Podcasts about Cleveland Clinic

America Out Loud PULSE with Dr. Vaughn & Dr. Tankersley – At the beginning of the year, the Cleveland Clinic published an important paper that showed last season's flu shots led to a significant increase in its recipients getting the flu more than those who didn't take the vaccines. We dive into the weeds on the science behind the weakening of the immune system by T-cell exhaustion...

What if one side of your body suddenly stopped moving — and your doctor said, “It's a migraine”?Hemiplegic migraines are rare, disorienting, and often confused with strokes. They challenge everything you think you know about how your brain, body, and energy connect.In this episode of Migraine Heroes Podcast, hosted by Diane Ducarme, we explore the science and the story behind this rare form of migraine — one that blurs the line between neurology and mystery. Together, we look at how the body can temporarily lose its flow, and how to gently help it find its rhythm again.In this episode, you'll learn:

Did you know that congenital heart defects (CHDs) affect nearly 40,000 babies born in the United States every year? On this episode, Pediatric Cardiologist Dr. Melissa Lefebvre and medical student Marina Hashim discuss the evaluation and management of common acyanotic congenital heart conditions. Specifically, they will: Review the classification of CHDs as cyanotic versus acyanotic. Discuss the pathophysiology of the three most common acyanotic CHDs – ASD, PDA, and VSD. Describe early clinical findings and use of diagnostic tools. Cover management options, ranging from spontaneous closure to surgical intervention. Explore prognosis and long-term outcomes on physical activity, neurodevelopment, and overall health. Special thanks to Dr. Rebecca Yang and Dr. Abeer Hamdy for peer reviewing this episode. CME available free with sign up: Link Coming Soon! References: Dimopoulos, K., Constantine, A., Clift, P., & Condliffe, R. (2023). Cardiovascular complications of down syndrome: Scoping review and expert consensus. Circulation, 147(5). https://doi.org/10.1161/CIRCULATIONAHA.122.059706   Dugdale, D. C. (Ed.). (n.d.). Pediatric heart surgery - discharge. Mount Sinai. Retrieved April 26, 2024, from https://www.mountsinai.org/health-library/discharge-instructions/pediatric-heart-surgery-discharge   Eckerström, F., Nyboe, C., Maagaard, M., Redington, A., & Hjortdal, V. (2023). Survival of patients with congenital ventricular septal defect. European Heart Journal,  44 (1,1), 54-61. https://doi.org/10.1093/eurheartj/ehac618   Heart MRI. (2022, July 24). Cleveland Clinic. Retrieved April 19, 2024, from https://my.clevelandclinic.org/health/diagnostics/21961-heart-mri Leihao, S., Yajiao, L., Yunwu, Z., Yusha, T., Yucheng, C., & Lei, C. (2023). Heart-brain axis: Association of congenital heart abnormality and brain diseases. Frontiers in Cardiovascular Medicine, 10. https://doi.org/10.3389/fcvm.2023.1071820 Meyer, K. (Ed.). (2022, May 1). What is a ventricular septal defect (VSD)? Cincinnati Children's. Retrieved March 12, 2024, from https://www.cincinnatichildrens.org/health/v/vsd Minette, M. S., & Sahn, D. S. (2006). Ventricular septal defects. Circulation, 114(20). https://doi.org/10.1161/CIRCULATIONAHA.106.618124 Mussatto, K. A., Hoffmann, R. G., Hoffman, G. M., Tweddell, J. S., Bear, L., Cao, Y., & Brosig, C. (2014). Risk and prevalence of developmental delay in young children with congenital heart disease. Pediatrics, 133(3), e570–e577. https://doi.org/10.1542/peds.2013-2309 Pruthi, S. (Ed.). (2022, October 21). Ventricular septal defect (VSD). Mayo Clinic. Retrieved April 9, 2024, from https://www.mayoclinic.org/diseases-conditions/ventricular-septal-defect/symptoms-causes/syc-20353495     Right heart catheterization. (2022, July 24). Cleveland Clinic. Retrieved April 19, 2024, from https://my.clevelandclinic.org/health/diagnostics/21045-right-heart-catheterization Shah, S., Mohanty, S., Karande, T., Maheshwari, S., Kulkarni, S., & Saxena, A. (2022). Guidelines for physical activity in children with heart disease. Annals of pediatric cardiology, 15(5-6), 467–488. https://doi.org/10.4103/apc.apc_73_22 Sigmon, E., Kellman, M., Susi, A., Nylund, C., & Oster, M. (2019). Congenital heart disease and Autism: A case-control study. Pediatrics, 144(5). https://doi.org/10.1542/peds.2018-4114 Thacker, D. (Ed.). (2022, January 1). Ventricular septal defect (VSD). Nemours Kids Health. Retrieved April 10, 2024, from https://kidshealth.org/en/parents/vsd.html   Tierney, S., & Seda, E. (2020). The benefit of exercise in children with congenital heart disease. Current Opinion in Pediatrics, 32(5), 626-632. https://doi.org/10.1097/MOP.0000000000000942  Ventricular septal defects (VSD). (2021, November 9). Cleveland Clinic. Retrieved April 2, 2024,from https://my.clevelandclinic.org/health/diseases/17615-ventricular-septal-defects-vsd    Ventricular septal defect surgery for children. (n.d.). Johns Hopkins Medicine. Retrieved April 11,2024, from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/ventricular-septal-defect-surgery-for-children#:~:text=During%20this%20surgery%2C%20a%20surgeon,the%20hole%20between%20the%20ventricles Wernovsky, G., & Licht, D. J. (2016). Neurodevelopmental Outcomes in children with congenital heart disease - what can we impact?. Pediatric Critical Care Medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 17(8 Suppl 1), S232–S242. https://doi.org/10.1097/PCC.0000000000000800

In this special series on The Cardiovascular Outcome Trials our host, Dr. Neil Skolnik will discuss the history and importance of the Cardiovascular Outcome Trials for diabetes medications . In Part 1 we discuss an historical perspective with Dr. Steven Nissan and how this has lead to the CVOTs that change the way we practice from EMPA-REG in 2015 to SURPASS-CVOT in 2025. This special episode is supported by an independent educational grant from Lilly. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Steven Nissen, M.D., Chief Academic Officer of the Heart and Vascular Institute at the Cleveland Clinic and Professor of Medicine at the Clevland Clinic Lerner College of Medicine. Selected references: Nissen SE, Wolski K, Topol EJ. Effect of Muraglitazar on Death and Major Adverse Cardiovascular Events in Patients With Type 2 Diabetes Mellitus. JAMA. 2005;294:2581-2586 Kahn SE, Haffner SM, Heise MA, et al. Glycemic Durability of Rosiglitazone, Metformin, or Glyburide Monotherapy (ADOPT). N Engl J Med 2006;355:2427­43. DREAM trial investigators. Effect of rosiglitazone on the frequency of diabetes in patients with impaired glucose tolerance or impaired fasting glucose: a randomised controlled trial. Lancet 2006;368:1096 Nissen SE, Wolski K. Effect of Rosiglitazone on the Risk of Myocardial Infarction and Death from Cardiovascular Causes. N Engl J Med 2007;356:2457-2471.

Join Dr. Cecilia Lansang, Associate Editor of Endocrine Practice, Professor of Medicine, and Director of Endocrinology at Cleveland Clinic, as she speaks with Dr. Kristen Flint, Interim Director of Quality and Safety for Endocrinology at Massachusetts General Hospital, Attending Endocrinologist at MGH, and Instructor at Harvard Medical School, about her team's quality improvement project, “Expanding Access to Continuous Glucose Monitoring in Medicare Patients Receiving Specialty Diabetes Care.” This episode covers:Strategies for implementing quality improvement interventions in a large academic diabetes specialty clinicKey interventions that increased CGM utilization, including targeted provider education, workflow optimization, and patient outreachLessons for advancing equitable implementation and sustaining quality improvement over time Tune in for practical insights on bridging policy changes and clinical practice to improve CGM access for Medicare patients. Read the full article in the August 2025 issue of Endocrine Practice here.

 A gut-dwelling bacterium - Akkermansia muciniphila—is being called the skinny bacteria for a reason. Higher Akkermansia levels correlate with improved metabolism, stabilized blood sugar, reduced sugar cravings, and better fat burning without calorie counting!In this video, I'm Dr. Anshul Gupta (ex-Cleveland Clinic), revealing:• The science: how Akkermansia produces P9 protein, boosts GLP-1, and improves insulin sensitivity.• 4 powerful foods that feed it naturally: dark chocolate (70%+), green tea, pomegranate, and blueberries.• 4 worst offenders that diminish it: processed foods, stress, poor sleep, and antibiotics.• A 30-Day Hack Plan to reset your gut and naturally grow Akkermansia—for lasting weight loss. 

Chia seeds are praised as superfoods—but for some, they can be a hidden migraine trigger. In this episode of Migraine Heroes Podcast, we unpack the science, the nuance, and the Traditional Chinese Medicine (TCM) wisdom behind these tiny seeds. Hosted by Diane Ducarme, who bridges Eastern and Western perspectives in migraine care, this episode helps you understand how something as small as a chia seed can have such a big impact on your vascular health, inflammation, and migraine physiology.You'll discover:

In this milestone 150th episode of Diabetes Dialogue: Technology, Therapeutics, and Real-World Perspectives, hosts Diana Isaacs, PharmD, an endocrine clinical pharmacist, director of Education and Training in Diabetes Technology, and co-director of Endocrine Disorders in Pregnancy at the Cleveland Clinic, and Natalie Bellini, DNP, program director of Diabetes Technology at University Hospitals Diabetes and Metabolic Care Center, reflect on three and a half years of transformation in diabetes care and the evolution of their podcast since its launch in early 2022. What began as a modest plan for monthly discussions rapidly expanded into a weekly forum driven by an ever-accelerating pace of clinical innovation and the hosts' shared enthusiasm for translating emerging science into practice.

Host Lisa Salberg sits down with Cleveland Clinic's Dr. Harry Lever to reflect on his decades of experience treating hypertrophic cardiomyopathy. They discuss how care has evolved, what patients need to know about specialized treatment, and how collaboration continues to shape better outcomes for the HCM community.   This conversation was recorded Oct. 3, 2025.

