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Dean's Chat host, Dr. Johanna Richey, and guest co-host, Dr. Lindsey Hjelm, interview a legend in Podiatric surgery, Dr. Byron Hutchinson! This episode is sponsored by the American Podiatric Medical Association! Dr. Hutchinson is a pioneering reconstructive foot and ankle surgeon based in the Seattle–Burien region. A 1982 graduate of the California College of Podiatric Medicine, he advanced his specialty training in reconstructive foot and ankle surgery before earning board certification. As the Medical Director of the Franciscan Advanced Foot & Ankle Fellowship, Dr. Hutchinson mentors emerging surgeons while directing clinical care at St. Francis Hospital and Highline Medical Center. A leader within his professional community, he serves on the boards of the American College of Foot & Ankle Surgeons and the International Foot & Ankle Foundation, and advises on the editorial board of Ankle Surgery, Foot & Ankle Quarterly. Dr. Hutchinson specializes in complex surgical treatments, particularly for flatfoot deformities, Achilles tendon disorders, and Kienböck's disease. Patients frequently commend his empathetic approach and technical expertise—with many highlighting his success in treating plantar fasciitis and heel pain. Enjoy this fascinating interview with a true leader in our profession!

What if the advice you've been following is part of the problem? In this episode of The Health Feast, I'm joined by Dr. Colin Zhu, DO, FACLM, Chef, aka The Chef Doc — a physician, chef, and board member of the American College of Lifestyle Medicine — to explore why so many people feel lost, even when they're trying to do everything “right.” Dr. Zhu's unique background in both culinary arts and clinical medicine brings a fresh perspective to what real healing requires — and why food is more than just fuel. It's identity. It's connection. It's power. Key Topics We Cover: Why our healthcare system focuses on managing disease, not creating health The food–body–community connection, and why it matters more than ever How Colin's journey through culinary school changed his approach to medicine Reframing food from restriction and fear to creativity and joy The ripple effect of our daily choices — personally and planetarily How to reclaim agency and start building health on your terms We also talk about his passion for blending creativity and health — including his recent appearance in the lifestyle medicine anthem, We Living Healthy, a joyful music video celebrating movement, community, and taking charge of your well-being. Whether you're plant-based, curious about lifestyle medicine, or just looking for a more grounded path to wellness — this episode will give you both inspiration and tools to move forward. Resources + Links: Learn more about Dr. Colin Zhu: https://www.thechefdoc.co/ Follow Colin on Instagram: @thechefdoc Listen to Colin's podcast Thrive Bites: wherever you get your podcasts or visit https://www.thechefdoc.co/thrive-bites-podcast Preorder Colin's new book (coming in 2026) Empowered Kitchen: https://publishizer.com/empowered-kitchen/ And if you found this valuable — share it with a friend, subscribe, or leave a review. Live well and RAK ON, Dr. Rak

What does preventive care really mean for people living with inflammatory bowel disease (IBD)? In this episode, we break down the latest ACG Clinical Guideline Update: Preventive Care in IBD with two of its lead authors, Dr. Francis Farraye (Mayo Clinic, Jacksonville, FL) and Dr. Freddy Caldera (University of Wisconsin School of Medicine and Public Health). Together, we explore: Why preventive care is critical in IBD management Key vaccination recommendations for IBD patients How to prioritize cancer and bone health screening The role of mental health and lifestyle in long-term outcomes Produced in collaboration with the American College of Gastroenterology's Patient Care Committee, this episode offers clear, evidence-based insights for both patients and providers.  

Listen as Drew leads the team (John, Tanner and Andy) through a round of This or That. We talk Breakfast, Benadryl and Dolly Parton. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org today to learn about an upcoming CME event and how you can see our show at one of our LIVE shows.

What happens when insurance companies and emergency physicians clash over fair payment, leaving patients caught in the middle? In this Echo Episode, part two of a two-part series, Dr. Andrea Austin talks with Dr. Jillian Schmitz about the pressing challenges in emergency medicine today.Dr. Schmitz explains the intricacies of surprise billing, where out-of-network emergency care leads to unexpected patient costs, and the No Surprises Act's intent to protect patients by removing them from billing disputes. She highlights the implementation challenges, including insurance companies' failure to follow regulations, skyrocketing arbitration fees, and delays in payments that threaten small practices. The conversation also explores ACEP's advocacy efforts, the power of collective action, and an exciting initiative to accredit emergency departments to set standards for resources, staffing, and transparency.You'll hear how they:Break down surprise billing and its impact on patients and emergency physiciansExpose flaws in the No Surprises Act's implementation, including insurance companies' manipulation of dispute processesAdvocate for collective action through ACEP membership, Political Action Committee (PAC) contributions, and sharing real-world storiesPropose accrediting emergency departments to ensure proper resources and fair practice environmentsChallenge misconceptions about ACEP's ties to corporate medicine and emphasize its physician-led advocacyIf you're an emergency physician feeling the weight of systemic challenges or seeking ways to drive change, this episode offers practical insights, advocacy strategies, and a hopeful vision for the future of emergency medicine.About the Guest:“Emergency physicians are resilient—we adapt to challenging situations with little information and make the best of it.” – Dr. Gillian SchmitzDr. Gillian Schmitz is a professor at the Uniformed Services University and an emergency physician at Brooke Army Medical Center in San Antonio, Texas. As the  past president and a member of the Board of Directors of the American College of Emergency Physicians (ACEP), she has been a leading voice in addressing workforce challenges, burnout, and policy reform in emergency medicine. A civilian working in military medicine, Gillian's career blends clinical practice, academic teaching, and advocacy, inspired by her commitment to serving those who serve the country. Her work focuses on fostering resilience, improving team dynamics, and advocating for systemic changes to support emergency physicians.

David Waldman catches us up on the multiple disasters since Friday. Greg Dworkin catches us up on the multiple disasters since Thursday. Boooo! Trump was booooooooed at the US Open. If they don't want to hear boos, they shouldn't invite Trump. Or Winsome Earle-Sears. Tiny hands, deep throat, Donald K. Trump was an FBI Snitch according to Mike Johnson, the last guy anyone would trust to keep a secret. The Miami Herald and New York Times seek to unseal records on Jeffrey Epstein's estate, while we all know that Jeffrey Epstein and everyone on the Epstein list has been brought to you by capitalism.  Zohran Mamdanimentum continues as Americans are beginning to see capitalism about as badly as they do Trump. LG Energy specialists squeezed into 90+ day rotations to set up a Hyundai battery plant in Georgia were caught in violation of that “+” part, were belly-chained and hauled out of the country. The plant they were setting up won't be hiring Americans any time soon, thanks to Karen-Republican Mar-a-Lago wannabe Tori Branum. Don't expect to hear more from Branum but do expect a lot more plants to be shut down. The Department of War begins its Midway Blitz, which is not a war, it is simply a police action. Why do so many Republicans think Trump is more liberal than he is? If people die in Florida because of lack of vaccines, it will be a surprise to Florida Surgeon General Ladapo. RFK Jr. will have seen it all coming, as he always does a year or so later. The American College of Obstetricians and Gynecologists will save lives in the future by ignoring the CDC today. Ironically, the owner of one of the most punchable faces in politics, Scott Bessent, keeps wanting to punch others in their faces. This time it was the quite punchable Bill Pulte and for the same reason as Scott picked ever punchable Elon Musk. Scott heard both were bad mouthing him to Donald. Scott almost took Bill out, back there on the cement slab they have over the White House septic tank. E. Jean Carroll won her judgement against Trump again.

Send us a textDr. Sompop Bencharit earned his DDS and Diploma in Prosthodontics from Chulalongkorn University in Bangkok, Thailand. He furthered his education at the University of North Carolina at Chapel Hill (UNC), where he obtained a Certificate and Master's Degree in Prosthodontics, a PhD in Oral Biology, and a Certificate in Clinical Research. He is a Diplomate of the American Board of Prosthodontics and a Fellow of the American College of Prosthodontists (ACP), the Pierre Fauchard Academy, and the International College of Dentists.Dr. Bencharit was most recently Professor, Associate Dean for Innovation, and Chief Innovation Officer at the Workman School of Dental Medicine, High Point University. Previously, he served as a Professor and Assistant Dean for Innovation and the Founding Chair of the Department of Reconstructive and Rehabilitation Sciences at the Medical University of South Carolina (MUSC) College of Dental Medicine. Dr. Bencharit was the Founding Director of Digital Dentistry Technologies and Director of Clinical Research at Virginia Commonwealth University (VCU).✨Connect with Dr. Bencharit on LinkedIn: https://www.linkedin.com/in/sompop-bencharit-734b8245/ 

Neste episódio, você confere a revisão sistemática sobre o uso de corticoides em pneumonia comunitária grave, os novos critérios diagnósticos de pericardite do American College of Cardiology, os atalhos cognitivos preciosos para identificar a demência rapidamente progressiva, as atualizações sobre doença renal diabética e o guideline brasileiro de 2025 sobre tuberculose em pacientes com doenças inflamatórias imunomediadas (DIIM).Leia na íntegra os artigos mencionados hoje:Corticoide para pneumonia comunitária gravePericardite: Novos critérios diagnósticos do American College of CardiologyDemência rapidamente progressiva: atalhos cognitivos preciososDoença renal diabética: novos conceitosGuideline brasileiro de 2025 sobre tuberculose em pacientes com DIIM (em breve no Portal Afya) #ClínicaMédica #CheckUpSemanal #Pneumonia #Pericardite #Demência #DoençaRenalDiabética #Tuberculose #Medicina

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

If you're interested in boosting your cardiovascular fitness, I've got three steps for you to do.  Your cardiovascular fitness - VO2 max - is the most powerful predictor of longevity. Together with your lower body strength, they will tell the story of your future.    What is VO2 max? Oxygen consumed in milliliters per kilogram per minute. Strongest predictor of longevity, alongside lower body strength. VO2 Max and muscle mass peaks typically at age 25, with studies suggesting an average annual reduction of about 1% after.   Increasing your VO2 max can significantly increase your longevity. It can reduce all-cause mortality by 10-25%. Just going from low to above-average fitness levels can reduce mortality risk by 60-70% over a decade.    The 3 Steps to Improve Cardio Fitness 1. Long slow aerobic exercise  Walking, hiking, biking, swimming. Work just below threshold (can talk, slightly breathy). 80% of the time will be spent here. 20% should be spent doing HIIT or strength training. 2. High-Intensity Interval Training (HIIT)  10-15% improvement in 5-10 weeks 15–30 seconds of breathless effort (sprinting effect). Breathless in 30 seconds or less. 3. Strength training Improves muscle, may enhance your body composition or weight    Improving both your fitness (oxygen delivery and use) and reducing weight means your ml/kg/min will go up as you consume more oxygen with less body weight .. and even if you don't lose weight your muscle is metabolically active and consumes oxygen while fat doesn't.    So let's come back to the value of VO2 for reducing all cause mortality.  A modest increase of 3.5 ml/kg/min (1 MET) is all it takes to reduce all-cause mortality by up to 25%.    How do you know your Cardio Fitness is improving?    Short of getting a VO2 max test, you can measure in other ways:  Resting heart rate – first thing in morning  Recovery heart rate at end of interval and one minute later One-mile walk test   Why Muscle Still Matters? More muscle = higher oxygen demand → better VO2 Max. Fat mass doesn't contribute to oxygen use. Muscle quality declines with age → requires smarter training, especially during menopause.   Watch this episode on Flipping50TV YouTube.   References:  Journal of American College of Cardiology. 2018, PMID: 30384883. Circulation. 2007, PMID: 17548726.   Other Episodes You Might Like: Previous Episode - 80 Lb Perimenopausal Weight Loss After Corporate Burnout Next Episode - From Your Mouth to Your Gut: Hearing Health Whisper More Like This - Extended Cardio and Low Protein Equal Short Term Weight Loss   Resources:  Join the Hot, Not Bothered! Challenge to learn why timing matters and why what works for others is not working for you. Use Flipping 50 Scorecard & Guide to measure what matters with easy at-home self-assessment test you can do in minutes. Are you burning belly fat or burning out? Get the Menopause Fitness Guide to High-Intensity Interval Training to help you lose more fat and stay on track!  

