Podcasts about cleveland clinic foundation

In today's episode of the Legal Nurse Podcast, we delve into the life-saving world of cardiac stents with expert cardiologist Joshua Willis. Discover the evolution of stents, from their inception to their transformative role in treating heart disease. Joshua shares insights into the critical procedures that follow stent insertion and navigates the complexities of balancing patient care with available resources. You'll discover how these medical advancements have changed lives and the collaborative decision-making involved in this vital field. Tune in and explore the fascinating journey of cardiac care! Heart Procedures: Cardiac Stents and Beyond Addresses these Questions: Join us for this episode, during which we discuss these questions. How did the concept of cardiac stents develop, and who was a key figure in their development? What are the differences between bare metal stents and drug-eluting stents, and how do they function in preventing coronary artery blockages? What are the typical medications used post-stent insertion to prevent clot formation, and why are they crucial? How does the radial approach differ from the femoral approach in cardiac procedures, and why has it become more favored? What role does shared governance play in deciding between stent insertion and coronary artery bypass surgery for a patient? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Are you finding it tough to Grow Your LNC Business? You are not alone! Join us for the 12th LNC SUCCESS® 3-DAY ONLINE CONFERENCE on November 13, 14, & 15, 2025! It's a chance to learn how to overcome common challenges and gain the skills you need to succeed in legal nurse consulting. Connect with industry experts who will share practical strategies for standing out, building strong relationships with attorneys, and effectively presenting your value. No matter your experience level, this conference will empower you to discover fresh opportunities and advance your business. What to Expect Expert-Led Sessions: Engage with sessions led by top industry professionals. Interactive Workshops: Participate in hands-on workshops designed to enhance your consulting skills. Networking Opportunities: Build lasting connections with peers and potential clients. Resource Materials: Receive exclusive materials that will support your ongoing professional development. Don't miss this chance to make a real impact on your business. Register Today Secure your spot at the 12th LNC SUCCESS® 3-DAY ONLINE CONFERENCE on November 13, 14, & 15, 2025, and take your first step toward becoming a leading legal nurse consultant! We look forward to welcoming you to this pivotal event in February 2025! Your Presenter for Heart Procedures: Cardiac Stents and Beyond Joshua M Willis, MD Dr. Willis completed a cardiology fellowship at the Cleveland Clinic Foundation (2007-2010) and an Interventional Cardiology fellowship at the University of Florida (2010-2011).       In 2011, he took a private cardiology practice job in Chattanooga, Tennessee, splitting his time between hospital-based procedures (cardiac catheterizations, percutaneous coronary interventions, Swan Ganz catheterization for invasive hemodynamic measurements, Impella device placement etc.) and clinic duties, and seeing approximately 24-26 patients per full clinic day. His job responsibilities at Wellstar include three days in the hospital, providing Interventional and General Cardiology coverage and 1.5 days in clinic seeing outpatients, total of 35-40 outpatient visits per week. Connect with Joshua M Willis, MD by email at cardioexpertwitness@gmail.com,

Check out Dr. Mina's top picks for skin care here. In this week's episode, Dr. Mary Alice Mina and Dr. Shilpi Khetarpal discuss the intricacies of Platelet Rich Plasma (PRP) therapy, its applications in hair restoration, and the importance of a comprehensive treatment approach. Dr. Khetarpal explains the process of PRP, its effectiveness for various types of hair loss, and the significance of combining it with other treatments. The discussion also touches on the future of regenerative medicine, including the role of stem cells and exosomes, and emphasizes the need for patients to commit to ongoing care for optimal results.   Key Takeaways: - PRP is derived from the patient's own blood and contains growth factors. - Injecting PRP into the scalp is the most effective method for hair restoration. - A series of PRP treatments is recommended for best results. - Hydration and overall health can influence the effectiveness of PRP. - PRP is safe and has a growing body of literature supporting its use. - Combining PRP with other treatments like minoxidil enhances results. - Exosomes and stem cells represent the future of regenerative medicine. - Patients should be aware of the commitment required for PRP treatments. - PRP can be used for areas beyond the scalp, such as eyebrows and beards. - Choosing a reputable provider is crucial for safe PRP treatment.   Shilpi Khetarpal, MD is an ASDS fellowship-trained, board-certified dermatologist who is an associate professor in dermatology and the Director of Lasers & Cosmetic Dermatology at Cleveland Clinic. She did her dermatology residency at the Cleveland Clinic Foundation and an ASDS cosmetic fellowship at SkinCare Physicians in Chestnut Hill, MA. She has presented at both local and national professional meetings and has authored numerous book chapters in dermatologic textbooks and published many articles in peer-reviewed journals. She is actively involved in numerous organizations including the Women's Dermatologic Society, American Academy of Dermatology, American Society for Dermatologic Surgeons, Ohio Dermatological Association, and American Society for Laser Medicine and Surgery.    She has been performing platelet rich plasma (PRP) for hair restoration and skin rejuvenation since 2016 and has performed over 2,000 procedures. Dr. Khetarpal has presented at both local and national professional meetings on PRP and microneedling and published a book in 2022 entitled An Aesthetic Clinician's Guide to Platelet Rich Plasma.  Follow Dr. Khetarpal here: https://www.instagram.com/skindocsk?igsh=MTF3OTR0YmR2eGcyaQ==   Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

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

Title: Motion Preservation vs. Fusion Guest Faculty: Michael Steinmetz, MD Hosts: Brian Gantwerker, MD and Christopher Newman, MD In this CNS Controversies podcast, we discuss the options of motion preservation surgery. We engage with Dr. Michael Steinmetz, Professor and endowed Chairman of the Department of Neurological Surgery at the Cleveland Clinic Foundation, about his experiences and thoughts on fusion alternatives.

Dr. Ana-Maria Temple, MD, is an integrative pediatrician known for her whole child approach to children's health. She studied medicine at the University of North Carolina at Chapel Hill School of Medicine before pursuing pediatric residency training at Penn State Milton S. Hershey Medical Center. In 2017, Dr. Temple further specialized by completing a fellowship in Functional Medicine at the Cleveland Clinic Foundation. She combines conventional medicine with functional and lifestyle-based strategies to address common childhood conditions such as eczema, asthma, and allergies. Dr. Temple has a particular focus on helping families reduce dependence on medications by making sustainable health and wellness changes. With decades of clinical experience, Dr. Temple has been a vocal advocate for preventive care, emphasizing nutrition, environmental changes, and integrative treatments. She is the author of the two bestselling books Healthy Kids in an Unhealthy World and Ending the Eczema Epidemic. Additionally, Dr. Temple is a sought-after speaker and podcast guest, sharing her expertise on holistic pediatric care through various platforms. Today, we focus on her approach to eczema and children's health. Enjoy, Dr. M

In this insightful episode of empowEAR Audiology,  I am joined by two experts in vestibular and balance care. Dr. Julie Honaker and Dr. Violette Lavender shed light on the complexities of vestibular disorders in children and adults. Representing care across the lifespan, they discuss the impact of these conditions on daily life, advancements in diagnosis and treatment, and the vital role audiologists play in managing balance and hearing health.   Dr. Honaker is the Director of the Vestibular and Balance Disorders Program within the Head and Neck Institute at Cleveland Clinic Foundation. She specializes in assessing and managing dizziness, imbalance, and fall risks while advancing clinical research focused on fall prevention across the lifespan. Dr. Violette Lavender is at Cincinnati Children's Hospital, a pediatric audiologist specializing in hearing and balance disorders. She is passionate about making vestibular testing accessible to young children and advancing research in pediatric balance assessment.  Whether you're an audiologist, a healthcare professional, or someone curious about vestibular health, this episode provides valuable takeaways for understanding and addressing these often-overlooked conditions. Don't miss this opportunity to deepen your understanding of vestibular health and how it impacts people of all ages. Subscribe, rate, and review to stay updated on future episodes!

This Podcast offers a pathway to continuing education via this CMEfy link: https://earnc.me/fkj138 Joseph Alhadeff, MD, MMM is an orthopedic surgeon and medical executive working at OSS Health in South Central Pennsylvania. He graduated from Harvard University and then pursued a medical degree from Rutgers New Jersey Medical School, followed by an orthopaedic surgical residency at the Cleveland Clinic Foundation. During his clinical training he had the opportunity to spend some time working at a clinic at a ski resort in Vermont, and spending a few months at the Nuffield Orthopaedic Centre in Oxford, England. In addition to a full-time clinical practice as an orthopaedic surgeon, Dr. Alhadeff has also worked in many administrative and leadership roles in hospitals and health systems over the years, serving as department chair, executive board member, Finance Committee Chair, President of the Medical staff, and President and CEO of OSS Health.  He completed a Masters in Medical Management, MMM, at Carnegie Mellon University and completed additional healthcare leadership training with the Harvard Business Schools Executive Education programs and the American Association of Physician Leadership, AAPL. He has worked in orthopaedic practices based in Roanoke, VA and York, PA. He is currently the President of the PHA – Physician Led Healthcare for America, an organization dedicated to promoting the interests of physician-led or owned healthcare ventures, hospitals, Ambulatory Surgical Center's and office-based surgical entities. Dr. Alhadeff is a firm believer that the American healthcare system can evolve to be better.  We have to do a better job of taking care of both the health of our patients and our care providers. It is possible to provide excellent clinical care, in a cost-effective manner while maintaining high levels of patient satisfaction and low rates of physician burnout. His clinical practice includes a broad spectrum of musculoskeletal injuries and ailments. He primarily treats disorders of the shoulder, hip and knee while also treating some elbow, wrist, hand and ankle disorders. He works with an awesome clinical team in the office, the operating rooms and the hospital. When not working, Dr. Alhadeff enjoys spending time with his family, reading, listening to music, playing strategy games, puzzles, cycling, skiing, and spending time relaxing at the beach.   -=+=-=+=-=+= Are you a doctor struggling to provide the best care for your patients while dealing with financial and caregiving matters out of the scope of your practice? Do you find yourself scrambling to keep up with the latest resources and wish there was an easier way? Finally, our Virtual Health and Financial Conference for Caregivers is here! This conference helps you and your patients enlist the best strategies around health care resources and the best financial steps for your patients to take while navigating care. You don't have to go home feeling frustrated and helpless because you couldn't connect your patients with the best services. In just 90 minutes, our VIP Live Roundtable will answer your questions and be the lifeline that helps your patients put together an effective caregiving plan. Find out more at Jeanniedougherty.com and click on Conference for Caregivers VIP. -+=-+=-+=-+= 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    

We are thrilled to partner with Laborie to bring you this episode of the Prostate Health Podcast. In Episode 91, we introduced the Optilume® procedure, a cutting-edge new solution for an enlarged prostate, or BPH, that requires no heating, cutting, or permanent implantation. Today, we bring you the story of how Dr. Sijo Parekattil, a leading urologist specializing in cutting-edge treatments for men with BPH, was approached by Vinit, his closest friend, who was struggling with the effects of an enlarged prostate.  Dr. Sijo Parekattil is the Director of Avant Concierge Urology in Winter Garden, Florida, and an Associate Professor of Urology at the University of Central Florida. He was an electrical engineer before undergoing his medical training, and he was fascinated by surgical techniques incorporating technology, robotics, and microsurgery.  Dr. Parekattil completed his urology residency training at Albany Medical Center and dual fellowship training in laparoscopy, robotic surgery, microsurgery, and male infertility at the Cleveland Clinic Foundation in Cleveland. He is among the elite urologists in the United States still positioned at the forefront of new technology, particularly for managing benign prostate enlargement.  We are delighted to have Dr. Parekattil and his close friend, Vinit, joining us on the podcast today and have Vinit share his prostate journey with our listeners. Stay tuned to learn about his experience undergoing the innovative new Optilume® BPH procedure. Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation. Show Highlights: Vinit explains the symptoms he experienced that began to affect his quality of life Dr. Parekattil discusses the tests he performed to obtain more information about Vinit 's condition Vinit shares his experience of the initial testing How they selected a treatment option for Vinit  What is Optilume® BPH, and how does it work? How Vinit ended up becoming Dr. Parekattil's first Optilume®BPH patient Vinit shares his experience with the Optilume® BPH procedure  Vinit describes his recovery after the Optilume® BPH procedure Vinit explains how his prostate journey began Links:  Follow Dr. Pohlman on Twitter and Instagram - @gpohlmanmd  Get your free What To Expect Guide (or find the link on our podcast website)   Join our Facebook group  Follow Dr. Pohlman on Twitter and Instagram  Go to the Prostate Health Academy to sign up.  You can access Dr. Pohlman's free mini webinar, where he discusses his top three tips to promote men's prostate health, longevity, and quality of life here. Laborie ​​Optilume® BPH  Avant Concierge Urology Dr. Sijo J. Parekattil  

Our guest this week is a key player in two important research and policy initiatives. First, she led the Army Comprehensive Body Composition (ACBC) study that led to the recent updates to body composition policy. Second, she leads the Female Elite Warfighter (FEW) research initiative which focuses on identifying the characteristics that make women successful in elite combat training courses. We discuss both of these ongoing efforts in this conversation. Holly McClung is a Nutritional Physiologist for the Military Performance Division at the United States Army Research Institute of Environmental Medicine (USARIEM) in Natick, MA. She earned her Master of Science Degree in Nutritional Biochemistry from the University of New Hampshire and obtained her certification as a Registered Dietitian through course work at Cornell University and the Cleveland Clinic Foundation. Holly is dual-trained in nutrition and exercise physiology, holding certifications as a Certified Specialist in Sports Dietetics and Certified Exercise Physiologist. On the Military Performance Team Holly functions as a principal investigator leading work in the female Warfighter and special populations workspace. Her work group is focused on designing and implementing research to quantify and model individualized energy and nutritional needs of modern Warfighters. She led the Army's modern body composition study, and her research supports the 2023 updates to the Army Body Composition Policy (AR 600-9). Holly has published more than 45 peer-reviewed publications and holds two patents on a mobile metabolic sensor system intended for personal use. Most recently her attention has been on characterizing the physiological, metabolic, and cognitive profile of elite Warfighters going through the modern Ranger Training Course to determinewhether differences exist between sexes. She also has some really interesting forthcoming research based on the Army body composition study pending publication that we'll keep you guys posted on. And most importantly, she's a member of Leg Tuck Nation. A selection of her publications: "Development and cross-validation of a circumference-based predictive equation to estimate body fat in an active population" "The Rise of the Female Warfighter: Physiology, Performance, and Future Directions" "Physiology of Health and Performance: Enabling Success of Women in Combat Arms Roles" "Physical and Physiological Characterization of Female Elite Warfighters" "Psychological and Sociological Profile of Women Who Have Completed Elite Military Combat Training"

This week, we're thrilled to have the esteemed Dr. Jessica Kado, a board-certified dermatologist and fellowship-trained Mohs surgeon, join us. With over 17 years of diverse experience in dermatology, Dr. Kado has an impressive background, including her surgical training at the Cleveland Clinic Foundation and her tenure as Chief Resident at Wayne State University School of Medicine.In this episode, we delve into the hot-button issues surrounding skincare and dermatology. Dr. Kado tackles the growing debate over the safety and efficacy of sunscreens, especially concerning ingredients like oxybenzone. She shares her professional stance and how she addresses patient concerns about these products.We also explore the impact of influencers and marketing in the beauty industry. Dr. Kado offers invaluable advice on distinguishing between genuinely effective skincare products and those that are simply well-promoted. She highlights overrated trends and recommends standout natural products with fewer harmful chemicals.Additionally, Dr. Kado provides her expert insights on the effectiveness and science behind popular skincare ingredients like hyaluronic acid. She discusses holistic and natural approaches to anti-aging, including facial exercises, acupuncture, and light therapy.Understanding the vital link between diet and skin health, Dr. Kado shares her dietary recommendations for maintaining youthful, glowing skin. She also gives practical tips for dealing with aging and dry skin without relying heavily on lotions.Join us for a thought-provoking conversation that blends medical expertise with practical skincare advice, aiming to empower you to make informed decisions about your skin health.Tune in to the Crackin Backs Podcast with Dr. Jessica Kado and uncover the secrets to radiant, healthy skin!Guardian Grains: https://www.guardiangrains.com/?ref=crackinbackspodcastWe are two sports chiropractors, seeking knowledge from some of the best resources in the world of health. From our perspective, health is more than just “Crackin Backs” but a deep dive into physical, mental, and nutritional well-being philosophies. Join us as we talk to some of the greatest minds and discover some of the most incredible gems you can use to maintain a higher level of health. Crackin Backs Podcast

In this episode of the Business Chop Podcast, host Audrey "Tech Diva" Wiggins sits down with Helen and Alvin Copeland, two dynamic entrepreneurs and co-authors of the book “On Your Mark. Reset. Go!”. Helen, known as the "Maven of Mentoring,” has a rich background in management and public relations, having founded the Copeland Communications Group after a successful career at the Cleveland Clinic Foundation. Alvin, her husband and business partner brings his own set of expertise to the table as Business Development Specialist of Copeland Communications Group, making them a formidable duo in the entrepreneurial space.Alvin Copeland is a speaker, trainer, auditor, and presenter. Prior to CCG, he held positions that included operations manager, plant manager, quality management representative, purchasing manager, and human resource manager. Alvin is a very effective trainer and presenter of complex concepts in a very practical, energetic, and entertaining way. The result has been noteworthy and has often delighted his classroom participants. A graduate of the United Electronics Institute, he also attended the University of Akron and Cuyahoga Community College.Together, they share their inspiring journey from the early days of their careers to becoming successful business owners and authors. Listen in as they discuss the challenges they've overcome, the lessons they've learned, and the advice they have for aspiring entrepreneurs. Whether you're just starting out or looking to take your business to the next level, this episode is packed with valuable insights and actionable tips that you won't want to miss.Catch up with the Copelands and get their new book on their website!OnYourMarkResetGo.com Moving Beyond Regrets to Pursue Your Entrepreneurial DreamsSend us a Text Message. Buzzsprout - Let's get your podcast launched!Start for FREEDesignrr for eBooks, BlogsCreate eBooks, Blogs, Lead Magnets and more! Riverside.fm Your Own Virtual StudioProfessional Virtual StudioAltogether Domains, Hosting and MoreBringing your business online - domain names, web design, branded email, security, hosting and more.Digital Business CardsLet's speed up your follow up. Get a digital business card.Small Business Legal ServicesYour Small Business Legal Plan can help with any business legal matter.Get Quality Podcast Guests NowKeep your podcast schedule filled with quality guests from PodMatch.Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the Show.Please Rate & ReviewVisit Our Parent Company Altogether Marketing LLC

Bios Matthew S. Keene, MD (Director) Dr. Keene is a physician, entrepreneur, and business leader. Dr. Keene attended Georgetown University School of Medicine on a full military scholarship and graduated with multiple honors. He received his residency training at the prestigious Cleveland Clinic Foundation. Upon completing his residency, Dr. Keene served as a Major in the United States Air Force. After serving his country, Dr. Keene Co-founded the Scottsdale Center for the Advancement of Neuroscience (S.C.A.N.), an internationally recognized "Center of Neuroscience Excellence." The success of S.C.A.N. caught the attention of several Fortune 500 healthcare companies, including Medco Health Solutions (NYSE: MHS). He joined Medco and served as Vice President in order to create and direct their Neuroscience Therapeutic Resource Center, developing programs that brought value to the company while improving the lives of 10 million patients. In addition to his work as a physician and leader in professional education/clinical program development, Dr. Keene's corporate experiences and entrepreneurial spirit have afforded him the opportunity to manage and invest in several real estate/business developments. He owns/manages multiple investments nationwide, encompassing farming, fuel storage, healthcare, retail, and multifamily projects. Dr. Keene is the author of the award-winning book Chocolate is My Kryptonite: Feeding Your Feelings / How to Survive the Forces of Food. He served as a consultant to The Oprah Winfrey Show, America Talks Health, Wall Street, and several national periodicals. He currently directs one of Arizona's premiere outpatient chemical dependency treatment programs and serves as a consultant to multiple pharmaceutical companies as well as The Arizona Medical Board David A. Stone, PhD Dr. Stone is an entrepreneur, sales leader, and psychologist. Dr. Stone received his doctorate from Michigan State University with an emphasis in neuropsychology.  He received his residency training at Wright Patterson Air Force Base.  Upon completion of his residency, Dr. Stone served as a Captain in the United States Air Force. Dr. Stone had earlier received his master's degree in counseling psychology during which time he co-authored two research studies on personality assessment. After serving his country, Dr. Stone pivoted into professional sales. He spent the next 20 years in a variety of roles in business-to-business technology sales.  Most of Dr. Stone's time was spent with Convergint culminating in his promotion to Sales Director for the Seattle branch. He had leadership responsibility for 13 colleagues and $50,000,000 in yearly revenue.  Dr. Stone's team repeatedly exceeded sales goals and in 2018 was named the Convergint global branch of the year.  Dr. Stone completed his tenure with Convergint by serving as the Program Manager for the Convergint Development Program.  In this role, Dr. Stone recruited, on-boarded, trained, and coached over 100 new sales and operations colleagues. During Covid, Dr. Stone discovered an interest in creating games to lessen the isolation people were feeling during that time. In 2021 Dr. Stone formed Doozy Games and began self-publishing games.  His first game, Doozy Dice, is an award-winning game of strategy and chance.  Dr. Stone is in the process of bringing 3 more games to market to include Boozy Dice, Kadoozy, and Think Like a Shrink.  Dr, Stone has been nominated for the MoJo Nation Top 100 which is a list of the 100 most influential figures currently working in the world of toys and games. Sign up for 10% off of Shrink Rap Radio CE credits at the Zur Institute

Everyone is concerned about cardiac health. The reason being it is impacted by many other functions in the body, so we are always striving to be healthier to make our heart healthier. In this episode, we speak to Dr. Kenneth Varian, cardiologist about many topics, diabetes, ozempic, cholesterol. We had so many questions that we are already planning for another episode. Dr. Varian is an Advanced Heart Failure Cardiologist in Akron OH.  He studies at Ohio State for medical school and completed his PhD at Brigham and Women's Hospital in Boston for Internal Medicine Residency, and Cleveland Clinic Foundation for Cardiology fellowship and Advanced Heart Failure and Transplant Cardiology fellowship.  He has been practicing at Summa in Akron, Ohio since 2018.  

