Podcasts about American Academy

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Latest podcast episodes about American Academy

Raise the Line
Aligning Investment in Family Medicine With Its Impact: Dr. Jen Brull, Board Chair of the American Academy of Family Physicians

Raise the Line

Play Episode Listen Later Dec 11, 2025 19:42


“Delivering a baby one day and holding a patient's hand at the end of life literally the next day...that continuity is very powerful,” says Dr. Jen Brull, board chair of the American Academy of Family Physicians (AAFP). And as she points out, that continuity also builds trust with patients, an increasingly valuable commodity when faith in medicine and science is declining. As you might expect given her role, Dr. Brull believes strengthening family medicine is the key to improving health and healthcare. Exactly how to do that is at the heart of her conversation with host Lindsey Smith on this episode of Raise the Line, which covers ideas for payment reform, reducing administrative burdens, and stronger support for physician well-being. And with a projected shortage of nearly forty thousand primary care physicians, Dr. Brull also shares details on AAFP's “Be There First” initiative which is designed to attract service-minded medical students – whom she describes as family physicians at heart -- early in their educational journey. “I have great hope that increasing the number of these service-first medical students will fill part of this gap.”Tune-in for an informative look at a cornerstone of the healthcare system and what it means to communities of all sizes throughout the nation.  Mentioned in this episode:AAFP If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Unbiased Science
Sweet Child(ren) O Mine: Protecting Our Kids' Health

Unbiased Science

Play Episode Listen Later Dec 10, 2025 34:36


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

Public Health Review Morning Edition
1040: When Vaccine Guidance Shifts: Michigan's Chief Medical Executive on the Stakes of ACIP's Hepatitis B Vote

Public Health Review Morning Edition

Play Episode Listen Later Dec 10, 2025 13:21


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

Follow Your Dream - Music And Much More!
Tom Sleigh - Award Winning Poet, Dramatist And Essayist. 11 Books Of Poetry Including "The King's Touch", "Army Cats" And "Space Walk". Live PoetryFest Reading!

Follow Your Dream - Music And Much More!

Play Episode Listen Later Dec 10, 2025 34:32


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

Virtual Curbside
Episode 361: #84-2 Hemolytic Disease of the Fetus and Newborn: Testing

Virtual Curbside

Play Episode Listen Later Dec 9, 2025 21:12


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

Connections with Evan Dawson
Pediatricians respond to new guidance on vaccines

Connections with Evan Dawson

Play Episode Listen Later Dec 9, 2025 51:22


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

Legal Nurse Podcast
672 – Navigating Opioid Cases: Insights from a Toxicologist on Medical Records and Overdose Risks

Legal Nurse Podcast

Play Episode Listen Later Dec 9, 2025


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

The MeidasTouch Podcast
Meidas Health: AAP President Strongly Pushes Back on Hepatitis B Vaccine Changes

The MeidasTouch Podcast

Play Episode Listen Later Dec 8, 2025 19:51


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

All the Things That Keep Us Up at Night
192: Channon Christian and Christopher Newsom: The Judge, the Drugs, and the Retrials (Part III)

All the Things That Keep Us Up at Night

Play Episode Listen Later Dec 6, 2025 36:35 Transcription Available


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

The Trauma Therapist | Podcast with Guy Macpherson, PhD | Inspiring interviews with thought-leaders in the field of trauma.

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

Continuum Audio
December 2025 Neuropalliative Care Issue With Dr. Maisha T. Robinson

Continuum Audio

Play Episode Listen Later Dec 3, 2025 21:57


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

The Baby Manual
511 - Family Medicine with Dr. David Tusek

The Baby Manual

Play Episode Listen Later Dec 3, 2025 29:04


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

Virtual Curbside
Episode 360: #84-1 Hemolytic Disease of the Fetus and Newborn: Alloimmunization

Virtual Curbside

Play Episode Listen Later Dec 2, 2025 21:57


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

Psound Bytes
Ep. #268 "Beyond the Surface: Rethinking Psoriasis Severity and Elevating the Patient Voice"

Psound Bytes

Play Episode Listen Later Dec 2, 2025 17:52


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

Simple Questions Podcast
What Is Dermatology?

Simple Questions Podcast

Play Episode Listen Later Dec 2, 2025 40:53


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

Forum on Religion and Ecology: Spotlights
6.3 The American Academy of Religion in Review

Forum on Religion and Ecology: Spotlights

Play Episode Listen Later Dec 2, 2025 57:57


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

Locust Radio
Episode 31 - Lucky 13

Locust Radio

Play Episode Listen Later Dec 2, 2025 90:09


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

The ACO Show
197. The Future of Primary Care with Shawn Martin

The ACO Show

Play Episode Listen Later Dec 1, 2025 30:10


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

ceo md american academy primary care acos aafp family physicians aafp medicare shared savings program mssp
The Daria Hamrah Podcast
How to Age-Proof Your Brain and Stay Sharp for Life - with Dr. Majid Fotuhi

The Daria Hamrah Podcast

Play Episode Listen Later Dec 1, 2025 108:50 Transcription Available


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

SleepTech Talk
Struggling with Central Sleep Apnea? TPNS May Be the Answer

SleepTech Talk

Play Episode Listen Later Dec 1, 2025 43:37


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

All the Things That Keep Us Up at Night
191. Channon Christian and Christopher Newsom: 36 Hours in Hell (Part II)

All the Things That Keep Us Up at Night

Play Episode Listen Later Nov 29, 2025 32:47 Transcription Available


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

Rio Bravo qWeek
Episode 207: Understanding Hypertension and Diabetes (Pidjin English)

Rio Bravo qWeek

Play Episode Listen Later Nov 28, 2025 40:19


Episode 207: Understanding Hypertension and Diabetes (Pidjin English)Written by Michael Ozoemena, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.HypertensionSegment 1: What Is Hypertension?HOST:Let's start with the basics. Blood pressure is the force of blood pushing against the walls of your arteries. Think of it like water running through a garden hose—if the pressure stays too high for too long, that hose starts to wear out.Hypertension, or high blood pressure, means this pressure is consistently elevated. It is measured using two numbers:Systolic: the pressure when the heart beatsDiastolic: the pressure when the heart relaxesNormally reading is around 120/80 mmHg. Hypertension is defined by the American College of Cardiology/American Heart Association (ACC/AHA) as 130/80 mmHg or higher.The American Academy of Family Physicians (AAFP) defines hypertension as persistent elevation of systolic and/or diastolic blood pressure, with the diagnostic threshold for office-based measurement set at 140/90 mm Hg or higher.Segment 2: Why Should We Care?HOST:Hypertension is known as “the silent killer” because most people have no symptoms. Even without symptoms, it steadily increases the risk of:Heart attackStrokeKidney diseaseThink of high blood pressure as a constant stress test on your blood vessels. The longer it goes uncontrolled, the higher the chance of complications.Segment 3: What Causes High Blood Pressure?HOST:Hypertension usually doesn't have a single cause. It often results from a combination of genetic factors, lifestyle, and underlying medical conditions.Modifiable FactorsHigh-salt diet and low potassium intakePhysical inactivityTobacco useExcessive alcohol intakeOverweight or obesityChronic stressPoor sleep or sleep apneaNon-Modifiable FactorsFamily history of hypertensionBlack race (higher prevalence and severity)Age over 65Hypertension may also be secondary to other conditions, such as kidney disease, thyroid disorders, adrenal conditions, or medications like NSAIDs or steroids.Segment 4: How Is It Diagnosed?HOST:Diagnosis requires multiple elevated blood pressure readings taken on different occasions. This includes office readings, home blood pressure monitoring, or ambulatory blood pressure monitoring.If you haven't had your blood pressure checked recently, this is your reminder. It's simple—and it could save your life.Segment 5: Treatment and ManagementHOST:Lifestyle changes are often the first line of treatment:Reduce salt intakeEat more fruits, vegetables, and whole grainsAim for 150 minutes of moderate exercise per weekManage stressMaintain a healthy weightGet enough sleepLimit alcoholQuit smokingIf these steps aren't enough, medications may be necessary. These include:Diuretics, ACE inhibitors, ARBs, Calcium channel blockers, Beta-blockersYour healthcare provider will choose the best medication based on your health profile.Segment 6: What You Can Do TodayHOST:Here are three simple, actionable steps you can take right now:Check your blood pressure—at a clinic, pharmacy, or at home.Pay attention to your salt intake—much of it is hidden in processed foods.Move more—even a 20-minute daily walk can help reduce blood pressure over time.Small steps can lead to big, lasting improvements.SummaryHypertension may be silent but understanding it gives you power. Early action can add healthy years to your life. Take charge of your blood pressure today.Diabetes1. Wetin Diabetes Be and Wetin E Go Do to Person Body?Q: Wetin diabetes mean?A: Diabetes na sickness wey make sugar (glucose) for person blood too high. E happen because the body no fit produce insulin well, or the insulin wey e get no dey work as e suppose.Q: Wetin go happen if diabetes no dey treated well?A: If diabetes no dey treated well, e fit damage the blood vessels, nerves, kidneys, eyes, and even the heart.2. Wetin Cause Diabetes and Why Black People Suffer Pass?Q: Wetin cause diabetes?A: E no be one thing wey cause diabetes. E dey happen because of mix of gene, lifestyle, environment, and society factors.Q: Why Black/African Americans get diabetes more?A: Black people for America get diabetes more because of long-standing inequality, stress, low access to healthcare, and the kind environment wey many of them dey live in. These things dey make Black people more at risk.3. Diabetes Rates for America and Black People?Q: How many people get diabetes for America?A: For America today, over 38 million people get diabetes, and the number dey rise every year.Q: Why Black people dey suffer diabetes more than White people?A: About 12% of Black adults get diabetes, compared to just 7% for White adults. Black people also dey get the sickness earlier and e dey more severe.4. Signs and Symptoms of Diabetes?Q: Wetin be the early signs of diabetes?A: The early signs no too strong, but when e show, e fit include:Too much urine (polyuria)Thirst (polydipsia)Hunger, tiredness, and blurred visionWounds no dey heal fastTingling for hand or legSometimes weight loss5. How Doctor Go Diagnose Diabetes?Q: How doctor fit confirm say person get diabetes?A: Doctor go do some lab tests to confirm:Fasting Plasma Glucose (FPG): 126 mg/dL (7.0 mmol/L) or higherHbA1c: 6.5% or higher2-hour Oral Glucose Tolerance Test (OGTT): 200 mg/dL (11.1 mmol/L) or higher after person drink glucose.Random Blood Glucose: 200 mg/dL (11.1 mmol/L) or higher plus classic symptoms like too much urination, thirst, or weight loss.Q: Wetin happen if HbA1c test no match the person?A: If HbA1c result no match person symptoms, doctor fit repeat test or try other tests like FPG or OGTT.6. Wetin Screening and Early Diagnosis Fit Do?Q: Why screening for diabetes dey important?A: Screening dey important because early detection fit prevent serious complications from diabetes.Q: How often person go do diabetes test?A: Adults wey get overweight or obesity, between 35–70 years, suppose do diabetes screening every three years. But because Black adults get higher risk, doctors dey start screening earlier and more often.7. How Person Fit Manage Diabetes?Q: Wetin be the best way to manage diabetes?A: The two main ways to manage diabetes be:Lifestyle changes: Eat better food (vegetables, fruits, whole grain, beans, fish, chicken) and exercise regularly.Medicine: If person sugar still high, doctor fit give drugs like metformin, SGLT-2 inhibitors, or GLP-1 receptor agonists.Q: Wetin be SGLT-2 inhibitors and GLP-1 drugs?A: SGLT-2 inhibitors dey help with kidney and heart problems, while GLP-1 drugs dey help with weight loss and prevent stroke.Q: Wetin be first-line treatment for diabetes?A: First-line treatment for diabetes be metformin, unless person no fit tolerate am.Q: How much exercise a person suppose do?A: Person suppose do at least 150 minutes of moderate exercise per week. This fit include things like brisk walking, swimming, or cycling. E also good to add muscle-strength training two or three times weekly to help control sugar.Q: When insulin therapy go be needed?A: Insulin therapy go be needed if person A1c is higher than 10%, or if person dey hospitalized and their glucose dey above the 140-180 range. This go help bring the blood sugar down quickly.8. Wetin Be the Complications of Diabetes?Q: Wetin fit happen if diabetes no dey well-managed?A: Complications fit include kidney disease, blindness, nerve damage, leg ulcers, heart attack, stroke, and emotional issues like depression.Q: Why Black adults get more complications?A: Black people get higher risk of these complications because of inequality, stress, and poor access to healthcare.9. Wetin Dey Affect Access to Diabetes Treatment?Q: Wetin make Black people struggle to get treatment for diabetes?A: Many Black people no dey get new effective treatments like GLP-1 and SGLT-2 inhibitors because of price, insurance issues, and lack of access. COVID-19 also worsen things.Q: Wetin government and doctors fit do?A: Policymakers dey work on improving access to drugs, better community programs, and screening for social issues wey fit affect diabetes care.10. ConclusionQ: Wetin be the solution to reduce diabetes impact?A: The solution go need medical treatment, early screening, lifestyle support, and policy changes. With proper treatment and community support, e possible to reduce the impact of diabetes, especially for Black communities.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References: Whelton PK, Carey RM. Overview of hypertension in adults. UpToDate. 2024.Carey RM, Moran AE. Evaluation of hypertension. UpToDate. 2024.Mann SJ, Forman JP. Lifestyle modification in the management of hypertension. UpToDate. 2024.Giles TD, Weber MA. Initial pharmacologic therapy of hypertension. UpToDate. 2024.American Heart Association. Understanding Blood Pressure Readings. Accessed 2025.American Heart Association. AHA Dietary and Lifestyle Recommendations. Accessed 2025.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

