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On In The Market with Janet Parshall this week, Laurel Slade-Waggoner took your calls on how to deal with narcissists. Fouad Marsi taught us about Ramadan and explained how to share Jesus with our Muslim friends. Dr. Sam Storms joined us to tackle the topics of Hell and Substitutionary Atonement. Clinical psychologist Dr. Linda Mintle offered an informative, science-based, and biblically guided conversation on anxiety. We are called to be watchmen on the wall to protect our families, so we invite you to join us for another biblical focused examination of the headlines through the lens of Scripture.Become a Parshall Partner: http://moodyradio.org/donateto/inthemarket/partnersSee omnystudio.com/listener for privacy information.
In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss several states and the governor of Pennsylvania suing HHS over changes in the childhood vaccination schedule, the vaccine derived type 2 poliovirus outbreak in Pakistan and implications for the global withdrawal of the oral poliovirus vaccine, and the outbreak of Candida, then Dr. Griffin deep dives into recent statistics RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, where to find PEMGARDA, how to access and pay for Paxlovid, when to use steroids for treating influenza, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode States vs RFK Jr and Bhattacharya: changes to the childhood vaccine schedule (Office of the Attorney General, California) Surgeon General Nominee Sidesteps Questions on Vaccines at Senate Hearing (NY Times) Unqualified failure in polio vaccine policy left thousands of kids paralyzed (Science) Clinical and Epidemiological Investigation of Vaccine-Derived Poliovirus Type 2 Outbreak in Pakistan During 2019–2021 (CID) Inactivated Polio Vaccine Must Be an Essential Part of Polio Eradication (CID) Wastewater for Candida auris: Wastewater (WasterWater Scan) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Big outbreak, bright lights…Measles Dashboard (South Carolina Department of Public Health) Utah Measles Dashboard (Utah Department of Health and Human Services) Tracking Measles Cases in the U.S. (Johns Hopkins) Measles vaccine recommendations from NYP (jpg) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts (ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) OPTION 2: XOFLUZA $50 Cash Pay Option (xofluza) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Respiratory Diseases (Yale School of Public Health) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) COVID-19 vaccination status during pregnancy and preeclampsia risk: the pandemic-era cohort of the INTERCOVID consortium (eClinical Medicine) Where to get pemgarda (Pemgarda) EUAfor the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) Understanding Coverage Options (PAXCESS) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) Use of corticosteroids in influenza-associated acute respiratory distress syndrome and severe pneumonia: a systemic review and meta-analysis(Scientific Reports) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulationguidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1300 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.
Send a textWhat are we actually compressing during neonatal CPR? This week on The Incubator Podcast, Ben and Daphna dive into a provocative echocardiography study out of Edmonton showing that standard chest compressions in newborns likely target the right heart and great vessels — not the left ventricle. A small sample size, but a finding that anyone who ultrasounds hearts all day will instantly recognize.Daphna presents a retrospective multicenter study from Nationwide Children's on antibiotic duration for Gram-negative bloodstream infections in the NICU. Short course (≤8 days) showed no treatment failures — while 14% of infants in the long duration group developed a multi-drug resistant organism infection. Eight days versus ten: does the difference matter? The data says yes.Ben reviews a randomized controlled trial from UAB on early vitamin D supplementation in extremely preterm infants fed human milk. Eight hundred units daily for the first two weeks appears safe and effective at achieving vitamin D sufficiency — but did it move the needle on BPD? And is that even the right question to ask?Daphna brings a QI paper from Levine Children's on universal social determinants of health screening across nine pediatric divisions, achieving 92% compliance and connecting thousands of families to resources through findhelp.org. A reminder that the tools are already there — we just have to use them.The episode wraps with Ben, Daphna, and Eli discussing Colorado's landmark paid NICU leave law — the first in the nation to require employers to provide up to 12 weeks of paid leave for parents with a baby in the NICU. What does the evidence say, and how do we advocate for this in our own states?Science, equity, and advocacy — all in one episode.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This is our second book club episode centered around the novel Healing: Our Path from Mental Illness to Mental Health by Thomas Insel, MD.This book is a part memoir / part manifesto written by one of our generation's most important leaders in neuroscience and psychiatry, Dr. Thomas Insel. Dr. Insel served as the director of the NIMH for 13 years from 2002-2015. Healing is replete with his reflections on personal and clinical experiences as well as epidemiological data, research, and policies related to mental health. Dr. Insel argues that medicine's failure to significantly reduce the mortality and morbidity of psychiatric illnesses is less due to a lack of scientific progress, and more a result of poor implementation of existing interventions that are already well supported by the evidence.Guest: Dr. Thomas InselHosts: Dr. Gaurav Sharma - Staff psychiatrist working in Nunavut, CanadaDr. Kate Braithwaite - Family doctor from South AfricaAhmad Khan - MS4 at Western UniversityDr. Sophie Gregoire-Mitha - PGY1 Psychiatry resident in ManitobaAudio editing: Dr. Gaurav SharmaEpisode Evaluation: Dr. Angad SinghOur discussion is divided into 3 main sections:(2:48): Main themes from the book(15:58): Clinical application of strategies discussed in the book(41:30): Reflections on the book in the current Psychiatric landscapeFor more PsychEd, follow us on Instagram (@psyched.podcast), Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.
Paul Sax, MD, FIDSA, sits down with Patrick Passarelli, MD, a med-peds ID physician at Dartmouth-Hitchcock and ID editor for theMednet, to explore how clinicians can get expert guidance beyond AI. They dive into the origins of theMednet, what makes a great clinical question, and how this growing community of medical experts is shaping practice.
This activity will discuss clinical and safety strategies for implementation that will translate to better care for patients and a safer handling environment for providers, patients, and caregivers. Additional details and discussion about collection, processing to final dose product, dose storage/preparation/administration, and safe handling may provide more insight and considerations applicable for pharmacy practice. CE for this episode expires 2 years after the date it was originally published. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
John Murray, Ian Dennis & Ali Bruce-Ball talk football, travel & language. There's breaking news on how to pronounce Taty Castellanos, hear from the voice of the 'corpsing classifieds' and TCV goes musical. Plus ‘Unintended Pub Names' maybe reaches its peak; Clash of the Commentators goes to Scandinavia and how you can use the pod to impress your mates. Messages and voicenotes on WhatsApp to 08000 289 369 & emails to TCV@bbc.co.uk00:30 Chocolate is good for you? 02:00 John recovered from Newcastle- Qarabağ, 03:40 5 Live commentaries this weekend, 08:50 Castellanos pronunciation news, 11:50 The voice of the corpsing classifieds! 17:10 Lawn mowers & palm trees, 21:40 TCV goes musical, 25:20 Unintended pub names, 35:30 Clash of the Commentators, 44:45 Great Glossary of Football Commentary, 49:40 A final message from Luke in Norway.5 Live / BBC Sounds commentaries: Sat 1500 Liverpool v West Ham with Ian Dennis & Stephen Warnock, Sat 1500 Newcastle v Everton on Sports Extra with Eilidh Barbour & James McFadden, Sat 1730 Leeds v Man City with John Murray & Paul Robinson, Sun 1200 Rangers v Celtic with Alasdair Lamond & Pat Nevin, Sun 1400 Man Utd v Crystal Palace with John Murray & Dion Dublin, Sun 1400 Fulham v Tottenham on Sports Extra with John Acres & Mark Schwarzer, Sun 1400 Brighton v Forest on Sports Extra 2 with Chris Wise & Luke Chambers, Sun 1630 Arsenal v Chelsea with Ali Bruce-Ball & Matt Upson.Great Glossary of Football Commentary: DIVISION ONE Agricultural challenge, Back of the net, Back to square one, Booked, Bosman, Bullet header, Coupon buster, Cruyff Turn, Cultured/educated left foot, Dead-ball specialist, Draught excluder, Elastico/flip-flap, False nine, Fox in the box, Giving the goalkeeper the eyes, Grub hunter, Head tennis, Hibs it, In a good moment, In behind, Magic of the FA Cup, The Maradona, Off their line, Olimpico, Onion bag, Panenka, Park the bus, Perfect hat-trick, Rabona, Roy of the Rovers stuff, Schmeichel-style, Scorpion kick, Spursy, Stick it in the mixer, Sweeper keeper, Target man, Tiki-taka, Towering header, Trivela, Where the kookaburra sleeps, Where the owl sleeps, Where the spiders sleep. DIVISION TWO 2-0 can be a dangerous score, Back on the grass, Ball stays hit, Beaten all ends up, Blaze over the bar, Business end, Came down with snow on it, Catching practice, Camped in the opposition half, Cauldron atmosphere Coat is on a shoogly peg, Come back to haunt them, Corridor of uncertainty, Couldn't sort their feet out, Easy tap-in, Daisy-cutter, First cab off the rank, Giant-killing, Good leave, Good touch for a big man, Half-turn, Has that in his locker, High wide and not very handsome, Hospital pass, Howler, In the dugout, In the hat, In their pocket, Johnny on the spot, Leading the line, Leather a shot, Middle of the park, Needed no second invitation, Nice headache to have, Nutmeg, On their bike, One for the cameras, One for the purists, Played us off the park, Points to the spot, Prawn sandwich brigade, Purple patch, Put their laces through it, Reaches for their pocket, Rolls Royce, Root and branch review, Row Z, Screamer, Seats on the plane, Show across the bows, Slide-rule pass, Steal a march, Straight in the bread basket, Stramash, Taking one for the team, Telegraphed that pass, Tired legs, That's great… (football), Thunderous strike, Turns on a sixpence, Walk it in, We've got a cup tie on our hands. UNSORTED After you Claude, All-Premier League affair, Aplomb, Bag/box of tricks, Brace, Brandished, Bread and butter, Breaking the deadlock, Bundled over the line, Champions elect / champions apparent, Clinical finish, Commentator's curse, Denied by the woodwork, Draught excluder, Elimination line, Fellow countryman, Foot race, Formerly of this parish, Free hit, Goalkeepers' Union, Goalmouth scramble, Honeymoon Period, In and around, In the shop window, Keeping ball under their spell, Keystone Cops defending, Languishing, Loitering with intent, Marching orders, Nestle in the bottom corner, Numbered derbies, Opposite number, PK for penalty-kick, Postage stamp, Rasping shot, Red wine not white wine, Relegation six-pointer, Rooted at the bottom, Route One, Sending the goalkeeper the wrong way, Shooting boots, Sleeping giants, Slide rule pass, Small matter of, Spiders web, Stayed hit, Steepling, Stinging the palms, Stonewall penalty, Straight off the training ground, Taking one for the team, Team that likes to play football, Throw their cap on it, Thruppenny bit head / 50p head, Two good feet, Turning into a basketball match, Turning into a cricket score, Usher/Shepherd the ball out of play, Walking a disciplinary tightrope, Wand of a left foot, Wrap foot around it, Your De Bruynes, your Gundogans etc.