Listen to JCO's Art of Oncology article, "A Fight Bigger Than Myeloma” by Dr. Adeel Khan, an Assistant Professor of Medicine and Public Health at UT Southwestern. The article is followed by an interview with Dr. Adeel Khan and host Dr. Mikkael Sekeres. Dr. Khan shares the story of a patient whose multiple myeloma diagnosis and treatment serves as a reminder of the civil liberties progress we've made and that we have more to go. TRANSCRIPT Narrator: A Fighter Bigger Than Myeloma, by Adeel M. Khan, MD, MPH, MS  I met her during the early part of my clinical training in hematology/oncology. She was in her late 70s, dressed in a rust-colored cardigan and a headwrap with patterns that reminded me of Ghanaian kente cloth. Her eyes were sharp, her tone polite but direct. You could tell from the moment she spoke that she had lived a life where she had to advocate—for herself, for her family, for her place in rooms that were not always welcoming.  Her chart said “multiple myeloma, R-ISS II,” but it did not say that she had first come to an emergency room at least a year earlier complaining of back pain and fatigue and had been told it was probably arthritis or old age. It did not mention that she had seen three different doctors before someone ordered the laboratory tests that finally began to work up her anemia and increasingly compromised kidney function. It would take another trio of doctors to eventually order a magnetic resonance imaging whose ghostly lytic lesions led down the path to a bone marrow biopsy and her cancer diagnosis. When I brought this up gently during one of our early appointments, she looked at me and said, “They don't hear pain the same when it comes from someone like me.” As a Black woman from the Deep South, she had grown up learning how to navigate a health care system that did not always believe her. She told me stories about being dismissed, misdiagnosed, and interrupted. She was born into an era of structural violence where she would be ignored at best and mistreated at worst. She carried the weight of those moments, but she also carried strength, and clarity, and the kind of dignity that made people sit up straighter in their leather chairs when she entered the room. She was one of the most quietly revolutionary people I have ever known, having grown up during a time of civil rights activism. She had even taken part in bending Dr King's long arc of the moral universe toward justice and could share story upon story from her glory days. Her myeloma treatments were not easy. Chemotherapy rarely is. She shared that there were days when her body was tired of fighting, when her bones ached, her blood counts dropped, and her neuropathic pain throbbed. In the back of my mind, I thought how tragic it was that her delayed diagnosis added unnecessary complications and whether she too thought of that. She was fully mindful of the issues people with her skin color faced in our American healthcare system and society as a whole and revealed how that motivated her to carry forward. “If I don't take up space here,” she told me once, “then someone else like me won't either.” Over the course of our visits, I came to understand that she did not see her myeloma as the hardest fight of her life. Not by a long shot. Her primary struggle was centered on life in Birmingham in the 1950s where separate but equal was still the law of the land; her mother cleaned houses, her father worked odd jobs, and her own prospects were uncertain. She admired the writings of Richard Wright and Jean Toomer and was not shy in sharing her passions. One day, during a particularly tough visit—her disease had progressed and we were down to limited options—I found myself meandering. We went through the usual workup and discussions: laboratory test results, symptoms, and treatment options. I offered the prospect of clinical trials, but she shook her head gently and said, “I've done my time in experiments—I can't give myself to a system that gave my people so little.” I paused. It was the first hint of what would become a larger conversation—not just about medicine, but about history. She was well aware of the atrocities of the Tuskegee syphilis trials in her home state, the Kligman experiments on incarcerated Black men, and the forced sterilization of women of color. As dependent upon medicine as she was in her old age, it carried a bloody stain of dehumanizing racism that soured her against it. Outwardly, I had little in common with her. As a young South Asian man growing up in times more conscious of racial injustice, I was far removed from these historical crimes. Although I learned of them during my education, I did not internalize their impact on the patients in front of me in clinic. But through her I came to comprehend just how scarring and enduring these events can be and how they can rob someone of trust. And the truth is the health care system had not treated her well. She had personal stories of doctors who did not believe her pain, nurses who assumed she was uneducated,  and being passed over for better options, better care, and better answers. “But I kept showing up,” she said. “Because that's what we do. We show up even when we're not wanted.” Her stories to me were revelations. In her younger years, she had helped organize teachers at her school when they tried to fire a fellow Black teacher who seemingly spoke too loud in a meeting. She had lived through redlining, through the crack epidemic, through watching young Black men vanish into prisons, and still she rose every day and worked as a public school teacher for decades. She worked for a system that largely did not work for her. I came to admire that about her—that in simply living day-to-day life with plain dignity and acute awareness of society's issues, she promoted change by living it. “You want to talk about cancer?” she once said, half laughing. “Try walking into a bank in 1972 with a good credit score and a Black face. That's a disease this country still hasn't cured.” Curiously, she did not say these things with bitterness. Not even anger, really. Just clarity. Like someone who had long ago made peace with the truth, even if it was sharp. In clinic, she challenged my every assumption—about treatment tolerance, about compliance, about who is difficult, and who is “advocating.” And she taught me to look differently at the ways bias lingers in medicine. Not just in data or policies, but in subtle moments: the tone we use when explaining options, the hesitations in our tests and referrals, and the assumptions we may not even realize we are making. And she did not just expect good care—she demanded it. She told me early on, “Don't you treat me like I'm anything other than your mother.” That landed. And in seeing patients before me now, I remind myself to wonder who they were in their past lives, what baggage burdens them, and how it all shapes their perspectives. So from my view, she fought multiple myeloma with everything she had, but from hers, she fought something bigger: an entire system shaped by inequality. And ultimately, she made me better to realize that, not just as a doctor, but as a human being. In my years since knowing her, completing my training, and beginning my practice, I reflect on her grace. I think not just about her life, but what it means to practice medicine in a world that often forgets what patients carry with them into the clinic—generations of weight, of injustice, of strength. Mikkael Sekeres: Welcome back to JCO's Cancer Stories, The Art of Oncology. This ASCO podcast features intimate narratives and perspectives from authors exploring their experiences in oncology. I'm your host, Mikkael Sekeres. I'm Professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami. I am so happy that today we are joined by Adeel Khan, who's Assistant Professor of Medicine and Public Health at UT Southwestern in Dallas to talk about his Journal of Clinical Oncology article, “A Fight Bigger than Myeloma.” Our guest's disclosures will be linked in the transcript. Adeel, thank you so much for contributing to JCO and for joining us to discuss your article. Adeel Khan: Thank you so much for having me. It's a pleasure to be here. Mikkael Sekeres: Adeel, I don't want to be disingenuous to our readers by acting as if we've just met. You and I have known each other for a decade since you were still in your training. I wonder if for our listeners you can tell us a little bit about yourself, where are you from and and walk us through your career so far. Adeel Khan: More than happy to. So, I grew up mostly in Oklahoma, but I've sort of lived around in the Northeast and here in the Southwest where I am currently. I did college at the University of Oklahoma. I did medical school at the University of Michigan. I did residency with good fortune at the Cleveland Clinic where I happened to get to know you and have continued to know you since. I did my fellowship then in hematology oncology at Beth Israel Deaconess in the Harvard system and along the way of all that I did a Masters of Public Health at Harvard and a Masters of Science and Epidemiology at Columbia, and that pinball finally settled here to UT Southwestern here in Dallas which I am very happy to make my second home. Mikkael Sekeres: That's great. I will say just for our listeners you've been a superstar since the moment you were a resident. It's been a real treat for me to get to know you over the years. Adeel Khan: Thank you so much. Mikkael Sekeres: Can you tell us a little bit about your own story as a writer? You're a good writer. We get submissions from some really good writers every single week. It's a real privilege to be an editor for the Art of Oncology section and it's always reinvigorating to me to see how many good writers there are in medicine. How did you start your journey as a writer and how long have you been writing reflective narrative pieces? Adeel Khan: I would say if I went back to let's say high school, you know, people tend to be divided into kind of like the sciency types versus the literary arts types and you're kind of an either/or, you know, you didn't really have as much crossover then. But you know, I actually didn't mind when we had an essay due and I liked writing back then, and when I entered college I did a minor in English because I actually did enjoy that and I just liked the idea of being able to put your thoughts on paper in a way immortalizing them. Adeel Khan: And then as I sort of pursuing medicine more and more, publishing is really- it has all kinds of flavors to it and scientific publishing is obviously what has been emphasized, but you know, there's so many things to talk about within medicine. There's the science and the art of the field, and as I've moved along, I've written different pieces focusing really on patient stories and interactions. And I think my motivation has always been that as I have gotten particularly nowadays increasingly busy, I've had the fortune and misfortune of becoming more and more busy, it's easy to lose the opportunity to really connect with people that makes what we do meaningful. And so in those times when you know, and they can be rare, but when you really get to connect with someone in front of you who you're helping to care for, it's really refreshing and it's rejuvenating and I've tried to keep that with me as long as I can as I've gone through my journey. Mikkael Sekeres: There's a lot of jumping off points from what you just said, Adeel. I wonder if I can start with do you consider yourself an English major who's good at science or do you consider yourself a scientist who's a good writer? Adeel Khan: I think I'm too humble to say either. I think I was really a science major who just happened to like writing and reading and kept that as a part of myself. Mikkael Sekeres: Because I think there are a cadre of doctors who are actually English majors and have learned to turn science into storytelling and that's their entrée into science and medicine. I remember I talked for a while with David Scadden about this. He's a brilliant translational scientist who's based at Mass General who also teaches a writing course to the Harvard undergrads and who was an English major when he was an undergrad at Case Western. We've talked about this, about how there are people, I'll include myself in this, who just think different, who probably have these liberal arts brains and they figured out a way to convert science into a way a liberal arts person can understand it. Adeel Khan: Yeah, I mean narrative medicine has been I think around all along and it has only kind of been recently named as a field, but I mean it very much speaks to that that there's so much more than just G proteins in medicine. Mikkael Sekeres: I'm thrilled to hear that by the way. You mentioned you were an English minor. Are there particular writers who are an influence on you or can you talk about what's the most recent book or article you've read? Adeel Khan: Oh, that is a great question. Paulo Coelho is someone I've liked for a long time, The Alchemist. I really liked it because I read it after I had lived in Egypt. I lived in Egypt between college and med school as a study abroad program, and I had actually been to the Faiyum Oasis where the protagonist in that story ends up. And so it was just a fascinating story to me that I could trace some of the steps that are discussed in the book and it's so much- it's a story about self discovery which at that phase of life that I was in was you know, very much a theme of my own life. And so that's one that definitely stands out in my head. Mikkael Sekeres: Do you think reading pieces outside of medicine makes you a better scientist? Adeel Khan: I think absolutely. I think it makes you a better human being. In some ways I lament that so much of what I do reading now is so much just about what's in the field, what's new in myeloma, what's new in hematology oncology and I sort of miss the escape to reading other things and being able to pursue it. And even broader than just what a novel really offers. I mean, I grew up reading comic books too and I've always loved superheroes and fiction whether it's Star Wars and other things. And really they're just stories and the medium- there might be connotations whether it's a comic book or a or a novel, but they're just different mediums, but the fact that they're just stories is fundamental. I actually think to myself that it's so fascinating that the earliest piece of writing that we've really retained as human beings is we believe, the Epic of Gilgamesh, which is really a story of a superhero when you think about it, you know, and it's it's fiction, it's phantasmic in so many ways. But it speaks to how stories are just vital as people. Mikkael Sekeres: And what is it about graphic novels or my kids now of course call them graphic novels. We're not allowed to call them comic books. Adeel Khan: As they've been renamed, yeah. Mikkael Sekeres: What is it about graphic novels or comic books or the story of a hero that appeals to us in medicine? Adeel Khan: I think it's in some ways a parable of what we're doing. There's something so powerful and fundamental about this idea of good-evil and we can rename it in different ways, but that you're trying to overcome something that's an issue, an obstacle. And when you think about what we do in- particularly in oncology, that's very much what we're trying to do. We're trying to overcome an illness, a disease, to try to help the person in front of us. And it has different aspects to it. It could be someone pursuing something in a lab, it can be treating someone in front of you in clinic, but that simple dichotomy of there's something good about what you're doing because there's something bad in front of you is just the fundamental that runs through it all. Mikkael Sekeres: It's fascinating. I wonder if 30, 40, 50 years ago people would have said, “Oh, it's because the doctor is the hero,” but we don't view ourselves that way anymore. The patient is the hero. I love how you posit this as a good versus evil, the evil of course being cancer and the good everything that our patients do and that we try to to help to do to overcome that. Adeel Khan: For sure. Mikkael Sekeres: You wrote a really great essay about a woman who was a patient of yours. Can you tell me a little bit about what inspired you this time to make this connection and to write about this woman? Adeel Khan: Within the past year or so as I had been just really- the fortune and misfortune of getting busier, I lamented that I just wasn't able to spend as much time with patients in the way that I used to. One of the beauties of medical school and you know, to some degree residency and certainly fellowship is that you just have a little bit more time as a trainee, student and trainee where you can really bond with your patients I think a little bit more. And so in trying to kind of refresh my motivation, I was thinking about just kind of randomly some stories that I've kept in the back of my mind and this patient's story is one that stood out to me as I was recalling things. It was so fascinating to me because she had the disease which I now focus on. And the way that she viewed it and the way that she viewed it as a part of her life was just so different than what I think most people think of. And in that way it was very revitalizing that her focus in her life was part of a broader theme of the way that I think she viewed society. And this was just one piece of her own part of that much, much larger puzzle. Mikkael Sekeres: You really write lovingly about her and about how meaningful her context was in how you cared for her and what her experience was in the medical system. I wonder if I can read a little bit of what you wrote because it really did grab me as well. I'm going to start out by quoting you where you say, “Outwardly, I had little in common with her. As a young South Asian man growing up in times more conscious of racial injustice, I was far removed from these historical crimes. Though I learned of them during my education, I did not internalize their impact on the patients in front of me in clinic. But through her, I came to comprehend just how scarring and enduring these events can be and how they can rob someone of trust.” Wow, there's a lot there. Could you start with what was your perspective as a young South Asian man growing up in Oklahoma and what your view was of racial injustice compared to what her experience was of racial injustice? Adeel Khan: Yeah, I have to admit I don't know that I thought that much of it back then and I think that that's part of what it is. You know, being someone who was South Asian, I'm Pakistani, I have Indian roots, and coming into American history and as we learned about it there's so much about slavery and the theme of slavery unfortunately and and the struggles that enslaved peoples have. And you know, as a relatively recent immigrant, I didn't see myself in that narrative. I didn't see myself in that historical reality. But I knew about it intellectually, you know, I knew about the Tuskegee Syphilis Experiments, you know, I learned about all these things and and you learned about how atrocious so much of it is. But again, not being so directly connected, I did not put myself in that same role as someone to view it so close to myself. I will say it hit a little bit more after 9/11 when you know, I was randomly stopped at airport security a little bit more often in those days and again, I think that speaks to racial injustices, you know, I was certainly profiled looking back then, I've been held by TSA in the past, but even that is very minor compared to what African Americans have dealt with here. And this patient in just kind of sharing her tidbits during our time together, I was not directly asking her so much of this. She was really offering a lot of it to me as we would talk and she would be very generous in sharing parts of her story. And over time I kind of understood the broader narrative of her life. You know, it was clear how much of all that was actually in the forefront of her head. Adeel Khan: And I think she might have been a little bit more unique in the way that she kept it there, but she was hyper vigilant of issues of society and the roots that brought a given society to where it is here. I kind of got to know her, this is during the COVID pandemic and this was after the injustice of what happened to George Floyd and so it was a theme that I think people were talking about more and so I think she felt comfortable in saying really what was quite a bit that was stewing in the back of her head seemingly at all times. Mikkael Sekeres: It's so interesting you talk about what you endured after 9/11 as being, I'm going to quote you now, “minor” compared to what she's been through, but even a minor affront like that can really compromise your trust. You write about her, “As a Black woman from the deep South, she had grown up learning how to navigate a healthcare system that did not always believe her.” Can you expand on that a little bit? How is it that the healthcare system didn't believe her and what can we do going into interactions with patients from different backgrounds where we're incorporating that there's a compromise of trust and we have to make up for that? Adeel Khan: Yeah, and I think you know, it's so unfortunate that so many people have stories like this where, in her case really it was back pain that was her presenting symptom. This is long before she knew me. And she'd had the back pain for quite some time, but being an older woman, she was in her 70s at that time, she was not in phenomenal health for other reasons. It sounds like she was just kind of ignored, told that it was old age, tendon changes, she did not have meaningful imaging for some time. When she finally did after seeing a slew of different providers, that's when it was revealed like there's something more significant here. And then when you kind of piece that a little bit retrospectively and I think she certainly sensed this and I did when I- hindsight's always 20/20, when I looked through things, it's like, well, this probably could have been caught much earlier. It's just that no one really I think listened to what she was speaking to with her pain and the gravity that was actually behind it. And it just speaks to the fact that I think we have to be more thoughtful in what we take away from patients and not to ignore even small comments because they might be revealing of something much bigger behind them. Mikkael Sekeres: You quote her, you have some really great quotes in your essay where you just listen to what she says and transcribe it because what she says is very meaningful. And one of the quotes you provide from her is, “They don't hear pain the same when it comes from someone like me.” Wow. “When it comes from someone like me,” someone like her, how was it that people weren't hearing her description of pain, something that was different that was going on in her body and how can we be more attentive to people when they complain about things like pain? Adeel Khan: It's unfortunate that there's even known data to show how depending upon a patient's melanin content in their skin, how likely they are to get pain medications and what happens to them is different and this is an unfortunate example of that where I think she just wasn't heard properly. And so it wasn't addressed properly and she was not shy about saying that. I mean I think she sensed that. She was very clear in feeling that herself and in wanting to have better care, she was still prevented and hence why she had to go from provider to provider. Mikkael Sekeres: You've lived in a bunch of different places in the country. I mean, following your path, you've been in Oklahoma, you've been in Michigan, Ohio, Massachusetts, and now Texas. Do you think that we as providers have to have different levels of sensitivity depending on where in the country we're practicing and how some of our patients' trust in healthcare may have been compromised in those different parts of the country? Adeel Khan: I think absolutely. I mean this particular patient was from Alabama which has a heavy history that she was again very aware of and for those of us reading history books are also very aware of too. And it's interesting how, while the U.S. is in some ways- has some aspects that are monolithic, but it's very much not so. It's very patchy and people are different, you know, if I take one theme that we're talking about here is obviously racial injustice, but if you take something like obesity, you know, prevalence rates are very different throughout the country and attitudes surrounding it are also very different. And I think we do- ought to be mindful that in treating the patient in front of us, it's not done without context. And so how they view their illness and their situation is going to be different depending upon the state, depending upon the city, depending upon actually even the era that they grew up in. So I would say now, if you took actually a similar patient, but you put her in a very modern context post-year 2000, she's likely to have different feelings of the situation around her than someone who was born in this case in the 1940s. And that just speaks to the fact that circumstances change and we should be recognizing that as providers, even though it's not always easy to. Mikkael Sekeres: Well, it just emphasizes how very important it is to know the history of the place where we practice and how it's affected our patients' perceptions of healthcare and trust and being cared for, particularly now as there's such a movement to whitewash that history and eliminate it from major institutions like the Smithsonian. It has been such a pleasure to have Adeel Khan here. He is Assistant Professor of Medicine, Public Health at UT Southwestern in Dallas and wrote just a great JCO article called “A Fight Bigger Than Myeloma.” Adeel, thank you so much for submitting your article and for joining us today. Dr. Adeel Khan: Thank you so much for having me. It's been a pleasure. Mikkael Sekeres: If you've enjoyed this episode, consider sharing it with a friend or colleague or leave us a review. Your feedback and support helps us continue to have these important conversations. If you're looking for more episodes and context, follow our show on Apple, Spotify, or wherever you listen and explore more from ASCO at ASCO.org/podcasts. Until next time, this has been Mikkael Sekeres for JCO Cancer Stories: The Art of Oncology. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.   Show Notes Like, share and subscribe so you never miss an episode and leave a rating or review.  Guest Bio: Dr Adeel Khan is an Assistant Professor of Medicine and Public Health at UT Southwestern.

