Podcasts about Clinical

In his weekly clinical update, Dr. Griffin with Vincent Racaniello are alarmed at how RFK is breaking his promise of not altering vaccine policies, and nonexistent data and studies are used by members of the ACIP to make changes to immunization practices in the absence of a CDC director, justification for not honoring the US commitment to GAVI and global public policies including support of routine childhood immunizations, placing millions of children at risk for the return of vaccine preventable diseases including polio outbreaks in Pappa New Guinea and increased circulation of wildtype type 1 poliovirus, before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, approval of Merck's anti-RSV mRNA monoclonal antibody, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines, immunization recommendations for COVID-19 vaccines, where to find PEMGARDA, changes in COVID mRNA vaccine labeling and reframing of the science around the vaccine, provides information for Columbia University Irving Medical Center's 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 Jake Scott (Stanford University) Vaccine Randomized control trials (Bradspellberg.com) Vaccine RCT spreadsheet aims to show the data, dispel myths about vaccines  (CIDRAP) Vaccines-rcts (Bradspellberg.com) CDC's upcoming vaccine advisory meeting set up to sow distrust in vaccines (CIDRAP) Next ACIP meeting (CDC: ACIP) June meeting: MEETING OF THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP) (CDC: ACIP agenda) Robert F Berman, PhD (UC Davis Health: Department of Neurological Surgery) Transparency = nonexistent data: CDC advisers appears to cite nonexistent study to support claims about risk of vaccine preservative (CNN) A C.D.C. Committee Just Voted Against Flu Shots With This Preservative. Is It Safe? (NY Times) CDC vaccine advisory committee to review long-approved immunizations (STAT News) Newly appointed CDC vaccine advisory committee holds first meeting, stirs more controversy (CIDRAP) FDA approves clesrovimab to protect infants during first RSV season (Contemporary Pediatrics) ACIP updates: Committee recommends clesrovimab for RSV, reaffirms routine influenza vaccination (Contemporary Pediatrics) Susan Monarez (Wikipedia) Robert F Kennedy Jr (Wikipedia) Centers for Disease Control and Prevention (Wikipedia) Who is in charge at the CDC (CDC: About CDC) Do children REALLY need to be vaccinated? (Wall Street Journal) U.S. Adults' Views on Routine Childhood Vaccination (Harvard Opinion Research Program) RFK Jr. declares US withdrawal from GAVI (YouTube) Kennedy Withdraws U.S. Funding Pledge to International Vaccine Agency (NY Times) Millions of children at risk as global vaccine rates fall (Guardian) Global, regional, and national trends in routine childhood vaccination coverage from 1980 to 2023 with forecasts to 2030 (LANCET) Polio this week: 47 WPV1 positive environmental samples this week! (GPEI) H5 bird flu: current situation (CDC: Avian Influenza) Cambodia logs fifth death from H5N1 avian flu as USDA weighs poultry vaccination (CIDRAP) Cambodia reports 6th H5N1 bird flu case this year(BNO News) USDA develops potential plan to vaccinate poultry for bird flu (Reuters) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Weekly measles and rubella monitoring (Government of Canada) Measles vaccine recommendations from NYP (jpg) 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) Measles (CDC Measles (Rubeola)) Measles (CDC: Measles Rubeola) 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: clift notes (CDC FluView) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Novel Drug Approvals for 2025 (FDA) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (biRxiV) Episode 184: Fool's Gold: Reframing the Science…..reframing? (Apple Podcasts: Osterholm Update) Children with Post COVID-19 Multisystem Inflammatory Syndrome Display Unique Pathophysiological Metabolic Phenotypes (Journal of Proteome Research) FDA COVID mRNA vaccine labeling update (FDA) Where to get pemgarda (Pemgarda) EUA for 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) 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) Steroids,dexamethasone at the right time (OFID) 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 Stellate Ganglion Block for the Treatment of COVID-19−Induced Parosmia (JAMA Otolaryngology-Head& Neck Surgery) Reaching out to US house representative Letters read on TWiV 1230 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.

Wondering which PA specialties bring in the biggest paychecks and what you have to look forward to?! In this episode, we're breaking down the top-paying specialties for PAs - specialties you may want to check out in your PA school clinical rotations and future as a PA! VIP Days! Magic happens here!

Get My Book On Amazon: https://a.co/d/avbaV48Download The Peptide Cheat Sheet: https://peptidecheatsheet.carrd.co/Download The Bioregulator Cheat Sheet: https://bioregulatorcheatsheet.carrd.co/

Story at-a-glance Research shows intermittent fasting triggers hair loss by flooding follicles with toxic free fatty acids when your body shifts from glucose to fat as fuel Hair follicle stem cells prefer glucose for energy and begin dying when forced to metabolize fat during fasting periods, causing them to remain in a dormant state Clinical trials confirmed fasting slows hair regrowth in humans regardless of calorie intake or timing, with the damage occurring from the fast-feed cycle itself The stress response starts in adrenal glands, which release hormones that prompt dermal fat cells to release fatty acids that damage follicle stem cells To reverse fasting-related hair loss, eat nutrient-dense meals regularly with approximately 250 grams of digestible carbohydrates daily to stabilize energy supply

Tanzira Zaman, MD and Elizabeth Volkmann, MD, MS discuss the new official American Thoracic Society Clinical Statement on the diagnosis and management of interstitial lung abnormalities which Dr. Podolanczuk presented at ATS 2025.

Matt and Allie are celebrating the start of summer with a clinical corner article! For June, Matt covers a case report from the JOSPT that describes a case where a 66y/o male sought out PT treatment after 3 weeks of right-sided facial drooping.  Learn about what Bell's Palsy is, what it looks like/ symptoms, how quickly it can on-set, and how PT can help in recovery! You'll hear how the patient in the article was treated with dry needling and electrical stimulation and made a FULL recovery in 8 months. Matt also shares his experience in treating patients with Bell's Palsy and how he was able to help them.This is a great example of how learning and staying on top of the latest treatments in PT can make a world of difference!Did you know that you don't need a doctor's prescription to receive physical therapy? The laws of Direct Access allow you to receive physical therapy without a referral and still use your insurance benefits! Learn more on how Direct Access can help YOU! Our website: https://www.oxfordphysicaltherapy.com/

"A solid pricing model is the foundation that determines whether your marketing will succeed or fail."Discover how different pricing strategies dramatically impact your marketing success, why some clinics can easily scale while others struggle to break even, and the essential metrics that separate profitable practices from those burning through marketing budgets.This episode shows you how to transform marketing from an expense into a profit-generating investment that fuels continuous growth.Welcome to the Clinic Growth Secrets Podcast where we give an insider's look into what the top 1% of clinic owners are doing differently to get more patients, make more profit per patient, and keep them longer. Inside, you'll find actionable tips, tricks, and strategies that you can implement into your personal clinic to create massive growth that allows you to help as many people as possible.

