Podcasts about American Academy

Dr. Ira Rashbaum specializes in mind–body care and treatment of patients who have tension myoneural syndrome, previously known as tension myositis syndrome, a condition that causes pain and symptoms associated with tension and stress factors. His expertise is in diagnosing and treating individuals who have psychosomatic pain disorders. He has an extensive list of publications, national meeting presentations, and media appearances. As study guide committee chairperson of the American Academy of Physical Medicine and Rehabilitation, he led a project that compiled information on advances in rehabilitation medicine for more than 10,000 physicians worldwide. This position placed him at the forefront of all aspects of rehabilitation medicine. Dr. Samuel Mann is a physician and researcher, specializing in hypertension. He has spent the past 40 years as a specialist in this condition, combining patient care, research and teaching at his institution. As a researcher, he has published 65 articles in medical and psychology journals, along with 10 book chapters on hypertension, and three books. His most recent book is “Hidden Within Us; A Radical New Understanding of the Mind-Body Connection (2022). He emphasizes that in most patients, hypertension is not a mind/body disorder. But when it is, it is not related to emotions, such as anger and anxiety that patients report, but to powerful repressed emotions, often related to a past history of stress or trauma, that are completely hidden from conscious awareness. Part 2 The discussion included the following topics: accuracy of adults in recalling traumatic events that may have occurred in childhood, communicating with patients reluctant to discuss emotional aspects other than physical health ailments; possible distinctions among patients in different demographic groups, non-pharmacologic kinds of treatment, and status of research aimed at understanding the connection between emotions and physical health problems.

Benn Steil is a senior fellow and director of international economics at the Council on Foreign Relations. He is the author of The Marshall Plan: Dawn of the Cold War, winner of the New York Historical Society's Barbara and David Zalaznick Book Prize in American History and the American Academy of Diplomacy's Douglas Dillon Award. Get a copy of his masterful book The World That Wasn't: Henry Wallace and the Fate of the American Century Anthony Scaramucci is the founder and managing partner of SkyBridge, a global alternative investment firm, and founder and chairman of SALT, a global thought leadership forum and venture studio. He is the host of the podcast Open Book with Anthony Scaramucci. A graduate of Tufts University and Harvard Law School, he lives in Manhasset, Long Island. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode with Jason Tuori, we explore an interesting case study on an elite endurance athlete who presents with Achilles tendinopathy seven months prior to competing in a marathon. We cover:Key signs of Achilles tendinopathy in the subjective and objective examCalf strengthening in Achilles tendinopathyPlantar flexion force production and it's role in rehabilitationReturn to run algorithm Role of mental health in running and individualised rehabilitation programsThis episode is closely tied to Jason's case study he did with us. With case studies, you can see how top clinicians manage real-world cases and apply their strategies to get better results with your patients.

Dr. Carole Keim welcomes pediatric dermatologist Dr. Teresa Wright, MD, to the podcast to talk about baby skin care, birthmarks, eczema, and anything to watch out for with a baby's skin that could potentially be dangerous. Dr. Wright works at Le Bonheur Children's Hospital in Memphis, Tennessee and is also faculty at the University of Tennessee Medical Center. She shares her journey into pediatric dermatology and explores all manner of common skin concerns, conditions, and questions regarding infants and their skin care with Dr. Keim, based on a wealth of experience and knowledge. Dr. Keim and Dr. Wright open by addressing the little pink or red spots in the middle of a newborn's forehead that are sometimes called angel kisses. The medical term is nevus simplex, and Dr. Wright assures listeners that they're nothing to worry about and will fade over time. They discuss types of newborn skin rashes, such as transient neonatal pustular melanosis, which are normal, before addressing conditions that might need a pediatrician's attention. Baby moles are explained in detail, atopic dermatitis or eczema is described, and Dr. Wright offers insight on how to mitigate or improve child skin dryness, along with tips on avoiding exposure to known irritants and allergens. This episode is full of facts and advice on infant skin, offering a practical guide to what is normal and what might need additional attention.Dr. Teresa Wright, MD:Dr. Wright attended medical school at the University of Massachusetts in Worcester, Massachusetts. She went on to complete a residency in pediatrics at the University of Massachusetts Medical Center. Subsequently, she completed a dermatology residency at the University of Kansas Medical Center and a fellowship in pediatric dermatology at Children's Mercy Hospitals and Clinics in Kansas City, Missouri. She joined the dermatology faculty at Baylor College of Medicine and Texas Children's Hospital (TCH) in January of 2009. In January of 2012, she was promoted to Section Chief of Pediatric Dermatology at TCH. She also served as Co-Director of the Vascular Anomalies Program at TCH from October 2011 through March of 2015. In July of 2015, she returned to her hometown of Memphis, TN to join the dermatology faculty at the University of Tennessee and establish a pediatric dermatology division at LeBonheur Children's Hospital. She has special interests and expertise in the diagnosis and management of hemangiomas and other vascular lesions, as well as pigmented lesions and pediatric melanoma. She is board-certified in pediatric dermatology, dermatology, and pediatrics. She is a member of the American Academy of Dermatology, the American Academy of Pediatrics, and the Society for Pediatric Dermatology.Dr. Wright has special interests and expertise in the diagnosis and management of hemangiomas and other vascular lesions, as well as pigmented lesions and pediatric melanoma.__ Resources discussed in this episode:The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__Contact Dr. Carole Keim, MDlinktree | tiktok | instagramContact Dr. Teresa Wright, MDwebsite | linkedin

Irregular periods, night sweats, insomnia, decreased libido, brain fog, mood swings, hot flashes, belly fat—for many women, these symptoms are all too real. But when they bring them up, too many doctors offering little empathy or solutions, dismissing them as “just part of getting older.” No wonder so many women feel confused, frustrated, and alone during perimenopause and menopause.Dr Sheree Bondoc a.k.a. The Hormone Doctor, empowers women to navigate menopause with clarity, and confidence so they can live long and live well. She is the co-founder and medical director of The CORE Clinic, dedicated to treating not just the symptoms, but the root causes of health issues. A board-certified Fellow of the Philippine Obstetrics and Gynecology Society, she is also a Certified Fellow in Metabolic, Nutritional, and Functional Medicine from the Metabolic Medical Institute of the American Academy of Anti-Aging Medicine and George Washington University.For any collaboration, brand partnership, and campaign run inquiries, e-mail us at info@thepodnetwork.com.

Irregular periods, night sweats, insomnia, decreased libido, brain fog, mood swings, hot flashes, belly fat—for many women, these symptoms are all too real. But when they bring them up, too many doctors offering little empathy or solutions, dismissing them as “just part of getting older.” No wonder so many women feel confused, frustrated, and alone during perimenopause and menopause.Dr Sheree Bondoc a.k.a. The Hormone Doctor, empowers women to navigate menopause with clarity, and confidence so they can live long and live well. She is the co-founder and medical director of The CORE Clinic, dedicated to treating not just the symptoms, but the root causes of health issues. A board-certified Fellow of the Philippine Obstetrics and Gynecology Society, she is also a Certified Fellow in Metabolic, Nutritional, and Functional Medicine from the Metabolic Medical Institute of the American Academy of Anti-Aging Medicine and George Washington University.For any collaboration, brand partnership, and campaign run inquiries, e-mail us at info@thepodnetwork.com.