Send us a textAre you tired of feeling like you're navigating menopause or perimenopause alone, armed only with contradictory advice and sensationalized headlines? Dr. Holly Thacker, Director of the Center for Specialized Women's Health at Cleveland Clinic, is here to change that. In honor of October being World Menopause Month, we are replaying this first episode of Dr. Thacker's podcast series based on her book, "The Cleveland Clinic Guide to Menopause." In Chapter 1, Choosing and Seeing a Doctor at Midlife, Dr. Thacker addresses a fundamental truth often overlooked in women's healthcare: there are no one-size-fits-all solutions. What works perfectly for your neighbor might be completely wrong for you. This personalized approach extends to finding the right healthcare clinician who understands that women's health concerns are rarely black and white. She offers practical guidance on identifying red flags in healthcare interactions and selecting a physician who specializes in midlife women's health.Ready to reclaim control of your midlife health journey? Join Dr. Thacker throughout World Menopause Month as she continues this series with more episodes on menopause. Remember—it's your body, your hormones, and your choices.Support the show

On this episode of the ATS Breathe Easy podcast, host Amy Attaway, MD, of Cleveland Clinic, continues her discussion with asthma expert Njira Lugogo, MD, of University of Michigan. They talk about collaborations in the pulmonary field, the importance of clinical trials, and career advice for those looking to join the field of pulmonology. In case you missed it, check out part one here: https://www.youtube.com/watch?v=4ubMlFuqsVI 

This episode is for you if you're having surgery or if you have a loved one undergoing surgery soon. We are going to learn how to optimize health prior to surgery for better recovery and better outcomes! Approximately 15 million Americans undergo some type of surgery each year, according to the American College of Surgeons.Rebecca Knackstedt is a board-certified plastic surgeon specializing in implant-based and microsurgical breast reconstruction. She is currently an Assistant Professor in Plastic and Reconstructive surgery at Duke University. Rebecca completed her MD/PhD at Medical University of South Carolina where her PhD thesis focused on Vitamin D and inflammation. She pursued an integrated plastic surgery residency and microsurgery fellowship at the Cleveland Clinic during which she also became certified in Functional Medicine. Her research interests are prehabilitation for breast cancer, particularly for women undergoing neoadjuvant chemotherapy.We learn:Prehabilitation is essential for optimizing health before surgerySurgeons often lack training in nutrition and pre-surgical careNutrition plays a crucial role in recovery and healing post-surgeryAlcohol consumption can negatively impact surgical outcomesProtein intake is vital for healing after surgeryPatients should be proactive in preparing for their surgical consultationsVitamin D levels are often overlooked but should be monitored carefullyMuscle strength is predictive of surgical recovery outcomesAvoid Boost as a nutrition supplement post-surgerySleep hygiene is important for overall health and recoveryConnect with Dr. Knackstedt:https://www.instagram.com/surgical_recovery/ https://www.youtube.com/@Surgical_Recovery⁠#surgeryrecovery #recovery #surgerylife #health #surgicalaftercare #rehabilitation #physiotherapy  #physicaltherapy

There is a video about a dentist joking about giving less medication to people not of her political persuasion. To her audience, I guess they found it funny.  There is a larger story than the dentist and the joke. I waited. I hoped someone would bring a non-political reason what the joke was bad, very bad and unprofessional.    For the record, there are million of us that have some form of dental anxiety or dental phobia.  We need the skills of a professional, qualified and compassionate dentist.   We are scared out of our skulls because we don't know what a few bad teeth yankers of the profession will do to us. Or we clearly remember what a few of them have done to us.   In this episode, a brief definition of dental anxiety and phobia and resources for you to empower yourself.    Resources Mentioned:  There is a website associated with the American Dental Association website called Mouth Healthy. It offer three tips on dealing with dental anxiety.  Cleveland Clinic page on what is dental phobia, the symptoms, causes and treatment options.   The University of Pennsylvania Dental Medicine has a page on how to get over dental anxiety   For those of you in the United Kingdom, the Dental Fear Central page has some good information and suggestions on dealing with dental anxiety.   Emergency Resources The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community.    Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options.    National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or use WhatsApp as a means of contact.   Disclaimer:  Links to other sites are provided for information purposes only and do not constitute endorsements.  Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder. This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.