Part II: How Telehealth is Redefining Clinical Practice and Patient Access Join us for part two of a two-part interview with Dr. Brandon Welch, founder and CEO of doxy.me; a platform that has facilitated over 8 billion minutes of care across 1 million providers in 176 countries. With the administration signing the Consolidated Appropriations Act on February 3, 2026, extending Medicare telehealth flexibilities through December 2027, and patient demand driving unprecedented adoption, virtual care has moved from emergency response to fundamental transformation of clinical practice. Brandon examines how the proliferation of telehealth is reshaping medicine itself: clinical workflows, patient-provider relationships, access equity, and sustainable practice models. Drawing from his book Telehealth Success, he delivers actionable strategies for healthcare leaders navigating the five pillars determining telehealth ROI: patient engagement, clinician efficiency, technology scalability, financial viability, and regulatory compliance in an era where patients expect care everywhere. • Five-pillar framework for achieving sustainable telehealth success across organizations • Financial sustainability models leveraging the two-year Medicare telehealth extension through 2027 • Clinical practice transformation reshaping how medicine is delivered and experienced • Provider success strategies addressing burnout, workflow integration, and practice transformation • Access and equity insights from 176-country, 1 million+ provider implementation Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
We are back for a follow-up to our glutathione deep dive! We review five specific glutathione-heavy products, four from the K-beauty world and one popular Amazon find, to see if they truly deliver on their antioxidant and brightening claims. 00:00 | Intro: Hashtags & antioxidant claims 00:24 | Welcome back to Chemist Confessions Podcast 00:30 | Glutathione deep dive follow-up 00:56 | Product lineup: 4 K-beauty + 1 Paula's Choice 02:05 | Price points & supply differences 03:40 | Texture notes: neutral, not hydrating 05:03 | Fragrance issues & masking glutathione scent 06:05 | Stability concerns & 2-week shelf life 07:23 | Paula's Choice texture & film discussion 08:25 | The infamous “eggy with undertone of death” scent 10:16 | Clinical claims & before/after photos skepticism 12:04 | Niacinamide + tranexamic acid doing the heavy lifting 17:57 | Tulsa Wound serum: 2% glutathione, suspicious photos 21:03 | Abib serum: percentages, encapsulation, and clinical data Product Shoutout: Double Play Retinol Face and Eye Treatment: https://chemistconfessions.com/products/double-play-retinol-face-eye-treatment Enrichment Content: Sunscreen Layering Guide https://www.youtube.com/watch?v=IQ0Dlb0WXvc Do We Absorb Sunscreen Filters into Our Bloodstreams? https://chemistconfessions.com/blogs/controversy-corner-do-we-absorb-sunscreen-filters-into-our-bloodstreams Follow us: IG: / chemist.confessions INTERWEB: https://chemistconfessions.com/ TIKTOK: https://www.tiktok.com/@chemistconfes... Skincare questions for the podcast? Leave your question in the comments and it could be featured in our next episode! #chemistconfessions #skincarescience #chemistconfessionspodcast #skincarehack
Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice.In this special Mind Moments episode, Lauren Sansing, MD, MS, FAHA, FANA, Professor of Neurology at Yale School of Medicine, joins the podcast to provide a clinical breakdown of the 2026 International Stroke Conference and its implications for real-world stroke care. Sansing reflects on how this year's meeting built on prior advances, highlighting expanded global collaboration, greater patient engagement, and a record number of clinical trials presented. The discussion explores which late-breaking studies may influence practice in the coming year, including data on secondary stroke prevention, adjunctive thrombolysis strategies, and evolving patient selection for thrombectomy in extended windows and large core infarcts. Sansing also reviews renewed momentum in neuroprotection research, key updates from the newly released acute ischemic stroke guidelines, emerging pediatric stroke data, and how the conference continues to shape the roadmap for 2027 and beyond.Looking for more Stroke discussion? Check out the NeurologyLive® Stroke clinical focus page.Episode Breakdown: 1:00 – Biggest moments and structural evolution of ISC 2026 3:15 – Presented practice-changing trial data impacting stroke care 7:05 – Thrombectomy strategy and extended window patient selection 10:40 – Renewed momentum in neuroprotection research 15:20 – Neurology News Network 17:40 – Key updates from the new acute ischemic stroke guidelines 25:00 – A brief look-ahead to ISC 2027 The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: PTC Withdraws Ataluren Submission as Treatment for Nonsense Mutation Duchenne Muscular Dystrophy Microbiome-Targeted Agent PLL001 Passes Safety Check in Phase 1/2 Trial of ALS Rimegepant Displays Safety and Efficacy in Study of Adolescents With Migraine Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.
What does it mean to use the Enneagram in therapy responsibly? In Part 1 of this two-part conversation on Typology, Anthony Skinner and I lay the groundwork for therapists, counselors, and coaches who want to responsibly integrate the Enneagram into clinical practice with wisdom and care. Together, we unpack what the Enneagram is—and what it isn't—in the therapy room. It's not a diagnosis. It's not a substitute for evidence-based modalities. And it should never flatten complexity or bypass deeper trauma work. I also share practical wisdom from decades of work as a therapist, priest, and Enneagram teacher, offering guidance for using the Enneagram in a way that increases compassion rather than contempt, flexibility rather than rigidity, and insight rather than shame. At its best, the Enneagram helps us see people not as problems to solve, but as stories shaped by fear, longing, and adaptation. Used wisely, it becomes a powerful reflective tool that deepens emotional intelligence, strengthens therapeutic relationships, and supports real transformation. When the Enneagram is used well, it doesn't replace therapy. It deepens it.
10-Minute Somatic Reset for February BurnoutIs the mid-winter slump catching up with you? By late February, many of us feel the weight of "February Burnout"—that specific moment where New Year energy fades and the pressure of the year sets in. This 10-minute guided meditation is designed to move your body from survival mode into a state of deep, restorative safety.Clinical hypnotherapist Martin guides you through a Somatic Nervous System Reset. Step away from the digital noise and the hustle of 2026 to reclaim your internal peace through scientifically-backed breathing and visualization.+1In This Episode, You Will Experience:Somatic Breathwork: A 4-2-6 breathing technique to physically signal safety to your brain.Cortisol Release: A guided body scan to soften the jaw and neck, helping you release stored stress hormones.+1Future-Self Anchoring: A visualization exercise to write a calm, capable version of yourself into the "fabric of your mind".+1The 5-5-5 Rule: A quick grounding technique to stop overwhelm in its tracks.Timestamps:00:00 – Nervous System Reset Intro 00:55 – Finding Your Quiet Space 01:35 – 4-2-6 Somatic Breathing Exercise 02:56 – Full Body Relaxation Scan 05:01 – Visualization: Your 6-Month Future Self 06:08 – Affirmations for Peace & Self-Worth 07:58 – 3 Caring Tips for Daily Calm 09:23 – Final Closing & Kindness Reminder Three Tips for a Calmer Day:The 5-5-5 Rule: Name 5 things you see, 5 you hear, and 5 you feel to ground yourself instantly.Digital Sunset: Protect your peace with 20 minutes of no-screen time after waking.Micro-Wins: Celebrate one small success today—even just finishing this session.Support the Show: If this session helped you find a breath of fresh air, please leave a 5-star review or share this episode with a friend.Connect with us:Subscribe for daily resets.Remember: Be kind to yourself, especially when you see your reflection
Clinical Interpretation of a Functional Stool Test with Dr. Ben Weitz. [If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.] Podcast Highlights Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure. Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.
Send a textBen and Daphna conclude Journal Club with a quality improvement study from Pediatrics titled "Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System". The hosts discuss the successful implementation of universal social determinants of health (SDOH) screening across nine pediatric divisions at Levine Children's. They highlight the impressive results—screening compliance reaching 92%—and the practical impact of connecting families to resources like FindHelp.org, which led to a 56% resolution rate in food insecurity for positive screens. Daphna makes a personal commitment to improve resource accessibility in her own unit.----Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System. Laroia R, Minor W, Carr A, Buitrago Mogollon T, White BB, Mabus S, Stilwell L, Ahmed A, Mehta S, Obita T, Reed S, Senturias Y, Mittal S, Horstmann S, Demmer L, Dantuluri K, Chadha A, Noonan L, Courtlandt C.Pediatrics. 2026 Feb 5:e2024070035. doi: 10.1542/peds.2024-070035. Online ahead of print.PMID: 41638605Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
In this episode of Derms and Conditions, host James Q. Del Rosso, DO, welcomes Lisa Swanson, MD, to explore how acne management continues to evolve and how newer topical therapies can be integrated thoughtfully from the outset. They begin with Dr Swanson highlighting an important clinical reality: acne is presenting at increasingly younger ages, prompting earlier conversations about skin care routines and long-term strategies. At the same time, dermatologists now have several truly novel topical options, an uncommon development in acne therapeutics over the past decade. Using a typical adolescent patient as a reference point, she then outlines the range of options she reviews in clinic: foundational topical regimens (retinoids, benzoyl peroxide combinations, clascoterone, topical minocycline foam, or fixed triple combinations), selective short courses of oral antibiotics, consideration of oral probiotics based on emerging data, and hormonal approaches in appropriate female patients. She emphasizes tailoring mechanisms when combining therapies; for example, pairing hormonal therapy with a topical that offers a complementary pathway. Dr Del Rosso revisits the 4 pillars of acne pathophysiology, highlighting androgen-driven sebum production as an upstream contributor. This leads to a focused discussion on clascoterone as the first topical androgen receptor inhibitor and how targeting sebum early may alter lesion development. Both clinicians stress that clascoterone is best viewed as foundational rather than adjunctive therapy, emphasizing the importance of setting realistic expectations on time to peak efficacy. The conversation also covers tolerability, barrier considerations, twice-daily adherence, and admixture data with common topical agents. Clinical pearls include setting early follow-ups to reinforce adherence, aligning office staff messaging, and using shared decision-making to balance patient priorities like oil control and pore appearance with mechanistic treatment goals. Tune in to the episode to hear real strategies for initiating acne therapy with intention, integrating newer topicals early, and guiding patients toward regimens that are both physiologically sound and sustainable in everyday practice.