Trigger warning! This episode is about genital mutilation, female (and male) and circumcision, healing after physiological trauma in and around the genitals, and most importantly how to repair sexual function. Repeat guests and sexual health specialists Dr. Castillo and Remy Paille, NP teach us about the modern day medical technology and tools that can help just about anyone reclaim their pleasure. About our guests: Dr. Castillo is a Fellowship-trained Female Pelvic Medicine specialist. As founder and director of Swan Medical Intimate Wellness in Los Gatos, CA, he is dedicated to improving common quality of life conditions that affect millions of women. Dr Castillo completed his OB/GYN residency at St Barnabas Medical Center in NJ then went on to complete a three year Fellowship in Reconstructive Pelvic Surgery and Female Pelvic Medicine at the Cleveland Clinic Foundation. After 5 years of clinical practice at Kaiser Permanente where his duties involved overseeing resident research and education and teaching medical students as Assistant Clinical Professor of Stanford University, Dr Castillo created the first private Intimate Wellness Center in the San Francisco Bay Area. Dr Castillo is actively involved in clinical research and is on several women's health advisory boards to help shape new emerging therapies and advanced treatment protocols that address commonly experienced conditions that occur as a consequence of childbirth, aging, and menopause that impact intimacy and quality of life. Dr Castillo aims to optimize health through root-cause treatments for the common symptoms associated with aging. He is committed to empowering women to embrace their vitality and erase the stigma of Female Sexual Health through educational events, seminars and compassionate care. Remy Paille is an Adult Gerontology Nurse Practitioner working alongside Dr. Castillo at Swan Medical Intimate Wellness in Los Gatos. Remy has years of experience working as a Primary Care Provider (PCP) as well as in acute care and integrative therapy related environments, and has a deep passion for Functional Medicine, as well as pelvic health and intimate wellness. To learn more visit swanmd.com Join us April 24th-29th, 2024 for The Shameless Sex Retreat: Unleash Your Shameless Self - in Tulum! Spaces are limited to reserve your spot ASAP here Do you love us? Do you REALLY love us? Then order our book now! Go to shamelesssex.com to snag your copy Support Shameless Sex by sending us gifts via our Amazon Wish List Sign up for the Pleasure Attitudes 4-week course here Other links: Get 10% off + free shipping with code SHAMELESS10 on Uberlube AKA our favorite lubricant at http://uberlube.com Get 10% off while mastering the art of pleasure at  http://OMGyes.com/shameless Get 20% off Shameless Sex Fav's with code SHAMELESSLOVE24 or 15% off all other sex toys with code SHAMELESSSEX at http://purepleasureshop.com

Peter F. Aziz, MD, FHRS, CEPS-P, of Cleveland Clinic Foundation, is joined by David Bradley, MD, FHRS, CEPS-P, of the University of Michigan and Henry Chubb, MA, MBBS, PhD, FHRS, CEPS-P of Stanford University, to discuss why the current guidelines do not support the use of MRIs in patients with epicardial or abandoned leads 2021 PACES guidelines, provide a 2b recommendation for MRIs in patients with abandoned, epicardial, or fractured leads. https://www.hrsonline.org/education/TheLead https://www.heartrhythmjournal.com/article/S1547-5271(23)02668-1/fulltext Host Disclosure(s): P. Aziz: No relevant financial relationships with ineligible companies to disclose.  Contributor Disclosure(s): D. Bradley: No relevant financial relationships with ineligible companies to disclose.  H. Chubb: No relevant financial relationships with ineligible companies to disclose.   “This episode has .25 ACE credits associated with it. If you want credit for listening to this episode, please visit the episode page on HRS365 https://www.heartrhythm365.org/URL/TheLeadEpisode47.

In today's episode, I sit down with Dr. Peter Bonutti to talk about the ways in which technologies are revolutionizing our understanding of the brain, and how they may be used to treat crippling brain disorders such as stroke and seizures. Dr. Peter Bonutti, M.D. is a surgeon, inventor, author, professor, consultant, and entrepreneur. He is the founder of Bonutti Research, a medical device incubator that has developed products and technology used around the world. He maintains his clinical and surgical practice, focusing on the integration of robotics into surgical procedures. He is the founder and president of Releave, a company whose technology has already been clinically proven in more than 700 patients for the treatment of a brain related disorder. Realeve's ultimate goal is to solve one of the critical remaining barriers in brain health: the ability to bypass the brain's natural barrier preventing the delivery of effective drugs for stroke, cancer treatment, and other degenerative orders. Dr. Bonutti is a pioneer in Minimally Invasive Surgery, has over 500 patents and applications, more than 700 licenses and multiple FDA-approved products to date. Major corporations leveraging his technology include Hitachi, Kyphon, Covidien, US Surgical, Biomet, Arthrocare, Synthes, Zimmer/Biomet and Stryker. He is a prolific speaker, lecturing internationally, and has trained over 100 surgeons on his surgical techniques. In his career, Dr. Bonutti has received more than a dozen industry honors and awards for his achievements. Dr. Bonutti earned his medical degree at University of Cincinnati College of Medicine and completed his Orthopaedic Surgery Residency at Cleveland Clinic Foundation with international fellowships in Canada, Australia, and Austria.

The therapeutic landscape of advanced urothelial cancer has undergone a significant transformation in recent years with the addition of PD-1/PD-L1 targeting immune checkpoint inhibitors and novel antibody-drug conjugates to the treatment armamentarium. In this Clinical Insights on the Treatment Algorithm in Unresectable Locally Advanced or Metastatic Urothelial Cancer, experts in the field will discuss the latest evidence supporting the use of these therapies in clinical practice, including patient selection for cisplatin/carboplatin eligible and platinum ineligible and optimal treatment strategy in the first-line setting, sequencing of treatments and the management of treatment-related adverse events. An improved understanding of the role and application of immunotherapy, chemotherapy, antibody-drug conjugates (ADC) and targeted treatments to routine patient care will facilitate optimal management of patients with urothelial cancer.During this Expert Interview, we will be discussing the first-line treatment decision-making: How to define the patients of cisplatin eligible, carboplatin eligible and platinum ineligible?  We are joined today by a leading expert in urothelial cancer, Dr Shilpa Gupta from the Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, USA. 

Peter Aziz from Cleveland Clinic Foundation is joined by guests Maully J Shah, MBBS, FACC, FHRS, CCDS, CEPS, Director of pediatric EP at CHOP, and Professor of Pediatrics at the Perelman School of Medicine at University of Pennsylvania; Johannes von Alvensleben, MD., Director of Adult Congenital Arrhythmia Services at Children's Hospital Colorado to discuss Implantable Subcutaneous Cardioverter-Defibrillators in Patients with Congenital Heart Disease. https://www.hrsonline.org/education/TheLead https://www.jacc.org/doi/10.1016/j.jacc.2023.05.057 Host Disclosure(s): P. Aziz: No relevant financial relationships with ineligible companies to disclose. Contributor Disclosure(s): M. Shah: Board Membership: Journal of the American College of Cardiology, Research: Medtronic, Inc., Honoraria/Speaking and Teaching: Medtronic, Inc, Tenaya Therapeutics J. Alvensleben: No relevant financial relationships with ineligible companies to disclose.

This episode is full of fun, real talk about failure and some heartfelt & vulnerable moments that will make you respect & adore Dr. Buford. In this episode, he opens up about sharing some of his biggest failures in business and how he used those failures to catapult his career and life forward. And even though he said he wouldn't, he was vulnerable enough to share how he felt like his divorce was a failure. But plot twist -- that experience helped develop him into being the kind of partner he is today to the love of his life. Dr. Buford shares about what some of his most proud and biggest accomplishments are, and they're probably not what you think! Find out what he means by wanting to stop and smell the roses. He drops a plethora of inspiring quotes that have made a positive impact on him that you may want to jot down yourself! No doubt, you'll leave this conversation determined, inspired and feeling like you were wrapped in a warm hug. It's got something for everyone! Love it? Share it! And drop a

In this episode we talked with Dr. Anil Sharma about the Sharma foundation's partnership with ASPN. We then spoke with Dr. Krishnan Chakravarthy about his experience in turning an idea into a company.  We discussed what VCs are looking for in a startup company and the key ingredients to launching a medical device company.  We wrapped up the episode discussing the future of the interventional pain space.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ https://www.instagram.com/patdbmd/?hl=en Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ https://twitter.com/doctdeer?lang=en https://www.instagram.com/timdeer30a/?hl=en Guest, Dr. Anil Sharma: Dr. Sharma is the founder and President of Spine & Pain Centers of New Jersey and New York. He received his fellowship training in Pain Management at the prestigious Cleveland Clinic Foundation. https://www.universityspinecenter.com/our-team/anil-k-sharma-md Guest, Dr. Krishnan Chakravarthy: Dr. Chakravarthy is an anesthesiologist who specializes in multi-modal pain management. He currently serves on the editorial board of several national and international peer-reviewed journals, and committees on organizations such as the International Neuromodulation Society, and American Society of Pain and Neuroscience. An entrepreneur, Dr. Chakravarthy is a founder of several biotechnology startup companies focusing on applications of nanotechnology in the pain space, and novel small molecule therapeutic development to advance pain care. https://nxtstim.com/ https://www.douleurtx.com/ https://stimfixanchors.com/ About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg https://www.instagram.com/aspn_painneuro/ https://www.facebook.com/PainNeuro https://www.linkedin.com/in/aspn/ https://twitter.com/aspn_painneuro Our sponsors: Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life. https://mainstaymedical.com/ Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind. https://www.vertosmed.com/ Spinal Simplicity: Minuteman is an outpatient, minimally invasive, spine fusion therapy that decreases recovery time, and can alleviate pain for patients with chronic back and leg pain. Minuteman stabilizes and fixates the spine, addressing the core etiology. Get back to life with Minuteman! https://spinalsimplicity.com/ APM Wealth: Justin Harvey is a financial advisor and founder of APM Wealth. He specializes in helping pain physicians make smart financial decisions. He also hosts a podcast called APMSucces. https://apm-wealth.com/ https://apmsuccess.com/ Moxy Company: Moxy is a marketing healthcare and communications firm with a strategic and deep understanding of the complex and ever-changing world of healthcare. https://www.moxycompany.com/

Resources for the community https://www.enbold.com/ Obesity Telehealth https://www.ivimhealth.com/weightloss/ Telehealth for weight management https://zennutrients.com/ - Supplements Get 20% off with Plus20 Coupon CodeToday, our community story is Susan's. She struggled with obesity, and despite a very successful bariatric surgery, she eventually regained her weight and developed type 2 diabetes. Susan bravely shared her Mounjaro journey with us. We discuss the chronic disease of obesity with Dr. Angelina, an expert in bariatric surgery, weight management, and cosmetic surgery. We revisit the connection between GLP1 and bariatric surgery. Dr. Angelina addresses common challenges post-surgery, including "food noise," weight regain factors, and transfer addiction prevention. We explore how weight can return after bariatric surgery, discuss "apron bellies," and debate the timing of skin removal surgery.Dr. Angelina's BioDr. Angelina Postoev is the founder of Surgicare Arts & Aesthetics and the co-founder and the CEO of IBI Healthcare Institute. Dr. Angelina is triple board-certified by the American College of Surgery and the American Academy of Cosmetic Surgery. Triple-trained and licensed in Cosmetic, General Surgery, and Critical Care Surgery, she is an Augusta University Professor of Surgery. Dr. Postoev received her undergraduate degree from Ohio State University and then attended medical school at Ross University, where she ranked in the top five percent of her class. She completed her residency at the world-famous Cleveland Clinic Foundation, the No. 2 ranked hospital in the United States. Dr. Angelina specializes in abdominoplasty, breast augmentation and reduction, mastopexy, liposuction, buttock enhancement with fat transfer, face and neck lift, blepharoplasty, etc. She is a member of many local and national scientific societies, including the American Society of Cosmetic Surgeons. Connect with Dr. Angelina TikTok @drangelinamdInstagram @dr.angelina.posWebsite https://ibihealthcare.com/providers/dr-angelina-postoev-md-facs/https://www.surgicarearts.com__________________________________________________________________________________#zennutrients #weightloss #peptidevites #ozempic #mounjaro #weightlossSupport the showKim Carlos @DMFKimonMounjaro on TikTokJernine Trott @TheeJernine on TikTokKat Carter @KatCarter7 on TikTokLydia Roberts @mounjaro_GLP_Help on TikTok

Subscriber-only episodeResources for the community https://www.enbold.com/ Obesity Telehealth https://www.ivimhealth.com/weightloss/ Telehealth for weight management https://zennutrients.com/ - Supplements Get 20% off with Plus20 Coupon CodeToday, our community story is Susan's. She struggled with obesity, and despite a very successful bariatric surgery, she eventually regained her weight and developed type 2 diabetes. Susan bravely shared her Mounjaro journey with us. We discuss the chronic disease of obesity with Dr. Angelina, an expert in bariatric surgery, weight management, and cosmetic surgery. We revisit the connection between GLP1 and bariatric surgery. Dr. Angelina addresses common challenges post-surgery, including "food noise," weight regain factors, and transfer addiction prevention. We explore how weight can return after bariatric surgery, discuss "apron bellies," and debate the timing of skin removal surgery.Dr. Angelina's BioDr. Angelina Postoev is the founder of Surgicare Arts & Aesthetics and the co-founder and the CEO of IBI Healthcare Institute. Dr. Angelina is triple board-certified by the American College of Surgery and the American Academy of Cosmetic Surgery. Triple-trained and licensed in Cosmetic, General Surgery, and Critical Care Surgery, she is an Augusta University Professor of Surgery. Dr. Postoev received her undergraduate degree from Ohio State University and then attended medical school at Ross University, where she ranked in the top five percent of her class. She completed her residency at the world-famous Cleveland Clinic Foundation, the No. 2 ranked hospital in the United States. Dr. Angelina specializes in abdominoplasty, breast augmentation and reduction, mastopexy, liposuction, buttock enhancement with fat transfer, face and neck lift, blepharoplasty, etc. She is a member of many local and national scientific societies, including the American Society of Cosmetic Surgeons. Connect with Dr. Angelina TikTok @drangelinamdInstagram @dr.angelina.posWebsite https://ibihealthcare.com/providers/dr-angelina-postoev-md-facs/https://www.surgicarearts.com__________________________________________________________________________________#zennutrients #weightloss #peptidevites #ozempic #mounjaro #weightlossKim Carlos @DMFKimonMounjaro on TikTokJernine Trott @TheeJernine on TikTokKat Carter @KatCarter7 on TikTokLydia Roberts @mounjaro_GLP_Help on TikTok

Peter F. Aziz, MD, FHRS, CEPS-P, of Cleveland Clinic Foundation is joined by guests Kara S. Motonaga, MD, FHRS, CEPS-P, of Stanford University, and Elizabeth S. DeWitt, MD, CEPS-P, of Boston Children's Hospital to discuss minding the gap - Sex Disparity in Salaries Among Pediatric and Congenital Cardiac Electrophysiologists. Though the proportion of women in the medical field has grown, disparities continue to exist. This study examined the salaries, academic ranking and years of experience among pediatric electrophysiology providers. Using the membership of the Pediatric and Adult Congenital Electrophysiology Society (PACES), survey data was examined. Of the 147 respondents (67%), the authors found a pay disparity among women physicians at a 0.78 ratio. The only indepedent predictors of a higher salary were: 1) male sex, 2) years in practice and 3) practicing within the United States.   https://www.hrsonline.org/education/TheLead   Host Disclosure(s): P. Aziz: No relevant financial relationships with ineligible companies to disclose.    Contributor Disclosure(s): K. Motonaga: Stocks (Publicly Traded): Doximity; Fellowship Support: Medtronic E. DeWitt: No relevant financial relationships with ineligible companies to disclose. 