The VetMed Mind
Success Stories & Lessons Learned: Megan Sprinkle, DVM, DACVIM (Nutrition)

The VetMed Mind

Play Episode Listen Later Nov 28, 2025 31:21


This episode of VetMed Mind highlights the journey of Dr. Megan Sprinkle, DVM, DACVIM (Nutrition), a trailblazer in veterinary nutrition. Hosts Rachel Teichberg and Shawn McVey explore Dr. Sprinkle's dynamic career, from her foundational work in clinical medicine to her influential roles in the pet nutrition industry. As the Scientific Communications Manager at Whitebridge Pet Brands, Dr. Sprinkle has made significant strides in bridging the veterinary and pet industries, offering her expertise as an internal nutrition advisor and marketing strategist.Discover how Dr. Sprinkle's entrepreneurial spirit led her to co-found a 3D printing company and advise several pet start-ups. Her leadership as the President of the American Academy of Veterinary Nutrition (AAVN) further underscores her commitment to advancing the field. This episode is a must-listen for those interested in the intersection of innovation and veterinary nutrition, offering insights into the possibilities of a bright future for the profession.To learn more about Dr. Sprinkle's passions in life and work:Website - http://vetlifereimagined.com/ Follow Dr. Sprinkle's LinkedIn - https://www.linkedin.com/in/megan-sprinkle-dvm/The VetMed Mind is a podcast project about sharing inspirational stories, lessons, and successes from the fantastic people of the veterinary industry.Key Topics Discussed:Early Inspirations and Career Path: Dr. Sprinkle's childhood fascination with animals and her initial dream of becoming a dolphin trainer.The influence of her father, a child psychiatrist, in nurturing her interest in medicine.Transitioning from a focus on marine mammals to veterinary medicine, with a growing interest in nutrition.Educational Background:Veterinary school at Auburn University and residency at the University of Missouri.The decision to pursue a career in the pet nutrition industry rather than academia or private practice.Industry Experience:Roles at Royal Canin and Whitebridge Pet Brands, emphasizing her work in scientific communication and education.The importance of making scientific concepts accessible and engaging for non-scientific audiences.Entrepreneurial Ventures:Co-founding a 3D printing company and advising pet start-ups.The significance of collaboration and relationship-building in her professional success.Challenges and Achievements:Overcoming hurdles in becoming a board-certified nutritionist and the perseverance required.The role of feedback and self-awareness in navigating her career path.Vision for the Future:Dr. Sprinkle's optimism about the possibilities within veterinary medicine, including the impact of technology and AI.Encouraging veterinary professionals to explore diverse career paths and embrace change.

Newly Erupted
Connecting the Global Pediatric Dentistry Community

Newly Erupted

Play Episode Listen Later Nov 27, 2025 20:19


Dr. Anne O'Connell joins Newly Erupted for a conversation focused on dental trauma education within the global community. She shares her unique perspective as a European clinician who received American training, underscoring the importance of being adaptable as the global ideology and resources evolve. As a leading voice in this area and an editor of the recently released 6th Edition Handbook of Pediatric Dentistry, Dr. O'Connell emphasizes the need for continued available professional resources for pediatric dentists worldwide, particularly relating to pediatric dental trauma. Guest Bio: Anne O'Connell is currently the Professor/ Consultant in Paediatric Dentistry, Dublin Dental University Hospital, Trinity College, Dublin, Ireland. She is a Board-certified Pediatric Dentist and is a Fellow of the American Academy of Paediatric Dentistry (AAPD) and a Fellow of the International Association of Dental Traumatology (IADT) and a Fellow of the Pierre Fauchard Academy. Anne trained as a Paediatric dentist at the Eastman Dental Center, New York with a further degree in Cariology from the University of Rochester, New York, USA. She continued as a faculty member in USA at Eastman Dental Center, the University of Maryland and the National Institute of Dental and Craniofacial Research, USA. Anne returned to Ireland in 2000 as Head of Paediatric Dentistry, Trinity College Dublin and established a 3-year full time specialty training program as well as a Trauma clinic. She also ran a private practice until 2022 and maintains clinical duties at the Children's Hospital and the University. Anne has completed 2 terms as President of the International Association of Dental Traumatology and remains active on the Board. She has continued to be involved with AAPD as International Consultant on the Scientific Committee as well as on the Editorial Board. Anne also is active within the International Association of Paediatric Dentistry, where she was a Board member and Honorary Editor and currently serves on the Education Committee. Her areas of interest include cariology, traumatic oral injuries, infant oral health and developmental defects of the dentition, and she is a renowned speaker and actively publishes on these topics.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Straight White American Jesus
Weekly Roundup: Kristi Noem Implicated, Erika Kirk's Love Language, and Bill McKibben on the Tragedy of American Christianity

Straight White American Jesus

Play Episode Listen Later Nov 26, 2025 69:51


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

Between Two Lips
Understand Bioidentical Hormone Therapy From An Expert - Dr Daved Rosensweet

Between Two Lips

Play Episode Listen Later Nov 26, 2025 58:42


Dr. Rosensweet graduated from the University of Michigan Medical School in 1968. Since 1971, he has been in private medical practice, with offices in Florida, New Mexico, California, and Colorado. Early in his career, Dr. Rosensweet trained the first nurse practitioners in the United States and was in charge of health promotion for the State of New Mexico.He is a nationally known lecturer and presenter at The American Academy of Anti-Aging Medicine (A4M), The American College for Advancement in Medicine (ACAM), The Age Management Medicine Group (AMMG), and more. In 2019, he was called to Washington to speak in front of The National Academies of Science Engineering and Medicine (NASEM) on “The Safety and Efficacy of Bioidentical Hormones.”Dr. R is the Founder of The Menopause Method and The Institute of BioIdentical Medicine, where he has been training medical professionals to master cBHRT using the most advanced and modern tools. His protocol has been used to treat more than 12,000 women. More about Dr. Rosensweet:* Was recently named one of “The Biggest Names in Anti-Aging Medicine” by The American Academy of Anti-Aging Medicine (A4M)* Author of the books, Menopause and Natural Hormones and Happy Healthy Hormones: How to Thrive in Menopause* Founder of Brite (www.brite.live) and I Wonder, Doctor… (www.iwonderdoctor.com)* Founder and co-chair of the Coalition to Protect Compounded Bioidentical Hormones (cbhrtcoalition.org)*Organizer of a National Summit Committee on the Treatment of Women in Menopause with Bioidentical Hormones* Principal Investigator for a scientific study of female hormones.https://brite.live/       https://iobim.org       https://www.davedrosensweetmd.comhttps://www.facebook.com/share/g/1CEpiqShxB/https://www.instagram.com/menopausedoctor?utm_source=ig_web_button_share_sheet&i“I recommend this product to my clients for hemorrhoids, fissures, itching, irritation, dryness and for any kind of butt drama. I like it because it's all-natural, soothing, effective, multi-purpose and female founded. It's made with healing ingredients such as arnica, vitamin e oil, organic aloe and the branding speaks for itself.” Use code VAGINACOACH to save 20% at www.anythingbrands.comThank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.comGet your Feel Amazing Vaginal Moisturizer Here

