Podcasts about Clinical

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Shelby Williams.

What if healthcare understood neurodivergence differently?Welcome to Clinical Misfits, a podcast exploring neurodivergent health, medicine, and clinical understanding through an autistic cultural lens. Part of the Autistic Culture Podcast Network.Hosted by Dr Mary Sims, a neurodivergent neurologist who is AuDHD herself, the series combines lived experience and medical expertise to explore the physical, neurological, and systemic realities of neurodivergence.From burnout and the autonomic nervous system to hormones, genetics, and immune system interactions, Clinical Misfits challenges assumptions and offers new ways of understanding neurodivergent health.

The medical establishment spent decades telling patients that type 2 diabetes is a chronic and irreversible disease. Today's guest decided to prove them wrong.Sami Inkinen is the co-founder and CEO of Virta Health, a company using a combination of nutrition science, remote monitoring technology, and individualized coaching to help patients reverse type 2 diabetes, obesity and other metabolic conditions.  Previously, Sami co-founded Trulia, the online real estate marketplace, serving as COO and president through its IPO and eventual sale to Zillow. He has also held roles at Microsoft and McKinsey, and rowed from California to Hawaii with his wife to raise awareness of the dangers of sugar.Sami joins us to talk about how his own health journey influenced his decision to start Virta, the challenges of scaling in the health space, and the incredible success they've had in treating metabolic disease. Highlights:A personal pre-diabetes diagnosis (2:35)Lessons from Trulia (6:00)Why reversal, not management (9:30)Clinical results and outcomes (12:47)GLP-1s and Virta's approach (15:26)Technology and personalization (17:33)Selling to employers (20:17) Overcoming the status quo (22:33)Building a full-stack team (25:15)Rowing California to Hawaii (28:30)Goals for ‘26 into ‘27 (30:58)Links:Sami Inkinen LinkedInVirta Health LinkedInVirta Health WebsiteICR LinkedInICR TwitterICR Website Feedback:If you have questions about the show, or have a topic in mind you'd like discussed in future episodes, email our producer, joe@lowerstreet.co

Zach, Kevin and Al have been tiptoeing around it for three episodes, but today we do a deep dive on the Rock and Roll Hall of Fame! The guys break down the highly secretive, two-step nomination process—debunking the illusion of the "fan vote"—and call out the historical genre biases that left iconic stadium rock, heavy metal, and progressive bands frozen out for decades. From debating the definition of "innovation" versus "commercial success" to throwing down over legendary snubs like The J. Geils Band, Weird Al, and INXS, this episode is a passionate, witty look at the politics, snobbery, and enduring legacy of the music that shapes our culture. Some links from the show: The Rock and Roll Hall of Fame How induction works The fake "fan vote" 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 MailWhat does it mean to truly improve outcomes for very low birth weight infants, and are we actually doing it? In this episode, Daphna sits down with Dr. Joseph Kaempf, neonatologist and Medical Director of Value Research and Innovation at Providence Health System in Oregon, to examine some uncomfortable truths about neonatal quality improvement. Dr. Kaempf shares findings from a study spanning 16 NICUs over 14 years showing that composite morbidity outcomes have remained flat while length of stay has increased. He explores why traditional QI tools like driver diagrams and PDSA cycles may no longer be sufficient, and why augmented intelligence may be the next frontier. The conversation also touches on culture as a driver of NICU performance and the gap between institutional interests and true shared decision-making with families. A candid episode for anyone invested in the future of neonatology.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

What happens to the brain when men become fathers? Clinical psychologist and neuroscientist Darby Saxbe studies how investing in caregiving changes the brains and bodies of men.. Darby and Adam examine the surprising similarities between dad and mom brains and the different mechanisms that activate them. They also discuss the effects of having a daughter on men's empathy and generosity, the hormonal mechanism behind “dad bods,” and the case for workplaces to grant parental leave to men as well as women.Featured guestFollow Darby Saxbe on Instagram and https://www.darbysaxbe.com/Subscribe to her Substack, Natal GazingBuy Dad Brain: The New Science of Fatherhood and How it Shapes Men's LivesConnect with the teamFollow Adam on Instagram, LinkedIn, and at adamgrant.net/Subscribe to Adam's substack GrantedWatch ReThinking videos on YouTube at TEDAudioCollectiveFollow TED on X, Instagram, Facebook, LinkedIn, and TikTokReThinking is produced by Cosmic Standard. Our Senior Producer is Jessica Glazer, our Engineer is Aja Simpson, our Technical Director is Jacob Winik, and our Executive Producer is Eliza Smith.For the full text transcript, visit ted.com/podcasts/rethinking-with-adam-grant-transcripts Hosted on Acast. See acast.com/privacy for more information.

What if healing wasn't random? What if the body was designed with intelligence, order, rhythm, and frequency built into it? In this powerful philosophical episode of the MoChihChu Podcast, Dr. Fred Schofield unpacks "The 7 Levers" a deep dive into chiropractic philosophy, nervous system communication, spinal alignment, frequency, tone, healing, self-regulation, and the true purpose of the adjustment. This isn't surface-level chiropractic talk. This episode bridges ancient principles, modern nervous system science, innate intelligence, spinal biomechanics, breathwork, energy, heart rate variability, posture, clinical certainty, and the foundational laws that govern healing and human performance. Dr. Fred explores: The neurological connection between the brainstem and body Chiropractic adjustments and frequency restoration The meaning of subluxation and nervous system interference Why structure influences function How stress, cortisol, and poor tone affect healing The role of posture, breathing, movement, and spinal molding Heart rate, vitality, and nervous system adaptability Clinical certainty and patient communication Self-healing, autopoiesis, and innate intelligence Why consistency and discipline create long-term transformation From Palmer philosophy and upper cervical concepts to practical patient care and personal development, this episode is packed with searchable, thought-provoking conversations around chiropractic healing, wellness, nervous system regulation, holistic health, and peak performance. If you're a chiropractor, chiropractic student, wellness practitioner, or someone passionate about health, healing, energy, mindset, and the power of the human body… this episode will challenge the way you think about healing itself. "You are self-organizing. You are self-regulating. You are self-restoring." - Dr. Fred Schofield   Subscribe, share, and step deeper into the philosophy, science, and art of chiropractic.

Enjoy the ride as we go through a case of syncope with the Clinical Problem Solvers! Listen in awe as they break down their thought process when evaluating a patient presenting with syncope. We are joined by Reza Manesh (UCLA) and Rabih Geha (UCSF).Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Aliquot 1 and case discussion Aliquot 2 and case discussion Aliquot 3 and case discussion Aliquot 4 and case discussion Aliquot 5 and case discussion Final Diagnosis Outro Credits Producers: Matthew Watto MD, FACP; Edison Jyang, MD Clinical case writers: Youssef Saklawi, MD; Madallena Conte, MD  Show notes, infographic, and cover art: Edison Jyang, MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Reza Manesh, MD; Rabih Geha, MD DisclosuresDr. Reza Manesh reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.Sponsor: QuinceGo to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too. 

Your body isn't broken - your subconscious is running old programs. Clinical hypnotherapist Lydia Hatton joins Dr. Tabatha to unpack how childhood beliefs drive stress eating, weight struggles, and self-sabotage - and how to finally rewrite them. Romans 12:2 in action. What if the reason you can't stop stress eating, sabotaging your health goals, or staying stuck in the same patterns has nothing to do with willpower - and everything to do with a belief installed in your subconscious before age seven?In this episode, Dr. Tabatha sits down with Lydia Hatton - Clinical Hypnotherapist, Mindset Coach, Columbia and Harvard MBA grad - to pull back the curtain on the hidden programs running your body, your eating habits, and your self-worth.Lydia discovered hypnotherapy after a thyroid cancer diagnosis during COVID, and what she found on the other side changed everything - including her work with women inside the Fast to Faith community.You'll learn:Why 95% of your thoughts are subconscious - and how they're quietly shaping your lifeHow limiting beliefs installed in childhood drive emotional eating, weight holding, and self-sabotageWhy "weight loss" language may actually be keeping you stuckHow to reprogram your mind with new truth - and why repetition is non-negotiableWhat hypnotherapy actually is (and why it is not scary, demonic, or out of your control)"Your entire body field is listening to the words you speak at all times." - Lydia Hatton"You have to believe before you receive." - Ashlee"You can't have this dissonance of your mind and your spirit. You have to be going in the same direction to move your body forward." - Dr. TabathaScripture: Philippians 2:1-2Connect with Lydia:Website: lydiahatton.com (book a discovery call)Email: lydia@lydiahatton.comYouTube: Lydia Hatton MBAIf you've been on your own healing journey and you keep thinking, I want to help other women do this! That pull is not random. The Fast to Faith Coaching Academy was built for you. You'll learn the clinical foundations hormones, gut healing, labs, supplementation & how to coach women through the 40-Day process while building a business that honors both science & faith.  Join Today!  For just five dollars, you get five days with a certified one-on-one coach guiding you through your hormones, your gut, and your faith.Go to ftf.fasttofaith.com/empoweredbyfaithdiyReady to go deeper?The women who hear this episode and feel something shift — they belong in the Fast to Faith Sisterhood. This is where faith, functional medicine, and identity work come together with a community of women who are done managing symptoms and ready to lead from healing.If you feel called to take that even further — to guide other women through this exact transformation — the Fast to Faith Coaching Academy is where that calling becomes a career.Become a certified Fast to Faith™ coach →Weekly live mentorship with Dr. TabathaNot ready for the academy yet? Start here: 5-Day Empowered by Faith Challenge ftf.fasttofaith.com/empoweredbyfaithdiyShop Dr. Tabatha's supplement line: Use code PODCAST for 20% off your first order: shop.fasttofaith.comGet the book: Fast to Faith: A 40-Day Awakening: book.fasttofaith.com/bonus?am_id=fasttofaith5413Fast to Faith is hosted by Dr. Tabatha Barber — OB/GYN, functional medicine physician, and founder of the Fast to Faith Sisterhood and Coaching Academy.

The quality of our attention shapes every interaction we have, yet listening is often the first skill sacrificed when pressure, technology, and time constraints take over. Most clinicians spend years learning what to say, while spending little time learning how to effectively listen. In a healthcare system dominated by tasks, metrics, and efficiency, the ability to slow down and create genuine presence may be one of the most valuable skills we can cultivate.In this episode, we explore why listening is both a mindset and a practical skill, how to listen more effectively, how small pauses can transform patient care, and why mindfulness extends far beyond meditation. Finally, we examine simple practices that help clinicians stay present, focused, and connected even during the busiest days.

PODCAST EPISODE | Redefining CyberSecurity With Sean Martin — On Location at InfoSecurity Europe 2026 On Location With Sean Martin And Marco Ciappelli Adversaries are stealing encrypted data today that they cannot read yet, and storing it until a quantum computer can. Sean Martin sat down with Forescout's Rik Ferguson to talk about “harvest now, decrypt later,” why Q-Day is closer than the comfortable timelines suggest, and what the decisions you make this year have to do with secrets you thought were safe forever.