Dr. Len Tau, aka the Reviews Doctor, is on the podcast. With Kiera, he goes into the most critical nuts and bolts of making sure your practice stands out (or at least keeps pace with) online reviews amid AI. He explains jargon terms like ranking power and factors and velocity of reviews, whether or not you should actually be responding to reviews of your practice, and a ton more. Visit SuperchargeYourDentalPractice.com and enter the code RAVING to save $100 on registration for Dr. Tau's annual conference. About Dr. Tau Dr. Len Tau thrives on helping practices maximize their online reputation, marketing, and social media strategies. As a speaker, Len is known for his lively and engaging presentations packed with ready-to-use strategies. He regularly travels the country sharing his marketing brilliance and passion for practice growth with audiences. As a consultant, he offers practice leaders with real-world solutions tailored to fit their specific challenges and opportunities. Len loves to help doctors and their teams understand and implement successful online systems to build their practice. He currently serves as general manager of the Dental for Birdeye Reputation Marketing Software. Selected as one of Philadelphia's Top Dentists by Philadelphia Magazine, he continues to experience growth year after year in his fee-for-service practice focusing on general, cosmetic, reconstructive and implant dentistry. Following his father into the dental profession, Len graduated from Tufts University School of Dental Medicine and continues to pursue ongoing continuing education opportunities. He has had the privilege of serving patients for two decades. He is an active member of numerous professional organizations including the American Dental Association, the Pennsylvania Dental Association, the Academy of General Dentistry, the Eastern Dental Society, the Northeast Philadelphia Dental Implant Study Club, and the American Academy of Clear Aligners. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Kiera Dent (00:00) Hello, Dental Team listeners. This is Kiera and today I am so excited. This is one of my dear friends. We've known each other for several years in the industry. I'm super freaking pumped. I'm going actually be at his event next year in September. Little teaser. Stay tuned. He's got an amazing event he does every year in September. I have Dr. Len Tau. He is one of my faves. He is better known ⁓ as an authority in the dental consulting world, reputation marketing, and a practice growth. He's recognized by dentistry today as a top dental consultant for eight straight years.   He is the author of Raving Patients and 100 plus tips to 105 star reviews in a hundred days. Like this man knows how to do it. He's one of my faves. We really do collaborate on so many fun things. After 20 plus years in clinical practice, he now helps dentists nationwide, increase revenue, case acceptance and visibility. He leads the dental vision at BirdEye, hosts the Raving Patients podcast and runs the Supercharger Dental Practice Conference, which is the one I was alluding to that we're gonna be at next year in September, empowering practices to thrive in today's competitive landscape.   He's truly one of my faves. And today we're gonna dig into like, how do you get online reviews? But Len, welcome. I'm so happy to have you on the podcast. How are you today?   Dr. Len Tau (01:06) I'm good, thanks for having me, I'm excited to be here.   Kiera Dent (01:08) Of course. And this just came about because Len like, let's just do a little teaser. You're prepping full like steam ahead right now for your event that's coming up in September in Florida. ⁓ I love like the last time you and I were on the podcast, we talked about you in clinical dentistry. And then we reconnected after some time and you've left the chair, you're living your best life and you full blown gone into the event space. So just like, I know we're gonna get into like online reviews and how AI is changing that it's going to be just a really, really fun episode today. But tell us a little bit like   How is it going from like full blown dentist in the chair to now full blown events, like running these awesome events that we're super excited to be a part. Just kind of give me a little insight to that.   Dr. Len Tau (01:46) Well, it's been, it's been a lot of, a lot of fun. It's been very different, obviously, you know, for 23 years, I practiced dentistry, um, for about 12 of those, 13 of those who was full time. And then I went part time in 2017 until I sold and retired in 2022. Um, but one of the things I've grew up on in dentistry was going to dental events and, the big, the ones, the small ones, you know, all over the country and as a dentist first, and then as a vendor.   Kiera Dent (02:08) Mm-hmm.   Dr. Len Tau (02:15) Um, since 2013 or 14, so a long time in the space. know, one of the things that really hit me was that the events are not really put on very well. They're not, um, you know, whether you, if you're a dentist, there's issues when you're a vendor, there's issues. And I said, you know what? I want to change the game. And, um, one of my goals when I retired from dentistry was to start putting on events. So in 2023, um, in, in September, we did an event in Delray had 208.   Kiera Dent (02:25) Right.   Dr. Len Tau (02:44) Dennis there, 33 sponsors. was, first day was business, second day was marketing. Excuse me. First day was marketing. Second day was business. Had a 13, 14 speakers. It went off better than I could ever imagined. I then moved to the last year in 2024 to Scottsdale. And we were at the Scott Resort and Spa, which is a beautiful hotel and the event was good. It wasn't great. Definitely moving to different coasts.   I felt there was not as much, know, engagement, excitement about the event. So I, my family and my wife and I decided, Hey, we're going to do this. Let's have people come down to me. I live in beautiful, you know, part of Florida. we're having this year's event and the next three of them at super at, ⁓ at pure 66, a brand new hotel, ⁓ in Fort Lauderdale. It's literally half hour from my house, five miles from the airport, easy to get to. So this year event is September 26th and 27th.   Kiera Dent (03:32) Bye.   you   No.   Mm-hmm.   Dr. Len Tau (03:45) We've got 14 speakers, ⁓ mixture of business and marketing. So we've got people talking about social media, about content. We have people talking about saving money on taxes. We're talking about how to become a fee-for-service practice. ⁓ So a lot of different great content and top speakers, Steve Rasner, Paul Goodman, ⁓ Jeff Buski, ⁓ Richard, Rich Maddow. So some real, real heavy hitters. And then some people who people haven't really heard of, Melanie Diesel, who's new in the dental industry.   So, but I like to do it differently and my events are very high end. You come, you're going to see things you probably have never seen before. I give a ton of time to the vendors so the vendors love me because they make sure that they get integration or interaction with the attendees. So you're going to be speaking in 2026, same weekend at September 25th and 26th in 2026, same hotel, pure 66.   Kiera Dent (04:28) Sure.   Yeah.   Dr. Len Tau (04:40) We're ramping things up right now. We're literally a month out from the events. still have people signing up. I still have people wanting to reach out as sponsors. And it's, it's, it's, is the fun time for me. Cause when I'm done, I'm, you know, I get a couple of months of break and then I start promoting 2027 again. So ⁓ it's been a good time. I really enjoy it. And I find that I've kind of ⁓ created something that's very different and the attendees really enjoy it and the vendors really enjoy it. So if I can make everybody happy,   Kiera Dent (04:45) No.   Dr. Len Tau (05:09) That's all I'm looking to do here.   Kiera Dent (05:11) ⁓ and Len, I hope the audience, if they can't see it, they can hear it. I think it's so fun because I mean, I've seen you in different spaces in your career, in your life. And there is just this like giddy, like younger version of Len that I feel is emerging of like, it's like giddy boyhood, like excitement of I'm excited to put these on. I'm excited to do these events. And it just makes me so happy for you. And what I think I'm hearing is yes, attendees are happy. Vendors are happy. But I also hear that Len is very happy and to do something   in dentistry is just very, very fun. It's very exciting. And so we're jazzed. I'm really excited. I love good events. I love great time. I love to help. love business marketing. Everybody can take that. That's not Kiera's jam. Like I, that's why I wanted to bring you on. You guys are very good at marketing. You're very good at that space. but to talk about how to help people have their best lives to grow the practices that they want to grow. I think you and I are so synergistic in that. So we're super excited and I love, I mean, I'm not going to highlight the fact that there were   a couple of sixes in that is September 26 at Pier 66. You guys hopefully like, I like the alliteration. Don't put anything weird on it guys, but I do appreciate that you made it easier. September six and nines flipped upside down are a six. Like hopefully everybody can remember September 26, Pier 66. It'll be a good time in 2026. I mean, we got four lines, so we're okay. We've at least got four sixes, not we didn't end on three, but I really hope an exciting step. We'll make sure we put some info for people.   For this year and for next year, I think it'll be a fun time. Dental A Team will be there, so come hang out with us. ⁓ Len, I'm super excited. I will not spoil secrets, but a lot of the things he told me for the events, I will say he does put his heart and soul into it. So Len, excited about that. Thank you for sharing. Good luck for this year. We're gonna be rooting you on this year and next year. And now let's pivot. Let's go into like your jam. You're in BirdEye, you're in marketing, you're on online reviews. AI has come into the scene. Practices are changing.   I also will say, I hope everybody listens to you of their like succession story. You hung up the hand piece, but you are still full steam ahead in dentistry. And so I hope people see that like there is no path to dentistry. Like you just, it's a, it's a beautiful world that you're in. So let's talk though, online reviews, AI, how is this working? How do we make sure that practices are still being visible? Chat GPT is on, on the prowl.   There are clients signing up with us now that have found us on chat. GPT, which is so random. It's changing how people have been doing things. Walk me through. What are you seeing with these online reviews? The importance, how to bring AI in? Like, let's just kind of go in a rift on how practices can still be visible with AIs. Like just showing up to the scene.   Dr. Len Tau (07:43) So I wanna talk about chat CPT for a second. ⁓ I refer to it as my best friend. ⁓ It helps me edit. No, I haven't named it yet. No, I haven't named it. ⁓ you have?   Kiera Dent (07:50) Have you named it? I've got to just ask Len. Have you named? I have! Me and Chet,   I had a name and now her name is Wanda. I don't know why, I don't even know where Wanda came, but people are like, here, are you hanging out with Wanda again? Cause I agree. Like they're our best friends. So go on Len. I can't wait to hear what you name your Chet GPT cause mine is currently Wanda.   Dr. Len Tau (08:06) I'll have to, I   have to name it now that I have to think of something. ⁓ but no, I started using it. I'm like, this is really helpful and it's only gotten better. And, just to give you an idea is, ⁓ my wife and I, and my son, my son just graduated high school. He's literally just started his freshman year at, university of Florida on a free ride. ⁓ smart, smart ass kid. I'm very proud of him. But, you know, and I travel a ton, but I travel a ton for business and I made a commitment. I think I told you that,   Kiera Dent (08:25) Boo? Yeah.   Dr. Len Tau (08:35) during the summer when he was going away for school, I was not going to travel. So from March to literally next week, beginning of September, I haven't traveled at all for business. we did plan some really great travel for our personal lives. And one of the things we did was we had a cruise, a 17 day cruise to Europe. ⁓ And when I decided I did not want to do the excursions to the cruise, cause they're really expensive and you're with all these people. I prefer to kind of just go and tour myself.   Kiera Dent (08:44) It's awesome.   Dr. Len Tau (09:05) So I use ChatGPT in every city. And I said, I'm going to the city. This is what I'm going to get in. This is the cruise I'm going on. It got the cruise itinerary. And I said, I want to set up private tours in every city with different people. And it helped me pick the best tour guides. They referred me to a website called Tours by Local, which is an amazing website that you can meet people who are local that will take you around.   show you the city and it was amazing. It was amazing. So I thank Chachi PT for doing that because I wouldn't have known about half these things if I didn't do it. And in fact, one of the women, and actually the very first place you went to, which was in Split, Croatia, which was beautiful. I told her that literally that's kind of how I went down this road was I asked Chachi PT, what should I do in Split? And they said, you need to use this tour guide. She's the highest rated tour guide and has the best reviews on tours by local. like,   What's towards by local? And that started this whole thing. So she was, she was amazed to hear that. So, ⁓ I have been using Chad GPT for a long time, like I said, and even now it is people I know type in, know, get me to the best dentists in the area. And it's very much based on reviews. So you have to be a highly rated practice. you may not believe in reviews and if you do, think you're not smart, but you know, if, if you want to be at the forefront of where people are looking,   Kiera Dent (09:58) Yeah.   Yes.   Dr. Len Tau (10:25) You have to generate reviews in a significant amount. Velocity now, which is how often you're getting them, is one of the biggest ranking factors on Google, whether you want to believe chat GPT or not. ⁓ But you have to get reviews. You can't, you know, rest on your laurels and say, well, I have enough because you never have enough. Okay. And, ⁓ and you've got to let Google rank you high. And there's been a big discrepancy in the industry, a big, I don't want to say a misunderstanding.   Kiera Dent (10:43) read.   Dr. Len Tau (10:52) But I've been in the review space now since 2013, so 12 years. And in the past, dentists thought that if they get reviews, they're going to rank. And that's not the way it is anymore. If you have reviews, but don't pay attention to the other ranking factors, you actually don't rank well. And that's a problem. So, chat GPT AI is so important, but you still got to dominate Google. You still got to get to the top of the pages.   And that's really where the direction is going. and if you aren't there now and you are ignoring it, you're never going to get there. So I would love to talk to you about our list in instruct or educate the listeners and viewers of these ranking factors that they need, need to pay attention to, or they're going to be left behind when it comes to ranking on Google.   Kiera Dent (11:27) Yeah.   absolutely. And I'm excited for this too, because, I did notice that you've got to like, AI is just crawling the web. That's where it's getting, it's being taught. It's crawls it. It looks through all of it. And so agreed with you. have a lot of clients and like, we want the secret pill of marketing. And I might get your reviews up. Like it is constant and consistent that if you get those reviews up and you bring pieces to the table, that people literally like that's what's going to rank you higher. So I'm excited, Len to, to dig in deeper because it is like how   getting more reviews, but to hear that there's more beyond just the reviews really can help these offices like get the best bang for their buck, help more practices. And I'm like, it used to be when I first started consulting when I used to tell offices get to like 100 Google reviews. It is now I'm pushing people like five, six, 700 reviews that you need to be getting ranked into. And I don't know if you're seeing like a cutoff line or if it matters on that. So I'm really excited to dive into like, what are the rankings? What are the pieces? Is there a difference? But I'm like now   100 reviews, when I look at somebody I'm like, hmm, like if there's another dental practice that has maybe 400, 500 new clients come on, the first thing I do is I go look them up to see how many reviews do you have? And I'm shocked at how many dental practices actually are not showing up when I Google their names and they're like, no, no, care, we're here. And I'm like, but if I'm a prospective new client that doesn't work in your practice and I don't see you all the time and I just tried to find you and I'm looking for you.   How many patients who are not looking for you are not finding you as well. So yeah, take us away, and I'm super curious, very intrigued by this. It's fascinating. And I'll also say, because AI is new, feel like people got like a reset slate. Like, hey, you can actually get back into the game if you haven't been into the game, if you just start playing now. If you don't, I agree with you. I do think that you will unfortunately get obliterated without trying if you don't get into the game now.   Dr. Len Tau (13:28) 100 % so and I couldn't agree with you more. So the best thing to do here is if you're listening to this, I want you to go to a Google search and I want you to type your practice name in. Okay, so that's the first thing to do. Right.   Kiera Dent (13:39) and not in your office. Don't do it in   your office. Go somewhere else. Like try it somewhere else.   Dr. Len Tau (13:44) Right, well, and 100%, that's another thing is that if you're gonna look up your ranking specifically, you do not wanna do that from your office location, okay? Because you're not gonna get real results. You also wanna go into incognito mode or private browsing mode on your phone or your computer if you're doing that to check ranking. But this is not specifically about ranking. This is more about how you appear online. So go to Google and type in your practice name. Not your name unless it's the name of the practice, but your business name, okay?   Kiera Dent (13:52) Yes.   Mm-hmm.   Dr. Len Tau (14:13) and it doesn't have to be what's registered with the state board. It's how you, when you answer the phone, what you say, okay? Pennsylvania Center for Dental Excellence was my practice name, okay? So you wanna look yourself up. So these are some of the ranking factors that Google looks at. Obviously one of them is your total number of reviews you have. Definitely a ranking factor, but the total number has not been as important as some other factors as well. So.   Kiera Dent (14:20) Mm-hmm.   Dr. Len Tau (14:40) Average number of reviews in the industry right now is about 350. It used to be like 100 was the golden number. Now 350 is the average in the industry. So are you average? Are you below average or are above average? Okay, that's something to look at. The second ranking factor, which is even more important is the velocity of reviews. So how many reviews, how often you're getting them. Okay, so if you're getting once every two weeks, not enough. If you're getting them once every week,   Kiera Dent (14:46) Yes.   Dr. Len Tau (15:10) Not enough. You don't need them every single day, but two or three every single week is ideal. Okay, because you think two or three every week gives you eight to 15 a month times 12 months is 100 reviews a year, which is a nice number. Okay, so you have to have that velocity. All right. Third ranking factor is the total score, your average number of stars. So   I would like you to be anywhere from 4.6 to five stars. Okay. I don't think you have to be only five stars. think there's a negativity related to that. If you're only five star reviews, but I also don't want you to below 4.5. Okay. ⁓ And if you're at 4.3, 4.2, or even 4.1, another better review or two, and you're to be in the threes. And that's really where you don't want to go. Cause you lose a huge percentage of patients who may come in if you're less than four stars. Okay. Another ranking factor.   is the primary category. So how do you know your primary category? If you look under your Google, your name, will say right where the stars is, will say, hopefully dentist in your town or dentist in your county or dentist in your city. Okay. So your primary category should be dentist because we're a dental practice. Okay. If you're an oral surgeon, you may want it to be oral and actual facial surgeon. If you're an endodontist, want it to say endodontist. You don't want it to say dentist if you're a specialist. Okay.   ⁓ That's a big ranking factor and I'll give you an example. I, ⁓ my wife had some plastic surgery over the last couple of years and we were referred to that doctor. So we didn't need to search for him. We were referred to him. went in, we liked him, we used his services. ⁓ And of course, being a plastic surgeon, I talked to him about reviews. He now uses BirdEye, but he had me speak in an event that he holds down here in Boca Raton.   And I talked about this exactly. And I asked everybody, cause it was a small group. What is your primary category? And he goes, he said to me, literally, he says, I'm listed as a nurse practitioner. He wasn't listed as a plastic surgeon. He was listed as a nurse practitioner. So his categories were all messed up. So when you actually typed in plastic surgeon near me, he never showed up because his category was wrong. So primary category is a very important ranking factor as well. Now you also have to make sure your secondary categories are also. ⁓   Kiera Dent (17:15) No.   Dr. Len Tau (17:35) ⁓ under ⁓ are there as well as under the proper categories. So secondary categories, if you're a dentist, dental clinic, teeth whitening services, denture care center, orthodontist, if you're doing aligners, if you're endo, you're doing root canals, you can have endodontist. If you do periodontist, can do periodontist. You want to make sure you have nine secondary categories. Okay, if you don't have them, you want to add them.   Now, how do you add them? It's very easy. You go to Google using ChatGPT or anything and say, how do I add secondary categories to my Google business listing? Okay. It will tell you exactly like a recipe how to do it. You need to add those secondary categories. All right. And if you want help doing it, you can always reach out to me. The last ranking factor, which is really important is making sure that the practices name, address, and phone number is consistent. Okay. So just to be clear, most   website companies do not do local SEO. They do website SEO, which is making sure the website is SEOed so the website ranks higher on the organic rankings. We're talking about getting the Google business page ranking higher, which the website companies are not focused on. So when it comes to the name, address and phone number, is it consistent? You have to be consistent. And this is a Google requirement.   It is not a patient thing. It's not a me thing or you thing. It's a Google requirement that this data is consistent. So the name is obviously important. So if you have the and or the ampersand, you may find things inconsistent. When it comes to the address, if you have, you know, South State Streets, Unit 510, you can have South or S, you can have Street or ST, and then you can have Suite, Unit, Number, or STE.   All these variations need to be consistent. So one of them has to be done and one and stuck with. And then if you are using a tracking number for whatever reason on your Google business listing, you may find your inconsistent there as well. So when you make everything consistent and you get a higher velocity of reviews, guess what happens over time? You rank higher on the maps. And when you rank higher on the maps, you get more visible for patients to find you. So that's where the secret sauce is. And   Not that this is a sales pitch about BirdEye, but that's exactly what BirdEye does. BirdEye does those. We check all those boxes for you. And then what ends up happening is a practices get more reviews. But more importantly, when they ask patients how they find them, they're going to see that they found them because of their ranking online and the reviews drove them to the practice. So that's how this whole thing plays a role in getting a practice more visible and credible.   Kiera Dent (20:06) Thank   Wow. So I was over here like taking a lot of notes, which I really loved. I love the number, the 350 at the average, the velocity, like three to five per week you were saying. It doesn't need to be an everyday, but I do agree like them consistently coming through the total score, the 4.6 to five primary category, secondary category, making sure we have nine. And then you were talking about like the practice name, phone number, all of that has to be consistent. So the addresses have to be the same. And that's going to help you rank higher.   Did I miss anything? Those are my notes, Len. And I'm just curious, like, did I catch them all? Because there was a lot of pieces to consider. And then I have some follow ups as well. So like, did I miss anything in that list?   Dr. Len Tau (21:02) No, I   think you got it all there.   Kiera Dent (21:06) Okay, so hopefully that was a good recap for everybody. If you were listening, I tried to like summarize everything he said, because I really feel that those are super valuable pieces to know. Now, Len, there's a couple of things that happen and I'm very curious of what you've seen. Maybe you know, maybe you don't know. It's just a riff for me genuinely curious over here. Does it impact for the business to respond to the reviews? Because I know there was like a big misnomer out there like for a while, like you have to respond to every single review that helps you rank higher. What's the   What's kind of the lay of the land right now responding to the reviews that come in?   Dr. Len Tau (21:39) So there's been a big push over the years to respond to reviews. And there's also been those naysayers who don't want you to respond to reviews. So I want to make this very clear. When you respond to a review and you acknowledge them as a patient, you are technically violating HIPAA. Okay. Now by the letter of the law, if you do that, you violated HIPAA and can be in trouble. Now in all the years I've been doing this, I've only seen one   Kiera Dent (21:49) Mm-hmm.   Dr. Len Tau (22:08) example of a positive review being responded to and the dentist got in trouble. Okay. So if someone writes a review for you and it's five stars and you say, thank you so much for your feedback. We were glad you had a great experience in our practice. Okay. You technically violated HIPAA there because you acknowledged that they came into the practice. I don't think you'll ever run into any problems with that. I don't, I've never seen any instance when a, when a practice has got into trouble. But again, by the letter of the law, it's a violation.   Here's where the person ran into a problem. Okay. So the review in question, the patient wrote, I'm so happy with my appearance after I went to so-and-so's dental office. I think they were in Texas. The dentist responded, we're so happy that you, thank you so much for your review. We're so happy that you loved our magic needles. Okay. So it, from what I understand is the patient had Botox or   dermal fillers placed and that's what they call their magic needles. So the patient wrote, wrote a letter to the practice saying, I didn't appreciate you letting the world know that I had Botox done and asked for the review response to be taken down, which the dentist immediately did. Took it down and apologized, but it really pissed the patient off and the patient sued the dentist and won. Okay. Because the dentist went out of their way to   Kiera Dent (23:08) Mm-hmm.   Right.   Dr. Len Tau (23:33) you know, release private information that wasn't supposed to be done. So in that case, you shouldn't be doing that. Okay. Now on the same note, I would be very careful responding.   Kiera Dent (23:37) Mm-hmm.   Dr. Len Tau (23:45) to a review that's left by a negative, a negative review that's written by a patient. I would be very careful responding publicly to that because it's very hard to respond without violating HIPAA. So a simple response like, we're sorry to hear about your experience. Please contact the office to discuss the concerns as we're unfortunately unable to comment due to HIPAA release privacy stuff. That's fine. But.   Again, I just not sure it's the best thing to do. So you have to be careful with negative reviews. What it doesn't do is we really haven't found any relationship between responding and ranking. Okay, so you have to, I always leave it up to the people to respond. I like using AI to respond as well, because I think it comes up with HIPAA compliant and really good responses. ⁓ But you have to decide what you want to do for your own practice.   Kiera Dent (24:16) Mm-hmm.   Interesting.   That's actually really helpful to know. ⁓ Okay, good feedback for people to ponder and decide what they want to do on. The second piece is   some people lose their Google My Business and they're not able to be found. ⁓ And I don't know if you have reasons why. I don't know if it's from like a name change or it's inconsistent. So like a lot of offices have a lot of reviews, but when you go to search them, they're hidden on Google My Business. Like it will show up on the person's side, but nobody externally can find it. Do you have any ideas of like what causes that or what offices can do if they're struggling with that?   Dr. Len Tau (25:11) So I want to clarify that what question you asked there. I'm sorry to ask a question when you asked the question was when you say that you're saying that when they search for their Google business listing, they can't find it or when someone is searching for the office, they're not visible on the maps.   Kiera Dent (25:15) Hey, that's okay.   So when they're searching, so if I just go into Google and I type in like my perfect smile, the website might link, but the Google My Business with all, and they might have like 150 Google reviews, like it might be, like they've got them all and the office can see it when they like log in as like, this is, you own this, but they've lost it and it's no longer visible publicly. Do you know what causes that or how they can get that back? It's okay if you don't, I'm just genuinely curious. Cause I know some offices struggle with this, especially with like name changes of practices.   going through different ownerships. ⁓ Some of them have told me it's like when I changed the name of my practice, it no longer showed up. Like we have all these reviews, but we're not showing up. Do you know what causes that or how practices can get back being visible?   Dr. Len Tau (26:02) Yep. Now that you   asked it that way, so that usually means that your Google business listing has been suspended. And if you can't find it on search, but you see it, means it's suspended in most cases. Name changes, address changes, other things you do can cause it to be suspended. There are, if you look up on use chat GPT, ⁓   and say, why is, why can your Google business page be suspended? There is a list of different reasons why it can get suspended. ⁓ if you're getting reviews the wrong way is a big one. So, like you should not be incentivizing for reviews. And I'm talking about incentivizing the patients. You shouldn't be getting reviews in your physical office space because there's IP address conflicts and location services on the patient's phone. So if you're doing that, not only will you can potentially lose reviews, but you can't get it suspended, but you can look on.   Kiera Dent (26:37) Mm-hmm.   Dr. Len Tau (26:55) on chat GPT or Google and just say, what are the reasons that your business page can be suspended? And they're there. So usually you have to ⁓ re-approve it or re-verify that page. And there's certain things you do. You'll have to take a video of yourself in front of the practice, showing the address, showing the name of the business on the door. So there's things you will have to do to get it over to Google. So they'll re-verify you. And then once it happens, there's a good chance they'll unsuspend the listing. But that happens for that reason.   Kiera Dent (27:24) Gotcha. Okay. That's super helpful because I know a few offices have struggled with that. So was just curious for that. All right. This has been so helpful to figure out rankings. It's been helpful to understand. ⁓ My last question as we wrap up today on reviews has been so helpful, Len, is how do offices go about like, what are your recommendations? Yes, bird eye, swell, podium. Like there's a lot of review in Weave. I do, I usually recommend using an external one outside of things. think that they like, if they're just, if that's what they do, they're going to be experts at it.   But how can offices ethically and appropriately, like obviously great patient experience, but how do they increase these Google reviews? What are some of the best tactics you've seen to help these offices out?   Dr. Len Tau (28:04) So being biased, I mean, I'm a true believer in BirdEye because we help with the reviews and the ranking part. ⁓ Swell, which is a great product. know the guys who swell really well. A lot of their doctors don't rank well because they don't focus on the listings part of it or the ranking part of it. ⁓ I'm not a fan of Wee from a review perspective because they swell BirdEye and Podium, make it very easy. Weave doesn't. It's just the way we do it with our three other products. ⁓   I always say this, you can get reviews any way you want. The most effective is gonna be use some software, simple as that. But it all starts with the practice and it all starts with, I like to create a reputation culture in the practice, which means you know that every time a patient comes in the practice, that they're going to be evaluating you and reviewing you potentially. And you've gotta be on your best behavior, you've gotta put a happy smile on your face, you gotta treat them like they're the...   Kiera Dent (28:40) Mm-hmm.   Dr. Len Tau (29:00) king of the world, okay? You gotta roll out the red carpet. And if you don't do that, they may write a bad review, okay? But if you don't create that reputation culture, I think it's gonna be hard to get the practice to really accelerate the reviews. So creating that reputation culture using great verbiage skills. I love calling it feedback, not a review. If you call it a review, it sounds like you're begging for it. ⁓ The feedback conversation is much more comfortable to have. So, you know, it's an interesting situation, but if you don't ask, you don't get.   So you've got to ask. I think if you ask and you combine it with a really good software, you'll get a really good number of reviews. If you don't ask, you don't get. It's that simple.   Kiera Dent (29:30) Mm-hmm.   Yeah.   ⁓ well, that was so great. I appreciate this so much. And it's fun to hear about how AI is helping. It's fun to hear about how you still have to be great on Google. So ⁓ I just appreciate you. I appreciate you being here. I appreciate the knowledge you shared. appreciate for offices. I hope they take action and Len any last thoughts, how people can connect with you if they want more help on this. know ⁓ like truly in my opinion, this is the simplest marketing. Everybody wants to like sexy magic pill of marketing. And I'm like, no, it's like really great experience. Ask for the reviews, ask for the feedback.   like rank so that way people can find you I've had offices that had like three four or five new patients and they're like I need this marketing I need all these things which I'm not here to say not to do it but I will say great reviews will boost you very quickly so Len any last thoughts you've got how people can connect with you because it's been truly just an incredible episode today   Dr. Len Tau (30:26) So ⁓ I'm around the country a lot. So you can always connect with me in person if I'm at some of these events. If you wanna come to Supercharge, you can connect me there. SuperchargeYourDentalPractice.com You can use the code RAVING to save $100 on registration. ⁓ We also have some scholarships available. So if you do wanna come, you can reach out to me personally. So ⁓ my cell phone's all over the internet. The easiest way, if you have any questions, you want advice, you want help, I'm the guy to reach out to. My phone number is 215.   Kiera Dent (30:40) Awesome.   Dr. Len Tau (30:55) 292-2100. And my best email is Len, L-E-N, at drlentau.com, which is D-R-L-E-N-T-A-U.com. And you can email me, you can text me, you can call me, tell me you heard about me here and you need some advice. I'm more than happy to offer it to you. I do it all the time. ⁓ I love when people reach out to me because they know I'm an expert. So I do it kind of as a favor to people. ⁓ But no, you reach out to me, I'm happy to give advice.   Kiera Dent (31:23) amazing. Len, thank you so much for being on the podcast. I'm super excited for Supercharge 2025 and especially 2026. So everybody snag that. And truly, I hope you take action from today's podcast. This is easy ways for you to boost your marketing, be found and seen online. And Len, thank you for joining me today. I truly, truly appreciate you.   Dr. Len Tau (31:41) Thank you for having me, Kiera, I appreciate it.   Kiera Dent (31:43) Of course. And for all of you listening, thank you for listening and I'll catch you next time on the Dental A Team Podcast.  

