Podcasts about Chief resident

This is a capstone presentation from Chief Resident of Mayo Clinic Emergency Medicine, Dr. Taylor Christian.   Teaser: Can we fulfill our oath to “do no harm” if we ignore the harm of racial injustice in medicine? Understanding the historical roots and persistent impact of medical racism isn't just informative; it is a call to action. This presentation is an opportunity to learn, reflect, and act to become better advocates.   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda; @TayMChristian YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch; @drtaylormonet Email - AlwaysOnEM@gmail.com   REFERENCES & LINKS Meisel ZF, Shofer FS, Dolan AR, Goldberg E, Cannuscio CC, Rhodes KV, Perrone J, Hess EP, Rogers M, Bellamkonda V, Bell J, Zyla M, Becker L, McCollum S, Schapira M. Comparing Three Ways to Help Patients with Acute Pain Learn about Opioid Risks — The Life STORRIED Study [Internet]. Washington (DC): Patient-Centered Outcomes Research Institute (PCORI); 2021 Oct. PMID: 39383261. Engel-Rebitzer E, Dolan AR, Aronowitz SV, Shofer FS, Nguemeni Tiako MJ, Schapira MM, Perrone J, Hess EP, Rhodes KV, Bellamkonda VR, Cannuscio CC, Goldberg E, Bell J, Rodgers MA, Zyla M, Becker LB, McCollum S, Meisel ZF. Patient Preference and Risk Assessment in Opioid Prescribing Disparities: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2021 Jul 1;4(7):e2118801. doi: 10.1001/jamanetworkopen.2021.18801. PMID: 34323984; PMCID: PMC8322998. Racic M, Roche-Miranda MI, Fatahi G. Twelve tips for implementing and teaching anti-racism curriculum in medical education. Med Teach. 2023 Aug;45(8):816-821. doi: 10.1080/0142159X.2023.2206534. Epub 2023 May 3. PMID: 37134226. Sahai A, Corley AMS, Lipps L, Lawton R, DeBlasio D, Klein M. A Locally-Focused Structural Racism Curriculum for Pediatric Primary Care Residents. Acad Pediatr. 2023 Nov-Dec;23(8):1510-1512. doi: 10.1016/j.acap.2023.06.012. Epub 2023 Jun 9. PMID: 37302703. Carrera D, Tejeda C, Kakani P, Napolitano J. Addressing Racism in Medical Education: A Longitudinal Antiracism Discussion Curriculum for Medical Students. Med Sci Educ. 2023 Apr 28;33(3):639-643. doi: 10.1007/s40670-023-01788-x. PMID: 37501797; PMCID: PMC10368613. Seegmiller Renner AM, Gross JR, Laughlin-Tommaso SK. Paving a Path to Inclusion, Diversity, Anti-Racism, and Equity: A Curriculum Roadmap. Mayo Clin Proc. 2023 Dec;98(12):1755-1762. doi: 10.1016/j.mayocp.2023.08.026. PMID: 38043992.

In this episode of the DIGA Podcast, we are honored to speak with Dr. JaBreia James, Chief Resident at Harvard Dermatology. Dr. James shares her journey from medical school at the Medical College of Georgia at Augusta to training at one of the most competitive dermatology residency programs in the country.She discusses the pivotal moments that sparked her interest in dermatology, her experience navigating the Match process, and the key factors that helped her stand out as an applicant. Dr. James also reflects on the responsibilities and growth that come with being Chief Resident, offering valuable advice on leadership, mentorship, and balance in residency.Whether you are early in your medical school journey or preparing to apply to dermatology, this episode is filled with insight, encouragement, and practical guidance. We hope you enjoy!Connect with Dr. JaBreia James:Instagram: @jaybrebreConnect with the Harvard Combined Dermatology Residency Training Program: Website: https://www.harvard-derm.comInstagram: @hmscombinedderm ---DIGA Instagram: @⁠⁠⁠derminterest⁠⁠⁠---For questions, comments, or future episode suggestions, please reach out to us via email at ⁠⁠⁠derminterestpod@gmail.com⁠⁠⁠---Music: "District Four" Kevin MacLeod (⁠⁠⁠incompetech.com⁠⁠⁠) Licensed under Creative Commons:By Attribution 4.0 License:⁠⁠⁠ http://creativecommons.org/licenses/by/4.0/

In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss a common presentation to Acute Medicine. We use this as a springboard to discuss the differences that near patient testing can make in assisting rapid diagnosis and management on the Acute Medicine Unit, and how this can influence length of stay.Dr Ben Chadwick is an Acute Medicine Consultant at Southampton General Hospital. He has a specialist interest in Medical Education and has previously been Training Programme Director for Acute Internal Medicine in Wessex and has chaired the Acute Internal Medicine Specialist Advisory Committee. He has recently been appointed to the Deputy Registrar role at the Royal College of Physicians.Dr Racheal Cheek is an Acute Internal Medicine Registrar training in Wessex. She has been Chief Resident at University Hospitals Dorset, leading projects focused on improving patient safety. She is embracing new adventures whilst currently on maternity leave.   ResourcesClinical impact of syndromic molecular point-of-care testing for gastrointestinal pathogens in adults hospitalised with suspected gastroenteritis (GastroPOC): a pragmatic, open-label, randomised controlled trial. Brendish, Nathan J et al. The Lancet Infectious Diseases, Volume 23, Issue 8, 945 - 955RCP LinksEducation and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP Creditsmusic by bensound.com

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

If you’re worried about memory loss or have a family history of Alzheimer’s, this episode is a must-listen. Angela sits down with world-renowned neurologist and author Dr. Dale Bredesen to unpack the groundbreaking science behind Alzheimer’s prevention and reversal—even if you carry the APOE4 gene. With over 30 years of research, Dr. Bredesen shares how to optimise your brain health through metabolic flexibility, inflammation control, and personalised interventions. In this powerful and deeply personal episode, Angela also opens up about her own genetic risk and experience caring for her mum with Alzheimer’s. They explore why cognitive decline is not inevitable and how Dr. Bredesen’s new book, The Ageless Brain, is putting the power back into your hands. Whether you're 35 or 75, the steps to preserve your cognition start now—and the tools have never been more accessible. KEY TAKEAWAYS: Alzheimer’s Is Preventable and Reversible: Dr. Bredesen explains how addressing root causes like inflammation, metabolic dysfunction, and toxicity can stop and even reverse cognitive decline. Perimenopause and Brain Fog: Oestrogen loss affects brain energy metabolism, making perimenopausal women more vulnerable to cognitive decline. Your Brain Runs on Supply & Demand: Cognitive health depends on supporting your brain’s high energy needs while reducing inflammatory load and toxic exposure. Check Your Cognitive Biomarkers Early: Blood markers like P-Tau217, GFAP, and A-beta42 can reveal risk decades before symptoms appear. Lifestyle = Medicine: Sleep quality, insulin sensitivity, resistance training, brain stimulation, and even stress reduction all play a critical role. GLP-1s and Alzheimer’s Risk: While popular for weight loss, these drugs may negatively impact cognition in some people—especially APOE4 homozygotes. TIMESTAMPS AND KEY TOPICS:0:00 – Introduction 6:48 – Pathogens, toxins, and the real cause of Alzheimer’s 13:32 – Menopause, oestrogen, and female brain vulnerability 24:05 – Judy’s story: reversing cognitive decline for 13+ years 32:18 – Most common risky behaviours for brain degeneration 42:21 – Best exercises for insulin sensitivity and cognition 51:10 – Supplements that protect brain structure & function 54:22 – How to use The Ageless Brain as a practical guide 58:45 – Final thoughts + where to learn more from Dr. Bredesen VALUABLE RESOURCES Click here for discounts on all the products I personally use and recommend A BIG thank you to our sponsors who make the show possible: Get 20% off the Creatine I love at trycreate.co/ANGELA20, and use code ANGELA20 to save 20% on your firsts order. Brain Boost: Try Neuro Regenerate at lvluphealth.com/angela and use code ANGELA15 to save 15% ABOUT THE GUEST Dale Bredesen, M.D. is an expert in the mechanisms of neurodegenerative diseases such as Alzheimer's disease. He is a graduate of Caltech, and received his MD from Duke University Medical Center. His career has included serving as Chief Resident in Neurology at the University of California, San Francisco, and served as a NIH Postdoctoral Fellow. His faculty position included working at UCSF, UCLA, and the University of California, San Diego. He was the director of the Program on Aging at the Burnham Institute. He was the founding President and CEO of the Buck Institute. He has developed a new therapeutic approach to treating Alzheimer's disease. He is the author of The End of Alzheimer's: The First Program to Prevent and Reverse Cognitive Decline. Dr Dale Bredesen’s latest book: The Ageless Brain: How to Sharpen and Protect Your Mind for a Lifetime - https://amzn.eu/d/gdrjKQm https://www.apollohealthco.com/ https://www.instagram.com/drdalebredesen/ https://www.facebook.com/drdalebredesen/ ABOUT THE HOST Angela Foster is an award winning Nutritionist, Health & Performance Coach, Speaker and Host of the High Performance Health podcast. A former Corporate lawyer turned industry leader in biohacking and health optimisation for women, Angela has been featured in various media including Huff Post, Runners world, The Health Optimisation Summit, BrainTap, The Women’s Biohacking Conference, Livestrong & Natural Health Magazine. Angela is the creator of BioSyncing®️ a blueprint for ambitious entrepreneurial women to biohack their health so they can 10X how they show up in their business and their family without burning out. The High Performance Health Podcast is a top rated global podcast. Each week, Angela brings you a new insight, biohack or high performance habit to help you unlock optimal health, longevity and higher performance. Hit the follow button to make sure you get notified each time Angela releases a new episode. CONTACT DETAILS Instagram Facebook LinkedIn Affiliate Disclaimer: Note this description contains affiliate links that allow you to find the items mentioned in this video and support the channel at no cost to you. While this channel may earn minimal sums when the viewer uses the links, the viewer is under no obligation to use these links. Thank you for supporting the show! Disclaimer: The High Performance Health Podcast is for general information purposes only and do not constitute the practice of professional or coaching advice and no client relationship is formed. The use of information on this podcast, or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for medical or other professional advice, diagnosis, or treatment. Users should seek the assistance of their medical doctor or other health care professional for before taking any steps to implement any of the items discussed in this podcast. This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/

