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Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzEpisode SummaryThis week Mikki talks with Dr Robert Kushner, an obesity medicine physician, educator and researcher with over four decades in the field. He is Professor Emeritus at Northwestern University Feinberg School of Medicine, a founder and the first chair of the American Board of Obesity Medicine, and a past president of The Obesity Society. He was also the corresponding author on the STEP 1 semaglutide trial published in the New England Journal of Medicine in 2021, and sat on the steering committee for SELECT — so he has watched this field from the inside, before and after GLP-1 receptor agonists arrived.The conversation traces what clinicians actually understood about obesity in the 1980s and 90s, Bob's own leptin trial and why it did not deliver, and how reframing obesity as a biological disease led researchers to the gut hormones. From there it moves into the practical territory: how the clinical conversation has shifted from counting calories to diet quality, which side effects are real and which are social media noise, what happens to muscle mass and physical function, how dose escalation should actually work, why hunger returning is not the same as weight regain, and what the evidence says about stopping. Bob is careful throughout to separate what the trials show from what is still unknown, which makes this a useful listen whether you work with clients on these medications or are weighing them up yourself.Key TopicsWhat clinicians believed about obesity three decades ago — excess body fat was known to cause system-wide harm, but the mechanisms, and appetite dysregulation in particular, were not understood, and weight regain after lifestyle intervention was already expectedBob's own leptin trial in the 1990s, published in JAMA, and why leptin turned out to be a useful biological signal rather than a treatment — it defends against weight loss but was never built to stop overeatingThe STEP 1 result and why it changed the field: 15% average weight loss at 68 weeks against a previous benchmark of 6–9%, with a third of participants losing 20%How the clinical conversation shifted from quantity to quality — when the medication does the heavy lifting, the questions become whether someone is eating enough, staying hydrated and getting sufficient protein, rather than how to control cravingsWhich side effects are real and which are overstated: GI effects are the genuine shared profile and can be substantially reduced through diet during dose escalation, while hair thinning and facial fat loss follow large weight loss by any routeMuscle mass, sarcopenia and the groups who need watching, alongside the consistent finding that physical function and quality of life improve in trials — possibly because fatty infiltration of muscle resolvesDose escalation in the real world versus the trial protocol, and why there are still no pretreatment predictors of who will respondWhy appetite drifting back is normal and not a failure — Bob's framing of restored appetite regulation at a lower body weight, with "the amplitude smaller than it was before"Benefits beyond weight loss, including SELECT's 20% reduction in cardiovascular events on top of standard care, plus sleep apnoea, knee osteoarthritis, MASH and psoriasis — driven both by weight loss and by independent mechanismsCost and access, microdosing, extending the interval between injections, and where bariatric surgery still fitsChapters00:00 Introduction05:13 Obesity medicine before GLP-1s13:34 Gut hormones and the STEP 1 result21:00 From calorie counting to diet quality25:00 Side effects and social media myths29:54 Muscle mass, function and exercise35:08 Dose escalation and who responds40:30 When hunger comes back46:37 Stopping the drug, cost and access52:24 Benefits beyond weight loss57:37 Long-term safety and microdosing1:01:10 Coming off, surgery and what's nextGuest / ResourcesDr Robert KushnerProfessor Emeritus, Northwestern University Feinberg School of MedicineFounder and first chair of the American Board of Obesity MedicinePast president of The Obesity SocietyAuthor or editor of 15 books, 56 book chapters and 230 original and review articlesWebsite: drrobertkushner.comBooksSix Factors to Fit: Weight Loss that Works for You! — written for the patientPatient-Centered Weight Management: The Six Factor Professional Program and Toolkit — written for the clinicianTrials and studies discussedSTEP 1 — once-weekly subcutaneous semaglutide, New England Journal of Medicine, 2021. 1,961 adults, 68 weeks, ~15% average weight loss. Bob was the corresponding authorSTEP 1 extension — the off-treatment follow-up showing weight regain after stoppingSELECT — semaglutide versus placebo in 17,000 people with obesity or overweight and pre-existing cardiovascular disease but no diabetes, over nearly four years. A 20% reduction in second heart attack, stroke or cardiovascular death, on top of standard care. Bob sat on the steering committeeSURMOUNT-1 extension — participants with pre-diabetes maintained on treatment for three years, with weight remaining stableLook AHEAD — an intensive behavioural therapy trial in diabetes; of those who lost 10% of body weight, around 40% maintained it for about four years without medicationKushner's leptin trial (1990s) — placebo versus leptin injections, published in JAMAA tirzepatide dose-reduction study — 15mg reduced to 5mg, with partial weight regainA randomised microdosing study in people with diabetes — standard monthly dose escalation versus gradual weekly escalation to the same final dose, showing better tolerability and fewer dropouts. Bob refers to this study but does not name it, so it is referred-to-but-not-identifiedResearchers mentionedAndres Acosta, Mayo Clinic — phenotype and biomarker work on predicting treatment responseOrganisationsNorthwestern University Feinberg School of MedicineAmerican Board of Obesity MedicineThe Obesity SocietyObesity Action CoalitionNovo Nordisk — the sponsor of STEP 1Mayo ClinicMedications and hormones discussed GLP-1 receptor agonists; semaglutide; liraglutide; tirzepatide; phentermine; topiramate; naltrexone; bupropion. Gut hormones: GLP-1, GIP, glucagon, amylin. Also leptin, insulin, statins, beta blockers, testosterone and oestrogen.Terms that come up Appetite dysregulation; food noise; leptin resistance; medu...
You're taking a GLP-1 medication, but the scale isn't moving the way you expected. Maybe you've even watched someone else say they lost 20 pounds in two months and wondered, "Why isn't this working for me?" If you've been asking yourself that question, I want you to know that your experience with a GLP-1 medication may look very different from someone else's. In this episode, I'm breaking down four reasons you may not be losing as much weight as you expected on a GLP-1, and what I look at when a patient tells me their medication isn't working. I'll also talk about something that can easily get lost when we compare our weight loss journey to what we see on social media. Before you decide that your GLP-1 has failed, there are some important questions to consider. Your dose, your overall health habits, your nutrition, and your treatment plan can all be part of the bigger picture. If you're frustrated by slow weight loss on a GLP-1, listen to this episode before you assume you're doing something wrong. Episode Highlights: Why your weight loss may not look like someone else's, even when you're taking the same type of medication What I look at when a patient feels their GLP-1 isn't working When your dose may be part of the picture Why nutrition and lifestyle still matter during GLP-1 treatment A question you may not expect to ask when your appetite has changed When it may be time to reassess your treatment plan Why comparing your progress to someone on social media can be misleading The mindset I want you to have when your weight loss isn't moving as quickly as you hoped Connect with Dr. Alicia Shelly Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
How are you supporting the hygienists who are committed to doing their best work, and does your practice give them the equipment, communication, and environment they need to succeed? In this episode, Kirk Behrendt talks with Katrina Sanders, a practicing periodontal hygienist, speaker, and consultant, about the other side of the dental hygiene shortage and why high-performing hygienists sometimes leave practices where they do not feel supported. You will learn how to create better clinical alignment, establish productive feedback systems, invest in the tools your hygiene team needs, and build an environment where licensed professionals can contribute solutions and do their best work. To learn how dentists and hygienists can work together to improve alignment and patient care, listen to Episode 1098 of The Best Practices Show!Main Takeaways:Hygienists who are committed to high-level patient care need appropriate instruments, equipment, and support to perform their jobs effectively.Practice owners should create regular opportunities for hygienists to communicate what equipment and resources they need.Clinical calibration should happen intentionally rather than through disagreements or inconsistent decisions in front of patients.Dentists can undermine a hygienist's credibility when they contradict clinical concerns in front of patients without prior alignment.Practices should establish clear standards of excellence so dentists and hygienists understand how clinical decisions will be made.A 1-3-1 feedback system can help team members present one problem, three possible solutions, and one recommended solution instead of simply making complaints.Hygienists who do not feel encouraged to do their best work may choose to leave a practice even when compensation is not the primary issue.Episode Chapters:00:00 Kirk introduces Katrina Sanders and the question of how practices take care of the people who take care of patients.01:40 Katrina shares her background as a practicing periodontal hygienist, speaker, consultant, and advocate for committed dental hygienists.02:42 Katrina explains why highly motivated hygienists may leave practices where they cannot practice to the top of their abilities.05:37 Katrina discusses her keynote at RDH Under One Roof and the importance of hygienists practicing beyond simply cleaning teeth.08:02 Katrina describes an instrument exercise that revealed how many hygienists continue using equipment that should be retired.09:29 Hygienists share challenges with getting support for new equipment and protocols in their practices.12:25 Kirk and Katrina discuss authentic dialogue, artificial harmony, and fear of workplace conflict.15:22 Creating safe feedback loops17:00 Why access to effective instruments matters clinically20:58 Alignment in hiring and culture23:37 Katrina discusses how the hygiene shortage gives practices an opportunity to create environments where hygienists can thrive.25:21 Dentists and hygienists misalignment and how it can damage the hygienist's credibility26:57 Katrina describes intentional clinical calibration and quality assurance processes used in her practice.29:03 The importance of maintaining agreed-upon clinical standards and signaling support for the hygiene team.31:57 The 1-3-1 feedback system for turning problems into solution-based conversations.33:34 Katrina discusses data showing significant job movement among dental hygienists and why work environment matters.37:08 How to create a structured, solution-based communication for the hygienist, dentist, practice, and patient.41:49 Katrina shares an example of worn periodontal probes contributing to poor periodontal diagnosis and treatment numbers.44:00 Resources & wrap upGuest Bio/Guest Resources:In the ever-changing world of dental science where research, technology, and techniques for patient care are constantly evolving, dental professionals look to continuing education to provide insight, deliver actionable steps, empower, and create a dramatic impact within their clinical practice.With wit, charm, and a dash of humor, Katrina Sanders enchants dental professionals with her course deliverables, insightful content, and delightful inspiration. Her message of empowerment rings mighty throughout her lectures and stirs a deep sense of motivation amongst course participants.Katrina is the Clinical Liaison for AZPerio, the country's largest periodontal practice. She performs clinically, working alongside Diplomates to the American Board of Periodontology in the surgical operatory. Katrina perfected techniques during L.A.N.A.P. surgery, suture placement, IV therapy, and blood draws. She instructs on collaborative professionalism and standard-of-care protocols while delivering education through hygiene boot camps and study clubs.Resources mentioned:Website: www.katrinasanders.comInstagram: https://www.instagram.com/thedentalwinegenist/Program: https://katrinasanders.com/speaking/https://smilesource.com/exchangeBuild your own kit with PDT!: https://pdtdental.com/pages/personalized-care?_pos=4&_sid=3d5b8ccfe&_ss=r More Helpful Links for a Better Practice & a Better Life:Contact Gina to learn more about ACT: gina@actdental.comThe Best Practices Show: https://www.actdental.com/podcast/Smile Source Community Hub: https://www.actdental.com/community-hubUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com
Madeleine Simmons is a nationally respected trial attorney, equity partner, public servant, and advocate who has personally recovered more than $100 million in settlements and verdicts for her clients. On The VIBE with Kelly Cardenas #844, Madeleine brings the kind of perspective that can only come from standing for people when the stakes are real—and choosing service, leadership, and justice as a calling.Madeleine is an equity partner with Stewart Miller Simmons Trial Attorneys, a City Councilwoman for the City of Brookhaven, and Past President of the Georgia Trial Lawyers Association.Her résumé is extraordinary—but the woman behind it is even more compelling.Madeleine has served as lead counsel in more than 30 personal injury jury trials across 11 Georgia counties, representing people whose lives have been changed through the negligence of others. Her work spans premises liability, sexual assault, motor vehicle, and trucking cases, and she has been consistently selected to the Georgia Super Lawyers list.But leadership, for Madeleine, extends far beyond the courtroom.She invests in developing and mentoring other attorneys, has coached law-school mock trial, serves on Georgia's Civil Justice Political Action Committee board, and is a fellow of the American Board of Trial Attorneys. She is also a sought-after speaker on leadership, management, trial strategy, complex motions, and evidentiary practice.At the center of all of it is something much simpler:Madeleine Simmons believes helping others is both her professional and spiritual calling.That conviction is what makes this conversation different.Success can give you a platform.Leadership gives you responsibility.Service gives it meaning.