Note: This is part two of a special two-part crossover episode! You can listen to the episodes in whatever order you like. Make sure to check out part one, Pauly's interview with Emily about her journey as an entrepreneur, on The Pauly Guglielmo Show. The episode should be available for you to download right in the It's a Lot feed!Content warning: this episode contains discussion of infertility, miscarriage, and IVF. If those are sensitive topics for you, please take care when listening. If you'd like to skip that part, it starts around the 27 minute mark and ends around 39 minutes. Food entrepreneur, podcaster, and dad of two Pauly Guglielmo joins host Emily Hessney Lynch for a conversation about running a business while raising kids, paternity leave struggles, childhood trauma, how we're trying not to traumatize our own kids, and more. We also discuss his and his wife's experience with infertility, miscarriage, and IVF, and what that was like for him as a person and a partner. Don't worry, this episode is not a downer! We also talk about the joys of parenthood, like going to Costco and Fringe Fest with your 6-year-old, buying them little toys just to make them smile, the pride you feel putting food on the table, and the fuck around find out parenting style. Fact check: during the episode, Emily mentions that 1 in 8 pregnancies ends in miscarriage and notes that she'll fact check herself later. Per the Cleveland Clinic, about 15% of pregnancies end in miscarriage. For more of Pauly and Emily's work, check out:Pauly's InstagramGuglielmo Sauce (or find it at Wegmans & other stores near you!)Craft CanneryEmily's InstagramServe Me the Sky DigitalThis is a production of the Lunchador Podcast Network. Our logo was created by Tenderchomps Art. Mentioned in this episode:Joe Bean Coffee - Coffee that Lifts EveryoneUse promo code Lunchador for 15% off your order! https://shop.joebeanroasters.com

Cayleigh Griffin hosts Cavs All Access Live from Media Day presented by The Cleveland Clinic, featuring Justin and Carter. As they dive into expectations for next season, what they plan on learning from Media Day and what swing factors will likely define the Cavs next season. Audio includes player podium interviews, as well as exclusive interviews with Sam Merrill, Jaylon Tyson and Lonzo Ball. See omnystudio.com/listener for privacy information.

Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, "ECTRIMS 2025 Meeting Highlights and Clinical Takeaways," Daniel Ontaneda, MD, PhD, neurologist at Cleveland Clinic's Mellen Center for MS, shared his reflections from the 2025 ECTRIMS Congress, held September 24-26, in Barcelona, Spain. He discussed the significance of the updated MS diagnostic criteria, which generated immediate research applications and clinician discussion early in the meeting. Ontaneda also highlighted the growing emphasis on precision medicine and individualized treatment approaches, including extended-interval dosing strategies for B-cell therapies. In addition, he reviewed new therapeutic developments such as BTK inhibitors, CAR-T therapies, and remyelination research, noting both promising and disappointing data. Finally, he spoke on how ECTRIMS continues to expand beyond MS, with more presentations dedicated to NMOSD, MOGAD, and other autoimmune neurological conditions, reflecting the evolving landscape of neuroimmunology. Looking for more Multiple Sclerosis discussion? Check out the NeurologyLive® Multiple Sclerosis clinical focus page. Episode Breakdown: 1:00 – Overall impressions of ECTRIMS 2025, highlighting diagnostic updates, precision medicine, and late-breaking trial results 4:10 – Expanding focus on individualized care, especially interval-adjusted dosing strategies for B-cell therapies 7:50 – Neurology News Minute 9:50 – Insights on emerging therapeutic approaches including BTK inhibitors, CAR-T therapies, and remyelination strategies 14:35 – Growing attention toward NMOSD, MOGAD, and other autoimmune conditions within neuroimmunology discussions The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: EMA Approves Semaglutide as First GLP-1 RA for Cardiovascular, Stroke-Related Benefits Del-Zota Reverses Duchenne Disease Progression in 1-Year Trial Update MDA and PPMD Release Consensus Guidelines for Safe and Equitable Use of Gene Therapy in Duchenne Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.

What do you do when you've tried everything - from birth control to spironolactone to visiting the Cleveland Clinic to working with a functional medicine doctor - and you're still stuck with acne, anxiety, gut issues, and 10 years of insomnia? Welcome to Libby's story. As a registered dietitian, health expert, and someone who had already poured a decade into searching for answers, my client Libby was still waking up at 1–3AM every night, battling anxiety, and dealing with skin breakouts she thought she'd never get rid of. But after just one week of following her customized health plan from Better Belly Blueprint, everything started to change. How did she do it? In this episode, you'll hear:How Libby's insomnia disappeared in days after starting her first protocolThe shocking food triggers that were behind her acne, anxiety, and even skin conditions doctors couldn't solveWhy even with all her research, she couldn't find relief until she ran the right testsHow she went from discouraged and stuck to finally confident that full healing is possible If you've been chasing answers for years and still feel like your body is a mystery, this episode is proof: real healing can happen faster than you think. ✨ Ready to start your own journey? ✨ Join Better Belly Blueprint today! EPISODES MENTIONED:112// The Hidden Drivers Behind Anorexia – with Libby Stenzel, RD267// The Best Food Sensitivity Test for You, with Vibrant Wellness45// The Gut-Skin Connection: Is your gut flaring up your skin?254// The Gut-Brain Axis: Why Healing Your Nervous System Isn't Working41// Anxiety, depression, or ADHD? One reason to check your gut HEAL YOUR GUT TODAY!Option #1)

What does it mean to truly live after hardship?  In this inspiring episode, I sit down with Dr. Dawn Mussallem, an integrative physician whose story is as extraordinary as her work. A stage 4 cancer survivor who lived with heart failure for over two decades before receiving a heart transplant, Dawn brings a rare perspective on resilience, healing, and hope. Together, we explore how mindset and gratitude shape recovery, why prevention and screening can be empowering instead of fear-driven, and how food, movement, and rest become powerful daily medicine. Dawn also shares how spirituality and science meet in her own healing journey, reminding us that health is about so much more than the absence of disease, it's about vitality, grace, and purpose. Dr. Dawn Mussallem is an integrative physician at the Cleveland Clinic, specializing in lifestyle and preventive medicine. A stage 4 cancer survivor and heart transplant recipient, she brings rare personal insight into resilience and healing.  We Also Discuss: (00:00) A story of survival that redefines what healing really means (03:43) The moment Dawn's life took a turn, and the resilience that followed (13:51) Where science meets spirituality in the healing journey (18:15) Facing life-threatening illness: what loss can teach us about living (23:15) Near-death as a doorway to transformation and grace (34:38) Daily practices that turned hardship into healing (41:59) Why mindset may be the most powerful medicine of all (47:26) Gratitude as biology: how it rewires the heart and body Thank You to Our Sponsors: Sunlighten: Experience it for yourself. Visit https://get.sunlighten.com/monasharma and use code MONA to save up to $1,400 on your sauna today. Rooted Academy: Join Rooted Academy by Mona Sharma, a science-backed, community-driven wellness platform designed to help you heal from within. Start your journey to balance, vitality, and lasting transformation. https://www.monasharma.com/rooted  Learn more about Mona Sharma: Download Your FREE Guide - 12 Wellness Tips to Unlock Your Best Health Now: Ready to reclaim your vitality? Download Mona's 12 Wellness Tips and take actionable steps to transform your health, energy, and mindset. Get started now at https://monasharma.com/12tips.  Visit Mona's website: https://monasharma.com – Unlock powerful tools and wisdom rooted in wellness to elevate your health, energy, and clarity. Mona blends ancient healing practices with modern science to help you achieve lasting transformation. Follow Mona on Instagram: Stay connected with Mona for daily inspiration, holistic health tips, and personal growth. Join the conversation on Instagram at https://instagram.com/monasharma. Learn more about Dr. Dawn Mussallem: Instagram: @drdawnmussallem 

Join Dr. Salim Virani as he explores global trends in cardiovascular disease, including shifting risk factors, emerging therapies, and prevention strategies. From disparities in care to the promise of primordial and even pre-primordial prevention, this conversation highlights what nurses and other healthcare professionals can do to improve heart health worldwide.Cleveland Clinic study on risk factors: https://pubmed.ncbi.nlm.nih.gov/35504796/ More information and resources can be found here: https://gcnlf.pcna.net/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to Ozempic Weightloss Unlocked, where we dive into the latest breakthroughs and controversies surrounding Ozempic, its medical use, and its impact on everyday wellness.The big headline this month is the arrival of a new pill form of semaglutide, the main ingredient in Ozempic. According to The New England Journal of Medicine, people who took this daily pill lost almost 14 percent of their body weight over 64 weeks, compared to just 2 percent for those on a placebo. Fifty percent of the patients shed at least 15 percent of their weight, with nearly a third losing 20 percent or more. Novo Nordisk, the company that makes Ozempic, announced even stronger results for those who stuck to their treatment plan, with close to 17 percent average weight loss. This pill, pending approval, could be a game changer for people who prefer not to take injections.On the injectable front, clinical trials featured in The Lancet indicate that a higher 7.2 milligram weekly dose of semaglutide in adults without diabetes led to almost 19 percent average weight loss, higher than what's seen with lower doses. These numbers highlight ongoing efforts to increase the effectiveness of Ozempic for those struggling with obesity.Yet, it's crucial to balance these promising results with real-world insights. The Mayo Clinic and NYU Langone Health recently compared Ozempic's results to traditional weight loss surgery, like gastric bypass and sleeve gastrectomy. Their research revealed that surgery is five times more effective than GLP-1 drugs such as Ozempic, with surgical patients losing an average of 58 pounds after two years versus just 12 pounds for those on the drug for six months. Experts also noted that only 30 percent of patients stick with GLP-1 drugs for longer than a year, and real-world weight loss may be lower than trial results suggest. Surgery, however, isn't without its risks, including potential infections, blood clots, and hernias, and requires strict diet and lifestyle changes afterward.Turning to genetics, Cleveland Clinic research shows that the effectiveness of Ozempic may depend on your DNA. A specific variant in the Neurobeachin gene seems to make some people much more responsive to these medications, leading to 82 percent higher odds of substantial weight loss. This new insight could help doctors tailor treatments so patients get therapies most suited to their genetic profile.Lifestyle stakes are high, and so are concerns about side effects and safety. Recent studies report that Ozempic may cause severe conditions such as gastroparesis, bowel blockages, pancreatic and kidney injuries, and vision problems. Even hair loss is emerging as a potentially significant side effect, especially for women—according to recent findings, female users experienced about twice the rate of hair loss compared to those not using Ozempic.Because of these risks, there are currently over two thousand active lawsuits against Novo Nordisk and other GLP-1 manufacturers, with ongoing multidistrict litigation. These lawsuits allege that the companies did not give enough warning about the dangers, and some patients claim life-changing or life-threatening complications.Compounded GLP-1 drugs, made in pharmacies rather than by pharmaceutical companies, became popular when Ozempic was in short supply. However, the FDA warns that compounded drugs can be risky because they're not evaluated for safety or effectiveness. While the shortage has officially ended, compounded formulations remain in circulation.If you are considering Ozempic—whether as a pill, injection, or a compounded version—talk with your healthcare provider and review your health history, genetic background, and lifestyle goals. Widespread interest has led to changing availability, promising new forms, and more transparent labeling, especially after recent updates about kidney and pancreatic risks.To sum up, Ozempic continues to make waves as both a treatment for diabetes and a potent tool for weight loss. With fresh news about new pill forms, higher effective doses, genetic influences, and ongoing legal cases, it's important to stay informed and make choices based on both science and your personal health needs.Thanks for tuning in to Ozempic Weightloss Unlocked. Don't forget to subscribe to stay up to date on the latest developments. This has been a Quiet Please production, for more check out quiet please dot ai. Some great Deals https://amzn.to/49SJ3QsFor more check out http://www.quietplease.aiThis content was created in partnership and with the help of Artificial Intelligence AI

Active or not active, that is the question. In this week's episode we interview Alexandra Villa-Forte, MD, MPH, a staff physician in the Center for Vasculitis Care and Research at Cleveland Clinic and a leading vasculitis expert, on a pragmatic approach to recognizing disease activity in patients with ANCA vasculitis. ·       Intro 0:01 ·       Welcome Alexandra Villa-Forte, MD, MPH 0:10 ·       Dr. Brown sketches a potential patient that may be seen in practice 0:40 ·       How are you monitoring patients' kidneys? 1:28 ·       How reliable are ‘no casts' results in urinalysis tests? 4:15 ·       What is happening in the glomeruli? 5:23 ·       The importance of monitoring the urinalysis of patients with ANCA vasculitis 7:06 ·       Symptoms to watch for when tapering off medications 7:43 ·       Different scenarios with lung symptoms 9:35 ·       Evaluating patients with GPA; looking at the nose, ear and sinuses 12:20 ·       Neurologic symptoms in ANCA vasculitis 14:24 ·       Laboratory monitoring 15:52 ·       Should ANCA titers be a part of routine vasculitis monitoring? 17:05 ·       What is your approach using PJP prophylaxis in ANCA-associated vasculitis? 18:05 Thank you, Dr. Villa-Forte! 20:25 We'd love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.   Disclosures: Brown reports no relevant financial disclosures. Healio was unable to confirm relevant financial disclosures for Villa-Forte at the time of publication.