Welcome back to another full episode of The Wellfuel Podcast! I'm so excited to have one of my RDN colleagues on the podcast with me today - Gina Jones - to talk all about thyroid, Hashimotos, and honestly anything else that comes up.  Gina is an amazing fellow integrative registered dietician. She's a registered dietician nutritionist specializing in functional medicine nutrition and holds a master's degree in clinical nutrition from Case Western Reserve University. Gina is both academically and professionally trained by Cleveland Clinic Foundation and is an alumnus of the Cleveland Clinic Center for functional medicine. We're going to be talking about:  Where and what is my Thyroid and what does it control/affect in my body?  What is a full Thyroid Panel and why should I have one during my annual physical? How can I support healthy Thyroid function? What is Hashimotos & what does it have to do with my Thyroid? What are some things I can do to support & improve my health when I have Hashimotos? ...and much more! You don't want to miss this! You can listen on Spotify, Apple, or any of your favorite podcast platforms.  ------------- Gina Jones, RDN Gina is a registered dietician nutritionist specializing in functional medicine nutrition and holds a master's degree in clinical nutrition from Case Western Reserve University. Gina is both academically and professionally trained by the Cleveland Clinic Foundation and is an alumnus of the Cleveland Clinic Center for functional medicine.  Through healing her own health struggles with autoimmune diseases, thyroid diseases, and food intolerances, Gina has found her passion in practicing functional medicine nutrition. Gina owns INW Center, where she provides individualized nutrition care and partners with other healthcare providers, companies and patients to share nutrition knowledge. Gina has successfully improved patient vitality and health through a functional medicine patient-centered approach. In Gina's various roles as a dietitian, she can share her knowledge through consulting, writing, and public speaking. You can follow Gina on Instagram: @GinaJonesRDN - be sure to click the link in bio to take the FREE "What's Your Healthmoji?" quiz! Her website is INWCenter.com - you can schedule a FREE Discovery Call there! -------------------------- Join us next week for our next full episode - and watch for more Quick Chat & Ask Isabel episodes coming soon! Listen on Spotify, Apple, Google Podcasts, Castbox, IHeartRadioPodcasts, Pandora, and Stitcher. Be sure to like, share and subscribe to The Wellfuel Podcast for more great nutritional content in the future!  Learn more about Isabel Smith Nutrition & how we serve our clients at isabelsmithnutrition.com. To good health,  Isabel Smith, MS, RD, CDN

A new research paper was published in Aging (Aging-US) Volume 15, Issue 14, entitled, “Inhibiting NLRP3 signaling in aging podocytes improves their life- and health-span.” The decrease in the podocyte's lifespan and health-span that typify healthy kidney aging cause a decrease in their normal structure, physiology and function. The ability to halt and even reverse these changes becomes clinically relevant when disease is superimposed on an aged kidney. NLRP3 [nod-like receptor protein 3] expression is increased in podocytes of mice with advanced age and contributes to their damage. “However, the functional consequence of increased levels of NLRP3 in aged podocytes is unknown.” In this new study, researchers Natalya Kaverina, R. Allen Schweickart, Gek Cher Chan, Joseph C. Maggiore, Diana G. Eng, Yuting Zeng, Sierra R. McKinzie, Hannah S. Perry, Adilijiang Ali, Christopher O'Connor, Beatriz Maria Veloso Pereira, Ashleigh B. Theberge, Joshua C. Vaughan, Carol J. Loretz, Anthony Chang, Neil A. Hukriede, Markus Bitzer, Jeffrey W. Pippin, Oliver Wessely, and Stuart J. Shankland from the University of Washington, Cleveland Clinic Foundation, National University Hospital Singapore, University of Pittsburgh, University of Michigan, and the University of Chicago hypothesized that reducing NLRP3 signaling earlier at middle-age improves overall podocyte health and slows down healthy podocyte aging in mice. “To this end, we performed a comprehensive analysis of inflammasome signaling including pharmacological and genetic NLRP3 loss-of-function approaches.” RNA-sequencing of podocytes from middle-aged mice showed an inflammatory phenotype with increases in the NLRP3 inflammasome, signaling for IL2/Stat5, IL6 and TNF, interferon gamma response, allograft rejection and complement, consistent with inflammaging. Furthermore, injury-induced NLRP3 signaling in podocytes was further augmented in aged mice compared to young ones. The NLRP3 inflammasome (NLRP3, Caspase-1, IL1β IL-18) was also increased in podocytes of middle-aged humans. Higher transcript expression for NLRP3 in human glomeruli was accompanied by reduced podocyte density and increased global glomerulosclerosis and glomerular volume. Pharmacological inhibition of NLRP3 with MCC950, or gene deletion, reduced podocyte senescence and the genes typifying aging in middle-aged mice, which was accompanied by an improved podocyte lifespan and health-span. Moreover, modeling the injury-dependent increase in NLRP3 signaling in human kidney organoids confirmed the anti-senescence effect of MC9950. Finally, NLRP3 also impacted liver aging. “In summary, our results demonstrate for the first time that aging podocytes acquire an inflammatory phenotype, which include the NLRP3 inflammasome and which is consistent with inflammaging.” DOI - https://doi.org/10.18632/aging.204897 Corresponding authors - Oliver Wessely - wesselo@ccf.org, and Stuart J. Shankland - stuartjs@uw.edu Keywords - aging, kidney, podocyte, NLRP3 inflammasome, reporter About Aging-US Launched in 2009, Aging-US publishes papers of general interest and biological significance in all fields of aging research and age-related diseases, including cancer—and now, with a special focus on COVID-19 vulnerability as an age-dependent syndrome. Topics in Aging-US go beyond traditional gerontology, including, but not limited to, cellular and molecular biology, human age-related diseases, pathology in model organisms, signal transduction pathways (e.g., p53, sirtuins, and PI-3K/AKT/mTOR, among others), and approaches to modulating these signaling pathways. Visit our website at https://www.Aging-US.com​​ and connect with us: Facebook - https://www.facebook.com/AgingUS/ Twitter - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ For media inquiries, please contact: MEDIA@IMPACTJOURNALS.COM

What is Urogynecology? Why does pelvic organ prolapse happen, how does this affect sex, and what are some of the options or procedures available? How does hormone optimization fit into this? If I have a hysterectomy will my sex drive be gone forever? What about penis-owner's sexual health optimization? What can they do and what should they know ASAP? Dr. Castillo and Remy Paille NP answer all this and more. About our guests: Dr. Castillo is a Fellowship-trained Female Pelvic Medicine specialist. As founder and director of Swan Medical Intimate Wellness in Los Gatos, CA, he is dedicated to improving common quality of life conditions that affect millions of women. Dr Castillo completed his OB/GYN residency at St Barnabas Medical Center in NJ then went on to complete a three year Fellowship in Reconstructive Pelvic Surgery and Female Pelvic Medicine at the Cleveland Clinic Foundation. After 5 years of clinical practice at Kaiser Permanente where his duties involved overseeing resident research and education and teaching medical students as Assistant Clinical Professor of Stanford University, Dr Castillo created the first private Intimate Wellness Center in the San Francisco Bay Area. Dr Castillo is actively involved in clinical research and is on several women's health advisory boards to help shape new emerging therapies and advanced treatment protocols that address commonly experienced conditions that occur as a consequence of childbirth, aging, and menopause that impact intimacy and quality of life. Dr Castillo aims to optimize health through root-cause treatments for the common symptoms associated with aging. He is committed to empowering women to embrace their vitality and erase the stigma of Female Sexual Health through educational events, seminars and compassionate care. Remy Paille is an Adult Gerontology Nurse Practitioner working alongside Dr. Castillo at Swan Medical Intimate Wellness in Los Gatos. Remy has years of experience working as a Primary Care Provider (PCP) as well as in acute care and integrative therapy related environments, and has a deep passion for Functional Medicine, as well as pelvic health and intimate wellness. To learn more visit swanmd.com To learn more about Layla Martin's coaching program click here or go to https://tinyurl.com/ShamelessSex To learn more about Midori's Forte Femme training go to fortefemme.com Join us November 1st-6th, 2023 for The Shameless Sex Retreat: Unleash Your Shameless Self - in Costa Rica! Spaces are limited to reserve your spot ASAP here Other links from our awesome sponsors: Get turned on with 30 days free of super hot audio erotica at dipseastories.com/shameless Get silky skin from some of our favorite adorable razors from Athena Club by visiting a Target store near you Get 10% off + free shipping with code SHAMELESS10 on Uberlube AKA our favorite lubricant at uberlube.com Get 10% off while mastering the art of pleasure at  OMGyes.com/shameless Get 15% off all of your sex toys with code SHAMELESSSEX at purepleasureshop.com

As regular consumers of social media, we open our minds to participate in trending topics and challenges. Hair products, makeup tools, and foreign foods gain popularity and quickly become sparse on store shelves. Recently there has been controversy over the excessive use of Wegovy, an anti-obesity medication for long-term weight management. The shortage of Wegovy caused providers to begin prescribing their weight loss patients with Ozempic, an antidiabetic medication used for the treatment of type 2 diabetes. Both of these medications are different dosages of semaglutide which raises the questions, is there enough to go around? Are Wegovy users justified in their necessity of the medication? Is a weight loss shot an ethical use of medication? CEO and Co-founder of IBI Healthcare Institute, Dr. Angelina Postoev has over 10 years of experience to serve Georgia with the best surgical care in the state. She completed her residence at the Cleveland Clinic Foundation, one year of critical care at Ohio state, and one year of Cosmetic Surgery Fellowship. With her extensive knowledge of the body, Dr. Angelina understands how critical and beneficial weight loss can be on the overall health of human beings especially those dealing with diabetes. Dr. Postoev is driven in educating and advocating for her patients Thank you to my Sponsor @thehavanalounge Listen on: Apple Podcasts: https://podcasts.apple.com/us/podcast/life-her-podcast/id1481123426 Spotify: https://open.spotify.com/show/0p2Aa10vWB6pIMQUn2Cgyu YouTube: / lifeherpodcast Click here to subscribe via RSS feed (non-iTunes feed): https://anchor.fm/s/df9bebc/podcast/rss Instagram: https://www.instagram.com/lifeherpodcast/ Affiliate Disclosure: I may be an affiliate for products that I recommend or share. If you purchase those items through my links, I may earn a commission. You will not pay more when you use my links. --- Send in a voice message: https://podcasters.spotify.com/pod/show/lifeherpodcast/message

Dr. Angelina Postoev MD. FACS is an entrepreneur and triple board certitied surgeon by the American Board of Surgery and the American Academy of Cosmetic Surgery. She is the president and co-founder of IBI HealthCare Institute Surgery Centers with locations in Buckehad, Atlanta and Loganville , GA since 2011. She completed her residency at the Cleveland Clinic Foundation, one year of surgical critical care at the Ohio state, and finally one year of Cosmetic surgery rellowship. Dr. Postoev is also a clinical professor of surgery, and educates the importance of promoting women in healthcare and business. Dr. Postoev has over 12 years of experience that she brought to IBI HealthCare Institute.An immigrant of Europe, Dr. Postoev moved to Ohio with her family at the age of 15. She was academicalv accelerated when she arrived in the states and began her collegiate career at 16 vears old at Ohio State Universitv. After completing residency at the famed Cleveland Clinic Foundation Dr. Postoey opened her own practice. She and her teamare widely known for staving at the leading edge of the latest develooments in Bariatric surgical to non-surgical approaches. She has been successtull operating multi location practices to connect with patients directly and educatina them on the best treatments for their overall health needs.Dr.Postoev has her signts set on expansion and will de opening a fifth practice location in Orlando, FL area. She has created a national reputation for herself asan expert general, and cosmetic surgeon.Patients come from all over the country to consult with Dr. Postoev. She is one of very few doctors with a unique skill set in herspecialties. Dr. Postoev is driven to educate and truly advocate for the patient.

So, today I was talking to one of my writing clients, who is a therapist and I was actually audacious enough to suggest a tool to help her get through her block about writing her query letter and synopsis, both part of a writer's proposal package or submission package when they query agents in the quest to be traditionally published. And this tool, basically comes from Mel Robbins, who is an author, podcaster, and speaker. And, um, apparently the #1 education podcast in the world even though, um, I had never heard of her. Cough. Don't judge, Shaun. She's also very good at self marketing and is considered a self-publishing phenom and is pretty cute, which means she has a ton of photos of herself on her website. So, basically the opposite of us except Shaun is cute. Anyway, enough preamble, she suggests, no insists, that people have a morning routine. It can be five minutes. It can be an hour. Within this morning routine, you want to focus on an actionable step and nothing else for 15 minutes. During this time, you want to write down your goals, but you actually have to do this big second step, which is imagining yourself taking the steps to get there. According to Robbins, you visualize the steps to get to that end goal and the third step is to imagine and feel the emotions that are connected to each step. Pride? Excitement? Joy? Get all of them in there. This is similar to Simon Sinek's who says to go after the things that you want, he tells the story of hiself and a friend going out for bagels. See the thing that you want. Or see the thing that prevents you from getting what you want. When you go after what you want, he stresses, you don't want to get in the way of other people's wants. Bas Korsten wrote for Harvard Business Review, “Think about it. Great athletes train their bodies for days, weeks, and years to whip them into peak performance. Why, then, wouldn't a creator do the same with their brain?” A.J. Adam writes about the science behind visualization for Psychology Today, “For instance, in his study on everyday people, Guang Yue, an exercise psychologist from Cleveland Clinic Foundation in Ohio, compared results of those who did physical exercises to the results of those who carried out virtual workouts in their heads. In the physical exercise group, finger abduction strength increased by 53%. In the group that did "mental contractions", their finger abduction strength increased by 35%. However, "the greatest gain (40%) was not achieved until 4 weeks after the training had ended" (Ranganathan et al., 2004). This demonstrates the mind's incredible power over the body and its muscles.” Ideas come. They come all the time, right? But the thing is that you have to imagine those ideas, practice what it feels like do them, and then have the energy to get off your bum, get out of bed, get out of your chair and actually do those ideas. DOG TIP FOR LIFE For any change to happen, you have to activate your energy. Be like Pogie. Activate all the energy. Links To Learn More https://www.psychologytoday.com/us/blog/flourish/200912/seeing-is-believing-the-power-visualization Take Control of Your Life: How to Silence Fear and Win the Mental Game - https://amzn.to/2EfL8c5 The 5 Second Rule: Transform your Life, Work, and Confidence with Everyday Courage - https://amzn.to/2Xb8uqI https://apnews.com/hub/oddities SHOUT OUT! The music we've clipped and shortened in this podcast is awesome and is made available through the Creative Commons License. Here's a link to that and the artist's website. Who is this artist and what is this song? It's “Summer Spliff” by Broke For Free. WE HAVE EXTRA CONTENT ALL ABOUT LIVING HAPPY OVER HERE! It's pretty awesome. AND we have a writing tips podcast called WRITE BETTER NOW! It's taking a bit of a hiatus, but there are a ton of tips over there. We have a podcast, LOVING THE STRANGE, which we stream biweekly live on Carrie's Facebook and Twitter and YouTube on Fridays. Her Facebook and Twitter handles are all carriejonesbooks or carriejonesbook. But she also has extra cool content focused on writing tips here. Carrie is reading one of her raw poems every once in awhile on CARRIE DOES POEMS. And there you go! Whew! That's a lot!

Enjoy the podcast? :) Buy me a coffee: https://www.buymeacoffee.com/livedamnwell––––––––––––––––––––––––––Dr. Brown, MD received his medical education from the University of Miami School of Medicine. As a diagnostic radiologist, Dr. Brown has worked both in private practice as well as at academic centers, including NYU Medical Center and the Cleveland Clinic Foundation. Over the span of his 25 plus year career, he has written many journal articles in peer reviewed radiology publications as well as several book chapters in the radiology literatureFind Dr Rob Brown at www.robbrownmd.comIn this episode, we discuss:How a couple of magnets helped heal Dr. Brown's kneeHow electromagnetic fields affect the immune systemThe connection between 5G and the virusHow we can protect ourselves from electromagnetic fieldsDr. Brown's study on EMF and immune health: https://pubmed.ncbi.nlm.nih.gov/34778597/––––––––––––––––––––––––––Check out My Book!https://amzn.to/39P6M9eGet 40% off your first order and a free gift when you join Thrive Market! (1 year and 1 month memberships availablehttps://livedamnwell.com/recommends/thrive/Use code livedamnwell for $10 off your purchase of magnesium SRT from Jigsaw Healthhttps://bit.ly/3QrorFd––––––––––––––––––––––––––NOT medical advice; not intended to treat, cure or diagnose; this video is merely for educational purposes. YOU are responsible for YOU

Episode 29 features Timothy Smile, MD from the Cleveland Clinic Foundation's department of Radiation Oncology. Dr. Smile discusses the implications of Satellitosis and In-transit Metastastis in Cutaneous Squamous Cell Carcinoma based on his recent publication in JAMA Dermatology.

Video Version https://vimeo.com/702374226 About the Podcast My guest today is Tim Pettry, Program Director for Continuous Improvement at the Cleveland Clinic's Akron General (CCAG) Hospital where he directs the implementation of a Culture of Improvement for over 5,500 caregivers, utilizing the Cleveland Clinic Improvement Model. One of the biggest “take-aways” of this conversation is the difference in syntax between manufacturing and healthcare that needs to be considered when attempting to deploy an Continuous Improvement program in a healthcare environment. But we start the conversation at the beginning (where else?) with Tim's 18 years of experience at Ford Motor Company at their Cleveland Manufacturing Site. As a result of the continuous improvement efforts of Tim and his colleagues, Ford won the Shingo Prize with Tim himself being appointed to the Shingo Institute's Board of Examiners in 1996. I am sure you will enjoy listening to the conversation as much as I did. Give a listen. About Tim Pettry Tim Pettry is the Program Director, Continuous Improvement at Cleveland Clinic Akron General (CCAG) where he directs the implementation of a Culture of Improvement for over 5,500 caregivers, utilizing the Cleveland Clinic Improvement Model. He has been a member of a Continuous Improvement team since 2008 that serves over 70,000 Cleveland Clinic caregivers worldwide. Prior to jumping into the Healthcare field, he spent 18 years with the Ford Motor Company at their Cleveland Manufacturing Site in several roles including Cost Analyst, Training Manager, and Ford Production System Coordinator. His final year at Ford he served as a Ford Production System Coach for Powertrain Operations. Tim's career started in retailing as a Department Manager for the May Company (now part of Macy's) where he learned to appreciate the concepts of customer service. Recognizing that a career in Retailing did not fit with his new role as a father, Tim joined Ernst & Whinney's (now Ernst & Young) National Client Services department in Cleveland, where he led a team of 6 analysts and multiple students who were responsible for providing secondary research data and analysis in support of major request for proposals for Audit and Consulting services, and maintaining the firm's Mailing and Alumni programs. Tim's passion for continuous improvement work comes from participating in and leading several cultural transformation efforts while at Ford and the Cleveland Clinic. A highlight of his career was helping to save Ford's Cleveland Engine Plant 1 from closing in 2002. The work there was recognized as one of the pivotal events in valuing work and delivering results in the book, “Inside the Ford-UAW Transformation” Tim was appointed to the Shingo Institute's Board of Examiners in 1996 after leading the team responsible for writing Cleveland Engine Plant 2's Achievement Report and coordinating the site visit that led to the plant being awarded the Shingo Prize for Excellence in Manufacturing. He has served as a lead examiner for over 10 years. As an examiner, he has participated in a number of site visits to a variety of different manufacturing and healthcare organizations. Additionally, as an examiner, Tim has had the opportunity to review numerous books vying for the Shingo Prize for Publications. Tim served for 6 years as the Shingo Institute's representative on the AME / Shingo Institute / SME Lean Certification Oversight and Appeals Committee, serving as Chairman of the committee in 2010. He earned his Master of Business Administration in Management and Labor Relations from Cleveland State University. He and his wife, Lisa, have 5 grown children and 7 grandchildren. LinkedIn Profile: https://www.linkedin.com/in/timpettry/ Company: Cleveland Clinic Title: Program Director, Continuous Improvement Headquarters:  Cleveland, Ohio, USA Year Founded: 1921 Company Type: Not-for-profit Hospital Company Size: 72,500 Employees, $12.4 Billion in Revenue Practice Areas:  Cleveland Clinic is a not-for-profit American academic medical center based in Cleveland, Ohio with expertise in all healthcare practice areas and is consistently ranked as one of the best hospitals in the United States. It is owned and operated by the Cleveland Clinic Foundation, an Ohio not-for-profit corporation established in 1921. It runs a 170-acre (69 ha) campus in Cleveland, as well as 11 affiliated hospitals, 19 family health centers in Northeast Ohio, and hospitals in Florida and Nevada. International operations include the Cleveland Clinic Abu Dhabi hospital in the United Arab Emirates and Cleveland Clinic Canada, which has two executive health and sports medicine clinics in Toronto. Another hospital campus in the United Kingdom, Cleveland Clinic London, opened to outpatients in 2021 and is scheduled to fully open in 2022

David Carfagno, DO, CAQSM, speaks about what motivates him to care for athletes, telesports medicine, ringside medicine, and his team's holistic approach to sports medicine. Dr. Carfagno is the founder of Scottsdale Sports Medicine Institute. He is board certified in Internal Medicine, Sports Medicine, and Ringside Medicine. Dr. Carfagno's internship, residency and fellowship were completed at the world-renowned Cleveland Clinic Foundation. Sponsored by Bahbah Sobers Wealth Management, Arizona Department of Health Services, and InSync Healthcare Recruiters. The Arizona Physician Podcast is a production of Maricopa County Medical Society.