Continuum Audio
Dystrophinopathies With Dr. Divya Jayaraman

Continuum Audio

Play Episode Listen Later Nov 26, 2025 25:21


Dystrophinopathies are heritable muscle disorders caused by pathogenic variants in the DMD gene, leading to progressive muscle breakdown, proximal weakness, cardiomyopathy, and respiratory failure. Diagnosis and management are evolving areas of neuromuscular neurology. In this episode, Kait Nevel, MD, speaks with Divya Jayaraman, MD, PhD, an author of the article "Dystrophinopathies" in the Continuum® October 2025 Muscle and Neuromuscular Junction Disorders issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Jayaraman is an assistant professor of neurology and pediatrics in the division of child neurology at the Columbia University Irving Medical Center in New York, New York. Additional Resources Read the article: Dystrophinopathies 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: @IUneurodocmom 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 Nevel: Hello, this is Dr Kate Nevel. Today I'm interviewing Dr Divya Jayaraman about her article on dystrophinopathies, which she wrote with Dr Partha Ghosh. This article appears in the October 2025 Continuum issue on muscle and neuromuscular junction disorders. Divya, welcome to the podcast, and please introduce yourself to the audience. Dr Jayaraman: Thank you so much, Dr Nevel. My name is Divya, and I am an assistant professor of Neurology and Pediatrics at Columbia University Irving Medical Center, and also an attending physician in the Pediatric Neuromuscular program there. In that capacity, I see patients with pediatric neuromuscular disorders and also some general pediatric neurology patients and also do research, primarily clinical research and clinical trials on pediatric neuromuscular disorders. Dr Nevel: Wonderful. Thank you for sharing that background with us. To set us on the same page for our discussion, before we get into some more details of the article, perhaps, could you start with some definitions? What comprises the dystrophinopathies? What are some of the core features? Dr Jayaraman: So, the dystrophinopathies, I like that term because it is a smaller subset from the muscular dystrophies. The dystrophinopathies are a spectrum of clinical phenotypes that are all associated with mutations in the DMD gene on chromosome X. So, that includes DMD---or, Duchenne muscular dystrophy---, Becker muscular dystrophy, intermediate muscular dystrophy (which falls in between the two), dilated cardiomyopathy, asymptomatic hyperCKemia, and manifesting female carriers. In terms of the core features of these conditions, so, there's some variability, weakness being prominent in Duchenne and also Becker. The asymptomatic hyperCKemia, on the other hand, may have minimal symptoms and might be found incidentally by just having a high CK on their labs. They all will have some degree of elevated CK. The dilated cardiomyopathy patients, and also the Becker patients to a lesser degree, will have cardiac involvement out of proportion to skeletal muscle involvement, and then the manifesting carriers likewise can have elevated CK and prominent cardiac involvement as well as some milder weakness. Dr Nevel: Now that we have some definitions, for the practicing neurologists out there, what do you think is the most important takeaway from your article about the dystrophinopathies? Dr Jayaraman: I like this question because it suggests that there's something that, really, any neurologist could do to help us pick up these patients sooner. And the big takeaway I want everyone to get from this is to check the CK, or creatine kinase, level. It's a simple, cheap, easy test that anyone can order, and it really helps us a lot in terms of setting the patient on the diagnostic odyssey. And in terms of whom you should be thinking about checking a CK in, obviously patients who present with some of the classic clinical features of Duchenne muscular dystrophy. This would include young boys who have toe walking, as they're presenting, sign; or motor delayed, delayed walking. They may have calf hypertrophy, which is what we say nowadays. You might have seen calf pseudohypertrophy in your neurology textbooks, but we just say calf hypertrophy now. Or patients can often have a Gowers sign or Gowers maneuver, which is named after a person called Gowers who described this phenomenon where the child will basically turn over and use their hands on the floor to stand up, usually with a wide-based gait, and then they'll sort of march their hands up their legs. That's the sort of classic Gowers maneuver. There are modified versions of that as well. So, if anyone presents with this classic presentation, for sure the best first step is to check a CK. But I would also think about checking a CK for some atypical cases. For example, any boy with any kind of motor or speech delay for whom you might not necessarily be thinking about a muscle disorder, it's always good practice to check a CK. Even a boy with autism for whom you may not get a good clinical exam. This patient might present to a general pediatric neurology clinic. I always check a CK in those patients, and you'll pick up a lot of cases that way. For the adult folks in particular, the adult neurologist, a female patient could show up in your clinic with asymptomatic hyperCKemia. And I think it's an important differential to think about for them because this could have implications not just for their own cardiac risks, but also for their family planning. Dr Nevel: So, tell us a little bit more about the timing of diagnosis. Biggest takeaway: check a CK if this is anywhere on your radar, even if somewhat of an atypical case. Why is it so important to get kiddos started on that diagnostic odyssey, as you called it, early? Dr Jayaraman: This is especially important for kids because if they especially get a Duchenne muscular dystrophy diagnosis, you might be making them eligible for treatments that we've had for some time, and also treatments that were not available earlier that hinge on making that diagnosis. So, for example, people may be skeptical about steroids, but there's population data to suggest that initiation and implementation of steroids could delay the onset of loss of ambulation as much as three years. So, you don't want to deprive patients of the chance to get that. And then all the newer emerging therapies---which we'll be talking about later, I'm sure---require a Duchenne muscular dystrophy diagnosis. So, that's why it's so important to check a CK, have this on your radar, and then get them to a good specialist. Dr Nevel: I know that you alluded already, or shared a few of the kind of exam paroles or findings among patients with dystrophinopathy. But could you share with us a little bit more how you approach these patients in the clinic who are presenting with muscle weakness, perhaps? And how do you approach this or think about this in terms of ways to potentially differentiate between a dystrophinopathy versus another cause of motor weakness or delay? Dr Jayaraman: It's helpful to think through the neuraxis and what kinds of disorders can present along that neuraxis. A major differential that I'm always thinking about when I'm seeing a child with proximal weakness is spinal muscular atrophy, which is a genetic anterior horn cell disorder that can also present in this age group. And some of the key differences there would be things like reflexes. So, you should have dropped reflexes in spinal muscular atrophy. In DMD, surprisingly, they might have preserved Achilles reflexes even if their patellar reflexes are lost. It may only be much later that they go on to lose their Achilles reflex. So, if you can get an Achilles reflex, that's quite reassuring, and if you cannot, then you need to be thinking about spinal muscular atrophy. They can both have low muscle tone and can present quite similarly, including with proximal weakness, and can even have neck flexion weakness. So, this is an important distinction to make. The reason for that is, obviously there are treatments for both conditions, but for spinal muscular atrophy, timing is very, very important. Time is motor neurons, so the sooner you make that diagnosis the better. Other considerations would be the congenital muscular dystrophies. So, for those that they tend to present a lot younger, like in infancy or very early on, and they can have much, much higher CKS in that age range than a comparable Duchenne or Becker muscular dystrophy patient. They can also have other involvement of the central nervous system that you wouldn't see in the dystrophinopathies, for example. My mnemonic for the congenital muscular dystrophies is muscle-eye-brain disease, which is one of the subtypes. So, you think about muscle involvement, eye involvement, and brain involvement. So, they need an ophthalmology valve. They can have brain malformations, which you typically don't see in the dystrophinopathies. I think those are some of the major considerations that I have. Obviously, it's always good to think about the rest of the neuraxis as well. Like, could this be a central nervous system process? Do they have upper motor neuron signs? But that's just using all of your exam tools as a neurologist. Dr Nevel: Yeah, absolutely. So, let's say you have a patient in clinic and you suspect they may have a dystrophinopathy. What is your next diagnostic step after your exam? Maybe you have an elevated CK and you've met with the patient. What comes next? Dr Jayaraman: Great question. So, after the CK, my next step is to go to genetics. And this is a bit of a change in practice over time. In the past we would go from the CK to the muscle biopsy before genetic testing was standard. And I think now, especially in kids, we want to try and spare them invasive procedures where possible. So, genetic testing would be the next step. There are a few no-charge, sponsored testing programs for the dystrophinopathies and also for some of the differential diagnosis that I mentioned. And I think we'll be including links to websites for all of these in the final version of the published article. So, those are a good starting point for a genetic workup. It's really important to know that, you know, deletions and duplications are a very common type of mutation in the DMD gene. And so, if you just do a very broad testing, like whole exome, you might miss some of those duplications and deletions. And it's important to include both checking for duplications and deletions, and also making sure that the DMD gene is sequenced. So always look at whatever genetic test you're ordering and making sure that it's actually going to do what you want it to do. After genetics, I think that the sort of natural question is, what if things are not clear after the genetics for some reason? We still use biopsy in this day and age, but we save it for those cases where it's not entirely clear or maybe the phenotype is a little bit discordant from the genotype. So, for mutations that disrupt the reading frame, those tend to cause Duchenne muscular dystrophy, whereas mutations that preserve the reading frame tend to cause Becker muscular dystrophy. There are some important exceptions to this, which is where muscle biopsy can be especially helpful in sorting it out. So, for example, there are some early mutations early in the DMD gene where, basically, they find an alternate start codon or an initiation codon to continue with transcription and translation. So, you end up forming a largely functional, somewhat truncated protein that gives you more of a milder Becker phenotype. On the other hand, you can have some non-frameshift or inframe mutations that preserve the reading frame, but because they disrupt a very key domain in the protein that's really crucial for its function, you can actually end up with a much more severe Duchennelike phenotype. So, for these sorts of cases, you might know a priori you're dealing with them, but might just be a child who is who you think has DMD has a mutation that's showed up on testing. There isn't enough in the literature to point you one way or another, but they look maybe a little milder than you would expect. That would be a good kid to do a biopsy in because there are treatment decisions that hinge on this. There are treatments that are only for Duchenne that someone with a milder phenotype would not be eligible for. Dr Nevel: So, that kind of stepwise approach, but maybe not all kids need a muscle biopsy is what I'm hearing from you. If it's a mutation that's been well-described in the literature to be fitting with Duchenne, for example. Dr Jayaraman: Absolutely. Dr Nevel: So, after you confirm the diagnosis through genetic testing---and let's say, you know, whether or not you do a muscle biopsy or not, after you know the diagnosis is a dystrophinopathy---how do you counsel the families and your patients? What are the most important points to relay to families, especially in that initial phase where the diagnosis is being made? Dr Jayaraman: This is a lot of what we do in pediatric neurology in general, right? So, I actually picked up this approach from the pediatric hematology oncology specialists at Boston Children's. They had this concept of a day-zero conversation, which is the day that you disclose the life-changing diagnosis or potentially, at some point, terminal diagnosis to a family. And some of the key components of that are a not beating around the bush, telling them what the diagnosis is, and then letting them have whatever emotional response they're going to have in the moment. And you may not get much further than that, but honestly, you want them to take away, this is what my child has. I did not do anything to cause this, nor could I have done anything to prevent this. Because often for these genetic conditions, there's a lot of guilt, a lot of parental guilt. So, you want to try and assuage that as much as possible. And then to know that they're not going to be alone on this journey; that, you know, they don't have to have it all figured out right then, but we can always come back and answer any questions they have. There's going to be a whole team of specialists. We're going to help the family and the kid manage this condition. Those are sort of my big takeaways that I want them to get. Dr Nevel: Right. And that segues into my next question, which is, who is part of that team? I know that these teams that help take care of people with dystrophinopathies and other muscle disorders can be very large teams that span multiple specialists. Can you talk a little bit more about that for this group of patients? Dr Jayaraman: Of course. So, the neuromuscular neurologist, really, our role is in coordinating the diagnosis, the initiation of any disease-specific treatments, and coordinating care with a whole group of specialists. So, we're sort of at the center of that, but everyone else is equally important. So, the other specialists include physical therapists; occupational therapists; rehab doctors or physiatrists; orthotists who help with all of the many braces and other devices that they might need, wheelchairs; pulmonology, of course, for managing the respiratory manifestations of this. It becomes increasingly important over time, and they are involved early on to help monitor for impending respiratory problems. Cardiac manifestations, this is huge and something that you should be thinking about even for your female carriers, the mother of the patient you're seeing in the clinic, or your patient who comes to adult clinic with asymptomatic hyperCKemia. if you end up making a diagnosis of DMD carrier for those patients, or if you make a Becker diagnosis, the cardiac surveillance is even more important because the cardiac involvement can be out of proportion to the skeletal muscle weakness. And of course, extremely important for the Duchenne patients as well. Endocrinologists are hugely important because in the course of treating patients with steroids, we end up giving them a lot of iatrogenic endocrinologic complications. Like they might have delayed puberty, they might have loss of growth, of height; and of course metabolic syndrome. So, endocrinology is hugely important. They're also important in managing things like fracture prevention, osteoporosis, prescribing bisphosphonates if necessary. Nutrition and GI are also important, not just later on when they might need assistance to take in nutrition, whether that's through tube feeds, but also earlier on when we're trying to manage the weight. Orthopedics, of course, for the various orthopedic complications that patients develop. And then finally, a word must be said for social work and behavioral and mental health specialists, because a lot of this patient population has a lot of mental health challenges as well. Dr Nevel: After you give the diagnosis, you've counseled the patient and families and you've had those kind of initial phase discussions, the day-zero discussion, when you start getting into discussions or thoughts about management, disease-specific medication. But what are the main categories of the treatment options, and maybe how do you kind of approach deciding between treatment options for your patients? Dr Jayaraman: So, there are two broad categories that I like to think about. So, one is the oral corticosteroids and oral histone deacetylase, or HDAC inhibitors, which share the common characteristic that they are non-mutation specific. And within corticosteroids, patients now have a choice between just Prednisone or Prednisolone, or Deflazacort or Vermilion. The oral HDAC inhibitors are newly FDA-approved as a nonsteroidal therapy in addition to corticosteroids in DMD patients above six years of age. I would say we're in the early phase of adoption of this in clinical practice. And then the other big category of treatment options would be the genetic therapies as a broad bucket, and this would include gene therapy or gene replacement therapy, of which the most famous is the microdystrophin gene therapy that was FDA-approved first on an accelerated approval basis for ages four to eight, and then a full approval in that age group as well as an accelerated approval for all comers, essentially, with DMD. This is obviously controversial. Different centers approach this a bit differently. I think our practice at our site has been to focus on the ambulatory population, just thinking about risk versus benefit, because the risks are not insignificant. So really this is something that should be done by experienced sites that have the bandwidth and the wherewithal to counsel patients through all of this and to manage complications as they arise with regular monitoring. And then another class that falls within this broader category would be the Exon-skipping therapies. So as the name suggests, they are oligonucleotides that cause an Exon to be skipped. The idea is, if there is a mutation in a particular Exon that causes a frame shift, and there's an adjacent Exon that you can force skipping of, then the resulting protein, when you splice the two ends together, will actually allow restoration of the reading frame. I think the picture I want to paint is that there's a wide range of options that we present to families, not all of which everyone will be eligible for. And they all have different risk profiles. And I really think the choice of a particular therapy has to be a risk-benefit decision and a shared decision-making process between the physician and the family. Dr Nevel: What is going on in research in this area? And what do you think will be the next big breakthrough? I know before we started the recording you had mentioned that there's a lot of things going on that are exciting. And so, I'm looking forward to hearing more. Dr Jayaraman: Of course. So, I'll be as quick as I can with this. But I mentioned that next-generation Exon skipping therapies, I think the hope is that they will be better at delivering the Exon skipping to the target tissue and cells and that they might be more efficacious. I'm also excited about next-generation gene therapies that might target muscle more specifically and hopefully reduce the off-target effects, or combination use of gene therapies with other immunosuppressive regimens to improve the safety profile and maybe someday allow redosing, which we cannot do currently. Or potentially targeting the satellite cells, which are the muscle stem cells, again, to improve the long term durability of these genetic therapies. Dr Nevel: That's great, thank you for sharing. Thank you so much for talking to me today about your article. I really enjoyed learning more about the dystrophinopathies. Today I've been interviewing Dr Divya Jayaraman about her article on the dystrophinopathies, which she wrote with Dr Partha Ghosh. This article appears in the October 2025 Continuum issue on muscle and neuromuscular junction disorders. Please be sure to check out the Continuum Audio episodes from this and other issues. Also, please read the Continuum articles for more details than what we were able to get to today during our discussion. Thank you, as always, so much to the listeners for joining us today, and thank you, Divya, for sharing all of your knowledge with us today. Dr Jayaraman: Thank you so much for having me on the podcast. 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.

