Podcasts about Attending physician

Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Dr. Melanie Ruffner, an Attending Physician with the Division of Allergy and Immunology and the Center for Pediatric Eosinophilic Disorders at Children's Hospital of Philadelphia. Dr. Ruffner describes her work in clinic and the paper she co-authored about pediatric and adult eosinophilic esophagitis (EoE). She covers the questions they considered in the paper and the conclusions they reached. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:17] Holly introduces today's topic, pediatric and adult eosinophilic esophagitis (EoE), and introduces today's guest, Dr. Melanie Ruffner.   [1:23] Dr. Melanie Ruffner is an attending physician with the Division of Allergy and Immunology in the Center for Pediatric Eosinophilic Disorders at Children's Hospital of Philadelphia. Holly welcomes Dr. Ruffner to Real Talk.   [1:50] As an attending physician in the Center for Pediatric Eosinophilic Disorders at Children's Hospital of Philadelphia, Dr. Ruffner sees patients who have eosinophilic esophagitis and other eosinophilic disorders, including eosinophilic GI tract disorders.   [2:09] Dr. Ruffner also leads a research group that studies how the immune system causes inflammation in response to certain foods, leading to EoE.   [2:20] Inflammation in the esophagus is tied to other diseases like epithelial barrier dysfunction and fibrosis.   [2:28] Our bodies use many different proteins that allow cells to communicate with one another. One type of signaling protein that causes inflammation is called cytokines.   [2:41] Dr. Ruffner's group is interested in how these signaling proteins called cytokines interact with epithelial cells and how that impacts the oral function of the esophagus in patients with EoE.   [3:02] In training, Dr. Ruffner became interested in eosinophilic esophagitis and other non-IgE-mediated food allergies because we don't have a lot of clear treatments or clear mechanisms that cause them.   [3:21] Dr. Ruffner felt there was a lot of work to be done in that area. It was rewarding to be in clinical encounters with those patients. Often, patients had spent a long time trying to find out what was happening and to find a treatment plan that worked for them.   [4:31] Dr. Ruffner's group sees some patients who have eosinophilic gastroenteritis and patients who are referred for hypereosinophilia with impacts of inflammation in other organ systems.   [5:06] Dr. Ruffner co-authored a paper about pediatric and adult EoE published in the Journal of Allergy and Clinical Immunology. It explored if EoE in pediatric patients and adult patients is a spectrum or distinct diseases.   [5:29] EoE is a chronic allergic condition that affects the esophagus. The esophagus carries food from the mouth to the stomach. In people with EoE, the immune system overreacts to foods and causes inflammation in the esophagus.   [5:47] Eosinophils are a type of white blood cell. Eosinophils infiltrate the tissue in the esophagus of people with EoE. Doctors look for eosinophils in the tissue of the esophagus as a sign that inflammation in the esophagus is EoE.   [6:04] The symptoms of EoE can vary in children and adults. That was one of the things the doctors were interested in when they were thinking about this paper. There are no blood or allergy tests that make it easy to diagnose EoE, which requires an endoscopy.   [6:31] An endoscopy is performed by a gastroenterologist. The gastroenterologists look at the appearance of the esophagus and take biopsies.   [6:49] A pathologist counts the eosinophils in the tissue to determine if there are eosinophils present. If there are more than 15 eosinophils in the high-powered field of the microscope and symptoms and clinical conditions are present, EoE is diagnosed.   [7:25] One of the variables Dr. Ruffner considers is that symptoms can be different in children versus adults. In older adolescents and adults, the classic symptom is difficulty swallowing or dysphagia. That is often caused by fibrosis in the esophagus.   [7:54] In younger children this is often not how EoE presents. They may vomit or refuse food. They may experience more weight loss. Symptoms vary over the lifespan. Pediatric EoE symptoms of nausea and abdominal pain can also show up in adults.   [9:54] Atopy refers to allergic conditions. In the paper, a history of atopy means a history of allergic conditions, like atopic dermatitis, IgE-mediated food allergy, allergic rhinitis, or asthma.   [10:37] These disorders tend to cluster together, over time, because they share many common genetic risks. They cluster in families because some of the genetic risks are the same. Not every family member will have the same atopic or allergic conditions.   [11:07] In families, perhaps one person will have atopic dermatitis and allergic rhinitis while another will have atopic dermatitis, allergic rhinitis, asthma, and EoE. They may have inherited different genetics or had different environmental exposures.   [11:50] Ryan says that describes his family. They each have different atopic conditions. Ryan got them all! Dr. Ruffner says it describes her family, as well.   [12:26] Dr. Ruffner says it's understandable for families to stress about atopic conditions. Unfortunately, right now, there's no way to predict who will develop which atopic conditions. It's on the minds of the medical and research communities.   [13:10] IgE is an antibody that binds to food allergens and mediates anaphylaxis, usually within 30 minutes, with hives, vomiting, and difficulty breathing. Not everyone with a diagnosed food allergy will be given an epinephrine auto-injector.   [13:44] IgE-mediated food allergies are influenced by type 2 cytokines. Cytokines are immune system signaling proteins that have been labeled as groups. The group that is involved in allergy most heavily is under the label type 2.   [14:15] These type 2 cytokines are responsible for influencing B cells to make IgE. In the tissue in EoE, we find that there is a large amount of these type 2 cytokines present.   [14:37] This is quite relevant because dupilumab, the monoclonal antibody that has been approved to treat EoE, targets type 2 inflammation by blocking type 2 cytokines.   [16:04] Dr. Ruffner says one of the biggest challenges in the field of EoE is we don't have a way to stratify who should get which treatment for EoE. Patients have to choose between diet and pharmacologic therapy.   [16:48] We don't know enough about the inflammatory profiles to give any patient the specific guided information that one therapy would be better than another.   [17:11] Pediatric and adult patients are given the same treatment options. Some dosing, such as proton pump inhibitors and dupilumab, is weight-based so different doses are needed.   [17:36] Over time, people's needs change. From early school age to when people leave home, they may have very different needs. They may do well on diet therapy when their diet is controlled by parents, but, on their own, that may not be the best option for them.   [18:20] Therapy may change over time to support each patient's individual goals. It can be challenging because therapies are imperfect. Each therapy has a percentage probability of success. Not every therapy is guaranteed to work for every individual.   [19:01] There is some flexibility and possibility of switching between therapies to support people. Ryan shares one of his experiences in changing treatments.   [20:03] Some patients are stable on a therapy for a time but then see symptoms creep back up. Dr. Ruffner strongly suggests they talk to their care team for an endoscopy and biopsy to see if they need to switch therapy and if their diet has changed.   [21:31] In young children, Dr. Ruffner sees a much higher incidence of feeding refusal. The child may have a preferred food or a preferred texture like puree, long past when that would be appropriate for the age.   [22:41] It can be very difficult to move past this learned behavior even if remission is achieved through therapy. The child may need feeding therapy to help with that. [22:59] Feeding behaviors in older individuals may be much more subtle. Talk about them with your care team. Needing water to eat, cutting food very small, and fearing to eat around people are common eating behaviors to discuss in older patients.   [23:53] These eating behaviors affect people's well-being deeply because they affect how social they feel when they are around people. Ideally, you want to be around people and share in social times.   [24:16] Holly has used these eating behaviors herself and notices them in other people. When adults come to her for therapy, she asks how many times they refill their water when they eat, and if food ever gets stuck. They are surprised that those are symptoms.   [26:01] Dr. Ruffner says it's important to recognize the difference in symptoms in diagnosing EoE. The main risk factor of EoE is fibrosis, over time. The thought is that early in EoE there is an inflammatory phenotype, but later, there is a fibrotic phenotype.   [26:51] The phenotype refers to the presentation or characteristic of disease. What is the appearance at endoscopy? What do we see in the biopsied tissue? Is there fibrosis or not?   [27:15] This is the crux of the paper: Is this on a spectrum, that the inflammation is driving the fibrosis, or are these two different things altogether? There is some evidence to suggest that the inflammation contributes to this fibrosis over time.   [27:40] One thing that is missing is following a group of patients from the start and having that evidence. There is mechanistic evidence from studies to show that inflammation can contribute to fibrosis. That was one of the discussions in the paper.   [28:29] In endoscopies, something that can be seen with fibrosis or fibrostenotic features is more of an appearance of rings and narrowing of the esophagus. A proportion of patients with strictures or narrowing need to have them dilated.   [29:11] For patients who have dilation, it can help with symptoms significantly. When pathologists look at the tissue with fibrosis, they can see changes in the protein structure. There is more collagen and other changes in the tissue, causing fibrosis.   [30:03] Some patients use adaptive eating behaviors to adapt to significant changes in their esophagus and go for many years without being diagnosed until they present with an impaction when food becomes stuck in their esophagus.   [30:46] This makes EoE a challenging disorder for many because it can be very difficult to diagnose. The journey to a diagnosis is very individual. As a group, adults are much more likely to have fibrosis, leading to dysphagia, strictures, or impaction.   [31:25] Statistically, across all patients, you see fibrosis more in adults than in children.   [32:42] In the paper, Th1 cells are mentioned. Th1 is an immune system term referring to a cell that produces interferon-gamma. Studies show there may be differences in interferon signaling in different age groups but it needs to be studied further.   [33:57] Dr. Ruffner's team had looked at a small group and saw that interferon signaling seemed to be relatively similar between children and adults. Both CD4 and CD8 T cells (types of immune system cells) are potentially producing interferon in the esophagus.   [34:32] More study needs to be done around those immune system cells and their potential significance in EoE, if any.   [35:33] The paper suggests that EoE in children and adults is essentially a spectrum of the same disorder rather than distinct diseases.   [35:42] Aspects of immunology, responses to different treatments across children and adults, the similar responses to diet and different medications, and over time in the same individuals, indicate these are changes and complications over time.   [36:41] Dr. Ruffner suggests that medical researchers need to understand which patients are at the highest risk of complications and work to identify the best treatments to prevent those.   [37:14] Dr. Ruffner is thinking about the response to proton pump inhibitor therapy. One of the things she is looking at is whether or not proton pump inhibitors affect how eosinophils migrate into the tissue.   [37:33] They are finding that it seems that PPIs can decrease the degree of migration of eosinophils into the tissue. They are very interested in looking at that. Ryan says when Dr. Ruffner gets that paper published, she'll have to come back on the show!   [38:06] Ryan thanks Dr. Ruffner. For our listeners who would like to learn more about eosinophilic disorders, including EoE, please visit APFED.org and check out the links in the show notes.   [38:15] If you're looking to find a specialist who treats eosinophilic disorders, we encourage you to use APFED's Specialist Finder at APFED.org/specialist.   [38:24] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections.   [38:33] Ryan thanks Dr. Ruffner for participating in the podcast episode. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Dr. Melanie Ruffner, MD, PhD, Attending Physician with the Division of Allergy and Immunology and the Center for Pediatric Eosinophilic Disorders at Children's Hospital of Philadelphia “Pediatric and adult EoE: A spectrum or distinct diseases?” by Stanislaw J. Gabryszewski, Melanie A. Ruffner, and Jonathan M. Spergel   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   “EoE is a chronic allergic condition that affects the esophagus. The esophagus carries food from the mouth to the stomach. In people with EoE, the immune system overreacts to food allergens and causes inflammation in the esophagus.” — Dr. Melanie Ruffner   “In EoE, there are no blood or allergy tests that make it easy to diagnose EoE without an endoscopy.” — Dr. Melanie Ruffner   “Is EoE on a spectrum, that the inflammation is driving the fibrosis, or are these two different things altogether? There is some evidence to suggest that the inflammation contributes to fibrosis over time.” — Dr. Melanie Ruffner   “When pathologists look at the tissue with fibrosis, they can see the changes in the protein structure.” — Dr. Melanie Ruffner   “There are some folks who have adapted their eating behavior quite significantly and may have quite a number of chronic changes in their esophagus that they have adapted around, and they go for many years without being diagnosed.” — Dr. Melanie Ruffner

NBC's Chicago Med Doctor Dean Archer is a Board-certified Surgeon and an Attending Physician in the Emergency Room at Gaffney Chicago Medical Center.  He is played by our friend Steven WeberSteven joined us to talk:-The real-life-looking 'patient props' made of rubber "The effects department on Med is as good as any film I've ever been on ... it's continually shocking at how good they are!"-His wife Paula Marshall on Med-Dr Dean Archer's abrasive direct personality-Addressing the elephant in the room - CADS - The Character Actor Dinner Society-The Pitt starring his friend Noah Wyle-Lisa read a book her recommended  To subscribe to The Pete McMurray Show Podcast just click here

This week, Jonathan is joined by Eytan Stein, Chief of the Leukaemia Service and an Attending Physician at Memorial Sloan Kettering Cancer Center, New York, USA.  Timestamps:      (00:00)-Introduction  (01:05)-The current landscape of treatments  (02:26)-The promise and peril of differentiation therapy  (05:55)-Highlighting the most impactful clinical trials  (08:38)-Epigenetics and the future of targeted therapies  (10:40)-The BEAT AML master clinical trial  (12:57)-The latest research into IDH inhibitors  (16:10)-Therapies for splicing factor mutations  (19:29)-Reducing patient fear with education   (22:46)-Stein's three wishes for healthcare   