This week on Health Matters, Courtney Allison is joined by Dr. Erica Eldon, physiatrist with NewYork-Presbyterian and Columbia.They discuss how our body builds strong and healthy bones, and what happens to our bones as they age—including why they can get brittle and contribute to things like breaks in hips or wrists, and even losing height in our spine.Dr. Eldon describes the key factors in maintaining bone health over time. She explains why it's especially important for women to incorporate resistance training into their self care, and offers some practical steps for everyone to take toward strong, healthy bones at every phase of life.___Dr. Erica Eldon, DO, is doctor of interventional spine care with NewYork-Presbyterian and Columbia. She specializes in treating patients with acute and chronic musculoskeletal and spine injuries. Dr. Eldon is board eligible in both Physical Medicine & Rehabilitation and Pain Medicine. She received her Doctorate of Osteopathic Medicine (DO) from Midwestern University-Arizona College of Osteopathic Medicine, underwent residency training in Physical Medicine and Rehabilitation at the Icahn School of Medicine at Mount Sinai Hospital where she also served as Chief Resident, and completed a multidisciplinary pain medicine fellowship at Weill Cornell/NewYork Presbyterian Hospital, Hospital for Special Surgery, and Memorial Sloan Kettering Hospital.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Check out Dr. Mina's top picks for skin care here. In this conversation, Dr. Mina and Dr. Nicole Salame delve into the complexities of laser treatments in dermatology. They discuss the nuances of different laser technologies, the importance of provider expertise, and the safety considerations for patients. The conversation also highlights the need for patients to be informed about their providers' credentials and the specific lasers suitable for various skin types. Additionally, they explore innovative uses of lasers in treating medical conditions like skin cancer, emphasizing the potential benefits and limitations of these treatments.    Key Takeaways: Lasers are customizable devices that target specific skin issues. Provider expertise is crucial for safe and effective laser treatments. Misconceptions about lasers being simple can lead to complications. Patients should prioritize safety and provider qualifications. Darker skin types can safely receive laser treatments with the right technology. Intense pulse light is risky for darker skin types. Lasers can be used innovatively for treating skin cancers. Understanding laser physics is essential for effective treatment. Patients should be aware of the potential for complications. Choosing the right provider can minimize risks and enhance outcomes. Patients often feel exhausted from frequent skin treatments. Laser resurfacing can treat precancers and rejuvenate skin. Non-ablative and ablative lasers are effective for skin health. Regular laser treatments can reduce skin cancer incidents. Choosing a board-certified dermatologist is crucial for skin care. A holistic approach to skin health leads to better results. De-influencing trends in skincare is important for patients. Innovative devices are changing the landscape of dermatology. The future of dermatology includes regenerative treatments. Understanding the difference between medical and cosmetic treatments is key. In This Episode: 03:06 Understanding Laser Technology 05:49 The Importance of Provider Expertise 09:10 Navigating Patient Safety and Complications 12:11 Choosing the Right Provider 15:04 Lasers for All Skin Types 18:00 Innovative Uses of Lasers in Medicine 22:30 The Emotional Toll of Skin Treatments 23:10 Laser Treatments for Skin Cancer Prevention 26:28 Choosing the Right Laser Treatment 31:08 The Importance of a Trusted Dermatologist 33:02 Innovations in Laser Technology 36:10 The Future of Regenerative Dermatology   Nicole Salame, MD, FAAD is a double board-certified and fellowship-trained cosmetic dermatologist and Mohs micrographic surgeon. She attended college at the University of California, Los Angeles (UCLA) on numerous scholarships, graduating Cum Laude. She earned her MD from the University of California, Irvine (UCI) School of Medicine with induction into the Alpha Omega Alpha (AOA). She completed her dermatology residency at Emory University where she served as Chief Resident. Dr. Salame then completed an American Society of Dermatologic Surgery (ASDS)-accredited fellowship in Cosmetic Dermatologic Surgery at the prestigious SkinCare Physicians under the exceptional mentorship of innovators in the field. Dr. Salame is a Fellow of the American Academy of Dermatology (AAD), serves on several committees for the American Society for Laser Medicine and Surgery (ASLMS), and is an active member of the ASDS and Women's Dermatology Society (WDS). She has been a sub-investigator for numerous clinical trials and serves as a peer reviewer for Dermatologic Surgery and JAMA Dermatology. Her scholarly work has culminated in the authorship of over 30 peer-reviewed manuscripts and book chapters and more than 40 presentations at national conferences. Her expertise includes medical, procedural, and cosmetic dermatology with specialized-training in lasers, energy-based devices, injectables, regenerative dermatology, rejuvenation, and pre-juvenation.   Follow Dr. Salame here: https://www.drnicolesalame.com/ https://www.instagram.com/dr.nicolesalame/   Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Website- https://www.atlantadermsurgery.com/ Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

On this episode of the Sports Medicine Primer Series, host Dr. Zainab Shirazi, MD, continues the conversation with Dr. Dan Cushman, MD, discussing the management of a case of shoulder pain in a 23-year-old backpacker. The goal of this ongoing series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Cushman is board-certified in both Sports Medicine and Physical Medicine & Rehabilitation, and specializes in the care of musculoskeletal injuries in both athletes & non-athletes, musculoskeletal ultrasound, electrodiagnostics, and endurance sports-specific injuries. He serves as the team physician for the University of Utah Track & Field and Cross-Country teams and is also the team physician for the University of Utah Swimming and Diving teams. Dr. Shirazi is a Sports Medicine Fellow at the University of Colorado. She completed her residency training in Physical Medicine & Rehabilitation (PM&R) at NewYork-Presbyterian Columbia/Cornell, where she served as Chief Resident, and is the current Fellow Chair for AMSSM's Library of Ultrasound Pathology. She is passionate about women's sports medicine and providing specialized care for female athletes. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (1st ed) – Case 66 (p. 395): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies Peripheral Neuropathies of the Upper Extremity | National Fellow Online Lecture Series: https://www.youtube.com/watch?v=vC0XgHvQWXc Unilateral Winged Scapula: Clinical and Electrodiagnostic Experience with 128 cases, With Special Attention to Long Thoracic Nerve Palsy: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.26059 The Natural History of Long Thoracic and Spinal Accessory Neuropathies: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.10068 MR Neurography (MRN) of the Long Thoracic Nerve: Retrospective Review of Clinical Findings and Imaging Results at Our Institution Over 4 Years: https://link.springer.com/article/10.1007/s00256-017-2737-z Ortho Bullets – Scapular Winging: https://www.orthobullets.com/shoulder-and-elbow/3062/scapular-winging Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy: https://journals.sagepub.com/doi/full/10.1177/1558944717733306 A Comprehensive Analysis of Pectoralis Major Transfer for Long Thoracic Nerve Palsy: https://www.sciencedirect.com/science/article/pii/S1058274614006818

Adrianna Morse, MD, Chief Resident, Providence St. Vincent Internal Medicine Residency ProgramCME Credit Available for all Providence ProvidersIn order to claim CME credit, please click on the following link: ⁠⁠⁠ ⁠⁠https://forms.office.com/r/jrEmSjTfhy ⁠⁠ (or copy & paste into your browser)Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated.Original Date: April 29, 2025End Date: April 29, 2026

Adrianna Morse, MD, Chief Resident, Providence St. Vincent Internal Medicine Residency ProgramCME Credit Available for all Providence ProvidersIn order to claim CME credit, please click on the following link: ⁠⁠⁠ ⁠⁠https://forms.office.com/r/jrEmSjTfhy ⁠⁠ (or copy & paste into your browser)Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated.Original Date: April 29, 2025End Date: April 29, 2026

Send us a textDr. Bobby Reddy, MD is the Chief Operating Officer and Co-Founder of Pi Health ( https://www.pihealth.ai/ ), a health technology and clinical research company committed to empowering life sciences companies to develop medicines faster and reach diverse patient populations. Dr. Reddy leads global operations, business development, and commercial activities with the mission of driving equal access to innovative medicines and clinical trials for patients around the world. Previously, Dr. Reddy served in leadership positions at BeiGene and AstraZeneca. At BeiGene, Dr. Reddy was Executive Director of Applied Innovation, a technology incubator in the Office of the CEO, which developed novel technologies to improve R&D and commercial capabilities. In this role, Dr. Reddy was the co-inventor of multiple patented technology applications which have successfully undergone enterprise adoption. He also built and managed multidisciplinary, global teams who led strategy, business development, global operations, and legal activities to drive development, implementation and growth of incubated technologies and companies. At AstraZeneca, Dr. Reddy was Head of Oncology Regulatory Science and Innovation, where he was a member of the global Oncology Regulatory Science and Strategy leadership team. Previous to Dr. Reddy's roles in pharma and biotech, Dr. Reddy was faculty of Harvard Medical School and a physician scientist and clinical dermatologist at Massachusetts General Hospital. His research focused on investigating the role of genetic and immunologic factors in melanoma development and progression, along with the development of novel therapeutic strategies. Dr. Reddy is also an alumnus of the Howard Hughes Medical Institute – National Institutes of Health Research Scholars Program, through which he conducted research at the National Cancer Institute. Dr. Reddy completed an Internal Medicine internship at Brigham and Women's Hospital, during which he was given the Dunne Award for Humanism in Medicine by Harvard Medical School. He subsequently completed a Dermatology residency at Columbia University Medical Center, where he served as a Chief Resident during his final year of training. After residency, he completed a Melanoma Fellowship at Massachusetts General Hospital/Harvard Medical School. Dr. Reddy obtained his M.D. with Alpha Omega Alpha honors from Rutgers–New Jersey Medical School. Dr. Reddy is a board-certified dermatologist and maintains an active clinical practice caring for patients at Massachusetts General Hospital, where he also teaches and mentors medical students and trainees.Important Episode Link - Pi Health Cancer Hospital - https://www.pihealthcancerhospital.com/#BobbyReddy #PiHealth #Dermatology #Oncology #Melanoma #Cancer #ElectronicHealthRecords #GenerativeAI #CDSCO #ClinicalTrials #India #CentralDrugsStandardControlOrganisation #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #Podcasting #ViralPodcast #STEM #Innovation #Science #Technology #ResearchSupport the show

In today's episode, Dr. Edward Shalts, a Holistic Psychiatrist and Homeopath, joins us to discuss his latest book, Super Remedies: That Can Change Your Life. A compassionate physician for over forty years, Dr. Shalts specializes in conventional, integrative, and functional psychiatry – effectively treating adults and children for stress, sleep issues, anxiety, PTSD, ADHD, depression, bipolar disorder, and more… Dr. Shalts received his training at Beth Israel Medical Center (now Mount Sinai Beth Israel), where he served as Chief Resident. He has also previously worked as a neuroendocrinology research fellow at Columbia University, written four books, and is a Founding Diplomate of the American Holistic Medical Association. In this conversation, we dive into: How homeopathic remedies provide swift, natural relief from common ailments. The ways in which conventional medical care falls short. The benefits of making individualized remedy choices based on science.   Ready to learn more about the concept of healing from the inside out? Tune in and transform your approach to health and wellness! Be sure to follow along with Dr. Shalts and his work by visiting his website. Episode also available on Apple Podcasts: http://apple.co/30PvU9

In today's episode of The Root Cause Medicine Podcast, we explore the often-overlooked importance of emotional health during the menopause transition with Dr. Paul Conti. You'll hear us discuss: 1. How trauma often leads to shame and self-blame 2. The emotional and psychological changes during menopause 3. Building resilience through introspection and curiosity 4. The stigma surrounding mental health issues 5. The importance of seeking professional support and external feedback Dr. Paul M. Conti, a Stanford University School of Medicine graduate, combines extensive clinical expertise with a holistic approach to psychiatry. With training from Stanford and Harvard, where he served as Chief Resident, Dr. Conti specializes in treating mental illness and life stressors, recognizing the pervasive impact of trauma on individuals and communities. Beyond clinical practice, he offers consulting services in personal, business, and legal contexts. Dr. Conti is also acclaimed for his book, "Trauma: The Invisible Epidemic," which distills his insights on healing from trauma, aiming to educate and empower a broader audience.

On this episode of the Sports Medicine Primer Series, host Dr. Zainab Shirazi, MD, is joined by Dr. Dan Cushman, MD, to discuss how to manage a case of shoulder pain in a 23-year-old backpacker. The goal of this ongoing series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Cushman is board-certified in both Sports Medicine and Physical Medicine & Rehabilitation, and specializes in the care of musculoskeletal injuries in both athletes & non-athletes, musculoskeletal ultrasound, electrodiagnostics, and endurance sports-specific injuries. He serves as the team physician for the University of Utah Track & Field and Cross-Country teams and is also the team physician for the University of Utah Swimming and Diving teams. Dr. Shirazi is a Sports Medicine Fellow at the University of Colorado. She completed her residency training in Physical Medicine & Rehabilitation (PM&R) at NewYork-Presbyterian Columbia/Cornell, where she served as Chief Resident, and is the current Fellow Chair for AMSSM's Library of Ultrasound Pathology. She is passionate about women's sports medicine and providing specialized care for female athletes. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (1st ed) – Case 66 (p. 395): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies Peripheral Neuropathies of the Upper Extremity | National Fellow Online Lecture Series: https://www.youtube.com/watch?v=vC0XgHvQWXc Unilateral Winged Scapula: Clinical and Electrodiagnostic Experience with 128 cases, With Special Attention to Long Thoracic Nerve Palsy: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.26059 The Natural History of Long Thoracic and Spinal Accessory Neuropathies: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.10068 MR Neurography (MRN) of the Long Thoracic Nerve: Retrospective Review of Clinical Findings and Imaging Results at Our Institution Over 4 Years: https://link.springer.com/article/10.1007/s00256-017-2737-z Ortho Bullets – Scapular Winging: https://www.orthobullets.com/shoulder-and-elbow/3062/scapular-winging Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy: https://journals.sagepub.com/doi/full/10.1177/1558944717733306 A Comprehensive Analysis of Pectoralis Major Transfer for Long Thoracic Nerve Palsy: https://www.sciencedirect.com/science/article/pii/S1058274614006818

(Editor's note: Apologies for the mild echo!)TL;DR: The application deadline for the 2025-2026 cohort of LearnSkin's Integrative Dermatology Certificate Program (IDCP) is April 21st, 2025!As a proud and transformed IDCP alumnus, I know how this program helps dermatologists expand their approach to patient care and reignite their passion for dermatology.From evidence-informed functional medicine to new treatment strategies, IDCP provides practical tools to enhance how we support our patients with the comprehensive, holistic dermatology care I know so many of them are seeking.If you want to join and learn form a forward thinking, supportive, growth-minded community and expand your dermatology toolkit, opportunity is knocking... will you answer?