UCSF's Dr. Rahul Aggarwal explains the role of clinical trials in advancing prostate cancer treatment and how trial design is evolving to match today's more personalized approaches. He highlights how UCSF has contributed to major prostate cancer therapies and emphasizes the importance of genetic and genomic testing in identifying suitable trials for each patient. Dr. Aggarwal explains the different trial phases, clarifies common myths—such as concerns about placebos—and stresses that trials are considered at every stage of disease. He also discusses efforts to improve access, affordability, and diversity in trial participation, including regional partnerships and digital matching tools. The talk encourages patients to be informed and proactive when considering clinical trials as part of their treatment plan. Series: "Prostate Cancer Patient Conference" [Health and Medicine] [Show ID: 40800]

UCSF's Dr. Rahul Aggarwal explains the role of clinical trials in advancing prostate cancer treatment and how trial design is evolving to match today's more personalized approaches. He highlights how UCSF has contributed to major prostate cancer therapies and emphasizes the importance of genetic and genomic testing in identifying suitable trials for each patient. Dr. Aggarwal explains the different trial phases, clarifies common myths—such as concerns about placebos—and stresses that trials are considered at every stage of disease. He also discusses efforts to improve access, affordability, and diversity in trial participation, including regional partnerships and digital matching tools. The talk encourages patients to be informed and proactive when considering clinical trials as part of their treatment plan. Series: "Prostate Cancer Patient Conference" [Health and Medicine] [Show ID: 40800]

UCSF's Dr. Rahul Aggarwal explains the role of clinical trials in advancing prostate cancer treatment and how trial design is evolving to match today's more personalized approaches. He highlights how UCSF has contributed to major prostate cancer therapies and emphasizes the importance of genetic and genomic testing in identifying suitable trials for each patient. Dr. Aggarwal explains the different trial phases, clarifies common myths—such as concerns about placebos—and stresses that trials are considered at every stage of disease. He also discusses efforts to improve access, affordability, and diversity in trial participation, including regional partnerships and digital matching tools. The talk encourages patients to be informed and proactive when considering clinical trials as part of their treatment plan. Series: "Prostate Cancer Patient Conference" [Health and Medicine] [Show ID: 40800]

Are you truly allergic to dairy or just intolerant? Can headaches, joint pain or fatigue be signs of hidden allergies? And what about those online food intolerance tests? Can you trust them?In this episode, Dr Helen brings clarity and evidence to the confusing world of food allergies, intolerances and sensitivities.We cover:

In today's throwback episode Dr. Clinton Timmerman joins the Very Clinical Podcast live from Voices of Dentistry, and he's not afraid to bust some dental myths! Prepare to have your anesthetic assumptions challenged and maybe even find out why you shouldn't offer your dentist a side of steak for their services. Plus, Clint shares a surprisingly effective pro tip for tackling those tricky Class IV restorations. Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization. The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence.  Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA  Book a call with Kate: Reserve a Call  Ready to upscale your team? Explore Zirc's solutions today: zirc.com    

Today I'm joined by my friend and fellow biohacker, Dave Korsunsky, founder of Heads Up Health. In this episode, we take you on a journey through the evolution of biohacking—from the early days when continuous glucose monitors were a novelty and cryotherapy sounded like science fiction, all the way to the sophisticated, data-driven tools we have at our fingertips today.   What we discuss:  Dave's journey: Heads Up Health and the rise of health data ... 00:08:18 Making sense of health metrics: Knowing if protocols work ... 00:10:06 GLP-1s: muscle loss risks, proper technique, and hydration ... 00:16:18 Clinical stories: HRV, autoimmune disease, and diabetes management ... 00:25:57 The foundational power of sleep, hydration, and micro-experiments ... 00:34:14 Core metrics: HRV, blood sugar, sleep, and their significance ... 00:40:46 The promise and impact of new longevity diagnostics ... 00:50:42 No-equipment longevity tests: grip, hang, balance, sit-to-stand ... 01:00:31 Aggregate your data and run micro-experiments ... 01:05:25   Our Amazing Sponsors: Bio-Shield by Young Goose - It's a broad-spectrum serum that protects against UVA/UVB, infrared, AND high-energy visible (HEV) light—aka the stuff pouring out of your laptop right now. Visit YoungGoose.com—use code NAT10 to get started, or 5NAT if you're an existing customer.  Troscriptions - Blue Cannatine - think of it as a small but mighty brain boost that melts in your mouth. A precise blend of methylene blue, caffeine, CBD, and microdosed nicotine gives me steady energy, focus, and mental clarity without the usual ups and downs. Try it for yourself at  troscriptions.com and use code NAT10 for 10% off. Get in the zone and stay there.  OraltidePro - A unique mouthwash that: Promotes growth of shrinking gums, Speeds healing of mouth & tongue, Prevents oral infections (such as gingivitis), Helps with enamel remineralization, Reduces bacteria growth and etching and Fills slots in damaged enamel. check out OraltidePro at profound-health.com and use code NAT15 for 15% off your first order.   More from Nat:  YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

Welcome back to Home Base Nation! This is our sixth episode in a series where we talk with some of the folks at Home Base who wake up every day with the same mission in mind, regardless of their role at the Center of Excellence in the Navy Yard and beyond. Over the next several weeks, we will share the staff conversations I had with some of the hardworking professionals at Home Base who help treat the invisible wounds of veterans and military families. We have published 120 episodes since 2019. For this new season, we thought it would be a good idea to look back on some of the highlights of our conversations and select 20 episodes that resonated with veterans, service members, military families, and the civilians who support them.But first up, you'll hear from some of the folks at Home Base who wake up every day with the same mission in mind, no matter what they do at the Center of Excellence in the Navy Yard and beyond. For this episode, you will hear a brief conversation with Registered Dietitian and Manager of Clinical and Culinary Nutrition for the Home Base Program Nicolette Maggiolo, serving those in the Home Base Intensive Clinical Program, New England Warrior Health & Fitness Program, and Outpatient Clinic. Additionally, Nicolette has authored a Limited edition Home Base Cookbook that features over 100 original recipes with reflections from veterans and military families. With all proceeds benefiting Home Base. It even has a bonus dog treat recipe for your pup, honoring our beloved Home Base dog Gatsby.  Woof. The cookbook was available at Stop and Shop in honor of Military Appreciation Month and once more become available we will share it here.Following my conversation with Nicolette, you'll hear an episode with Rock DJ and podcast host Mistress Carrie. A vehement supporter of U.S. troops and veterans, Mistress Carrie wanted to find a way to give back, and in 2006 she made her way to Iraq, as the first non-news journalist embedded with troops there, before "deploying" for a second time in Afghanistan in 2011, where she met Brigadier General (Ret.) Jack Hammond, who was leading command in Kabul at the time. Back in 2022, she stopped by the Home Base Center of Excellence to speak with Ron and General Hammond to speak about why supporting veterans matters so much and how she views service. Run To Home Base: Join Ron and his team and sign up individually or on another team at the 16th annual Run To Home Base on July 26th, 2025, at Fenway Park! Go to runtohomebase.orgPlease visit homebase.org for updates, programming, and resources if you or someone you know is struggling. Home Base Nation is the official podcast for the Home Base Program for Veterans and Military Families. Our team sees veterans, service members, and their families addressing the invisible wounds of war at no cost. This is all made possible thanks to a grateful nation. To learn more about how to help, visit us at www.homebase.org. If you or anyone you know would like to connect to care, you can also reach us at 617-724-5202.Follow Home Base on Twitter, Facebook, Instagram, LinkedInThe Home Base Nation Team is Steve Monaco, Army Veteran Kelly Field, Justin Scheinert, Chuck Clough, with COO Michael Allard, Brigadier General Jack Hammond, and Peter Smyth.Producer and Host: Dr. Ron HirschbergAssistant Producer, Editor: Chuck CloughChairman, Home Base Media Lab: Peter SmythThe views expressed by guests on the Home Base Nation podcast are their own, and their appearance on the program does not imply an endorsement of them or any entity they represent. Views and opinions expressed by guests are those of the guests and do not necessarily reflect the views of the Massachusetts General Hospital, Home Base, the Red Sox Foundation, or any of its officials. 