Welcome back, listeners, to Ozempic Weightloss Unlocked. Today, we are uncovering the latest news and updates on Ozempic, from its medical applications to its influence on our daily lives and overall health.There is an exciting development in the world of weight loss medication: a pill form of Ozempic, known by its generic name semaglutide. According to The New England Journal of Medicine, those who took the daily semaglutide pill lost nearly fourteen percent of their body weight over sixty-four weeks, compared to just two percent for those who took a placebo. This makes oral semaglutide a potential game changer for those who prefer pills over injections, especially since the pill shows a safety profile similar to the injectable form. Dr. Sean Wharton, who led the recent clinical trial, explained that this oral option could greatly expand the number of people willing to try GLP-1 treatments for obesity.Following closely behind is orforglipron, a new GLP-1 pill developed by Eli Lilly. Fox News reports that in a recent clinical trial, participants taking the highest dose of orforglipron lost an average of more than twenty-seven pounds after a year and a half. Nearly sixty percent of those participants lost ten percent of their body weight, while just under forty percent lost at least fifteen percent. What is even more hopeful, according to the study published in The New England Journal of Medicine, is that those with pre-diabetes saw a sharp improvement in blood sugar levels, suggesting broad metabolic benefits. While the results are compelling, experts note that injectables like Ozempic still deliver slightly more dramatic results, yet many patients may prefer the convenience and ease of a pill.On a different front, research from The Cleveland Clinic has revealed that genetics may influence just how well Ozempic or similar drugs work for you. According to their study, a gene known as Neurobeachin appears to help determine how much weight a person might lose with GLP-1 medications. People with a responsive version of the gene were eighty-two percent more likely to have significant weight loss, while those with a non-responsive score were actually less likely to lose weight. Dr. Daniel Rotroff from the Cleveland Clinic suggests that in the near future, doctors could combine genetic testing with lifestyle and personal factors to tailor obesity treatment, making these therapies even more effective and personalized.Let us not forget the reason why Ozempic was developed in the first place. Originally designed and approved to help manage type two diabetes, Ozempic as well as its higher-dose sibling Wegovy, are now also used for chronic weight management. Both are part of a class called glucagon-like peptide-1 receptor agonists, or GLP-1s. These medications work by stimulating insulin production and helping the body manage appetite and digestion, leading to weight loss as a beneficial side effect. According to information from the Lawsuit Information Center, Ozempic is still mainly prescribed as a once-weekly injection, but with oral versions nearing approval, that could soon change.New treatments often come with questions about safety. According to the United States Food and Drug Administration, there has been increased concern about unapproved compounded versions of these GLP-1 drugs, which have been linked to hundreds of adverse event reports. This highlights the importance of using only medications that are properly prescribed and approved, as safety must always come first.Finally, there are ongoing investigations into rare but serious side effects, such as a risk of vision loss, and digestive issues like gastroparesis linked to GLP-1 drugs including Ozempic. For most people, side effects tend to be mild and include nausea and digestive discomfort, but it is crucial to talk to your doctor to understand the potential risks and benefits as this new generation of weight loss options emerges.That wraps up our update on Ozempic and the evolving world of GLP-1 weight loss therapies. Thanks for tuning in to Ozempic Weightloss Unlocked. Do not forget to subscribe for more insights, and as always, stay informed and stay healthy. This has been a quiet please production, for more check out quiet please dot ai. Some great Deals https://amzn.to/49SJ3QsFor more check out http://www.quietplease.aiThis content was created in partnership and with the help of Artificial Intelligence AI

An exploration of one of marketing AI's hottest trends with Katherin Watier Ong In this episode of No Brainer, Geoff and Greg dive deep into the evolving landscape of search engine optimization with Katherine Watier Ong, founder of WO Strategies. Katherine brings her 10+ years of experience helping science-based organizations navigate the complexities of modern search—from traditional SEO to the emerging world of AI-powered answers. The conversation explores the hype surrounding Answer Engine Optimization (AEO) and Generative Engine Optimization (GEO), with Katherine providing a refreshingly grounded perspective that it's still fundamentally SEO at its core. She shares practical insights on how to optimize for Google's AI Overviews and discusses why the fundamentals haven't changed as much as the industry buzz might suggest. Katherine reveals compelling data showing that while AI-powered search features are getting attention, they currently represent only about 1-3% of actual traffic for most organizations. She emphasizes that brands should focus on solid SEO foundations before chasing the latest AI optimization trends. The discussion also covers the broader challenges facing marketers today, including the rise of zero-click searches, degraded marketing data from GA4, and the increasing difficulty of measurement in a privacy-first world. Chapters ·      06:00 AEO vs GEO: Marketing Hype or Real Distinction? ·      11:34 What Still Matters: SEO Fundamentals That Haven't Changed ·      15:15 The Real Changes: Zero-Click Searches and Data Challenges ·      21:20 AI Integration in SEO Workflows ·      28:50 The Misinformation Problem with AI Answers ·      34:15 User Embeddings and Personalization Bubble Effects ·      39:30 Beyond Brand Control: Why Reddit Matters More Than Press Releases ·      44:10 Measuring Success in the Age of AI Search About Katherine Watier Ong Katherine Watier Ong is the founder and CEO of WO Strategies, a boutique organic traffic consultancy specializing in science-based, enterprise-sized organizations. With over 30 years of marketing experience and 18+ years focused on SEO, she helps federal agencies, nonprofits, and Fortune 500 companies improve their organic search performance. Previously, Katherine served as VP of Online Strategy at Ketchum, where she recruited, trained, and led the online strategy team, providing digital marketing services for global clients including NY State of Health, HHS, Express Scripts, Cleveland Clinic, and Hershey. Her campaigns have had significant impact—she's helped increase traffic from 300K to 1.2 million visits and assisted New Yorkers with health exchange registration. Katherine is an accomplished trainer and public speaker who has provided SEO and digital marketing education for over 13 years. She's spoken at conferences including Voice Global, BrightonSEO, SES, and OMS. Her approach is grounded in her belief that "anyone can create change with enough passion and determination," a philosophy shaped by her early environmental activism work that included building websites, securing NPR coverage, and creating educational curricula. Connect with Katherine: ·      Website: wostrategies.com ·      Free AI Mode Guide: bit.ly/writingforAImode ·      LinkedIn: Katherine W. Ong: https://www.linkedin.com/in/katherinewatier/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Blind biopsies leave questions unanswered. In this episode of BackTable OBGYN, host Dr. Mark Hoffman welcomes back Dr. Linda Bradley, an expert in obstetrics, gynecology, and hysteroscopy from the Cleveland Clinic, to discuss the benefits and advancements of direct visualized endometrial sampling over traditional blind biopsy techniques. ---This podcast is supported by:Medtronichttps://www.medtronic.com/en-us/healthcare-professionals/specialties/gynecology/product-portfolio.html---SYNPOSISDr. Bradley emphasizes the importance of hysteroscopy for accurate diagnosis and treatment of various gynecological issues, including abnormal uterine bleeding. They explore the limitations of blind biopsies and the advantages of hysteroscopy in detecting focal lesions, avoiding unnecessary hysterectomies, and ensuring patient safety. The discussion also touches on the economic and procedural challenges in adopting hysteroscopy more widely in clinical practice.---TIMESTAMPS00:00 - Introduction 03:30 - The Evolution of Hysteroscopy at Cleveland Clinic04:49 - Challenges and Innovations in Hysteroscopy06:30 - Clinical Insights: Direct Visualized Endometrial Sampling12:03 - Case Studies and Practical Applications15:46 - The Importance of Visual Examination in Gynecology20:03 - Advocating for Hysteroscopy in Medical Practice31:07 - Patient History and Trauma Considerations31:34 - Cancer Detection and Missed Diagnoses32:14 - Challenges with Unscheduled Bleeding32:56 - Case Study: Blood Transfusions and Hysterectomy33:38 - Importance of Hysteroscopy34:43 - Hysteroscopy Techniques and Best Practices37:41 - Ultrasound and SIS (Saline Infusion Sonohysterography) for Imaging38:45 - Post-Operative Care and Follow-Up47:41 - Environmental and Economic Considerations in Healthcare52:51 - Final Thoughts and Patient Advocacy

Two leaders of the Cleveland Clinic's lean improvement function — Dr. Lisa Yerian, Executive Vice President and Chief Clinical & Operational Improvement Officer, and Chad Cummings, Vice President of Lean Transformation & Continuous Improvement — speak with Josh Howell, LEI President, and Mark Reich, LEI Chief Engineer Strategy. The podcast continues our focus this month on the role of continuous improvement (CI) groups in lean management.  The Cleveland Clinic consists of 23 hospitals, 280 outpatient locations, approximately 83,000 caregivers, and nearly 16 million patient encounters annually. The vision at the not-for-profit healthcare system is to be “the best place to receive care anywhere and the best place to work,” says Lisa. “We have integrated the expectation of excellence, the aspiration for excellence, in everything we do right in parallel with being the best place to work.”    Chad came out of manufacturing and first encountered lean in the 1990s, working for a Japanese-owned auto supplier, and has been working in healthcare for more than a decade in a CI capacity. Lisa started her career in healthcare, after growing up in a rural area that did not have access to high-quality healthcare and wanting to change that. At the Cleveland Clinic she was getting pulled into meetings about recurring problems, and eventually got connected to an internal team focused on using lean principles. “I saw lean as an opportunity to do what I had initially wanted to do, which was make a bigger difference for more people.” She then landed a new medical director role with the improvement team and began learning through “small amounts of coursework and books but really through doing, a lot with Chad and others on our lean team and with members of LEI.”  The two executives discussed the many challenges facing healthcare today. Chad cites macro issues of high demand for care, fiscal difficulties, and finding skilled labor. The pandemic contributed to those challenges, says Lisa, resulting in high turnover and a subsequent need to develop people for their changing roles and build the capability for effective problem solving, huddle management, and understanding data. She also says workplace violence has risen in healthcare, contributing to burnout and turnover and adding security costs to fiscal woes.   Lisa and Chad also discussed:  How to work with those in healthcare who have rejected the efficacy of lean: “If you are asking someone to support or believe, that's too big, it's too broad. Nobody knows what that means,” says Lisa. “What is it that you really need to get out of this interaction? Do you need them to commit to going on a gemba walk with you? What is it that your ask really is?... You need to get specific quickly in order to try to address that. And then what are you trying to accomplish here?”  A need to revisit some lean improvement practices following COVID: “We did a lot of work to develop a culture of improvement prior to COVID; we had built a tiered daily huddle system, kaizen system, a lot of problem-solving capability and awareness,” says Lisa. “In my role I realized we need to go back and reinvigorate some of that work, repeat some of that work, redo some of that work,” and re-educate leaders on how to perform their roles.  How an adherence to the lean transformation framework helps to point CI actions to problems that need to be addressed: This starts by asking, “What is the problem we're trying to solve, what's our true value-driven purpose?” notes Lisa.  The importance of developing people: “If we want to make a change in our culture, we have to really think about what behaviors, right behaviors or correct behaviors, we want to drive, but even prior to that thinking about routines,” says Chad. “Do we have the right routines in place that help to establish those behaviors. And to establish those routines you have to build capability in people. You have to give them the knowhow of what good looks like.”  Want to take these ideas further?   Go beyond the page and see lean leadership in action. The Lean Leadership Learning Tour (Nov. 10–13, 2025) takes you inside Toyota, GE Appliances, and Summit Polymers to witness real-world problem-solving, leadership development, and transformation at scale. Bring a colleague, align your vision, and return ready to accelerate change.   Learn more » 