Celebrate Kids Podcast with Dr. Kathy
The Family Tech Covenant: Why Boundaries Communicate Love

Celebrate Kids Podcast with Dr. Kathy

Play Episode Listen Later Nov 25, 2025 20:02


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

New Books Network
Judith M. Lieu "Explorations in the Second Century: Texts, Groups, Ideas, Voices" (Brill, 2025)

New Books Network

Play Episode Listen Later Nov 25, 2025 43:39


As allegiance to Jesus Christ spread across the Roman Empire in the second century, writings, practices, and ideas erupted in a creative maelstrom. Many of the patterns of practice and belief that later become normative emerged, in the midst of debate and argument with neighbours who shared or who rejected that allegiance. Authoritative texts, principles of argument, attitudes to received authority, the demands of allegiance in the face of opposition, identifying who belonged and who did not, all demanded attention. These essays explore those divergent voices, and the no-less diverse and lively debates they have inspired in recent scholarship. Judith M. Lieu is the author of Explorations in the Second Century: Texts, Groups, Ideas, Voices (Brill, 2025). She was Lady Margaret's Professor of Divinity at the University of Cambridge from 2007-2018. She studied at Durham and Birmingham Universities and previously taught at The Queen's College, Birmingham, King's College London (where she was Professor of New Testament Studies, 1999-2006), and Macquarie University, Sydney. From January 2020–June 2021 she was Frothingham Visiting Professor in New Testament and Early Christianity at Harvard Divinity School. She is on the editorial board of a number of journals and series and was previously Editor of New Testament Studies. She is a Fellow of the British Academy (2014) and International Honorary Member of the American Academy of Arts and Sciences (2019). Jonathon Lookadoo is Associate Professor at the Presbyterian University and Theological Seminary in Seoul, South Korea. While his interests range widely over the world of early Christianity, he is the author of books on the Epistle of Barnabas, Ignatius of Antioch, and the Shepherd of Hermas, including The Christology of Ignatius of Antioch (Cascade, 2023). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

DermSurgery Digest
Beyond the Digest: November 2025

DermSurgery Digest

Play Episode Listen Later Nov 25, 2025 21:48


Beyond the Digest are bonus episodes to the DermSurgery Digest that include reviews of interesting and relevant articles from JAMA Dermatology, Journal of the American Academy of Dermatology (JAAD) and Plastic and Reconstructive Surgery (ASPS). Articles featured in this episode include: ·        “Local Recurrence and Survival in Patients With Melanoma In Situ” in JAMA Dermatology·        “Is Wide Local Excision After Primary Excision of Melanoma In Situ Unnecessary?” in JAMA Dermatology·        “Radiotherapy versus imiquimod for complex lentigo maligna: A phase 3 randomized clinical trial” in JAAD·        “National trends in site-specific utilization of Mohs micrographic surgery for melanomas from 2001 to 2022: A cross-sectional analysis from the Optum Data Mart” in JAAD·        “Wound healing outcomes in skin cancer patients on sirolimus: Insights from dermatologic surgery” in Jaad Beyond the Digest Contributors include Naomi Lawrence, MD, Dermatologic Surgery Digital Content Editor; Yesul Kim, MD, Beyond the Digest Co-host; Ami Greene, MD; Caresse Gamret, MD; Sydney Proffer, MD, MS; Yssra Soliman, MD; Divya Seth, MD Your feedback is encouraged. Please contact communicationstaff@asds.net.

Public Health On Call
980 - Why Early Introduction Helps Reduce Children's Peanut Allergies

Public Health On Call

Play Episode Listen Later Nov 24, 2025 15:04


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

Virtual Curbside
Episode 359: #83-4 Upper Extremity Spasticity: Q & A

Virtual Curbside

Play Episode Listen Later Nov 24, 2025 20:33


In this Q&A episode, host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD address common clinical questions related to managing upper extremity spasticity in children. The conversation explores how to balance orthopedic readiness and bone maturity with developmental readiness and family goals - highlighting the importance of individualized timing and shared decision-making. They also discuss the collaborative relationship between general pediatricians and subspecialists, particularly when families live far from surgical centers and rely on their primary care provider to coordinate ongoing care. Listeners will gain practical insights into communication, expectation-setting, and supporting families throughout the treatment journey. Have a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Great Practice. Great Life. by Atticus
From Failing Everywhere to Focused: How to Cut, Protect, and Refocus Fast | Ep. 159

Great Practice. Great Life. by Atticus

Play Episode Listen Later Nov 24, 2025 27:36


In this episode of Great Practice, Great Life®, Steve Riley breaks down one of the toughest challenges in law firm leadership: the feeling that you're failing when life and work start to pile up. Using the story of Kay, a team leader pushed to her limits, Steve explains why overwhelm is rarely a personal flaw and more often a sign that your systems, habits, or support structures need to evolve. Steve reframes failure as feedback, the kind that helps attorneys recognize when they've outgrown the strategies that once worked. For anyone juggling client demands, running a practice, or navigating the pressures of law firm management, this perspective shift is a breath of fresh air. To help legal professionals regain clarity, Steve shares the CPR approach: Cut, Protect, and Refocus. By cutting unnecessary commitments, protecting essentials like sleep and focus, and reviving the priorities that matter most, attorneys can reduce stress and strengthen time management for lawyers without sacrificing performance. Drawing on insights often found in law firm business coaching, Steve illustrates how even a thriving attorney can outgrow their current "container," much like a Bonsai pushing past the limits of its pot. When that happens, the discomfort is a sign of growth, not failure. This episode offers simple, actionable steps that help lawyers reclaim control, reset expectations, and build momentum toward a healthier practice and a more grounded life. In this episode, you will hear: Transforming failure into a tool for growth and success Reframing failure as feedback, not personal inadequacy The CPR technique: Cut, Protect, and Refocus Kay's story, a team leader overwhelmed by life's demands Importance of pruning unnecessary commitments for personal growth Emphasizing sleep and focus to manage life's challenges Encouragement to make intentional choices for a balanced life Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select "Ratings and Reviews" and "Write a Review" then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. If there's a topic you would like us to cover on an upcoming episode, please email us at steve.riley@atticusadvantage.com. Supporting Resources: Steve Riley Worksheet: The CPR Weekly Refocus™ Bonsai Tree Photos Sleep Research: Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society Sleep Research: Effects of sleep deprivation on cognition 11 Minutes a Day Study steve.riley@atticusadvantage.com - If you'd like to personally connect with Steve.  My Great Life Focus    Curious about growing your own practice? Contact Atticus to see whether our law firm coaching can help you strengthen attorney success, refine your law firm business strategy, and build a practice that actually supports your life. You can also sign up for our newsletter to get practical insights on how to grow a law firm: from law firm leadership and management to marketing, hiring, operations, culture, and profitability, so you can build a Great Practice and a Great Life.

BE THAT LAWYER
Allison Williams: Strengthening Your Practice Through Structure

BE THAT LAWYER

Play Episode Listen Later Nov 24, 2025 33:40


In this episode, Steve Fretzin and Allison Williams discuss:Developing business skills beyond legal trainingBalancing legal work with true leadership rolesStrengthening sales and client relationships with structureReducing stress through systems, communication, and metrics Key Takeaways:Law school doesn't teach the core business, sales, and time-management abilities required to run a successful firm. Lawyers must intentionally build these skills to avoid overwhelm and stagnation. Growth begins when practitioners embrace authenticity, process, and systemization.Many lawyer-owners struggle to act as both practitioner and CEO, leading to stress and inefficiency. Strong operational leaders and a capable C-suite can restore focus and improve firm performance. Delegating business responsibilities is essential for long-term sustainability.Sales shouldn't feel like auditioning for clients; the goal is to understand needs and build genuine rapport. Structured processes help qualify leads, nurture relationships, and improve conversion rates. Starting with reliable referral sources and existing channels leads to better outcomes.Systematized communication—from clear policies to automated updates—prevents client-driven chaos. Tools like workflow systems or SaneBox support better task and email management. Tracking metrics such as conversion rates and lead quality ensures informed, data-driven decisions. “Being authentic is the easiest, fastest, most profitable way for you to get to the outcome that you desire.” —  Allison Williams Check out my new show, Be That Lawyer Coaches Corner, and get the strategies I use with my clients to win more business and love your career again. Ready to go from good to GOAT in your legal marketing game? Don't miss PIMCON—where the brightest minds in professional services gather to share what really works. Lock in your spot now: https://www.pimcon.org/ Thank you to our Sponsor!Rankings.io: https://rankings.io/HireParalegals: https://hireparalegals.com/ Ready to grow your law practice without selling or chasing? Book your free 30-minute strategy session now—let's make this your breakout year: https://fretzin.com/ About Allison Williams: Allison C. Williams is the owner of not one, but two multimillion-dollar companies. She is the Founder of Williams Law Group, a full-service family law firm where she is a Fellow of the American Academy of Matrimonial Lawyers, is certified by the New Jersey Supreme Court as a Matrimonial Law Attorney, and is certified by the National Board of Trial Advocacy in Family Law. After taking Williams Law Group from a start-up to a multimillion-dollar law business in 3.5 years, she decided to help other law firm owners do the same by starting Law Firm Mentor. Today, Law Firm Mentor helps law firm owners across the country grow their revenues, crush chaos in business, and make significantly more money in less time!Allison is a LawFirm500 award winner, ranking 14th out of the fastest-growing law firms in the nation. She has also been named a Stevie Award Finalist for Female Entrepreneur of the Year in 2017 and 2018, voted NJBIZ's Top 50 Women in Business, and designated as one of the Top 25 Leading Women Entrepreneurs and Business Owners.Allison has been featured in The Law Entrepreneur, Above the Law, and Modern Solo, along with other leading legal publications. She is also the host of the Law Firm Mentor podcast, where lawyers go to learn how to crush the chaos in their business. Connect with Allison Williams: Website: https://lawfirmmentor.net/LinkedIn: https://www.linkedin.com/in/allisoncwilliams/   Connect with Steve Fretzin:LinkedIn: Steve FretzinTwitter: @stevefretzinInstagram: @fretzinsteveFacebook: Fretzin, Inc.Website: Fretzin.comEmail: Steve@Fretzin.comBook: Legal Business Development Isn't Rocket Science and more!YouTube: Steve FretzinCall Steve directly at 847-602-6911 Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it. 