Meet General Surgery Specialist and Medical Revolutionary Dr. Angelina Postoev MD, FAC. Dr. Angelina is a 3 time board certified surgeon from Moscow, Russia helping patients in Loganville, Georgia beat the #MedicalTrap through top notch surgical care. She has decades of experience in the industry including 5 years of general surgery residency in Cleveland Clinic Foundation, 1 year of Trauma/Surgical Critical Care at Ohio State, and one additional year of Cosmetic Surgery Fellowship. In this episode, Dr. Postev gives us an insight into what life was like for her growing up in a structured household that placed high professional expectations on her, leading her into the #CollegeTrap. She later exposes the #MedicalTrap and how it's systems keep patients in a cycle of recovery for profit. TAP IN to hear how this cosmetic surgery expert leveraged the corporate and college traps to create her own lane and practice the industry #INREALLIFE . Subscribe To #HowToBeatTheTrap on all platforms: http://hyperurl.co/r1fec4 Links to special offers: 12 Step Video Textbook: https://www.12stepvideotextbook.com/ House Your Business At The Black House: https://www.legacycenter.com

In this episode, Cassandra Calabrese, DO, dual-boarded in infectious disease and rheumatology, walks us through when to suspect Bartonella (it's not always a house cat!), how to diagnose and how to treat. Intro :01 Welcome to another exciting episode of Rheuminations :11 About today's episode :17 10th Annual Basic and Clinical Immunology for Busy Clinicians starts 2/26 2:18 A look at upcoming episodes 3:00 Check out Healio's Rheum + Boards – new questions coming soon! 3:15 The interview with Dr. Cassandra Calabrese 4:08 Is there always a cat exposure? 5:19 Are there other animals to look out for? Or other scenarios? 6:15 Endocarditis and Bartonella – consider these when things aren't adding up 7:20 What about Bartonella quintana, do you always treat it? 9:43 It seems Bartonella can be more subtle than other infectious endocarditis, is that true? 10:49 When suspicious, how do we test for Bartonella? 11:57 Titer is important 13:57 How do you treat this? 14:43 What are long-term outcomes like? 16:38 Thank you, Dr. Calabrese 17:35 Warthan-Starry stain 17:54 Thanks for listening 21:24 Cassandra Calabrese, DO, is associate staff in the department of rheumatic and immunologic disease and the department of infectious disease at Cleveland Clinic Foundation. 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 and Calabrese report no relevant financial disclosures. References: Wright JR. Arch Pathol Lab Med. 2021;145:1297-1306.

On this episode of Masters Of Beauty, Dr. Anil Shah speaks to Dr. Todd Schlesinger about all things acne scars.   Dr. Todd Schlesinger is a board-certified dermatologist, Mohs surgeon and clinical investigator. He completed his residency at the Cleveland Clinic Foundation and is the founder of a three-office dermatology and dermatologic surgery practice and clinical research center. His areas of research focus are inflammatory dermatoses, cutaneous oncology, and cosmetic dermatology. He is the author of over 100 peer-reviewed publications as well as several book chapters and numerous presentations and posters at national and international conferences. He is past president of the South Carolina Medical Association, the South Carolina Academy of Dermatology and Dermatologic Surgery, and the current Editor in Chief of the AAD's ongoing member CME program Dialogues in Dermatology.   In this episode, Dr. Shah and Dr. Schlesinger talk about ways that acne scars can be treated, different techniques for treating acne scars and what has worked for them. __   For more information about Dr. Todd Schlesinger, visit his websites: http://dermandlaser.com/ https://clinicalresearchcarolinas.com/

Show notes at: www.naileditortho.com/distalhumerusfractures   Nailed It Ortho Youtube Channel: https://www.youtube.com/channel/UCGuA5lTueW_rlYGiq5Jp6yQ  Nailed it Ortho Clips Youtube Channel: https://www.youtube.com/channel/UCJmxuLG53h4YpEntf3SSt_g  Dr. Christopher Grandizio is a board-certified hand and orthopaedic surgeon. He earned his Doctor of Osteopathic Medicine degree from Philadelphia College of Osteopathic Medicine in 2011. In 2016, he completed his residency at Geisinger Medical Center, and in 2017, he completed his fellowship at the Cleveland Clinic Foundation. He not only specializes in treating elbow, shoulder, wrist, and hand disorders as an orthopaedic surgeon, but he also has clinical expertise in nerve compression treatment, such as carpal tunnel syndrome and cubital tunnel syndrome, shoulder and elbow replacements, upper extremity trauma and fractures, and sports injuries. With his background as an athlete and a former member of the Bucknell University men's baseball team, he appreciates helping his patients in continuing to do what they love. Furthermore, because Dr. Grandizio is passionate about research, his work has reached a national level, and some of his works have been published, he has contributed to the advancement of the area of orthopaedics, and he has been named chief of the Division of Shoulder and Elbow Surgery. Dr. Grandizio is an associate professor at the Geisinger Commonwealth School of Medicine, where he recognizes the necessity of training tomorrow's orthopaedic specialists. He just began a Geisinger Hand and Upper-Extremity Research Fellowship, where he supervises resident research. He's also a member of the American Society for Hand Surgery's Resident Education Committee. Goal of episode: To develop a baseline knowledge on Distal Humerus Fractures. We cover: Mechanism of Injury Symptoms Physical Examination Imaging Evaluation Classification Pathoanatomy Non-op tx Operative tx Operative Positioning Operative Approaches Fixation Techniques Case presentations

One good ear is all you need, right?  Join me for a special episode about Unilateral Hearing Loss with Dr. Anita Jeyakumar, MD, MS.  In this episode we dig deeper into the impact of unilateral hearing loss as well as non medical and medical solutions.  Dr. Jeyakumar has over 20 years of experience in the field of otolaryngology.  She received her bachelor's degree in Chemistry from Belmont University in Nashville, TN, her master's in chemistry degree (MS) from Tennessee State University in Nashville, TN, and her medical degree from Meharry Medical College in Nashville, TN. Dr. Jeyakumar completed an internship in General Surgery and a residency in Otolaryngology at Strong Memorial Hospital University of Rochester, in New York. She completed her clinical fellowship in Pediatric Otolaryngology at the Cleveland Clinic Foundation in Cleveland, Ohio.  Dr. Jeyakumar works for Mercy Health Otolaryngology in the Youngstown area in Ohio where she is starting a multidisciplinary clinic for patients with hearing loss, and a cochlear implantation and hearing rehabilitation program. Her current research interests are focused on the genetics of hearing loss, outcomes research and quality of life projects.  To contact Dr. Jeyakumar, visit the website: https://www.mercy.com/find-a-doctor/physicians/anita-jeyakumar/1985497

Today's guest, John Kapitan is the CEO of Kapstone Medical, a company he founded in 2007 after 15 years in the medical device industry as a design engineer and regulatory affairs executive. John is an entrepreneur and expert in medical device design and commercialization.Prior to creating Kapstone, John was a founding member of Altiva Corporation, a spinal implant company that was sold to Exactech, Inc. in 2008. His experience also includes AcroMed Corporation, DePuy AcroMed, and the Cleveland Clinic Foundation.John received his BSME from Cornell University and MBA from the Weatherhead School of Management. He has designed and managed development for dozens of commercialized products, is an inventor on over 20 patents and patents pending, and has authored multiple industry articles. John enjoys spending time on his farm in Asheville, NC with his large family.Insights from the discussion: Don't sacrifice your best idea for your first idea, spend more time in ideation phase than in the product development cycleHow to make marketing/sales/product and quality the offense and defense strategies of the same teamAs a founder/entrepreneur you need to seek work life rhythm, not balance About Kapstone Medical: The Kapstone Medical Mission is to Inspire, Equip and Guide. Kapstone Medical partners with physician inventors and manufacturers to develop and commercialize new medical devices. We do this by providing services for design, prototyping, patenting, quality systems, and regulatory approvals. Kapstone Medical provides product development, quality management, and project management solutions to clients who value the knowledge, depth of experience, and resources that a highly capable outsource partner has to offer.Show notes:Website: https://www.kapstonemedical.com/LinkedIn: https://www.linkedin.com/in/johnkapitan/John's email: jkapitan@kapstonemedical.com Call Kapstone Medical: (714) 843-7852Be a guest on the show: https://docs.google.com/forms/d/e/1FAIpQLSeEU7Owi8VDv30hzmWbj4JsXPKyfsWvKXHMeghEAyirAbR18A/viewformMusic by keldez

Paria Hassouri is a pediatrician, mother of three, and transgender rights activist. She graduated from the University of Pittsburgh School of Medicine in 1999 and completed her residency training at the Cleveland Clinic Foundation in 2002. Her personal essays have been published in multiple sites, including the New York Times, the Washington Post, the Los Angeles Times, and the Huffington Post, and she has presented stories on stage through Expressing Motherhood. A proud Iranian-American, she spent her formative years in Pittsburgh, Pennsylvania. She currently resides and practices in Los Angeles, California. Her memoir, Found in Transition: A Mother's Evolution during her Child's Gender Change, was released in September 2020. In Found in Transition, Hassouri is blindsided when her teenager comes out as transgender. As Hassouri navigates through anger, denial, and grief to eventually arrive at acceptance, her journey forces her to reflect on her own experiences of being an Iranian immigrant growing up in Pittsburgh, Pennsylvania, one of a handful of brown kids in a near all white school district. She examines how the insecurities she is carrying from her past are leading her to parent with fear rather than love. She also questions her identity as both a mother and a pediatrician, given she had no inkling her child is transgender. She examines why her medical training never prepared her for parenting a trans child. As her daughter transitions from male to female, she discovers her own capacity to evolve, what it really means to parent, and how to use her voice to raise awareness about the large percentage of transgender people who don't present in childhood in the classical way the media portrays. While this is a story that weaves the journeys of a pediatrician mother and her transgender teenager, it illustrates universal themes of parenting, identity, belonging, self-discovery, growth, and unconditional love. It is the story of a modern American family. (@pariahassouri) and my instagram(@laparia).

Today, We focus on antimicrobial resistance (AMR) which has existed long before the golden age of antimicrobials. While antimicrobial agents are beneficial to combat infection, their widespread use contributes to the increase in and emergence of novel resistant microbes in virtually all environmental niches. Dr. Anthony Senagore, MD is the Professor and Vice Chair at Western Michigan University-Homer Stryker MD School of Medicine and the Borgess Medical Center in Kalamazoo, MI.  Dr. Senagore has previously served as Professor of Surgery at the University of Texas Medical Branch at Galveston, Central Michigan University School of Medicine, Case Western Reserve University, the Keck School of Medicine at the University of Southern California, the Cleveland Clinic Foundation, and Michigan State University-College of Human Medicine. He earned his medical degree from Michigan State University (MSU), East Lansing, MI. He completed his residency in General Surgery at the Butterworth Hospital/MSU program in Grand Rapis, MI. Dr. Senagore then completed a research fellowship and colon and rectal surgery residency at Ferguson Hospital on the Grand Rapids and East Lansing campuses of MSU. He continued his education and later received his Master of Science degree in physiology from MSU and a Master of Business Administration from the University of Phoenix, San Francisco, CA campus. References:  The Threat of Antimicrobial Resistance on the Human Microbiome https://pubmed.ncbi.nlm.nih.gov/28492988/  PolyPid Strengthens Executive Team, Appointing Dr. Anthony Senagore as Senior Medical Director https://investors.polypid.com/news-releases/news-release-details/polypid-strengthens-executive-team-appointing-dr-anthony    See omnystudio.com/listener for privacy information. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today, We focus on antimicrobial resistance (AMR) which has existed long before the golden age of antimicrobials. While antimicrobial agents are beneficial to combat infection, their widespread use contributes to the increase in and emergence of novel resistant microbes in virtually all environmental niches. Dr. Anthony Senagore, MD is the Professor and Vice Chair at Western Michigan University-Homer Stryker MD School of Medicine and the Borgess Medical Center in Kalamazoo, MI.  Dr. Senagore has previously served as Professor of Surgery at the University of Texas Medical Branch at Galveston, Central Michigan University School of Medicine, Case Western Reserve University, the Keck School of Medicine at the University of Southern California, the Cleveland Clinic Foundation, and Michigan State University-College of Human Medicine. He earned his medical degree from Michigan State University (MSU), East Lansing, MI. He completed his residency in General Surgery at the Butterworth Hospital/MSU program in Grand Rapis, MI. Dr. Senagore then completed a research fellowship and colon and rectal surgery residency at Ferguson Hospital on the Grand Rapids and East Lansing campuses of MSU. He continued his education and later received his Master of Science degree in physiology from MSU and a Master of Business Administration from the University of Phoenix, San Francisco, CA campus. References:  The Threat of Antimicrobial Resistance on the Human Microbiome https://pubmed.ncbi.nlm.nih.gov/28492988/  PolyPid Strengthens Executive Team, Appointing Dr. Anthony Senagore as Senior Medical Director https://investors.polypid.com/news-releases/news-release-details/polypid-strengthens-executive-team-appointing-dr-anthony    See omnystudio.com/listener for privacy information.

Dr. Richard Wardrop is a career clinician-educator and is currently the Program Director for the Internal Medicine Residency Program at The Cleveland Clinic Foundation in Cleveland, OH. Previously, Dr. Wardrop was Program Director for the Combined Med-Peds Residency at University of North Carolina, founding Faculty at the Virginia Tech Carilion School of Medicine, and founding Associate Dean for Biomedical Affairs at Campbell University School of Osteopathic Medicine. He also served as Vice Chair of Education and Faculty Development at the University of Mississippi Medical Center from 2019-2020 obtaining the rank of full Professor. Dr. Wardrop has served in national leadership positions within the ACP, the Alliance for Academic Internal Medicine (AAIM), and the American Academy of Pediatrics (AAP). He was an inaugural wellbeing champion for the American College of Physicians and was a founding member of the ACP Well-being task force that gave rise to the ACP Wellbeing and Professional Satisfaction Committee. Pearls of Well-Being Wisdom: 1. Listen to Your Body 2. Seek Spirituality 3. Have a Philosophy of Life with a Toolbox of Resources 4. Know Yourself and many more! Take Home Points: Your career is of your making. You have a lot more control than you think. And medicine is a journey- not a destination!

Today I welcome my friend, Gina Jones. She is a Registered Dietitian Nutritionist specializing in Functional Medicine Nutrition. Gina holds a Masters degree in Clinical Nutrition from Case Western Reserve University. Today we talk about optimizing immune health for you and your kids, plus some discussion around a healthy diet and healthy gut!  Gina is both academically and professionally trained from Cleveland Clinic Foundation and an alumnus of Cleveland Clinic Center for Functional Medicine. Through healing her own health struggles with autoimmune diseases, thyroid disease, and food intolerances; Gina has found her passion in practicing Functional Medicine Nutrition. Gina is owner of INW Center where she provides individualized nutrition care, as well as partners with other health care providers, companies, and patients to share nutrition knowledge. Gina is also the founder of Crunchy Kitchen, an allergen friendly food business where she has been able to combine her love of food with her nutrition expertise. Gina has successfully improved patient vitality and health through the functional medicine, patient-centered approach. In Gina's various roles as a dietitian, she is able to share her knowledge through consulting, writing, recipe sharing and public speaking. Gina has contributed to major publications such as: Parent Magazine, Vitamin Shoppe, Dietitian Central, A Sweat Life and more.    See omnystudio.com/listener for privacy information.

Chronic sinusitis is inflammation of the paranasal sinuses lasting more than 12 weeks. Symptoms include facial pressure, rhinorrhoea, postnasal drainage, congestion, and general malaise. Raj Sindwani, Section Head of Rhinology, Sinus, and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, gives us a clinical overview of the condition. For more on chronic sinusitis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/15 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Dr Andrei Gudkov, PhD, DSci, is a preeminent cancer researcher who serves as Senior Vice President, Research Technology and Innovation, Chair of the Department of Cell Stress Biology, and a member of the senior leadership team for National Cancer Institute (NCI) Cancer Center Support Grant at Roswell Park Comprehensive Cancer Center (https://www.roswellpark.org/andrei-gu...). Dr. Gudkov is responsible for building on the basic and translational research strengths of the Cell Stress Biology program in DNA damage and repair, photodynamic therapy, thermal and hypoxic stress and immune modulation. Dr. Gudkov assists the President & CEO in developing and implementing strategic plans for new scientific programs and enhancing collaborations in research programs with regional and national academic centers as well as with industry. Before joining Roswell Park, Dr. Gudkov served as chair of the Department of Molecular Genetics at Lerner Research Institute, Cleveland Clinic Foundation, and Professor of Biochemistry at Case Western University. He earned his doctoral degree in Experimental Oncology at the Cancer Research Center, USSR and a Doctorate of Science (D.Sci) in Molecular Biology at the Moscow State University, USSR. He has authored or co-authored over 135 scientific articles and holds 27 patents. Dr. Gudkov is also an accomplished entrepreneur who founded Cleveland BioLabs, Inc., OncoTartis LLC and Everon Biosciences, Inc. He holds the position of Director & Chief Scientific Advisor at Panacela Labs, Inc., Chief Scientific Officer of OncoTartis LLC, Chief Scientific Officer for Everon Biosciences, Inc., Chief Science Officer at Genome Protection, Inc. and Chief Scientific Officer of Cleveland BioLabs, Inc. Andrei V. Gudkov is also on the board of Incuron LLC. Dr. Gudkov also serves on the Scientific Advisory Board and is author of the founding concept for the Vaika (https://www.vaika.org/) program, a not-for-profit charitable medical research organization with a mission to extend the health-span and life-span of domestic animals, with a focus on aged sled dogs.

Australia does a lot of great science, but has a poor record of translating that science into benefits for society. At least, that's what the education minister has been telling us. This week we talk to an eminent Australian scientist to hear about a home-grown translational medicine success story -- and to find out what barriers still stand between basic research and commercial applications. This week we talk to Prof Bob Graham of the Victor Chang Cardiac Research Institute, a specialist in molecular cardiology and cardiac regeneration. He and his team have discovered a way to convert the venom of the Australian funnel-web spider into a drug that can reduce brain damage after strokes and improve heart recovery after heart attacks. An amino acid peptide derived from this venom may one day be injected into stroke and heart attack victims in the ambulance before they even reach the hospital. How important is basic science for medical research? Why does basic science have to be done here, in Australia? Why can't we just rely on science done overseas for applications in Australia? What's the difference between commercialisation and translational medicine? Our regular host Salvatore Babones will be asking Prof Graham these questions and more as we hear the story of an incredible medical discovery and learn why basic science in the public interest. Bob Graham is the Des Renford Professor of Medicine at UNSW and was the inaugural director of the Victor Chang Cardiac Research Institute. He spent a substantial portion of his career in the United States, where he rose to become the Robert C. Tarazi Chairman of the Department of Molecular Cardiology at the Cleveland Clinic Foundation. He is a Fellow of the Australian Academy of Science and a Foreign Member of the Royal Danish Academy of Sciences and Letters.

