Podcasts about American Academy

As inequality deepens, democratic institutions strain, and climate risk accelerates, it's becoming impossible to ignore a basic question: What is capitalism actually for? This week, we revisit our conversation with Harvard Business School professor Rebecca Henderson who argues that today's economic crises aren't the result of isolated failures, but of an economic system designed around the wrong goal—maximizing shareholder value at any cost. Drawing from her book Reimagining Capitalism in a World on Fire, Henderson makes the case that markets built around cooperation, dignity, and shared prosperity don't just serve the public good—they often outperform extractive, low-road models, while decades of trickle-down economics hollowed out institutions, rewarded cheating over value creation, and left businesses dependent on a society they are actively undermining. Together, they ask what it would take to build a new economic paradigm—one where firms exist to strengthen the communities, democracy, and planet they rely on to survive. Rebecca Henderson is the John and Natty McArthur University Professor at Harvard Business School, where she teaches the acclaimed course Reimagining Capitalism and explores how business can help build a more just, sustainable economy. She is the author of Reimagining Capitalism in a World on Fire, and a research fellow at the National Bureau of Economic Research, a fellow of the British Academy and American Academy of Arts and Sciences, and has served on the boards of major public companies. Social Media: @RebeccaReCap Further reading:  Reimagining Capitalism in a World on Fire TED Talk: To save the climate, we have to reimagine capitalism Website: http://pitchforkeconomics.com Facebook: Pitchfork Economics Podcast Bluesky: @pitchforkeconomics.bsky.social Instagram: @pitchforkeconomics Threads: pitchforkeconomics TikTok: @pitchfork_econ YouTube: @pitchforkeconomics LinkedIn: Pitchfork Economics Twitter: @PitchforkEcon, @NickHanauer Substack: ⁠The Pitch⁠

Monday, January 26, 2026 Trump agreed to “look into reducing the number of federal agents in Minnesota” after a Border Patrol agent killed Alex Pretti, a 37-year-old ICU nurse and U.S. citizen; Trump sent border czar Tom Homan to Minnesota to oversee ICE operations; Senate Democrats threatened to block the House-passed funding package unless Republicans strip out the Department of Homeland Security bill; the CDC's vaccine advisory panel said polio, measles, and possibly all shots should be optional; and the American Academy of Pediatrics told parents to ignore the CDC's revised federal guidance and instead follow its full childhood vaccine schedule. Read more: Day 1833: "Productive." Subscribe: Get the Daily Update in your inbox for free Feedback? Let us know what you think

Dawn Porter is an acclaimed American documentary filmmaker and founder of Trilogy Films, known for her storytelling on social justice, history, and cultural icons. Her celebrated documentaries, including Trapped, John Lewis: Good Trouble, and The Lady Bird Diaries, air on platforms like HBO, Netflix, Amazon, Apple, CNN, PBS and others. Another film from Porter's recent work, Luther: Never Too Much, highlights the life and legacy of Luther Vandross. Produced with Sony Music Entertainment, Jamie Foxx's Foxxhole, and Colin Firth's Raindog Films, this intimate portrayal of the Grammy-winning artist was recently released in theaters and premiered on CNN/MAX on January 1, 2025. Her recent work, The Sing Sing Chronicles won the Best Documentary Emmy at the 46th annual News & Documentary Emmy Awards. Porter's achievements are widely recognized. A three-time Sundance film festival Alum, her film Gideon's Army was nominated for an Emmy and an Independent Spirit Award and won the prestigious Ridenhour Prize as well as the American Bar Association's Silver Gavel Award. Trapped also earned a Silver Gavel, as well as a Peabody Award and the Sundance Special Jury Prize for Social Impact Filmmaking, while John Lewis: Good Trouble won the 2021 NAACP Image Award. She received the Critics' Choice Impact Award in 2022 and Gracie Awards in both 2022 and 2023. Recently, Porter was awarded the National Humanities Medal by former President Joe Biden, elected to the American Academy of Arts & Sciences, and received the IDA Career Achievement Award. Learn more about your ad choices. Visit podcastchoices.com/adchoices

On this Live Greatly podcast episode, Kristel Bauer sits down with Dr. Michael J. Breus, PhD, globally known as The Sleep Doctor™ to discuss tips for high quality sleep, suggestions to overcome jet lag, a look into sleep chronotypes and lots more. Tune in now!  Key Takeaways From This Episode: What sleep chronotypes are and why it matters Suggestions for higher quality sleep How long should you avoid drinks and food before bed? Tips to overcome jet lag ABOUT MICHAEL J. BREUS, PHD: Dr. Michael J. Breus, PhD has the distinction of being a Diplomate of the American Board of Sleep Medicine and a Fellow of The American Academy of Sleep Medicine. He is one of only 168 people in the world to have passed the Sleep Medical Speciality board without going to Medical School. World-renowned as The Sleep Doctor™, he is a bestselling author, media personality, keynote speaker, and brand advisor, bringing science-backed sleep expertise to the public for nearly three decades.   Connect with Dr. Breus: Website: https://sleepdoctor.com/  Chronotype Quiz: https://sleepdoctor.com/pages/chronotypes/chronotype-quiz?srsltid=AfmBOooagcc1iKsFRmwg-AvEWuA2Jspu2dCOyVr4pxvycenQTO8JLgPU   Instagram: @thesleepdoctor LinkedIn: Michael J. Breus, PhD About the Host of the Live Greatly podcast, Kristel Bauer: Kristel Bauer is a corporate wellness and performance expert, keynote speaker and TEDx speaker supporting organizations and individuals on their journeys for more happiness and success. She is the award-winning author of Work-Life Tango: Finding Happiness, Harmony, and Peak Performance Wherever You Work (John Murray Business November 19, 2024). With Kristel's healthcare background, she provides data driven actionable strategies to leverage happiness and high-power habits to drive growth mindsets, peak performance, profitability, well-being and a culture of excellence. Kristel's keynotes provide insights to "Live Greatly" while promoting leadership development and team building. Kristel is the creator and host of her global top self-improvement podcast, Live Greatly. She is a contributing writer for Entrepreneur, and she is an influencer in the business and wellness space having been recognized as a Top 10 Social Media Influencer of 2021 in Forbes. As an Integrative Medicine Fellow & Physician Assistant having practiced clinically in Integrative Psychiatry, Kristel has a unique perspective into attaining a mindset for more happiness and success. Kristel has presented to groups from the American Gas Association, Bank of America, bp, Commercial Metals Company, General Mills, Northwestern University, Santander Bank and many more. Kristel's work has been featured in Forbes and she has had multiple TV appearances including NBC News Daily, ABC News Live, FOX Weather, ABC 7 Chicago, WGN Daytime Chicago and more. Kristel lives in the Chicago, IL area and she can be booked for speaking engagements worldwide. To Book Kristel as a speaker for your next event, click here. Website: www.livegreatly.co  Follow Kristel Bauer on: Instagram: @livegreatly_co  LinkedIn: Kristel Bauer Twitter: @livegreatly_co Facebook: @livegreatly.co Youtube: Live Greatly, Kristel Bauer To Watch Kristel Bauer's TEDx talk of Redefining Work/Life Balance in a COVID-19 World click here. Click HERE to check out Kristel's corporate wellness and leadership blog Click HERE to check out Kristel's Travel and Wellness Blog Disclaimer: The contents of this podcast are intended for informational and educational purposes only. Always seek the guidance of your physician for any recommendations specific to you or for any questions regarding your specific health, your sleep patterns changes to diet and exercise, or any medical conditions.  Always consult your physician before starting any supplements or new lifestyle programs. All information, views and statements shared on the Live Greatly podcast are purely the opinions of the authors, and are not medical advice or treatment recommendations.  They have not been evaluated by the food and drug administration.  Opinions of guests are their own and Kristel Bauer & this podcast does not endorse or accept responsibility for statements made by guests.  Neither Kristel Bauer nor this podcast takes responsibility for possible health consequences of a person or persons following the information in this educational content.  Always consult your physician for recommendations specific to you.

As the mother of a 28-year-old daughter with autism and legal guardian of her older brother with autism, Alison Singer is a natural advocate for Autism and everything surrounding it. She started the Autism Science Foundation in 2009. She also has  served on the federal Interagency Autism Coordinating Committee (IACC) for 12 years, where she chaired the Safety and Housing Workgroups, and served on the subcommittee responsible for writing an annual strategic plan to guide federal spending for autism research and participated in many of the most important Autism organizations.  In 2012, the American Academy of Pediatrics named her an “autism champion.” In 2017 she received the INSAR “Outstanding Research Advocate” award and in 2018 she received the New York Families for Autistic Children Research Advocacy Award. Autism: When people refer to “Autism,” they are usually talking about Autism Spectrum Disorder (ASD), a brain-based disorder that is characterized by social-communication challenges and restricted and repetitive behaviors, activities and interests. Autism is about four times more likely to affect boys than girls, and is found in all racial, ethnic, and social groups. There is no known single cause of autism, although the best available science indicates a genetic origin. Alison talks about signs to look for, support from various places, effects on family life, and so much more. You can find Alison and information at www.AutismSciencefoundation.org Website: www.heatherthomson.com Social Media: IG: https://www.instagram.com/iamheathert/                     You Tube: https://youtube.com/@iamheathert?si=ZvI9l0bhLfTR-qdo SPONSOR:  AirDoctorPro - Head to www.AirDoctorPro.com and use promo code HEATHER to get UP TO $300 off today! AirDoctor comes with a 30-day money back guarantee, plus a 3-year warranty—an $84 value, free! Get this exclusive, podcast-only offer now! Learn more about your ad choices. Visit megaphone.fm/adchoices

Host Jason Blitman is joined by acclaimed author George Saunders who talks about his new novel, Vigil. Conversation highlights include:

Dawn Porter is an acclaimed American documentary filmmaker and founder of Trilogy Films, known for her storytelling on social justice, history, and cultural icons. Her celebrated documentaries, including Trapped, John Lewis: Good Trouble, and The Lady Bird Diaries, air on platforms like HBO, Netflix, Amazon, Apple, CNN, PBS and others. Another film from Porter's recent work, Luther: Never Too Much, highlights the life and legacy of Luther Vandross. Produced with Sony Music Entertainment, Jamie Foxx's Foxxhole, and Colin Firth's Raindog Films, this intimate portrayal of the Grammy-winning artist was recently released in theaters and premiered on CNN/MAX on January 1, 2025. Her recent work, The Sing Sing Chronicles won the Best Documentary Emmy at the 46th annual News & Documentary Emmy Awards. Porter's achievements are widely recognized. A three-time Sundance film festival Alum, her film Gideon's Army was nominated for an Emmy and an Independent Spirit Award and won the prestigious Ridenhour Prize as well as the American Bar Association's Silver Gavel Award. Trapped also earned a Silver Gavel, as well as a Peabody Award and the Sundance Special Jury Prize for Social Impact Filmmaking, while John Lewis: Good Trouble won the 2021 NAACP Image Award. She received the Critics' Choice Impact Award in 2022 and Gracie Awards in both 2022 and 2023. Recently, Porter was awarded the National Humanities Medal by former President Joe Biden, elected to the American Academy of Arts & Sciences, and received the IDA Career Achievement Award. Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week's episode is sweeping, interesting, and passionate. Guest Andre Dubus III takes us on a ride through some of memoir's more confounding territory—what's yours to tell; considerations of harm; writing about violence; and getting to truth on the page. Also, Grant has a new book out, and we talk about his book trailer in this week's episode. Watch here.Andre Dubus III has authored nine books including the New York Times' bestsellers House of Sand and Fog, The Garden of Last Days, and his memoir, Townie. His most recent novel, Such Kindness, was published in June 2023, and a collection of personal essays, Ghost Dogs: On Killers and Kin, was published in March 2024. Dubus has been a finalist for the National Book Award, and has been awarded a Guggenheim Fellowship, The National Magazine Award for Fiction, three Pushcart Prizes, and is a recipient of an American Academy of Arts and Letters Award in Literature. He teaches at the University of Massachusetts Lowell. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

House Republicans break ranks in droves and vote with democrats to squeeze $16B of earmarks and garbage into the budget bill due next week, exposing their deep state true colors. Tim Walz asks for money for his legal defense and the American Academy of Pediatrics is being sued for lying to America's parents about the vaccine schedule and the safety of the shots they require of America's children. Steve Hartman returns to a child's lemonade stand for the sweetest of updates.