Welcome to the 6th episode of our BTK/ASGBI series!  During this series, BTK fellow Agnes Premkumar and ASGBI hosts Jared Wohlgemut and Gita Lingam will compare and contrast various aspects of surgery between the United States and the United Kingdom, debating who does what better.  In this episode, we delve into surgical training, current challenges, and hopes for the future of surgical training in the US and the UK. We will be discussing the advent of the EPA curriculum in the US, the current challenge of obtaining a speciality position in the UK, and tips for making the resident to attending/junior faculty transition smoothly. Dr. Jeremy Lipman represents the US while Dr. Phil Pearce represents the UK in this thought-provoking conversation. Dr. Lipman is a colorectal surgeon at the Cleveland Clinic and the director of graduate medical education for all training programs at the Cleveland Clinic. Additionally, he is an Associate Dean for Graduate Medical Education and Professor of Surgery at Case Western Reserve University. He is passionate about surgical training and holds the James E. Sampliner Endowed Chair in Surgical Education.  Dr. Phil Pearce is a consultant in emergency general surgery in Oxford with interests in trauma, complex biliary disease, and most importantly a passion for training. Take a listen and let us know what you think- who does surgical education and training better?  References: Speciality training position in the NHS https://www.ft.com/content/e4b364c3-6a20-42ee-a9a5-ab9eea441c87?utm_source=chatgpt.com https://www.theguardian.com/society/2025/jul/02/nhs-in-england-told-to-slash-recruitment-of-overseas-trained-medics?utm_source=chatgpt.com Surgery job market in the US https://surgpli.com/the-state-of-surgery-as-a-career-in-2025/ EPA curriculum https://www.aamc.org/about-us/mission-areas/medical-education/cbme/core-epas 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://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Please join HRS Digital Education Committee Vice-Chair, Tina Baykaner, MD, MPH, of Stanford University, as she is joined by Heart Rhythm Society President Mina K. Chung, MD, FHRS, of the Cleveland Clinic, and Konstantinos C. Siontis, MD, FHRS of the May Clinic. The three met up in Altanta at HRX 2025 for this stimulating coversation. This study evaluated whether artificial intelligence applied to single-lead ambulatory ECGs could predict imminent sustained ventricular arrhythmias. Using deep learning models, the researchers demonstrated that AI could identify subtle ECG features preceding arrhythmic events, enabling accurate short-term risk prediction. The findings suggest a potential role for AI-enhanced ECG monitoring to improve early detection and prevention of life-threatening ventricular arrhythmias. To view bonus video recorded LIVE at HRX 2025 in Atlanta, view this episode on Heart Rhythm 365 or the HRX Innovation Hub! Article Authors Laurent Fiorina ∙ Tanner Carbonati∙ Kumar Narayanan ∙ Jia Li ∙ Christine Henry ∙ Jagmeet Singh ∙ Eloi Marijon Read the Article: https://www.heartrhythmjournal.com/article/S1547-5271(23)02195-1/fulltext Podcast Contributors and Disclosures Tina Baykaner, MD, MPH | Stanford University Mina K. Chung, MD, FHRS | Cleveland Clinic Konstantinos C. Siontis, MD, FHRS | Mayo Clinic All relevant financial relationships have been mitigated. T. Baykaner:   •Honoraria/Speaking/Consulting: Volta Medical, Medtronic, Pacemate, Johnson and Johnson, Abbot Medical, Boston Scientific Research: NIH M. Chung: •Honoraria/Speaking/Consulting: University of Chicago, Cedars Sinai Medical Center, Asia Pacific Heart Rhythm Society, NIH, Baylor College of Medicine, Kansas City Heart Rhythm Symposium, American College of Cardiology, Geisinger Health Systems, ABIM, Academy for Continued Healthcare Learning, MediasphereMedical, Western AF Symposium, University of Minnesota, Stanford University, Canadian Heart Rhythm Society •Research: NIH, American Heart Association •Royalty Income: Elsevier, Wolters Kluver •Officer: American Heart Association K. Siontis: •Research: Anumana, Varian Medical Systems •Intellectual Property Right: Anumana •Speaking/Teaching/Consulting: EBAMedSA, AskBio

Send us a textWhat happens when your body enters perimenopause? Does hormone therapy cause cancer?Dr. Madeline Cohn, who recently joined Cleveland Clinic's Center for Specialized Women's Health as a staff physician, brings clarity to these questions. With expertise in menopause care, sexual health, osteoporosis, and general gynecological concerns, Dr. Cohn tackles six persistent menopause myths that cause unnecessary worry.Dr. Cohn explains how menopause affects sleep, mood, memory, skin, weight distribution, sexual function, and—most importantly—long-term health risks including cardiovascular disease and bone loss.Dr. Cohn's compassionate approach emphasizes individualized care, acknowledging that each woman's experience with menopause is unique. Her most powerful message encourages women to advocate for themselves when symptoms arise and seek providers who take their concerns seriously.To make an appointment with Dr. Cohn, call 216-444-8686. Or if you are looking for a menopause expert in your area, visit menopause.org.Subscribe to our podcast for more expert insights on women's health at every stage of life.Support the show

In this episode, we cover type 1 diabetes and especially insulin delivery systems. Host Aaron Lohr talks with Grazia Aleppo, MD, from Northwestern University’s Feinberg School of Medicine and Diana Isaacs, PharmD, director of education and training in diabetes technology at the Cleveland Clinic. This episode is certified for up to 0.5 AMA PRA Category 1 credits and ABIM MOC points. However, claiming those points requires taking a pre-episode test. Then you must listen to the episode on the Endocrine Society’s Center for Learning website, followed by a post-episode test and evaluation. Please check the show notes for the appropriate link. This episode is supported by educational grants by MannKind Corp. and Insulet Corp. Show notes are available at https://www.endocrine.org/podcast/enp102 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast

Critical care in the United States faces a mounting crisis. With a shortage of board-certified intensivists and younger, less experienced nurses filling ICUs, hospitals often struggle to provide timely, gold-standard care. Studies show that hospitals with board-certified intensivists in their ICUs see a 30% reduction in patient mortality, yet thousands of facilities still lack this vital expertise.So, how can technology close the critical care gap and help hospitals meet these new quality standards while supporting overburdened staff?In this episode of I Don't Care, host Dr. Kevin Stevenson sits down with Dr. Diego Reino, CEO of Intercept Telehealth, to explore how virtual critical care, telestroke, and virtual nursing are transforming hospital operations. The conversation covers how Intercept leverages a fully decentralized model to recruit top intensivists nationwide, integrates ICU bedside data into remote platforms, and provides hospitals with proactive, equitable, and scalable patient care.Key Takeaways:Virtual critical care fills critical staffing gaps: Intercept's decentralized network allows intensivists and nurse practitioners across the country to provide real-time ICU support, even in high-acuity situations.Technology transforms speed and access: Integrated platforms transmit live bedside data, enabling near-instant intensivist response times—averaging 36 seconds compared to the five-minute benchmark.Beyond ICU coverage: Intercept also delivers telestroke, teleneurology, virtual nursing, and telesepsis programs, helping hospitals improve patient safety, meet compliance standards, and support younger, less-experienced nurses.Dr. Diego Reino is a liver and kidney transplant surgeon and the President and CEO of Intercept Telehealth. He trained at UCLA in transplant surgery and began his career at the Cleveland Clinic in Florida. Driven by a commitment to equity in critical care, Dr. Reino founded Intercept to harness technology and provide gold-standard ICU coverage to hospitals nationwide. His leadership continues to expand access to specialized care, from virtual critical care to stroke and sepsis management.

Dr. Hoffman continues his conversation with Martha Carlin, CEO and founder of the Bio Collective.

Martha Carlin, CEO and founder of the Bio Collective, details the significant influence of the microbiome on overall health. Martha discusses her unconventional path from accounting to microbiome research, sparked by her husband's Parkinson's diagnosis. Together, they explore the complex connections between gut health and diseases like Parkinson's, autism, and even Alzheimer's. Martha sheds light on groundbreaking research funded by NIH grants, the potential of machine learning and AI in understanding microbiome patterns, and the future prospects of personalized probiotics. Practical advice on maintaining a healthy microbiome, the impact of diet and exercise, and the intriguing intersections between gut health, neurochemistry, and systemic diseases are highlighted. The discussion also covers challenges in integrating microbiome research into clinical practice and potential future therapies.

 On this week's episode of the ATS Breathe Easy podcast, host Amy Attaway, MD, of the Cleveland Clinic, talks with Reynold Panettieri, MD, from Rutgers University on the BATURA trial, an at-home trial for those with moderate-to-severe asthma which ended early due to its highly successful results. Asthma patient Heather also talks about how the medication tested in the study, known as AIRSUPRA, has helped her manage her asthma better than ever before. The BATURA Trial: https://www.nejm.org/doi/abs/10.1056/NEJMoa2504544 

As anti-inflammatory rescue therapies begin making their way to patients with asthma, new questions about implementation of this life-saving therapy are emerging, prompting more exciting research from scientists and clinicians. In the first part of this mini-series on anti-inflammatory rescue therapies, host Amy Attaway, MD, of Cleveland Clinic, discusses these questions and more with asthma expert Njira Lugogo, MD, of University of Michigan. This episode of the ATS Breathe Easy podcast is supported in part by AstraZeneca. 

In this episode, I sit down with Kevin Stringer from the Trumbull Neighborhood Partnership (TNP) to talk about the incredible work he and his team are doing to improve housing and strengthen our community.We cover a range of important topics, including:

Introduction In this solo episode, Darin dives into a practice that has been both revered and misunderstood across history: the enema. From ancient Egypt and Mayan rituals to Ayurveda and modern biohacking, enemas have long been used as tools for cleansing, hydration, and targeted healing. Darin shares his own two-decade experience with enemas — from parasite cleanses to coffee enemas — and explores the science, history, and red flags you need to know. This is not medical advice, but an invitation to learn from ancient wisdom and consider how these practices might support your own healing journey.     What You'll Learn 00:21 – Why enemas have been used for thousands of years, from Egypt to the Maya 01:33 – Parasite cleansing, hydration, and creating an environment for balance 02:38 – Pharaohs' “shepherds of the king's rectum” and enemas in ancient medical texts 03:20 – Ayurveda protocols for cleansing, oils, and elimination support 04:25 – The Maya's ritual use of enemas, including psychoactive delivery 05:22 – Enemas as lifesaving hydration in medical history (Murphy's Drip) 06:30 – FDA-approved microbiome enemas and rapid constipation relief 07:24 – Parasite cleanses, detox protocols, and Darin's own experiences 08:38 – Why we all live with parasites and how enemas help restore balance 09:19 – Ancient wisdom vs. modern medicine: why we need both 10:19 – Coffee enemas, liver support, detox, and peristalsis stimulation 11:20 – Lights turning back on: Darin's personal benefits from enemas 12:20 – Red flags: who should not do enemas (IBD, bleeding, surgeries, etc.) 13:47 – The importance of fiber, microbiome support, and daily practices 15:21 – Why Darin does two enemas a week and how they “turn the lights back on” 16:32 – Closing reflections: enemas as ancient tools for hydration, cleansing, and microbiome health     Thank You to Our Sponsors: Therasage: Go to www.therasage.com and use code DARIN at checkout for 15% off Our Place: Toxic-free, durable cookware that supports healthy cooking. Use code DARIN for 10% off at fromourplace.com.     Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Website: https://superlife.com Book: Fatal Conveniences     Key Takeaway “From the pharaohs to Ayurveda to modern biohacking, enemas have always been about accessing the body in powerful ways. Used with care and wisdom, they can reawaken ancient practices of cleansing, hydration, and healing.”     Bibliography & Sources Egypt / Antiquity: Hektoen Int'l on the Shepherd of the Rectum; overview of Egyptian proctology terms. Encyclopedia Pub Ayurveda (Basti): Classical reviews and practitioner summaries of Nirūha/Anuvāsana, indications, and protocols. IJRAPCalifornia College of Ayurveda Maya ritual enemas: Carod-Artal review (2015) and De Smet et al. on ritual enemas/psychoactives; museum/archaeological overviews with ceramic scenes. ScienceDirect+1 Rectal rehydration / proctoclysis: Wilderness case report of successful rectal ORS in hemorrhagic shock; historical review of proctoclysis as standard therapy (late 19th–early 20th c.). SAGE JournalsPMC Constipation/impaction patient education: Cleveland Clinic guidance on when/how enemas are used. Cleveland Clinic Parasite obstruction (Ascaris): pediatric surgical series noting hypertonic saline enemas for colonic worm disentanglement; newer case discussions. Lippincott JournalsPMC Microbiome therapy (powerful modern rectal route): FDA approval docs and clinical literature for REBYOTA(enema) and FMT efficacy. U.S. Food and Drug AdministrationCleveland Clinic Journal of Medicine Risks & what to avoid: FDA safety communication on phosphate enemas; case report of coffee-enema proctocolitis; reviews cautioning routine “colon cleansing.” U.S. Food and Drug AdministrationPMC