Listen Live by phone over ZenoRadio: (641) 741-2308 (585) 652-0611 Call Caryn's personal archive number to hear the most recent five episodes of It's All About Food: 1-701-719-0885 Michelle Perro, MD & Stephanie Seneff, PhD; Danger in the Dough High Levels of Contaminants Found in Girl Scout Cookies Sound the Alarm on the Safety of the Majority of our Food Supply Michelle Perro, MD, is a veteran pediatrician with over four decades of experience in acute and integrative medicine, co-founder and CEO of GMOScience, a 501(c)(3) nonprofit organization. More than fifteen years ago, Dr. Perro transformed her clinical practice to include the health effects from GMOs and their associated pesticides. She has worked as both Emergency Room Director and Attending Physician from New York's Metropolitan Hospital/New York Medical college to UCSF Benioff Children's Hospital, Oakland, CA. Dr. Perro has co-authored the highly acclaimed book, What's Making our Children Sick. Stay tuned for her upcoming book, Making our Children Well, an instructional guidebook for parents on nutrition and homeopathy. Stephanie Seneff is a senior research scientist at MIT, where she has had continuous affiliation for more than five decades. After receiving four degrees from MIT (B.S., in Biophysics, M.S., E.E., and Ph.D.in Electrical Engineering and Computer Science), she has conducted research in packet-switched networks, computational modeling of the human auditory system, natural language processing, spoken dialogue systems, and second language learning. Currently a Senior Research Scientist (MIT's highest research rank) at the Computer Science and Artificial Intelligence Laboratory, she has supervised 21 Master's and 14 Ph.D. students. For over a decade, since 2008, she has directed her attention towards the role of nutrition and environmental toxicants on human disease, with a special emphasis on the herbicide glyphosate and the mineral sulfur.     LINKS MENTIONED IN THE PODCAST   READ the article DANGER IN THE DOUGH   WATCH the film The Need to Grow   MARION NESTLE blog Most enlightening report of the week: GAO on infant formula   Make your own Girl Scout-style cookies with organic ingredients. Below are our vegan and gluten free recipes.   Chocolate Dipped Mint Chocolate Cookies: Gluten-Free   Peanut Butter Sandwich Cookies Coconut Caramel Chocolate Dipped Cookies: Gluten-Free

So many women today are coming to me in perimenopause…they have been to their doctor and told that their blood work is fine when they aren't feeling that way, they have been dismissed, offered birth control pills and anti depressants, they have been refused hormone testing, and HRT. This has left women suffering and feeling dismissed, gas lit even and hopeless.   In this exclusive expert interview with Dr. Jaime Hope, you will get real tips and strategies on how women can best advocate for their health with their health care practitioners in perimenopause and always.   Dr. Jaime Hope is a dual-board certified Attending Physician, Assistant Professor, Patient Advocate, keynote speaker, best-selling author, and passionate educator that helps people navigate the health care system to optimize their results   Tune In To Learn:   Why feeling dismissed by your doctor is not in your head Why you may get normal labs from your doctor but still not feel fine 4 simple steps to make sure you get the health care that you deserve   Learn more from Dr. Hope Here:   Website: www.drhopehealth.com Insta: https://www.instagram.com/dr.hopehealth/     SCHEDULE A FREE 30 MINUTE CONSULTATION TO DISCUSS YOUR HORMONE AND HEALTH NEEDS NOW  

Dr. Guy Young, Director of the Hemostasis and Thrombosis Program, Attending Physician in Hematology-Oncology, and Professor of Pediatrics at Keck School of Medicine at the University of Southern California (USC), is currently serving as co-chair of i3 Health's CME/NCPD activity, Practice-Changing Advances in the Management of Hemophilia. With new developments in the field occurring over recent months, Dr. Young sat down with us to share recent updates in the hemophilia treatment and management. Click the links below for the full activity! Online accredited CME/NCPD activity: https://i3health.com/course-information/practice-changing-advances-in-the-management-of-hemophilia Accredited CME/NCPD podcast: https://i3health.com/course-information/practice-changing-advances-in-the-management-of-hemophilia-podcast

Dr. Mitch Shulman, Associate Professor in the Department of Emergency Medicine at McGill Medical School as well as an Attending Physician in the Emergency Department of the McGill University Health Centre. Dr. Mitch Shulman can be heard every weekday morning at 7:50 on The Andrew Carter Morning Show.

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Drs. Rongyu Zang and Yulian Chen to discuss the SOC-1 trial. Dr. Rongyu Zang is the Director of the Department of Gynecologic Oncology, Fudan University Zhongshan Hospital, & Institute for Ovarian Cancer, Fudan University and is the Principal investigator of the SOC-1 and SUNNY trials. Dr. Yulian Chen is an Attending Physician at the Department of Gynecologic Oncology, Fudan University Zhongshan Hospital.   Highlights: The SOC-1 trial concluded that in patients with platinum-sensitive, relapsed ovarian cancer, surgery did not increase overall survival in the intention-to-treat population, but resulted in a prolongation of survival after adjustment of crossover. Surgery may provide an obviously higher proportion of long-term relapse-free survivors than chemotherapy alone. An active preoperative evaluation for all patients with platinum-sensitive first relapsed ovarian cancer is suggested in specialized centers.

Today, we're excited to get to know Dr. Muthu Alagappan, CEO and Founder of Counsel, the modern solution for access to care. Before founding Counsel, Muthu was the CMO of Notable Health for almost 4 years and was an Attending Physician at Beth Israel Deaconess Medical Center and UCSF Medical Center. He graduated with his MD from Stanford Medicine and (fun fact!) was also the Student Commencement Speaker for his graduating class.Founded in 2023, Counsel provides patients with high-quality, personalized medical advice from expert doctors within minutes. Counsel recently announced $11M in seed funding from investors like A16z, Floodgate, Asymmetric Capital and Pear VC! We're proud to be partners to Counsel!

Dr. Jaime Hope is an Attending Physician specializing in Emergency Medicine at Beaumont Hospital, Royal Oak, and an Assistant Professor at Oakland University William Beaumont School of Medicine. Passionate about preventative medicine and healthy living, Dr. Hope authored "Habit That!", a guide to creating sustainable health habits amidst the chaos of modern life. In her book, she offers practical advice to combat the overwhelming nature of trendy health fads, supporting readers in establishing lasting habits that enhance well-being. Renowned for transforming her own lifestyle and teaching others to do the same, Dr. Hope speaks nationally on topics such as resilience, healthy habits, and overcoming imposter syndrome, inspiring audiences across all stages of life to cultivate a balanced and healthy lifestyle. Listen to this informative Sharkpreneur episode with Dr. Jaime Hope about empowering family caregivers. Here are some of the beneficial topics covered on this week's show: - How it's important to leave behind your bad habits and create healthy habits to achieve long-term health goals. - Why many caregivers often face unexpected financial burdens and how to prevent financial strain during caregiving. - How caregiving courses should aim to educate caregivers on leveraging insurance, grants, and local resources to ease financial strain. - Why drawing from your personal experiences can be really helpful to guide you in your work. - How it's important to empower caregivers with knowledge and community so they can support and enhance their loved ones' care. Connect with Jaime: Guest Contact Info X @DrHopeHealth Instagram @surviver_doc Facebook facebook.com/jaime.mckennon LinkedIn Linkedin.com/in/jaime-hope-md-a1190163 Links Mentioned: FamilyCaregiverHope.com DrHopeHealth.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Dean's Chat host, Drs. Jeffrey Jensen and Johanna Richey, are joined by Dr. Gary Rothenberg. This Dean's Chat episode is sponsored by Bako Diagnostics! Dr. Gary Rothenberg is a Board Certified Podiatrist, a Certified Diabetes Care and Education Specialist and Certified Wound Specialist who currently holds an Associate Professor of Internal Medicine appointment within the Endocrinology Division at the University of Michigan School of Medicine in Ann Arbor, Michigan. He is also the Director of Fellowship Training for the 2-year research-based fellowship at that institution. Additionally, he serves as the Director of Medical Affairs for Podimetrics, a mission-driven company committed to preventing avoidable amputations among people living with diabetes. A graduate of the Ohio College of Podiatric Medicine, he completed 3 years of residency training at the University of Texas Health Science Center in San Antonio followed by 4 years of private practice in Atlanta, Georgia. After private practice, Dr. Rothenberg served the veteran population as an Attending Physician and Director of Resident Training at the Miami VA Healthcare System for 11 years. His private practice, VA and academic practices have all focused on conservative and surgical management of the diabetic foot. Education has always been his passion -- whether working with students, residents, colleagues, or most importantly, patients, Dr. Rothenberg believes education is the key to successful avoidance of diabetes-related lower extremity complications. https://bakodx.com/ https://bmef.org/ www.explorepodmed.org https://podiatrist2be.com/ https://higherlearninghub.com/  

Chiropractor to Congress, Supreme Court, and the White House, Parker University's Seventh President, Active Texas Chiropractic Association Member, and proud Texan Dr. Morgan has a long history of serving in military healthcare. At age 17, he joined the Navy and served with a Marine Recon company as a special operations technician hospital corpsman. During that time, he qualified in parachuting, military diving, submarine insertion, jungle warfare, combat swimming, explosives, mountaineering, winter warfare and Arctic survival. Additionally, he attended anti-terrorist training at the FBI Academy. After leaving active military service and transferring to the Navy Reserves, Dr. Morgan began his educational journey to become a Doctor of Chiropractic. While at Palmer College of Chiropractic-West, he transferred to a Naval Special Warfare platoon as the unit's primary hospital corpsman. In 1985, Dr. Morgan received his Doctorate in Chiropractic from Palmer College of Chiropractic–West and soon after, married fellow Palmer graduate, Clare Pelkey. They practiced for thirteen years in California. In 1998, Dr. Morgan was chosen to establish the first chiropractic clinic at the National Naval Medical Center in Bethesda, Maryland, which later became Walter Reed National Military Medical Center. In 2015, Walter Reed recognized Dr. Morgan with its highest honor for clinical excellence, the Master Clinician's Award. During the last 18 years at the military's most prestigious medical centers, he practiced in an integrative setting, providing chiropractic care to the injured troops returning from the wars in Iraq and Afghanistan. In the year 2000, Dr. Morgan was appointed as the Chiropractor to Congress at the U.S. Capitol. At the Office of the Attending Physician to Congress, doctors of many specialties care for members of Congress and the Supreme Court. In 2007, Dr. Morgan began serving as the White House Chiropractor. He was appointed chiropractor for the United States Naval Academy football team in 2009 (which never lost to Army while under his care). In 2011, Dr. Morgan was appointed to the United States Navy Musculoskeletal Continuum of Care Advisory Board, an entity created to address the prevalent injuries sustained by U.S. Armed Forces Personnel during active-duty operations. Dr. Morgan also served on the Spine Subcommittee, which helps develop care algorithms for treating spinal conditions and determining the future of musculoskeletal management in the U.S. Armed Forces. Upon arriving in Texas, he became an active member and supporter of the Texas Chiropractic Association (TCA). Almost immediately, he organized a leadership summit to establish a legislative agenda strategy for chiropractors in Texas. Texas Chiropractors had not won a significant legislative victory in two decades, but in 2017 four bills advantageous to the chiropractic profession passed. Additionally, Morgan has assisted in fundraising, membership recruitment, and awareness for the TCA. As lifetime member of the American Chiropractic Association (ACA), he has also held several leadership positions in the organization and continues to serve on the Advisory Board and Ethics Committee. He is also a board member of the Association of Chiropractic Colleges. Dr. Morgan is the recipient of many prestigious awards, namely: The American Chiropractic Association Chairman's Award of Valor, 2003 Chiropractor of the Year from the American Chiropractic Association, 2003 Doctor of Laws, L.L.D. (honoris causa), National University of Health Sciences, 2004 Master Clinician Award, Walter Reed National Military Medical Center, 2015 The Keeler Plaque: “Chiropractor of the Year” awarded by the Texas Chiropractic Association in 2018 TCA President's Award, 2019-2020 2022 Congressional Veteran Commendation for the Twenty-Fourth Congressional District of Texas Work with RAPID Health Optimization Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram

In this podcast, hear expert perspectives on practice-changing advances in the treatment and personalized management of patients with hemophilia from Dr. Guy Young, Director of the Hemostasis and Thrombosis Program, Attending Physician in Hematology/Oncology, and Professor of Pediatrics at Keck School of Medicine of USC; and Dr. Jennifer Davila, Co-Director of the Hemophilia Treatment Center at Montefiore and Associate Professor of Pediatrics at The Children's Hospital at Montefiore. Listen to the episode now! Click here to claim your free CME/NCPD credit for this activity: https://bit.ly/4eQSbaL