In this episode, Drs. Laura Onderko, Zain Asad, and Aditya Bharadwaj delve into how fellows-in-training and early-career cardiologists can strategically build their research careers and assess whether academic medicine is the right fit. The conversation highlights diverse pathways for engaging in research—from participating in clinical trials to securing grant funding—and explores the valuable resources offered by the American College of Cardiology to support aspiring physician-scientists.   Subscribe to PracticeMadePerfect|  

You're listening to Burnt Toast! Today, my guest is Mara Gordon, MD.Dr. Mara is a family physician on the faculty of Cooper Medical School of Rowan University, as well as a writer, journalist and contributor to NPR. She also writes the newsletter Your Doctor Friend by Mara Gordon about her efforts to make medicine more fat friendly.Dr. Mara is back today with Part 2 of our conversation about weight, health, perimenopause and menopause! As we discussed last time, finding menopause advice that doesn't come with a side of diet culture is really difficult. Dr Mara is here to help, and she will not sell you a supplement sign or make you wear a weighted vest.This episode is free but if you value this conversation, please consider supporting our work with a paid subscription. Burnt Toast is 100% reader- and listener-supported. We literally can't do this without you.PS. You can always listen to this pod right here in your email, where you'll also receive full transcripts (edited and condensed for clarity). But please also follow us in Apple Podcasts, Spotify, Stitcher, and/or Pocket Casts! And if you enjoy today's conversation, please tap the heart on this post — likes are one of the biggest drivers of traffic from Substack's Notes, so that's a super easy, free way to support the show!And don't miss these:Episode 209 TranscriptVirginiaSo today we're going to move away from the weight stuff a little bit, into some of the other the wide constellation of things that can happen in menopause and perimenopause. Before we get into some nitty gritty stuff, I want to do Laurie's question about hormone replacement therapy, since that is still one of those topics that people are like, Is it good? Is it bad? I don't know.So Laurie asked: Is there a reason why a doctor would not want to prescribe hormone replacement therapy? My doctor seems more willing to treat individual symptoms instead of using HRT. Is that maybe because I'm still getting my period?MaraI love this question. Now my professor hat can nerd out about interpretation of scientific research! So first, I'll just briefly say, Laurie, no big deal that you said HRT. But just so everyone's aware, the preferred term is menopausal hormone therapy, MHT, or just hormone therapy, and it's not a huge deal. But I think the North American Menopause Society now uses “menopausal hormone therapy.” The thinking is, hormones don't necessarily need to be replaced. It comes back to that idea of, menopause is a natural part of life, and so the idea that they would need to be replaced is not totally accurate. VirginiaWe're not trying to get you out of menopause, right? The goal isn't to push you back into some pre-menopausal hormonal state. MaraBut again, not a big deal. You'll see HRT still used, and a lot of doctors still use that term. So I graduated from medical school in 2015 and I remember one of the first times that a patient asked me about using menopausal hormone therapy, I was terrified. And I was still in training, so luckily, I had a mentor who guided me through it. But I had absorbed this very clear message from medical school, which is that menopausal hormone therapy will cause heart disease, cause pulmonary emboli, which are blood clots in the lungs, and cause breast cancer.And I was like, “Ahhh! I'm gonna cause harm to my patients. This is scary.” I had also learned that hot flashes–they weren't life threatening. So a patient could just use a fan and she'd be fine, right? She didn't need medicine for it.VirginiaCool.MaraI think the dismissal of symptoms here is just straight up misogyny. That message of, oh, you should just live with this You're tough, you're a woman, you can do it. This is just the next stage of it. Is just misogyny, right?But the fear of using menopausal hormone therapy has a specific historical context. There was a major study called the Women's Health Initiative, and it was a randomized control trial, which is the gold standard in medical research. People were given estrogen and progestin to treat menopausal symptoms or they were given a placebo, and they didn't know which pill they took. But WHI was actually halted early because they found an increased risk of breast cancer. This was on the front page of The New York Times. It was a really, really big deal. That was 2002 or 2003. So even 15 years later, when I was starting out as a doctor, I was still absorbing its message. And I think a lot of doctors who are still in practice have just deeply absorbed this message.But there's a lot to consider here. The first issue is in the way that information about the Women's Health Initiative was communicated. Nerd out with me for a second here: There is a big difference between absolute risk and relative risk. And this is a really subtle issue that's often communicated poorly in the media.So I looked it up in the initial paper that came out of the Women's Health Initiative. There was a relative risk of 26 percent of invasive breast cancer, right? So that meant that the people who got the estrogen and progestin, as opposed to a placebo, had a relative increased risk of 26 percent compared to the placebo arm.VirginiaWhich sounds scary,MaraSounds terrifying, right? But the absolute risk is the risk in comparison to one another. And they found that if you're a patient taking the estrogen/progestin, your absolute risk was 8 people out of 10,000 women a year would get invasive breast cancer. So it's very, very small.And this is an issue I see in medical journalism all the time. We talk about relative risk, like your risk compared to another group, but the absolute risk remains extremely low.And just to round it out: I looked all this up about cardiovascular events too. Things like a heart attack, a stroke. So the absolute risk was 19. So there were 19 cases of a cardiovascular event out of 10,000 women in a year. People just freaked out about this because of the way that it was covered in the media. VirginiaI was fresh out of college, doing women's health journalism at the time. So I fully own having been part of that problem. We definitely reported on the relative risk, not the absolute risk. And I don't understand why. I look back and I'm like, what were we all doing? We ended up taking this medication away from millions of women who could really benefit from it.MaraI found a paper that showed between 2002 and 2009 prescriptions for menopausal hormone therapy declined by more than 60 percent. VirginiaI'm not surprised. MaraAnd then even up until the time I started my training, right in 2015, we're just seeing a huge decline in hormone therapy prescriptions.One other thing that's also super important to acknowledge about the Women's Health Initiative is that they enrolled women over 60, which is not really representative of women who want or need hormone therapy. So the average age of menopause is 51 and the vast majority of women who are experiencing symptoms that would respond well to hormone therapy are much younger. We're talking here mostly about hot flashes. Which we call vasomotor symptoms of menopause, but it's basically hot flashes. Women dealing with this are much younger, right? So they're approaching menopause, late 40s, and right after the menopausal transition, early 50s, and then they don't necessarily need it anymore, after their symptoms have improved.VirginiaAnd it will also be true that with women in their 60s, you're going to see more incidence of cancer and heart disease in that age group than in women in their 40s anyway, right? MaraRightVirginiaSo even the 19 cases, the eight cases—they were looking at a higher risk population in general. MaraYeah. And so there have been all these subsequent analyses, which is why now we're seeing menopausal hormone therapy sort of on the upswing. There's a lot of increased interest in it. The American College of Obstetricians and Gynecologists recommends it, the North American Menopause Society, the British Menopause Society; here's a full run-down. It's not that everybody needs it, and we'll get to that in a second, but it is a totally safe and appropriate treatment for—specifically and most importantly—for vasomotor symptoms of menopause. Like hot flashes. There's been all these further analyses of the Women's Health Initiative data and and then from other studies, too. And basically, it shows that when the hormone therapy is initiated before age 60, or within 10 years of menopause, there's a reduced risk of heart disease and reduced mortality.VirginiaWow! MaraSo the timing matters. Isn't that so interesting? The timing matters.Also, the route of administration matters. So what that means in English is that an estrogen patch seems to have a lower risk of blood clots. So one of those fears of the, you know, initial Women's Health Initiative data was that you might have an increased risk of blood clots. But it's something about the way that the estrogen is metabolized. It's not metabolized through the liver when it's absorbed through the skin, and something about that process seems to decrease the risk of blood clots.So that's why your doctor, if you're interested in menopausal hormone therapy, might recommend an estrogen patch rather than a pill.VirginiaGot it. MaraThere's a lot of ambiguity in all of this data, because, you know, we're talking about just huge numbers of people, and it's hard to sort of isolate variables when you're studying just like massive cohorts of people and trying to understand what you know, what factors affect your risk for which diseases. It's not clear that taking hormones prevents heart disease. And that's one of the big claims I see with menopause influencers, that every single person needs this.The data don't support it at this point in time, and the major menopause organizations do not recommend it as a universal preventative treatment for everybody. But it seems like there might be some sort of association that may become clearer as research continues. That said, now it seems like the pendulum is swinging in the opposite direction. I learned, “be afraid of menopausal hormone treatment.” And now all these menopause influencers are saying everyone should be on hormone therapy.I don't know the answer. And so the way that I try to parse through all of this noise is, you know, go to trusted sources, right? So I stick to society guidelines, like the North American menopause society, the British menopause society, they're run by world experts in menopause.VirginiaOkay, so we don't need to be terrified of hormone therapy, and you can be on it if you're still getting your period right? Just to finish Laurie's question.MaraIf you're still getting a period regularly, you're more in perimenopause than past the menopausal transition. And we will often use contraception to help and that you can have a lot of the same benefits from using contraception in that stage. It's also useful just because unintended pregnancy still can be totally a thing in your 40s. But yes, you can absolutely use traditional regimens of menopausal hormone therapy while you're still getting a period too. Just know it won't prevent pregnancy. VirginiaSince we talked a little bit about hot flashes, I'm gonna jump to Judy's question so we can kind of round that piece out: One of the things I am really struggling with is the way I have lost all ability to regulate temperature. I am boiling hot almost all the time, and the slightest thing makes me break out into a full sweat, which makes me not want to move at all.My doctor has not been super helpful in navigating this. What can I do to mitigate this issue? If anything, it is so very hard for me not to blame the size of my body for this, since the correlation seems so clear, smaller body less sweating, larger body sweating all the dang time.MaraJudy, I empathize first of all. Just one caveat I can't really give medical advice to Judy. There are a lot of things that could be going on, and it's really important that you see a doctor and get a full history and physical exam. But I will say that this is one of the things that menopausal hormone therapy is extremely helpful for, is hot flashes.VirginiaThat was my first thought! MaraThere are a lot of influencers who really overstate the benefits of hormone therapy, right? Hormone therapy is not really going to cause significant weight loss or prevent weight gain. It's not totally clear that it helps with mood symptoms or even sleep is a little more ambiguous. But the one thing it really works for is hot flashes. So that would be my thought: Start there. VirginiaAnd on the feeling like you want to blame your body for it: I don't know if Judy identifies as fat, but as someone who identifies as fat, I often feel like I'm sweatier now than when I was thinner. I run warmer. All my skinny friends will be bundled up in coats, and I still won't be wearing one in October. I do notice that. And I think that this is a situation where that is, even if those two things correlate— you're larger and you're sweatier—is that worth putting yourself through the hell of weight loss? You may decide yes, it is, if hormone therapy doesn't work for you.But that's one of those times where I bring it back to “What would actually make my daily life miserable?” I can drink water, I can be in AC, I'm gonna find a link to this nighttime cooling bed thing that my friend Claire Zulkey really loves. MaraI've heard of those!VirginiaI think there are options to mitigate your suffering with this. Medicine is definitely an option. Before you go to “okay, my body size has to be the thing that changes.”MaraI totally agree. I just deal with this all the time where people tell me in my clinic that they want to lose weight. And when I sort of gently ask, what are you hoping to achieve? What are your goals? They're often things that can be achieved through other means. Like, people say my clothes don't fit, right? And most of my patients are low-income, right? I'm not trying to be flippant about the idea that everyone can just go and purchase a new, you know, multi $1,000 wardrobe at the drop of a hat. But it is possible to get new clothes in affordable ways. Don't torture yourself with clothes that don't fit because you feel like weight gain is a moral failing. And I think that there are things that we can do to help keep us at a comfortable temperature, right wear clothes that feel, you know, that feel good. Air conditioning is an amazing modern invention. And, you know, cool beverages, ice cream. VirginiaPopsicle O'Clock is very important in my summer right now, very important. MaraWait, what's a popsicle clock?VirginiaOh, Popsicle O'Clock. It's just the time of day where you eat popsicles. It could be 9am it could be 4pm just whenever I feel like we need to add popsicles to a situation.MaraI think we all need more popsicles in our life, that is absolutely for sure.So I think what I'm hearing from Judy's question is once again, shame about body size, and also this myopic zooming in on weight loss as the only possible solution. Which I blame doctors for in many ways! Some people do benefit from weight loss, right? I'm not opposed to the idea that anybody would ever want to lose weight. I don't think that that's a betrayal of fat solidarity, necessarily. But that there are other things you can do just to make your life feel better in the meantime, or even if you choose to never pursue weight loss. There are things you can do to feel better, and we shouldn't deprive ourselves of those things.VirginiaAnd you don't know that it is the weight gain. It could be age and hormones, and those coincided with the weight gain for you personally. But there are lots of thin women getting hot flashes all the time too.Okay, this next question is from Michaela: I am super curious about the connection between perimenopause, menopause and mental health symptoms, specifically, an uptick in anxiety and depression. Is this a thing?We also got many questions about whether perimenopause and menopause exacerbate ADHD symptoms. MaraSo this is a question I get a lot from my patients, and I've seen a lot of discourse about online. And the short answer is: There is probably a connection between the hormonal changes of perimenopause and the menopausal transition and mental health. Do we understand it? No. So I mean, with ADHD specifically, I will say: This is really not my area of expertise. It's a very complex mental health condition, and our medical understanding of it is really rapidly evolving. I have many patients who have a diagnosis of ADHD but I'm typically not the one who diagnoses them. That being said: Estrogen affects neurotransmitters. Neurotransmitters are implicated in ADHD. Declining estrogen does seem to affect dopamine, in particular, which is implicated in ADHD. And anecdotally, I've had many of my patients say that they feel like their ability to focus and sustain attention decreases. And they experience brain fog as they enter perimenopause and menopause. So it's there's probably something going on, and a lot of researchers are really actively studying it, but we don't know yet.VirginiaDo we know if this is something that hormone therapy can help with?MaraSo I think the answer is, I don't know.VirginiaWhat about anxiety and depression?MaraI don't think the data are there, right? Hormone therapy is usually not considered a first line treatment for the mental health conditions that are often associated with the menopausal transition. But we have great medicines for those conditions. We have good treatments for ADHD, we have good treatments for anxiety and depression. And sometimes during the menopausal transition, patients might need an increase of those treatments. And that could mean going back into therapy, if you've been out of therapy, increasing your medications or restarting a med that you may have stopped years ago. Those are all totally valid approaches during this phase.And I guess what I'd say, is that it's okay to trust your body. And if you notice changes in your mental health associated with perimenopause or menopause itself, ask about it. Don't be afraid to advocate for yourself. And while hormone therapy doesn't look like it is an effective treatment specifically for those symptoms, there are other treatments, and you should feel empowered to ask about them.VirginiaThe next question goes back to some of the diet and exercise stuff we've touched on. This person writes: Since recently reaching menopause, my cholesterol has become high. I understand there is a proven link between menopause and increased cholesterol, and that weight is part of the picture. I'm trying to lower my cholesterol with focus on nutrition and exercise. But it is f*****g with my head because it feels like a very restrictive diet. I'd love any thoughts on the menopause cholesterol connection and keeping cholesterol low with nutrition and exercise without falling into the abyss of obsessing about how many almonds I've eaten.MaraOh, that is such a good question!VirginiaThe almond of it all. MaraAlmonds are really good in some scenarios, but also just like, kind of a sad snack. I always think about President Obama eating those, like, eight almonds, or whatever.VirginiaIt turns out that was a joke and he wasn't doing that. But just the fact that everybody assumed he would says a lot! MaraThat is hilarious, and I didn't know! And it just shows how with information online, the initial story sticks. Like to this day, 10 years later, I still thought that Barack Obama ate eight almonds as his indulgent midnight snack every single night. I hope the man is eating some ice cream and living his best life. Okay, so there is absolutely a link between menopause and elevated risk of cardiovascular disease. But even within the term cholesterol, there are different types. I wouldn't really say to a patient, “Your cholesterol is high.” One thing you might hear is “your LDL cholesterol is high,” which is known popularly as, the “bad” cholesterol. Which, again, moral language alert. But LDL cholesterol is a proxy for risk of cardiovascular disease. I will say it's not a great one; it's kind of a blunt instrument. We measure and we treat it, because we don't have other great ways of predicting cardiovascular risk. But it is not the full portrait, although it's certainly a risk factor for developing cardiovascular disease. And the transition of menopause seems to impact LDL, cholesterol, other biomarkers of cardiovascular disease, and increases your risk for cardiovascular disease.And what's interesting–I think we talked about this a little bit already, is that this happens, this this risk happens independent of normal aging.So, for example, women who go through menopause early start developing this increased risk earlier than women who go through menopause slightly later. And overall, we see that women develop cardiovascular disease, at rates lower than men, and at later in life than men. And there's a hypothesis that this has to do with menopause, right? That there's a protective effect of estrogen, but then when your estrogen starts to decline in menopause, it puts women at an increased risk compared to where they were pre-menopause.There's also some data to suggest that the severity of menopause symptoms—particularly vasomotor symptoms like hot flashes or sleep disturbances—may indicate risk for developing cardiovascular disease. So this is not to scare everyone, but it's good to have knowledge. If you're having really severe hot flashes, it may indicate that you are at slightly higher risk for developing cardiovascular disease than somebody who is not. The intention of having this knowledge is not to make you feel shame, and not to berate you for your belly fat or whatever. It's to have knowledge so that you can help mitigate risk factors in ways that feel aligned with your values and ways that feel aligned with the way that you want to pursue health in your life.And so I would approach this reader's or this listener's question with smy same approach to all of my patients questions. “I have hypertension, does that mean I need to lose weight?” “I have diabetes, does that mean I need to lose weight?” The answer is that we have many treatments that can help you address these concerns independent of weight loss. But this is not to say that you cannot pursue weight loss too, right? And if using a GLP-1 agonist to reduce your visceral adiposity is aligned with your values, and you can tolerate the side effects, and you feel good about it, and it's covered by your insurance….that's totally a reasonable approach. But it's not the only one. So I think what I'm hearing from this patient is the menopause flavor of what I do every single day in my work as a size inclusive doctor. Which is: How can we disentangle weight stigma and body shame from these questions of how to lead a healthy life? And the idea of giving you more information, I hope, is not to shame you or make you feel guilt for the relationship between body size and risk of cardiovascular disease, but instead, to give you information that might help you take proactive care of your body, right?And proactive care might mean committing to an exercise routine. Proactive care might mean taking a statin. A statin is a very common cholesterol medicine like Lipitor. It might mean getting your blood pressure under control and taking an antihypertensive.VirginiaI also want to say on cholesterol, specifically, I did a piece that I'll link to digging into the connection between nutrition and cholesterol. And the data is not as strong as I think a lot of doctors are telling folks.And I think the benefit of making dietary changes—the amount it could lower cholesterol—was not huge. It was like three points or six points or something in one of the studies we looked at. So if it's making you crazy to count almonds, it's possible that medication might be a more health promoting strategy for you. Because it will be less stressful and it will have a bigger benefit on your cholesterol than just trying to control it through diet and exercise.MaraYeah, I totally agree. I think there's a really strong genetic component that we haven't fully understood and medication is a totally reasonable approach and very safe approach. Honestly, statins are pretty benign medications. They're pretty inexpensive, pretty minimal side effects, which is not to say– nobody's paying me from the statin companies, I swear to God!–but yeah, like they're, they're pretty benign as medications go. And I think it's a totally reasonable way to approach this issue.VirginiaI just think it's one of those times where this is shame coming in, where it's like, “You should be able to fix this with how you eat and exercise, and so you don't get the medication unless you fail at that!” This is a framing that I've encountered from doctors. But what if we gave the medication, what if we also consider diet and exercise, but don't make that a pass/fail situation in order to earn the medication? MaraYeah, that's really interesting.And even the language you're using Virginia is what we use in the medical record, and I've tried to stop it. But the way we're taught to describe patients, is “patient failed XYZ treatment,” right? And I feel like we're both at once, overly invested in pharmaceutical treatments, right and underinvested. They're a very useful tool. And we moralize it, both pro and con? Sometimes, like, we moralize in favor of it. So if your BMI is 26 or above, you need to be on a GLP one agonist, which is just false, right?But on the other hand, I think we often underutilize medications because there's this sense that you're getting at —that you have to exhaust all of your like willpower options first, and it's somehow failing to use a med. And that is really false too. They're really useful tools. Science is really useful, and we shouldn't feel ashamed to use it.VirginiaAll right. And our last question, I like because it just will give us a chance to kind of sum up some key points: As a post menopausal woman, I feel like I'm swimming in information, and I'm overwhelmed by it all. What are Dr Gordon's top three pieces of advice out of all of the WHO meaning, if women at this time only did these three things, it would make the biggest difference, and then they just had it. You know, is, does it need to be different for perimenopause versus post menopause? Or maybe not.So what are your top three? Top three tips for surviving this life stage?MaraOh, my God, if only I knew! I'm flattered that you're asking, and I will do my best to answer, but I don't think there's a right answer at all.So I've thought about a couple things. I will say that, you know, longevity and wellness and health span is extremely complicated, but it's also kind of simple, right?So sometimes the advice that we've just heard over and over again is actually really, really good, right? So, sleep. Are we sleeping enough?Staying engaged with social relationships, that seems to be extremely important for longevity. And it's kind of amazing, actually. When they do these long-term studies on people who are thriving into old age, like they have really strong relationships. And that is so important.Moving our bodies and it does not need to be punishing. Workouts can be gardening. I know Virginia, I love receiving your gardening content online. Gardening is an amazing form of exercise, and can be very life affirming, and does not need to feel like punishment. Just getting up, moving our bodies, sleeping enough, maintaining relationships, cultivating a sense of purpose and meaning in our lives. It's actually been really studied right, that people who have a sense of meaning and have a sense of purpose in their lives tend to live longer and live longer, healthier lives.So all of this is to say that like it's complicated, but sometimes it's not. And there are a million people on the Internet who want to sell you a miracle drug, a miracle supplement, a miracle weighted vest, whatever. But sometimes simple, Simple is good. Easier said than done, right?VirginiaYeah, but start simple. That's wonderful.MaraCan I ask? Virginia, what would your advice be? VirginiaI love the three areas you hit on: Sleep, social relations and exercise or moving your body. None of those are about weight loss or dieting. I think that's really helpful for us to keep in mind that the things that might protect our health the most can also be very joyful as well. The idea that doing things that makes you happy and reduce your stress can be health-promoting is great. And I think that's something especially in midlife. We are all incredibly busy. We're holding a lot of things together. A lot of us are caregivers, maybe sandwich generation caregivers. So prioritizing your own joy in that feels really wonderful.ButterVirginiaAll right, so speaking of joy, let's do some Butter! Dr. Mara, what do you have forus?MaraI have a Philadelphia-specific one, but hopefully it can be extrapolated to our listeners in different locations. So I have recently been really craving soft serve ice cream. And so I googled best soft serve in Philadelphia, and I found this Vietnamese coffee shop called Càphê Roasters, which is in North Philly. In a neighborhood called Kensington. And it has condensed milk soft serve ice cream. So good.And so I recently, I had to give a lecture at a medical school in the north part of the city early in the morning. It was like, 8am and I was like, “Oh, I'm never up in this neighborhood. I gotta get over there.” And I went after I gave my lecture, and I bought myself ice cream at 10:30 in the morning. And I ate it in my car, and it was so good. Condensed milk. So good. But soft serve in general, is my Butter. But for those of you in Philly, go to Càphê Roasters in Kensington and get the condensed milk. It is chef's kiss, delicious.VirginiaAmazing. I'm gonna double your Butter and say ice cream in general is my Butter right now. We have a spare fridge freezer that I have just been loading up with all of the popsicles to get us through summer. But also: Ice cream dates. Something that comes up a lot for me as a co-parent is figuring out how to have one on one time with my kids. Since we have joint custody, they move as a package. So I get kid-free time, which is wonderful, but when they're with me, it's just me. So one thing I've been figuring out is pockets of time when I can take one kid out for ice cream. It's usually when a sibling is at another activity, and so we have an hour to kill, and often we would just like, wait for the activity, or go home and come back, and then you're just driving.And now I'm like, No, that will be our ice cream break!MaraI love that.VirginiaSo one kid's at the library doing her book trivia team stuff, and the other kid and I are getting ice cream while we wait for her. And it's great one on one time with kids. Obviously, the ice cream is delicious. The other thing I've realized, especially if you have younger kids who are still building restaurant skills, ice cream is a great practice run at being a person in a restaurant, which is really hard for kids understandably. It is one food thing that they're excited to go do. And you do have to sit and practice eating it somewhat neatly. There's a high mess potential. My pro-move for that is, always have wipes in your car, bring a pack of wipes in. MaraI love that, and it's so intentional about sort of creating traditions with kids. That feels really special. But I will say I had my ice cream solo, and that was also really good solo ice cream too.The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith (follow me on Instagram) and Corinne Fay, who runs @SellTradePlus, and Big Undies.The Burnt Toast logo is by Deanna Lowe.Our theme music is by Farideh.Tommy Harron is our audio engineer.Thanks for listening and for supporting anti-diet, body liberation journalism! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe

In this episode, guests Jonathan Blattmachr and Martin Shenkman share their thoughts on key OBBBA provisions and the Act's impact on estate and tax planning with host Kristin Yokomoto. Planning considerations include use of non-grantor trusts for charitable planning, basis-focused income tax planning, and more. They will also discuss the benefits of reviewing existing SLATs and other irrevocable trusts, as well as the importance of preparing customized estate plans that address family dynamics to minimize the chances of litigation. Host: Kristin YokomotoGuests: Jonathan G. Blattmachr and Martin M. ShenkmanJonathan G. Blattmachr is the Editor-in-Chief and Co-Founder of Interactive Legal, and Co-Author of Wealth Transfer Planning™. He is a principal in ILS Management, LLC and a retired member of Milbank Tweed Hadley & McCloy LLP in New York, NY and of the Alaska, California and New York Bars. He has written and lectured extensively on estate and trust taxation and charitable giving. Jonathan graduated from Columbia University School of Law cum laude, where he was recognized as a Harlan Fiske Stone Scholar, and received his A.B. degree from Bucknell University, majoring in mathematics. He has served as a lecturer-in-law of the Columbia University School of Law and is an Adjunct Professor of Law at New York University Law School in its Masters in Tax Program (LLM). He is a former chairperson of the Trusts & Estates Law Section of the New York State Bar Association and of several committees of the American Bar Association. Jonathan is a Fellow and a former Regent of the American College of Trust and Estate Counsel and past chair of its Estate and Gift Tax Committee. He is author or co-author of eight books and more than 500 articles on estate planning and tax topics. Martin M. Shenkman, CPA, MBA, PFS, AEP (distinguished), JD, is an attorney in private practice in Fort Lee, New Jersey and New York City. He is the founder of Shenkman Law, a boutique firm focused on the legal needs of high-net-worth individuals, professionals, close business owners, and real estate owners and developers. Martin's practice includes estate and tax planning, planning for closely held businesses, and estate administration. He is the author of 42 books and more than 1,000 articles. Martin is an Editorial Board Member of Trusts & Estates Magazine, CCH (Wolter's Kluwer), and the Matrimonial Strategist. He has previously served on the editorial board of many other tax, estate and real estate publications. Martin earned his Bachelor of Science degree from Wharton School with concentrations in accounting and economics, MBA from the University of Michigan with concentrations in tax and finance, and law degree from Fordham University School of Law. He is admitted to the bar in New York, New Jersey, and Washington, D.C. and is a licensed CPA in New Jersey, Michigan, and New York. Click here to listen to Interactive Legal's 4-Part webinar series on OBBBA - https://interactivelegal.com/big-beautiful-bill/Thank you for listening to Trust Me!Trust Me is Produced by Foley Marra StudiosEdited by Cat Hammons and Todd Gajdusek