IDD Health Matters
Ep 123: Jackie Kancir Pushes Policy and Integration for People with Profound Autism

IDD Health Matters

Play Episode Listen Later Nov 24, 2025 10:54


Jackie Kancir, a lifelong patient and policy advocate and current Policy Director for the National Council on Severe Autism, discusses her work to improve health equity and services for individuals with profound autism and intellectual disabilities. Speaking at the American Academy of Developmental Medicine and Dentistry conference, she highlights challenges such as the "cliff" faced when individuals age out of pediatric care, the need for integrated health systems, and her efforts to amend the Autism CARES Act and implement mandatory hospital protocols for safe care. Drawing from personal experience as a mother to a 21-year-old with profound autism and complex medical needs, Jackie emphasizes collaboration among policymakers, clinicians, and advocates, and shares practical insights like addressing diagnostic overshadowing and thinking creatively about meaningful opportunities for people with disabilities.

Viva Learning Podcasts | DentalTalk™
Ep. 723 - Clear Aligners in General Dentistry: Opportunities and Challenges

Viva Learning Podcasts | DentalTalk™

Play Episode Listen Later Nov 24, 2025 33:00


Dr. Sheila Samaddar, a GP, shares how aligners have been a huge benefit to her practice, but she's also candid about the challenges. She walks us through the key things every GP should know before diving into clear aligner therapy, plus some of her favorite products and tools that help her get the best results. Dr. Samaddar is internationally recognized and published by Invisalign for Top Case results annually for the last several years, as well as having a Top 10 case with the American Academy of Clear Aligners.

All the Things That Keep Us Up at Night
190. Channon Christian and Christopher Newsom: Two Stars Lost in the Tennessee Night (Part I)

All the Things That Keep Us Up at Night

Play Episode Listen Later Nov 22, 2025 29:44 Transcription Available


On January 6, 2007, Channon Christian (21) and Christopher Newsom (23) went on a date. They were young, in love, and planning to attend a friend's birthday party.They never arrived. What happened to Channon and Chris over the next 36 hours is known as one of the most brutal crime sprees in Tennessee history. But before we discuss the horror, we need to know who they were, the real people behind the headlines, the beloved children whose families would spend 18 years fighting for justice.This four-part series tells their complete story: the victims, the crimes, the trials, the judicial scandal that forced retrials, and the lasting legacy. In this episode, let's learn who Channon Gail Christian and Hugh Christopher Newsom Jr. were. Not as victims, but as the vibrant, beautiful people they were.Support ResourcesFor Survivors of Violence:https://www.rainn.org/ - RAINN (1-800-656-4673)https://www.thehotline.org/ - National Domestic Violence Hotline (1-800-799-7233)https://www.crisistextline.org/ - Crisis Text Line (Text HOME to 741741)https://988lifeline.org/ - 988 Suicide & Crisis LifelineFor Families of Murder Victims:https://www.pomc.org/ - Parents of Murdered Childrenhttps://victimsofcrime.org/ - National Center for Victims of Crimehttps://www.ncvc.org/ - National Crime Victim Law InstituteSources:https://www.newspapers.com/ (Historical archive - subscription required)https://www.knoxnews.com/ (Search "Christian Newsom" for extensive archive)https://abcnews.go.com/ (Search "Channon Christian")https://www.cnn.com/ (Coverage of trials and scandal)https://www.foxnews.com/ (Michelle Malkin coverage 2007)https://www.wbir.com/ (WBIR-TV extensive trial coverage)https://www.wate.com/ (WATE 6 On Your Side)https://www.wvlt.tv/ (WVLT Local 8 News)https://www.tncourts.gov/ (Tennessee State Courts)https://www.tsc.state.tn.us/ (Tennessee Supreme Court opinions)https://www.knoxcounty.org/criminal/ (Knox County Criminal Court)https://law.justia.com/cases/tennessee/ (Tennessee case law database)https://scholar.google.com/ (Search: "State v. Davidson" "State v. Cobbins" etc.)https://www.govinfo.gov/app/collection/uscourts (Federal case records)https://pacer.uscourts.gov/ (Public Access to Court Electronic Records - fee required)https://www.capitol.tn.gov/ (Tennessee General Assembly)https://publications.tnsosfiles.com/acts/108/pub/pc0962.pdf (Chris Newsom Act - SB 2552/HB 2658)https://publications.tnsosfiles.com/acts/108/pub/pc0963.pdf (Channon Christian Act - SB 2553/HB 2659)https://www.rainn.org/ (RAINN - Rape, Abuse & Incest National Network)https://www.pomc.org/ (Parents of Murdered Children)https://victimsofcrime.org/ (National Center for Victims of Crime)University of Tennessee Foundation: https://www.utfi.org/"The Christian-Newsom Murders: 10 Years Later" - Knoxville News Sentinel Special Reporthttps://www.aetv.com/ (A&E "Injustice with Nancy Grace")https://www.oxygen.com/ (Oxygen Network coverage)https://www.investigationdiscovery.com/ (Investigation Discovery features)https://www.aafs.org/ (American Academy of Forensic Sciences)https://www.forensicscienceeducation.org/ (Forensic science education resources)https://www.ncjrs.gov/ (National Criminal Justice Reference Service)https://bjs.ojp.gov/ (Bureau of Justice Statistics)https://apps.tn.gov/foil-app/ (Tennessee Felon Offender Information Lookup)Search names: Davidson, Cobbins, Thomas, Coleman, Boydhttps://www.tn.gov/correction/sp/death-row.html (Tennessee Death Row information)https://www.knoxnews.com/archives/ (January-February 2007)https://www.knoxnews.com/archives/ (Trial coverage)https://www.knoxnews.com/archives/ (March-December 2011)https://www.knoxnews.com/archives/ (Coleman & Thomas retrials)https://www.knoxnews.com/archives/ (August 2019)https://www.tba.org/ (Tennessee Bar Association resources)https://www.knoxcounty.org/ (Knox County government)https://www.knoxvilletn.gov/ (City of Knoxville)https://www.britannica.com/place/Knoxville-Tennessee (Knoxville history)https://www.utk.edu/ (University of Tennessee)Become a supporter of this podcast: https://www.spreaker.com/podcast/reverie-true-crime--4442888/support.Keep In Touch:Twitter: https://www.twitter.com/reveriecrimepodInstagram: https://www.instagram.com/reverietruecrimeTumblr: https://reverietruecrimepodcast.tumblr.comFacebook: https://www.facebook.com/reverietruecrimeContact: ReverieTrueCrime@gmail.com Intro & Outro by Jahred Gomes: https://www.instagram.com/jahredgomes_official 

Optometric Insights Media
#7 The Myopia Podcast: Dr. Elise Kramer and Dr. Stephanie Woo: Marketing Your Myopia Management Practice

Optometric Insights Media

Play Episode Listen Later Nov 22, 2025 25:26


Send us a textIf you are starting our your Myopia practice, Dr. Elise Kramer and Dr. Stephanie are definitely crushing it in marketing their Myopia practice. Listen this episode to get great tips!About Dr. Woo:Dr. Woo is an adjunct professor at Midwestern University. Dr. Woo enjoys lecturing around the world on the subject of contact lenses and anterior segment ocular disease. Dr. Woo owns the Contact Lens Institute of Nevada, a clinic dedicated entirely to custom contact lenses.  The Contact Lens Institute offers revolutionary technology such as the EyePrintProsthetic and sMap scleral topography to assist in complex clinical cases. In her spare time, Dr. Woo is an avid wine collector and is a Level 2 WSET Sommelier. More About Dr. Woo:Here are some links:www.clinevada.comwww.drstephaniewoo.comwoou.orgSocial media:@drstephaniewooHere is a free PDF that I created for doctors who want some tips on how to start a specialty practice: https://www.drstephaniewoo.com/11-tipsHere is the 8 week coaching programed Dr. Stephanie Woo provides: https://www.drstephaniewoo.com/optometry-consultingAbout Dr. Elise Kramer:Dr. Elise Kramer is a residency-trained optometrist in Miami FL who specializes in ocular surface disease and regular and specialty contact lens fitting.Her Doctorate degree was awarded in Optometry from the Université de Montréal in 2012 where she received a grant from the Scholarship Program of the Québec Ministry of Education for short-term university studies outside of Québec. Receipt of this scholarship award is based on academic performance. In the summer of her second year, she participated in a humanitarian mission in Laayoune, Morocco where she helped hundreds of impoverished people by giving them free eye examinations and glasses corresponding as closely as possible to their prescription.During her fourth year, she completed her internship in ocular disease at the Eye Centers of South Florida and went on to complete her residency at the Miami VA Medical Center. Her time there included training at the Bascom Palmer Eye Institute, the nation's top eye hospital. After her residency, Dr. Kramer became a fellow of the Scleral Lens Education Society (SLS) and now serves as the Public Education Chair for the SLS. Dr. Kramer is a member of the American Optometric Association (AOA), the British Contact Lens Association (BCLA), the International Association of Contact Lens Educators (IACLE) and a Fellow of the American Academy of Optometry (AAO). She is also the Delegate of International Relations for the Italian Association of Scleral Lenses (AILeS).  Dr. Kramer has published several important articles and reviews and participates in clinical research trials. She enjoys lecturing all around the world in several different languages about ocular surface disease and specialty lenses. She strives to assist each patient with quality and advanced eye care whether he or she requires a basic eye exam or specialized eye or vision care. Where to find her:Dr. Kramer's IG to https://www.instagram.com/drelisekramer/Private Practice: Miami Contact Lens Institute:

The Arise Podcast
Season 6, Episode 14: Jenny and Danielle talk about Mutual Aid

The Arise Podcast

Play Episode Listen Later Nov 22, 2025 28:23


Donations Resources (feminine hygiene products, and diapers, etc.)https://my.liberaforms.org/solidarity-kitchen-2Cash Pledges (100 percent goes to families)https://my.liberaforms.org/solidarity-kitchen-3Here is our plan: December 2, 2025 (Tuesday), 2:30 p.m. - 7 p.m., North Point ChurchServe up to 400 to go meals for students, parents and/or family members in our school district who have experienced the government shut down, food insecurity, or just plain tight times, with inflation and the job market.We will cook and pack to-go containers of meals, and be ready to send those off with students and/or families and/or caregivers. We will also have cash donations to put into envelopes, gift card donations to give away to those families that need additional support recovering from the shutdown or SNAP break. If folks would like to give to this, we are in process of setting up a secure format for it, in collaboration.TRANSCRIPTSDanielle (00:00):Cut it off. I just is so swamped with trying to respond to people's texts and calls. We have the whole system going, but I can explain more when we talk. It's justJenny (00:12):Okay. Oh my gosh. Yeah. We can do kind of a short one if that helps, or whatever feels supportive for you.I'm doing good. I'm thinking about the American Academy of Religions Conference this weekend. It kicks off tonight and I'll be presenting on my panel tomorrow, so I've been thinking about that.Yeah, I feel nervous, but I feel good. I feel really supported by the Purity Culture Research Collective and the colleagues and friends that I have there. So I mostly excited just to see folks coming in from all over, so I think it'll be a fun time.Danielle (01:02):Do you feel like you're going to be able to say what you want to say in the way you want to say it?Jenny (01:08):I think so. I keep reading over it again and again and tweaking it. It's hard to say what you want to say in five minutes, but,Oh goodness. I think there's eight of us. Eight or nine, I can't remember exactly. So we each get five minutes, but then it opens up into a q and a and sort of a discussion, so I'll have more time to expand on what I'm trying to say and it'll be fun to weave it together with other people.Danielle (01:42):It's interesting. I feel like we're all in these different places. We are physically sometimes, but even if we're in the same city and we're doing different things towards similar goals, that really strikes me. It's one reason I get excited about what you're doing.Oh, yeah, that's right. Well, I think I wrote in an email to friends to get it started. Basically what happened is we were at a band concert a month ago and it was the government shutdown, and my kids were talking about it and some of their classmates not having paychecks, their parents not having paychecks because we live in Kitsap County, and so there are two military, well, maybe there's three military bases in the area, so a lot of government funded work employees, the military obviously. And then also in our school district, I became aware that almost 30% of our students are either on SNAP or free and reduced lunch. So if you add that plus the level of the population of kids in our schools, either with parents in the military or in government position jobs, that's a lot of kids. And so I was like, oh, shit, what are we going to do? And I thought to myself, I was like, how can you not get on board with feeding kids? Really? They're innocent, they're young. I mean, we have plenty of riches in our county, in our country actually to do this should not be a thing. So that's kind of how it got started.Well, now it's called the Solidarity Kitchen. I'm like one member. There's many members of the Solidarity Kitchen, and we try to make decisions collaboratively. Some of us are better at some things like I'm not going to, I did take my food handlers permit test and passed it, by the way, today. Good job. I'm not going to be in charge. I'm not the expert at that. I like cooking for masses. So although I give input, there's other people that know more than me. There's also other people that know more about organizing volunteers or creating forms, and I dabbled a little bit in the art, but there's people that know more about how art should look and the words that need to go on art. I'm out here telling people, Hey, this is what we're about.(04:07):Would you like to join us? And trying to make space that's big enough for a lot of people to join in. It really felt like this collective consciousness movement. I go and I talk to someone, they're like, oh, we would love to do that. And it's like they've already thought of it. So it's not me trying to convince anybody to do anything or any of us, it's just like, oh, this is a need. This is something we can do. And we don't have to agree on a thousand things to get it done because I don't know. I know there are people in our government right now that are just wicked enough not to feed kids. We saw that as evidence, and I won't say any names. And also the new budget that's coming out in the big bill is going to cut snap benefits massively. So this is probably going to be an ongoing issue for kids, but it seems like a slam dunk to me. If you don't have food, if you don't have water, if you don't have shelter, if you don't have safety, how are you supposed to learn?Jenny (05:09):Yeah, right. I'm thinking about kids too and just how much their brains, their bodies are just burning through calories as they're growing, as they're learning, as they're developing. And of course every body needs food, but I think especially kids need a lot of food because their bodies are going through a lot of metabolism and a lot of change.Danielle (05:35):I think the collective messaging of the government saying basically, I've heard a lot of political pundits say, if you're on snap, if you're on free and reduced lunch, you're lazy. Your parents are lazy. Well, that's just not true. My kids have been on free and reduced lunch, and I remember the times when I was in grad school and we were living on one check, and I'm trying to go back to school to get paid, and you're literally short on money. Making lunches is expensive. And so to have that as an option increases capacity in other areas of your life. It's not that parents are lazy. It's not that parents aren't working jobs. So if that's the collective message, but what it does is it takes food out of the mouths of kids and kids, no matter what we say or think or believe, they are receiving that messaging that your parent might be lazy or your parent is leaching off the government or whatever these horrible tropes are that are spread by certain politicians. I won't say their names. I mean, do we think kids are really that dumb that they don't understand that, right? I mean, they get it. Yeah.Jenny (06:47):Right. When really the issue is hoarding, and I was thinking it's really actually pretty recent in human history that most people have even had to buy food. Food comes from the land, from the earth, from animals, from all of these things. And yet we have privatized and subsidized and commodified everything to make it so that you have to be able to have money to be able to afford food, which is just to me, I made this post recently where I just said, I cannot think of anything more opposite than Jesus' message of don't worry about what you'll eat, what you'll wear. Even the sparrows don't fret and the flowers bloom. And then this message from the government and from honestly, a lot of Christians is you should pull yourself up by your bootstraps. And Martin Luther King Jr. Said, if someone does not have boots, what a cruel thing to tell them. And if we live in a system that is intentionally hamstringing people's ability by not paying them what their labor is worth, by not providing childcare, by giving them crippling medical bills, of course something as simple as food should be becomes so complicated.Danielle (08:20):When I was in this theological and also, sorry, political discussion with family members, and I actually heard this verse preached in a sermon referenced Second Thessalonians three 10, which says, if anyone is not willing to work, let him not eat. And in the context I heard it in was interpreted to mean, if you're not working tough, go get a job. So that's kind of the context and some of the theological foundation of what I've heard for why let's not do Snap, let's not do free and reduced lunch, et cetera, et cetera. But I think a more holistic approach would be to focus on what was the historical impression of that time? What did community accountability mean? What did it mean to do resource sharing, et cetera, et cetera, et cetera. And I think what I would call today, or not me friends and more wise people than me, and I'm using the term of mutual aid, and I don't know if they use mutual aid back then, but that's kind of what I think they're talking about. I don't know that it means showing up at a job and doing nine to five work, is what they were saying in that verse. I think it's contributing to your community.(09:41):And a lot of people that don't make hundred, 200 million, like a million dollars a year, they're contributing to our society and they don't get paid what they need to eat. That is also a sin.Jenny (09:58):Yes. Yeah. Sorry. It sure seems to me that Jesus spent a lot of time walking around talking and not a lot of time working. From what I read, gospelDanielle (10:10):Bro, Jesus relied on mutual aid too. He went fishing, he showed up people's houses, they fed him. There was a lot of trading going on.Jenny (10:20):Absolutely. Absolutely. So if someone wants to get involved in what you're doing and provide what they have towards a mutual aid and in service of what you're already doing, is that possible? Should they just go start their own thing? Is there a way they can get involved with what you're doing? What would you tell someone who's listening and is like, yeah, I want to get involved and help?Danielle (10:48):They definitely could give cash or a donation. We partnered with the Kitsap Immigrant Assistance Center Kayak here in Kitsap County, and they're like a fiscal partner. They're not a sponsor, but they're like adjacent to us help with Mutual aid. So there is the opportunity to donate through them and market for Solidarity Kitchen December 2nd. And I can put the link in the notes, but I think more importantly, if you're not here, yeah, please, I am not going to say, no, don't give us some cash or don't send us some menstrual supplies or whatnot. You can't donate food from that far away because we have to follow, be compliant with Washington Food law and standards. See, I know this now I took my test, but who in your community needs a gas card? Who needs a grocery card? Who could just use an envelope with a hundred bucks, a hundred bucks? What does that get you? Two bags of groceries or a hundred bucks to just shoot the breeze somewhere, sit down and have a coffee and a drink and go buy your groceries. I think there's this misconception if you give out cash, oh, they're just going to use it on booze and drugs. That's what I heard as a kid.(12:00):And now as an adult, I know that's rarely true. And why would we begrudge someone a little bit of cash to go out and have a coffee or have a drink or maybe get a date with their partner or enjoy a little bit better meat at the grocery store? That just seems so selfish and judgmental,Jenny (12:24):Totally. No, it makes me think of Tema, O K's, white supremacy, cultural norms, and it's so paternalistic that's like, I should decide how this other person spends their money when it's like that other person is a sovereign being living in their own body. And what if they get to decide what they eat and what they do with their body? What a concept that might be.Danielle (12:50):How do you see that kind of, I talk about this here and I know you're very supportive of me too, but how do you see that playing out in your day-to-day life? What does mutual aid look like for you?Jenny (13:01):Yeah, it does feel a little more complicated because my community is so broad right now. We're rarely in a place more than a week. And so it really is trying to be open to what's right in front of us. So a week ago, we were at this beautiful cafe in northern Maine that was doing a food drive and was collecting food, but the cafe was going to open itself up to make meals for everyone that was houseless for the holidays. And so we just gave them some cash and we're like, we're not going to be around anymore, but can you use this for the meals that you're going to be making? And they were like, absolutely.(13:50):We also look around, we end up picking up a fair amount of hitchhikers when we see someone along the road. And a ride is something we can try to do. So we look out for that. I consider you part of my community, even though you're literally on the other part of the country right now. And so those are some things I like to do. And I like what you said, there's some people that know how to cook. There's some people that know how to do art. I consider one of my gifts is networking and connecting people and saying, Hey, you need this other person has this. Let me connect you. And then also just trying to educate folks, because I think there's a lot of misconceptions out there about, since Reagan and the quote welfare queen and these racialized stereotypes and tropes of who needs money and who needs assistance.(14:53):One, white people need snap and assistance as well. And two, it doesn't do justice to the wealth disparity that exists because of hundreds of years of systemic racism and xenophobic rhetoric in our country, that there is a reality to the necessity of these systems right now to support bodies. And so I find myself trying to have difficult, frustrating conversations with family members or people I know that have maybe seen different news sources or things like that, that I have or have a very homogenous community where they don't often understand some of the source of suffering.Danielle (15:45):So if you could summarize for someone saying, well, I don't know anybody. I don't have anything. What I kind of hear you saying is that's okay. One, you can continue to reach out for that community and try to make efforts, but you can also, oh, no, are you paused? Oh, no. You can also reach out for those people and you can get started with what's present right in front of you. You can donate some cash to a friend. You can pick up what's safe for you, for you and Sean, you've decided it's actually safe to pick up a hitchhiker and you can get involved locally when you're around something. It doesn't have to be limited to what I'm talking about. The importance is to jump in and communicate love to people through different ways of giving. Where do we go from here? It feels like every day there's something hopeless happening. Yeah,Well, I think this is one way working and organizing and finding solidarity with friends in my area, but also just I have a family. I'm blessed with a family and just enjoying them, not trying to change anything about them, sitting with them, trying to meet them where they're at, reaching out to friends, calling, texting, saying, Hey. I mean, those are little ways. What about you?Jenny (17:33):Yeah, very similar. This conference feels hopeful to me that people are still trying to get together and understand how we can navigate hopefully a more ethical, equitable world. I've had the opportunity to just have some really sweet times connecting with friends who live around here recently and just sharing meals and catching up and just remembering how most people I think are really good and are really trying to do their best. And I need to be able to see that because I think the algorithm wants us to believe that people are mostly scary and bad and dangerous, and certainly there are scary and bad and dangerous people in the world. And I would say the majority of people that I tend to come into contact with in the flesh give me hope for the type of world that is possible.It is been mostly cold because we're in Boston and it's real cold, but it's also made me appreciate moments of sweet warmth even more. If we go to the YMCA and take a hot shower once every few days or sit in the sauna, it feels like it's a tiny little example of what we're talking about where it's like there are moments of goodness and hope breaking through even when things feel like they're really difficult. And in some ways that actually makes me savor those moments even more because I have honestly lived a very privileged life where most of my life, I didn't have to acknowledge a sense of hopelessness that I'm finding myself reckoning with now in a different way.Yeah. I'm giving my dog lots of snuggles. She sprained her paw on the beach the other day, and it's been very sad. She did limp around.Danielle (20:19):Well, how do you see yourself moving through then a time of Thanksgiving and a time when we, technically this is a time of being together and dah, dah, dah, and I know Thanksgiving has a lot of different meanings for a lot of different people, but just curious how you're thinking of that for yourself this year.Jenny (20:44):Yeah, I think I'm thinking about nuance and complexity and knowing that I will be sharing time with people who see the world very differently than I do and who are some of the most generous people I know. And it's not in my opinion, because they're terrible people that they see the world they do. It's because they've had certain influences. And I really appreciate the attempt to not split the world into all or nothing good or bad. That's very hard for me. I have a very strong tendency to just go, Nope, you're in the bad bucket now. And I would say in the last couple years, living in the van has taught me more about nuance and complexity and that you can never really pin someone down. I think people will always surprise you. And so I'm trying to go into the holiday and being open to hold nuance and also trying to grow my ability to not stay silent when I witness violence spoken.Danielle(22:19):Like I said, my family's everything to me. So we have some traditions that were started when the kids were little. One is making the favorite pie of everyone in the family. And so I'm in pie phase today. I wrote up a list of the pies I want to make, and really this week is an excuse to do it.So I'm looking forward to that. I'm also looking forward to being with one of my dear friends, one of my forever people, and it's an excuse for us to be together, and we're just going to sit likely and laugh and do nothing and take advantage of the time off. So I think those two things like connection and food feel good to me often, and they feel really good to me right now.Jenny (23:05):Yes. And connection and food sounds like so much a part of this day that you're organizing and that you're planning. What are your hopes for December 2nd?Danielle (23:18):Is it Yeah, December 2nd, just a Tuesday. Yeah. My hopes is that one that some people were, and this is a valid question, why not just get meal packages ready and then people can cook them and take them home? And I think one of the things was is there's so much love that goes into preparing a meal, and that felt like a ritual for me when I was thinking about doing it that I didn't want to forego. So one, I want to feel like this was cooked, this had intention, this had thought behind it, and it was a lot of work, and that's okay. It's because they love you. And I know that kids go around and often feel like can feel lonely or outcast, and I know adults are feeling that way too. And I just wanted this to be, this is one moment where you can bet someone thought of you and loved you.(24:09):That was one thing. So love is a main thing. Second, I wanted it to taste good. That's what I hope it tastes good to people. And third is that there's an imagination in our community that there's so many things against us forming and working and collaborating together, but I hope it gives imagination. There's the political world out there, and there's the practical way of it affects us in one way. I think it affects us, is separating us from our bodies and from each other. And I think to combat that or for any change to happen, we have to find common themes to gather around. And I mean, like I said, there's very few people that can say no to feeding kids, and I just think it's an easy Yes. Let's do it. Yeah. Sorry to talk so much. I have so much to say about it.Jenny (24:59):No, I think it's important, and honestly, it's inspiring and challenging in a good way of, I think it's almost easier sometimes to be like, oh, there's so much I don't know what I can do. And you're just like, yeah, you can make food for someone. It doesn't have to be as complicated as we tend to make it. And I have witnessed that be a part of who you are for many, many years now, and I always am inspired to do better in my own way when I see you living into that.What's your favorite pie?Danielle (25:43):It was my favorite pie. Well, I started making homemade pumpkin, and that's when I realized I really like pumpkin pie. You bake the pumpkins. Have you done this? You cutDude, you got to do it. You cut them in half, you clean out the seeds, you save that for later, and you don't want the hair in there. I don't know what it's called in English, that string stuff, and then you salt it with the big salts and you bake it. That to me, that is like, oh, it's so good. So I like homemade pumpkin pie, but I also like chocolate pecan pie. I do like pecan pie. I like pie.What about you? What's your favorite?Jenny (26:27):I love so many pies too. I like strawberry rhubarb pie. That's probably my favorite.Danielle (26:34):Oh, I didn't know that about you.Jenny (26:36):Yeah. I do love pumpkin pie. I do love a really cinnamony apple pie. I had a Mexican chocolate pie once that was spicy. It was so good. Yeah, we actually had it at our wedding. We don't really like cake, so we did just a bunch of pies and it was so good. ThatMan. Okay. Okay. Now I really want some pie. Our oven in doesn't work, sadly, so we can't make pie.Danielle (27:08):You need to get another way of doing that, then you cannot not have pie.Jenny (27:14):I know. We'll be at some families next week, so I'm going to make them make a pie. Well,     Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