In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss an interesting case involving a deteriorating patient and the challenges around appropriate escalation of care in the acute setting. We discuss the difficulties that can occur when dealing with a deteriorating patient, and think about different strategies to ensure that the right care can be given in the right environment.Dr Ben Chadwick is an Acute Medicine Consultant at Southampton General Hospital. He has a specialist interest in Medical Education and has previously been Training Programme Director for Acute Internal Medicine in Wessex and has chaired the Acute Internal Medicine Specialist Advisory Committee. He has recently been appointed to the Deputy Registrar role at the Royal College of Physicians.Dr Racheal Cheek is an Acute Internal Medicine Registrar training in Wessex. She has been Chief Resident at University Hospitals Dorset, leading projects focused on improving patient safety. She is embracing new adventures whilst currently on maternity leave.   Resources IDSA/ATS 2007 - NICE suggest for decisions regarding ICU admission that this clinical decision aid should be considered superior to PSI/CURB-65 for pneumonia https://academic.oup.com/cid/article/44/Supplement_2/S27/372079SBAR tool - https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/SBAR-Implementation-and-Training-Guide.pdfNEWS2 - https://www.rcp.ac.uk/improving-care/resources/national-early-warning-score-news-2/RCP LinksEducation and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP CreditsMusic by bensound.com

What if AI could guide every patient through their healthcare journey—nudging them toward better choices, anticipating their needs, and adapting in real time? We talk a lot about engagement in healthcare, but too often, the digital tools we use fail to improve outcomes. AI and data-driven personalization hold incredible promise, yet many health plans and providers still struggle with low participation rates. Dr. Erich Huang, Associate Chief Clinical Officer for Informatics and Technology at Verily, an Alphabet company leading the charge in precision health, joins Eric to discuss what's next for AI in healthcare. The conversation touches on how AI is redefining patient engagement, the delicate balance between automation and human touch, and how platforms like Verily's Lightpath are pioneering a new model for chronic care management. If you're a health plan or hospital leader looking to unlock the next generation of patient engagement, you won't want to miss this conversation.  About Erich Erich leads a team focused on structuring clinical-grade data that integrates with the clinical research and healthcare data ecosystems and is optimized for precision medicine, analysis, and artificial intelligence.    Erich was previously at Duke University where he served as the Chief Data Officer for Quality at Duke Health, Director of Duke Forge, Director of Duke Crucible, and Assistant Dean for Biomedical Informatics for Duke University School of Medicine. There, he led and deployed machine learning capabilities for complex care management in Duke Health's Accountable Care Organization, led health data science initiatives, and helped develop Duke Health's new institutional governance process for algorithmic decision support.    He earned his MD and PhD from Duke University, trained and was a Chief Resident in the Duke General Surgery Residency Program. Erich is previously a Burroughs Wellcome Fund Innovations in Regulatory Science Award recipient, received a Sidney Kimmel Cancer Research Foundation Translational Scholar Award, and is twice a recipient of an IBM Faculty Award.   About Verily Verily is an Alphabet health technology company focused on research, care, and health financing to deliver on the promise of precision health and help people live healthier lives. We are uniquely positioned at the intersection of technology, data science, and healthcare to create tools to accelerate evidence generation, products to enable more personalized care, and approaches to make costs more predictable.  

CardioNerds co-founders Dr. Daniel Ambinder and Dr. Amit Goyal are joined by Dr. Spencer Weintraub, Chief Resident of Internal Medicine at Northwell Health, Dr. Michael Albosta, third-year Internal Medicine resident at the University of Miami, and Anna Biggins, Registered Dietitian Nutritionist at the Georgia Heart Institute. Expert commentary is provided by Dr. Zahid Ahmad, Associate Professor in the Division of Endocrinology at the University of Texas Southwestern. Together, they discuss a fascinating case involving a patient with a new diagnosis of hypertriglyceridemia. Episode audio was edited by CardioNerds Intern Student Dr. Pacey Wetstein. A woman in her 30s with type 2 diabetes, HIV, and polycystic ovarian syndrome presented with one day of sharp epigastric pain, non-bloody vomiting, and a new lower extremity rash. She was diagnosed with hypertriglyceridemia-induced pancreatitis, necessitating insulin infusion and plasmapheresis.   The CardioNerds discuss the pathophysiology of hypertriglyceridemia-induced pancreatitis, potential organic and iatrogenic causes, and the cardiovascular implications of triglyceride disorders. We explore differential diagnoses for cardiac and non-cardiac causes of epigastric pain, review acute and long-term management of hypertriglyceridemia, and discuss strategies for the management of the chylomicronemia syndrome, focusing on lifestyle changes and pharmacotherapy.  This episode is part of a case reports series developed in collaboration with the National Lipid Association and their Lipid Scholarship Program, with mentorship from Dr. Daniel Soffer and Dr. Eugenia Gianos. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Hypertriglyceridemia Cardiac sarcoidosis can present with a variety of symptoms, including arrhythmias, heart block, heart failure, or sudden cardiac death. The acute management of hypertriglyceridemia-induced pancreatitis involves prompt recognition and initiation of therapy to lower triglyceride levels using either plasmapheresis or intravenous insulin infusion +/- heparin infusion. Insulin infusion is used more commonly, while plasmapheresis is preferred in pregnancy.   Medications such as fibrates and omega-3 fatty acids can be used to maintain long-term triglyceride reduction to prevent the recurrence of pancreatitis, especially in patients with persistent triglyceride elevation despite lifestyle modifications. Statins can be used in patients for ASCVD reduction in patients with a 10-year ASCVD risk > 5%, age > 40 years old, and diabetes or diabetes with end-organ damage or known atherosclerosis. Consider preferential use of icosapent ethyl as an omega-3 fatty acid for triglyceride lowering if the patients fit the populations that appeared to benefit in the REDUCE IT trial.   Apply targeted dietary interventions within the context of an overall healthy dietary pattern, such as a Mediterranean or DASH diet. Limit full-fat dairy, fatty meats, refined starches, added sugars, and alcohol. Encourage high-fiber vegetables, whole fruits, low-fat or fat-free dairy, plant proteins, lean poultry, and fish. Pay special attention to the cooking oils to ensure the patient is not using palm oil, coconut oil, or butter when cooking. Instead, use liquid non-tropical plant oils. Initiate a very low-fat diet (< 5% of total daily calories from fat) for 1-4 weeks when TG levels are > 750 mg/dL.  Recommend and encourage patients to exercise regularly, with a minimum goal of 150 minutes/week of moderate-intensity aerobic activity. If weight loss is required, aim for more than >225 - 250 minutes/week.   Develop patient-centered and multidisciplinary stra...

For more tips on supporting your child's health, check out The Holistic RX for Kids: Parenting Healthy Brains and Bodies in a Changing World. Learn more here: https://www.amazon.com/Holistic-Rx-Kids-Parenting-Changing/dp/1538152150/   Episode Timestamps [00:00] - Intro [01:11] - Getting to Know Dr. Cassie Smith [03:26] - 10 Basic Steps to Better Health [09:11] - Why Hormone Imbalances Are Increasing  [18:07] - Why Acne Happens and Foods that Make it Better or Worse [22:35] - Smart Habits to Boost Hormone Health [27:58] - Episode Recap [30:15] - Outro   Help your hormones work with you, not against you!   Becoming a teen brings lots of changes, and it can sometimes feel like your brain, body, and emotions are all over the place. Hormones are a big reason why, and when they're out of balance, things can feel even more overwhelming. In this episode, The Holistic Kids and Dr. Cassie Smith explore hormones in kids—why they matter, what affects them, and how simple daily habits can help keep them in balance.   Dr. Cassie Smith, MD, is a highly respected endocrinologist and the founder of Modern Endocrine. With dual board certifications in endocrinology, diabetes, metabolism, and internal medicine, she brings a deep understanding of hormonal health to her practice. She earned both her undergraduate and medical degrees from the University of Missouri Kansas City and was recognized for her leadership as Chief Resident during her residency.   Learn more about Dr. Cassie Smith at https://www.modern-endocrine.com, or follow her on social media @ModernEndocrine   —   Watch for The Holistic Kids' upcoming book, The Teen Health Revolution!   Learn more about Dr. Madiha Saeed at https://holisticmommd.com, or follow her on social media @HolisticMomMD  

In this episode of RCP Medicine podcasts Dr Racheal Cheek and Dr Ben Chadwick discuss a challenging case of Deep Venous Thrombosis in a young patient. We discuss potential causes, and options for treatment, with reference to NICE guidance Dr Ben Chadwick is an Acute Medicine Consultant at Southampton General Hospital. He has a specialist interest in Medical Education and has previously been Training Programme Director for Acute Internal Medicine in Wessex and has chaired the Acute Internal Medicine Specialist Advisory Committee. He has recently been appointed to the Deputy Registrar role at the Royal College of Physicians.Dr Racheal Cheek is an Acute Internal Medicine Registrar training in Wessex. She has been Chief Resident at University Hospitals Dorset, leading projects focused on improving patient safety. She is embracing new adventures whilst currently on maternity leave.   ReferencesEditor's Choice – European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis - https://www.ejves.com/article/S1078-5884(20)30868-6/fulltextNICE: Venous thromboembolic diseases: diagnosis, management and thrombophilia testing - https://www.nice.org.uk/guidance/ng158RCP LinksEducation and learning | RCP Events | RCP Membership | RCP Improving care | RCP Policy and campaigns | RCP CreditsMusic:bensound.com

Derek Leiner trained in internal medicine at VCUHealth and the Richmond VA Medical Center. In 2018, he completed a year as Chief Resident for Quality and Safety, a national VA QI and safety training program then began as a staff physician at the Richmond VA Medical Center. His career has included teaching, education leadership as an Associate Program Director for a medicine training program, and safety culture leadership. Derek currently works as an academic hospitalist and is the physician champion for high reliability at the Richmond VA Medical Center. He has a passion for humanism, collaborative care, and just culture.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Resident host, Dr. Ryan McMahon, interviews Program Directors, Drs. Rachel Kacmar, Amanda Kleiman, and Tuan-Hsing Loh, about what it takes to become a Chief Resident, what makes a good Chief Resident, what residents should expect from their Chief Residents, and more. Recorded February 2025.