In the second episode of this two-part series, Drs. Justin Abbatemarco, Valérie Biousse, and Nancy J. Newman discuss the risk of non-arteritic ischemic optic neuropathy and how to counsel patients around GLP-1 medications.  Show transcript:  Dr. Justin Abbatemarco: Hello and welcome back. This is Justin Abbatemarco again with Valarie Biousse and Nancy Newman talking about non-arteritic ischemic optic neuropathy. I think the other major point that we had a discussion in the podcast was around the GLP-1 medications, which you mentioned have been truly life-changing for diabetes management and obesity. Can we talk about the risk of non-arteritic ischemic optic neuropathy and how you're counseling patients around this class of medications? Dr. Nancy J. Newman:  Absolutely. This is probably one of the most difficult things we are dealing with because it is something that is in process and progress right now. We don't have all the information yet, but it would appear that there is likely a small association of about slightly less than two times risk in patients who are taking these medications of having NAION with a resultant still very, very small overall risk. And it is not necessarily causal. This has prompted the European Medicines Agency to say that these patients should have their GLP-1 RAs stopped if they have NAION. Our own FDA and certainly the American Academy of Ophthalmology and the North American Neuro-Ophthalmology Society have not taken that step, but have suggested that this be shared decision-making, not only with the person who makes this diagnosis of an NAION in the patient, but with their primary care doctor or the provider who has felt that a GLP-1 receptor agonist is important for this patient's treatment and health. Dr. Justin Abbatemarco: More to come. We're going to have you back to have discussions as we learn more and better understand the disease and how we help our patients with both their diagnosis and treatment. Thank you so much for your time. 

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. 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/ 

I play some audio from the WEF and describe the larger plan on how the WEF has been dismantled right in front of their own faces; I play current political reaction from two corrupt board members; and a RICO lawsuit against the American Academy of Pediatrics has real weight. Lawsuit toward the AAP:  https://www.skirsch.com/covid/legal/AAP.pdf   Book Websites: HERE and HERE. https://www.moneytreepublishing.com/shop PROMO CODE: “AEFM” for 10% OFF, or https://armreg.co.uk PROMO CODE: "americaneducationfm" for 15% off all books and products. (I receive no kickbacks).  https://www.thriftbooks.com/ Q posts book: https://drive.proton.me/urls/JJ78RV1QP8#yCO0wENuJQPH

Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice.In this Mind Moments episode, Benjamin Tolchin, MD, MS, FAAN, joins the podcast to provide clinical perspective on the recently published American Academy of Neurology (AAN) guidelines on functional seizures, drawing on his role as a contributing author to the recommendations. Tolchin, Director of the Center for Clinical Ethics at Yale New Haven Health and Associate Professor of Neurology at Yale School of Medicine, discusses what prompted the development of the first AAN guideline in this space and how the evidence base evolved to support formal recommendations. The conversation explores key considerations around diagnosing functional seizures, including history, semiology, EEG use, and the growing role of video documentation. Tolchin also addresses how clinicians should approach psychiatric comorbidities and co-occurring epilepsy, the evidence supporting psychological interventions, why pharmacologic therapies are not recommended for functional seizures themselves, and where major gaps remain in research to advance care in the years ahead.Looking for more Epilepsy discussion? Check out the NeurologyLive® Epilepsy clinical focus page.Episode Breakdown: 1:10 – Why growing evidence prompted the first AAN guideline on functional seizures 3:20 – Diagnostic priorities including history, semiology, EEG, and video documentation 6:15 – Assessing psychiatric comorbidities and co-occurring epilepsy in functional seizures 9:15 – Neurology News Minute 11:30 – Evidence supporting psychotherapy for functional seizures 14:50 – Pharmacological evidence and use of antiseizure medications for functional seizures 18:35 – Barriers to advancing clinical trials in functional seizures 22:05 – Research priorities to refine treatment and long-term outcomes The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: FDA Approves Subcutaneous Copper Histidinate as First Treatment for Pediatric Menkes Disease sBLA Acceptance Positions Efgartigimod as Potential First Therapy for Seronegative Myasthenia Gravis High-Dose Nusinersen Gains European Commission Approval for Spinal Muscular Atrophy Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.

Podcast summary of articles from the November 2025 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include pediatric intussusception, d-dimer in aortic dissection, ketamine for pain control, coronary CTA, immune checkpoint inhibitors, and stellate ganglion blocks.  Guest speaker is Dr. Eric Lewis.

Beyond the Digest are bonus episodes to the DermSurgery Digest that include reviews of interesting and relevant articles from JAMA Dermatology, Journal of the American Academy of Dermatology (JAAD) and Plastic and Reconstructive Surgery (ASPS).Articles featured in this episode include: ·        “The efficacy and adverse reactions of 755 nm picosecond alexandrite laser on the treatment of nevus of Ota at different endpoints: A split-lesion, single-blinded, randomized controlled comparison study” in JAAD·        “Economic and environmental benefits of greening a Mohs surgery clinic: A comprehensive intervention and analysis” in JAAD·        “Safety of rituximab in Mohs micrographic and dermatologic surgery: A retrospective cohort study” in JAAD·        “Impact of clinical factors and surgical treatments on sebaceous carcinoma patients with and without Muir-Torre syndrome” in JAAD·        “Disparities in survival and tumor characteristics in patients with single and multiple primary Merkel cell carcinomas” in JAAD·        “Impact of immunosuppression on cutaneous squamous cell carcinoma outcomes” in JAAD·        “Laser hair removal in patients with polycystic ovarian syndrome and darker skin: A retrospective study” in JAAD·        “Efficacy of 0.25% timolol gel in healing surgical open wounds: A randomized clinical trial” in JAAD Beyond the Digest Contributors include Naomi Lawrence, MD, Dermatologic Surgery Digital Content Editor; Yesul Kim, MD, Beyond the Digest Co-host; Kavita Darji, MD; Ami Greene, MD; Caresse Gamret, MD; Tara Jennings, MD; Payvand Kamrani, DO; Sydney Proffer, MD, MS; Kathryn Shahwan, MD; Yssra Soliman, MD Your feedback is encouraged. Please contact communicationstaff@asds.net.

Renue Healthcare https://Renue.Healthcare/ToddYour journey to a better life starts at Renue Healthcare. Visit https://Renue.Healthcare/Todd Bulwark Capital https://KnowYourRiskPodcast.comFind out how the future of AI could impact your retirement during Zach Abraham's free “New Year Reset” live webinar January 29th 3:30pm Pacific. Register at KnowYourRiskPodcast.com.Alan's Soaps https://www.AlansArtisanSoaps.comUse coupon code TODD to save an additional 10% off the bundle price.Bonefrog https://BonefrogCoffee.com/ToddThe new GOLDEN AGE is here!  Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.LISTEN and SUBSCRIBE at:The Todd Herman Show - Podcast - Apple PodcastsThe Todd Herman Show | Podcast on SpotifyWATCH and SUBSCRIBE at: Todd Herman - The Todd Herman Show - YouTubeYou wouldn't believe the excuse a judge has used to allow pharma to continue to harm your kids...Episode Links:Aaron Siri: "They reported two children died of measles in Texas recently. We represent one of those families. That child did not die of measles. We have all the medical records… The other child we don't represent but… that also wasn't measles."“The judge said the American Academy of Pediatrics can sue RFK Jr. to block the revised vaccine schedule because its members will have to talk more about vaccines with patients, harming their financial interests.”Doctors STILL telling patients: "You're NOT vaccine injured!"  Former CDC Director Dr. Robert Redfield: "We don't have a lot of honesty about vaccine injury. I spend my clinical time on long COVID patients with vaccine injury from the mRNA vaccines."WATCH: Peter Hotez tells woman her repeated COVID infections are basically her fault for skipping boosters.Bill Maher Delivers a Brutal Message to the COVID “Experts” Who Got It Wrong

Dr. Sophie Bakri is the Chair of the Department of Ophthalmology at Mayo Clinic. She joins us today to share take aways from the recent annual meeting of the American Academy of Ophthalmology.  Subscribe to the podcast:  https://MayoClinicOphthalmology.podbean.com   Follow and reach out to us on X and IG: @mayocliniceye 

What is it about architecture that celebrates longevity? The world's most famous architect, Frank Gehry, was actively at work until his death at age 96, finishing his Guggenheim Museum in Abu Dhabi and still designing the greatest works of his career. Masters Frank Lloyd Wright and Phillip Johnson also worked into their 90s and were even more prolific than Gehry. In this special series, Century Lives introduces Victoria Newhouse, a renowned architectural historian. At age 87, Victoria chats with her contemporaries: the late Frank Gehry, Rem Koolhaas, Moshe Safdie, Peter Eisenman, and Raj Rewal—all renowned architects and all in their 80s and 90s. In this episode, Victoria Newhouse talks with 93-year-old architect, theorist and professor Peter Eisenman, who holds a place in architectural history as one of the New York Five, and the founder of Deconstructivism. He's the recipient of the Gold Medal from the American Academy of Arts and Letters. And he has made a lifelong commitment to teaching, serving on the faculty of Yale, Princeton, Harvard, Cooper Union and Cambridge. He now teaches at Cornell University in Manhattan, where he plans to adapt his newest course on the genealogy of architecture as the subject of his 28th book.