The Doors of The Doctor Coach School™ are open. The Doctor Coach School™ is the only comprehensive coach certification program for women doctors of color who want to hit $100K, creating income and impact outside their doctor job.It includes a curriculum on marketing, an entire training dedicated to running high-converting sales calls, training on how to utilize and develop your very own coaching tools and frameworks that get your clients results, and a simple process for how to launch your scalable group coaching offer.Join for $20K paid in full or 6 monthly payments of $3350. WE ARE NOW OFFERING FLEXIBLE PAYMENT PLANS WHERE YOU CAN PAY OVER THE COURSE OF 12-36 MONTHS.Click here to apply to The Doctor Coach School™The last day to book your call is Monday, July 8th at 11:59 PM EST.Here's the simple process:1. SUBMIT YOUR APPLICATION TO THE SCHOOL. The last day to apply is July 8th at 11:59 PM EST. The application is simple but please be thorough.2. Immediately after submitting your application, book your sales call with me.3. On the sales call, I will take your history (determine where you are currently, what you've tried in the past, and where you want your business to be), and then I will give you my diagnosis, assessment, and the plan you should take to reach $100K. Come to the call and leave with the EXACT plan that will help you make $100K and get your clients 100% results.4. If I believe you are a good fit for DCS, I will invite you to join the school and will give you the next steps to onboarding and enrollment. If you aren't a good fit, you will walk away from the call knowing exactly what your next steps should be.5. There are 3 payment options: You can either pay $20K in full, pay $3350 monthly for 6 months, or enroll in 3rd party funding to pay over 12-36 months. If you elect to do 3rd party funding, you will submit a $500 deposit to secure your spot as you move through the funding process.6. Once you submit your payment, you will receive immediate access to the DCS course portal as well as the DCS Slack channel.Click here to apply to DCS.Let's Connect: On Instagram On Facebook On LinkedIn On TikTok On my website

Steven Loscalzo, MD, FAAP is an Attending Physician in the Division of Pediatric Critical Care Medicine and an Assistant Professor of Anesthesiology, Critical Care, and Pediatrics at the Perelman School of Medicine at the University of Pennsylvania. He completed his residency and chief residency in Pediatrics at St. Christopher's Hospital for Children, followed by a critical care fellowship at the Children's Hospital of Philadelphia. He is now an attending physician in the Division of Critical Care Medicine at Children's Hospital of Philadelphia.Elorm Avakame, MD, MPP recently completed his Pediatric Critical Care Medicine fellowship at New York-Presbyterian Hospital/Columbia University Medical Center. His areas of professional interest include clinical teaching in the ICU and mentoring and professional identity formation. This August, he will begin his faculty career as an attending physician in the Department of Anesthesiology and Critical Care Medicine at Children's Hospital of Philadelphia.Learning Objectives: By the end of this podcast, listeners should be able to:Define “emotional intelligence” and discuss relevant conceptual frameworks.Identify examples of emotional intelligence competencies.Describe existing data supporting the importance of emotional intelligence in clinical practice.Discuss strategies for teaching emotional intelligence competencies in critical care training.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

If you have questions or concern about your childrens' screen time, this is the episode for you. I'm joined by pediatrician and clinical researcher Dr. John Hutton, and we dive into health concerns regarding digital media use in children, impacts on caregiver-child connection, brain development and alternatives to digital media. Dr. Hutton is an Associate Professor, Division of General & Community Pediatrics at University of Texas Southwestern Medical Center and Attending Physician, Children's Health, Dallas. Dr. Hutton is also an author of over 40 children's books. I especially loved the Baby Unplugged series which you can browse here. Dr. Hutton's published research This episode is sponsored by Bark Technologies. Learn about the Bark App for iPhones and Androids: *Use code SCROLLING2DEATH FOR 10% OFF Check out the Bark Phone --- Support this podcast: https://podcasters.spotify.com/pod/show/scrolling2death/support

Join obstetrician-gynecologist Roshni D. Patel for an engaging discussion on navigating the challenges of the medical field. With firsthand experiences, Roshni shares valuable insights on overcoming underestimation, persistently advocating for what you need and striking a balance between compromise and non-negotiables. From the importance of lending a helping hand to maintaining professional worth and planning for career transitions, this episode offers practical advice for physicians and professionals alike. Roshni D. Patel is an obstetrician-gynecologist. She discusses the KevinMD article, "8 things I learned in my first year as an attending." Our presenting sponsor is Nuance, a Microsoft company. Do you spend more time on administrative tasks like clinical documentation than you do with patients? You're not alone. Clinicians report spending up to two hours on administrative tasks for each hour of care provided. Nuance, a Microsoft company, is committed to helping clinicians restore the balance with Dragon Ambient eXperience – or DAX for short. DAX is an AI-powered, voice-enabled solution that helps physicians cut documentation time in half. DAX Copilot combines proven conversational and ambient AI with the most advanced generative AI in a mobile application that integrates directly with your existing workflows. DAX Copilot can be easily enabled within the workflow of the Dragon Medical application to bring the power of ambient technology to more clinicians faster while leveraging the proven and powerful capabilities used by over 550,000 physicians. Explore DAX Copilot today. Visit https://nuance.com/daxinaction to see a 12-minute DAX Copilot demo. Discover clinical documentation that writes itself and reclaim your work-life balance. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/Of8GZP Powered by CMEfy.

Are you starting a new job as a physician? Maybe it is your first job ever as an attending? Listen in as we discuss all the must-do financial tasks including negotiations, benefits, changing budgets, and how to make sense of all things personal finance for new attending physicians. Make sure to check out Lisha's new podcast Wealth Minded MD! Every doctor needs own-occupation disability insurance.  To get it from a source you can trust? Visit https://moneymeetsmedicine.com/disability Want a free copy of The Physician Philosopher's Guide to Personal Finance?  Visit https://moneymeetsmedicine.com  

Have you ever taken time to review your contract and negotiate terms that are favorable to both you and the team? Just like a pro athlete negotiates for the most favorable contract, you as a superstar physician can to. Every time you renew your contract, you have a chance to get a better deal, especially your 2nd contract as an attending after you've proven yourself as an invaluable asset to the team. In today's episode, we are joined by Health Law Attorney Spencer Licktieg. You deserve to have the right tools and skills to get an equitable contract that aligns with your lifestyle, and indispensable contributions. Tune in to learn how. To connect with Spencer for a free consult, visit https://shrr.com/our-people/spencer-k-lickteig/ Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser. This recording is for the exclusive use by [PODCAST NAME] and used solely as an educational tool for the limited podcast interview by Spencer Lickteig on [DATE OF RELEASE] and any recorded replays of that presentation.  This commentary was not provided with any intent for actual use by individuals or entities and does not reflect the legal opinions or advisement of Spencer Lickteig or Smith, Haughey, Rice, and Roegge.  The information presented in this podcast itself does not, and is not intended to, constitute legal advice.  Instead, all information and content are for the limited informational purposes only.  The receipt or listening of this information does not create an attorney-client relationship, nor does it represent any intention of seeking or providing legal counsel.  No user or listener should act or refrain from acting based on the information provided in this document or presentation without first seeking legal or professional advice from counsel in the relevant jurisdiction.  This presentation does not represent the practice of law pursuant to state licensing authorities.  This interview audio shall not be reproduced by any parties without the express consent of Spencer Lickteig and Smith, Haughey, Rice, and Roegge.

The American Academy of Pediatrics recently released new guidelines to address childhood obesity, affecting over 14 million children, including recommendations for weight loss medications and surgery. Those who consider the guidelines good medicine say that it is a step forward in recognizing obesity as a condition requiring a range of medical interventions. Those who think the guidelines are too extreme worry these approaches could impact mental health and body image, contributing to weight stigma and shame. Now we debate: Childhood Obesity Guidelines: Good Medicine or Too Extreme? Arguing "Good Medicine: Dr. Julia Nordgren, Pediatric Lipid Specialist at Palo Alto Medical Foundation; Attending Physician at the Stanford Weight Clinic  Arguing "Too Extreme": Dr. Janna Gewirtz O'Brien, Pediatrician and Assistant Professor at University of Minnesota Medical School  Emmy award-winning journalist John Donvan moderates    Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Scott Canna is an Associate Professor of Pediatrics (Rheumatology), and Attending Physician, Pediatric Rheumatology and Immune Dysregulation at the Children's Hospital of Philadelphia. His group studies the mechanisms of immune dysregulation. He talks about auto- and hyperinflammatory diseases and the role of IL-18. He also discusses hemophagocytic lymphohistiocytosis and adapting therapies for children.

Have you heard of EBOO? It has become quite a popular treatment in the holistic health and biohacking community! Dr. Yoshi Rahm is one of the foremost experts on EBOO, which stands for Extracorporeal Blood Oxygenation & Ozonation. Dr. Yoshi Rahm finds meaning and joy in being present with himself and whomever he is with in the moment, especially with his family, friends, co-workers and patients. Much of his life's pursuits stem from growing up far outside of a small town in Northern California. His simple upbringing, which included living without electricity, TV or phone, gave him an early appreciation for healthy living. The suffering of unwell family members was a big driver for Dr. Rahm to pursue healing in the form of becoming a family physician. After residency at Glendale Adventist Medical center, where he received the two highest distinctions: “Resident Teacher Award” as presented by the faculty and “Resident of the Year Award” as recognized by the staff, Dr. Rahm then went on to become an Attending Physician teaching at the same residency program and also founded Oasis Family Medicine in Glendale, California, in 2011. With the support of incredible team members at Oasis Family Medicine, they are able to serve people with a wide variety of medical conditions in a compassionate and effective manner combining the best of allopathic western medicine in conjunction with an integrative and holistic healing approach. Oasis Family Medicine is always striving to improve in all ways and since 2020 they have enjoyed being on the cutting edge of using EBOO as a therapy, having done close to 2,000 EBOO sessions for patients, likely more than any other health provider in the United States, thereby attaining a unique ability to speak to the clinical applications and nuances of EBOO. He teaches and consults other medical providers and is a leading expert and physician in the space of integrative medicine.In this episode, Dr. Rahm educates us on what this procedure can do for the body, the difference between EBOO and traditional ozone therapy (MAH - major autohematherapy), and 10 pass ozone therapy. He discusses the major benefits people see from EBOO treatments, and the measurements he was making in his clinic. To Connect with Dr. Yoshi Rahm:https://www.oasisfamilymedicine.com/To Connect With Dr. Joy Kong:http://drjoykong.com/Watch Video Episodes on YouTube:https://www.youtube.com/channel/UCZj1GQBWFM5sRAL0iQfcMAQFollow Dr. Joy Kong on Social Media:https://www.instagram.com/dr_joy_kong/https://www.facebook.com/stemcelldrjoyhttps://www.linkedin.com/in/joy-kong-md-4b8627123/For more information about anti-aging regenerative medicine treatment visit:https://uplyftcenter.com