John Lieske, M.D., and Sandra Taler, M.D., explain how Mayo Clinic Laboratories' mass spectrometry assay helps evaluate patients for resistant hypertension. The test detects antihypertensive medications in urine, providing evidence of whether patients are absorbing their medications or whether a new treatment approach might be needed. Speaker 3: (00:33) Could you tell us a little about yourselves and your backgrounds? Speaker 3: (01:41) Dr. Taler, could you provide us with a brief background on resistant hypertension? Speaker 3: (03:43) Can you provide a little bit more background on patients who aren't taking their medications? Speaker 3: (05:11) How do physicians currently assess whether patients are taking their medications? Speaker 3: (07:03) Dr. Lieske, could you tell us how this new assay can be used to help physicians manage their patients with hypertension? Speaker 3: (09:43) Dr. Taler, can you tell us how doctors can use this new testing to manage their patients?

 Is RO DBT a new answer for overcontrol and obsessive-compulsive personality disorder (OCPD)? This post introduces Radically Open Dialectical Behavior Therapy, a treatment developed for overcontrolled personalities, and explores how well it fits the traits and needs of those with OCPD. Clinical insights, pros and cons, and personal reflections included. 

In this episode, Andrew F. Alexis, MD, MPH, and Daniel C. Butler, MD, discuss the immunopathogenesis and role of IL-13 in atopic dermatitis (AD), including:Contributors to epidermal barrier dysfunction (eg, environmental triggers)IL-13 as a key cytokine in AD pathogenesisTargeted AD therapies that inhibit IL-13A detailed patient case to highlight take-home pointsPresenterAndrew F. Alexis, MD, MPH​Professor of Clinical Dermatology​Weill Cornell Medical College ​New York, New YorkDaniel C. Butler, MD​Assistant Dean Student Affairs​University of Arizona College of Medicine – Tucson​Tucson, ArizonaProgram page: https://bit.ly/4kTP04D

Eric Ruderman, MD, leads a Northwestern Medicine panel discussion with Irene Blanco, MD, Anisha Dua, MD, and Carrie Richardson, MD. Together, they dive into the latest advances in clinical trials and treatment strategies for scleroderma, vasculitis and lupus.The panel discusses the goals and complexities of contemporary clinical trials, recent breakthroughs in therapies and the innovative potential of CAR-T therapy for managing autoimmune diseases. They emphasize the significance of personalized medicine and the collaboration needed among clinicians, industry collaborators and patient advocacy groups to drive research forward.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/AZC865. CME credit will be available until 19 June 2026.Navigating the Layers of Complexity in R/R B-Cell Cancers: From Clinical Prognosis to Emerging Therapeutic Prospects in CLL/SLL, MCL, and DLBCL In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/AZC865. CME credit will be available until 19 June 2026.Navigating the Layers of Complexity in R/R B-Cell Cancers: From Clinical Prognosis to Emerging Therapeutic Prospects in CLL/SLL, MCL, and DLBCL In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc.Disclosure information is available at the beginning of the video presentation.

The McCullough Report with Dr. Peter McCullough – January 2025 executive orders from the Trump administration halt certain high-risk gain-of-function studies at NIH to bolster biosecurity, and the Supreme Court's 6-3 decision upholds Tennessee's ban on gender-affirming care for minors, igniting debate over clinical protections and children's rights under emerging federal policies, including urgent public health implications...

The McCullough Report with Dr. Peter McCullough – January 2025 executive orders from the Trump administration halt certain high-risk gain-of-function studies at NIH to bolster biosecurity, and the Supreme Court's 6-3 decision upholds Tennessee's ban on gender-affirming care for minors, igniting debate over clinical protections and children's rights under emerging federal policies, including urgent public health implications...

In this episode, Claudia Douglass, Principal and Healthcare Industry Growth Leader at Grant Thornton, and Deirdre Dillehunt, Principal at Grant Thornton, discuss how health systems are navigating today's financial pressures. They share strategies to build margin resiliency, strengthen operations, and improve care quality, access and experience while preparing leadership teams for sustainable transformation.This episode is sponsored by Grant Thornton.

In this conversation, Tricia Friedman speaks with Jerome James about the evolving landscape of engineering, the importance of curiosity and problem-solving skills, and how AI is changing the profession. They discuss the intersection of engineering and mental health, the significance of effective communication in energy management, and the qualities employers seek in engineers. Jerome shares insights on finding one's niche in engineering and the unexpected joys of making a positive impact through one's work. Chapters 00:00 Engineering the Future: An Introduction 03:05 Curiosity and Problem Solving in Engineering 05:57 The Impact of AI on Engineering Mindsets 08:50 Engineering Meets Mental Health 12:00 Communicating Change in Energy Management 15:07 Experimenting with Change: A Personal Approach 18:52 What Employers Seek in Engineers 21:46 The Role of Hobbies in Building Confidence 24:55 Finding Your Niche in Engineering 27:57 Unexpected Delights of Being an Engineer   Learn more about our guest: An active volunteer, Jerome donates time and energy to Global Shapers – a global forum dedicated to creating social change within local communities around the world – and the World Partnership Walk in Calgary – a non-profit organization dedicated to making significant and positive steps towards ending global poverty in the developing world. He also cares deeply about international and sustainable development and has spent time overseas volunteering in India with a micro-finance non-profit focused on supporting women to become economic engines in their own communities. As a mechanical engineer who has worked in the power industry, Jerome believes in a balanced approach when it comes to developing our resources. He also believes that economic prosperity goes hand-in-hand with diligent stewardship of our precious environmental resources. https://www.linkedin.com/in/jamesjerome/ We are so thankful for our show sponsor! Join Alongside for a free webinar this June 26th Be among the first to dive into Alongside's Pulling Back the Curtain on Youth Mental Health report — packed with insights from over 250,000 teen chats and activities during the 2024–25 school year. This free webinar breaks down what today's teens are really facing—and how schools can respond. Join Dr. Elsa Friis, Ph.D., Head of Product and Clinical at Alongside, veteran educator Jess Bell, M.Ed., and teen advisor Priya Antony for a candid conversation on the year's biggest mental health trends.Inside the report Inside the report: > Teens are struggling with sleep more than ever > School-life balance feels out of reach at every age > Boys are looking for new ways to ask for help > Confidential, self-guided tools are resonating deeply with students. Save your seat now and be among the first to receive the full report.

When in one's neuroendocrine cancer journey might a clinical trial be considered? What factors influence treatment decisions, including whether to pursue a clinical trial? Dr. Alexandria Phan, medical oncologist at the Medical College of Wisconsin, offers thoughtful guidance on when and how clinical trials fit into the neuroendocrine cancer journey. This episode helps demystify the clinical trial process and empowers patients to engage in meaningful, proactive conversations with their care teams.MEET DR. ALEXANDRIA PHANDr. Alexandria Phan is a hematologist and medical oncologist at the Froedtert & Medical College of Wisconsin. Clinical practice, clinical research and education are three pillars important to Dr. Phan's approach to cancer care. Her areas of focus for clinical research and patient care are neuroendocrine tumors and malignancies of the gastrointestinal system. She has held several leadership positions, including cancer center director, founding program director for Hematology-Oncology fellowship, medical director of clinical research, and national director for GI cancer program.For more information, visit NCF.net.