Pediatric neuropalliative medicine is an emerging area of subspecialty practice that emphasizes the human experience elements of serious neurologic illness. Child neurologists care daily for patients who can benefit from the communication strategies and management practices central to pediatric neuropalliative medicine, whether at the primary or subspecialty level. In this episode, Gordon Smith, MD, FAAN, speaks with Lauren Treat, MD, author of the article "Neuropalliative Medicine in Pediatric Neurology" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Treat is an associate professor in the divisions of child neurology and palliative medicine at the University of Colorado School of Medicine in Aurora, Colorado. Additional Resources Read the article: Neuropalliative Medicine in Pediatric Neurology Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Gordon Smith. Today I've got the great pleasure of interviewing my good friend Dr Lauren Treat about her article on neuropalliative medicine in pediatric neurology practice. This article appears in the December 2025 Continuum issue on neuropalliative care. Lauren, welcome to the Continuum podcast, and maybe you can introduce yourself to our listeners. Dr Treat: Such a delight to be here, Gordon. Thank you. I am a pediatric neurologist and palliative medicine doctor at the University of Colorado, Children's Hospital Colorado, and I am practicing in both areas. I do general child neurology, and I also run a pediatric neuropalliative medicine clinic. So, I'm happy to be here to talk about it. Dr Smith: And, truth in advertising, I tried very hard to get Dr Treat to move to VC to work with me. And I haven't given up yet. I'm looking forward to the conversation. And Lauren, I wonder- one, I'm really excited about this issue, by the way. This is the second podcast I've done. And I'd like to ask the same question I asked of David Oliver, who's amazing. What a great article and conversation we had. And that question is, can you define palliative care? I think a lot of people think of it as, like, end-of-life care or things like that. And is the definition a little different in the pediatric space than it is in the adult space? Dr Treat: Such a great place to start, Gordon. I absolutely think that there are nuances that are very important in pediatrics. And we especially acknowledge in pediatrics that there is a very longitudinal component of this. And even moreso, I think, then in adult neuropalliative medicine, in pediatrics, we are seeing people=even prenatally or early in their first hours and days of life, and walking with them on a journey that might last days or weeks, but might last years or decades. And so, there is this sense that we are going to come alongside them and be part of the ups and the downs. So yes, neuropalliative medicine is a kind of medicine that is a very natural partner to where neurology is in its current field. We're doing a lot of exciting things with modifying diseases, diagnosing things early, and we have a very high reliance on the things that we can measure in medicine. And not all things can be measured that are worthwhile about one's quality of life. A family very poignantly told me very recently, making sure someone stays alive is different from making sure they have a life. And that's what neuropalliative medicine is about. Dr Smith: Well, great summary, and I definitely want to follow up on several aspects of that, but there's one point I was really curious about as I've been thinking about this, you know, these are really exciting times and neurology in general and in child neurology in particular. And we've got all of these exciting new therapies. And as you know, I'm a neuromuscular person, so it's hard not to think back on SMA and not be super excited. And so, I wonder about the impact of these positive developments on the practice of neuropalliative care in kids. You know, I'm just thinking, you know, you mentioned it's a journey with ups and downs. And I wonder, the complexity of that must be really interesting. And I bet your job looks different now than it did seven or eight years ago. Dr Treat: That's absolutely true. I will self-reference here one of the figures in the paper. Figure 2 in my section is about those trajectories, about how these journeys can have lots of ups and downs and whether this person had a normal health status to begin with or whether they started out life with a lot of challenges. Those ups and downs inherently involve a lot of uncertainty. And that's where palliative medicine shines. Not because we have the answer---everyone would love for us to have the answer---but because we consider ourselves uncertainty specialists in the way that we have to figure out what do we know, what can we ground ourselves in, and how can we continue to move forward even if we don't have all the answers? That is a particular aspect of neurology that is incredibly challenging for families and clinicians, and it can't stand as a barrier to moving forward and trying to figure out what's best for this child, what's best for this family. What do we know to be true about them as people, and how can we integrate that with all of the quantitative measures that we know and love in neurology? Dr Smith: So, I love the comment about prognostication, and this really ties into positive uncertainty or negative undercertainty in terms of therapeutic development. I wonder if you can talk a little bit about your approach to prognostication, particularly in a highly fluid situation. And are there pearls and pitfalls that our listeners should consider when they're discussing prognosis for children, particularly maybe young children who have severe neurological problems? Dr Treat: It's such a pivotal issue, a central issue, to child neurology practice. Again, because we are often meeting people very, very early on in their journey---earlier than we ever have before, sometimes, because of this opportunity to have a diagnosis, you know, prenatally or genetically or whatever else it is---sometimes we are seeing the very early signs of something as compared to previously where we wouldn't have a diagnosis until something was in its more kind of full-blown state. This idea of having a spectrum and giving people the range of possible outcomes is absolutely still what we need to do. However, we need to add on another skill on top of that in helping people anchor into what feels like the most likely situation and what the milestones are going to be in the near future, about how we're going to walk this journey and what we'll be on the lookout for that will help us branch into those different areas of the map down the road. Dr Smith: So, I wonder if we can go back to the framework you mentioned, two answers ago, I think? You and the article, you know, provide four different types of situations kind of based on temporal progression. I wonder if maybe the best way of approaching is to give an example and how that impacts your thoughts of how you manage a particular situation. Dr Treat: Absolutely. So, this figure in particular is helpful in multiple ways. One is to just give a visual of what these disease trajectories are doing, because we're doing that when and we take a history from a patient. But actually, to put it into an external visual for yourself, for your team, but also perhaps for the family can be really powerful. It helps you contextualize the episode of care in which you're meeting the family right now. And it also helps, sometimes, provide some sense of alignment or point out some discrepancies about how you're viewing that child's health and quality of life as compared to how the family might be viewing it. And so, if you say, you know, it sounds like during those five years before we met, you were up here, and now we find ourselves down here, and we're kind of in the middle of the range of where I've seen this person's health status be. Do I have that right? Families feel really seen when you do that and when you can get it accurately. And it also invites a dialogue between the two parties to be able to say, well, maybe I would adjust this. I think we had good health or good quality of life in this season. But you're right, it's getting harder. It's kind of that "show, don't tell" approach of bringing together all the facts to put together the relative position of where we are now in the context of everything they've been through. Dr Smith: You know, I wonder if you could talk a little bit more about the differences between palliative care and adult patients and in children? Dr Treat: Absolutely. One of the key features in pediatrics is this kind of overriding sense of an out-of-order event in the family's life. Children are not supposed to have illness. Children are not supposed to have disability. Children are not supposed to die before their parents. And that layer of tragedy is incredibly heavy and pervasive. It's not every encounter that you have in child neurology, but it does kind of permeate some of the conversations that neurologists have with their patients, especially patients who have serious neurological disease. So that could be things like epileptic encephalopathies, birth injuries, other traumatic brain injuries down the line. In the paper, I'd go through many different categories of the types of conditions that are eligible for pediatric neuropalliative medicine, that kind of support. When we think about that layer of tragedy in the relation to where we're meeting these families, they deserve extra support, not just to think about the medicines and the treatments, but also, what can we hope for? How can we give this child the best possible life in whatever circumstance that they're in? How can we show up in whatever medical decision-making circumstances present themselves to us and feel like we've done right by this child? It's a complex task, and pediatric neural palliative medicine is evolving to be able to be in those spaces with families in a very meaningful way. Dr Smith: So, of course, one of the differences is the, you know, very important role of parents in the situation, right? Obviously, parents are involved in adult palliative care issues and family is very important. But I wonder if you can talk about specific considerations given the parent-child relationship? Dr Treat: So, pediatric neuropalliative medicine really helps facilitate discussions not just about, again, those things that we have data on, but also about what is meaningful and foundational for those families. What's possible at home, what's possible in the community. In pediatrics, parents are making decisions on behalf of their child, often as a dyad, and I don't think this gets enough attention. We know from adult literature that making decisions on behalf of someone else is different from making decisions on behalf of oneself. We call this proxy decision-making. And proxies are more likely to be conservative on behalf of someone else than they are on behalf of themselves, and they're also more likely to overestimate the tolerability of a medical intervention. So, they might say, I wouldn't want this, or, I wouldn't accept this risk on behalf of myself, or, I don't think I'd want to have to persevere through something, but on behalf of this other person, I think they can do it or I will help them through it or something else like this, or, I can't accept the risk on behalf of them. So that's not good or bad. That's just different about making a decision on behalf of oneself as compared to making a decision on behalf of someone else. When there's two people trying to be proxies on behalf of a third person, on behalf of a child, that's a really, really complex task, and it deserves support. And so, pediatric neural palliative medicine can function, then, as this neutral space, as this kind of almost coaching opportunity alongside the other medical doctors to give parents an opportunity when their minds are calm---not in the heat of the moment---to talk about how they see their child, how they've shown up themselves, what they've seen go well, what they've struggled with. And how,, then we can feel prepared for future decision making times, future high-stress encounters, about what will be important to ground them in those moments, even though we can't predict fully what those circumstances might be. Dr Smith: It sounds, you know, from talking to you and having read the article, that these sorts of issues evolve over time, right? And you have commented on this already from your very first answer. And you do describe a framework for how parents think---their mental model, I guess---of, you know, a child with a serious illness. And this sounds like appreciation of that's really important in providing care. Maybe you can talk us through that topic? Dr Treat: I refer to this concept of prognostic awareness in all of the conversations that we have with families. So, what I mean by prognostic awareness is the degree of insight that an individual has about what's currently happening with their child and what may happen in the future regarding the disease and/or the complications. And when we meet people early on in their journey, often their prognostic awareness, that sense of insight about what's going on, can be limited because it requires lived experience to build. Oftentimes time is a factor in that, we gain more lived experience over time, but it's not just time that goes into building that. It's often having a child who has a complication. Sometimes it's experiencing a hospitalization. That transfer from a cognitive understanding of what's going on, from a lived experience about what's going on, really amplifies that prognostic awareness, and it changes season by season in terms of what that family is going through and what they're willing to tolerate. Dr Smith: You introduced a new term for me, which is hyper-capableism. Can you talk about that? I found that really interesting and, you know, it reminds me a lot of the epiphanies that we've had about coma and coma prognosis. So, what's hyper-capableism? Dr Treat: Yes. In neurology, we have to be very aware of our views on ableism, on understanding how we prognosticate in relation to what we value about our abilities. And hyper-capableism refers to someone who feels very competent both cognitively and from a motor standpoint and fosters that sense of value around those two aspects to a high degree. I'm referencing that in the article with regard to medicine, because medicine, the rigors of training, the rigors of practice, require that someone has mental and motor fortitude. That neurology practice and medical practice in general can breed this attitude around the value of skills in both of those areas. And we have to be careful in order to give our patients and families the best care, to not overly project our values and our sense of what's good and bad in the world regarding ableism. Impairments can look different in different social contexts. And when the social context doesn't support an impairment, that's where people struggle. That's where people have stigma. And I think there's a lot of work that we can do in society at large to help improve accommodations for impairment so that we have less ableism in society. Dr Smith: Another term that I found really interesting kind of going back to parents is the "good parent identity." Maybe you can talk about that? Dr Treat: Good parent identity, good parent narrative, is something that is inherent to the journey when you're trying to take care of and make decisions on behalf of a child. And whether you're in a medical context or outside of a medical context, all parents have this either explicit or implicit sense of themselves about what it means to do right by their child. This comes up very poignantly in complex medical conditions because there are so many narratives about what parents ought to do on behalf of their child, and some of those roles can be in tension with one another. It's a whole lot of verbs that often fall under that identity. It's about being able to love and support and take good care of and make good decisions on behalf of someone. But it's also about protecting them from harm and treating their pain and being able to respond to them and know their cues and know these details about them. And you can't, sometimes, do multiple of those things at once. You can't give them as much safety and health as possible and also protect them from pain and suffering when they have a serious illness, when they need care in the hospital that might require a treatment that might be invasive or burdensome to them. And so, trying to be a good parent in the face of not being able to fulfill all those different verbs or ideas about what a good parent might do is a big task. And it can help to make it an explicit part of the conversation about what that family feels like their good parent roles might be in a particular situation. Dr Smith: I want to shift a little bit, Lauren, that's a really great answer. And just, you know, listening to you, your language and your tongue is incredibly positive, which is exciting. But, you know, you have talked about up and downs, and I wanted you to comment on a quote. I actually wrote it down, I'm going to read it to you, because you mentioned this early on in your article: "the heavy emotional and psychological impacts of bearing witness to suffering as a child neurologist." I think all of us, no matter how excited we are about all the therapeutic development, see patients who are suffering. And it's hard when it's a child and you're seeing a family. I wonder if you could talk a little bit about that comment and how you balance that. You're clearly- you're energized in your career, but you do have to bear witness to suffering. Dr Treat: You're right. Child neurologists do incredible work, it's an incredible, exciting field, and there are a lot of challenges that we see people face. And we see it impacts their lives in really intense ways over the course of time. We bear witness to marriages that fall apart. We bear witness to families that lose jobs or have to transition big pieces of their identity in order to care for their children. And that impacts us. And we hold the collective weight of the things that we are trying to improve but sometimes feel less efficacious than we hoped that we could around some of these aspects of people's lives. And so, pediatric neuropalliative medicine is also about supporting colleagues and being able to talk to colleagues about how the care of the patients and the really real effort that we exert on their behalf and the caring that we have in our hearts for them, how that matters. Even if the outcome doesn't change, it's something that matters for our work and for our connections with these families. It's really important. Dr Smith: I wonder, maybe we can end by learning a little bit about your journey? And maybe this is your opportunity to- I know we have students and residents who listen to us, and junior faculty. I think neuropalliative care is obviously an important issue. There's a whole Continuum issue on it---no pun intended---but what was your journey, and maybe what's your pitch? Dr Treat: I'm just going to give a little bit of a snippet from a poem by Andrea Gibson, who's a poet, that I think speaks really clearly to this. They say a difficult life is not less worth living than a gentle one. Joy is simply easier to carry than sorrow. I think that sums these things up really well, that we find a lot of meaning in the work that we do. And it's not that it's easier or harder, it's just that these things all matter. I'm going to speak now, Gordon, to your question about how I got to my journey. When I went into pediatrics and then neuro in my training, I have always loved the brain. It's always been so crucial to what I wanted to do and how I wanted to be in the world. And when I was in my training, I saw that a lot of the really impactful conversations that we were having felt like we left something out. It felt like we couldn't talk about some of the anticipated struggles that we would anticipate on a human level. We could talk about the rate and the volume of the G tube, but we couldn't talk about how this was going to impact a mother's sense of being able to nourish and bond and care for their child because we didn't have answers for those things. And as I went on in my journey, I realized that even if we don't have answers, it's still important for us to acknowledge those things and talk about them and be there for our patients in those conversations. Dr Smith: Well, Lauren, what a great way to end, and what a wonderful conversation, and what a great article. Congratulations and thank you. Dr Treat: Thank you, Gordon. It was a pleasure to be here. Dr Smith: Again today, I've been interviewing Dr Lauren Treat about her really great article on neuropalliative medicine in pediatric neurology practice. This article appears in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this issue and other issues. And thanks again to you, our listeners, for joining us today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Limiting screentime is no longer enough to promote healthy social habits in children. ABC News Correspondent, Jim Ryan, talks about the new guidance given by the American Academy of Pediatrics.

This interview is with Ryan Clifford of Alloro Vineyard and The Allison. Ryan talks about his early life growing up in Detroit, Michigan, where he developed interests in biology, animals, and aquarium science, which later influenced in his interest in wine. Next, Ryan discusses his education and career path, including attending the American Academy of Dramatic Arts in New York City, moving to Portland, Oregon and studying wine at Chemeketa Community College, transferring to Oregon State University, and completing the WSET coursework at Linfield University.Ryan also talks about his first harvest experience in the Willamette Valley, the pandemic and how it caused him to move back to Michigan, interrupting an internship, and eventually moving back to Oregon for a job at Élevée. He now works as an assistant winemaker for Alloro Vineyard and at The Allison as a sommelier for Jory.This interview was conducted by Rich Schmidt at Alloro Vineyard in Sherwood, Oregon on January 6, 2026.