Send us Fan MailOn this episode of the Less Stressed Life, we're continuing our September focus on perimenopause with Dr. Carrie Jones, who is back to break down what actually happens to our hormones during the perimenopause transition and why symptoms aren't always as straightforward as they seem.We talk about the stages of perimenopause, early symptoms, hormone testing, and why fatigue or changing hormones may be related to perimenopause, something else, or both. Carrie also explains how declining estrogen can affect insulin resistance, body composition, belly fat, cholesterol, and blood pressure, plus how to know when HRT (hormone replacement therapy) may make sense, why HRT isn't one size fits all, and the foundational pieces that still matter throughout the transition.Check out Carrie's other episode, #93 Hormone Testing & Stress Hormones - https://www.buzzsprout.com/775589/episodes/2394305KEY TAKEAWAYS:
Building a successful medical practice takes far more than being a great physician. Dr. Soheila Rostami shares the lessons she learned building two practices from the ground up—including how to identify your ideal patient population, hire and retain high-performing staff, create a strong practice culture, and use market research and technology to stay competitive.Soheila Rostami, MD, FAAO, FAACS, is a double board-certified surgeon, renowned for her expertise in oculoplastic and facial aesthetic surgery.As the founder and medical director of Sanctuary Cosmetic Center and Rostami Oculo Facial Plastic Consultants, Dr. Rostami has dedicated her career to enhancing both the function and beauty of the face through advanced surgical and non-surgical techniques.With over two and a half decades of experience, Dr. Rostami is a sought-after expert in facelift and eyelid surgery, facial rejuvenation, and aesthetic injectables.Dr. Rostami have performed thousands of cosmetic and reconstructive surgeries over the last 25 years and have created a unique- state of the art AAAHC accredited Surgical Center in her McLean, Virginia Location- serving the state of Virginia, Maryland, the District of Colombia in addition to patients who fly in to see her from all over the world.Dr. Rostami is also a Fellowship Director for the American Board of Cosmetic Surgery, where she hosts a Fellow for 1 year at a time to help the cosmetic surgeons of the future become experienced and board eligible. In this episode, we discuss:What does it really take to build a successful medical practice from the ground up?How can physicians develop a unique value proposition instead of simply copying what competitors are doing?What role does marketing research play in understanding what your patients actually want and need?How do you find the right people for the right roles—and recognize when a highly skilled employee may still be a poor fit for your practice?What can physicians do to build, motivate, and retain a high-performing team?How can bonuses, recognition, and other incentives be used to reward exceptional performance?What systems help keep a growing practice organized and running smoothly?What does an effective hiring process look like, and what kinds of interviews are best before making an offer?How can physicians prevent burnout and chaos by creating a culture of accountability and organization?How is Dr. Rostami using AI to improve patient education, scheduling, and surgical center operations?From hiring the right people to knowing when to let the wrong ones go, Dr. Rostami offers a candid look at the people, systems, and business decisions behind a thriving medical practice. Her biggest lesson? Building a successful practice is a continuous process of learning, adapting, and surrounding yourself with the right team.Interested in learning more about my telehealth direct specialty care practice? At AmazVita MD, I help patients optimize weight and metabolic health, harmonize hormones in peri/menopause, and enhance wellness and vitality. Accepting new patients now.Website:amazvitamd.comEmail:hello@amazvitamd.comLearn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/ Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/Connect with Dr. Rostami:Instagram (Dr. Rostami):@beautybyDrRostamiInstagram (Sanctuary Cosmetic Center):@sanctuarycosmeticcenterWebsite:https://www.sanctuarycosmeticcenter.com/Linktree:https://linktr.ee/SanctuaryCosmeticCenter/
In this episode of little teeth BIG Smiles, Dr. Joel Berg sits down with Dr. Ann Bynum to explore what it takes to build a strong, thriving pediatric dental practice. From the power of language and creating a true team culture to transparency, mentorship, shared decision-making and fostering a growth mindset, Dr. Bynum shares practical insights from her years of experience as a practice owner, mentor and leader. The conversation offers valuable advice for pediatric dentists at every stage of their careers, discussing how to bring new doctors and team members into the culture, create clear expectations and build systems that support long-term success. Guest Bio: Dr. Ann Bynum is a board-certified pediatric dentist originally from Ocala, Florida. She completed her undergraduate studies at Florida State University before earning her dental degree from the University of Iowa, where she met her husband, Dr. Matt Bynum. She went on to complete her specialty training in Pediatric Dentistry at the University of Texas Health Science Center in San Antonio. In 1997, Dr. Bynum moved to Greenville, South Carolina, and opened her pediatric dental practice in Simpsonville. As a mother of three boys, she brings both professional expertise and personal insight to her care—deeply understanding the art and science of pediatric dentistry and parenting. Dr. Bynum is a Diplomate and examiner of the American Board of Pediatric Dentistry (ABPD) and an active member of several professional organizations, including the Southeastern Society of Pediatric Dentistry (SSPD), the American Academy of Pediatric Dentistry (AAPD), and the American Dental Association (ADA). She currently serves as the Southeastern Trustee for the AAPD. A passionate educator and leader, Dr. Bynum has lectured nationally and authored numerous articles on topics such as customer service, marketing, leadership, teamwork, burnout, financial wellness, and pediatric airway health—including tethered oral tissues and sleep-disordered breathing. Outside of dentistry, Dr. Bynum enjoys traveling and spending time with her husband. She is especially passionate about working on her practice—focusing on growth, systems, and team development. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Episode Overview In part two of this two-part series on Dental Digest, host Dr. Melissa Seibert and dual-boarded periodontist/prosthodontist Dr. Ashley Hoders challenge the conventional assumption that implants are always the gold standard in the anterior aesthetic zone . They explore why maxillary laterals and mandibular incisors are biologically hazardous sites for implants, how to choose mechanical over biologic failure, and how root submergence preserves vital bundle bone and papilla architecture . Guest Information Guest: Dr. Ashley Hoders, DDS, MS Credentials & Affiliations: Dual board-certified diplomate and fellow of the American Board of Periodontology and the American Board of Prosthodontics; MS from the University of Texas Health Science Center at San Antonio . Clinical researcher with the McGuire Institute, co-creator of Spear Hygiene, visiting faculty at the University of Washington Graduate Periodontics Department, and active member of the American Academy of Restorative Dentistry . Key Clinical Takeaways 1. The Fallacy of the Anterior Implant "Gold Standard" Maxillary lateral incisors and mandibular incisors represent non-strategic implant locations due to narrow space, thin facial bone, and continuous lifetime craniofacial changes . Natural adjacent teeth and jaws continue to move, erupt, and remodel across a patient's lifespan, whereas ankylosed/osseointegrated implants remain static, causing mismatched incisal edges and uneven gingival zeniths over time . 2. Mechanical Complications vs. Biologic Disasters Conservative cantilevered or single-retainer resin-bonded bridges achieve a $approx 98%$ success rate over 10+ years in properly managed occlusal schemes . Fixed tooth-supported alternatives fail through mechanical inconvenience (e.g., wing debonding or connector fracture), which is easily repaired . Implants carry biologic risk: at least 50% of implants exhibit inflammation or peri-implant disease, introducing chronic inflammatory challenges into an avascular environment where treatment is unpredictable . 3. Two-Layer Diagnostic & Treatment Planning Dual perio-prosthodontic diagnostics require planning not just for the immediate edentulous site, but predicting what happens when adjacent teeth compromise (e.g., adjacent traumatized central incisors) . 3D planning dictates restorative pathways before surgery, verifying whether crestal morphology necessitates cement-retained versus screw-retained solutions . Placing an anterior implant too shallow or too facial is the ultimate "kiss of death" for long-term peri-implant tissue stability . 4. Biologic Tension and Muscular Equilibrium Bone stability relies on eliminating tension from the surrounding musculature (lips, cheeks, and tongue) and establishing a robust collar of keratinized mucosa . Genetic cell turnover rates and masticatory function continuously challenge crestal bone margins . 5. Root Submergence & Partial Extraction Therapy Anterior facial bone is frequently $
In this episode, Dr. Jordan Whatley and Dr. Jason Silverman talk to Dr. Sarah Lusman, Pediatric Gastroenterologist at Morgan Stanley Children's Hospital and an Associate Professor of Pediatrics at Columbia University. She is the Program Director of the Pediatric GI Fellowship Program there as well as the Director of Pediatric Fellowship Training (across all pediatric subspecialties). She is also the Chair of the NASPGHAN Training Committee. During the episode, we discuss the significant pediatric subspecialty fellowship changes proposed by the American Board of Pediatrics (ABP) including the possibility of 2-year pediatric GI fellowships.Learning objectives1. Describe the proposed changes to Pediatric GI Fellowship training announced by the American Board of Pediatrics in April 20262. Understand the process of implementing these changes and what Pediatric GI Fellowship Training Programs can do now to prepare for them3. Understand the long-term impact of these changes to Pediatric GI training and the field of Pediatric GILinksABP Press Release from April 2026ABP Competency-Based Medical Education and Entrustable Professional Activities InformationPediatric GI Entrustable Professional Activities (Updated August 2026)Send us Fan MailSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.