In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss in shock how RFK is breaking his promise of not altering vaccine policies by appointing new members of the ACIP, next ACIP meeting on guidelines for the COVID and RSV vaccines, circulation of “human insect viruses” including West Nile virus, and an outbreak of mpox on a cruise ship, and the ongoing measles outbreak before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections the Wasterwater Scan dashboard, how to reduce the use of antibiotics for RSV and influenza infections in children, approval of the moderna RSV mRNA vaccine, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines, immunization recommendations for COVID-19 vaccines, where to find PEMGARDA, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, contacting your federal government representative to stop the assault on science and biomedical research, and a shout out for the special episode of TWiV with David Tuller on long COVID and ME/CFS. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode RFK Jr. is sabotaging the vaccine program. Here's how to stop him (Washington Post) Innovaciones Alumbra (Alumbra Innovaciones) John T Walton (Wikiepedia) Walmart (Wikipedia) Sam Walton (Wikipedia) Condé Nast (Wikipedia) Christy Walton (Wikipedia) Vaccine Integrity Project ( CIDRAP) CIDRAP launches Vaccine Integrity Project (Twin Cities: University of Minnesota) Next ACIP meeting (CDC: ACIP) June meeting: MEETING OF THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP)(CDC: ACIP agenda) West Nile Virus and Other Nationally Notifiable Arboviral Diseases — United States, 2023 (CDC: MMWR) Clade II Mpox Infections Among Cruise Ship Passengers and Crew Members — United States, 2024 (CDC: MMWR) H5 bird flu: current situation (CDC: Avian Influenza) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) 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) Measles (CDC Measles (Rubeola) Measles vaccine recommendations from NYP (jpg) 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) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Pediatric antibiotic use associated with respiratory syncytial virus and influenza in the United States, 2008-2018 (JID) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Novel Drug Approvals for 2025 (FDA) Effectiveness and impact of nirsevimab in Chile during the first season of a national immunisation strategy against RSV (NIRSE-CL) (LANCET: Infectious Diseases) Safety, Tolerability, and Immunogenicity ofmRNA-1345 in Adults at Increased Risk for RSV Disease Aged 18 to 59 Years (CID) Moderna Receives U.S. FDA Approval for RSV Vaccine, mRESVIA, in Adults Aged 18–59 at Increased Risk for RSV Disease (moderna) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) Spatiotemporal Association of Coronavirus Disease 2019 Cases and Deaths With Exposure to Wildfire Particulate Matter in 2020 (OFID) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Next ACIP meeting (CDC: ACIP) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (biRxiV) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Implementation of an online drug-drug interaction screener for the STRIVE ensitrelvir trial for COVID-19 (OFID) Drug interaction checker (University of Liverpool) 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) Steroids,dexamethasone at the right time (OFID) 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 Long COVID and ME/CFS with David Tuller (microbeTV) Reaching out to US house representative Letters read on TWiV 1228 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.

This episode highlights changes made to the resource and revised categories of biomarkers and provides a resource for evidence-based application of biomarkers in clinical pharmacy practice. CE for this episode expires on June 21, 2027.   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.

The best bits as John Murray, Ian Dennis & Ali Bruce-Ball talk football, travel & language. WhatsApp voicenotes to 08000 289 369 Emails to TCV@bbc.co.uk Live show tickets: crossedwires.live/fringeBBC Sounds / 5 Live commentaries: Sat 2000 Spain v England in U21 Euros quarter-final.Glossary so far: 2-0 is a dangerous score, After you Claude, All-Premier League affair, Aplomb, Brace, Brandished, Breaking the deadlock, Bundled over the line, Champions elect / champions apparent, Clinical finish, Commentator's curse, Coupon buster, Cultured/Educated left foot, Denied by the woodwork, Draught excluder, Elimination line, Fellow countryman, Foot race, Formerly of this parish, Fox in the box, Free hit, Goalmouth scramble, Good touch for a big man, Honeymoon Period, In and around, In the shop window, Keeping ball under their spell, Languishing, Loitering with intent, Marching orders, Nestle in the bottom corner, Numbered derbies, Nutmeg, Opposite number, Park the bus, PK for penalty-kick, Postage stamp, Put their laces through it, Rasping shot, Red wine not white wine, Relegation six-pointer, Rooted at the bottom, Roy of the Rovers stuff, Sending the goalkeeper the wrong way, Sleeping giants, Slide rule pass, Small matter of, Spiders web, Stayed hit, Steepling, Stinging the palms, Stonewall penalty, Straight off the training ground, Stramash, Throw their cap on it, Thruppenny bit head / 50p head, Put it in the mixer, Towering header, Turning into a basketball match, Turning into a cricket score, Walking a disciplinary tightrope, Wand of a left foot, We've got a cup tie on our hands, Where the owl sleeps, Winger in their pocket, Wrap foot around it, Your De Bruynes, your Gundogans etc.

In this episode of Experience Miracles, Dr. Tony Ebel tackles one of the most crucial questions facing parents today: "Where's the evidence for chiropractic and natural healthcare?" In this comprehensive episode, he dismantles the myth that evidence-based care only includes research papers and introduces the three-pillar framework of evidence-informed practice. Dr. Tony challenges conventional medicine's own evidence while demonstrating how Neurologically-Focused Chiropractic Care actually meets all three criteria better than traditional approaches.[00:00:00] - Introduction: The Most Important QuestionWhy "Where's the evidence?" is crucial for family health decisionsThe nervous system dysregulation epidemic in children[00:05:00] - Turning the Tables: Where's Medicine's Evidence?Modern medicine as the 3rd leading cause of death globallyWeak evidence behind ADHD medications and antidepressants[00:12:00] - The Three Pillars Framework RevealedPillar 1: Best available research evidencePillar 2: Clinical expertise and practice-based experiencePillar 3: Patient values, goals, and preferencesWhy healthcare should be "both/and" not "either/or"[00:22:00] - Hidden History: Legal Victory Against Medical Establishment1980s landmark lawsuit: Chiropractors vs. American Medical AssociationAMA found guilty of spreading lies about chiropractic profession[00:27:00] - Research Evidence Deep Dive (Pillar 1)New Zealand leading the world in nervous system chiropractic researchThe Perfect Storm Theory research and neuroplasticity studiesBrain function improvements through chiropractic adjustments[00:33:00] - Clinical Expertise in Action (Pillar 2)PWC Chiropractic as a "living research institute"INSiGHT scans and Heart Rate Variability monitoring[00:42:00] - Empowering Parent Decision-Making (Pillar 3)Honoring both gut instinct and scientific approachesChallenging the "don't question the doctor" mentality[00:47:00] - Personal Story: Medical Evidence LimitationsSon Oliver's NICU experience with life-saving interventionsMost medical procedures lack "gold standard" RCT evidenceIndividual case studies matter more than population-based researchWant to learn more? Read this free article-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click HereSubscribe, share, and stay tuned for more incredible episodes unpacking the power of Nervous System focused care for children!

Welcome back after a 3 week break! Life has kicked our butts lately but we are happy to be back! Tayler shares the tale of wise woman Mary Bateman a woman whose chicken laid eggs saying the end was near. Christine shares the spry of Jerry Brudos the infamous "Shoe fetish killer". wear flats and check your eggs for handwritten notes from Jesus himself and enjoy!Spank you for listening. Do less God bless. Gloom & Bloom out!

In this episode of Clinical Unfiltered, Dr. Sausha chats with Dr. Elizabeth Dy again - this time, diving into the world of airway and sleep dentistry. They explore therapeutic approaches for patients of all ages, discuss the importance of assessing dysfunction, and share insights on tongue tie release techniques. The conversation emphasizes the significance of a holistic approach to patient care, integrating various therapies to enhance overall well-being.