What if the future of women's longevity wasn't about fighting aging—but teaching the body how to adapt, regenerate, and thrive? In this deeply insightful episode of The Girlfriend Doctor Show, Dr. Anna Cabeca sits down with renowned longevity and regenerative medicine expert Dr. Kathleen O'Neil to unpack the cutting-edge science—and timeless fundamentals—behind women's biohacking, immune resilience, and healthy aging. Dr. O'Neil shares her extraordinary journey from pathology and the morgue to elite performance medicine, explaining how understanding why people die transformed how she helps patients live longer, stronger lives. Together, they explore immune modulation, peptides, GLP-1s, light and dark therapy, bone regeneration, adrenal health, energy medicine, and why balance—not extremes—is the true secret to longevity. From menopause and bone loss to hyperbaric oxygen therapy, peptides like oxytocin and thymosin, and the power of adaptability, this episode is a masterclass in personalized, ethical, regenerative medicine for women at every stage of life. If you're curious about biohacking beyond the hype—and want grounded, science-backed strategies that actually work—this conversation is for you.     Key Timestamps 00:01:00 – Welcome & introduction to longevity and regenerative medicine 04:05 – Dr. O'Neill's time in the morgue and what it taught her about immunity, aging, and silent disease 08:15 – The immune system explained: friend vs. foe, gut training, adaptability, and immune modulation 12:18 – Light, dark, melatonin, oxytocin & why darkness is essential for regeneration 13:19 – Feasting, fasting, and the paradoxes that build resilience and adaptability 16:04 – GLP-1s, peptides, and why dosage variability matters for long-term results 21:14 – Energy medicine, biochargers, frequency, vibration & photobiomodulation 24:10 – Adrenal burnout, cortisol dysregulation, and immune collapse 28:17 – Bone loss, ovarian aging clocks, and why prevention must start earlier 30:04 – Bone health, muscle, oxytocin & rebuilding resilience after menopause 36:17 – Regenerative medicine, stem cells, and ethical innovation in longevity care 40:41 – Inside a cutting-edge regenerative medicine clinic 41:02 – Hyperbaric oxygen therapy, lymphatic drainage & advanced recovery tools 45:18 – Personalized medicine, foundations first, adaptability & final takeaways     Memorable Quotes "Longevity is really gerotherapeutics—preventing aging by teaching the body how to regenerate." – Dr. Kathleen O'Neil "You can't hack your life without doing the fundamentals." – Dr. Kathleen O'Neil "Balance—light and dark, stress and recovery—is what creates adaptability." – Dr. Kathleen O'Neil "The immune system is a living medication inside us." – Dr. Kathleen O'Neil "Everything I do today is serving the version of myself I'll be in the future." – Dr. Anna Cabeca     Connect With Guest Dr. Kathleen O'Neil, MD Website: treatwellness.boston Instagram: @treatwellness_ About Dr. O'Neil: Dr. Kathleen O'Neil earned her M.D. from Boston University School of Medicine (Magna Cum Laude) and trained at Massachusetts General Hospital and Brigham and Women's Hospital. She is a global expert in regenerative and longevity medicine, peptide therapy, GLP-1s, and exosomes, working with elite athletes and professional teams. She is a founding board member of the International Peptide Society and the American Academy of Stem Cell Physicians and previously served as Medical Director of Tom Brady's TB12 Wellness Center.       Connect With Dr. Anna Cabeca

Fool: Identifying and Overcoming Character Deficiency Syndrome by Garry D. Nation Seriouschristian.org https://www.amazon.com/Fool-Identifying-Overcoming-Character-Deficiency/dp/1629024627 Practical wisdom…in today’s less than ethical business climate-deep, thought-provoking, and entertaining. Phil Eubanks Corporate Ethics Compliance Professional Garry is a pastor and scholar with a passion for Christ, an innovative spirit, and an open heart. I have read his work with spiritual profit. Now it’s your turn to benefit: the Bible tells us that ‘wisdom is too high for fools’ (Prov 24:7). Find out for yourself and read this book. Professor Andrew Walker King’s College, London The question of ethical character (and its deficiency) has become a matter of lively public discussion in recent years and promises to be so for a long time to come-in private life, in politics, in business, in society. While the world tries to figure out how to restore character, it will not find better guidance than we already have in the Bible. Fool: Identifying and Overcoming Character Deficiency Syndrome is a forensic, worldview-conscious study of the fool and folly as depicted in the Bible, especially in the Book of Proverbs. The message of author Garry D. Nation is that character deficiency (folly) is a vicious, predictable, downward spiral of destructive personal choices. Moral upbringing and ethics training may interrupt and temper it, but God’s grace alone can cure it. Sometimes humorous, sometimes exasperating, sometimes tragic, but always engaging, Fool uncovers surprising insights into what makes us all tick. About the author Garry D. Nation is an author, minister, scholar, educator, and speaker. He holds the B.A. magna cum laude from Oklahoma Baptist University(1975), the M.Div. (1978), and the Ph.D. (1990) from Southwestern Baptist Theological Seminary. He is a Fellow of the Oxford Society of Scholars and is a full member of the Evangelical Theological Society. His articles have been published in Christianity Today, the Mid-America Theological Journal, and the Journal for the American Academy of Ministry. Garry is also a versatile actor, singer, and perfomer. He has appeared onstage, often playing biblical characters ranging from Mordecai (Esther: For Such a Time as This) to Simon Peter (The Promise). More recently he has played lead roles in independent films such as Polycarp, Indescribable, and My Grandpa Detective.

In this episode, we turn our focus to allergic conjunctivitis. Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD guests review the clinical features of ocular allergy and discuss how characteristics such as discharge and symptom patterns can help distinguish allergic conjunctivitis from viral, bacterial, and other etiologies. The conversation also covers important mimics and red flags, including chemical conjunctivitis, corneal abrasions, and foreign bodies, with guidance on evaluation and management. This episode equips pediatricians with practical tools to accurately assess red eye complaints and determine when further intervention is needed. Have a question? Email questions@vcurb.com. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Billy Collins has contributed frequently to Rattle over the years, including an interview in issue 15. He is the author of 16 collections of poetry, including Sailing Alone Around the Room, Aimless Love and, most recently, Dog Show. He served two terms as United State Poet Laureate and is a former Distinguished Professor of English at Lehman College and New York State Poet. He is a New York Public Library Literary Lion and a member of the American Academy of Arts and Letters. He is currently “between dogs,” his most recent an Australian Shepherd mix named Jeannine. He lives in Winter Park, Florida, with his wife Suzannah. Find Dog Show here: https://www.penguinrandomhouse.com/books/790238/dog-show-by-billy-collins/ As always, we'll also include the live Prompt Lines for responses to our weekly prompt. A Zoom link will be provided in the chat window during the show before that segment begins. For links to all the past episodes, visit: https://www.rattle.com/page/rattlecast/ This Week's Prompt: Write a poem that describes the taste of a surprising food as creatively as possible. Next Week's Prompt: Write a poem about a time something was put somewhere that it didn't belong. Include an unusual detail about the person that found it. The Rattlecast livestreams on YouTube, Facebook, and Twitter, then becomes an audio podcast. Find it on iTunes, Spotify, or anywhere else you get your podcasts.

Donald Trump ist ein Jahr im Amt. Es ist bereits seine zweite Amtszeit und in der setzt er fort, was in seiner ersten US-Präsidentschaft begonnen hatte: Amerika zu neuer Größe führen. Diesmal aber entschiedener als 2017. Dafür zertrümmert der US-Präsident die Nachkriegsordnung, er schafft permanente Unsicherheit, macht Freunde zu Feinden und zeigt imperialistischen Machthunger. Was macht diese Politik mit den USA selbst? Bei den einen vergrößert sich die Sorge vor einer Abwicklung der Demokratie, von Wissenschaft und Werten, während Trumps Anhänger ihn weiter feiern. Darüber sprechen wir mit dem Politikwissenschaftler Josef Braml, mit Jakob Wiedekind, DAAD Visiting Professor an der UNC Chapel Hill in North Carolina, dem Religionswissenschaftler und Mitglied der „American Academy of Religion“ Andreas G. Weiß und mit Rieke Havertz, internationale Korrespondentin der „Zeit“. Podcast-Tipp: Amerika, wir müssen reden Ingo Zamperoni ist mit der US-Amerikanerin Jiffer Bourguignon verheiratet. Der Moderator der tagesthemen und die US-Journalistin haben Familie und viele Freunde in den Staaten, die sich ideologisch immer mehr voneinander entfernen. Das Rekord-Tempo und die weitreichenden Umbrüche, mit denen US-Präsident Donald Trump gerade die amerikanische Demokratie auf den Kopf stellt, betreffen die beiden daher persönlich. Ingo und Jiffer beobachten und analysieren die aktuellen Entwicklungen in der US-Politik und welche Auswirkungen sie auch auf uns in Deutschland und Europa haben. Der Podcast erscheint jede Woche neu. https://www.ardaudiothek.de/sendung/amerika-wir-muessen-reden/urn:ard:show:4bc59488d0e4c9bb/

Dr. Koehler is Affinity's Medical Director and a board-certified emergency medicine physician. He has a strong interest and experience with men's and women's hormonal therapy, peptide therapy and weight loss therapy. He is also a member of the American Academy of Anti-Aging Medicine and holds a Certificate in Peptide Therapy. Connect with Jon Dwoskin: Twitter: @jdwoskin Facebook: https://www.facebook.com/jonathan.dwoskin Instagram: https://www.instagram.com/thejondwoskinexperience/ Website: https://jondwoskin.com/LinkedIn: https://www.linkedin.com/in/jondwoskin/ Email: jon@jondwoskin.com Get Jon's Book: The Think Big Movement: Grow your business big. Very Big!   Connect with Dr. Koehler:Website: https://www.affinitywholehealth.com/ Twitter: https://x.com/affinitywh Instagram: https://www.instagram.com/affinitywholehealth Linkedin: https://www.linkedin.com/company/affinity-whole-health/ Facebook: https://www.facebook.com/affinitywh/                                                                         *E – explicit language may be used in this podcast.

Norton Healthcare's Parenting With You is the podcast that helps you keep your kids healthy and safe by providing practical, down to earth advice for parents of children of any age, from babies through the teen years. In this Episode: BullyingIn this episode, our host, Dr. Erin Frazier speaks with Dr. Katy Hopkins, PHD, HSPP. Katy specializes in Pediatric Behavioral Health and Clinical Child and Adolescent Psychology. In this episode, to topic is bullying, and our host and guest cover a wide range of topics, including recognizing potential signs of bullying, how to effectively talk with your children about bullying, and tips and strategies for effectively intervening when necessary. Two resources were mentioned in this episode: the Family Media Plan from the American Academy of Pediatrics and the website StopBullying.com.  Links for both resources are included below. https://www.aap.org/en/patient-care/media-and-children/ https://www.stopbullying.gov   About Norton Children's Center for Prevention and Wellness A healthy kid is a happy kid. Norton Children's Prevention & Wellness provides resources to help you and your child build healthy habits. Established in 1991, the Office of Child Advocacy of Norton Children's Hospital, now Norton Children's Prevention & Wellness, takes an active leadership role in teaching healthy habits in children, including injury prevention and educating children and their families on healthy lifestyle choices. Advocacy and outreach educational programs are at the heart of the Norton Children's mission. Norton Children's Prevention & Wellness is funded through donations to the Norton Children's Hospital Foundation. Our efforts are focused around: Safety and injury prevention Promoting healthy lifestyles Key community partnerships Government relations Norton Children's Prevention and Wellness Classes:  https://nortonchildrens.com/prevention-wellness/classes-events/ Find a pediatrician go to https://nortonchildrens.com/locations/pediatrician-offices/  or call 502-629-KIDS, option 3.