Have you ever wondered whether compounded GLP-1 medications are as safe and effective as brand-name medications? Or how you can tell if a GLP-1 or peptide product is fake? In this episode of Back on Track: Achieving Healthy Weight Loss, I'm continuing my Ask the Obesity Doctor series, where I answer real questions you've left on my YouTube videos and social media. This time, I'm talking about safety. I'll answer five questions about compounded GLP-1 medications, counterfeit and black-market products, medication interactions, side effects, and something I hear frequently from patients: "Ozempic face." I'll explain the difference between brand-name and compounded medications and why compounded medications have not gone through the same rigorous testing as brand-name medications. I'll also talk about why you can't reliably tell whether a GLP-1 or peptide product purchased from the black market is authentic or counterfeit. I'll discuss medication combinations that require extra caution when taking GLP-1 medications, including oral birth control and warfarin, and what you should do if you experience symptoms that concern you. Finally, I'll explain what people mean when they talk about "Ozempic face," why it doesn't happen to everyone, and why you shouldn't assume your experience with a GLP-1 medication will be the same as someone else's. These are questions I hear frequently, and my goal is to help you better understand what to discuss with your own healthcare provider. This episode is for education only and is not a substitute for personalized medical advice. Episode Highlights: The difference between brand-name and compounded GLP-1 medications Why compounded medications have not gone through the same rigorous testing as brand-name medications Why you cannot reliably tell if a black-market GLP-1 or peptide product is authentic Why I recommend avoiding counterfeit and black-market peptide products Medication combinations that require extra caution when taking GLP-1 medications What to do if you experience unusual or concerning side effects What "Ozempic face" actually means and why it doesn't happen to everyone Why you should not compare your GLP-1 experience to someone else's If you haven't listened to Part 1 yet, I recommend starting there and then continuing with this episode for the second set of questions. Listen to Part 1: #254: Ask the Obesity Doctor Part 1: GLP-1, Contrave, Thyroid, Dosing & Calories https://bit.ly/BackOnTrackEpisodes If you're using a GLP-1 medication, considering one, or simply trying to understand the information you're seeing online, I hope this episode helps you have a more informed conversation with your healthcare provider. Connect with Dr. Alicia Shelly Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Long before Phernell Walker became a master optician and the first Black chair of the American Board of Opticianry, a childhood encounter gave him a reason to care about sight. Speaking with Tarrance Lackran at the United Opticians Association Leadership Conference in Chicago, Walker traced a remarkable journey from poverty and limited expectations to national […]
In the latest podcast, host George Schmidt, DMD, FAGD interviews Brett Gilbert, DDS, FICD, Dip ABE, professor of endodontics at the University of Illinois Chicago and a diplomate of the American Board of Endodontics, about best practices for endodontic treatment. Dr. Gilbert, who will be teaching Endo Unlocked (https://www.agd.org/my-agd/benefits/continuing-education/agd-events-details/2026/10/16/default-calendar/endo-unlocked--build-confidence--master-technique---hands-on-workshop) in Chicago this October, shares insights on case selection, when to refer to a specialist, and how factors such as patient comfort, psychology and ability to open can be just as important as tooth anatomy. The conversation also explores the role of CBCT, dental microscopes and lasers in modern endodontics, as well as one- versus two-visit treatment. Dr. Gilbert discusses his upcoming Endo Unlocked hands-on course for AGD, his Access Endo Impact Academy mentorship program, and his podcasts On the Cusp (https://plinkhq.com/i/1704062186/e/?to=page) and For the Love of Endo (https://podcasts.apple.com/in/podcast/for-the-love-of-endo-podcast/id1896307326). Dr. Gilbert graduated from the University of Maryland Dental School with his DDS in 2001 and completed his endodontics training in 2003. He is a professor in the Department of Endodontics at the University of Illinois at Chicago and a diplomate of the American Board of Endodontics. He is the founder of the Access Endo Impact Academy, a global direct-mentorship continuing education platform, and a fellow of the International College of Dentists. Dr. Gilbert lectures nationally and internationally on clinical endodontics, personal wellness and new technology. He is a contributing consultant for Oral Health Journal. He is also a global key opinion leader in endodontics and emerging dental technology. Learn more at www.drbrettgilbert.com or follow him on Instagram at @drbrettgilbert.
The radiologist shortage is real, and international medical graduates (IMGs) are already helping solve it. Sohrab Afshari Mirak, MD, speaks with cohosts Surbhi Raichandani, MD, and Sherry Wang, MBBS, about his path from Tehran to UCLA, the American Board of Radiology Alternate Pathway, visa hurdles, and what IMGs bring to patient care. Listen to their discussion in episode 3 of Difficult Conversations, an AJR Podcast Series. *Key Takeaways Beyond the Step Score: Residency programs should not filter IMG applicants based on USMLE scores or graduation gaps; letters of recommendation and other application components offer additional important information. The ABR Alternate Pathway: Recent changes by the American Board of Radiology now allow internationally trained radiologists to complete their four required fellowship years non-consecutively within an eight-year window, significantly reducing a source of uncertainty. Clinical Diversity: IMGs bring unique proficiencies and skill sets developed in healthcare systems with workflows that differ from in the United States. *Chapters 0:00 - Welcome and Intro 0:54 - Impact of Radiologist Shortage 3:43 - Dr. Mirak's IMG Journey 6:07 - Residency Screening Pitfalls 10:02 - Letters and Observerships 12:14 - Research and Networking Tips 15:21 - ABR Alternate Pathway 18:52 - Visa Choices and Waivers 25:44 - Cultural Support for IMGs 28:38 - Global Models and IMG Value 35:56 - One Policy Change 38:05 - Closing Thoughts Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
Tongue tie is a process not just a procedure. We say this all the time but not all providers actually mean they practice interdisciplinary care. Dr Jaju at Smile Wonders in Virginia is a big advocate for collaborating with other providers. Katie and Dr Jaju discuss the trends causing babies to not be treated young, all about interdisciplinary care and communication and aftercare. As we said it's a whole process not just a procedure. Listen here for the episode Podcast Guest: Dr. Rishita Jaju, is a Board Certified Pediatric Dentist, and founder of Smile Wonders in Reston, VA. She is a Harvard trained mommy dentist, a TEDx speaker, author and a published expert in Pediatric Laser Dentistry. Dr. Rishita's expertise in laser dentistry and passion for infant oral health have come from her experience in providing care for thousands of infants, toddlers and children with feeding difficulties over the last 15+ years. She is one of the few pediatric dentists in the country who has achieved Advanced Laser Proficiency Certification and Mastership Status from the Academy of Laser Dentistry as well as Breastfeeding Specialist Certification from Lactation Educational Resources. Her service as the chief resident and visiting faculty at Children's National Medical center, the Council of Clinical Affairs for American Academy of Pediatric Dentistry and as a part of the Examination Committee of the American Board of Pediatric Dentistry, has given her a unique opportunity to have a positive influence on her profession. When it comes to research and publications her work can be found in peer reviewed journals on topics of pediatric dental care for patients with special healthcare needs, behavior guidance, esthetic dentistry, pain management and lasers in dentistry. Her numerous live and virtual training to introduce the benefits of laser applications have been well received by her colleagues in general dentistry, pediatricians, lactation consultants, speech pathologists and other allied healthcare professionals. Each year she participates in Give Kids a Smile initiative to provide pro bono care for children of Northern Virginia in an effort to give back to her community. Dr. Rishita and her husband are both proud UGA bulldogs who adore their son and their 2 Maltese doggies named Kaju and Kulfi. They have traveled together all over the world and have visited every continent (except Antarctica).Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine. While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs. Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply. Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.comSupport the show
Detailed Show Notes Episode Overview In part one of this two-part series on Dental Digest, host Dr. Melissa Seibert sits down with dual-boarded periodontist and prosthodontist Dr. Ashley Hoders to examine the latest consensus literature on peri-implant soft tissue deficiencies, biologic bone preservation, and the biomechanics of skeletal expansion . They unpack why soft tissue recession is fundamentally a bone problem, how thin tissue starved of blood supply triggers crestal loss, and why treating skeletal arch deficiencies with dental compensation compromises cortical bone . Guest Information Guest: Dr. Ashley Hoders, DDS, MS Credentials & Affiliations: Dual board-certified diplomat and fellow of the American Board of Periodontology and the American Board of Prosthodontics; MS from UT Health Science Center at San Antonio . Clinical researcher with the McGuire Institute, co-creator of Spear Hygiene, visiting faculty at the University of Washington Graduate Periodontics Department, and active member of the American Academy of Restorative Dentistry (AARD) . Key Clinical Takeaways 1. The Reality of Peri-Implant Soft Tissue Deficiencies Recent joint consensus papers (AO/AAP) reveal that non-diseased peri-implant soft tissue deficiencies have an overall prevalence of 46.2% . These deficiencies worsen over time: 33% at 1 year and 64.5% at 5 years . Clinicians should exercise caution when planning implants in the aesthetic zone and consider alternative modalities (such as resin-bonded bridges) when appropriate . 2. Mid-Facial Margins vs. Interproximal Papilla Interproximal papilla height is dictated primarily by the bone levels on adjacent natural teeth . Mid-facial mucosal margin stability is driven by facial bone thickness (which is frequently $
What questions do you have about GLP-1 medications and weight loss? In this episode of Back on Track: Achieving Healthy Weight Loss, I'm doing something a little different. I'm answering five real questions that viewers have left on my YouTube videos and social media about weight loss medications. I'll talk about whether you can take Contrave with a GLP-1, whether GLP-1 medications are an option if you have hypothyroidism or Hashimoto's disease, and whether it's safe to increase your dose faster if you aren't experiencing side effects. I'll also explain what to do if you need to change your injection day or miss a dose, and how to think about calorie intake when you're trying to lose weight. These are questions I hear frequently, and I want to give you a better understanding of the issues to discuss with your own healthcare provider. This podcast is for education only, and because I don't know your individual medical history, it's important to talk with your own doctor about what's right for you. Episode Highlights: Can Contrave can be taken with a GLP-1 How Contrave may help with hunger, cravings, and food noise GLP-1 medications and hypothyroidism or Hashimoto's disease Which thyroid conditions are contraindications for GLP-1 medications Why I recommend starting at a low dose and increasing slowly How I decide when it may be time for a patient to increase their dose What to do if you need to change your GLP-1 injection day What happens if you miss a GLP-1 dose Why eating too little can work against your weight-loss efforts How the NIH Body Weight Planner can help you determine your calorie needs Why fueling your body with balanced meals is important during weight loss And this is just Part 1. In Part 2 of Ask the Obesity Doctor, I'll answer more questions about GLP-1 safety, compounded and counterfeit medications, black-market peptides, medication interactions, side effects, and "Ozempic face." If you're using a GLP-1 medication, considering one, or simply have questions about weight loss medications, I hope these answers help you have a more informed conversation with your healthcare provider. Connect with Dr. Alicia Shelly Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
In this episode of Dean's Chat, Dr. Jeffrey Jensen and Dr. Johanna Richey sit down with Joseph Park, DPM, FACFAS, Assistant Professor at the Western University of Health Sciences College of Podiatric Medicine and Program Director of the Riverside University Health System PMSR/RRA Residency.Dr. Park discusses his path through podiatric medicine, from the New York College of Podiatric Medicine to residency at MedStar Georgetown University Hospital/Washington Hospital Center, followed by fellowship training in foot and ankle trauma and reconstructive surgery.The conversation explores Dr. Park's transition into academic medicine, his role as an educator and residency program director, and his perspectives on mentorship, surgical training, residency preparation, and the future of podiatric medical education.Board certified by the American Board of Foot and Ankle Surgery in Foot Surgery and Reconstructive Rearfoot/Ankle Surgery, Dr. Park brings a valuable perspective on combining advanced surgical training with teaching and academic leadership.Join Drs. Jensen and Richey for a conversation about podiatric education, residency training, reconstructive surgery, mentorship, and developing the next generation of podiatric physicians.KeywordsJoseph Park DPM, WesternU College of Podiatric Medicine, Riverside University Health System, podiatry residency, PMSR/RRA, podiatric medical education, foot and ankle surgery, reconstructive rearfoot ankle surgery, ABFAS, ACFAS, Dean's ChatHashtags#DeansChat #Podiatry #PodiatricMedicine #PodiatricEducation #PodiatricResidency #FootAndAnkleSurgery #WesternU #ABFAS #ACFAS