LOGAN HEALTH CLINICAL DIETICIAN PAIGE SADOWSKI TRT: 20:09
hema.to is building AI-powered diagnostic infrastructure for cytometry—a specialized area of laboratory medicine analyzing immune system data to detect blood cancers like leukemia and lymphoma. Unlike radiology or pathology where AI solutions are abundant, cytometry has remained largely untouched by the AI wave, creating both opportunity and isolation for the Munich-based company. In a recent episode of BUILDERS, we sat down with Karsten Miermans, CEO at hema.to GmbH, to discuss why they're deliberately keeping sales founder-led despite having paying customers, how South America became an unexpected beachhead market, and what it actually means to build infrastructure versus point solutions in healthcare. Topics Discussed: From consulting project to venture-backed company: recognizing scalability in hindsight The workflow integration problem killing healthcare AI implementations Infrastructure versus technology: why healthcare AI isn't just about the algorithm Learning ideal customer profile after 18 months of being "all over the place" Why South America's governance structure enables faster adoption than the US Resisting the urge to hire sales before achieving true repeatability The 10-year vision: shifting from "watch and wait" to "predict and prevent" in immune disease GTM Lessons For B2B Founders: Pattern matching fails when you're an outsider—budget 18+ months to find your beachhead: Karsten assumed every application of their diagnostic method was the same and spent a year and a half "blue eyed" (naively optimistic) before identifying their true ICP. The outsider advantage lets you reimagine workflows insiders can't, but you'll incorrectly assume transferability across use cases. Don't expect repeatability in year one when entering regulated, workflow-dependent markets. Infrastructure requires multi-stakeholder orchestration—resource for enterprise complexity from day one: Karsten distinguishes technology (point solutions, single users) from infrastructure (shared resources requiring data exchange and workflow integration). In healthcare, this means integration into hospital systems, databases, and electronic health records across multiple stakeholders. "Every sale becomes enterprise sales" even for individual labs because of this infrastructure requirement. Founders building horizontal platforms should model sales cycles and resource requirements as enterprise from the start, regardless of deal size. Your ICP is cognitively overloaded—they won't understand your category innovation: Doctors are "under so much pressure that they just don't have any cognitive capacity left" to philosophically evaluate why AI might be difficult to implement or how infrastructure differs from technology. They need problems solved within their existing mental models. Skip the category education. Frame everything as workflow enhancement, not innovation. Let sophistication emerge through implementation, not pitch decks. Revenue doesn't equal repeatability—know when you're still in discovery mode: Despite having paying customers, Karsten explicitly states "we're not at product-market fit yet" because they're "discovering and learning things with every new laboratory hospital" around data privacy, integration, and AI deployment. The PMF signal isn't customer count or revenue—it's when the process becomes predictable, customers refer others, and you stop discovering new requirements. Hiring sales before this point scales complexity, not revenue. Regulatory friction determines market sequencing, not just market size: US governance complexity turns every deal into heavy enterprise sales with "many stakeholders," while South America proved "much more willing to move with fewer processes," making them "just much faster to adopt innovative technology." This wasn't strategy—Karsten's CTO speaks Spanish through a personal connection. But the lesson transfers: for infrastructure plays in regulated markets, test adoption velocity in lower-governance environments first to build proof points, even if TAM looks smaller on paper. In healthcare, marketing is clinical evidence—customer success creates your GTM flywheel: Karsten spends minimal time on marketing because beyond the first 5-10 users, doctors "want to see clinical evidence, they want to see papers, they want to see maybe that a friend of theirs is using it." Marketing in healthcare isn't content or demand gen—it's peer validation and published proof. Founders should structure early customer engagements to generate this evidence, not just revenue. The "marketing sales flywheel really does kick in much more once you have product market fit" because PMF enables the evidence generation required for credibility. // Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe. www.GlobalTalent.co // Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role. 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Send a textBen and Daphna review a randomized controlled trial published in The Journal of Pediatrics by Dr. Ariel Salas and colleagues at UAB. The study investigates whether early high-dose vitamin D supplementation (800 IU/day starting day 1) in extremely preterm infants reduces the incidence of Bronchopulmonary Dysplasia (BPD) compared to standard care (starting day 14). The hosts discuss the physiologic rationale linking vitamin D to lung development, the use of impulse oscillometry to measure lung mechanics, and the secondary findings regarding metabolic bone disease. They explore why the "physiologic rationale" doesn't always translate to clinical significance.----Early Vitamin D Supplementation in Infants Born Extremely Preterm and Fed Human Milk: A Randomized Controlled Trial. Salas AA, Argent T, Jeffcoat S, Tucker M, Ashraf AP, Travers CP.J Pediatr. 2025 Dec;287:114754. doi: 10.1016/j.jpeds.2025.114754. Epub 2025 Jul 24.PMID: 40714046 Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Today's guests are Jordan Trafan, BSN, MSN-Ed, RN, TCRN, clinical documentation education and compliance consultant for the Banner Health CDI team, and Marcie Johnson, RN, CCDS, the associate director of the senior review team at Banner Health in Arizona. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first four days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/clinical-deep-dive-respiratory-failure) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Sunday, March 1, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. ACDIS update: Respond to the 2026 ACDIS Community Survey by March 6 and be entered to win a free ACDIS membership! (https://www.surveymonkey.com/r/2026-ACDIS-community-survey) Register for the 2026 ACDIS Conference, happening April 20‒23, in Chicago by March 3 to get $100 off! (https://bit.ly/4qeFWdh) Register for the CCDS Exam Prep Preconference, happening April 19‒20, in Chicago! (https://bit.ly/3OifK3p) Register for the ACDIS Symposium: Outpatient CDI, happening April 19‒20, in Chicago! (https://bit.ly/4aI519R) Register for the ACDIS Physician Advisor Forum, happening April 19‒20, in Chicago! (https://bit.ly/4tIrRH2)
Join Laborastories host Dr. Paul J. Jannetto and Dr. Ian Young, new editor in chief for ADLM's The Journal of Applied Laboratory Medicine (JALM), to explore the ongoing major shifts in scientific publishing models, the advantages of JALM's transition to an open access journal, and Dr. Young's vision for better accessibility for audiences and authors. With special guest: Dr. Ian Young Hosted by: Dr. Paul J. Jannetto
Nasser Syed is a man who doesn't really do stillness. With a background in oral surgery and conscious sedation, he's pivoted from five clinical days a week to running a growing group of practices, training dentists, and launching a brand new facility hire venture aimed at super associates who'd rather focus on their dentistry than deal with the headaches of practice ownership. Joining him is Chez Bright, his PA and right-hand collaborator, who offers a candid view of what it's actually like to work alongside someone whose brain, in her words, is "a minefield." Payman talks with them both about building teams, backing yourself, and knowing when to say no — plus the early clinical mistake that still sits with Nasser decades later and the personal losses that have shaped his faith and his drive.In This Episode00:01:00 — Practice ownership00:05:20 — Developing associates00:09:00 — Picking a lane00:16:00 — Meeting Chez Bright00:17:45 — Running projects00:24:30 — AI and the future of dentistry00:31:10 — Manchester Sedation Course00:37:45 — HireADentalSurgery.com00:52:20 — Branding and virality00:57:15 — Blackbox thinking01:04:15 — Clinical communication01:13:00 — Lowest point01:15:20 — Faith and loss01:22:25 — Memorable lecture01:25:00 — Fantasy dinner partyAbout Nasser SyedNasser Syed is a Liverpool-born dentist with a background in oral surgery and conscious IV sedation, currently working across a growing group of practices in the North West. He founded the Manchester Sedation Course in 2015 — SDC-accredited and open to both beginners and more experienced clinicians — and now runs it alongside his clinical and business commitments. His latest project is HireADentalSurgery.com, a dedicated facility hire model in Hale, Cheshire, offering super associates the equipment and flexibility to treat their own patients without the overheads of practice ownership.
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Atrial Fibrillation/Flutter in Transthyretin Cardiac Amyloidosis: Prevalence, Incidence, Clinical Predictors, and Effect of Tafamidis.
This throwback episode is actually an older episode of Very Dental featuring one of the amazing co-hosts of Very Clinical! In this wide-ranging "shop talk" session, Alan is joined by Zach to revisit the early days of dental social media and the evolution of their clinical workflows. From the "crushing it" culture of the old Dentaltown forums to the practicalities of the modern operatory, they dive into the tools that actually make a difference. Zach shares his love for the spade proximator and the Swiss-Army-knife utility of Teflon tape, while Alan makes a case for the PDL syringe. They also tackle the high-stakes debate of the dentist's lunch hour and offer a deep dive into the "goofy draw" strategies required when prepping crowns on teeth with deep facial undercuts. Some links from the show: DOPE Lunch Podcast! giving some love to Keating Dental Lab 38 Smiles Dental Lab Karl Schumacher Spade Proximator Teflon tape Septodont Paroject Christensen crown remover Join the Very Clinical Facebook group! Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Are you a practice owner who feels like the bottleneck in your own business? If you're tired of being the hardest-working person in your office, I've got something you need to hear. Dr. Paul Etchison, is hosting a virtual event that is a total game-changer. Paul is honestly one of the most brilliant minds in dental leadership today, and he's hosting the 3-Day Freedom Practice Workshop from February 19th through the 21st. He's going to show you exactly how to break through that two-million-dollar revenue ceiling while actually compressing your clinical week. It's about building a leadership team that takes ownership so you can finally step into the CEO role you deserve. Head over to DentalPracticeHeroes.com/freedom to grab your spot. And do me a favor—mention the Very Dental podcast when you sign up. It's 100% guaranteed, so you've got nothing to lose but the stress. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!