Send us a textThis week on Neo News, we tackle the recent and controversial divergence between CDC and AAP guidelines regarding the birth dose of the Hepatitis B vaccine. With the CDC now recommending a deferred schedule for infants of Hepatitis B-negative mothers, we explore the clinical implications, the risks of vertical transmission, and the challenge of navigating discordant public health advice. We discuss how to handle shared decision-making in an era of waning vaccine confidence and why the "birth dose" remains a critical safety net in a community setting. Join us as we break down the data behind the headlines.----American Academy of Pediatrics. (2025, December 15). AAP: CDC decision on universal birth dose of hepatitis B vaccine irresponsible and purposely misleading. AAP News. https://publications.aap.org/aapnews/news/33980/AAP-CDC-decision-on-universal-birth-dose-of?searchresult=1?autologincheck=redirectedSupport the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this episode, Dr. Vera Tarman spoke with Adrienne Sprouse, MD, a Columbia-trained physician with extensive experience in emergency medicine, toxicology, and environmental medicine, as well as more than four decades of stable food recovery. Adrienne reflected on how growing up in an alcoholic family system shaped her early coping strategies and how food became a primary source of comfort and regulation. Over time, she began to notice that certain foods didn't simply soothe emotional distress but instead triggered a predictable cycle of cravings, symptoms, and relapse. This realization led her to distinguish between compulsive overeating as a behavioral response and food addiction as a physiological reaction to specific foods. A central focus of the conversation was Adrienne's Prouse Rotational Eating Plan, a structured four-day rotation approach rooted in the concept of cyclic food allergy, originally described by Dr. Herbert Rinkle. Adrienne explained the difference between fixed food allergy—where symptoms occur every time a food is eaten—and cyclic food allergy, where symptoms depend on frequency and amount. She described how repeated exposure to the same foods, common in modern eating patterns, can "stack" in the body and contribute to escalating symptoms such as bloating, edema, headaches, joint pain, and the familiar experience of temporarily "getting away with it" before relapse. Adrienne also outlined the 24-day home food-testing process described in her book, which was designed to help individuals identify their "sober foods," clarify which foods destabilize them, and create a rotation that supports long-term stability without relying on willpower alone. The conversation extended beyond biology into emotional and spiritual recovery. Adrienne shared why she believed that a food plan alone was insufficient for many people and how 12-step recovery supported her ability to cope with stress, trauma, and relational dynamics that previously fueled her eating. She described 12-step principles as a stabilizing force that helped her maintain honesty, accountability, and resilience alongside her eating structure. Adrienne's book, 50 Years of Twelve Step Recovery, was discussed as a synthesis of lived experience, physiology, and recovery practice, offering both individuals and clinicians a broader framework for understanding relapse cycles, abstinence, and whole-person healing. In this episode: How Adrienne differentiated compulsive overeating from food addiction physiology What she meant by "sober foods" and why identifying them reduced chaos and cravings Why cyclic food allergy patterns are often overlooked How the four-day rotation was intended to reduce food "stacking" and stabilize symptoms An overview of the 24-day food testing approach outlined in her book How certain foods might be reintroduced medically, while acknowledging psychological and spiritual considerations Why chemical exposures and non-organic foods were discussed as potential contributors to craving Adrienne's perspective on GLP-1 medications, including their limits in teaching coping skills How 12-step recovery complemented biological interventions and supports long-term maintenance About Adrienne Sprouse, MD Adrienne Sprouse, MD, graduated from Columbia University College of Physicians and Surgeons and trained in emergency medicine at Bellevue Hospital, toxicology at the New York City Poison Center, and Nutrition/Allergy/Detoxification/Clinical Ecology with the American Academy of Environmental Medicine. She later served as faculty for the Academy, educating physicians internationally for 17 years. She was Medical Director of Manhattan Health Consultants for decades and was featured in major media outlets including ABC, NBC, Fox Good Day New York, and The New York Times. She is the author of 50 Years of Twelve Step Recovery, drawing on both long-term personal recovery and decades of clinical practice. The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

Dr. Don Watenpaugh is a scientist, sleep clinician, data artist, and poet with a PhD in physiology. His extensive career spans academia, NASA, and the U.S. Navy, focusing on human sleep, exercise, and environmental physiology. As a board-certified sleep medicine specialist, he directed a large urban sleep clinic for over 13 years, caring for patients and educating healthcare providers. Dr. Watenpaugh is an adjunct faculty member in physiology, anatomy, and biomedical engineering. He now creates data-driven art and poetry at Studio Videnda. In this episode, he brings his deep expertise to the critical relationship between sleep and concussion recovery.Episode Summary:In this episode of the Concussion Coach Podcast, host Bethany Lewis welcomes sleep expert Dr. Don Watenpaugh, to explore the complex connection between sleep disturbances and concussion recovery. Dr. Watenpaugh explains the physiological reasons why concussions commonly disrupt sleep—from brain inflammation impacting cerebral spinal fluid "brainwashing" during non-REM sleep to the exacerbation of pre-existing conditions like PTSD, depression, and anxiety. The conversation delves into the different types of insomnia (sleep onset and maintenance) and their potential causes, including restless leg syndrome and sleep apnea.Crucially, Dr. Watenpaugh provides actionable, evidence-based strategies to improve sleep and support brain healing. He discusses the evolving role of exercise as medicine, emphasizing safe, non-jarring activities like stationary cycling. He covers practical sleep hygiene tips, such as the importance of spinal alignment during sleep, the potential benefits of slightly elevating the head of the bed, and the disruptive effects of electronics and blue light. The discussion also touches on the careful use of supplements like melatonin, the special considerations for military personnel and student-athletes, and the overarching importance of patient education and self-advocacy. This episode is packed with science-backed insights to help listeners break the vicious cycle of poor sleep and prolonged concussion symptoms.Key Resources & Strategies Mentioned:Exercise as Medicine: Safe, mild-to-moderate exercise (e.g., stationary cycling to avoid head acceleration) can aid concussion recovery and improve sleep. Always consult your doctor.Sleep Position & Environment:Maintain spinal alignment; avoid stomach sleeping to prevent neck torsion.Consider slightly elevating the head of the bed to help reduce intracranial pressure.Remove electronics (TVs, phones) from the bedroom to avoid mental stimulation and blue light, which suppresses natural melatonin.Addressing Underlying Causes:Restless Leg Syndrome (RLS): Evening exercise (ending 2+ hours before bed) can help. Other treatments are available.Sleep Apnea: A common cause of sleep maintenance insomnia. Treatment (e.g., CPAP) is critical for overall health and concussion recovery.Hormonal Factors: Post-menopausal women may see a link between hormone changes and sleep apnea onset.Melatonin & Supplements: Prioritize natural melatonin production by managing light exposure. If using supplements, start with a low dose well before bedtime, monitor for side effects like headaches or grogginess, and consult your doctor.Patient Advocacy & Reliable Research: Dr. Watenpaugh stresses the importance of educating yourself using reliable, peer-reviewed sources like PubMed/MEDLINE, reputable medical institutions (e.g., Johns Hopkins & the Mayo Clinic), and professional organizations (e.g., American Academy of Sleep Medicine).Dr. Don Watenpaugh's website:Website/Data Art Studio: https://www.studiovidenda.comBethany Lewis & The Concussion Coach:Free Guide: "5 Best Ways to Support Your Loved One Dealing with a Concussion" - Download at www.theconcussioncoach.comConcussion Coaching Program: For personalized mentorship in recovery. Sign up for a free consultation HERE

What if the deepest human drive isn't happiness, survival, or even love, but the need to matter? Philosopher and MacArthur Fellow Rebecca Newberger Goldstein joins Michael Shermer to discuss The Mattering Instinct, her argument that the desire to feel significant lies at the core of human behavior. That drive helps explain our greatest achievements, from creativity and moral courage to scientific and artistic excellence. It also helps explain some of our darkest outcomes, including extremism, violence, and ideological fanaticism. Goldstein examines why people will give up comfort, status, and sometimes even their own lives to feel that they matter. She questions why meaning cannot be captured by happiness metrics or self-help formulas, and why the same psychological force can produce saints, scientists, athletes, cult leaders, and terrorists. The conversation moves through free will, entropy, morality without God, fame, narcissism, and the crucial difference between ways of mattering that create order and those that leave damage behind. Rebecca Newberger Goldstein is an award-winning philosopher, writer, and public intellectual. She is the author of ten books of acclaimed fiction and non-fiction, including 36 Arguments for the Existence of God: A Work of Fiction and Betraying Spinoza: The Renegade Jew Who Gave Us Modernity. She holds a PhD in philosophy of science from Princeton University and has taught at Yale, Columbia, NYU, Dartmouth, and Harvard. A fellow of the American Academy of Arts and Sciences, her work has been supported by the MacArthur "Genius" grant and fellowships from the Guggenheim, Whiting Institute, Radcliffe Institute, and the National Science Foundation. Her new book is The Mattering Instinct: How Our Deepest Longing Drives Us and Divides Us.

What an honor to begin 2026 with an inspiring conversation with Sports Medicine legend, and AAOS President Dr. Annunziato "Ned" Amendola!We cover a lot of ground in this conversation, his legacy work at Duke, AAOS, NBA shoe consultancy, mentorship, cartilage replacement, even Italian food!!What a towering figure in sports medicine and foot and ankle care at Duke University, where he serves as a distinguished professor, chief of sports medicine, and executive director of the James R. Urbaniak, MD, Sports Sciences Institute. Since joining Duke in 2015 he has served as head team physician and chief medical officer for Duke Athletics, providing exceptional care to elite athletes while advancing innovative treatments for knee and ankle injuries. Internationally renowned for pioneering arthroscopic and biologic resurfacing techniques that have transformed cartilage repair and rehabilitation, Dr. Amendola has authored over 300 peer-reviewed articles, secured numerous research grants, and earned prestigious honors such as the Excellence in Research Award, Cabaud Memorial Award, O'Donoghue Award, and the Kappa Delta Ann Doner Vaughn Award. His leadership culminated in serving as President of the American Academy of Orthopaedic Surgeons (AAOS), where he has championed excellence in musculoskeletal care and mentored countless surgeons worldwide.Beginning his journey in Canada with training at the University of Western Ontario and fellowships in sports medicine and foot and ankle surgery, he previously held key roles including director of sports medicine at the University of Iowa. His contributions have earned him additional accolades like the Achilles Award from ISAKOS, the Roger Mann and Leonard Goldner Awards from the American Orthopaedic Foot and Ankle Society, and induction into the AOSSM Hall of Fame. Join us (and Skeletoni) at the next AAOS meeting: https://www.aaos.org/Clinic: https://www.dukehealth.org/find-doctors-physicians/annunziato-ned-amendola-mdPlease support our Sponsor, Anika Therapeutics: https://anika.com/Duke World Games: https://ryortho.com/2026/01/duke-health-is-warming-up-early-and-ortho-is-leading-the-charge/Support the show

Dr. Kelly McCann shares her journey from conventional medicine to a holistic approach, emphasizing the importance of understanding the root causes of chronic illnesses. She discusses the impact of environmental factors, particularly mold and chemicals, on health and offers practical advice for individuals seeking to improve their well-being. Dr. McCann also highlights the significance of following one's passion in the medical field and provides resources for those interested in functional medicine.Dr. Kelly McCann is a board-certified physician in Internal Medicine and Pediatrics, trained in Functional, Integrative, and Environmental Medicine. Known for her expertise in mold illness, chronic infections, MCAS, and complex chronic conditions, she integrates science, intuition, and spiritual psychology to help people heal at the deepest levels. Through her private practice, The Spring Center, and her upcoming transformational programs, she guides clients from suffering to sovereignty—reclaiming their health, purpose, and power. She has hosted 3 virtual worldwide summits reaching over 100,000 people and is an author of a forthcoming book that explores how illness is not the enemy but a portal to healing the whole self.Dr. Kelly is a born healer. She has helped thousands of people on their journey to wellness. From medical mysteries, chronic illnesses, hormone & thyroid concerns, gastrointestinal issues, immune dysfunction and autoimmune diseases; there are few internal medical issues Dr. Kelly has not tackled. She specializes in providing personalized, compassionate care, working on several levels to improve patients' quality of life and simultaneously investigate the root causes of the dysfunctions. Her calming, gentle nature has brought many people comfort on their healing journeys.Dr. Kelly began her career in medicine with the intention of providing a comprehensive holistic approach that encompasses the mind body spirit connection. Throughout her pre-medical training and continuing through medical school and residency, she explored acupuncture, herbs, meditation, energy medicine, spirituality, and massage, while simultaneously excelling in her conventional medical studies. She has been practicing medicine since 2000 and continues her education to provide cutting edge expertise, tools, and services for healing,Hoag Memorial Hospital in Newport Beach, California recruited Dr. McCann to establish an integrative practice in Orange County. She remains on staff at Hoag and has been in private practice in Costa Mesa since 2008.Dr. McCann is one of only 35 physicians world-wide to have participated in a Residential Fellowship in the Program of Integrative Medicine at the University of Arizona where she worked with Dr. Andrew Weil. She is certified by the Institute of Functional Medicine and also Board Certified in Integrative Medicine by the American Board of Physician Specialties.Dr. McCann completed a Masters in Spiritual Psychology at the University of Santa Monica in August 2010. She is a Board Member of the American Academy of Environmental Medicine and a Board Member and the 2020 Conference Chair for the International Society of Environmentally Acquired Illness. She lectures internationally on various topics, including mold and mycotoxin illness, Lyme and chronic infections, mast cell activation, and related conditions and environmental medicine. She lives in Orange County, California with her husband and their dog. She enjoys yoga, learning Spanish, hiking, reading, and traveling.​ Get In Touch With Dr Kelly:www.drkellymccann.comwww.thespringcenter.comInstagram- https://www.instagram.com/drkellymccann/