“Instead of getting together and playing cards, we get together and lift heavy weights. It's just been a great community to be in.” -Shellaine Frazier D.O. In today’s episode, host Dr. Jen Barna talks with pathologist Dr. Shellaine Frazier. But she isn’t only a board certified anatomic and clinical pathologist, she is also a world champion weightlifter! They discuss everything from how she came to be a pathologist to how she discovered her passion for weightlifting. From there, they discuss community building, building bone density as you age, and more!    Dr. Shellaine Frazier attended medical school at Kirksville College of Osteopathic Medicine, she completed her internship at the Cleveland Clinic Foundation, she completed her pathology residency at University of Missouri Health Care. She is the Associate Professor of Clinical Pathology at the University of Missouri and also the Medical School Curriculum Oversight Director.   Books and articles mentioned in the show:   Lafontaine T, Frazier S: High Intensity Resistance and High-Impact Training and Bone Mineral Density – A Narrative Review: Part 1 NSCA Coach Feb 2019:6(1):16-20   Lafontaine T, Frazier S: High Intensity Resistance and High-Impact Training and Bone Mineral Density – Sample Training Program: Part 2   Robbins & Cotran Pathologic Basis of Disease, (click to purchase).   Excerpts from the show:   “Can you tell us about your decision to become a doctor and how you imagined life as a doctor would be?” -Dr. Jen Barna    “Yeah, so it's kind of a funny story. So my dad was a barber and he had a client that was a pathologist, which is what I am, and he would talk to him. You know how barbers are, they're kind of like therapists. So as he got to know him, he learned what the pathologist’s life was about and he said, ‘You need to be a pathologist.’ He said, ‘That’s the best money for the nicest life.’ So that was actually in junior high. I wanted to be a pathologist. So what happened after that was, I'm sure our audience is probably not old enough to remember the old forensic TV show Quincy from the 70s time period, but I watched that and I saw that Quincy had an MD after his name. So I was like, ‘Oh. I have to go to medical school to be a pathologist. Ok, well that's gonna be a long road.’ But I persevered and just having that goal in mind made me pursue opportunities to look into pathology. Of course, I was drawn in by the forensics and all the drama of that, which is not as dramatic as people probably think it is, as it's displayed on the TV show. As I took opportunities to shadow a pathologist, I learned what pathology was and how broad of a discipline it is. I actually decided I really didn't want to do forensic pathology at all. So I ended up just being a surgical pathologist. I'm board certified in anatomic and clinical pathology. But my career path has always been predominantly an anatomic pathologist in surgical pathology. So that's kind of how I got here and my dad was right. It is a really good job in healthcare. It's a good job for work-life balance.” -Shellaine Frazier D.O.   “I want to hear about the weightlifting as well, because that is where you have become a world champion. So how did you go from doing aerobics at home to becoming a world champion powerlifter?” -Dr. Jen Barna   “So at one point after I'd done P90X and I started getting involved and running, I actually had a resident who was into triathlons and she said, ‘You need to do a triathlon.’ She was actually coaching a team in training. She said, ‘You need to go get your VO2 max tested.’ So there was a health and fitness center in Columbia and I went to go get my VO2 max tested there. The person that tested me was Tom LaFontaine. He has a PhD in exercise physiology. He's worked with world class athletes and he came in first or second in a world duathlon and I believe he made the Olympic team or was just shy of making the Olympic team in the kind of weightlifting where you throw the bar over your head... So he was sort of a biphasic athlete also and he had a very energetic personality. He told me I needed to join the gym and that I needed to lift more weights because it would help me with my running. Long story short, we worked together for quite some time. He and his wife at the time and I and one other woman at the gym got this idea to make a group of ‘older women on weights.’ I don't know if you’d call it a club because you don't have to qualify to be in it. But we started getting really involved with recruiting a really big team of people. It was probably up to 40 or 50 at the time just from Columbia. It was women between 40 and 70+ years of age that became power lifters. And we are competing in powerlifting. So I had gotten into a few meets just because Tom wanted me to do a few because unbeknownst to me, my biggest athletic gift is bench press. I just had a lot of aptitude for that and he recognized that, so he encouraged me to be in some meets. His wife and a friend were sitting in the crowd at one of our meets and they were like, ‘We can break those records.’ So from that the ‘Older Women on Weights’ thing was created. So we have this huge team of women that are competitive powerlifters all the way up to 70+ years in age.” -Shellaine Frazier D.O.   “There are a lot of different powerlifting federations. We are pretty small on the scale of different federations of powerlifting and they all have their own records. We are without a doubt the strictest federation on drug control. We actually have drug-free in our name and that was very important to me because this was supposed to be promoting a healthy lifestyle, weight lifting as part of a healthy lifestyle, so that women, as they aged, could remain independent and not look like the 70-year-olds that a lot of 70-year-olds look like. So it was really important to me to be in a very strictly drug controlled federation. So that's predominately where I lifted, although I lifted in a few others. So that's the American Drug Free Powerlifting Federation. It's an all volunteer Federation. I'm actually the drug control officer, so I know that we strictly control drug use. Even a hint of anabolic steroids, and you're banned for life. So with that being said, there were a lot of open American records in my age group. So the way that records work is there's an open category which is the youngsters, mostly that's where the 20 to 39-year-olds fit. That's usually the most competitive age group. Then every five years after that. It's based on your body weight to weight lifted. So to win your age group doesn't necessarily mean that you lifted more than the person that weighed twice as much as you. It just means that based on the ratio of what you weighed to what you lifted, you did the best. I qualified in the United States to go to my first World meet which was actually in the United States. I qualified and I was super excited. That meet was ok, I didn't set any records at that meet. But from there on, I just kept lifting and eventually went to world meets in Belgium, France, Wales and England. I almost always win in the bench press and I used to almost always win my age and weight division in the deadlift. In the bench press at world level, I didn't beat people in the open category but in the United States I almost always won even in the open when I was in my 40s. I had my very best meet in the bench press when I was 48. I think the highest I ever lifted was 76.5 kg and that was at a body weight maybe about 51.5 kg.” -Shellaine Frazier D.O.   “I’m still very involved in our resident recruitment committee. So I interview a lot of resident candidates for our department and I always ask them questions that nobody else asks. I'm like, ‘What do you do outside of work?’ And I usually say, ‘Don't tell me that you read Robbins, because I don't want to hear that you just read Robbins.’ Then I have to say, ’It's not a trick question, because you're going to spend four years of your life here and you have to be happy outside of the walls of the hospital. Not only do we have to like you, but you have to like us, and you have to like the community that you live in, and you have to have things that you de-stress with.’ Anyway, maybe I've run a few candidates off, I don't know. But I always tell them that.” -Shellaine Frazier D.O.   Get One-on-One Coaching with Coach Gabriella Dennery MD Get One-on-One Coaching with Master-Certified Coach Jill Farmer   DocWorking believes the time has come to prioritize the health and wellness of physicians. Professional coaching is transformational. Elite athletes, award-winning actors and top-performing executives all know this, which is why they embrace coaching to achieve such extraordinary success. Leading corporations also know this, which is why they encourage coaching for employees at every level. Smart leaders leverage the power of coaching to achieve outcomes that are meaningful, measurable, and attainable. Our Coaches Will Show You How!   Our New Virtual Courses ‘STAT: Quick Wins to Get Your Life Back’ and ‘A New Era of Leadership’ are Almost Here!  Learn More Now    To learn more about DocWorking, visit us here!   Are you a physician who would like to tell your story? Please email Amanda, our producer at Amanda@docworking.com to apply.   And if you like our podcast and would like to subscribe and leave us a 5 star review, we would be extremely grateful!   We’re everywhere you like to get your podcasts! Apple iTunes, Spotify, iHeart Radio, Google, Pandora, PlayerFM, ListenNotes, Amazon, YouTube, Podbean   Some links in our blogs and show notes are affiliate links, and purchases made via those links may result in small payments to DW. These help toward our production costs. Thank you for supporting DocWorking: The Whole Physician Podcast!   Occasionally, we discuss financial and legal topics. We are not financial or legal professionals. Please consult a licensed professional for financial or legal advice regarding your specific situation.   Podcast produced by: Amanda Taran

How will 2021 define a leader? Umesh Ramakrishnan, Co-CEO of Kingsley Gate Partners sits down with Dr. Toby Cosgrove, Executive Advisor, Former President and CEO of The Cleveland Clinic Foundation, to discuss. Umesh and Dr. Cosgrove also tackle employee engagement and wellness strategies, the new skills and leadership traits moving to the forefront of healthcare, succession planning, and the toolset board members will need as we move forward in a post-pandemic world. You also don't want to miss his prediction on when we may start to “return to normal.” See acast.com/privacy for privacy and opt-out information.

Jeff Ruby, Founder and CEO of Newtopia, a habit change provider focused on chronic disease prevention, discusses his perspective on why both telehealth and value-based models are set to gain greater adoption in the U.S. Jeff Ruby is a health innovator and entrepreneur who is passionate about shifting the focus of health care from sick care to keeping healthy people healthy. As CEO of Newtopia, which he founded in 2008, he is driving the development of hyper-personalized and highly engaging disease-prevention solutions that deliver sustainable habit change and health results in a scalable and affordable manner. Previously, Ruby was co-founder and chief operating officer of Cleveland Clinic Canada, a collaboration between the Cleveland Clinic Foundation and Canyon Ranch, and Canada's leading destination for preventive health and lifestyle management; co-founder and chief operating officer of Life Screening Centres Inc., a cancer screening and prevention company; and co-founder and head of operations of Genetic Diagnostics Inc., an early stage biotechnology company commercializing a new genetic diagnostic testing platform. Ruby holds a joint Juris Doctor and Master of Business Administration from York University's Osgoode Hall Law School and Schulich School of Business in Toronto. He received his bachelor's degree from Western University in London, Ontario. #Newtopia #PreventiveCare

A native of Allentown Pennsylvania, Dr. Ernest Normington attended medical school at Hahnemann University in Philadelphia. After medical school, Dr. Normington trained in general surgery at the Geisinger Medical Center for eight years. He trained in plastic surgery at the world-renowned Cleveland Clinic Foundation known for excellence in plastic surgery. Dr. Normington is board certified by the American Board of Plastic Surgery (ASPS) and is a member of the American Society of Plastic and Reconstructive Surgeons. He is an adjunct staff member of the Department of Plastic Surgery in the Dermatology and Plastic Surgery Institute at the Cleveland Clinic. Dr. Normington's areas of expertise include facial surgery, breast surgery, body sculpting, laser surgery and skin care. He is also trained in advanced hand reconstruction. He has published numerous medical journal articles on his research in plastic surgery and has lectured to national and international audiences. He is past president of the Union County Medical Society and has served as the Medical Director of Evangelical Hospital's Wound Clinic and as Chairman of the Board of Evangelical's Ambulatory Surgery Center. https://www.lewisburgplastic.com podcast@lewisburgplastic.com   ____ This podcast was recorded & produced by MoJo Active.

Olá! Seja bem vindo à Radio SBU! No episódio de hoje, Karin Jaeger Anzolch dá seguimento ao tema "Pedra nos Rins" em uma entrevista com os doutores Ernesto Reggio e Giovanni Marchini. O podcast aborda a Nefrolitíase Assintomática, quais as consequências de não tratá-la e porque algumas pessoas não têm sintomas. Além disso, hoje também trazemos um histórico sobre a jornada do paciente com pedra nos rins e os diferentes tipos de tratamento para essa condição. Dr. Ernesto Reggio, foi Research Fellow no Long Island Jewish Medical Hospital, é Doutor pelo Departamento de Urologia do Hospital das Clínicas da USP e coordenador do departamento de Endourologia da SBU; Dr. Giovanni Marchini, fez seu Fellow em Endourologia e Cirurgia Minimamente Invasiva na Cleveland Clinic Foundation, é Doutor e pós-doutor pelo Departamento de Urologia do Hospital das Clínicas da USP onde também é Assistente e Coordenador do grupo de Litíase e Endourologia. Compartilhe a Rádio SBU e nos envie sua mensagem pelo portal da Urologia, ou pelo Instagram @SBUOficial. A equipe da Rádio SBU deseja um excelente 2021 à todos!

Dr. Piedimonte has more than 25 years of experience in the leadership and management of complex healthcare systems. He is currently the Vice President for Research and Institutional Official of Tulane University, a university-wide post responsible for overseeing all aspects of research across the institution. He also holds the academic appointment of Professor with Tenure in the Departments of Pediatrics, Biochemistry & Molecular Biology of Tulane School of Medicine. Previously, he held the Steven and Nancy Calabrese Endowed Chair for Excellence in Pediatric Care, Research and Education, and served in multiple leadership roles at the Cleveland Clinic Foundation in Cleveland, Ohio, including Institute Chair of the Pediatric Institute, Physician-in-Chief of the Children’s Hospital, President of the Children’s Hospital for Rehabilitation, Professor & Chair of Pediatrics at the Lerner College of Medicine of Case Western Reserve University, Chief of Global Pediatric Research Operations, and Director of the Center for Pediatric Research. Before that, he served for more than 6 years as the first Wyeth Research Scholar, Professor and Chairman of the Department of Pediatrics at West Virginia University School of Medicine, and Physician-in-Chief of the WVU Children’s Hospital in Morgantown, WV. Show notes at https://rxforsuccesspodcast.com/33

This week I am inspired to sit down with two young women who have both been an integral part of the campUS experience.  campUS is an overnight camp for teens with hearing loss focusing on successful transition and leadership skills. Our first guest is Dr. Katie Colborn, pediatric audiologist at the Cleveland Clinic Foundation, who served as a campUS counselor 2 different years.  Our second guest is Audrey Susz, a former camper attending twice, who is now a sophomore at the Ohio State University.  These two inspiring ladies share the impact of the campUS experience from both a counselor and camper perspective.  Fundamentally, it is important to offer these opportunities to develop strong relationships and advocacy skills.  Join Dr. Spangler and be inspired to start your own same-self peer connections group!   For More Information like the Facebook Group: https://www.facebook.com/campUS.teens.HL Watch this YouTube video (thanks to Phonak) about the campUS experience titled: Teens with hearing loss:  Learning to advocate for yourself people that maybe enhanced my differences https://youtu.be/lGDNdjkXtDM  

Saturday Service October 2020_5 by Rabbi Brian https://rbpodcasts.s3.us-east-2.amazonaws.com/SaturdayService/10312020AUDIO.mp3 Podcast: Podcast Episode Notes 0:00 - 02:00 - deep breaths and welcome statement 02:00 - 03:15 - home work noticing complaining with participant comments 03:15 - 04:30 - quick note form Rabbi Brian to say thanks to Toni Anne 04:30 - 12:35 - Toni Anne: discussing what we’ll talk about today - podcast recommendation (Finding our Way (podcast) hosted by Prentis Hemphill; Episode 7: Remembering with Alexis Pauline Gumbs “A cell can’t defend itself and grow at the same time.” (+too many other gems in this episode to count!) if we’re in defence mode, what does that mean to be able to grow at the same time? How does this fit into the election this week (America): how can this be a moment of growth instead of defence? Thinking about repetition - like what Rabbi Brian does with us every Saturday - routine - how does repetition work into today’s discussion? 12:35 - 17:09 - Toni Anne: talking about dream work - unconscious mind - talking about repetition in the mind and how it becomes reflex and acceptance of yourself - it’s a practice done via repetition. Eg: using “I am” statements - using notes to create positive statements 17:09 - 18:50 - statement on the power of visualization (“A study looking at brain patterns in weightlifters found that the patterns activated when a weightlifter lifted hundreds of pounds were similarly activated when they only imagined lifting. In some cases, research has revealed that mental practices are almost effective as true physical practice. For instance, in his study on everyday people, Guang Yue, an exercise psychologist from Cleveland Clinic Foundation in Ohio, compared results of those who did physical exercises to the results of those who carried out virtual workouts in their heads. In the physical exercise group, finger abduction strength increased by 53%. In the group that did "mental contractions", their finger abduction strength increased by 35%. However, "the greatest gain (40%) was not achieved until 4 weeks after the training had ended" (Ranganathan et al., 2004). The power of visualization https://www.psychologytoday.com/us/bl.... This demonstrates the mind's incredible power over the body and its muscles.”) and how it works physically 18:50 - 27:50 - Toni Anne: 5 mins written exercise on aspect of life you want to realize through actualization (I AM…) and what does it look like when it’s here - what are the questions that you would ask , what does it smell like, what does it look like, how do you feel, what is there to appreciate? Rabbi Brian quote: nothing is different in my world. nothing. not one rock in a different space. everything is the same on the universe, minus one thing. I’m 0.02% healthier, more present. and I have 0.02% more pride. and I love myself just 0.02% more than I did. 27:50 - 37:05 - Toni Anne review of what was written by people with several participants. Can you see and feel what some of that you wrote is real? 37:06 - 38:05 - Toni Anne quote: Whatever we plant in our subconscious mind and nourish with repetition and emotion will one day become a reality.--Earl Nightingale - eg: Muhammad Ali saying he was the greatest - subconscious affirmation made conscious instead of ego. 38:06 - 46:00- actualization discussions continue. What felt different? I am in the process of… instead of I am or I should (to say you are working towards but not there yet). Bob talked about parent/child/adult modes of self and how it works in the use of verbs (should/will/in the process of…). Toni Anne discussed the softening of ego to allow for forgiveness. 46:00 - 50:35 - 5 min meditation or visualization 50:36 - 53:35 - Toni Anne: Rabbi’s announcements: Sat service same link as Tuesday 11 AM PST chat, newsletter (rotb.org),

In this episode, we celebrate Father’s Day with stories from pathologists and their Fathers. Dr. Kalisha Hill (@kalishahillmd), Chief Medical Officer at AMITA Health St. Mary's Hospital in Illinois, shares a conversation with her father Dr. Kim Williams, Chair of Cardiology at Rush University in Chicago. Dr. Celestine Trinidad (@celestrinmd), a pathologist in Metro Manila, Philippines shares how her father inspired her to go into medicine, and how the path veered from surgery to pathology. Dr. Michael Arnold (@MArnold_PedPath), Medical Director of Anatomic Pathology at Children’s Hospital of Colorado talks about his experiences as a father with his daughter Madelyn. Dr. Leilani Valdes(@LeilaniCLV), medical director for Regional Pathology Associates in Victoria, TX, shares her love of her father and the life lessons he imparted. In between Our Father’s Day tribute, we will have trainees share how they became interested in pathology. We hear from Dr. Anas Saad (@AnasSaad94), a Research Fellow at the Cleveland Clinic Foundation, Cleveland Ohio, and Dr. Greta Evaristo (@gtevaristomd), 3rd year AP resident from McGill University, Montreal. Featured public domain music: Loyalty Freak Music, Dirty shoes blues.

ABOUT MARK WARREN:Mark graduated from the Johns Hopkins University School of Medicine and completed his residency at Harvard Medical School. His practice focuses on bringing the most up-to-date research into evidence-based care.Mark serves on the faculty of Case Western Reserve School of Medicine and teaches at University Hospitals of Cleveland and The Cleveland Clinic Foundation. He is a Distinguished Fellow of the American Psychiatric Association and a Fellow of the Academy of Eating Disorders, where he leads the SIG in Males and Eating Disorders. Mark is a two-time recipient of the Exemplary Psychiatrist Award of the National Alliance for the Mentally Ill and a winner of the Woodruff Award.Mark co-chairs the Academy of Eating Disorders Presidential Task Force for Medical Care and serves on the FEAST Medical Advisory Board and the London-based Succeed Foundation Medical Advisory Board. He has presented extensively at the International Conference on Eating Disorders, The Renfrew Foundation, and the Multidisciplinary Eating Disorder Association.Mark currently holds the position of Chief Medical Officer for The Emily Program, a comprehensive treatment center that provides personalized eating disorder treatment for teens, young adults, and adults. We offer comprehensive psychological, nutritional, medical, and psychiatric care at multiple locations across the Minneapolis-St. Paul area, Duluth, MN, Spokane, WA, South Sound (Lacey), WA and Seattle, WA, Pittsburgh, PA, and Cleveland, OH.CONNECT WITH MARK WARREN: • Visit their website to learn more about The Emily Program• Follow The Emily Program on Facebook and Instagram• Read Mark’s article “Letting Go of Secrets in Eating Disorder Recovery”• Read “Dr. Mark Warren’s Story” for Project Heal• Listen to Mark’s episode for the “ED Matters” PodcastABOUT THE HOST:Karin Lewis, MA, LMFT, CEDS has been recovered from Anorexia Nervosa for over 20 years, has been specializing in the prevention and treatment of eating disorders since 2005, and is the founder of the Karin Lewis Eating Disorder Center. To learn more about Karin and her center’s services, please visit Karin Lewis Eating Disorder Center online. You can connect with Karin on social media by following her on Facebook and Instagram.Are you interested in becoming a guest on our show? If so, please fill out our Guest Application.If you enjoyed the podcast, we would be so grateful if you would please take a minute to leave us a rating/review here. Thank you!

