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On this episode, David L. Skaggs, MD, Co-Director of Cedars-Sinai Spine, Executive Vice Chair of the Department of Orthopaedics at Cedars-Sinai, and Director of Pediatric Orthopaedics at Guerin Children's, joins the podcast to discuss recent innovations in spine care, including synthetic CT scans generated from MRIs and the advancement of outpatient pediatric spine surgery. He also shares insights on developing surgical tools tailored for physicians with smaller hands, and looks ahead at healthcare trends, particularly how AI-driven solutions can make care more accessible and affordable.
Today's Guest Dr. Elise Pomerance is a board-certified family medicine physician with a masters in Public Health from the Harvard T.H. Chan School of Public Health and completed her functional medicine training at the Kalish Institute. She is a co-founder of Eleena Health, a functional medicine practice dedicated to personalized, integrated care. https://www.eleenahealth.com/ https://www.linkedin.com/in/drelisepomerance Today's Host Dr. Michelle Koolaee did her training for internal medicine residency at St. Luke's Roosevelt Hospital and went on to do her fellowship at University of Pennsylvania for rheumatology, where she was named Fellow of the Year. She then became an assistant professor at the University of Southern California before working at organizations such as Healthcare Partners and Presbyterian Intercommunity Hospital. She currently practices at Huntington Health, an affiliate of Cedars-Sinai, and is now starting her own direct care practice. Links for Dr. Koolaee https://www.drrmichellekoolaee.com/ Facebook LinkedIn Instagram About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Learn more about your ad choices. Visit megaphone.fm/adchoices
Millions of women in their 30s–50s are being told they're “depressed” when their brains and hormones are simply changing. In this episode, I sit down with Dr. Suzanne Gilberg-Lenz to unpack the truth about midlife mood shifts, rage, and the hormonal fluctuations that mimic depression but aren't the same. We break down the science of perimenopause, why women are so often misdiagnosed, and how decades of excluding women from research left major gaps in understanding how estrogen, progesterone, and testosterone shape the brain. Dr. Gilberg-Lenz reveals how hormonal changes—starting up to ten years before menopause—can transform mood, cognition, and stress, and how modern science is finally catching up to just how powerfully hormones influence the mind. About the guest:Dr. Suzanne Gilberg-Lenz is a board-certified OB/GYN and integrative women's health expert who blends conventional medicine with Ayurvedic training. A USC-trained physician with a residency at Cedars-Sinai, she supports women from adolescence through menopause and is the author of Menopause Bootcamp (Harper Wave, 2022). Her work focuses on demystifying midlife, challenging ageism in healthcare, and empowering women with science-based guidance. Follow Dr. Gilber-Lenz: Instagram: @askdrsuzanne *** Subscribe to The Neuro Experience for more conversations at the intersection of brain science and performance. I'm committed to bringing you evidence-based insights that you can apply to your own health journey. *** A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Function Health Visit https://functionhealth.com/louisa or use gift code NEURO100 at sign-up to own your health. Thrive Market Go to https://ThriveMarket.com/neuro to get 30% off your first order, and a free $60 gift Branch Basics Take 15% off your order at https://branchbasics.com/NEURO with promo code NEURO. Bubs Natural For a limited time only, our listeners are getting 20% OFF at https://bubsnaturals.com by using code LOUISA at checkout VuoriGet 20% off your first purchase at https://vuori.com/neuro Rho Nutrition You can get 20% off with the code NEURO at https://rhonutrition.com *** I'm Louisa Nicola — clinical neurophysiologist — Alzheimer's prevention specialist — founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain — reducing Alzheimer's risk — and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_ Topics discussed:00:00 – Intro 02:07 – Early Signs of Perimenopause 03:15 – How Hormones Shift in Your 30s–50s 04:32 – Why Anxiety Spikes in Midlife 07:02 – Antidepressants vs. Hormones 09:27 – How Estrogen Shapes Mood & Neurochemistry 11:23 – PMS, PMDD, Postpartum & Perimenopause Overlap 12:25 – Perimenopause Amplifies Existing Issues 18:00 – Estrogen, Progesterone & Testosterone in the Brain 20:45 – AMH, Egg Quality & Fertility After 40 23:17 – Postpartum vs. Perimenopause at 40+ 26:55 – Getting Pregnant on Hormone Therapy 31:19 – Reinventing the Menopause Narrative 34:25 – Gut Health, Microbiome & Hormones 35:30 – Ayurveda's Role in Midlife Health 37:10 – The Patient Who Transformed Dr. Gilberg-Lenz's Path 43:08 – Negative Thoughts, Cortisol & Brain Aging 44:23 – Hormone Chaos, Inflammation & Cognitive Decline 48:23 – When Labs Are “Normal” but Symptoms Aren't 49:53 – How Perimenopause Should Be Treated 51:55 – The Future of Midlife Women's Healthcare 56:28 – Why the System Fails Women (and How to Navigate It) 58:02 – GLP-1s, Hormones & Longevity Learn more about your ad choices. Visit megaphone.fm/adchoices
On this episode, David L. Skaggs, MD, Co-Director of Cedars-Sinai Spine, Executive Vice Chair of the Department of Orthopaedics at Cedars-Sinai, and Director of Pediatric Orthopaedics at Guerin Children's, joins the podcast to discuss recent innovations in spine care, including synthetic CT scans generated from MRIs and the advancement of outpatient pediatric spine surgery. He also shares insights on developing surgical tools tailored for physicians with smaller hands, and looks ahead at healthcare trends, particularly how AI-driven solutions can make care more accessible and affordable.
On this episode, David L. Skaggs, MD, Co-Director of Cedars-Sinai Spine, Executive Vice Chair of the Department of Orthopaedics at Cedars-Sinai, and Director of Pediatric Orthopaedics at Guerin Children's, joins the podcast to discuss recent innovations in spine care, including synthetic CT scans generated from MRIs and the advancement of outpatient pediatric spine surgery. He also shares insights on developing surgical tools tailored for physicians with smaller hands, and looks ahead at healthcare trends, particularly how AI-driven solutions can make care more accessible and affordable.
EP Lab Digest speaks with Dr Eli Friedman, director of sports cardiology at the Smidt Heart Institute at Cedars-Sinai, about the launch of the institute's new Sports Cardiology Program.
Listen to our 2025 webinar with Dr. Mark Pimentel of MAST at Cedars-Sinai. Dr. Pimentel discusses the newest research on SIBO, IBS and present mock case studies.Mark Pimentel, MD, is the executive director of the Medically Associated Science and Technology (MAST) Program at Cedars-Sinai and in collaboration with Ruchi Mathur, MD, whose work focuses on links between metabolic disease and gut microbiome, and Ali Rezaie, MD, whose innovative work in GI motility improves the wellbeing of patients, as part of the MAST team they focus on the development of drugs, diagnostic tests and devices related to conditions of the microbiome. - Pimentel Lab
Weight loss and diabetes drugs in the class called GLP-1s have exploded onto the market, starting to put a real dent in the obesity epidemic. And as doctors are gathering more data, it looks like the medications may also provide real benefits for cardiac health, liver disease, kidney function and possibly even addiction and sleep disorders. In this episode, a panel of experts explains how the drugs work, why they've been so effective, and how hopeful we might be about other uses. Cedars Sinai cardiologist Martha Gulati joins Nora Volkow, the director of the National Institute on Drug Abuse and Diana Thiara, an obesity expert at UCSF, for a forward-looking conversation about this potentially game-changing medical advancement. Time Magazine health reporter Alice Park moderates the conversation.
Joining us for this episode of Diverse Thinking Different Learning is Dr. Viannae Nelkin. Dr. Viannae Nelkin is a board-eligible pediatric neuropsychologist and founder of The Children's Neuropsychology Center. She earned her master's and doctorate in clinical psychology, training at top institutions including Children's Hospital Los Angeles, Cedars-Sinai, Johns Hopkins All Children's Hospital, and Children's Hospital of Orange County. Her work focuses on early intervention, neurodiversity-affirming care, and empowering families to help their children thrive. Deeply committed to supporting children with neurological and genetic conditions, she will soon return to Cedars-Sinai Medical Center to continue her specialized work. This conversation explores understanding the brain's remarkable ability to grow and adapt (its neuroplasticity) and how it can help shape how parents, educators, and clinicians support children with learning differences. Rather than viewing assessments as an endpoint, we discuss how each evaluation is a starting point or a roadmap revealing a child's unique learning profile and potential for growth. Dr. Nelkin describes neuroplasticity as the brain's superpower, an ongoing ability to form and strengthen neural pathways throughout life. She explains that learning differences are not signs of inability but are rather reflections of how differently each brain processes information. Through this lens, interventions aren't "fixes" for broken systems but are instead workouts for the brain - strategic ways to build new connections and reinforce weaker ones. Throughout our conversation, we highlight why early intervention is so important. The first few years of life are a critical window for development when neural connections form rapidly and learning experiences leave lasting imprints. However, families are too often told to "wait and see," delaying support until challenges have really taken a toll on a child's confidence, motivation, and emotional well-being. Dr. Nelkin highlights that early intervention can change that trajectory and can help kiddos not only catch up academically but also develop resilience and self-assurance. Our discussion challenges the stigma surrounding assessment and diagnosis. We stress that an evaluation doesn't define a child's limits but rather brings their strengths and needs to light so that educators and parents can customize support. We also discuss the incredible importance of collaboration between neuropsychologists, teachers, and caregivers. As Dr. Nelkin reminds us, the most powerful word in a child's journey is "yet" - they haven't mastered it yet, but with the right support, their potential is truly limitless! Show Notes: [2:33] - Dr. Viannae Nelkin highlights the importance of neuroplasticity to focus on children's potential rather than labels. [4:00] - Dr. Nelkin offers a comprehensive definition of neuroplasticity. [6:13] - We learn why Dr. Nelkin regards interventions as extra workouts for the brain. [9:20] - How can neuroplasticity be nurtured? [11:12] - Dr. Nelkin regards neuroplasticity as the brain's superpower. [14:14] - Dr. Nelkin argues for reframing stigma around assessments and collaborating between neuropsychologists, teachers, and parents. [17:42] - Early academic intervention helps diverse learners catch up and prevents later mental health struggles. [20:20] - Building strong early learning foundations can help prevent future academic difficulties. [21:57] - Dr. Nelkin explains how early educators can identify learning differences and apply strengths-based interventions to help kids. [24:12] - Dr. Nelkin loves helping very young children. [26:53] - Hear how specialists support children's learning at different stages using evidence-based strategies. [29:33] - Dr. Nelkin reiterates the importance of early intervention. [33:51] - Dr. Nelkin explains how learning and emotional challenges affect development. [36:48] - Assessments help reveal why a child struggles and provide parents with hope and understanding. [37:30] - Dr. Nelkin highlights and explains the importance of the power of "yet." Links and Related Resources: Episode 185: Late Diagnosis: Why Did I Get Missed? with Dr. Monica Blied Episode 203: ADHD and the Gut-Brain Connection: Exploring Integrative Treatments with Sara Langley, MSN, PMHNP-BC Episode 214: Private Neuropsychological Evaluation vs. School Evaluation Episode 215: How to Support Students Who Struggle with Reading Comprehension - with Dr. Emily Levy Episode 233: Body-Based Interventions for Neurodivergent Students with Megan Beardmore, PhD, NCSP Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our "When Struggles Overlap" Live Webinar Email Dr. Wilson: drkiwilson@childnexus.com Connect with Dr. Viannae Nelkin: Dr. Viannae Nelkin's ChildNEXUS Page The CNPC Website
In this follow-up to one of our most popular episodes, host Jacqueline Gaulin welcomes back Dr. Mark Pimentel, Executive Director of the Medically Associated Science and Technology (MAST) Program at Cedars-Sinai, to dive deeper into the science behind SIBO (Small Intestinal Bacterial Overgrowth) and IMO (Intestinal Methanogen Overgrowth). Dr. Pimentel answers listener questions and explains how these complex conditions relate to IBS-D and IBS-M, why methane and archaea matter for gut health, and how motility and the Migrating Motor Complex (MMC) play a crucial role in prevention and treatment. You'll also learn about the latest insights and therapeutic approaches that can help patients find lasting relief. Produced in collaboration with the American College of Gastroenterology's Patient Care Committee, this evidence-based discussion helps you better understand the "why" behind SIBO and IMO—and what steps you can take toward better gut health.