Weight maintenance is a challenging topic for both clinicians and patients. In this special episode, Neil Skolnik is joined by Jamie Almondoz, MD, who discusses the toxic narratives that have historically been part of the weight loss conversation, and the latest strategies for maintaining a healthy weight after the initial loss. This special episode is sponsored with support from Lilly. Please listen to the episodes by clicking on the podcast player below or by freely subscribing to DOC Updates via Apple Podcasts, Amazon Music, Spotify, or your preferred podcast platform. Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Jamie Almondoz, MD, Professor of Internal Medicine and the Medical Director of the Weight Wellness Program at the University of Texas Southwestern Medical Center and Vice-Chair of the American Board of Obesity Medicine (ABOM) References: Tirzepatide for maintenance of bodyweight reduction in people with obesity in the USA (SURMOUNT-MAINTAIN): a multicentre, double-blind, randomised, placebo-controlled trial. Lancet. June 2026; 407:2305-2318 Effect of Continued Weekly Subcutaneous Semaglutide vs Placebo on Weight Loss Maintenance in Adults With Overweight or Obesity The STEP 4 Randomized Clinical Trial. JAMA 2021;325;(14):1414-1425 Orforglipron for maintenance of body weight reduction: the double-blind, randomized phase 3b ATTAIN-MAINTAIN trial. Nat Med 32, 2679–2687 (2026) Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022; 24(8): 1553-1564
One month into the Medicare GLP-1 Bridge program, I've learned that getting approved is less complicated once you understand the pathway. But there are several important details that can cause delays if you don't know what to look for. In this episode, I walk you through what I've learned from helping patients navigate the Medicare GLP-1 Bridge during its first month. We cover who qualifies, which medications and formulations are included, when you may need to use Medicare Part D instead, and what your doctor, pharmacy, and you need to do to keep the process moving. I'll also explain why your current BMI may not be the BMI that matters, why the pharmacy claim needs to happen before the prior authorization, and why staying engaged with both your pharmacy and doctor's office can make a difference. And once you actually get your medication, I shift the conversation to what you should be doing to maximize your results, including getting adequate protein, moving your body, strength training, and staying engaged with your medical team. If you're trying to navigate the Medicare GLP-1 Bridge program for yourself or a loved one, this episode will help you understand the process and the questions you need to ask. Episode Highlights: ● What the Medicare GLP-1 Bridge program is and how it differs from Medicare Part D ● The three main eligibility pathways for the Bridge program ● Why your BMI when you started GLP-1 therapy may matter more than your current BMI ● When certain medical conditions may require you to use the regular Medicare Part D pathway ● Why having eligible Medicare Part D coverage matters ● Which GLP-1 medications and formulations are included in the Bridge program ● Why the correct Zepbound formulation matters ● What your pharmacy needs from your Medicare information ● Why the pharmacy claim needs to happen before the prior authorization ● How to follow up when your prescription seems stuck in the process ● What to focus on once you actually receive your medication ● Why protein, exercise, strength training, and medical follow-up remain important ● What we currently know about what happens when the Bridge program ends Connect with Dr. Alicia Shelly Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Dr. Clarke, the president-elect of the American Animal Hospital Association, a co-owner of a small animal hospital, a diplomate of the American Board of Veterinary Practitioners, and a member of the AVMA Veterinary Economics Strategy Committee, is our guest this week. His commitment to advanced learning led him to become board-certified through the American Board of Veterinary Practitioners, while his passion for elevating veterinary care expanded into service with professional organizations including AAHA and AVMA. Dr. Clarke also reflects on balancing professional service with family and team commitments and explains why strong relationships remain at the heart of a successful veterinary career.Thank you to our podcast partner, NVA General Practice. NVA helps great vets become even greater with multiple paths to build a career that's uniquely yours. Wherever you want to go next, NVA has a path to help you get there. Visit Careers.NVA.com to find your next role.Join Dr. Clarke at the 2026 Veterinary Business and Economic Forum, online October 7-8. Thought leaders and innovative researchers will share the latest information on business trends that affect local veterinary hospitals. Come away with actionable insights and easy-to-implement action guides to build your own success strategy. Register here today!
In this episode of the AAOS Now Podcast, host Doug Lundy, MD, MBA, FAAOS, sits down with two guests who offer differing perspectives about the American Board of Orthopaedic Surgery (ABOS) Knowledge, Skills, and Behavior (KSB) Program. David F. Martin, MD, Executive Director of the ABOS, offers the board's perspective on why the Knowledge, Skills, and Behavior (KSB) Program exists, why it is now required, and where it's headed; Ellen Lutnick, MD, a PGY5 at the University of Buffalo and chair of the AAOS Resident Assembly Executive Committee, shares her experience of living with the program day to day. Together, they trace the KSB Program from its 2018 launch through its 2025 requirement for residents entering the ABOS Part I exam pathway. Dr. Martin explains that the program grew out of decades of interest in competency-based medical education and a recognition that time alone doesn't guarantee a resident has developed adequate orthopaedic knowledge, surgical skill, and professional behavior. He walks through why the ABOS made participation mandatory, how the program integrates with ACGME case logging, and the distinction between formative feedback – meant to help residents improve – and summative feedback, like board exams, that produces a pass or fail outcome. Dr. Lutnick describes how the program was rolled out at Buffalo, what it's actually like to request feedback after or before a case, and how she's learned to be strategic about which cases to submit for evaluation. She also speaks candidly about receiving feedback she disagreed with, how professional behavior assessments surface blind spots, and what other residents have told her they would like to see change about the KSB Program. The conversation closes with a look at where the program might go next, including whether the ABOS will eventually tie participation to specific performance scores rather than just completion numbers. Dr. Martin encourages residents to reach out with feedback so ABOS can continue to make the assessments even more helpful and easier to incorporate into a resident's busy schedule. Key topics covered in this episode: The origins of the KSB Program and its roots in competency-based medical education Why the ABOS chose to make KSB participation a requirement for the Part I exam Integration between the ABOS case entry system and the ACGME The difference between formative and summative assessment in residency training Strategies to help residents decide which cases to submit for surgical skills evaluation How professional behavior assessments are designed to identify outliers rather than track linear growth The role of verbal vs. written feedback in resident education Resident perspectives on receiving and processing critical feedback Survey fatigue and efforts to streamline the evaluation process What residents want to see improved, including access to individual professional behavior results Where the program may be headed, including the possibility of performance-based scoring requirements Residents starting to navigate the KSB Program will find real value in hearing how a peer has learned to use the tool strategically, not just to meet a requirement, but to actively shape the feedback they receive. Host: Doug Lundy, MD, MBA, FAAOS, Deputy Editor, AAOS Now; Chair, AAOS Now Podcast Workgroup Guests: David F. Martin, MD, Executive Director, American Board of Orthopaedic Surgery; Professor, Orthopaedic Surgery and Rehabilitation (Winston-Salem), Wake Forest University School of Medicine Ellen Lutnick, MD, Chair, AAOS Resident Assembly Executive Committee; PGY5 and Resident Research Coordinator, University of Buffalo Department of Orthopaedics and Sports Medicine
In this episode, David Turner, MD, FAAP, discusses the American Board of Pediatrics' proposed changes to pediatric fellowships. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Mario Morales, PhD, about bullying, suicidality and opioid-specific risks in U.S. adolescents. For resources go to aap.org/podcast.
Peter J. Katsufrakis, MD, MBA, is president and CEO of NBME. Dr. Katsufrakis previously served as senior vice president of Assessment Programs at the National Board of Medical Examiners and is recognized nationally in the medical education and assessment community, both for his work at the NBME and in past roles advancing professionalism, HIV education, clinical training, and medical education administration. Prior to joining the NBME, Dr. Katsufrakis's positions included associate dean for student affairs and associate professor of clinical family medicine at the Keck School of Medicine at the University of Southern California, where he received several teaching and outstanding service awards for his work. He has also served as a clinical associate professor of family and community medicine, at Sidney Kimmel Medical College at Thomas Jefferson University. Dr. Katsufrakis is licensed to practice medicine in Pennsylvania and is a diplomate of the American Board of Family Medicine. He is a member of the American Academy of Family Physicians and has served many organizations as a member, including the International AIDS Society, the American Academy of HIV Medicine, and the Association of American Medical Colleges Group on Student Affairs in many roles on committees and task forces.
How do medicine, artistry, and psychology come together to transform lives?In this episode, award-winning journalist Melvin E. Edwards sits down with internationally recognized facial plastic and reconstructive surgeon Dr. Michael Brandt for a thoughtful conversation about confidence, identity, aging, innovation, and the responsibility that comes with changing someone's appearance.Dr. Brandt discusses his journey into facial plastic surgery, the ethics behind cosmetic procedures, advances in non-surgical treatments, the influence of social media, and why the most successful procedures often preserve—not replace—a person's natural identity. As an educator, researcher, and surgeon, he also shares his perspective on the future of facial aesthetics and the importance of mentoring the next generation of physicians.Whether you're considering cosmetic treatment, work in healthcare, or simply enjoy conversations about leadership and human potential, this episode offers valuable insight into one of medicine's most fascinating specialties.In This Episode* Dr. Brandt's path to facial plastic surgery* Why confidence is often more important than perfection* The psychology behind cosmetic procedures* Ethical decision-making in aesthetic medicine* The rise of non-surgical facial rejuvenation* How social media has changed patient expectations* Innovation in facial plastic surgery* Leadership, education, and building a world-class practice* The future of facial aestheticsAbout Dr. Michael BrandtDr. Michael Brandt is a Royal College–certified Otolaryngology–Head & Neck Surgeon who practices exclusively in facial plastic and reconstructive surgery. He completed an internationally recognized fellowship at the University of Michigan and is among the few Canadian surgeons certified by the American Board of Facial Plastic & Reconstructive Surgery. In addition to treating patients, he serves as an Assistant Professor at the University of Toronto and is an internationally recognized educator and researcher in facial plastic surgery.Connect with Dr. Michael BrandtFORM Face + Body
Summit night on Kilimanjaro started at 11:40pm in complete darkness, with nothing but a headlamp and the next step in front of me. Nine hours later, I reached the roof of Africa. If you've ever felt like your health journey is moving backward before it moves forward, this episode is for you. In this part two finale, I'm sharing the final four lessons from my Kilimanjaro climb: why progress sometimes means going higher before you go lower, why trusting the process matters before you see results, how I made it through the hardest section by focusing on just 15 steps at a time, and why reaching the summit is only half the journey. Weight loss isn't linear, and neither is life. Your scale, your habits, your body, they're all adapting in ways you can't always measure. Setbacks aren't failures, they're often part of the process. You'll learn how to stop chasing dramatic results, trust the small steps in front of you, and understand why maintaining your progress is just as important as reaching it. Episode Highlights: Lesson five: why sometimes progress means climbing higher before sleeping lower Why weight loss isn't linear, and how to stop mistaking a plateau for failure Lesson six: trusting the process before you can see the results Lesson seven: the 15 steps, 5 breaths strategy that got me to the summit Why focusing only on the next step matters more than seeing the whole mountain Lesson eight: why reaching the summit is only half the journey What descent and maintenance have in common, and why both take just as much intention Why the life you want is built through ordinary, repeated choices, not one dramatic moment Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
In this episode of the STS Thinking Thoracic podcast, host Dr. Jane Yanagawa is joined by Dr. John Mitchell—Chief of Thoracic Surgery at the University of Colorado and incoming Chair of the American Board of Thoracic Surgery (ABTS)—to unpack critical updates from the board. Their discussion provides an inside look at how the ABTS operates, how surgeons can get involved, and key changes to initial and continuing certification pathways, including the recent transition from a 10-year to a 5-year certification cycle. Together, these updates are designed to help diplomates keep pace with modern clinical practice.