Today, I'm joined by Erin Ryan, my producer and long-time collaborator, for a special Q&A episode powered entirely by your questions. After our bioregulator deep dive with Dr. Bill Lawrence, the response was overwhelming—so many of you reached out with insightful queries about bioregulators, peptides, and the nuances between natural and synthetic options. Erin and I decided to tackle the most common themes, unpacking everything from organ versus system signaling to how bioregulators actually survive digestion. Nat's favorite Bioregulators: Nature's Marvels Bioregulators and use code NAT15 for 15% off your first order. The Bioregulator Company and use code NAT10 for 10% off. Nanopep and click "shop" and use code NAT for 10% off. Episode Timestamps: Episode introduction and Q&A format ... 00:00:00 Natural vs. synthetic bioregulators ... 00:08:24 Peptide signaling and digestion ... 00:11:35 Brand reliability and BPC-157 oral benefits ... 00:20:18 Organ/system signaling basics ... 00:25:42 Bioregulator priorities and cycle protocols ... 00:29:51 Healthy, preventative, and age-related use ... 00:38:44 Are organ meats enough? Food vs. supplements ... 00:41:46 Clinical evidence and biggest impact ... 00:47:57 Resilience, wrap-up, and sourcing info ... 00:52:09 Our Amazing Sponsors: Ozlo - use smart sound engineering and sleep detection to help you stay in deeper, more stable sleep all night. Create your ideal sleep environment anywhere: go to ozlosleep.com/nat and use code NAT to get $75 off. Vitali - combines pharmaceutical-grade copper peptides with zero-age exosomes to support clearer cellular signaling and long-term skin resilience, working with your biology instead of forcing change. Visit VitaliSkincare.com and use code NAT20 for 20% off. O₃RACLE by Wizard Sciences — A daily ozonated oil capsule designed to support immune balance, cellular communication, and antioxidant production without clinics, machines, or complicated routines; learn more at wizardsciences.com and use code NAT15 for 15% off. Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter Instagram Dr. Bill Lawrence Episode
Send a textIn this episode of Journal Club, Ben and Daphna review a retrospective cohort study from Pediatrics examining antibiotic duration for uncomplicated Gram-negative bloodstream infections in the NICU. The study, a collaboration between Nationwide Children's Hospital and UT Health San Antonio, compares outcomes between short course (≤8 days) and long course (≥9 days) therapy. The hosts discuss the startling finding that while recurrence rates were similar, the long-duration group had a 14% rate of developing multi-drug resistant (MDR) infections within 90 days, compared to 0% in the short-duration group.----Duration of Antibiotic Therapy for Gram-Negative Bloodstream Infections in the Neonatal Intensive Care Unit. Djordjevich CJ, Magers J, Cantey JB, Prusakov P, Sánchez PJ.J Pediatr. 2026 Jan 17:114993. doi: 10.1016/j.jpeds.2026.114993. Online ahead of print.PMID: 41554433 Free article.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
What do the 2025 AUA guidelines change about how we evaluate and manage chronic male pelvic pain? In this episode of BackTable Urology, Dr. Susan MacDonald (Penn State) joins host Dr. George Koch (Ohio State University) to break down the new American Urological Association (AUA) guidelines on chronic male pelvic pain, including chronic prostatitis / chronic pelvic pain syndrome and chronic scrotal content pain. --- SYNPOSIS They review a structured approach from initial evaluation and physical examination to pain management. The discussion outlines an evidence-informed, multimodal management framework incorporating medications, pelvic floor physical therapy, behavioral health interventions, neuromodulators, and selective procedural strategies, with an emphasis on realistic expectation setting in this complex patient population. --- TIMESTAMPS 00:00 - Introduction01:41 - Path to Chronic Pelvic Pain Work08:19 - Getting Involved with the AUA13:02 - Developing Guidelines19:56 - Initial Patient Evaluation27:11 - Setting Expectations32:05 - Making the Diagnosis35:17 - Success Rates and Counseling Patients39:51 - Central Sensitization44:31 - Physical Exam Recommendations49:26 - Non-Pharmacologic Options54:38 - Follow Up Cadence01:02:24 - Chronic Scrotal Pain vs CPPS01:08:26 - Conclusion --- RESOURCES Diagnosis and Management of Male Chronic Pelvic Pain (Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Chronic Scrotal Content Pain): AUA Guideline (2025)https://www.auanet.org/guidelines-and-quality/guidelines/male-chronic-pelvic-pain
What do med school admissions committees actually look for after the GPA/MCAT screen? In this Jack Westin Pre-Med Admissions Podcast episode, Molly Kilty (Director of Instruction) hosts Dr. Anita Paschal (MD, double PhD, 30+ years on admissions committees) as she breaks down the CLASS framework for building a well-rounded application: Clinical, Leadership, Academic enrichment, Service, and Social.Dr. Paschal explains why acceptance rates hover around 40–44%, why many applicants with strong stats still get rejected, and how committees review your application through categories, hours, time commitment, and evidence of core competencies.In this episode, you'll learn:- How med schools screen applications and what happens after GPA/MCAT ✅- The CLASS framework to assess your readiness for med school
In this episode of the IRH Clinician's Corner, host Margaret Floyd Barry welcomes special guest Devin Delaney—a faculty member at the Institute of Restorative Health, former NCAA All-American and professional ski racer, and expert in working with high-performance women and athletes. We explore the unique clinical complexities of working with athlete clients, including the all-too-common normalization of discomfort, metabolic masking, and the misconceptions around performance and health. In this interview, we discuss: The normalization of symptoms in athletes and clinicians Clinical challenges in working with athletes Key areas for supporting athletes (e.g., blood sugar, gut health, inflammation & recovery) Clinical processes for working with athlete clients Supporting behavior change and motivation in athletes Mindset, joy, and the "why" behind athletics To read Devin's blog article "Five Clinical Considerations When Working with Athletes," click here: https://instituteofrestorativehealth.com/five-clinical-considerations-when-working-with-athletes/ For access to Devin's "Clinical Starting Point for Athletes" Handout, click here: https://discover.instituteofrestorativehealth.com/athlete-clinical-starting-point-framework The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/ Connect with Devin Delaney: Website: https://www.peakathleat.com/ IG: https://www.instagram.com/devinsdelaney/ LinkedIn: https://www.linkedin.com/in/devin-delaney-44a34777/ Timestamps: 00:00 "Devin: Nutrition for High-Performing Athletes" 03:40 Burnout and Pursuing Balance 07:09 Healing Through Nutrition and Teaching 10:50 "Understanding and Supporting Athlete Stressors" 14:08 "Metabolic Masking and Nuance" 19:10 "Fueling Lessons from Ultra Running" 22:14 Athlete Gut Health and Stress 25:45 Signs of Overtraining and Depletion 28:36 "Recovery Metrics and Training Adaptation" 32:09 "Master Clinical Health Strategies" 33:08 "Overcoming Plant-Based Diet Challenges" 36:30 Motivated Athletes Embrace Change 41:21 "Enhancing Health with Genetic Testing" 43:12 Optimizing Athletes' Health and Performance 47:04 "Resources for Supporting Athletes" Speaker bio: Devin Delaney is a Functional Nutritional Therapy Practitioner (FNTP) and Master Restorative Health Practitioner (Master RHP) dedicated to helping high-achieving women finally get to the root of frustrating health issues like bloating, fatigue, hormone imbalance, and digestive distress—so they can ditch discomfort, beat burnout, and reclaim a body that feels energized, capable, and truly at Peak health. Based in Teton Valley, Idaho, Devin founded Peak AthlEAT Nutrition—a thriving virtual practice that blends functional lab testing, whole-food nutrition, and deeply personalized care to restore health from the inside out. Her work is guided by a core belief: symptoms aren't just something to manage, but vital messengers pointing the way toward true healing. Keywords: functional health practitioners, clinical skills, chronic disease reversal, athlete clients, gut dysfunction, hormone imbalance, fatigue, functional nutrition, lab interpretation, Peak Athlete Nutrition, clinical strategy, digestive health, blood sugar regulation, inflammation, nutrient deficiencies, HPA axis health, metabolic masking, symptom normalization, performance optimization, sports nutrition, overtraining, recovery metrics, lab testing, disordered eating, energy crashes, menstrual cycle issues, high-performance women, root cause analysis, sleep and recovery, individualized protocols Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.
Join Mark and Ernie as they discuss Mental Health and its connection to diseases, trauma, how Ernie's work can help heal trauma, forgiveness and much more!Ernie's Website: https://www.sep7re.com/ernie-wouters-trauma-empoweredMERCH: https://www.wgy6.ca/Operation-Tango-Romeo.htmlSponsored by ShopVeteran.ca by Canadian Legacy Project- Support Veteran owned businesses and register your Veteran owned business for free. All opinions expressed by the guest belong to only the guest and are not always reflected by the host. The OTR podcast: The Trauma Recovery Podcast for Veterans, First Responders, and their families.Creator and Host Mark MeinckeSponsored by ShopVeteran.ca by Canadian Legacy ProjectProduced by Jessika DupuisSupport a Hero HERERecover Out Loud!Book your Guest Appearance HERE Find the OTR podcast onFacebookInstagramSpotifyYoutube#veterans #mentalhealth #trauma#PTSD#FirstResponders
In this episode, Elizabeth Crawley, Vice President for Clinical and Care Management Solutions at EXL, explores how AI driven workflows and agentic automation are transforming prior authorization. She discusses balancing efficiency with clinical oversight, scaling decision support across the enterprise, and why data readiness and change management are critical to success.This episode is sponsored by EXL.
Send a textWhat if one of the biggest sources of diagnostic variability in prostate cancer isn't the pathologist—but the stain we've trusted for decades?In this episode, I speak with Professor Ingied Carlbom, founder of CADESS.AI, about a different way to approach prostate cancer grading—by rethinking staining, segmentation, and AI decision support from the ground up. We explore why 30–40% interobserver variability persists in Gleason grading and how optimized stains combined with explainable AI can significantly reduce that uncertainty.Ingred shares her journey from applied mathematics and computer science into pathology, the skepticism she faced in 2008, and why CADESS.AI chose not to “optimize H&E,” but instead developed a Picrosirius red + hematoxylin stain designed specifically for computational pathology. We discuss how grading at the gland and cellular level improves reproducibility, why explainability matters for trust, and what it really takes to build both stain and software as a single diagnostic workflow.This conversation challenges long-held assumptions—and asks whether improving data quality should come before building smarter algorithms.Highlights:[00:00–01:08] The problem: 30–40% disagreement in prostate cancer grading[01:08–03:03] Ingrid's path from applied math to digital pathology[03:03–04:58] Early skepticism toward AI in pathology and fear of replacement[04:58–08:56] Why H&E limits segmentation—and how a new stain changes that[10:55–15:09] Clinical testing: non-inferiority, AI assistance, and NCCN risk stratification[19:47–22:59] Explainable UI: color-coded glands and pathologist override[26:16–27:29] Why grading glands (not whole slides) reduces variability[38:09–41:47] Regulatory challenges of combined stain + AI devices[45:52–48:55] The future of optimized stains in routine pathologyResources from This EpisodeCADESS.AI – Prostate cancer decision support systemNCCN prostate cancer risk stratification guidelinesSupport the showGet the "Digital Pathology 101" FREE E-book and join us!