How Not To Suck At Divorce
178. The #1 Divorce Question That Will Impact Your Legal Strategy

How Not To Suck At Divorce

Play Episode Listen Later Nov 21, 2025 42:07 Transcription Available


If you're in the middle of a divorce and constantly asking yourself “WHY is this happening?”, this episode is about to save you money, misery, and a whole lot of emotional tailspinning.This week, Andrea and Morgan dive deep into the question that can either move your divorce forward—or completely derail you: WHY.When is asking why strategic?And when is it a waste of attorney fees (or your sanity)?To help break it all down, we're joined by Cary J. Mogerman, one of the most respected divorce attorneys in Missouri. Cary brings decades of experience, a wise-professor vibe, and a no-nonsense approach to helping clients understand the process clearly, calmly, and strategically.Cary J. Mogerman is one of the most highly regarded divorce lawyers in Missouri and wellknown to other top family law attorneys throughout the United States. He is a Fellow of the American Academy of Matrimonial Lawyers and in 2022, served as President of the national organization. He is a Diplomate of the American College of Family Trial Lawyers, an invitation-only assemblage limited to 100 members throughout the United States; Cary is a member of its executive committee. He is a Fellow of the International Academy of Family Lawyers.https://carmodymacdonald.com/people/cary-j-mogerman/In this conversation, you'll learn:Why “Why is this happening to me?” is a therapist question—not a lawyer questionHow to ask WHY in a way that strengthens your strategy, saves money, and reveals leverageWhy understanding your spouse's emotional triggers can completely shift mediationThe one communication mistake clients make that drives lawyers insaneWhen your lawyer should break things down in plain languageWhy slowing down your responses (yes, YOU) will prevent disasterHow to stop burning money on the wrong kind of questionsWhy the legal process feels slow, confusing, and unfair—and what to do with thatHow to advocate for yourself without apologizingPLUS: Andrea reveals a HUGE co-parenting milestone (Shabbat dinner with the ex… yes, seriously), and Morgan talks through why listeners were so triggered by last week's episode—and what that means for your own healing.This is the episode you NEED if you're negotiating, mediating, litigating, co-parenting, or just trying to get through the day without rage-texting your ex or panic-emailing your lawyer.Key Takeaways1. Not All “Why” Questions Are Helpful“Why is this happening?”“Why is he acting like this?”“Why is she being crazy?”These are human questions—but not legal ones.They belong in therapy, not in your billable hours.2. Strategic Why's Are POWERFULWhy are we filing this motion?Why is this our mediation plan?Why is my ex reacting this strongly to ONE issue?These help your attorney build a smarter, more effective case.3. Your Lawyer Should Explain Everything in Plain LanguageCary breaks down why attorneys NEED to simplify their communication—and why you should never feel embarrassed asking:“Can you explain that in normal-person English?”4. Your Spouse's Triggers = Your StrategyYou know your spouse better than anyone.Your insights help your attorney negotiate smarter and faster.5. Don't Make Split-Second Decisions During Emotional SurgesYou're not being chased by a bear.Slow down. Breathe. Don't respond immediately.You can literally save thousands of

Optometric Insights Media
#6 The Myopia Podcast - Randy Kojima: Topographies to Enhance Myopia Management Success

Optometric Insights Media

Play Episode Listen Later Nov 21, 2025 21:28


Send us a textJoin us as we explore the fascinating topographies that play a crucial role in enhancing myopia management success.Randy Kojima, with years of experience and a wealth of knowledge, guides us through the intricate landscapes of myopia management strategies. From innovative technologies to strategic interventions, we uncover the topographical nuances that can make a significant impact on effectively managing myopia.Discover the latest advancements in myopia research and gain valuable insights into the importance of personalized approaches. Randy shares real-world case studies and success stories, shedding light on how topographies have transformed the landscape of myopia management for both practitioners and patients alike.Whether you're a seasoned optometrist, a curious researcher, or someone affected by myopia, this episode provides a comprehensive exploration of the tools and techniques that contribute to successful myopia management outcomes.Tune in as we navigate through the multifaceted terrains of myopia management with Randy Kojima, unraveling the complexities and discovering the topographical keys to achieving success in the field. Don't miss this insightful conversation on The Myopia Podcast!About Randy Kojima:Randy Kojima is the Clinical Research and Development Director for Precision Technology based in Vancouver, Canada. He also serves as Research Scientist and Clinical Instructor at the Pacific University College of Optometry in Forest Grove, Oregon. Additionally, he is a clinical advisor to Medmont Instruments in Melbourne, Australia.Randy has published numerous articles and submitted posters on various contact lens related topics as well as been a contributing author in a number of text book chapters. He lectures globally and enjoys sharing insights, methods and research with eye care colleagues from around the world.Randy is a Fellow of the American Academy of Optometry, the British Contact Lens Association, the Scleral Lens Education Society and the International Academy of Orthokeratology.Review for Myopia Management: https://reviewofmm.com/------If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/

Life in Spanglish
Jessica Pimentel OITNB, Brujeria, Heavy Metal & Buddhism

Life in Spanglish

Play Episode Listen Later Nov 20, 2025 55:50 Transcription Available


Step into a powerful, wide ranging conversation with actress and artist Jessica Pimentel, the Brooklyn born Dominicana whose talent and spirit stretch across continents and creative worlds. Known globally for her seven season role as Maria Ruiz on Orange Is the New Black, Jessica is a three time SAG Award winner, a classically trained musician, and the fierce female vocalist of the heavy metal band Brujeria. A graduate of NYC’s iconic High School of Performing Arts and the American Academy of Dramatic Arts, Jessica’s artistry runs deep. She sings, plays violin, guitar, and bass, and brings a level of discipline and soul shaped by her journey as a Tibetan Buddhist, a practice she embraced back in the 90s. In our interview, she opens up about growing up Dominican in Brooklyn, the path that led her from city blocks to global stages, and why Sweden stole her heart as she now splits her life between Switzerland and New York. We get into everything, from her family’s stories and political views to the healing work behind the scenes and why we really shouldn’t eat the mangoes. It’s culture, creativity, spirituality, music, and truth told with cariño. A conversation about identity, legacy, and life en español, straight from a woman who has lived many lives and carries them all with power.See omnystudio.com/listener for privacy information.