Send us Fan MailDr. Jocelyn Foran is a Canadian medical doctor and Staff Anesthesiologist at Nova Scotia Health Authority, holding a Fellowship from the Royal College of Physicians and Surgeons of Canada (FRCPC) and a Diplomat of the American Board of Obesity Medicine.Through her private practice, Upstream Metabolic Medical, she promotes ketogenic and carnivore diets as treatments for chronic disease and metabolic conditions — dietary approaches that remain contested within mainstream nutrition science and are not endorsed by major public health bodies.While her clinical background is in anesthesiology rather than nutrition or dietetics, she has pursued additional training as a Metabolic Health Practitioner through the Nutrition Network, an organization that advocates low-carbohydrate diets.Metabolism is the process of turning food into form and function- yes, we ARE what we eat. Our metabolism is the core to our health, balancing everyday building (anabolism) with the breakdown of cells (catabolism). In our 21st-century toxic food environment, many of us are now living with metabolic dysfunction and chronic diseases that result: high blood pressure, obesity, insulin resistance, diabetes, infertility, autoimmune illnesses, mental illnesses and cancer. These chronic diseases are not cured, but rather “managed” with medications, often for the rest of our lives.Metabolic coaching focuses on root cause healing to address and reverse chronic illnesses, empowering patients to improve their health by addressing lifestyle issues.Find Dr. Jocelyn Foran at-https://www.metabolicmedical.ca/aboutIG- @MetabolicMedicalFB- @Metabolic MedicalFind Boundless Body at-myboundlessbody.comBook a session with us here!
Addiction affects millions of people, yet stigma and misunderstanding often prevent people from seeking help. In this episode of Health Matters, host Courtney Allison speaks with Dr. Jonathan Avery, an addiction psychiatrist at NewYork-Presbyterian and Weill Cornell Medicine, about the realities of addiction and recovery. Dr. Avery explains that addiction is more than a problem of willpower. Drawing on research and clinical experience, he discusses how genetics, mental health, trauma, social factors, and brain chemistry all play a role in the development of substance use disorders and behavioral addictions. The conversation examines how addictive behaviors, from alcohol use and opioid dependence to gambling and social media use, affect the brain's reward system and why quitting can be so difficult. Dr. Avery also shares how newer treatments, including medications and emerging research on GLP-1 medications, are changing the landscape of addiction care. Finally, Dr. Avery discusses the importance of reducing stigma, building supportive communities, and recognizing that recovery is possible. He offers practical advice for people who may be struggling themselves as well as guidance for supporting loved ones with compassion and understanding. Chapters 00:00 – What Is Addiction? Why addiction is more than a substance, the role of trauma and mental health, and what happens in the brain 05:05 – Gambling, Screens, and Modern Addictions How behavioral addictions affect the brain and why smartphones have changed the landscape 09:00 – Treatment, Recovery, and New Hope Available therapies, medications, emerging GLP-1 research, and why most people do get better 11:30 – Breaking Stigma and Supporting Recovery Why connection matters, how addiction overlaps with mental health, and ways to support loved ones Key Topics Covered Addiction Recovery Substance use disorders Alcohol use disorder Opioid addiction Fentanyl epidemic Behavioral addictions Gambling addiction Social media addiction Gaming addiction Nicotine and vaping Dopamine and reward pathways Withdrawal Mental health and addiction Trauma and addiction Addiction stigma Recovery support Community and connection Addiction treatment Medication-assisted treatment GLP-1 medications Self-medication hypothesis Depression and addiction Anxiety and addiction Addiction psychiatry Key Takeaway Addiction is a complex health condition influenced by brain biology, mental health, life experiences, and environment, not simply a lack of willpower. While quitting can be challenging, effective treatments, supportive communities, and growing understanding of addiction are helping more people achieve lasting recovery. Reaching out for help is often the first and most important step. Bio: Jonathan Avery, M.D., is an addiction psychiatrist at NewYork-Presbyterian/Weill Cornell Medical Center and vice chair of addiction psychiatry, a professor of clinical psychiatry, and the Stephen P. Tobin and Dr. Arnold M. Cooper Professor in Consultation-Liaison Psychiatry at Weill Cornell Medicine. He is the program director for the addiction psychiatry fellowship at NewYork-Presbyterian and Weill Cornell Medicine. He also serves as the medical director of the NBA's Anti-Drug Program. Dr. Avery graduated from the New York University School of Medicine and completed his psychiatry residency at New York-Presbyterian/Weill Cornell Medical Center. During residency, he was selected as a Group for the Advancement of Psychiatry Fellow, served as co-chief resident in his final year, and received several awards for his clinical and academic work. He then completed a fellowship in addiction psychiatry at the New York University School of Medicine before joining the faculty at Weill Cornell Medicine. Dr. Avery has published widely in addiction psychiatry, with work spanning clinician attitudes toward patients with addiction, treatment approaches for substance use disorders, and the intersection of mental illness and addiction. He is the founder of the NewYork-Presbyterian and Weill Cornell Medicine Program for Substance Use and Stigma of Addiction, and his research on stigma has been supported by multiple national grants and awards. He has served on the editorial board for the DSM-5 Clinical Cases book and is the editor and author of more than 10 books, including Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment and The Stigma of Addiction: An Essential Guide. His forthcoming book, Thriving with Addiction: A New Roadmap for Lasting Recovery and Health (Prometheus Books, 2026), explores how recovery can become a pathway to improved brain and physical health. Dr. Avery is also the host of the Thriving with Addiction podcast, where he interviews leading researchers, clinicians, athletes and public figures about addiction, recovery and behavior change. He has received numerous awards for his clinical and academic work, including the American Board of Psychiatry and Neurology Faculty Innovation in Education Award and the Outstanding Faculty Member Award from the New York County Psychiatric Society.
Over a week ago, I stood at 19,341 feet on the roof of Africa, Mount Kilimanjaro. It was the hardest thing I've ever done, harder than any Ironman or marathon. But somewhere between the rainforest and the summit, I realized I wasn't just climbing a mountain. I was watching my patients' weight loss journeys play out in front of me. In this episode, I'm sharing the first four lessons Kilimanjaro taught me about health, resilience, and what it actually takes to accomplish something hard. From the invisible prep work no one applauds, to why "pole pole" (slowly) is the secret to going further, this episode reframes what progress really looks like. Your summit isn't built in one dramatic moment. It's built in thousands of small, unglamorous decisions, the walk after dinner, the water instead of soda, the appointment you finally book. You'll learn why plateaus and slow progress aren't failures, why community and encouragement matter as much as calories, and why the hardest and most important step is simply saying yes. Episode Highlights: Why the journey begins long before the mountain, or the diet, ever starts The invisible decisions behind every success story nobody sees Lesson two: why "pole pole" (slowly) is the pace that actually gets you there Why our culture's obsession with fast results works against how bodies really change Lesson three: why encouragement on the journey matters as much as the plan itself Lesson four: why saying yes before you feel ready is the hardest and most important step Why no single meal, workout, or medication changes your life, consistency does The one question to ask yourself this week to keep moving forward Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
In this episode, editor-in-chief Joseph E. Safdieh, MD, FAAN, highlights articles about a pilot American Board of Psychiatry and Neurology Academic Pathway, a study of the EpiWatch app, and a new approach to magnetic resonance scanning.
Dr. Bobby Elliott returns to the podcast to chat about burnout as it relates to patient and practice management and education. He and Dr. Berg talk through solutions focused on his mantra – “Educate, don't convince.” – that support office culture and patient/family satisfaction and trust. Dr. Elliott shares his tools for identifying work/life imbalance and building connection and investment in one another. Guest Bio: Dr. Bobby Elliott is from Louisville, Kentucky where he graduated from the University of Louisville School of Dentistry. His pediatric dental residency was completed at the UNC School of Dentistry and UNC Memorial Hospital in Chapel Hill. Dr. Elliott is a Diplomate of the American Board of Pediatric Dentistry and was an Adjunct Clinical Professor at both the University of North Carolina and University of Louisville Schools of Dentistry. Dr. Elliott lectures throughout the year to other dentists, specialists, dental team members and residents about positive office culture. In his “not so much free time”, he has founded his own pediatric dental consulting business, Pedo Springboard, Inc. to help residents and pediatric dentists successfully start their own practice. He also has co-founded a second consulting business, Pediatric Dental Directions, to help private practitioners establish legacy leadership and a positive work culture. Dr. Elliott is a recognized authority on the development of creative and innovative office designs for pediatric dental practices and is often called upon to consult with new office construction as well as dental team development and practice. He works with his best friend & partner and 14 rockstar TEAM members and has been in private practice for 28 years in Cary, NC. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Millions of people suffer with foot trouble. Some have heel pain when they first get out of bed. Others complain of flat feet or bunions. Athlete's foot is very common, though it doesn't always respond as expected to antifungal medications. Speaking of fungus, toenail fungus can be extremely stubborn. What are your feet trying to tell you about what they need? How can you keep them healthy, especially in the summertime? At The People's Pharmacy, we strive to bring you up to date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, August 1, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on August 3, 2026. What Are Your Feet Trying to Tell You? Most everyone looks forward to summer vacation, but that special time away from the usual routine may pose challenges for your feet. Whether you are hiking in the mountains or running on the beach, you may need to pay attention to your tootsies. Time at the Beach Beach time can inspire long walks on the sand, but soft sand could really put a strain on foot muscles that aren't accustomed to it. Our expert guest, podiatrist Jane Andersen DPM, recommends wearing good running shoes for walking long distances on sand. Choosing to walk where the sand is hard-packed when the tide is low can also be helpful. Possibly the most important but easily overlooked step to protect feet at the beach is to apply sunscreen. The tops of the feet are easily overlooked, but they can burn pretty readily. And if you are planning to spend time sunbathing prone, you might even want to apply sunscreen to the bottoms of your feet. They never see the sun, and walking on sunburned soles could be quite painful. Protecting Bare Feet Another consideration at the beach is how you will get from the parking lot or boardwalk to the water. How hot is the sand? If it is hot enough to burn the soles of your feet, you might consider using water sandals. In general, going barefoot can be risky. Whether you're at the beach, at a campground, in your own backyard or even inside your home, there are potential hazards underfoot. Bits of glass shards, little pieces of wire, tiny pebbles or nails could all cause havoc if they end up embedded in a sole. Protecting your soles by wearing good flip-flops makes a lot of sense. To find a list of flip-flops that provide appropriate arch support as well as sole protection, consult apma.org. Treating Black Toenails During this episode, Joe describes a trip to the beach with a long walk. By the time he removed his shoes, his longest toe had a black toenail that was rather painful. Although the pain faded before too long, it took about a year for the dark color to disappear from the nail. Dr. Andersen suggests that it often takes at least nine months to regrow a toenail. She emphasizes that if the nail turns black due to sudden trauma (like dropping something heavy on the toe), a podiatrist should check it out. Sometimes there is a fracture under that discolored nail that requires medical attention