Description: Co-host Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and co-host Holly Knotowicz, a speech-language pathologist living with EoE, who serves on APFED's Health Sciences Advisory Council, speak with Dr. Amanda Muir, an Assistant Professor of Pediatrics at the Children's Hospital of Philadelphia. In this episode, Ryan and Holly interview Dr. Muir about tissue remodeling and eosinophilic esophagitis (EoE). Dr. Muir describes remodeling and stiffening, its effects, and how it relates to treatment and inflammation.   Listen in for information on remodeling and a pediatric study Dr. Muir is planning. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:48] Co-host Ryan Piansky welcomes co-host Holly Knotowicz. Holly introduces Dr. Amanda Muir, an Assistant Professor of Pediatrics at the Children's Hospital of Philadelphia (CHOP). She has a translational lab that investigates esophageal remodeling in the setting of EoE. Holly thanks Dr. Muir for joining us today.   [1:51] Dr. Muir became interested in eosinophilic disorders as a GI Fellow. There were so many patients with eosinophilic esophagitis and eosinophilic gastrointestinal diseases but there weren't many good therapies and little was known about the long-term results for children. [2:24] Dr. Muir's first eosinophilic interest was eosinophilic esophagitis. She joined a lab that was looking at how the esophagus changes over time in the setting of inflammation. After being in the lab, training, and learning all the skills and techniques, she was able to launch her career and lab.   [2:46] Dr. Muir started her own EoE clinic at CHOP (Children's Hospital of Philadelphia) as part of their Center for Pediatric Eosinophilic Disorders. She sees patients at the clinic, then she can bring questions from the clinic to the lab and talk about them as a group.   [3:28] Dr. Muir explains esophageal remodeling. There is remodeling that happens in the epithelial compartment of the esophagus. Then there's remodeling that happens underneath the surface in the lamina propria. For the most part, when people talk about remodeling in eosinophilic esophagitis, they refer to the remodeling happening below the surface.   [3:50] There is a burgeoning field dedicated to studying the surface of the esophagus, and Dr. Muir is also very interested in that. For today's purposes, we are talking about the remodeling that happens under the surface.   [4:03] Eosinophils that get to the esophagus secrete chemicals that excite the cells below the surface to secrete collagen. Collagen is the glue that holds the body together. They're secreting glue to help the esophagus hold together, and the esophagus gets stiffer and stiffer, over time. That is remodeling. It's the body trying to heal itself.   [5:04] Are children and adults equally at risk for remodeling? Patients develop a stiffening of the esophagus more, later in life. It is thought that the more years you have this inflammation, the more stiff your esophagus gets. There are patients six to nine years old who already have signs of stiffening.   [5:28] Dr. Calies Menard-Katcher from Colorado published a paper where she described all of the eosinophilic esophagitis patients at her institution who got dilated. Dilation is the process of a balloon stretching your esophagus open when it's too narrow. She had patients as young as six in her cohort that she described as having EoE strictures.   [5:49] Remodeling happens with younger patients but we're not as good at finding it.   [6:08] Any type of inflammation in the GI tract can lead to some stiffening. The typical gastrointestinal disease that we think of as remodeling is Crohn's Disease. An inflammatory process happens in the small bowel or colon that leads to narrowing and stiffness in the intestines. [6:28] Also GERD (reflux) can lead to stricture, over time. It is just much more rare to see a GERD-induced stricture as opposed to EoE.   [7:13] We are not sure, but to some extent, we think of remodeling as not being reversible. Once there is a certain degree of stiffness, the esophagus does not seem to open up without these dilations. If you can control the inflammation, you can halt the stiffening. Maybe there is some degree of reversibility.   [7:44] In the Phase 2 dupilumab trials, investigators found that patients on dupilumab were seen to gain two millimeters in diameter of the esophagus, compared to the patients on placebo. We may be able to prevent some remodeling if we catch it soon enough. More research is needed.   [8:33] Dr. Muir tells of the work she is doing in her lab. They take biopsies from patients and grow collagen-secreting fibroblasts in a dish. The research is to find out what calms the fibroblasts down from actively secreting collagen.   [9:22] It's tough to follow the symptoms of EoE when patients only have difficulty swallowing foods that are hard to swallow. If patients are not challenging their esophagus, they might not notice having daily trouble swallowing. It's hard to ask a young kid who is eating a lot of soft foods if they feel like anything's getting stuck.   [10:06] Dr. Muir will ask teenage patients, “Do you ever want to eat chicken? Do you ever want to eat steak?” A lot of times they don't want to eat it, perhaps because it felt uncomfortable at some point in their life and they don't want to eat it, not based on taste but on repeated bad events. It's hard to tease out the symptoms, sometimes.   [10:27] Dr. Muir says, based on our Functional Luminal Imaging Probe (FLIP) studies, patients who had feelings of food that felt stuck in the last 30 days did seem to have a more narrow caliber esophagus. There is not a 100% correlation between symptoms and remodeling, but there seems to be some correlation.   [11:31] Ryan tells how patients have tendencies to get around their EoE symptoms, with a personal example of keeping food in his mouth and chewing it for a long time before swallowing. A scope would show he had bad inflammation of the esophagus. He had been diagnosed when young and was under treatment and on a restricted diet.   [12:26] Biopsies don't always get a sample below the surface to check for fibrotic cells so it is hard to find remodeling with biopsies. There are some visual signs. Seeing rings or trachealization in the esophagus, or narrowing, can be signs that there is some remodeling under the surface.   [13:38] For kids who have a lot of trouble swallowing, Dr. Muir performs an EndoFLIP test regularly. The test catches subtle narrowing that may not be visible to the endoscopist. Doing this test gives the doctor more information and a better sense of the patient's phenotype, such as inflammation, the esophagus being stretchy, or being stiff.   [14:49] The EndoFLIP is a balloon with an imaging probe that includes a TV for the doctor to see how many millimeters the esophagus is in diameter as the balloon inflates along the whole body of the esophagus. It's not an imaging test that goes to radiology. It's a balloon that is blown up slowly with salt water and that gives this measurement.   [15:18] The EndoFLIP is a helpful tool to help determine who may have some more stiffening or determine exactly what the diameter of the esophagus is before starting treatment.   [15:33] One of the things that Dr. Menard-Katcher of Colorado, Dr. Ackerman of the University of Illinois, and Dr. Muir collaborated on was to look and see if they could find any markers in the esophagus that would relate to some of the things that are obtainable on biopsy or the esophageal string test.   [15:57] What they found was that periostin — a protein made by the epithelium and by the fibroblasts, which is known to activate fibroblasts, and is very high in EoE — seemed to correlate with the EndoFLIP measurements. This makes Dr. Muir think that there might be some potential for biomarkers to detect remodeling.   [16:16] The thing that everyone wants for this disease is to find a biomarker where we don't have to do a scope. As far as finding a non-invasive biomarker, we're not there, yet. There are some things going on at the tissue level that might clue us in on how distensible the esophagus is.   [17:18] The thing Dr. Muir worries about the most with long-term inflammation is that the esophagus is going to get more narrow over time. That will make patients more susceptible to food impaction (although not all patients with food impaction have a stricture).   [17:36] One worry is that the esophagus will get so narrow that an endoscope will not be able to pass a stricture. That will lead to more swallowing problems. That is what Dr. Muir hopes to be able to prevent as we get better at treating this.   [18:09] Any of the treatments that stop the inflammation and help get you below that “magical” 15 eosinophil count that we all strive for, will help prevent remodeling. So, once you get everything calm, hopefully, the remodeling process will stop. However, with the stiffening, the fibroblasts get more excited and have a hard time turning off.   [18:53] Simply turning off the inflammation will not turn off the fibroblasts. Many people within the GI space are looking at fibroblast-directed therapy, especially in Crohn's disease, there's a real need to prevent a lot of surgeries that are happening. Dr. Muir hopes to apply some of these to the esophagus, as well.   [19:16] In the study by Dr. Menard-Katcher, Dr. Ackerman, and Dr. Muir, there were 80 patients. Some were on swallowed steroid treatment and others were on an elimination diet. There were not enough patients on each therapy to find a significant difference in remodeling between the therapies. Patients in remission had better distensibility.   [19:44] Dr. Evan Dellon showed in a paper that patients who have sustained remission have fewer dilations, in the long term. While we don't have a way to reverse the fibrosis that's happened, we hope to prevent it from getting any worse. Dr. Muir's research goal is to find something to calm fibroblasts down and prevent fibrosis or even reverse it.   [20:31] Dr. Muir explains that cells under the surface level are fibroblasts. When eosinophils and T cells come in and secrete antagonizing chemicals, the fibroblasts turn on and start secreting collagen. The fibroblasts also turn on when the epithelium is angry and inflamed. There is also evidence that surface cells can secrete collagen.   [22:46] Dr. Muir says it's hard to know how far along in development some anti-fibrotic drugs are. We have many promising targets. Understanding how the remodeling happens is very important to be able eventually to treat this disease. Even though it seems like incremental progress, Dr. Muir believes research is moving the field forward.   [24:16] Dr. Muir says her EoE patients at CHOP are generous with their blood and tissue. Getting consenting control patients for lab studies involves a lot of leaps of faith and trust that scientists will grow your cells ethically. Dr. Muir feels lucky she has a good research team that explains things in lay terms to control patients.   [26:50] Dr. Muir's team has videotaped pediatric EoE patients and control patients' eating. The time EoE patients spent chewing and how long it took to swallow correlated to their esophageal distensibility measured by the EndoFLIP test. She believes that how we feed and the difficulty we have swallowing have to do with esophageal remodeling.   [27:41] That's Dr. Muir's next area of study. It's being spearheaded by Dr. Kanak Kennedy, a fellow in Dr. Muir's lab, trying to figure out the relationship between pediatric feeding and remodeling.   [28:08] As part of their research, they are videotaping as many kids eating as they can. This involves many control patients who don't have EoE. Another area of research is on the enzyme lysyl oxidase which organizes collagen into bundles and makes it stiff. She is looking into ways to decrease the organization of the collagen.   [29:08] Ryan thanks Dr. Amanda Muir for coming on the podcast and giving a crash course on remodeling and EoE.   [29:14] To learn more about eosinophilic esophagitis, visit apfed.org/eoe. To learn more about Dr. Muir's research, read her paper.   [29:30] To find a specialist, visit apfed.org/specialists. To connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [29:47] Ryan and Holly thank Dr. Amanda Muir again for joining them. Holly thanks APFED's education partners, linked below, for supporting this episode.   Mentioned in This Episode: Amanda Muir, MD. Children's Hospital of Philadelphia (CHOP) American Partnership for Eosinophilic Disorders (APFED) APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of AstraZeneca, Bristol Myers Squibb, Sanofi, and Regeneron.   Tweetables:   “I was able to start my own EoE clinic at CHOP as part of their Center for Pediatric Eosinophilic Disorders. I see patients who have eosinophilic gastrointestinal diseases and then I can go back to the lab and bring those questions from my clinic to the lab.” — Dr. Amanda Muir   “The thing that everyone wants for this disease is to find a biomarker where we don't have to do a scope.” — Dr. Amanda Muir   “Any of the treatments that stop the inflammation and help get you below that ‘magical' 15 eosinophil count that we all strive for will help prevent remodeling. So, once you get everything calm, hopefully, the remodeling process will stop.” — Dr. Amanda Muir   About Dr. Amanda Muir: Amanda B. Muir, MD, Attending Physician, Children's Hospital of Philadelphia, Research Institute. Dr. Muir investigates the mechanisms underlying esophageal fibrosis to improve therapeutic and diagnostic approaches.

The interview with Dr. Yoshi Rahm on the Cutting Edge Health podcast covers topics on enhancing cognitive health. Dr. Rahm discusses his personal journey influenced by his family's health issues and his integration of holistic practices into medicine. He delves into Extracorporeal Blood Oxygenation and Ozonation (EBOO) therapy for immune system boosting and reducing inflammation. Additionally, Dr. Rahm explains the use of methylene blue for cognitive improvement, its safe dosage, and potential side effects. He emphasizes the importance of lifestyle modifications, including diet, exercise, and community for overall cognitive health. The concept of structured water and its benefits for body energy and hydration is also discussed.   *****   Dr. Yoshi Rahm finds meaning and joy in ever learning to be present with himself and whomever he is with in the moment, especially with his family, friends, and patients.  Much of his life's pursuits stem from growing up far outside of a small town in Northern California.  His simple upbringing, which included living without electricity, TV, or phone, gave him an early appreciation for healthy living.  The suffering of unwell family members was a big driver for Dr. Rahm to pursue healing in the form of becoming a family physician.    After residency at Glendale Adventist Medical center, where he received the two highest distinctions: “Resident Teacher Award” as presented by the faculty and “Resident of the Year Award” as recognized by the staff, Dr. Rahm then went on to become an Attending Physician teaching at the same residency program and also founded Oasis Family Medicine.    With the support of incredible team members at Oasis Family Medicine, they are able to serve people from around the globe who have a wide variety of medical conditions in a compassionate and effective manner, combining the best of allopathic western medicine in conjunction with an integrative and holistic healing approach.  He thrives on learning and then using that learning to teach others how to be their own greatest healers.   *****   Cutting Edge Health podcast website: https://cuttingedgehealth.com/   Cutting Edge Health Social and YouTube: YouTube channel: youtube.com/@cuttingedgehealthpodcast Instagram - https://instagram.com/cuttingedgehealthpodcast Facebook - https://www.facebook.com/Cutting-Edge-Health-Podcast-with-Jane-Rogers-101036902255756   Please note that the information provided in this show is not medical advice, nor should it be taken or applied as a replacement for medical advice. The Cutting Edge Health podcast, its employees, guests and affiliates assume no liability for the application of the information discussed.   Special thanks to Alan and Maria on the Cutting Edge Health team!    

On today's show Dr Michelle Perro discusses health and toxins, including her latest infant formula/heavy metal research project.   GUEST OVERVIEW: Dr Michelle Perro, MD, Dhom, co-founder and CEO of GMOScience, is a veteran pediatrician with over four decades of experience in acute and integrative medicine. More than fifteen years ago, Dr Perro transformed her clinical practice to include the health effects from GMOs and their associated pesticides. She has worked as both Emergency Room Director and Attending Physician from New York's Metropolitan Hospital/New York Medical college to UCSF Benioff Children's Hospital, Oakland, California.