Hey Heart Buddies. It's been a long while since I last aired an episode. Sorry for that. In this episode, I get into the reason for my absence with the help of my dear dear friend, Melissa Snider. We cover her heart journey as well which includes two valvular issues. We talk medical gaslighting (which I have talked extensively about on this podcast in the past), more about advocating for self, and my amazing experience at Cleveland Clinic so far. Since the recording of this episode, I have experienced more decline, and Cleveland is working hard on my behalf to get me better. The future is unknown. I have the attention of the very best doctors in the world now but the plan is still in flux. "You get to hire and fire your team. And if you're new to this podcast or you're newly diagnosed, I just want to make sure that you are hearing this and will apply it to your own healthcare journey... You should still be honored by your healthcare provider, even if you just have a hangnail." – Boots KnightonBe sure to follow/subscribe to this podcast to get more updates from me and so you won't miss the next season (when I feel up for recording). I'm not done yet! xoJoin the Newsletter for almost weekly content for this podcast and other heart related news.Join the Patreon Community! The Joyful Beat zoom group is where you'll find connection and hope that you aren't alone in your journey.If you just want to support the show as a one-time gift (thank you), go here.**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**How to connect with BootsEmail: Boots@theheartchamberpodcast.comInstagram: @openheartsurgerywithboots or @boots.knightonLinkedIn: linkedin.com/in/boots-knightonBoots KnightonIf you enjoyed this episode, take a minute and share it with someone you know who will find value in it as well.

According to The Cleveland Clinic, around one in four people are affected by bad breath. It's also known as halitosis and bad breath can be a source of embarrassment. It's sometimes caused by consuming certain well-known foods, like garlic, onion, cheese, and coffee for example.  But it can also be a symptom of an underlying health condition, such as pneumonia, gum recession, kidney disease and gastrointestinal disorders. Do bacteria have anything to do with it? How can we avoid bad breath? In under 3 minutes, we answer your questions ! To listen to the latest episodes, click here: ⁠Why do our stomachs rumble?⁠ ⁠Why does hair turn grey?⁠ ⁠What does it mean to be a seenager?⁠ A Bababam Originals podcast written and realised by Joseph Chance. First Broadcast: 21/5/2023 Learn more about your ad choices. Visit megaphone.fm/adchoices

The Effects of Abuse and Neglect on Him: A Police Lieutenant's Fight to Protect Kids. When retired Police Lieutenant Clint Thompson looks back on his career, two stories of child abuse stand out more than any others. They are cases that not only shaped his professional journey but also left a permanent imprint on his personal life. He is the guest on the Law Enforcement Talk Radio Show and Podcast, available for free on their website, on Apple Podcasts, Spotify, and most podcast platforms. “These kids didn't just survive abuse, they carried those scars forever,” Thompson says. “And I carried their stories with me.” The Law Enforcement Talk Radio Show and Podcast promoted across their Facebook , Instagram , LinkedIn , Medium and other social media platforms. As a UHAPD Police Department officer, a United Nations Police Mission (UNMIK) Police Advisor, and serving during Operation Iraqi Freedom, Thompson saw humanity at its worst. He was there when the Alfred P. Murrah Federal Building was bombed in Oklahoma City in 1995, witnessing the devastation of terrorism firsthand. Yet, it was the quieter, hidden tragedies of children brutalized behind closed doors that cut the deepest. Look for supporting stories about this and much more from Law Enforcement Talk Radio Show and Podcast in platforms like Medium , Blogspot and Linkedin . The Cases That Changed Him Thompson recalls one case involving a family of four children who endured unimaginable cruelty. A baby was neglected to the point of starvation. Other children suffered physical and sexual abuse. The Effects of Abuse and Neglect on Him: A Police Lieutenant's Fight to Protect Kids. “What struck me was not only what happened to them, but how they responded, how much resilience kids can have even after being broken down,” Thompson reflects. Available for free on their website and streaming on Apple Podcasts, Spotify, and other podcast platforms. In another case, he watched as a child, removed from a dangerous home, arrived at the hospital filthy, lice-ridden, and wearing clothes so destroyed they had to be incinerated. “Handing that child a teddy bear and clean clothes wasn't just about comfort,” he explains. “It was the first step in telling them, ‘You matter. You're safe now.'” The Reality of Abuse and Neglect According to the Mayo Clinic, child abuse can take many forms: Physical abuse – deliberate injury or risk of harm. Sexual abuse – from contact to non-contact exploitation. Emotional abuse – isolating, belittling, or destroying self-esteem. Medical abuse – falsifying illness to subject a child to harm. Neglect – failing to provide food, shelter, medical care, or love. The Cleveland Clinic calls these “Adverse Childhood Experiences (ACEs),” which can cause lifelong damage to mental and physical health. In 2021 alone, an estimated 600,000 U.S. children were victims of abuse, and 1,820 children died from abuse and neglect. The Effects of Abuse and Neglect on Him: A Police Lieutenant's Fight to Protect Kids. The Law Enforcement Talk Radio Show and Podcast episode is available for free on their website , Apple Podcasts , Spotify and most major podcast platforms. “These numbers aren't statistics to me,” Thompson says. “They're faces. They're names. They're the kids I met.” From Police Work to Advocacy Out of these painful experiences grew 401-Kids Inc., the nonprofit Thompson co-founded and now leads as CEO. The organization's mission is simple yet powerful: fight child abuse through prevention, education, and compassion. “Police officers are often the first to meet these kids in crisis,” Thompson explains. “It's our responsibility not just to enforce the law, but to bring them hope in the moment they need it most.” The Effects of Abuse and Neglect on Him: A Police Lieutenant's Fight to Protect Kids. The full podcast episode is streaming now on Apple Podcasts, Spotify, and across Facebook, Instagram, and LinkedIn. 401-Kids equips children with clean clothes, socks, slippers, and teddy bears when they are taken from abusive homes. For a child who has known only trauma, these small gestures become a turning point in healing. The organization also works with law enforcement, hospitals, and advocacy centers to provide education and training on identifying abuse and sex trafficking. Their vision includes creating safe, faith-based homes where rescued children can recover in an environment of love and stability. Using Media to Help Kids Thompson and his team use every platform possible like the Law Enforcement Talk Radio Show and Podcast Facebook, Instagram, LinkedIn, News outlets, Apple Podcasts, Spotify, and their website, to spread awareness and build support. They dive deep into stories of resilience, the realities of police work, and the ongoing fight to protect the most vulnerable. The Law Enforcement Talk Radio Show and Podcast promoted across their Facebook , Instagram , LinkedIn , Medium and other social media platforms. “Our goal is to make sure no child ever feels forgotten,” Thompson says. “If that means talking about it on social media or podcasts, then we'll do it. We'll tell these stories until change happens.” The Effects of Abuse and Neglect on Him: A Police Lieutenant's Fight to Protect Kids. A Lifelong Commitment The effects of abuse and neglect on him are undeniable. They shaped his view of policing, of service, and of humanity itself. But rather than break him, they pushed him toward a greater mission, one that outlives his time in uniform. “Helping kids is not just what I do,” Thompson says. “It's who I am now. And it's what 401-Kids is all about, help.” You can listen to his interview for Free on The Law Enforcement Talk Radio Show and Podcast Website, Apple Podcasts, Spotify and updates on their Facebook, Instagram, and LinkedIn. Get the latest news articles, without all the bias and spin, from the Law Enforcement Talk Radio Show and Podcast on Medium , which is free. Find a wide variety of great podcasts online at The Podcast Zone Facebook Page , look for the one with the bright green logo. Be sure to check out our website . Be sure to follow us on MeWe , X , Instagram , Facebook, Pinterest, Linkedin and other social media platforms for the latest episodes and news. You can help contribute money to make the Gunrunner Movie . The film that Hollywood won't touch. It is about a now Retired Police Officer that was shot 6 times while investigating Gunrunning. He died 3 times during Medical treatment and was resuscitated. You can join the fight by giving a monetary “gift” to help ensure the making of his film at agunrunnerfilm.com . Background song Hurricane is used with permission from the band Dark Horse Flyer. You can contact John J. “Jay” Wiley by email at Jay@letradio.com , or learn more about him on their website . The Effects of Abuse and Neglect on Him: A Police Lieutenant's Fight to Protect Kids. Attributions 401 Kids Mayo Clinic Cleveland Clinic FBI - Oklahoma City Bombing  

In a world where the word “vaccine” has become both a household term and a lightning rod for debate, it's easy to forget the remarkable impact immunizations have had on public health. In this episode of “The Valley Today,” host Janet Michael sat down with Dr. Jeff Feit, Valley Health's Population and Community Health Officer, to revisit the story of vaccines—past, present, and future. A Legacy of Prevention Dr. Feit, a former family doctor, recalls a time when diseases like measles, mumps, and polio were not just textbook topics, but real threats. “The smallpox vaccine was the original vaccine story,” he explains, noting that the eradication of smallpox stands as one of medicine's greatest triumphs. Since then, vaccines have saved an estimated 150 million children in the last 50 years, with over 93 million lives spared from measles alone. From Commonplace to Rare—and Back Again? For many clinicians today, diseases like measles are so rare that they've never seen a case. “We're lucky now,” Dr. Feit says, “but that luck is the result of decades of widespread vaccination.” He recounts how the introduction of certain vaccines virtually eliminated once-common causes of childhood hospitalization and death. Yet, as vaccination rates dip in some communities, these diseases threaten to return. The Expanding Vaccine Schedule Janet shares her own journey as a parent, navigating an ever-growing list of recommended vaccines. Dr. Feit explains the rationale: while some vaccines prevent common, deadly diseases, others—like the meningitis and HPV vaccines—target rarer but devastating illnesses. “If they're preventable, shouldn't we try to prevent them?” he asks. Dispelling Myths and Building Trust The conversation turns to vaccine hesitancy, fueled in part by misinformation and a breakdown in trust. Dr. Feit addresses the long-debunked myth linking vaccines to autism, emphasizing the importance of relying on credible, research-based sources. “There's just no evidence it's connected,” he says, urging listeners to consult trusted healthcare providers rather than social media. The COVID-19 Effect COVID-19 brought vaccines back into the spotlight, with new technologies and rapid development sparking both hope and skepticism. Dr. Feit acknowledges the challenges but points to overwhelming data: “The more vaccinated, the fewer people died of COVID.” He predicts that future generations will view COVID shots as routine, much like measles vaccines are today. A Call to Community Ultimately, Dr. Feit sees vaccination as an act of community care. “Public health is hard because it forces us to rely on one another,” he reflects. The benefits of vaccines extend beyond individual protection—they safeguard the most vulnerable among us. Where to Turn for Answers For those seeking reliable information, Dr. Feit recommends starting with reputable institutions like the Mayo Clinic or Cleveland Clinic, and—most importantly—building a trusting relationship with a primary care provider. “They know your family history and can help you make informed decisions,” he says. As the episode closes, Janet and Dr. Feit agree: education and open dialogue remain essential. Vaccines have transformed our world, but their story is still being written—one conversation, one community, and one shot at a time.