Accurate assessment of intravascular volume facilitates decisions about fluid management in patients with volume overload. Author Edmund A. Liles Jr, MD, of the University of Utah joins JAMA Associate Editor David Simel, MD, MHS, to discuss best evidence from physical exam findings including ultrasound, radiographs, and lab studies for determining volume overload in spontaneously breathing patients. Related Content: Does This Patient Have Volume Overload?
We are living in a golden age of pelvic health.There are more job opportunities, more practice models, and more flexibility than ever before.But with more options comes a harder question:
Send a textIn this episode of Journal Club, Ben and Daphna review a thought-provoking study from the Archives of Disease in Childhood titled "Chest Compression in Newborn Infants: What Anatomical Structures Are We Compressing?". The hosts explore the anatomical findings suggesting that current neonatal CPR guidelines—recommending compressions over the lower third of the sternum—may actually be targeting the right ventricle and great veins rather than the left ventricle. They discuss the implications for the "cardiac pump" vs. "thoracic pump" theories and what this means for the future of resuscitation guidelines.----Chest compression in newborn infants: what anatomical structures are we compressing? Chua CT, O'Reilly M, Surak A, Schmölzer GM.Arch Dis Child Fetal Neonatal Ed. 2026 Jan 16:fetalneonatal-2025-329582. doi: 10.1136/archdischild-2025-329582. Online ahead of print.PMID: 41545184Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
Training Therapists in the Age of AI: Preventing Deskilling and Teaching Clinical Judgment As artificial intelligence becomes increasingly embedded in mental health care, therapists, supervisors, and educators face a critical responsibility: integrating AI tools without eroding clinical judgment, reasoning, and skill development. In this continuing education episode of the Modern Therapist's Survival Guide, Curt Widhalm and Katie Vernoy examine how AI can create the illusion of competence while quietly undermining the processes therapists rely on to learn how to think clinically. They explore therapist deskilling as a systemic issue shaped by training models, supervision practices, and productivity pressures rather than individual failure. This episode focuses on how supervisors, educators, and clinicians can preserve clinical mastery while using AI responsibly, emphasizing learning science, supervision ethics, and the importance of maintaining human judgment in an automated world. In this episode, we discuss: How AI can mask gaps in clinical reasoning The competence paradox and automation bias in therapy Why struggle and ambiguity are essential for learning The role of supervisors and educators in preventing deskilling How to use AI without outsourcing clinical judgment Continuing Education: This episode is eligible for 1 unit of continuing education (CE). To earn CE credit, go to moderntherapistcommunity.com, register for a free profile, purchase the course, complete the post-test and evaluation, and download your certificate. Full show notes, transcript, and course details are available at mtsgpodcast.com. Join the Modern Therapist Community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Patreon: https://www.patreon.com/c/mtsgpodcast Podcast Home: https://mtsgpodcast.com Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/
As we wrap Season 18 of First Case, we turn the spotlight to the role that keeps everything moving behind the scenes: the Clinical Coordinator. In our final episode, Rod McArdle of Boston Children's Hospital shares how clinical coordinators balance scheduling, staffing, equipment, and real-time problem solving to keep surgical care running safely and efficiently. From anticipating equipment conflicts to coordinating with SPD, surgeons, and frontline teams, they are coordinating the moving pieces, communicating across teams, and thinking five steps ahead so the rest of us can focus on the patient in front of us. This episode brings our entire season full circle, highlighting the teamwork required across departments to make surgery happen every day. #operatingroom #ornurse #nurse #scrubtech #surgery #clinicalcoordinator
Dr. Amel Havkic, founder of EvoMed Consulting and a lung and critical care specialist, hospital clinical lead. Amel works at the intersection of bedside medicine and MedTech strategy, helping innovators build clinician-approved solutions that scale safely across real healthcare systems.In this episode, we unpack why “clinicians love it” is rarely enough to win adoption, and what hospital purchasing actually looks like when procurement, IT, finance, compliance and workflows all have a seat at the table. Amel breaks down why switching away from legacy tools is painful, how integrations can break care pathways, and why solutions that feel like a natural part of the hospital ecosystem win faster. He also shares a practical lens for building frictionless implementation by aligning with standards like HL7, FHIR and DICOM, while proving measurable value for patients and payers.We also go deep on decentralising healthcare. Amel explains how the Dutch model centralises high-end expertise while decentralising access through remote monitoring and home-based onboarding, and why this becomes a winning approach as staffing pressures rise. On AI, he makes the case for reframing it as augmented intelligence, not autonomy, and shows where decision support can raise the baseline of care by supporting clinicians in time-critical situations, as well as offloading admin burden that drains capacity.Finally, Amel shares the thinking behind the EMC StarMap framework, a navigation tool built from real-world patterns of what makes MedTech succeed or fail. His core message is simple: regulatory approval is a milestone, but clinical adoption is the real finish line.Timestamps[00:00:05] Clinician + Consultant Lens: Seeing Adoption and Safety Risks[00:01:22] Why “Physicians Love It” Does Not Mean Hospitals Will Buy[00:03:27] What Hospitals Consider Beyond Cost: Workflow, Integration and Training[00:05:09] Frictionless Implementation: Standards, EHR Fit and “Team Player” Products[00:06:24] Real Clinical Workflow: ICU Reality and Why UI Clicks Matter[00:07:31] Decentralising Care: Centralised Expertise With Home-Based Delivery[00:10:37] AI in Healthcare: Reframing as Augmented Intelligence[00:12:55] Staffing Shortages: Where AI Can Remove Waste and Scale Expertise[00:14:38] If You Could Change One Thing: Put the Patient Back at the Center[00:16:59] StarMap: Measuring What Drives Clinical AdoptionConnect with Rick - https://www.linkedin.com/in/a-havkic/Learn more about Evomed Consulting - https://evomed-consulting.eu/Get in touch with Karandeep Badwal - https://www.linkedin.com/in/karandeepbadwal/ Follow Karandeep on YouTube - https://www.youtube.com/@KarandeepBadwalSubscribe to the Podcast
Leslie J Donato. A Turning Point for Lipoprotein(a) Treatment: Are Clinical Laboratories Ready? Clinical Chemistry, Volume 72, Issue 2, February 2026, Pages 222–224. https://doi.org/10.1093/clinchem/hvaf101
In this episode of the Pediatric and Developmental Pathology, our hosts Dr. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Aida Glembocki, a Pediatric Pathologist and Masters Degree candidate at the University of Toronto, and Dr. Robert Siddaway, an Oncology Investigator at The Hospital for Sick Children in Toronto. Hear about how The Hospital for Sick Children applies RNA sequencing in pediatric cancer diagnosis to reduce costs and identify key information for diagnostic classification. We also hear about their article in Pediatric and Developmental Pathology: Fusion-Negative Rhabdomyosarcoma: Clinical Application of Targeted RNA Sequencing Related article: Siddaway R, Glembocki AI, Arnoldo A, Staunton J, Liu APY, Yuki KE, Yu M, Cohen-Gogo S, Shlien A, Villani A, Whitlock JA, Hitzler J, Tabori U, Levine AB, Lafrenière A, Nagy A, Chen H, Ngan BY, Somers GR, Abdelhaleem M, Chami R, Hawkins C. Clinical utility of targeted RNA sequencing in cancer molecular diagnostics. Nat Med. 2025 Oct;31(10):3524-3533. doi: 10.1038/s41591-025-03848-8. Epub 2025 Jul 17. PMID: 40676318. Featured public domain music: Summer Pride by Loyalty Freak
“You want to read this book. It is chilling and compelling at the same time.” – Dr. Phil McGraw.“I can think of no more important book at this moment in our history than Profiling Evil: An Investigative Memoir of the Zion Society Cult. Mike King has made a superb and vitally important contribution by exposing the abuse of women and children in that heinous cult. And this still happens far too often in the multitude of harmful groups around the world. If you want to understand coercive influence and control, then read this book.” -Janja Lalich, Ph.D., Professor“This book has it all – intellectually scintillating deep dives into the investigation for the true crime buffs, relatable character portrayals of people who joined the cult looking for love and community, and heartwarming stories of hope and redemption after trauma. Mike is an expert author, having penned several books in his illustrious career, and this latest volume is one you won't be able to put down. It is a book you'll want to tell your friends about; a book that will leave a lasting impression with you long after you've finished it.” Dr. Judy Ho, Clinical and Forensic Neuropsychologist, Associate Professor at Pepperdine University, Author of Stop Self-Sabotage.I've known Mike King for many years, at least long enough to become a close friend. He is an example of what law enforcement is truly about. He was involved in the solution of a great problem that took place in Ogden, Utah many years ago. I won't try to tell you about the book as the story goes far beyond any description. I will say that the book contains intimate details of the solution to one of the most bizarre cases I've ever heard of. As a result of his research and absolute dedication to his profession, Mike has very effectively told this story. As I began to read it, I became aware that my friend is a great storyteller. As you read this book, the scripture to keep in mind is Mark 9:42 which says: “And whosoever shall offend one of these little ones that believe in me, it is better for him that a millstone were hanged about his neck, and he were cast into the sea.”-Wilford Brimley, actor (1934-1920)“Deceived” is a memoir of Detective Mike King's investigation and ultimate take-down of a deviant polygamous cult called the Zion Society. For over a decade, gossip swirled around the secretive group of religious zealots who were buying up homes to take over a developing neighborhood in northern Utah. This true crime story examines the cult's leader, a well-known landscaper in the city who had proclaimed himself to be a prophet of God. But he was no man of God. Leaning on hoaxes & deceptions, these extremists were stockpiling weapons as part of their doomsday beliefs. His polygamist doctrine attracted over a hundred followers who soon accepted his ideologies that led to some of the most repugnant crimes against women and children ever seen in the state. The hidden atrocities of the cult may never have been discovered if not for the courage of one of its members. Thirty years later, victims reconnected with each other and with the lead investigator to address the shortcomings of the criminal justice system regarding child victims. With global experts, the author explores why people join cults, how cult leaders keep them engaged and what it takes to investigate crimes against children.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-opperman-report--1198501/support.