Recently, a series of rapid-fire decisions by the Trump administration sent shockwaves through the nonprofit sector, leaving many organizations uncertain about the future of their federal grants. In today's episode, our expert panel explores strategies nonprofits can implement to assess the challenges they face and survive potential funding cuts. With insights on collaboration, donor communication, impact assessments, and advocacy, this episode offers a lifeline to nonprofits facing unprecedented challenges. Free 30-minute fundraising consultation for NPFX listeners: http://www.ipmadvancement.com/free Want to suggest a topic, guest, or nonprofit organization for an upcoming episode? Send an email with the subject "NPFX suggestion" to contact@ipmadvancement.com. Additional Resources IPM's free Nonprofit Resource Library: https://www.ipmadvancement.com/resources [NPFX] Nonprofit Collaboration: The Power of Partnership https://www.ipmadvancement.com/blog/nonprofit-collaboration-the-power-of-partnership 4 Ideas for Finding Collaborations That Expand Your Nonprofit's Reach and Impact https://www.ipmadvancement.com/blog/4-ideas-for-finding-collaborations-that-expand-your-nonprofits-reach-and-impact [NPFX] The Intersection of Organizational Wellness and Impact https://www.ipmadvancement.com/blog/the-intersection-of-organizational-wellness-and-impact [NPFX] How to Prevent Nonprofit Staff Burnout and Create a Culture of Wellness https://www.ipmadvancement.com/blog/how-to-prevent-nonprofit-staff-burnout-and-create-a-culture-of-wellness Elizabeth Silverstein has served the not-for-profit sector for more than 40 years, specializing in transformational giving, vision casting, inspiring boards, and building passionate, effective teams. Beth has been instrumental in cultivating major gifts for capital campaigns in healthcare, two presidential libraries, higher education, K-12 independent schools, and social service organizations. With an ardent passion for protecting and propelling the nonprofit sector, Beth has joined the team at VisionConnect, a consultancy specializing in strategic planning, coalition building, governance excellence, and nonprofit capacity building. A BoardSource-certified Governance Consultant, she is passionate about coaching boards toward purpose-driven leadership and crafting bold strategic plans that drive maximum mission impact. https://www.linkedin.com/in/elizabeth-reynolds-silverstein-b211b7a/ https://www.visionconnectllc.com/ Lauren Steiner is the Founder and CEO of Grants Plus, the nation's leading grant consulting firm, specializing in securing grant funding for healthcare organizations. With over 20 years of experience in philanthropy and nonprofit development, Lauren has led her team in winning hundreds of millions in funding for clients. Lauren has contributed to key philanthropic initiatives, including The Giving Institute and the Generosity Commission and formerly co-chaired the editorial board of Giving USA. She has been an avid presenter on grant-seeking topics, both in person and virtually, for AFP, Grants Professionals Association (GPA), The Giving Institute/Giving USA, the Chronicle of Philanthropy, as well as a frequent guest on podcasts including GrantStation, Blackbaud's Engage Podcast, Successful Nonprofits, and more. Lauren is known for her practical, real-world approach to grant-seeking, ensuring attendees walk away with actionable takeaways. https://www.linkedin.com/in/lauren-steiner/ https://grantsplus.com/ Anne Newland, MD, MPH has spent her career as a physician and executive in the primary care safety net. She currently serves as the Chief Executive Officer for North Country HealthCare, a federally-qualified community health center with clinics in 11 communities in northern Arizona. She trained in Internal Medicine-Pediatrics at the University of Tennessee-Memphis, served as Chief Resident for Internal Medicine at UT, and later completed a Master in Public Health degree at Harvard School of Public Health as a Commonwealth Fund Fellow in Minority Health Policy. Dr. Newland launched a community-based Family Medicine residency program in 2020 and is planning a Psychiatry residency program to train psychiatrists in rural northern Arizona. Dr. Newland has served on many community boards and, and she has worked with elected officials and other stakeholders to create new pathways to fund graduate medical education. https://www.linkedin.com/in/anne-newland-392914a/ https://northcountryhealthcare.org/ Russ Phaneuf, a co-founder of IPM Advancement, has a background in higher education development, with positions at the University of Hartford, Northern Arizona University, and Thunderbird School of Global Management. As IPM's managing director & chief strategist, Russ serves as lead fundraising strategist, award-winning content creator, and program analyst specializing in applied system dynamics. https://www.linkedin.com/in/russphaneuf/ Rich Frazier has worked in the nonprofit sector for over 30 years. In his role as senior consultant with IPM Advancement, Rich offers extensive understanding and knowledge in major gifts program management, fund development, strategic planning, and board of directors development. https://www.linkedin.com/in/richfrazier/

Episode 045 | The Dermy Doc is in the house! Big shout out to friend of the pod Dr. Adam Swigost (episodes 004 and 041) for introducing me to the incomparable Dr. Fatima Fahs.Dr. Fahs is a board-certified dermatologist and diplomat of the American Board of Dermatology. She has been quoted and featured in numerous publications including The New York Times, Forbes, Self, Time, Today, Cosmopolitan, Women's Health and many more.She's also the founder of the award winning skincare subscription box, Dermy Dox Box, as well as the Dermy Doc Institute, a fabulous direct care dermatology practice in Southfield, Michigan. We recorded this episode just days before the Institute's grand opening, and I'm so grateful she was willing to give us some of her time.I love how more and more doctors are redefining healthcare and bringing it back to a much healthier place and can't help but shout these stories from the rooftop.At the Dermy Doc Institute, Dr. Fahs provides comprehensive, personalized care without the demands and restrictions placed by insurance companies. This allows for her sole focus to be on you, the patient, and your unique dermatological needs.She knows that many of us experience barriers to quality healthcare imposed by health insurance companies that we all so clearly know value profits over health and well-being. Dr. Fahs believes every patient has the right to make their own healthcare decisions. She's helping put the power of your healthcare back into your hands by utilizing a direct care model. Dr. Fahs has a particular interest in skincare and product formulation, researching the efficacy of over the counter cosmeceuticals. Her Instagram account is where she decodes skincare ingredients and explains common dermatological concerns and her award-winning subscription box, Dermy Doc Box, is how she brings quality and effective skincare to your doorstep for a fraction of the price.She graduated with honors as a MedStart full-ride scholar from Wayne State University with a Bachelor of Science in biology and a minor in art. She went on to attend Oakland University William Beaumont School on a full-ride scholarship, earning her medical doctorate. Dr. Fahs then completed her medicine internship at Beaumont Hospital and her dermatology residency at Wayne State University, serving as Chief Resident in her final year.She's a Michigan native, born and raised and resides in West Bloomfield with her husband and three children.Tune in to learn more!

What if doctors led the next wave of healthcare innovation? Join us for an eye-opening conversation with Dr. Manju Dawkins, board-certified dermatologist and co-founder of Thimble Health—the first comprehensive solution for alleviating needle pain and stress. She'll share why physicians should get involved in startups, how innovation can transform patient care, and why compassion is key to healthcare advancements.Dr. Dawkins earned her B.A. from Columbia University and her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. As an Assistant Professor at Mount Sinai School of Medicine, she was twice named Teacher of the Year. With experience in academic, private, hospital-based, and group practice settings in New York and Los Angeles, she brings a wealth of knowledge to the conversation.Fun fact: She is 5'2" (on a good day). Dr. Dawkins played Division I basketball at Columbia University and served as team captain her senior year. She is a founding and current member of the Columbia Women's Basketball Advisory Board and a member of the Columbia Athletics Women's Leadership Council.Don't miss this inspiring discussion on how physicians can drive meaningful change in healthcare!Website: thimblehealth.comInstagram:@thimble.healthManju's LinkedIn https://www.linkedin.com/in/manju-dawkins-md-a0224359/Thimble's LinkedIn https://www.linkedin.com/company/thimblehealth/Tik Tok: https://www.tiktok.com/@thimble.health

ORDER MY NEW BOOK SWEET INDULGENCE!!! https://www.amazon.com/Chef-AJs-Sweet-Indulgence-Guilt-Free/dp/1570674248 or https://www.barnesandnoble.com/w/book/1144514092?ean=9781570674242 GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instant-pot-download MY BEST SELLING WEIGHT LOSS BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. BROOKE GOLDNER, M.D. MEDICAL DOCTOR | PLANT-BASED HEALER | AUTHOR Dr. Goldner is a board certified medical doctor and the author of 3 best-selling books, Goodbye Lupus, Goodbye Autoimmune Disease, and Green Smoothie Recipes to Kick-Start Your Health & Healing. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She graduated from Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA Harbor Residency, and holds a certificate in Plant-Based Nutrition from Cornell University. She is the founder of Website: https://www.goodbyelupus.com/?s2-ssl=yes I and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. Dr. Goldner's People Magazine Article: https://people.com/woman-living-with-lupus-gets-unexpected-health-news-days-before-wedding-exclusive-real-life-love-8731791 Video on The Neuroscience of Creating A New Habit, Meeting Your Goals & Motivation: https://www.youtube.com/watch?v=mDbn4L0rPPc She has been featured in multiple documentaries such as Eating You Alive, Whitewashed, and The Conspiracy Against Your Health, has been featured on tv news and the Home & Family Show, as well as many radio shows and podcasts, and is a highly sought after keynote speaker, who shares the stage regularly with Drs. Ornish, Esselstyn, Bernard Greger and T. Colin Campbell, to name a few. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She is a regular contributor to T. Colin Campbell Center for Nutrition Studies and she is featured in the Journal of Disease Reversal reversing lupus in herself, as well as multiple cases studies in reversing end stage lupus nephritis (kidney failure) with her hyper-nourishing nutrition protocol. She is a graduate of Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA-Harbor Residency, and is the sole autoimmune professor for the Plant-Based Nutrition Certification from Cornell University. She is a member of the Forbes Health Advisory Board, the founder of GoodbyeLupus.com and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. Website & Social Media: Website: https://www.goodbyelupus.com/?s2-ssl=yes Instagram: https://www.instagram.com/goodbyelupus/ Facebook: https://www.facebook.com/DrGoldner Youtube: https://youtube.com/brookegoldnermd TIK TOK @GoodbyeLupus Clubhouse @GoodbyeLupus Free Smoothie Recipes: https://smoothieshred.com/smoothie-recipes/.

Learn more about INIM's Research Studies: https://www.nova.edu/nim/research-studies/index.html   In this episode, Haylie Pomroy welcomes Dr. Payam Hakimi, Medical Director of Body of Harmony in Beverly Hills and Miami, and a leading expert in integrative and functional medicine. Together, they explore the world of homeopathy and its applications in managing chronic fatigue and pain. Dr. Hakimi explains how homeopathy empowers the body to heal by stimulating its natural processes. He also shares the role of detoxification pathways like the skin, liver, and lungs, and how homeopathy helps clear toxins and restore balance. Dr. Hakimi invites us to explore his educational resources at BodyOfHarmony.Com where he shares blogs on topics like ME/CFS, homeopathic remedies, and functional medicine. For healthcare professionals, his global training program teaches the integration of homeopathy into modern medical practice.   Tune in to the Hope and Help for Fatigue and Chronic Illness Podcast – Finding Healing And Balance With Homeopathy with Dr. Payam Hakimi.   Sign up for the COVID-UPP Study: https://redcap.nova.edu/redcap/surveys/?s=RMEDJ7LKCX&_gl=1*1h830h7*_gcl_au*MTM2NDA0MTQyOS4xNzE1MDA0ODAy   If you are interested in joining a Gulf War Illness (GWI) trial, please complete the Recruitment Registry Form. https://redcap.nova.edu/redcap/surveys/?s=Y9YF8JJWJRK8HEKL%20&_gl=1*1fipp18*_gcl_aw*R0NMLjE3MDc5MTgwMzIuRUFJYUlRb2JDaE1JeWNyUXVfcXFoQU1WU1pCYUJSM3AyQWRBRUFBWUFTQUFFZ0s1NWZEX0J3RQ..*_gcl_au*MTg2NjgwMDQ4Ni4xNzA3MTQwNzgx Dr. Payam Hakimi is the Medical Director of Body of Harmony in Beverly Hills, CA, and Miami, FL, offering a range of services including Functional Medicine, Anti-aging Medicine, Hormone Replacement Therapy, Clinical Homeopathy, and IV Nutrition Therapy. A board-certified Doctor of Osteopathic Medicine, Dr. Hakimi blends conventional and complementary medicine with a personalized approach to care. He earned his DO from Western University of Health Sciences, completed his residency at LAC+USC, and served as Chief Resident and Assistant Clinical Professor at USC Keck School of Medicine. A national leader in homeopathic education, Dr. Hakimi is a senior faculty member at the CEDH and the only U.S. physician to consistently lecture on homeopathy at medical conferences, sharing his expertise with diverse healthcare audiences. Instagram: https://www.instagram.com/bodyofharmony/ YouTube: https://www.youtube.com/c/bodyofharmony Instagram: https://www.instagram.com/boironusa/ LinkedIn: https://www.linkedin.com/in/drpayamhakimi/ X: https://x.com/Bodyofharmony   Learn more about the Body of Harmony through their website: https://bodyofharmony.com/   Body of Harmony ME/CFS Blog: https://bodyofharmony.com/blogs/health-news/me-cfs-a-complex-long-term-illness-affecting-multiple-body-systems?srsltid=AfmBOorV2N5q41PUNtY19r-4i455TpExObQ0kTtIoPkBbNTe8SrBY2t5    Center for Education & Development of Clinical Homeopathy - https://www.cedhusa.org/about-us/instructor/    -------------------------------------------------------------------------------------------------   Enjoy our show? Please leave us a 5-star review on the following platforms so we can bring hope and help to others.   Apple Podcasts: https://podcasts.apple.com/us/podcast/hope-and-help-for-fatigue-chronic-illness/id1724900423   Spotify: https://open.spotify.com/show/154isuc02GnkPEPlWfdXMT   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d   This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.    Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM   #Homeopathy #NaturalHealing #NaturalWellness #FunctionalMedicine #IntegrativeHealth #ChronicIllnessSupport #HolisticHealing #BodyBalance #DetoxYourBody #HealingNaturally #HealthPodcast  