In today's ever-evolving healthcare landscape, workplace culture has become more than a buzzword—it's a measurable driver of patient satisfaction, staff retention, and clinical excellence. For eye care professionals, cultivating a strong, trust-driven culture isn't just good for morale—it's foundational to providing quality care. In a recent episode of the Four-Eyed Professor podcast, Dr. Chris Lievens […]

In this episode of “Answers From the Lab,” host Bobbi Pritt, M.D., chair of the Division of Clinical Microbiology at Mayo Clinic, and Div Dubey, M.B.B.S., a neurologist and co-director of the Clinical Neuroimmunology Laboratory at Mayo Clinic, explore the topic of peripheral neuropathy. Their discussion covers:The high prevalence of peripheral neuropathy and why early diagnosis is important. The complexities involved in diagnosing the condition.Symptoms that should prompt clinicians to order advanced testing early in the diagnostic process.How algorithms are enhancing the use of testing to complement other diagnostic tools.Ongoing discovery related to specific antibodies associated with neuropathies.Learn more in our e-book, "Peripheral neuropathy: Cutting through diagnostic dissonance with an algorithmic approach."

Earlier this year, Sahajan founder Lisa Mattam shared insights into her clinical testing strategy with Glossy, including the difference between clinical testing and consumer perception testing; the cost, challenges and complications that can arise with this sort of investment; and how she uses the results to market her line.  In today's podcast episode, she breaks down all of this in more detail, including the challenges, cost and unseen hurdles.  But first, Glossy Beauty Podcast host Lexy Lebsack is joined by senior reporter Emily Jensen to discuss the news of the week. This includes the latest C-suite shuffles at Byredo and Kering, plus analysis of L'Oréal Group's big #JoinTheRefillMovement refillability campaign that kicked off this week. It marks L'Oréal Group's first global multi-brand, multi-category, multi-channel campaign — but is it a worthwhile investment?

Have you actually looked back at your long-term cases to see how layering compares to injection moulding? Is traditional freehand layering still your go-to for anterior composite aesthetics? Are you using it because it gives the best result — or just because that's how you were trained? In this episode, Dr. Marco Maiolino joins Jaz Gulati for a meaty discussion about injection moulding—a technique that's changing the game in anterior composites (and posterior!) This isn't about trends. It's about clinical outcomes. We've all admired the beauty of layered composites—translucency, halo, the “natural” look. But after 5, 7, or even 10 years... do they hold up? Dr. Maiolino brings over a decade of follow-up data—and the results might surprise you. https://youtu.be/wHs8QQkgPhU Watch PDP228 on Youtube Protrusive Dental Pearl When in doubt between two shades (e.g., A1 vs. A2), always choose the lighter shade. Higher-value shades blend better and result in higher patient satisfaction. Techniques: Use the composite button method and black-and-white photography to objectively evaluate shade blending. Outcome: Lighter shades minimize the risk of patient dissatisfaction and rework.

Dr. Kristin Dempsey, LMFT, LPCC, provides a framework for addressing unexpected client behavior without losing your ethical footing, talking through concerns like a client being inebriated in session to boundary issues. Dr. Dempsey discusses how to uphold therapeutic integrity while adapting to real-world challenges in virtual and in-person care. Interview with Elizabeth Irias, LMFT. Earn CE credit for listening to this episode by joining our low-cost membership for unlimited podcast CE credits for an entire year, with some of the strongest CE approvals in the country (APA, NBCC, ASWB, and more). Learn, grow, and shine with Clearly Clinical Continuing Ed by visiting https://ClearlyClinical.com.

Today's guest is Nicole Nodal-Rogriguez, MSN, RN, CCDS, CDI education specialist at HCPro/ACDIS. Today's show is part of the “Talking CDI” series, hosted by ACDIS Director Rebecca Hendren. 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 now 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 two 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/listener-questions-queries-coding-shortages-ai-mortality-reviews) 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 Friday, June 20, 2025, 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. Today's sponsor: Today's show is brought to you by ACDIS Encore: Clinical & Coding Online, a special virtual event featuring sessions recorded live during the 2025 ADCIS conference—the entire Clinical & Coding track, happening August 12-14, 2025. Learn more and register here: https://bit.ly/3SKItN6 ACDIS update: Respond to the 2025 CDI Week Industry Survey by July 18! (https://www.surveymonkey.com/r/2025-CDI-Week-Industry-Survey) Apply for one of ACDIS' committees by June 30! (https://www.surveymonkey.com/r/June-2025-ACDIS-committees) Apply to speak at one of ACDIS' 2026 events, including the 2026 ACDIS Conference, by July 21! (https://bit.ly/4jLYDkr)

Idiopathic intracranial hypertension (IIH) is characterized by symptoms and signs of unexplained elevated intracranial pressure (ICP) in an alert and awake patient. The condition has potentially devastating effects on vision, headache burden, increased cardiovascular disease risk, sleep disturbance, and depression.  In this episode, Teshamae Monteith, MD, FAAN speaks with Aileen A. Antonio, MD, FAAN, author of the article “Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Antonio is an associate program director of the Hauenstein Neurosciences Residency Program at Trinity Health Grand Rapids and an assistant clinical professor at the Michigan State University College of Osteopathic Medicine in Lansang, Michigan. Additional Resources Read the article: Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @aiee_antonio Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics.  Hi, how are you? Dr Antonio: Hi, good afternoon. Dr Monteith: Thank you for being on the podcast. Dr Antonio: Thank you for inviting me, and it's such an honor to write for the Continuum. Dr Monteith: So why don't you start off with introducing yourself? Dr Antonio: So as mentioned, I'm Aileen Antonio. I am a neuro-ophthalmologist, dually trained in both ophthalmology and neurology. I'm practicing in Grand Rapids, Michigan Trinity Health, and I'm also the associate program director for our neurology residency program. Dr Monteith: So, it sounds like the residents get a lot of neuro-ophthalmology by chance in your curriculum. Dr Antonio: For sure. They do get fed that a lot. Dr Monteith: So why don't you tell me what the objective of your article was? Dr Antonio: Yes. So idiopathic intracranial hypertension, or IIH, is a condition where there's increased intracranial pressure, but without an obvious cause. And with this article, we want our readers---and our listeners right now---to recognize that the typical symptoms and learning about the IIH diagnostic criteria are key to avoiding errors, overdiagnosis, or sometimes even misdiagnosis or underdiagnosis. Thus, we help make the most of our healthcare resources. Early diagnosis and management are crucial to prevent disability from intractable headaches or even vision loss, and it's also important to know when to refer the patients to the appropriate specialists early on. Dr Monteith: So, it sounds like your central points are really getting that diagnosis early and managing the patients and knowing how to triage patients to reduce morbidity and complications. Is that correct? Dr Antonio: That is correct and very succinct, yes. Dr Monteith: And so, are there any more recent advances in the diagnosis of IIH? Dr Antonio: Yes. And one of the tools that we've been using is what we call the optical coherence tomography. A lot of people, neurologists, physicians, PCP, ER doctors; how many among those physicians are well-versed in doing an eye exam, looking at the optic disc? And this is a great tool because it is noninvasive, it is high resolution imaging technique that allows us to look at the optic nerve without even dilating the eye. And we can measure that retinal nerve fiber layer, or RNFL; and that helps us quantify the swelling that is visible or inherent in that optic nerve. And we can even follow that and monitor that over time. So, this gives us another way of looking at their vision and getting that insight as to how healthy is their vision still, along with the other formal visual tests that we do, including perimetry or visual field testing. And then all of these help in catching potentially early changes, early worsening, that may happen; and then we can intervene more easily. Dr Monteith: Great. So, it sounds like there's a lot of benefits to this newer technology for our patients. Dr Antonio: That is correct. Dr Monteith: So, I read in the article about the increased incidence of IIH, and I have to say that I completely agree with you because I'm seeing so much of it in my clinic, even as a headache specialist. And I had a talk with a colleague who said that the incidence of SIH and IIH are similar. And I was like, there's no way. Because I see, I can see several people with IIH just in one day. That's not uncommon. So, tell me what your thoughts are on the incidence, the rising incidence of IIH; and we understand that it's the condition associated with obesity, but it sounds like you have some other underlying drivers of this problem. Dr Antonio: Yes, that is correct. So, as you mentioned, IIH tends to affect women of childbearing age with obesity. And it's interesting because as you've seen that trend, we see more of these IIH cases recently, which seem to correlate with that rising rate of obesity. And the other thing, too, is that this trend can readily add to the burden of managing IIH, because not only are we dealing with the headaches or the potential loss of vision, but also it adds to the burden of healthcare costs because of the other potential comorbidities that may come with it, like cardiovascular risk factors, PCOS, and sleep apnea. Dr Monteith: So why don't we just talk about the diagnosis of IIH? Dr Antonio: IIH, idiopathic intracranial hypertension, is also called pseudotumor cerebri.  It's essentially a condition where a person experiences increased intracranial pressure, but without any obvious cause. And the tricky part is that the patients, they're usually fully awake and alert. So, there's no obvious tumor, brain tumor or injury that causes the increased ICP. It's really, really important to rule out other conditions that might cause these similar symptoms; again, like brain tumors or even the cerebral venous sinus thrombosis. Many patients will have headaches or visual disturbances like transient visual obscurations---we call them TVOs---or double vision or diplopia. The diplopia is usually related to a sixth nerve palsy or an abducens palsy. Some may also experience some back pain or what we call pulsatile tinnitus, which is that pulse synchronous ringing in their ears. The biggest sign that we see in the clinic would be that papilledema; and papilledema is a term that we only use, specifically use, for those optic nerve edema changes that is only associated with increased intracranial pressure. So, performing of endoscopy and good eye exam is crucial in these patients. We usually use the modified Dandy criteria to diagnose IIH. And again, I cannot emphasize too much that it's really important to rule out other secondary causes to that increased intracranial pressure. So, after that thorough neurologic and eye evaluation with neuroimaging, we do a lumbar puncture to measure the opening pressure and to analyze the cerebrospinal fluid. Dr Monteith: One thing I learned from your article, really just kind of seeing all of the symptoms that you mentioned, the radicular pain, but also- and I think I've seen some papers on this, the cognitive dysfunction associated with IIH. So, it's a broader symptom complex I think than people realize. Dr Antonio: That is correct. Dr Monteith: So, you mentioned TVOs. Tell me, you know, if I was a patient, how would you try and elicit that from me? Dr Antonio: So, I would usually just ask the patient, while you're sitting down just watching TV---some of my patients are even driving as this happens---they would suddenly have these episodes of blacking out of vision, graying out of vision, vision loss, or blurred vision that would just happen, from seconds to less than a minute, usually. And they can happen in one eye or the other eye or both eyes, and even multiple times a day. I had a patient, it was happening 50 times a day for her. It's important to note that there is no pain associated with it most of the time. The other thing too is that it's different from the aura that patients with migraines would have, because those auras are usually scintillating and would have what we call the positive phenomena: the flashing lights, the iridescence, and even the fortification that they see in their vision. So definitely TVOs are not the migraine auras. Sometimes the TVOs can also be triggered by sudden changes in head positions or even a change in posture, like standing up quickly. The difference, though, between that and, like, the graying out of vision or the tunneling vision associated with orthostatic hypotension, is that the orthostatic hypotension would also have that feeling of lightheadedness and dizziness that would come with it. Dr Monteith: Great. So, if someone feels lightheaded, less likely to be a TVO if they're bending down and they have that grain of vision. Dr Antonio: That is correct. Dr Monteith: Definitely see patients like that in clinic. And if they have fluoride IIH, I'm like, I'll call it a TVO; if they don't, I'm like, it's probably more likely to be dizziness-related. And then we also have patient migraines that have blurriness that's nonspecific, not necessarily associated with aura. But I think in those patients, it's usually not seconds long, it's usually probably longer episodes of blurriness. Would you agree there, or…? Dr Antonio: I would agree there, and usually the visual aura would precede the headache that is very characteristic of their migraine, very stereotypical for their migraines. And then it would dissipate slowly over time as well. With TVOs, they're brisk and would not last, usually, more than a minute. Dr Monteith: So, why don't we talk about routine imaging? Obviously, ordering an MRI, and I read also getting an MRV is important. Dr Antonio: It is very important because, one: I would say IIH is also a diagnosis of exclusion. We need to make sure that the increased ICP is not because of a brain tumor or not because of cerebral venous sinus thrombosis. So, it's important to get the MRI of the brain as well as the MRV of the head. Dr Monteith: Do you do that for all patients' MRV, and how often do you add on an orbital study? Dr Antonio: I usually do not add on an orbital study because it's not really going to change my management at that point. I really get that MRI of the brain. Now the MRV, for most of my patients, I would order it already just because the population that I see, I don't want to lose them. And sometimes it's that follow-up, and that is the difficult part; and it's an easy add on to the study that I'm going to order. Again, it depends with the patient population that you have as well, and of course the other symptoms that may come with it. Dr Monteith: So, why don't we talk a little bit about CSF reading and how these set values, because we get people that have readings of 250 millimeters of water quite frequently and very nonspecific, questionable IIH. And so, talk to me about the set value. Dr Antonio: Right. So, the modified Dandy criteria has shown that, again, we consider intracranial pressure to be elevated for adults if it's above 250 millimeters water; and then for kids if it's above 280 millimeters of water. Knowing that these are taken in the left lateral decubitus position, and assuming also that the patients were awake and not sedated during the measurement of the CSF pressure. The important thing to know about that is, sometimes when we get LPs under fluoroscopy or under sedation, then these can cause false elevation because of the hypercapnia that elevated carbon dioxide, and then the hypoventilation that happens when a patient is under sedation. Dr Monteith: You know, sometimes you see people with opening pressures a little bit higher than 25 and they're asymptomatic. Well, the problem with these opening pressure values is that they can vary somewhat even across the day. People around 25, you can be normal, have no symptoms, and have opening pressure around 25- or 250; and so, I'm just asking about your approach to the CSF values. Dr Antonio: So again, at the end of the day, what's important is putting everything together. It's the gestalt of how we look at the patient. I actually had an attending tell me that there is no patient that read the medical textbook. So, the, the important thing, again, is putting everything together. And what I've also seen is that some patients would tell me, oh, I had an opening pressure of 50. Does that mean I'm in a dire situation? And they're so worried and they just attach to numbers. And for me, what's important would be, what are your symptoms? Is your headache, right, really bad, intractable? Number two: are you losing vision, or are you at that cusp where your optic nerve swelling or papilledema is so severe that it may soon lead to vision loss? So, putting all of these together and then getting the neuroimaging, getting the LP. I tell my residents it's like icing on the cake. We know already what we're dealing with, but then when we get that confirmation of that number… and sometimes it's borderline, but this is the art of neurology. This is the art of medicine and putting everything together and making sure that we care and manage it accordingly. Dr Monteith: Let's talk a little bit about IIH without papilledema. Dr Antonio: So, let's backtrack. So, when a patient will fit most of the modified Dandy criteria for IIH, but they don't have the papilledema or they don't have abducens palsy, the diagnosis then becomes tricky. And in these kinds of cases, Dr Friedman and her colleagues, when they did research on this, suggested that we might consider the diagnosis of IIH. And she calls this idiopathic intracranial hypertension without papilledema, IIHWOP. They say that if they meet the other criteria for modified Dandy but show at least three typical findings on MRI---so that flattening of the posterior globe, the tortuosity of the optic nerves, the empty sella or the partially empty sella, and even the narrowing of the transverse venous sinuses---so if you have three of these, then potentially you can call these cases as idiopathic intracranial hypertension without papilledema. Dr Monteith: Plus, the opening pressure elevation. I think that's key, right? Getting that as well. Dr Antonio: Yes. Sometimes IIHWOP may still be a gray area. It's a debate even among neuro-ophthalmologists, and I bet even among the headache specialists. Dr Monteith: Well, I know that I've had some of these conversations, and it's clear that people think this is very much overdiagnosed. So, that's why I wanted to plug in the LP with that as well. Dr Antonio: Right. And again, we have not seen yet whether is, this a spectrum, right? Of that same disease just manifesting differently, or are they just sharing a same pathway and then diverging? But what I want to emphasize also is that the treatment trials that we've had for IIH do not include IIHWOP patients. Dr Monteith: That is an important one. So why don't you wrap this up and tell our listeners what you want them to know? Now's the time. Dr Antonio: So, the- again, with IIH, with idiopathic intracranial hypertension, what is important is that we diagnose these patients early. And I think that some of the issues that come into play in dealing with these patients with IIH is that, one: we may have anchoring bias. Just because we see a female with obesity, of reproductive age, with intractable headaches, it does not always mean that what we're dealing with is IIH. The other thing, too, is that your tools are already available to you in your clinic in diagnosing IIH, short of the opening pressure when you get the lumbar puncture. And I need to emphasize the importance of doing your own fundoscopy and looking for that papilledema in these patients who present to you with intractable headaches or abducens palsy. What I want people to remember is that idiopathic intracranial hypertension is not optic nerve sheath distension. So, these are the stuff that you see on neuroimaging incidentally, not because you sent them, because they have papilledema, or because they have new headaches and other symptoms like that. And the important thing is doing your exam and looking at your patients. Dr Monteith: Today, I've been interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Thank you again. Dr Antonio: Thank you. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

In 2024, ASHP conducted the fourth nationwide survey on specialty pharmacy. In this episode, members of the author team and advisory panel join us to share key takeaways and lessons learned from this most recent survey.  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.

You already know what to do: eat better, move your body, get more sleep. But if you've ever struggled to stay consistent—especially when life gets messy—this episode is for you. In this powerful Clinical Insight episode, Dr. Bart shares the real story of a client who completely transformed his health by getting clear on one thing: his why. At 50 years old, overweight and out of shape, this man set out to run a marathon… even though he hated running. What started as a crazy goal became the catalyst for a full-life recalibration—diet, sleep, mindset, relationships, and more. In this episode you'll gain a better understanding of: ✔️ Why “trying harder” doesn't lead to consistency ✔️ How to find a why that keeps you going when motivation fades ✔️ The exact lifestyle shifts that turned this man into a marathon runner ✔️ What to do when life interrupts your plan (because it will) ✔️ How aligning with your purpose makes healthy habits stick This episode is a must-listen if you've ever: Fallen off track after a strong start, felt like your body or life was working against you, or needed a reminder that your best years aren't behind you—they're just waiting for the right why.  Listen now and start building the version of you that doesn't give up when things get hard. Want personal guidance from Dr. Bart and find your momentum sooner? Book a 1:1 consult here: https://healthmadesimpleshow.com/schedule #HealthMadeSimple #DrBartPrecourt #FunctionalMedicine #HealthTransformation #WhyPower #Consistency #MindsetMatters #MarathonMindset #HealthGoals  

Once again Kevin and Zach are live from Scottsdale, Arizona in a throwback episode from the Voices of Dentistry 2023! They welcome guest Dr. Dennis Hartlieb from Chicago, who shares his journey through dentistry, including his education at the University of Michigan. Dennis delves into his platform, Dental Online Training (DOT), discussing the hands-on, virtual training it offers to dentists and dental students. He talks about the complexities of teaching both experienced and novice practitioners and the benefits of on-demand and live virtual courses. Dennis also shares insights into his philosophy on composite veneers versus porcelain veneers, highlighting the control and patient satisfaction he sees with composite. The episode concludes with Dennis busting common dental myths and offering valuable pro tips for practitioners. Some links from the show: Dental Online Training (use code VERYDENTAL) CPR for the Worn Dentition Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization. The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence.  Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA  Book a call with Kate: Reserve a Call  Ready to upscale your team? Explore Zirc's solutions today: zirc.com    

In this engaging episode of the Born Primitive podcast, Bear and Tony sit down with Dr. Chris Frueh.Clinical psychologist and trauma expert Dr. Chris Frueh to expose a silent crisis among America's most elite warriors—Special Forces operators who are being misdiagnosed, misunderstood, and mistreated by a broken mental health system. Drawing from decades of research and firsthand experience, Dr. Frueh explains why blanket PTSD diagnoses are failing veterans, masking deeper, more complex wounds. He calls for a revolution in how we understand and heal trauma, offering a path forward that prioritizes personalized care, community, and resilience. This conversation challenges conventional narratives and delivers a bold vision for reclaiming the health and humanity of those who serve at the highest levels.To learn more about Chris check out: https://chrisfrueh.com/To check out our brand visit: https://bornprimitive.com/And you can  learn more about Born Primitive Tactical by visiting: https://bornprimitivetactical.comFollow us on Instagram: ⁠⁠⁠⁠⁠⁠https://www.instagram.com/bornprimitive/Subscribe to our YouTube Channel: ⁠⁠https://www.youtube.com/channel/UCruGgs2p3VVVy-v6YTiKuQwPRODUCED BY IRONCLAD

If you're dealing with frustrating skin changes after having a baby—you're not alone. This episode is a must-listen. Clinical nutritionist Jennifer Fugo breaks down what's really going on with postpartum rashes, what they signal about your health, and how to start healing from the inside out. Here's a sneak peak: [01:04] Meet Jennifer Fugo: Clinical nutritionist and skin health expert [02:17] Common skin issues during pregnancy—what's normal, what's not [04:48] Why acne during pregnancy varies so much (and what might be driving it) [05:46] Postpartum skin issues that appear after baby arrives—and why they surface [08:54] What cradle cap really means and how to treat it naturally [11:12] First steps you can take today to improve skin health from the inside out [16:36] Jennifer's top 3-5 foods for healing and supporting your skin [17:41] Additional strategies to balance hormones, support detox, and calm skin inflammation [19:05] How to get Jennifer's free Skin Rash Root Cause Guide and connect with her clinic   If you've been battling rashes, inflammation, or frustrating postpartum skin symptoms, you're not alone—and you're not stuck. Healing your skin starts from within, and the tips in today's episode are the perfect first step. Tune in now to learn how to support your body through nourishment, not deprivation.

Joseph Yao, M.D., explains how Mayo Clinic Laboratories' new quantitative assay (Mayo ID: ADVQU) goes beyond qualitative testing to evaluate transplant patients for adenovirus infection. Adenovirus can cause life-threatening disease in immunocompromised transplant patients, especially children.(01:14)Could you give us a brief overview of this assay? (02:06)Can you explain the differences of the qualitative and quantitative methods and why we made the change to a quantitative adenovirus method? (04:00)When is this test typically ordered for transplant patients? Is it used throughout their treatment? (06:56)Could an immunocompromised person be unknowingly infected? (07:31)Is our quantitative method approved for pediatric patients? (08:00)How are the test results used to treat patients?(10:36)What other infections might providers consider alongside adeovirus?

Clinical Pearls from Dr. Dominic D'Agostino: Therapeutic Strategies and Clinical Success with the Ketogenic Diet  For this week's episode of the Clinician's Corner, we're doing something differently. We have gone into the archives and pulled out clinical pearls from some of our favorite episodes, and we're starting today with one of our most popular interviews with Dr. Dominic D'Agostino - where we unpack the ketogenic diet in all its nuances.   This interview first aired back in 2023, and the full interview can be viewed here.    Clinical pearls we extracted from the original interview: When the ketogenic diet is best used clinically; when it's contraindicated; and how to structure it for best results What the latest research is telling us about therapeutic application of this protocol - from metabolic health to neurological considerations and cancer  Exogenous ketones: when and how to use them  The intricacies of macronutrient ratios and when/how to cycle in and out of ketosis Measurement: the best forms for tracking ketosis and other key biomarkers to monitor   The Clinician's Corner is brought to you by Restorative Wellness Solutions.  Follow us: https://www.instagram.com/restorativewellnesssolutions/    Connect with Dr. D'Agostino: Website: https://drdominicdagostino.com/ Instagram:  https://www.instagram.com/dominic.dagostino.kt/    LinkedIn:  https://www.linkedin.com/in/dominic-d-agostino-156014b/ Twitter:  https://twitter.com/DominicDAgosti2      Learn more about the ketogenic diet here: https://ketonutrition.org/    Timestamps:  00:00 History and Uses of Ketogenic Diet 06:25 Liver's Role in Ketone Production 07:22 Preventing Kidney Stones on Keto 13:15 Ketogenic Diet Supplement Tips 14:58 Minimal Supplements for Ketogenic Diet 18:07 Misleading Marketing of 1,3-Butanediol 24:08 Advanced Hormone and Metabolomics Testing 27:20 Monitor Meds During Diet Changes Speaker bio:   Dr. D'Agostino is a tenured Associate Professor at the University of South Florida (USF) Morsani College of Medicine in the Department of Molecular Pharmacology and Physiology. He teaches medical neuroscience, medical physiology, nutrition and neuropharmacology. He is also a Research Scientist at the Institute for Human and Machine Cognition (IHMC) to assist with their efforts towards optimizing the safety, health and resilience of the warfighter and astronaut. His primary research focuses on developing and testing nutritional and metabolic-based therapies for a variety of disease states and advancing the use of metabolic-based therapies into human clinical applications.   Keywords:  ketogenic diet, therapeutic ketosis, blood ketone levels, exogenous ketones, metabolic therapies, epilepsy, neuroprotection, anti-seizure strategy, type 2 diabetes, weight loss, cancer, muscle wasting, Parkinson's disease, Alzheimer's disease, migraines, polycystic ovary syndrome, psychiatric disorders, bipolar disorder, anxiety, autism, traumatic brain injury, non-alcoholic fatty liver disease, stroke, GLUT1 deficiency, carnitine supplementation, kidney stones, electrolyte balance, MCT oil, creatine monohydrate, caffeine and ketone production, comprehensive blood work Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS 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. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, 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.  

To learn more about Headspace therapy, visit headspace.com/online-therapy or tap the Care tab directly in the Headspace app. Availability and cost of therapy services may vary by location, age, and insurance coverage. Access to tools between sessions requires a Headspace subscription and may involve additional purchase. Clinical psychologist and bestselling author Dr. Joy Harden Bradford (host of Therapy for Black Girls) guides you through how to make mental health a priority in your daily life. In this solo episode of Radio Headspace, Dr. Joy shares clear and compassionate strategies for managing anxiety, protecting your peace, and nurturing emotional well-being—especially during stressful seasons. Whether you're new to mental health work or looking to deepen your practice, this episode offers encouragement and tools to show up for yourself every single day. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Most owners manage the day-to-day; Dr. Sten Erickson is turning doctors into partners. He joins me in this episode to share how he stepped into a true leadership role and expanded his practice after leaving clinical work behind.From scheduling weekly meetings across multiple practices to case reviews, we talk about the strategies and systems that help him get doctors ready to lead, drive culture, and grow a multi-location practice without micromanaging or seeing patients. Tune in to hear how he structures his time to mentor doctors and scale without burning out!Topics discussed in this episode:Mistakes as a young practice ownerThe ideal practice size of new ownersMaintaining culture as you expandDr. Erickson's meeting schedule and training systemHow your role changes when you step back from clinicalStrategies to keep associates engaged and growingText us your feedback! (please note: we cannot respond through this channel)) The 2025-2026 DPH Mastermind is now taking applications! Make this the year you decided to create the practice you've always dreamed about!Take Control of Your Practice and Your Life I help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams. Join the DPH Hero Collective and get the tools, training, and support you need to transform your practice: Team and Doctor Training for every aspect of Practice Management Comprehensive Training: Boost profit, efficiency, and team engagement. Live Q&A Sessions: Get personalized help when you need it most. Supportive Community: Connect with practice owners on the same journey. Editable Systems & Protocols: Standardize your operations effortlessly. Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

A 6-year-old presents with his parents, with a chief complaint of a 3 day history of sore throat, intermittent frontal headache and fever with a 1 day history of a non pruritic fine, raised rash, without N, V, D or C. He is able to take fluids without difficulty but has diminished appetite. The parents report that other children in their son's kindergarten class have been sick with similar signs and symptoms. A rapid strep screen is positive. Clinical evaluation is consistent with scarlet fever. The child has no drug allergies. Which of the following is the most appropriate intervention?A. IM penicillinB. OralamoxicillinC. Topical triamcinoloneD. No specific therapy is needed.---YouTube: https://www.youtube.com/watch?v=udyt2WeaoJo&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=119Visit fhea.com to learn more!

The best bits as John Murray, Ian Dennis & Ali Bruce-Ball talk football, travel & language.WhatsApp voicenotes to 08000 289 369 Emails to TCV@bbc.co.uk Live show tickets: crossedwires.live/fringeBBC Sounds / 5 Live commentaries: Sun 2000 England U21 v Slovenia U21, Wed 2000 England U21 v Germany U21.Glossary so far: 2-0 is a dangerous score, After you Claude, All-Premier League affair, Aplomb, Brace, Brandished, Breaking the deadlock, Bundled over the line, Champions elect / champions apparent, Clinical finish, Commentator's curse, Coupon buster, Cultured/Educated left foot, Denied by the woodwork, Draught excluder, Elimination line, Fellow countryman, Foot race, Formerly of this parish, Fox in the box, Free hit, Goalmouth scramble, Good touch for a big man, Honeymoon Period, In and around, In the shop window, Keeping ball under their spell, Languishing, Loitering with intent, Marching orders, Nestle in the bottom corner, Numbered derbies, Nutmeg, Opposite number, Park the bus, PK for penalty-kick, Postage stamp, Put their laces through it, Rasping shot, Red wine not white wine, Relegation six-pointer, Rooted at the bottom, Roy of the Rovers stuff, Sending the goalkeeper the wrong way, Sleeping giants, Slide rule pass, Small matter of, Spiders web, Stayed hit, Steepling, Stinging the palms, Stonewall penalty, Straight off the training ground, Stramash, Throw their cap on it, Thruppenny bit head / 50p head, Put it in the mixer, Towering header, Turning into a basketball match, Turning into a cricket score, Walking a disciplinary tightrope, Wand of a left foot, We've got a cup tie on our hands, Where the owl sleeps, Winger in their pocket, Wrap foot around it, Your De Bruynes, your Gundogans etc.