Ira Pastor, ideaXme life sciences ambassador and founder of Bioquark, interviews Dr. Andrei Gudkov, PhD, DSci, pre-eminent cancer researcher who serves as Senior Vice President, Research Technology and Innovation, Chair of the Department of Cell Stress Biology, and a member of the senior leadership team for National Cancer Institute (NCI) Cancer Center Support Grant at Roswell Park Comprehensive Cancer Center. Ira Pastor comments: As we continue on our path through the topics of the diseases of aging and healthy longevity, we are going to take a fascinating journey upstream from many of the hallmarks and forms of damage found in aging tissues, to one of the very interesting drivers of aging processes, namely the RetroElement space (termed the "retrobiome" by our guest). The retrobiome comprises a considerable fraction of eukaryotic genome, which for a long time was overlooked as "junk DNA", but in recent years is now realized to have important influence on genome functioning, and where inappropriate activation can serve as an internal clock mechanism determining aging and chronic disease progression. Dr. Andrei Gudkov: Dr. Andrei Gudkov, PhD, DSci, is a pre-eminent cancer researcher who serves as Senior Vice President, Research Technology and Innovation, Chair of the Department of Cell Stress Biology, and a member of the senior leadership team for National Cancer Institute (NCI) Cancer Center Support Grant at Roswell Park Comprehensive Cancer Center. Dr. Gudkov is responsible for building on the basic and translational research strengths of the Cell Stress Biology program in DNA damage and repair, photodynamic therapy, thermal and hypoxic stress and immune modulation. Dr. Gudkov assists the President and CEO at Roswell Park in developing and implementing strategic plans for new scientific programs and to enhance collaborations in research programs with regional and national academic centers as well as with industry. Increasing Lifespan in Humans and Dogs: Before joining Roswell Park, Dr. Gudkov served as chair of the Department of Molecular Genetics at Lerner Research Institute, Cleveland Clinic Foundation, and Professor of biochemistry at Case Western University. He earned his doctoral degree in Experimental Oncology at the Cancer Research Center, USSR and a Doctorate of Science (D.Sci) in Molecular Biology at the Moscow State University, USSR. He has authored or co-authored 135 scientific articles and holds 27 patents. Dr. Gudkov is also a serial entrepreneur who founded Cleveland BioLabs, Inc., OncoTartis LLC and Everon Biosciences, Inc. He holds the position of Director & Chief Scientific Advisor at Panacela Labs, Inc., Chief Scientific Officer of OncoTartis LLC, Chief Scientific Officer for Everon Biosciences, Inc., Chief Science Officer at Genome Protection, Inc. and Chief Scientific Officer of Cleveland BioLabs, Inc. Andrei V. Gudkov is also on the board of Incuron LLC. Dr. Gudkov is also on the Scientific Advisory Board and author of founding concept for the Vaika program, which is a not-for-profit charitable medical research organization with a mission to extend the healthspan and lifespan of domestic animals, via a novel clinical study using aged sled dogs. On this ideaXme episode we will hear from Dr. Gudkov about: His background and how he developed an interest in oncology, in molecular biology, in aging, and the study of the retrobiome. A history of retrobiome research in the scientific community. The concept of treating aging by counteracting intrinsic DNA damage and immunosenescence and retrobiome vaccination. His oncology/cancer research program. About the Vaika program - a clinical study in aged sled dogs in order to test whether inhibition of retrobiome will be beneficial for dogs’ healthspan and longevity. Credits: Ira Pastor interview video, text, and audio. Follow Ira Pastor on Twitter: @IraSamuelPastor If you liked this interview, be sure to read this interview Exploring the Human-Animal Connection for Health and Wellness! Follow ideaXme on Twitter: @ideaxm On Instagram: @ideaxme On YouTube: ideaxme Find ideaXme across the internet including on iTunes, SoundCloud, Radio Public, TuneIn Radio, I Heart Radio, Google Podcasts, Spotify and more. ideaXme is a global podcast, creator series and mentor programme. Our mission: Move the human story forward!™ ideaXme Ltd.

Any injury such as trauma, surgery or infection to the cornea in the eye may result in persistent scarring (clinically referred to as fibrosis) due to the wound healing response. Professor Steven E. Wilson at the Cole Eye Institute of the Cleveland Clinic Foundation has identified that defective epithelial basement membrane (EBM) regeneration plays a central role in the development of scar producing myofibroblast cells. Critically, Professor Wilson suggests that the pathophysiological consequences of defective EBM regeneration are also likely to have wider relevance to the fibrosis that occurs in other organs, such as the lungs, heart, kidneys, and skin.

Dr. Kris Siemionow is a board certified orthopaedic surgeon. He completed orthopedic surgery residency at the Cleveland Clinic Foundation and spine surgery fellowship at Rush University Medical Center. Dr. Siemionow's PhD focused on the effects of inflammation on nerve cell function.Dr. Siemionow is the Co-founder & CEO of Holo Surgical, a company developing a proprietary neural network and algorithm to deliver the world's first-in-human digital surgery based on augmented reality and artificial intelligence. Holo Surgical's clinical tested ARAI surgical navigation system provides real-time patient specific 3D anatomical visualization for surgical planning, intraoperative guidance, and post surgical data analytics. Published clinical papers are available here

While we can’t be sure what’s in store for us with the future of COVID-19, we can try to learn from the past to tackle this situation in the smartest way possible. That means looking at previous infectious disease epidemics and understanding zoonotic diseases like this one, that are passed from animals to humans, and how they’re different from the other pandemic diseases we’ve been able to eradicate. I was excited to connect with Dr. Steven Gordon to dig into these topics deeper, today on The Doctor’s Farmacy. Dr. Gordon is the Chairman of the Department of Infectious Diseases at the Cleveland Clinic Foundation and Professor of Medicine at the Lerner College of Medicine at Case Western University. His clinical interests include infective endocarditis including cardiac electronic implantable device infections as well as opportunistic infections in immunocompromised patients. He is a Fellow in the American College of Internal Medicine and a Member of the Infectious Disease Society of America. Dr. Gordon is the person to talk to when it comes to gaining a better understanding of infectious diseases. He explains some of the unique characteristics of SARS-CoV-2 and how they will dictate the way we move forward with healthcare and as a society in the coming years. The good news is that Dr. Gordon has a positive outlook about our ability to cope with COVID-19. *For context, this episode was conducted on May 1, 2020Here are more of the details from our interview:Lessons learned from previous infectious disease epidemics (3:11)Unique characteristics of SARS-CoV-2 and how they will influence our ability to move forward as a society over the next few years (6:12)Evaluating infection rates, antibody testing, and mortality rates (9:39)Do we need widespread testing, and is it even possible? (12:02)Why are some locations affected more than others by coronavirus? (13:53)Treatments for COVID-19, what we’ve tried and what might be coming (18:44)Why a COVID-19 vaccine might not be the magic bullet we’ve been waiting for (22:51)Wearing masks and other culture change for effective COVID-19 prevention (31:18)Dr. Gordon’s coronavirus projections for the next two years (35:33)Can you get COVID-19 more than once? (38:28)How healthcare could improve if 5G and internet were a free utility for all (46:27) See acast.com/privacy for privacy and opt-out information.

Recorded April 16, 2020 - I speak with medical expert, Dr Richard Farnam, to discuss the current status of the Coronavirus. We discuss... The current status of the Coronavirus pandemic How we're doing with 'flattening the curve' How to prepare for a 2nd wave of Cornavirus How to boost your immune system What 'new norm' we need to adapt to ...and more. * * * * * Dr. Richard Farnam is the world's leading expert on intraoperative ureteral fluorescence imaging. He completed his residency training at the Cleveland Clinic Foundation, and is a practicing Urogynecology specialist in El Paso, Texas, where he lives with his wife Nanda and their four children. Dr. Farnam is one of the nation’s leading experts in Surgical robotics, and is a renown professional speaker and surgical instructor and mentor. Dr. Farnam has a passion for education and host an medical education VLOG. Dr. Farnam holds two clinical associate professorship appointments at Texas Tech and Burrell Collage of Medicine. He one of a handful of accomplished Gynecologic Surgeons who have performed over 2500 Robotic surgical procedures. His patient base travels from thirty six states and six countries. He is the elected Vice Chairman of the AAGL Special interest group on Robotic surgery and former board member. Dr. Farnam is a Governing Board Member of Tenet Transmountain campus in El Paso, Texas. Dr. Farnam is a reviewer for the Journal of minimally invasive gynecology, and has also published on robotics in multiple peer-reviewed journals. Dr. Farnam also conducted the first human trials of IS-001 ureteral fluorescence in the world in 2017. Dr. Farnam is Board Certified in OB/GYN and Urogynecology.

Dr. Mary Samplaski is a fellowship-trained, board certified (American Board of Urology) expert in Male Infertility, and the Director of Male Infertility, Andrology and Microsurgery at the University of Southern California (http://keck.usc.edu/faculty/mary-samplaski/). She completed her residency training in Urology at the Cleveland Clinic Foundation. She then completed a 2-year fellowship training program in Male Infertility and Andrology at the University of Toronto. While Dr. Samplaski continues to maintain academic productivity, what drives her most is caring for individual patients and couples. In today’s episode, we focus on varicocele, and how this common condition impacts male fertility. Today’s episode is sponsored by the Fertility Awareness Mastery LIVE 8 week group coaching program! Click here  to register now! Today’s episode is also sponsored by Conceiving With Fertility Awareness My FREE online course designed to help you utilize fertility awareness strategies to optimize your chances of conceiving naturally. From timing sex accurately every time to identifying potential fertility issues through charting, this course has you covered. Head over to fertilityfriday.com/TTC for access   Topics discussed in today's episode: What inspired Dr. Samplaski to focus on male infertility  The benefits of micro-surgery for certain urology surgeries How common male factor infertility is when dealing with infertility issues  What is considered a normal semen analysis  The concept of sperm DNA damage and how that affects a couple trying to conceive What are varicocele’s How you would identify and fix a varicocele The improvements and pregnancy rates after fixing a varicocele  Other factors that can hurt sperm parameters  The benefits of both partners in the relationship working to better their health/lifestyles when dealing with infertility   Connect with Lisa: You can connect with Dr. Samplaski on her website. Resources mentioned: Dr. Mary Samplaski | Website Dr. Mary Samplaski | Resources American Society for Reproductive Medicine | Patient Resources Fertility Awareness Mastery Charting Workbook Fertility Awareness Mastery Online Self-Study Program The Fifth Vital Sign: Master Your Cycles & Optimize your Fertility | Audiobook | Lisa Hendrickson-Jack The Fifth Vital Sign: Master Your Cycles & Optimize Your Fertility (Book) | Lisa Hendrickson-Jack Get The First chapter of The Fifth Vital Sign for FREE | thefifthvitalsignbook.com   Related podcasts & blog posts: FFP 286 | Surviving Infertility | Sheridan Voysey FFP 285 | Finding a Medical Doctor Who Will Support You | Dr. Nathan Riley, MD FFP 228 | Mindfullness For Infertility | Dr. Janetti Marotta, Ph.D. FFP 213 | Surviving Fertility Challenges | Lisa | Fertility Friday FFP 139 | The Truth About Infertility | Maintaining Hope After 9 Years of Trying to Conceive | Stephanie Risinger FFP 032 | Acupuncture for Fertility | Male Factor Infertility | Marc Sklar   Join the community! Find us in the Fertility Friday Facebook Group. Subscribe to the Fertility Friday Podcast in Apple Podcasts! Music Credit: Intro/Outro music Produced by J-Gantic A Special Thank You to Our Show Sponsors: The Fertility Awareness Charting Workbook This episode is sponsored by my new book the Fertility Awareness Mastery Charting. Click here to buy now.   Fertility Friday | Fertility Awareness Programs This episode is sponsored by my Fertility Awareness Programs! Master Fertility Awareness and take a deep dive into your cycles and how they relate to your overall health! Click here to apply now!  

During this episode of WOCTalk we sit down with Coleen Potts, BSN, RN, CWOCN, a certified wound, ostomy and continence nurse working in both inpatient and outpatient care at the Cleveland Clinic Foundation. As an RN diagnosed with severe ulcerative colitis shortly after giving birth in 1987, Coleen was faced with ileostomy surgery. Shortly after, she underwent J-pouch surgery to remove her stoma and learned to self-catheterize. Ultimately, Coleen chose to invite a new stoma back into her life. Listen to learn about Coleen’s lifechanging healthcare journey from being an RN to living with an ostomy to becoming a CWOCN.

Donald Molnar MD is an internal medicine physician by day and a paranormal investigator by night. Don is the founder of the Haunted M.D. project which allows him to combine his passion of ghost investigating with being a practicing physician. Since 2001 Don has been out of training working as a doctor for various health systems including, the Cleveland Clinic Foundation in Ohio and the University of Virginia Health system in Charlottesville. He was born and raised in Lorain, Ohio before doing his undergraduate and medical training in the Akron, Ohio area. He worked in Wooster, Ohio after finishing training and moved to Charlottesville in 2009. Don notes having paranormal and ghostly experiences all his life and he finally joined Twisted Paranormal Society (TPS) out of Fishersville, Virginia in 2012 to be able to investigate these curious experiences. As a part of TPS he has investigated many locations private and public. Some notable investigations include Hill View Manor, Fort Mifflin, St Albans, The Exchange Hotel, Dunnlora Inn and the USS North Carolina. Don can be seen in several of the episodes of the Twisted Realm which is a video production of the investigations of TPS which has been aired on PBS Virginia and now is seen on VIDI space and Amazon prime. In May 2018 Don started Haunted M.D. to talk about being a ghost investigating medical doctor and in March 2019 he decided to focus on it, stepping away from TPS/The Twisted Realm. The goals of Haunted M.D. include doing lectures for conventions, conferences or any group of interested folks; conducting investigations; and helping other teams or individuals with investigations. He approaches investigations using the same methods he uses to evaluate patients, paying close attention to details. Besides investigations and lectures, he posts a wide variety of interesting items on the Haunted M.D. FB page and on Don Molnar Haunted MD YouTube page. The posts include thought provoking paranormal concepts along with educational videos and intriguing pieces of evidence. Go check out Haunted M.D. on FB and give him a like and Don Molnar Haunted MD on YouTube and subscribe to his page!

Episode 6 – Moral Distress – What does it mean, what are its practical effects in nursing, and what actions can be taken to mitigate its effects? In this episode, Dr. Toni Nicoletti interviews Dr. Georgina Morley, Nursing Fellow, Bioethics, Cleveland Clinic Foundation. Dr. Morley wrote her dissertation on moral distress and continues to research and publish on the topic. Beginning her career as a nurse in the United Kingdom, Dr. Morley became deeply interested in the practical effects of moral distress on nurses. Now, having studied the issue in the U.K. and the United States, she talks about why she believes that the definition of the term should be broadened from Andrew Jameton’s definition in his early work on the issue, the practical consequences of moral distress on nurses, and how institutions can mitigate the effects of moral distress through continued education and other institutional practices.

Dr. Wayne Tuckson is a native of Washington, D.C. & a graduate of both Howard University and the Howard University College of Medicine in Washington, D.C.  He completed an internship in Obstetrics & Gynecology at the St. Louis University Hospital in St Louis, Missouri, and a residency in General Surgery at Howard University Hospital.  He then completed both research and clinical fellowship in colon & rectal surgery in the Department of Colon & Rectal Surgery at The Cleveland Clinic Foundation in Cleveland, Ohio.  After a year as a Clinical Associate at The Clinic, he returned to Howard as an assistant professor in the Department of Surgery and as chief of the Division of Colon & Rectal Surgery. In 1994 he left Howard and joined the faculty at the University of Louisville, College of Medicine in the Department of Surgery as an associate professor.  He remained at the University for 7 years until July of 2001 when he left and started a private practice. KentuckyOne has employed him as a colon and rectal surgeon since 2008.  His clinical interests are in the treatment of fecal incontinence, the prevention & treatment of cancer of the rectum, the management of anal diseases, & the management of postoperative anal pain. To address the apparent disparity in health status in the minority & disadvantaged Kentucky populations, IN 1995, Dr. Tuckson organized The African-American Health Initiative, Inc, (TAAHI). The goal of TAAHI was to improve the “health IQ” or “health literacy” and encourage and foster more responsible participation, by patients, in their own healthcare. TAAHI sponsored conferences on topics such as cancer and healthy eating. To reach a broader audience TAAHI developed the TV show, Kentucky Health (nee Louisville Health). Today, Kentucky Health still airs on the KET network & is hosted & produced by Dr. Tuckson. He has been involved in many community activities including the Air Pollution Control board., Park Duvall Family Health Center board, & the board of the Louisville Metro Department of Health & Wellness. He has given many community presentations to churches, community groups, & local radio & TV news shows. He has received 2 Mayor’s Citations for community service in Louisville & The Thomas S Wallace Jr. Award for “Leadership Role in the Promotion of Health Awareness and the Well-Being of all Citizens of Jefferson County.” Recent recognition includes the “Lyman T. Johnson Distinguished Leadership Award in 2015” from the Louisville Central Community Centers, Inc & a “Real Black Men” certificate of recognition from the Louisville Defender newspaper. He is currently the president of the Greater Louisville Medical Society. Dr. Tuckson is married to the lovely Brenda B. Tuckson and has two sons named Wayne L. Tuckson and James H. Clay.  A current project of Dr. Tuckson’s is the documentation of the role of the Louisville Red Cross Hospital & African-American healthcare during the Jim Crow era in KY.

"Transversus Abdominis Plane Versus Quadratus Lumborum Blocks for Abdominal Surgery: Where Are We Now?" by Kariem El-Boghdadly, MBBS, BSc, FRCA, EDRA, MSc, Consultant Anaesthetist, Guy's and St. Thomas' National Health Service Foundation Trust, London, United Kingdom; and Hesham A. Elsharkawy, MD, MSc, Staff, Cleveland Clinic Foundation, Cleveland, Ohio. From ASRA News, August 2019, pp. 14-17. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.

In this Podcast we are exploring the effects of fat loss. So today we have the honour of having Mr Ivo Gwanmesia on the show. Mr Ivo Gwanmesia is a graduate of Manchester University Medical School, Ivo is trained in all aspects of Plastic Surgery. He trained within the London Deanery, working in most of London’s Teaching Hospitals. He obtained his Certificate of Completion of Training in Plastic Surgery in November 2010. He spent all of 2011 working as a fellow within the Craniofacial Unit at Great Ormond Street Hospital. In August 2013, he left the UK for the United States where he undertook a 12 month fellowship in Craniomaxillofacial surgery at the world renowned Cleveland Clinic Foundation, Cleveland, Ohio, United States. During his time at the Cleveland Clinic, Ivo spent time further subspecialising in adult and paediatric craniofacial surgery. He also undertook pioneering research which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. This method is now published in the scientific literature. He is the author of several papers and is co-author of several chapters in the newly published Plastic Surgery textbook ‘Plastic Surgery – A problem based approach’ as well as the author of a couple of chapters in the new Atlas for Craniofacial Surgery. Ivo consults patients at 10 Harley Street in Central London and operates at both the Highgate Hospital in North London and the Welbeck Hospital in Central London. The types of procedures Ivo performs include:- facial aesthetic surgery (facelift, brow lift, upper and lower blepharoplasty, neck lift, otoplasty, rhinoplasty genioplasty, insertion of orbital rim implants, mandibular and malar implants), breast aesthetic surgery (breast augmentation, breast reduction, breast uplift (mastopexy), body contouring surgery (liposuction, body lift, abdominoplasty, brachioplasty and thigh lift). Mr Ivo Gwanmesia -BSc, MSc (Lond), MBChB, MRCS, FRCS (Plast) Office Address: 10 Harley Street, London W1G 9PF, Phone Number – 02074741300 If you want to Get in Shape, Get Healthy and Get Happy, call us for a confidential consultation - Stephanie Webster Urban Health Method. 07500 356356 (WhatsApp) hello@urbanhealthmethod.com urbanhealthmethod.com Follow me on: Twitter: @urbanhealthm Instagram: @stephaniewebsterurban Linkedin: https://www.linkedin.com/in/urbanhealthmethod/ Facebook: https://www.facebook.com/UrbanHealth.UH Youtube: https://bit.ly/2mhuSRw CLICK HERE TO DONATE TO IMPROVE THE QUALITY OF OUR

Donald Molnar MD is an internal medicine physician by day and a paranormal investigator by night. Don is the founder of the Haunted M.D. project which allows him to combine his passion of ghost investigating with being a practicing physician.  Since 2001 Don has been out of training working as a doctor for various health systems including, the Cleveland Clinic Foundation in Ohio and the University of Virginia Health system in Charlottesville. He was born and raised in Lorain, Ohio before doing his undergraduate and medical training in the Akron, Ohio area. He worked in Wooster, Ohio after finishing training and moved to Charlottesville in 2009. Don notes having paranormal and ghostly experiences all his life and he finally joined Twisted Paranormal Society (TPS) out of Fishersville, Virginia in 2012 to be able to investigate these curious experiences.  As a part of TPS he has investigated many locations private and public. Some notable investigations include Hill View Manor, Fort Mifflin, St Albans, The Exchange Hotel, Dunnlora Inn and the USS North Carolina. Don can be seen in several of the episodes of the Twisted Realm which is a video production of the investigations of TPS which has been aired on PBS Virginia and now is seen on VIDI space and Amazon prime. In May 2018 Don started Haunted M.D. to talk about being a ghost investigating medical doctor and in March 2019 he decided to focus on it, stepping away from TPS/The Twisted Realm. The goals of Haunted M.D. include doing lectures for conventions, conferences or any group of interested folks; conducting investigations; and helping other teams or individuals with investigations. He approaches investigations using the same methods he uses to evaluate patients, paying close attention to details.