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review:   1.     Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity  - NEJM   2.     Once-weekly IcoSema versus multiple daily insulin injections in type 2 diabetes management (COMBINE 3)– Lancet Diabetes Endocrinology    3.     Nutritional priorities to support GLP-1 therapy for Obesity – A Joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society - American Journal of Clinical Nutrition 4.     Gradual Titration of Semaglutide Results in Better Treatment Adherence and Fewer Adverse Events – Diab Care 5.     Tirzepatide as Compared with Semaglutide for the Treatment of Obesity – NEJM For more information about each of ADA's science and medical journals, please visit Diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health

She's made her way from Maine to NYC to NEPA and the Poconos and she's about to kick off the first-ever NEPA Comedy Fest. She's Jessica Delfino--a mother and a mother folker who performs original funny folk songs and material about her life. And she's talking with me this week about being a hardworking woman in comedy and how she, along with many amazing comedians, are building up the comedy scene in NEPA and the Poconos. Learn more about Jessica here. Subscribe to Jessica's museletter here. To learn about the upcoming comedy fest and to get tickets, visit the site here. Support local performers, please and thanks!!Thank you to my talented and generous sponsors: Reinvented Threads with Gabby Lynn and Healthy Lifestyle Management with Lisa Rigau. Reinvented Threads works to keep items out of our landfills by creating beautiful eco-friendly items like handbags, hats, scarves, dolls and more from existing material. Gabby is creative, clever and kind. Follow Reinvented Threads on Facebook and Instagram and visit Reinvented Threads website to learn more and shop.To learn about the many services offered by Lisa, a nurse, plant-predominant nutritionist, health and well being educator as a Lifestyle Medicine professional and diplomate of the American College of Lifestyle Medicine and a Certified Mindfulness Based Stress Reduction teacher from Brown University, and to register for the upcoming Mindfulness Based Stress Reduction course, visit this site for Healthy Lifestyle Management. If you're interested in supporting a platform for women to share their stories, expertise and experience, reach out to me at Jeannine.Luby@gmail.com to learn about affordable sponsorship packages. Follow Funny Wine Girl Jeannine on Instagram and Facebook and for a positive boost and to learn about therapeutic laughter, follow Laugh to Live on Facebook. I appreciate you from the bottom of my heart and the bottom of my wine glass.

Guest: Francis Farraye, MD Host: Peter Buch, MD, FACG, AGAF, FACP A 2025 update to the American College of Gastroenterology (ACG)'s guideline on preventive care in inflammatory bowel disease (IBD) includes key changes impacting vaccine recommendations, dermatologic screening, and care coordination. Dr. Peter Buch sits down with Dr. Francis Farraye, lead author of this guideline, to highlight what clinicians need to know. Dr. Farraye is a Professor of Medicine and the Director of the Inflammatory Bowel Disease Center at the Mayo Clinic in Jacksonville, Florida

(0:00) Intro(1:26) About the podcast sponsor: The American College of Governance Counsel(2:13) Start of interview(2:53) Teresa's origin story(4:30) Her career path at Deloitte (37-year career)(7:40) Transition to Board Service(8:37) Joining the board of ServiceNow(10:57) Joining the board of Warby Parker and understanding Public Benefit Corporations (PBCs)(14:48) Joining the boards of Snowflake and Docusign(15:38) Insights on Audit Committees (*reference to E179 with Jack Lazar)(17:10) Evolving Responsibilities of Audit Committees(21:40) The Climate and ESG Discussion(24:15) Boardroom Diversity Trends(26:13) The Rise of AI in Business(30:18) Navigating Geopolitical Changes(33:36) Handling Crisis Situations (her experience with whistleblower case and special committee with outside counsel investigation)(37:28) Engaging with Activist Investors(38:40) Founder Mentality vs. Governance *Reference to VC-Board Academy (on October 28, 2025 in NYC)(42:10) The Future of Private vs. Public Companies (impact of IPOs) *Mention of CaaStle fraud case.(45:57) The Impact of AI on Human Capital(48:29) Work from Home Dynamics(50:05) Book that has greatly influenced her life: Outlive, by Peter Attia (2022)(50:50) Her mentors. Rich Fineberg(51:51) Quotes that she thinks of often or lives his life by.(52:24) An unusual habit or an absurd thing that she loves.(53:11) The living person she most admires.Teresa Briggs serves on the boards of DocuSign, ServiceNow, Snowflake and Warby Parker. She is a member of the audit committee for each company and is the audit committee chair of ServiceNow, DocuSign, and Warby Parker. You can follow Evan on social media at:X: @evanepsteinLinkedIn: https://www.linkedin.com/in/epsteinevan/ Substack: https://evanepstein.substack.com/__To support this podcast you can join as a subscriber of the Boardroom Governance Newsletter at https://evanepstein.substack.com/__Music/Soundtrack (found via Free Music Archive): Seeing The Future by Dexter Britain is licensed under a Attribution-Noncommercial-Share Alike 3.0 United States License

Professors Karl Friston & Mark Solms, pioneers in the fields of neuroscience, psychology, and theoretical biology, delve into the frontiers of consciousness: "Can We Engineer Artificial Consciousness?". From mimicry to qualia, this historic conversation tackles whether artificial consciousness is achievable - and how. Essential viewing/listening for anyone interested in the mind, AI ethics, and the future of sentience. Subscribe to the channel for more profound discussions!Professor Karl Friston is one of the most highly cited living neuroscientists in history. He is Professor of Neuroscience at University College London and holds Honorary Doctorates from the University of Zurich, University of York and Radboud University. He is the world expert on brain imaging, neuroscience, and theoretical neurobiology, and pioneers the Free-Energy Principle for action and perception, with well-over 300,000 citations. Professor Mark Solms is director of Neuropsychology in the Neuroscience Institute of the University of Cape Town and Groote Schuur Hospital (Departments of Psychology and Neurology), an Honorary Lecturer in Neurosurgery at the Royal London Hospital School of Medicine, an Honorary Fellow of the American College of Psychiatrists, and the President of the South African Psychoanalytical Association. TIMESTAMPS:(0:00) - Introduction (0:45) - Defining Consciousness & Intelligence(8:20) - Minimizing Free Energy + Maximizing Affective States(9:07) - Knowing if Something is Conscious(13:40) - Mimicry & Zombies(17:13) - Homology in Consciousness Inference(21:27) - Functional Criteria for Consciousness(25:10) - Structure vs Function Debate(29:35) - Mortal Computation & Substrate(35:33) - Biological Naturalism vs Functionalism(42:42) - Functional Architectures & Independence(48:34) - Is Artificial Consciousness Possible?(55:12) - Reportability as Empirical Criterion(57:28) - Feeling as Empirical Consciousness(59:40) - Mechanistic Basis of Feeling(1:06:24) - Constraints that Shape Us(1:12:24) - Actively Building Artificial Consciousness (Mark's current project)(1:24:51) - Hedonic Place Preference Test & Ethics(1:30:51) - ConclusionEPISODE LINKS:- Karl's Round 1: https://youtu.be/Kb5X8xOWgpc- Karl's Round 2: https://youtu.be/mqzyKs2Qvug- Karl's Lecture 1: https://youtu.be/Gp9Sqvx4H7w- Karl's Lecture 2: https://youtu.be/Sfjw41TBnRM- Karl's Lecture 3: https://youtu.be/dM3YINvDZsY- Mark's Round 1: https://youtu.be/qqM76ZHIR-o- Mark's Round 2: https://youtu.be/rkbeaxjAZm4CONNECT:- Website: https://tevinnaidu.com - Podcast: https://creators.spotify.com/pod/show/mindbodysolution- YouTube: https://youtube.com/mindbodysolution- Twitter: https://twitter.com/drtevinnaidu- Facebook: https://facebook.com/drtevinnaidu - Instagram: https://instagram.com/drtevinnaidu- LinkedIn: https://linkedin.com/in/drtevinnaidu=============================Disclaimer: The information provided on this channel is for educational purposes only. The content is shared in the spirit of open discourse and does not constitute, nor does it substitute, professional or medical advice. We do not accept any liability for any loss or damage incurred from you acting or not acting as a result of listening/watching any of our contents. You acknowledge that you use the information provided at your own risk. Listeners/viewers are advised to conduct their own research and consult with their own experts in the respective fields.

Human Performance Resources by CHAMP (HPRC) is a team of scientists and specialists who utilize research to develop evidence-based resources to help service members and their families to achieve total fitness.  Listen as Dr. Lauren Messina discusses the #GotMySix campaign and its focus on social connections and relationship building to help support military families maintain overall fitness.   This podcast is made possible by generous funding from the USAA Foundation.     Audio mixing by Concentus Media, Inc., Temple, Texas.   Show Notes: Resources:   #GotMySix https://www.hprc-online.org/total-force-fitness/gotmysix   Human Performance Resources by CHAMP https://www.hprc-online.org/   Bio: Lauren A. Messina, PhD, LCMFT, DipACLM is a Senior Scientist supporting the Human Performance Resources by CHAMP (HPRC-online.org) team at the Uniformed Services University. With her clinical and research experiences, Lauren is a subject-matter expert in relational health, family well-being, social connections, behavior change, and holistic approaches to well-being. She is a Diplomate with the American College of Lifestyle Medicine and a certified Health and Well-being Coach by Wellcoaches ©.   Dr. Messina is an Assistant Professor in the School of Medicine and the College of Allied Health Sciences at the Uniformed Services University of the Health Sciences. She is also an Adjunct Lecturer at the University of Maryland, College Park. Dr. Messina has a master's degree and clinical license in Couple and Family Therapy and a doctoral degree in Family Science from the School of Public Health at the University of Maryland, College Park.

Explore the One Big Beautiful Bill Act of 2025 (OBBBA)—sweeping tax law changes on estate, gift, and charitable deductions—in Pt. 1 of a series of podcasts. The American College of Trust and Estate Counsel, ACTEC, is a professional society of peer-elected trust and estate lawyers in the United States and around the globe. This series offers professionals best practice advice, insights, and commentary on subjects that affect the profession and clients. Learn more in this podcast.