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 MENOPAUSE. Lauren and Heather discuss what symptoms could be related to Menopause.  Lauren will speak about hot flashes, heart palpitations, frozen shoulder, brain fog, lack of libido, itchy ears, anxiety, trouble sleeping, hair changes, urinary tract infections. They will discuss what can you do at home and what treatments can be beneficial from professionals, such as GLP 1's for weight gain and  hormone replacement options.  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.  Lauren's Website:     https://myventhealth.com/about/ Heather's Website: www.heatherthomson.com Social Media: IG: https://www.instagram.com/iamheathert/                     You Tube: https://youtube.com/@iamheathert?si=ZvI9l0bhLfTR-qdo SPONSORS:  BLISSY: Blissy is offering 60-nights risk-free PLUS an additional 30% off when you shop at www.Blissy.com/HEATHERPOD and use code HEATHERPOD. Your hair and skin will thank you! AIRDOCTOR: Go to 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 at www.AirDoctorPro.com using promo code HEATHER. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by experts Sarah Winter, MD, and Jory Harris, MS, to discuss the neurodevelopmental challenges frequently seen in children with congenital heart disease (CHD). Together, they outline the common phenotypes associated with CHD, why these patterns matter for long-term outcomes, and how pediatricians can recognize and address concerns early. The conversation also highlights practical approaches for supporting families and connecting children with the right interventions and resources at the right time. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This Week on PodcastDX: Understanding POTS with Dr. Diana Driscoll This week we are honored to welcome none other than Dr. Diana Driscoll, a world-renowned authority on the autonomic nervous system. An optometrist and Fellow of the American Academy of Optometry (FAAO), Dr. Driscoll is internationally recognized for her groundbreaking research on Postural Orthostatic Tachycardia Syndrome (POTS) and other conditions once thought to be “invisible.” ​ Dr. Driscoll has dedicated her career to improving the lives of those affected by autonomic disorders. Her journey began as a patient herself, battling POTS. Frustrated by the lack of answers, she self-funded much of her research to accelerate progress for patients today. That personal fight has fueled over a decade of innovation in diagnosis and treatment strategies that are transforming patient care. ​In this episode, we explore her unique perspective as both a former patient and a leading researcher. Dr. Driscoll shares her story, her research, and her vision for the future of POTS treatment. ​What is Postural Orthostatic Tachycardia Syndrome (POTS)? POTS is a form of orthostatic intolerance that causes the heart to beat abnormally fast when moving from sitting or lying down to standing up. Breaking down the name helps explain the condition: • Postural: Related to body position • Orthostatic: Related to standing upright • Tachycardia: A heart rate above 100 beats per minute • Syndrome: A collection of symptoms occurring together Normally, the autonomic nervous system keeps heart rate and blood pressure stable regardless of position. In POTS, that balance is disrupted. The body struggles to constrict blood vessels and regulate heart rate properly, leading to dizziness, lightheadedness, fainting, fatigue, and more. ​Who Does POTS Affect? POTS affects an estimated 1 to 3 million Americans, most often women between the ages of 15 and 50. However, men can develop the condition as well. Risk factors include: • Viral or serious infections (such as mononucleosis) • Pregnancy • Physical trauma or surgery • Certain autoimmune conditions (e.g., Sjögren's syndrome, lupus, celiac disease) ​How Does POTS Affect the Body? When standing, gravity naturally pulls 10–15% of blood into the lower body. Normally, leg muscles and hormonal responses (like the release of epinephrine and norepinephrine) help keep blood circulating back to the brain and heart. For people with POTS, too much blood pools below the heart. Their blood vessels don't constrict properly, forcing the heart to compensate by racing. This imbalance causes hallmark symptoms such as dizziness, exhaustion, brain fog, and even fainting. ​While POTS is not life-threatening, it can be life-altering. Daily tasks may become difficult, and symptoms often fluctuate over time. The good news: with the right combination of dietary adjustments, medications, and physical activity, many people experience meaningful improvements in their quality of life. ​Learn More Join us as Dr. Diana Driscoll shares her remarkable journey, her patient-centered research, and her continuing mission to bring visibility and solutions to the millions living with POTS.

It's a confusing time in public health. Some states like Minnesota have started new vaccine policies with the goal of protecting people's access. Other states have moved in a different direction. Florida plans to end vaccine requirements for children. These changes at the state level are happening as the federal government's approach to vaccines is in upheaval. U.S. Health Secretary Robert F. Kennedy Jr. fired the director of the Centers for Disease Control and Prevention as well as a committee of advisers who influence vaccine policies. Kennedy then filled some of those roles with people who, like him, have spread misinformation and conspiracy theories about vaccines. Dr. Nathan Chomilo is a practicing pediatrician and chair-elect of the American Academy of Pediatrics' Council on Health Equity. He joined MPR News host Nina Moini to talk about how Minnesota pediatricians are considering federal and state guidance.

Chef James L. “J.B.” Brown, AACVeteran, Award-Winning Chef, and Advocate for Transitioning Service MembersChef James L. “J.B.” Brown, AAC, is an internationally recognized chef and a proud U.S. Coast Guard veteran whose career spans more than five decades. A master of over 200 cooking styles, he began his culinary journey in Portland, Oregon, before moving to Las Vegas in 1989, where he played a key role on the opening culinary team at the Excalibur Hotel and Casino, serving more than 32,000 meals daily. He later served as Executive Chef for the Sands Expo and Convention Center, overseeing large-scale events including Comdex.Over the years, Chef Brown has founded successful culinary ventures, including Catering by the Chefs Inc., and has held leadership roles within the American Culinary Federation (ACF). His accolades include induction into the prestigious American Academy of Chefs (AAC), multiple Chef of the Year honors, and national recognition for his contributions to the culinary profession. He has also served on national accreditation teams evaluating culinary schools and continues to mentor aspiring chefs.Today, Chef Brown brings his passion for service and mentorship to the Veteran Transition Resource Center in Las Vegas, Nevada, where he is one of the founding members. In this role, he supports fellow veterans as they navigate life after military service—offering guidance, resources, and encouragement, while also using his culinary expertise to create opportunities for camaraderie, skill-building, and community engagement. His work embodies a lifelong commitment to excellence, service, and the belief that both in the kitchen and in life, success comes from discipline, dedication, and heart.Veteran Transition Resource Center (VTRC)Homepage (Mission, Programs, Locations): https://vtrc.us/ vtrc.usFounders / Board of Directors (includes Chef J.B. Brown profile): https://vtrc.us/founders/ vtrc.usLINKS:https://nonprofitarchitect.org/combat-vet-vision/https://www.facebook.com/iconutilityservices/photos/pcb.3282304212030773/3282304082030786/https://www.youtube.com/channel/UCqvd5sUEtC9xkm7ejGNK5Zw/featuredhttps://www.facebook.com/aqseiberthttps://www.facebook.com/CombatVetVisionEmail: Aqseibert@yahoo.comThe Warrior Built Foundation - https://warriorbuilt.org/The PTSD Foundation of America - https://ptsdusa.org/Virtual Office(Come see me) Virbella.comSponsorsSitch Radio - https://sitchradio.com/If you would like to become a sponsor or advertiser Call Sitch Radio (714) 643-2500 X 1I part of the solution or the problem.PTSD FOA Warrior Group Chaptershttps://ptsdusa.org/about-us/chapters/

Shortly after the Trump administration took office, performing artist Marc Bamuthi Joseph was fired. Until then, he had served as the Artistic Director of Social Impact at the John F. Kennedy Center for the Performing Arts in Washington, D.C. During The State of the World, he reflects on the challenges of making art in times of political tension.The State of the World is an annual interview series organized by De Balie and the Nederlands Theater Festival (NTF), in which a leading international artist reflects on the role of art in our changing world. This year's special guest is Marc Bamuthi Joseph. In the media, he has spoken out about the impact of these institutional shifts on artists and staff. His critical stance, along with his sharp vision on the role of art in a divided society, is the reason for his visit to Amsterdam.During The State of the World, Marc Bamuthi Joseph speaks about his personal experiences within the American arts sector, the challenges of creating art in politically turbulent times, and the power of imagination as a source of healing, resistance, and connection. The interview program The State of the World is a collaboration between NTF and De Balie, as part of Amsterdam Fringe x NTF PRO.About the speakerMarc Bamuthi Joseph is a TED Global Fellow and a member of the prestigious American Academy of Arts and Sciences. He has collaborated with major orchestras and opera houses across the U.S., including the LA Philharmonic, the New York City Ballet, and the Washington National Opera. His work—from spoken word to opera—is deeply rooted in themes such as social justice, community, spirituality, and reconciliation. As a performer, he is also widely recognized, having appeared in the HBO adaptation of Between the World and Me by Ta-Nehisi Coates.Moderator: Rokhaya SeckZie het privacybeleid op https://art19.com/privacy en de privacyverklaring van Californië op https://art19.com/privacy#do-not-sell-my-info.

Tracy Gapin, MD, FACS, is a renowned expert in men's health optimization and longevity, with over 25 years of experience as a board-certified urologist. He founded the Gapin Institute to help high- performing individuals, including entrepreneurs, executives, and athletes, achieve peak performance through personalized health programs. Dr. Gapin integrates advanced diagnostics, epigenetics,hormone therapy, and wearable technology to monitor and transform his clients' health, focusing on sustainable, measurable outcomes. A thought leader and author of bestsellers Male 2.0 and Codes of Longevity, Dr. Gapin has been featured on NBC, Entrepreneur Magazine, and at Dave Asprey's Biohacking Conference. He is a member of the American Academy of Anti-Aging, the Age Management Medical Group, and the International Peptide Society. Tracy Galpin, MD Vroom Vroom Veer Stories Journey from Doctor to Burnout Tracy shared his journey from knowing he wanted to be a doctor in 4th grade to completing urology residency training, during which he made the decision to specialize in urology after his third year of medical school. he described the intense 6-year surgical training period, including working 120 hours per week, and his subsequent career in a busy Sarasota practice. However, Tracy eventually encountered burnout and disillusionment halfway through his career, which led him to seek a different path. Healthcare System's Impact on Doctors Jeffery and Tracy discussed the challenges faced by healthcare professionals due to the influence of hospital systems and insurance companies, which often prioritize bureaucratic processes over clinical judgment. Jeffery shared a revealing conversation with a rheumatologist who expressed frustration with the system, highlighting the disconnect between insurance policies and medical advice. Tracy agreed, emphasizing that doctors are often caught between providing patient care and adhering to corporate demands, while the financial security of their positions keeps them from leaving the system. Wellness Entrepreneurship Transition Journey Tracy discussed his transition from traditional medicine to a focus on wellness and longevity, driven by a personal health crisis and newfound passion for preventive healthcare. He described the challenges of combining clinical training in areas like epigenetics and functional medicine with the business aspects of entrepreneurship, including marketing and building a cash-based practice. Tracy emphasized the importance of financial preparation and his wife's support during this significant career shift. Overcoming Fear in Life Decisions Tracy and Jeffery discussed the challenges of making significant life decisions, particularly how fear of the unknown can paralyze individuals. Tracy shared his journey of regaining certainty and conviction, emphasizing the importance of resourcefulness once a decision is made. Jeffery highlighted that making a decision often feels like jumping off a cliff but, in reality, it's not as daunting as it seems, as one can always return to a previous state if necessary. They also briefly touched on Tracy's work with the Gappen Institute and Jeffery's health journey, which led him to adopt a healthier lifestyle. Personalized Health: Beyond Traditional Approaches Jeffery and Tracy discussed the limitations of traditional healthcare and the importance of advanced testing for optimal health. They explored the concept of epigenetics, explaining how lifestyle, diet, and environment can influence genetic expression. Tracy emphasized the need for personalized health approaches based on genetic markers and individual needs, rather than a one-size-fits-all approach. They also touched on the role of hormones, gut health, and metabolic markers in overall wellness and longevity. Longevity and Muscle Growth Balance Tracy and Jeffery discussed the science of longevity, focusing on the balance between muscle growth and longev...