In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss reversal of last week's no review decision on a flu mRNA vaccine by Vinjay Prasad, appointment of Jay Bhattacharya as CDC director, no experience required, and already detectable reduction in hepatitis B virus vaccination rates, then Dr. Griffin then deep dives into recent statistics on RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, where to find PEMGARDA, how to access and pay for Paxlovid, the consequences of measles infection on immune amnesia (shout out to Immune 26), long COVID treatment center, where to go for answers to your long COVID questions, long COVID effect on fertility and type 2 diabetes and contacting your federal government representative to stop the assault on science and biomedical research. Click arrow to play Download TWiV 1298 (26 MB .mp3, 43 min) Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Whiplash! F.D.A. Reverses Decision and Agrees to Review Moderna's Flu Vaccine (NY Times, Wall Street Journal, Access New wire) N.I.H. Director Will Temporarily Run C.D.C. in Leadership Shake-Up (NY Times) Reduction in infant Hepatitis B Immunizations (Oregon State Health Department) Why Adenovirus vectored vaccine failed: Adenoviral Inciting Antigen and Somatic Hypermutation in VITT (NEJM) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Big outbreak, bright lights…Measles Dashboard(South Carolina Department of Public Health) Measles Outbreak Hits Florida College (NY Times) Utah's measles outbreak reaches 300 cases (CIDRAP) Measles Is Actively Spreading in SLCo (Salt Lake County Health Department) Tracking Measles Cases in the U.S. (Johns Hopkins) Measles vaccine recommendations from NYP (jpg) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles(CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Measles 2025 (NEJM) Measles virus infection diminishes preexisting antibodies that offer protection from other pathogens (Science; Immune 26) Incomplete genetic reconstitution of B cell pools contributes to prolonged immunosuppression after measles (Science) Studies into the mechanism of measles-associated immune suppression during a measles outbreak in the Netherlands (Nature Communications) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) OPTION 2: XOFLUZA $50 Cash Pay Option (xofluza) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) The risk of cardiac disease events after respiratory syncytial virus disease: a systematic literature review and meta-analysis (European Respiratory Review) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) COVID-19 Antiviral Prescription Receipt Among Outpatients Aged ≥65 Years (CDC: MMWR) Where to get pemgarda (Pemgarda) EUAfor the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) Understanding Coverage Options (PAXCESS) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Assessing the impact of SARS-CoV-2 infection and vaccination on fertility and assisted reproductive techniques outcomes: an umbrella review (Vaccine) Long-Term Risk of Incident Type 2 Diabetes Following SARS-CoV-2 Infection: A Population-Based Study in British Columbia, Canada (Diabetes Metabolism Research and Review) Reaching out to US house representative Letters read on TWiV 1298 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.
What makes Lyme disease resolve quickly in some people but turn into a life-altering chronic illness in others? In this episode, world-leading immunologist Dr. Michal “Mikki” Tal, Principal Scientist at MIT, explains what her team is discovering through the MAESTRO Study — the largest clinical research project in MIT's history and the first of its kind to include real Lyme patients in a multi-system biological analysis. Dr. Tal's work sits at the intersection of immunology, bioengineering, and women's health, uncovering how infections like Lyme and COVID can cause persistent inflammation, immune miscommunication, and hormonal imbalance. Through MAESTRO, she's mapping how recovery breaks down — and what can be done to predict, prevent, and ultimately reverse chronic illness.
This episode focuses on the challenges and strategies surrounding the cost and insurance coverage of anti-obesity medications. Guests share insights on navigating Medicare, Medicaid, and commercial insurance barriers, as well as tips for utilizing manufacturer programs, savings cards, and coding strategies to improve patient access. The discussion highlights the pharmacist's role in helping patients overcome financial obstacles and sustain access to effective obesity treatments. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
Conor McNamara joins John Murray & Ian Dennis to talk football, travel & language. John reflects on his trip to Baku in Azerbaijan. There's a railway reunion of sorts and ‘sleepgate' continues. The guys look ahead to the Premier League weekend, including Tottenham-Arsenal. Plus unintended pub and film names, Clash of the Commentators and the Great Glossary of Football Commentary. Messages and voicenotes welcome on WhatsApp to 08000 289 369 & emails to TCV@bbc.co.uk01:10 John back from Baku! 07:10 John overcomes a bad cold! 10:45 A railway reunion… 13:00 Update from the sleeping listeners… 14:50 5 Live commentaries this weekend, 16:55 Tottenham-Arsenal preview, 23:00 Bodø in strong position to progress, 24:50 Music in commentary… 26:20 Unintended pub names, 33:55 Clash of the Commentators, 43:00 Great Glossary of Football Commentary.5 Live / BBC Sounds commentaries: Sat 1500 Aston Villa v Leeds with Ian & Leon Osman (starts on Sports Extra), Sat 1500 Chelsea v Burnley on Sports Extra 2 with Mike Minay & Rachel Corsie, Sat 1730 West Ham v Bournemouth with Conor McNamara & Rob Green, Sun 1400 Nottingham Forest v Liverpool with Vicki Sparks & Pat Nevin, Sun 1400 Sunderland v Fulham on Sports Extra 2 with Lee Blakeman & Danny Collins, Sun 1400 Crystal Palace v Wolves on Sports Extra 3 with Chris Coles & Matt Jarvis, Sun 1630 Tottenham v Arsenal with John Murray & Clinton Morrison.Great Glossary of Football Commentary: DIVISION ONE Agricultural challenge, Back of the net, Back to square one, Bosman, Bullet header, Coupon buster, Cruyff Turn, Cultured/educated left foot, Dead-ball specialist, Draught excluder, Elastico/flip-flap, False nine, Fox in the box, Giving the goalkeeper the eyes, Grub hunter, Head tennis, Hibs it, In a good moment, In behind, Magic of the FA Cup, The Maradona, Off their line, Olimpico, Onion bag, Panenka, Park the bus, Perfect hat-trick, Rabona, Roy of the Rovers stuff, Schmeichel-style, Scorpion kick, Spursy, Stick it in the mixer, Target man, Tiki-taka, Towering header, Trivela, Where the kookaburra sleeps, Where the owl sleeps, Where the spiders sleep.DIVISION TWO 2-0 can be a dangerous score, Back on the grass, Ball stays hit, Beaten all ends up, Blaze over the bar, Business end, Came down with snow on it, Catching practice, Camped in the opposition half, Cauldron atmosphere Coat is on a shoogly peg, Come back to haunt them, Corridor of uncertainty, Couldn't sort their feet out, Easy tap-in, Daisy-cutter, First cab off the rank, Giant-killing, Good leave, Good touch for a big man, Half-turn, Has that in his locker, High wide and not very handsome, Hospital pass, Howler, In the dugout, In the hat, In their pocket, Johnny on the spot, Leading the line, Leather a shot, Middle of the park, Needed no second invitation, Nice headache to have, Nutmeg, On their bike, One for the cameras, One for the purists, Played us off the park, Points to the spot, Prawn sandwich brigade, Purple patch, Put their laces through it, Reaches for their pocket, Rolls Royce, Root and branch review, Row Z, Screamer, Seats on the plane, Show across the bows, Slide-rule pass, Steal a march, Straight in the bread basket, Stramash, Taking one for the team, Telegraphed that pass, Tired legs, That's great… (football), Thunderous strike, Turns on a sixpence, Walk it in, We've got a cup tie on our hands.UNSORTED After you Claude, All-Premier League affair, Aplomb, Bag/box of tricks, Brace, Brandished, Bread and butter, Breaking the deadlock, Bundled over the line, Champions elect / champions apparent, Clinical finish, Commentator's curse, Denied by the woodwork, Draught excluder, Elimination line, Fellow countryman, Foot race, Formerly of this parish, Free hit, Goalkeepers' Union, Goalmouth scramble, Honeymoon Period, In and around, In the shop window, Keeping ball under their spell, Keystone Cops defending, Languishing, Loitering with intent, Marching orders, Nestle in the bottom corner, Numbered derbies, Opposite number, PK for penalty-kick, Postage stamp, Rasping shot, Red wine not white wine, Relegation six-pointer, Rooted at the bottom, Route One, Sending the goalkeeper the wrong way, Shooting boots, Sleeping giants, Slide rule pass, Small matter of, Spiders web, Stayed hit, Steepling, Stinging the palms, Stonewall penalty, Straight off the training ground, Taking one for the team, Team that likes to play football, Throw their cap on it, Thruppenny bit head / 50p head, Two good feet, Turning into a basketball match, Turning into a cricket score, Usher/Shepherd the ball out of play, Walking a disciplinary tightrope, Wand of a left foot, Wrap foot around it, Your De Bruynes, your Gundogans etc.