Patients with Parkinson disease and other movement disorders have significant palliative care needs that are poorly met under traditional models of care. Clinical trials demonstrate that specialist palliative care can improve many patient and family outcomes. In this episode, Aaron Berkowitz, MD, PhD, FAAN, speaks with Benzi M. Kluger, MD, MS, FAAN, author of the article "Neuropalliative Care in Movement Disorders" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology in San Francisco, California. Dr. Kluger is the Julius, Helen, and Robert Fine Distinguished Professor of Neurology in the Departments of Neurology and Medicine (Palliative Care) at the University of Rochester in Rochester, New York. Additional Resources Read the article: Neuropalliative Care in Movement Disorders Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Guest: @BenziKluger 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 Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Benzi Kluger about his article on neuropalliative care in Parkinson disease and related movement disorders, which is found in the December 2025 Continuum issue on neuropalliative care. Welcome to the podcast, Dr Kluger, and could you please introduce yourself to our audience? Dr Kluger: I'm Benzi Kluger. I'm a professor of neurology and palliative medicine at the University of Rochester. I'm the chief of our neuropalliative care service, I'm the director of our Palliative Care Research Center, and I'm also the founding president of the International Neuropalliative Care Society. Dr Berkowitz: Wow, that is a large number of hats that you wear in a very important area of palliative care. So, your article is a fantastic article that covers a lot of concepts in palliative care that I myself was not familiar with and really applies them in a very nuanced way to patients with Parkinson's disease and related disorders. So, I'm looking forward to learning from you today to discuss some of the concepts you talk about in the article and how you apply them in your daily practice of palliative care in this particular patient population. So, one of the key points in your article is that we're often so focused on treating the motor symptoms of Parkinson's disease and other degenerative movement disorders that we are often at risk of underdiagnosing and undertreating the nonmotor symptoms, which in some cases, as you mentioned in the article, are more disabling to the patient than the motor symptoms that we tend to focus on. So, from a palliative care perspective, what are some of the nonmotor symptoms that you find tend to be underdiagnosed and undertreated in this patient population? Dr Kluger: The literature suggests---and we've replicated it, actually, Lisa Schulman published a paper twenty-five years ago and the data is almost exactly the same when it comes to things like depression, pain, fatigue, constipation, sleep---that you miss it about 50% of the time. And there's a number of reasons for that. One is that these are subjects that people don't always like to talk about. People don't like talking about depression. People don't like talking about poop and constipation. And I think there are things that neither the patient or the caregiver nor the physician are necessarily comfortable with. And they're also sometimes confusing of, which doctor should I talk to this about? Should I talk to my primary care doctor, should I talk to my neurologist? And so I think the key here is really having a checklist and being proactive about it. In the article, I suggest a template or previsit questionnaire that you can use, but I think it's just about being automatic about it. And it just takes the burden off of the patient and the family to bring them up and letting them know that this is a safe space and this is the right space to talk about these symptoms. Dr Berkowitz: That's very helpful to know. So, having some type of checklist or template just so we go all through them and, as you said, it sort of destigmatizes, just, this is the list of things, and I'm going to just ask about all of them. So we check in on those particular symptoms, whether they're present or not. Are there any particular symptoms that jump out to you as ones that tend to be missed---either because we don't ask about them or patients are less comfortable mentioning them---that in your practice, when you've elicited them, have allowed for particular intervention that's really improved the quality of life for patients in this group? Dr Kluger: Yeah, I'll mention a few that I think come up and are very pertinent. One is mood. And, to use depression---but we could also use anxiety as an example---again, these are topics that people don't always want to talk about. And I think it's important---we may get to this a little bit more later---is being careful to distinguish between depression and grief, sadness, normal worry, frustration. A lot of times the way I'll ask that when I'm talking to a patient is, you know, I hear you're using the word depressed. I want to make sure. does this feel to you like normal sadness given that you have an illness that sucks, or does this really feel like it's above and beyond that and you feel like you'd need a little extra help to get your emotions under control? The second one, which is kind of related, is other behavioral symptoms, including PD psychosis and hallucinations. And there, I think, the thing is that people are quite frankly afraid that they're losing their mind or going insane. So, I think that's another critical one. And then one that, you know, it's kind of a low-hanging fruit but people don't want to talk about, is constipation. And when we did our large randomized control trial of palliative care, our single biggest effect size was actually that we did a better job of treating constipation than usual care. And I think the only trick there is that we asked about it. Dr Berkowitz: I see. So, do you then as part of your routine practice and seeing these patients with Parkinson's disease in particular, you have a particular checklist you go through during the appointment or, as you mentioned, you- one could do it before the appointment. But you tend to go through this in the visit, and is there any palliative care wisdom you have for us, those who are not trained in palliative care, to making sure we really elicit these symptoms in an effective way and how much they're bothering the patient? Dr Kluger: Two things that I've seen work---and we've done a lot of implementation studies. One is that, if it works for your practice, having patients fill out a questionnaire or survey in advance. And I think one of the highest-yield things there too is for blank lines to allow patients to write in what their top three problems are. And I've found when we've used it, and I think other people have found, that it's a huge time saver. People hand them the form, they look to see what's at checked a yes or what's checked as high, and then that becomes the agenda for the visit. The other thing that I think works equally well is just having a template, and at this point its just kind of, like, hard-wired into my neurons that, you know, no matter what we talked about in the HPI, I'll always ask about sleep and mood and bowel and bladder and pain to make sure that I don't miss those things. Dr Berkowitz: You mentioned in your article that palliative care needs in patients with Parkinson's disease really differ over the course of the illness and may be different at the time the initial diagnosis is given versus as the disease progresses versus the latest, most advanced stages of the disease. Can you talk a little bit more about how your approach to these patients changes over time from a palliative care perspective? Dr Kluger: Yes. And I'll also add, I think some of this is going to be more relevant to our listeners than to me. I'm now almost entirely in a neuropalliative care clinic, but for early-stage illness, it's really primary palliative care. And just to reinforce, this is palliative care that's provided by neurologists and primary care doctors, not specialist palliative care. I think that mindset's particularly important around the time of diagnosis. One of the things that, for me, was most eye-opening when we were doing qualitative interviews and studies was how devastating the diagnosis of Parkinson's disease was for patients and their families. And that was not something that I really anticipated. I think, like a lot of people and a lot of movement disorder doctors, I kind of thought of Parkinson's disease as a relatively good-news diagnosis. And that was often the way I pitched it, and we talked about Sinemet and DBS and exercise and all these things, but I have a relativity bias. And that bias is, I know that Parkinson's is better than PSP or MSA or brain cancer. But for the individual getting that diagnosis, that's it's not good news because their relativity bias is, I didn't have Parkinson's before and now I do. And for the rest of my life I'm going to have Parkinson's. And for the rest of my life, there may be things that I can do today that I won't be able to do tomorrow or next week. And so that was… yeah. And I think it really changed my practice and was pretty eye-opening for me. In the article, I mentioned the SPIKES (S-P-I-K-E-S) protocol for talking about serious conversations or talking about bad news. But I think one of the keys there for the time of diagnosis is asking people about their perceptions of Parkinson's. And part of that's also asking them what they know and what they're worried about. And you may be surprised that when you ask somebody about Parkinson's, you know, sometimes they may say it was good news. It's been three years, I've been trying to find an answer, and I feel like I've been being blown off. And sometimes you might say, this is the thing I feared the most. My uncle died of Parkinson's in a nursing home. And I also find that more often than not, even in end-of-life, that a lot of times the serious illness conversations I have, the facts that I have to present people, are better than their fears. And that's true at the time of diagnosis. But I think if we don't go into it and we don't ask people what they're feeling and what their perceptions are, then we miss this opportunity to support them. So that's the early stage. And in midstage, I think the, you know, the real keys there are to catch nonmotor symptoms early, to catch things like pain and depression and constipation before they become really bad or even lead to a hospital stay. And also starting to plant the seed and maybe doing some advanced care planning so that we are- people feel more prepared for the end stages of Parkinson's. And I think there, too, people ask about the future; when we tell them everyone's different or you don't have to worry about that now, that doesn't help an individual very much. So, oftentimes in the middle stages of the illness, people do want to know, am I going to go to a nursing home? How much longer is this going to be? You don't need a crystal ball, but if you can give people the best case, the worst case, the most likely case, that can be very helpful for life planning. And then as we're getting to more advanced and endstage, the lens that I'm looking at people with really is, should we begin talking about hospice? And we know again, from data that as a system---not just neurologists, but as a system---we're missing this all the time. And that if you have Parkinson's disease, you're about 50% chance of dying in a hospital, which is not where people want to die. And so, when I see people with more advanced disease, I'm asking questions about weight loss, and are they sleeping more during the day, and is there an acceleration in their decline of function? So, not just asking about where they are, but what's the rate of decline so that I can give people months of hospice as opposed to either them dying in a hospital or just scrambling for hospice in the last few days of their life. Dr Berkowitz: Another important palliative care concept you discussed in this article that was new to me is the concept of total pain, where you talk about aspects of pain beyond the physical and emotional pain we often think of when we hear the word pain. Can you talk a little bit about this concept of total pain, and then in particular how you apply it specifically when caring for patients with Parkinson's disease and related disorders? Dr Kluger: Yeah, absolutely. In the article there's a figure, and this is a- one of the foundational concepts of palliative care is this idea of total pain. Which is that the pain of a serious illness, whether that be cancer or Parkinson's, is not simply physical. There's also emotional components. And that also goes beyond the psychiatric. So, that includes grief and worry and frustration, and it also includes loneliness. And I think with Parkinson's disease, actually, one of one of the quotes that really sticks with me from some of our qualitative interviews was a woman who talked about her Parkinson's as a "flamboyant illness" because her tremor and her dyskinesias were always coming out at inopportune times. And it wasn't something I thought about, but there's this cosmetic aspect of having a movement disorder. There's also a cosmetic aspect of drooling or of using a walker. And so, there is a social stigma associated with Parkinson's, and people also lose a lot of social capital. Part of that is that often times neighbors and friends and family don't feel comfortable being around that person anymore. They don't know what to say. And so, sometimes coaching or connecting them with a chaplain or a counselor can be helpful in maintaining those social networks. There's a social pain. There's a spiritual and existential pain. And when I ask people a question, I ask almost everybody, is, what's the toughest part of this for you? A lot of times things fall into that bucket. And it's my loss of independence. I'm no longer able to do the things that bring me joy. I feel guilty that I'm going to be a burden to my family. My relationships are changing. So those are things that are essentially spiritual and existential. And then the last bucket, there are logistical things. And this can be lost driving and how do I get around, the cost of doctor visits, spending time with doctors, co-pays for medications; in the case of Parkinson's disease, the logistics of taking medication every two to three hours. So those all contribute to the total pain or the multiple dimensions of suffering. And that is something that I think about---in fact, in our assessment and plan, one of the things I like to mark out is sources of suffering. And that could be from any of those parts of the pie chart. Dr Berkowitz: And how do you approach this at the bedside? So, there are different concepts here. Obviously, physical pain, everyone is familiar with probably the concept of emotional pain. But as you get out in these concentric circles into sort of spiritual, existential pain, how do you sort of start these discussions with patients to elicit some of these aspects of their suffering? Dr Kluger: You know, the most common question I ask is, what's the toughest part of this for you? And very often that's going to lead into these existential and spiritual issues. I'll also ask people at the start of visits is, just tell me overall, big picture, how's your quality of life? Sometimes the answer is pretty good. Sometimes it sucks. Sometimes it's I have none. I know we're going to talk a little bit about joy later. But I'll also often times follow that up with, what do you enjoy or look forward to? And sometimes I get a response to that, and sometimes I get there's nothing in my life right now. But foundationally, I feel like those are all, you know, definitely spiritual and existential issues. And I'll ask people, too, where do you find meaning? What are your sources of support? I know for different physicians, people have different comfort with this, but I do find it helpful also to ask people, are you spiritual or religious? Because that can sometimes open up a window to other means of coping. An example of that---I mean, not everybody is going to have access to a chaplain. Some people will. But oftentimes one of the things that I do is encourage people to reconnect with their spiritual community. And so, I've had some very heartwarming winds where somebody would say, you know what, I haven't been to church for a while. And people at churches or synagogues or mosques are often looking for opportunities to help. And so that I think is another, I think, really important message. But I think one of the- my favorite parts of my job is kind of opening up these bridges and opening up these connections. And helping people to recognize, I would kind of put it under a larger practice of grace, is that asking for help can be a gift to another person. And if you're strong enough to ask for help, you're giving, you know, sometimes a really tremendous gift to another individual. If somebody has a strong community that they're connected with, doesn't have to be religious. it could be that they were a high school sports coach, it could be that they were involved in a book club, it could be that they were DJ or ran a restaurant or who knows what. Those all can provide opportunities for bringing people together and bringing together community. And again, thinking about the total pain of having a neurologic illness like Parkinson's, that loss of community, that loss of connection, is one of the things that's most painful. Dr Berkowitz: So, when people think about palliative care, they tend to think about pain and suffering and a lot of the topics we've been talking about. But you also talk about joy in your article, and you alluded to it a moment ago, working with your patients to find what brings them joy, opportunities for joy. As I was reading this, I was trying to imagine sitting across from a patient who has maybe just received the diagnosis of Parkinson's or is in a stage of the disease where, as you mentioned, they might be quite depressed, whether that's capital-D depression or sadness related to their loss of independence and other aspect. Sitting across from a patient who is suffering so much and has come maybe to a palliative care doctor such as yourself to alleviate suffering and have pain and other symptoms addressed, how do you begin a conversation about joy in that context and have the patient feel comfortable to open up? And how do you then use that conversation to help them improve their quality of life? Dr Kluger: Yeah, that's a great question. And it's one that actually comes up every time I talk about joy because it can be daunting. And there certainly are situations where I don't bring it up. You know, if we are deep into a session about grief or we're talking about kind of an unexpected bad turn of events, there's times where it would be insensitive to try to push, you know, an agenda of joy or something like that. And yet I would say that particularly residents and students who work with me, you know, may be surprised at how often I do bring it up. And I would say it's probably 95% of the time or more where I am able to talk about joy. And as an example, you know, we might be talking about grief and loss and changes in independence. And then I would say, you know, I want to make sure that we have time to talk about this, and we'll connect you to our chaplain or counselors so that you can talk about and process your grief. And at the same time, I want to make sure that we don't lose sight that there are still opportunities for joy and love and meaning in your life. And I want to make sure that we make space and time to talk about those things too. So, it's creating that balance. That's a transition that, even when you're on a very heavy subject---in fact, I would say maybe even particularly when you're getting into a heavy subject---that you can talk about joy and love and meaning. I gave a talk at the American Academy of Neurology a few years ago where I referred to them as weapons that you can use against some curable illnesses. One example is, my approach to chronic pain often centers around joy. So, I'll have somebody who comes in with back pain. My goal with that person is not for them to take Percocet four times a day to eliminate their back pain. When I talk to that person, I may find out that their grandson's soccer games and boxing class are the two most important things in their life. So maybe we take Percocet three or four times a week a half-hour before those activities so that you can get that joy back in your life. And so, we kind of use joy as a way and as a goal to reclaim those parts of your life that are most important to you. So, that's a pretty concrete example. Even for people nearing end of life, it could be giving people permission to eat more of their favorite food, often times ice creams, milkshakes---which is great, because we want people to gain weight at that point. Getting out into nature, even if they can't hike or do things the way they used to, that they might be able to go out with their family. Having simple touch, spending time together, really trying to prioritize what's most important. In the article, we talk about the total joy of life or the total enjoyment of living. But I like to be systematic about thinking about opportunities for living and make sure that we're just as systematic about thinking about what are the opportunities for joy as we are about thinking about the sources of suffering. Dr Berkowitz: I'm sure I only sort of scratched the surface of palliative care in general, let alone specifically related to Parkinson's disease and other related disorders. For our listeners who may be interested in learning more about neuropalliative care specifically or getting a little more training in this, any recommendations? Dr Kluger: Yeah, absolutely. Thanks for asking me that. There is a growing community of people interested in neuropalliative care, and so I would really encourage people who are passionate about this and want to get connected to this community to consider joining the International Neuropalliative Care Society. We're a young and growing community. I think you'll find a lot of like-minded individuals. And whether you're thinking about going into neuropalliative care as a specialty or doing a fellowship or just making it more a part of your practice, you'll find a lot of like-minded individuals. And then at the end of the article, there are some websites, but there are opportunities: for example, Vital Talk, the education palliative and end-of-life care neurology curriculum out of Northwestern, where people can dig deeper and kind of do their own mini-fellowship to try to bolster these skills. Dr Berkowitz: Gives, certainly, me a lot to think about. I'm sure it gives our listeners a lot to think about as well in implementing some of the palliative care concepts you tell us about today and discuss in much more detail in your article as we see these patients and, hopefully, can refer them to talented expert colleagues like yourself in palliative care, but don't always have that opportunity. And as you said, there's always opportunities to be practicing palliative care, even though we're not palliative care specialists. So, I encourage all the listeners to read your article, which goes through these concepts and many more as well some sort of key points and strategies for implementing them as you gave us many examples today. So again, today I've been interviewing Dr Benzi Kluger about his article on neuropalliative care in Parkinson disease and related movement disorders, which is found in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this and other issues, and thank you again to our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