Listen to ASCO's Journal of Clinical Oncology essay, “The Gift of Truth” by Dr. Ilana Hellmann, an Attending Physician in the Hematology Department at Meir Medical Center in Israel. The essay is followed by an interview with Hellmann and host Dr. Lidia Schapira. Hellmann shares how it is an immense privilege and grave responsibility for physicians to give bad news to patients who have a terminal disease. TRANSCRIPT It was a hot and humid Tuesday in July, and I distinctly remember being grateful for the air conditioning in the pastel-shaded waiting room of the oncology outpatient clinic. My father sat silently beside me. We knew this room well, as we did the doctor we had arrived to see. He had been my late mother's oncologist until she had passed away just over a year previously from metastatic breast cancer. Dad remembered him being kind yet direct and had requested that he be his oncologist now that he needed one. I watched his hands fidget with the slip of paper bearing the number that would be called over the loud speaker. My father was 84 and a retired university professor of statistics. He spoke seven languages and his friends called him the encyclopedia as he was an endless fountain of knowledge in history, politics, literature, art, etc.…. His number was called, directing us to a room we had been in many times before. After greetings and some small talk about my late mother, Dr Cohen addressed my dad and slowly went through the history.  He had had surgery for a squamous cell carcinoma on his scalp along with skin graft 6 months earlier. Two or 3 months later, he complained of pain in his right hip which seemed to worsen by the day. After some imaging and assessment by an orthopedic surgeon, a diagnosis of osteoarthritis was declared, and the treatment recommended was a total hip replacement. The surgery was performed and my dad, who had been suffering from extreme pain, felt immediate relief. He was delighted with the results of the procedure, delight that dissipated in an instant when the pathology report came back: metastatic squamous cell carcinoma. He had been quickly referred for a course of radiation which had been completed. This meeting was intended to discuss further treatment. Dr Cohen gently explained that my father's cancer was not curable and that there was no good treatment available for him at that time. I do not really remember much of what was said after that. I found myself thanking him for his time and helping my father to the car. The drive home was awful, with awkward silence broken only by a discussion about what he was going to have for lunch. We both pointedly avoided talking about the meaning behind Dr Cohen's explanations. I was stunned. I felt like my father had been fired by his doctor and that I had been left to deal with the consequences. I felt alone, abandoned, and betrayed. The next few days passed quickly as I juggled my busy hospital schedule with family dinners, school runs, and the sporting activities of my three boys—the oldest of whom was 11 years old at the time. The weekend came, and on Saturday morning, my husband and I planned to meet friends at the local swimming pool as we so often did in the hot summer months. Leaving him to clean up honey and pancakes, I went across to the apartment opposite ours to say good morning to my father and tell him we would be gone for the better part of the day. He was sitting up in bed and said: “Before you go, please bring me my phone book.” He still used an alphabetized phone book, mostly in my late mother's hand writing. I found the book and held it out to him. “Find David Green's number” he said, which I did. “Dial it please” he said while looking for his glasses on the bedside table. I dialed and handed him the phone. I then listened as he greeted David—an old colleague from his years in academia. Dad had not spoken to David in many years. He explained that he had cancer, and that he did not have much time, but that he wanted David to know how much he had enjoyed working with him and to thank him particularly for his contribution to an article they had published together. I got up to go and, seeming not to notice, he asked me to dial the number of another friend. Realizing this was going to take some time, I called my husband and told him to take our boys to the swimming pool without me. I sat down next to Dad on his bed and dialed number after number. My parents had lived in a few countries, and my father's academic career had connected him with people all over the world. Over the course of almost 6 hours, he spoke to friends, relatives, old neighbors, and many work colleagues. He had a personal message for every one of them and started each conversation with a clear and brief explanation of the circumstances of his call. There were some people who were not home for his call, and he left long messages on answering machines. Those 6 hours were cathartic for the both of us. It was sad but also terribly beautiful and filled with my dad's signature black humor. Once we had contacted everyone in the phonebook, he continued his mission and gave me a list of people he wanted to be present at his funeral, as well as a second list of those he would prefer not to be there. Then, he handed me an envelope which contained a substantial sum of money. “This” he explained “is for the gentlemen who come to take my body.” My mother had died at home, and he remembered the two ambulance men who had come to take her body to the morgue after she had passed. He had been struck by the difficulty of such thankless work and wanted to make sure they were appropriately compensated. Very soon after that Saturday, my father had a seizure and was diagnosed with brain metastases. As dad had made it very clear that he wanted palliative care and no admissions to the hospital, Dr Cohen connected us with the services of home hospice care. He deteriorated rapidly and died at home, as he had wished, 3 months later. The money in the envelope was duly delivered to its intended recipients, and there are some people who were not at his funeral.  I have often gone back to the conversation in the oncologist's office on that July morning. Oncologists conduct end-of-life discussions with their patients every day. How does one tell the patient the truth without taking away every ounce of hope? Does every patient have to know that he is dying? I had never thought about the immediate consequences of what I say to my patients and their loved ones until I had to get my dad to the car and spend those eternal 20 minutes with him on the drive home. Bad news is difficult for those on the receiving end but no less so for those given the task of delivering it, especially when it concerns a terminal illness. There are some physicians who avoid telling their patients that their disease is terminal altogether. In not telling patients of the terminal nature of their cancer, are we protecting them or ourselves? And are we preventing them from being able to use the time they have left in a way they would wish with the knowledge that time is limited? There are those patients who cannot or will not talk about death. Knowing how much to say to each of our patients, and choosing the appropriate words, is an art. The task entrusted to physicians of giving bad news is both an immense privilege and a grave responsibility. My father received a brutal gift that day. But brutal as it was, it was a gift that enabled him to part, to make peace, and to prepare for his coming death. I have since had countless conversations with my own patients about their imminent demise. I constantly remember my father and that special Saturday. My memories are of tears, and of laughter, and most of all, of a sense of closure for the both of us. I hope that I am able to give my patients their truth in a way that will make it as much a gift for them, as it was for him. Dr. Lidia Schapira: Hello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira, Associate Editor for Art of Oncology and a Professor of Medicine at Stanford University. Today we are joined by Dr. Ilana Hellmann, who is an Attending Physician in the Hematology Department at Meir Medical Center in Israel. In this episode, we will be discussing her Art of Oncology article, “The Gift of Truth.”  At the time of recording, our guest has no disclosures.  Ilana, welcome to our podcast, and thank you for joining us. Dr. Ilana Hellmann: Thank you for inviting me. It's wonderful to be here. Dr. Lidia Schapira: You've been on our show before, so let me just start by diving right into your beautiful article. It honors the memory of your father, a Professor of Statistics, who had an encyclopedic knowledge of the world and spoke seven languages and was known by so many different people. And you start by bringing us to the moment in the waiting room of the oncology department that was familiar to both of you because your mother had been a patient and you had very carefully selected the oncologist for your father. You say it was a July humid day, and his number is called. And then what happened? Dr. Ilana Hellmann: Well, as I wrote, all the moments that you've just repeated from the article are things that are imprinted in my mind as if it happened yesterday. My father passed away in 2014, and there are those moments and many others that I remember very, very clearly. It's something I hear from my patients also all the time. They remember exactly the day they received the diagnosis, the time of day, they tell me what I was wearing when I told them whatever it was I told them. And it's something that struck me that when I went back to that day and many other things that happened afterwards, I remembered every second. I think I knew what the oncologist was going to say in retrospect, but at the time, maybe I didn't think about it.  It's very interesting that we as physicians, especially oncologists, we know exactly, but when it comes to family members, we're a little blind. And I've had this experience a few times since my mother passed away from cancer. My father and my father in law passed away just over a year ago, also from metastatic pancreatic cancer. So we know it very well.  Dr. Lidia Schapira: Sorry.  Dr. Ilana Hellmann: As I wrote in the article, I remember going in with my father. I remember the conversation, or at least the beginning part of it, but once the message hit home that, “This is what we have, the bottom line is there's not a lot we can do. We certainly can't cure your disease.” I don't remember anything else that happened after that. Dr. Lidia Schapira: And you described the ride home after that. You mentioned that you felt your father had been fired, had been fired from anything that was perhaps curative or offered sort of some optimism, perhaps the conversation was a little deeper and supportive and offered some palliation. But what you took away was that this was awful. He was fired. Then you say the ride home was really difficult.  Tell us a little bit about that. What was it like to leave the oncologist office as the sort of informed knowledgeable daughter who had just received this message? Dr. Ilana Hellmann: Exactly that. And I kept thinking in my mind, “How much do I say, what is he thinking? How much does he understand?” I was almost jealous, a little of people who have no medical knowledge. So much easier. Maybe it's not, but I think it's really tough for physicians as family members of patients who are unwell. But my father was, as I described, an exceptionally intelligent person, a real intellectual. He was enormous, not physically, but there was nothing he didn't know. You could ask him anything. He read the dictionary for fun. These are things that he liked to compare languages and cancer made him very small. And it was awful. It was just awful, awful to see. And that moment, it was very emphasized how small he was. He was just silent. There was just nothing, and I didn't know what to say. I felt absolutely helpless. And as I described, that drive is 20 minutes, maybe even a little less. It was endless.  And I remember that I went home with him. It was lunchtime, and I dropped him at home and I went back to work. I think I had taken the day off, to- I didn't know what was going to happen with the oncologist, and I went back to work because it was easier to go back to work than to stay at home. And he was silent. He said nothing. And the next time I understood what he was going through was on that Saturday with everything that happened.  Dr. Lidia Schapira: So fast forward to that Saturday, I imagine that you were busy with your children and your work, and it was easy to– I'm going to use the old fashioned word compartmentalize, put this aside for a little bit. And then on Saturday you're going in to say, “Hey, I'm going to take the children to the pool. How are you?” And he had a completely different idea of how you were going to find yourself spending the day. And I think that's such a powerful scene in the essay when you say that he started one by one asking you to dial his contacts, his friends, his colleagues and give a message. Tell us a little bit about how that felt and bring us to the bedside or to the scene if you can.   Dr. Ilana Hellmann: So there's dad. He's in bed. He's got his morning cup of coffee. He lived with a full-time carer at that stage, who brought him some breakfast and a cup of coffee. At some stage, she brought me a cup of coffee. He was very, very focused. It was like I was an assistant, just doing what he needed so that he could talk to all the people he wanted to talk to. It was crazy. It was like watching something surreal. There were people he hadn't spoken to in 20 years that he called. He had no concept of what time it was in various parts of the world, so he woke people in the middle of the night. It was really quite something. People didn't believe me afterwards when I told them the story, and as I say, some of the conversations were very, very humorous. My father had a wicked sense of humor; very black sense of humor. So, there was lots of laughter mixed in with, “I'm dying, and I have cancer.” Lots of humor, and there were a lot of tears, mostly on my part because my father was not a tearful type. He was emotional, but he didn't cry. But I remember being very tearful. I didn't know all the people. Some of the people were people I'd heard of when I was a child, all sorts of neighbors, people we'd lived next door to years before when I grew up in South Africa.  And when he'd finished, he had this sense of- he was satisfied, “I've done what I had to do.” And then he moved on. He had his list of things he had to do, the money he wanted to give to the ambulance workers, the people he wanted at his funeral, he didn't want to go to his funeral. It was typical of my father to do something like that. He planned everything. And it was like he'd had a box that he had to seal and tie a ribbon and it was done. And then he was finished and he was ready and he let go. It was amazing. It was beautiful. Dr. Lidia Schapira: When I read your essay, I felt that that was the gift he gave you. You have the word ‘gift' in the title. But it's such an amazing scene for a father to be able to do, sort of a review of his life while he's still living. Instead of leaving you a box with all of his memories, he basically showed you and gave you this loving and exhaustive, comprehensive demonstration of what his life had been about. Dr. Ilana Hellmann: Absolutely. Dr. Lidia Schapira: And in some ways, some of the dimensions that he touched were the professional dimensions that perhaps as a child or a young adult he would not have been able to access. But you saw how big he was. What an amazing thing. Did you and he ever talk about that? What it was that led him to do that? Or was that just something that happened and you sort of both understood and just walked on? Dr. Ilana Hellmann: It was beautiful and it's certainly a gift I've been left with. There was the gift he got and the gift I got. It was a little intense. Six hours of calls was exhausting. I remember when my husband came home and I told him, he immediately poured me a glass of wine. It was very, very difficult and it took me a long time to go through. I had no time to recover from one conversation to the next conversation. And he just kept going. He had very little breaks during the day. There were a lot of people he had to talk to, and he wanted to finish it today. He thought he was dying next week. That's not what happened. He never spoke about it again. And that was quite typical of him. He was like, “What's done is done. I've said what I had to say.” There were a lot of things that he said that I heard from the conversations that he had. And as you say, there were various gifts during the day that were told to other people but intended for me and for my younger brother who was not there at the time because he lived in England. But we never discussed it again. That was the way my father was. Dr. Lidia Schapira: You know when we, as physicians, tell patients who are sort of nearing the end of their life to say what they need to say to be prepared, this is exactly why, right? Because very soon after that, he had a seizure. He had brain metastasis. He might not have had the stamina or the ability to do what he did. So that is a very important lesson. I was incredibly moved by that scene, and I've probably read it a dozen times. You've probably thought about it a million times, but certainly this reader took a lot from that very beautifully described scene and so nicely told.  So for the last few minutes, tell us a little bit about how this personal experience has impacted your delivery of news and your relationship with the patients. You start by telling us that often, as oncologists, we give bad news but then we just move on. But people live with this, people go home like this. How has that experience as a daughter impacted your delivery of news?  Dr. Ilana Hellmann: Absolutely. There are a few parts of how it's influenced me. Somebody who read the article when I was writing it had said to me, "Wow, do all physicians have to go through these things to be able to identify with their patients or their family members?" Well, I hope not. It's a terrible thing to think of that each of us– On the other hand, there's no question that when you've been through something, you identify with the person in front of you if you know what they're talking about, you know what it's like to be a mother, you know what it's like to be a daughter. You know or you don't know what it's like to lose a parent or somebody else and the experiences that I had and I imagine anybody else have had with interactions with the medical community, with doctors, with the emergency room, with all sorts of things are things that influence the way I approach patients. So one of the things is true. I'm guilty of the fact that it didn't occur to me that I sit in my room, I see a patient and his daughter, his wife, his whatever, and I give them this news, and then I leave the wife to deal with him outside. Or the fact that when the oncologist said, “We haven't got curative treatment for you,” and I didn't hear anything else after that. Well, we know that when we tell patients something not good, there's often no point in carrying on the conversation and talking about treatment and side effects and whatever because they're not there anymore. And that's something that I remember very clearly from that.   You can't go with the patient, you can't go home with them, you can't get in the car with them, but you can remember it, think about it, choose your words carefully, maybe have a word with the spouse or the family member, whoever it is, as they're leaving outside the door, “If you need anything, call me.” Maybe call them. Sometimes, I've seen that it's difficult, and I've called them the next day. That definitely has influenced me. I'm not sure there's a lot you can do about it, but I think about it. In terms of telling patients that time is limited, that you're not going to live forever, it's hard, and we want to give patients good news. It's so much easier to tell a patient that their PET CT is clear than that it's all come back and the prognosis is not good.  So I try to understand where the patient is and how much they want to go. Most patients will lead the conversation. Most patients know to tell you how far they want you to go. And I've never been sorry about telling the patient that their prognosis is bad and that their disease is terminal. And I've had lots of return conversations from families after patients have passed on about the conversations they had, about the things that they did, about the fact that the patient decided maybe not to have more intensive treatment, went on a holiday, decided not to come to the emergency room with a fever or whatever it was, and elected to stay at home with hospice.  I found that that side of oncology is no less rewarding when you have to accompany a patient on their lost journey. I've found over the years that it's actually no less rewarding than the patients who are cured. And then you see them once a year and they come and they say everything's good.  Dr. Lidia Schapira: And that perhaps is part of what we call the art of oncology, which is the being in relationship, connecting with somebody, being a rock or a source of guidance for them when they're going through incredibly vulnerable times. I think that's not something that perhaps others recognize as being rewarding, but for those of us who are drawn to it, it can be incredibly rewarding.  Thank you, Ilana. This is a beautiful conversation and such a lovely essay. I imagine there's a reason for this taking about ten years to process and write, because the impact is so deep, but you managed to do that. For that, all of the readers of JCO are grateful to you. So I thank you very much.  Dr. Ilana Hellmann: Thank you. Thank you for taking it and publishing it.  Dr. Lidia Schapira: So until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review and be sure to subscribe so you never miss an episode. You can find all of the ASCO shows at asco.org/podcasts. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Show Notes Like, share and subscribe so you never miss an episode and leave a rating or review.  Guest Bio:  Dr. Ilana Hellmann is an Attending Physician in the Hematology Department at Meir Medical Center in Israel.