a16z general partner Julie Yoo talks with Nikhil Buduma, CEO and cofounder of Ambience Healthcare, to discuss how AI is transforming clinical workflows. They cover the early days of deep learning, why Ambience started by running a medical practice before building a platform company, and what it takes to achieve high clinician adoption rates at major academic medical centers. They also dig into the challenge of building products when AI capabilities change every few months, the real ROI that's finally converting CFOs, and why this might be the moment to reimagine the legacy EHR stack. Resources: Follow Nikhil Buduma on X: https://twitter.com/nkbuduma Follow Julie Yoo on X: https://twitter.com/julesyoo Read the full transcript here: https://www.a16z.news/s/podcast Stay Updated: If you enjoyed this episode, be sure to like, subscribe, and share with your friends! Find a16z on X: https://twitter.com/a16z Find a16z on LinkedIn: https://www.linkedin.com/company/a16z Listen to the a16z Show on Spotify: https://open.spotify.com/show/5bC65RDvs3oxnLyqqvkUYX Listen to the a16z Show on Apple Podcasts: https://podcasts.apple.com/us/podcast/a16z-podcast/id842818711 Follow our host: https://x.com/eriktorenberg Please note that the content here is for informational purposes only; should NOT be taken as legal, business, tax, or investment advice or be used to evaluate any investment or security; and is not directed at any investors or potential investors in any a16z fund. a16z and its affiliates may maintain investments in the companies discussed. For more details please see http://a16z.com/disclosures Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Robotic surgery has moved from novelty to norm, and in this episode of Behind the Knife, Drs. James Jung and Joey Lew sit down with urologic pioneer and Medtronic CMO Dr. Jim Porter to dissect how we got here, what the data really say about “the death of laparoscopy,” and where competing robotic platforms like Hugo may take the field next. From ergonomics and education to economics and global access, they tackle both the hype and the hard questions around robotics as the future of minimally invasive surgery.Hosts: · James Jung, MD, PhD, Assistant Professor of Surgery, Duke University· Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actuallyLearning Goals: By the end of this episode, listeners will be able to:· Describe key clinical, ergonomic, and educational drivers behind the rapid adoption of robotic surgery in the United States and globally.· Summarize current evidence comparing robotic and laparoscopic approaches for common procedures, including where outcomes are equivalent, inferior, or clearly superior.· Explain how surgeon ergonomics, trainee experience, and video-based learning influence practice patterns and learning curves in minimally invasive surgery.· Discuss the role of cost, reimbursement structures, and market competition (e.g., Medtronic Hugo vs da Vinci) in shaping robotic adoption across different health systems.· Anticipate how next-generation, task- or organ-specific robotic platforms may further change standards of care in minimally invasive surgery.References:· Violante T, Ferrari D, Novelli M, Larson DW. The Death of Laparoscopy - Volume 2: A Revised Prognosis. A retrospective study. Ann Surg. 2025 Jun 16. doi: 10.1097/SLA.0000000000006792. Epub ahead of print. PMID: 40518997. https://pubmed.ncbi.nlm.nih.gov/40518997/· Yu Yoshida, Yoshiro Itatani, Takehito Yamamoto, Ryosuke Okamura, Koya Hida, Kazutaka Obama, Single-incision plus one robot-assisted surgery (SIPORS) using the Hugo robotic-assisted surgery (RAS) system for rectal cancer, Annals of Coloproctology, 10.3393/ac.2025.00787.0112, 41, 6, (586-591), (2025). https://pubmed.ncbi.nlm.nih.gov/41486916/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
This episode is all about the power of a phone call, and how you can maximize it. Kiera goes into the formula for phone call success, and how it will boost your patients' interactions with your practice. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and gosh, I decided to shake up the background and hang out in my house and have you come hang out with me. And so if you're watching this, welcome. This is the studio. This is where I live. This is where I hang out and just trying a couple different things. I really obsessed about making this podcast a space where you feel like you're hanging out with me in my living room. And we're just sitting here. chatting shop, we're sitting here talking about all things dentistry. And today I wanted to just go through a quick episode with you guys of how we can improve our conversion rates. So there's a couple quick levers of how we can improve our calls, our being able to get our forms and documents and being able to do this without spending more time because that's something that we all wanna do. And so ⁓ I think it's a lot of times like how can we convert our calls better? How can we get things done a little bit more efficiently? Do we do AI? Do we not do AI? And so. I really feel like just small improvements. You guys know on Dental A team, I'm obsessed about small little improvements done to create efficiencies. I remember I was in a practice and they said, ⁓ okay, Kiera, like come on in, we wanna see you. And I went in and we were able to add about 13,000 to their practice. And they were like, Kiera, what did you do? I'm like, what did I do? It was just very simple, easy things. was, ⁓ we had patients stop at the front desk and start making their payments so we were able to make our collections higher. We had them doing a handoff to their team of what were the next steps. So that way the patient felt confident of what they were doing next. ⁓ and we just scheduled patients. We assumed the yes. And those are not hard things. Those are not sexy things. Those things are just things that are going to help you guys tremendously. And so today it's like, let's figure out how we can convert a few more things. So. Dental A Team is truly a company where I believe that growing and having sustainable growth comes from optimizing before we spend more. And I know that it feels so. Alluring and something that I want to do is I want to spend more and I want to get the magic pill and the reality is that you can probably get the exact same results with minimal effort if we just optimize a little things and so figuring out how we can catch more missed calls or how we can convert more new patients or figuring out how we can get more patients to say yes to treatment is something that's really really fun A Team's podcast is tactical, practical, implementable. That's how we operate. That's how we like to consult. And I love working with practices. I love being able to see you guys ⁓ in your offices, being able to do things, ⁓ being able to just live your best life. Life is our passion. Dentistry is our platform. So, all right, you guys ready to dig in? Because I'm ready to dig in. The number one thing is, let's talk about our phone calls and optimizing our phone calls. because that is our number one zone. And I think it's crazy how much we spend on marketing to get these new patients and how much we work on having a great patient experience. And then we have our newest trained person that knows nothing about our practice answering our most important phone calls. And so things on this are like when we miss phone calls or we don't handle a phone call correctly, those are little lost opportunities. And this isn't to rag on our front office team. We're busy. You guys, I've sat in the front office. I prioritize the patient in front of me over the phone. And so what are some little things that we can do? And there are softwares. There's like patient prism and they're like, I pretty sure with weave, they have them where we can actually track and monitor and see our, ⁓ our phone calls and see how we're doing. But we want to just help our front office team. Like it is crazy. Jason, husband told me, ⁓ he was like, yeah, I, Kiera, if you don't like what someone tells you at a practice, just wait, call back and you'll get someone else and you'll get a different answer. And I think about that in practices and how often are we possibly doing this? How often is our practice maybe. doing it where we actually are having Susie follow protocol and Sarah isn't and therefore Susie is undercut, but Sarah was trying to do what's right. They're both trying to do what's right. So this is where we're at front office teams. Let's make sure we're all saying the same thing. So no matter if they get Sarah or Susie or Kiera or Jason or John, every single one of them is the exact same. And this is going to help. So number one, we need to have actually in the front office team, especially usually there's quite a few of them. We need to make sure that one person is dedicated to like first on phone, second on phone, third on phones. So everybody knows like, hey, what is the ring, the ring place? Now, if you're a really large practices, sometimes they put it in a call center. All those are totally fine, but we need to make sure that every single person is actually optimizing our phone calls. And so it is a, you can even get a phone tree where we optimize new patients. We have a line for billing questions. So that way we can actually know which phone call should I prioritize and know exactly this is a new patient phone call. Now, when we, When we answer the phone, I actually put mirrors in front of a lot of our team members. We want them to smile. We want the patient to feel the energy on the other side of it. We want them to feel like they chose the best place. And I actually feel this is one of the greatest ways to optimize is if you just give your patients a little bit different experience on the phone of like, we are so excited to have you call us versus we are annoyed that you bothered us in the middle of our day. That tone and intonation is going to help patients say yes or no a lot more to you. I remember, and I shared this example a few years ago, I was trying to find a PT and I called around to a bunch of different locations and I literally chose the place based on how they answered the phone. And I think I truly believe in today's world of AI and automations that what is going to become the number one differentiator more than cost, more than anything else is kindness. Kindness and customer service is going to be what far outshines most everything else because it's becoming a trait. ⁓ People are grumpy, people have the COVID cranks still, people are annoyed. I walk into stores and like, we're closing in 30 minutes. I'm like, fantastic, I'll just shop on Amazon. They don't yell at me. This is where I think we need to recognize our society and people want to be loved. We are human beings, we are human connections. And so really being able to give that. it is about, let's answer the phone. Let's have our intonations and our tone and that big smile. And then let's make sure that we're following protocols. So how we block schedule, how we schedule patients, how we handle a new patient phone call. New patient phone calls are great to optimize. It is a, like we take control of it instead of saying, you have insurance? It's amazing. How did you hear about us? Let's change that tone and that vibe. So that way they feel like, my gosh, like I heard about you on Google. We absolutely love our patients. Like our Google reviews are what we're so proud of. And we strive to make sure that you as a patient coming in. are going to be able to leave us those same reviews because you have the best experience with the best dentist. I'm Kiera, it's so nice to meet you. Let's get you all ready and set up for your appointment. What are we looking for? we coming in like when was the last time we saw the dentist? I want to make sure I set you up for the right type of appointment. We just take a few minutes to be human. A new patient phone call can literally be done in five minutes and make them feel human. It's taking control of the conversation initially. It is saying. Hi, how did you hear about us? I'm Kiera, welcome to our practice. I know you're absolutely going to love it here. Let's get a couple of information. Let me start with your name, your phone number in case we ever get disconnected. I'm gonna make sure I get you so taken care of and we truly cannot wait to welcome you into our practice. ⁓ And then we go through, if they have insurance, fantastic. If they don't, if they're on an insurance plan that we don't take, that's fine guys. These people can still come. want you to, I'm gonna drill this down so hard on optimization of our phone calls. ⁓ Just because a patient doesn't have insurance, we are not going to let $1,000 dictate if this person comes to see us or not. You guys, $1,000, I know that not all insurances are 1,000, but that's usually about the max, but they pay so much more than that. And this is about a long-term relationship rather than a short-term transaction. I'm going to say that again, our new patients, it is about a long-term relationship rather than a short-term transaction. And if we can remind them of this is the greatest place, you're so welcome to be here. You're so like, we are so happy to have you here. People choose that all day long. People want to know they're on a winning team. So how can we make them feel like they made the absolute best choice by choosing our practice? And I want you to audit phone calls. So for the next couple of days, I would like, and we actually track, we have trackers where it's like, let's get our new patient trackers and how many of these new patient phone calls scheduled and didn't schedule. And if you have your front office team track this for about one week, they will actually be able to see how many new patients are actually getting, how many are we converting and why are we not converting it. Then if we actually listen to these calls back, we can fine tune one or two statements and be able to optimize and get people to come in. You guys like, this is one of the things I'm like, I don't know how much more easy I can make this for you. But if we just prioritize two or three little things on our phone calls, making sure we all schedule correctly, that we welcome them and we're excited and we just role play this for the next month, you will absolutely increase your practice. I promise you, because we're going to convert more phone calls. We're going to have more happy patients. We're going to have patients who are more excited to come to the dentist because they're already feeling welcomed. These are little things that don't make a big, like they don't seem grandiose, but they make