Dr. Cassie Beard, DO, MPH – (IG: @cassiemustache) is a Board Certified Dermatologist with extensive experience with skin cancer and excision and currently practices in the South Carolina Low country- Hilton Head Island, Bluffton, and Beaufort at Dermatology Associates of the Low country. Dr. Beard is a graduate of Orange Park Medical Center Dermatology residency program, where she was the Chief Resident. She obtained her bachelor's degree in biology from Truman State University in Kirksville, MO, and her medical degree from A.T. Still University School of Osteopathic Medicine in Arizona, while simultaneously earning a master's degree in public health. After completing her internship at Larkin Community Hospital in South Miami, FL she continued her dermatology residency training in Jacksonville, FL. Dr. Beard is certified in MOHS surgery. Affiliates: PAYNTR Golf Shoes - Payntr Golf delivers performance traction resulting from our shoe's ability to resist, support, & enhance – allowing golfers the capacity to leverage ground forces, control movement, and maximize speed at impact. https://payntrgolf.com/golf360 Books by Rande Somma Why Do We Call Them Leaders?: https://amzn.to/3VIhDI6 Leadersh!t: https://amzn.to/3VY4zib The Stack System is the ultimate device to use when looking to biohack your swing speed. Co-developed by ‘The Savant of Speed' – Dr. Sasho MacKenzie, and PING engineer Marty Jertsen, it is a device that every golfer can utilize to increase their swing speed. The Stack System uses AI to ensure that your development is as efficient as possible. To order The Stack you can do so on their website at www.thestacksystem.com. Be sure to use the discount code GOLF360 to receive your special discount. Sponsors: Get your 15% discount on your next order of JustThrive Probiotic at https://justthrivehealth.com/ (use code: GOLF360) Looking to play one of the best golf courses in the Hilton Head Island area? Be sure to check out Old South Golf Links and have one of your best golf experiences ever https://www.oldsouthgolf.com/  

Drs. Jensen and Richey welcome members of The Podiatry Foundation to Dean's Chat!  The Podiatry Foundation was founded in 2012 as the result of the Ohio College of Podiatric Medicine's integration into Kent State University.  Today's discussion is a highlight of The Podiatry Foundation's work in giving back to the podiatric community in the areas of education, research, and now....yes....Student Recruitment.  Enjoy!  Below are biographies of our guests from the Podiatry Foundation: Eugene M. Pascarella, DPM, FACFAS, MBA Executive Director Gene M. Pascarella has served on The Podiatry Foundation Board of Trustees (formerly The OCPM Foundation) since 2012. In September 2024, he was appointed Executive Director.  He holds a 1982 degree from the Ohio College of Podiatric Medicine and received his MBA from the University of Phoenix in 2002. Currently, Dr. Pascarella serves as a Regional Medical Director for Upperline Health. He is also a faculty member at Advent Health Hospital System, teaching podiatric residents.   Dr. Pascarella has also served on the Board of Trustees of the Ohio College of Podiatric Medicine from 2008 until 2012. He currently serves on the Kent State University College of Podiatric Medicine Advisory Board, where he served as Chair of that board from 2013-2018. In recognition for his contributions, he received the Kent State University College of Podiatric Medicine Ambassador Award in 2015, the Kent State University College of Podiatric Medicine Alumni Service Award in 2017 and was inducted into the Kent State University College of Podiatric Medicine Hall of Fame in 2022. Victoria J. Newman, CPA, MBA Chair Philanthropic Impact and Strategy Committee Executive Committee Victoria Newman has served on The Podiatry Foundation Board (formerly the OCPM Foundation Board) since 2022. She is a graduate of John Carroll University and Cleveland State University, with Accountancy and MBA degrees. Ms. Newman's professional experience spans twenty years in the non-profit sector, in the areas of Audit Services at Howard Wershbale & Company, and Finance and Philanthropy at Cleveland Clinic Foundation, Cleveland Clinic London and Case Western Reserve University. Currently, Ms. Newman is the Assistant Dean of Finance and Business Administration at Weatherhead School of Management at Case Western Reserve University.  Prior to her current role, she served as Executive Director at Case Western Reserve University, with oversight of the University's endowment management. Nilin M. Rao has served on The Podiatry Foundation Board of Trustees since 2022 and serves on the Research and Education Committee.  He then pursued his master's degree, followed by simultaneous doctoral degrees from Kent State University, completing his DPM as well as a PhD, in exercise physiology.  He then completed a three-year Podiatric Surgical Residency at Highlands-Presbyterian/ St. Luke's (PSL) Medical Center in Denver, Colorado, where he served as Chief Resident during his final year. This was followed by an additional one-year fellowship in advanced foot/ankle reconstruction, sports injuries and foot/ankle trauma at the prestigious Silicon Valley Reconstructive Foot and Ankle Fellowship with Sutter Health-Palo Alto Medical Foundation in Mountain View, California. Dr. Rao currently serves on the Kent State University College of Podiatric Medicine Advisory Board, Kent State Exercise Physiology Advisory Board, American Board of Foot & Ankle Surgery Communications Committee, and is one of the founding members of the Kent State University College of Podiatric Medicine Alumni Alliance. Dr. Rao is a Diplomate of both the American Board of Foot & Ankle Surgery and the American Board of Podiatric Medicine, and a Fellow of the American College of Foot and Ankle Surgeons. Dr. Rao is in private practice in Austin, Texas.  Nicki D. Nigro, DPM Chair of the Executive Committee Chair Research and Education Committee Dr. Nicki Nigro joined The Podiatry Foundation Board of Trustees (formerly the OCPM Foundation) in 2021.  She was appointed Chair for the Executive Committee in September 2024 and serves as Chair for the Research and Educational Committee. She attended the University of Arkansas and obtained her B.S. in Exercise Science and Physiology in 1985. While working on this degree, Dr. Nigro was introduced by a colleague to the field of Podiatry. She received her Doctorate of Podiatric Medicine from Des Moines University (College of Podiatric Medicine & Surgery) in 1989. She completed her surgical training at The Podiatry Hospital of Pittsburgh in foot and ankle surgery. Dr. Nigro is board certified in Foot Surgery by the American Board of Foot and Ankle Surgery. She has been practicing medicine in the Pittsburgh area since 1991. She sees patients at the Glenshaw, Vandergrift, and Natrona Heights offices. She is a member of the Residency Committee for The Western Pennsylvania Podiatric Surgical Residency Program.

In this conversation, Dr. David Carmouche discusses the critical transition from fee-for-service to value-based care in the healthcare industry, emphasizing the role of AI in enhancing primary care and improving patient outcomes. He highlights the financial pressures on health systems and the importance of aligning incentives to achieve sustainability. The discussion also covers the innovative solutions offered by Lumeris and the transformative potential of AI in automating care processes and improving patient engagement. Finally, Dr. Carmouche addresses the need for regulatory guardrails as AI becomes more integrated into healthcare delivery.In this episode , they discuss:The shift from fee-for-service to value-based care is essential for financial sustainability.AI is poised to transform primary care delivery and patient engagement.Healthcare costs have been deemed unsustainable for decades, necessitating change.Aligning incentives is crucial for improving patient outcomes in healthcare.Lumeris has a decade-long history of partnering with health systems for value-based care.AI can automate and standardize care processes, enhancing efficiency.Data availability and interoperability are key to successful value-based care models.Generative AI can proactively engage patients and improve care delivery.Training clinicians to effectively use AI is vital for its successful integration.Regulatory guardrails will be necessary as AI becomes more prevalent in healthcare.A little about Dr David Carmouche: David Carmouche, MD, is the Executive Vice President & Chief Clinical Transformation Officer at Lumeris. Dr. Carmouche is a visionary leader in transformational healthcare delivery, with a unique blend of provider, payer, retail, and integrated delivery network leadership experience.Prior to joining Lumeris, Dr. Carmouche served as Walmart's Senior Vice President of Healthcare Delivery, where he led the fleet of Walmart Health centers, Walmart Health Virtual Care, a value-based care partnership with Optum, and Walmart's work to address Social Determinants of Health. Dr. Carmouche has also held significant leadership roles with Ochsner Health, the largest nonprofit academic healthcare system in the Gulf South, and Blue Cross Blue Shield of Louisiana, where he introduced the company's first value-based care contracts. Earlier in his career, he built and led a multidisciplinary internal medicine and preventive cardiology practice.Dr. Carmouche attended Tulane University and LSU Medical School in New Orleans. Board-certified in Internal Medicine, he completed his residency at the University of Alabama at Birmingham, where he later served as Chief Resident. He serves as President of the Board of the Consortium for Southeastern Healthcare Quality and on the advisory board at Stellar Health. He has served on the board of the National Association of Accountable Care Organizations.

You don't need to eat less; you need to eat right. In this episode, Dr. Aalia Al-Barwani, a physician and certified NLP coach specializing in helping women transform their relationship with food, their bodies, and themselves, said that she combines medical expertise with mindset coaching to address emotional eating, stress, and limiting beliefs, providing practical strategies for sustainable wellness. She explores emotional eating—how stress, boredom, and other emotions can drive people to food as a coping mechanism. She also explains how neuro-linguistic programming (NLP) can help rewire behaviors and break unhealthy eating patterns. She discusses recognizing emotional eating triggers, the role of dopamine in cravings, and the cycle of guilt that often follows binge eating. She encourages self-compassion and recommends resources such as *The End of Overeating* by Dr. Peter Kessler, mindfulness apps like Headspace and Calm, and coaching or therapy to support lasting change. Tune in to this episode to learn powerful strategies from Dr. Aalia Al-Barwani on overcoming emotional eating and transforming your relationship with food!   Episode Highlights: Understanding emotional eating and its triggers The impact of stress, boredom, and emotions on food choices How neuro-linguistic programming (NLP) helps rewire eating habits Practical strategies to break the emotional eating cycle The role of mindfulness, journaling, and movement in stress management Using EFT (Emotional Freedom Technique) to release emotional stress The importance of self-compassion in the wellness journey Resources and tools to support long-term behavior change Connect with Dr. Aalia Al-Barwani: Website | albidayawellness.com Facebook | www.facebook.com/albidaya.wellness Instagram | @albidaya_wellness Linked In | www.linkedin.com/in/aaliaalbarwanimd Tiktok | @albidaya_wellness Youtube | www.youtube.com/@albidayawellness Healing Emotional Eating Course: https://get.albidayawellness.com/hee-a   About Dr. Aalia Al-Barwani Meet Dr. Aalia Al-Barwani, a dedicated board-certified physician based in Houston, TX, who is passionate about helping her patients achieve their best health. She graduated with distinctions from Weill Cornell Medicine and completed her Family Medicine residency at the University of Connecticut, where she served as Chief Resident in her final year. Dr. Al-Barwani is also the creator and host of the medical talk show "What's Up, Doc?" on Muslim Network TV, where she shares her expertise on various health and wellness topics with the general public. In her practice, Dr. Al-Barwani emphasizes an individualized approach to care, focusing on balanced and comprehensive treatment. Her interest in preventive and obesity medicine led her to further training in weight loss medicine, earning a certification from the American Board of Obesity Medicine. Beyond her medical expertise, Dr. Al-Barwani is certified as an NLP coach. She integrates mindset work into her practice to help bridge the gap between knowing and doing, empowering her patients to embody and live their best selves. Her holistic approach is aimed at creating lasting change by addressing both the physical and mental aspects of health. Dr. Al-Barwani is an active member of several professional organizations, including the Obesity Medicine Association, American Association of Family Physicians, and Physician Women in Leadership. She is committed to promoting diversity in medicine and improving patient outcomes through innovative and compassionate care. When she's not seeing patients, Dr. Al-Barwani enjoys outdoor activities like biking and hiking. She loves learning about new languages, cultures, and cuisines through her travels, adding depth to her understanding of the diverse backgrounds of her patients. Dr. Aalia Al-Barwani is dedicated to guiding her patients on their health journeys with empathy and expertise, helping them achieve their goals and live healthier, happier lives.   Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)