*What if those diagnosed with Alzheimer's Disease could still expect years of meaningful life? *How can we lessen the unfair and damaging stigma around this illness? Join Jennifer Reid, MD as she interviews Dr. Gayatri Devi, MD, neurologist and author of The Spectrum of Hope: An Optimistic and New Approach to Alzheimer's Disease and other Dementias. Dr. Gayatri Devi has focused her entire career on promoting brain health and quality of life in neurologic disease. She is board-certified in Neurology, Pain Medicine, Psychiatry, and Brain Injury Medicine as well as Behavioral Neurology and Neuropsychiatry.Dr. Gayatri's website: https://nybrain.org/Jennifer Reid, MD: thereflectivedoc.comDiscussed in this Episode:1) The harmful myths about disease course in Alzheimer's 2) Proper diagnosis of dementia, and why it is so often missed in doctors' offices3) New, effective treatments for slowing disease progression4) How women and men respond differently to a dementia diagonsisDr. Devi is currently the director of Park Avenue Neurology and an Attending Physician at Lenox Hill Hospital | Northwell Health as well as a Clinical Professor of Neurology at Downstate Medical Center. Her research focuses on the optimal treatment of stroke, cognitive loss, and pain.Dr. Devi has been featured in multiple news outlets, including the BBC, NY Times and Wall Street journal, and has written several books. She is neurologic consultant to the NY State Committee for Physician Health and the NFL Players Association. Born and raised in India, the daughter, granddaughter, and great-granddaughter of physicians, Dr. Devi continues a tradition of caring that began 140 years ago.Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255SAMHSA's National Helpline - 1-800-662-HELP (4357)Dial 988 for Mental Health EmergencyThoughts and opinions expressed on show are those of host and guests, and not associated with any academic institution.Disclaimer:The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line aThe Reflective DocWebsite - Instagram - Facebook - Linked In - Twitter - Think Like a Shrink Blog on Psychology Today

Rebecca Karb, MD, PhD, Co-Director, Comprehensive Stroke Center, Rhode Island Hospital, Attending Physician, Emergency Medicine, Rhode Island Hospital and House of Hope's Director of Outreach Sara Melucci join the show to discuss Lifespan's Street Outreach Program which seeks to provide direct care to vulnerable Rhode Islanders. Support the show

In this episode of the Award-winning PRS Journal Club Podcast, 2023 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Ronnie Shammas- and special guest Carolyn R. Rogers-Vizena, MD, discuss the following articles from the September 2023 issue: “Streamlining and Consistency in Surgery: Lean Six Sigma to Improve Operating Room Efficiency” Tanna, Clappier, Barnett, et al. Read the article for FREE: https://bit.ly/ImprovingOREfficiency Special guest Carolyn R. Rogers-Vizena, MD, who is a pediatric/craniofacial surgeon who completed her residency training at the University of Wisconsin, followed by Craniofacial Surgery Fellowship at the Boston Children's Hospital. She is currently an Attending Physician within the Department of Plastic and Oral Surgery at Boston Children's and Assistant Professor at Harvard Medical School who specializes in all areas of pediatric plastic surgery. READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/JCSept23Collection #PRSJournalClub

In this episode of the Award-winning PRS Journal Club Podcast, 2023 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Ronnie Shammas- and special guest Carolyn R. Rogers-Vizena, MD, discuss the following articles from the September 2023 issue: “Plastic Surgeons and Equity: Are Merit-Based Incentive Payment System Scores Impacted by Minority Patient Caseload?” by Byrd, Cichocki, and Chung. Read the article for FREE: https://bit.ly/PSEquityMIPS Special guest Carolyn R. Rogers-Vizena, MD, who is a pediatric/craniofacial surgeon who completed her residency training at the University of Wisconsin, followed by Craniofacial Surgery Fellowship at the Boston Children's Hospital. She is currently an Attending Physician within the Department of Plastic and Oral Surgery at Boston Children's and Assistant Professor at Harvard Medical School who specializes in all areas of pediatric plastic surgery. READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/JCSept23Collection #PRSJournalClub

In this episode of the Award-winning PRS Journal Club Podcast, 2023 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Ronnie Shammas- and special guest Carolyn R. Rogers-Vizena, MD, discuss the following articles from the September 2023 issue: “Comparison of Internal and External Distraction in Frontofacial Monobloc Advancement: A Three-Dimensional Quantification” by Rickart, van de Lande, et al. Read the article for FREE: https://bit.ly/MonoblocDistraction Special guest Carolyn R. Rogers-Vizena, MD, who is a pediatric/craniofacial surgeon who completed her residency training at the University of Wisconsin, followed by Craniofacial Surgery Fellowship at the Boston Children's Hospital. She is currently an Attending Physician within the Department of Plastic and Oral Surgery at Boston Children's and Assistant Professor at Harvard Medical School who specializes in all areas of pediatric plastic surgery. READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/JCSept23Collection #PRSJournalClub

Epcoritamab, a bispecific CD20-directed CD3 T-cell engager, is currently being investigated in numerous settings for patients with non-Hodgkin lymphomas. Recently, results were presented at the European Hematology Association (EHA) Congress for Cohorts 2A and 2B of the phase 1/2 EPCORE NHL-2 trial, which is investigating an epcoritamab combination for patients with relapsed/refractory follicular lymphoma. In this interview, Dr. Reid Merryman, an Attending Physician at Dana-Farber Cancer Center and one of the study's investigators, discusses the significance of these results and the efficacy of epcoritamab across the various tumor types being studied.

Today, I am blessed to have here with me Dr. Yoshi Rahm. He is a board-certified osteopathic family physician with a separate board certification in Integrative and Holistic Medicine. Dr. Yoshi grew up in a small town in Northern California. His simple upbringing, which included living without electricity, TV, or phone, gave him an early appreciation for healthy living.   He attended U.C. San Diego, where he majored in Animal Physiology and Neuroscience and minored in Human Development. He ran Track and Cross-Country for UCSD before co-founding a running club. After graduating, Dr. Yoshi interned at a neuroscience laboratory in Germany and traveled throughout Europe before working at a nonprofit Biotech laboratory in San Diego. Dr. Yoshi attended Western University of Health Sciences, College of Osteopathic Medicine. As a medical student, he participated in many volunteer activities, including medical missions to Mexico and Ecuador. After medical school, he completed his Internship and Residency in Family Medicine at Glendale Adventist Medical Center. During his time there, he was elected Chief Resident. Upon graduation, he received the two highest distinctions: “Resident Teacher Award” as presented by the faculty and “Resident of the Year Award” as recognized by the staff. Dr. Yoshi then became an Attending Physician teaching at the same residency program. In this episode, Dr. Yoshi speaks about the inspiration behind his career in brain health. He explains why disease and life expectancy stats are getting worse instead of better in the United States. Later, Dr. Yoshi dives into everything methylene blue: the history, the benefits, and how it works to improve your health. Tune in as we chat about ozone therapy, extra-corporeal blood ozonation and oxygenation (EBOO), and other biohacks.  JOIN MY 90 DAY HEAVY METALS DETOX PROGRAM (2 SPOTS LEFT): HTTP://WWW.KETOKAMPDETOX.COM  Get Keto Flex on Audible for Free (New Customers Only): https://adbl.co/36d6A24 Get Keto Flex on Audible here for current customers: https://adbl.co/3699lBm Purchase methylene blue here: https://bit.ly/3Wj3n70 use code KETOKAMP for a discount / / E P I S O D E   S P ON S O R S Good Idea Functional Sparkling Water Drinks. Visit http://www.goodidea.us and use the coupon code BEN at checkout. EveryDay Dose Everything you love about coffee, none of what you don't — say goodbye to jitters, anxiety, crash, and digestive issues. https://everydaydose.superfiliate.com/KETOKAMP  (5 FREE Travel Packs + Free Frother applied) Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list.  [00:55] Dr. Yoshi Speaks About The Inspiration Behind His Career In Brain Health  Dr. Yoshi's younger brother had spinal meningitis and grew up with seizures. He passed away from a seizure when he was twenty-five. So, Dr. Yoshi grew interested in brain health and how we can help the neurological system.  Dr. Yoshi grew up on 40 acres in the middle of nowhere with no TV, electricity, toilet, or phones. His childhood had an impact on his appreciation for healthy living.  In college, Dr. Yoshi majored in Animal Physiology and Neuroscience. Now, Dr. Yoshi makes a big difference in the lives of others through exceptional integrative and modern medical care. [07:55] Why Disease Stats Are Not Getting Any Better In The United States  Many diseases come down to politics, poor education, and big pharma. Where is the money being spent on advertising? It's being spent on pharmaceutical ads.  The population will split into two segments: the people who know what real health is and everyone else in the United States.  The average life expectancy has actually gone down in the past year or two.  [12:00] What You Need To Know About Methylene Blue Methylene blue has been around for a little over 100 years.  In fact, methylene blue was one of the first true medications in the United States.  The World Health Organization has methylene blue on its list of essential medications to fight parasites.  Methylene blue is excellent for the mitochondria.  Methylene blue's only real side effect is that your mouth will turn blue.  If you require mitochondria support, methylene blue is extremely useful.  [20:20] Using Methylene Blue To Benefit The Mitochondria and Help Your Body Heal   “Methylene blue is food for the mitochondria.” -Dr. Yoshi   You can have these mitochondria that die off, but you can also have half-functioning mitochondria. When you have a metabolic disease, the mitochondria are not working well. Methylene blue will go to the broken mitochondria, which will benefit it the most.  There are many reasons for disease, but one is not having enough energy. When we can correct deficiencies, our bodies will know how to heal.  [27:10] Some of the Many Benefits You Can Experience Using Methylene Blue Methylene blue will give you clarity of mind because it supplies enough energy to the brain. Also, methylene blue will help brain fog lift.  Plus, methylene blue is excellent for physical energy.  Any excess methylene blue gets excreted through the kidneys. So, methylene blue is good for chronic UTIs and bladder infections.  Lastly, methylene blue is phenomenal for chronic infections.  [36:15] Using Sunlight, Sea Salt, and Water To Help With Cell Communication  Humans used to get water from springs and rivers. Water, minerals, and sunlight will structure the water. Get clean water, add high-quality sea salt, and put it in the sun.  That way, you will better structure the water and absorb it into the body.  [40:05] About Ozone Therapy and How It Can Help You Find Better Health  There are a lot of different types of ozone therapies out there. Ozone balances cytokines and the immune system. Ozone is a supercharged form of oxygen comprised of three atoms. At Dr. Yoshi's office, he does O3D Infusion or Extra-Corporeal Blood Ozonation and Oxygenation (EBOO or EBO2). This type of therapy will give you a larger ozone dose, translating to better health.  Learn more about the services at Oasis Family Medicine: https://www.oasisfamilymedicine.com/ AND MUCH MORE!   Resources from this episode:  Check out Dr. Yoshi's Website: https://www.oasisfamilymedicine.com/ Follow Dr. Yoshi Facebook: https://www.facebook.com/TheDoctorYoshi Twitter: https://twitter.com/TheDoctorYoshi YouTube: https://www.youtube.com/user/YoshiRahm Blog: https://dryoshirahm.blogspot.com Dr. Pompa with Dr. Yoshi on YouTube: https://www.youtube.com/watch?v=xZlEmDcvIpE Purchase the Methylene Blue Suppository that Ben uses, called Lumetol Blue Bullet: https://www.mitozen.com/ketokamp/?v=7516fd43adaa, and use the coupon code ketokamp   Join the Keto Kamp Academy: https://ketokampacademy.com/7-day-trial-a Watch Keto Kamp on YouTube: https://www.youtube.com/channel/UCUh_MOM621MvpW_HLtfkLyQ Purchase methylene blue here: https://bit.ly/3Wj3n70 use code KETOKAMP for a discount. Get Keto Flex on Audible for Free (New Customers Only): https://adbl.co/36d6A24 Get Keto Flex on Audible here for current customers: https://adbl.co/3699lBm / / E P I S O D E   S P ON S O R S  Good Idea Functional Sparkling Water Drinks. Visit http://www.goodidea.us and use the coupon code BEN at checkout. EveryDay Dose Everything you love about coffee, none of what you don't — say goodbye to jitters, anxiety, crash, and digestive issues. https://everydaydose.superfiliate.com/KETOKAMP  (5 FREE Travel Packs + Free Frother applied) Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list.  *Some Links Are Affiliates* // F O L L O W ▸ instagram | @thebenazadi | http://bit.ly/2B1NXKW ▸ facebook | /thebenazadi | http://bit.ly/2BVvvW6 ▸ twitter | @thebenazadi http://bit.ly/2USE0so ▸clubhouse | @thebenazadi Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Ben Azadi disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility of statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

Becoming an attending physician is a momentous milestone that brings a plethora of new responsibilities, along with a profound sense of accomplishment. The transition signifies the culmination of years of intense training, sacrifice, and dedication. As residents, doctors are immersed in a structured environment, guided by senior physicians. However, as they step into the role of an attending, they suddenly find themselves at the forefront of patient care, making critical decisions independently.Today's episode is hosted by Raad Al Muhaisen, where we explore the transformative journey from medical resident to attending. In this episode, we dive deep into the challenges and experiences faced by doctors during this transition. Joining us are two esteemed guests, Dr. Hiraldo and Dr. Mehr, who share their personal insights and stories about this pivotal phase in their careers.