What if the experience you think makes you an outsider in the design industry is actually your greatest advantage? In this episode of Designed for the Creative Mind, Michelle Lynne sits down with interior designer Katie Rainey to discuss her journey from Doctor of Physical Therapy to owner of a thriving interior design firm specializing in waterfront and lifestyle-driven homes. Katies design philosophy is that beauty and function are necessities, not luxuries.  With a Doctorate in Physical Therapy and a background in human movement, she crafts spaces that are both beautiful and intuitively designed for real life.  She partners with busy families and professionals seeking solace in nature - whether by the water in Annapolis or in the mountains of New Hampshire - guiding them through the intricacies of a renovation or a new build.  With deep construction knowledge, she collaborates closely with builders and architects to ensure seamless execution from concept to completion.  As part of a military family, Katie has lived across the U.S. and in Europe.  She draws inspiration for her designs from this global design perspective, having lived in diverse landscapes. Katie shares how she initially hid her medical background, believing it had little relevance to design, only to discover that her expertise in movement, ergonomics, and human behavior became one of her strongest differentiators. From designing custom solutions that improve clients' daily lives to building a business rooted in confidence, process, and professionalism, Katie offers valuable lessons for designers at every stage of business. The conversation also explores networking, pricing, client communication, boundaries, and the mindset shifts that helped Katie transition from treating design as a passion to running it as a profitable business. Whether you're transitioning from another career, struggling to communicate your value, or looking for encouragement to own your unique story, this episode is packed with practical wisdom and inspiration. In This Episode, We Discuss: Katie's transition from physical therapy to interior design Why your previous career can become your biggest business advantage Using ergonomics and human movement to create more functional homes How Katie found her unique positioning in the design industry The mindset shift from hobbyist to business owner Learning to separate emotion from sales conversations The "Pass the Salt" approach to discussing money with clients Why clear processes create better client experiences Educating clients through deliverables and expectations The importance of boundaries and scope management Networking strategies that helped Katie build a business in a brand-new market How confidence and consistency lead to stronger business growth Balancing motherhood, business ownership, and personal fulfillment Key Takeaways Your Past Experience Is Part of Your Expertise Katie spent years downplaying her background as a physical therapist before realizing it gave her a unique perspective that directly benefits her clients. The skills, knowledge, and experiences from previous careers often become the very thing that sets designers apart. Design Is More Than Making Things Beautiful A successful design must function for the people who live in it. Katie's understanding of ergonomics and movement helps her create spaces that support her clients' lifestyles while remaining beautiful. Confidence Comes from Process One of Katie's biggest business breakthroughs came from developing a clear process and communicating it effectively. When clients understand what to expect, they feel more confident moving forward. Networking Doesn't Have to Be Complicated From introducing herself to architects to striking up conversations at the gym and ice rink, Katie demonstrates that meaningful business relationships often start with a simple conversation. Business Growth Requires Personal Growth Success isn't just about improving your design skills. It's about developing confidence, setting boundaries, understanding your value, and learning how to lead clients through decisions. Memorable Quotes "Own your background. Whatever you did before design, there's something there that makes you a better designer." "If it looks beautiful but doesn't function for you, what's the point?" "You're not trying to convince clients to hire you. You're guiding them as the expert." "We are a for-profit company, not a non-profit." "We're most memorable in person, not behind our computer." "Whoever is going to hire me isn't going to hire you because I'm not you and you're not me." Connect with Katie Rainey Website: katieraineydesign.com Instagram: @katieraineydesign Facebook: Katie Rainey Design Connect with Michelle Lynne If you enjoyed this episode, be sure to subscribe, leave a review, and share it with a fellow interior designer who could benefit from today's conversation. For coaching, mentorship, and business resources for interior designers, visit our website at thedesignbakehouse.com.  Loved This Episode? Leave a review and share this episode with another designer who needs the reminder that their unique background isn't something to hide—it's something to build on.  

Clinical psychologist and parenting expert Dr. John Duffy joins Lisa Dent to talk about why Father’s Day doesn’t get as much love as Mother’s Day does. The two talk about where the disconnect is for celebrating dads.

Interest in peptide therapies has grown rapidly, with increasing patient questions driven by social media, wellness trends, and evolving access through compounding and online sources. This course reviews what peptides are, the current state of evidence supporting their use, and key safety and regulatory considerations relevant to patient care. You will be better prepared to apply an evidence-based approach when discussing peptides, including evaluating risks, addressing misconceptions, and guiding patients toward safe and informed decisions. HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTNicolette Mathey, PharmDFounder & CEO 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 the role of peptides in human physiology and the current evidence supporting their therapeutic use.2. Identify safety, regulatory, and patient-specific considerations relevant to the use of peptides in clinical practice.Rachel Maynard and Nicolette Mathey have no relevant financial relationships to disclose.0.1 CEU/1.0 HrUAN: 0107-0000-26-240-H01-P Initial release date: 6/15/2026Expiration date: 6/15/2027Additional CPE details can be found here.

Interest in peptide therapies has grown rapidly, with increasing patient questions driven by social media, wellness trends, and evolving access through compounding and online sources. This course reviews what peptides are, the current state of evidence supporting their use, and key safety and regulatory considerations relevant to patient care. You will be better prepared to apply an evidence-based approach when discussing peptides, including evaluating risks, addressing misconceptions, and guiding patients toward safe and informed decisions.HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTNicolette Mathey, PharmDFounder & CEO, Atrium24GET 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 the role of peptides in human physiology and the current evidence supporting their therapeutic use.2. Identify safety, regulatory, and patient-specific considerations relevant to the use of peptides in clinical practice.Rachel Maynard and Nicolette Mathey have no relevant financial relationships to disclose.0.1 CEU/1.0 HrUAN: 0107-0000-26-240-H01-P Initial release date: 6/15/2026Expiration date: 6/15/2027Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

From IV therapies to PET scans and detox strategies, Dr. Josh shares what works in clinical settings to reverse dementia symptoms. #DementiaReversal #BrainDetox #NeuroImaging #FunctionalMedicine

Clinical psychologists are hoping a new kind of OCD therapy, known as the Bergen Four-Day Treatment, will become part of the public health system. Health correspondent Kate Green reports.

In his weekly clinical update, Daniel Griffin and Vincent Racaniello opine on the recent executive order on the routine childhood vaccination schedule, the Ebola outbreak in the Congo and Uganda including the fast track trials for 2 vaccine candidates and antivirals, recent Hantavirus infections, use of quarantined "Hantavirus" patients for the governmental propaganda machine, use of ribavirin and other antivirals for Hantavirus associated cardiopulmonary disease, before Dr. Griffin deep dives into the measles outbreak, recent statistics RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, the measles outbreak in Bangladesh, as well as in a daycare center in Texas in 2025, how to access and pay for Paxlovid, FDA approval of a second COVID-19 antiviral drug, where to go for answers about long COVID-19, use of convalescent sera for COVID-19 treatment 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 Childhood Vaccine Hesitancy (NEJM) One Year In: Public Views of a Changing Public Health Landscape (Harvard School of Public Health) Rotavirus Vaccine Coverage and Potential Barriers Among US Children Born From 2007 to 2024 (Pediatrics) Texas reports New World screwworm in 3-week-old calf (CIDRAP) USDA Confirms First Case of New World Screwworm in a Dog in Lea County, New Mexico, Fourth Case in Texas (USDA: Animal and Plant Health Inspection Service) Confirmed Detections of New World Screwworm (USDA: Animal and Plant Health Inspection Service) Mexico reports more human New World screwworm infections (CIDRAP) Frequency and persistence of post-acute symptoms after chikungunya, dengue, Zika and malaria in travellers: a prospective multi-centre study (Journal of Travel Medicine) 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) Modeled Scenario Projections for the Ebola Disease Outbreak Caused by Bundibugyo Virus, 2026 (CDC: MMWR) Assessment of Riskto the U.S. Population from the Ebola Disease Outbreak Caused by Bundibugyo Virus, 2026 (CDC: MMWR) How Ebola Disease Spreads (CDC: Ebola) Signs and Symptoms of Ebola Disease (CDC: Ebola) Hantavirusdashboard (Hantavirus.up) Hantavirus on board with Prof. VincentRacaniello (MicrobeTV) Some hantavirus-exposed cruise ship passengers return home to finish quarantine (CNN) Use of tocilizumab for severe hantavirus pulmonary syndrome: a MEURI case series with contextual comparisons (LANCET: Infectious Diseases) First reported case of Andes hantavirus cardiopulmonary syndrome treated with a combination of favipiravir, ribavirin, icatibant and baricitinib (Clinical Microbiology and Infection) 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) 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) Anguished Parents, Crying Doctors: Life Amid Utah's Measles Outbreak (Wired) Characteristics of Patients Hospitalized with Measles During an Outbreak — West Texas, January–March 2025 (CDC:MMWR) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (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) 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) Real-world emergence of nirsevimab resistance in breakthrough infections with respiratory syncytial virus-B: a multicentre observational study in France (LANCET: Microbe) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national andregional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Shionogi Announces FDA Approval of XOCOVA® (ensitrelvir), the First and Only Oral Option to Help Prevent COVID-19 Following Exposure (Businesswire) SARS-CoV-2 viral shedding and vaccination‑modified effects of oral antivirals in older COVID-19 patients: a retrospective cohort study in Hong Kong (International Journal of Infectious Diseases) SARS-CoV-2 vaccination and attenuation of breakthrough infection severity: A systematic global review and meta-analysis (CID) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) 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 Metformin on the Presence of COVID-19 Symptoms 6 Months after Infection: The ACTIV-6 Randomized Clinical Trial (CID) Reaching out to US house representative Letters read on TWiV 1330 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

Send us Fan MailPhototherapy duration, jaundice and UTIs, extended CPAP, and The Pitt. A full week on the Incubator Journal Club.Ben opens with a nationwide Swedish cohort study from JAMA Network Open examining phototherapy duration in nearly 5,000 very preterm infants. Longer phototherapy was not significantly associated with late neonatal mortality, but six to seven days was associated with significantly higher rates of severe neonatal morbidity. With 95% of the cohort receiving phototherapy, Ben and Daphna question how much evidence actually supports the near-universal practice.Daphna follows with a retrospective study from Istanbul showing that 31% of term and near-term neonates hospitalized for unexplained hyperbilirubinemia had culture-proven UTIs, with pathological renal ultrasound findings independently associated with a 4.6-fold increased odds of UTI.Ben then reviews the extended CPAP secondary analysis by Mamidi and McEvoy, showing that two additional weeks of bubble CPAP reduced intermittent hypoxemia episodes from 151.7 to 57.6 compared to discontinued CPAP.Daphna closes with the NEOASP five-day UTI treatment guideline from Nationwide Children's Hospital, where a structured stewardship approach yielded a 1% failure rate.Ben and Eli close the week reflecting on The Pitt and what it reveals about the broken realities of American healthcare.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!

Clinical trials save lives but why does it often take years before a study can enroll its first patient? In this episode of The Lebanese Physicians Podcast, Dr. Khalil Diab sits down with oncologist, physician executive, author, and Chief Medical Officer of Ryght AI, Chadi Nabhan, to explore how artificial intelligence is transforming clinical trial site selection, feasibility assessments, and study activation. Dr. Nabhan explains why so many clinical trials struggle with enrollment, how traditional site selection methods often rely on relationships rather than data, and how AI-powered "digital site twins" may help identify the best-performing research centers worldwide. The discussion also explores the future of clinical research, reducing trial delays, increasing diversity in enrollment, and accelerating access to life-saving therapies. Topics discussed include: ✅ Why clinical trials often take 10–12 years to complete ✅ The hidden costs of poor site selection ✅ How AI-powered site twins work ✅ Clinical trial feasibility and site activation ✅ Enrollment prediction and trial performance ✅ Community practices vs academic medical centers ✅ Diversity, equity, and bias in AI-driven research ✅ The future of AI in clinical trials and drug development ✅ How faster trials could bring treatments to patients sooner Whether you're a physician, researcher, clinical trial professional, healthcare executive, or simply interested in the future of medicine, this conversation offers a fascinating look at how AI may reshape clinical research for years to come.

From Clinics to Courtrooms Part 3 with Dr. Pankti FadiaIn the final episode of this three-part series, we continue our conversation with Dr. Pankti Fadia, DC, MBA, exploring the intersection of chiropractic care, personal injury, documentation, ethics, and the legal system.