Check out my top picks for skin care here. Download the Free eBook 'Skincare Myths Busted' What do you do when the face in the mirror doesn't match how you feel inside? Welcome to the skin shift that happens in midlife — a direct result of hormonal changes, specifically the drop in estrogen that comes with perimenopause and menopause. And while it's common, it's not talked about enough. Until now. In this episode, I sit down with Dr. Pooja Rambhia, a board-certified dermatologist who's leading the conversation around what's been coined the “menopause makeover.” This is about understanding what's happening in your skin and body during menopause, and how to support both with science, compassion, and the right strategies. From collagen loss to skin laxity to the real reason your products aren't working anymore, we cover it all. We also talk about realistic solutions, from injectables and resurfacing lasers to hormone therapy and everyday skincare that actually supports your skin at this stage of life. This episode is not about “fixing” your face. It's about finally getting answers to the questions so many women are asking and doing so with a sense of clarity. Key Takeaways: Skin loses up to 30% of its collagen in the first five years after menopause. Estrogen is important for your skin's hydration, elasticity, thickness, and glow. It's normal to experience acne, dryness, sagging, and texture changes but that doesn't mean you have to just accept it. Bio-stimulatory injectables, topical actives, laser treatments, and even hormone replacement therapy can all play a role when used wisely and intentionally. Aging is not a decline. It's a transition that deserves support, not shame. Pooja H. Rambhia, MD, is a board-certified dermatologist with specialized fellowship training in cosmetic dermatology and laser surgery. She practices at UnionDerm in New York City and Greenwich, CT, providing comprehensive dermatologic care and specializing in laser treatments, injectables, and facial and body contouring for all skin types. Dr. Rambhia completed her medical training at Case Western Reserve University and dermatology residency at Zucker School of Medicine/Northwell Health, where she served as Chief Resident. She then completed the prestigious American Society for Dermatologic Surgery Fellowship at UnionDerm with Dr. Anne Chapas. Committed to advancing the field of dermatology, Dr. Rambhia has published numerous peer-reviewed articles in leading journals and presented her research at major national conferences including the American Academy of Dermatology and the American Society for Dermatologic Surgery. Her expertise has been featured in major media outlets including Vogue, Allure, Marie Claire, InStyle, Elle and The New York Times. Dr. Rambhia is dedicated to delivering personalized, natural-looking results while combining artistry with the latest scientific innovations in aesthetic dermatology. Follow Dr. Rambhia here: https://www.instagram.com/drpoojarambhia/?hl=en https://www.instagram.com/unionderm/?hl=en https://www.unionderm.com/ Download my Free Guide 'In My Perimenopause Era'

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this inspiring episode, Dr. Sarah Smith sits down with Dr. Cynthia Chen-Joea, a double board-certified family and obesity medicine physician, educator, and passionate advocate for physician wellness. Dr. Cynthia shares her personal journey from academic medicine through the challenges of burnout, her transformative experience with coaching, and how becoming a parent reshaped her professional values and priorities. Together, they dive deep into the realities of trauma and harm in medical training, the persistence of unhealthy work habits into clinical practice, and the importance of redefining our identities as physicians. Dr. Cynthia also discusses practical strategies for establishing boundaries, healing from the pressures of perfectionism and people-pleasing, and making medicine truly sustainable. You'll hear about her current work supporting physicians through coaching, retreats, and advocacy, and discover how small daily changes can lead to a more meaningful, balanced career. If you've ever questioned what it means to thrive in medicine, or wondered how to reclaim your empathy and joy for the profession, this conversation is packed with insightful stories and actionable advice. Tune in for a message of hope, transformation, and the reminder that a sustainable career in medicine is possible. Here are 3 key takeaways from this episode: Medical training often normalizes unhealthy patterns: Dr. Chen-Joea highlights how the culture of self-sacrifice and hierarchy during medical training can introduce trauma, shaping physicians to ignore their own needs. Breaking these cycles is essential for lasting well-being. Redefining your career is possible—and necessary: Whether through coaching, boundary-setting, or exploring new roles, Dr. Chen-Joea emphasizes that medicine can be sustainable. Small, intentional changes—like building in non-negotiable personal time—can have a huge impact. Trauma awareness matters (and it's practical): Understanding your own “activation” responses (like fight, flight, freeze, or fawn) is key. Recognizing these signs allows clinicians to proactively care for themselves and model healthy behaviors for colleagues and patients alike. Meet Dr. Cynthia Chen-Joea: Dr. Cynthia Chen-Joea is a physician career and life coach dedicated to helping early-career physicians finding sustainability in medicine by achieving their “career by design” goals while cultivating a healthy work-life balance. She is a double board-certified physician in family and obesity medicine. Dr. Chen-Joea currently serves as a Medical Director of Copa de Oro Medical Group and Inpatient Director at the Charles Drew Family Medicine Residency Program. In addition to her clinical work, Dr. Chen-Joea has held numerous leadership roles, including her past position as Department Chair of Family Medicine, Secretary-Treasurer of the Medical Staff and Physician Advisor at Emanate Health. She is also very active in advocacy on her local, state and national specialty organizations, and currently represents her peers as the New Physician Director on the American Academy of Family Physicians (AAFP) Board of Directors. Dr. Chen-Joea is passionate about advancing physician wellness, advocating at the systemic level, and providing individual coaching support to empower physicians in achieving sustainable careers in medicine. Her interests include inpatient medicine, leadership, advocacy, procedures and women's health. Outside of work, Dr. Chen-Joea enjoys quality time with her two-year-old daughter and her nine-year-old pup, traveling and exploring new cultures with her husband, savoring delicious foods, practicing yoga and Pilates, and indulging in the occasional Netflix reality TV binge. You can find Dr. Cynthia Chen-Joea on: Instagram/Facebook: @thrivationcoaching Linked In: https://www.linkedin.com/in/cynthia-chen-joea-do-mph-faafp-dabom-002b5a1b/ Website: thrivationcoaching.com -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

In this episode of the Society of Actuaries Research Insights Podcast, host Dale Hall, Managing Director of Research at the SOA Research Institute, welcomes Geralyn Trujillo, Senior Director of Public Policy at the American Academy of Actuaries. Together, they provide a timely and insightful recap of the NAIC Summer Meeting, held August 10–13, 2025, in Minneapolis. This episode highlights key regulatory discussions, actuarial research presented at CASTF, HATF, and LATF, and emerging issues such as climate-induced migration, the application of machine learning and high-resolution imagery in property insurance, and updated experience studies across disability, annuity, life, and long-term care lines. Listeners are encouraged to explore more details from the meeting once the recap is published by visiting the SOA Select Articles from E-Newsletters landing page.  Tune in for expert insights on where actuarial science meets public policy! Send us your feedbback at ResearchInsights@soa.org 

David Garland is Professor of Sociology in NYU's Department of Sociology and Arthur T. Vanderbilt Professor of Law at NYU School of Law. His area of research is social theory and historical sociology with a focus on the penal state and the welfare state. In 2012, the American Society of Criminology awarded him the Edwin H. Sutherland Prize for outstanding contributions to theory and research. He has been elected to membership of learned societies in both the United States and the United Kingdom, being a Fellow of the British Academy, the American Academy of Arts and Sciences, and the Royal Society of Edinburgh. 

Send us a textIn this episode of The Incubator Podcast, Ben and Daphna sit down with Dr. Dena Hubbard, neonatologist and Director of Quality at Santa Barbara Cottage Hospital's NICU. Dr. Hubbard is widely recognized for her leadership in trauma-informed care, physician well-being, and advocacy work within the American Academy of Pediatrics.She shares her journey from private practice to becoming a national voice for trauma-informed approaches in neonatal care. Dr. Hubbard explains how an early encounter with a NICU family transformed her understanding of parental stress, judgment, and resilience—and how that moment shaped her mission to change the way care is delivered. She outlines the principles of trauma-informed care and how these practices differ from traditional family-centered models, emphasizing curiosity over judgment and building trust across the care team.The conversation also explores physician wellness. Dr. Hubbard speaks candidly about burnout, the role of coaching and therapy, and how she redefined her professional path after personal challenges, including grief and illness. Her perspective offers both practical insights for the bedside and a message of hope for healthcare providers navigating stress and systemic pressures.This episode highlights the importance of culture change in NICUs and the value of caring for both families and providers.Support 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!

Send us a textDr. Michael Aziz, M.D. discusses his book: The Ageless Revolution: 10 Hallmarks of Aging That Hold the Secret to Defeating Disease, reversing age, Looking Younger, and Living Longer. Dr. Michael Aziz is a board-certified Internal Medicine physician, author, and a broadcast media commentator. He is as an attending physician at Lenox Hill Hospital in New York City. Dr. Aziz completed his medical training at Long Island Jewish Medical Center and Staten Island University Hospital in New York. He is a member of the American College of Physicians,  the American Society of Internal Medicine, and a fellow of the Royal Society of Medicine in the United Kingdom. Dr. Aziz has also been a keynote speaker at numerous national and international conferences, including those organized by the American Academy of Anti-Aging Medicine.You can find him at: www.michaelazizmd.com

Episode 061 | Arisa E. Ortiz, MD is the Founder/Creator of Your Pre-Visit, Director of Laser and Cosmetic Dermatology, and a Clinical Professor of Dermatology at the University of California, San Diego. She received training in Mohs Micrographic Surgery at UC San Diego and also completed the prestigious cosmetic and laser fellowship at Massachusetts General Hospital, Harvard Medical School, and Wellman Center for Photomedicine. Dr. Ortiz completed her dermatology residency training at UC Irvine and Beckman Laser Institute. She has authored over sixty publications and several book chapters. Dr. Ortiz also coedited a textbook on surgical reconstruction. She has presented at international and national conferences and is frequently an invited speaker at the American Academy of Dermatology (AAD), American Society for Dermatologic Surgery (ASDS), and the American Society for Laser Medicine and Surgery (ASLMS). She is on the editorial board of the Journal of Lasers in Surgery and Medicine and has won several awards including the ASLMS Dr. Horace Furumoto Young Investigator Award and ASLMS Best of Session Award for Cutaneous Applications, ASDS President's Outstanding Service Award, Castle Connolly Top Doctors Award, Exceptional Women in Medicine, and Newsweek America's Best Dermatologists. She has also been featured on The Doctors & Dr. Pimple Popper. Dr. Ortiz has served as the President of the San Diego Dermatologic Surgery Society and President of ASLMS. Her research interests are in laser treatment of non-melanoma skin cancer.This episode was recorded on March 24th, 2025.Connect with and learn from Dr. Rubin and SEENArisa Ortiz, MD (arisaortiz@gmail.com)Dr. Ortiz on IGYour Pre-Visit (Use code DERM60 for an extended free trial!)YPV on IGMore from Dr. Lewellis and Above & Beyond DermatologyNeed a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at drlewellis@aboveandbeyondderm.com if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.Above & Beyond DermatologyNutrafol -- special pricing and physician exclusive productsNeoGenesis -- my favorite source of stem cell released molecules for skin/hairSilagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)NewsletterLinkedInFacebookDr. Lewellis on InstagramAbove & Beyond Dermatology on InstagramYouTubeTikTokTwitter/XChange Your Mind, Change Your LifeSoMeDocs (Doctors on Social Media)Pippa!

On May 4, 2025, I presented live on the topic of Emerging Technological Trends in the Workplace to the American Academy of Matrimonial Lawyers, Northern California Chapter Symposium. Here are the top 5 takeaways:* Generative AI is Transforming Legal Practice—But Must Be Used Correctly* Generative AI (GenAI) tools like ChatGPT are revolutionizing legal work by enabling rapid drafting, research, and iteration. However, lawyers must use legal-specific AI tools that leverage retrieval augmented generation (RAG) and reliable databases, not general-purpose tools, to avoid errors and ethical pitfalls.* The Billable Hour Model is Becoming Obsolete* The efficiency gains from AI make the traditional billable hour model unsustainable and potentially unethical. Lawyers are encouraged to adopt alternative fee structures, especially subscription models, which align incentives, increase access to justice, and provide predictable revenue for firms.* There is a Massive Untapped Legal Market* 77% of U.S. legal issues go unresolved by lawyers, representing a $1.3 trillion market opportunity. By leveraging technology and alternative pricing, lawyers can serve clients previously priced out of legal services, expanding their reach and impact.* Ethical and Practical Imperatives for AI Adoption* Not using AI, or using it incorrectly, can put a lawyer's license and reputation at risk. Rules of professional conduct increasingly require technological competence. Lawyers must be proactive in adopting, understanding, and ethically integrating AI into their practice.* Subscription and Alternative Fee Models Benefit Both Lawyers and Clients* Subscription models foster ongoing client relationships, reduce burnout, and reward efficiency. They provide clients with cost transparency and predictability, while allowing lawyers to scale their practices, serve more clients, and improve profitability.__________________________Here's a link to the slide deck that goes with the presentation.Want to maximize your law firm? Get your ticket to MaxLawCon!Here's a link to purchase lifetime access to the recordings of My Shingle's AI Teach-In for only $77 if you couldn't make it live.I've partnered with Pii to make it easy for you to purchase the hardware I use in my law firm: (1) Studio Setup; (2) Midrange Setup; (3) Highrange Setup.Sign up for Paxton, my all-in-one AI legal assistant, helping me with legal research, analysis, drafting, and enhancing existing legal work product.Get Connected with SixFifty⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a business and employment legal document automation tool.Sign up for ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Gavel⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, an automation platform for law firms.Check out my other show, the Law for Kids Podcast.Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Law Subscribed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to subscribe to the weekly newsletter to listen from your web browser.Prefer monthly updates? Sign up for the Law Subscribed Monthly Digest on LinkedIn.Want to use the subscription model for your law firm? Sign up for the Subscription Seminar waitlist at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠subscriptionseminar.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Mathew Kerbis'⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ law firm ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Subscription Attorney LLC⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.lawsubscribed.com/subscribe

This week on Faisel and Friends, we are discussing From Inspiration to Impact: Family Medicine at the Crossroads of Change. Faisel and Dan are talking with Shawn Martin, Executive Vice President and CEO of the American Academy of Family Physicians, and Dr. Tina Sharma, Chief Resident of Family Medicine at The University of Texas at Tyler.Our conversation explores the growing direct primary care movement, the utilization of artificial intelligence in medicine, and the bright future workforce of Family Medicine.This episode was recorded live at FUTURE, the AAFP's annual conference! Learn more about FUTURE here: https://www.aafp.org/events/future-conference/2026.html

Irregular periods, night sweats, insomnia, decreased libido, brain fog, mood swings, hot flashes, belly fat—for many women, these symptoms are all too real. But when they bring them up, too many doctors offering little empathy or solutions, dismissing them as “just part of getting older.” No wonder so many women feel confused, frustrated, and alone during perimenopause and menopause.Dr Sheree Bondoc a.k.a. The Hormone Doctor, empowers women to navigate menopause with clarity, and confidence so they can live long and live well. She is the co-founder and medical director of The CORE Clinic, dedicated to treating not just the symptoms, but the root causes of health issues. A board-certified Fellow of the Philippine Obstetrics and Gynecology Society, she is also a Certified Fellow in Metabolic, Nutritional, and Functional Medicine from the Metabolic Medical Institute of the American Academy of Anti-Aging Medicine and George Washington University.For any collaboration, brand partnership, and campaign run inquiries, e-mail us at info@thepodnetwork.com.