This episode of Quality Matters examines primary care's evolving role and features Karen Johnson of the American Academy of Family Physicians and Jeff Sitko of NCQA. Karen and Jeff outline primary care's distinguishing focus on patient relationships, the strain on the primary care workforce, and technology's promise to ease burdens. The discussion connects the dots between workforce sustainability, AI-driven efficiency, payment reform, and NCQA's vision for next-generation primary care.Karen highlights the underappreciated fact that only 5% of health care spending goes to primary care, despite public perception that the figure is—and should be—higher. Jeff describes a dawning era of proactive, data-driven care delivery. He also previews NCQA's plans to build upon the successful Patient-Centered Medical Home model of primary care.HighlightsThe Human Core of Primary Care: Continuity and trust are what make primary care special, even as practice settings change.Workforce Challenges and Opportunities: Clinicians report high stress and burnout, yet relationships with patients keep them engaged. Building systems that protect these relationships—and make primary care careers attractive—is critical to sustainability.Economics and Incentives: Guests discuss new payment models, state-level initiatives and federal efforts to rebalance incentives and support primary care in new ways.Looking Ahead: The foundational Patient-Centered Medical Home model gets an update in 2026. Plus, Karen calls for a seismic shift to resource primary care as a common good.This episode is essential listening for healthcare executives, policymakers, and clinicians committed to strengthening primary care as the cornerstone of quality improvement.Key Quote:If you want to boil it down to the simplest terms, it's taking primary care from a reactive model—Call me when you're sick; I'll put you on my schedule; Come in and see me—to a proactive model.I am paying attention to a population of patients. They're mine. They're on my panel. And now maybe they're also tied to some accountability arrangement in value-based care, where performance comes into play.And so I'm going to be proactive for a lot of reasons. One, it's the right thing to do for patients. But I also want to make sure my patients are getting preventive services they need, they are taking the medications I prescribe, they are going to the referral I recommended. And I'm getting the information back from that physician, and my team is acting on that. It's all of those things that should be ubiquitous in primary care.-Karen Johnson, PhDTime Stamps:(01:07) The Changing Landscape of Primary Care(06:42) Challenges in the Primary Care Workforce(08:49) How Technology is Impacting Primary Care(15:59) Future Directions and Innovations(18:11) NCQA's Plans for 2026Dive Deeper:State of the Primary Care Workforce 2024 (HRSA)The Pulse of Primary Care (JGIM)Connect with Karen JohnsonConnect with Jeff Sitko Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Americans have been told that working harder is the path to dignity, security, and success. But what if that promise was hijacked? This week, we're revisiting our episode with Professor Elizabeth Anderson, where she exposes how neoliberalism weaponized the “work ethic” — transforming a moral tradition that once honored workers into a system that blames them, exploits them, and rewards extraction over contribution. Drawing from her new book Hijacked, Anderson traces how today's economy punishes labor, glorifies predatory wealth, and rigs the rules against working people — and what it would take to take the work ethic back. Elizabeth Anderson is the Max Mendel Shaye Professor of Public Philosophy, Politics, and Economics at University of Michigan. She is the author of Value in Ethics and Economics, The Imperative of Integration, and Private Government: How Employers Rule Our Lives (and Why We Don't Talk about It). She is a MacArthur Fellow and Fellow of the American Academy of Arts and Sciences. Social Media: @UMPhilosophy Further reading:  Hijacked: How Neoliberalism Turned the Work Ethic Against Workers and How Workers Can Take It Back Private Government: How Employers Rule Our Lives (and Why We Don't Talk about It) Website: http://pitchforkeconomics.com Facebook: Pitchfork Economics Podcast Bluesky: @pitchforkeconomics.bsky.social Instagram: @pitchforkeconomics Threads: pitchforkeconomics TikTok: @pitchfork_econ YouTube: @pitchforkeconomics LinkedIn: Pitchfork Economics Twitter: @PitchforkEcon, @NickHanauer Substack: ⁠The Pitch⁠

Lauren Rosenberg, a highly experienced Physician Associate, has dedicated nearly two decades to Internal Medicine and Health Optimization. Driven by a passion for preventative care, Lauren founded Vent Health to shift the focus from disease treatment to prevention. She specializes in a personalized approach that blends genetics, epigenetics, biomarkers, and lifestyle factors to tailor health interventions that extend and optimize each patient's healthspan. Lauren's practice includes prescribing peptides (GLP, CLP/GIP) for weight loss, insulin resistance, pre-diabetes, etc. This episode concentrates on all the questions about GLP's, the prescription based Ozempic and others, as well as the Compound Pharmacy GLP's that can often times be less expensive. Heather and Lauren also cover the common side effects, and how to manage them. In this episode you will learn other health benefits of these peptides, and who can benefit from them as well as practical tips for getting started on GLP-1 Therapy. Lauren is a frequent speaker at the Age Management Medicine Group (AMMG) and the American Academy of Anti-Aging Medicine (A4M) conferences. Lauren's practice includes Cardiology prevention: Diagnostics and AI analysis to detect dangerous plaque and calcium; advanced lipid testing and cardiovascular genetics Longevity biomarkers: DNA methylation for biological age, VO2 max testing, Telomere health; Therapeutic plasma exchange Cancer prevention: methylated DNA screens, preventative MRIs, tumor marker testing. We will have Lauren back to discuss all these other longevity and optimum health subjects. This episode concentrates on the information pertaining to Peptides, GLP's etc as they are so popular right now. If you want to contact Lauren for more info, you can reach her via her site: https://myventhealth.com and go to the contact page. Or email: vent@myventhealth.com Website: www.heatherthomson.com Social Media: IG: https://www.instagram.com/iamheathert/ You Tube: https://youtube.com/@iamheathert?si=ZvI9l0bhLfTR-qdo Learn more about your ad choices. Visit megaphone.fm/adchoices

This week's episode focuses on bacterial conjunctivitis and practical considerations for pediatric care. Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD discuss key principles of infection control, how to recognize concerning findings and distinguish uncomplicated conjunctivitis from more serious conditions such as orbital cellulitis, and when escalation of care is necessary. We also review the appropriate use of antibiotics, including selection, administration, and common pitfalls—highlighting how improper dosing or technique can limit effectiveness. This discussion is designed to support evidence-based decision-making and safe, effective management of bacterial conjunctivitis in children. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

What age is too old for sleep training? If you're wondering when to start sleep training, let's start with this: your child's need for sleep is more critical than ever.Just because your toddler is out of the crib doesn't mean their sleep habits should go out the window. According to the American Academy of Pediatrics, 25% of kids under the age of 5 don't get enough sleep.