Dental Digest
Managing Occlusion in Wear Patients with Dr. Gregg Kinzer

Dental Digest

Play Episode Listen Later Nov 20, 2025 32:10


Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram His interdisciplinary approach to dentistry is founded in both empirical research and clinical experience. He attended the University of Washington for both his undergraduate and graduate studies where he received his D.D.S. degree in 1995 and an M.S.D. and certificate in Prosthodontics in 1998. For his entire career, Dr. Kinzer has been committed to furthering the art and science of dental education. His unique ability to impart complex clinical processes in a logical, systematic and clear methodology differentiates him from other Prosthodontists and makes him a highly regarded educator nationally and internationally. He is a full-time teaching faculty at Spear Education in Scottsdale, AZ. where he is also resides as the Faculty Chairman and Director of Curriculum and Campus Education. Dr. Kinzer is an Affiliate Assistant Professor in the Graduate Prosthodontics Department at the University of Washington School of Dentistry and an Adjunct Faculty at Arizona School of Dentistry and Oral Health. Dr. Kinzer is a member of many professional organizations including the American Academy of Restorative Dentistry and the American Academy of Esthetic Dentistry, of which he is currently the sitting President. He serves on the editorial review board for several recognized dental publications and has written numerous articles and chapters for dental publication. He has been honored with the American College of Prosthodontics Achievement Award and in 2018, he received the Saul Schluger Memorial Award for Excellence in Diagnosis and Treatment Planning from the Seattle Study Club. In 2022 he was inducted into the World's Top 100 Doctors as part of the Interdisciplinary Cohort. In his free time, Gregg cherishes spending time his wife Jill and their 6 children. He enjoys anything that he can do outside: golfing, hiking, running, skiing, and biking, in addition to a nice glass of wine.

Autism Parenting Secrets
TARGETED Support Transforms

Autism Parenting Secrets

Play Episode Listen Later Nov 20, 2025 40:29


Welcome to Episode 282 of Autism Parenting Secrets.Every parent wants transformation for their child. But it doesn't come from guesswork. Real change happens when the right support is identified and applied with precision.That's why I'm excited to welcome back Dr. Jerry Kartzinel. He last joined us in Episode 199, “Autism is Treatable.” Dr. Jerry is a trusted leader in functional medicine and pediatrics with decades of experience helping children on the spectrum.This conversation is about why doing less, but with focus, can work better than trying everything — and how targeted nutrition and supplements can bring results that may surprise you.If you've felt overwhelmed by too many options or stuck in trial-and-error, this conversation will bring clarity.The secret this week is…TARGETED Support Transforms You'll Discover:Why Less Can Be More With Targeted Support (7:49)How Parents Can Avoid Trial-And-Error Burnout (13:05)The First Steps Dr. Jerry Recommends For Families (19:36)Why Generic Protocols Rarely Deliver Transformation (25:15)A Story Of Transformation Through Precision Support (32:54)How Coaching Helps Parents Maximize Practitioner Guidance (39:04)About Our Guest:Dr. Jerry Kartzinel is a Board-Certified pediatrician and a Fellow in the American Academy of Pediatrics who specializes in the recovery of neurodevelopmental, chronic neuro-inflammatory diseases, and hormonal dysfunctions. He is the author of the best-selling book Healing and Preventing Autism (co-authored with Jenny McCarthy). Dr. Jerry has helped thousands of children on the autism spectrum through targeted, individualized medical care. https://drjerryk.com/https://www.mendingnaturally.com/References In This Episode:APS Episode 199 “Autism IS Treatable” w/ Dr. Jerry Kartzinel Additional Resources:To learn more about personalized 1:1 support, go to www.elevatehowyounavigate.comTake The Quiz: What's YOUR Top Autism Parenting Blindspot? If you enjoyed this episode, share it with your friends.

Climate Positive
The rise of solar and hope for the future | Bill McKibben

Climate Positive

Play Episode Listen Later Nov 20, 2025 32:51


In this episode of Climate Positive, Gil Jenkins speaks with Bill McKibben: author, educator, and one of the most acclaimed environmental voices of our time. His latest book, Here Comes the Sun, traces the rise of abundant, inexpensive solar power and argues that if we keep accelerating, we have a real chance not only to limit climate damage, but also to reorder the world on saner and more humane grounds. We dig into the data, the politics, and the people driving the global shift to solar, and Bill also opens up about the role of faith in his work and how he views the environmental movement's trajectory today.Links:Bill McKibben WebsitePurchase Bill's Book - Here Comes the Sun: A Last Chance for the Climate and a Fresh Chance for CivilizationBook Excerpt: 4.6 Billion Years On, the Sun Is Having a Moment – The New Yorker, July 9, 2025Substack: The Crucial Years - Bill's ongoing essays on climate, energy, and activismSun Day WebsiteThird Act WebsiteArticle: Sunday Was Also Sun Day - The New York Times, Sept. 20, 2025Episode recorded on October 20, 2025 About Bill:Bill McKibben is founder of Third Act, which organizes people over the age of 60 for action on climate and justice. His 1989 book The End of Nature is regarded as the first book for a general audience about climate change, and has appeared in 24 languages. He's gone on to write 20 books, and his work appears regularly in periodicals from the New Yorker to Rolling Stone. He serves as the Schumann Distinguished Scholar in Environmental Studies at Middlebury College, as a fellow of the American Academy of Arts and Sciences, and he has won the Gandhi Peace Prize as well as honorary degrees from 20 colleges and universities. He was awarded the Right Livelihood Award, sometimes called the alternative Nobel, in the Swedish Parliament. Foreign Policy named him to its inaugural list of the world's 100 most important global thinkers. McKibben helped found 350.org, the first global grassroots climate campaign, which has organized protests on every continent, including Antarctica, for climate action. He played a leading role in launching the opposition to big oil pipeline projects like Keystone XL, and the fossil fuel divestment campaign, which has become the biggest anti-corporate campaign in history, with endowments worth more than $40 trillion stepping back from oil, gas and coal. He stepped down as board chair of 350 in 2015, and left the board and stepped down from his volunteer role as senior adviser in 2020, accepting emeritus status. He lives in the mountains above Lake Champlain with his wife, the writer Sue Halpern, where he spends as much time as possible outdoors. In 2014, biologists credited his career by naming a new species of woodland gnat—Megophthalmidia mckibbeni–in his honor.Book Blurb:From the acclaimed environmentalist, a call to harness the power of the sun and rewrite our scientific, economic, and political future. Our climate, and our democracy, are melting down. But Bill McKibben, one of the first to sound the alarm about the climate crisis, insists the moment is also full of possibility. Energy from the sun and wind is suddenly the cheapest power on the planet and growing faster than any energy source in history—if we can keep accelerating the pace, we have a chance. Here Comes the Sun tells the story of the sudden spike in power from the sun and wind—and the desperate fight of the fossil fuel industry and their politicians to hold this new power at bay. From the everyday citizens who installed solar panels equal to a third of Pakistan's electric grid in a year to the world's sixth-largest economy—California—nearly halving its use of natural gas in the last two years, Bill McKibben traces the arrival of plentiful, inexpensive solar energy. And he shows how solar power is more than just a path out of the climate crisis: it is a chance to reorder the world on saner and more humane grounds. You can't hoard solar energy or hold it in reserves—it's available to all.There's no guarantee we can make this change in time, but there is a hope—in McKibben's eyes, our best hope for a new civilization: one that looks up to the sun, every day, as the star that fuels our world. Email your feedback to Chad, Gil, Hilary, and Guy at climatepositive@hasi.com.

Optometric Insights Media
#5 The Myopia Podcast - Dr. Dwight Akerman: Business Models of Myopia Management

Optometric Insights Media

Play Episode Listen Later Nov 20, 2025 32:29


Send us a textIn this podcast we will pick his brain to talk with us about the Business Model of Myopia Management. He will walk us through the business models he heard of. Here we can learn the biggest roadblock oh how he incorporates myopia management to a busy primary care practice. As we all know Myopia practice takes a little bit of time.If you want to implement and you don't want to do this yourself then you need to HIRE a recent graduate that has an interest in children and myopia management.  About Dr. Dwight Akerman: Dr. Dwight Akerman serves as the Chief Medical Editor at Review of Myopia Management, the world's most widely subscribed myopia journal. He is an internationally recognized senior healthcare leader with extensive experience in myopia management, peer education & communications, medical marketing, innovation, financial management, and M&A/business development & licensing.Dr. Akerman was the Vice President & Global Head of Professional Affairs & Business Development for Alcon before retiring from this role in 2019. He has published widely and is a frequently invited peer educator on myopia management, cornea, contact lens, and business management topics. Dr. Akerman graduated cum laude from the Illinois College of Optometry and earned an MBA degree from the University of Texas. He has achieved the status of Diplomate of the American Academy of Optometry Cornea, Contact Lenses & Refractive Technologies Section, Fellow of the International Association of Contact Lens Educators, and Fellow of the British Contact Lens Association. He currently serves as Chairman of the Board of Trustees of the Illinois College of Optometry. --------Thanks to TEEM for their support of this episode. If you're considering or have ever considered getting a virtual team member for your practice check out hiredteem.com, mention The Myopia Podcast when signing up for a $250 dollar discount off of your first month's teem member.https://hireteem.com/myopia-podcast/

JPO Podcast
AACPDM 2025

JPO Podcast

Play Episode Listen Later Nov 19, 2025 46:53


This special episode brings you inside the 79th Annual Meeting of the American Academy of Cerebral Palsy and Developmental Medicine (AACPDM), held in New Orleans, October 15–18, 2025. Join host Tyler McDonald from the University of South Alabama as he attends his first AACPDM meeting and highlights the moments, conversations, and clinical insights most relevant to pediatric orthopedic surgeons. Hosted, recorded, and produced by Tyler McDonald. Intro music by A. A. Aalto. Additional royalty-free music provided by Pixabay. Link to Jon David's diagnostic matrix for gait analysis: https://journals.lww.com/jbjsjournal/pages/articleviewer.aspx?year=2003&issue=11000&article=00028&type=Citation

Charting Pediatrics
Seizure or Something Else?

Charting Pediatrics

Play Episode Listen Later Nov 18, 2025 28:01


Not every episode that looks like a seizure is one, and for pediatricians, distinguishing the difference can be challenging. Few moments in the clinic can feel as urgent, or as uncertain, as evaluating spells. In this episode, we unravel the mysteries of seizures and their mimics to prevent misdiagnosis and avoid unnecessary intervention. This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Shavonne Massey, MD. She is a neurologist at Children's Hospital of Philadelphia and an Assistant Professor of Neurology at the University of Pennsylvania School of Medicine. Some highlights from this episode include:  Differentiators between seizures and mimics  What pediatricians can do when a child is experiencing a seizure  Key factors they can look for during an exam  Most common seizure mimics that present in children depending on age  For more information on Children's Colorado, visit: childrenscolorado.org. 

The Carlat Psychiatry Podcast
AACAP Policy Statement – Expanding Access to Care for the Autism Community

The Carlat Psychiatry Podcast

Play Episode Listen Later Nov 17, 2025 24:08


For years, autism care has centered on one model, but that's changing. The American Academy of Child and Adolescent Psychiatry just redefined what evidence-based care really means. This shift could transform how we support children and families.CME: Take the CME Post-Test for this EpisodePublished On: 11/17/2025Duration: 24 minutes, 07 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Straight White American Jesus
Weekly Roundup: MAGAworld Splinters: Epstein Revelations, Civilizational Populism, and the Future of the GOP

Straight White American Jesus

Play Episode Listen Later Nov 14, 2025 67:35


MAGAworld Splinters: Epstein Revelations, Civilizational Populism, and the Future of the GOP In this episode of Straight White American Jesus, hosts Brad O'Ri and Dan Miller discuss the tumultuous week surrounding U.S. politics, including the recent government shutdown, infamous Epstein emails, and the ensuing so-called 'MAGA Civil War.' They delve into the escalating division within MAGA ranks, highlighting the civilizational populism driving figures like JD Vance. Additionally, they explore the friction between Pope Leo and the American Council of Bishops concerning immigration policies. As a side note, the hosts announce their upcoming appearance at the American Academy of Religion Conference in Boston. Learn more about your ad choices. Visit megaphone.fm/adchoices