Shlohmo is a musician and record producer from Los Angeles. His great new record, REPULSOR, is out. We chat with Henry about the hu-manosphere, the way your body looks when you're hanging on to something, YZY boots, why he somehow has three dogs, the Slauson swapmeet, Ray J and Soulja boy, his history with music festivals, his lung collapsed two years ago and now he eats edibles, the Cedars Sinai pain team, a fentanyl miscalculation, working with Salem on his new record, the "And Always Forever" festival, which time periods have better internet archives than others, and we end on the philosophy of snare drums. instagram.com/shlohmo twitter.com/donetodeath twitter.com/themjeans howlonggone.com Learn more about your ad choices. Visit megaphone.fm/adchoices
CardioNerds kicks off its advanced therapies series with Chair of the CardioNerds Heart Failure Council, Dr. Jenna Skowronski, co-chair of the series, Dr. Shazli Khan, and Episode FIT lead, Dr. Jason Feinman. In this first episode, they discuss the process of advanced therapies evaluation with Dr. Michelle Kittleson, Professor of Medicine and Director of Education in Heart Failure and Transplantation at Cedars-Sinai. In this case-based discussion, they cover the signs and symptoms of end-stage heart failure, the initial management strategies, and the diagnostic workup required when considering advanced therapies. Importantly, they discuss the special considerations for pursuing left-ventricular assist device (LVAD) versus heart transplantation as well as the multidisciplinary, team-based approach needed when advanced therapies are indicated. Notes were drafted by Dr. Shazli Khan. Audio editing for this episode was performed by CardioNerds Intern, Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Guideline-directed medical therapy (GDMT) is indicated in all heart failure patients and improves survival, but progressive symptoms and intolerance to GDMT can be warning signs of disease progression. The I-NEED-HELP mnemonic is an excellent reference when considering referral for advanced therapies (Figure). Management of acute decompensation includes diuretics and possible inotropic support. The inotropic agent used should be whichever best suits your specific patient. Milrinone may result in more hypotension, whereas dobutamine may result in more tachycardia. Tachycardic and normotensive patients may do better with milrinone, while hypotensive patients with normal heart rates may do better with dobutamine. Notably, DoReMi found no difference between milrinone and dobutamine for patients with cardiogenic shock. The initial diagnostic evaluation includes an echocardiogram, right heart catheterization (RHC), and often cardiopulmonary exercise testing (CPET) to objectively assess the status of the heart. Comprehensive labs, imaging and cancer screening are also needed to assess all other organs. When making the decision to pursue advanced therapies, always ask: Is the heart sick enough? Is the rest of the body well enough? These two questions provide a framework to guide if patients are optimal candidates for transplant versus LVAD. The advanced therapies evaluation is a team sport! Patients will meet not only with advanced heart failure cardiologists, but also cardiac surgeons, psychiatrists, social workers, nutritionists and pharmacists. All team members are of critical value in the process. Notes 1.) What are the key features of advanced cardiomyopathy, and when should providers consider referral for advanced therapies? Advanced cardiomyopathy may present as recurrent hospitalizations for decompensated heart failure, intolerance to GDMT with symptomatic orthostasis and hypotension, and progressive symptoms of heart failure despite medical therapy. The I-NEED-HELP mnemonic is a helpful tool to identify patients at risk of heart failure and is defined as follows: Need for Inotropic support, New York Heart Association (NYHA) Class IV symptoms, End-Organ Dysfunction, Ejection fraction
Today's Host Dr. Michelle Koolaee did her training for internal medicine residency at St. Luke's Roosevelt Hospital and went on to do her fellowship at University of Pennsylvania for rheumatology, where she was named Fellow of the Year. She then became an assistant professor at the University of Southern California before working at organizations such as Healthcare Partners and Presbyterian Intercommunity Hospital. She currently practices at Huntington Health, an affiliate of Cedars-Sinai, and is now starting her own direct care practice. Links for Dr. Koolaee https://www.drrmichellekoolaee.com/ Facebook LinkedIn Instagram About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Learn more about your ad choices. Visit megaphone.fm/adchoices
Infertility isn't only a women's issue, though too often, it's talked about like it is. In this episode, we're digging into male factor infertility: what it means, how it's diagnosed, and how it impacts couples emotionally, physically, and relationally. We're joined by Paul Kassebaum, a quantum physicist, and his wife Julia Cohen, an economist, who live in Westchester, NY. In 2021, their family-building journey took an unexpected turn with a diagnosis of male factor infertility. They open up about the medical and emotional twists and turns of their path, and why they hope sharing their story will help others feel less alone. To give us a full picture, we also bring in experts: Dr. Ariel Moradzadeh, a reproductive endocrinologist, and Abbe Golding, a genetic counselor at Jscreen. Together, we explore: What male factor infertility actually is, what the causes are, and how it's evaluated Who should be doing the testing and why it matters The role genetics can play in male infertility The emotional and psychosocial impact on men and couples How couples like Paul and Julia navigate the unexpected and find resilience Whether you're directly facing male factor infertility, supporting a partner, or simply learning more about the different paths to parenthood, this conversation is a mix of story, science, and support. Note: This episode is the 3rd of a series of 5 that we are collaborating on with Jscreen in 2025. Take a look at our previous two episodes here : Episode 157: Introduction to Genetics and Infertility Episode 166: Fragile X Syndrome: A Silent Factor in Infertility About Paul Kassebaum and Julia Cohen: Paul Kassebaum (Kass-eh-bomb) and Julia Cohen live in Westchester, NY where Paul is a quantum physicist and Julia is an economist. In 2021 they were forced to reconsider how to start a family when presented with a diagnosis of male factor infertility. They hope that by sharing both the medical and emotional aspects of their journey they can be a resource for other couples navigating the infertility space. About Dr. Ariel Moradzadeh: Dr. Ariel Moradzadeh attended medical school at The David Geffen school of medicine at UCLA. Following medical school, he completed his General Surgery internship and Urology residency at Cedars-Sinai Medical Center, where he developed his passion for men's health and male infertility. Following residency, he completed an andrology, men's health, male and infertility fellowship at UCLA, and he now works as a full-time reproductive Urologist at Cedars-Sinai. When he is not treating patients, he enjoys running, swimming, weight lifting and yoga. About Abbe Golding: Abbe Golding is a certified genetic counselor and works as a community education and outreach manager for JScreen. She is passionate about providing genetic knowledge that empowers individuals to make informed healthcare decisions. Abbe believes that accurate and relatable genetic information should be accessible to everyone. Abbe lives in Raleigh, North Carolina with her husband and daughter. Connect with JScreen -visit their website here -check out their instagram Connect with us: -Check out our Website -Follow us on Instagram and send us a message -Watch our TikToks -Follow us on Facebook -Watch us on YouTube -Connect with us on LinkedIn
Dr. Arun Sharma Monday 10-27-25 Space ShowQuick Summary:Our program focused on the establishment and operations of Cedars-Sinai's new Space Medicine Research Center, including its research programs, educational components, and institutional support. Arun discussed their stem cell research initiatives, particularly the creation of 3D heart tissue organoids grown in microgravity on the ISS, and explained their approach to training astronauts and conducting space-based medical research. The conversation covered the potential of AI and telemedicine in space missions, regulatory challenges in stem cell research, and the future opportunities presented by commercial space stations for conducting biomedical research. David and Arun were joined by participant Dr. Sherry Bell.Detailed Summary:David and Dr. Sherry Bell discussed the establishment of the Center for Space Medicine Research at Cedars-Sinai, led by Arun. Arun confirmed the center's functionality and its institutional support, emphasizing its research and educational components. After Arun was welcomed back to The Space Show to discuss Cedars-Sinai Medical Center's new Space Medicine Research Center. Arun explained that the center, established about a year ago, builds on their 10 years of work in stem cell and biomanufacturing research, including 8 missions to the ISS. He noted that the center has both research and educational components, offering courses in space medicine and biosciences as part of their master's and PhD programs. Arun emphasized their institutional support and goal to become an academic partner for the growing private space industry in Los Angeles.Arun discussed Cedars' expansion beyond cardiovascular focus to broader biomanufacturing and space research, with plans to establish a clinical arm leveraging their hospital's expertise. He mentioned ongoing conversations with local space industry players in LA, though details are not yet public. Arun also outlined their vision for a comprehensive space medicine program, including pre-flight workups, in-flight diagnostics, and post-flight checkups, while acknowledging the need for space medical training for their network of providers.Arun further discussed his research on 3D heart tissue, or cardiac organoids, created from induced pluripotent stem cells (iPSCs). He explained that these tissues are grown in microgravity on the ISS, as microgravity may improve their growth compared to simulated microgravity on Earth. Arun clarified that the iPSCs and necessary chemicals were launched on SpaceX 33 in August and are now orbiting Earth. David inquired about astronaut training, and Arun explained that they work with engineers and partners like BioServe Space Technologies to train astronauts, as most are not life scientists. Arun expressed a desire for more direct communication with astronauts in the future.The discussion then focused on stem cell research and space medicine training. Arun explained that stem cells are sourced from de-identified donor samples at Cedars-Sinai, with consent for medical research use. The long-term goal is to create patient-specific bioengineered organs, starting with heart tissues, though this remains an area of ongoing research. Arun clarified that the initial training program will focus on biosciences for research scientists, with plans to expand to clinical training in the future.Arun did talk about the potential of AI and telemedicine in supporting deep space missions, emphasizing the value of human-focused research over animal studies. He clarified that his lab uses patient-specific stem cell models, focusing on human biology, and does not work with embryonic stem cells. Arun also addressed the cost and funding challenges of conducting research in space, mentioning partnerships with government agencies and the need to explore alternative funding sources for future collaborations. David inquired about simulating microgravity studies, to which Arun explained that while some ground-based simulations exist, they do not perfectly replicate the conditions of true space microgravity.Arun explained that the stem cell research at Cedars Space Lab involves creating three-dimensional organoids to study human biology and potentially identify new drugs, but emphasized that these cells cannot be transplanted back into people due to ethical and regulatory constraints. He clarified that the research is outcome-oriented, focusing on whether stem cells can be improved in space, with the goal of creating better models for understanding heart development and drug efficacy. David raised concerns about potential regulatory differences between countries, particularly regarding stem cell research, and Arun acknowledged that while the US has strict guidelines, some international research may go unpublished, making it difficult to track all ongoing work in this field.Arun discussed his work as a stem cell biologist and highlighted the potential of space biology research, mentioning a recent publication by UC San Diego on growing cancer cells in space. He expressed concerns about the transition from the ISS to commercial space stations, acknowledging the ISS's valuable contributions to research but seeing an opportunity for the commercial industry to fill the gap. Arun also considered the possibility of conducting research on a commercial space station, emphasizing the potential for more biomedical researchers in space and the possibility of accelerated training in a private space capacity. He expressed interest in the idea of conducting his own research on a private space station, such as SpaceX's Starship, and noted the importance of access and opportunities for further research.Arun discussed the differences between microgravity and partial gravity environments in space, highlighting the potential for developing unique therapeutic options that may only be applicable in space. He explained that while some treatments could be brought back to Earth, others might require patients to travel to space for treatment. Arun also touched on the current state of stem cell research, including clinical trials for various applications, and expressed optimism about future advancements in bioprinting and organoid manufacturing in space. He emphasized the importance of personalized medicine using patient-specific stem cells and encouraged continued interest in both stem cell and space biology research.Be sure to see the video of this program at doctorspace.substack.com.Special thanks to our sponsors:Northrup Grumman, American Institute of Aeronautics and Astronautics, Helix Space in Luxembourg, Celestis Memorial Spaceflights, Astrox Corporation, Dr. Haym Benaroya of Rutgers University, The Space Settlement Progress Blog by John Jossy, The Atlantis Project, and Artless EntertainmentOur Toll Free Line for Live Broadcasts: 1-866-687-7223 (Not in service at this time)For real time program participation, email Dr. Space at: drspace@thespaceshow.com for instructions and access.The Space Show is a non-profit 501C3 through its parent, One Giant Leap Foundation, Inc. To donate via Pay Pal, use:To donate with Zelle, use the email address: david@onegiantleapfoundation.org.If you prefer donating with a check, please make the check payable to One Giant Leap Foundation and mail to:One Giant Leap Foundation, 11035 Lavender Hill Drive Ste. 160-306 Las Vegas, NV 89135Upcoming Programs:Broadcast 4455 ZOOM: Arkisys CEO David Barnhart | Sunday 02 Nov 2025 1200PM PTGuests:ZOOM, Dave Barnhart, CEO of Arkisys updates us with interesting news and developments Get full access to The Space Show-One Giant Leap Foundation at doctorspace.substack.com/subscribe