Weight Loss Drugs and MS: What You Should Know - Episode 189 Weight-loss medications are gaining attention—but how do they fit into life with MS? In this episode, host Dr. Stephanie Buxhoeveden talks with Dr. Alise Carlson from the Cleveland Clinic about how these medications work, their potential benefits and risks for people with MS, and what to consider when it comes to hormones, bone health, and access. You'll walk away with practical insights and questions to bring to your healthcare provider if you're considering medication as part of your weight management journey. Disclaimer: This podcast provides general educational information. Can Do MS does not endorse, promote, or recommend any product or service associated with the content of this program

In the 1970s, New York's LGBTQ Community was gripped by fear; from a string of grisly unsolved killings known as the “Bag Murders,” to the shocking murder of film critic Addison Verrill, and whispers of a Hollywood curse surrounding The Exorcist. At the center of these intersecting stories stands Paul Bateson, a man described as handsome and charismatic, yet linked to both cinema lore and real-life violence. In one of New York City's darkest chapters, fact and fiction collided, spawning an evil that was very much rooted in reality. Connect with us on Social Media!You can find us at:Instagram: @bookofthedeadpodX: @bkofthedeadpodFacebook: The Book of the Dead PodcastTikTok: BookofthedeadpodOr visit our website at www.botdpod.comFeaturing a promo for Rogue Darkness PodcastWelcome to Rogue Darkness! Let's talk about how misinterpretations and misinformation surrounding witchcraft, the occult, and other beliefs have lead many to do unthinkable crimes. From cults and ritualistic killings, to exploration of the macabre and delving deep into the unknown, let's explore the darkness of mankind one crime at a time!Listen hereA pride guide to gay Greenwich Village. (n.d.). https://www.incentravillage.com/a-gay-pride-guide-to-greenwich-villageAddison Harding Verrill Jr. (1941-1977) - Find a. . . (1941a, August 11). https://www.findagrave.com/memorial/22207547/addison_harding-verrillAssociated press. (1979, April 7). Police tie homosexual killings to slaying of Variety film critic. Newsday, 15.Bono, S. (2021, July 2). How the Bag Murders and the Last Call Killer Put in Focus the Dangers the New York LGBTQ+ Community Faces. Inside Edition. https://www.insideedition.com/how-the-bag-murders-and-the-last-call-killer-put-in-focus-the-dangers-the-new-york-lgbtq-communityContreras, C. (2025, January 28). The exorcist cast endured deaths, fires and more mishaps - was the set haunted? SYFY. https://www.syfy.com/syfy-wire/was-the-exorcist-set-really-cursed-and-hauntedGrey, O. (2019, August 19). One Day This City's Gonna Explode: Friedkin's Cruising (1980) on Blu-ray. Unwinnable. https://unwinnable.com/2019/08/19/cruising/Hardwick, C. (2021, October 27). QUEER CRIME: The legend of the serial killer who was in 'The Exorcist' IN Magazine. https://inmagazine.ca/2021/10/queer-crime-the-legend-of-the-serial-killer-who-was-in-the-exorcist/Martin, & Roland. (2023, September 22). The Exorcist | Summary, Cast, Curse, & Facts. Encyclopedia Britannica. https://www.britannica.com/topic/The-Exorcist-film-by-FriedkinMcKennett, H. (2024, February 27). Paul Bateson: the “Mindhunter” murderer who appeared in “The Exorcist.”All That's Interesting. https://allthatsinteresting.com/paul-batesonMiller, M. (2018a, October 25). Searching for the truth about the actual murderer in the exorcist. Esquire. https://www.esquire.com/entertainment/movies/a23724262/paul-bateson-the-exorcist-murderer-true-story/Miller, M. (2018b, October 25). Searching for the truth about the actual murderer in the exorcist. Esquire. https://www.esquire.com/entertainment/movies/a23724262/paul-bateson-the-exorcist-murderer-true-story/Murderer of a Writer Is Implicated in Cases Of Unsolved Slayings. (1979, April 7). The New York Times. https://www.nytimes.com/1979/04/07/archives/murderer-of-a-writer-is-implicated-in-cases-of-unsolved-slayings-he.htmlProfessional, C. C. M. (2024, December 19). Angiogram. Cleveland Clinic. https://my.clevelandclinic.org/health/diagnostics/4977-angiographySUSPECT HELD IN KILLING OF REPORTER FOR VARIETY. (1977, September 24). New York Times. https://www.nytimes.com/1977/09/24/archives/suspect-held-in-killing-of-reporter-for-variety.htmlThe Crooked Timber: A Conversation with William Friedkin. (2012, August 13). MUBI. https://mubi.com/en/notebook/posts/the-crooked-timber-a-conversation-with-william-friedkinThe Exorcist. (1974). Castle of Frankenstein, 22, 30–37. https://archive.org/details/Castle_of_Frankenstein_022_whole_Vol6n2_1974c2cChersUsedRazor-DREGS/page/36/mode/2upThe Village Voice - Google News Archive Search. (n.d.-a). https://news.google.com/newspapers?nid=1299&dat=19771031&id=-QBOAAAAIBAJ&sjid=94sDAAAAIBAJ&pg=6360,2217416The Village Voice - Google News Archive Search. (n.d.-b). https://news.google.com/newspapers?id=AXRhAAAAIBAJ&sjid=OYsDAAAAIBAJ&pg=5662%2C5217392The Village Voice - Google News Archive Search. (n.d.-c). https://news.google.com/newspapers?id=9gBOAAAAIBAJ&sjid=94sDAAAAIBAJ&pg=4659%2C4348Velkova, V. (2024, May 17). Paul Bateson, From “The Exorcist” To A Murderer. Medium. https://medium.com/@victoria.vlkva/paul-bateson-from-the-exorcist-to-a-murderer-cf8fefef34f2Villarreal, D. (2019, September 8). Netflix's ‘Mindhunter' presents the scary, mysterious story of a real-life gay serial killer. LGBTQnation. https://www.lgbtqnation.com/2019/09/netflixs-mindhunter-presents-scary-mysterious-story-real-life-gay-serial-killer/If you enjoyed the episode, consider leaving a review or rating! It helps more than you know! If you have a case suggestion, or want attention brought to a loved one's case, email me at bookofthedeadpod@gmail.com with Case Suggestion in the subject line.Stay safe, stay curious, and stay vigilant.

In this profound conversation, Dr. Amna Shabbir who is an internist, geriatrician, and life coach, shares her journey through medicine's highs and lows, revealing how self-awareness and resilience can transform burnout into purpose. From her early days in Pakistan's rigorous medical training to navigating health challenges during residency at the Cleveland Clinic, Dr. Shabbir emphasizes the power of empathetic leadership. She reflects on a pivotal moment when her program director prioritized her well-being over work demands, teaching her that self-care isn't selfish. It's essential for sustainable caregiving. The discussion then shifts to her passion for geriatrics, where she finds spiritual fulfillment in honoring older adults' wisdom and advocating for systemic change in their care. Dr. Shabbir also opens up about her transition into coaching, offering physicians tools for self-advocacy, boundary-setting, and redefining success. Woven throughout are her “prescriptions for success,” including powerful quotes on facing reality, embracing imperfection, and taking leaps of faith. This episode is a must-listen for healthcare professionals seeking to reclaim joy in their work and anyone needing a reminder that growth begins when we stop sacrificing ourselves on the altar of achievement.   -+=-+=-+=-+= Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe   Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- There's more at https://mymdcoaches.com/podcast Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com

Legendary radio broadcaster Mike Opelka sits in on the Dawn Stensland Show today. Opelka and producer Dan offer up some of the biggest breaking news stories both inside and outside the realm of politics. Also, Opelka welcomes some of his friends onto the show, including Michael Roizen, chief wellness officer at the Cleveland Clinic, and famed actor Nick Searcy, known for FX's Justified, to hear about his new book, 'Justify This: A Career Without Compromise.'

  The dangers of Electro-Magnetic Fields — or “EMFs” — are now widely recognized as a serious 21st century health threat by the American Academy of Pediatrics, Consumer Reports, The Cleveland Clinic and independent researchers from Harvard, Columbia and Yale.In 2015, more than 190 independent scientists from 39 countries even got together to warn the public that “EMFs are potentially harmful to all life.” All around the world, these countries are taking action to protect their citizens (especially children) against these abusive levels of EMF pollution.The French, German and Spanish governments have even issued recommendations to ban WiFi from schools because of the developmental problems it could potentially cause in children.This might be because German research dating back from 2004 had found that just 24 hours of EMF exposure can induce more DNA damage than 1,600 chest x-rays.If you live in a nation that isn't all that concerned about your safety, how can you protect yourself?Nicolas Pineault, author of The Non-Tinfoil Guide to EMFs, joins Dr. Friedman to share easy and cheap solutions to reduce dangerous EMF exposure by 95 percent... none of which include living off the grid without electricity or shredding your phone to pieces.

Dr. Carrie Hersh takes us deeper into our exploration of burnout, it's causes, and prevention. She shares her very personal story of how she recovered from this trying experience. Dr. Hersh is a fierce advocate for wellness. She directs the Cleveland Clinic's MS Health and Wellness and Professional Engagement programs. She is Associate Program Director of the MS and Neuroimmunology Fellowship.

New data from the Centers for Disease Control and Prevention found Americans consume more than half of their calories from ultra-processed food. Cleveland Clinic dietitian Julia Zumpano explains the health implications.And, President Trump's new round of tariffs took effect Thursday, with more on the way. MSNBC's Ali Velshi unpacks what this means for global trade.Then, a new alert system in Arizona, called Turquoise Alerts, works to address a crisis of missing and murdered Indigenous people in the state. KJZZ's Gabriel Pietrorazio shares what this means for tribal communities.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Amber Spradlin, Aliza Sherman, & Amy Hooper  ////// UpdatesPart 1 of 1  www.TrueCrimeGarage.comThis week from the Garage, we are very happy to be bringing to you major updates in three cases that we have covered. 38 year old Amber Spradlin was killed at an after work party sometime in the night of June 18, 2023. True Crime Garage covered this case in July of 2023 with episode #687. Since, arrests have been made and trial dates have been set. In 2013 Cleveland Clinic nurse Aliza Sherman was killed in downtown Cleveland in broad daylight. Back in December of 2017 we covered his “stranger than fiction” true crime story in a four part series. These were episodes #167 to #170. As we predicted Aliza Sherman's divorce attorney Gregory Moore was arrested and charged with her murder. In March of 1992, Amy Hooper was murdered in her Lincoln Village apartment on the westside of Columbus, Ohio. In December of 2025 Bruce Daniels was arrested for this homicide in Washington state. We are keeping a close eye on this one as it inches closer to the murder trial.  Original True Crime Garage coverage: Aliza Sherman - December 2017 - Episodes 167 to 170Amy Hooper - April 2019 - Episodes 294 & 295 Amber Spradlin - July 2023 - Episode 687All are available on this feed - listen for FREE Beer of the Week - Mothman Double Imperial New England Style IPA from Ogopogo BrewingGarage Grade - 4 out of 5 bottle caps  More True Crime Garage can be found on Patreon and Apple subscriptions with our show - Off The Record.  Catch dozens of episodes of Off The Record plus a couple of Bonus episodes and our first 50 when you sign up today.  True Crime Garage merchandise is available on our website's store page.  Plus get True Crime Garage Pod art that you can post on your socials on our Media page.  Follow the show on X and Insta @TrueCrimeGarage / Follow Nic on X @TCGNIC / Follow The Captain on X @TCGCaptain  Thanks for listening and thanks for telling a friend.  Be good, be kind, and don't litter!