Dr. Amy Fallas is a PhD in History at UC Santa Barbara. She holds an MA in History from Yale and her research examines religious difference, charitable networks, and historical memory in the Middle East. Her work has been supported by the American Research Center in Egypt, the American Society for Church History, the Orthodox Christian Studies Center among others. She is the Associate Editor of the Arab Studies Journal and serves on the steering committees of the History of Christianity and Middle Eastern Christianity units of the American Academy of Religion. Her scholarship appears in History Compass and Islam and Christian–Muslim Relations and her essays are published in the Washington Post, Jadaliyya, Mada Masr, the Revealer, Sojourners and more. On this episode, we mostly discuss her article Brothers in the Resistance, research in Lebanon about connections between Latin America and the Middle East, titled Hermanos fi al-Muqawama, She is based in Beirut. Visit Sacred Writes: https://www.sacred-writes.org/carpenter-cohort-2025-jan Visit Amy Fallas: https://www.amyfallas.com/  

Chorea describes involuntary movements that are random, abrupt, and unpredictable, flowing from one body part to another. The most common cause of genetic chorea in adults is Huntington disease, which requires comprehensive, multidisciplinary care as well as support for care partners, who may themselves be diagnosed with the disease. In this episode, Aaron Berkowitz, MD, PhD FAAN speaks with Kathryn P. L. Moore, MD, MSc, author of the article “Huntington Disease and Chorea” in the Continuum® August 2025 Movement Disorders 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. Moore is an assistant professor and director of the Parkinson's Disease and Movement Disorders Fellowship in the department of neurology at Duke University in Durham, North Carolina. Additional Resources Read the article: Huntington Disease and Chorea 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: @KatiePMooreMD 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 with Continuum Audio, and today I'm interviewing Dr Kathryn Moore about her article on diagnosis and management of Huntington disease and chorea, which appears in the August 2025 Continuum issue on movement disorders. Welcome to the podcast, Dr Moore. Could you please introduce yourself to our audience? Dr Moore: Yeah, thank you so much. I'm so excited to be here. I'm Dr Moore. I'm an assistant professor of neurology at Duke University, where I work as a movement disorder specialist. I run our fellowship there and help with our residency program as well. So, I'm excited to speak with our listeners about chorea today. Dr Berkowitz: Fantastic. And we're excited to talk to you about chorea. So, as a general neurologist myself, I only see chorea pretty rarely compared to other movement disorders like tremor, myoclonus, maybe the occasional tic disorder. And like anything I don't see very often, I always have to look up the differential diagnosis and how to evaluate a patient with chorea. So, I was so glad to read your article. And next time I see a patient with chorea, I know I'll be referring to your article as a great reference to have a framework for how to approach it. I hope our readers will look at all these helpful tables on differential diagnosis based on distribution of chorea in the body, potential etiologies, time course of onset and evolution, associated drug-induced causes, what tests to send. So, I highly recommend our listeners read the article. Keep those tables handy for when a patient comes in with chorea. I'm excited to pick your brain about some of these topics today. First, how do you go about distinguishing chorea from other hyperkinetic movement disorders when you see a patient that you think might have chorea? Dr Moore: One of the wonderful things about being a movement disorder specialist is we spend a lot of time looking at movements and training our brain to make these distinctions. The things that I would be looking out for chorea is involuntary, uncontrolled movements that appear to be brief and flowing from one part of the body to another. So, if you can watch a patient and predict what movements they're going to do, this probably isn't chorea. And it should be flowing from one part of the body to another. So, not staying just in one part of the body or having sustained movements. It can be difficult to distinguish between a tic or dystonia or myoclonus. Those things tend to be more predictable and repetitive than the chorea, which tends to be really random and can look like dancing. Dr Berkowitz: That's very helpful. So, once you've decided the patient has chorea, what's your framework for thinking about the differential diagnosis of the cause of the patient's chorea? Dr Moore: Well, that could be really challenging. The differential for chorea is very broad, and so the two things that I tend to use are age of the patient and acuity of onset. And so, if you're thinking about acute onset of chorea, you're really looking at a structural lesion like a stroke or a systemic issue like infection, hyperglycemia, etc. Where a gradually progressive chorea tends to be genetic in nature. When you're thinking about the difference between a child and an adult, the most common cause of chorea in a child is Sydenham's chorea. And actually, the most common cause of chorea that I tend to see is Parkinson's disease medication. So, if anybody's seen dyskinesia in Parkinson's disease, you've seen chorea. But it's those two things that I'm using, the age of the patient and the acuity. Somewhere in the middle, though---so, if you have subacute onset of chorea---it's important to remember to think about autoimmune conditions or paraneoplastic conditions because these are treatable. Dr Berkowitz: That's very helpful. So, like in any chief concern in neurology, we're using the context like the age and then the time course. And then a number of other helpful points in your article about the distribution of chorea in the body. Any comments you'd like to make about- we have this very helpful table that I thought was very interesting. So, you really get deep into the nuances of chorea and the movement disorder specialist expert level. Are there any aspects of parts of the body affected by chorea or distribution of chorea across the body that help you hone your differential diagnosis? Dr Moore: Certainly. I think where the chorea is located in the body can be helpful, but not as helpful as other conditions where you're localizing a lesion or that sort of thing. Because you can have a systemic cause of chorea that causes a hemichorea; that you can have hyperglycemia causing a hemichorea, or even Sydenham's chorea being a hemichorea. But things that we think about, if the forehead is involved, I would think about Huntington's disease, although this is not pathognomonic. And if it's involving the face or the mouth, you can think about neuroacanthocytosis or, more commonly, tardive dyskinesia. Hemichorea would make me think about some of those systemic issues like hyperglycemia, Sydenham's chorea, those sorts of things, but I would rely more on the historical context and the acuity of presentation than the distribution itself. Dr Berkowitz: Got it. That's very helpful. So those can be helpful features, but not sort of specific for any particular condition. Dr Moore: Exactly. Dr Berkowitz: Yeah, I often see forehead chorea mentioned as sort of specific to Huntington's disease. Since I don't see much Huntington's disease myself, what does forehead chorea look like? What is the forehead doing? How do you recognize that there is chorea of the forehead? It's just sort of hard for me to imagine what it would look like. Dr Moore: It's really tricky. I think seeing the eyebrows go up and down or the brows furrow in an unpredictable way is really what we're looking for. And that can be hard if you're having a conversation. My forehead is certainly animated as we're talking about one of my favorite topics here. One of the tricks that I use with the fellows is to observe the forehead from the side, and there you can see the undulation of the forehead muscles. And that can be helpful as you're looking for these things. I think where it's most helpful to use the forehead is if you're trying to determine if someone with a psychiatric history has tardive dyskinesia or Huntington's disease, because there can be quite a lot of overlap there. And unfortunately, patients can have both conditions. And so, using the forehead movement can be helpful to maybe direct further testing for Huntington's disease. Dr Berkowitz: Oh, wow, that's a very helpful pearl. So, if you see, sort of, diffuse chorea throughout the body and the forehead is involved, to my understanding it may be less specific. But in the context of wondering, is the neuropsychiatric condition and movement disorder related by an underlying cause in the case of seeing orofacial dyskinesias, is the relationship a drug having caused a tardive dyskinesia or is the whole underlying process Huntington's, the absence of forehead might push you a little more towards tardive dyskinesia, presuming there is an appropriate implicated drug and the presence of forehead chorea would really clue you in more to Huntington's. Did I understand that pearl? Dr Moore: That's exactly right, and I'm glad you brought up the point about making sure, if you're considering tardive dyskinesia, that there has been an appropriate drug exposure. Because without that you can't make that diagnosis. Dr Berkowitz: That's a very helpful and interesting pearl, looking at the forehead from the side. That is a movement disorders pearl for sure. Sort of not just looking at the forehead from one angle and trying to figure out what it's doing, but going to look at the patient in profile and trying to sort it out. I love that. Okay. So, based on the differential diagnosis you would have crafted based on whether this is sort of acute, subacute, chronic, the age of the patient, whether it's unilateral, bilateral, which parts of the body. How do you go about the initial evaluation in terms of laboratory testing, imaging, etc.? Dr Moore: Well, certainly in an acute-onset patient, you're going to get a number of labs---and that's listed out for you in the paper---and consider imaging as well, looking for an infarct. One thing our learners will know is that sort of the typical answer to what's the infarct causing hemichorea would be the subthalamic nucleus. But really, those infarcts can be almost anywhere. There are case reports for infarcts in a wide variety of places in the brain leading to hemichorea. So, I think some general blood work and an MRI of the brain is a good place to start. For someone who has a more chronic course of the development of chorea, there are certain labs that I would get---and an MRI, because if you get an MRI and there's heavy metal deposition or other disease, structurally, that indicates a certain condition, that can help you pretty considerably. But otherwise, I'm looking for inflammatory markers, heavy metals, HIV, some general other things that are outlined, to help make sure that I'm not missing something that's treatable before I go down the route of genetic testing. And we may talk about this in a little bit, but if you start out with genetic testing and then you sort of have to back up and do more systemic testing, that can be very disjointed when it comes to good patient care. Dr Berkowitz: That's very helpful. So yeah, if it's acute, obviously this is the most straightforward scenario, acute and unilateral. We're imagining something lesional, as you said, either a stroke or---not sort of sudden, but fast, but not sudden---you might think of another structural lesion. Toxoplasmosis, right, has an affinity for the basal ganglia if you were seeing this in a patient who is immunocompromised. But in a case that, probably as you alluded to, sort of what we would see most commonly in practice, those still relatively rare, sort of subacute to chronic symmetric chorea. There's a long list of tests that are recommended. In your article and in other texts, I've read lupus testing, anti-phospholipid antibodies… but the list is long. I'll refer readers to your article. Out of curiosity as a specialist, how often do you see any of these labs come back revealing any underlying diagnosis in a patient who's otherwise healthy and just has developed chorea and comes to you with that chief concern? I feel like I've sent that mega-workup a few times; I'm obviously a general neurologist, but not nearly as many times as you have been. It's- I can't remember a time where something has come up, maybe an ANA one to forty or something like this that we don't think is relevant. But in your practice, how often do you end up finding a reversible cause in the laboratory testing versus ending up starting to go down the genetic testing route, which we'll talk about in a moment? Dr Moore: It's not common, but it is important that we capture these things. Because for a lot of those laboratory tests, there are treatments that are available, or other health implications if those come back positive. So, the case I think of is a polycythemia vera patient who had diffused subacute onset chorea and was able to be treated, was temporarily managed with medication for her chorea, and as her PV improved, she was able to come off those medications. As I was alluding to before---and I'm sure we'll talk about genetic testing---if you test for HD and it's negative, do you go down the route of additional expensive genetic testing, or do you then circle back and go, oops, I missed this treatable condition? As we talk about genetic testing as well, getting HD testing is a pretty involved process. And so, we want to make sure we are checking all those boxes before we move forward. So, it's not common, but we do catch some treatable conditions, and that's really important not to miss. Dr Berkowitz: That's very interesting. So, you diagnosed that polycythemia vera by blood smear, is that how you make the diagnosis? Dr Moore: Yes. Dr Berkowitz: And is that a once-in-a-career-so-far type of thing, or does that happen time to time? Dr Moore: For me, that's a once-so-far, but I don't doubt that I'll see it again. Dr Berkowitz: Great. And how about lupus and some of these other things we look for in the absence of other systemic features? Have you picked up any of these or heard of colleagues picking up something on laboratory testing? They said, oh, this patient came in for a referral for genetic testing, negative Huntington's disease. And good news, we found polycythemia vera; good news, we found undiagnosed lupus and we reversed it. I'm just curious, epidemiologically, seeing these long lists and not having the subspecialty practice that you do, how often you find a reversible cause like we do for neuropathy all the time, right? Oh, it's diabetes, it's B12---maybe not reversible, but preventing progression---or reversible dementia work up. You get so excited when you find low B12 and you replete the patient's B12, and they get better when they had been concerned they were developing an irreversible condition. How often does one in your subspecialty find a reversible cause on that initial mega-lab screen? Dr Moore: I think it's really uncommon, and maybe the folks that do are caught by someone else that never make it to Huntington's clinic, but I don't tend to see those cases. There are, of course, case reports and well-described in the literature about lupus and movement disorders and things of that nature, but that doesn't come to our clinic on a regular basis for sure. Dr Berkowitz: Got it. That's helpful to hear. Well, we've alluded to genetic testing a number of times now, so let's go ahead and talk about it. A lot of your article focuses on Huntington disease, and I was thinking about---in the course of our medical training in medical school, and then neurology residency, for those of us who don't become movement disorder experts like yourself---we learn a lot about Huntington disease. That's sort of the disease that causes chorea, until we later learned there are a whole number of diseases, not just the reversible causes we've been talking about, but a number of genetic diseases which you expertly reviewing your article. So, what are some of the red flags that suggest to you that a patient with chronically progressive chorea---and whom you're concerned for Huntington's or another genetic cause---what are some things you notice about the history, about the exam, the symptoms, the signs, the syndrome, that suggest to you that, actually, this one looks like it might not turn out to be HD. I think this patient might have something else. And as you have alluded to, how do you approach this? Do you send HD testing, wait for it to come back, and then go forward? Are there genetic panels for certain genetic causes of chorea? Do you skip just a whole exome sequencing, or will you miss some of the trinucleotide repeat conditions? How do you approach this in practice? Dr Moore: I'll try to tackle all that. One thing I will say is that a lot of patients with chorea, regardless of the cause, can look very similar to one another. So, if you're looking at chronic onset chorea, perhaps with some neuropsychiatric features, I'm going to most often think about HD because that's the most common cause. Certainly, as we mentioned before, if there's a lot of tongue protrusion, I would think about the acanthocytic conditions, neurocanthocytosis and McCloud syndrome. But generally in those conditions, we're looking at HD as the most likely cause. Certainly, if there is epilepsy or some other syndromic types of things going on, I may think more broadly. But it's important to know that while HD, as you mentioned, is the cause of chorea, many of our patients will have parkinsonism, tics, dystonia, a whole host of other movement phenomenologies. So, that wouldn't dissuade me from thinking about HD. When we think about the kind of patients that you're describing, upwards of 95% of those people will have Huntington's disease. And the process for genetic testing is fairly involved. The Huntington's Disease Society of America has organized a set of recommendations for providers to go about the process of genetic testing in a safe and supportive way for patients and their families. And so that's referred to in the article because it really is important and was devised by patients and families that are affected by this disease. And so, when we're thinking about genetic testing for HD, if I reveal that you have HD, this potentially affects your children and your parents and your siblings. You can have a lot of implications for the lives and health and finances of your family members. We also know that there is high suicidality in patients with HD, in patients who are at risk for HD; and there's even a higher risk of suicidality in patients who are at risk but test negative for HD. So, we do recommend a supportive environment for these patients and their families. And so, for presymptomatic patients or patients who are at risk and don't have chorea, this involves making sure we have, sort of, our ducks in a row, as it were, when we think about life insurance, and, do you have somebody supportive to be with you through this journey of genetic testing, no matter what the results are? So, oftentimes I'll say to folks, you know, there's this 20-page policy that I encourage you to look at, but there are Huntington's Disease Centers of Excellence across the country that are happy to help you with that process, to make sure that the patients are well supported. This is an individual genetic test because, as you mentioned, it is a CAG repeat disorder. And unfortunately, there is no chorea panel. So, if an HD test comes back negative, what we'll do then is think about what's called the HD phenocopies. As I mentioned before, some of these patients who look like they have HD will have a negative HD test. And so, what do you do then? Well, there's a handful of phenocopies---so, other genetic mutations that cause a very similar presentation. And so, we try to be smart, since there's not a panel, we try to be smart about how we choose which test to do next. So, for instance, there's a condition called DRPLA that is present in an African-American family here in my area, in North Carolina, as well as in Japan. And so, if someone comes from those backgrounds, we may decide that that's the next test that we're going to do. If they are white European descent, we may consider a different genetic test; or if they're sub-Saharan African, we may choose a different one from that. However, even if you do a really thorough job, all those blood tests, all those genetic tests, you will occasionally get patients that you can't find a diagnosis for. And so, it's important to know even when you do a good job, you may still not find the answer. And so, I think trying to do things with this complex of the presentation in a systematic way for yourself so you're not missing something. So, going back to our answer about, how do I look at lupus and polycythemia vera and all of that, to think about it in a systematic way. That when you get to the end and you say, well, I don't have an answer, you know you've tried. Dr Berkowitz: That's very helpful to hear your approach to these challenging scenarios, and also how to approach the potential challenging diagnosis for patients and their families getting this diagnosis, particularly in the presymptomatic phase. And your article touches on this with a lot of nuance and thoughtfulness. So, I encourage our listeners to have a read of that section as well. So, last here, just briefly in our final moments, you discuss in your article the various symptomatic treatments for chorea. We won't have time to go into all the details of all the many treatments you discussed, but just briefly, how do you decide which medication to start in an individual patient with chorea for symptomatic management? What are some of the considerations related to the underlying condition, potential side effect profiles of the particular medications, or any other considerations just broadly, generally, as you think about choosing one of the many medications that can be used to treat chorea? Dr Moore: Certainly. So, there is a group of FDA-approved medications, VMAT2 inhibitors, that we can choose from, or the off-label use of neuroleptics. And so, there's a lot of things that go into that. Some of that is insurance and cost and that sort of thing, and that can play a role. Others are side effects. So, for the VMAT2 inhibitors, they all do have a black box warning from the FDA about suicidality. And so, if a patient does struggle with mental health, has a history of suicidality, psychiatric admissions for that sort of thing, then I would be more cautious about using that medication. All patients are counseled about that, as are their families, to help us give them good support. So, the neuroleptics do not tend to have that side effect and can help with mood as well as the chorea and can be helpful in that way. And some of them, of course, will have beneficial side effects. So, olanzapine may help with appetite, which can be important in this disease. So, the big considerations would be the black box warning and suicidality, as well as, are we trying to just treat chorea or are we treating chorea and neuropsychiatric issues? Dr Berkowitz: Fantastic. Thank you for that overview. And again, for our listeners, there's a lot more detail about all of these medications, how they work, how they're used in different patient populations, their side effects, etc, to be reviewed in your excellent article. Again, today, I've been interviewing Dr Kathryn Moore about her article on diagnosis and management of Huntington's disease in chorea, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining today. And thank you again, Dr Moore. Dr Moore: Thanks for having me. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