for proper healing. What Is the Story on Flat Feet? Joe has always had flat feet. Perhaps your feet are flat, too. The condition is pretty common. If Joe gets out of a bathtub or swimming pool and leaves footprints, they are almost oval. There is very little indentation in the center. Other people with higher arches may leave footprints that are nearly C-shaped. Flat feet can benefit from arch support such as orthotic inserts for shoes. High arches can also cause trouble, especially if they are linked to a genetic condition called Charcot-Marie-Tooth. It is a nerve disorder that can also lead to muscle weakness. Consequently, people with high arches may also need podiatric care for their feet to stay comfortable and healthy. Plantar Fasciitis Is a Pain The bottoms of your feet have thick connective tissue called fascia that run from the heel to the ball of the foot. Inflammation of this tissue causes pain, typically at the heel but sometimes along the arch. Often, more supportive footgear or special orthotics can help. Getting a shoe with the correct heel drop is important. That is the difference between the height of the shoe at the heel and at the toe. A podiatrist can recommend the most appropriate heel drop for your feet. Stretching is also useful, particularly pulling the toes toward the knee or stretching the calf in a runner's stretch pose and holding for 30 seconds or so. Rolling the bottom of the foot on a frozen water bottle helps with the stretch at the same time that the cold eases the inflammation. Plantar fasciitis is common and treatable. If left untreated, it may last a long time. What Can You Do About Stinky Feet? A couple of listeners shared their experiences with smelly feet, and we asked Dr. Andersen for her opinion. Jan described using a topical erythromycin antibiotic prescription that came as a roll-on. She also got rid of all her stinky shoes and is careful to wear socks that will wick sweat away. Dr. Andersen noted that erythromycin is very effective against a bacterial infection with Corynebacterium minutissimum. This organism glows coral under ultraviolet light and can definitely raise a stink. Sophia wrote about developing smelly feet after walking around in wet shoes. She finally solved the problem by treating her feet with rubbing alcohol. Dr. Andersen agreed that rubbing alcohol could be helpful. So can soaking the feet in a strong solution of tea. Other tips include cleaning the floor of the shower stall frequently and always wearing socks that wick–not cotton, which absorbs sweat but traps the moisture. Acrylic or wool work better. Another tactic is to alternate shoes; don't wear the same shoes day after day but give them at least a day to dry out. How Should You Treat a Sprained Ankle? There has been controversy lately about the standard RICE protocol for a sprain: rest, ice, compression and elevation. Some experts now recommend warmth instead of ice and gentle motion rather than rest immediately after a sprain. Of course, the first step is to ascertain that it is really a sprain and not a fracture. The treatment for those two injuries is completely different and the person suffering the problem may not be able to tell just from the way it feels. An X-ray is prudent. Bunions and Hammer Toes If you don't suffer from bunions, you might not know what they are. In a bunion, the bone that supports the big toe (the metatarsal) moves out of alignment and starts to point more towards the midline of the body. To compensate, the rest of the big toe ends up pointing back toward the rest of the foot. This creates a bump on the edge of the foot that might be painful. There doesn't seem to be any clear correlation between the size of the bump and the amount of pain it causes. Bunions seem to be hereditary, at least to some extent. Conservative management entails choosing footwear with a roomy toe box, not pointy-toed shoes. Podiatrists also correct bunions surgically. They can choose from a wide range of surgical approaches. In hammer toes, one of the toes (typically the second toe) curls over so that the end that would normally face forward points downward. This too can be corrected surgically, but the recovery can be pretty lengthy. A roomy toe box is also a good bet for living with hammer toe. Taking Care of Your Feet We asked Dr. Andersen for general advice, and she suggested that one very important consideration is to buy your athletic shoes in person, preferably at a store that caters to athletes. Buy the proper shoes for your activity; in other words, don't try to play pickleball in running shoes. One nationwide chain that does a good job fitting the shoe to the athlete is Fleet Feet. Locally, she recommends Bull City Running. This Week’s Guest Dr. Jane Andersen, Board Certified, American Board of Foot and Ankle Surgery, is in practice at Chapel Hill Foot and Ankle, part of FASMA, Foot and Ankle specialists of the Mid Atlantic, in Chapel Hill, North Carolina. Dr. Andersen specializes in Foot and ankle care for Children, Adults, Athletes and Geriatric Patients including surgery and conservative care. She is a Trustee of the American Podiatric Medical Association. January 18, 2025, Jane Andersen, DPM, was awarded the Edwin B. Martin, Jr., Award for Podiatrist of the Year. https://www.chapelhillfootandankle.com/dr-jane-andersen Jane Andersen, DPM, Chapel HIll Foot and Ankle Listen to the Podcast The podcast of this program will be available Monday, August 3, 2026, after broadcast on Aug. 1. This week's podcast has additional information on smelly feet as well as foot and nail fungus. What remedies or medications work best? How long does it take for nail to grow out? What are the best toenail clippers? (Miltex) You can stream the show from this site and download the podcast for free.
I had a patient walk into my office recently looking frustrated. She sat down, crossed her arms, and said, "Dr. Shelly, my medication has stopped working. I lost 32 pounds, but for the last six weeks my weight hasn't budged. Am I immune to this medication?" If you've looked at the scale lately and wondered the same thing, this episode is for you. In this episode, I'm walking you through the seven most common reasons weight loss plateaus happen, from still being on a starting dose to hidden medical conditions like thyroid issues or PCOS that can quietly work against you. I'll also break down why protein intake and resistance training matter more than most people realize once a GLP-1 medication kicks in. But here's what matters most: a plateau doesn't mean your medication has failed. Your body is incredibly smart, and adapting is exactly what it's designed to do. You'll learn exactly what's happening biologically during a stall, and the five practical steps to get your progress moving again. Episode Highlights: Why plateaus are a normal, expected part of every weight loss journey, not a sign of failure Why your starting dose may not be your effective dose yet How low protein intake quietly stalls progress and costs you muscle Why resistance training protects the muscle mass your metabolism depends on How untreated sleep issues like sleep apnea can sabotage results The hidden medical conditions, from thyroid issues to PCOS, that can slow weight loss Why hitting a plateau might actually mean you've already succeeded Five practical steps to get moving again when progress stalls Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Join us for a conversation with Jon Dossett, DMD, FACD, FICD, MAGD, ABGD, is an assistant professor in the Department of Comprehensive Dentistry at the University of Texas Health San Antonio School of Dentistry and a nationally recognized educator, speaker, and leader in general dentistry. The discussion focuses on Dossett's career in dentistry, his involvement in organized dentistry, and his leadership roles within the AGD and Texas AGD. Dossett shared insights into how his military background and early involvement in dental organizations prepared him for leadership positions. He discussed the importance of mentorship and getting young dentists involved in leadership early on, highlighting the success of Texas AGD in engaging students and new dentists. The conversation covered the Lone Star Dental Conference, its hybrid learning model, and the integration of the Master Track program. A graduate of the University of Kentucky College of Dentistry, Dossett served 30 years as a dentist in the U.S. Air Force before transitioning to dental education. He was recently honored with the Lifelong Learning and Service Recognition, having previously earned his Mastership and Fellowship. He has dedicated his career to advancing excellence in patient care, continuing education, and mentorship. Dossett is actively involved in organized dentistry at the local, state, and national levels. He serves on the board of the Texas Academy of General Dentistry and as vice chair of its Education Committee. He has also held leadership roles with the San Antonio Academy of General Dentistry, the American Board of General Dentistry, the American Dental Education Association, and several other professional organizations. An accomplished lecturer, Dossett has delivered more than 1,800 hours of continuing education to dental professionals throughout his career. His contributions to dentistry have been recognized with numerous honors, including the 2023 Texas Dentist of the Year Award and the Academy of General Dentistry's 2023 Faculty of the Year Award.
Dr. Davoudian is a board-certified Health psychologist with expertise in reproductive mental health. She provides psychotherapy to patients who are pregnant, postpartum or seeking fertility treatment. Dr. Davoudian also offers psychological consultations for individuals utilizing third-party reproduction as well as assessments of gamete donors and gestational surrogates. Her research interests include psychological aspects of third party reproduction and has served as a principal investigator on a study examining posttraumatic stress among fertility patients. Glorisel González Viera, MD, is double board-certified in Psychiatry and Sleep Medicine by the American Board of Psychiatry and Neurology. She is an Assistant Professor at Baylor College of Medicine in the Departments of Obstetrics & Gynecology and Psychiatry & Behavioral Sciences, where she practices as a Reproductive Psychiatrist at The Women's Place at Texas Children's Hospital Pavilion for Women. Originally from Puerto Rico, she completed her Psychiatry residency at Ponce Health Sciences University, serving as Chief Resident, followed by fellowships in Sleep Medicine at the VA Caribbean Healthcare System and Women's Mental Health at Baylor College of Medicine. Her clinical and research interests center on the intersection of sleep and women's mental health across the reproductive lifespan, with a particular focus on perimenopause and menopause. She also conducts research in reproductive loss and atypical forms of grief. Dr. González Viera is passionate about advancing evidence-based care, educating healthcare professionals, and improving access to specialized mental health care for women. CONNECT WITH DVORA ENTIN: Website: https://www.dvoraentin.com/ Instagram: https://www.instagram.com/dvoraentin YouTube: https://www.youtube.com/@misconceptionspodcast
Join Elevated GP at https://www.theelevatedgp.com/sales-page Dr. Gustavo Avila-Ortiz obtained a DDS degree and completed a PhD training program at the University of Granada (Spain), before moving to Ann Arbor, Michigan (USA) where he graduated with an MS degree and a Certificate in Periodontics from the University of Michigan. He is also a Diplomate of the American Board of Periodontology. Dr. Avila-Ortiz has over 10 years of experience as an educator and has worked to advance the profession in numerous institutional committees and scientific organizations. He is a former faculty member at the University of Michigan School of Dentistry and at the University of Iowa College of Dentistry, where he was the Phillip A. Lainson Professor and Chair of the Department of Periodontics until 2022. He currently serves as Editor-in-Chief of The International Journal of Periodontics & Restorative Dentistry. He has authored more than 100 articles published in peer-reviewed journals and numerous book chapters. He is the co-author of the book TISSUES: Critical Issue in Periodontics and Implant-Related Plastic and Reconstructive Surgery (Quintessence Publishing 2022), which has been critically acclaimed within the profession. Dr. Avila-Ortiz is currently a Visiting Professor in the Division of Periodontics at Harvard School of Dental Medicine and a member of Atelier Dental Madrid (Spain), a center for dental excellence where he maintains a private practice limited to Periodontics and Implant Dentistry and is regularly engaged in scholarly and continuing-education activities.
Judge Manpreet "Monica" Singh is a native Houstonian who earned her Bachelor's Degree from the University of Texas at Austin and her JD from South Texas College of Law. She made history as Texas's first Sikh Judge as well as the first female Sikh Judge in the U.S. when she was elected to Harris County Civil Court at Law #4 in 2022. Prior, she was a practicing attorney for 21 years and has received numerous awards and recognitions, served on multiple boards, and sits as a Chapter Representative for the American Board of Trial Advocates. Monica has two sons and calls Houston, Texas home.