a huge, huge, huge impact. so making sure that we're optimizing that you guys, the phone is one of your most powerful resources in your practice. And if we have like, you do not want your billing representative and billers, this is nothing against you. am not a great biller. I was like, I don't want to go to bat. I don't want to go figure out the one penny you do. And that's why we have different roles. You want somebody who's so excited, who loves your practice. ⁓ I've had front office team members that are in this role that are from like tanning salons or from a high end customer service or from a waiter waitress situation or a hostess situation where they just love and they want to welcome and they want to greet and they're so excited and they just make that person feel like a million bucks. so making sure that our phone calls are optimized really truly is going to help us and help us really ensure that our practice is optimized. And so with that new patient phone call, It is a, let's snag them at the beginning, let's ask them how they heard about us, let's capitalize on that, let's find out what type of cleaning that they want or what they're calling for or when the last time was that they went to the dentist and then let's schedule them appropriately with VIP customer service. And then what I typically do is if we are using insurance, I say, fantastic, I'm gonna send over our new patient welcome information right now while I've got you on the phone, make sure it gets to you. And then I do need to get that back 48 hours before your appointment to make sure it's confirmed. Did you get that email from me? Fantastic. When can I expect to see this? I want to make sure I don't miss it for you. And that way I can get your patient, your appointment confirmed. I have them commit to me right here, right then, because if I do that, this patient's already more locked and loaded to come into me. They've committed that they're going to get this back to me in the next two days. I'm going to look for it. And if you really, really want to stand out and shine on customer service, following up in two days, hey, Kiera, I didn't see that paperwork come through. I wanted to make sure I didn't miss it. You can set little reminders for yourself. This is not hard. and listening as front office, you be like, my gosh. But I wanna say what is actually hard? Choose your hard on this. Chasing a patient, not getting my insurance until the day of being, like having new patients, no show on appointments, that's hard. Me following up in two days on their paperwork and making sure that they give it to me so I can, 48 hours ahead of time to make sure their appointment's confirmed, that's not hard. That's just a shift of your process that optimizes your process and makes it to where you actually have a ton less work. It feels like hard work today. Just like if I were to say, okay, go sign your name. You're like, okay, I can sign it. Got it. If I say, okay, now sign your name, but you have to sign it every other letter, that's going to feel hard because that's actually easier than you signing all the letters. And if you practice every other letter a few more times, you actually become faster at that than you were at your initial signature. So just because it's different doesn't mean that it's hard and it's not efficient. It just means you're doing it as a different way. And so really looking at that and seeing how can I actually make this to where we can optimize our phone calls. And that's what we're going into. You guys, just a small optimization of our phone calls, of how we operate, of how we ask for information, that's going to cut down so much more time that allows you to be in front of your patients, because you're not chasing all these forms all the time. I promise you, get patients to commit to you before they even get into your practice, and you're going to have a completely different practice. And so I want you just to remember that this is a great way for you to optimize on a phone call. Now, there's several other ways that we can optimize. We can optimize on our handoffs. You guys have heard me talk about NDTR about a thousand times. We optimize on that and I say it's like, we don't just get a drop a sheet with our front office or we drop a patient and say like, good luck. It's a, we hand them off so they know exactly what they're doing. We hand them off every single time. It is a well-oiled baton and we practice that consistently from front office to back office, back office. Like let's not like bicker towards each other. Let's figure out what does front office information need to give us so that way we are all set for our appointment. And then what does clinical team need to make sure is in the notes so our insurance claims go out correctly. And then what does clinical team need to bring to the front office? So that way it's a smooth handoff. And what do doctors need to say to team members? So that way we get all the information necessary while making sure the patient's front and center. That small optimization, which I will do on another podcast for you with the handoffs and the different pieces are going to be able to make it to where your patients absolutely 100 % schedule their appointments. And people are like, but it's so hard to do. Choose your hard guys. This is not hard. You want to add an up level your practice? Optimize your phone calls, optimize your handoffs, optimize your life. I promise you, patients can feel perfection. These are things that I would recommend you do on a monthly, weekly basis where we role play this out until we perfect it and this is how we operate it. Do you think at Disneyland that they just like hope and pray that those things are gonna work out and that's gonna be perfect? The answer is no. They practice, they role play, they practice, they do it. They make sure that the way people are talking to guests is the exact same way no matter who it is and they employ hundreds and thousands of people. So in your practice, you think that this would be doable? I hope you say yes, because when we can optimize, when we can make sure that our phone calls are the most important thing and our handoffs are the second most important thing, your patients will feel that. And then we get raving fans and then we get the reviews. You guys, reviews aren't just happenstance. Reviews are intentional. It's because they can feel the process throughout. They feel loved, they feel cared about, and they feel like you are going to take care of them. So optimize, you guys. This is the time for you to just optimize. to have it to where it's so much easier for you, to where you're able to really, really, really drive these patients forward. So as a quick recap, let's talk about it. Number one, we're going to shine and outshine our competition by kindness and customer service. And that might be a theme that I'd roll out to your practice this year of kindness and customer service. We want patients to feel wanted in our practice and we want them to feel excited to be here with us. So what we do from there is we make sure we find out when we take a new patient phone call, what exactly, how did they hear about us? We tell them they're on the winning team. This is the best place for them. We scheduled the appropriate appointment. We have the correct information. And then we ask for their paperwork back to confirm their appointment. Just that small shift is gonna change a lot of things for you. And then we optimize our handoffs so we're not just dropping people off. We're optimizing front offices giving clinical team the correct amount of Clinical team, think of how happy you'd be if the paperwork is already in there before the patient arrived and you're able to take your patients back on time. That would be like a hallelujah. Everybody would pop confetti and we'd say thank you. Also, clinical team members, shout out when you do get that. Go tell your front office thank you, because what we praise typically gets repeated. So make sure that we're saying thank you for that. We take them back on time, information's passed to our doctor, doctor's back to us, us up to the front office, and we have the correct information on our claims, and we're giving that feedback of, if claims are being denied, let's tell each other what's being missed. We get those things fixed. You guys, your practice will be. next level. And this is something where, yes, we always look for optimization and dollars on the schedule. And I will tell you, we can add 5,000, 10,000, 20,000 very quickly, but it's through very, very, very simple things. And simple does not mean easy. And I think that that's where people shy away from this, but I'm going to encourage you to be the practice that's optimized, optimizing the little ways. Maybe we use AI, maybe we listen to phone calls, patient prism, other, other platforms that are going to be great for you. Let's, let's actually have somebody go through and video our handoffs of a patient. Like, let's just see it. Let's watch it back. Think about pit stops. There's a great YouTube video where they do a pit stop that was optimized in ⁓ racing and they practice it over and over and over and they timed themselves and they got better and better and better to where it was so fast and everybody knew exactly what they were supposed to do. And I think about a practice that way. Are we optimizing? Are we practicing the most important things? Are we obsessing about crazy things that really aren't moving the needle forward? That's your challenge. That's your choice. And if we can help you with this, These are things I'm happy to share our new patient phone call script. Reach out Hello@TheDentalATeam.com. Happy to share it and like, let's chat. Let's chat about your practice. Let's talk about what things we could optimize. What areas could we make more efficient for you? This is what I obsess about doing. This is what our team obsesses about doing. This is why we created Dental A Team. Things don't need to be hard for you to have success. And I encourage you to do that. Reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.
Everyone seems more stressed than ever — and oddly, some people even wear it like a badge of honor. But chronic stress isn't something to brag about. It quietly alters the way you think. It amplifies worry, exaggerates threats, narrows your options, and makes worst-case scenarios feel not just possible, but probable. Over time, stress doesn't just affect your mood — it reshapes your perception, your judgment, and the decisions you make. And because the shift happens gradually, you often don't realize it's happening at all. Clinical psychologist Arthur Ciaramicoli has spent decades studying stress and its impact on the brain and behavior. In this conversation, he explains what's actually happening neurologically when stress rises — how your brain shifts into a more reactive mode, why you become more negative and less flexible in your thinking, and how chronic stress can trap you in a self-reinforcing loop. We also explore why modern life seems perfectly designed to keep stress levels elevated and why simply “relaxing” isn't a realistic solution. Most importantly, Arthur shares practical, science-based strategies to interrupt the cycle — techniques you can use in the moment to calm your nervous system, widen your perspective, and prevent stress from distorting your thinking. If you've ever made a decision under pressure and later wondered, “What was I thinking?” — this episode will help you understand exactly what was happening and how to prevent it next time. Arthur is the author of The Stress Solution (https://amzn.to/3yQgt22). PLEASE SUPPORT OUR SPONSORS QUINCE: Refresh your wardrobe with Quince! Go to https://Quince.dom/sysk for free shipping on your order and 365-day returns. Now available in Canada, too! HIMS: For simple, online access to personalized and affordable care for Hair Loss, ED, Weight Loss, and more, visit https://Hims.com/SOMETHING for your free online visit! SHOPIFY: Sign up for your $1 per month trail and start selling today at https://Shopify.com/sysk DELL: Dell Tech Days are here. Enjoy huge deals on PCs like the Dell 14 Plus with Intel® Core™ Ultra processors. Visit https://Dell.com/deals PLANET VISIONARIES: We love the Planet Visionaries podcast, so listen on Apple, Spotify, YouTube or wherever you're listening to this podcast! In partnership with The Rolex Perpetual Planet Initiative. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this special installment of Skin Anarchy's Lessons in Longevity series, Dr. Ekta Yadav sits down with beauty industry pioneer Melisse Shaban for a conversation that bridges decades of brand leadership with the cutting edge of cellular science. From her early days at Revlon's counter at Macy's Herald Square to leading Aveda and The Body Shop — and later founding science-driven ventures like Virtue Labs and Aramore — Shaban has witnessed beauty evolve from aspiration to physiology.But this episode isn't about nostalgia. It's about where we're headed.Together, Dr. Yadav and Shaban unpack how the narrative around aging is shifting. Youth is no longer the sole benchmark of beauty. Instead, vitality, recovery, and cellular performance are redefining the industry. Skincare is moving beyond “hope in a jar” marketing toward biologically grounded innovation — often rooted in research that began in oncology, peptide science, and regenerative medicine labs.A central theme of the conversation is NAD — a molecule essential for cellular energy and mitochondrial function. Rather than attempting to apply NAD topically in ways the skin cannot absorb, Shaban explains how Aramore focuses on supporting the body's own NAD production through metabolically intelligent pathways. The message is clear: aging begins at the cellular level, and true longevity requires daily metabolic support — not reactive damage control.This episode also tackles accountability in a crowded, hype-driven market. Clinical rigor, mechanistic plausibility, and transparent data are no longer optional — they are the future.Listen to the full episode of Skin Anarchy to hear Melisse Shaban break down cellular energy, NAD science, and why the next era of beauty belongs to longevity-driven innovation grounded in real biology.SHOP ARAMOREDon't forget to subscribe to Skin Anarchy on Apple Podcasts, Spotify, or your preferred platform.Reach out to us through email with any questions.Sign up for our newsletter!Shop all our episodes and products mentioned through our ShopMy Shelf!*This is a paid collaborationSupport the show
Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Shelby Williams.