The Centers for Disease Control, the nation's top public health agency, is in chaos following the firing of its director by President Donald Trump and the resignations of its top leaders last week. Nine former CDC directors wrote in the New York Times this week that Health and Human Services Secretary Robert F. Kennedy, who spearhead the purge of the CDC and is a longtime leader of the anti-vaccine movement, is “endangering every American's health.”States are increasingly spurning Kennedy and taking health matters into their own hands. Northeastern states, including Vermont, have formed a regional health coalition in response to concerns about federal vaccine guidance. The governors of California, Washington and Oregon declared this week said that the CDC has become “a political tool that increasingly peddles ideology instead of science … that will lead to severe health consequences.” The three western states are banding together to coordinate their own vaccine policy.Meanwhile, the state of Florida has just announced that it will become the first state to do away with all childhood vaccine mandates, eliciting strong objections from public health experts.Can Vermont trust the health advice coming out of the federal government? What are the leading threats to public health confronting the state and country?“It pains me to say, I don't know that you want to trust the CDC,” said Dr. Becca Bell on The Vermont Conversation. Bell is associate professor of pediatrics at the Larner College of Medicine and a pediatric critical care physician at the University of Vermont Children's Hospital. She is the immediate past president of the Vermont Medical Society and of the Vermont Chapter of the American Academy of Pediatrics. (Bell noted that she is speaking in her personal capacity, not on behalf of the organizations with which she is affiliated).Bell said that “the officials that have left the (CDC) have really raised the alarm that … we shouldn't trust what's coming out of the CDC in terms of some immunization guidance in particular.”She encouraged families to look to other sources for accurate information, especially the parenting website of the American Academy of Pediatrics, which represents 67,000 pediatricians. She also recommended the Vermont Department of Health and the Children's Hospital of Philadelphia.“Then I ask families to talk to their own child's doctor, because that's going to be a great source as well.” Kennedy, the Health and Human Services secretary, announced in May that the CDC would no longer recommend a COVID shot for healthy children. The American Academy of Pediatrics has issued contrary guidance, recommending a COVID shot for all children under the age of 2 since they are “especially vulnerable to severe COVID-19.”Bell credited Vermont with being proactive “about how we can keep Vermonters safe," but added, “I feel really sad for the future of this country's child's health, because I think that we're going to see a lot of disparities, not just with access to vaccination but access to health care in general, with the big Medicaid cuts that are coming up as well.”Bell warned that Medicaid cuts, which will result in some 45,000 Vermonters losing health insurance, will fall hardest on children. One third of Medicaid enrollees in Vermont are children.“What we're about to see with that One Big Beautiful Bill Act (is) a huge transfer of resources from low income folks to the highest earners in this country,” said Bell. “Accessible, affordable health care is what kids need to succeed and for families to succeed, and so we are deeply concerned about the future of pediatric health care because our foundation is Medicaid. This is how we care for kids. It's what supports our clinics.”“The lack of investment in children is just really concerning and very short sighted.”

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Dr. Mandelaris attended the University of Michigan from undergraduate through dental school.  He completed a post-graduate residency program at the University of Louisville, School of Dentistry, where he obtained a certificate in the speciality of Periodontology as well as a Master of Science (M.S.) degree in Oral Biology.  Dr. Mandelaris is a Diplomate of the American Board of Periodontology and Dental Implant Surgery and has served as an examiner for Part II (oral examination) of the American Board of Periodontology's certification process. He is a Clinical Assistant Professor in the Department of Graduate Periodontics at the University of Illinois, College of Dentistry (Chicago, IL) and an Adjunct Clinical Assistant Professor at the University of Michigan, Department of Periodontics and Oral Medicine (Ann Arbor, MI).  Dr. Mandelaris is a Fellow in both the American and International College of Dentists. Dr. Mandelaris serves as an ad-hoc reviewer for the Journal of Periodontology and the International Journal of Oral and Maxillofacial Implants. In 2021, he was appointed as an Editorial Consultant to the International Journal of Periodontics and Restorative Dentistry. He has published over 40 scientific papers in peer-reviewed journals and has authored eight chapters in seven different textbooks used worldwide on subjects related to computer guided implantology, CT/CBCT diagnostics and surgically facilitated orthodontic therapy (SFOT). Dr Mandelaris is one of the recipients of the 2017 and the 2021 American Academy of Periodontology's (AAP) Clinical Research Award, an award given to the most outstanding scientific article with direct clinical relevance in Periodontics. A nationally recognized expert, he was appointed by AAP to co-chair the Best Evidence Consensus Workshop on the use of CBCT Imaging in Periodontics as well as co-author the academy's guidelines. In 2018, he was recognized with American Academy of Periodontology's Special Citation Award.  Dr. Mandelaris is the 2018 recipient of The Saul Schluger Memorial Award for Clinical Excellence in Diagnosis and Treatment Planning. Dr. Mandelaris currently serves on the American Academy of Periodontology Board of Trustees and has served as a Past President of the Illinois Society of Periodontists. He has served on several committees for the American Academy of Periodontology and is one of the AAPs recommended speakers on topics related to periodontics-orthodontics and imaging/implant surgery. He is a key-opinion leader for several industry leaders and holds memberships in many professional organizations, including the American Academy of Periodontology, Academy of Osseointegration, American Academy of Restorative Dentistry and the American Society of Bone and Mineral Research. Dr. Mandelaris is in private practice at Periodontal Medicine & Surgical Specialists, LLC. He limits his practice to Periodontology, Dental Implant Surgery, Bone Reconstruction and Tissue Engineering Surgery. He can be reached at 630.627.3930 or gmandelaris@periodontalmedicine.org.

Notes and Links to Joan Silber's Work    Joan Silber was raised in New Jersey and received her B.A. from Sarah Lawrence College, where she studied writing with Grace Paley. She moved to New York after college and has made it her home ever since. She holds an M.A. from New York University. She's written ten books of fiction--most recently, Mercy, out in fall 2025.  Secrets of Happiness was a Washington Post Best Book of the year and a Kirkus Reviews Best Fiction of the Year.  Improvement won The National Book Critics Circle Award for Fiction and the PEN/Faulkner Award.  She also received the PEN/Malamud Award for Excellence in the Short Story.  Her other works of fiction include Fools, longlisted for the National Book Award and finalist for the PEN/Faulkner Award, The Size of the World, finalist for the Los Angeles Times Prize in Fiction, and Ideas of Heaven, finalist for the National Book Award and the Story Prize.  She's also written Lucky Us, In My Other Life, and In the City (to be reissued by Hagfish in 2026), and her first book, Household Words, won the PEN/Hemingway Award. She's the author of The Art of Time in Fiction, which looks at how fiction is shaped and determined by time, with examples from world writers.  Her short fiction has been chosen for the O. Henry Prize, Best American Short Stories, and the Pushcart Prize.  Stories have appeared in The New Yorker, Tin House, The Southern Review, Ploughshares, Zyzzyva, and other magazines. She's been the recipient of an Award in Literature from the American Academy of Arts and Letters, a Guggenheim Fellowship, and grants from the National Endowment for the Arts and the New York Foundation for the Arts. For many years Joan taught fiction writing at Sarah Lawrence College and in the Warren Wilson MFA Program for Writers.  Joan lives on the Lower East Side of Manhattan, with Jolie, her rescued street dog from Taiwan, and she travels as often as she can, with a particular interest in Asia. Buy Mercy   Joan Silber's Website   Joan Silber's Wikipedia Page   Boston Globe Review of Mercy   At about 2:55, Joan talks about responses about her new novel and how uncertainty is always  At about 3:45, Joan talks about places to buy her new novel and upcoming book events At about 5:05, Joan traces her early relationship with reading and writing and talks about early inspirations like Louisa May Alcott At about 6:55, Joan responds to Pete's question about the catalysts for her writing career, and she references the wonderful Grace Paley and her generative teaching methods At about 8:35, Joan talks about contemporary writers and influences like Charles Baxter, Andrea Barrett, and Margo Livesy At about 9:50, Pete bumbles through a vague comparison in complimenting Joan on her depiction of New York in the 1970s and gives some exposition of the book, especially regarding the book's main protagonist, Ivan  At about 11:25, Joan reflects on Ivan and Eddie as “intellectuallizing” their drug adventures  At about 12:35, Joan responds to Pete asking about Eddie and his mindset and personality  At about 14:45, the two trace the book's inciting incident, involving Eddie and Ivan indulging in drugs to an extreme  At about 17:30, Joan expands on her initial thoughts for the book, and on the secret that Ivan keeps to himself, as well as how she views Ivan in a “complicated” way At about 18:45, Joan responds to Pete's question about whether or not she “sit[s] in judgment of [her] characters” At about 20:20, Pete highlights Ivan and asks Joan's about Eddie “hav[ing] his own kingdom” in Ivan's life, especially with regard to his atonement for Alcoholics Anonymous At about 21:50, Pete traces Astrid/Ginger's career arc, as Ivan sees her rise and connects to Eddie, and Joan expands on why her film being done in Malaysia is connected to real-life regulations in China At about 23:30, Pete asks Joan about how she gets into the mindset to write about “What if?” At about 24:50, Chapter Two is discussed, with a new narrator in Astrid, and her tragedies and triumphs At about 26:10, Joan talks about the movie that takes place in the book, with Astrid as a star; Joan expands upon the “circle” of heroin/opioids in the novel At about 28:30, Joan discusses the “echo in the title” about heroin as the “drug of mercy” At about 29:00, Joan gives background on her choice in including Cara as a character who is a “bystander” to Eddie's abandonment  At about 30:15, Joan and Pete discuss the whys of Cara leaving and getting on the road At about 31:40, Joan talks about Chapter Three as a previously-published chapter/standalone, and how she likes “getting her characters in trouble” At about 32:00, Joan explains how she “follows” Nini into the next chapter, based on a previous quote, and how Joan's own travels influenced her writing about the Iu Mien of Thailand and Laos At about 35:00, Joan describes how Nini's injury in Southeast Asia serves as a vessel for a description of opium's uses/the way it's viewed in a variety of ways around the world  At about 36:15, Pete and Joan discuss the roles of anthropologists and their roles At about 38:30, Cara's chapter is highlighted, with Cara's relationship with her previously-absent father discussed   At about 41:00, Pete asks Joan to discuss the book's title-its genesis and connections to the book's events and characters  At about 42:30, Joan differentiates between mercy and forgiveness  At about 43:00, Pete compliments Joan's work in tracing a long but coherent storyline and her depiction of New York At about 44:10, Joan discusses an exciting upcoming project  At about 45:20, Pete and Joan discuss youth and innocence and aging as key parts    You can now subscribe to the podcast on Apple Podcasts, and leave me a five-star review. You can also ask for the podcast by name using Alexa, and find the pod on Stitcher, Spotify, and on Amazon Music. Follow Pete on IG, where he is @chillsatwillpodcast, or on Twitter, where he is @chillsatwillpo1. You can watch other episodes on YouTube-watch and subscribe to The Chills at Will Podcast Channel. Please subscribe to both the YouTube Channel and the podcast while you're checking out this episode.       Pete is very excited to have one or two podcast episodes per month featured on the website of Chicago Review of Books. The audio will be posted, along with a written interview culled from the audio. His conversation with Hannah Pittard, a recent guest, is up at Chicago Review.     Sign up now for The Chills at Will Podcast Patreon: it can be found at patreon.com/chillsatwillpodcastpeterriehl      Check out the page that describes the benefits of a Patreon membership, including cool swag and bonus episodes. Thanks in advance for supporting Pete's one-man show, DIY podcast and extensive reading, research, editing, and promoting to keep this independent podcast pumping out high-quality content! This month's Patreon bonus episode features an exploration of flawed characters, protagonists who are too real in their actions, and horror and noir as being where so much good and realistic writing takes place. Pete has added a $1 a month tier for “Well-Wishers” and Cheerleaders of the Show.     This is a passion project, a DIY operation, and Pete would love for your help in promoting what he's convinced is a unique and spirited look at an often-ignored art form.    The intro song for The Chills at Will Podcast is “Wind Down” (Instrumental Version), and the other song played on this episode was “Hoops” (Instrumental)” by Matt Weidauer, and both songs are used through ArchesAudio.com.     Please tune in for Episode 293 with Melissa Lozada-Oliva, a Guatemalan-Colombian-American writer. Her chapbook peluda explores the intersections of Latina identity and hair removal. In her novel-in-verse Dreaming of You (2021, Astra House), a poet brings Selena back to life through a seance and deals with disastrous consequences. Candelaria was named one of the best books of 2023 by VOGUE and USA Today. Her collection of short stories is BEYOND ALL REASONABLE DOUBT, JESUS IS ALIVE! The episode airs on September 2, today, Pub Day.    This episode airs today, September 2, Pub Day.    Please go to ceasefiretoday.org, and/or https://act.uscpr.org/a/letaidin to call your congresspeople and demand an end to the forced famine and destruction of Gaza and the Gazan people.

In this week's episode, host Paul Wirkus, MD, FAAP, and guests Kristi Glotzbach, MD, and Laura Wood, PhD discuss recommendations for recognizing and addressing neurodevelopmental risks in infants and children with congenital heart disease (CHD). Listen in as they review strategies for risk identification, protection, screening, and evaluation, and focus on how clinicians can stratify risk for neurodevelopmental challenges in this vulnerable population. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In this episode of Pain Matters, Shravani Durbhakula, MD, MPH, MBA, speaks with Maia Szalavitz, award-winning New York Times opinion writer and AAPM 2025 Featured Speaker. Recorded April 4, 2025, at the AAPM PainConnect 2025 meeting, their conversation explores themes from Szalavitz's recent writing on addiction, harm reduction, and drug policy. Maia shares her personal journey through addiction and recovery, and offers insights into the critical distinction between dependence and addiction. They also discuss the effectiveness of harm reduction strategies when it comes to opioids, the potential of emerging treatments like Ozempic, and the role of media in shaping public understanding of addiction. Throughout, Szalavitz challenges traditional narratives and advocates for evidence-based, compassionate approaches to drug policy and treatment. She also offers tips for how medical professionals can make their voices heard. *Views expressed by our guests are their own and do not necessarily reflect those of the hosts, their institutions, or the American Academy of Pain Medicine. About the Guest: Maia Szalavitz Maia Szalavitz is an acclaimed journalist and author known for her expertise in addiction, harm reduction, and drug policy. Having personally experienced addiction, Szalavitz's work draws deeply from her own journey to recovery. Her celebrated books include "Unbroken Brain: A Revolutionary New Way of Understanding Addiction" and "Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction." Szalavitz frequently contributes to major publications with opinion pieces that challenge traditional views on addiction and advocate for science-based approaches to drug policy.  Episode Summary: 

Welcome to Episode 50 of the HPNA Palliative Perspective podcast—a meaningful milestone, and one that gave us pause to reflect on the incredible leaders who've shaped the hospice and palliative care space. In early conversations about this episode, we considered dedicating it to Betty Ferrell, a visionary in the field and the longtime Editor-in-Chief of JHPN, the Journal of Hospice and Palliative Nursing.  But, in true Betty fashion, those close to her reminded us she prefers to stay out of the spotlight. So instead, we're honoring her legacy in a way we think she'd appreciate: by celebrating the educators.  In this episode, we're shining a light on the hospice and palliative nurse educators featured in an upcoming issue of JHPN—innovators who are creating new programs and pushing boundaries in their Schools of Nursing to bring both primary and specialty palliative care to the forefront of nursing education. Their work is not only advancing the field but also shaping the future of compassionate care.  Join Andra Davis, PhD, MN, RN, and Megan Lippe, PhD, MSN, RN, ANEF, FPCN®, FAAN—guest editors of the November issue of JHPN—as they share powerful insights on preparing the next generation of nurses in hospice and palliative care. Educating future nurses requires more than just a solid curriculum—it demands mentorship, creativity, and a deep, ongoing commitment. In this episode, we explore why palliative care is no longer a “nice to have,” but a necessity in nursing education. From shifts in accreditation standards to real-world bedside challenges, Drs. Davis and Lippe discuss the essential role faculty and mentors play in helping students navigate the emotional, clinical, and human complexities of whole person care. We also explore how practicing nurses can be part of this movement—supporting learners and strengthening the future of compassionate care.   Podcast Notes/Links  JPHN Article, releasing in Nov— https://journals.lww.com/jhpn/pages/default.aspx   Betty Ferrell, speaking at HPNA Annual Conference, link  Scope, Standards and Competencies for the Hospice & Palliative RN & APRN, link  The Corner https://www.aacnnursing.org/elnec/elnec-faculty-corner      Megan Lippe, PhD, MSN, RN, ANEF, FPCN®, FAAN Dr. Lippe is Associate Professor with tenure at the University of Texas Health San Antonio and a national leader in palliative nursing education. Her work focuses on educational innovation, simulation, interprofessional collaboration, and social justice. She serves as a co-investigator for the End of Life Nursing Education Consortium (ELNEC), helping advance palliative care education in nursing programs across the country. She has co-authored several key works in the field of palliative care, including undergraduate and graduate palliative care competence statements endorsed by the American Association of Colleges of Nursing (CARES and G-CARES, respectively), ELNEC Undergraduate/New Graduate and ELNEC Graduate online curricula, and the scopes section of the new Hospice and Palliative Nurses Association (HPNA) Scopes, Standards, and Competencies for Hospice and Palliative Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs). In collaboration with colleagues, she has conducted research that led to the development of new tools to assess palliative care curriculum, self-competence, and knowledge among nursing students and entry-level nurses. Honors include 2019 Cambia Sojourns Scholar, 2017 ELNEC Award, and 2019 HPNA New Investigator Award. She is a fellow of the American Academy of Nursing, the Academy of Nursing Education and of Palliative Care Nursing by HPNA.      Andra Davis, PhD, MN, RN Is an Associate Professor of Nursing at the University of Portland, where she teaches across both undergraduate and graduate programs. She is a co-investigator with the End-of-Life Nursing Education Consortium (ELNEC) and brings extensive clinical expertise in cancer symptom management, palliative care, and primary palliative nursing education. Dr. Davis's research centers on strengthening palliative care education, including revising national competency guidelines and developing outcome measures for undergraduate nursing programs. She is recognized for her leadership at regional and national levels in advancing the integration of palliative care into nursing curricula. Internationally, she collaborates with nursing colleagues in Thailand that expand access to palliative education, research, and caregiver wellbeing. Her scholarship also contributes to the evidence base for nurse-led, evidence-informed symptom management guides for patients undergoing cancer treatment.   Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.  