Clinical psychologist and neuroscientist Ian Robertson reflects on how humans will always crave each other's company, even when computers are in the mix.

Send us Fan MailIn this episode of Neo News, Ben and Eli discuss the cultural phenomenon of HBO Max's new hit medical drama, The Pitt. Sparked by an insightful critique in The New Yorker by Dr. Dhruv Khullar, they dive into why this Noah Wyle-led series is capturing the attention of millions of Americans, including healthcare workers and patients alike. They explore how the show's unflinching portrayal of systemic failures, from ER overcrowding to uninsured patients leaving against medical advice, mirrors their daily reality in the hospital. Tune in as they discuss whether the shared humanity seen on screen can bridge the gap between doctors and patients or simply highlight the exhausting "pit" of modern medicine!----The Pitt: https://www.newyorker.com/culture/the-lede/what-the-pitt-taught-me-about-being-a-doctorSupport the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

In this episode, Amy sits down with Deborah Santana—author, philanthropist, and lifelong spiritual practitioner—for a conversation that explores what it means to live from inner sovereignty.While many may recognize her through her 34-year marriage to Carlos Santana, this conversation clarifies something more essential: Deborah Santana has lived a deeply self-directed life shaped by spiritual inquiry, service, and the willingness to begin again.Her memoir, Loving the Fire, becomes the thread through which we explore transformation—not as an abstract idea, but as a lived experience of loss, identity shift, and conscious rebuilding.Key Themes Explored1. Early Life and the Roots of Inner StrengthDeborah reflects on her upbringing in San Francisco, shaped by a family that quietly modeled independence and devotion.Her father, Saunders King, was a respected musician who chose presence over fame—offering an early model of values rooted in family rather than recognition.Her childhood was also grounded in spiritual diversity, moving between Pentecostal, Lutheran, and contemplative spaces. This early exposure created a foundation of spiritual curiosity that would later evolve into a lifelong meditation practice.2. Identity, Culture, and AwarenessDeborah shares her experience growing up in a multicultural environment, where belonging felt natural—until moments of racism revealed deeper social realities.These experiences did not define her, but they did shape her awareness. Over time, they became part of the “fire” she would learn to walk through rather than avoid.3. The Fire: Loss, Transition, and ReinventionA central moment in Deborah's life—and in this conversation—is her decision to leave a long-term marriage and step into the unknown.She describes this period with clarity:A sudden shift from a full, externally defined life into silenceThe loss of roles, identity, and structureThe necessity of sitting with herself, without distractionRather than rushing to rebuild, she allowed a period of stillness:Studying the work of Wayne Dyer and Thich Nhat HanhEngaging in self-inquiry through Al-Anon principlesReturning to yoga and meditation as stabilizing practicesThis was not framed as breakdown, but as disassembly for the purpose of reorganization.4. Loving the Fire: A Different Relationship to ChallengeThe central teaching of Deborah's memoir is simple, but not easy:Life is not happening to us—it is happening for us.She describes fire not as destruction, but as a condition for renewal. Like a forest that regenerates after burning, human life can reorganize into something more aligned—if we stay present through the process.This reflects a core principle in yoga therapy:We do not eliminate discomfortWe change our relationship to itWe allow it to inform growth5. Spiritual Practice as a Stabilizing ForceDeborah has maintained a meditation practice since her early twenties. During times of transition, this inner relationship became her anchor.She describes moments of:Deep peace in solitudeHeightened perception in natureA sense of connection beyond identityThese are not framed as extraordinary experiences, but as natural outcomes when external roles fall away and attention returns inward.6. Rebuilding with IntentionFollowing this period of reflection, Deborah began to rebuild her life in alignment with her values:Founded the nonprofit Do A Little, inspired by Desmond TutuProduced documentary films to support global humanitarian effortsWorked with organizations connected to Nelson MandelaBecame a founding donor of the Smithsonian National Museum of African American History and CultureHer work consistently centers on women, girls, and collective well-being.7. Education and Lifelong LearningIn her 50s, Deborah pursued a master's degree in Women's Spirituality at the California Institute of Integral Studies.This experience reflected a pattern throughout her life:Learning as a form of self-developmentIntegrating intellect with lived experienceValuing wisdom traditions alongside modern inquiry8. Global Perspective and HumilityTravel—particularly to Africa—played a significant role in reshaping her worldview.She describes:A felt sense of humanity's originsA reorientation away from individual-centered thinkingA deep respect for cultural wisdom beyond the U.S. lensThis aligns with a therapeutic perspective: healing often expands when we move beyond our habitual frame of reference.9. Current Work: Courage and EmpathyDeborah is currently involved in developing the Courage Museum in San Francisco, a project focused on:Understanding violence as a learned behaviorTeaching empathy as a skillCreating immersive experiences like “Empathy Mirrors,” where individuals witness and feel others' lived experiencesThe intention is clear: violence can be unlearned, and empathy can be cultivated.Clinical and Philosophical ReflectionsThis conversation offers several points of integration for yoga therapists and healthcare providers:Transformation often begins with disruption of identityStillness and reflection are not passive—they are reorganizing forcesSpiritual practice provides continuity when external roles dissolveGrowth requires both self-inquiry and self-responsibilityMeaning emerges not by avoiding difficulty, but by engaging it with awarenessClosing ReflectionDeborah Santana's life illustrates a steady principle:We are not defined by our roles, relationships, or accomplishments. When those fall away, what remains is the foundation we build from.Her story is not about reinvention as performance. It is about returning to something more essential—and choosing, from that place, how to live.Learn MoreLoving the Fire by Deborah SantanaAvailable via her website and major booksellersUpcoming events and book tour information available online

In this episode, Lisa talks with Maya Bundesen-Magier, occupational therapist, mother of two, and founder of MapMyMilk, a digital tool created to help breastfeeding families track maternal diet and infant symptoms with more clarity.Maya shares how her own experience with food reactivity in her babies led her to create a better way for families and providers to look for patterns without relying on fear, extreme elimination diets, or guesswork.Lisa and Maya cover the overlap between tongue tie symptoms and food reactivity, including reflux, fussiness, poor sleep, stool changes, breast refusal, and feeding discomfort. They also talk about why symptoms should not be viewed in isolation, and why a functional, whole-baby approach matters before assuming that one issue explains everything.This conversation highlights the importance of clinical integrity, individualized care, and using better tools to support breastfeeding families who are trying to understand what is really going on with their baby.In this episode, Lisa and Maya discuss:Why food reactivity and tongue tie symptoms can overlapHow MapMyMilk helps families track food intake and infant symptomsWhy extreme elimination diets can leave parents feeling afraid to eatThe importance of looking at patterns instead of guessingWhy a tongue tie release may not resolve symptoms if food reactivity is also presentThe role of IBCLCs and other trained providers in helping families sort through complex symptomsWhy data, clinical support, and individualized care matterFind out more at https://www.mapmymilk.com/ Use code TONGUETIE20 for 20% off either our monthly subscription (regularly $7.99) or lifetime access (regularly $54.99).More from Tongue Tie ExpertsExplore additional resources, including downloads, free guides, and links mentioned in this episode—along with access to our courses and new book:

Dr. Amel Havkic, founder and Managing Director of EvoMed Consulting and a practicing physician, unpacks why so many amazing medtech solutions never reach the patient bedside, along with advice on how to change that. Driven by frustration from frontline care, Amel built EvoMed to guide companies from development through real-world clinical adoption, and shares how his MBA research became the StarMap framework: seven success factors spanning workflow alignment, implementation friction, ecosystem fit, quality of care, and economic viability. He explains why staying in clinical practice matters as medical knowledge rapidly evolves, offers a real example of digitalization increasing clinician burden, and discusses AI as “augmented intelligence” that supports—not replaces—human decision-making.  Guest links: https://evomed-consulting.eu/ | https://www.linkedin.com/in/a-havkic/ | https://www.instagram.com/evomed_consulting?igsh=aTlyaGVmeXYybGt3 Charity supported: Save the Children Interested in being a guest on the show or have feedback to share? Email us at theleadingdifference@velentium.com.  PRODUCTION CREDITS Host & Editor: Lindsey Dinneen Producer: Velentium Medical   EPISODE TRANSCRIPT Episode 082 - Amel Havkic [00:00:00] Lindsey Dinneen: Hi, I'm Lindsey and I'm talking with MedTech industry leaders on how they change lives for a better world. [00:00:09] Diane Bouis: The inventions and technologies are fascinating and so are the people who work with them. [00:00:15] Frank Jaskulke: There was a period of time where I realized, fundamentally, my job was to go hang out with really smart people that are saving lives and then do work that would help them save more lives. [00:00:28] Diane Bouis: I got into the business to save lives and it is incredibly motivating to work with people who are in that same business, saving or improving lives. [00:00:38] Duane Mancini: What better industry than where I get to wake up every day and just save people's lives. [00:00:42] Lindsey Dinneen: These are extraordinary people doing extraordinary work, and this is The Leading Difference. Hello, and welcome back to another episode of the Leading Difference podcast. I'm your host, Lindsey, and today I'm delighted to welcome my guest, Amel Havkic. Amel is founder and MD of EvoMed Consulting, Department Head for Weaning and Home Ventilation. Dr. Amel is also a consulting medical director for many companies, apart from being an educator, mentor, author, and currently working physician. All right. Well thank you so much for being here. Welcome to the show. I'm delighted to talk with you today. [00:01:23] Amel Havkic: Thank you so much. It's a pleasure being here, and thank you for having me. [00:01:27] Lindsey Dinneen: Of course. I'd love if you wouldn't mind starting off by sharing just a little bit about yourself, your background, and what led you to medtech. [00:01:37] Amel Havkic: Okay, so my name is Amel Havkic. I am still a practicing physician. But on top of that, I'm a advisor in medtech. I am in medtech since something like six, seven years, and it actually came from the frustration that I had in everyday work on the patient bedside. I was already consulting some medtech companies on specific topics. And I've seen this huge gap between amazing medtech solutions which, however, for whatever reason, never made it to the bedside. So I ended up, I ended up fund founding EvoMed Consulting consultancy, which helps medtech companies with clinical adoption, pretty much helps them guide from the development all the way to the patient bedside. The solutions really getting adopted, really having an impact. We've had quite some success with this. We've been named best Market Access Consultancy in '25 in medtech. I personally also celebrated recently award for Best Rising Star of the industry. And yeah, all of this came from the idea that I wanted to see a world where no patient is left behind and independent of geography or economy or economic status. Every patient gets the best care imaginable. And yeah, what better way to deliver that than medtech, right? [00:03:05] Lindsey Dinneen: Yes, that was the perfect plug for medtech right there. That was excellent. So first of all, congratulations on all of your success and these recent achievements. That is really exciting and incredible and I, I know that your motivation goes obviously so much deeper than that, but I love the fact that you're getting recognized and it's, it's nice to have those moments of affirmation, so. [00:03:31] Amel Havkic: Yes, it is. I said it on the interview, which I got after the, after the award. It's not even about the award itself. It is actually about what I stand for and that is the human side of medtech. I mean, it is technology, but we're still doing it for humans. And as a doctor getting recognized and not as a founder, it is something it, it is a signal. So that's the, I think that's the positive, the good part about it, and that's what makes me proud. [00:04:03] Lindsey Dinneen: Yeah. Yeah, absolutely. So did you always have an interest in medicine? Did you always think you were gonna go this route? [00:04:11] Amel Havkic: In medicine, yes. I think as far as I can remember, thinking I wanted to be, I wanted to be a doctor. I was trying to cater to wounded animals as a, as a kid with, I don't know, four or five, six years old. Then I went to med-- no, before I went to med school, I was doing basically nursing school. I grew up in Bosnia, in Sigovina There it's after eighth, eighth grade, you decide what you actually want to do. So I decided I wanted to go into medicine and at that time, Dr. House came out and or house MD in, in the English, English terminology. And I was a huge fan. So that was pretty much my, my route was set from that. I was al also always tech savvy, so if I wouldn't have done medicine, I would've probably done IT. And at one point it kind of merged. [00:05:09] Lindsey Dinneen: Wow. Okay. All right. So Dr. House, I can totally understand why that became an, an inspiration. Do you have any examples that you could share that are like, is, is the medical world ever as wild as some of those stories on Dr. House? [00:05:27] Amel Havkic: Oh yes. Oh yes. It is specifically. So besides working in the hospital, I work in a private practice, and funny enough that private practice is focused on difficult to diagnose and rare diseases of, obviously for, for that reason. I was also working in a hospital department, which was working with with or in discovering rare diseases specifically when it comes to, to respiratory diseases. So, yeah, it is like that. I can share a story of one patient, which came to me because she had thoracic pain every now and then. And it was reoccurring, came again and again. I did an ultrasound, and so she was at a cardiologist, she couldn't find anything. The, the whole thing. And it, I did an ultrasound of the chest and I found a, a little a little mass, which is not supposed to be there. So I sent her to a CT. Funny enough, the CT came back negative because it was so small that you couldn't see it on a ct. However, when you know exactly where to look, you could still like see outlines of it. And then in the, in the discussion came out that she had an endometriosis at one point. So, we said, "Okay, this might be somehow connected." We took a tissue sample, so in the end it was indeed an endometriosis, which got discovered after 20 plus years of or, or 10 years of, chest pain every now and then. So, it's just one of the examples of the, of the, so yeah, it's Dr. House specifically is quite realistic. [00:06:57] Lindsey Dinneen: Oh my goodness. That is wild. I, wow. Okay. That is, that is really cool. So, so do you also have these these moments, I could just imagine you just feel like you've solved a mystery and you can help this patient and you know exactly how, is that just like the best feeling? [00:07:13] Amel Havkic: For, for me it is, for me, it is, I always have to describe or, or tell to my assistants in a or, or not assistants, my residents. Please don't misunderstand me. I get excited by this, not because I want the patient to be sick, but because first of all, we find a way to help after so many people could not. And yeah, just for the pure love of the game, so to say. [00:07:37] Lindsey Dinneen: That's amazing. Okay, so, well, I feel like we can go off on many tangents, but I'll, I'll try to, I'll try to stay focused because I, but I love that. I love that. So you're a practicing physician and you're, you're seeing these instances of medical technology that I imagined isn't getting adopted in the way that you know it should, that would have clients or patient impact. So you're, you're seeing this for a while. So did that lead to direct opportunities to consult for some of these companies that needed a physician's perspective or how did, how did that go from, "Hey, I, I, gosh, I'm seeing this gap" to, "Okay, I know where to go from here." [00:08:19] Amel Havkic: So, it exactly like that. So I was brought into a medtech company to consult them as a clinical medical expert on, at that point, risks associated to their solution. Of course it makes sense to have someone who is still in the trenches, so to say, because the logic behind certain workflows in hospitals or in healthcare environment is not the same logic that it guy would have when talking workflows similar. So that's how it started. And then a pattern started emerging. When I did my MBA thesis, I basically took, took these two, these two, that, that gap that I saw and made it a topic of my MBA thesis. I was looking specifically on success factors in healthcare and what makes a solution gets adopted or delivery system healthcare path, what makes it get adopted in the real world and what does not. And what emerged was basically knowledge graph constellation, so to say, of seven success factors. And that constellation also showed how they're connected with each other, so, and how they interact how they impact one another. So I put that to the, to the to the test, the findings, running multiple times the most profitable hospital unit in basically every hospital I went to, starting my private practice, which got profitable from day one. Consulting clients on the same on the same, framework who were able to triple their, their revenue from 30 to 90 million. And so on, so forth. And ultimately then just about half a year ago, I made the framework public, and that's the StarMap framework which is the moment when everything kicked off. So everything I I said after all the awards and all the recognition came after I shared what I've been holding back up until that point. [00:10:25] Lindsey Dinneen: Okay. Alright. Wow. All right. Can you share a little bit about this framework and what makes it so unique and impactful? [00:10:34] Amel Havkic: So what the eye recognized is that it works because it's basically backwards engineered. I had the benefit of hindsight and had the benefit of seeing the solutions, which really made it to, to the patient bedside. So this is a challenge that many medtech companies, specifically the medtech startups face. You know, they come actually from the other side trying to pick one of the hundreds, if not thousands of ways to to, to navigate, to come to that one point where they want to be. For me, it was exactly the other way around. I was already where they want to be and was able to backwards and engineer those factors. And it is, when you think about it or when you read through it, it's almost common sense. Factors like specialization, cooperation and ecosystem fit, workflow alignment, predictability of services. But also implementation, friction digitalization, quality of care, and specifically economic viability. So pretty much a 360 view on the, the, on the solution because when you, when you come to think of it, for something to get adopted in the clinic, there is a lot of different stakeholders involved. So it's not just the doctors, it's not just the clinics, it's the insurance companies, it's the the procurement, IT. Does this at all integrate into my ecosystem and so on so forth as a whole bunch of stakeholders and questions that need to be answered. And the StarMap is the first framework, which basically has a, a structured way of looking through all of these. [00:12:16] Lindsey Dinneen: Okay. Yeah. So this is, this is a framework that you have, I imagine, developed and refined over time as you've been consulting. So when you first started consulting, what are some of maybe the lessons that you learned in terms of being able to really help these companies succeed? [00:12:35] Amel Havkic: This is a bit more of a personal one because, I founded a consulting company. So my thought I had, I have no clue about marketing. I have no clue about those things. I'm a doctor, right? So, I imagined that what I should be is a consultant, right? After all, I'm consulting. It turns out that the, the biggest impact I could make, in fact as a doctor, because in the end, that's what I am, it's what is most natural to me, and that is what is bringing most impact to the clients. And then there's one specific thing which I have, which many other consultants in healthcare, also good consultants, don't have. And it is the fact that I'm still practicing. Fact is that today medical knowledge doubles every 73 days. In theory, that means if you are out of the healthcare delivery for 73 days, your knowledge is almost obsolete. It was way less, it was a few years when I studied. And now it's, it's became so exponentially big. What that means is that if you would take a doctor, and make him a consultant, drag him out of the hospital, he would be an expert for 73 days, and that's where it would stop. And this is the, this is pretty much the, the mindset that I adopted and everyone consulting in the EvoMed is still a practicing, practicing healthcare practitioner. So yeah, that's what makes EvoMed specifically different and that's how I saw the world before and how I see it now. [00:14:09] Lindsey Dinneen: That's incredible. Okay. Yeah. And, and it makes so much sense that if you're practicing then you're, you're needing to keep up on all that. But just on a very practical level, how do you stay on top of so much new information coming out so regularly? I mean, it's not like, you know, you don't have three major career things going on right now. [00:14:33] Amel Havkic: Yeah, I think by now it's a flywheel, and luckily I, I am the very, in the, in the very lucky position that my, that my hospital knows and accepts what I'm doing outside of the hospital and also supports this. So, I get updated regularly through through people talking to me, reaching out to me, showing their solutions, asking for my opinion. And on the other side, so, so that's, that's what keeps me updated on a regular. And on the other side, I still I still see the challenges that you would have in a hospital implementing those solutions. So, recently the one specific thing happened, just as an example. We, I, I was involved or I'm involved in a digitalization pro project of an ICU and of operating room. For that they have now from, from paper, from from paper notes, they're switching to digital. Problem is the paper notes they could fill out within five minutes while the digital have all kinds of mandatory fields. And, and it's kind and, and the time it takes a physician to fill out those, those digital forms is six times... [00:15:47] Lindsey Dinneen: Hmm. [00:15:47] Amel Havkic: ...More, so it's 30 minutes roughly if you're fast. So although you would think that something which gets digitalized is automatically better, this specific thing proves that just because someone thought, okay, I need this information, it need, this needs to be mandatory. But because the system maybe doesn't communicate with other parts of the system, legacy systems, legacy data from somewhere, it makes the job of the doctor living hell. So you, you can imagine how it is when you have like one person doing, I don't know, 40, 50, 60 pre-medication a day, and then from like five to 10 minutes pre-medication, it goes to 30 minutes, 60 minutes. That's, that's a problem. [00:16:31] Lindsey Dinneen: Yeah. So yeah, that is, that's, that is so interesting. It's, it's kind of, I suppose that goes into a lot of innovation. There are sometimes, you know, the things that we think, "Oh, well, this is, this is progress" and, and it might be, but just because you can doesn't mean it's always perhaps the most efficient or we should at least stress test it and decide, you know, how to make it the best it can be. So, all right, what are some, what are some trends and innovations that you're seeing that you're really excited about in terms of the future of medical care? [00:17:08] Amel Havkic: Well, obviously AI is a, is a great trend. I am really hoping that it'll take the, the proper route. I am, I've, I've been saying this a lot and I will repeat it again. When I say AI in healthcare context, I don't like AI as artificial intelligence, but as augmented intelligence, because what it's supposed to do, it's supposed to support our natural decision making process. And a decision in a high stakes environment like healthcare still needs to be in the hands of humans because there's much more to it than just a simple yes or no, or a statistic, or it's most probable that and that is a trend. So, so that is a technology which has huge potential. But so far, I must say oftentimes I see it implemented in the wrong way. It's trying to automate certain things either not good enough, or at certain points, or in such a way that it's not a livable in daily life or meets resistance. Specifically in healthcare, it's a very inert system because innovation in healthcare is perhaps dangerous is, it introduces new risks. That's why healthcare evolved to be a very inert system and to resist changes unless those changes are definitely proven to be better than what we have right now. So as an example, we had IBM Watson Oncology, huge player, huge possibilities. But somehow the, the way that Watson Oncology did things was not the way that clinicians wanted to use it. So in the end, they ended up selling it off. And that is just one example of many, many. So what I would really like to see for the future is AI is augmented intelligence, which really is positioned at the right places in a workflow of healthcare practitioners and help support their decisions rather than trying to automize or making them obsolete. [00:19:24] Lindsey Dinneen: Yeah, that makes a lot of sense. And it's, it's something that of course we hear a lot about, you know, and, and a lot of times I think that what I've been hearing, exactly like you said is, you know, if it can help, if it can help minimize some workflows or make something more, a process more efficient or those kinds of things, that is great help. But I don't think anyone wants AI to replace the expertise and the hands on learning that you do. And, and you obviously every 73 days, like you said, you're constantly building up your, your knowledge bank. And literally having been in the, in the medical setting for so long, you've, you've gotten to see this play out in real life and AI can't do that. So yeah, that's really interesting. [00:20:12] Amel Havkic: True. What, what it can do however, is just like every other job, healthcare also has a bell curve. So you have 5% or a percentage of the practitioners who are massive under performers, a percentage which are massive over performers, and then there's an average in the middle. And what, what AI can do is it can help even out the bell curve and move it as far to the expertise side as possible. There's also other repetitive tasks which, which can be taken over. So I do see potential in the, I do see a lot of potential in that technology specifically. But just as another example in my private practice, I have a. I have a AI scribe. It is specific for medtech. It's not something that I misuse, foreseeable misuse, for all the regulatory people. But it is an AI scribe. Still, most of my colleagues are not using it because they say, "Okay, this does not fit our needs. And it is not that specific scribe that we use." You cannot tweak the way how it gives you the output. It's preset. You can optimize certain things, but you cannot, for instance, train on your on the way you like your letters to look, for example. Then there's errors. So although you think, "Okay, you save a lot of time typing," right? You add at another point another a few work steps with the solution and ending up being shelved again because it's not really helping. Although from the, from the first glance, on the first glance, you would think, "Okay, this is revolutionary." [00:21:55] Lindsey Dinneen: Hmm. Yeah. Yeah. Okay that. Yeah. So it's gonna be interesting to see how it evolves and how it becomes hopefully even more useful in the future. So are there any moments that along your journey, either as a physician or even as a consultant, are there any moments that really stand out to you as affirming, "Wow, I am in the right place at the right time." [00:22:23] Amel Havkic: So it happened on, so speaking of the doctor part, yeah. It happened to me quite often. And I was first thinking of it as having bad luck. But ultimately maybe I was supposed to be there. So for some reason I run on a regular, into, into big car accidents happening. And car accidents or motorcycle accidents or so on, so forth, at least maybe 6, 7, 8 of them through, throughout my life with people really being injured and me being there as a first responder. So, so those were for instance, moments where I thought, "Okay, well, I understand this happens once or twice," but now and, and keeps keeps getting more. It's a bit maybe I wouldn't say well, it, it seems that I am supposed to be there at that time. That's how it feels to me. On the, the consulting side as well, specifically now that medtech is gaining more traction and more impact, and also with the award recently and similar things happening, that also made me feel like, "Okay, maybe I can with this make impact on more lives than just the lives I treat directly." Because if you manage to help a medtech startup launch a revolutionary idea and then survive and really make it all the way to the market and then thrive there, you impact thousands hundred, thousands, maybe millions of lives. And the, it being accepted the way it is right now is for me as well a similar sign. [00:24:05] Lindsey Dinneen: That's really cool. Yeah. I, I think, you know, I, I talk about it a lot. My role within medtech industry, you know, is, is small. I don't have that same level of impact at all. I'm, I'm helping, I'm, I'm in marketing, so I'm helping people tell their stories and get the, the word out. But I think getting to even just think about the fact that no matter kind of where you fit into the ecosystem you're helping hopefully impact patients' lives for the better and it's, it's so special getting to feel like even though it's a small role, I got to play a role. Yeah. [00:24:42] Amel Havkic: It is a, i I wouldn't even downplay it that much to be honest, because if no one hears about the solution, if no one knows that it exists there's more and more and more we're getting overloaded with all kinds of information. So, marketers who help certain things break through and reach the right people are doing their share just as anyone else in the industry is. It's maybe just as important. So yeah, I, I would encourage you to continue what you're doing up until now. [00:25:12] Lindsey Dinneen: Well, thank you. That's, that's, that is very encouraging. Okay, so, pivoting the conversation a little bit. Just for fun. Imagine that you were to be offered a million dollars to teach a masterclass on anything you want. It could be within your industry, but it doesn't have to be. What would you choose to teach? [00:25:31] Amel Havkic: Oh, that's a relatively easy one for me. I would teach clinical adoption masterclass and clinical adoption simply for the reasons we already mentioned. I would really like to help good solutions survive the reality of everyday clinical life. [00:25:50] Lindsey Dinneen: Amazing. [00:25:51] Amel Havkic: I think survive is the right, right word for this. [00:25:54] Lindsey Dinneen: Yes, I think so too, especially in having conversations with startups that are currently in the midst of this and, and trying to navigate the best approaches. So, yeah. That's incredible. Okay. And how do you wish to be remembered after you leave this world? [00:26:11] Amel Havkic: Well, that's a more difficult one. How do I wish to be remembered? Well, I would like to be the, so I would like to be the guy who everyone thinks left the world a better place than I found it. Maybe, quite short, not that extensive, but the implications are huge. You know, you can make the world better in many different ways. I do have certain skills and talents which naturally got me to where I am today. But it ultimately doesn't matter how much better the world is after I'm gone as long as it is better and this became clear to me also recently. So, while the, the awards night was going on, my wife couldn't come with me because our kid got sick, so she stayed in a hotel and, but they were watching the live stream and in the amidst of it all, when, when I came up and I went front to get the award, the little one got up, although she was sick and she was like laying in bed all day and couldn't get up. She went to the screen and pointed to the screen. So yeah, ultimately I want also my my daughter to think of me as someone who made this world a better place one way or the other. [00:27:29] Lindsey Dinneen: Yeah. I love that. That's a beautiful legacy and yeah, you're, you're doing just that, so that's amazing. That is so amazing. Okay. Okay. And then final question, what is one thing that makes you smile every time you see or think about it? [00:27:48] Amel Havkic: Oh, that's also an easy one for me. It's definitely my daughter, also my wife. It's, yeah, it's an amazing it's, it's amazing just seeing her growing up and develop all of these new skills and all of the new things that you didn't, that she didn't know how to do the day before. Also the way she goes through the world. She's fascinated by everything. Everything around is somehow magical and new and, yeah, so she can just like sit, sit in a, in a baby carriage and look around and everything is so, so awesome. She doesn't even need more. And that makes me remember that we actually should be more, way more, way more aware of the world around us and maybe not so, rushing all the time. [00:28:39] Lindsey Dinneen: Mm-hmm. Yes. I, I love that. I think I think about this sometimes of the idea of everyday magic, and those are just those moments of, I don't know, a butterfly, you know, flying by and you just see how beautiful its wings are or, you know, nature is, is very much that way for me in general. I, I, you know, you go on a walk and you go, "Oh my gosh, you know, those, those daffodils weren't there yesterday, and how beautiful are these things?" And to me, that's everyday magic. [00:29:09] Amel Havkic: Well, it, it is, and we, I, I do think that we don't take enough time to appreciate it. With always being busy with what's in the future, where we have to be and what we still have to do, that we maybe forget sometimes to appreciate what's right in front of us. [00:29:25] Lindsey Dinneen: Yeah. Yeah. I love that. Well, this has been a wonderful conversation. I'm so thankful you joined me today. Thanks for sharing your time and your experience and your stories. We are so honored to be making a donation on your behalf as a thank you for your time today to Save the Children, which works to end the cycle of poverty by ensuring communities have the resources to provide children with a healthy, educational, and safe environment. So thank you so much for choosing that charity to support, and also thank you for continuing to work to change lives for a better world. We're grateful, and I wish you the most amazing continued success. [00:30:06] Amel Havkic: Thank you so much. It was a pleasure being here and looking forward to part two. [00:30:12] Lindsey Dinneen: Yeah. There you go. Alright, well thanks again and we'll talk again later. [00:30:20] Dan Purvis: The Leading Difference is brought to you by Velentium Medical. Velentium Medical is a full service CDMO, serving medtech clients worldwide to securely design, manufacture, and test class two and class three medical devices. Velentium Medical's four units include research and development-- pairing electronic and mechanical design, embedded firmware, mobile app development, and cloud systems with the human factor studies and systems engineering necessary to streamline medical device regulatory approval; contract manufacturing-- building medical products at the prototype, clinical, and commercial levels in the US, as well as in low cost regions in 1345 certified and FDA registered Class VII clean rooms; cybersecurity-- generating the 12 cybersecurity design artifacts required for FDA submission; and automated test systems, assuring that every device produced is exactly the same as the device that was approved. Visit VelentiumMedical.com to explore how we can work together to change lives for a better world.

Join the Behind the Knife Surgical Oncology Team as we discuss clinical challenges through case-based examples including the diagnosis, workup, and management of patients with cutaneous melanoma. Learning Objectives:In this episode, we review the workup and management of patients with cutaneous melanoma and both microscopic and macroscopic nodal disease. References used in the making of this episode: Reijers, I.L.M., Menzies, A.M., van Akkooi, A.C.J. et al. Personalized response-directed surgery and adjuvant therapy after neoadjuvant ipilimumab and nivolumab in high-risk stage III melanoma: the PRADO trial. Nat Med 28, 1178–1188 (2022). https://doi.org/10.1038/s41591-022-01851-x Christian U. Blank et al. Neoadjuvant nivolumab plus ipilimumab versus adjuvant nivolumab in macroscopic, resectable stage III melanoma: The phase 3 NADINA trial.. J Clin Oncol 42, LBA2-LBA2(2024). DOI:10.1200/JCO.2024.42.17_suppl.LBA2 Faries MB, Thompson JF, Cochran AJ, et al. Completion Dissection or Observation for Sentinel-Node Metastasis in Melanoma. N Engl J Med. 2017;376(23):2211-2222. doi:10.1056/NEJMoa1613210   https://pubmed.ncbi.nlm.nih.gov/28591523/ National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Cutaneous Melanoma. Version 1.2026. Accessed April 8, 2026. NCCN Guidelines PDF   Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Want to start clinicals with more confidence? Walking in, already knowing these 8 common labs inside and out will definitely give you an edge when it comes to interpreting your patients lab results and understanding important components of their care plan. Still nervous about starting clinicals? One of the best ways to fast-track your clinical learning is having the right tools. And you're in luck, I've put together a Clinical Success Pack which includes report sheets, sheets to help you plan your day, a clinical debrief form, and a patient safety cheat sheet. Download it now for free

Today we have Dr. Dominic D'Agostino, who over the past 10 years has been a frequent guest on STEM-Talk. Today Dom joins us to give us an update on his recent research into ketogenic metabolic therapies, ketone supplements as well as hyperbaric oxygen therapy for traumatic brain injuries. Dom and his lab at the University of South Florida have published more than 20 papers since his last appearance on STEM-Talk in 2023. Dom is an Associate Professor in the Department of Molecular Pharmacology and Physiology at South Florida's Morsani College of Medicine. Dom has a background in neuroscience, molecular pharmacology, nutrition and physiology. In addition to developing and testing metabolic-based therapies, Dom's lab also investigates seizure disorders, brain cancer, neurodegenerative diseases and rare genetic-metabolic disorders. Show notes: [00:03:28] Dawn welcomes Dom back to the show and explaining that he has been quite busy since his last appearance, authoring or co-authoring more than 20 papers. Over the past several years, Dom has been helping to advance the science and application of ketogenic metabolic therapy (KMT) with colleagues at Moffitt Cancer Center, particularly focusing on using KMT to enhance immune-based therapies for certain types of cancers. Dawn asks Dom about this collaboration. [00:05:04] Dawn explains that ketogenic metabolic therapy is a dietary approach that focuses on a high-fat/low-carb diet to reduce glucose availability for cancer cells, potentially slowing their growth and improving treatment outcomes. It has been explored as a complimentary treatment for a variety of cancers including gliomas by shifting the metabolism of tumor cells away from glucose. Dawn asks Dom to explain what is involved in KMT. [00:06:58] Dawn clarifies that KMT requires less than 20-25 grams of carbohydrates per day, and that ketosis is a metabolic state in which the body switches from glucose metabolism to metabolizing fats in the form of ketones. Dawn goes on to explain that cancer cells typically consume glucose at a higher rate than normal cells. However, cancer cells are also very adaptable, and Dawn asks Dom to talk about this feature of cancer cells. [00:09:14] Ken explains that KMT has shown the most promise in treating high-grade gliomas, or brain cancers, such as glioblastoma, which is the most aggressive primary brain tumor in adults. Ken explains that Dom was part of a massive review titled “Clinical research framework proposal for ketogenic metabolic therapy in glioblastoma,” which proposed guidelines for the management of glioblastoma based on an understanding of cancer as a metabolic disease, particularly involving mitochondria. Ken asks Dom to talk about this review. [00:11:21] From a patient advocacy perspective, Ken notes that the review recommends that there should be an aggressive education campaign that can arm patients with knowledge about KMT and other novel therapies. Ken asks Dom to talk about that recommendation. [00:13:15] Ken asks about the process of cutting the review from upwards of 200 pages down to around 50 pages with 49 authors. [00:15:04] Dawn mentions that Dom was part of another paper in 2024 titled “Targeting the mitochondrial stem cell connection in cancer treatment – a hybrid orthomolecular protocol.” Dawn explains that this paper looked at the mitochondrial stem cell connection theory (MSCC), which argues that cancer originates from chronic oxidative phosphorylation insufficiency in stem cells. This insufficiency leads to the formation of cancer stem cells and abnormal energy metabolism ultimately resulting in malignancy. There were 16 research centers and organizations involved in this paper which introduced a hybrid orthomolecular protocol to target the mitochondrial stem-cell connection. Dawn asks Dom to give an overview of MSCC. [00:18:26] Dawn explains that in this paper Dom and his co-authors propose a protocol that would enhance oxidative phosphorylation and inhibit the primary fuels of cancer, glucose and glutamine. This would target both cancer stem cells and metastasis. Dawn asks Dom to explain why this concept is attracting so much interest as a potential therapeutic approach for cancer. [00:20:48] Dawn asks if Dom could discuss the orthomolecular protocol, which is an approach that focuses on preventing and treating diseases by correcting nutritional balances in the body. [00:24:41] Ken asks if the proposed dietary intervention in the orthomolecular approach is different from a standard or typical ketogenic diet. [00:26:48] Ken shifts the discussion to talk about ketone supplements, explaining that Dom recently published a paper titled “Divergent hepatic outcomes of chronic ketone supplementation.” Ken goes on to explain that ketone salts preserve liver health, while some ketone esters and precursors appear to drive inflammation and steatosis. There is a lot of interest in ketone supplementation because they substantially elevate circulating ketones without having to restrict carbohydrates as strictly. The problem, as Ken explains, is that the long-term hepatic safety of ketone supplements remains unclear. In the aforementioned paper, Dom's rodent study evaluated the formulation-dependent impact of chronic ketone supplementation on liver histopathology, inflammatory signaling and systemic biomarkers. Ken asks Dom to discuss this paper and its findings and to give an overview of the various ketone supplements currently available. [00:30:49] Dawn asks Dom to dive into the methods and findings of the rodent study. [00:34:36] Ken asks Dom what his confidence is in the rodent model used in this study, and what are the next step for further research. [00:37:47] Regarding the two different doses given to rats in the study, Ken asks Dom how these doses correlate to doses in humans [00:40:23] Ken mentions that Ben Bikman, who was our guest on episode 143, published a study in February which Dom helped co-author. It examined the effects of ketone supplements on liver function. Ken asks Dom to discuss this study. [00:44:38] Dawn pivots to ask about a joint paper that Dom did with Andrew Koutnik, who was our guest on episode 185, on carbohydrates and physical performance titled “Carbohydrate ingestion on exercise metabolism and physical performance.” Dawn asks Dom to talk about this paper, which showed that a small amount of carbohydrates is sufficient to fuel athletic performance, and how additional carbohydrate intake showed diminishing returns. [00:49:18] Ken follows up on the finding that endurance athletes who rely on carb loading can tend toward pre-diabetes. [00:51:39] Ken asks Dom about the University of South Florida trial that Dom is an advisor for on traumatic brain injury and hyperbaric oxygen therapy. [00:54:41] Dawn mentions that Dom recently had an editorial in Frontiers that gave an overview of the emerging applications of hyperbaric/hyperbaric-oxygen therapy in the treatment of different neurological disorders. Dawn asks Dom what the key points in that editorial were. [00:59:06] Dawn explains that Dom recently gave a lecture at IHMC (available to view on IHMC's YouTube page), on traumatic brain injury and the populations at greatest risk in that context. Dawn asks Dom to give an overview of how an injury to the brain can result in neurometabolic crisis. [01:02:53] Ken asks Dom, excluding occupation demographics, what demographic is most at risk for traumatic brain injury (TBI) and why. [01:04:45] Ken mentions that it is understandable the risk that young people face with TBI due to the activities that young people engage in. Older people, however, have increased risk of TBI from falling as well as an additional age-related biological component that young people are not subject to. Ken asks Dom to elaborate on this. [01:07:12] Dawn mentions that several years ago, Dom and his wife bought some acreage in the countryside and started farming and asks Dom how the farm life is going. [01:07:57] Dawn closes the interview asking how Dom's wife is doing.

Send us Fan MailIs five days of antibiotics enough to treat a urinary tract infection in a NICU infant? In this Journal Club episode, Ben and Daphna review a single-center study from Nationwide Children's Hospital examining adherence and safety of a five-day antibiotic treatment guideline for culture and urinalysis-proven UTIs in the NICU. Among 77 infants with 93 bacterial UTIs, the five-day course was associated with a 1% failure rate, defined as reinitiation of antibiotics within seven days for the same organism. The episode also explores the potential role of enteral antibiotic therapy and what shorter treatment courses could mean for babies still weeks away from discharge.----Urinary tract infection in the neonatal intensive care unit. Magers J, Burton A, Prusakov P, White NO, Miller RR, Moraille R, Theile AR, Sánchez PJ; Nationwide Children's Hospital Neonatal Antimicrobial Stewardship Program (NEO-ASP).J Perinatol. 2026 May;46(5):754-760. doi: 10.1038/s41372-026-02690-1. Epub 2026 Apr 29.PMID: 42056240 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!

In this episode of “Answers From the Lab,” host Bobbi Pritt, M.D., chair of the Division of Clinical Microbiology at Mayo Clinic, is joined by William Morice II, M.D., Ph.D., president and CEO of Mayo Clinic Laboratories, to discuss updates on the Protecting Access to Medicare Act (PAMA) and other policy changes affecting clinical diagnostics. Later, Dr. Pritt welcomes Ann Moyer, M.D., Ph.D., a molecular genetic pathologist at Mayo Clinic and chair of the hereditary genetics practice, to explore how precision therapeutics are improving cancer treatments.PAMA update (00:01): Get the latest on PAMA as the first data collection period begins, including ongoing efforts to advance the Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act.Policy changes influencing diagnostics (04:09): Learn how evolving reimbursement policies for blood-based cancer screening and a proposed CLIA modernization bill may impact the field.Pharmacogenomic tests improving cancer care (08:14): Discover how pharmacogenomics are benefiting patients with cancer, the benefits of medication-based testing, and how this field is advancing.ResourcesCMS: CLFS & PAMA reporting and resourcesPrecision Oncology Therapeutics: Personalized cancer treatmentAnswers From the Lab: Genetic Tests Identify Risk of Irinotecan-Induced Toxicity: John Logan Black, M.D.Answers From the Lab: Genetic Tests Identify Risk of Fluoropyrimidine-Induced Toxicity: Ann Moyer, M.D., Ph.D.

What can Homer's Odyssey teach us about resilience, trauma, grief, purpose, and living a meaningful life in the modern world?Clinical psychologist Dr. Sam Akbar joins Classical Wisdom Speaks to explore why The Odyssey remains one of the most powerful guides to human psychology ever written. Drawing on her work with trauma survivors and refugees, she reveals how Odysseus, Penelope, and Telemachus offer timeless lessons on resilience, emotional growth, identity, belonging, and finding your way home, both literally and psychologically.Whether you're interested in Greek mythology, psychology, mental health, personal growth, Stoicism, or Homer's epic poetry, this conversation will change how you read The Odyssey.KEY TOPICS COVEREDThe psychology of Homer's OdysseyWhy Odysseus still resonates with modern readersResilience, trauma, and post-traumatic growthWhat refugees can teach us about the meaning of homeWhy flawed heroes are more inspiring than perfect onesPenelope's hidden psychological strengthTelemachus and the journey to adulthoodGrief, loss, and personal transformationAncient wisdom for modern mental healthCommunity, loneliness, and the Greek concept of xeniaFinding purpose and defining your own IthacaTIMESTAMPS00:00 Introducing Dr. Sam Akbar & The Odyssey Mindset01:40 Psychology meets Classics05:06 What Homer understood about human nature07:42 Why Odysseus still resonates today12:18 Trauma, refugees & reading Homer differently16:10 The Odyssey as a post-war story20:00 Resilience, acceptance & psychological growth22:07 Penelope and quiet resistance24:00 What does “home” really mean?30:00 Telemachus, mentorship & growing up34:50 Grief, loss & personal odysseys41:20 Community, loneliness & modern life45:00 Catharsis, collective healing & ancient wisdom50:10 Final reflectionsIf you enjoyed this conversation, subscribe for more discussions on Ancient Greece, philosophy, psychology, mythology, and the timeless lessons hidden in classical texts.Comment below: What is your personal “Ithaca”? What lesson from The Odyssey has stayed with you the most?

This podcast describes a research project at an academic health system to pilot an outpatient pharmacy continuous glucose monitoring service. Listeners will learn about the process of developing and implementing a continuous glucose monitoring service within an outpatient pharmacy setting.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

The Layoff Tracker, Cigna's GLP-1 Cut & What Happens When Compliance FailsJune 8th, 2026. Bo and Luke break down three stories connected by the same thread: what happens when organizations wait too long to act.

Send us Fan MailA cancer diagnosis can change everything in an instant. One conversation. Three words: "You have cancer." Suddenly, patients and families are faced with uncertainty, fear, and countless questions about what comes next.In this episode of MedStar Health DocTalk, host Debra Schindler sits down with medical oncologist and hematologist Dr. Ankit Madan of MedStar Southern Maryland Hospital Center, to discuss the critical first steps after a cancer diagnosis. Dr. Madan explains how patients move from diagnosis to treatment, how cancer is staged, and why building a multidisciplinary care team is essential for the best possible outcomes.The conversation explores the emotional impact of hearing a cancer diagnosis, the importance of patient navigators, social workers, nutritionists, mental health professionals, and the role patients play as active partners in their own care. Dr. Madan also discusses treatment advances, clinical trials, immunotherapy breakthroughs, second opinions, and practical advice for patients and families navigating one of life's most challenging journeys.Whether you or a loved one has recently been diagnosed with cancer, this episode offers guidance, reassurance, and expert insight into what happens after the diagnosis—and how patients can move forward with confidence and support.Topics covered:• Coping with the emotional impact of a cancer diagnosis• Understanding cancer staging and treatment planning• The role of biopsies, CT scans, PET scans, and additional testing• Building a multidisciplinary cancer care team• Patient navigators, social workers, and support services• Shared decision-making and patient autonomy• When to seek a second opinion• Clinical trials and emerging cancer treatments• Immunotherapy and advances in cancer care• Nutrition, exercise, and mental health during treatment• Cancer survivorship and ongoing surveillanceTo learn more about cancer care at MedStar Health, visit MedStarHealth.org/Cancer.For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.

Send us Fan MailWhat happens to intermittent hypoxemia when you keep a stable preterm infant on CPAP for two extra weeks? In this Journal Club episode, Ben and Daphna review a secondary analysis from the Journal of Pediatrics by Mamidi and McEvoy. Among 95 infants randomized to either two additional weeks of bubble CPAP on room air or discontinued CPAP, those in the extended CPAP group experienced significantly fewer intermittent hypoxemia episodes (57.6 versus 151.7), higher baseline saturations, and greater functional residual capacity. The episode also touches on the practical implications for units navigating oral feeding protocols alongside extended CPAP.----Extended Continuous Positive Airway Pressure in Infants Born Preterm Decreases Intermittent Hypoxemia: A Secondary Analysis of a Randomized Controlled Trial. Mamidi RR, Go MDA, Harris J, Olson M, Milner K, Tepper RS, Morris C, Park B, Schelonka R, MacDonald KD, McEvoy CT.J Pediatr. 2026 May 25:115165. doi: 10.1016/j.jpeds.2026.115165. Online ahead of print.PMID: 42190903Support 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!

Clinical psychologist and men's mental health researcher Zac Seidler on how boys are being fed increasingly inflammatory content online, and what men can do IRL to offer a version of masculinity that is healthy and vulnerable, instead of hard and dangerous.Many young men are taking a journey on the internet right now which starts with inoffensive self-improvement videos on platforms like YouTube and TikTok, but quickly becomes something else entirely.Young guys are searching the internet for fitness, grooming or relationship advice, looking for self-esteem and self-discipline. The algorithm then tries to sustain their attention by offering them more inflammatory and more dangerous content, presented by influencers with cigars and sunglasses, who give them an ideology that blames women for all of their problems.This is the loose digital ecosystem that has been named the 'manosphere', and it's leading people to wonder what exactly is going on with men that they're being drawn into a dark place and ideology that completely alienates them from women and from real life experience.Zac Seidler is a clinical psychologist and the director of research at Movember, the men's mental health charity, and he is particularly interested in men's issues.Zac has conducted some world-first research into this online world, asking the questions 'What need is this content meeting?', and how can men be empowered to pull themselves, their sons and their mates out of this dangerous cycle.Keep up to date with the research Zac is doing via Movember, the leading charity changing the face of men's health.This episode of Conversations was produced by Meggie Morris. Executive Producer was Eliza Kirsch.It explores manhood, masculinity, toxic masculinity, sons, fatherhood, men's mental health, men's suicide rates, depression, Andrew Tate, Jordan Peterson, Myron Gaines, Rollo, Joe Rogan, social media algorithms, Instagram, chronically online, touch grass, grief, death, sex and relationships, isolation, vulnerability, how to talk openly about mental health struggles, men and boys, mothers and sons, Looksmaxxing, Clavicular, becoming a father, marriage, love, husbands, how to be a better man, empathetic accountability, Breadtube, Contrapoints, Hbomberguy, and PhilosophyTube.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.

In this episode of Resiliency Radio with Dr. Jill, Dr. Jill Carnahan welcomes Dr. Jaban Moore for an in-depth discussion on the hidden drivers behind chronic illness, including mold toxicity, Lyme disease, parasites, trauma, and nervous system dysfunction. Drawing from his own journey through chronic illness, Dr. Moore shares how environmental toxins, infections, and unresolved stress can create a perfect storm of inflammation and immune dysregulation. Together, they explore why so many patients remain stuck despite treatment and what it takes to create a foundation for true healing. This conversation offers practical insights into detoxification, nervous system regulation, parasite protocols, peptide therapies, and creating an internal environment where the body can finally recover.

In this episode of the Unreal Results podcast, I share a personal story about a massage experience that sparked a much bigger conversation about clinical decision-making, practitioner ego, and why the lower leg deserves far more attention than it typically gets. I unpack the anatomy of the calf, the role of fluid congestion, nerve entrapment, and compartmental relationships. I also walk through the exact sequence I use to assess and treat the lower leg in my clients.In This Episode, You'll Learn:Why lower leg congestion can influence pain, mobility, and treatment outcomesThe key anatomical regions I assess before doing deep tissue calf workHow I sequence lower leg treatment to improve lymphatic, venous, and neural functionA practical framework for combining patient priorities with assessment findingsThis episode is a reminder that assessment should guide treatment, not habit, routine, or practitioner preference, and will challenge you to think differently about both the information your clients give you and the information their bodies are trying to communicate.Resources & Links Mentioned In This Episode:Ep. 3: Swelling Reduction Protocol That Works Like MagicEp. 8: Unlocking The FibulaEp. 14: The Stories We Tell: A Lesson From My Compartment SyndromeEp. 18: Lessons From My Back Surgery - Part 1Ep. 19: Lessons From Back Surgery - Part 2Ep. 20: Reflexive Core Stability: Lessons From My Back Surgery - Part 3Ep. 25: The Peripheral HeartEp. 37: Swelling Protocol UpdateEp. 47: Always Check The Distal PulsesEp. 53: Shin Splints: Beyond Overtraining & Rest - Complete GuideEp. 138: The Link Between Potassium and Shin SplintsEp. 149: Rethinking the Popliteus in Knee RehabCheck out the Swelling Reduction Protocol Course Here!Learn the LTAP® In-Person in one of my upcoming courses=================================================Watch the podcast on YouTube and subscribe!Join the MovementREV email list to stay up to date on the Unreal Results Podcast and MovementREV education. Be social and follow me:Instagram | Facebook | Twitter | YouTube

Ryan & Mike take on ADHD kids' medication based on research and doctors, not social media. They cover untreated ADHD risks, debunk the psychiatrist myth, and put decisions with parents and prescribers.Find Mike @ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.grownowadhd.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Find Ryan @ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.adhddude.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠{{chapters}}[00:00:00] Start[00:01:05] Why Parents Get Confused About Medication[00:03:40] The Risks of Untreated ADHD[00:06:46] Where Medication Misinformation Comes From[00:10:15] Do You Really Need a Child Psychiatrist?[00:13:34] Who Makes the Medication DecisionCitationsAmerican Academy of Child and Adolescent Psychiatry. (2020). Clinical use of pharmacogenetic tests in prescribing psychotropic medications for children and adolescents. https://www.aacap.org/aacap/Policy_Statements/2020/Clinical-Use-Pharmacogenetic-Tests-Prescribing-Psychotropic-Medications-for-Children-Adolescents.aspxAmerican Academy of Child and Adolescent Psychiatry. (2022). Attention-deficit/hyperactivity disorder: Parents' medication guide. https://www.aacap.org/App_Themes/AACAP/docs/resource_centers/resources/med_guides/ADHD_Medication_Guide-web.pdfAmerican Academy of Child and Adolescent Psychiatry. (n.d.). Pharmacogenetic testing. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Pharmacogenetic_Testing-128.aspxAmerican Psychiatric Association. (n.d.). What is ADHD? https://www.psychiatry.org/patients-families/adhd/what-is-adhdCenters for Disease Control and Prevention. (2024). Clinical care of ADHD. https://www.cdc.gov/adhd/hcp/treatment-recommendations/index.htmlDalsgaard, S., Leckman, J. F., Mortensen, P. B., Nielsen, H. S., & Simonsen, M. (2015). Effect of drugs on the risk of injuries in children with attention deficit hyperactivity disorder: A prospective cohort study. The Lancet Psychiatry, 2(8), 702–709. https://doi.org/10.1016/S2215-0366(15)00271-0Dalsgaard, S., Østergaard, S. D., Leckman, J. F., Mortensen, P. B., & Pedersen, M. G. (2015). Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: A nationwide cohort study. The Lancet, 385(9983), 2190–2196. https://doi.org/10.1016/S0140-6736(14)61684-6de Vries, W., Boer, M., Stevens, G. W. J. M., & van Dorsselaer, S. (2025). Exploring concept creep: Youth's portrayal of ADHD on TikTok. SSM Mental Health, 7, 100374.Harpin, V., Mazzone, L., Raynaud, J. P., Kahle, J., & Hodgkins, P. (2016). Long-term outcomes of ADHD: A systematic review of self-esteem and social function. Journal of Attention Disorders, 20(4), 295–305. https://doi.org/10.1177/1087054713486516Myer, N. M., Boland, J. R., & Faraone, S. V. (2018). Pharmacogenetics predictors of methylphenidate efficacy in childhood ADHD. Molecular Psychiatry, 23, 1929–1936.Shaw, M., Hodgkins, P., Caci, H., Young, S., Kahle, J., Woods, A. G., & Arnold, L. E. (2012). A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: Effects of treatment and non-treatment. BMC Medicine, 10, 99. https://doi.org/10.1186/1741-7015-10-99Wetterer, L. (2020). Attention-deficit/hyperactivity disorder: AAP updates guideline for diagnosis and management. American Family Physician, 102(1), 58–60.Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., Holbrook, J. R., Lehmann, C. U., Lessin, H. R., Okechukwu, K., Pierce, K. L., Winner, J. D., & Zurhellen, W. (2019). Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 144(4), e20192528. https://doi.org/10.1542/peds.2019-2528Yeung, A., Ng, E., & Abi-Jaoude, E. (2022). TikTok and attention-deficit/hyperactivity disorder: A cross-sectional study of social media content quality. The Canadian Journal of Psychiatry, 67(12), 899–906. https://doi.org/10.1177/07067437221082854

In Dear Future APP mini-series episode of the Friends of NPACE Podcast, if you are a preceptor of students the National Organization of Nurse Practitioner Faculty (NONPF) has resources for you! NONPF Chief Executive Officer Dr. Mary Beth Bigley joins NPACE Executive Director Terri Schmitt to discuss resources and why supporting preceptors is so important to the future of the NP profession. We dive into the pivotal role of preceptors in nurse practitioner education and explore how NONPF supports both faculty and students. Dr. Bigley shares her insights on the challenges faced by new educators and the importance of clinical placements for advanced practice students. We also discuss the latest initiatives at NONPF, including resources for preceptors and the emerging focus on diagnostic reasoning in clinical practice. Join us for an enlightening conversation that underscores the significance of mentorship and continuous education in shaping the future of healthcare.

Are you an athlete or fitness enthusiast looking to maximize your performance, accelerate recovery, and break through plateaus?In this must-watch episode of the NASM “Peak Physique Podcast,” host Andre Adams (IFBB Olympian & NASM Master Trainer) sits down with expert Dr. Indy Vasquez to reveal the untapped power of gut health and its direct impact on metabolism and physique transformation.

Welcome back to Very Clinical for "Rock and Roll, Part 3"—the latest installment of our ongoing, completely dentistry-free detour into the music that shaped our lives. In this episode, Zach, Kevin (aka: K-Rock), and Alan shift the spotlight away from the frontmen and look at the "corporate" machinery and unsung geniuses behind the greatest eras of pop and rock. We dive deep into the legendary collective of freelance studio masters in LA known as The Wrecking Crew and Detroit's incredibly prolific hit-makers, The Funk Brothers, revealing how some of the most definitive tracks of the 60s and 70s were actually built by daily session workers. From the carefully manufactured magic of "Corporate Rock" and the television-born crossover of The Monkees to the fine line between artistic theft and genuine innovation, we examine how the music industry built its most profitable formulas—and how those formulas repeatedly triggered counter-cultural rebellions like punk and grunge. Some links from the show: "The Wrecking Crew" documentary "Standing in the Shadows of Motown" documentary "20 Feet From Stardom" documentary "That Thing You Do" The Lexington Lab Band 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!

Two callers, two problems every practice owner runs into. The first is a self-described systems guy whose team keeps reverting to old habits two weeks after every meeting, vision cast, and lunch-and-learn. The second is an associate who just carved out one day a week away from the chair and wants to know how to actually use it. Peter and Craig push back on both. To the first caller: "I've tried everything" is the language of defeat, and the issue usually isn't the team, it's leadership, incentives, and whether you've ever asked your people what they actually want. To the second: an admin day isn't the same as working on the business, and stacking marketing or payroll onto a practice with a leaky recare rate or unanswered phones is just stepping over dollars to grab pennies. Find the real constraint first. Along the way: why incentives beat vision casting, the John Maxwell line on leaders with no followers, anonymous team surveys, finding your big rocks before your sand, and why the owner's psychology is so often the chokehold of the business. Got a question for the hotline? Call 561-933-5575. DESCRIPTION The Bulletproof Dental Podcast Episode: 443 HOSTS: Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh In this engaging Hotline episode, Peter Boulden, Craig Spodak, and Ian de Jongh answer listener questions about team motivation, leadership, practice growth, and working on the business. Drawing from their own experiences building successful practices, they share practical frameworks for creating team alignment, identifying practice bottlenecks, and investing in the people and systems that drive sustainable growth. CONTACT US Want Peter, Craig, and Ian to answer your question on the Bulletproof Hotline? Call and leave a message: (561) 933-5575 Whether you're facing a leadership challenge, a growth obstacle, or simply want feedback on your next move, the team may feature your question on a future episode. TIME STAMPS 01:00 Why Your Team Keeps Reverting Back 02:08 The Real Reason Team Buy-In Fails 04:55 Incentives Drive Outcomes 07:13 Leadership vs. The Wrong Team 09:06 What's Most Important to Your Team? 10:58 The Psychology of Practice Owners 11:43 Practical Action Steps for Team Alignment 13:47 How Should You Use an Admin Day? 15:20 Working In the Business vs. Working On the Business 17:48 Why Marketing Isn't Always the Answer 19:03 Define the Outcome Before the Tactics 20:50 Find the Real Bottleneck First 22:28 Stop Stepping Over Dollars to Pick Up Pennies 23:58 Why Bringing Your Team to Summit Changes Everything 26:25 Final Thoughts and Hotline Wrap-Up REFERENCES Bulletproof Summit

Send us Fan MailIn this Journal Club episode, Daphna reviews a retrospective cohort study from Istanbul examining clinical, laboratory, and ultrasound factors associated with UTI in neonates hospitalized for unexplained hyperbilirubinemia. Among 96 term and near-term infants, 31% had culture-proven UTIs, a striking prevalence. Pathological renal ultrasound findings were independently associated with UTI, with affected neonates 4.6 times more likely to have a concurrent infection. Notably, standard laboratory markers including CRP and white blood cell count failed to distinguish UTI-positive from UTI-negative infants. The findings prompt a practical question: should urine culture be part of the routine workup for neonatal hyperbilirubinemia?----Renal ultrasonography findings are associated with urinary tract infection in neonates with asymptomatic hyperbilirubinemia. Sarı EE, Salihoğlu Ö.J Perinatol. 2026 Apr 13. doi: 10.1038/s41372-026-02686-x. Online ahead of print.PMID: 41975209Support 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!

Clinical teaching happens in real time, but feedback about that teaching does not. Too often, feedback shows up late, feels vague, or never arrives at all, especially for the everyday teaching that happens on shift, in the hallway, or at the bedside. Adam speaks with Dr. Esther Bui about why that gap persists, and what it might look like to close it. Esther shares what led her team to build myTE, an app-based tool designed to capture in-the-moment teaching feedback. Together, they explore what traditional evaluation systems tend to miss, why authentic quality feedback is so important, and how trust and psychological safety shape the experience.  Length of Episode: 30:27 Resources to check out:  Halani S, Kumar SS, Lim DY, Hefferon D, Prakash V, Kumagai AK, Bui E. "In-the-moment" feedback: a novel app for clinical teaching evaluations. Can Med Educ J. 2025 Nov 6;16(5):86-88.    Contact us: keylime@royalcollege.ca     Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski    

Step behind the curtains of the post-anesthesia care unit (PACU) in this compelling episode of the Legal Nurse Podcast. Host Pat Iyer sits down with Paul Sayeg, a seasoned registered nurse, legal nurse consultant, and expert witness, to explore the hidden world of PACU nursing, a fast-paced, detail-intensive environment where patients emerge from anesthesia at their most vulnerable. With over two decades of clinical experience, Paul shares his insights on patient monitoring, the critical role of the Aldrete and modified Aldrete scores, and the unique challenges facing nurses in this high-stakes setting. Together, they dig into the standardized tools and clinical judgment required for safe patient recovery in various settings, from hospitals to same-day surgery centers. Real-world cases and stories illustrate the life-and-death importance of nurse vigilance, thorough documentation, and seamless teamwork. The discussion also peels back the layers of system-level pressures such as "factory line healthcare," that can contribute to liability risks and medical errors. Listeners will gain a valuable perspective on how a healthy PACU culture supports early intervention and patient safety, and how expert witnesses piece together complex cases using standards published by the American Society of Peri Anesthesia Nurses (ASPAN). Whether you're a legal nurse consultant, healthcare professional, or simply curious about what happens after surgery, this episode delivers a candid look at the science, systems, and human factors behind successful post-anesthesia care. What You'll Learn in This Episode on Behind the Curtain: PACU Nursing, Complications, and Legal Risks  Here are 5 discussion questions answered in the podcast: What are the different settings in which post-anesthesia care is delivered, and how do patient acuity and procedure type influence these settings? How does the Aldrete score assist nurses in post-anesthesia care, and what are its key assessment areas? In what ways can documentation errors, such as missing vital signs, impact the accuracy of the Aldrete score and patient safety? What is the significance of the modified Aldrete score, and how has it evolved to better reflect current anesthesia practices? How do standards of care published by organizations like ASPAN influence clinical practice and legal nurse consulting? Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/RRAvj91rV-c Your Presenter for Behind the Curtain: PACU Nursing, Complications, and Legal Risks  Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Paul Sayegh Three nouns: I'm a nurse, traveler, and baker.Background: Paul Sayegh is a Registered Nurse with over two decades of Clinical experience, primarily in pre-operative care and the PACU at an academic medical center in San Francisco. He brings a perioperative perspective to his work as a legal nurse consultant and expert witness, with a focus on communication, transitions of care, and patient safety. When he's not on this podcast, Paul is caring for patients in pre-op and PACU, traveling whenever he can, and spending time in the kitchen baking for friends, family, and colleagues. Connect with Paul Sayegh by email at paulsayeghrnbsn@gmail.com

A 25-year-old pregnant woman presents with a 1-day history of progressive pain and swelling. The foot is cold, pulseless and neurologic function is deteriorating by the hour. Imaging shows a massive iliofemoral DVT. Now both the limb and the pregnancy are threatened. Do you anticoagulate, thrombolyse or operate? Join us as we break down the management and decision making behind this rare but devastating case.Hosts:·      Christian Hadeed -PGY 4 General Surgery, Brookdale Hospital Medical Center·      Paul Haser -Division Chief, Vascular Surgery, Brookdale Hospital Medical Center·      Andrew Harrington, Vascular surgery, Brookdale Hospital Medical Center·      Lucio Flores, Vascular surgery, Brookdale Hospital Medical CenterLearning objectives:-       Recognize the clinical presentation and pathophysiology of phlegmasia cerulea dolens-       Describe how pregnancy affects decision making in patients with phlegmasia and venous thromboembolic disease-       Discuss the goals of treatment for patients with DVT's and identify when operative intervention is indicated-       Describe the sequelae of DVT's and how this relates to post thrombotic syndrome-       Review the indications, risks, and limitations of anticoagulation, catheter-directed thrombolysis, thrombectomy, and fasciotomy in the management of DVT and phlegmasia.-       Explain the role of IVUS in managing venous thromboembolic disease and May Thurner syndromeReferences:-       Vedantham, S., Goldhaber, S. Z., Julian, J. A., Kahn, S. R., Jaff, M. R., Cohen, D. J., Magnuson, E., Razavi, M. K., Comerota, A. J., Gornik, H. L., Murphy, T. P., Lewis, L., Duncan, J. R., Nieters, P., Derfler, M. C., Filion, M., Gu, C.-S., Kee, S., Schneider, J., … Kearon, C. (2017). Pharmacomechanical catheter-directed thrombolysis for deep-vein thrombosis. New England Journal of Medicine, 377(23), 2240–2252. https://doi.org/10.1056/NEJMoa1615066-       Gomes, M. S., Guimarães, M., & Montenegro, N. (2019). Thrombolysis in pregnancy: A literature review. Journal of Maternal-Fetal & Neonatal Medicine, 32(14), 2418–2428. https://doi.org/10.1080/14767058.2018.1438402-       Mangla, A., & Hamad, H. (2023). May-Thurner syndrome. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK554377/-       Bates, S. M., Rajasekhar, A., Middeldorp, S., McLintock, C., Rodger, M. A., James, A. H., et al. (2018). American Society of Hematology 2018 guidelines for management of venous thromboembolism: Venous thromboembolism in the context of pregnancy. Blood Advances, 2(22), 3317–3359. https://doi.org/10.1182/bloodadvances.2018024802-       Kahn, S. R., Comerota, A. J., Cushman, M., Evans, N. S., Ginsberg, J. S., Goldenberg, N. A., et al. (2014). The postthrombotic syndrome: Evidence-based prevention, diagnosis, and treatment strategies. Circulation, 130(18), 1636–1661. https://doi.org/10.1161/CIR.0000000000000130 https://pubmed.ncbi.nlm.nih.gov/25246013/Sponsor URL: https://www.goremedical.com/If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Send us Fan MailIn this Journal Club episode, Ben and Daphna review a nationwide Swedish cohort study examining the association between phototherapy duration and neonatal outcomes in very preterm infants (22 to 31 weeks). The study's primary outcome, late neonatal mortality on days 8 to 27, was not significantly associated with phototherapy duration. However, longer phototherapy exposure was associated with increased odds of severe neonatal morbidity, including IVH and BPD, in infants born at 26 to 31 weeks. The findings prompt an important conversation about the near-universal use of phototherapy in preterm neonates and whether current practice warrants reassessment.----Phototherapy, Morbidity, and Mortality in Very Preterm Newborns. Deschmann E, Håkansson S, Söderling J, Norman M.JAMA Netw Open. 2026 May 1;9(5):e2614107. doi: 10.1001/jamanetworkopen.2026.14107.PMID: 42166159 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!

Mackenzie Shirilla has consistently maintained she has no memory of the Strongsville crash that killed Dominic Russo and Davion Flanagan. The prosecution rejected the claim. The victims' families dispute it. A fellow inmate provided a characterization of Shirilla's behavior in custody that contradicts her on-camera presentation in Netflix's The Crash. The public discourse has largely treated the memory claim as fabrication.Shavaun Scott — licensed psychotherapist, author of The Minds of Mass Killers, with more than thirty years of experience in forensic mental health, domestic violence shelters, and crisis intervention — provides the clinical framework the trial never heard. Dissociative amnesia is a documented clinical phenomenon with established diagnostic criteria. Trauma-induced memory loss presents with characteristics consistent with what Shirilla describes. Scott examines whether genuine dissociative amnesia can be distinguished from deliberate suppression, what the medical evidence in this case suggests about the defendant's neurological state at the moment of impact, and whether the clinical presentation is consistent with fabrication or with authentic trauma response.She also addresses the grief psychology operating on the victims' families — the mechanism by which loss drives certainty beyond what the evidence supports — and the possibility that premeditated murder may not accurately characterize what occurred.The relationship dynamics that preceded the crash received prosecutorial framing but no clinical analysis at trial. The relationship between Shirilla and Russo featured a documented cycle of separation and reconciliation, mutual escalation, and conflicting accounts of violent incidents. The I-71 episode is illustrative: prosecution testimony attributed a threat to crash the vehicle to Shirilla. Text message evidence showed Shirilla provided an alternative account to the victim's mother, attributing the steering intervention to Russo. Two contradictory versions of the same incident. The defense did not challenge the prosecution's account.Scott examines the clinical significance of the relationship cycle — why separation constitutes an identity-level threat for individuals with Shirilla's psychological profile, how self-harm threats function within volatile adolescent relationships, and whether the behavioral evidence supports premeditated calculation or emotional deregulation in an adolescent brain that had not completed neurological development.Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/TrueCrimePodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#MackenzieShirilla #TheCrash #TheCrashNetflix #DominicRusso #DavionFlanagan #ShavaunScott #DissociativeAmnesia #ForensicPsychology #HiddenKillers #TrueCrime