Description Catherine Chao, is a cause-driven communicator and a vice president, Insights & Analytics, at the Ad Council, a nonprofit that uses the power of communications to drive behavior change on social impact issues. She oversees audience research, strategic development, and evaluation for campaigns dedicated to improving mental health. Her approach to every campaign is ensuring the target audience's voice and mindset is at the forefront so that creative not only raises awareness, but also inspires action. She has a Master of Public Health from UNC-Chapel Hill. Jason Hunziker, MD, is a board-certified psychiatrist and Associate Professor (Clinical Track) at the University of Utah. A graduate of the University of Utah (BS Anthropology, cum laude, 1994; MD, 2002), he was inducted into AOA and served as Chief Resident. He actively teaches and mentors medical students, residents, and physician assistants. As Division Chief of Adult Psychiatry and Behavioral Health Medical Director for University of Utah Health plans, he specializes in complex medical, substance use, and behavioral health issues. He is also the Utah delegate to the American Psychiatric Association. RESOURCES RELATED TO THIS EPISODE The Rituals We ShareSound It OutLove Your MindLearn More About the University of Utah Health & the Huntsman Mental Health InstituteLearn More About the Ad Council CREDITSTheme Music by lesfm from Pixabay.Produced by ChatWithLeadersMedia.com.See omnystudio.com/listener for privacy information.

About Dr. Theo Koury:Theo Koury, MD, is the President of Vituity. Across his 25-year leadership career, Dr. Koury has focused on empowering front-line clinicians to improve care by prioritizing patient outcomes and maximizing quality and efficiency. In addition to his executive duties, he is a practicing emergency physician in the San Francisco Bay Area. As President of Vituity since 2017, Dr. Koury oversees the company's financial and infrastructure strategies to fulfill the enterprise's mission of empowering healthcare providers to deliver exceptional care across more than 500 service locations nationwide. Dr. Koury holds a bachelor's degree in biology from the University of Southern California and a medical degree from Eastern Virginia Medical School and is an American College of Emergency Physicians Fellow. He completed his residency in emergency medicine at the Eastern Virginia Graduate School of Medicine, where he served as Chief Resident, was elected to the Alpha Omega Alpha Honor Society, and received the John P. McDade Award for Research in Emergency Medical Care.Things You'll Learn:Creating a culture of innovation starts with open communication and collaborative teamwork that encourages team members, followed by dedicated resources for frontline staff to develop their ideas.Solutions developed from the ground up, with frontline provider involvement, are more likely to succeed and provide better patient outcomes than top-down, less-informed approaches.AI-driven tools can go beyond basic automation to serve as a physician-partner, offering decision support, differential diagnoses, and a more thorough patient analysis than physicians alone can do.Integrating frontline providers in technology implementation leads to better results and avoids the negative impacts often seen when rolling out technology without their input.Healthcare organizations can build an in-house innovation lab and dedicate an innovation budget to bring forward the ideas their physicians and nurses have to offer and implement them quickly.Resources:Connect with and follow Dr. Theo Koury on LinkedIn.Follow Vituity on LinkedIn and visit their website.

Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. Dr. Gold Dr. Goldner does a LIVE Q & A every Wednesday at 12:30pm PACIFIC time on all 3 of her social media channels: On Facebook: https://www.facebook.com/DrGoldner On Instagram: https://www.instagram.com/goodbyelupus/ on Youtube @BrookeGoldnerMD Learn how to be healthy and happy with Dr. Brooke Goldner, board certified physician and bestselling author of Goodbye Lupus and Goodbye Autoimmune Disease, and Lupus Conqueror herself, Lupus-free for 17 years and counting! Learn more about the Goodbye Autoimmune Disease protocol, get free recipes, join her free Smoothie Shred Facebook Community or book an appointment or program with Dr. G by clicking HERE: https://linktr.ee/goodbyelupus Dr, Goldners BROOKE GOLDNER, M.D. MEDICAL DOCTOR | PLANT-BASED HEALER | AUTHOR Dr. Goldner is a board certified medical doctor and the author of 3 best-selling books, Goodbye Lupus, Goodbye Autoimmune Disease, and Green Smoothie Recipes to Kick-Start Your Health & Healing. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She graduated from Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA Harbor Residency, and holds a certificate in Plant-Based Nutrition from Cornell University. She is the founder of Website: https://www.goodbyelupus.com/?s2-ssl=yes I and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. Video on The Neuroscience of Creating A New Habit, Meeting Your Goals & Motivation: https://www.youtube.com/watch?v=mDbn4L0rPPc She has been featured in multiple documentaries such as Eating You Alive, Whitewashed, and The Conspiracy Against Your Health, has been featured on tv news and the Home & Family Show, as well as many radio shows and podcasts, and is a highly sought after keynote speaker, who shares the stage regularly with Drs. Ornish, Esselstyn, Bernard Greger and T. Colin Campbell, to name a few. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She is a regular contributor to T. Colin Campbell Center for Nutrition Studies and she is featured in the Journal of Disease Reversal reversing lupus in herself, as well as multiple cases studies in reversing end stage lupus nephritis (kidney failure) with her hyper-nourishing nutrition protocol. She is a graduate of Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA-Harbor Residency, and is the sole autoimmune professor for the Plant-Based Nutrition Certification from Cornell University. She is a member of the Forbes Health Advisory Board, the founder of GoodbyeLupus.com and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. Website & Social Media: Website: https://www.goodbyelupus.com/?s2-ssl=yes Instagram: https://www.instagram.com/goodbyelupus/ Facebook: https://www.facebook.com/DrGoldner Youtube: https://youtube.com/brookegoldnermd TIK TOK @GoodbyeLupus Clubhouse @GoodbyeLupus Free Smoothie Recipes: https://smoothieshred.com/smoothie-recipes/.

Welcome to Perimenopause WTF!, brought to you by Perry—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're definitely not alone!  Download the free Perry App on Apple or Android and join our live expert talks, receive evidence-based education, connect with other women, and simplify your perimenopause journey. “Essential Sexual Health Tips for Everyone 35+ to Prepare for Perimenopause” Let's not be shy when talking about sex and women's health. During perimenopause women can experience challenges with arousal, pain, stigma and more. Dr. Philippa Kaye and Dr. Somi Javaid are experts who want to help. They discuss options, plus they also highlight the importance of getting to know the female anatomy in order to experience true pleasure!  Whether you're navigating perimenopause or empowering others as a women's health professional, Perry has something for you. Our latest features:

ORDER MY NEW BOOK SWEET INDULGENCE!!! https://www.amazon.com/Chef-AJs-Sweet-Indulgence-Guilt-Free/dp/1570674248 or https://www.barnesandnoble.com/w/book/1144514092?ean=9781570674242 GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instant-pot-download MY BEST SELLING WEIGHT LOSS BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. BROOKE GOLDNER, M.D. MEDICAL DOCTOR | PLANT-BASED HEALER | AUTHOR Dr. Goldner is a board certified medical doctor and the author of 3 best-selling books, Goodbye Lupus, Goodbye Autoimmune Disease, and Green Smoothie Recipes to Kick-Start Your Health & Healing. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She graduated from Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA Harbor Residency, and holds a certificate in Plant-Based Nutrition from Cornell University. She is the founder of Website: https://www.goodbyelupus.com/?s2-ssl=yes I and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. She has been featured in multiple documentaries such as Eating You Alive, Whitewashed, and The Conspiracy Against Your Health, has been featured on tv news and the Home & Family Show, as well as many radio shows and podcasts, and is a highly sought after keynote speaker, who shares the stage regularly with Drs. Ornish, Esselstyn, Bernard Greger and T. Colin Campbell, to name a few. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She is a regular contributor to T. Colin Campbell Center for Nutrition Studies and she is featured in the Journal of Disease Reversal reversing lupus in herself, as well as multiple cases studies in reversing end stage lupus nephritis (kidney failure) with her hyper-nourishing nutrition protocol. She is a graduate of Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA-Harbor Residency, and is the sole autoimmune professor for the Plant-Based Nutrition Certification from Cornell University. She is a member of the Forbes Health Advisory Board, the founder of GoodbyeLupus.com and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. Website & Social Media: Website: https://www.goodbyelupus.com/?s2-ssl=yes Instagram: https://www.instagram.com/goodbyelupus/ Facebook: https://www.facebook.com/DrGoldner Youtube: https://youtube.com/brookegoldnermd TIK TOK @GoodbyeLupus Clubhouse @GoodbyeLupus Free Smoothie Recipes: https://smoothieshred.com/smoothie-recipes/

ORDER MY NEW BOOK SWEET INDULGENCE!!! https://www.amazon.com/Chef-AJs-Sweet-Indulgence-Guilt-Free/dp/1570674248 or https://www.barnesandnoble.com/w/book/1144514092?ean=9781570674242 GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instant-pot-download MY BEST SELLING WEIGHT LOSS BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. Dr. Goldner does a LIVE Q & A every Wednesday at 12:30pm PACIFIC time on all 3 of her social media channels: On Facebook: https://www.facebook.com/DrGoldner On Instagram: https://www.instagram.com/goodbyelupus/ on Youtube @BrookeGoldnerMD Learn how to be healthy and happy with Dr. Brooke Goldner, board certified physician and bestselling author of Goodbye Lupus and Goodbye Autoimmune Disease, and Lupus Conqueror herself, Lupus-free for 17 years and counting! Learn more about the Goodbye Autoimmune Disease protocol, get free recipes, join her free Smoothie Shred Facebook Community or book an appointment or program with Dr. G by clicking HERE: https://linktr.ee/goodbyelupus BROOKE GOLDNER, M.D. MEDICAL DOCTOR | PLANT-BASED HEALER | AUTHOR Dr. Goldner is a board certified medical doctor and the author of 3 best-selling books, Goodbye Lupus, Goodbye Autoimmune Disease, and Green Smoothie Recipes to Kick-Start Your Health & Healing. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She graduated from Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA Harbor Residency, and holds a certificate in Plant-Based Nutrition from Cornell University. She is the founder of Website: https://www.goodbyelupus.com/?s2-ssl=yes I and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. She has been featured in multiple documentaries such as Eating You Alive, Whitewashed, and The Conspiracy Against Your Health, has been featured on tv news and the Home & Family Show, as well as many radio shows and podcasts, and is a highly sought after keynote speaker, who shares the stage regularly with Drs. Ornish, Esselstyn, Bernard Greger and T. Colin Campbell, to name a few. She has been featured on the front cover of Vegan Health & Fitness Magazine 3 times, including the recent cover of Fit Over Forty. She is a regular contributor to T. Colin Campbell Center for Nutrition Studies and she is featured in the Journal of Disease Reversal reversing lupus in herself, as well as multiple cases studies in reversing end stage lupus nephritis (kidney failure) with her hyper-nourishing nutrition protocol. She is a graduate of Carnegie Mellon University with honors for genetic research in leukemia and neurobiology, was a graduate of the Temple University School of Medicine, was Chief Resident at UCLA-Harbor Residency, and is the sole autoimmune professor for the Plant-Based Nutrition Certification from Cornell University. She is a member of the Forbes Health Advisory Board, the founder of GoodbyeLupus.com and creator of the Hyper-nourishing Protocol for Autoimmune Reversal. Website & Social Media: Website: https://www.goodbyelupus.com/?s2-ssl=yes Instagram: https://www.instagram.com/goodbyelupus/ Facebook: https://www.facebook.com/DrGoldner Youtube: https://youtube.com/brookegoldnermd TIK TOK @GoodbyeLupus Clubhouse @GoodbyeLupus Free Smoothie Recipes: https://smoothieshred.com/smoothie-recipes/.