Send us a textIn episode #151 we discuss the science behind fermented foods with researcher Dr. Maria Marco:The role of microbes in gut health and their potential benefits for humanity and the planet.Insights into the fermentation process of sauerkraut and its impact on gut barrier function.The difference between probiotics and friendly microbes found in fermented foods like sauerkraut.The potential for fermented foods to offer health benefits beyond just probiotics, focusing on the metabolites produced during fermentation.Dr. Maria Marco is a Professor in the Department of Food Science and Technology at the University of California, Davis. She earned her bachelor's degree at The Pennsylvania State University and PhD in microbiology at the University of California, Berkeley. She performed her postdoctoral research at the Wageningen University and NIZO food research, The Netherlands. Dr. Marco started her lactic acid bacteria and gut health laboratory at the University of California, Davis in 2008 and has built an internationally recognized research program on fermented foods, probiotics, and dietary modulation of the gut microbiome. Dr. Marco is currently President of the International Society of Probiotics and Prebiotics (ISAPP) Board of Directors and is a fellow in the American Academy of Microbiology.Connect with Dr. Maria Marco:IG: Eat Lac Project, UC Davis: www.instagram.com/eat.lac.project/Web: /marcolab.ucdavis.edu/Mentioned:Trifecta Nutrition (save 50% your 1st order with code NR50): https://trifectanutrition.llbyf9.net/qnNk05Study discussed on the podcast: The Fermented Cabbage Metabolome and its Protection Against Cytokine-Induced Intestinal Barrier Disruption of Caco-2 Monolayers: journals.asm.org/doi/10.1128/aem.02234-24International Scientific Assn. for Probiotics and Prebiotics: isappscience.org/Other studies mentionedA Review of Fermented Milks: Potential Beneficial Effects on Human Nutrition and Health: pmc.ncbi.nlm.nih.gov/articles/PMC11225442/ Lacto-Fermented Sauerkraut Improves Symptoms in IBS Patiences Independent of Product Pasteurisation - A Pilot Study: pubmed.ncbi.nlm.nih.gov/30256365/MORE NR New customers save 10% off all products on our website with the code NEWPOD10 If you would like to work with our practitioners, click here: https://nutritional-revolution.com/work-with-us/ Save 50% off your 1st Trifecta Nutrition order with code NR50: https://trifectanutrition.llbyf9.net/qnNk05 Save 20% on all supplements at our trusted online source: https://us.fullscript.com/welcome/kchannell Join Nutritional Revolution's The Feed Club to get $20 off right away with an additional $20 Feed credit drop every 90 days.: https://thefeed.com/teams/nutritional-revolution If you're interested in sponsoring Nutritional Revolution Podcast, shoot us an email at nutritionalrev@gmail.com.

Host Dr. Joel Berg speaks with Dr. Chelsea Fosse, Vice President of the AAPD Research and Policy Center (RPC) on the current hot topics in public health and how the RPC is working to make an impact. They delve into how pediatric dentistry can continue to lead the way among the other dental specialties and with our medical peers on care for those children and adults with disabilities and other special healthcare needs. Dr. Fosse also shares how AAPD members and other healthcare professionals can turn to the RPC for support with state-specific questions relating to Medicaid or other legislation. Guest Bio: Chelsea Fosse, DMD, MPH is the Vice President, Research & Policy Center at the American Academy of Pediatric Dentistry (AAPD). She is boarded in dental public health. Before shifting her career to work in oral health policy research, she worked as a general dentist treating adults with disabilities. At AAPD, Chelsea leads a team focused on Medicaid policy and program administration, evidence-based dental care, access to high quality and safe dental care, the pediatric dental workforce, and other contemporary issues in oral health, public health, and health policy. She was previously at the American Dental Association (ADA) Health Policy Institute (HPI) where she led policy analysis for issues related to Medicaid and studied the oral health workforce and the industry's response to the COVID-19 pandemic. Before dental school, she worked in the Division of Children with Special Needs at the American Academy of Pediatrics. She currently serves as President of the Board of Directors at Well Child Center, a community-based organization offering WIC, dental, and other social and health services in Elgin, IL. Chelsea received her bachelor's from The University of Texas in 2009, DMD from Rutgers in 2017, and MPH from Columbia University in 2019. She completed a general practice residency at Helen Hayes Hospital in 2018 and a dental public health residency at Jacobi Medical Center in 2020. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this podcast episode we want to introduce you to our BCEN friend, Michael Gooch. Dr. Michael Gooch is an emergency and flight nurse practitioner, critical care paramedic, and seasoned clinician with over 30 years of experience in emergency and transport medicine. Based at Vanderbilt University Medical Center, he has completed more than 1,700 patient transports with the LifeFlight team. He is also an Assistant Professor of Nursing at Vanderbilt University School of Nursing and a nationally recognized speaker, author, and educator. Dr. Gooch holds leadership roles with the American Academy of Emergency Nurse Practitioners and the Air and Surface Transport Nurses Association. He is a Fellow of multiple professional organizations and was recently honored with the Distinguished Certified Flight Registered Nurse Award by BCEN in 2025. From prehospital care to the ER, critical care, and transport, Michael's career has spanned nearly every corner of emergency nursing. His passion for doing things right and inspiring others is unmistakable, and we're excited to feature him in this episode called, “Keeping the curiosity door unlocked: Spotlight on the 2025 Distinguished CFRN Winner.” Michael can be contacted through LinkedIn @MichaelGoochDNP. BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io

Unafraid to speak truth to power, President of the American Academy of Pediatrics Dr. Susan Kressly joins Meidas Health for a powerful discussion on truth, conviction, and her deep commitment to ensuring optimal childhood health for the nation. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Occupied Thoughts, FMEP Fellow Ahmed Moor speaks with Marianne Hirsch, Professor emerita of English and Comparative Literature at Columbia University. Professor Hirsch made news recently when she withdrew from classroom teaching because Columbia instituted the IHRA Definition of Antisemitism, telling the Associated Press that “‘A university that treats criticism of Israel as antisemitic and threatens sanctions for those who disobey is no longer a place of open inquiry…I just don't see how I can teach about genocide in that environment.”' In this podcast, Ahmed Moor and Professor Hirsch discuss the IHRA definition of antisemitism and its impact on teaching and learning as well as the changes in academia and the changing balance of influence and power between administrators and scholars. Digging into Prof. Hirsch's areas of expertise, they discuss genocide scholarship and Germany, looking at the achievements and failures of German “memory culture” and comparing the Holocaust, the Nakba, and the genocide in Palestine today. Through a look at the Genocide and Holocaust Studies Crisis Network, which Prof. Hirsch helped to found, they discuss how scholars are trying to use their expertise in fascism, mass atrocities, and political violence to name, explain, and counter the rise in authoritarianism and ethnonationalism around the world.  Marianne Hirsch is William Peterfield Trent Professor of English and Comparative Literature at Columbia University and Professor in the Institute for Research on Women, Gender, and Sexuality. She is a member of the American Academy of Arts and Sciences and a former  President of the Modern Language Association of America. She was born in Romania and educated at Brown University, where she received her BA/MA and Ph.D. degrees. Hirsch's work combines feminist theory with memory studies, particularly the transmission of memories of violence across generations. Her recent books include School Photos in Liquid Time: Reframing Difference, co-authored with Leo Spitzer  (University of Washington Press, 2020), and the co-edited volumes Imagining Everyday Life: Engagements with Vernacular Photography (Steidl, 2020) and Women Mobilizing Memory (Columbia University Press, 2019).  Ahmed Moor is a Palestinian-American writer born in Gaza and a 2025 Fellow at FMEP. He is an advisory board member of the US Campaign for Palestinian rights, co-editor of After Zionism (Saqi Books) and is currently writing a book about Palestine. He also currently serves on the board of the Independence Media Foundation. His work has been published in The Guardian, The London Review of Books, The Nation, and elsewhere. He earned a BA at the University of Pennsylvania and an MPP at Harvard University. Original music by Jalal Yaquoub.

Interview recorded - 29th of October, 2025On this episode of the WTFinance podcast I had the pleasure of welcoming on Kenneth Rogoff. Kenneth is a world-renowned economist, former Chief Economist at the International Monetary Fund & Maurits C. Boas Professor at Harvard University. During our conversation we spoke about liberation day, impact on global economy, whether it would help manufacturing in the US, deficits, risk of US Dollar supremacy and more. I hope you enjoy!0:00 - Introduction1:42 - Current macroeconomics2:52 - Liberation day5:47 - Manufacturing in the US?8:10 - Concentrated Manufacturing12:08 - Deficits14:32 - Inflation16:57 - Fallout of continued deficits20:10 - Central bank independence26:52 - Chinese deflation29:42 - End of US Dollar Hegemony?34:42 - Replacing the US Dollar39:22 - US Dollar liquidity40:38 - One message to takeaway?Kenneth Rogoff is Maurits C. Boas Professor at Harvard University, and former chief economist at the IMF. His influential 2009 book with Carmen Reinhart, This Time Is Different: Eight Centuries of Financial Folly, shows the remarkable quantitative similarities across time and countries in the roots and aftermath of debt and financial crises. Rogoff is also known for his pioneering work on central bank independence, and on exchange rates. He is co-author of the widely-used graduate text, Foundations of International Macroeconomics. His 2016 book The Curse of Cash looks at the past, present and future of currency from standardized coinage to crypto-currencies. His monthly syndicated column on global economic issues is published in over 50 countries. Rogoff's 2025 book Our Dollar, Your Problem: An Insider's View of Seven Turbulent Decades of Global Finance and the Road Ahead offers a sweeping view of the post-war rise of the dollar, the challenges the rest of the world has in dealing with it, and how this experience can help inform the contours of the evolving new global financial system.Rogoff is an elected member of the National Academy of Sciences and the American Academy of Arts and Sciences. He has long ranked among the top dozen most cited economists, and is an international grandmaster of chess.Kenneth Rogoff - Book: https://yalebooks.yale.edu/book/9780300275315/our-dollar-your-problem/Website: https://rogoff.scholars.harvard.edu/X: https://x.com/krogoffWTFinance -Spotify - https://open.spotify.com/show/67rpmjG92PNBW0doLyPvfniTunes -https://podcasts.apple.com/us/podcast/wtfinance/id1554934665?uo=4LinkedIn - https://www.linkedin.com/in/anthony-fatseas-761066103/Twitter - https://twitter.com/AnthonyFatseasThumbnail image from - https://www.fairobserver.com/economics/our-dollar-your-problem-market-stress-exchange-rate-feedback-and-the-fiscal-reckoning-ahead/

[01:00:43] Church School Mass ShootingOpening covers the latest attack at a Catholic school during mass, carried out by a trans-identified shooter who barricaded doors and fired from outside. [01:04:29] Demonic Influence & Split PersonalitiesCommentary compares the shooter's behavior to demonic possession, citing disturbing videos, contradictory notes, and voices switching mid-speech. [01:07:29] LGBT Grooming & ViolenceThe shooter's background tied to a supportive mother, earlier gender change, and LGBT ideology—presented as the root of escalating violence against children and churches. [01:13:39] Democrats Exploit Shooting for Gun ControlFigures like Chuck Schumer, Amy Klobuchar, and Mia Farrow immediately push for gun restrictions, while ignoring mental health, SSRIs, and LGBT radicalization. [01:20:43] Shooter's Notes & LGBT Violence SymbolismManifesto excerpts reveal plans to attack children, anti-Christian slogans, Holocaust denial, and pride-flag gun imagery promoting violence “for equality.” [01:45:15] CDC Director OustedTransition to RFK Jr. forcing out Susan Monarez from the CDC, triggering resignations and media panic. Analysis frames it as deep-state infighting over vaccines, with critics calling it a head fake. [02:01:41] Vaccine Mandates & Immunity GamesDiscussion of EUA changes, FDA authorizations, and RFK Jr.'s promises versus reality—vaccines remain available, liability immunity intact, and profit motives exposed. [02:15:58] Pediatricians & Pharma Money PipelineBreakdown of how the American Academy of Pediatrics pushes vaccines for profit, receiving tens of millions in government and pharma money while ignoring rising autism rates. 03:00:44 – Trump's Sandwich Tyranny Federal prosecutors under Trump try to turn a thrown Subway sandwich into a felony assault case, exposing the absurd overcharging and police-state mentality. The grand jury rejects the indictment, showing rare jury resistance to government abuse. 03:13:00 – Flag Burning vs. Constitution Debate erupts over Trump's executive order criminalizing flag burning. A veteran arrested for protest burning insists it's his First Amendment right. Analysts argue Trump is torching the Constitution while distracting from deeper abuses. 03:21:00 – Scottish Girl Arrested A viral case in Scotland: a 14-year-old girl armed with a knife and hatchet defends her 12-year-old sister from a migrant attacker—only to be arrested by police. Commentators highlight the inversion of justice under multiculturalism. 03:28:40 – Migrant Crime Cover-Ups European governments downplay migrant sex crimes, reframing attacks as “male violence” rather than immigration-driven assaults. Dutch and British cases show systemic refusal to prosecute, fueling public fury and local protests. 03:37:50 – Germany's Schools Collapse German schools overwhelmed by mass migration: students can't speak German, violence soars, teachers quit, and homeschooling is outlawed. The system is seen as deliberate “dumbing down” and cultural erasure. Follow the show on Kick and watch live every weekday 9:00am EST – 12:00pm EST https://kick.com/davidknightshow Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silverFor 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHTFind out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-david-knight-show--2653468/support.

[01:00:43] Church School Mass ShootingOpening covers the latest attack at a Catholic school during mass, carried out by a trans-identified shooter who barricaded doors and fired from outside. [01:04:29] Demonic Influence & Split PersonalitiesCommentary compares the shooter's behavior to demonic possession, citing disturbing videos, contradictory notes, and voices switching mid-speech. [01:07:29] LGBT Grooming & ViolenceThe shooter's background tied to a supportive mother, earlier gender change, and LGBT ideology—presented as the root of escalating violence against children and churches. [01:13:39] Democrats Exploit Shooting for Gun ControlFigures like Chuck Schumer, Amy Klobuchar, and Mia Farrow immediately push for gun restrictions, while ignoring mental health, SSRIs, and LGBT radicalization. [01:20:43] Shooter's Notes & LGBT Violence SymbolismManifesto excerpts reveal plans to attack children, anti-Christian slogans, Holocaust denial, and pride-flag gun imagery promoting violence “for equality.” [01:45:15] CDC Director OustedTransition to RFK Jr. forcing out Susan Monarez from the CDC, triggering resignations and media panic. Analysis frames it as deep-state infighting over vaccines, with critics calling it a head fake. [02:01:41] Vaccine Mandates & Immunity GamesDiscussion of EUA changes, FDA authorizations, and RFK Jr.'s promises versus reality—vaccines remain available, liability immunity intact, and profit motives exposed. [02:15:58] Pediatricians & Pharma Money PipelineBreakdown of how the American Academy of Pediatrics pushes vaccines for profit, receiving tens of millions in government and pharma money while ignoring rising autism rates. 03:00:44 – Trump's Sandwich Tyranny Federal prosecutors under Trump try to turn a thrown Subway sandwich into a felony assault case, exposing the absurd overcharging and police-state mentality. The grand jury rejects the indictment, showing rare jury resistance to government abuse. 03:13:00 – Flag Burning vs. Constitution Debate erupts over Trump's executive order criminalizing flag burning. A veteran arrested for protest burning insists it's his First Amendment right. Analysts argue Trump is torching the Constitution while distracting from deeper abuses. 03:21:00 – Scottish Girl Arrested A viral case in Scotland: a 14-year-old girl armed with a knife and hatchet defends her 12-year-old sister from a migrant attacker—only to be arrested by police. Commentators highlight the inversion of justice under multiculturalism. 03:28:40 – Migrant Crime Cover-Ups European governments downplay migrant sex crimes, reframing attacks as “male violence” rather than immigration-driven assaults. Dutch and British cases show systemic refusal to prosecute, fueling public fury and local protests. 03:37:50 – Germany's Schools Collapse German schools overwhelmed by mass migration: students can't speak German, violence soars, teachers quit, and homeschooling is outlawed. The system is seen as deliberate “dumbing down” and cultural erasure. Follow the show on Kick and watch live every weekday 9:00am EST – 12:00pm EST https://kick.com/davidknightshow Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silverFor 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHTFind out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-real-david-knight-show--5282736/support.