What does it take to lead emergency medicine through unprecedented challenges like workforce shortages and systemic burnout?In this Heartline Echo Episode, Dr. Andrea Austin sits down with Dr. Gillian Schmitz to explore her career trajectory, from civilian roles in military medicine to becoming ACEP's past president. Gillian reflects on her path, inspired by her father's military service, and how she balanced family life with a demanding career. They discuss the hidden opportunities in government jobs like those at the VA or Uniformed Services University, the resilience of EM physicians, and the impact of events like the FM talk that reshaped her focus on advocacy.You'll hear how they:Navigate civilian careers in military and VA settings, highlighting opportunities for academic and clinical rolesAddress burnout and moral injury in EM, emphasizing resilience, teamwork, and the need for systemic supportExplore leadership in organized medicine, from grassroots involvement to national policy influenceDiscuss evolving reimbursement models, like the shift to thought-process-based documentation for better compensationIf you're an EM physician facing burnout or seeking ways to amplify your voice in healthcare policy, this episode offers inspiration, practical advice, and a call to action for involvement in organized medicine.About the Guests“Emergency physicians are resilient—we adapt to challenging situations with little information and make the best of it.” – Dr. Gillian SchmitzDr. Gillian Schmitz is a professor at the Uniformed Services University and an emergency physician at Brooke Army Medical Center in San Antonio, Texas. As the  past president and a member of the Board of Directors of the American College of Emergency Physicians (ACEP), she has been a leading voice in addressing workforce challenges, burnout, and policy reform in emergency medicine. A civilian working in military medicine, Gillian's career blends clinical practice, academic teaching, and advocacy, inspired by her commitment to serving those who serve the country. Her work focuses on fostering resilience, improving team dynamics, and advocating for systemic changes to support emergency physicians.

Date: August 11, 2025 Guest Skeptic: Dr. Gillian Schmitz is a board-certified Emergency Physician practicing at The Naval Medical Center in San Diego. She is also a former President of the American College of Emergency Physicians (ACEP). This SGEM Xtra is inspired by the 1992 film A League of Their Own. Unlike our previous pop culture references like Buffy […] The post SGEM Xtra: Now and Forever – A League of Their Own (Women in EM) first appeared on The Skeptics Guide to Emergency Medicine.

Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dilation, effacement, and fetal station, which are indicators of labor progression. Yet, the American College of Obstetricians and Gynecologists states that there is insufficient evidence to recommend a specific frequency for cervical examinations during labor, and examinations should be performed as clinically indicated. Now, a recently published RCT form AJOG MFM is adding additional credence to that. Can we space out clinical exams in otherwise “low-risk” laboring women to 8 hours? Listen in for details. 1. AJOG MFM: (08/18/25) Routine Vaginal Examination Scheduled At 8 vs 4 Hours In Multiparous Women In Early Spontaneous Labour: A Randomised Controlled Trial https://www.sciencedirect.com/science/article/abs/pii/S25899333250016122. Nashreen CM, Hamdan M, Hong J, et al.Routine Vaginal Examination to Assess Labor Progress at 8 Compared to 4 h After Early Amniotomy Following Foley Balloon Ripening in the Labor Induction of Nulliparas: A Randomized Trial. Acta Obstetricia Et Gynecologica Scandinavica. 2024;103(12):2475-2484. doi:10.1111/aogs.14975.3. First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics and Gynecology. 2024;143(1):144-162. doi:10.1097/AOG.0000000000005447.4. Moncrieff G, Gyte GM, Dahlen HG, et al. Routine Vaginal Examinations Compared to Other Methods for Assessing Progress of Labour to Improve Outcomes for Women and Babies at Term. The Cochrane Database of Systematic Reviews. 2022;3:CD010088. doi:10.1002/14651858.CD010088.pub3.5. Gluck, O., et al. (2020). The correlation between the number of vaginal examinations during active labor and febrile morbidity, a retrospective cohort study. [BMC Pregnancy and Childbirth]6. Pan, WL., Chen, LL. & Gau, ML. Accuracy of non-invasive methods for assessing the progress of labor in the first stage: a systematic review and meta-analysis. BMC Pregnancy Childbirth 22, 608 (2022). https://doi.org/10.1186/s12884-022-04938-y

Send us a textDr. Jill Simons, a Minnesota board-certified pediatrician and Executive Director of the American College of Pediatricians, speaks with Liz Collin on her podcast about the dangers of so-called “gender-affirming care' for children—and how none of it reduces mental health problems.Donate to Alpha News - https://alphanews.revv.co/donate-todayAlpha News Links - https://linktr.ee/AlphaNewsLiz Collin Reports - https://alphanews.buzzsprout.com/Support the show

In this episode, we talk to veterinary clinical pathologist, Dr. Eric Fish of EJF Veterinary Consulting, LLC. We learn about his experience in a combined PhD/pathology residency, how he transitioned into the private sector, and the range of services he offers as a consultant. We also hear Dr. Fish's views on AI and its role in the future of pathology. Want some new recommendations for a podcast or book? Dr. Fish has those, too! So go for a walk or find a comfy place and get ready for a conversation with Dr. Eric Fish. ____ Links 2025 ACVP Annual Meeting  Hispanic Heritage Month, September 15-October 15, 2025  ACVP Errors in Publications Portal All Science Great and Small Substack  Red Flags of Quackery from All Science Great and Small Season 03, Episode 02 - A Conversation with Dr. Rachel Neto Season 01, Episode 05 - A Conversation with Dr. Jey Koehler ____ Podcast Mentioned NPR How I Built This   Books Mentioned Song of the Cell by Siddhartha Mukherjee Range by David Epstein Cutting for Stone by Abraham Verghese ___ ACVP Social Media Facebook - ACVP Meetings and Topics Instagram - americancollegevetpath X (Twitter) - @ACVP LinkedIn - AMERICAN COLLEGE OF VETERINARY PATHOLOGISTS  ____ Thank you to Nicholas Pankow, Assistant Audio Editor, for his help editing this episode. Music: Guestlist by Podington Bear, licensed under an Attribution-NonCommercial 3.0 International License.  The contents of this audio do not necessarily reflect the opinions of the American College of Veterinary Pathologists (ACVP) or the participants' affiliations. Spoken audio content and associated photos are the property of the American College of Veterinary Pathologists, 2025. 

One of the things I am not particularly proud of is the fact that I don't enjoy reading books. I like to write, but when it comes to reading, I prefer shorter narratives. However, I love to celebrate authors and I'm excited that there has been a renewed interest in physical books. My guest this week is Michelle Haring, owner of Cupboard Maker Books in Enola, PA. Michelle and I talk about the increased interest in physical books that got a boost during Covid; we talk about the business of books, the fact that visitors to Cupboard Maker Books can also rescue a cat; and we chat about Michelle's life before owning the bookstore. Learn more about Cupboard Maker Books here.Thank you to my sponsors Healthy Lifestyle Management and Reinvented Threads for supporting the content of this podcast. Healthy Lifestyle Management offers services by Lisa Rigau, who is a nurse, plant predominant nutritionist and  health and well being educator as a Lifestyle Medicine professional and diplomate of the American College of Lifestyle Medicine and a Certified Mindfulness Based Stress Reduction teacher from Brown University. Learn about services offered by Lisa, like the upcoming Mindfulness Based Stress Reduction Course and how you can register, at the website.Reinvented Threads with Gabby Lynn is a business dedicated to sustainability. Gabby is incredibly creative, using existing fabrics to make unique, one-of-a-kind eco-friendly fashion accessories like handbags, hats, scarves and more. Visit Reinvented Threads here to shop online and see where you can meet Gabby in person on August 30 in the Poconos. If you would like to support this podcast, reach out to Jeannine.Luby@gmail.com to learn about podcast sponsorship packages. You can also show your support by subscribing and sharing the podcast with everyone you know. Follow Funny Wine Girl Jeannine on Facebook and Instagram.I appreciate you from the bottom of my heart and the bottom of my wine glass.

In this episode of the ACRO Podcast CURiE Conversations edition, Dr. Jessica Schuster speaks with author Dr. Leslie Chang about her published article, "Advancing Professionalism Through a Patient Safety and Quality Improvement Workshop in Radiation Oncology." Contemporary Updates: Radiotherapy Innovation & Evidence (CURiE) is the official publication platform of the American College of Radiation Oncology through the Cureus Journal of Medical Science. Read the full article here: https://www.cureus.com/articles/372473-advancing-professionalism-through-a-patient-safety-and-quality-improvement-workshop-in-radiation-oncology#!/

Breaking down these 600K Chinese students. 15% of our colleges are apparently built for China. The insane bravery of WW2 pilots. Honoring the fallen. Follow The Jesse Kelly Show on YouTube: https://www.youtube.com/@TheJesseKellyShowSee omnystudio.com/listener for privacy information.

It's been over two decades since the American College of Rheumatology (ACR) last released comprehensive treatment guidelines for systemic lupus erythematosus (SLE), and much has changed. In this episode, we're joined by Dr. Lisa Sammaritano to discuss the forthcoming 2025 ACR Guidelines for the Treatment of SLE. These updated recommendations reflect a significant evolution in our approach to lupus care, from the growing range of therapeutic options to a stronger emphasis on patient engagement and minimizing steroid toxicity. We'll dive into how the guidelines tailor treatment across diverse organ systems and patient populations, and what clinicians need to know to effectively incorporate these updates into their practice. 

Listen to host Kristin Yokomoto discuss various aspects of the CLA Trusts and Estates Section Executive Committee (TEXCOM) with guests Matthew McMurtrey and Ryka Farotte.  Learn about how TEXCOM monitors all California bills, some of which become law that impact our trusts and estates practice. We discuss Matt's 11-year term on TEXCOM and Ryka's 6-year term, their leadership roles, and some of the contributions they have made to the CLA Trusts and Estates Section and the community. Learn more about the focus of TEXCOM's Legislation, Estate Planning, Incapacity, Trust Administration, and Litigation Committees and how you can become involved.Our Speakers:Matthew McMurtrey is the managing partner at Sacks, Glazier, Franklin, Lodise, McMurtrey & Scheerer, LLP in Los Angeles. Matt is a Fellow of the American College of Trust and Estate Counsel, the California Lawyer's Association Trusts and Estates Section 2021-22 Chair of the Executive Committee (TEXCOM), and a former Chair of TEXCOM's Litigation Subcommittee. Ryka Farotte is a research attorney in the Probate Department of the Los Angeles Superior Court. He is currently a member of the Executive Committee of the California Lawyer Association's Trusts and Estates Section (TEXCOM) where he serves as Chair of the Incapacity Subcommittee.  Thank you for listening to Trust Me!Trust Me is Produced by Foley Marra StudiosEdited by Cat Hammons and Todd Gajdusek

In this special episode on Strategies for Staying Full and Satisfied, our host, Dr. Neil Skolnik will moderate a discussion with Lily Correa, registered dietitian about communicating strategies for staying full and satisfied. This special edition of Diabetes Core Update is sponsored by Avocados - Love One Today ®.    For more information, as well as diabetes-friendly mean plans and a free downloadable toolkit just go to:http://loveonetoday.com/SatisfiedEating Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Lilian (Lily) M. Correa, Lily Correa is a registered dietitian and diplomate of the American College of Lifestyle Medicine   Resources and References:   Henning, Susanne M. et al. Hass Avocado Inclusion in a Weight-Loss Diet Supported Weight Loss and Altered Gut Microbiota: A 12-Week Randomized, Parallel-Controlled Trial. Current Developments in Nutrition 2019, Volume 3, Issue 8, ISSN 2475-2991. https://doi.org/10.1093/cdn/nzz068.   Khan, Naiman A. et al. Avocado Consumption, Abdominal Adiposity, and Oral Glucose Tolerance Among Persons with Overweight and Obesity. The Journal of Nutrition 2021, Volume 151, Issue 9p2513-2521. https://doi.org/10.1093/jn/nxab187.   Lichtenstein, Alice H. et al. Effect of Incorporating 1 Avocado Per Day Versus Habitual Diet on Visceral Adiposity: A Randomized Trial. Journal of the American Heart Association 2022, Volume 11, Number 14. https://doi.org/10.1161/JAHA.122.02565.   Pacheco, Lorena S. et al. Effects of Different Allotments of Avocados on the Nutritional Status of Families: A Cluster Randomized Controlled Trial. Nutrients 2021, 13(11), 4021. https://doi.org/10.3390/nu13114021.   Senn, MacKenzie K. et al. Associations between avocado intake and measures of glucose and insulin homeostasis in Hispanic individuals with and without type 2 diabetes: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Nutrition, Metabolism and Cardiovascular Diseases 2023, Volume 33, Issue 12, 2428 – 2439. https://doi.org/10.1016/j.numecd.2023.08.002.   Wood, Alexis C. et al. Associations between Metabolomic Biomarkers of Avocado Intake and Glycemia in the Multi-Ethnic Study of Atherosclerosis. The Journal of Nutrition 2023, Volume 153, Issue 10, 2797 – 2807. https://doi.org/10.1016/j.tjnut.2023.07.013.   For more resources, research and recipes visit LoveOneToday.com/healthprofessionals.