"Doc, do I need to take this forever?" It's one of the most common questions I hear in my office, whether it's someone's very first visit or someone who's already lost 30, 40, even 80 pounds and is feeling great. In this episode, I break down why your body fights so hard to regain weight after you lose it, and why that's biology, not failure. I walk through the new ATTAIN Maintain trial, a study of 376 adults who had already lost significant weight on tirzepatide or semaglutide, testing whether switching to an easier once-daily oral GLP-1 could help them keep the weight off, instead of just asking whether stopping medication causes regain. Maintenance isn't about staying on one medication forever. It's about having an individualized, active plan, and the ATTAIN Maintain data gives us more options than ever to build one. Episode Highlights: Why your metabolism and hunger hormones fight to reverse weight loss Lessons from the SURMOUNT-4 trial on what happens when treatment stops completely Inside the ATTAIN Maintain trial design and who was studied The weight maintenance results: oral medication vs. placebo Why maintenance therapy doesn't have to look like the treatment that got you there What actually goes into a sustainable long-term plan beyond medication Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
When should a dental practice owner continue coaching a team member, and when is it time to let that person go? In this episode, Kirk Behrendt speaks with Katrina Sanders, a clinical dental hygienist, business owner, and dental educator, about identifying leadership gaps, clarifying expectations, evaluating core-value alignment, and addressing performance problems before they damage the team. You will learn how to distinguish between employees who lack support and employees who are unwilling to meet expectations, why accountability should never be a surprise, and which behaviors may signal that termination is the right decision. To build a stronger, more aligned team, listen to Episode 1074 of The Best Practices Show!Main Takeaways:Leaders must clearly communicate expectations, standards, and operating procedures before holding team members accountable.Core values give team members practical guidance for making decisions and understanding what excellence looks like.Practice owners should determine whether inadequate tools, training, calibration, or support are preventing a team member from succeeding.Regular scorecards and feedback conversations give employees a clear understanding of whether they are meeting expectations.A team member's lack of motivation may result from toxic team dynamics rather than an absence of drive.Employees who reject accountability, remain misaligned with core values, or repeatedly refuse to improve may need to be released.Team members should not be surprised by termination when leaders have provided timely feedback, corrective action, and opportunities to improve.Episode Chapters:00:00 Intro01:40 When is it truly time to let a team member go?04:02 Katrina explains what she discovered after returning from maternity leave.06:34 Leaders must examine whether expectations were communicated clearly.12:00 Core values establish practical standards for team behavior.19:23 Missing tools may be the real cause of poor clinical performance.20:24 Regular check-ins create a clear line of sight for success.23:00 Expectations should evolve as team members gain experience.24:01 Drive, determination, and work ethic cannot always be trained.26:11 Toxic team dynamics can demotivate otherwise strong employees.27:48 The “today is the day” conversation allows employees to self-select out.34:00 Counteroffers may not solve the underlying reason an employee wants to leave.37:16 Consistently reinforcing core values helps protect the practice culture.40:31 Katrina identifies the conditions that may justify termination.43:00 Katrina previews her Pockets, Paradigms and Protocols program.Guest Bio/Guest Resources:In the ever-changing world of dental science where research, technology, and techniques for patient care are constantly evolving, dental professionals look to continuing education to provide insight, deliver actionable steps, empower, and create a dramatic impact within their clinical practice.With wit, charm, and a dash of humor, Katrina Sanders enchants dental professionals with her course deliverables, insightful content, and delightful inspiration. Her message of empowerment rings mighty throughout her lectures and stirs a deep sense of motivation amongst course participants.Katrina is the Clinical Liaison for AZPerio, the country's largest periodontal practice. She performs clinically, working alongside Diplomates to the American Board of Periodontology in the surgical operatory. Katrina perfected techniques during L.A.N.A.P. surgery, suture placement, IV therapy, and blood draws. She instructs on collaborative professionalism and standard-of-care protocols while delivering education through hygiene boot camps and study clubs.Resources mentioned:Website: www.katrinasanders.comInstagram: https://www.instagram.com/thedentalwinegenist/Program: https://katrinasanders.com/speaking/https://smilesource.com/exchangeMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Smile Source Community Hub: https://www.actdental.com/community-hubUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com
Do you have trouble sleeping? An occasional late night or early morning is probably not dangerous, but too many people get too little sleep on a regular basis. How does that affect their health? Even more importantly, what can they do to change the situation? You'll want to listen to find out if you need a sleep reset. At The People's Pharmacy, we strive to bring you up to date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, July 18, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on July 20, 2026. The podcast will be available on Monday (July 20, 2026) Do You Need a Sleep Reset? Why is sleep so important for good health? Our guest is a sleep medicine specialist who uses a metaphor of Disneyland. Crucial maintenance on the theme park happens at night, when there are no visitors. Streets are cleaned, flower beds are weeded, and rides are inspected and, if needed, repaired. None of that can happen while the park is open for business. Our bodies and brains also need time for maintenance and repair, and some of that happens while we are sleeping. When we don't get the rest we need, we may find ourselves at increased risk for diabetes, cardiovascular problems, cancer, cognitive challenges and even premature death. Unfortunately, anxiety about not sleeping can keep people awake all on its own. How can people break that cycle? We'll also discuss ways that people can get help avoiding screens at night. That is an important part of a sleep reset. Blue light from the screen signals the brain to be alert instead of relax. Scrolling social media can often be emotionally upsetting, which also makes it more difficult to fall asleep. Is Your Diet Keeping You Awake? Most of us recognize that a big midnight snack, á la Dagwood Bumstead of the Blondie comic, is probably not conducive to sleeping well. How does nighttime eating affect our circadian rhythm? Are there diets that we should avoid because of their impact on sleep? Dr. Seheult describes a study in which volunteers had their sleep stages monitored closely during the time they were consuming different diets (Obesity, July 2023). When they followed a high-fat, high-sugar diet, it disturbed the pattern of their brain waves during what should have been restorative sleep. How Do Sleep Problems Affect Eating Habits? A lot of us are aware that when we are sleep deprived, we are more inclined to become hangry and we may be less discerning about what we eat. A recent study shows that the sleep deprivation can have an effect even if it is fairly mild and short-term. Scientists recruited people who normally sleep seven to eight hours a night and asked them to stay up an extra hour and a half (Annals of Internal Medicine, July 7, 2026). During the six weeks of that part of the experiment, people were less active during the day. They also ate more, so they gained about a pound, on average, during those six weeks. Presumably, disrupting sleep for a longer period of time would result in greater weight gain and metabolic disruption. Would a Ketogenic Diet Help with a Sleep Reset? A ketogenic diet, in which the body relies on ketones rather than glucose for energy production, may be helpful. In particular, fasting overnight for at least 14 hours helps the body do what it must during sleep time. To figure out when you should stop eating, identify when you usually start to feel sleepy. That should be your bedtime. Having your last meal of the day about three hours before that will generally offer enough time for digestion so that you don't experience reflux in the middle of the night. Morning Light and Afternoon Naps Your sleep reset may depend on getting your own circadian rhythm to synchronize with the rest of the world. That is where early exposure to morning light comes in. It's beginning to feel a bit like The People's Pharmacy is on repeat: get morning light exposure! It sets your system up for feeling awake and alert during the day and starting to feel sleepy as the light fades in the evening. Obviously, this is most helpful for people who work during daylight hours. Those working overnight shifts would have to organize their days differently. People who have trouble falling asleep may be tempted to take a nap in the afternoon to make up for the lost sleep. That could be a mistake, as it relieves the sleep pressure that helps people fall asleep without trying. Learning to Fall Asleep If you interact with parents of very young children, you may have heard of sleep training. People have strong feelings about this, both pro and con. Adults rarely need sleep training, though. What we are more likely to need is “not-sleeping un-training.” Too many people approach the bedroom as though it were a stage, and sleep is the performance. No wonder they may develop some performance anxiety about sleeping! Other individuals have learned to associate the bedroom with tossing, turning and watching the clock. Consequently, their bodies tense up instead of relaxing when they get between the sheets. There is no easy quick fix for this problem, but cognitive behavior therapy for insomnia has been proven effective for most people. How About PM Pain Relievers? Even though there isn't an easy fix for sleep troubles, many people want one. They reach for the PM pain reliever and hope it will offer them a good night's sleep without a prescription. The “PM” part of that pain reliever is an old-fashioned antihistamine called diphenhydramine. You might be more familiar with its brand name: Benadryl. You'll also find it in Tylenol PM, Advil PM and all the other PM meds because it tends to make people feel drowsy. What's wrong with that? To start with, it isn't clear that it remains effective after a week or two. In addition, people with restless leg syndrome often find that it makes their condition worse. Other folks report that diphenhydramine can result in an unpleasant “hangover” the next day, in which they feel drowsy though not asleep for a good part of their waking hours. What Wakes You Up at Night? If your sleep problem is waking in the wee hours and having trouble getting back to sleep, you should consider the possibility that you have sleep apnea. The REM sleep of those early morning hours is not as deep as some other sleep stages. Consequently, an alarm signal from your brain saying you haven't taken a breath for 20 or 30 seconds may be more likely to wake you. Sleep apnea may be treated by providing air so that the pressure props the collapsing airway open. We discuss this in greater detail along with a new alternative to a CPAP machine in the podcast for this week. This Week’s Guest Dr. Roger Seheult is an Associate Clinical Professor at the University of California, Riverside School of Medicine. He is also an Assistant Clinical Professor at the School of Medicine and Allied Health at Loma Linda University. He is quadruple board-certified in Internal Medicine, Pulmonary Diseases, Critical Care Medicine, and Sleep Medicine through the American Board of Internal Medicine. His current practice is in Beaumont, California. He is a critical care physician, pulmonologist, and sleep physician at Optum California. Dr. Seheult lectures routinely across the country at conferences and for medical, PA, and RT societies. He is the director of a sleep lab and the Medical Director for the Crafton Hills College Respiratory Care Program. He is co-founder and presenter for MedCram.com, a site that offers concise and easy-to-follow medical videos on a range of topics. Roger Seheult, MD, MedCram, Loma Linda, UC-Riverside Listen to the Podcast The podcast of this program will be available Monday, July 20, 2026, after broadcast on July 18. You can stream the show from this site and download the podcast for free. Download the mp3, or listen to the podcast on Apple Podcasts or Spotify.
Dr. Michael J. Breus, PhD has the distinction of being a Diplomate of the American Board of Sleep Medicine and a Fellow of The American Academy of Sleep Medicine. He is one of only 168 people in the world to have passed the Sleep Medical Speciality board without going to Medical School. World-renowned as The Sleep Doctor™, he is a bestselling author, media personality, keynote speaker, and brand advisor, bringing science-backed sleep expertise to the public for nearly three decades. Tens of millions of Americans silently struggle with poor sleep, from undiagnosed sleep apnea to chronic insomnia. SleepDoctor.com was founded to make sleep health accessible—combining clinical expertise, consumer-friendly tools, and affordable at-home diagnostics so people can finally get the rest they need. SHOWNOTES:
¿Qué pasaría si les dijera que ahora los pediatras pueden seguir una vía de formación diseñada específicamente para quienes desean convertirse en dermatólogos pediatras? Durante décadas, el camino tradicional fue muy claro: completar la carrera de medicina, ingresar a un programa de residencia en dermatología, finalizar la residencia y luego realizar una subespecialidad (fellowship) en dermatología pediátrica. Sin embargo, ahora la Junta Americana de Dermatología (American Board of Dermatology) ha creado una nueva vía de formación que podría transformar la manera en que identificamos, formamos y guiamos a la próxima generación de dermatólogos pediatras. Hoy, en Pediatras en Línea, nos acompaña el Dr. Esteban Fernández Faith para conversar sobre la nueva Vía de Residencia en Dermatología con Enfoque en Dermatología Pediátrica, por qué fue creada, a quién está dirigida y qué significa para el futuro de nuestra especialidad. Si eres estudiante de medicina, residente de pediatría, dermatólogo o director de un programa de residencia, esta conversación ofrece una perspectiva fascinante sobre la evolución de la formación en dermatología pediátrica. ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.