In May 2023, the FDA granted approval to epcoritamab, a CD3-redirecting, CD20-targeting bispecific antibody, for patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) and high-grade B-cell lymphoma. Following the approval, Oncology Data Advisor® spoke with Dr. Reid Merryman, an Attending Physician at Dana-Farber Cancer Institute and one of the investigators of the EPCORE NHL-1 trial, on which the approval was based, to learn more about the efficacy and safety of epcoritamab and its burgeoning role in the treatment of relapsed/refractory DLBCL.

“The scene can't begin until we start paying attention to each other.” -- David Pasquesi If you think improv comedy and healthcare compliance and coding require opposite skillsets, you might be surprised by our latest podcast episode... We invited Dr. Mike Smith, a multi-talented physician and improv aficionado, to join us for our latest episode of Compliance Conversations. Dr. Smith is currently an Attending Physician at the University of Nebraska Medical Center and a Consultant for Healthcare Improv.

The oral microbiome has been recently classified as a “gateway” microbiome, giving it immense importance in total body health. The placental microbiome is another gateway microbiome- it sets the immune system of the developing child- and is extremely important since it's closely related in microbial content to the oral microbiome! But what creates a dysbiotic oral microbiome? My guest today is Mark L. Cannon. He is a Professor of Otolaryngology- Division of Dentistry at Northwestern University, Feinberg School of Medicine, an Attending Physician at Ann and Robert Lurie Children's Hospital, and a member of the International Association of Pediatric Dentistry. In addition to being the founder of Associated Dental Specialists of Long Grove (1981); he is the Research Coordinator of the Pediatric Dental residency program at Ann and Robert Lurie Children's Hospital, Chicago, Illinois. Dr. Cannon has 40 years of experience in pediatric dentistry and has presented lectures both nationally and internationally. He lectures on many oral health topics including evolutionary oral medicine, the gateway microbiomes, biologic and bioactive dental materials (patents owner), probiotics, and all aspects of everyday Pediatric oral health. Dr. Cannon has humbly accepted two invitations by the Karolinska Institutet, first to the Nobel Forum (2016) and secondly to the Nobel Assembly (2017). Most of all, Dr. Cannon is the proud father of five, all of whom are very accomplished. He is also a very proud grandfather! Do you have issues with both the skin and your dental health? Have you considered tackling the mouth issues first? Let me know in the comments! In this episode: What is a "gateway microbiome"? Why missing THESE bacteria from your mouth microbiome is problematic List of diseases + health issues associated with a messed up oral microbiome What bacteria like P. gingivalis can INSIDE of your cells Is xylitol helpful for oral microbiome health? Strep salivarius VS. Strep mutans Quotes "Half the population has their gut controlled by the mouth. If you have leaky gut, you have leaky gums, leaky blood-brain barrier... And before you know it, problems with the skin, which is what we've seen in so many studies. You'll find a lot of studies showing that with every skin disorder, there's an associated gut microbiome problem" [06:07] "It was a very, very powerful multi-center study... And they significantly reduced preterm birth by having the moms chewing xylitol gum. I mean, the savings and healthcare dollars are huge, but again, you're working on a gateway microbiome and you're inhibiting a keystone pathogen." [16:04] Links Find Dr. Cannon online along with his bio here The American Academy for Oral Systemic Health Want to try some amazing toothpaste + mints with xylitol? Try RiseWell! Healthy Skin Show ep. 260: Oral Microbiome-Skin Rash Connection w/ Dr. Mark Burhenne Healthy Skin Show ep. 020: How Your Mouth Microbiome Can Mess Up Your Skin w/ Trina Felber

Dr Helen Ouyang on why she writes so much about the hospital-at-home movement: It's the future, one way or another. This podcast is intended for US healthcare professionals only. To read a full transcript of this episode or to comment please visit: https://www.medscape.com/features/public/machine Eric J. Topol, MD, Director, Scripps Translational Science Institute; Professor of Molecular Medicine, The Scripps Research Institute, La Jolla, California; Editor-in-Chief, Medscape Abraham Verghese, MD, Physician, author, and educator; Professor and Vice Chair, Theory & Practice of Medicine, Department of Medicine, Stanford University, Stanford, California Helen Ouyang, MD, MPH, Associate Professor, Department of Emergency Medicine, Columbia University Vagelos College of Physicians and Surgeons; Attending Physician, Department of Emergency Medicine, Columbia University Irving Medical Center, New York, NY Your Next Hospital Bed Might Be at Home, The New York Times Magazine. https://www.nytimes.com/2023/01/26/magazine/hospital-at-home.html Hashtag Prescription, Harper's Magazine. https://harpers.org/archive/2016/06/hashtag-prescription/ Acute Hospital Care at Home Individual Waiver Only (not a blanket waiver), CMS.gov. https://qualitynet.cms.gov/acute-hospital-care-at-home You may also like: Medscape's Chief Cardiology Correspondent Dr John M. Mandrola's This Week In Cardiology https://www.medscape.com/twic Discussions on topics at the core of cardiology and the practice of medicine with Dr Robert A. Harrington and guests on The Bob Harrington Show https://www.medscape.com/author/bob-harrington For questions or feedback, please email: news@medscape.net

Editor-in-Chief Dr. Sue Yom hosts a discussion this month on geospatial health disparity analysis and Spanish language equity. Guests include Associate Section Editor Dr. Sara Alcorn, Vice Chair of Clinical Strategy in the Department of Radiation Oncology at the University of Minnesota and the supervising author of Radiotherapy Deserts: Impact of Race, Poverty and the Rural-Urban Continuum on Density of Providers and Utilization of Radiotherapy in the United States. We also host Dr. Idalid “Ivy” Franco, Director of Equity, Access, and Inclusion and Attending Physician in the Department of Radiation Oncology at Brigham and Women's Hospital, and Mr. Santiago Avila, fourth-year medical student at the University of Chicago, co-first authors of Spanish Adaptation and Evaluation of Clinical Discussion Guides: Communicating the External Beam Radiotherapy Experience (CEBRE) en Español. We additionally welcome Dr. Pilar Ortega, Vice President of Diversity, Equity, and Inclusion at the Accreditation Council for Graduate Medical Education (ACGME), Clinical Associate Professor in Emergency Medicine at the University of Illinois College of Medicine, and supervising author of this article.

On today's episode, we are going to talk about designing harm reduction. Dr. Kimberly Sue is an Assistant Professor of Medicine with the Program in Addiction Medicine (Division of General Internal Medicine) at Yale University School of Medicine. She is the former Medical Director of the National Harm Reduction Coalition, New York, NY, which strives to improve the health and wellbeing of people who use drugs. Currently, she serves as an Attending Physician at the Central Medical Unit, APT Foundation, which provides primary care to patients receiving methadone and other substance use treatment services and supervises fellows and trainees within the Yale Addiction Medicine Fellowship program. She also is an Attending Physician on the hospital-based Yale Addiction Medicine Consult Service. She holds board certification in both Internal Medicine and Addiction Medicine. Dr. Sue trained at Harvard's MD-PhD Social Science Program, and has a PhD in sociocultural anthropology. Her book, Getting Wrecked: Women, Incarceration, and the American Opioid Crisis (2019), is based on her research on women with opioid use disorder in Massachusetts prison and jails. Her current research interests include harm reduction, stigma, gender/women and substance use, and overdose response strategies on local, state, and federal levels. Episode mentions and links: https://www.drkimsue.com/ Yale Medicine Harm Reduction Coalition Kim's Book: Getting Wrecked Women, Incarceration, and the American Opioid Crisis NEXT Distro (mail based harm reduction service) On Point NYC Restaurant Kim would take you to: Frank Pepe's Pizzeria Napoletana (or Sally's or Modern or any one of the many highly revered New Haven Pizza joints) Follow Kim: Twitter | Instagram | LinkedIn Episode Website: https://www.designlabpod.com/episodes/109

It's Friday, February 17th, A.D. 2023. This is The Worldview in 5 Minutes heard at www.TheWorldview.com. I'm Adam McManus. By Adam McManus (Adam@TheWorldview.com) 22 civilians in Congo killed by rebel group On February 12th and 13th, 22 civilians were killed in two separate attacks in Africa's Democratic Republic of Congo. The attacks took place in the conflict-ridden province of Ituri, reports International Christian Concern.  The perpetrators of the attacks, which occurred about twelve hours apart, are suspected to belong to a local rebel group called CODECO, which stands for “Cooperative for Development of the Congo,” which is one of the many militias operating in the east of the country.  Congo is the 37th most dangerous country in the world for Christians. Pray that justice would be done. Proverbs 21:15 says, “When justice is done, it brings joy to the righteous, but terror to evildoers.” The story of one Turkish woman On February 12th, an elderly woman approached the Samaritan's Purse site near the location of the Turkish earthquake in need of something to eat as she is diabetic. One of their registered nurses, named Rhonda, who happens to speak Turkish, was able to give her a banana during a brief break from setting up the tents and equipment. More importantly, Rhonda provided a listening ear. The elderly woman shared that she is from another area in Turkey, but that her family lives here. After hearing the news of the devastating earthquakes, she traveled to the city to find her daughter and grandchildren. To her utter dismay, they had all died in the disaster. While speaking with the Samaritan's Purse staff, the woman shed tears and thanked the ministry for coming to Turkey. She offered hugs and kisses before leaving the site in search of somewhere to stay for the night. Her story is heartbreaking, but just one of so many in Turkey today. To help fund the 52-bed field hospital set up by Samaritan's Purse, click on a special link in our transcript today at www.TheWorldview.com. Daniel Ortega stripped 94 Nicaraguans of citizenship, deports to U.S. Nicaraguan dictator Daniel Ortega stripped 94 Nicaraguans of their citizenship, including some of the Central American country's most celebrated writers and journalists, reports The Guardian. The move was announced by a Nicaraguan judge on February 15th. Last week, 222 political prisoners, including some of Nicaragua's leading opposition activists, were deported from Nicaragua and flown to the U.S. – a move widely interpreted as a sign of Ortega's determination to remain in power after 16 years as president. Nicaragua's government called the deportees, who were also stripped of their citizenship, “traitors to the motherland.” Brian Nichols, the U.S. state department's assistant secretary for western hemisphere affairs, tweeted, “This deplorable act represents a step further away from the democracy the people of Nicaragua deserve.” And speaking to the Washington Post last week, Juan Pappier, with Human Rights Watch, said, “The country is on the verge of becoming the western hemisphere's equivalent of North Korea.” Senator John Fetterman suffering clinical depression Democrat Senator John Fetterman of Pennsylvania checked himself into Walter Reed Hospital to receive treatment for clinical depression on Wednesday night, reports Breitbart. Adam Jentleson, his chief of staff, said, “While John has experienced depression off and on throughout his life, it only became severe in recent weeks. On Monday, John was evaluated by Dr. Brian Monahan, the Attending Physician of the United States Congress. Yesterday, Dr. Monahan recommended inpatient care at Walter Reed. John agreed, and he is receiving treatment on a voluntary basis.” Fetterman suffered a stroke last year before he won the Pennsylvania Senate race in a highly competitive contest against Dr. Mehmet Oz. His office said this month that he was hospitalized after he felt lightheaded but that tests ruled out another stroke, reports NBC News. 4th abortion complication at University of New Mexico abortion mill On February 15th, Abortion Free New Mexico volunteers documented the fourth abortion complication of 2023 at the University of New Mexico Center for Reproductive Health abortion mill in Albuquerque.   A woman was placed into an ambulance and taken to the emergency room during the lunch hour. This occurred just six days after the last abortion complication that was recorded by the No Sidewalk Without the Savior volunteers.  The steady rate of abortion injuries at this location raises red flags about who is causing these injuries on unsuspecting women, most of whom are traveling there from out of state. It has been well documented by Abortion Free New Mexico that the University of New Mexico participates in the Ryan Residency Training program whose main emphasis is to “ensure the availability of abortion care in hospitals and make sure that all obstetrician-gynecologists are skilled to provide abortion." Tara Shaver of Abortion Free New Mexico invited Christian pro-lifers to “join us as we call upon the governing leadership at the University of New Mexico to shut down this dangerous late-term abortion facility." You can sign the petition through a special link in our transcript today at www.TheWorldview.com. Florida Christian college cancels singers over homosexuality And finally, on February 11th, Pensacola Christian College cancelled The King's Singers, a highly regarded British male a cappella ensemble which sings pop, classical, and sacred music, because one of their singers is an active homosexual, reports CNN. Jonathan Howard, one of the six members of The King's Singers, told The New York Times that two members of the group were homosexual. In a tweet, The King's Singers said, “It has become clear to us, from a flood of correspondence from students and members of the public, that these concerns related to the sexuality of members of our group.” In a responsive tweet, Pensacola Christian College, a private independent Baptist institution, said that it “cannot knowingly give an implied or direct endorsement of anything that violates the Holy Scripture, the foundation of our sincerely held beliefs. Pensacola Christian College cancelled a concert with The King's Singers upon learning that one of the artists openly maintained a lifestyle that contradicts Scripture. “The highly talented musicians were treated with dignity and respect when informed of the cancellation. The artists stated their understanding and acceptance of the change and were given full remuneration.” A section referring to sexuality in the school's articles of faith notes: “We believe that God has commanded that sexual activity be exclusively reserved to a man and a woman who are legally married to each other.” It goes on to say that scripture forbids “sexual immorality including adultery, fornication, homosexuality, bestiality, incest, and the use of pornography.” Because of its Biblical stand, Pensacola Christian College is being called homophobic and unchristian by homosexuals and their supporters, reports ThePinkNews. But Ephesians 5:11 says, “Have nothing to do with the fruitless deeds of darkness, but rather expose them.” Take a moment and thank the college's president, Dr. Troy Shoemaker. Send your email to PresidentsOffice@pcci.edu Close And that's The Worldview on this Friday, February 17th, in the year of our Lord 2023. Subscribe by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Or get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