Diverticulosis and diverticulitis sound alike but are very different conditions—and knowing the difference is key to protecting your digestive health. In this episode, host Jacqueline Gaulin welcomes Dr. Lisa Strate, Professor and Chief of Gastroenterology and Hepatology at the University of Wisconsin, and one of the nation's leading experts in diverticular disease. Together, they clear up common questions and misconceptions about diverticulosis and diverticulitis, including: What causes these conditions and who is most at risk The symptoms and warning signs patients should watch for Whether it's possible to have one without the other How diet and lifestyle affect treatment and prevention This episode is produced in collaboration with the American College of Gastroenterology's Patient Care Committee.  

Explore estate planning that goes beyond money—trusts, family well-being, and legacy strategies to help future generations flourish. The American College of Trust and Estate Counsel, ACTEC, is a professional society of peer-elected trust and estate lawyers in the United States and around the globe. This series offers professionals best practice advice, insights, and commentary on subjects that affect the profession and clients. Learn more in this podcast.

In our latest podcast, Dr. Schmidt talks with Mitch Gardiner, DMD, FAGD, focused on dental malpractice and the role of expert witnesses in civil court cases, with discussions about the qualifications and objectivity required of dental experts. The conversation covered key elements needed to prove negligence in dental cases, including standards of care and proper documentation of patient interactions and treatment plans. Dr. Gardiner provided advice for young dentists on maintaining high standards of care through continuous education and proper record-keeping. Dr. Gardiner is a full-time general dentist practicing in a multi-specialty office. A 1977 graduate of The University of Medicine and Dentistry of New Jersey, Dr. Gardiner served for three years as a dental officer in the Navy. He is a clinical instructor on the teaching faculty of the Rutgers School of Dental Medicine in the Department of Restorative Dentistry-Fixed Prosthodontics. He has over 25 years of experience in reviewing dental malpractice cases as an expert witness. Dr. Gardiner lectures and presents programs on issues of dental malpractice throughout the United States. He holds fellowships in the Academy of General Dentistry, American College of Dentists and International College of Dentists.

A silent danger lurks within the descending thoracic aorta. While most Type B aortic dissections are managed medically, up to half of these patients will either require life-saving surgery or die within just five years. So how do we separate those who will quietly recover from those on the edge of catastrophe? How do we protect the spinal cord, bowel, and limbs from the devastating consequences of malperfusion? Join the University of Michigan Department of Vascular Surgery as they tackle the high-stakes decisions behind managing this unpredictable disease—where timing is critical, interventions are evolving, and lives hang in the balance. Hosted by the University of Michigan Department of Vascular Surgery: ·       Robert Beaulieu, Program Director ·       Frank Davis, Assistant Professor of Surgery ·       Luciano Delbono, PGY-5 House Officer ·       Andrew Huang, PGY-4 House Officer ·       Carolyn Judge, PGY-2 House Officer Learning Objectives: 1.         Discuss general approach to diagnosis and management of TBAD. 2.         Identifying high-risk features in uncomplicated TBAD and understanding their role in determining the need for surgical management. 3.         Review endovascular techniques for managing malperfusion of the limbs, viscera, and spinal cord and discuss associated decision making. References:  Authors/Task Force Members, Czerny, M., Grabenwöger, M., Berger, T., Aboyans, V., Della Corte, A., Chen, E. P., Desai, N. D., Dumfarth, J., Elefteriades, J. A., Etz, C. D., Kim, K. M., Kreibich, M., Lescan, M., Di Marco, L., Martens, A., Mestres, C. A., Milojevic, M., Nienaber, C. A., … Hughes, G. C. (2024). EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ. The Annals of Thoracic Surgery, 118(1), 5–115. https://doi.org/10.1016/j.athoracsur.2024.01.021 de Kort, J. F., Hasami, N. A., Been, M., Grassi, V., Lomazzi, C., Heijmen, R. H., Hazenberg, C. E. V. B., van Herwaarden, J. A., & Trimarchi, S. (2025). Trends and Updates in the Management and Outcomes of Acute Uncomplicated Type B Aortic Dissection. Annals of Vascular Surgery, S0890-5096(25)00004-4. https://doi.org/10.1016/j.avsg.2024.12.060 Eidt, J. F., & Vasquez, J. (2023). Changing Management of Type B Aortic Dissections. Methodist DeBakey Cardiovascular Journal, 19(2), 59–69. https://doi.org/10.14797/mdcvj.1171 Lombardi, J. V., Hughes, G. C., Appoo, J. J., Bavaria, J. E., Beck, A. W., Cambria, R. P., Charlton-Ouw, K., Eslami, M. H., Kim, K. M., Leshnower, B. G., Maldonado, T., Reece, T. B., & Wang, G. J. (2020). Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections. Journal of Vascular Surgery, 71(3), 723–747. https://doi.org/10.1016/j.jvs.2019.11.013 MacGillivray, T. E., Gleason, T. G., Patel, H. J., Aldea, G. S., Bavaria, J. E., Beaver, T. M., Chen, E. P., Czerny, M., Estrera, A. L., Firestone, S., Fischbein, M. P., Hughes, G. C., Hui, D. S., Kissoon, K., Lawton, J. S., Pacini, D., Reece, T. B., Roselli, E. E., & Stulak, J. (2022). The Society of Thoracic Surgeons/American Association for Thoracic Surgery Clinical Practice Guidelines on the Management of Type B Aortic Dissection. The Annals of Thoracic Surgery, 113(4), 1073–1092. https://doi.org/10.1016/j.athoracsur.2021.11.002 Papatheodorou, N., Tsilimparis, N., Peterss, S., Khangholi, D., Konstantinou, N., Pichlmaier, M., & Stana, J. (2025). Pre-Emptive Endovascular Repair for Uncomplicated Type B Dissection—Is This an Option? Annals of Vascular Surgery, S0890-5096(25)00007-X. https://doi.org/10.1016/j.avsg.2025.01.003 Trimarchi, S., Gleason, T. G., Brinster, D. R., Bismuth, J., Bossone, E., Sundt, T. M., Montgomery, D. G., Pai, C.-W., Bissacco, D., de Beaufort, H. W. L., Bavaria, J. E., Mussa, F., Bekeredjian, R., Schermerhorn, M., Pacini, D., Myrmel, T., Ouzounian, M., Korach, A., Chen, E. P., … Patel, H. J. (2023). Editor's Choice - Trends in Management and Outcomes of Type B Aortic Dissection: A Report From the International Registry of Aortic Dissection. European Journal of Vascular and Endovascular Surgery: The Official Journal of the European Society for Vascular Surgery, 66(6), 775–782. https://doi.org/10.1016/j.ejvs.2023.05.015 Writing Committee Members, Isselbacher, E. M., Preventza, O., Hamilton Black Iii, J., Augoustides, J. G., Beck, A. W., Bolen, M. A., Braverman, A. C., Bray, B. E., Brown-Zimmerman, M. M., Chen, E. P., Collins, T. J., DeAnda, A., Fanola, C. L., Girardi, L. N., Hicks, C. W., Hui, D. S., Jones, W. S., Kalahasti, V., … Woo, Y. J. (2022). 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology, 80(24), e223–e393. https://doi.org/10.1016/j.jacc.2022.08.004 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Contributor: Taylor Lynch, MD Educational Pearls: What is atrial fibrillation with rapid ventricular response (AFib with RVR) and how does it differ from atrial fibrillation (AFib)? AFib is an abnormal heart rhythm in which the heart has disorganized atrial electrical activity. This causes the atria to quiver with only select signals being conducted through the Atrioventricular (AV) Node to reach the ventricles and result in ventricular contraction. Often described as “irregularly irregular”, a patient's EKG will present with no discernible P-waves, and irregular R-R intervals. AFib with RVR is distinguished from AFib when the patient's ventricular rate is greater than 100-110 beats per minute in AFib with RVR. What is the treatment for AFib with RVR? Diltiazem is considered one of the first line therapeutic agents in the treatment of AFib with RVR. Diltiazem inhibits L-Type calcium channels in the AV Node, reducing the amount of signals conducted to the ventricles, thus reducing the ventricular rate. Why pretreat patients receiving Diltiazem for AFib with RVR with calcium? While diltiazem inhibits cardiac calcium channels, it may also cause peripheral vasodilation, resulting in diltiazem-induced hypotension. A recent study found that this hypotension can be blunted by pretreating with 1-2g IV Calcium Chloride (IV Calcium Gluconate can be used in the ED). Calcium is thought to peripherally stabilize the vascular smooth muscle, preventing vasodilation without impacting the desired calcium channel blocker action at the AV node. Key takeaways? In combination with slower pushes of diltiazem for patients in AFib with RVR (AFib with ventricular rate >100-110 bpm) with borderline low blood pressures, 1-2 g of IV Calcium Gluconate can combat diltiazem induced hypotension peripherally without negating the cardiac effect of diltiazem to reduce the heart rate.  References 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e1-e156. doi:10.1161/CIR.0000000000001193 Az A, Sogut O, Dogan Y, et al. Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. Am J Emerg Med. 2025;88:23-28. doi:10.1016/j.ajem.2024.11.033 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Get your tickets to Tox Talks Event, Sept 11, 2025: https://emergencymedicalminute.org/events-2/ Donate: https://emergencymedicalminute.org/donate/  

For this episode join hosts John, Andy, and Tanner as they sit down with fitness coach Paul Clingan. Listen as we discuss how you can change your thoughts and actions about being healthier by nerding out a bit. Don't forget we are the official podcast of the American College of Osteopathic Emergency Physicians. Visit acoep.org to learn more, and sign up for an upcoming CME event!

Dr. Mike Pistiner is not just an allergist and immunologist, he's also an allergy dad and fierce patient advocate. In this episode, Dr. Mike breaks down what allergies are, typical signs and symptoms and how they're treated. Have you been curious about when is the right time to use epinephrine? Then this episode is for YOU! Tune in today!Michael Pistiner, MD, MMSc is Director of Food Allergy Advocacy, Education and Prevention for the MassGeneral Hospital for Children, Food Allergy Center. He has a special interest in food allergy and anaphylaxis education and advocacy, infant food allergy management,  healthcare provider education, facilitating collaborations between the medical home and school health, and maintaining quality of life in children (and their families) with food allergies.  Dr. Mike is author of "Everyday Cool With Food Allergies", co-author of the "Living Confidently With Food Allergy" handbook, and co-founder and content creator of AllergyHome.org.Dr. Pistiner is a fellow in the American Academy of Pediatrics (AAP), where he is a member of the Section on Allergy and Immunology Executive Committee, Council on School Health and the Massachusetts Chapter of the AAP. He is also a member of the American Academy of Allergy Asthma & Immunology and the American College of Allergy, Asthma and Immunology.Additionally, he serves on the medical advisory board of Asthma & Allergy Foundation of America, New England Chapter and is a voluntary consultant for the Massachusetts Department of Public Health School Health Service Unit.To learn more about the Food Allergy Management Bootcamp at MassGeneral visit: https://www.massgeneral.org/children/food-allergies/food-allergy-management-boot-campTo learn more about the FAMP-It resource visit: https://famp-it.org/

(0:00) Intro(1:27) About the podcast sponsor: The American College of Governance Counsel(2:13) Start of interview(2:51) Jonathan's origin story(4:23) His Journey into Governance, initially via accounting with PwC and later with Lazard.(6:17) Types of Governance Structures(7:51) About his firm Current Capital Partners (M&A advisory, corporate management services, and PE investing).(8:31) The Inspiration Behind his book On Boards: The Modern Playbook for Corporate Governance.(10:44) Interviews that Shaped the Narrative. His standout: Admiral Michael Mullen.(13:04) Target Audience for the Book(14:48) The importance of "boards [with a roster of] best athletes, not experts in a narrow area."(17:04) His personal journey into boardrooms(19:56) Experience as an Expert Witness (21:41) Evolution of Delaware's Corporate Law. *Reference to Moelis case and Tesla's Elon Musk CEO compensation case. (24:40) AI's Impact on the Boardroom. "[I]t is critical to remember that directors oversee, but management runs the company day to day."(29:50) Navigating Geopolitical Challenges(32:01) The Rise of Shareholder Activism(34:29) Insights on Corporate Restructuring *Reference to E38 on the rise of bankruptcy directors with Jared Ellias (now at HLS)(38:33) Separation of Chair and CEO is preferable(39:00) "I think term-limits are a cop-out" there should be annual individual director evaluations.(39:43) The Need for Corporate Director Licenses.(41:36) Books that have greatly influenced his life:On a Clear Day You Can See General Motors, by Patrick J. Wright (1979)The Right Stuff, by Tom Wolfe (1979)The House of Morgan, by Ron Chernow (1990)(42:30) His mentors(43:18) Quotes that he thinks of often or lives his life by: "You can't get a hit if you don't swing the bat" "I'm dumb enough to make a decision" "It's all about tomorrow" "Have fun, life is too short"(44:24) An unusual habit or an absurd thing that he loves.(45:31) The living person he most admires: the Pope and Lebron James.Jonathan Foster is an experienced corporate director, investment banker, and expert witness in corporate litigation, and the author of the new book On Boards: The Modern Playbook for Corporate Governance. He has served on more than 50 boards, including Fortune 500 companies, private companies and companies involved in restructurings. You can follow Evan on social media at:X: @evanepsteinLinkedIn: https://www.linkedin.com/in/epsteinevan/ Substack: https://evanepstein.substack.com/__To support this podcast you can join as a subscriber of the Boardroom Governance Newsletter at https://evanepstein.substack.com/__Music/Soundtrack (found via Free Music Archive): Seeing The Future by Dexter Britain is licensed under a Attribution-Noncommercial-Share Alike 3.0 United States License