A hospital rescue may be necessary. Please support Baby Kit’s rescue and the family HERE: https://www.gofundme.com/f/Support-mama-and-baby-in-honolulu?attribution_id=sl:a3ae948d-5c01-4b09-b198-f5378ca71900&lang=en_US&utm_campaign=man_ss_icons&utm_medium=customer&utm_source=copy_link Today we will speak with the family of Baby Kit, a 7 month old, medically fragile infant who is in danger of hospital kidnap and potentially homicide as staff continue to bully and coerce the parents into consenting to NINE additional vaccines, which would likely kill him. He needs to be rescued from a Hawaii hospital and Nurse Angela of VSRF has been flown in to facilitate a transfer to the Unites States. Here is what Angela wrote to me yesterday: “I’m going through medical records and it’s devastating what these hospitals do. He was born at 29 weeks weighing 2.7 lbs. They asked mom immediately after her surgery completely drugged if they could give hepatitis b and she declined based on the fact that she doesn’t have hepatitis and she has an older son damaged from vaccines. They not only gave hepatitis b without her consent but also gave HBIG immediately after his birth. Per the CDC and American Academy of Pediatrics it’s contraindicated in a baby weighing less than 4.4 lbs. I can’t imagine their priority was to vaccinate a baby when he was fighting for his life. He’s now 7 plus months and in rough shape. This week they have tried 3 times to bring in forms trying to coerce the parents on additional vaccines. He has never left the hospital and it’s at risk of contracting these illnesses. They are just completely bullying the parents. That’s when they decided to fly me out to advocate for him.” It is unfathomable that this is STILL happening in America today. The medical industrial complex must be stopped. Perfect Origins is offering a risk-free 180‑day guarantee. Time to reclaim your sleep. Go to https://www.perfectorigins.com/perfectsleep/sjs.html WATCH LIVE HERE: https://rumble.com/c/TheShannonJoyShow Shannon’s Top Headlines, August 27, 2025: Trump Admits Operation Warp Speed Was A Military Operation: https://x.com/disclosetv/status/1960380408316530729 Do you want the next Democrat president to inherit Trump’s standing army in your RED state? https://x.com/ShannonJoyRadio/status/1960399696146440257 Trump Propagandists Thank Ghislaine Maxwell For Saving Their God King: https://www.politico.com/news/2025/08/22/maga-maxwell-testimony-00521094 AI Psychosis - People Are Going Bonkers: https://www.technocracy.news/microsoft-ai-ceo-chatbots-are-causing-psychosis/ 6G wireless technology could use humans as a power source, study explains: https://studyfinds.org/6g-use-humans-as-power-source/ SJ Show Notes: Go Fund Me For Baby Kit: https://gofund.me/26b57c84 See the full story on Instagram HERE: @_thedivineunion Please support Shannon’s independent network with your donation HERE: https://www.paypal.com/donate/?hosted_button_id=MHSMPXEBSLVT Support Our Sponsors: Perfect Origins - Vive Biotics: Visit https://www.perfectorigins.com/vivebiotics/sjs.html code Joy for 25% off Don’t be a victim of stressflation! PROTECT your wealth and thrive in a down economy with gold and silver. Colonial Metals Group is a valued sponsor of the SJ Show and the company I trust for all my metals purchases. Click HERE to get started and see if you qualify for $7500 in free silver. Go to www.colonialmetalsgroup.com/joy today!) Thank you to The Satellite Phone Store for helping America to be independent AND prepared! The Satellite Phone Store has EVERYTHING you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy The best medicine is chronic GOOD health and achieving it naturally. It’s why my family uses Native Path Creatine every day! Go to www.savewithnativepath.com/joy today to claim your EXCLUSIVE 56% off deal before it’s gone. Please consider Dom Pullano of PCM & Associates! He has been Shannon’s advisor for over a decade and would love to help you grow! Call his toll free number today: 1-800-536-1368 or visit his website at https://www.pcmpullano.com

Jon Herold and Burning Bright kick off a fiery Wednesday edition of Devolution Power Hour with laughs, banter, and a surprisingly intense debate over whether men should ever wash new clothes. Once the dust settles, they dive into the serious business of John Durham's investigations, unpacking fresh revelations about FBI leaks, James Comey, and the media's role in manufacturing the Russia collusion narrative. The hosts connect these threads to Mark Elias' recent panic over Trump's military role in elections, highlighting how Democrats fear the collapse of their fraud machine. From Trump's bold RICO shot at George Soros to the Pentagon weighing equity stakes in defense contractors, the episode explores how national security and economic strategy are merging under Trump's leadership. Add in debates over 600,000 Chinese students, the fragility of Ivy League education in the age of AI, and Trump's promise of a free “American Academy,” and this episode serves up both sharp analysis and off-the-rails humor.

.On this week's episode of You Are What You Read, we are joined by Jeffrey Eugenides. Jeffrey is the bestselling novelist, short story writer and Pulitzer Prize-winner known for The Virgin Suicides, Middlesex and The Marriage Plot. Jeffrey was elected to the American Academy of Arts and Letters in 2018 and to the American Academy of Arts and Sciences in 2013. He has taught at Princeton and now serves as the Lewis and Loretta Glucksman Professor in American Letters at NYU. His next project, Icarus, is an Audible original coming this fall. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Ira Rashbaum specializes in mind–body care and treatment of patients who have tension myoneural syndrome, previously known as tension myositis syndrome, a condition that causes pain and symptoms associated with tension and stress factors. His expertise is in diagnosing and treating individuals who have psychosomatic pain disorders. He has an extensive list of publications, national meeting presentations, and media appearances. As study guide committee chairperson of the American Academy of Physical Medicine and Rehabilitation, he led a project that compiled information on advances in rehabilitation medicine for more than 10,000 physicians worldwide. This position placed him at the forefront of all aspects of rehabilitation medicine. Dr. Samuel Mann is a physician and researcher, specializing in hypertension. He has spent the past 40 years as a specialist in this condition, combining patient care, research and teaching at his institution. As a researcher, he has published 65 articles in medical and psychology journals, along with 10 book chapters on hypertension, and three books. His most recent book is “Hidden Within Us; A Radical New Understanding of the Mind-Body Connection (2022). He emphasizes that in most patients, hypertension is not a mind/body disorder. But when it is, it is not related to emotions, such as anger and anxiety that patients report, but to powerful repressed emotions, often related to a past history of stress or trauma, that are completely hidden from conscious awareness. Part 1 The discussion included the following topics: definitions of repressed and suppressed emotions; common emotions that patients tend to repress; extent to which the biomedical model may have to be augmented or replaced as a means of having a greater emphasis on emotions and their unrecognized relationship to some physical health conditions; strength of evidence supporting a connection between emotions and physical health conditions; and the role played by emotional trauma on the onset of various physical health conditions.

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Dr. Mandelaris attended the University of Michigan from undergraduate through dental school.  He completed a post-graduate residency program at the University of Louisville, School of Dentistry, where he obtained a certificate in the speciality of Periodontology as well as a Master of Science (M.S.) degree in Oral Biology.  Dr. Mandelaris is a Diplomate of the American Board of Periodontology and Dental Implant Surgery and has served as an examiner for Part II (oral examination) of the American Board of Periodontology's certification process. He is a Clinical Assistant Professor in the Department of Graduate Periodontics at the University of Illinois, College of Dentistry (Chicago, IL) and an Adjunct Clinical Assistant Professor at the University of Michigan, Department of Periodontics and Oral Medicine (Ann Arbor, MI).  Dr. Mandelaris is a Fellow in both the American and International College of Dentists. Dr. Mandelaris serves as an ad-hoc reviewer for the Journal of Periodontology and the International Journal of Oral and Maxillofacial Implants. In 2021, he was appointed as an Editorial Consultant to the International Journal of Periodontics and Restorative Dentistry. He has published over 40 scientific papers in peer-reviewed journals and has authored eight chapters in seven different textbooks used worldwide on subjects related to computer guided implantology, CT/CBCT diagnostics and surgically facilitated orthodontic therapy (SFOT). Dr Mandelaris is one of the recipients of the 2017 and the 2021 American Academy of Periodontology's (AAP) Clinical Research Award, an award given to the most outstanding scientific article with direct clinical relevance in Periodontics. A nationally recognized expert, he was appointed by AAP to co-chair the Best Evidence Consensus Workshop on the use of CBCT Imaging in Periodontics as well as co-author the academy's guidelines. In 2018, he was recognized with American Academy of Periodontology's Special Citation Award.  Dr. Mandelaris is the 2018 recipient of The Saul Schluger Memorial Award for Clinical Excellence in Diagnosis and Treatment Planning. Dr. Mandelaris currently serves on the American Academy of Periodontology Board of Trustees and has served as a Past President of the Illinois Society of Periodontists. He has served on several committees for the American Academy of Periodontology and is one of the AAPs recommended speakers on topics related to periodontics-orthodontics and imaging/implant surgery. He is a key-opinion leader for several industry leaders and holds memberships in many professional organizations, including the American Academy of Periodontology, Academy of Osseointegration, American Academy of Restorative Dentistry and the American Society of Bone and Mineral Research. Dr. Mandelaris is in private practice at Periodontal Medicine & Surgical Specialists, LLC. He limits his practice to Periodontology, Dental Implant Surgery, Bone Reconstruction and Tissue Engineering Surgery. He can be reached at 630.627.3930 or gmandelaris@periodontalmedicine.org.

Our Summer 2025 series, Beside Still Waters, focuses on the places where creativity brings life into a world fatigued by brokenness and division. From jazz to Jane Austen and in between, this season we're focusing on the ways literature and the arts can refresh and challenge our inner lives—and connect us with the Creator of the good, the true, and the beautiful.Today's episode concludes our summer series. Our guide today is the acclaimed writer Marilynne Robinson, author of the Gilead series, and much else. In this episode, originally an Online Conversation recorded in 2020, Marilynne reflects on the art of writing as a means of exploring truth and engaging questions around learning to live well, to love others, and to create a home and community, in our fractious world:“The unique brilliance of a human being … is something that we tend utterly to disparage, demean, utterly fail to notice … every person lives out a [life] beautiful, complicated, inaccessible to other consciousnesses. And it is sacred.”And if this conversation resonates with you, consider joining the Trinity Forum community as a member, at ttf.org. You can find the full video of this conversation there too. Marilynne Robinson's Novels | Housekeeping, Gilead, Home, Lila, Jack, Reading GenesisArticle in Breaking Ground from our event.Authors and books mentioned in the conversation:Marcel ProustRalph Waldo EmmersonPaul HardingWalt WitmanWilliam FaulknerJohn CalvinJonathan EdwardsMoby Dick, by Herman MellvillePiers Plowman, by William LanglandRelated Trinity Forum Readings:Sacred and Profane Love | A Trinity Forum Reading by John Donne Bulletins from Immortality | A Trinity Forum Reading by Emily Dickinson Confessions | A Trinity Forum Reading by Saint Augustine Brave New World | A Trinity Forum Reading by Aldous Huxley Marilynne Robinson is a novelist, essayist, and teacher, one of the most renowned and revered of living writers. Her novels Housekeeping, Gilead, Lila, and Home have been variously honored with the Pulitzer Prize, National Books Critics Circle Award (twice), a Hemingway Foundation Award, an Orange Prize, The Library of Congress Prize for American Fiction, and the Ambassador Book Award. She's also the author of many essays and non-fiction works, including her work, “Mother Country”, and her essay collections, “Death of Adam,” “Absence of Mind,” “When I was a Child I Read Books,” “The Givenness of Things,” and “What Are We Doing Here?”. She's the recipient of the National Humanities Medal and an elected fellow of the American Academy of Arts and Sciences. In addition to her writing has spent over 20 years teaching at the Iowa Writers Workshop, as well as several universities.

In a relatively short period of time, exoplanets (planets around stars other than our Sun) have gone from an intriguing conjecture to an active field of scientific study, with over 5,000 confirmed discoveries. The task now is to move beyond merely accumulating new examples, and embarking on systematic studies of their properties. What fraction of stars have planets, how are they distributed in size and distance, what kinds of atmospheres do they have, are any promising homes for life? I talk with Natalie Batalha about what we've learned so far, and prospects for future discoveries.Blog post with transcript: https://www.preposterousuniverse.com/podcast/2025/08/25/326-natalie-batalha-on-what-we-know-and-will-learn-about-exoplanets/Support Mindscape on Patreon.Natalie Batalha received a Ph.D. in astrophysics from the University of California, Santa Cruz. She is currently a professor of astronomy and astrophysics at UCSC. She has served as Science Team Leader, Mission Scientist, and Project Scientist for NASA's Kepler satellite observatory. She is a member of the American Academy of Arts and Sciences, and was listed as one of Time Magazine's 100 Most Influential People in the World in 2017.Web pageGoogle Scholar publicationsWikipediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In recent years, youth sports have quietly morphed from free community gatherings into a big business, with private leagues and one-on-one trainers capitalizing on a growing impulse to frame a child's athleticism as a ticket to their future. Vox senior correspondent Anna North discusses her article on the subject, headlined "The hidden forces ruining youth sports." Plus, the latest on RFK Jr.'s feud with the American Academy of Pediatrics over Covid vaccination guidelines for kids.

The American Academy of Pediatrics released new vaccine recommendations that directly oppose guidance from the HHS – insisting on COVID-19 vaccinations in babies as young as 6 months. Pathologist Dr. Ryan Cole & Dr. Kelly Victory reveal how the AAP has been captured by Big Pharma interests. The organization's top donors, listed on their own website, are Merck, Moderna, Pfizer, and Sanofi: the 4 pharma companies that “make virtually every vaccine on the CDC recommended childhood vaccine schedule.” HHS Secretary Robert F. Kennedy Jr. issued a stern warning in response: “AAP should also be candid with doctors and hospitals that recommendations that diverge from the CDC's official list are not shielded from liability under the 1986 Vaccine Injury Act.” Dr. Ryan Cole is a board-certified pathologist trained at Mayo Clinic with subspecialty in dermatopathology from Columbia University. He holds a PhD in virology and immunology and directed a medical laboratory in Idaho for 20 years. He testifies globally on Covid policy and medical freedom. Follow at https://x.com/drcole12 Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company. A trauma and emergency specialist with over 30 years of experience, she served as Chief Medical Officer for Fortune 500 companies and is an alumna of Harvard's National Preparedness Leadership Initiative. More at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/sponsors⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/fatty15⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/paleovalley⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • VSHREDMD – Formulated by Dr. Drew: The Science of Cellular Health + World-Class Training Programs, Premium Content, and 1-1 Training with Certified V Shred Coaches! More at https://drdrew.com/vshredmd • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠) and Susan Pinsky (⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/firstladyoflov⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠e⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

President Donald Trump is continuing his efforts to influence the Federal Reserve. He's calling on one of its governors to resign, publicly criticized Chair Jerome Powell, and is trying to fast-track a close ally onto the board.The White House continued its campaign against the Smithsonian Institution this week. Its given museums 120 days to adjust any content that the administration finds problematic in “tone, historical framing and alignment with American ideals.”In a break from the federal guidance under Health and Human Services Secretary Robert F. Kennedy Jr., the American Academy of Pediatrics released updated recommendations this week that urge COVID-19 vaccinations for infants and young children.Meanwhile, on Thursday, Russian Foreign Minister Sergei Lavrov questioned whether Ukrainian President Volodymyr Zelenskyy even has the authority to sign a “peace deal” for the war in his country at all.Israel's military says they've taken the first steps in their planned operation to take over and occupy Gaza City. On Thursday, they ramped up their attacks in a move that could displace close to one million Palestinians.Haitian police are deploying drones armed with explosives in an attempt to fight back against gangs that control the majority of the capital city of Port-au-Prince.Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.  Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy