Podcasts about Clinical

Coronoid & Radial Head Fractures: Tips, Pitfalls, and Surgical Pearls with Dr. Niloofar Dehghan Watch on Youtube: https://youtu.be/UtVdaEMrm_c  In this episode, I sit down with Dr. Niloofar Dehghan, a fellowship-trained orthopaedic trauma and upper extremity surgeon, to take a deep dive into the evaluation and management of coronoid fractures, radial head fractures, and complex elbow instability. Dr. Dehghan completed her orthopaedic surgery residency at the University of Toronto, followed by fellowship training in Orthopaedic Trauma and Upper Extremity Reconstruction at St. Michael's Hospital in Toronto and Lower Extremity Reconstruction. She also earned a Master of Science in Clinical Epidemiology and Health Care Research from the University of Toronto and currently serves as an Associate Clinical Professor at the University of Arizona. During our conversation, we discuss: How to evaluate coronoid and radial head fractures When a fracture can be treated nonoperatively versus when surgery is indicated The role of fracture morphology in treatment planning Terrible triad injuries and strategies to restore elbow stability Surgical pearls for fixation and reconstruction Common mistakes surgeons make—and how to avoid them Postoperative rehabilitation and preventing stiffness Clinical cases and practical take-home points applicable to everyday practice Whether you're an orthopaedic resident, fellow, practicing surgeon, physician assistant, or simply interested in elbow trauma, this episode is packed with evidence-based insights and real-world surgical experience that you can apply immediately. Connect with Dr. Niloofar Dehghan LinkedIn: linkedin.com/in/niloofar-dehghan Instagram: @dr_niloofar_dehghan Threads: @dr_niloofar_dehghan on Threads If you enjoyed this episode, please subscribe, leave a review, and share it with your colleagues. Your support helps us continue bringing leading experts in orthopaedic surgery to the podcast.

Kyle and Joe interview Rachel Turetzky & Douglas S. Wingate about their perspectives on the WilsonLeary 8 Circuit Model of consciousness. They recently released a CE approved program on Psychedelic Education Center to train therapists on this model and how to integrate the 8 Circuit Model into your clinical therapy practice. In this episode: Maybe Day and maybe logic: Honoring Robert Anton Wilson and learning to hold beliefs, models, and interpretations more lightly Reality tunnels: How biology, experience, culture, and conditioning filter our perception of reality Robert Anton Wilson's legacy: Guerrilla ontology, stand-up philosophy, Prometheus Rising, and using humor to destabilize rigid beliefs Timothy Leary beyond the caricature: His early work in psychology, the development of the Eight-Circuit Model, and the parts of his intellectual legacy that are often overlooked The first four circuits: Bodily safety, emotional territory, language and symbolic thinking, and social and relational conditioning The upper circuits: Sensory and somatic intelligence, metacognition, archetypal and transpersonal experience, and unitive states of consciousness Metaprogramming: Identifying the beliefs, imprints, and automatic patterns shaping our lives—and developing the capacity to revise them Circuit Zero and Stanislav Grof: Prenatal and perinatal experience, the basic perinatal matrices, and the lasting influence of early development Normalizing unusual experiences: Archetypal encounters, ancestral material, entities, out-of-body experiences, synchronicities, and other phenomena that conventional psychology may struggle to interpret Psychedelics and re-imprinting: How expanded states may loosen entrenched developmental patterns and create opportunities for psychological change Pleasure as therapeutic material: Anhedonia, chronic survival states, the "hedonic intelligence" of Circuit Five, and learning to experience joy without treating it as a distraction from the work Clinical applications: Using the model during psychedelic preparation to identify intentions, developmental imprints, and material that may emerge Medicine and dosage selection: How MDMA, ketamine, psilocybin, LSD, and 5-MeO-DMT may produce different experiences depending on the intention and dose Integration and verticality: Grounding expansive, archetypal, or unitive experiences through the body, emotions, relationships, and everyday life Chapel Perilous: Understanding destabilizing experiences, ontological shock, spiritual emergencies, and the process of reconstructing meaning afterward Beyond psychedelics: Connections with yoga, meditation, occult practice, Chinese medicine, chakra systems, and other psychospiritual traditions The new course: The structure of The Eight-Circuit Model of Consciousness: An Integrative Framework for Psychedelic-Assisted Therapy, including its 14 lessons, practical exercises, assessments, certification, and continuing-education options

"Access to care" sounds like something everyone should support.So why do we think it's become one of the most misleading phrases in pelvic health?In this episode, we argue that we've been solving the wrong problem.Because the goal isn't access to care.  The goal is access to quality care.We discuss: Why lowering the standard of care isn't the same as increasing access  The difference between access and quality  Why patients are still falling through the cracks despite having "access"  The six biggest opportunities to improve pelvic healthcare  Why raising standards—not lowering them—is how we truly help more people If our profession wants to serve more patients, the answer isn't diluting what makes pelvic health special.It's building more clinicians, better businesses, stronger education, and higher standards. About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

Do you seem to keep attracting the wrong partner? Is it bad luck or are unconscious relationship patterns shaping who you choose, trust, and love?If dating or relationships feel like the same painful story with a different person playing the lead, your attachment style may be the reason. Insecure attachment can leave you terrified of abandonment, uncomfortable with intimacy, or repeatedly drawn to emotionally unavailable and toxic partners.Clinical psychologist, attachment theory expert, and relationship coach Dr. Morgan Anderson joins Women Road Warriors hosts Shelley Johnson and Kathy Tuccaro to explain why we repeat unhealthy relationship patterns and how to break the cycle.Dr. Morgan is the author of Love Magnet: Get Off the Dating Rollercoaster and Attract the Love You Deserve, creator of Empowered. Secure. Loved. and Dr. Morgan Coaching, and host of the top-rated podcast Let's Get Vulnerable.She understands toxic relationships personally. Before becoming a nationally recognized relationship expert, Dr. Morgan experienced betrayal, tolerated unhealthy relationships, and endured a situation so toxic that it resulted in a police report. She even walked away from a genuinely good relationship because the man liked baseball.Dr. Morgan explains repetition compulsion, relational trauma, and the “blueprint for love” created by our earliest relationships. You'll learn why red flags can initially resemble chemistry, why emotionally unavailable partners can feel irresistible, and why healthy love sometimes feels unfamiliar.Discover:How attachment styles influence whom you chooseWhy you repeat toxic relationship patternsHow to recognize red flags and trauma-driven attractionWhy you may push emotionally safe partners awayHow dating for validation damages self-worthHow to develop secure attachmentHow to heal after a breakupWhat emotionally safe, reciprocal love looks likeYour past may have shaped your attachment style, but it does not have to determine your future. Listen now and learn how to stop being a magnet for the wrong people and attract the healthy love you deserve. www.drmorgancoaching.comLet's Get Vulnerable podcast on Apple and SpotifyInstagram @drmorgancoachingwww.womenroadwarriors.comwww.womenspowernetwork.netattachment styles, toxic relationships, dating advice, relationships, Dr. Morgan Anderson, Women Road Warriors, Shelley Johnson, Kathy Tuccaro

Why is Tommy John surgery suddenly everywhere, even among 11-year-olds? On this episode of HSS Presents, orthopedic surgeon Dr. Josh Dines, sports medicine specialist Dr. James "Beamer" Carr, and physical therapist Terrance Sgroi dig into the UCL injury epidemic fueled by baseball's obsession with velocity, and how they diagnose it using exam techniques and the elbow-stressing "FEVER" MRI view. They break down when surgery is truly necessary versus when conservative treatment has a real shot, plus the murky world of PRP and stem cells. They cover the evolution of the surgery itself, from Frank Jobe's original 1974 procedure to today's bone-preserving docking technique, and why modern rehab timelines have gotten longer, not shorter, to safely return high-velocity throwers to the mound.

As part of our virtual road trip around North America inspired by the 2026 World Cup, we're revisiting some of our most classic cases. This week we stop off in  Sacramento, to revisit on of the single most disturbing individuals we have ever covered Richard Chase - The Vampire of Sacramento. Clinical vampirism, terrifying delusions and paranoid schizophrenia. This week the girls enter the bloody world of their very first truly psychotic spree killer, Richard Trenton Chase. Join them as they follow his evolution from cat-murdering child, to drug-addicted teen, to blood-smeared twenty-something; unpicking the unbelievably shocking story of one of America's bloodiest killers.

Is internal evaluation the gold standard in pelvic health?  We believe the answer is yes.Lately, we've seen more clinicians claiming that internal pelvic floor evaluation isn't necessary—or isn't the gold standard of pelvic rehab. We don't think this is just another social media debate.We think it's one of the most important conversations our profession needs to have.We're going to be diving deep into this topic.  But for Part 1, we discuss: Why this issue matters so much for the future of pelvic health  What the pioneers of our profession fought to establish  The strongest arguments against internal evaluation—and where we think they fall short  Why "access to care" shouldn't mean lowering the standard of care  Why extraordinary claims require extraordinary evidence (Also, the caveat we shouldn't need....Every internal evaluation should be clinically appropriate and performed only with informed patient consent.  Of course.)Instead, this episode asks a bigger question:  What should the gold standard actually be for pelvic rehab?About Nicole & Jesse CozeanPelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

Front desk versus clinical: every practice has this quiet rivalry, but it doesn't have to be that way.In this episode, the DPH coaches break down why these two sides of the office resent each other and how you as the owner might be making it worse. They share exactly what you can do to create cohesion in the office, from an exercise that breaks tension and gets people talking to an easy fix for the most common source of conflict.Topics discussed:(00:00) Introduction(02:43) What causes front and back office drama(06:55) The exercise that bonds your office(14:11) Managing unspoken expectations(15:42) How to handle team complaints without losing safety(18:55) Who should handle team conflict(21:45) The trust exercise every office needs(25:13) When getting involved backfires(27:22) What causes the most conflict and how to fix itThis episode was produced by Podcast Boutique https://www.podcastboutique.comCheck out the Growth Program Here Join our Newest and Best Coaching Program, Click Here for More InformationTake Control of Your Practice and Your LifeWe help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams.Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

Send us Fan MailHow far has delivery room ventilation really come? In this special episode, recorded in collaboration with the Neonatal Resuscitation Symposium, Ben sits down with Dr. Charles Roehr, professor of neonatology and perinatal medicine at the University of Bristol, clinical trialist at the University of Oxford, and member of ILCOR. Together they trace the evolution of respiratory support at birth, from the era of fixed inflation breaths to today's focus on physiologic stability and gentle cardiopulmonary transition. Dr. Roehr reflects on a quarter century of resuscitation science, the enduring challenge of human factors in the delivery room, and where the field may be heading, from better intrapartum monitoring to increasingly specialized resuscitation teams.Dr. Roehr will be delivering a keynote, "Optimizing Effective Ventilation Strategies in the Delivery Room," at the Neonatal Resuscitation Symposium, taking place September 10 to 11 at Indiana University in Indianapolis. Learn more and register here: https://medicine.iu.edu/pediatrics/specialties/neonatal-perinatal/education/resuscitation-symposium 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!

Links For The Occult Rejectshttps://linktr.ee/theoccultrejectsOccult Research Institutehttps://www.occultresearchinstitute.org/Substackhttps://substack.com/@theoccultrejects?r=7auau0&utm_campaign=profile&utm_medium=profile-pageCash Apphttps://cash.app/$theoccultrejectsVenmo@TheOccultRejectsBuy Me A Coffeebuymeacoffee.com/TheOccultRejectsPatreonhttps://www.patreon.com/TheOccultRejectsCondensed Bibliography for Part ThreeClark L. Hull. Hypnosis and Suggestibility: An Experimental Approach.André M. Weitzenhoffer and Ernest R. Hilgard. Stanford Hypnotic Susceptibility Scales.Ernest R. Hilgard. Divided Consciousness: Multiple Controls in Human Thought and Action.Josephine R. Hilgard. Personality and Hypnosis: A Study of Imaginative Involvement.Milton H. Erickson. Selected papers and writings on clinical hypnosis.Milton H. Erickson and Ernest L. Rossi. Hypnotherapy: An Exploratory Casebook.Milton H. Erickson, Ernest L. Rossi, and Sheila I. Rossi. Hypnotic Realities.David Spiegel and Herbert Spiegel. Trance and Treatment: Clinical Uses of Hypnosis.American Psychological Association Division 30, Society of Psychological Hypnosis. Official definition and materials on hypnosis.Heidi Jiang, Matthew P. White, Michael D. Greicius, Laura Waelde, and David Spiegel. “Brain Activity and Functional Connectivity Associated with Hypnosis.”Guy H. Montgomery, Katherine N. DuHamel, and William H. Redd. “A Meta-Analysis of Hypnotically Induced Analgesia.”Mark P. Jensen. Hypnosis for Chronic Pain Management.David R. Patterson. Clinical Hypnosis for Pain Control.Peter J. Whorwell. Foundational work on gut-directed hypnotherapy for irritable bowel syndrome.Olafur S. Palsson. Work on gut-directed hypnosis and IBS treatment protocols.Wendy M. Gonsalkorale. Research on hypnotherapy and IBS outcomes.Douglas A. Drossman. Writings on disorders of gut-brain interaction and biopsychosocial models.Auke Tellegen and Gilbert Atkinson. Work on absorption and personality traits related to hypnotic responsiveness.Nicholas P. Spanos. Research on hypnosis, role enactment, and sociocognitive approaches.Theodore X. Barber. Hypnosis: A Scientific Approach.Martin T. Orne. Studies on demand characteristics, hypnosis, and the social psychology of the hypnotic situation.Irving Kirsch. Research on response expectancy and hypnosis.Peter Lamont. Extraordinary Beliefs: A Historical Approach to a Psychological Problem.Daniel M. Wegner. The Illusion of Conscious Will.Patrick Haggard. Research on volition, agency, and the sense of control.Also want to remind people about the website, if you're into reading we have tons of information by multiple contributors, and we got t-shirts up on the site if you're interested. Fun fact, the art is all based on the eyeball. 

Burnout doesn't always look like a breakdown. Sometimes it looks like pushing through, feeling numb, forgetting who you are, or wondering why everything suddenly feels so much harder. I'm joined by Dr Jo Perkins, an eminent Chartered Psychologist who supports senior business professionals and organisations to develop effective strategies to optimise psychological performance. Dr Jo explains how burnout develops, why so many people miss the warning signs, and why it can hit people with ADHD especially hard.Together, we explore the difference between being tired and having a nervous system that can no longer recover, the hidden role of masking, and what real recovery actually looks like. If you've ever thought, "I'm just exhausted," but suspect it's something more, this conversation could change the way you understand burnout. Chapters: 00:00 Trailer 02:10 The Biggest Lie About Burnout 03:51 Burnout Before You Realise It's Happening 05:17 Does Burnout Hit Suddenly or Build Up? 06:23 Why People Miss the Warning Signs 09:33 How Bad Burnout Can Really Get 16:16 Do We All Have a Breaking Point? 17:20 When Your Body Stops Recovering 19:00 Tired vs Burnt Out (Big Difference) 21:24 When You Stop Feeling Like Yourself 24:38 Why Burnout Makes ADHD Worse 29:43 Tiimo Advert 31:43 Can Masking Cause Burnout? 36:46 When to Seek Professional Help 38:44 The #1 Warning Sign of Burnout 40:26 Can You Fully Recover from Burnout? 41:47 The Biggest Recovery Mistake 43:17 A Letter to My Younger Self Visit Jo's website

Clinical trial success depends on more than scientific rigor and operational execution. It also depends on the financial systems that support every stage of a study. In this episode of The Top Line, Zahiah “Zee Zee” Gueddar, senior director of commercial strategy for the Clinical Trial Financial Suite at IQVIA Technologies, discusses why modernizing clinical trial finance has become a strategic priority for sponsors. As trials become more complex, fragmented systems and manual workflows are creating bottlenecks that limit visibility, delay payments and introduce unnecessary risk. Gueddar explains how these challenges affect site relationships, operational efficiency and study performance, and why organizations can no longer afford to treat finance as a disconnected administrative process. The conversation also highlights key indicators of readiness for transformation, from cross-functional alignment to executive sponsorship, and outlines the common pain points study teams face today. Ultimately, success depends on moving toward a connected, transparent and predictable financial model that reduces friction, improves collaboration and supports faster, more reliable clinical trials.See omnystudio.com/listener for privacy information.

In this episode of The Vibe With Ky Podcast, psychological flexibility, how to feel a hard emotion without letting it run your life.If you have ever told yourself you will start living once the grief lifts or the anxiety quiets, this one is for you.Dr. Elisabeth Morray is a licensed psychologist and the VP of Clinical at Alma, where she supports more than 24,000 therapists. She joined me on this episode to explain psychological flexibility, and she trains clinicians in acceptance and commitment therapy, so she teaches this for a living.The core shift is simple but it changes everything. Your pain is not proof that something is wrong with you, it points straight at what you care about most, and you can keep living toward that even while it hurts.Learn why your brain is great at solving physical problems and terrible at solving emotional onesHear the grief question no client ever says yes to, and what it reveals about loveGet a real way to keep grief and anxiety from swallowing you wholeSee why your struggles are understandable adaptations, not personal failuresFind a therapist through Alma: https://helloalma.com/Dr. Elisabeth Morray's practice, Emerge Collective: https://emergecollective.info/TheVibeWithKy.com: https://thevibewithky.com/Patreon, for exclusive neurodivergent content and the Reverse The Mic segment where guests put me in the hot seat, not available anywhere else online: https://www.patreon.com/thevibewithkyFacebook, for that same exclusive content and Reverse The Mic: https://www.facebook.com/thevibewithky/subscribe/Instagram: https://instagram.com/thevibewithkyTikTok: https://tiktok.com/@thevibewithkyADHD Vibers Store: https://thevibewithky.podia.com/This podcast is for informational and entertainment purposes only and is not a substitute for professional medical or mental health advice. If you are struggling, please reach out to a qualified professional.

Primary open-angle glaucoma is a progressive eye disease that can lead to irreversible vision loss without timely treatment and ongoing monitoring. This course reviews practical approaches to glaucoma management, including treatment goals, common medication options, and factors that influence adherence and long-term disease control. You will be better prepared to support patients receiving glaucoma therapy through medication counseling, adherence support, and reinforcement of appropriate follow-up care.HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTStephanie Conway-Allen, PharmDAssociate Professor of Pharmacy Practice,Massachusetts College of Pharmacy and Health Sciences Worcester/ManchesterPharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by enrolling in the course. Click here to enroll!CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe treatment goals and common management strategies for primary open-angle glaucoma.2. Explain pharmacist-relevant considerations for counseling and supporting patients receiving glaucoma therapy.Rachel Maynard and Stephanie Conway-Allen have no relevant financial relationships to disclose.0.075 CEU/0.75 HrUAN: 0107-0000-26-252-H01-P Initial release date: 7/20/2026Expiration date: 7/20/2029Additional CPE details can be found here.

One Disease, Many Clinical Presentations: Why and How to Spot Acute Hepatic Porphyria in Different Healthcare Settings

Primary open-angle glaucoma is a progressive eye disease that can lead to irreversible vision loss without timely treatment and ongoing monitoring. This course reviews practical approaches to glaucoma management, including treatment goals, common medication options, and factors that influence adherence and long-term disease control. You will be better prepared to support patients receiving glaucoma therapy through medication counseling, adherence support, and reinforcement of appropriate follow-up care.HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTStephanie Conway-Allen, PharmDAssociate Professor of Pharmacy Practice,Massachusetts College of Pharmacy and Health Sciences -Worcester/Manchester GET CE FOR LISTENING!Stay Compliant. Grow Clinically. Practice with Confidence. Pharmacist CE Subscription: All your CE in one convenient subscription.All episodes, CE, and Practice Resources for the GameChangers Clinical Update is included with your Pharmacist CE Subscription. But wait…there's even more!The Pharmacist CE Subscription includes: -  Compliance and licensure CE -  GameChangers Clinical Updates-  Practical continuing education across patient care topics *The subscription does not include microcredentials or certificates, which are available separately for pharmacists seeking specialized service training. Purchase Now!PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by purchasing the Pharmacist CE Subscription. CPE REDEMPTIONThis course is accredited for continuing pharmacy education! Click the link below that applies to you to take the exam and evaluation to claim credit:If you are already enrolled in this course, click here to redeem your credit. To purchase the Pharmacist CE Subscription and claim your CPE credit, click here or to purchase this course individually, click here.  CPE INFORMATIONLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe treatment goals and common management strategies for primary open-angle glaucoma.2. Explain pharmacist-relevant considerations for counseling and supporting patients receiving glaucoma therapy. Rachel Maynard and Stephanie Conway-Allen have no relevant financial relationships to disclose.0.075 CEU/0.75 HrUAN: 0107-0000-26-252-H01-P Initial release date: 7/20/2026Expiration date: 7/20/2029Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

One Disease, Many Clinical Presentations: Why and How to Spot Acute Hepatic Porphyria in Different Healthcare Settings

In this episode, Cedric Bertelli reminds us that we don't have to carry emotional pain forever. discusses the Emotional Resolution (MRES) methodology, its applications for emotional health, and practical techniques for managing emotional difficulties like anxiety and trauma. Discover how this innovative approach can help you resolve emotional patterns and improve mental well-being."Close your eyes peacefully and feel the emotion."Chapters:00:00 Introduction to Emotional Techniques and Emotional Awareness00:29 Feeling Emotions Through Physical Sensations00:58 The Practice of Interoception in Emotional Resolution01:54 The Emotional Health Institute and MRES Methodology03:04 Goals of Making Emotional Resolution Accessible04:11 Common Signs of Emotional Difficulties05:13 Understanding the Brain's Construction of Emotional Difficulties06:09 How MRES Addresses Outdated Brain Predictions07:08 The Technique of Feeling Sensations Without Breathing08:37 Feeling Sensations and the Role of Interoception09:18 Testing the Effectiveness of Emotional Resolution11:04 Next Steps and International Collaboration for MRES12:11 Advice for Those Struggling with Emotional Pain13:10 How to Connect with the Emotional Health Institute"Your brain recognizes past trauma in your current environment."Key Topics and Takeaways:*Managing emotional difficulties like anxiety and PTSD*The role of interoception in emotional health*Techniques for feeling and releasing emotions*The importance of feeling sensations without interference*Clinical studies validating MRES effectiveness*Global and multilingual approach to emotional healing*Steps to start resolving emotional painBe sure to follow his journey with his 1st episode here in 2024 here! Support the showEnjoy the show and thank you for being here. Please subscribe to stay current and share with a friend who could use this episode. Want to Support the Show:Leave a five-star review on Apple Podcasts or Spotify to help others find usJoin our monthly support groups and community support initiativesAll questions for the host or guests: Email PodcastsByLanci@gmail.com.Show Partner: Living Proof TBI Coaching specializes in recovery for Traumatic Brain Injury Survivors, Families, and Caregivers. Book a free call here.CRISIS LINE: DIAL 988

When a child walks into your clinic presenting with a tongue thrust, a high-arched palate, or a complex feeding delay, what is your immediate clinical instinct? Is it to reach for a specific exercise in your toolkit, or is it to zoom out and analyze how the entire system is functioning together?In this solo episode, Hallie Bulkin dives into the powerful paradigm shift of becoming an integrated therapist. She challenges the common trap of relying on isolated techniques and instead lays out a roadmap for evaluating children holistically.Hallie breaks down how to run multiple clinical lenses simultaneously - from airway and breathing considerations to structural vs. functional anatomy, neurological diagnoses, and the sensory-motor layers of feeding.Key Topics & TakeawaysThe Integrated Mindset: Why focusing too closely on a single tool or therapy protocol creates clinical blind spots, and how to zoom out to assess the whole child.Running the Airway Lens First: How structural issues (like mouth breathing and palate shape) directly impact downstream oral motor habits like a tongue thrust.Deconstructing the Feeding Layers: Organizing feeding challenges into clear mechanical, sensory, and behavioral tiers to know exactly where to begin treatment.Soundbites"Look at the whole connected system. If you only look at the mouth in a vacuum, you miss the structural foundation driving the compensation.""We have to ask: what is the whole system doing? When you treat a symptom without treating the root cause, you're just chasing shadows.""Find the fire, not just the smoke. Clinical discernment is about finding exactly where the dysfunction originates so we can intervene with precision."Timestamps 00:00:00 – Intro Hook: The Feeding Lens vs. The Loudest Voice in the Room00:00:29 – Welcome to the Untethered Podcast & Host Introduction00:01:05 – What Separates a Good Clinician? Introducing the "Integrated Therapist"00:01:48 – The Shiny New Tool Trap: Single-Lens vs. Whole-System Thinking00:04:50 – Lens 1: The Airway Picture (Mouth Breathing & Tongue Thrust)00:07:15 – Lens 2: Pediatric Feeding (Mechanical, Sensory-Motor, & Behavioral Layers)00:08:03 – Case Study: 8-Month-Old Bottle Refusal & Cleft Lip Repair00:09:56 – The Pain Differential (Reflux, Thrush, Torticollis)00:11:53 – Lens 3: Neurological Frameworks (Apraxia, Dystonia, Dysarthria)00:15:06 – Lens 4: Anatomy & Structure (High Narrow Palate Constraints)00:17:49 – Mastering the Referral: How to Communicate Cross-Discipline00:20:38 – Summary: The 6 Key Pillars of an Integrated Approach00:22:31 – Outro: Join The Integrated Therapist Community & DisclaimerLinks & Resources Become the clinician who finally sees the whole picture https://theintegratedtherapist.com/.Our Digital Home: Catch past episodes, resources, and show notes anytime over at The Untethered Podcast.Fast Myo Screening Tool: Stop guessing during your intakes and download the checklist at FastMyoScreening.com.RELATED EPISODES YOU MIGHT LOVEWhy Two Therapists Get Different Feeding Outcomes (And How to Fix It)Screening vs. Assessment vs. Treatment: Why Every Clinician Needs to Know the DifferenceSTAY CONNECTED

In his weekly clinical update, Daniel Griffin and Vincent Racaniello debate if Senator Mitch McConnell's recent hospitalization is due to post-polio syndrome or just old age, how air quality from Maine to Chicago has been affected by the Ontario wild fires, new screwworm, Legionnaires and cyclosporasis cases, the Ebola outbreak in the Congo and development of a novel vaccine and antiviral, before Dr. Griffin deep dives into the measles outbreak, recent statistics on RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, how to access and pay for Paxlovid, where to go for answers about long COVID-19, long term effects of COVID-19 immune dysfunction including ocular and gut 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 Statement From Senator Mitch McConnell (Mitch McConnell US Senator for Kentucky) Polio(NY Department of Health: Polio) Global polio vaccination (CDC) For Some Survivors, Polio Casts a Long Shadow (GAVI) Former Republican Senate Majority Leader Mitch McConnell hospitalized (NPR) Hundreds of thousands of Americans live with the long-term effects of polio (CIDRAP) Child Care, Schools, Camps: Outdoor Air Quality Health Recommendations Based on Air Quality Index (NY City of Health: air quality) Current Air Quality (AirNow) Domestically Acquired Cyclosporiasis Cases in Multiple U.S. States, 2026 (CDC: Health Alert Network) How helpful is not up to date? CDC: cyclosporiasis Top 10 Cyclospora questions (Katelyn Jetelina: your local epidemiologist) Cyclospora, wildfire smoke, and another Legionella outbreak (Marisa Donnelly: your local epidemiologist in New York) Cyclospora keeps climbing, a bad West Nile season, truck spraying, and good news (Katelyn Jetelina and Marisa Donnelly: your local epidemiologists) Infectious Disease Outbreaks (Michigan: Health & Human Services) Cyclospora cases up dramatically in New York (Outbreak News Today) Cyclospora Infection (Cyclosporiasis) (NYC Health) Legionnaires' Disease (NYC Health) New York officials find Legionella in 76 cooling towers as cases hit 63 (CIDRAP) Dashboard SCREWWORM.Gov (USDA: Animal and Plant Health Inspection Service) CDC Activates Emergency Operations Center for New World Screwworm Response (CDC Newroom) Ebola dashboard (ebola.fyi) EBOLA:The Democratic Republic of the Congo, 2026 (WHO) Bundibugyo virus disease outbreak Democratic Republic of the Congo (WHO: Democratic Republic of Congo) Ebola Outbreak: Current Situation (CDC:Ebola) Why the fastest-growing Ebola outbreak in history is becoming more challenging (AP News) Oxford begins first human trial of Bundibugyo Ebola vaccine (Reuters) Gilead launches Ebola antiviral trial in DR Congo as cases near 2,000 (CIDRAP) Information for Travelers Returning from Ebola-Affected Areas (CDC: Ebola) 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 outbreak response (Utah Department of Health and Human Services) UtahMeasles Dashboard (Utah Department of Health and Human Services) Measles (VDH: Virginia Department of Health) 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) Flu vaccine recommendations: Vaccines and Related Biological Products Advisory Committee March 12, 2026 Meeting Announcement (FDA) WHO updates all 3 viral strains to be included in fall flu shots (CIDRAP) FDA vaccine advisers recommend adding subclade K to fall shots (CIDRAP) 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) USrespiratory 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) 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) 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Send us Fan MailWhich PDAs actually need treatment? Can maternal voice and scent shape language outcomes? Should we cool at 35 weeks? And did stepping away from probiotics come at a cost? This week's Journal Club takes on five papers that push back on standard practice. Ben reviews the SMART-PDA trial and a comparative study of PDA pharmacotherapy, Daphna covers the MIND trial on multisensory maternal interventions and a Pediatrix database study on NEC after the FDA probiotic warning, and Ben rounds out the main segment with a national look at hypothermia in 35-week infants with HIE. Ben and Eli wrap the week with Neo News on rising vitamin K refusal.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!

Send us Fan MailVitamin K refusal has crossed 5%. That's one in twenty babies, and the curve is bending the wrong way. Ben and Eli work through a new Pediatrics case review that opens with a warning shot, that hemorrhagic presentation in an infant should no longer be a diagnostic mystery, alongside a JAMA letter tracking refusal from 2.9% in 2017 to 5.2% in 2024. Eighty-one times the risk. Intracranial hemorrhage in most late-onset cases. Twenty percent mortality. They talk about the halo effect on other refusals, the ICD code you should be using, and why this conversation belongs in the obstetrics office, not the nursery.----Vitamin K Deficiency Bleeding After Refusal: A Sentinel Event in a Misinformation Era. Jacobs JW, Booth GS, Wheeler AP, Adkins BD.Pediatrics. 2026 May 1;157(5):e2026075994. doi: 10.1542/peds.2026-075994.PMID: 41916583 No abstract available.Trends in Vitamin K Administration Among Infants. Scott K, Miller E, Culhane JF, Greenspan J, Handley SC, Lo JY, Knake LA, McKenney KM, Burris HH, Dysart K.JAMA. 2026 Jan 20;335(3):272-274. doi: 10.1001/jama.2025.21460.PMID: 41359326 Free PMC article.Babies Are Bleeding to Death as Parents Reject a Vitamin Shot Given at Birth https://www.propublica.org/article/more-parents-decline-vitamin-k-shot-newbornsSupport 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 the latest Midlife Minute episode. Today, we're talking about elimination diets, iron, and ferritin. I share my personal experience with prolonged antibiotic and antifungal use, clarify what the research actually says about restrictive diets, nutrient deficiencies, fatigue, and brain fog, and highlight why it's essential to understand your iron status during the menopausal transition. IN THIS EPISODE, YOU WILL LEARN: Why elimination diets can be helpful in specific situations, but may not be appropriate for the long term How removing major food groups without a replacement strategy can cause unintended nutrient deficiencies Why some women become more reactive to certain foods during the menopausal transition How women's protein requirements increase during perimenopause and menopause How low ferritin is often overlooked in women, even when they are experiencing fatigue and brain fog Why women's iron status fluctuates during the perimenopause to menopause transition How some women experience significant symptoms long before anemia appears in their standard lab work Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Links: 1. The Importance of Nutrition in Menopause and Perimenopause—A Review 2. Weight gain during the menopause transition: Evidence for a mechanism dependent on protein leverage 3. The gut microbiota in menopause: Is there a role for prebiotic and probiotic solutions? 4. Cognitive Performance in Relation to Systemic and Brain Iron at Perimenopause 5. Accelerated Increase in Ferritin Levels During Menopausal Transition as a Marker of Metabolic Health 6. Iron and Menopause: Does Increased Iron Affect the Health of Postmenopausal Women? 7. Iron deficiency in peri-menopausal women: Clinical considerations from an expert consensus 8. Cognitive Function in Peri- and Postmenopausal Women: Implications for Considering Iron Supplementation

In this episode, Kuchal joins the WDx team and presents a case of a 35 years old man with convulsions.   Download CPSolvers App here RLRCPSOLVERS

Send us Fan MailWhen the FDA warning landed in late 2023, probiotic use in high-use NICUs collapsed from 86% to under 7% almost overnight. What happened to NEC? This week Daphna brings Tolia and Patel's new Journal of Perinatology analysis of the Pediatrix Clinical Data Warehouse, a natural experiment across 347 NICUs and more than 10,000 extremely preterm infants. Centers that stopped saw NEC climb from 2.7% to 4.4%. Centers that never used probiotics saw nothing change. Ben and Daphna work through the difference-in-differences model, the demographic imbalances, and the uncomfortable question underneath it all. When does data stop and advocacy begin?----Probiotics and necrotizing enterocolitis in preterm infants after the food and drug administration warning actions. Tolia VN, Bennett MM, Handler D, Canvasser J, Greenberg RG, Ursprung R, Ahmad KA, Patel RM.J Perinatol. 2026 Jun 2. doi: 10.1038/s41372-026-02712-y. Online ahead of print.PMID: 42225922Support 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!

Dr. Justin Abbatemarco and Sukhun Kang discuss seeding trials and other hidden marketing tactics in clinical trials, and their implications for clinical practice and patient care.  Show citation:  Kang S, Lin I, Ekblom M, and Chang S. Clinical trials that are actually marketing ploys targeting doctors – how seeding trials put profit over patients. The Conversation. 2026;6(5). doi:10.64628/AAI.cxdfhnh9s

In this episode, host Don sits down with Dr. Mark Tager, CEO of ChangeWell Inc. and creator of The Art of the Healthcare Presentation, to solve a problem hiding in plain sight: the most technically gifted injector is often the weakest closer. The high-ticket case is rarely lost over price. It is lost in the quiet minutes of the consultation. Dr. Tager breaks down why a researched patient is investigating, not sold, and how presence built on attention and intention lights up new possibilities instead of pushing product. He shares the practical moves that shift a consult, from splitting the injector and closer roles, to disarming "let me think about it" by surfacing the real objection, to creating genuine resonance by slowing down and truly listening. He then makes the case for integrative aesthetics, the idea that real beauty also comes from within through nutrition, hormones, and gut health. From crossing the Rubicon with GLP-1s to capturing spontaneous, camera-ready testimonials, Dr. Tager lays out how the practices that treat the whole patient will own the next era of aesthetics.

What do large registry data reveal about outcomes after intraocular foreign body removal, and how should those findings shape surgical planning and patient counseling? In this episode of New Retina Radio Journal Club with VBS, Jordan Deaner, MD, moderates a discussion with Vaidehi Dedania, MD, and Rehan Hussain, MD, on a 2025 IRIS Registry analysis of nearly 4,800 eyes. The group reviews the delayed timeline of visual recovery, the risk of late complications, and practical guidance on staging surgical intervention and setting realistic expectations in complex trauma cases.

In Episode Three of Clinical Misfits, Dr Mary explains about how the autonomic nervous system and the immune system provide a protective net over the entire person. As with the endocrine system, discussed in the last episode, coordination of activity has to be very tight to pull this off. If either system is dysregulated, both are and the body is left vulnerable. Worse, the immune system may attack the nervous system causing serious, debilitating disease. Or, the nervous system may trigger exaggerated immune responses to any number of environmental stressors that are not true physical threats to the body. The symptoms are familiar to us Clinical Misfits.Also in this episode, Dr Mary discusses how masking autistic traits undermines the Clinical Misfit's immune system, contributing to the physical illnesses that present in late-stage burnout.

Send us Fan MailCooling works at 36 weeks. At 35 weeks, nobody is sure. Ben brings a new Journal of Perinatology analysis of the National Inpatient Sample, covering 1.4 million infants from 2016 to 2022, asking what happens when therapeutic hypothermia is offered just below the evidence line. Cooled 35-weekers died at higher rates than cooled 36-weekers, but within the 35-week group, cooling changed nothing either way. Coagulopathy rose with cooling. Mediation analysis says it wasn't the cause. Ben and Daphna work through what that leaves us, and why shared decision making and careful documentation carry the weight here----Therapeutic hypothermia and in-hospital mortality in 35-week infants with encephalopathy. Aly H, Eltaly H, Mohamed FA, Saker F, Acun C, Mohamed MA.J Perinatol. 2026 Jun 3. doi: 10.1038/s41372-026-02738-2. Online ahead of print.PMID: 42236997Support 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!

This article is for educational purposes only and is not a substitute for individualized medical advice. Always talk to your own healthcare provider before changing your diet, supplements, or medications.Unlocking the Secrets of Ferritin: What Your Iron Levels Are Telling YouYour “normal” bloodwork might be hiding the real reason you're exhausted, foggy, and losing hairTL;DR: * Ferritin is your iron savings account — and most labs only flag it as “abnormal” once it's nearly empty. * A level of 14 or 22 ng/mL might get a “you're fine” from your doctor, but optimal energy, mood, cognition, and hair growth usually need ferritin closer to 70–100 ng/mL. * Low ferritin can come from menstrual blood loss, poor absorption (celiac disease, low stomach acid, H. pylori), or inflammation-driven hepcidin blocking iron uptake.* If you're fatigued, foggy, cold, or shedding hair, ask for a full iron panel — not just a ferritin number — and talk through the results with your doctor.There's an old Japanese proverb: “When the body speaks, the wise person listens. When the body whispers, the fool waits for it to scream.” In health diagnostics, one of the quietest whispers is your ferritin level. It's often overlooked, yet it can be the missing link behind exhaustion, hair loss, brain fog, or the frustrating experience of bloodwork that comes back “normal” while you still feel terrible.What Is Ferritin?Ferritin is your body's iron storage protein. Think of your iron levels like a financial setup: hemoglobin is your checking account, drawn on daily. Ferritin is your savings account, tapped only when things get tight. Under stress, your body will drain the savings account long before it lets the checking account — hemoglobin — run low. That's why you can have “normal” hemoglobin and still be iron-depleted. A low ferritin level means your reserves are running out, and that shows up as fatigue, brain fog, mood changes, and thinning hair.Normal vs. OptimalMost labs flag ferritin as “normal” above roughly 10–20 ng/mL. That threshold mostly means you're not in immediate danger — not that you're thriving. Levels associated with feeling genuinely well tend to run from 70 to 100 ng/mL. So if you've been told your ferritin of 14 or 22 is fine, but you still feel wiped out, you're not imagining it — you're just being measured against a bar set for avoiding crisis, not for feeling good.Why Your Ferritin Might Be Low* Menstrual blood loss. For many women, the cumulative loss over months and years outpaces dietary iron intake, slowly draining reserves.* Absorption issues. Even a solid iron intake doesn't help if it isn't absorbed. Silent celiac disease, low stomach acid, or an H. pylori infection can quietly block uptake for years.* Inhibitors and hepcidin. Coffee, tea, and dairy consumed close to meals can inhibit iron absorption. Separately, inflammation can push your liver to produce hepcidin, a hormone that shuts down iron uptake even when you're eating enough.Symptoms to WatchPersistent fatigue, thinning hair, feeling cold more easily than others, and brain fog are the classic signs. If two or more of these sound familiar, it's worth getting your ferritin checked specifically — not just assumed to be fine because your CBC looked normal.The Bigger PictureIron does far more than carry oxygen. It's involved in thyroid hormone conversion, dopamine production, mitochondrial energy synthesis, and hair follicle health. That means low ferritin can produce symptoms that look a lot like depression or hypothyroidism — even when your thyroid panel and mood screening come back clean.Taking Action* Review your bloodwork. Look specifically at ferritin. Anything under 70 ng/mL is worth a conversation with your doctor.* Ask for a full iron panel. Ferritin alone isn't the whole story — request serum iron, total iron binding capacity (TIBC), transferrin saturation, and CRP (to rule out inflammation skewing the picture).* Adjust absorption habits. Space coffee and tea away from meals, lean into iron-rich foods, and avoid taking calcium and iron supplements together.* Choose the right supplement, if needed. Ferrous sulfate is harsh on the gut for many people. Iron bisglycinate is gentler and pairs well with vitamin C for better absorption — but check with your provider before starting, especially if high ferritin is a concern.* Loop in a professional. This is especially important before making changes if you suspect elevated ferritin, since iron overload carries its own risks.Listening to Your Body's WhisperYour body is constantly sending signals. Ignored long enough, whispers become screams. Taking ferritin seriously — not just as a checkbox on a lab report, but as a meaningful marker — is one concrete way to catch a problem while it's still easy to fix.Final ThoughtsMonitoring and optimizing ferritin can meaningfully change how you feel day to day. It starts with a simple ask: get the right test, read the number in context, and act on what it's telling you. If you want a more personalized look at your own levels and symptoms, consider scheduling a comprehensive health session.Stay informed, stay healthy, and listen closely to what your body is telling you. Until next time, take care.References* Camaschella, C. (2015). Iron-deficiency anemia. New England Journal of Medicine.* WHO guidance on serum ferritin concentrations for the assessment of iron status.* Clinical literature on ferritin thresholds and symptomatic iron deficiency without anemia.* Hepcidin and inflammation's role in iron regulation — recent reviews in Blood and Haematologica. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe

Recorded in person at VITAL2026 in Minneapolis, this episode features Dr. David Levine, Chief Medical Officer at Vizient, discussing their Clinical Database, a resource that allows hospitals and health systems to benchmark themselves across domains such as safety, mortality, patient-centeredness, and efficiency. Essential Hospital can use this resource to transform and sustain quality care.

In this throwback episode, Kevin and Zach feature Dr. Chris Salierno talk about the real-world operational realities of implant dentistry. Moving past the textbook "before and after" presentation, Chris shares valuable lessons learned from his early residency clinical errors, examining how aesthetic, functional, and hygienic complications ultimately shape a successful final restoration. The conversation highlights the value of beginning with the end in mind and showcases the practical workflows of the Neoss implant system, demonstrating how a streamlined design and smart component features can elevate both clinical accuracy and business efficiency in daily practice. Some links from the show: Neoss Dental Implants 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! We're proud to be supported by the folks at Net32! 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. 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!

Send us Fan MailIn this Journal Club, Daphna takes the reins with the MIND randomized controlled trial from Nathalie Maitre and colleagues in The Journal of Pediatrics. Can a multisensory bundle, combining infant-directed voice, a parent's scent, holding, and gentle containment, do more for a preterm baby's developing brain than recorded voice alone? Using event-related potentials to track how infants tell speech sounds apart, the team followed language outcomes all the way to age two. Daphna and Ben unpack the design, the Bayley and PLS-5 findings, and a takeaway every clinician can act on tomorrow. Talk to the baby, every single time.----The MIND Randomized Controlled Trial: An Intervention to Improve Neural Speech Processing and 2-Year Language Outcomes of Infants Born Preterm. Maitre NL, Kjeldsen CP, Jeanvoine A, Lukemire J, Slaughter JL, Key AP.J Pediatr. 2026 Jun 5:115187. doi: 10.1016/j.jpeds.2026.115187. Online ahead of print.PMID: 42250747Support 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!

Hard tissue robotics may be ready for a major leap forward, but only if the industry stops treating surgical robots as single-purpose robotic arms. In this episode, Yossi Bar, CEO and Founder of LEM Surgical, explores the next evolution of surgical robotics and why hard tissue innovation is just getting started. Drawing on nearly two decades in medical devices, he explains why hard tissue robotics has trailed soft tissue robotics and why system architecture matters more than hardware alone. Yossi breaks down the difference between a robotic arm and a true surgical humanoid, highlighting the roles of vision, proprioception, and multi-tool operation. He also shares how AI and humanoid-inspired, general-purpose robotic platforms could expand clinical capabilities and shape the future of surgery. Tune in to hear why the best part of surgical robotics may still be ahead! Resources: Connect with and follow Yossi Bar on LinkedIn. Follow LEM Surgical AG on LinkedIn and explore their website.

Host: Darryl S. Chutka, M.D.  Guest: Dawn Davis, M.D.  Acne and rosacea are two very common skin conditions seen in primary care, yet at times both the diagnosis and management can be challenging. While acne most commonly develops in adolescence, it can present in adulthood. Rosacea is often misdiagnosed or at times completely unrecognized. What are the common presenting symptoms of these two conditions? What are the treatment options? What are the latest advances in management and when should a primary care clinician consider referral to dermatology? These are questions I'll be asking my guest, Dr. Dawn Davis, Chair of Clinical and Pediatric Dermatology at the Mayo Clinic, as we discuss “Acne and Rosacea”.   Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

This is second in a two-part feature on emergency medicine presentations from the ASHP Midyear Clinical Meeting. Members highlight topics such as sedation and analgesia in the setting of procedural sedation, managing patients in the emergency department in small and rural settings, and how to read and interpret echocardiograms.  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.

Healthcare AI can only be as strong as the data behind it, but patient privacy cannot be treated as collateral damage. In this episode of Straight Outta Health IT, Dr. Julia Komissarchik, CEO and Founder of Glendor, Inc., joins Christopher Kunney to explore one of the most pressing challenges in healthcare AI today: how to responsibly use patient data while ensuring that protected health information (PHI) is not exposed.Julia breaks down why de-identification is far more complex than simply stripping a patient's name from a record. She explains that PHI can be embedded in many different forms beyond structured fields, including clinical text, medical images, voice recordings, video, metadata, and even indirect contextual signals such as hospital names, locations, or physician specialties. Because of this, ensuring true privacy protection requires a much more nuanced and multi-layered approach than many assume.She also highlights the importance of diversity in healthcare data when building AI systems. According to Julia, robust models depend on exposure to a wide range of populations and care settings, including rural, urban, tribal, and underserved communities, to ensure that AI performs reliably and equitably across different real-world environments.Tune in to learn why privacy, trust, and responsible data infrastructure are foundational to the future of AI in healthcare.ResourcesConnect with Dr. Julia Komissarchik on LinkedIn here or reach out via email here.Follow Glendor, Inc on LinkedIn here and visit their website here.

Send us Fan MailIn this Journal Club, Ben and Daphna dig into two new papers on PDA management in our smallest patients. First, the SMART-PDA pilot RCT from Souvik Mitra and colleagues, which uses comprehensive hemodynamic screening to selectively treat high-volume shunts in infants born before 26 weeks, and whose striking Bayesian signal for reduced pulmonary hemorrhage and NEC stopped the trial early. Then a companion JAMA Network Open comparative effectiveness study across four pharmacotherapy regimens. Along the way, Ben shares hemodynamics pearls from his Montreal training: why left ventricular output, LA:Ao ratio, and transductal velocity matter more than PDA diameter alone.----Selective early medical treatment of the patent ductus arteriosus in extremely low gestational age infants: a pilot randomised controlled trial (SMART-PDA). Mitra S, Hebert A, Castaldo MP, Disher T, El-Naggar W, Dhillon S, Alhassen Z, Koo J, Katheria AC, Hyderi A, Kumaran K, Ting J, Surak A, Larocque J, Pepper D, Hornberger L, Makoni M, Weisz DE, Jain A, Bacchini F, Cameron-Nola AJJ, Hatfield T, Dorling J, McNamara PJ, Thabane L.Arch Dis Child Fetal Neonatal Ed. 2026 May 18:fetalneonatal-2026-330462. doi: 10.1136/archdischild-2026-330462. Online ahead of print.PMID: 42150872Pharmacologic Therapies for Patent Ductus Arteriosus in Extremely Preterm Infants. Mitra S, Jain A, Ting JY, Ben Fadel N, Drolet C, Abou Mehrem A, Soraisham AS, Jasani B, Louis D, Lapointe A, Dorling J, Khurshid F, Hyderi A, Kumaran K, Toye J, Harabor A, Weisz DE, Stavel M, Morin A, Bhattacharya S, Lalitha R, Afifi J, Augustine S, Castaldo MP, Hatfield T, Su YC, Shah PS; Canadian Neonatal Network Investigators.JAMA Netw Open. 2026 Jun 1;9(6):e2617477. doi: 10.1001/jamanetworkopen.2026.17477.PMID: 42262753 Free PMC 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!

We know that clinical trials are a critical lifeline, offering new ways to prevent, detect, diagnose and treat breast cancer. Today, patient advocates are transforming clinical trials by bringing the real-world experiences of patients directly to researchers. By acting as a bridge between science and the community, patient advocates boost enrollment in clinical trials, and help build a lasting trust Today we are speaking with Dr. Lior Braunstein, a radiation oncologist and researcher at Memorial Sloan Kettering Cancer Center, and Dr. Ellen Landsberger, a retired OB-GYN and patient advocate, also at Memorial Sloan Kettering Cancer Center. Together they are working on the ARCHER clinical trial, a study that is investigating a new treatment strategy for HER2-positive metastatic breast cancer. We'll talk about what they are hoping to accomplish through the ARCHER trial, what their collaborative process looks like and how patient advocates in clinical trials can help improve patient outcomes. Key Takeaways: Patient advocates help design better clinical trials The ARCHER trial aims to improve treatment outcomes Patient voices shape research from the very beginning Clinical trials study both treatment and quality of life Better access helps more patients join clinical trials Chapters 00:00:00 – Why patient advocates belong at the clinical trial design table 00:04:44 – From breast cancer survivor to patient advocate 00:07:46 – How advocates shape research and address patient concerns 00:12:08 – Inside the ARCHER trial and its goal to improve metastatic breast cancer treatment 00:19:03 – Measuring quality of life and improving access to clinical trials 00:26:28 – How patients can become advocates and influence future research

International travel exposes patients to a range of infectious disease risks, making pre-travel planning and vaccination an important part of patient care. This course reviews recent travel health updates, including vaccine recommendations, emerging safety considerations, and prevention strategies for common travel-related illnesses. You will be better prepared to provide evidence-based recommendations, assess patient risk, and counsel travelers on vaccines and preventive measures before international travel. HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTLana Saad Sherr, PharmDAssistant Dean for Professional Affairs,University of Maryland Eastern Shore Pharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by enrolling in the course. Click here to enroll!CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1.Describe key vaccine recommendations and safety considerations for patients traveling internationally.2. Describe prevention strategies for common travel-related infectious diseases, including mosquito-borne illnesses.Rachel Maynard and Lana Sherr have no relevant financial relationships to disclose.0.05 CEU/0.5 HrUAN: 0107-0000-26-251-H01-P Initial release date: 7/13/2026Expiration date: 7/13/2027Additional CPE details can be found here.

In his weekly clinical update, Daniel Griffin and Vincent Racaniello are dismayed over the military deaths due to the voluntary influenza vaccination policy, FDA's first vaccine recommendations since 2023, the efficacy of influenza vaccines, new screwworm, Legionnaires and cyclosporiasis cases, the Ebola outbreak in the DRC and Uganda and before Dr. Griffin deep dives into the measles outbreak, recent statistics on RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, how to access and pay for Paxlovid, publication of the blocked COVID-19 vaccine findings, where to go for answers about long COVID-19, use of antivirals in children with COVID-19, severe West Nile disease 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 A1C Keon Talik McDaniel (Bexar Memorial) Hegseth: Flu Vaccine Optional (US Department of War) Air Force trainee in San Antonio, Texas, died from flu(CIDRAP) Key FDA committee unanimously recommends its first vaccine since 2023(NPR) Efficacy and Safety of an mRNA Seasonal Influenza Vaccine in Adults (NEJM) Influenza Vaccine Effectiveness Against Pediatric Death in the United States: 2016–2025 (Pediatrics) Dashboard SCREWWORM.Gov (USDA: Animal and Plant Health Inspection Service) CDC Activates Emergency Operations Center for New World Screwworm Response (CDC Newroom) Upper East Side Legionnaires' Outbreak Source Remains Unknown (Bloomberg) Outbreak of diarrhea-causing parasite grows to more than 1,000 cases (AP) Cyclosporiasis outbreak in Michigan exceeds 1,000 cases (WOODTV+) Ebola deaths top 500 as DR Congo health workers threaten to strike (CIDRAP) Ebola deaths in Congo top 500 as health workers threaten to strike (AP) Ebola dashboard (ebola.fyi)  EBOLA:The Democratic Republic of the Congo, 2026 (WHO) Bundibugyo virus disease outbreak Democratic Republic of the Congo (WHO: Democratic Republic of Congo) Ebola Outbreak: Current Situation (CDC:Ebola) 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 outbreak response (Utah Department of Health and Human Services) Utah Measles Dashboard (Utah Department of Health and Human Services) Measles (VDH: Virginia Department of Health) 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) USrespiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Flu vaccine recommendations: Vaccines and Related Biological Products Advisory Committee March 12, 2026 Meeting Announcement (FDA) WHO updates all 3 viral strains to be included in fall flu shots (CIDRAP) FDA vaccine advisers recommend adding subclade K to fall shots(CIDRAP) 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) USrespiratory 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) 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) Nirmatrelvir/Ritonavir for the Treatment of COVID-19 in Children Aged 6 Years and Older (Pediatrics) 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 Efficacy and safety of rivaroxaban, colchicine, and famotidine–loratadine with specialist supportive clinical care for fatigue in patients with post-COVID-19 condition in the UK: a multisite, open-label, randomised controlled trial (LANCET: Infectious Diseases) Long-term Sequelae Associated With Severe West Nile Virus Disease in Maricopa County, Arizona, 2021 (OFID) Reaching out to US house representative Letters read on TWiV 1338 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.

CardioNerds co-chairs Dr. Dinu Balanescu and Dr. Billy Joe Mullinax, along with FIT lead Dr. Shiavax Rao, discuss the evolving landscape of randomized controlled trials in pulmonary embolism with Dr. Jay Giri, interventional cardiologist, Associate Professor of Medicine, and Director of the Cardiovascular Catheterization Laboratories at the Hospital of the University of Pennsylvania. This episode examines the historical evidence behind systemic thrombolysis, the emergence of catheter-directed therapies and mechanical thrombectomy, and the landmark RCTs – STORM-PE, PEERLESS, HI-PEITHO, and PEERLESS II – that are reshaping intermediate-risk PE management. The discussion highlights challenges in PE trial design, the critical importance of clinical deterioration as an endpoint, and why this era represents an unprecedented wave of evidence generation in PE. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium.   Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls: Systemic thrombolysis in intermediate-risk PE reduces hemodynamic decompensation but at the cost of ~1.5–2% intracranial hemorrhage risk – a near-zero net benefit that has driven the search for safer catheter-based alternatives. “Focus on clinical deterioration, not mortality” – Due to crossover design in contemporary PE RCTs, control-arm patients who decompensate are rescued with advanced therapies, biasing mortality toward the null. Clinical deterioration is the most informative endpoint to watch in HI-PEITHO, PRAGUE-26, and PEERLESS II. HI-PEITHO is the first large RCT to demonstrate that catheter-directed fibrinolysis plus anticoagulation significantly reduces the composite of PE-related death, cardiorespiratory decompensation, or PE recurrence versus anticoagulation alone (RR 0.39; 95% CI 0.20–0.77; P=0.005), with no intracranial hemorrhage in either arm. The four major upcoming/recently reported PE RCTs (HI-PEITHO, PRAGUE-26, PEERLESS II, PE-TRACT) enroll progressively different risk populations – from the most enriched (HI-PEITHO) to the most permissive (PE-TRACT, which includes intermediate-low risk patients) – enabling a nuanced understanding of which patients benefit most from intervention. PE device clearance follows a fundamentally different FDA pathway than structural heart devices (single-arm safety/efficacy studies vs. mandated RCTs), yet market forces and clinical need have ultimately driven industry and government to sponsor large-scale RCTs – a lesson in how evidence development can evolve organically alongside regulatory frameworks. Notes: Notes drafted by Dr. Shiavax Rao. Question #1: What is the current evidence behind advanced PE therapies? Systemic thrombolysis: Sixteen RCTs over 40 years (1972–2014) enrolling nearly 2,000 patients have studied systemic thrombolysis in intermediate-risk PE. The landmark PEITHO trial (n=1,006) showed that tenecteplase reduced the composite of death or hemodynamic collapse (2.6% vs. 5.6%; P=0.015), driven primarily by reduced hemodynamic decompensation (1.6% vs. 5.0%; P=0.002). However, this came at the cost of increased major bleeding (6.3% vs. 1.5%; P

Every parent has wondered:Is this just a phase... or is my child struggling?When anxiety, meltdowns, OCD, or big emotions show up, it's easy to mistake them for bad behavior. But what if your child isn't trying to give you a hard time... they're having a hard time?Clinical psychologist Dr. Kendra Read joins Rebecca Greene to explain what anxiety really looks like in children and teens, why reassurance isn't always the answer, and the simple parenting shifts that help kids build confidence instead of fear.Parents want to fix their children's struggles, but sometimes our best intentions accidentally keep anxiety growing.Dr. Kendra Read shares practical, evidence-based strategies that help parents respond differently to anxiety, OCD, emotional outbursts, and everyday stress. From validating emotions without reinforcing fear to understanding meltdowns and recognizing when it's time to seek additional support, this conversation offers hope, clarity, and actionable tools every family can use.3 Key TakeawaysAnxiety is not bad behavior. Children often need understanding before correction.Validation and confidence work together. Let your child know you understand their feelings while also believing they can handle hard things.Praise bravery, not perfection. Small courageous steps build resilience that lasts a lifetime.Parenting doesn't come with an instruction manual, and none of us gets it right every time. The good news is that children are incredibly resilient, and small changes in how we respond can make a lasting difference. This episode will leave you feeling more confident, more hopeful, and better equipped to support your child through life's biggest emotions.

Send us Fan MailIn this episode, Ben and Daphna sit down with Dr. Scott, pediatrician, neonatologist, and inventor of the Tortle. She shares how a simple observation in her Idaho practice, babies developing flat heads despite diligent parents, sparked a second career in medical device innovation. The conversation covers the evolution from the original corrective beanie to the Midliner and Transportal, the physiologic rationale for midline positioning in IVH prevention, and real-world data from a Tennessee children's hospital that cut its IVH rate from 28% to under 6%. She also offers candid advice for clinicians looking to turn an idea into a product.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!

In episode 380 of The Physical Performance Show, host Brad Beer and Pogo Physio physiotherapist Tim Studley conclude their three-part expert series on bone stress injuries by focusing on what happens after diagnosis. From imaging and prognosis to rehabilitation, return to running, and long-term prevention, this episode provides a practical roadmap for athletes, coaches, and clinicians managing these complex injuries. Brad explains why identifying the underlying causes of a bone stress injury is just as important as healing the bone itself. The discussion covers deloading, progressive reloading, strength and conditioning, bone-building exercise, and the simple but powerful strategies that can dramatically reduce the risk of recurrence. Show Sponsor: PILLAR Performance is leading a new frontier in sports nutrition through micronutrition innovation. Their new Collagen Repair formula, developed in collaboration with Gelita Laboratories, is designed to support tendon and ligament health while promoting collagen synthesis to help athletes stay healthy and perform at their best. For 15% off your first order, visit pillarperformance.shop (or thefeed.com for North American listeners) and use the discount code PHYSICALPERFORMANCE (one word, capitals) at checkout. In this episode, you'll hear Why MRI remains the gold standard for diagnosing bone stress injuries and guiding treatment When a clinical diagnosis may be sufficient—and why imaging usually provides better certainty and prognosis The three-step rehabilitation framework: identify risk factors, deload appropriately, then progressively reload Why treating the underlying cause is essential to preventing repeat bone stress injuries How rehabilitation differs depending on injury severity and high-risk versus low-risk bone sites Practical principles for returning to running, including restoring volume before introducing intensity Why the opposite limb also requires strength and bone loading during rehabilitation The role of strength training, plyometrics and osteogenic exercise in rebuilding bone capacity Why bone responds best to short, novel loading sessions rather than long continuous exercise The concept that "bone cells get bored easily" and how to optimise bone adaptation Why multidirectional movement remains important long after returning to sport The impact of childhood sport participation and bone geometry on lifelong injury risk Brad's personal journey with osteoporosis and what it taught him about endurance athlete health Three practical strategies every endurance athlete can implement to reduce bone stress injury risk Why recovery—not just training—is where adaptation actually occurs Quotes / takeaways "Treat the cause—not just the injury." "Restore volume before you restore intensity." "Bone cells get bored easily." "It's not the training you adapt to—it's the recovery from the training." "Eat more than you think you need." Partners / links mentioned Show Sponsor: PILLAR Performance — 15% off your first order using code PHYSICALPERFORMANCE at checkout. North America: thefeed.com Timeline 00:00 – Introduction, sponsor and final episode of the Bone Stress Injury mini-series 02:27 – Clinical testing for femoral neck bone stress injuries 03:26 – Clinical diagnosis versus MRI: when imaging is essential 05:14 – Why MRI improves prognosis and return-to-sport planning 07:03 – The three-step rehabilitation framework: risk factors, deload, reload 08:58 – Deloading strategies for high-risk bone stress injuries 09:50 – Progressive tissue loading and returning to running 10:46 – Why training volume should return before intensity 11:45 – Reloading the unaffected limb during rehabilitation 12:44 – Strength training, muscle function and long-term bone health 14:30 – Why bone cells "get bored" and how osteogenic exercise works 15:56 – Novel loading strategies, multidirectional movement and chaos hopping 17:23 – Childhood sport participation and building stronger bones 19:14 – Brad's personal experience with osteoporosis as an endurance athlete 21:40 – Three practical strategies to reduce bone stress injury risk 24:29 – Skeletal deload weeks and cross-training alternatives 25:27 – Recovery as the key driver of adaptation 26:26 – Final advice for athletes and clinicians 27:49 – Brad's top performance tip: "Eat more than you think you need" 28:18 – Listener challenge: fuel immediately before and after every training session this week 28:56 – Episode close and conclusion of the Bone Stress Injury mini-series THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online. Your Host:

Clinical trials are so important. They're how new therapies and treatments and cures are developed for diseases, and how we update our medical knowledge. At the same time, they aren't without risk for our kids and our families. So, how do you decide whether it's worth it? We're breaking down that question with pros, cons, and personal experiences.A huge thank you to our sponsor for this summer season, Real Food Blends! Real Food Blends are the only 100% real food meals thatare ready-to-feed for people with feeding tubes. Offering 8 different meals and 1 snack for adults & kids, it's the closest thing to homemade blenderized tube feeding. Learn more at realfoodblends.com!Links:Fill out our contact form to join upcoming discussion groups!Join The Rare Life newsletter and never miss an update!Follow us on Instagram @the_rare_life!Donate to the podcast or Contact me about sponsoring an episode.

In this episode with Dr. Jockers and guest Dr. Tony Jimenez, you will learn how cancer is understood as a complex process shaped by the body's internal terrain rather than a single isolated cause. You'll hear how inflammation, toxicity, and metabolic imbalance can influence disease development and progression in ways most people are never told. You will also discover how integrative oncology approaches can be used alongside conventional care to support the body's healing response.   You will gain a clearer understanding of why genetics account for only a small percentage of cancer cases, while epigenetic and lifestyle factors play a far greater role in how disease expresses itself. The discussion explores how chronic stress, poor sleep, environmental toxins, and unresolved emotional trauma can all impact cellular function over time. You'll also hear how addressing these root factors can help restore balance and support the body's natural defenses.   Explore the connection between nutrition, blood sugar regulation, and cancer biology, and why metabolic health is central to long-term outcomes. The episode breaks down how lifestyle habits such as movement, sleep quality, and nutrient-dense foods contribute to resilience. And you'll gain insight into how integrative tools like detoxification, immune support, and light-based therapies are being used in advanced care settings.   In This Episode:  00:00 Nutrition Isn't Optional 00:21 Meet Dr. Tony Jimenez 05:36 What Cancer Really Is 09:41 Smart vs Stupid Cancers 11:00 Cancer Is a Process 14:25 Genetics vs Epigenetics 17:36 Therapeutic Order Healing 23:53 Cell Danger Response 25:31 Hope4Cancer Assessments 31:03 Mindset Prayer and Healing 33:11 Emotional Trauma Breakthroughs 37:49 Nutrition and Cancer Growth 41:03 Personalized Nutrition Basics 42:42 Clean Foods Low Toxins 43:26 Sugar, Insulin, Inflammation 45:11 Cancer and Sugar Myths 46:44 Food First Supplements Second 48:13 Carbs, Fruit and Activity 51:25 Structured Water Hydration 52:52 Exercise for Longevity 53:42 Light Sleep Hormones 55:36 Sound Light Cancer Therapy 01:03:47 Detox and Modern Toxins 01:05:33 Clinical Trials Chemo Reality 01:08:22 Integrative Chemo IPT 01:09:48 Hope and Closing Message   Get the benefits of apple cider vinegar without the harsh taste in easy veggie capsules, supercharged with turmeric, ginger, Ceylon cinnamon, and lemon to support digestion, blood sugar, and metabolism. Go to paleovalley.com/jockers and use code JOCKERS to save 15% off your order. Clean, convenient daily gut support—take it with meals for best results. Fuel your body with 78 vitamins, minerals, probiotics, adaptogens, and superfoods in one scoop designed to support energy, gut health, and immunity. Tastes great with natural pineapple flavor and costs just $40 a bag with free shipping and 365-day returns. Get yours at quince.com/drjockers and simplify your daily nutrition.   Support thicker, healthier-looking hair with a clean botanical formula featuring rosemary, castor, argan, peppermint, and lavender oils designed to nourish the scalp naturally. Clinical studies highlight rosemary's powerful hair-support benefits—no harsh chemicals or fillers. Visit everbella.com and use code JOCKERS30 to save 30% off your entire order. Help support joints, skin, hair, and recovery with grass-fed, pasture-raised collagen peptides that mix easily into coffee or smoothies with no taste or clumping. Trusted by over 100,000 customers and NSF-certified for sport, it's a simple daily upgrade for longevity support. Go to bubsnaturals.com and use code DRJOCKERS for 20% off your order.   "The goal isn't just to fight cancer. It's to create a body where cancer struggles to survive."   Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean  TuneIn Radio   Resources:  Go to paleovalley.com/jockers and use code JOCKERS to save 15% off your order. Get yours at quince.com/drjockers Visit everbella.com and use code JOCKERS30 to save 30% off your entire order. Go to bubsnaturals.com and use code DRJOCKERS for 20% off your order.     Connect with Dr. Tony Jimenez: Website - https://hope4cancer.com/ Book - https://a.co/d/05R2FXtz     Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https:/www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/   If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/

The 1975 film that emptied the beaches was built on real horror — the 1916 Jersey Shore attacks that killed four, the unsolved disappearance of Tom and Eileen Lonergan, and the science of why great whites bite at all.EPISODE BLOG PAGE (includes sources): https://weirddarkness.com/jawsREAD or DOWNLOAD the full transcript of this episode: https://weirddarkness.tiny.us/jawsFEATURED STORIES IN THIS EPISODE: In June of 1975 we were exposed to one of the scariest movies ever made. For this podcaster, it's just not Independence Day until I watch it – and you still can't get me to swim in the ocean. We'll look at what made ‘Jaws' so successful… and so frightening. We'll also look at the true story of a string of shark attacks in 1916 that inspired the novel and the film. And while 1975's ‘Jaws' was inspired by a series of shark attacks but greatly fictionalized, the film ‘Open Water' from 2003 is based on a very real and terrifying story. But the truth behind the movie is a dark mystery that goes way beyond the horror of what you see in the film. We'll look at several other real shark attacks that are almost too incredible to believe, and also try to answer the question as to why shark attacks don't happen more often as you would expect them to, seeing as humans should be easy pickings.CHAPTERS & TIME STAMPS (All Times Approximate)…00:00:00.000 = The Foreboding (My First Experience With a Horror Movie)00:02:16.983 = Show Open00:05:28.642 = The Real-Life Inspiration for “Jaws”00:15:01.913 = The Horror of “Jaws” ***00:40:05.165 = The True Darkness of “Open Water” ***00:52:06.811 = Real Shark Attacks01:04:18.086 = Why Sharks Attack Humans ***01:23:44.579 = Show Close*** = Begins immediately after inserted ad breakLISTEN ON PODCAST APPS: Look for this podcast on Apple Podcasts, Spotify, iHeart Radio, Amazon Music, Pandora, TuneIn Radio, and other podcast apps. Get a list of free listening apps here: https://weirddarkness.com/wdapps*No AI Voices Are Used In The Narration Of This Podcast*SOURCES and RESOURCES:“The True Darkness of Open Water” by Erin McCann for Ranker: https://tinyurl.com/y8vaqgra“The Real-Life Inspiration for ‘Jaws'” by Christopher Klein for History: https://tinyurl.com/yb5s35xc“The Horror of ‘Jaws'” by Jackie Flynn Mogensen for Mother Jones: https://tinyurl.com/y2mxf8us, Andrew Housman for ScreenRant: https://tinyurl.com/yae8ohh6, Meagan Navarro for Bloody Disgusting: https://tinyurl.com/y7p8q9lw, Tim Donnelly for the New York Post: https://tinyurl.com/y9twrcc7, and Rachel Paige for Hello Giggles:https://tinyurl.com/ycdlb6je“Real Shark Attacks” by Charles W. Bryant for How Stuff Works: https://tinyurl.com/y9scmg9x, and Lou Boyd for Mpora: https://tinyurl.com/y9e55t4u“Why Sharks Attack Humans” by Richard Gray for BBC: https://tinyurl.com/ycf563up(Over time links may become invalid, disappear, or have different content. I always make sure to give authors credit for the material I use whenever possible. If I somehow overlooked doing so for a story, or if a credit is incorrect, please let me know and I will rectify it in these show notes immediately. Some links included above may benefit me financially through qualifying purchases.)WeirdDarkness® is a registered trademark. Copyright ©2026, Weird Darkness.Originally aired: July 03, 2020This episode of Weird Darkness dives into the world of sharks — the 1975 film that made a generation afraid of the water, the 1916 New Jersey attacks that shaped America's fear of the sea, the unsolved disappearance behind a 2003 horror movie, a catalog of real maulings, and the science of why sharks bite people at all.It opens with Steven Spielberg's Jaws, the 1975 blockbuster that grossed $7 million its first weekend and ranked sixth on IMDb's list of the ten best horror films. The mechanical shark, three models all nicknamed "Bruce," sank on first submersion and corroded in the saltwater of Nantucket Sound, forcing Spielberg to keep the animal off-screen for all but roughly four minutes and to build terror through John Williams' two-note score instead. Screenwriter Carl Gottlieb, who now calls it "the fish movie," predicted audiences would fear the ocean the way they feared showers after Psycho. Clinical psychologists Ali Mattu and James Hambrick, both trained to talk people out of irrational fears, admit the film gave them their own galeophobia, with Mattu once showering while standing on the edge of the tub to avoid a drain-based attack. Author Peter Benchley, who wrote the novel, spent his final years advocating for shark conservation after fishermen killed sharks by the thousands in the film's wake, cutting large shark populations along the eastern seaboard by an estimated fifty percent.From there the episode turns to the real attacks that preceded the fiction, the deadly summer of 1916 along the Jersey Shore. Charles Vansant, a 25-year-old from Philadelphia, bled to death in the lobby of the Engleside Hotel in Beach Haven on July 1 after a shark clamped his left leg in three-and-a-half feet of water. Five days later Charles Bruder, a 27-year-old Swiss bellboy captain, lost both legs off Spring Lake, and on July 12 the killing moved more than a mile inland up Matawan Creek, taking 11-year-old Lester Stillwell and Stanley Fisher, the 24-year-old tailor who dove in to recover the boy's body. President Woodrow Wilson convened a cabinet meeting over "the shark horror," and shark hunter Michael Schleisser later killed a shark in Raritan Bay with human bones reportedly found inside, after which the attacks stopped.Next the episode examines Open Water, the 2003 film built on the disappearance of Tom and Eileen Lonergan, experienced divers left behind by the Outer Edge dive boat at St. Crispin Reef on the Great Barrier Reef on January 25, 1998. No one noticed them missing for roughly forty-eight hours. A dive slate later recovered miles away bore the date January 26 and a plea for help, their diaries revealed unhappiness and Tom's stated readiness to die, and their wetsuits and air tanks washed ashore without a single bite mark or trace of blood. Australian diver Ben Cropp argued tiger sharks took them within two days, while boat owner Jack Nairn faced a manslaughter acquittal and a civil negligence conviction that shuttered his company, and more than twenty people claimed to have seen the couple alive afterward, leaving the truth unresolved.Next comes a run of documented real-life attacks stretching across centuries. The USS Indianapolis sank near Guam on July 30, 1945, dropping roughly 900 sailors into the water where sharks reduced the survivors to 317. Barry Wilson, a 17-year-old tuba player, became the first person killed by a shark in California history, and free-diving abalone hunters Omar Conger and Randall Fry were both taken by great whites, Fry's body recovered with his head separated from it. Bethany Hamilton lost her left arm at thirteen and returned to competitive surfing, spearfisherman Rodney Fox survived a torso bite by gouging the shark's eyes and now educates the public about the animals, and Brook Watson lost a leg to a shark in Havana Harbour in 1749 at the age of fourteen.The episode closes with the science of why sharks bite people, drawn from researchers including Gavin Naylor of the Florida Program for Shark Research and marine biologist Blake Chapman. Attacks correlate with the overlap of people and sharks in the same water, which is why rising seal populations off Cape Cod — rebounding under the 1972 Marine Mammal Act — drew great whites that delivered Massachusetts its first fatal attack in eighty-two years in 2018. Most bites appear to be cases of mistaken identity, the flash of a foot resembling bait fish, and the three species most often responsible are the great white, tiger, and bull sharks, the last hunting murky water by smell and electroreception rather than sight. The odds of dying in a shark attack sit near one in 3.7 million, yet Hannah Mighall, mauled by a five-metre great white in Tasmania's Bay of Fires at thirteen, still carries the toothy bite scar on her leg and the nightmares that came with it, alongside her refusal to see the animals culled for what they did to her.