What if the biggest gap in American health care isn't a drug, a device, or a diagnosis, but a discipline? On this episode host Fred Goldstein sits with Dr. Heather O'Hara, Chair of the American Board of Preventive Medicine, and Dr. Joshua R. Mann, founding Chair of the Department of Preventive Medicine at the University of Mississippi Medical Center, to unpack the often-misunderstood specialty of preventive medicine. They trace its reach across public health, occupational and environmental medicine, aerospace medicine, and lifestyle medicine, and explain why prevention-trained physicians rarely run stand-alone clinics, instead embedding inside hospitals, health departments, and employer health systems. The conversation turns candid on the economics of prevention, physician burnout, and what it will actually take for the health system to move "upstream." To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
How do you protect your life and your body in a system filled with hidden surgical loopholes? Welcome to the final part of Before You Go Under the Knife, an investigative audio series hosted by 18-year plastic surgery insider Mavi Rodriguez. In this finale, Mavi hands over the ultimate power blueprint to the patient, detailing the exact research steps you must take before booking. She reveals the profound difference between true American Board of Plastic Surgery (ABPS) certification and lesser cosmetic boards, exposing how high follower counts can mask severe negligence. Discover how to bypass slow-moving state medical boards by searching aggregate court records on Trellis and UniCourt to dig up hidden malpractice cases, including a chilling example of a celebrity-backed Texas surgeon with 600,000 Instagram followers and multiple active disfigurement lawsuits. From mapping room green flags to breaking down the subtle sales tactics of consultation upselling and hidden arbitration fine print, Mavi gives you the tools to become your own best defense. ⏱️ Chapter Timestamps:00:00 — Taking Your Power Back: The Finale Blueprint 01:30 — The Gold Standard: American Board of Plastic Surgery vs. Other Cosmetic Boards 02:25 — Unlocking Court Records: How to Run a Malpractice History Check via UniCourt & Trellis 03:38 — The $3,000 Settlement Trap for Deep Gluteal Necrosis 04:18 — Navigating State Medical Boards: License Status & The Realities of Slow Action 05:19 — The Social Media Reality Check: Netflix Documentaries vs. Active Disfigurement Suits 06:25 — The Price Reality Check: What Cheap Overhead is Actually Funding 07:13 — Consultation Room Green Flags: Direct Medical History Inquiries by the Actual Surgeon 09:13 — Red Flags in the Room: Pressured Booking, Menu Add-Ons, & Rushed Sales Pitches 10:05 — Good Faith Clinical Judgment vs. Hard Predatory Closing Tactics 11:17 — Pre-Op Fine Print: Hunting Down Hidden Arbitration Clauses Before Signing 12:37 — Post-Op Care Plans: Emergency Transfers & Facility Blood Supply Verification 13:17 — The Emergency Toolkit: Timelines, Symptom Logs, and Independent Wound Care Opinions 14:35 — The Final Promise: Getting Mavi Rodriguez in Your Corner Send us Fan MailSupport the show
Join Drs. Georgoff, Burke, and Premkumar in this episode of the EPA Playbook as they break down a practical, repeatable framework for managing patients in the trauma bay, one of the most high-pressure environments in surgical training. This episode focuses on the critical first minutes of evaluation, anchored in a structured primary survey. We emphasize how to recognize and immediately address life-threatening injuries, while maintaining situational awareness and clear communication with your team. From airway and hemorrhage control to adjuncts like FAST and early imaging, we highlight what matters most when time is critical. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. BTK Resources:Trauma Video Playlist (FAST, How to Read a CT, and more!)https://behindtheknife.org/video-playlists/trauma-videosBig T Trauma Podcastshttps://behindtheknife.org/podcast-series/big-t-traumaTrauma Surgery Video Atlas (Premium)https://behindtheknife.org/premium/trauma-surgery-video-atlas
Donate to the Institute: https://givenow.nova.edu/donations-for-me-cfs-research-2026 In today's episode, Haylie Pomroy sits down with Dr. Philip DeFina, a leading researcher and clinician in advanced neurorehabilitation, to explore how personalized, non-invasive brain interventions are changing outcomes for patients with traumatic brain injury, disorders of consciousness, long COVID, and neurodegenerative disease. Dr. DeFina explains his approach of combining electrical, magnetic, and chemical interventions simultaneously, a philosophy that has helped over 300 patients emerge from severe disorders of consciousness after being told elsewhere that recovery was not possible. He breaks down the neuroinflammatory feedback loop connecting the brain, the hormone system, and the immune system, the science behind hyperbaric oxygen therapy, his specialized free program for military veterans, and his detailed protocol for addressing the infectious encephalopathy underlying long COVID brain fog. This is a conversation about what becomes possible when brain medicine catches up to the complexity of the brain itself. Tune in to Hope and Help For Fatigue and Chronic Illness. Dr. Philip DeFina has over 40 years of experience as a neuropsychologist and cognitive neuroscientist. He is most known for developing novel, groundbreaking treatment protocols for traumatic brain injury, coma, autism spectrum, and PTSD. He is the founder and Chief Scientific Officer of the International Brain Research Foundation (IBRF). Dr. DeFina previously served on the NYU faculty as an associate professor of neurology and psychiatry at the New York University School of Medicine and the Bellevue Hospital Center. He was a forensic neuropsychologist at the Mount Sinai-Elmhurst Hospital Medical Center and was an adjunct professor at the University of Maryland Psychology Department. Dr. DeFina was also the founder and first director of the Fielding Graduate University's Post-Doctoral Clinical Neuropsychology Training Program. Dr. DeFina subsequently co-founded the school neuropsychology training program at Texas Women's University and co-founded the American Board of School Neuropsychology, and was one of the original founding members of the American Board of Pediatric Neuropsychology. LinkedIn: https://www.linkedin.com/in/philip-defina-11a000165/ Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet. Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com Instagram: https://www.instagram.com/hayliepomroy Facebook: https://www.facebook.com/hayliepomroy YouTube: https://www.youtube.com/@hayliepomroy/videos LinkedIn: https://www.linkedin.com/in/hayliepomroy/ X: https://x.com/hayliepomroy Thank you for tuning in to the Hope and Help For Fatigue and Chronic Illness Podcast. Sign up today for our newsletter.
Join Drs. Georgoff, Burke, and Premkumar in this episode of EPA Playbook, where we tackle the evaluation and management of small bowel obstruction. Through a realistic series of scenarios, we walk step-by-step through how junior residents can approach this diagnosis using an evidence-based approach.We break down the key components of the small bowel obstruction EPA, from rapid initial assessment and focused physical exam to early resuscitation, recognizing when to go straight to the OR, and post-operative care. Along the way, we highlight critical teaching points you'll actually use on call. Whether you're a new intern or an early resident looking to build confidence, this episode is designed to help you act decisively and move one step closer to entrustment. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/.BTK Resources:Nasogastric Tube (NGT) Management Videohttps://behindtheknife.org/video/behind-the-knife-nasogastric-tube-ngt-managementNasogastric Tube (NGT) Placement Videohttps://behindtheknife.org/video/behind-the-knife-nasogastric-tube-ngt-placementOstomy Marking Videohttps://behindtheknife.org/video/behind-the-knife-ostomy-markingHow to Change an Ostomy Appliance Videohttps://behindtheknife.org/video/behind-the-knife-how-to-change-an-ostomy-applianceHow to Manage a Challenging Ostomy Videohttps://behindtheknife.org/video/behind-the-knife-how-to-manage-a-challenging-ostomyCited Studies: National prospective cohort study of the burden of acute small bowel obstruction https://doi.org/10.1002/bjs5.50136 Management and short-term outcomes of patients with small bowel obstruction in Denmark: a multicentre prospective cohort study https://doi.org/10.1007/s00068-022-02171-y Multi-institutional, prospective, observational study comparing the Gastrografin challenge versus standard treatment in adhesive small bowel obstruction https://doi.org/10.1097/ta.0000000000001499 Evaluation and management of small-bowel obstruction: an Eastern Association for the Surgery of Trauma practice management guideline https://doi.org/10.1097/ta.0b013e31827019de
In this episode of EPA Playbook, Drs. Jason Bingham, Emma Burke, and Agnes Premkumar discuss the evaluation and management of inguinal hernias through a case-based approach that reinforces key EPA concepts for surgical trainees. We specifically highlight the importance of a thorough history and physical exam, emphasize risk stratification, and indications for surgery versus watchful waiting. We briefly review a few postoperative considerations as well. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. Cited studies:Miserez M, et al. "Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients." Hernia. 2014;18(2):151-163. PubMed ID: 24504225Carrick MA, et al. "Smoking and anaesthesia." BJA Educ. 2019;19(1):1-6. PubMed ID: 33456860Amid PK, et al. "Local anesthesia for inguinal hernia repair step-by-step procedure." Ann Surg. 1994;220(6):735-737. PubMed ID: 7979603Huy TC, et al. "Reoperation for chronic postoperative inguinal pain." JAMA Surg. 2025;160(9):984-991. PubMed ID: 39855588
In this episode of EPA Playbook, Drs. Kevin Kniery, Emma Burke, and Agnes Premkumar discuss management of critically ill surgical patients, using case-based discussions to reinforce core principles of shock, resuscitation, and ICU care. We first review the four major types of shock. We then discuss two cases centered around managing a patient in septic shock and cardiogenic shock, delving into the nuances on how management differs between the two. Additionally, we underscore a physiology-driven approach to critical care, the importance of multidisciplinary collaboration, and the need to align treatment decisions with patient goals and values. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/.
Join Drs. Steele, Burke, & Premkumar in this episode of EPA Playbook, where we tackle a core general surgery EPA: the evaluation and management of benign and malignant colon disease. From common presentations like diverticulitis and lower GI bleeding to the diagnosis and workup of colon cancer, this episode provides a structured framework you can use on the wards, in clinic, and on call. Using case-based discussions, we walk through how to distinguishing benign from malignant processes, selecting appropriate imaging and endoscopy, and recognizing when a patient needs urgent intervention versus outpatient workup. We also cover key principles of colon cancer management, including staging, surgical planning, and multidisciplinary care, alongside high-yield management of benign conditions.***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. Cited Studies:Gustafsson, U.O., Scott, M.J., Hubner, M. et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World J Surg 43, 659–695 (2019). https://doi.org/10.1007/s00268-018-4844-yBTK Resources:Ostomy Marking Videohttps://behindtheknife.org/video/behind-the-knife-ostomy-markingHow to Change an Ostomy Appliance Videohttps://behindtheknife.org/video/behind-the-knife-how-to-change-an-ostomy-applianceHow to Manage a Challenging Ostomy Videohttps://behindtheknife.org/video/behind-the-knife-how-to-manage-a-challenging-ostomy
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