Hilary Fairbrother, MD, has been interviewing residents for a decade. An associate professor and the vice chair of education at UT Health in Houston, she offers tips on standing out during residency interviews in the virtual format.

Marcus sits down with Dr. Michael Schmitz, an emergency physician in Maine, to discuss how docs can notice burnout and compassion fatigue as soon as they start…and what docs can do about it. Learn what term Dr. Schmitz has coined to describe emotions and conditions that go beyond burnout, beyond compassion fatigue and beyond exhaustion. Find out what is on both Dr. Schmitz's play list and compare it to Marcus'. Finally, learn the ancient wisdom passed down by one of the greatest teachers of all time and how Dr. Schmitz applies this guidance to his work in medicine. Key topics:00:00 – Introduction00:54 – Marcus asks about Dr. Schmitz' article on burnout.04:55 – The two talk about COVID and the intersection of art and life. 06:51 – Dr. Schmitz talks about getting his start in the medical field.12:21 – Marcus asks if there a specific time he witnessed compassion. Dr. Schmitz talks about an interaction with a patient's mother in the back of a EMS Truck that he was not prepared for. 20:38 – The idea of teaching compassion and effective writing to healthcare students comes up and the two talk about the shift in recent years to equip students for their chosen field. 24:25 – Marcus asks Dr. Schmitz how he takes care of himself. 30:23 – Dr. Schmitz is asked about his music collection and then they talk about how music has influenced their lives. Dr. Schmitz wants to leave people with, “Do, or do not. There is no try.”42:02 – Thank you and conclusions!  Resources for you: Connect with Marcus on LinkedIn: https://www.linkedin.com/in/marcusengel/Connect with Dr. Schmitz on LinkedIn: https://www.linkedin.com/in/michael-schmitz-do-ms-facep-82870b3/Find Dr. Schmitz's article here: https://www.medpagetoday.com/opinion/second-opinions/99647Subscribe to the Compassion & Courage podcast through Apple: https://bit.ly/MarcusEngelPodcast More About Mike Schmitz DO, MS, FACEP:Current roles:Attending Physician, Emergency Department, Southern Maine Health CareMedical Director, YCEMA COVID Vaccination CenterMedical Director, Paramedic Program, Southern Maine Community CollegeClinical Instructor, Department of Public Health and Community Medicine, Tufts University School of MedicinePublications:Schmitz M. Author. “Can We Please Stop Calling it Burnout?” MedPage Today Second Opinions. 2022 July 10. Schmitz M. Author. “Is It Really a Question of Mandates or Morals?” MedPage Today Second Opinions. 2022 Jan 17.Schmitz M. Author/Guest. “3-M Mask.” National Public Radio—Here & Now. 2021 June 9. Schmitz M. Author. “A Promise to Carry the Fire - An Essay for Doctor's Day” Real Talk Podcast. 2021 March 30. Schmitz M. Author. “An Open Letter to My Paramedic Students” EMSWorld. 2020 31 March. Schmitz M. Author. “College Degrees and the Affective Domain” EMSWorld. 9 November 2019. Schmitz M. Author. “The Professional and the Paper” EMSWorld online 22 April 2019. print June 2019 Vol. 48, No. 6  Date: 10/24/2022Name of show: Compassion & Courage: Conversations in HealthcareEpisode title and number: Episode 73 – Dr. Michael Schmitz - How Emergency Docs Deal with Emotions 

On this week's episode of Here for Her Health, sponsored by Organon, our host Wendy Lund gets a chance to sit down with the Founder & CEO of Rosy Wellness, Dr. Lyndsey Harper!  Dr. Harper is a board-certified Ob/Gyn, a Clinical Assistant Professor at the Texas A&M University School of Medicine, and an Attending Physician for Baylor Scott & White Health.  Together they talk all about the importance of sexual wellness, the Femtech industry, and why we must end the stigma around women's sexual health.  From ending the discrepancies between what's available in the field of men's sexual health and in the field of women's sexual health to debunking the biggest myths surrounding the female orgasm, you do not want to miss this episode of Here for Her Health, building a better, healthier, every day for women! You can follow Dr. Harper on LinkedIn, Twitter, and Instagram.  For more information on the amazing work she is doing with Rosy check out their website and follow them on Facebook, Pinterest, Twitter, Instagram, and YouTube.Follow UsInstagram (@hereforherhealth)Sponsored by Organon

In this episode of the Spectrum of Health podcast, Dr. Christine sits down with Dr. Yoshi Rahm to discuss Extracorporeal blood oxygenation and ozonation (EBOO) treatment. Dr. Yoshi explains the treatment of EBOO, what ailments can be healed by this treatment, and how it can be used to boost the immune system. Dr. Yoshi Rahm is a board-certified osteopathic family physician with separate board certifications in Integrative and Holistic Medicine. Much of his life's pursuits stem from growing up far outside a small Northern California town. His simple upbringing, which included living without electricity, TV, or phone, gave him an early appreciation for healthy living. The suffering of unwell family members was a big driver for Dr. Yoshi to pursue healing by becoming a family physician. After residency at Glendale Adventist Medical, Dr. Rahm became an Attending Physician teaching at the same residency program and founded Oasis Family Medicine.   Listen in to learn more about: {00:43} What is EBOO, and how is it different from other ozone therapies {03:38} The patient experience during EBOO treatment {19:41} How EBOO helps with environmental toxins {30:25} The benefits of Ocean Minerals and hydrogen water To get the full show notes - www.dr.christineschaffner.com/Episode158

In this week's episode, we discuss the "ACR's 2022 Guideline Summary for Vaccinations in Patients with Rheumatic and Musculoskeletal Diseases" with lead author Dr. Anne Bass, Attending Physician in the Division of Rheumatology at Hospital for Special Surgery and a Professor of Clinical Medicine at Weill Cornell Medicine. During our conversation we consider the importance of guidelines for vaccines, the impact certain drugs like rituximab and methotrexate have on vaccinations, cover some vaccine highlights within the guidelines, how these guidelines can aid in navigation with insurance companies and much, much more. 

Dr. Beinvogl is an Attending Physician at Boston Children's Hospital and Instructor of Pediatrics at Harvard Medical School. Dr. Beinvogl completed medical training at the Technical University of Munich Medical School in Munich, Germany, and went on to do residency and Fellowship in Pediatric Gastroenterology, Hepatology and Nutrition at Boston Children's Hospital and Boston Medical Center. Her clinical focus is on pediatric motility and functional gastrointestinal disorders and along with colleagues she has expanded the multidisciplinary abdominal pain program at Boston Children's Hospital. Her research has focused on identifying pathophysiologic mechanisms in irritable bowel syndrome (IBS), such as assessing the role of bile acids in pediatric IBS, as well as outcome research with a special interest in the multidisciplinary care of patients with IBS and other functional gastrointestinal disorders. ​

Today, I am blessed to have here with me Dr. Yoshi Rahm. He is a board-certified osteopathic family physician with a separate board certification in Integrative and Holistic Medicine. Dr. Yoshi grew up in a small town in Northern California. His simple upbringing, which included living without electricity, TV, or phone, gave him an early appreciation for healthy living.   He attended U.C. San Diego, where he majored in Animal Physiology and Neuroscience and minored in Human Development. He ran Track and Cross-Country for UCSD before co-founding a running club. After graduating, Dr. Yoshi interned at a neuroscience laboratory in Germany and traveled throughout Europe before working at a nonprofit Biotech laboratory in San Diego. Dr. Yoshi attended Western University of Health Sciences, College of Osteopathic Medicine. As a medical student, he participated in many volunteer activities, including medical missions to Mexico and Ecuador. After medical school, he completed his Internship and Residency in Family Medicine at Glendale Adventist Medical Center. During his time there, he was elected Chief Resident. Upon graduation, he received the two highest distinctions: “Resident Teacher Award” as presented by the faculty and “Resident of the Year Award” as recognized by the staff. Dr. Yoshi then became an Attending Physician teaching at the same residency program. In this episode, Dr. Yoshi speaks about the inspiration behind his career in brain health. He explains why disease and life expectancy stats are getting worse instead of better in the United States. Later, Dr. Yoshi dives into everything methylene blue: the history, the benefits, and how it works to improve your health. Tune in as we chat about ozone therapy, extra-corporeal blood ozonation and oxygenation (EBOO), and other biohacks. 

This week we are getting behind the scenes with Dr. Kate, Neonatologist! She is an Attending Physician in the Division of Neonatology at a major facility in Philadelphia. We get into her life both as a clinical and research-based MD caring for tiny lives. From her 14 years of training, her passion for NICU patients, to her life as an MD we go all over learning about the ins and outs of Neonatology and Dr. Kate's journey!  To connect with Dr. Kate click https://www.instagram.com/drkater/ (HERE) To connect with Tori click https://www.instagram.com/nurse.tori_/ (HERE)  To connect with Sam click https://www.instagram.com/heysamanthaa/ (HERE) To connect with Cellfie Show click https://www.instagram.com/cellfie_podcast/ (HERE) Check out our Cellfie Show collab sock!!!  https://www.upatdawn.co/collection/cellfie-show-x-up-at-dawn-collab (SHOP UP AT DAWN X CELLFIE SHOW CLICK HERE) https://www.cellfiepodcast.com/ (Cellfie Show ) https://www.cellfiepodcast.com/shopcellfiemerch (Cellfie Podcast Merch)  Produced by: Tori + Sam  THIS EPISODE IS BROUGHT TO YOU BY PICMONIC (CODE: CELLFIE save 20%) Picmonic, Inc. is an audiovisual learning platform designed for healthcare students (RN, MD, DO, CNA, LPN, NP, PT, etc.) It is the study tool of choice for learning thousands of the most difficult to remember and most frequently tested topics, board exam prep and uses questions centered on an evidence-based “learn-review-quiz” format. Quick & effective 2-minute Picmonic videos Connects difficult to remember facts with unforgettable characters Ties the facts together into ridiculously memorable stories Reinforce what you learn and track your progress with thousands of built-in rapid review multiple-choice quizzes. Intelligent spaced-repetition algorithms automatically adjust to your learning needs, so you'll be reminded to review the right information, at the right time - increasing long-term retention. https://www.picmonic.com/viphookup/nursetori (CLICK HERE) THIS EPISODE IS BROUGHT TO YOU BY RESUME RX  (Code: CELLFIE Save 20%)  STAND OUT IN YOUR JOB SEARCH!! Online courses, templates, and resources for healthcare professionals to land the career of your dreams. We have BOTH used these products and can not recommend them more to you!  CLICK HERE https://cellfieshow--theresumerx.thrivecart.com/template-bundle/ (Nurse Résumé Templates)  CLICK HERE https://cellfieshow--theresumerx.thrivecart.com/template-bundle/5fac7fe4eb3e6/ (FILL-IN-THE-BLANK SOLUTION FOR YOUR RÉSUMÉ AND COVER LETTER)

In this week's Hoops Adjacent, David Aldridge and Marcus Thompson speak to Dr. John DiFiori Chief of the Primary Sports Medicine Service and Attending Physician at Hospital for Special Surgery about the NBA's Covid problem. Hosted on Acast. See acast.com/privacy for more information.