In this episode, we explore the fascinating science behind Pull: How Gravity Shapes Your Body, Steadies the Mind, and Guides Our Health by Dr. Brennan Spiegel. The discussion dives into the concept of biogravitational medicine, a newer field that explores how gravity shapes our health and overall well-being. There are actionable tips including ways to increase serotonin through his "STACK 10" foods, how to gain more strength and balance, and specific resources you can use beginning today. RESOURCES MENTIONED JOIN MICHELE'S NEWSLETTER FOLLOW on YOUTUBEMichele's Book: Design A Life You Love: A Woman's Guide to Living a Happier and More Fulfilled Life GUEST INFORMATION Website: https://www.brennanspiegelmd.com/ Book: Pull: How Gravity Shapes Your Body, Steadies the Mind, and Guides Our Health Podcast: https://thegravitydoctors.com/ Guest Bio: Brennan Spiegel, M.D., is director of Health Services Research for Cedars-Sinai, professor of medicine and public health at UCLA, and the George and Dorothy Gourrich Chair in Digital Health Ethics. He also directs the Cedars-Sinai Virtual Medicine Program, where he leads research on the mind-body connection, exploring how technologies such as virtual reality and artificial intelligence can support well-being. A pioneer in digital therapeutics and immersive medicine, Dr. Spiegel has published widely on the neuropsychology of emotion, gut-brain interactions, as well as how mental states are shaped by physical experiences. Dr. Spiegel can often be found balancing his life (and himself) on a wobble board in his office while wearing a weighted vest. He lives in Los Angeles. If you enjoyed this interview, please take a moment to rate and review it on Apple Podcasts or other podcast player. *The Good Life with Michele Lamoureux podcast and content provided by Michele Lamoureux is for educational and entertainment purposes only. It does NOT constitute medical, mental health, professional, personal, or any kind of advice or serve as a substitute for such advice. The use of information on this podcast or materials linked from this podcast or website is at the user's own risk. Always consult a qualified healthcare or trusted provider for any decisions regarding your health and wellbeing. This episode may contain affiliate links.
Quick recap: The program began with a focus on Neil Armstrong's academic background and connections to USC, including his completed coursework and potential master's degree, as well as his compensation as a NASA civil servant. The discussion concluded with an examination of space engineering education and industry practices, including the balance between government oversight and contractor responsibility, and the challenges of returning to the moon and planning future space missions. We were joined by Marshall Martin, Phil Swan, John Hunt and Dr. Ajay Kothari.I hosted this Space Show program featuring Dr. Mike Gruntman, who discussed his latest book about Neil Armstrong's connection to USC. Gruntman revealed that Armstrong, while serving in the Navy during the Korean War, took courses at USC from 1955-1962, eventually completing all coursework for a master's degree in aeronautics except for his thesis, which he never completed due to his NASA commitments. I also announced upcoming programs with Phil Swan, and Bill Gowan as well as a special day Halloween show featuring Dr. Sharma from Cedars-Sinai discussing their 3D printing of cardiac tissue and new space medical lab research unit.Mike discussed the history of the Apollo program, focusing on Neil Armstrong's involvement with Purdue University. He detailed Armstrong's earned Master of Science degree and shared insights from his personal archives, including his grades and the content of his lecture at USC on the moon landing. Mike also highlighted the significant workforce reduction following the Apollo program and the practice of bringing in top industrial talent to lead NASA projects, which he suggested could be relevant for future space missions. He drew a link to workforce reductions planned for NASA at this time.I informed Mike and the audience about Roger Launius upcoming appearance as a guest on their space show program on November 7th. Mike shared interesting findings about Neil Armstrong's compensation as a NASA civil servant in 1969, which was significantly higher than Michael Collins's salary as the latter was still in the military. They discussed Armstrong's academic background and his desire to become a professor, as well as his contributions to NASA and his subsequent career as a university professor. Marshall commented on the astronauts' reputation for being “rock-hard” test pilots, and Mike explained NASA's development of a lunar lander research vehicle and simulator for training astronauts to land on the moon.Mike discussed the unique space engineering department at USC, highlighting its success and the contributions of its students. He mentioned that Buzz Aldrin visited the campus several times, inspiring students. Mike also shared insights into the history of the Apollo program and the impact it had on the aerospace industry. David inquired about the current mood regarding the Artemis program at USC, to which Mike responded that faculty opinions vary, with most not having detailed knowledge of the program.Mike discussed the evolution of space engineering education and industry practices, highlighting the shift from performance-driven government programs to financially-driven commercial space initiatives. He explained that while commercial space has grown to be six times larger than government space worldwide, government programs remain crucial for technological advancement and fundamental research. Mike emphasized that both approaches are necessary, as government programs provide the performance-driven environment needed for technological innovation, while commercial space drives cost efficiency and rapid development.Mike discussed the balance between government oversight and contractor responsibility in space exploration, drawing on Apollo-era practices where NASA maintained discipline while granting significant autonomy to contractors like Grumman. He noted that today's government centers have varying levels of expertise, with some being effective while others are ossified, making it challenging to remove ineffective parts without harming the whole. Mike also compared Soviet space programs' heavy bureaucratic oversight with the U.S. approach, suggesting that while Soviet control could prevent fraud, it often stifled innovation. He concluded that while there are no easy solutions, NASA needs to make clear decisions about lunar exploration and contractor roles, particularly given SpaceX's current delays in meeting launch schedules.Mike discussed the challenges and considerations for returning to the moon, emphasizing the need for a strategic plan that could include a lunar gateway for long-term infrastructure. He highlighted the importance of strong leadership and the influence of politics on space programs, noting that NASA should provide a feasibility assessment for any mission. Mike expressed optimism about long-term lunar exploration but expressed concerns about the lack of investment in technologies like artificial gravity and nuclear reactors, which are crucial for sustained human presence on the moon and future Mars missions. He suggested prioritizing a return to the moon before attempting a direct trip to Mars, as it could serve as a stepping stone for future exploration.The discussion focused on space exploration and the challenges of congressional oversight. Dr. Gruntman, a space expert, explained how SpaceX's approach to rapid development and testing, reminiscent of NASA's George Mueller's strategy in the 1960s, differs from traditional government methods. They discussed the importance of the Lunar Orbit Rendezvous strategy in enabling the moon landing. John raised concerns about potential delays in Elon Musk's Mars colonization plans due to on-orbit refueling challenges. The group also discussed the need for better congressional oversight of space programs, with David questioning how to educate lawmakers on space issues. Mike noted that professional societies could play a role but have become politicized. The conversation concluded with a brief discussion about the Mars Society presentation scheduled for Friday by Phil Swan who participated in this program today.Special thanks to our sponsors:Northrup Grumman, American Institute of Aeronautics and Astronautics, Helix Space in Luxembourg, Celestis Memorial Spaceflights, Astrox Corporation, Dr. Haym Benaroya of Rutgers University, The Space Settlement Progress Blog by John Jossy, The Atlantis Project, and Artless EntertainmentOur Toll Free Line for Live Broadcasts: 1-866-687-7223 (Not in service at this time)For real time program participation, email Dr. Space at: drspace@thespaceshow.com for instructions and access.The Space Show is a non-profit 501C3 through its parent, One Giant Leap Foundation, Inc. To donate via Pay Pal, use:To donate with Zelle, use the email address: david@onegiantleapfoundation.org.If you prefer donating with a check, please make the check payable to One Giant Leap Foundation and mail to:One Giant Leap Foundation, 11035 Lavender Hill Drive Ste. 160-306 Las Vegas, NV 89135Upcoming Programs:Broadcast 4450 ZOOM Phil Swan | Friday 24 Oct 2025 930AM PTGuests: Phil SwanZoom: Phil talks about going to Mars with kinetic energyBroadcast 4451 Zoom OPEN LINES | Saturday 25 Oct 2025 1200PM PTGuests: Dr. David Livingston, The Space Show Zoom Team & Zoom callersZOOM Open Lines discussion Get full access to The Space Show-One Giant Leap Foundation at doctorspace.substack.com/subscribe
Today's Guest Dr. Michelle Koolaee did her training for internal medicine residency at St. Luke's Roosevelt Hospital and went on to do her fellowship at University of Pennsylvania for rheumatology, where she was named Fellow of the Year. She then became an assistant professor at the University of Southern California before working at organizations such as Healthcare Partners and Presbyterian Intercommunity Hospital. She currently practices at Huntington Health, an affiliate of Cedars-Sinai, and is now starting her own direct care practice. Links for Dr. Koolaee https://www.drrmichellekoolaee.com/ Facebook LinkedIn Instagram About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Metabolic Mind podcast, Dr. Bret Scher speaks with L.J. Amaral, a registered dietitian, certified in nutrition oncology, and PhD student researcher at Cedars-Sinai, about where ketogenic therapy may fit into cancer care. Together they emphasize a crucial point: in oncology, we're not just treating the tumor, we're treating the whole person. The quality of life, physical strength, and day-to-day function of patients matter in prognosis.L.J. covers:How shifting fuel toward ketones may influence metabolism, inflammation, fatigue, and even muscle preservation during treatment.Why many tumors crave glucose, and why that matters for dietary strategies.The potential of ketogenic therapy used alongside standard of care (surgery/chemo/radiation), with early signals around feasibility, daily living, and patient well-being.The real-world nuance of responders vs. non-responders, and why personalized coaching is key.How some patients pair fasting windows with treatment, and the practical safeguards to consider.What's next: details on an NIH-funded, multi-center phase 2 trial comparing a ketogenic approach to an American Cancer Society–style diet.Ketogenic therapy in oncology is early but advancing. If you're curious about science-backed nutrition strategies that support both treatment and daily life, this conversation is for you.