Donald Molnar MD is an internal medicine physician by day and a paranormal investigator by night. Don is the founder of the Haunted M.D. project which allows him to combine his passion of ghost investigating with being a practicing physician. Since 2001 Don has been out of training working as a doctor for various health systems including, the Cleveland Clinic Foundation in Ohio and the University of Virginia Health system in Charlottesville. He was born and raised in Lorain, Ohio before doing his undergraduate and medical training in the Akron, Ohio area. He worked in Wooster, Ohio after finishing training and moved to Charlottesville in 2009.

Dr. Kevin Passero and his special guest Dr. Rob Brown will discuss a mindful approach to wellness and toxin removal at home. Dr. Rob Brown, MD, began his formal medical education at the University of Miami School of Medicine, followed by a residency in diagnostic radiology in Pittsburgh and a fellowship at the University of California, San Diego, in musculoskeletal radiology. As a diagnostic radiologist, Dr. Brown has worked both in private practice as well as at academic centers, including NYU Medical Center and the Cleveland Clinic Foundation. Dr. Brown’s varied life experiences, including surviving a diagnosis of cancer, have brought him to the understanding that wellness is optimally achieved by allowing the body to heal, rather than by manipulating it through medication and procedures. Dr. Brown enjoys helping people create healthier lifestyle choices and believes in the importance of removing toxicity, particularly from the home environment.

Dr. Mike Roizen, Chief Wellness Officer and Chair of the Wellness Institute at Cleveland Clinic, joins David Johnson for Episode 9 of Market Corner Conversations. Dr. Roizen is the creator ... The post MARKET CORNER CONVERSATIONS: Dr. Mike Roizen, Cleveland Clinic Foundation appeared first on 4sight Health.

Toby Cosgrove, M.D., former CEO of the Cleveland Clinic Foundation, joins David Johnson in Episode 7 of Market Corner Conversations. Dr. Cosgrove shares how he built a culture of empathy ... The post Market Corner Conversations: Dr. Toby Cosgrove, Cleveland Clinic appeared first on 4sight Health.

In this edition of Fresh Hope for Mental Health Pastor Brad interviews Dr. Steve Grcevich.  Dr. Grcevich is the author of Mental Health and the Church: A Ministry Handbook for Including Children and Adults with ADHD, Anxiety, Mood Disorders, and Other Common Mental Health Conditions, which be released this week (February of 2017).  Pastor Brad believes that this book is a must read and must use book for any church that wants to include people who struggle with mental health issues. The church across North America does a weak job of welcoming and including families of children, teens, and adults with common mental health conditions or trauma. One obstacle is the absence of a widely accepted model for mental health inclusion ministries for kids, teens, adults, and their families. In Mental Health and the Church, Dr. Stephen Grcevich seeks to put forth a model for a mental health/trauma inclusion ministry of sufficient flexibility to be implemented by churches of all sizes, denominations, and organizational styles. This model is based upon an understanding of seven barriers that families of kids, teens, and adults with common mental health conditions face if they seek to regularly attend a local church: ADHD, anxiety disorders, attachment disorders, mood disorders, post-traumatic stress disorder, and difficulties with social communication/interaction. The model includes seven broad inclusion strategies for helping persons with common mental health conditions and their families to overcome barriers to active engagement in the full range of ministries offered by the local church. Dr. Grcevich is the principal author of Church4EveryChild, recognized among the Top 15 children’s ministry blogs in 2013 by Ministry-To-Children.com, and serves as the Program Committee Chairman for Inclusion Fusion, Key Ministry’s Disability Ministry Web Summit. In March of 2013, he was recognized by Sharecare as one of the top ten online influencers in children’s mental health. Dr. Grcevich is a physician specializing in Child and Adolescent Psychiatry in practice in Chagrin Falls, OH. He is a graduate of Northeastern Ohio Medical University (NEOMED) and trained at the Cleveland Clinic Foundation and Case Western Reserve University. He is a faculty member at both Case Western and NEOMED and has extensive research experience evaluating the safety and effectiveness of medications prescribed to children and teens for ADHD, anxiety and depression. He has been a featured speaker or presenter at over 35 national and international medical conferences and is a past recipient of the Exemplary Psychiatrist Award from the National Alliance on Mental Illness (NAMI), and the “Psychiatrist of the Year” award from the Ohio Chapter of NAMI. We encourage you to share this podcast with your friends via your social media connections. After listening to this podcast, we encourage you to email us at info@FreshHope.us with a comment or question that we will share on our next podcast.   If you are listening to this podcast on iTunes, we encourage you to leave a comment regarding the podcast. Or you can leave a voice message for us on the site:  www.FreshHope4MentalHealth.com Pastor Brad Hoefs, the host of Fresh Hope for Mental Health, is the founder of Fresh Hope Ministries, a network of Christian mental health support groups for those who have a diagnosis and their loved ones. In other words, Fresh Hope is a Christian mental health support group.  Brad was diagnosed with bipolar disorder in 1995. He is a weekly blogger for www.bphope.com (Bipolar Magazine). He is also a certified peer specialist and has been doing pastoral counseling since 1985. Brad is also the author of Fresh Hope: Living Well in Spite of a Mental Health Diagnosis, which is available on Amazon or at www.FreshHopeBook.com If you are interested in more information about Fresh Hope, go to www.FreshHope.us or email info@FreshHope.us or call 402.932.3089. To donate to Fresh Hope go to http://freshhope.us/donate/  For a complete list of where Fresh Hope groups are presently meeting, go to www.FreshHope.us and click on “find a group.”  Or you may attain an online group of meetings of Fresh Hope by going to www.FreshHopeMeeting.com If you are interested in starting a Fresh Hope group within your faith community, contact Julie at Julie@FreshHope.us  Fresh Hope for Mental Health is a production of Fresh Hope Ministries.  Fresh Hope Ministries is a non-profit ministry.   The copyrights of this program belong to Fresh Hope Ministries and may not be duplicated without written permission.  All of the podcasts of Fresh Hope Today, as well as numerous other videos, are all available on our YouTube channel: Fresh Hope Network  Fresh Hope for Mental Health is on Facebook at  www.Facebook.com/FreshHopeforMentalHealth      

One of the many joys of being an introvert is having access to a world of ideas, musings and dreams that live inside our infinitely imaginative minds.   Whilst some day dreams are pleasant and constructive - for example the numerous studies that show the usefulness of envisioning things for top athletes.   In one study an exercise psychologist from the Cleveland Clinic Foundation compared people who went to the gym with people who just carried out virtual workouts in their heads. Whilst there was an expected 30% muscle increase in the group who went to the gym, the crazy part is that the group who did only the mental exercises of the weight training ALSO increased muscle strength by 13.5% - nearly half the amount for arguably a lot less effort.   However, that's focussed thought. Most of the time our minds are not focussed - they wander around getting into all sorts of trouble. The part of the brain called the DMN - the default mode network - is responsible for this.   Some choice neighbourhoods the DMN likes to wander to are: - unpaid bills - arguments - shopping lists - future plans - and - a favourite of mine - what I want to eat for lunch.   Anyway, for introverts in particular, a tendency to overanalyse, get lost in the recesses of memory and wander too far into the uncertain future is all the more… a pain in the arse.   Being fully present in what we're doing, who we're with and how we're feeling - is key to boosting happiness and all round contentedness.   I'll admit - I'm recording this episode a wee bit selfishly.   Honestly, it's something I've been really trying to focus on - ha the irony - to focus on for the last few months and while I'm definitely getting better at quietening the monkey mind I know it's a long process.   Oh and I should underline that I have no intention of changing my brain wiring entirely - I LOVE my daydreams and really believe in daydreaming for creative idea generation - but I would like to be able to drop into the present moment and appreciate the here and the now to it's fullest.   So if you want to do the same, this episode is for you and I'd love to share the 10 things I've been practising to switch from overthinking, overanalysing and overfretting into a much more peaceful, contented introvert.   Links mentioned: The value of daydreaming A wandering mind is an unhappy mind Gretchen Rubin Worry Time Insight Timer Breathing techniques patreon.com/creativeintro

Caroline:              Welcome to Circulation On The Run! Your weekly podcast, summary, and backstage pass to The Journal and it's editors. I'm Doctor Carolyn Lam, Associate Editor from the National Heart Center in Duke National University of Singapore. What does the gut microbiome have to do with Cardiovascular Disease? Well to find out you'll just have to stay tuned for our featured discussion debate. First, here's our summary of this week's journal.                                 The first paper seeks to answer the question "does first trimester screening modify the natural history of Congenital Heart Disease?" To answer this question Doctor Jasinskyl and colleagues from the University Hospital in Masaryk University in the Czech Republic, analyze the spectrum of congenital heart defects and outcomes of 127 fetuses diagnosed with congenital heart defects in the first trimester compared to 344 fetuses diagnosed in the second trimester screening. All of these analyzed between 2007 and 2013.                                 They found that the spectrum of congenital heart defects diagnosed in the first versus second trimesters differed significantly with a greater number of comorbidities, defects with univentricular outcomes, intrauterine deaths, and terminations of pregnancy in those diagnosed in the first compared to second trimester.                                 They further analyze 532 fetuses diagnosed with congenital heart defects in the second trimester but in an earlier period of 1996 to 2001, which is the period before first trimester screening was introduced. In this group they found significantly more cases of defects with univentricular outcomes, intrauterine deaths, and early terminations of pregnancy. In comparison to fetuses also diagnosed with congenital defects in the second trimester but in the later period of 2007 to 2013.                                 Thus, the authors concluded that first trimester screening had a significant impact on the spectrum of congenital heart defects and on the outcomes of pregnancies with defects diagnosed in the second trimester. Early prenatal cardiac ultrasound screening may therefore, in some countries, reduce the number of children born with severe cardiac abnormalities and associated comorbidities.                                 The next study sheds light on the use of intravenous recombinant tissue plasminogen activator, or "RTPA," in patients with acute ischemic stroke also receiving no wax or the newer oral anticoagulants. Doctor Sienne and colleagues from the Duke Clinical Research Institute in Durham, North Carolina use data from the American Heart Association "Get With The Guidelines" stroke registry in 42,887 ischemic stroke patients treated with RTPA at 1,289 hospitals in the United States between 2012 and 2015. They basically found no statistically significant differences in the risk of symptomatic intracranial hemorrhage between patients who were taking Noac, Warfarin, or not taking any anticoagulant before the stroke.                                 This largest clinical experience of stroke thrombolysis in patients receiving Noac before the strokes thus suggest that RTPA is reasonably well tolerated without prohibitive risks for adverse events amongst selected Noac treated patients. However, the authors are quick to say that their observations must be considered as preliminary due to the absence of coagulation parameters, timing of the last Noac intake, and whether or not non-specific reversal strategies may have been applied.                                 The next paper provides experimental evidence of the unique effects of plasminogen activation and Alpha 2 antiplasmin inactivation on the fibrinolytic system in pulmonary embolism. In this paper from Dr Sing, Hong, and Reed from the University of Tennessee Health Sciences Center in Memphis, Tennessee the authors use mouse models of experimental pulmonary emboli to show that monoclonal antibody inactivation of Alpha 2 antiplasmin, which is an endogenous inhibitor of plasmin, effectively dissolved pulmonary emboli with similar potency to high dose RTPA.                                 Alpha 2 antiplasmin inactivation synergize with low dose RTPA to enhance thrombus dissolution. And like RTPA, Alpha 2 antiplasmin inactivation alone or in combination with low dose RTPA, did not cause fibrinogen degradation or increased bleeding. The authors therefore concluded that Alpha 2 anti plasmin is a dominant regulator that prohibits thrombus dissolution in vivo.                                 Therapeutic modulation of Alpha 2 antiplasmin activity may therefore prove an effective strategy to enhance fibrinolysis without significantly increasing the bleeding risk. These results are discussed in an accompanied editorial by Doctor Yurano from Hamamatsu University School of Medicine in Japan.                                 More exciting experimental data in the next paper showing that novel beta arrestin signaling pathways may be viable targets in dilated cardiomyopathy. First author Doctor Reba, corresponding author Dr Solaro, and colleagues from University of Illinois at Chicago treated a dilated cardiomyopathy mouse model expressing a mutant tropomyosin for three months with either a beta-arrestins two biased ligand of the entertance and receptor or losartan and angiotensin receptor blocker as control. Treated mice showed improved cardiac structure and function associated with myofilamins that had significantly improved myofilament calcium responsiveness. Which was depressed in the untreated mice.                                 These functional changes were mediated through beta arrestin which may have a novel role in increasing MLC2V phosphorylation through a previously unrecognized interaction of beta arrestin localized to the sarcamore. Thus, long term beta arrestin 2 biased agnonism of the angiotensin receptor may be a viable approach to the treatment of dilated cardiomyopathy. Not only by preventing maladaptive signaling but also by improving cardiac function by altering the myofilament calcium response via beta-arrestin signaling pathways. The concept of a two in one angiotensin receptor blocker and calcium sensitizer is discussed in accompanying editorial by Doctors Wu, Ju, and Siao from Peking university in China.                                 The final paper asks the question "are three arterial graphs better than two coronary artery bypass grafting?" Doctor Galdino and colleagues from Weill Cornell Medicine in New York performed a meta analysis of eight propensity score matched observational studies on more than 10,000 matched patients comparing the long term outcomes coronary artery bypass grafting with the use of two verses three arterial graphs.                                 They found that the use of a third arterial condo et in bypass grafting is a associated with superia long term survival irrespective of sex and diabetes status and without a higher operative risk. These results therefore support a strategy of the use of a third arterial graph and really deserve confirmation in prospective randomized trials. Well, that's it for the summaries. Let's welcome our guests.                                 Our topic for discussion today is so exciting. In fact, I am going to read from the paper describing it as an exciting, new, and important field of investigation where we start to understand how nutrition, our gut micro-community composition, and our genetics actually all play a part in Cardiovascular Disease. And to discuss this paper I have the first and corresponding author Doctor Wilson Tang from Cleveland Clinic Foundation as well as Doctor Nikhil Munshi, Associate Editor from UT Southwestern. Welcome Wilson and Nik! Nik:                        Thank you. Wilson:                 Thank you. Caroline:              Wilson, please set the stage for us! What does our gut microbiome have to do with cardiovascular disease? I agree it's a hot area but, you know, could you just describe what it actually means. Wilson:                 This has been somewhat of an accidental discovery from our group when we start encountering different types of metabolites that we measure to kind of associate them with Cardiovascular Disease. And unbeknownst to us, some of them are produced by the bacteria that live inside us to which we convert and try to eliminate. So one such metabolite that we identify is, which in many of the foods that we tell our patients, advise our patients that have high risk of Cardiovascular Disease. So all these connections come together to form a scientific basis to which how one of the biggest environmental exposures that we have which is what we eat every day is filtered by trillions of bacteria that live inside us and many of these metabolites become hormones that effect our every day function and activity.                                 And, in many ways, can actually lead to diseases that are so remote from the gut but such as Cardiovascular Disease, Atherosclerosis, and we further identify these process and they impact downstream organ function like heart function and kidney function. So these are all very excited areas and this is just one of several metabolites. There are other metabolites that also impact blood pressure and even brain function and so all these areas become kind of a new avenue for us to look at potential therapeutic targets. Caroline:              Yeah I think it's so completely fascinating that we can actually each experience a given meal differently based on the different types of gut microbial communities in our bodies isn't it? And that that actually can effect things all the way from atheroscleroses, to obesity, insulin resistance, and so on. Could you give us a specific example from your research? Wilson:                 We actually identified a metabolite, a very small molecule called Trimethylamine N-oxide, we abbreviate it as TMAO. And TMAO is actually formed from the bacteria from a precursor called Trigosamine which is, you know, gas. In other words, the bacteria taken substances of nutrients such as choline and connetine which is actually common in many foods but particularly in red meats, in egg yolks, and many other foods that we know are potential contributors to Cardiovascular Disease.                                 And actually converted into this gaseous compound that our liver converted into a neutral compound, that we think is neutral for a long time and nitrogenous waste, except that when we have both animal studies and human studies patients with high levels of this TMAO metabolite has been associated with a high risk of Cardiovascular Disease. And in fact in animal studies we have direct evidence that show its contributing to the mechanistic compartment. Caroline:              Now extrapolating from what you just said so vegetarians, for example, or vegans even more so, would have less TMAO levels then? Wilson:                 Yeah, obviously there are wide variation in these levels actually change almost by the minute because obviously we eat different times of the day and it comes in and out of our bodies. But in general, yes, in other studies that we actually identified a higher level of in carnivores which are meat eaters verses vegans and vegetarians who do not eat meat. Wilson:                 Yeah and we actually use... I sort of labeled choline and connetine to actually directly show that the synthesis of TMA and TMAO by a labeled connetine is higher in meat eaters, carnivores, verses vegetarian or vegans. Caroline:              Oh, I really have to ask both you Wilson and Nik the following question then. What do you think is the, you know, take home message? How do you apply this clinically and even more cheeky, perhaps, how are you applying this in your own life? I mean with this knowledge have you become vegetarian? I'm putting you on the spot here. Wilson:                 I think this is basically a very scientific demonstration of how what we eat does impact our every day bodily function. And I think many cultures have this identification. Obviously many Asian cultures have seen the impact of food. In fact, it actually opens entire insight into how different medicinal food may actively be impacting the gut microbiome that actually creates different effects in the body. But in terms of diet and nutrients, yeah I have totally have eaten less meat in my every day dietary habits.                                 I definitely think it's something that is certainly quite insightful and probably very impactful. That being said, I think different cultures also have different populations of microbiome and I think it's not a one size fits all. In fact I think every individual has his own dynamic ranges and we are still in the very very first early stage of understanding how this impact helps in disease. So there's a lot of excitement and there's a lot of technology that hopefully can help us to unravel this mystery. Caroline:              Exactly, a new and important field just like you said. Nik, what do you think? Nik:                        From my standpoint, I'm actually not a big meat-eater so this was very welcomed news when this all came out. But, you know, from another standpoint it really opens up a lot of new questions. You know, it kind of blurs the line between sort of genetics and environmental factors. You know, so the questions of maybe a family who shares certain genetic traits may also share certain environmental traits. In other words, they share certain gut microbial components and maybe this sort of complicates how we're going to disentangle some of these risk factors going forward. I'm interested to get Wilson's take on this. Wilson:                 Yeah it gives us a lot of insight to the I guess what happens is the microbiome is isolated in the family lineage because the lifestyle exposure are very similar in each household. So, what we thought is inherent is being inherited from both the genomic but also a microbiome perspective. Caroline:              Nik, you manage this paper. I really love, for example, that figure which I think everyone should get ahold of the journal and have a look at. Could you tell us a little bit more about this category of papers? Wilson:                 I'm sort of charged with this task of bringing sort of basic Science across the aisle to clinicians so that we can all sort of talk the same language and perhaps interact on a higher level. And so I was really excited reading some of Wilson's work and you know I really wanted to bring that to some of our broad readership just so that we could sort of appreciate what sort of science was going and I really think that this is a really great example of something that's on the verge of being translated.                                 You know you can imagine that by either effecting certain metabolite compositions or maybe by treating certain subsets of bacteria we may be able to influence long term cardiovascular risks not to mention obesity, diabetes, and some of these other diseases that Wilson is actively working on. So I really read this with a lot of excitement and I wanted to bring this to a broader audience and you know we have a number of other articles that are in the pipeline that I think will serve to bridge this gap and put us on the same field so that we can kind of speak the same language. Caroline:              Wilson, did you have a good time sort of writing something like this its not long. Wilson:                 It's actually very difficult. In fact, its just like writing poetry. You know it's hard to write in simple and short sentences. So it actually was a big challenge for me and I really thank the opportunity to be able to do that but I also want to emphasize I think it was a very insightful experience for me too. Because as a practicing physician and a commissioned scientist don't always merge these too few, these two areas in a way to actually see the importance we like to learn the science and try to explore I think clinicians really need to take charge and learn exciting science that's occurring. I think this is a wonderful avenue and I applaud [inaudible 00:18:10] for setting this radio [inaudible 00:18:11] Caroline:              Well listeners you heard it first here on Circulation On The Run it is poetry by Wilson Tang. So please, please pick up a copy of today's journal and don't forget to tune in again next week!