I am deeply honored to reconnect with Dr. Thomas Dayspring, who joined me in 2024 for an immensely popular five-part series. Dr. Dayspring is certified in internal medicine and clinical lipidology. He is a distinguished fellow of both the American College of Physicians and the National Lipid Association.  Today, we have the first episode in a new series of conversations with Dr. Dayspring, in which he will share more of his perspective and answer more questions from listeners. In our discussion, we review the basics about cholesterol, triglycerides, and lipoproteins, exploring the factors that contribute to the development of cardiovascular disease, the significance of ApoB and Lp(a), and the risk factors for younger women. We also dive into the limitations of traditional allopathic medicines, and Dr. Dayspring shares his views on lipids, lipid changes in menopause, specific ways to address ApoB, some of the challenges associated with statin therapy, and more.  Dr. Dayspring brings a wealth of experience and expertise to this discussion, and you are sure to find this series as invaluable as the last. IN THIS EPISODE, YOU WILL LEARN: Dr. Dayspring revisits the differences between cholesterol, triglycerides, and lipoproteins What atherosclerosis is, and why it is concerning Dr. Dayspring explains the structure and function of lipoproteins The role of ApoB in lipoprotein particles and its significance in atherosclerosis Some of the risk factors for lipid abnormalities in younger women Lipid changes that occur as women transition from perimenopause to menopause  Dr. Dayspring shares his take on statin therapy Ways to address high ApoB Dr. Dayspring's suggested goals for ApoB therapy Connect with Cynthia Thurlow   Follow on ⁠X⁠, ⁠Instagram⁠ & ⁠LinkedIn⁠ Check out Cynthia's ⁠website⁠ Submit your questions to ⁠support@cynthiathurlow.com⁠ Connect with Dr. Thomas Dayspring On⁠ X⁠ (@Drlipid) On⁠ LinkedIn⁠ ⁠Journal Article: Atherosclerosis: Non-genetic influences on lipoprotein(a) concentrations⁠  ⁠Journal of the American Heart Association: Trajectories of Blood Lipid Profiles in Midlife Women: Does Menopause Matter?⁠  

Stress isn't just “in your head”—it changes your biology. It depletes nutrients like magnesium, vitamin C, B vitamins, and zinc, and keeps your body in survival mode. Supplements can help, but they won't heal you if the root cause—stress—remains. In this episode, I talk about why stress management is as critical as nutrition, how CBT and EMDR support your healing, and why lab testing matters before wasting money on supplements.   References from this episode: Juster R-P, McEwen BS, Lupien SJ. (2020). Allostatic load and allostatic overload: Clinical implications. Frontiers in Behavioral Neuroscience. https://doi.org/10.3389/fnbeh.2020.00046  Singewald N, et al. (2004). Magnesium-deficient diet alters anxiety-related behavior in mice. Journal of the American College of Nutrition. https://doi.org/10.1080/07315724.2004.10719406  Harrison FE, May JM. (2009). Vitamin C function in the brain: New evidence links ascorbate to neurotransmitter function. Brain Research Bulletin. https://doi.org/10.1016/j.brainresbull.2009.05.018  de Oliveira IJL, et al. (2015). Effects of oral vitamin C supplementation on anxiety in students. Nutrition Journal. https://doi.org/10.1186/1475-2891-14-36  Stough C, et al. (2011). The effects of 90-day administration of a high-dose B-complex vitamin on work stress. Human Psychopharmacology. https://doi.org/10.1002/hup.1190  Singh A, et al. (1991). Effect of acute stress on plasma zinc. Biological Trace Element Research. https://doi.org/10.1007/BF02990385  Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. (2018). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2012.00117  Shaw RJ, et al. (2019). Mindfulness-based stress reduction and CBT for HPA axis habituation. Psychoneuroendocrinology. https://doi.org/10.1016/j.psyneuen.2019.104420  Chen Y-R, Hung K-W, Tsai J-C, et al. (2014). Efficacy of EMDR for PTSD: A meta-analysis. PLoS ONE. https://doi.org/10.1371/journal.pone.0103676   Explore more support: Better Than Before Breast Cancer Life Coaching Membership: https://www.thebreastcancerrecoverycoach.com/lifecoaching  Creating a Life You Love in 168 Hours a Week: https://www.thebreastcancerrecoverycoach.com/168-hours-sp    Let's Connect! If this episode helped you breathe a little easier, please share it with a friend or leave a review. Every share helps spread this message of hope, healing, and whole-person wellness.

This week, we are joined by David Geslak, also known as Coach Dave, a pioneer in using exercise to support individuals with autism. He's the founder of a fitness program taught in nine universities and has partnered with the American College of Sports Medicine to create the Autism Exercise Specialist Certificate. David has dedicated his career to empowering the autism community through movement.   Today, we'll discuss how exercise supports development, share strategies for daily routines, and highlight the global impact of his work. Download latest episode to learn more! Resources  Facebook - @ExerciseConnection   Twitter/X - @ExerciseConnect & @davidgeslak   Instagram - @exerciseconnection & @davidgeslak   YouTube - @exerciseconnection   ............................................................... Autism weekly is now found on all of the major listening apps including apple podcasts, stitcher, Spotify, amazon music, and more. Subscribe to be notified when we post a new podcast. Autism weekly is produced by ABS Kids. ABS Kids is proud to provide diagnostic assessments and ABA therapy to children with developmental delays like Autism Spectrum Disorder. You can learn more about ABS Kids and the Autism Weekly podcast by visiting abskids.com.

Listen to TEXCOM Members Kim McGhee, Ben Schwefel, Jadene Tamura, and Kristin Yokomoto discuss the benefits of becoming a Certified Legal Specialist and the five TEXCOM modules making up the Exam and You preparation course.  The speakers will cover examination tips and briefly describe the examination topics, including professional responsibility, estate, gift, and tax planning through the use of revocable and irrevocable trusts, trust administration, accountings, probate law, powers of attorney, advance health care directives, incapacity, elder law and abuse, conservatorships, and trust and estate litigation. The Exam and You webinars discuss the five areas listed by the State Bar of California that may be on the examination, which is scheduled for October 30, 2025. To purchase a Session or bundle of 5 Sessions of The Exam and You, click here – https://calawyers.org/trusts-and-estates/exam-and-you-estate-planning-through-administration-and-litigation/ Speakers: Kimberly R. McGhee is the principal attorney at Black & McGhee, A Professional Law Corporation. She is a Certified Elder Law Attorney by the National Elder Law Foundation, a Certified Specialist in Estate Planning, Trust & Probate Law by the State Bar of California Board of Legal Specialization, V.A. Certified Accredited Attorney, and member of the California Lawyers Association, Trusts and Estates Executive Committee (TEXCOM). She is licensed in California and Nevada. Ben Schwefel is a Partner at Murtaugh Treglia Stern & Deily LLP and is a certified specialist in Estate Planning, Trust, and Probate law by the State Bar of California. Ben's practice focuses on estate planning, trust administration, probate administration, and trust litigation. Ben is a member of the Executive Committee of the Trust and Estates Section of the California Lawyers Association (TEXCOM) and the Orange County Bar Association Trusts & Estates Section. Jadene Tamura is a shareholder and co-chair of the Trusts & Estates Dept. at Parker Milliken Clark O'Hara & Samuelian, APC. Her practice includes all aspects of trusts and estates with an emphasis on estate planning and administration. She is a Certified Specialist in Estate Planning, Trust and Probate Law by the State Bar of California, and a member of the Executive Committee of the CLA Trust and Estate Section (TEXCOM). Kristin Yokomoto is a partner at Baker & Hostetler LLP in Costa Mesa, California. She practices in the areas of estate planning for high net worth clients and trust administration. Kristin is a Legal Specialist in Estate Planning, Trust & Probate Law certified by the State Bar of California. She is a Fellow of the American College of Trust and Estate Counsel (ACTEC) and Executive Committee Member of the CLA Trust and Estate Section (TEXCOM).Thank you for listening to Trust Me!Trust Me is Produced by Foley Marra StudiosEdited by Cat Hammons and Todd Gajdusek

Dr. Jaclyn Tomsic completed her oral and maxillofacial surgery training at Detroit Medical Center, rotating through Level I trauma centers including Detroit Receiving and Henry Ford Hospitals. She earned her medical degree from Wayne State University and completed a general surgery internship and chief year in OMF surgery. She then completed a fellowship at Georgetown University Hospital and the Posnick Center for Facial Plastic Surgery, focusing on jaw reconstruction, orthognathic, and facial plastic surgery. After another year as a surgery resident at Washington Hospital Center, she completed a fellowship in facial cosmetic and TMJ surgery at Mercy Hospital in St. Louis, earning Fellowship in the American College of Surgeons. Now based in her hometown of Cleveland, Dr. Tomsic focuses on facial cosmetic surgery, trauma, and implant surgery. Outside of work, she enjoys sports, fitness, travel, and time with family and friends.

Over 50 million Americans suffer from a range of frustrating allergy symptoms from hay fever to asthma, hives to sinusitis. Many have tried medications, visited allergists, and used various treatments, desperate to find a reliable way to alleviate their pain, but just can't seem to get the dependable relief they need. Now, one of New York's top allergists, Dr. Dean Mitchell, lifts the cloud of mystery surrounding allergies and offers a breakthrough new treatment program that will dramatically lessen their severity, if not cure them for good. In Dr. Dean Mitchell's Allergy and Asthma Solution, Mitchell clearly and comprehensively explains what allergies are, why they are so prevalent, and all of the standard treatments. He then presents a cutting edge 5-step program for reversing allergies called sublingual immunotherapy, or "allergy drops." This new treatment, widely accepted in Europe but still relatively unknown in the United States, is painless, convenient, incredibly effective, and completely safe since it works naturally through the body's immune system. Even better, it can be customized to meet specific needs, is shot-free, and can be self-administered. Dr. Dean Mitchell's Allergy and Asthma Solution is the best guide to understanding allergies and overcoming their symptoms.Dean Mitchell, MD, is the leading expert in sublingual allergy immunotherapy in the United States. He had been in practice for seven years following the conventional methods of allergy cures when he first learned of sublingual allergy immunotherapy (allergy drops) and has been one of its strongest proponents. He now runs a private practice, Ocean Allergy & Nutrition, in Manhattan. Dr. Mitchell's patients come from all over the US to receive his treatments. He is a fellow of the American College of Allergy, Asthma, and Immunology and is a member of the Joint Council of Allergy and Immunology.For ten years he was a clinical instructor of medicine at Columbia College of Physicians and Surgeons. He graduated from Brown University in 1982 and received his MD from the Sackler School of Medicine at Tel Aviv University in 1986. He lives in Long Island with his wife and two sons. When he's not busy with his patients, he enjoys playing baseball with his kids.https://www.mitchellmedicalgroup.com/about/dr-dean-mitchell/?utm_source=google&utm_medium=referral&utm_campaign=gmb_dean?utm_source=GMB&utm_medium=DeanBecome a supporter of this podcast: https://www.spreaker.com/podcast/earth-ancients--2790919/support.