The YouTube hour starts off with Dr. Robert Klapper of Cedars-Sinai and Kap bonds with him over growing up spending summer in the Catskills in New York. Dr. Klapper squashes everyone's question about whether LeBron should be playing golf while sitting out of preseason action. Plus, an interactive Klappervision where Berg and Lindsey make pb&j to demonstrate Tiger Woods' surgery. More Dodgers talk with Berg as the Dodgers and Brewers face off in game 3 of the NLCS . Plus, Kappy's Dealer's Choice presented by Sellers Advantage. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Jason Moore, Chair of the Department of Computational Biomedicine and Director of the Center for Artificial Intelligence Research and Education (CAIRE) at Cedars-Sinai Medical Center in Los Angeles, CA, speaks with Pitt's HexAI podcast host, Jordan Gass-Pooré, about his work, the strategic investments his center is making in technology and specialized human expertise to support advanced AI research and about the incorporation of AI and AI agents into precision health.They speak in depth about the recent and rapid emergence of agentic AI, which is expected to have a significant impact on healthcare and how his team's work is advancing the field. They also touch on vetting, deploying, and monitoring AI models for clinical use; explainable AI, trust, and transparency; using AI chatbots to improve the patient experience; the importance of building effective collaborations between industry and academia; and Cedar-Sinai's new PhD program in Health AI.
Ever notice how weekdays feel different from one another? Mondays carry a heavy vibe, while Fridays seem lighter and more exciting. Science has a fascinating explanation for why certain days have a stronger “feel” than others, and we kick off this episode with the surprising psychology behind it. https://www.dailymail.co.uk/sciencetech/article-3209175/ Gravity is more than just the force that keeps us grounded — it's quietly affecting your health every single day. From back pain to heart disease, gravity plays a role in nearly every chronic condition. But here's the good news: there are ways to counteract its toll. Here to explain is Dr. Brennan Spiegel, director of Health Services Research at Cedars-Sinai, professor at UCLA, co-host of The Gravity Doctors podcast (https://thegravitydoctors.com/), and author of How Gravity Shapes Your Body, Steadies the Mind, and Guides Our Health (https://amzn.to/3VAdxkd). He joins me to explain how understanding gravity's impact can help you live healthier and feel better. Most financial advisors say individual stocks are too risky — stick with mutual funds and ETFs. Jim Cramer disagrees. As host of CNBC's Mad Money, founder of TheStreet, former hedge fund manager, and bestselling author of How to Make Money in Any Market (https://amzn.to/4nLYNKW), Jim believes that finding valuable stocks is easier today than ever. In this lively conversation, he reveals why picking the right stocks can be a smarter path to wealth — and why conventional advice might be holding you back. And here's a question you've probably never thought too deeply about: when you lose weight, where does the fat actually go? It's not “burned off” as many people think. The truth is simple physics — and once you hear it, you'll never look at weight loss the same way again. https://www.bmj.com/content/349/bmj.g7257?utm_source=chatgpt.com PLEASE SUPPORT OUR SPONSORS!!! INDEED: Get a $75 sponsored job credit to get your jobs more visibility at https://Indeed.com/SOMETHING right now! DELL: Your new Dell PC with Intel Core Ultra helps you handle a lot when your holiday to-dos get to be…a lot. Upgrade today by visiting https://Dell.com/Deals QUINCE: Layer up this fall with pieces that feel as good as they look! Go to https://Quince.com/sysk for free shipping on your order and 365 day returns! SHOPIFY: Shopify is the commerce platform for millions of businesses around the world! To start selling today, sign up for your $1 per month trial at https://Shopify.com/sysk Learn more about your ad choices. Visit megaphone.fm/adchoices
"Give Me the Green Life” isn't just a song lyric — it's a movement toward living fully, consciously, and healthily.In this powerful and revealing episode, we dive deep into the male side of fertility — a topic that's been ignored for far too long.Our expert guest joins us to discuss why sperm counts are dropping globally, what lifestyle factors are driving this crisis, and how men can reclaim their reproductive health naturally. From testosterone therapy pitfalls to the truth about saunas, marijuana, and modern stress, this episode uncovers it all.Dr. Justin Houman is a Board-Certified Urologist and fellowship-trained Men's Sexual and Reproductive Health specialist based in Los Angeles. His practice focuses on male fertility, erectile dysfunction, testosterone optimization, sexual performance, Peyronie's Disease, and minimally invasive procedures such as vasectomy reversals and penile implants.As an Assistant Professor of Urology at Cedars-Sinai Medical Center, Dr. Houman is dedicated to mentoring future physicians and advancing men's health through research, innovation, and education. His work has been featured in leading journals, including JAMA and the Journal of Sexual Medicine, and he has presented internationally on topics ranging from male fertility to the impact of wearable technology on health.A second-generation urologist, Dr. Houman completed his medical training at the University of Rochester and Cedars-Sinai, followed by a fellowship in Male Reproductive Medicine and Surgery at UCLA. Fluent in English, Spanish, and Farsi, he is committed to helping men enhance their quality of life through personalized, evidence-based care.
Gravity keeps us grounded—but it also shapes our bodies, minds, and even our gut health in surprising ways. In this fascinating episode, Dr. Brennan Spiegel, Director of Health Services Research at Cedars-Sinai and author of PULL: The Science of Gravity and How It Shapes Our Health and Happiness, joins Jacqueline Gaulin, host of the Gastro Girl Podcast, to explore how gravity influences digestion, mood, metabolism, and mental resilience. Discover what “gravity resilience” means, why astronauts help us understand life on Earth, and how this invisible force could hold the key to living longer, standing stronger, and finding balance in body and mind. You'll learn: • How gravity affects digestion, circulation, and well-being • The surprising link between gravity, depression, and emotional health • Ways to strengthen your “gravity resilience” through movement, nutrition, and mindfulness Listen to more expert insights at GastroGirl.com. Pull is available by visiting Dr. Spiegel's website or wherever books are sold.
Gravity may be the most ignored signal in human biology, and it could be the missing key to unlocking fat loss, brain optimization, and true longevity. In this episode, you'll learn how Earth's pull shapes your metabolism, mood, and resilience, and discover practical hacks to fight “gravity intolerance” so you can perform better, live longer, and upgrade every system in your body. Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Dr. Brennan Spiegel, a Professor of Medicine and Public Health at UCLA, Director of Health Services Research at Cedars-Sinai, and author of Pull: How Gravity Shapes Your Body, Steadies the Mind, and Guides Our Health. A leading voice in digital health and immersive medicine, Dr. Spiegel brings decades of clinical and research experience exploring the intersection of the gut-brain axis, neuropsychology, and mind-body medicine. In this episode, he reveals why gravity influences everything from gut health to depression — and why modern medicine has largely ignored its role. His work bridges functional medicine, neuroscience, and biohacking to uncover a hidden force that shapes human performance at every level. You'll Learn: • Why gravity is the most ignored biohacking signal in human health • How gravity intolerance shows up as back pain, fatigue, obesity, and depression • The surprising connection between gravity, serotonin, and mood regulation • How weighted vests, balance boards, and proprioception training hack graviception • Why sleep optimization, posture, and fascia resilience are gravity-based health tools • How Earth's pull influences gut health, metabolism, and even consciousness You'll learn how gravity connects to obesity, back pain, blood pressure, serotonin, and even consciousness. Dave and Dr. Spiegel explore how weighted vests, balance boards, vibration, and sleep optimization can hack your body's response to gravity. This channel dives into mitochondria, neuroplasticity, fasting, ketosis, supplements, and how biohackers can apply these insights alongside tools like cold therapy, nootropics, and even Danger Coffee to build resilience and extend longevity. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday (audio-only), and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Gravity intolerance, Graviception, Serotonin and gravity, Tensegrity fascia system, Interstitium organ discovery, Piezoelectric cell membranes, Weighted vest training health, Balance board proprioception, Inclined bed sleep therapy, Gravity and depression, Obesity as a gravity disease, Low blood pressure gravity link, Crohn's disease altitude flares, Gravity and microbiome diversity, Glymphatic drainage sleep optimization, Space travel gravity health risks, Astronaut vision loss microgravity, Vagus nerve and gravity, Collagen and gravity resilience, Barefoot running gravity mechanics Thank you to our sponsors! Zbiotics | Go to https://zbiotics.com/DAVE for 15% off your first order. Timeline | Head to https://www.timeline.com/dave to get 20% off. Resources: • Pre-order Brennan's Book: https://a.co/d/ik2C9iB • Danger Coffee: https://dangercoffee.com/discount/dave15 • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Timestamps: 0:00 — Trailer 1:30 — Intro 4:14 — Gravity and Human Evolution 5:39 — Why Medicine Ignores Gravity 8:43 — Signs of Gravity Intolerance 12:18 — Training Gravity Resilience 16:46 — Gravity in Space 20:34 — Managing Gravity When Flying 23:59 — NASA's Gravity-Diet Link 26:55 — Serotonin and Gravity 37:42 — Gravity and Sleep 50:24 — Obesity as a Gravity Issue 55:39 — Movement and Balance 57:38 — Gravity-Resistant Exercises See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
It's not too late to reset the screen-time limits and boundaries you've set for your kids—and the reasons to take action are becoming increasingly clear.In this episode, Dr. Carrie Mackensen joins host Nicki Petrossi to unpack the science behind interactive screens and short-form media and how they impact children's brain development. Her clear, accessible approach helps parents understand what's happening neurologically and how to make informed choices.Our brains operate using two key systems: the emotional center, which rewards us with dopamine when something feels good, and the thinking brain, where we analyze, reflect, and make decisions. Activities like riding a bike or climbing a tree provide healthy dopamine boosts through effort and engagement. But scrolling social media or watching endless YouTube Shorts floods kids' brains with 100 to 200 times the dopamine—without any effort—bypassing the thinking brain entirely. Over time, this leads to an underdeveloped thinking brain and an overstimulated emotional center.The result? Kids who are increasingly anxious, withdrawn, emotionally dysregulated, and lack critical thinking skills. The good news: It's not too late to make a change. Thanks to the brain's neuroplasticity, you can help rewire these patterns and restore balance at home. Dr. Mackensen, a clinical psychologist, parent coach, and mom of two boys, shares her proven approach in conversation with Nicki from Scrolling 2 Death. Together, they offer practical tools and clear screen-time guidelines to help families create healthier digital boundaries.This is an episode every parent needs to hear.Dr. Carrie Mackensen is a clinical psychologist turned parent coach, author, and founder of Successful Parent. With a PhD in Individual, Family, and Child Psychology and experience as an attending psychologist at Cedars-Sinai and later as Clinical Director of a high-end residential addiction treatment program in Beverly Hills, she now helps families navigate the challenges of raising kids in a digital world. Drawing on both her clinical expertise and her own journey as a mom of two boys, Dr. Carrie blends neuroscience, attachment theory, and practical tools to empower parents to set healthy tech boundaries and strengthen family connection.