  Carolyn: Welcome to "Circulation on the Run", your weekly podcast summary and backstage pass to the journal and its editors. I'm Doctor Carolyn Lam, Associate Editor from the National Heart Center and Duke National University of Singapore. In just a moment, we will be discussing the very topical subject of wearable cardioverter defibrillators in patients at high risk of sudden cardiac death. Yes, this is the topic of our feature paper which really builds on prior US data using these devices and extends it, now, to a healthcare system outside the United States. First, here's the summary of this week's journal.     The first paper describes a novel class of mediators that may revolutionize the nonsurgical treatment of limb ischemia. This paper from first author Doctor Jung from University of Louisville School of Medicine and corresponding author Doctor Spite from Harvard Institute of Medicine and colleagues looked at resolvents. Resolvents are a family of lipid mediators synthesized from Omega-3 polyunsaturated fatty acids that promote the resolution of inflammation and have been shown to regulate the transition from inflammation to repair. Now, this is very relevant to limb ischemia because most other mediators that promote revascularization also exacerbate inflammation, thus potentially limiting their therapeutic use in chronic inflammatory diseases such as diabetes.     To assess the role of resolvents in revascularization and resolution of inflammation, the authors using a Murine model of hindlimb ischemia coupled with Laser Doppler profusion imaging, micro-computed tomography and targeted mass spectrometry. They identified that resolvent D2 is produced in the skeletal muscles of their Murine model of limb ischemia as well as in skeletal muscle biopsies of patients with peripheral artery disease. They showed that resolvent D2 increases tissue profusion by promoting arterial genesis that is collateral artery growth and, importantly, that it rescues defective revascularization in diabetic mice. These findings are important because they could inform the development of novel strategies for the clinical management of limb ischemia.     The next paper addresses food fortification with folic acid, which we all know prevents neural tube defects but may now even prevent congenital heart defects. This paper is from Doctor [Mule 00:02:53] and colleagues from The Center for Chronic Disease Prevention, Public Health Agency of Canada who studied approximately six million Canadian births from 1990 to 2011 and compared the prevalence rates and temporal trends in congenital heart disease sub-types before and after 1998 when folic acid fortification was mandated in Canada. They quantified the effects of folic acid fortification on the birth prevalence of specific non-chromosomal congenital heart disease sub-types, after controlling for concomitant changes in maternal age, pre-pregnancy diabetes, preterm pre-eclampsia, multiple birth and pregnancy termination. They found that there was an eleven percent reduction in non-chromosomal congenital heart defects following folic acid fortification. Specifically, folic acid fortification was associated with a twenty-seven percent reduction in conotruncal defects, a twenty-three percent reduction in coarctation of the aorta, a fifteen percent reduction in ventricular septal defects and an eighteen percent reduction in atrial septal defects. This large ecological study, therefore, provides evidence of a modest protective effect of folic acid fortification on congenital heart defects.     The last study suggests that in patients with ischemic cardiomyopathy and right ventricular systolic dysfunction, we should perhaps be taking a look at the mitral valve. This is work from first author Doctor Seib from the Beth Israel Deaconess Hospital and Harvard Medical School, corresponding author Doctor Kwon from the Heart and Vascular Institute of Cleveland Clinic Foundation and colleagues, who looked at over five hundred and fifty patients with ischemic cardiomyopathy, all of whom underwent cardiac MRI. They found that mitral regurgitation, as measured by effective orifice area, was a significant independent predictor of right ventricular ejection fraction. They further found that the relationship between right ventricular ejection fraction and mortality may be affected by mitral valve surgery in that a reduction in right ventricular ejection fraction was associated with increased mortality in non-repaired patients but not in patients who had undergone mitral valve repair.     The clinical take-home messages are that right ventricular function should be carefully assessed in patients with ischemic cardiomyopathy and if systolic dysfunction is found, patients should be assessed carefully for significant mitral regurgitation as well as other known risk factors such as right bundle branch block, right ventricular scar or a decreased left ventricular ejection fraction. The study suggests that mitral valve surgery may mitigate the relationship between right ventricular rejection fraction and mortality, however further studies are clearly needed.     Those were the summaries. Now, for our feature paper discussion.     I am thrilled to be joined by three guests today to discuss the feature paper on wearable cardio defibrillators in patients at high risk of sudden cardiac death. This is a real world experience all the way from Germany. Joining us today we have two authors of the paper, the first and corresponding author Doctor Nadine Visnic as well as author Doctor Ruth Strasser, both from the University of Dresden and Heart Center Dresden in Germany. Welcome, ladies.   Ruth: Hello, how are you?   Carolyn: Very good, thank you.     We have Doctor Mark Link, Associate Editor from UT Southwestern. Thank you for joining us, Mark.   Mark: You're very welcome.   Carolyn: Mark, let's start with a behind the scenes look. We have data from the United States describing the wearable cardio defibrillator. We have ample data on the implantable cardio defibrillators. What made the editorial board decide that this particular paper from Germany was so important?   Mark: There are a number of aspects that we looked at for this paper. This is exciting new technology that is beginning to impact the daily lives of all the physicians in the states, the wearable defibrillator. This is a very nice prospective study from Germany that looked at a very large group of patients with this wearable defibrillator, gave us real world experience and it also fits in with the circulation mission of becoming a world wide cardiac journal, not just United States journal. We were very interested in the topic. We're very interested in the international collaboration and we're very excited to publish this paper.   Carolyn: I love that. Practicing in a non US system, as well, I found this particularly special about this paper.     Nadiene, we're all wondering, could you describe the patient population, just so we know the kind of patients that your results are applicable to.   Nadine: The patients included in the register were regular patients we meet in clinic in every day life. No specific selection was made. For legal reason, of course, to analyze the data, they signed informed consent for the register. From April 2010 through October 2013, in total six thousand forty-three patients were using the wearable cardioverter defibrillator in Germany. All of these patients were registered into the life vest network, the registry to record demographic such as gender and age. Also, the cardiovascular indications and defibrillation treatments and daily wear time. The German population consisted of seventy-eight male and twenty-two female patients with median age of fifty-seven years.   Carolyn: Great. What were the indications for the wearable defibrillators?   Nadine: Most of the patients had to reduce the ejection faction by below thirty-five percent or even had experienced ventricular tachycardia as an indication. The largest group we had in our analysis was thirty-seven percent where those with newly diagnosed dilatative cardiomyopathy and ischemic cardiomyopathy accounted for twenty-seven of patients, especially forty days after myocardial infarction or after a high risk PCI or cabbage. Also, in total, we had twelve percent of patients that had an ICD explantation mostly due to infection situation. What is very special on that paper is that ten percent of all our patients had myocardidas as a diagnosis and was reason to use the WCD.   Carolyn: Wow. That does sound very representative of the real world patients that we would put wearable defibrillators on, as well.     Ruth, could you tell us, what were the main results? Were there any differences by sub-groups?   Ruth: Perhaps, we should first go on the compliance because this is very important to the daily wear time. This was more than twenty-two hours in ninety-four percent of the patients. Many patients who complained about the inconvenience but understanding that this life vest is a potentially life saving and only temporary treatment strategy made it acceptable to ninety-eight percent of the patients. As to the [inaudible 10:52] there is a difference, the younger patients, patients younger than forty-eight years of age or younger, they wear the life vest longer, sixty-six days. While the older patients, older than sixty-eight patients, this was statistically significant, wore it only forty-nine days. This difference was not used to compliance, because you do the description based on the cardiac diagnosis.     We also observed that the longer the cumulative wear of the life vest was, the longer day hours the patient had the life vest on. They were somewhat accustomed to it. One thing which is very, very important is, that in more than twenty-five percent of the patients, we could save the implantation of a permanent ICD due to the recovery of the ejection fraction. This was especially important for those patients who had the life vest, for example after myocardidas or after myocardial infarction, which is a very large population.     Also, which is important is that [full 12:06] shock treatment for reasons other then VT occurred only in point four percent, of less than one percent. Whereas those patients were successfully treated, this was one point six percent. They were treated in response to VT and VF. This means the incidence rate was eight point four per hundred patient years. This was even higher in those patients who had the life vest for the explantation. The life vest is very effective. It's a very effective strategy for general patient population with above indications. It can save the implantation, as I said already, in more than twenty-five percent in the population in Dresden itself. We could observe even a reduction of the need of implantation of permanent ICD more than thirty-five percent due to the recovery of the ejection. This is a very important treatment, especially for those patients who have an acute illness.     The German cohort is the first large cohort outside the US healthcare system. It confirms the overall value of the life vest and treatment pathways in Germany. Also, the cohorts analysis uncovered over two hundred forty-two sustained but self-terminated episodes of VT among seventy life vest patients, so that you have safely not treated because they were still conscious and could still press the response button. We found out that some of the self terminated VT episodes were even longer than eight minutes in duration time. All in all, we could see that the life vest is a device which is safe and which can prohibit shocks, as well.   Carolyn: Thanks, Nadine. [Ruth 14:12]     Mark, though, for the readers, I'm sure we need to put in perspective, as well, because there are still patients where perhaps an implantable cardio defibrillator is still more important. Could you share some thoughts about that?   Mark: Yeah. I think this is a very interesting, important study, for a number of regards.     One, is that there was a very high rate of compliance with using the life vest. To leave it on for twenty-three hours a day, for a mean of sixty days, is really quite impressive patient compliance. The data showed that it did recognize and treat VF in a small percentage, but in a important percentage, of people. This data does need to be put in perspective and the randomized trial is currently ongoing. The vest trial, which will randomize people, probably similar population to what the German study did, and look at the life vest performs in that population.     We look forward to further data from the vest trial and from other trials, that are looking at what the place of the wearable defibrillator will be in the future.   Carolyn: Thank you, Mark and that's perfect take home message for all us out there.     Thank you, once again, Nadine, Ruth, Mark. It has been wonderful chatting with you.     To all of you out there, you've been listening to Circulation on the Run.     Thank you for joining us.      

Dr. Marcello is a leader in colorectal surgery. He had a large part in advancing laparoscopic surgery and is now advancing the field of laparoendoscopic surgery. He gives a very practical interview that is entertaining, and inspiring. Enjoy! Please welcome guest host Avery Walker, who is about to start a fellowship at Ochsner Clinic in colorectal surgery.  Dr. Peter Marcello is an Assistant Professor of Surgery, Tufts University School of Medicine and a Staff Surgeon at the Lahey Clinic, Burlington, Massachusetts. Peter was born in Boston, Massachusetts and received an M.D. degree from the Boston University School of Medicine. His general surgery training was conducted at the Deaconess–Harvard Surgical Service in Boston. This included a 1-year research fellowship at Lahey Clinic. His clinical fellowship in colon and rectal surgery was also performed at the Lahey Hitchcock Clinic, and this was followed by a 1-year Pelvic Floor Research Fellowship at Lahey. He then joined the colon and rectal surgery staff at the Cleveland Clinic Foundation in Cleveland, Ohio. After 2 years at Cleveland, Peter returned to the Colon and Rectal Surgery Department at Lahey. He is board certified in General Surgery and Colon and Rectal Surgery.    

Please join us this Thursday, January 28, 2016 for a live show with host Denise Messenger.  Our special guest is Dr. Babak Dadvand.  He will be discussing Gynecomastia (breast surgery for men) and the treatment plan he has surgically perfected.  At a very young age he had a fascination with the relationship between the arts and sciences. Indeed, when he went on to pursue an Ivy League education at the University of Pennsylvania, he double majored in chemistry and fine arts to further explore these areas. Dr. Dadvand graduated Magna Cum Laude from the University of Pennsylvania and was further recognized for his outstanding achievements by being named a member of Phi Beta Kappa. He then went on to medical school at the University of Pittsburgh School of Medicine where he was drawn to the surgical specialties. After earning his doctorate of Medicine (MD) he attended the prestigious Cleveland Clinic Foundation where he completed a full General Surgery training program. He excelled both clinically and academically, with multiple publications upon completion of his training.  Dr. Dadvand passed both the written and oral examinations to become Board Certified by the American Board of Surgery. He was then accepted to the plastic surgery program at Indiana University Medical Center, a rigorous top-tier program. Here, he honed his skills in all facets of plastic surgery, including cleft-lip/palate repair, head and neck reconstruction, and breast reconstruction. Dr. Dadvand also utilized his time at Indiana University to pursue academic interests, including publications in peer review journals. Dr. Dadvand drew from years of training and experience during his advanced aesthetic fellowship in Beverly Hills. He knew that all the additional years of training he pursued were necessary to gain true expertise in the field of aesthetic plastic surgery.  You asked for it and we deliver!    

No matter how severe the adversity you’re dealt with, how you view it makes all the difference. Be inspired and hear how Dr Terry and his family turned tragedy into growth & enlightenment and you can too! Dr. Terry A. Gordon completed his medical school training at what is now known as the Kansas City University of Medicine and Biosciences, a rotating internship at Doctors Hospital, Internal Medicine training at Akron General Medical Center, he then completed his Invasive Cardiology Fellowship at The Cleveland Clinic Foundation. As a physician who on a daily basis has dealt with life and death, Terry understands that life is precious & can change in an instant. He & his family experienced first-hand such a dramatic shift when his son Tyler was in an automobile accident, sustaining a severe spinal cord injury that has left him paralyzed. Leading his family through the experience, Terry’s journey has resulted in a spiritual awakening to a clearer understanding of life and the truths it has to offer. He’s learned that when adversity comes our way, how we respond to that difficulty that determines who we become. Rather than lamenting so-called adversities, we can choose to be grateful for them, embrace them & accept them as gifts from the Divine. www.drterrygordon.com

Jeff Ruby is a health innovator with an extensive entrepreneurial track record in preventive health. Prior to founding Newtopia, Jeff was Co-Founder and Chief Operating Officer of Cleveland Clinic Canada, a collaboration between the Cleveland Clinic Foundation and Canyon Ranch, and Canada's leading destination for preventive health and lifestyle management. Before that, he served as Co-Founder and Chief Operating Officer of Life Screening Centres Inc., a cancer screening and prevention company, alongside a diversified group of international health product and service companies as part of The Copeland Group of Companies. Prior to the Copeland Group, Jeff was a Co-Founder and Director of Operations of Genetic Diagnostics Inc., an early stage biotechnology company commercializing a new genetic diagnostic testing platform. Jeff has a joint Juris Doctorate and Masters of Business Administration (JD/MBA) from Osgoode Hall and the Schulich School of Business in Toronto and a Bachelor of Arts degree from Western University. Jeff is a global thought leader and expert on integrative, personalized and highly engaging strategies to deliver affordable and sustainable health results and behavior change. 00:00 Jeff talks Newtopia, and how it encourages people to lead healthier lives.01:45 How Newtopia catches users before they develop metabolic syndrome by identifying at-risk users in order to prevent the disease.03:10 How Newtopia can ultimately save users money by avoiding rising health care and medical treatment costs.05:40 Newtopia's relationship with Aetna Innovations.07:10 What Newtopia as a pilot with Aetna Innovations looks like from a provider standpoint.09:30 What Newtopia looks like for a user.10:45 Newtopia's goal to understand the patient in a well-rounded way, from a genetic and personality standpoint, as well as a willingness to change.12:20 Newtopia's ability to provide a personalized plan that can integrate with wearable technology and personalized “coaches” who can help inspire and keep users accountable.14:20 Newtopia considers itself a “genetic engagement” company.16:30 The importance of genetic engagement to lifestyle changes.18:15 Some of the results that Jeff saw in the first year of piloting Newtopia.22:00 How Newtopia adds value to employers.26:30 How Newtopia inspires its users to want to change and keep healthier lifestyles.31:00 The importance of human interaction, along with engaging through technology, and how Newtopia brings these two together to create the greatest amount of success for its users.34:30 How Newtopia creates as much access as possible, within the limitations of access to technology and its ability to work through businesses.37:30 How Newtopia fits itself to the individual, and where providers fit in.41:00 You can find out more about Newtopia at Newtopia.com, where Jeff encourages you to reach out to the Newtopia staff to find out how Newtopia can work for you and your business.42:00 What does the “New” in Newtopia standfor? Nutrition, Excercise, and Wellbeing.

Dr. Stephen Grcevich serves as Founder and Director of Strategic Initiatives of Key Ministry, a non-profit organization providing free training, consultation, resources and support to help churches serve families of children with disabilities. Dr. Grcevich is a graduate of Northeastern Ohio Medical University (NEOMED), trained in General Psychiatry at the Cleveland Clinic Foundation and in Child and Adolescent Psychiatry at University Hospitals of Cleveland/Case Western Reserve University.

Click here for the RADIO LINKSClick here for People to People FundraisingClick here for tedhart.comClick to Promote Your Service or Organization  He lectures around the world but now is here for you. From the latest in charity news, technology, fundraising and social networking, Ted Hart and his guests help you maneuver through this economic downturn in the charitable sector to greater levels of efficiency and fundraising success. PAGE 2 GUEST EXPERT:  JAMES M. GREENFIELD, ACFRE, FAHP has been a leader in the nonprofit sector for more  than 40 years establishing “start-up” fundraising programs at The Cleveland Clinic Foundation, New England Baptist Hospital, University Hospital/Boston University Medical Center, and Children’s Medical Center, Boston. He has written four books, edited six others including: People to People Fundraising and Internet Management for Nonprofits     

Q&A Session following webinar with Dr. Nathan Pennell, medical oncologist and lung cancer expert at the Cleveland Clinic Foundation, on the use of molecular markers such as EGFR, KRAS, ERCC-1, EML4-ALK, and others in NSCLC.

Q&A Session following webinar with Dr. Nathan Pennell, medical oncologist and lung cancer expert at the Cleveland Clinic Foundation, on the use of molecular markers such as EGFR, KRAS, ERCC-1, EML4-ALK, and others in NSCLC.

Dr. Nathan Pennell, medical oncologist and lung cancer expert at the Cleveland Clinic Foundation, reviews the current evidence and future directions for use of molecular markers such as EGFR, KRAS, ERCC-1, EML4-ALK, and others in NSCLC.    

Dr. Nathan Pennell, medical oncologist and lung cancer expert at the Cleveland Clinic Foundation, reviews the current evidence and future directions for use of molecular markers such as EGFR, KRAS, ERCC-1, EML4-ALK, and others in NSCLC.

Guest: W. Frank Peacock, MD Host: Shira Johnson, MD Dr. W. Frank Peacock, vice chair in the Department of Emergency Medicine at the Cleveland Clinic Foundation, joins host Dr. Shira Johnson to discuss risk stratification after acute CHF. What does the first BNP really tell you? And what did the ADHERE trial discover about troponin and CHF?

Guest: W. Frank Peacock, MD Host: Shira Johnson, MD You are seeing a patient in your office on his first visit. How much more would you be able to tell this patient if you received his lab results just minutes after completing his physical? How would this prospect augment practice in an emergency department? Dr. W. Frank Peacock, chair of emergency preparedness at the Cleveland Clinic Foundation, speaks with host Dr. Shira Johnson about a simple idea that could mark an important change in the practice of medicine.

Guest: Allan Siperstein, MD Host: Mark Nolan Hill, MD In this segment, Dr. Allan Sipperstein of Cleveland Clinic Foundation discusses the various types of liver metastesis and introduces the radio frequency ablation as a treatment option. What is RFA, how does it work and what outcomes can be expected?

Guest: Allan Siperstein, MD Host: Mark Nolan Hill, MD Thyroid cancer has traditionally been difficult to accurately diagnose and re-detect in the case of a recurrence. Why is it so difficult to diagnose and have we made further progress in the ability to better identify the markers of thyroid cancer? Dr. Allan Siperstien of Cleveland Clinic Foundation has published research in the area of finding better markers to identify Thyroid Cancer. Learn more in this interview with Dr. Mark Nolan Hill.