Welcome to Season 14 Episode 31 of the ParentingAces Podcast! In this week's episode, Dr. Mark Kovacs is back to dive deeper into a recent social media post about the decreased fitness levels he's seeing in junior tennis players and what we can do to help our players get fit and stay injury-free.In case you're unsure as to why you should pay attention to what Mark has to say, he is a renowned performance physiologist, researcher, university professor, author, speaker and coach with an extensive background training and researching athletes at all levels. He serves the iTPA membership as its Executive Director. He formally directed the Sport Science, Strength & Conditioning and Coaching Education departments for USTA. He is a Fellow of the American College of Sports Medicine and the ITPA. He has published over 50 peer-reviewed scientific articles and abstracts in top journals including the British Journal of Sports Medicine, Sports Medicine, Sports Health, International Journal of Sport Physiology and Performance, Strength & Conditioning Journal, Journal of Sports Science and Medicine among many others. He has presented workshops and keynote addresses on four continents and well over 100 presentations. Along with his academic and scientific background Dr. Kovacs is also a coach and former professional athlete. He was an All-American and NCAA doubles champion in tennis at Auburn University. After playing professionally, he completed his graduate work at Auburn University and earned his Ph.D. in Exercise Physiology from The University of Alabama. Dr. Kovacs is a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association, a certified Health/Fitness Specialist through the American College of Sports Medicine, a United States Track and Field Level II Sprints Coach and Certified Tennis Coach. This man has the bona fides!You'll hear Mark discuss the Gatorade Sweat Patch as an easy tool to measure sweat level. You can get more information and order them through the Gatorade website at https://www.gatorade.com/equipment/gx-sweat-patch/gx-sweat-patch-00052000048520. Mark and I also discuss his recent article on combating jet lag which you can find here: Click HereTo reach out to Mark directly, email him at mark@kovacsinstitute.com. You can also follow him on Instagram at https://instagram.com/drmarkkovacs. To find our podcast on periodization, go to https://parentingaces.com/podcasts/what-is-periodization-how-do-we-use-it-with-dr-mark-kovacs/.As always, I am available for one-to-one consults to work with you as you find your way through the college recruiting process. You can purchase and book online through our website at ⁠⁠⁠⁠⁠⁠⁠⁠https://parentingaces.com/shop/category/consult-with-lisa-stone/⁠⁠⁠⁠⁠⁠⁠⁠.If you're so inclined, please share this – and all our episodes! – with your fellow tennis players, parents, and coaches. You can subscribe to the podcast on Apple Podcasts or via your favorite podcast app. Please be sure to check out our logo'd merch as well as our a la carte personal consultations in our ⁠⁠⁠online shop⁠⁠⁠.CREDITSIntro & Outro Music: Morgan Stone aka STØNEAudio & Video Editing: Lisa Stone

Nearly half of Americans have high blood pressure — and the guidelines for managing it just changed. Dr. Sanjay Gupta explains the new rules, including surprising advice on alcohol. Plus, he answers a listener's follow-up: does the recommended daily dose of “morning sunlight” change when it's cloudy, rainy, or even snowing? New blood pressure guidelines recommend an earlier start to treatment and skipping alcohol, CNN, August 14, 2025 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults, The American College of Cardiology/ American Heart Association, August 14, 2025 Our show is produced by Eryn Mathewson, Jennifer Lai, Grace Walker, Lori Galaretta, Jesse Remedios, Sofia Sanchez, Kyra Dahring, and Madeleine Thompson. Medical Writer: Andrea Kane Showrunner: Amanda Sealy Senior Producer: Dan Bloom Technical Director: Dan Dzula Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

Ralph devotes the entire program to challenging the “official” count of 60 thousand fatalities reported so far in the genocide Israel, aided and abetted by the United States, has perpetrated on the Palestinians in Gaza. First, Dr. Feroze Sidhwa, who volunteered twice in Gaza hospitals, presents the various studies that revise estimates into the hundreds of thousands. Then weapons expert, Professor Theodore Postol, backs that up with his knowledge of the destructive power of the weapons being used and the photographic evidence of the rubble.Dr. Feroze Sidhwa is a trauma, general, and critical care surgeon. He has volunteered twice in Gaza since 2024 and three times in Ukraine since 2022. He has published on humanitarian surgical work in the New York Times, Politico, and the Journal of the American College of Surgeons.I've made my point clear month after month that I believe the death toll is now well over 500,000. And it's important to have an accurate death toll to respect the Palestinian dead and to intensify diplomatic, political, and civic pressures from around the world (and particularly from the White House and Congress) to cease fire, to let the humanitarian trucks that are already at the border in (with food, medicine, water, hospital supplies), and to make sure that this conflict is resolved safely.Ralph NaderIt certainly seems that every single international expert on the topic does think that this is a genocidal attack, so I don't see any reason to disbelieve what they're saying. But that doesn't have to do with how many people are killed. So what I'm just trying to point out is that even if the numbers of people that we talk about here today are (like Ralph said) half a million, or whatever number of people have been killed, nobody disputes that huge numbers of mass killings have taken place. And it doesn't seem that anybody who knows what they're talking about disputes that it's genocidal at this point.Dr. Feroze SidhwaIt's been very widely understood by lots and lots of people, of a huge variety of political leanings, a huge variety of life experiences, of professions, et cetera, that this is the image that springs to mind when they go to the Gaza Strip—it's something like a gigantic concentration camp.Dr. Feroze SidhwaIf the U.S. or Israel cared at all about how many people (including, remember, this is a territory that is half children) —if we cared how many people, including children, we have starved to death, have shot dead, have blown up, et cetera, we could figure it out in two weeks and with 10 grand. The Israelis wouldn't even have to stop their assault. They could keep doing it. They could just agree to de-conflict this group of a few people. But they won't do it for obvious reasons. And I shouldn't say “they” —we won't do it for obvious reasons.Dr. Feroze SidhwaTheodore Postol is Professor of Science, Technology and National Security Policy Emeritus in the Program in Science, Technology, and Society at MIT. His expertise is in nuclear weapon systems, including submarine warfare, applications of nuclear weapons, ballistic missile defense, and ballistic missiles more generally.When you have a large building collapse, everyone is going to be dead unless they're out of the building. It's just that simple. And even when you have large buildings collapse and you have people coming in to search for people, you typically only find a few people who happen to have been lucky enough to be trapped in a cavity that's near a surface area of the rubble heap. If you're deep in the rubble heap, your chances of surviving are near zero.Professor Theodore PostolNews 8/15/25* New Bureau of Labor Statistics Consumer Price Index data shows Trump's new tariff regime has resulted in significant increases in tariff-sensitive staple consumer goods. Some startling price spikes include a 38.9% rise in the price of vegetables, 14.5% increase in the price of coffee and an 11.3% increase in the price of beef and veal. Beyond food, electricity is up 5.5%, rent and shelter is up 3.6%, and health insurance is up 4.4%. These increases are sure to be politically unpopular, as Trump campaigned on bringing down inflation and the price of groceries. The reporting of this data also raises questions about Trump's response, given his response to the recent negative BLS data reporting on new job creation.* Speaking of job creation data, while the U.S. only reported the creation of 73,000 new jobs in July, Mexico, under left-wing economic nationalist president and AMLO successor Claudia Scheinbaum, created over 1.26 million new jobs in the same month, according to Mexico News Daily. Furious about the jobs report, Trump forced out the head of the Bureau of Labor Statistics and is now seeking to install right-wing economist EJ Antoni. According to the BBC, economists have said his “economic commentary [is] rife with basic mistakes.” Antoni, kowtowing to Trump, ​​has proposed ending the monthly jobs report. Antoni would need to be confirmed by Senate Republicans, who have expressed some trepidation about his appointment, but whether that will be enough for them to stand up to Trump on this appointment seems unlikely.* In more domestic economic news, Jacobin reports corporations are experimenting with a new method of worker exploitation – so-called “stay-or-pay” contracts. According to this article, millions of employees – from nurses to pilots to fast food workers – are, often unwittingly, being “inserted into…restrictive labor covenants [which] turn employer-sponsored job training and education programs into conditional loans that must be paid back — sometimes at a premium — if employees leave before a set date.” These contracts, known as Training Repayment Agreement Provisions, or their acronym TRAPs, have become a major new battleground between corporate interests and groups fighting for labor rights, including unions and regulators. However, with Trump administration efforts to rollback even the modest labor protections promulgated under the Biden administration, the possibility of any federal intervention on behalf of workers seems remote.* In more Trump-related news, the occupation of Washington, D.C. has commenced. Trump has deployed federal agents, including officers with the Department of Homeland Security and Drug Enforcement Administration, as well as National Guard troops, to patrol the streets of the capital. Some of these deployments seem to be mostly for media spectacle; feds have been seen patrolling tourist areas like the National Mall, Union Station and Georgetown, but others have been going into District neighborhoods and harassing District residents for smoking on their own property. Moreover, while Trump has said "Our capital city has been overtaken by violent gangs and bloodthirsty criminals, roving mobs of wild youth, drugged-out maniacs and homeless people," the Justice Department has in fact announced that this year violent crime in Washington has hit a 30-year low, per NPR. Trump is restricted to a 30 day takeover of the District by law, but is seeking to extend this window through Congress.* As usual, even as Trump claims to be cracking down on crime, his administration treats corporate crime with kid gloves. Despite major news of corporate misconduct this week – including the reopening of a Boar's Head facility shut down earlier this year due to a listeria outbreak despite ongoing sanitation issues and an explosion at the Clairton Coke Works in Pittsburgh that left at least two dead and ten injured – a new Public Citizen report shows the extent of the administration's soft-on-corporate-crime approach. According to this report, “the Trump administration has already withdrawn or halted enforcement actions against 165 corporations of all types – and one in four of the corporations benefiting from halted or dropped enforcement is from the technology sector, which has spent $1.2 billion on political influence during and since the 2024 elections.”* Turning to Gaza, the Financial Times reports, “Israel has killed…prominent Al Jazeera correspondent [Anas Al-Sharif] in Gaza and four of his colleagues…in an air strike targeting them in a media tent.” This report notes the Israeli military “took credit” for the strike after “months of threats and unproven allegations that [the journalist] was the head of a Hamas cell.” The Committee to Protect Journalists called these claims an attempt to “manufacture consent for his killing.” The network called this move a “desperate attempt to silence voices in anticipation of the occupation of Gaza.” Anas Al-Sharif was a prominent journalist in the Arab world and was part of a Reuters photo team who won a Pulitzer Prize in 2024. Israel has already killed six Al Jazeera reporters in Gaza prior to this strike.* Meanwhile, in Egypt, President Abdel Fattah El-Sisi last Tuesday issued his harshest criticism of Israel thus far, accusing the nation of prosecuting “a war for starvation, genocide, and the liquidation of the Palestinian cause.” Yet, according to Drop Site News, Sisi's comments came just days before an announcement that an Israeli company will begin supplying Egypt with vast amounts of gas. This $35 billion deal between Egypt, neighbor to Israel and Palestine and the largest Arab nation, and Israeli energy company NewMed is the largest export agreement in Israel's history. This deal adds a new dimension to other comments Sisi made in those same remarks, wherein he defended Egypt against criticism for “not opening the Egyptian side of the Rafah border crossing to allow in aid.” It remains to be seen whether the genocide comments represent a new chapter of Egypt-Israel relations, or whether they are just a smokescreen to cover Egypt and Israel's increasing economic interdependence.* In Palestine news from the homefront, Semafor reports the Democratic National Committee will consider two dueling resolutions on Gaza at their meeting this month. According to Dave Weigel, one, introduced by DNC Chair Ken Martin would “[urge] a ceasefire and a return of hostages held by Hamas,” along with a reaffirmation of the increasingly far-fetched two-state solution. The other, introduced by a DNC member on the progressive flank of the party, calls for “suspension of military aid to Israel” and recognition of a Palestinian state. The latter resolution has drawn the ire of Democratic Majority for Israel, a political organization that aims to keep the Democratic Party firmly in the pro-Israel camp. DMFI's president, Brian Romick, is quoted saying that resolution would be a “gift to Republicans” and would “embolden Israel's adversaries.”* In more positive foreign affairs news, Jeremy Corbyn's new party in the United Kingdom appears to be gaining steam. A string of polls indicate the party could win the seats currently held by several high-profile Labour Party MPs, including Health Secretary Wes Streeting and now-resigned Homelessness Secretary Rushanara Ali. Most shockingly, it seems they could even win Holborn and St. Pancras, the seat currently held by Labour Party Prime Minister Keir Starmer. If this Corbynite wave does ultimately crest, it would be a stunning reversal of fortune after the Starmerite Labour Party expelled the former Labour leader in 2023.* Finally, AOL announced this week that they will end their Dial-up internet service in September, Ars Technica reports. AOL launched their Dial-up service in 1991, helping to usher in the era of widespread internet adoption. While this may seem like a natural step in terms of technological advancement, US Census data from 2022 shows that approximately 175,000 American households still connect to the Internet through dial-up services. As this article notes, “These users typically live in rural areas where broadband infrastructure doesn't exist or remains prohibitively expensive to install.” In effect, this move could leave these rural communities completely without internet, a problem compounded by the Trump administration's decision earlier this year to “abandon key elements of a $42.45bn Biden-era plan to connect rural communities to high-speed internet,” per the Guardian. It should be considered a national disgrace if both the private sector and the government leave these rural communities behind.This has been Francesco DeSantis, with In Case You Haven't Heard. Get full access to Ralph Nader Radio Hour at www.ralphnaderradiohour.com/subscribe

The Trump Administration ordered universities to turn over data to prove they're not considering race in admissions. But education expert Richard Kahlenberg argues that for college admissions to look at merit fairly, they need to look at class.