briefing, a daily analysis of news and events from a Christian worldview.Part I (00:14 - 08:39)New Groundbreaking Report on Dangers of Mixing Gender Ideology and Medical Practice for Children and Teens : New HHS Report Calls into Question ‘Best Practices' for Treatment of Pediatric Gender DysphoriaProtecting Children from Chemical and Surgical Mutilation by The White HouseTreatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices by Department of Health and Human ServicesFederal Report Denounces Gender Treatments for Adolescents by The New York Times (Azeen Ghorayshi and Amy Harmon)Independent review of gender identity services for children and young people by The Cass ReviewPart II (08:39 - 18:13)The American Academy of Pediatrics Pushes Back: Why Liberal Elites Do Not Support the HHS Report on Gender DysphoriaPart III (18:13 - 20:13)The Ideological Warfare Against Parents Continues: Controversy Over HHS Report Reveals True Agenda of Activists and LGBTQ Activists“Proving tricky” by The Christian InstitutePart IV (20:13 - 21:21)The Trump Effect: President Trump's Influence on the Canadian and Australian ElectionsPart V (21:21 - 26:00)The Loss of a Moral Dilemma: Young Adult Generation Doesn't Seem to Have an Issue with Gambling – And That's a Big ProblemThe Gambling Generation Gap by The Wall Street Journal (Caroline Aiken Koster)Sign up to receive The Briefing in your inbox every weekday morning.Follow Dr. Mohler:X | Instagram | Facebook | YouTubeFor more information on The Southern Baptist Theological Seminary, go to sbts.edu.For more information on Boyce College, just go to BoyceCollege.com.To write Dr. Mohler or submit a question for The Mailbox, go here.