Elle Russ chats with Dr. Todd Bertoch, M.D. - a diplomate of the American Board of Anesthesiology. He graduated Summa Cum Laude with a Bachelor of Science Degree in Biochemistry from California State University at Fullerton and received a Doctor of Medicine degree from the Uniformed Services University of the Health Sciences in Bethesda, Maryland. After an internship in Internal Medicine, he completed his Anesthesiology residency at Wilford Hall Medical Center in San Antonio, Texas, where he was Chief Resident and received the Arthur B. Tarrow Outstanding Resident Award. He is a member of the esteemed Alpha Omega Alpha Honor Medical Society. Dr. Bertoch served as an anesthesiologist in the United States Air Force until 2006 where he gained extensive experience in both trauma care and pain management. He is a recipient of the Air Force Achievement Medal, the Air Force Commendation Medal, and the Meritorious Service Medal. After completing his military service, Dr. Bertoch served for 11 years as the managing partner of Prescott Anesthesia in Prescott, Arizona where his practice included a focus on cardiovascular surgery, chronic pain management and addiction medicine. Since joining JBR Clinical research in 2017, he has served as Principal Investigator for over 100 clinical trials, defended development programs for sponsors before the FDA, been invited to present study results on behalf of clients at professional meetings, designed and authored numerous clinical trial protocols, and has helped author several industry-related articles and white papers.   SELECTED LINKS: https://www.elleruss.com/ https://cenexelresearch.com/jbr/

Episode 039 | Dr. Manju Dawkins is a board-certified dermatologist and creator/co-founder of Thimble, the first easy, safe, and comprehensive solution for alleviating needle pain and stress. Needle aversion stops millions from participating in other forms of essential care, including early disease detection, blood donation and life-saving treatments. Thimble is a holistic platform of pain and stress reducing products for common needle procedures. Thimble is changing the way healthcare feels.Dr. Dawkins received her B.A. from Columbia University. She then returned to her home state to obtain her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. She served as Assistant Professor at Mount Sinai School of Medicine where she was twice named Teacher of the Year. She has practiced in academic, private, hospital-based, and group practice settings in New York and Los Angeles.Connect with and learn more about Dr. Dawkins & ThimbleThimble's WesbiteThimble on InstagramThimble on TikTokThimble on LinkedInDr. Dawkins on LinkedIn Team@thimblehealth.comMore from Dr. LewellisNeed a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at drlewellis@aboveandbeyondderm.com if you'd like to have a no obligation discovery call. I can do in office and virtual care in WI and virtual care in IL, NE, AL, and CO.Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

Join us for an inspiring live session with Dr. Michelle Flemmings where we'll talk about creating your dream career! Dr. Michelle Flemmings is a healthcare thought leader, change agent, and Executive Director of Market Development for Healthcare at Oracle Cloud Infrastructure. With over three decades of experience across bedside patient care, clinical leadership, and industry governance, she brings unparalleled expertise to her role. A graduate of SUNY Syracuse for medical school, Dr. Flemmings completed her Internal Medicine residency at St. Luke's Roosevelt Hospital in New York City, followed by an Emergency Medicine residency at The Ohio State University, where she served as Chief Resident. In her live talk, Dr. Flemmings will share insights on how to create the career you want by aligning personal strengths, values, and goals with the evolving demands of the healthcare industry. Drawing on her extensive experience in digital healthcare and strategic development, she will discuss the importance of building meaningful client relationships, using data to drive decision-making, and taking charge of your professional path.  LinkedIn: https://www.linkedin.com/in/mflemmingsmd?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app You Tube: EmpowerHer Network.https://youtube.com/@drmichelleflemmings?si=7RHL-eH299uW6-z8

Send us a textDr. Bret Scher is a board-certified cardiologist and lipidologist with over 20 years of experience, specializing in preventive cardiology and metabolic health. He earned his B.S. in Biology from Stanford University in 1994 and his M.D. from The Ohio State University College of Medicine in 1998. Dr. Scher completed his internal medicine residency at Mercy Hospital in San Diego in 2001, where he also served as Chief Resident in 2002. He then pursued a fellowship in general and preventive cardiology at Scripps Clinic, completing it in 2005. Throughout his career, Dr. Scher has focused on preventing and reversing heart disease through natural methods, emphasizing the importance of lifestyle interventions and metabolic therapies, including ketogenic diets. He has obtained specialized certifications in functional medicine, nutrition, personal training, and behavior modification. Dr. Scher has served as the Medical Director at DietDoctor.com and currently hosts the Metabolic Mind YouTube channel and podcast, where he educates the public on the benefits of metabolic therapies.“Change your food, change your life!”Dr. Eric Westman and his Adapt Your Life Academy team are on a mission to empower people around the world to transform their health through the science-backed benefits of low-carbohydrate and ketogenic diets.Dr. Westman is an obesity medicine specialist and trusted expert in the therapeutic power of carbohydrate restriction, and clinical research, and has treated patients using low-carb keto diets for over twenty-five years. He makes keto SIMPLE, so that YOU can LOSE weight, REVERSE chronic disease and GET the RESULTS you want.Get started NOW by grabbing our FREE GUIDE – 10 Tips for Starting Keto Right. 

Listen in or watch as host David Mandell interviews Dr. Benjamin Ostrander, Chief Resident in Otolaryngology at the University of California San Diego. David begins with questions he asks all physician guests to the program—about their initial interest in becoming a physician and in their particular area. Ben explains his family background in engineering, his initial degrees in engineering and bio engineering and his gravitation to medical school and surgery. David and Ben then focus on the topic of innovation in general and specifically how medicine can learn from other industries—first discussing how the checklist concept came to medicine from aviation. Ben shares some of his research on the science and art of hospitality and how these concepts could translate into medicine. David and Ben then jump into a number of potential ways medicine could benefit from lessons learned in hospitality—from patient experience to environmental factors to employee satisfaction. Finally, Ben provides further resources for those interested in applying these concepts into their practice or hospital workplace. Learn more, including additional show notes, links, and more, by visiting physicianswealthpodcast.com. Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!

Check out Dr. Mina's top picks for skin care here. Download the free eBook 'Skincare Myths Busted' here. Winter is coming, and while it brings cozy sweaters and holiday fun, it also brings dry, flaky skin. As the weather gets colder and the air drier, your skin needs a little extra care to stay soft and hydrated. Switch to a gentler cleanser that won't strip your skin's natural oils, and use a richer moisturizer to lock in hydration.To prevent dryness, consider using a humidifier, avoid hot showers, and apply moisturizer right after showering. Lastly, stay hydrated, eat nourishing foods, and maintain healthy habits to keep your skin feeling comfortable and protected throughout the season! Tune into this week's podcast with Dr. Marisa Garshick for tips on winter skincare, including what to add, avoid, and her top product picks! Key Takeaways: - As the weather changes, skin needs extra hydration. - Switch to a hydrating cleanser in winter. - Thicker moisturizers are essential for winter skin. - Sunscreen should be used year-round, even in winter. - Retinoids can be used in winter with adjustments. - Avoid hot showers to protect the skin barrier. - Amlactin is effective for dry, cracked heels. - Laser treatments are popular in winter for skin rejuvenation. - Consider using a humidifier to combat dry indoor air. - Start good skincare habits early for children. In This Episode: (4:07)Adapting Skincare for Winter Conditions (6:33) Cleansers: Choosing the Right One (8:15) Favorite Moisturizers for Winter (11:25) The Importance of Sunscreen Year-Round (13:09) Using Active Ingredients in Winter (18:18) Bathing and Showering Tips for Healthy Skin (21:40) Addressing Common Winter Skin Issues (22:16) Cosmetic Treatments for Winter (25:22) Final Tips and Recommendations for Winter Skincare Marisa Garshick, MD, FAAD is a leading board-certified dermatologist in New York City practicing at MDCS: Medical Dermatology and Cosmetic Surgery Center and is a Clinical Assistant Professor of Dermatology at New York Presbyterian-Weill Cornell Medicine. Dr. Garshick sees patients of all ages, focusing on medical and cosmetic dermatology. She has a passion for being able to improve patient's quality of life and loves to help her patients look and feel like the best version of themselves. Dr. Garshick received her Bachelor's of Science from Emory University. She then went to Tufts University School of Medicine, where she graduated with Research Honors and was elected to the Alpha Omega Alpha Honor Society. As a medical student, she was selected to the prestigious Doris Duke Research Fellowship program which she completed at Harvard Medical School in the Department of Dermatology at Massachusetts General Hospital. She completed her internship at Memorial Sloan Kettering Cancer Center and her dermatology residency at New York Presbyterian-Weill Cornell Medicine, where she served as Chief Resident during her final year.  Dr. Garshick has numerous publications in scientific journals and book chapters and has presented at national meetings. Additionally, she has previously worked for the Dr. Oz Show and is regularly featured in top media outlets such as Glamour, InStyle, Huffington Post, Women's Health, Allure, Elle, Prevention, Harper's Bazaar, Shape, Refinery 29 and more. She has been selected to the New York SuperDoctors and is recognized as a Castle Connolly Top Doctor. Find Dr. Garshick here: https://www.instagram.com/drmarisagarshick Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Website- https://www.atlantadermsurgery.com/ Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

Knowing I needed to find a cardiologist in my home community post surgery, left me a little disappointed to leave the confines of Stanford's outstanding care. After two years it seemed a good idea to reach out to see who might be the "lucky" doctor to get a patient like me. I'm pleased to say that the gentleman I was fortunate to be introduced to turned out to be very knowledgable about our condition and we had a very nice first consultation. Meeting Dr. Diwakar Lingam was a breath of fresh air as you're going to hear in this episode. His expertise offered reassurance, reminding me what a crucial role a well-informed cardiologist plays. This episode unfolds my first encounter with Dr. Lingam, a cardiologist who not only understood the complexities of our condition but also embraced the opportunity to share insights with our listeners. With his guidance, we explore what patients should seek in their healthcare providers, especially when navigating the oft-overlooked terrain of myocardial bridges. You'll hear me explain my personal medical narrative, from the initial bewildering diagnosis to the life-changing care I received at Stanford. Myocardial bridges are not just a medical anomaly but involve genetic factors and precise surgical interventions like unroofing surgery, which we dissect in our first discussion. Dr. Lingam understood the value of proper diagnosis, the role of advanced imaging techniques, and the often-missed symptoms that can complicate the path to treatment. This is a call to action for the cardiology community to bolster awareness and refine diagnostic approaches. Not many doctors would feel comfortable with a new patient, walking in with a recording device and asking to record the conversation in that very first meeting. Dr. Lingam was and I applaud him for his acceptance as this very simple gesture alone may allow this episode to be shared with other cardiologists who may not be as astute and aware of the need to treat a diagnosed MB patient differently. You can reach out to Dr. Lingam or share his contact information with a cardiologist you may want to connect with him at Roseville Cardiology Group. BIO Diwakar Lingam, M. D. graduated from Siddhartha Medical College, NTR University of Health Sciences, Vijayawada, India in 1994. He completed his residency at State University of New York (SUNY) Downstate Medical Center in Brooklyn, NY where he served as a Chief Resident of Internal Medicine. He completed his fellowship in Cardiovascular Disease from Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire. Dr. Lingam strongly believes in solid patient education to improve patient compliance with treatment and better health outcomes. He strives hard to help patients understand clearly the rationale behind all the tests, treatment choices and medications prescribed. He focuses his patient education on lifestyle changes and the value of diet and exercise in the management of many cardiac and medical issues of the patient. Dr. Lingam's clinical interests are preventive cardiology, cardiac imaging, and cardio-oncology. He loves to help patients with cancer treatment-related cardiac issues and patients interested in preventing cardiac and vascular problems. He lives in Folsom with his wife and two children. During his free time, he enjoys biking, playing chess, and spending time with family. (00:11) New Cardiologist Discusses Myocardial Bridges Meeting a new cardiologist after myocardial bridge surgery, discussing the importance of informed and empathetic care in cardiology. (04:51) Myocardial Bridges Myocardial bridges, unroofing surgery, genetic nature, accurate diagnosis, specialized care, radiation exposure, contrast use, diabetic patients, continued research. (17:30) Follow-Up Consultation on Treatment Plan Specialized centers, robotic surgery, statins, and follow-up care are important in treating cardiac conditions.