In this episode of the Oncology Brothers podcast, we are joined by Dr. Omid Hamid, a melanoma specialist from Cedars-Sinai, to explore the current treatment landscape of cutaneous melanoma. We covered a wide range of topics, including: • The standard of care for early-stage melanoma, including wide local excision and sentinel lymph node evaluation. • The role of adjuvant immunotherapy and BRAF/MEK inhibitors for high-risk patients. • Insights into neoadjuvant treatment options for resectable disease, including recent trial data from NADINA and SWOG S1808. • The importance of next-generation sequencing (NGS) and circulating tumor DNA (ctDNA) in treatment planning and monitoring. • The evolving treatment paradigm for metastatic melanoma, including the use of dual checkpoint inhibitors and BRAF/MEK inhibitors. Join us as we discuss the latest advancements in melanoma treatment and the critical role of patient education and shared decision-making in oncology care. Follow us on social media: • X/Twitter: https://twitter.com/oncbrothers • Instagram: https://www.instagram.com/oncbrothers • Website: https://oncbrothers.com/ Don't forget to subscribe for more episodes on treatment algorithms, new FDA approvals, and conference highlights! #Melanoma #Immunotherapy #BRAF #ctDNA #Neoadjuvant #OncologyBrothers
In this episode, Heidi High, Executive Director of Capacity Management at Cedars-Sinai, shares how her team is transforming patient flow through daily huddles, technology-driven insights, redesigned discharge workflows, and collaborative culture change that supports efficiency and patient care.
Alen Voskanian, MD, MBA, FACHE, Chief Operating Officer and Vice President at Cedars-Sinai Medical Network, discusses what makes a successful practice, emphasizing servant leadership and the importance of creating aligned goals. He highlights strategies for mitigating common access-to-care challenges to improve patient outcomes and explores opportunities for growth and development, including the role of AI and machine learning in advancing healthcare.
Alen Voskanian, MD, MBA, FACHE, Chief Operating Officer and Vice President at Cedars-Sinai Medical Network, discusses what makes a successful practice, emphasizing servant leadership and the importance of creating aligned goals. He highlights strategies for mitigating common access-to-care challenges to improve patient outcomes and explores opportunities for growth and development, including the role of AI and machine learning in advancing healthcare.
Mark Schaefer has a new grandchild. Amanda Russell has a toddler. Both of them wonder what an AI-dominant world has in store for them. In this personal and introspective episode, Mark and Amanda reflect on what college meant to their careers, the advice they would give to kids about college today, and how education will need to change for Gen Alpha. This is an essential episode for everyone wondering how AI will impact the next generation. Mark Schaefer is a strategy consultant, college educator, keynote speaker, and the author of 10 books including "KNOWN," “Belonging to the Brand,” and "Audacious: How Humans Win in an AI Marketing World." His annual marketing retreat is The Uprising. For more of Mark's insights every week, subcribe to his award-winning blog. Mark also offers classes in personal branding and professional speaking. Amanda Russell is a marketing leader, entrepreneur, and scholar. By age 32, she built and sold two successful businesses: an online fitness subscription community for women and a digital marketing and production company. She served as Chief Marketing Officer at a NYC-based portfolio fund and developed the world's first accredited MBA & EMBA Influencer Marketing programs at Northwestern University. She also founded the Global Center for Influence at the University of Texas. Amanda has taught at renowned institutions such as Bocconi University, London Business School, Harvard, Wharton, HEC Paris, NYU, and the University of Stockholm. Her book, "The Influencer Code," explores influence, consumer behavior, and the future of marketing. Amanda advises major companies, including Lamborghini, Cedars-Sinai, Lionsgate, and Silk-FAW.
Pitch, please: Managing UCL Injuries in Throwing AthletesDr. Michael Banffy and Dr. Christopher CampToday's episode is going to focus on the management of UCL injuries in throwing athletes.We are joined today by two outstanding guests! Dr. Michael Banffy is a Professor of Orthopedic Surgery and Chief of Orthopedic Sports Medicine at Cedars-Sinai, as well as Director of the Orthopedic Sports Medicine Fellowship at Kerlan-Jobe. He is a team physician for the Los Angeles Dodgers and Los Angeles Rams.Dr. Christopher Camp is a board-certified orthopaedic surgeon specializing in sports medicine and shoulder and elbow surgery. Since 2019, he has been Medical Director, Team Physician, and Director of High Performance for the Minnesota Twins Baseball Club. Dr. Camp conducts clinical and basic science research on injuries of the shoulder, elbow and knee, including a focus on the throwing athlete. So, without further ado, let's get to the Exhibit Hall!
Watch hol+ by Dr. Taz MD on YouTube: https://www.youtube.com/@DrTazMD/podcastsThe incidence of breast cancer is rising and has now surpassed lung cancer as the leading cancer worldwide. This script features a comprehensive discussion between the host and Dr. Kristi Funk, a double board-certified breast cancer surgeon and lifestyle medicine doctor. The conversation covers the rising rates of breast cancer, key risk factors such as diet, exercise, and lifestyle choices, and the role of early detection and screening. Dr. Funk shares her personal experiences, insights on how younger and older women can reduce their risk, the impact of hormone replacement therapy, and the importance of lifestyle modifications. Additionally, advancements in breast cancer treatments, including immunotherapy and personalized medicine, are explored as hopeful developments in the fight against breast cancer.About Dr. Kristi FunkKristi Funk, M.D. is a double board-certified breast cancer surgeon, and lifestyle medicine doctor, bestselling author, and international speaker. She graduated from Stanford University in 1991, received her medical degree from UC Davis, completed her surgical residency in Seattle, and a breast cancer fellowship at Cedars-Sinai in Los Angeles. She excelled as a Director of the Cedars-Sinai Breast Center until 2009 when Dr. Funk co-founded the the Pink Lotus Breast Center in Los Angeles where she currently practices. She has helped thousands of women navigate breast issues, including celebrities like Angelina Jolie and Sheryl Crow. Dr. Funk's nutritional science expertise sparked twin passions: the online women's social network, Pink Lotus Power Up, and her annual in-person or virtual Cancer-Kicking! Summits. She is the go-to breast expert for Good Morning America and Dr. Phil's Merit Street Media; she was a co-host of The Doctors tv show, and has repeatedly appeared on Today, Rachael Ray, The Dr. Oz Show, CNN, The View, and more. She resides in Los Angeles, CA, with her husband and triplet sons.Stay ConnectedSubscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsFollow Dr. Taz on Instagram: https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Join the conversation on X: https://x.com/@drtazmdTikTok: https://www.tiktok.com/@drtazmdFacebook: https://www.facebook.com/drtazmd/Connect with Dr. Kristi Funk:https://www.instagram.com/drkristifunkhttps://pinklotus.com/Host & Production TeamHost: Dr. Taz; Produced by Rainbow Creative (Executive Producer: Matthew Jones; Lead Producer: Lauren Feighan; Editors: Jeremiah Schultz and Patrick Edwards)Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+Time Stamps02:53 Current Trends and Statistics in Breast Cancer06:27 The Role of Genetics and Lifestyle in Breast Cancer09:33 Diet, Exercise, and Environmental Factors35:06 The Impact of Emotional Health on Breast Cancer41:22 Breast Cancer Screening for Young Women47:47 The Debate on Mammograms and Ultrasounds50:39 Understanding DCIS: Overdiagnosis and Overtreatment58:41 Hormone Replacement Therapy and Breast Cancer01:13:41 Future of Breast Cancer Care and Treatment
Dr. Mark Pimentel, Executive Director of the MAST program at Cedars-Sinai in Los Angeles, shares groundbreaking insights into the small intestinal microbiome that challenge long-held beliefs about gut bacteria. Findings from his team's REIMAGINE study reveal that the small intestine is far from sterile, as previously thought—instead, it harbors substantial bacterial communities that play a critical role in health and disease, especially in conditions such as IBS and SIBO.• E. coli and Klebsiella act as aggressive "Ferrari" bacteria that outcompete other microbes and destroy microbial diversity when overgrown inducing a "apocalyptic" disruption of the small bowel microbiome.• Lactobacillus, commonly found in many probiotics, may act as a disruptor in the small intestine and new research correlates higher small intestinal levels with obesity and unhealthy aging (more research needed)• The PLACIDE trial found probiotics didn't reduce C. diff or antibiotic-associated diarrhea but did increase bloating• Food poisoning is the only proven cause-and-effect trigger for IBS, with stress acting as a modifier rather than initiator• Combining rifaximin with NAC works 10x better for SIBO by targeting bacteria in both intestinal fluid and mucus• A new compound (CS06) shows promise for reducing methane production and relieving constipation• Three distinct gas patterns (hydrogen, methane, hydrogen sulfide) correlate with different symptom patterns and respond to targeted treatmentsThis episode was sponsored by Salix Pharmaceuticals. Resources: DDW 2025 Abstracts by the Mast Program and Dr. PimentelA Novel Microbiome Therapy, CS-06 (MTD Blocker), Reduces Methane Production in Stool CultureReal World Study of Three-Gas Breath Testing Nationwide and The Association with SymptomsLearn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.
In this episode of Onc Now, host Jonathan Sackier is joined by Stephen Freedland, Surgical Oncologist at Cedars-Sinai Medical Center, Los Angeles, California, USA, to discuss the intersections of biology, behaviour, and bias in prostate cancer. From diet and exercise to disparities in outcomes and promising data on enzalutamide, Freedland challenges assumptions and advocates for a more holistic, equitable approach to care. Timestamps 01:20 – Background and clinical journey 02:39 – Cancer myths: what needs busting 03:22 – Lifestyle's role in prostate cancer 05:18 – One habit all cancer patients should adopt 06:39 – Yes or No round 10:30 – Diet, obesity, and exercise: the data 13:25 – Mediterranean diet and outcomes 15:30 – Predictive lifestyle factors 16:19 – Racial disparities and root causes 18:35 – Gender-affirming treatment and prostate cancer in trans women 23:20 – Enzalutamide: latest data and developments 25:51 – Broader therapeutic landscape 28:40 – Risk of recurrence 30:19 – Advice for young oncologists 34:00 – Three wishes for the future of prostate cancer care
Heart disease is the leading cause of death for women—yet it's still treated like a man's disease. In this powerful conversation, Dr. Martha Gulati, a cardiologist and pioneer in women's cardiovascular health, exposes the systemic gaps that leave women underdiagnosed, undertreated, and often unheard. Together, we unpack the critical differences in how heart disease presents in women, why standard diagnostic tools fall short, and what every woman needs to know about risk factors like pregnancy complications, hormone therapy, statin use, and even environmental exposures. Dr. Gulati also reveals the truth behind hormone therapy myths, explains how soft plaque really forms, and why fitness should be considered frontline prevention.You'll learn:Why women's heart symptoms are often mistaken for anxietyWhat tests to ask for to asses your risk of heart disease How statins, hormone therapy, and fitness interact with riskWhat the new “Prevent" risk score includes—and why it mattersWhy women get more benefits from exercise than menHow pollution, stress, and pregnancy complications shape long-term riskWhether you're in your 20s or postmenopausal, this episode will empower you to take charge of your heart health, ask better questions, and get the care you deserve.Who is Dr. Martha Gulati?Dr. Martha Gulati is a professor of cardiology at the Smidt Heart Institute at Cedars-Sinai, where she serves as Director of Prevention and Associate Director of the Barbra Streisand Women's Heart Center. She is the immediate past president of the American Society for Preventive Cardiology and previously served as the inaugural Chief of Cardiology at the University of Arizona. A leading voice in women's heart health, Dr. Gulati chaired the first national chest pain guidelines and is the author of the best-selling book Saving Women's Hearts.This episode is brought to you by: Manukora - Get $25 off the starter kit – https://manukora.com/DRLYON ARMRA – Code DRLYON for 15% off your first order – https://tryarmra.com/DRLYON Masa Chips - Code LYON for 25% off your first order – https://masachips.com/LYON Our Place – Code DRLYON for 10% off sitewide – https://fromourplace.com/DRLYON Find Dr. Martha Gulati At: Website - https://drmarthagulati.com/ LinkedIn - https://www.linkedin.com/in/martha-gulati-9b410496/Instagram - https://www.instagram.com/drmarthagulati/X/Twitter - https://x.com/drmarthagulatiCedars-Sinai - https://www.cedars-sinai.org/provider/martha-gulati-2036029.htmlHer book Saving Women's Hearts: https://www.amazon.ca/Saving-Womens-Hearts-Conventional-Strategies/dp/0470678453 Find Me At: Instagram:
When patients complete Cedars-Sinai's artificial intelligence-assisted virtual urgent care clinic intake questions via structured chat, the AI provides clinicians with diagnoses and treatment plan recommendations.
In this episode, Dr. Rita Shane, Vice President and Chief Pharmacy Officer at Cedars-Sinai, shares her passion for advancing medication safety, tackling the “poly problem,” and navigating the complexities of therapeutic innovation. She also discusses her leadership in policy advocacy and the importance of collaboration in improving patient outcomes across the continuum of care.
Get my new book: https://bronsonequity.com/fireyourselfDownload my new special report - How to Use Inflation to Your Advantage - www.bronsonequity.com/inflationWelcome to our latest episode!Break free from trading time for money and discover the power of passive income. Join host Bronson Hill and co-host Nate Hambrick, author of The 18 Laws of Leverage, for an inspiring conversation with Dr. Peter Kim, former OB anesthesiologist at Cedars-Sinai and founder of Passive Income MD, recorded in June 2025. Growing up in a family of immigrant physicians, Peter was set on a path to medicine, only to find the “golden ticket” of a dream job came with unexpected challenges—broken promises, rigid schedules, and a loss of freedom. This sparked his journey into real estate and passive income, leading to Ascent Equity Group, where he raises capital for cash-flowing investments like preferred equity and debt funds. With a community of over 50,000 physicians, Peter coaches professionals to diversify their income and reclaim their time through real estate, businesses, and more.From his abundance mindset—“there will always be enough”—to prioritizing family trips over work, Peter shares how to shift from scarcity to freedom.TIMESTAMPS00:43 - Introduction: Passive income and financial freedom 01:41 - Guest introduction: Dr. Peter Kim's journey 03:01 - From physician to investor: Breaking the mold 06:26 - Career shift: Betrayal of the “golden ticket” 08:19 - Real estate awakening: Discovering passive income 10:31 - Burnout and boredom: The 7–10 year itch 12:58 - Mindset shifts: Overcoming golden handcuffs 15:40 - Coaching physicians: Freedom through choice 19:53 - Favorite investments: Cash flow over appreciation 23:00 - Lifestyle change: Prioritizing family and time 25:52 - Abundance mindset: “There will always be enough” 29:56 - Ascent Equity Group: Preferred equity and debt funds 34:08 - Future vision: Expanding Passive Income MD 37:35 - Personal development: Masterminds and growth 40:52 - Connecting with Peter: Website and community 41:40 - Key takeaways: Mindset and passive wealthConnect with the Guest:Website: passiveincomeMD.comLinkedIn: https://www.linkedin.com/in/peterkimmd/Instagram: https://www.instagram.com/drpeterkim/#PassiveIncome#FinancialFreedom#RealEstateInvesting#PhysicianEntrepreneur#CashFlow#MindsetShift#TimeFreedom
Still struggling with IBS symptoms, even after trying everything? It might not be “just IBS.” In the first episode of The Gut Show, Season 8, Dr. Mark Pimentel breaks down the connection between SIBO, IMO, ISO, and IBS, and what patients need to know about testing, treatment, and what's actually causing your symptoms. We talked about breath tests, stool tests, probiotics, antibiotics (like Rifaximin + Neomycin), the meds that cause SIBO, and more. Covered in this episode: Introducing Dr. Pimentel, MD [2:18] What is SIBO, ISO and IMO? [3:18] Should everyone with IBS do breath testing? [7:14] New guidelines that have come out [9:50] How should a patient navigate testing? [11:11] What about stool testing? [13:16] Negative test + symptoms or positive test without symptoms [16:50] What does normal mean? [18:44] Who does all 3 [20:39] Glucose vs Lactulose for the test [21:05] What causes these overgrowths? [21:52] The medication that WILL make you have SIBO [23:53] MAST cells, IBD, endometriosis [24:34] Treatment [32:07] Rifaximin [34:19] Any Statin or seaweed based treatment updates? [37:51] Neomycin [39:25] Elemental diet [41:23] What Dr. Pimentel wants for his patients [45:17] Probiotics [46:40] The role of metabolic disorders [48:22] Rapid fire questions [50:59] Mentioned in this episode: MASTER Method Membership Take the quiz: What's your poop personality? Sponsors of The Gut Show: FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $25 on your order! About our speaker: Mark Pimentel, MD, FRCP(C), is a Professor of Medicine at Cedars-Sinai and Professor of Medicine and of Gastroenterology through Geffen School of Medicine. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care. As a physician and researcher, Dr. Pimentel has served as a principal investigator or co-investigator for numerous basic science, translational and clinical investigations of irritable bowel syndrome (IBS) and the relationship between gut flora composition and human disease. This research led to the first ever blood tests for IBS, ibs-smart™, the only licensed and patented serologic diagnostic for irritable bowel syndrome. The test measures the levels of two validated IBS biomarkers, anti-CdtB and anti-vinculin. A pioneering expert in IBS, Dr. Pimentel's work has been published in the New England Journal of Medicine, Annals of Internal Medicine, American Journal of Physiology, American Journal of Medicine, American Journal of Gastroenterology and Digestive Diseases and Sciences, among others. Dr. Pimentel has presented at national and international medical conferences and advisory boards. He is a diplomate of the American Board of Internal Medicine (Gastroenterology,) a fellow of the Royal College of Physicians and Surgeons of Canada and a member of the American Gastroenterological Association, the American College of Gastroenterology, and the American Neurogastroenterology and Motility Society. Dr. Pimentel completed 3 years of an undergraduate degree in honors microbiology and biochemistry at the University of Manitoba, Canada. This was followed by his medical degree, and his BSc (Med) from the University of Manitoba Health Sciences Center in Winnipeg, Manitoba, Canada, where he also completed a residency in internal medicine. His medical training includes a fellowship in gastroenterology at the UCLA Affiliated Training Program. Connect with Erin Judge, RD: IG: https://www.instagram.com/erinjudge.rd TikTok: https://www.tiktok.com/@erinjudge.rd Work with Gutivate: https://gutivate.com/services
JOIN US ON PATREON About: Hosted by journalists Joan Summers and Matthew Lawson, Eating For Free is a weekly podcast that explores gossip and power in the pop culture landscape: Where it comes from, who wields it, and who suffers at the hands of it. Find out the stories behind the stories, as together they look beyond the headlines of troublesome YouTubers or scandal-ridden A-Listers, and delve deep into the inner workings of Hollywood's favorite pastime. The truth, they've found, is definitely stranger than any gossip. You can also find us on our website, Twitter, and Instagram. Any personal, business, or general inquires can be sent to eatingforfreepodcast@gmail.com Joan Summers' Twitter, Instagram Matthew Lawson's Twitter, Instagram Skips: Kim Zolciak and Kroy Biermann's daughter Ariana claims they spent all her money amid divorce [Page Six] Bianca Censori continues her fishnet obsession in sultry new snaps, [Page Six] Ellen Pompeo Details Being Detained by the TSA Over Sunflower Seeds: 'They Brought the Bomb Squad In' [JJ] Kylie Jenner reveals exact details of boob job in surprisingly candid confession, [Page Six] Teddi Mellencamp has a new boyfriend as she battles stage 4 cancer: report, [Page Six] ‘Supermodel' Bethenny Frankel shakes it in another thong swimsuit after fashion show criticism, [Page Six] Armie Hammer reunites with ex-wife and kids for milestone... after scary cannibalism scandal [DM] Abby Lee Miller sues Cedars-Sinai hospital for malpractice, claims they left catheter in [Page Six] Alexis Bledel Withdraws From Emmy Race for ‘The Handmaid's Tale' Due to New Guest Actor Rules (EXCLUSIVE), [Variety] Main Stories: Andy Cohen drops major ‘RHONJ' casting bombshell after show was put on pause: ‘Looking at the future' [Page Six] Luann de Lesseps sparks engagement rumors while sporting massive diamond ring, [Page Six] JoJo Siwa ‘Never Imagined' Being This Close to BF Chris Hughes: ‘It's Really Hard Because People Tear It Apart' [People] Erika Jayne's ex Tom Giradi, 86, faces dying behind bars as he's given prison sentence after fraud case [DM] MrBeast Claims He Has 'Very Little Money' and Is 'Borrowing' Cash from His Mom to Pay for His Upcoming Wedding, [People] Andy Cohen accused of unleashing 'coordinated attack' against Real Housewives star after drug allegations, [DM] Gigi and Bella Hadid Reveal Half-Sister, Aydan Nix, [VF]
Spontaneous intracranial hypotension reflects a disruption of the normal continuous production, circulation, and reabsorption of CSF. Diagnosis requires the recognition of common and uncommon presentations, careful selection and scrutiny of brain and spine imaging, and, frequently, referral to specialist centers. In this episode, Gordon Smith, MD, FAAN speaks with Jill C. Rau, MD, PhD, author of the article “Clinical Features and Diagnosis of Spontaneous Intracranial Hypotension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Rau is an assistant professor of clinical neurology at the University of Arizona, School of Medicine-Phoenix in Phoenix, Arizona. Additional Resources Read the article: continuumjournal.com Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Interview with Jill Rau, MD Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Dr Gordon Smith. Today I'm interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension, which she wrote with Dr Jeremy Cutsworth-Gregory from the Mayo Clinic. This article appears in the 2025 Continuum issue on disorders of CSF dynamics. I'm really excited to welcome you to the Continuum podcast. Maybe you can start by just telling our listeners a little bit about yourself? Dr Rau: Hi, thanks for having me. I'm really honored to be here, and I really enjoyed writing the paper with Dr Cutsforth-Gregory. I hope you guys enjoy it. I am the director of headache medicine at the Baba Bay Neuroscience Institute at Honor Health in Scottsdale, Arizona. I'm also currently the chair of the special interest group in CSF Dynamics at the American Headache Society, and I've had a special interest in this field since I first watched Dr Linda Gray speak at a conference where she talked about spinal CSF leaks and their different presentations. And they were so different than what I had been taught in residency. They're not just the post-LP headache. They have such a wide variety of presentations and how devastating they can be, and how much impact there is on someone's life when you find it and fix it. And I've been super interested in the field and involved in research since that time. And, yeah. Love it. Dr Smith: Well, thanks for sharing your story. And as I reflected on our conversation ahead of time and have been thinking about this issue… this is a cool topic, and every time I read one of these manuscripts and have the opportunity to speak with one of the authors, I learn a ton, because this was something that wasn't even on the radar when I trained back in the 1800's. So, really looking forward to the conversation. I wonder if you could really briefly just summarize or remind for everyone the normal physiology about CSF dynamics, you know, production, absorption, and so forth? Dr Rau: So, the CSF is the fluid that surrounds the brain and the spinal cord, and it's contained by the dura, which is like a canvas or a sac that covers that whole brain and spinal cord. And within the ventricles of the brain, the choroid plexus produce CSF. It's constantly producing and then being reabsorbed by the arachnoid granulations and pushed into the venous space, the cerebral sinuses, venous sinuses. And also some absorption and push into the lymphatics that we've just learned about in the past year. This is kind of new data coming out, so always learning more and more about CSF, but we know that it bathes the brain and the spinal cord, helps keep some buoyancy of the brain as well as pushing nutrients in and pulling out metabolic waste. And it sort of keeps the brain in the state of homeostasis that's happy. And so, when there's a disruption of that flow and the amount of fluid there, that disrupts that, that can cause lots of different symptoms and problems for people. Dr Smith: One of the many new things I learned is that even the name of this---spontaneous intracranial hypotension---is misleading. And I think this is clinically relevant, as we'll probably get to in a moment, but can you talk a little bit about this? Is this really like a pressure disorder or a volume disorder? Dr Rau: Yeah. It's almost certainly a volume disorder. We do see in some people that they have low pressure, and it's still part of the diagnostic criteria. But it's there because if you have a low pressure, if you measure an opening pressure and it's below six, if you're measuring it in the spine in the right place, then you have indication that there's low volume. But there's over 50% of people's opening pressure who have a spinal CSF leak, have all the symptoms and can be fixed. So, they have normal pressure in 50% of the people. So, it is an inaccurate term, hypotension, but it was originally discovered because of the thought that it was a low-pressure situation. Some of the findings would suggest low pressure, but ultimately, we are pretty sure it's a low-volume condition. Dr Smith: Another new thing that I learned that really blew me away is how bad this can be. I did a podcast with Mark Burish about cluster, and I was reminded many cluster patients are pushed to the point of suicidal ideation or committing suicide by the severity of pain. And this sounds like for many patients it's equally severe. Can you maybe paint a picture for our listeners why this is so clinically important? Dr Rau: A large number of people, even people who are known to have leaks because they've had them before or they've releaked, they have a lot of brain fog and cognitive impairment. They often have severe headaches when they're upright. So, orthostatic headache is probably the number one most common symptom, and those headaches are one of the worst headaches out there. When people stand up, their fluid is not supporting the brain and there's an intense amount of pain. And so, they spend a large portion of their lives horizontal. And there's associated symptoms with that, it's not just headache pain and brain fog. There's neck pain. There's often subsequent disorders that accompany this, like partial orthostatic tachycardia syndrome. We don't know if that's because of deconditioning or an actual sequela of the disease, but it's a frequent comorbidity. We have patients that have extreme dizziness with their symptoms, but many patients are limited to hours, if that, upright per day, combined, total. And so they live their lives, often, just in the dark, lots of photophobia, sensitive to the light, really unable to function. It's also very hard to find and so underrecognized that a lot of patients, especially if they don't have that really clinical symptom of orthostatic headache. So, it's often missed. So, they're just debilitated. You know, treatments don't work because it's not a migraine and it's not a typical headache. It's a mechanical issue as well as a metabolic issue and not found, not a lot helps it. Dr Smith: So, you know, I have always thought about this as really primarily an orthostatic symptom. I wonder if you can talk about the complexity of this; in particular, kind of how this evolves over time, because it's not quite that simple. And maybe in doing so, you can give our listeners some pearls on when they should be thinking about this disorder? Dr Rau: A large portion of people do have headache with spinal CSF leak, in particular, spontaneous intracranial hypertension- hypotension, excuse me. And that's something to be thought about, is that there are spontaneous conditions where people have either rupture of the dural sac, or an erosion of the dural sac, or a development of a connection between the dura and the venous system. And that is taking away or allowing CSF to escape. In these instances that patients have spontaneous, there may be a different presentation than if they have, like, a postdural puncture or a chronic traumatic or iatrogenic leak. And we're not sure of that yet, but we're looking into that. Still, the largest presentation is headache, and orthostatic headache is very dominant in the headache realm. But over time, patients' brains can compensate for that lack of CSF and start overproducing---or at least we think that's probably what's happening. And you may see a reduction in the orthostatic symptoms over time, and you may see an improvement in the radiographic findings. So, there are some interesting papers that have been published that look at these changes over time, and we do see that sometimes within that first three to four months; this is the most common time to see that change. Other patients may worsen. You may actually see someone going from looking sort of normal radiographically to developing more of a SIH-type of picture on the brain. And so it's not predictable which patients have gone from orthostatic to improvement or the other way around, both radiographically and clinically. So, it can be quite difficult to tell. So, for me, if I have a patient that comes to me and they're struggling with headache… if it's orthostatic, very clearly orthostatic: I lay down, I get considerably better or my headache completely goes away. And then when I stand up, it comes on relatively quickly, within an hour. And sometimes it's a worsening-throughout-the-day type of thing, it's lowest in the morning and it worsens throughout the day. These are the times that it's most obvious to think about CSF leak. Especially if that headache onset relatively suddenly, if it onset after a small trauma. Like I've had patients that say, you know, I was doing yoga and I did some twists and I felt kind of a pop. And then I've had this headache that is horrible when I'm upright but is better when I lay down ever since, you know, since that time. That's kind of a very classic presentation of spinal CSF leak or spontaneous intracranial hypotension. Maybe a less common presentation would be someone who comes to you, they've had a persistent headache for a couple years, they kind of remember it started in March of a couple years ago, but they don't know. Maybe it's, you know, it's a little better when they lay down. It may be a little worse when they're up moving around, but so is migraine, and it's a migrainous headache. But they've tried every migraine drug you can think of. Nothing is responding, nothing helps. I'm always looking at patients who are new daily, persistent headaches and patients who aren't responding to meds even if it's not new daily, but they have just barely any response. I will always go back and examine their brain imaging and get full spine to make sure I'm not missing. And you can never be 100% sure, but it's always good to consider those patients to the best of your ability, if that- have that in the back of your mind. Dr Smith: So obviously, goes without saying, this is something people need to have on their radar and think about. And then we'll talk more about diagnostic tools here in a second. But how common is this? If you're a headache doc, you see a lot of patients who have intractable headaches. And how often do you see this in your headache practice? Now you're- this is your thing, so probably a little more than others, but, you know, how common will someone who sees a lot of headache encounter these patients? Dr Rau: If you see a lot of headache, I mean, currently the thought is it's about 5 in 100,000. That was from a study before we were finding CSF venous fistulas. I think a lot of us think it's more common than that, but it's not super common. We don't have good estimates, but I would guess between 5 and 10 for 100,000 persons, not “persons who come to a tertiary headache clinic with intractable headaches”. So, it's hard to gauge how frequent it is, but I would say it's considerably more frequent than we currently think it is. There's still a group of people with orthostatic headaches that we can't find leaks on; that, once you treat other things that can cause or look for other things that can cause orthostatic headaches. So, there may be even still a pathophysiology out there that is still a leak type. Before 2014, we didn't even know about CSF venous fistulas. And now here we are; like, 50% of them are CSF venous fistulas. So, you know, we're still in a huge learning curve right now. Dr Smith: So, I definitely want to talk about the fistulas in a second. But before moving on, one of the things that I found really interesting is the wide spectrum of clinical phenotype. And we obviously don't have a lot of time to get into all of these different ones, but the one that I was hoping you might talk about---and there's a really great case, and you're on bunch of great case, a great case of this---is brain sagging dementia, not a term I've used before. Can you really briefly just tell our listeners about that, because that's a really interesting story and a great case in your article? Dr Rau: Yeah. So, brain sag dementia is a… almost like an extreme version of a spontaneous intracranial hypotension. Where there is clear brain sag in the imaging---so that's helpful---but the patients present kind of like a frontotemporal dementia. And when this was first started to being determined, you could turn the patient into Trendelenburg, and sometimes they would improve. There are some practitioners that have introduced fluid into the thecal sac and had temporary improvement. Patching has improvement, then they leak again, sometimes not. But the clinical changes with this have been pretty tremendous to be able to identify that that's a real thing. And in some cases, out of Cedars Sinai, you know, who does a lot of the best research in this, they've had lots of cases where they can't find the leak, but there's clear brain sag that fits with our clinical picture of CSF leaks. So, we're on a learning curve. But yeah, this- they really present. They have disinhibition and cognitive impairment that is very similar to frontotemporal dementia. Dr Smith: Well, so let's talk about what causes this. You mentioned CSF venous fistulas. I mean, that was reported now just over a decade ago, it's pretty amazing. That accounts for about half of cases, if I understand correctly. What are the other causes? And then we'll talk more about therapy in a minute, but what causes this? Dr Rau: So, within the realm of spontaneous, you know, we say it's spontaneous. But the spontaneous cases we account for, they can be tears in the dura, which are usually sort of lateral tears in the dura. They can be little places that rubbed a hole, often on an osteophyte from the spine. They can come from these spinal diverticuli. So, I always describe it to my patients like those balls that have mesh and squishy, and you squeeze them in the- through the mesh, there's the extra little bubbling out. If you think of like the dura bubbling, out in some cases, through the framing of the spine, right where the spinal nerve roots come out, they should poke out like wires from the dura. But in many cases they poke out with this extra dura surrounding them, and we call that spinal diverticuli. And if you imagine like the weakening of where you squeeze that, you know, balloon through your fingers, in those locations, that's a very common place to find a CSF leak, and you can imagine that the integrity of the dura there may be less than it would be if it were not being expanded in that direction. And that's often the most common place we see these CSF venous fistulas. So, you can get minor traumas; like I said, it can be spontaneous, like someone just develops a leak one day. It can be rubbed off, and it can be a development of a connection between the dura and the venous system. There are also iatrogenic causes, but we don't consider them spontaneous. But when you're considering your patients for spontaneous cases, you should consider if they've ever had chronic---even long, long time ago---had any spinal implementation, procedures near the spine, spinal injections, LPs in the past, and especially women who've had epidurals in pregnancy. Dr Smith: All right, so we see a patient, positional severe headache, who meets the clinical criteria. Next step, MRI scan? Dr Rau: Yeah. So, the first thing is always to get the brain MRI with and without contrast. Most places will have a SIH or a spinal CSF leak protocol, but you should get contrast because one of the most pathognomonic findings on brain MRI is that smooth diffuse dural enhancement. And that's a really fantastic thing when you find it, because it's kind of a slam dunk. If you find it, then you will see other findings. It almost never exists alone. But if you see that, it's pretty much a spinal CSF leak. But you're also looking for subdural collections, any indication of brain sag. We do have these new algorithms that have come out in the past couple of years that are helpful. They're not exclusionary---you can have negative findings on the brain and still have spinal CSF leak---but the brain MRI is extremely helpful. If it's positive for the findings, it really does help you nudge you in the direction of further investigations and treatments. Dr Smith: And what about those further investigations and treatments, right? So, you see that there's findings consistent with low pressure, and I guess I should say low intracranial CSF volume. Be that as it may, what's the next step after that? Dr Rau: Depends on where you are and what you can do. I almost always will get a full spine MRI: so, C spine, T spine, and L spine separately. Not, you know, we don't want it all in one picture, because we want to get the full view. And you want to get that with at least T2 highly- heavily T2 weighted with fat saturation in at least the sagittal and axial planes. It's really helpful if you can get it in the coronal planes, but we have to have- often have good talks with your radiologist to get the coronal plane. I spoke about the spinal diverticuli earlier, and I want to clarify a little bit of something. The coronal image will show those really nicely. It's interesting, but 44% of people have those. So just having the spinal diverticuli does not indicate that you have a leak. But if you have a lot of those, there may be more likelihood of having leak than if you don't have any of those. So, I will get all of those and I will look at them myself, but I've been looking at them myself for a long time. But a lot of radiologists in community hospitals, especially not- nonneuroradiologists, but even neuroradiologists, this isn't something that's that everybody's been educated about, and we've been learning so much about it so rapidly in the past ten years. It's not easy to do and it's often missed. And if it's not protocoled properly, the fat saturation's not there, it's very hard to see… you can have a leak and not see it. Even the best people, like- it's not always something that's visible. And these CSF venous fistulas that we talked about are never visible on normal MRI imaging. Nonetheless, I will run those because if I can find a leak---and 90% of the ones that are found on MRI imaging are in the thoracic spine. So that's where I spend the most of my time looking. But if you find it, that's another thing to take to your team to say, hey, look, here it is, let's try and do this, or, let's try and do that, or, I've got more evidence. And there are other findings on the spine; not just the leak, but other findings, sometimes, you can see on spine that maybe help you push you towards, yes, this is probably a leak versus not. Dr Smith: So, your article has a lot of great examples and detail about kind of advanced imaging to, like, find the fistula and what not. I guess I'm thinking most of our listeners are probably practicing in a location where they don't have a team that really focuses on that. So, let's say we do the imaging of the spine and you don't find a clear cause. Is the next step to just do a blood patch? Do you send them to someone like you? What's the practical next step? Dr Rau: Yeah, if your- regardless of whether you find a leak or not, if your clinical acumen is such that you think this patient has a leak or I've treated them for everything else and it's not working and I have at least a high enough suspicion that I think the risk of getting a patch is lower than the benefit that if they got a patch and it worked, I do send my patients for non-directed blood patches, because it currently does take a long time to get them to a center that can do CT myelograms or any kind of advanced imaging to look for sort of a CSF venous fistula or to get treated outside of a nondirected patch. You know, sometimes nondirected patches are beneficial for patients, and there's some good papers out there that sort of explain the low risks of doing these if done properly versus the extreme benefit for patients when it works. And, I mean, I can't tell you how many people come in and tell me how their lives are changed because they finally got a blood patch. And sometimes it works. And it's life-changing for those people. You know, they go back to work. They can interact with their kids again. Before, they didn't know what was wrong, just had this headache that started. So it's worth doing if you have a strong clinical suspicion. Dr Smith: Yeah. I mean, that was great. And, you know, to go back to where we began, this is severe. It's something like 60% of patients with this problem have thought about suicide, right? And you take this patient and cure the problem. I feel really empowered having read the article and talked to you today. And so, I'm ready to go out and look for this. Thank you so much for a really engaging conversation. This has been terrific. Dr Rau: Thank you. I appreciate it. I enjoyed being here. Dr Smith: Again, today I've been interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension---which I guess I should say hypovolemia after having talked to you---which she wrote with Dr Jeremy Cutsworth-Gregory. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Please be sure to check out Continuum Audio episodes from this really interesting issue and other interesting issues. And thank you, our listeners, again for listening to us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. 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In this episode, Dr. Peter Slavin, CEO of Cedars-Sinai, and David Kaplan, Chair of the Board and major donor, join Laura Dyrda to discuss the creation of the David and Meredith Kaplan Presidential Chair. They explore how philanthropic leadership is fueling Cedars-Sinai's academic mission, expanding its reach, and positioning it for future innovation amid a shifting healthcare landscape.
In this episode, Dr. Azadeh Shirazi sits down with Dr. Joubin Gabbay, Clinical Chief of Plastic Surgery at Cedars-Sinai in Beverly Hills, to explore the intersection of longevity and regenerative medicine in Aesthetics. They dive into the future of facial rejuvenation with expert insights on human-derived tissue injections like AlloCclae vs traditional fillers, NanoFat, Sculptra, facial implants, buccal fat removal, and more. If you're curious about what's next in aesthetic medicine—from collagen stimulation to regenerative facial rejuvenation—this one's for you. Timeline of what was discussed: 00:00 Introduction 02:09 Human-Derived Tissue Injection vs Traditional Fillers 04:28 Renuva: a substitute for fat grafting? 05:57 Human-Derived Fat Injection vs Natural Fat 07:49 Can you use Renuva on the face? 08:47 Good candidates for Renuva & AlloCclae 10:11 Does AlloCclae behave similarly to natural fat? 11:36 Dr. Joubin's opinion on Fillers 13:30 Nanofat Explained 15:54 Fat for Breast Augmentation 17:34 Dr. Joubin's Favorite Treatments 18:58 Buccal Fat Reduction 20:13 Facial Implants 21:37 CaHa vs Sculptra ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email morethanaprettyfacepodcast@gmail.com. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.
Doctor's Farmacy with Mark Hyman, MD: Read the notes at at podcastnotes.org. Don't forget to subscribe for free to our newsletter, the top 10 ideas of the week, every Monday --------- Many people struggle with mysterious symptoms like fatigue, brain fog, food sensitivities, and skin issues—only to be misdiagnosed or dismissed altogether. This conversation highlights how histamine intolerance and mast cell activation syndrome can be the hidden drivers behind a wide range of chronic conditions, and why they're often overlooked in conventional medicine. From the role of gut health, food triggers, and environmental toxins to deeper root causes like Lyme disease or mold exposure, it's clear that personalized, Functional Medicine is key to uncovering real answers. Understanding the immune system's role in histamine reactions—and how even “healthy” foods can be inflammatory for some—is a critical step toward healing. In this episode, I talk with Dr. Todd LePine, Dr. Elizabeth Boham, and Dr. Mark Pimentel about what histamine intolerance is, how it can be related to gut health, and why it's important to address it. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Mark Pimentel is a Professor of Medicine and Gastroenterology through the Geffen School of Medicine and an Associate Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care. Dr. Pimentel has over 150 publications in many high-profile journals, and he is the author of the book, The Microbiome Connection: Your Guide to IBS, SIBO, and low fermentation eating. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Is Histamine Intolerance The Cause Of Your Mysterious Symptoms? What is Histamine Intolerance? Surprising Symptoms You Need to Know IBS: It's Not In Your Head—Advances In Diagnosing And Treating, Bloating And Tummy Troubles
Today's Guest Dr. Akavan is a native of Los Angeles, has traveled to Granada in New York and Texas to complete his medical training. He completed a chief residency year in internal medicine at the University of Texas at Houston, and was a chief fellow at Cedars-Sinai Medical Center where he currently practices as a pulmonary and critical care physician. Dr. Akavan spends half of his time in the ICU and the other half doing palm consults and doing some clinic. Dr. Akavan has a special interest in sarcoidosis and is the medical director of the Pulmonary Sarcoidosis Program. Since joining Cedars-Sinai, he has helped build a strong, structured, multi-disciplinary sarcoidosis program. And I wanna say one more thing before I introduce him is that his comments are his own. And do not represent Cedars-Sinai. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
Many people struggle with mysterious symptoms like fatigue, brain fog, food sensitivities, and skin issues—only to be misdiagnosed or dismissed altogether. This conversation highlights how histamine intolerance and mast cell activation syndrome can be the hidden drivers behind a wide range of chronic conditions, and why they're often overlooked in conventional medicine. From the role of gut health, food triggers, and environmental toxins to deeper root causes like Lyme disease or mold exposure, it's clear that personalized, Functional Medicine is key to uncovering real answers. Understanding the immune system's role in histamine reactions—and how even “healthy” foods can be inflammatory for some—is a critical step toward healing. In this episode, I talk with Dr. Todd LePine, Dr. Elizabeth Boham, and Dr. Mark Pimentel about what histamine intolerance is, how it can be related to gut health, and why it's important to address it. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Mark Pimentel is a Professor of Medicine and Gastroenterology through the Geffen School of Medicine and an Associate Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care. Dr. Pimentel has over 150 publications in many high-profile journals, and he is the author of the book, The Microbiome Connection: Your Guide to IBS, SIBO, and low fermentation eating. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Is Histamine Intolerance The Cause Of Your Mysterious Symptoms? What is Histamine Intolerance? Surprising Symptoms You Need to Know IBS: It's Not In Your Head—Advances In Diagnosing And Treating, Bloating And Tummy Troubles
In this episode, Dr. Todd H. Lanman, a leading spine surgeon at Cedars-Sinai, discusses the latest innovations in artificial disc replacement. He shares insights on new technologies, challenges in insurance approvals, and the growing field of restorative motion surgery—offering hope for patients seeking alternatives to spinal fusion.
(March 11,2025)KTLA & KFI tech reporter Rich DeMuro joins the show for ‘Tech Tuesday.' Today, Rich talks about Bluetooth chip vulnerability, microsurgery robot at Cedars Sinai, Google's new store in Santa Monica, and AI-powered drive-thru at Weinerschnitzel. The great salt shake-up. U.S bolsters position as world's top arms exporter.
In this podcast episode, Dr. Jonathan H. Westover talks with Lori Wallace about job change as the modern day hero's journey. Lori Wallace is the Founder and CEO of Career Ecology – a hub spot for Work-Life Empowerment. She's mentored job seekers for over twenty years as the owner of her own search agency where she matched prominent hospital systems like Cedars Sinai, Kaiser Permanente, and Sutter Health to skilled and passionate professionals ranging from CEO to Lab Assistant. But, Lori brings much more than meets the eye. She calls herself a “Work-Life Doula”. Out of the angst of 2016, Lori founded Career Ecology in order to, as she puts it, “help every human shed the old, awaken the imaginal, and fly free.” Lori has a degree in Psychology from UCLA and certifications from the Nurtured Heart Institute and with Mary Reynold's Thompson's Wild Soul facilitation. She brings a “practical + poetic” approach to work-life across all critical touch points, including job search, resume, interviewing, as well as the touch point to self. Lori views the realm of “work” as the ideal entry point for radical initiation and healing in the world. It's the modern-day “hero's journey.” Check out all of the podcasts in the HCI Podcast Network!