In this special series on Automated Insulin Delivery our host, Dr. Neil Skolnik will discuss with the benefits of Automated Insulin Delivery for people with Type 2 Diabetes. This special episode is supported by an independent educational grant from Insulet. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Davida Kruger, MSN, APN-BC,BC-ADM,  Henry Ford Health, Detroit, Michigan. Past Chair of the American Diabetes Associations Research Foundation, Past president, Health Care and Education of the American Diabetes Association. Ashlyn Smith, MMS, PA-C, DFAAPA, LSC, Distinguished Fellow of the American Academy of PAs, Certified Diabetes Prevention Program Lifestyle Coach, Founder of ELM Endocrinology & Lifestyle Medicine, PLLC., Past President of the American Society of Endocrine Physician Assistants, Adjunct faculty at Midwestern University, Selected references: Automated Insulin Delivery in Adults With Type 2 Diabetes A Nonrandomized Clinical Trial. JAMA Network Open. 2025;8(2):e2459348. A Randomized Trial of Automated Insulin Delivery in Type 2 Diabetes.  N Engl J Med 2025;392:1801-12 Automated Insulin Pump in Type 2 Diabetes – Editorial - N Engl J Med 2025;392:1862-1863

At any given moment, an uncountable number of events are happening, but only some of them matter to us. What does it mean for something to matter, and more importantly, what does it mean for us to matter -- to ourselves as well as to others? The need to matter can be motivation to do great things, but it can also be a reason for people to come into conflict. Philosopher/novelist Rebecca Newberger Goldstein explores this issue in her new book The Mattering Instinct: How Our Deepest Longing Drives Us and Divides Us.Blog post with transcript: https://www.preposterousuniverse.com/podcast/2026/01/12/340-rebecca-newberger-goldstein-on-what-matters-and-why-it-matters/Support Mindscape on Patreon.Rebecca Newberger Goldstein received her Ph.D. in philosophy from Princeton University. She is the author of several novels and works of non-fiction. Among her awards are the MacArthur and Guggenheim Fellowships, membership in the American Academy of Arts and Sciences, and the National Humanities Medal.Web siteAmazon author pageWikipediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Last week the federal government reduced the number of vaccines it recommends for children in the US from 17 to 11. The CDC made these changes without the approval from a federal panel. On today's show, host Douglas Haynes takes a look at these changes and their implications for public health with two experts, Mary Hayney of the UW School of Pharmacy and Kia Kjensrud of Immunize Wisconsin.  They break down the latest 6 changes to recommendations for the HPV, Hepatitis A, Rotavirus, RSV, flu and covid, and Meningococcal vaccines. The difference is that now the CDC doesn't recommend these vaccines, they say “talk to your doctor about them” through a process known as “shared clinical decision-making.” From the point of a published vaccine schedule, the CDC's new recommendations make it appear as if these vaccines are optional, says Hayney. And the changes imply that there hasn't been shared clinical decision-making, though it is common practice already, says Kjenstrud. At the end of the day, there is no scientific basis for these changes and the majority of parents still want their children to be vaccinated, says Hayney. For those who are skeptical about vaccines, Kjensrud says that vaccines are under strict scrutiny. More than 200 groups have joined the American Association of Pediatrics in calling for oversight for these changes. The rationale from the Trump administration is that these changes are in line with other countries like Denmark that recommend fewer childhood vaccines. Hayney says that there are significant demographic differences–in terms of size and diversity– between these countries to make it hard to compare. In addition, universal healthcare covers all citizens in Denmark. They also discuss the trust that pediatricians build with the families they care for, how measles and the flu are deadly and preventable diseases, school attendance policies, the misconception that physicians are making money from these childhood vaccines, and how insurance policies will be affected by these new guidelines.  Mary S. Hayney is a Distinguished Professor of Pharmacy at the University of Wisconsin School of Pharmacy and a Master of Public Health Program Faculty Member at the University of Wisconsin School of Medicine and Public Health/ Her research lab studies vaccine responses in immunocompromised individuals. She teaches immunology topics at the School of Pharmacy, including the immunization course for pharmacy students. Kia Kjensrud has served as the executive director of the Wisconsin Chapter of the American Academy of Pediatrics since 2007. She is the interim director of Immunize Wisconsin, a statewide coalition supporting efforts around strengthening vaccination ecosystems at the local, regional, and statewide level. Featured image of a child receiving a vaccine. Did you enjoy this story? Your funding makes great, local journalism like this possible. Donate hereThe post The CDC Endangers Public Health and Abandons Science appeared first on WORT-FM 89.9.

The CDC announced Monday a major overhaul of the U.S. childhood vaccine schedule, reducing the number of routine immunizations recommended for children. In December, President Trump directed Health and Human Services officials to examine how other developed nations schedule vaccines and to reconsider the U.S. approach. FDA Commissioner Dr. Marty Makary said the changes are intended to restore public trust in health institutions that was lost during the pandemic. However, criticism has been fierce. Lawmakers on both sides of the aisle have pushed back, and the American Academy of Pediatrics has called the move dangerous and unnecessary. Vaccine schedules are handled by the states, meaning states may continue to mandate certain vaccines for school attendance. The updated recommendations also do not eliminate insurance coverage for any vaccines. The CDC changes create three categories. The eleven vaccines that remain in the recommended category include measles, mumps, rubella, polio, pertussis, HPV, and chickenpox. A second category recommends vaccines for individuals considered high-risk, including hepatitis A and B and RSV. The third category includes vaccines available by personal choice after consultation with a doctor, including COVID-19, flu, rotavirus, and others. Earlier this week, former CDC Director Dr. Robert Redfield joined FOX News Rundown host Jessica Rosenthal to discuss the new and reduced childhood vaccine schedule recommendations. Dr. Redfield, author of the new book Redfield's Warning: What I Learned (But Couldn't Tell You) Might Save Your Life, explained why he supports the changes, while also emphasizing the importance of doctors clearly explaining the benefits of vaccines. He also discussed why public trust has eroded and why encouraging vaccine choice and transparency could ultimately lead more Americans to get the shots needed to protect themselves from disease. We often have to cut interviews short during the week, but we thought you might like to hear the full conversation. Today on Fox News Rundown Extra, we share our entire interview with former CDC Director Dr. Robert Redfield—and more of his perspective on vaccines. Learn more about your ad choices. Visit podcastchoices.com/adchoices

The CDC announced Monday a major overhaul of the U.S. childhood vaccine schedule, reducing the number of routine immunizations recommended for children. In December, President Trump directed Health and Human Services officials to examine how other developed nations schedule vaccines and to reconsider the U.S. approach. FDA Commissioner Dr. Marty Makary said the changes are intended to restore public trust in health institutions that was lost during the pandemic. However, criticism has been fierce. Lawmakers on both sides of the aisle have pushed back, and the American Academy of Pediatrics has called the move dangerous and unnecessary. Vaccine schedules are handled by the states, meaning states may continue to mandate certain vaccines for school attendance. The updated recommendations also do not eliminate insurance coverage for any vaccines. The CDC changes create three categories. The eleven vaccines that remain in the recommended category include measles, mumps, rubella, polio, pertussis, HPV, and chickenpox. A second category recommends vaccines for individuals considered high-risk, including hepatitis A and B and RSV. The third category includes vaccines available by personal choice after consultation with a doctor, including COVID-19, flu, rotavirus, and others. Earlier this week, former CDC Director Dr. Robert Redfield joined FOX News Rundown host Jessica Rosenthal to discuss the new and reduced childhood vaccine schedule recommendations. Dr. Redfield, author of the new book Redfield's Warning: What I Learned (But Couldn't Tell You) Might Save Your Life, explained why he supports the changes, while also emphasizing the importance of doctors clearly explaining the benefits of vaccines. He also discussed why public trust has eroded and why encouraging vaccine choice and transparency could ultimately lead more Americans to get the shots needed to protect themselves from disease. We often have to cut interviews short during the week, but we thought you might like to hear the full conversation. Today on Fox News Rundown Extra, we share our entire interview with former CDC Director Dr. Robert Redfield—and more of his perspective on vaccines. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Joint pain is a common concern in pediatric practice. If a child is limping after sports or describes vague aches and pains, it often points to a minor injury or a self-limited condition. But in some cases, joint pain may signal something more serious. The challenge for pediatricians is knowing how to distinguish benign, mechanical causes from symptoms that warrant further evaluation. In this episode, we explain how to identify red herrings versus true red flags in pediatric joint pain. While awaiting a rheumatology referral, we'll talk about what primary care pediatricians can do in the meantime to support children and families facing the possibility of arthritis.    This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Angela Chun, MD, is the associate program director for the Division of Rheumatology at Lurie Children's Hospital of Chicago. She is also an assistant professor at the Northwestern University Feinberg School of Medicine.  Some highlights from this episode include: The most common reasons for joint pain in children Understanding juvenile idiopathic arthritis (JIA) and how it presents Common pitfalls that may lead to misdiagnosis What providers can do in their offices before a referral  For more information on Children's Colorado, visit: childrenscolorado.org. 

This month we begin a new series on common pediatric eye issues, starting with viral conjunctivitis. In this episode, host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD review the clinical features that help distinguish viral conjunctivitis from other causes of red and pink eye, discuss typical disease course, and address common misconceptions around treatment and contagion. They also explore practical counseling points for families, including symptom management, infection control, and guidance on school and daycare attendance. This discussion is designed to help pediatricians confidently diagnose viral conjunctivitis and provide clear, evidence-based reassurance to families. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

It's become increasingly clear that the Turing Test -- determining whether human interlocutors can tell whether a conversation is being carried out by a human or a machine -- is not a good way to think about consciousness. Modern LLMs can mimic human conversation with extraordinary verisimilitude, but most people would not judge them to be conscious. What would it take? Is it even possible for a computer program to achieve consciousness, or must consciousness be fundamentally "meat-based"? Philosopher Ned Block has long argued that consciousness involves something more than simply the "functional" aspects of inputs and outputs.Blog post with transcript: https://www.preposterousuniverse.com/podcast/2026/01/05/339-ned-block-on-whether-consciousness-requires-biology/Support Mindscape on Patreon.Ned Block received his Ph.D. in philosophy from Harvard University. He is currently Silver Professor in the Department of Philosophy at New York University, with secondary appointments in Psychology and Neural Science. He is also co-director of the Center for Mind, Brain, and Consciousness. He is Past President of the Society for Philosophy and Psychology and was elected a Fellow of the American Academy of Arts & Sciences.Web siteNYU web pagePhilPeople profileGoogle Scholar publicationsWikipediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Randy Blakely is a Professor of Biomedical Science at Florida Atlantic University and Executive Director of the Florida Atlantic University Brain Institute. Randy is examining how neurons control neurotransmitter signaling, as well as how medicinal drugs and drugs of abuse impact neurotransmitters. He is interested in how normal neurotransmitter regulation and changes in neurotransmission due to drugs ultimately impact behavior. Randy lives in beautiful South Florida near the Everglades, and he likes to spend is free time enjoying nature and observing the local wildlife. While commuting between campuses, Randy listens to a variety of audiobooks, and he is also a big fan of Americana and folk music. He received his B.A. in Philosophy from Emory University and his Ph.D. in Neuroscience from the Johns Hopkins School of Medicine. He next conducted postdoctoral research at the Yale/Howard Hughes Medical Institute Center for Molecular Neuroscience. Randy was an investigator and faculty member at Emory University and Vanderbilt University before accepting his current position at Florida Atlantic University. Randy is the recipient of numerous awards and honors for his research and mentorship. He was awarded the Daniel Efron Award from the American College of Neuropsychopharmacology, two Distinguished Investigator Awards from the Brain and Behavioral Research Foundation, a MERIT Award from the National Institute of Mental Health, a Zenith Award from the Alzheimer's Association, the Delores C. Shockley Partnership Award in recognition of minority trainee mentorship, as well as the Astellas Award in Translational Pharmacology and the Julius Axelrod Award both from the American Society for Pharmacology and Experimental Therapeutics. In addition, he is a Fellow of the American Academy for the Advancement of Science. Randy joins us in this episode to talk more about his life and science.

This 'Media Buzz Meter' first aired on December 18th, 2025… Howie Kurtz on President Trump's address to the nation, House Republicans offering an alternative to Obamacare, and Secretary RFK Jr. terminating grants to the American Academy of Pediatrics over federal vaccine policy disagreements. Follow Howie on Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠@HowardKurtz⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠For more #MediaBuzz click here Learn more about your ad choices. Visit podcastchoices.com/adchoices