Join Dr. Jennifer Reid as she interviews psychiatrist and writer, Jessi Gold, MD, MS, author of the recently released HOW DO YOU FEEL: One Doctor's Search for Humanity in Medicine.Together, they reflect on the weight of early decisions and the value of stepping back to question assumptions about what a medical career "should" look like. With gentle wisdom drawn from their own experiences, they explore practical ways to maintain perspective during the demanding years of training, as well as how to cope with burnout and the stress of a life in health care.This essential conversation challenges the stigma around provider mental health and offers hope through vulnerability. Whether you're a medical professional, trainee, or someone interested in the human side of healthcare, this episode provides a rare glimpse into the minds of those we trust with our mental wellbeing.Dr. Reid on Instagram: @jenreidmd and LinkedInDr. Jessi Gold, MD, MS on IG: @drjessigold, also at drjessigold.comDr. Jessi Gold, MD, MS is the Chief Wellness Officer of the University of Tennessee System and an Associate Professor in the Department of Psychiatry at the University of Tennessee Health Science Center.  She works clinically as an outpatient Psychiatrist at University Health Services, and writes and is a regular expert in the media on mental health. Dr. Gold has been featured in, among others, The New York Times, The Atlantic, NPR, PBS NewsHour, The Washington Post, and SELF. Her first book, HOW DO YOU FEEL? One Doctor's Search for Humanity in Medicine, was just released in October 2024 from Simon Element. Dr. Gold is a graduate of the University of Pennsylvania with a B.A. and M.S in Anthropology, the Yale School of Medicine, and Stanford University Department of Psychiatry, where she served as Chief Resident.Also check out Dr. Reid's regular contributions to Psychology Today: Think Like a ShrinkSeeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA's National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies.Thanks for checking out A Mind of Her Own! This post and all of the podcast episodes are public so feel free to share them! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

Check out Dr. Mina's top picks for skin care here. Download the free eBook 'Skincare Myths Busted' here. If you've explored the world of fillers, you've probably come across hyaluronic acid options like Juvederm and Restylane. It's no surprise they're a favorite—they provide instant results, helping to restore volume and define facial contours. But what if I told you there's another approach to skincare that, while it takes a little more time, delivers longer-lasting and more natural-looking results? Welcome to the world of biostimulants! Check out this week's podcast with Dr. Sapna Palep, where she explains what biostimulants are, the science behind how they work, and the amazing benefits they offer for skin regeneration and overall health! Key Takeaways: - Biostimulants stimulate collagen production over time. - Fillers provide immediate results but are not long-lasting. - A global approach to facial aesthetics is essential. - Patience is key when using biostimulants. - Simplified skincare routines can save money in the long run. - Word of mouth referrals are important for finding providers. - Biostimulants can be used in various areas beyond the face. - Combining treatments can yield optimal results. - Understanding the differences between fillers and biostimulants is crucial. - Education is vital for patients navigating skincare options. Dr. Sapna Palep has been recognized as one of New York's leading board-certified dermatologists for over a decade. Since founding Spring Street Dermatology in 2010, Dr. Palep has helped countless patients achieve clear, healthy skin with her safe, effective, and highly individualized treatment plans. Dr. Palep conducts annual skin cancer screenings and treats all dermatologic conditions, including acne, eczema, psoriasis, and rosacea. She is also highly sought after for her skill in cosmetic treatments, including Botox, chemical peels, dermal fillers, microneedling, and resurfacing lasers. A native of Florida, Dr. Palep completed her undergraduate studies in biology and chemistry at the University of Miami in 1999. She attended the University of Miami School of Medicine for two years before relocating to New York in 2000. She completed her medical degree at New York Medical College in 2004. The same year, Dr. Palep graduated with a Master's of Business Administration from the Lubin School of Business at Pace University, where she majored in Health Systems Management. After an internship in internal medicine at Soundshore Medical Center in New Rochelle, Dr. Palep began her residency in dermatology at Mount Sinai Medical Center in 2006. She served as Chief Resident in the department of Dermatology from 2008 to 2009. Since 2010, Dr. Palep has served as Associate Clinical Professor, in the department of Dermatology at the Icahn School of Medicine at Mount Sinai Hospital. For her commitment to excellence in education, Dr. Palep was presented with the Teacher of the Year Award in 2010 and 2012, and the Mentor of the Year Award in 2013. In 2015, the Leading Physicians of the World recognized Dr. Palep as a Top Dermatologist in New York. Castle Connolly has named Dr. Palep a Top Doctor in the New York Metro Area consecutively since 2018. Dr. Palep has conducted extensive research in medical dermatology, with a focus on the carcinogenic effects of UV radiation on DNA. Her work has been published in the Journal of the American Association of Dermatology, the Journal of Cutaneous Pathology, and the Journal of Investigative Dermatology. Dr. Palep is an active member of the American Medical Association, the American Medical Women's Association, the American Academy of Dermatology, the New York Academy of Medicine, the New York Dermatology Society, and the Society of Investigative Dermatology. Find Dr. Sapna Palep here: Website: www.springstderm.com https://www.instagram.com/springstreetdermatology/?hl=en https://www.instagram.com/drsapnapalep/?hl=en Follow Dr. Mina here:- https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

Dr. Manju Dawkins is a board certified dermatologist who received her B.A. from Columbia University. She then returned to her home state to obtain her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. She was Assistant Professor at Mount Sinai School of Medicine where she was twice named Teacher of the Year.  She has practiced in academic, private, hospital based, and group practice settings in New York and Los Angeles. She is also the creator and co-founder of Thimble, the first easy, safe, and comprehensive solution for alleviating needle pain and stress. Needle aversion stops millions from participating in other forms of essential care, including early disease detection, blood donation and life-saving treatments. We're building a holistic platform of pain and stress reducing products for common needle procedures. THIMBLE is changing the way healthcare feels.Fun fact: She is 5'2" (on a good day).Even more fun fact: She played Division I basketball at Columbia University and served as captain her senior year. She is a founding and current member of the Columbia Women's Basketball Advisory Board and a member of the Columbia Athletics Women's Leadership Council.Some of the topics we discussed were:How much detail to go into about your product at the very beginning when you're interviewing potential members of the team to help create the productHow to evaluate and decide if the people you're working with are right for your needsWhen Dr. Dawkins started on the journey to create Thimble, how long development took, and how long each step tookWhat Dr. Dawkins would recommend to women physicians who have an amazing idea for creating something that will be really helpful but don't know where to startThe main obstacles Dr. Dawkins faced throughout the process and what helped her overcome themWhat lessons Dr. Dawkins learned from the obstacles she faced along the wayThe process of raising money for the company and how it worksHow to successfully present your product to potential investorsParts of Dr. Dawkins' journey that surprised herDetails on Thimble's prepare patch before injection, recover patch after injection, and app with supportive techniquesHow Thimble uses an integrative approach to combine all kinds of medicinal techniques from all cultures to create more effective, comprehensive solutionsWhen to apply each of the patches and how long to leave each of them onThe meaning behind why Dr. Dawkins chose to name her company Thimble3 pieces of advice from Dr. Dawkins for entrepreneurs who have something in mind and would love to launch but are stuck in the idea phaseAnd more!Learn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/ Join the Voices of Women Physicians Facebook Group: https://www.facebook.com/groups/190596326343825/ Connect with Dr. Dawkins: Website: http://thimblehealth.com/Instagram:https://www.instagram.com/thimble.health/TikTok:https://www.tiktok.com/@thimble.healthLinkedIn:https://www.linkedin.com/company/thimblehealth/Email:manju@thimblehealth.com

Dr. Manju Dawkins is a board certified dermatologist who received her B.A. from Columbia University. She then returned to her home state to obtain her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. She was Assistant Professor at Mount Sinai School of Medicine where she was twice named Teacher of the Year.  She has practiced in academic, private, hospital based, and group practice settings in New York and Los Angeles. She is also the creator and co-founder of Thimble, the first easy, safe, and comprehensive solution for alleviating needle pain and stress. Needle aversion stops millions from participating in other forms of essential care, including early disease detection, blood donation and life-saving treatments. We're building a holistic platform of pain and stress reducing products for common needle procedures. THIMBLE is changing the way healthcare feels.Fun fact: She is 5'2" (on a good day).Even more fun fact: She played Division I basketball at Columbia University and served as captain her senior year. She is a founding and current member of the Columbia Women's Basketball Advisory Board and a member of the Columbia Athletics Women's Leadership Council.Some of the topics we discussed were:How Dr. Dawkins came up with ThimbleWhat Thimble is and what it doesThe first step Dr. Dawkins took to start ThimbleWhere Thimble is available for purchase How Dr. Dawkins is working with blood donation centers to distribute ThimbleHow Thimble can help improve the declining rates of blood donation due to needle aversion The multitude of practical uses of Thimble for benefitting patients and their well-beingWhat the next steps were after Dr. Dawkins thought of Thimble and established that there was a need for itWhat the process of formulation and manufacturing looked likeUnderstanding the regulatory process and how to go about it properlyFiguring out the scale of initial manufacturingThe importance of asking for help from expertsHelpful tips on how to make the patent process easier on yourselfAnd more!Learn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/Connect with Dr. Dawkins:Website:http://thimblehealth.com/Instagram:https://www.instagram.com/thimble.health/TikTok:https://www.tiktok.com/@thimble.healthLinkedIn:https://www.linkedin.com/company/thimblehealth/

In this Journal Review episode, the Hernia Content Team from Carolinas Medical Center reviews the definition and meaning of a hernia center. In a subspecialty field that is in its relative infancy, the specialization of care at hernia centers is a relatively new concept. The team reviews two relevant publications on hernia centers that help to provide guidance on this topic for the hernia community. Hosts: - Dr. Sullivan “Sully” Ayuso, Chief Resident, Carolinas Medical Center (Charlotte, NC), @SAyusoMD (Twitter) - Dr. Todd Heniford, Chief of GI & MIS, Carolinas Medical Center (Charlotte, NC), @THeniford (Twitter) - Dr. Vedra Augenstein, Professor of Surgery, Carolinas Medical Center (Charlotte, NC), @VedraAugenstein (Twitter) - Dr. Monica Polcz, Attending Surgeon, Baptist Health (Miami, FL), No Twitter handle - Dr. Brittany Mead, GI & MIS Fellow, Carolinas Medical Center (Charlotte, NC), No Twitter handle References:  -Shulkin et al, Characterizing Hernia Centers in the United States: What Defines a Hernia Center?, Hernia, 2022 https://pubmed.ncbi.nlm.nih.gov/33871743/  -Köckerling et al, Accreditation and Certification Requirements for Hernia Centers and Surgeons: the ACCESS Project, Hernia, 2019  https://pubmed.ncbi.nlm.nih.gov/33871743/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen