Podcasts about Clinical

Kevin and Alan are joined again by Dr. Dhaval Patel to discuss the significant shifts occurring in digital dentistry, moving beyond the traditional CEREC workflow. Dhaval explains that his highly popular online group, "Keep CERECing," was recently renamed "Keep CAD/CAMing" after he consulted with Dentsply Sirona's legal team regarding trademark usage, which prompted him to broaden the group's scope. This change has led to a natural expansion in technology focus, now encompassing the wider CAD/CAM landscape including 3D printing and 5-axis milling. Dhaval details how he uses 3D printing for models, surgical guides, and night guards, and leverages a 5-axis mill for larger, multi-unit cases and zirconia restorations, highlighting the cost efficiency and ability to run large jobs overnight. The conversation also explores the rise of dedicated, outsourced digital designers and the potential for artificial intelligence (AI) to handle design in the near future. Some links from the show: Keep CADCAMing Facebook group Dhaval's Instagram Keep CADCAMing website (where you can find information about their upcoming meeting October 15-17th, 2026!) Join the Very Clinical Facebook group!  Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. 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!

Mentorship has become a buzzword in pelvic PT and OT — but most conversations around it are incomplete.In this episode, we break down the four distinct types of mentorship that actually shape clinical confidence, patient outcomes, and long-term career satisfaction. Most clinicians receive some mentorship — but very few receive all four.We unpack:Hard Skills Hands-on techniques, assessments, and interventions — what most people think of as “mentorship,” and what many con-ed courses focus on.Soft Skills Communication, motivation, managing difficult personalities, and helping patients truly buy into care. Often overlooked, but frequently the difference between average and exceptional outcomes.Information Understanding diagnoses, testing, medical management, and knowing what actually matters for the patient in front of you — not just what's theoretically interesting.Professional Development Career guidance, burnout prevention, time management, and mentorship that considers you as a person — not just a clinician.We also talk honestly about what to do if you're not getting this level of mentorship where you work — and how to approach your career strategically instead of hoping things improve on their own.

In this episode of Clinical Conversations, Dr Marilena Giannoudi discusses cardiorenal metabolic disease with Dr Andrew Frankel. Their discussion provides an overview of this common cause of chronic kidney disease (CKD) and they focus on the management of cardiorenal metabolic disease, with Dr Frankel highlighting the importance of lifestyle management and patient education and engagement, and the pharmacotherapy 'four pillars' of RAAS inhibition, SGLT2 inhibition, blood pressure control, and MR antagonism. Explore this and more in this episode. Dr Andrew Frankel has been working as a consultant nephrologist at Imperial College Healthcare NHS trust since 1995 and works at the Imperial Renal and Transplant Centre, which is one of the largest kidney units in Europe catering for a population base of over three million. He has experience in managing all aspects of kidney disease but has a particular interest in relation to the management of kidney disease in the context of diabetes, cardiac disease and obesity. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of RCPE's Trainees and Members' Committee. -- Links -- NICE Guideline (NG203) - Chronic kidney disease: assessment and management https://www.nice.org.uk/guidance/ng203 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-and-Diabetes-Guidelines For Kidneys Sake Podcast - By Dr Andrew Frankel and colleagues https://www.forkidneyssake.com/ Recording date: 24 November 2025 -- Follow us -- https://www.instagram.com/rcpedintrainees https://x.com/RCPEdinTrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Sobriety is hard—and recovery is a full-time job. Parenting is hard—and more than a full-time job. Sarah Allen Benton is an Advanced Alcohol and Drug Counselor and Licensed Mental Health Counselor. She is Chief Clinical Officer and co-owner of Waterview Behavioral Health. She is co-owner of Benton Behavioral Health Consulting, LLC, offering clinical and business support services to innovative addiction and mental health companies. She holds a Master of Science in Counseling Psychology with an emphasis in Health Psychology. Sarah has been sober for more than 20 years; she has been a mother for 13. She is far from alone, approximately 20.9 million consider themselves in recovery from a substance use disorder (SUD). It is fair to say millions are also parents. In PARENTS IN RECOVERY: Navigating a Sober Family Lifestyle (Rowman & Littlefield), Sarah draws on research, professional expertise and deeply personal experience to support mothers and fathers as they navigate their way through parenting while embracing a sober lifestyle. From “wine mom culture” to social media FOMO, Benton covers every aspect of living sober while raising children. Amazon: Parents in Recovery: Parents in Recovery: Navigating a Sober Family Lifestyle Understanding the High-Functioning Alcoholic: https://www.amazon.com/Underst... Facebook: https://www.facebook.com/sarah... Parents in Recovery Support Group Facebook: https://www.facebook.com/share... Linked In: https://www.linkedin.com/in/sa... Instagram - @parentsinrecovery Website:www.bentonbhc.comwww.waterviewbh.com Sarah Allen Benton, M.S., LMHC, CADC, is a leading authority in addiction and mental health, known for her clinical expertise and published work. As an Advanced Alcohol and Drug Counselor (CADC) and Licensed Mental Health Counselor (LMHC), she brings over 20 years of lived experience as a parent in recovery from alcohol use disorder to her practice. Clinical and Business Leadership Chief Clinical Officer & Co-founder: Sarah Allen Benton is the CCO and co-founder of Waterview Behavioral Health (Wallingford, CT), a specialized mental health intensive outpatient program (IOP) providing crucial services for individuals with complex needs. Website: https://www.waterviewbh.com/ Co-owner: She is also the co-owner of Benton Behavioral Health Consulting, LLC, which offers clinical and business support services, including strategic consulting, to innovative mental health and addiction companies across the industry. Website: https://www.bentonbhc.com/ Expertise: Her background includes roles as a therapist and clinical consultant across various levels of care, practices, and start-ups, including experience at McLean Hospital in their dual diagnosis transitional treatment program. Published Work and Education Author: Benton is the highly-regarded author of Understanding the High-Functioning Alcoholic (2009), a foundational text that provides insight into high-achieving individuals struggling with alcohol use disorder, a common area of her expertise. Education: She holds a Master of Science in Counseling Psychology with an emphasis in Health Psychology from Northeastern University, Bouvé School of Health Sciences. Location and Credentials Location: Killingworth, Connecticut Credentials: M.S., LMHC, CADC This profile emphasizes her dual role as a clinical expert and a behavioral health entrepreneur, making her a highly discoverable authority in addiction recovery, sober parenting, and high-functioning alcoholism treatment. Meet Ash Brown, the dynamic American powerhouse and motivational speaker dedicated to fueling your journey toward personal and professional success. Recognized as a trusted voice in personal development, Ash delivers uplifting energy and relatable wisdom across every platform. Why Choose Ash? Ash Brown stands out as an influential media personality due to her Authentic Optimism and commitment to providing Actionable Strategies. She equips audiences with the tools necessary to create real change and rise above challenges. Seeking inspiration? Ash Brown is your guide to turning motivation into measurable action. The Ash Said It Show – Top-Ranked Podcast With over 2,100 episodes and 700,000+ global listens, Ash's podcast features inspiring interviews, life lessons, and empowerment stories from changemakers across industries. Each episode delivers practical tools and encouragement to help listeners thrive. Website: AshSaidit.com Connect with Ash Brown: Goli Gummy Discounts: https://go.goli.com/1loveash5 Luxury Handbag Discounts: https://www.theofficialathena.... Review Us: https://itunes.apple.com/us/po... Subscribe on YouTube: http://www.youtube.com/c/AshSa... Instagram: https://www.instagram.com/1lov... Facebook: https://www.facebook.com/ashsa... Blog: http://www.ashsaidit.com/blog #atlanta #ashsaidit #theashsaiditshow #ashblogsit #ashsaidit®Become a supporter of this podcast: https://www.spreaker.com/podcast/ash-said-it-show--1213325/support.

This is a fan fav episode. When you think of cultural beliefs, how often have you found yourself questioning where these beliefs stem from? My guest today explores the notion of cultural lies that are at the root of our suffering as a society and as individuals. Clinical psychologist, Dr. Shefali shares some of her most profound insights from her latest book, A Radical Awakening. Witness her working through some ideas with me in real time around the culture being the villain versus owning your internal life and consciousness. Dive into some of the deeper ideas Dr Shefali presents starting with recognizing our destructive animal nature. Order Dr. Shefali's book, A Radical Awakening: ⁠https://www.aradicalawakening.com/⁠  Original air date: 6-22-2021 SHOW NOTES: 0:00 | Introduction to Dr. Shefali 2:16 | Layers of Radical Awakening 3:29 | Our Animal Nature & Biological Wiring 8:06 | Our Destructive Nature to Justify 9:42 | Learn To Be Interconnected in Consciousness 13:50 | Chasing Dominance & Delusional Cravings 16:13 | Insecurities & Endless Consumerism 18:51 | Women Not Fitting The Beauty Standard 22:19 | Learning to Accept Yourself 25:32 | Dr. Shefali Explains the Toxic Patriarchy 33:20 | Women Buffering Against the Patriarchal System 36:36 | The Effects of Unconsciousness of Culture 39:57 | Who is Culture? What Toxicity Are You Buying? 41:35 | Navigating the Toxic Beliefs From Culture 44:05 | Dr. Shefali on Cultivating Your Own Voice 47:51 | Awakening to The Marriage Contract 52:07 | The Lie of Monogamy in Culture 53:28 | Our Insecurity That Drives Domination 54:51 | Realizing Self Worth and Self Acceptance  Learn more about your ad choices. Visit megaphone.fm/adchoices

In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss the rise in norovirus infections, contamination of infant formula and botulism outbreak, confusion and response to the CDC's ACIP decision to reverse the recommendation for a birth dose of the hepatis B virus vaccine and how states in the Northwest and Northeast are responding as well as some insurance companies, then deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, South Carolina's imposed quarantine of individuals due to their accelerated measles outbreak, neurotropism of H1N1, benefits of the RSV and COVID vaccines, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Norovirus season! (Wastewater Scan) Outbreak Investigation of Infant Botulism: Infant Formula (November 2025) (FDA: Foodborne illnesses) Botulism outbreak sickens more than 50 babies and expands to all ByHeart products (AP News) CDC advisers drop decades-old universal hepatitis B birth dose recommendation, suggest blood testing after 1 dose (CIDRAP) Health and Economic Benefits of Routine Childhood Immunizations in the Era of the Vaccines for Children Program — United States, 1994–2023 (CDC: MMWR) Universal Hepatitis B vaccination at birth: safety, effectiveness and public health impact (CIDRAP) Recommended Child and Adolescent Immunization Schedule for Ages 18 years or younger (American Academy of Pediatrics) West Coast health experts reject RFK Jr. panel, say hepatitis B vaccines at birth should continue (The Oregonian) Statement from the Northeast Public Health Collaborative In Response to ACIP's Hepatitis B Vote (NJ.Gov Health) Governors Denounce ACIP Recommendation on Hepatitis B Vaccination, Reaffirm Commitment to Strong, Evidence-Based Childhood Vaccination Programs (Governors Public Health Alliance) Blue Cross and Blue Shield Companies Statement on Vaccines (Blue Cross Blue Shield) AHIPStatement on Vaccine Coverage (AHIP) Pediatricians reject CDC advisers' guidance, plan to continue vaccinating all newborns against hepatitis B (CIDRAP) Survey: Social media on par with CDC as trusted vaccine source (Healio) FDA to investigate whether adult deaths linked to COVID vaccine (Washington Post) Exclusive: US FDA launches fresh safety scrutiny of approved RSV therapies for infants (Reuters) Marburg Outbreak in Ethiopia: Current Situation (CDC: Marburg Virus Disease) Contemporary highly pathogenic avian influenza (H5N1) viruses retain neurotropism in human cerebral organoids (OFID) Confirmations of Highly Pathogenic Avian Influenza in Commercial and Backyard Flocks (USDA: Animal and Plant Health Inspection Service) Indiana, cases of New World screwworm in Mexico, rising US flu activity (CIDRAP) Mexico reports 92 cases of myiasis in humans caused by screwworm (Expreso.press) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) 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) Hundreds quarantined as South Carolina measles outbreak accelerates (Washington Post) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) USrespiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) ACIP Recommendations Summary (CDC: Influenza) Types of Influenza Viruses (CDC: Influenza (flu)) Influenza Vaccine Composition for the 2025-2026 U.S. Influenza Season (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) USrespiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Intensive Care Unit Stay and Mechanical Ventilation Among Adults with Respiratory Syncytial Virus-Related Hospitalization by Age and Comorbidity Status (Infectious Diseases and Therapy) Cardiovascular Events 1 Year After Respiratory Syncytial Virus Infection in Adults (JAMA: Open Network) Long-Term Illness in Adults Hospitalized for Respiratory Syncytial Virus Disease, United States, February 2022–September 2023 (CDC: Emerging Infectious Diseases) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Effectiveness of the maternal RSVpreF vaccine against severe disease in infants in Scotland, UK: a national, population-based case–control study and cohort analysis (LANCET: Infectious Diseases) Effectiveness of Nirsevimab in Preventing Respiratory Syncytial Virus-related Burden: A Test-negative Case-control Study in Infants With Bronchiolitis in Lombardy Region, Italy (The Pediatric Infectious Disease Journal) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Maternal and Neonatal Outcomes After Respiratory Syncytial Virus Prefusion F Protein Vaccination During Pregnancy (Obstetrics & Gynecology) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) COVID-19 mRNA Vaccination and 4-Year All-Cause Mortality Among Adults Aged 18 to 59 Years in France (JAMA: Open Network) Two-year prognosis of mRNA vaccine-related myocarditis compared with historical conventional myocarditis: a population-based cohort study (CMI: Clinical Microbiology and Infection) Where to get pemgarda (Pemgarda) EUAfor the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) UnderstandingCoverageOptions (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) Anticoagulationguidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1278 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.

Anaphylaxis is an acute, life-threatening allergic reaction with an estimated prevalence of approximately 2% in the United States. Prompt recognition of anaphylaxis is necessary for appropriate treatment. This episode will review pathophysiology, clinical presentation and management of anaphylaxis. CE for this episode expires on December 13, 2027.   The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

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Conor McNamara joins Ian Dennis & Ali Bruce-Ball to talk travel, football and language. Ian & Conor give their take on Salah after the drama unfolded with them at Elland Road. They look ahead to the Wear-Tyne derby, it's Ali vs Ian in Clash of the Commentators, there are yet more unintended pub names, and which commentary phrases will end up in our Great Glossary? Suggestions welcome on WhatsApp voicenotes to 08000 289 369 & emails to TCV@bbc.co.uk00:35 Why we all love San Siro 04:10 The Bruges or Brugge debate returns 07:15 Salah story unfolds with Ian & Conor 09:20 Has Salah played his last game for Liverpool? 16:25 John Murray's message from Madrid 20:45 Wear-Tyne derby among Premier League commentaries 27:05 Unintended pub names 40:20 Clash of the Commentators 46:35 Great Glossary of Football Commentary5 Live / BBC Sounds Premier League commentaries: Sat 1500 Liverpool v Brighton, Sat 1500 Chelsea v Everton on Sports Extra, Sat 1730 Burnley v Fulham, Sun 1400 Sunderland v Newcastle, Sun 1400 Crystal Palace v Man City on Sports Extra, Sun 1400 Nottingham Forest v Tottenham on Sports Extra 2, Sun 1400 West Ham v Aston Villa on Sports Extra 3, Sun 1630 Brentford v Leeds.Glossary so far (in alphabetical order):DIVISION ONE Bosman, Couldn't sort their feet out, Cruyff Turn, Dead-ball specialist, Fox in the box, Giving the goalkeeper the eyes, Head tennis, Hibs it, In a good moment, The Maradona, Off their line, Olimpico, Onion bag, Panenka, Perfect hat-trick, Points to the spot, Rabona, Schmeichel-style, Scorpion kick, Spursy, Tiki-taka, Where the kookaburra sleeps, Where the owl sleeps, Where the spiders sleep. DIVISION TWO Ball stays hit, Business end, Came down with snow on it, Catching practice, Camped in the opposition half Cauldron atmosphere Coat is on a shoogly peg, Come back to haunt them, Corridor of uncertainty, Easy tap-in, Daisy-cutter, First cab off the rank, Good leave, Half-turn, Has that in his locker, High wide and not very handsome, Hospital pass, Howler, In their pocket, Johnny on the spot, Leading the line, Nutmeg, One for the cameras, One for the purists, Played us off the park, Purple patch, Put their laces through it, Rolls Royce, Root and branch review, Row Z, Screamer, Seats on the plane, Show across the bows, Slide-rule pass, Steal a march, Stramash, Taking one for the team, Telegraphed that pass, That's great… (football), Thunderous strike, Walk it in. UNSORTED 2-0 is a dangerous score, After you Claude, All-Premier League affair, Aplomb, Bag/box of tricks, Brace, Brandished, Bread and butter, Breaking the deadlock, Bundled over the line, Champions elect / champions apparent, Clinical finish, Commentator's curse, Coupon buster, Cultured/Educated left foot, Denied by the woodwork, Draught excluder, Elimination line, Fellow countryman, Foot race, Formerly of this parish, Free hit, Goalkeepers' Union, Goalmouth scramble, Good touch for a big man, Honeymoon Period, In and around, In the shop window, Keeping ball under their spell, Keystone Cops defending, Languishing, Loitering with intent, Marching orders, Nestle in the bottom corner, Numbered derbies, Opposite number, Park the bus, PK for penalty-kick, Postage stamp, Put it in the mixer, Rasping shot, Red wine not white wine, Relegation six-pointer, Rooted at the bottom, Route One, Roy of the Rovers stuff, Sending the goalkeeper the wrong way, Shooting boots, Sleeping giants, Slide rule pass, Small matter of, Spiders web, Stayed hit, Steepling, Stinging the palms, Stonewall penalty, Straight off the training ground, Taking one for the team, Team that likes to play football, Throw their cap on it, Thruppenny bit head / 50p head, Towering header, Two good feet, Turning into a basketball match, Turning into a cricket score, Usher/Shepherd the ball out of play, Walking a disciplinary tightrope, Wand of a left foot, We've got a cup tie on our hands, Wrap foot around it, Your De Bruynes, your Gundogans etc.

Are you truly a great leader? Or are you overestimating how good you are? In this episode, Kirk Behrendt brings in Michelle Wakeman, one of ACT's amazing coaches, to reframe what it means to be a leader, why it's important, and to share some of the best leadership lessons from thriving practices. To learn how to lead with confidence to build a successful practice, listen to Episode 981 of The Best Practices Show!Learn More About Michelle:Send Michelle an email: michelle@actdental.com Follow Michelle on ACT's Instagram: https://www.instagram.com/actdentalSend Courtney an email to learn more about ACT: courtney@actdental.com Send Gina an email to learn more about ACT: gina@actdental.com More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT's BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT's BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT's To The Top Study Club: https://www.actdental.com/tttGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 981: https://www.youtube.com/@actdental/videosRead Traction by Gino Wickman: https://benbellabooks.com/shop/tractionMain Takeaways:Have a clear vision. Your vision is what provides direction for your team.Clearly define your clinical, financial, team culture, and life vision.Communicate your vision and core values to your team.Repeat your vision and core values for alignment.Walk the talk as the leader. Set the example.Snippets:0:00 Introduction.0:58 ACT/Smile Source and BPA.3:29 Why this is an important topic.4:50 How does this show up in your practice?10:22 Three key things that great leaders define.14:02 Vision provides direction.18:44 Four key areas of practice vision: Clinical vision.22:51 Four key areas of practice vision: Financial vision.26:13 Four key

We've been seeing lots of videos and promotion on MSKUS training for PTs.We all love new toys. And let's be honest, showing a patient their supraspinatus in real-time looks cool. It builds buy-in. It feels high-tech.But does it change what you do Monday morning?Does seeing the calcification actually change your loading protocol? Does the image change the fact that you need to treat the person in front of you, not just the tissue?In this week's episode of Untold Physio Stories, we're breaking down the ROI of Musculoskeletal Ultrasound.We discuss:The steep learning curve (it's harder than it looks).Diagnostic accuracy vs. Clinical utility.When it's a "Game Changer" and when it's just a "Nice to Have."If you've thought about or gone through the training leave a comment or reach out! We'd love to hear from you!Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

Host: Jennifer Caudle, DO Guest: Wendy Wright, DNP, FNP-BC, ANP-BC Randomized controlled trials have shown data supporting the safety and efficacy of cell-based influenza vaccines in adults and children.1-4 However, effectiveness studies have historically relied on outcomes based on clinical diagnosis of influenza-like illness rather than test-confirmed influenza.5 Test-confirmed influenza outcomes provide a more specific evaluation of influenza vaccine effectiveness and can help reveal the clinical differences between cell-based versus egg-based vaccines.6 A retrospective test-negative real-world study including more than 106,000 patients compared the cell-based vaccine with egg-based vaccines.7 Dr. Jennifer Caudle sits down with Dr. Wendy Wright to review the key findings from this analysis and their implications. Dr. Wright is a board-certified adult and family nurse practitioner based out of Amherst, New Hampshire as well as the owner of Wright and Associates Family Healthcare. References: FLUCELVAX. Package insert. Seqirus Inc. Bart S, Cannon K, Herrington D, et al. Immunogenicity and safety of a cell culture-based quadrivalent influenza vaccine in adults: a phase III, double-blind, multicenter, randomized, non-inferiority study. Hum Vaccin Immunother. 2016;12(9):2278–88. doi:10.1080/21645515.2016.1182270. Frey S, Vesikari T, Szymczakiewicz-Multanowska A, et al. Clinical efficacy of cell culture-derived and egg-derived inactivated subunit influenza vaccines in healthy adults. Clin Infect Dis. 2010;51(9):997–1004. doi:10.1086/656578. Diez-Domingo J, de Martino M, Lopez …

Hallucinations are the most recognized—and most misunderstood—symptom of schizophrenia. Movies depict them as dramatic, terrifying commands or cinematic visions, but the lived reality is far more complex. In this episode we unravel what hallucinations actually are, why they happen, and how people learn to live with them. This episode is a special feature from our sister show Inside Schizophrenia. Hosted by Rachel Star Withers (who lives with schizophrenia), with Gabe Howard as co-host. (Don't worry, new Inside Mental Health episodes return in 2026.) In this episode, Rachel shares her own experiences, from everyday “simple” hallucinations like sounds or shifting faces, to more intense, emotion-laden complex hallucinations. She challenges the assumption that hallucinations are always violent or dangerous—and breaks down the critical differences between hallucinations and sensory disturbances. Expert guest Dr. Paul Fitzgerald joins the conversation to explain how the brain creates these perceptual misfires, why hallucinations in schizophrenia differ from those caused by grief, sleep deprivation, or drugs, and what current research reveals about how universal these experiences are across different cultures and countries. Listener Takeaways The difference between simple vs. complex hallucinations Why hallucinations in schizophrenia feel different from drug- or grief-based ones Why reducing—not eliminating—hallucinations is often the realistic recovery goal How CBT and coping strategies help reduce fear and regain control Whether you live with schizophrenia, love someone who does, or are simply curious about how the brain works, this episode offers clarity, compassion, and surprising insights you won't forget. Guest, Professor Paul Fitzgerald, completed his medical degree at Monash University and subsequently a Master of Psychological Medicine whilst completing psychiatric training. He then undertook a Clinical and Research Fellowship at the University of Toronto and The Clarke Institute of Psychiatry, Toronto, Ontario, Canada. On returning to Melbourne, he worked as a psychiatrist and completed a PhD in transcranial magnetic stimulation in schizophrenia. Since completing this PhD, he has developed a substantial research program including a team of over 25 psychiatrists, registrars, postdoctoral researchers, research assistants, research nurses, and students. Professor Fitzgerald runs a research program across both MAPrc and Epworth Clinic using brain stimulation and neuroimaging techniques including transcranial magnetic stimulation, functional and structural MRI, EEG, and near infrared spectroscopy.  The primary focus of this program is on the development of new brain stimulation-based treatments for psychiatric disorders. Guest host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage, and let others like her know they're not alone and can still live an amazing life. She has written “Lil Broken Star: Understanding Schizophrenia for Kids” and a tool for schizophrenics, “To See in the Dark: Hallucination and Delusion Journal.” Learn more at RachelStarLive.com. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Andrea and David chat with the Clinical AI Lead at Provet, Lior Kerner DVM. AI is reshaping the global workforce, and it's beginning to make a powerful impact in veterinary medicine. Join us as we unpack how clinical AI can boost efficiency in your practice, helping veterinarians and their teams save valuable time while still delivering gold-standard care to every patient. So, grab your coffee or pour a glass of wine, and join us for an engaging conversation. Stay happy and sane!   Guest Links: https://www.linkedin.com/in/liorkerner/?originalSubdomain=fr https://nordhealth.com/   Our Links: Website: https://www.pawsitiveleaders.com/   FB: https://www.facebook.com/PAWSitiveLeaders   IG: https://www.instagram.com/pawsitiveleaders/   Furpaws Consulting: https://www.furpawsconsulting.com/   Andrea Crabtree-Wood (Host) LinkedIn: https://www.linkedin.com/in/andrea-crabtree-bs-cvpm-sphr-phrca-ccfp-fear-free-000a7985/  David Liss (Host) LinkedIn: https://www.linkedin.com/in/david-liss-mba-cvpm-rvt-6915743b/ To learn more about our social media: http://www.dogdaysconsulting.com   LinkedIn: https://www.linkedin.com/in/rhondabellcvpm/

From Discovery to Delivery: Charting Progress in Gynecologic Oncology, hosted by Ursula A. Matulonis, MD, brings expert insights into the most recent breakthroughs, evolving standards, and emerging therapies across gynecologic cancers. Dr Matulonis is chief of the Division of Gynecologic Oncology and the Brock-Wilcon Family Chair at the Dana-Farber Cancer Institute and a professor of medicine at Harvard Medical School, both in Boston, Massachusetts. In this episode, Dr Matulonis sat down with guest Panagiotis (Panos) A. Konstantinopoulos, MD, PhD, to discuss the different subtypes of endometrial cancer and treatment developments for this disease. Dr Konstantinopoulos is the director of Translational Research in the Division of Gynecologic Oncology, the director of the Mellen and Eisenson Family Center for BRCA and Related Genes, and the Velma Eisenson Chair for Clinical and Translational Research at Dana-Farber Cancer Institute; as well as a professor of medicine at Harvard Medical School. Drs Matulonis and Konstantinopoulos explained that patients with mismatch repair–deficient (dMMR) tumors substantially benefit from a decreased risk of progression or death when immunotherapy is added to standard therapy. They noted that immunotherapy appears important for the management of dMMR tumors, even those in earlier stages or in patients who have no measurable disease remaining after surgery. For MMR-proficient (pMMR) tumors, Drs Matulonis and Konstantinopoulos highlighted that PD-1 blockade combined with chemotherapy improves survival vs chemotherapy alone, but that this benefit is not as substantial as that seen in dMMR disease. Crucially, they reported that if a pMMR tumor has no measurable disease after surgery, adding immune checkpoint blockade does not appear beneficial. They stated that tailored treatment approaches are key for managing pMMR disease subtypes. They added that hormonal therapy may be used upfront for slow-growing, estrogen receptor–positive metastatic disease. They continued by saying that DNA damage and replication stress are critical targets, particularly in p53-mutated tumors, like uterine serous cancers. Furthermore, they stressed that although the antibody-drug conjugate fam-trastuzumab deruxtecan-nxki (Enhertu) is highly effective in HER2-positive tumors, treatment with this agent requires monitoring for toxicities, including interstitial lung disease and decreased ejection fraction.

Join us for this International Residents Forum Edition of EYP! From practical skills to theory, board exams test it all. Learn how residents prepare for clinical components, with tips, resources, and experiences from those who've been there.Host: Armin Edalatpour, MDGuest: Robert X Murphy,  Jr., MD

Clinical psychologist Joshua Coleman takes calls on your stories of going no contact and what it took to rebuild that relationship with an estranged parent or adult child.

I'm helping you plan your 2026 growth goals in this episode, whether that's continuing education courses, certifications, clinical skills, or supervision. If you're feeling a little unsure about where to focus next year, this is your chance to reflect, regroup, and set a clear, simple direction for your professional development. I'll walk you through how to identify what actually worked in 2025, choose what's worth your time in 2026, and share a few of my favorite tools that save time and reduce overwhelm - including a note-writing AI I'm loving, and a free CE Course Builder I created just for therapists like you. In this episode, I cover: How to plan CEUs you'll actually enjoy Choosing certifications that align with your goals Building your skills and setting one focus per quarter Tools to streamline your work and free up space to grow Links mentioned in this episode: Browse all the Podcourses Build your first CE course (free)Save time with Berries AI:  get $50 off your first month with code THERAPYSHOW50 Get my Coping with Political Stress Ebook and Peaceful Politics AI Guide  Therapist Conversation Framework: Politics in Session A printable PDF with 97 questions to navigate political talk in therapy - without taking sides. Solution-Focused Therapy Guide72 questions + prompts to help adult clients clarify goals and move forward using SFT. Check out all my Counselor Resources.   

If your therapy techniques only work when you're in the room, that's a problem.Many therapists unintentionally “gatekeep” their expertise and miss opportunities to boost carryover.It's the unexpected downside of being really good at direct clinical work. Don't get me wrong. Clinical judgment does matter. And some things can only be addressed by a trained clinician in a therapy room.But when every decision depends on your personal expertise and physical presence, you've made yourself the bottleneck.In this episode, I'll share how to make the shift towards clear, repeatable systems that others can follow. When you make your methods easier to teach, you make your work scalable, easier to delegate, and far more convincing to leadership.I'll tackle common misconceptions like:✅ “I can't delegate; I don't have direct reports.”✅ “I don't have time for consultation.”✅ “We never get enough time to work on skills.”Plus I share the three steps to making intervention “scalable” so your session plans can start doubling as consultation guides and training tools for others.In this episode, I mentioned Language Therapy Advance Foundations, my program that gives speech pathologists a framework for building language skills needed to thrive in school, social situations, and daily life. You can learn more about the program here: https://drkarenspeech.com/languagetherapyI also mentioned the School of Clinical Leadership, my program that helps related service providers develop scalable executive functioning strategies they can turn into schoolwide initiatives. You can learn more about the program here: https://drkarendudekbrannan.com/clinicalleadership We're thrilled to be sponsored by IXL. IXL's comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers' timeReliably meet Tier 1 standardsImprove student performance on state assessments

Clinicians often zoom in on the knee with an acute meniscus tear, but the body usually has other plans.  In this episode, I walk through two client cases who arrived with classic meniscal presentations: pain, swelling, and loss of flexion. But the real driver of their pain at that assessment revealed itself only when I followed LTAP® findings back to the central nervous system.I break down how CNS tension alters dynamic alignment, hip mechanics, and tibiofemoral arthrokinematics, and why this pattern shows up so often in clients with knee pain. You'll hear exactly how I used the LTAP® to identify the true restriction and why the CNS initially mattered more than local knee work.In this episode, you'll learn:• How CNS tension alters gait, hip rotation, and knee loading during daily movement• Why addressing cranial containers can transform lower-extremity biomechanics• How simple sensory-driven treatments can reduce symptoms in structurally injured knees• When to treat locally, when to treat globally, and how to make that call with confidenceThis episode Is a practical reminder that system-level clarity leads to better outcomes, whethers it's in acute or chronic client cases.Resources & Links Mentioned In This Episode:Episode 86: Decoding The Nervous System For Health ProsEpisode 94: Understanding The Piriformis PuzzleLearn the LTAP® In-Person in one of my upcoming coursesConsidering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com=================================================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

Send us a textImagine a hospital corridor lined with open doors and a chorus of hotel bells, each ring a patient hoping to be found. That's the picture Julie Dearinger Smith paints from real stories of downtime, the moments when networks collapse, call systems fail, and teams fight to deliver safe care without the tools they rely on. Julie brings two decades in clinical informatics atop years at the bedside, and she turns that experience into a simple but radical premise: resilience is a clinical operations discipline, not just a cybersecurity task.We dig into Leadership by Design, Julie's practical framework that maps growth from novice to expert using observable skills. No more vague advice like “show initiative.” Instead, leaders get a clear coaching plan, and team members get a transparent path to advancement. This clarity becomes critical during outages, when pattern recognition, prioritization, and calm execution can prevent harm. Julie shares the mindset shift that separates “testing to pass” from “testing to break,” and why that difference defines proficient practitioners in health tech.From there, we get tactical. Julie explains how Contingency Health Solutions approaches downtime with tools designed to run when the internet doesn't. Bell Assist gives patients a cellular-based call capability with location awareness and prioritization, while a lightweight bed management module restores throughput and room turnover visibility when EHRs and intercoms are offline. We cover everyday value too, including meeting CMS requirements for communication in ED overflow spaces without expensive infrastructure. Along the way, we surface hidden dependencies in radiology, pharmacy, and supply chain, and outline how to run serious tabletop exercises that prepare clinical leaders for the worst-case scenario.If you care about patient safety, informatics, nursing leadership, or hospital operations, this conversation offers a blueprint you can act on today. Subscribe for more practical health tech stories, share this episode with a colleague who owns downtime planning, and leave a review with your biggest resiliency question—we'll tackle it next.Support the showListen to all This Week in Health Tech episodesVik Patel - LinkedInTido Inc. - WebsiteTido Inc. - LinkedIn

Invisible illnesses shape millions of lives, yet most patients spend years in the system without answers. Dr. David Clarke has spent his career at the intersection of internal medicine, psychology, and mind-body research. His mission is clear. Help clinicians recognize when symptoms are driven by the nervous system rather than structural disease. Help patients finally feel seen. And give the medical community a framework to reduce unnecessary testing while improving outcomes.In this episode he explains how the brain generates real physical symptoms under stress, trauma, and emotional overload. He walks through clinical red flags that differentiate structural disease from functional conditions. He shares stories of patients who suffered for years before receiving the right diagnosis. Dr. Bonta and Dr. Clarke explore why invisible illnesses are often missed in rushed systems. They dig into tools clinicians can use to validate symptoms without over pathologizing them. They highlight communication strategies that restore trust. They also discuss prevention, early detection, and the growing evidence supporting mind-body approaches.The conversation is practical. Evidence based. Deeply human. Dr. Clarke shows how clinicians can uncover hidden drivers of symptoms and give patients a path to recovery even when imaging and lab work are normal. This episode is designed for anyone who wants to understand the science and psychology behind medically unexplained symptoms and how to improve care for this underserved population.David Clarke, MD's Website : https://www.symptomatic.me/Episode Takeaway 1. Neuroplastic Symptoms: Real physical sensations created by the brain that can improve with the right approach.2. Invisible Illnesses: Often missed because standard training focuses on structural disease, not functional mechanisms.3. Brain Body Pathways: Stress and trauma can activate neural circuits that generate chronic pain and gut symptoms.4. Diagnostic Clarity: Red flags help distinguish functional illness from conditions that need imaging or procedures.5. Validation Matters: Patients recover faster when clinicians acknowledge symptoms without dismissing them.6. Communication Skills: Asking the right questions uncovers hidden emotional drivers behind persistent symptoms.7. Prevention Tools: Early recognition of neuroplastic patterns reduces unnecessary testing and specialist referrals.8. Hope in Recovery: Most patients improve once they learn how the nervous system produces their symptoms.Episode timestamps 02:46 – Why invisible illnesses elude standard medical training06:13 – How the nervous system produces real physical symptoms10:34 – Red flags that separate structural disease from functional illness14:51 – Communication strategies that validate patient symptoms19:30 – Trauma, stress and the hidden drivers of chronic symptoms24:42 – Clinical cases that shifted Dr. Clarke's diagnostic approach30:04 – Tools clinicians can use to reduce unnecessary testing35:57 – Preventing invisible illness through early recognition and educationDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Acute Kidney Injury (AKI) explained, including pathophysiology and causes (prerenal/intrinsic/postrenal) as well as diagnosis and treatment of different causes. Also includes mnemonic to remember nephrotoxic medication!PDFs available here: https://rhesusmedicine.com/pages/nephrologyConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is an Acute Kidney Injury?0:20 Glomerular Filtration Rate (GFR) Explained2:12 Acute Kidney Injury Causes – Prerenal2:59 Acute Kidney Injury Causes – Intrinsic 4:46 Acute Kidney Injury Causes – Postrenal5:18 Acute Kidney Injury Symptoms 6:02 Acute Kidney Injury Diagnosis8:10 Acute Kidney Injury TreatmentLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/References:Goyal, A., Bashir, K., Daneshpajouhnejad, P., Hashmi, M., & others. Acute Kidney Injury. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; last updated 25 November 2023. Available at: https://www.statpearls.com/articlelibrary/viewarticle/17169/Centers for Disease Control and Prevention (CDC). Clinical profile and predictors of renal failure in emergency … In NKBI Book NBK519012. Published 2022. Available at: https://www.ncbi.nlm.nih.gov/books/NBK519012/National Kidney Foundation (NKF). Glomerular Filtration Rate (GFR). Last reviewed 2024. Available at: https://www.kidney.org/kidneydisease/siemens_hcp_gfrDisclaimer: Please remember this video and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice. 

On the Very Clinical podcast we're suckers for a good story, and our guest, Dr. Dhaval Patel tells one of the best ones we've ever heard!  Kevin and Alan (sorry, no Zach this episode, he's busy mourning the record of his Kansas City Chiefs) welcome Dr. Dhaval Patel to the show. Our plan was to talk about his journey into CAD-CAM dentistry and don't worry, we get there. But he tells the story of how he became a dentist in the US after his training in India and the story is AMAZING. Let's just say that Dhaval has taught us that you need to ask for the things that you want.  Following this amazing story, Dr. Patel recounts his unexpected introduction to CEREC technology in 2006, starting with a dust-collecting Red Cam unit at his Pacific Dental Services office. Despite initial skepticism from colleagues about "shitty crowns," a half-day training session with Dr. Bob Conrad ignited his passion for the technology, leading him to fully embrace it, become an owner-doctor, an early adopter of the Omnicam, a renowned speaker, and the founder of the popular Keep CERECing Facebook group in 2016. He concludes by announcing the upcoming Third Annual Keep CAD Camming meeting in Austin, October 15th-17th, 2026, which will expand beyond CEREC to cover a wider range of CAD/CAM and digital dentistry topics. Some links from the show: Keep CADCAMing Facebook group Dhaval's Instagram Keep CADCAMing website (where you can find information about their upcoming meeting October 15-17th, 2026!) Join the Very Clinical Facebook group!  Join the Very Dental Facebook Group using one of these passwords: Timmerman, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Today, I'm joined once again by the incredible Dr. Bill Lawrence, a true pioneer in the field of longevity research and one of the most requested guests on this podcast. Dr. Lawrence trained directly with Professor Vladimir Khavinson—the scientist who discovered and developed bioregulator peptides—and has spent the last eight years leading some of the most exciting field research in this space.   Episode Timestamps: Welcome and introduction to Longevity Podcast ... 00:00:00 Origins and early use of bioregulator peptides in Soviet research ... 00:05:39 Organ-specific peptide mechanisms and targeting ... 00:08:28 Dr. Lawrence's collaboration with Professor Cavinson ... 00:12:17 Overview of American clinical studies and study protocols ... 00:14:13 Measuring biological age: telomeres and epigenetic markers ... 00:15:06 Key Russian studies and impact of peptides on mortality ... 00:17:00 Peptides as ultimate epigenetic switches and DNA repair ... 00:20:00 Importance of pineal and thymus peptides in protocols ... 00:22:28 Advances in peptide testing and lab beta-testing ... 00:28:05 Clinical outcomes: organ regeneration and normalized function ...00:35:54 Bioregulator peptides vs. synthetics: modulation vs. boosting ... 00:39:28 Dr. Lawrence's personal telomere and epigenetic age results ... 01:07:56 Impact of stress and meditation on telomere length ... 01:10:37 Group results: significant telomere and epigenetic age reversal ... 01:13:03 System-level organ age tracking and protocol targeting ... 01:27:14 International expansion and next steps in peptide research ... 01:37:03   Our Amazing Sponsors:   Kineon - near-infrared light helps improve circulation, oxygen delivery, and mitochondrial function, which can support focus, recovery, and even overall brain health. Visit kineon.io/NATNIDDAM and get 10% off!   BEAM Minerals - Mineral deficiency support. One shot in the morning, tastes like water, and you've just restored every essential mineral your cells are craving. Go to beamminerals.com, use code NAT20, and get 20% off your first order.   Nootropept by LVLUP - an advanced cognitive enhancement formula that combines fast-acting neuropeptides, cholinergic support, and mitochondrial-boosting compounds to sharpen mental clarity, memory, and long-term brain performance. Visit https://lvluphealth.com/ and use code NAT at checkout for 20% off.   Nat's Links:  YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

After 1,000 podcast episodes and over a decade of research, Katie Wells shares her most important discovery: true healing isn't about doing more—it's about simplifying. In this conversation with Dr. Tony Ebel, Katie reveals how she healed from Hashimoto's not through pages of supplements and restrictive protocols, but by prioritizing nervous system health, light exposure, and trusting her body's innate ability to heal. Together, they discuss why the body's electromagnetic nature matters, how stress and complexity prevent healing, and practical (mostly free) strategies for building resilience and adaptability in your family's health journey.-----Links & Resources Access of all Katie's incredible resources here: wellnessmama.comListen to the Wellness Mama Podcast on Apple or your favorite platform!Follow Katie on instagram: @wellnessmama-----Key Topics & Timestamps(00:03:00) - Katie's 1,000th episode milestone and what truly matters after years of research(00:08:00) - Three core principles: body's ability to heal, supplement minimalism, aligning with nature(00:16:00) - The three T's: traumas, toxins, and thoughts—especially the power of inner voice(00:22:00) - Subluxation explained: "a condition less than light" and chiropractic philosophy(00:28:00) - Katie's healing protocol: dropping supplements, no exercise, prioritizing nervous system(00:33:00) - Clinical insight: giving parents permission to stop everything and let healing begin(00:38:00) - Light first: why Katie talks about light before food, supplements, or sleep(00:39:00) - The power of sunrise, sunset, and midday sun exposure(00:42:00) - Electrolytes and minerals: supporting the body's electrical communication(00:49:00) - Movement vs. exercise: gentle movement during healing, not high-intensity workouts(00:53:00) - If you burn easily, you're neuro-inflamed—sun isn't the problem, internal state is(00:59:00) - The banana story: nervous system associations and sensory spillover effect-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click Here

In episode 375 of The Physical Performance Show, Coach Lino Holler and Exercise Physiologist Alex Butchies—founders of The Breath Room—join hosts Hugh Darnell and Brad Beer to unpack the science, the soul, and the surprising simplicity behind breathwork. Known for blending physiological precision with deep nervous-system awareness, Lino and Alex explain how breath training can radically influence performance, recovery, emotional regulation, and everyday resilience. They share the models they've built for athletes, clinicians and everyday performers—equipping listeners to understand when to activate, when to regulate, when to release, and how to stay composed under pressure. This episode explores breathwork as a foundational human movement—right alongside gait—and highlights how poor breathing mechanics echo into every body system. From apnea training to flow-state access, from nervous-system overload to psychological clarity, Hugh, Lino, and Alex guide listeners through practical tools and principles that can reshape life, training, and mental wellbeing.   On instagram checkout: Lino @coachhola  AB @butschies  TBR @thebreatheroomglobal Consulting @ab_physiology   To get the TBR Master Your Breath: Personal Development course head to  https://cleanhealth.edu.au/product/online-courses/master-your-breath/   To get the Level 1 TBR Certified Breathwork Coaching course head to  https://cleanhealth.edu.au/product/online-courses/the-breathe-room-level-1/   To get 20% of either course use promo code 'AB20' at checkout   Listen in as we delve into the following: Lino & Alex's backgrounds and the origin story of The Breath Room Why breathwork is both universal and wildly misunderstood The "science and soul" model: activate, regulate, release How breath patterns influence physiology, psychology, posture, and performance Understanding flow state and how breath helps athletes access it What inefficient breathing looks and sounds like—and why it matters Nasal breathing, LSD breathing, and the dangers of skipping the basics Apnea training, CO₂ tolerance & performance crossover Assessing breathing in athletes: practical tests and markers Nervous system burnout, emotional load & modern stress physiology Training resilience: why athletes must learn to perform under pressure How to help clients (and yourself) find the "middle zone" Why 5 minutes of daily breathwork is the minimum effective dose Two practical breathwork protocols listeners can start today Quotes "If you can master your breath, you can master your life." — Lino Holler "Seek balance, not perfection. A well-balanced nervous system can go fast, slow, and always find its way back to centre." — Alex Butchies "Most people breathe all day, but not efficiently. Awareness is the gateway." "When your breath is compromised, your body will sacrifice everything else to get it back." "Breathwork is the universal tool to shift your state—faster than anything else." Timeline 00:00 – Introduction & sponsor: The Rehab Mechanics 01:15 – Hugh & Brad introduce the Breath Room founders 01:40 – The "science and soul" of breathwork 02:31 – Why breathwork is misunderstood and undervalued 03:26 – Alex's journey: connecting physiology, sport & nervous-system regulation 05:19 – Clinical insights from veterans, trauma, anxiety & PTSD 06:42 – Lino's story: sickness, burnout & finding regulation 09:41 – Breathwork, performance and the nervous system 11:03 – Breathwork for flow state: accessing presence under pressure 12:32 – Jiu-jitsu, endurance sports & composure under stress 14:39 – Everyday breathwork: LSD breathing, nasal breathing & awareness 17:02 – "Don't sit like a croissant or breathe like a French bulldog" 18:30 – Nasal breathing red flags & the mouth-taping debate 19:56 – Using breath to control transitions & race composure 21:15 – The Breath Room model: activate, regulate, release 23:40 – How the system works in training & everyday life 28:33 – Assessing breathing: tests, observations, retention walks 31:27 – CO₂ tolerance, awareness, and common pitfalls 36:31 – Life stress, emotional load & the body keeping score 38:48 – Mental performance: head noise, pressure, and elite sport 42:01 – Self-consciousness, overthinking & performance breakdown 47:12 – Training resilience: don't flee stress—learn to stay in it 48:35 – Robust versus fragile nervous systems 50:20 – Why endurance athletes must train breath 51:15 – Apnea training, head noise & physiological adaptation 53:06 – The psychology of pressure: young athletes & emotional load 56:13 – Balance, HRV & the "pendulum" model 58:05 – Minimum effective dose: 5 minutes/day 59:01 – The "brakes" metaphor: learning to shift state 01:00:29 – Two breathwork protocols listeners can apply today 01:06:11 – Final messages from Lino & Alex 01:09:12 – Listener challenge: 7-7-7 breathing & nasal-only warm-ups 01:11:02 – Breath Room Global: building a system for all people 01:17:17 – Guided 15-breath practice to close the episode 01:21:40 – Episode close & credits THE TEAM: Join the The Physical Performance Show LEARNINGS membership through weekly podcasts  here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best.  Find out more about Telehealth Consultations and book online. Your Hosts: 

In this episode of The Clinical Entrepreneur, I walk you through a real case study of a high-stress, high-anxiety patient who turned things around - no labs, no overwhelm, and no complicated protocol.   Instead, I focused on what I call "the low-hanging fruit": stress, sleep, digestion, and diet. You'll hear the exact questions I asked, the protocols I recommended, and the surprising symptom he revealed weeks later.   Want help building clinical confidence like this? Join me inside Clinical Academy  

Featuring a slide presentation and related discussion from Dr John V Heymach, including the following topics: Overview of the biology and treatment landscape of HER2-mutant non-small cell lung cancer (NSCLC) (0:00) Datasets evaluating trastuzumab deruxtecan for HER2-mutant NSCLC (5:03) Clinical data with zongertinib for HER2-mutant NSCLC (6:35) Emerging data with sevabertinib for HER2-mutant NSCLC (14:41) Other investigational strategies being evaluated for HER2-mutant NSCLC (19:10) Summary of the current and future treatment landscape of HER2-mutant NSCLC (21:52) CME information and select publications

Thinking of moving to the USA as a dentist? Wondering what exams, applications, and documents you'll need to practice or specialize there? Curious about how much it costs — and what life as a dentist in the States is really like? Dr. Hazel Kerr and Dr. Dorrin Reyhani join Jaz for a deep dive into everything you need to know about moving to America as a dentist. Both UK-trained and now faculty at UPenn, they share their personal journeys and break down the full pathway — from exams like the INBDE and TOEFL, to transcripts, personal statements, and application timelines. They also discuss what it's like working in the US compared to the UK, including earning potential, patient culture, and training opportunities. Whether you want to complete an advanced standing program, pursue a specialty, or bring your skills back home, this episode gives you a clear roadmap to make it happen. https://youtu.be/Ro9dljETKpc Watch IC065 on YouTube Key Takeaways The journey to becoming a dentist varies significantly by country. Specializing in dentistry can open more opportunities than general practice. Board certification enhances professional status and may offer insurance benefits. International dentists have specific routes to practice in the US. Scholarships can significantly reduce the financial burden of dental education. Teaching positions can provide pathways to practice without additional costs. Faculty primarily teach and supervise dental students in clinics. Early preparation for the INBD exam is crucial for success. Clinical experience and a strong portfolio are essential for applications. Networking and externships can enhance application prospects. Understanding the application process can alleviate stress for international students. Cultural differences impact how dental care is valued and perceived. Highlights of this episode: 00:00 Teaser 00:55 Introduction 04:15 Journey to Specialization 12:49 Understanding the Certification and Board Process 15:35 Exploring Different Routes for International Dentists 18:17 Financial Considerations and Scholarships 25:48 US Difficulty and Competitiveness 29:35 Choosing Between General and Specialty Routes 31:11 Navigating State-Specific Licensing 33:28 Teaching and Clinical Responsibilities 35:03 Midroll 38:24 Teaching and Clinical Responsibilities 43:01 Application Process and Exams 52:07 Residency and Career Pathways 57:39 Application Portals 01:00:35 Work Experience Before Specialization 01:03:22 Why Dentists Choose to Work in the US 01:09:36 Finishing the Program and Looking Ahead 01:12:01 Outro If you enjoyed this episode, you'll definitely be inspired by The American Dental Dream – PDP002. #InterferenceCast #CareerDevelopmentThis episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan.

Sean Cassidy, CEO and Co-Founder of Lucem Health, is applying AI to identify patients at high risk of undiagnosed conditions like cancer and diabetes.  The goal is to facilitate earlier diagnosis and treatment by flagging patients that need screening based on the AI plaform's ability to analyze EHR data and demographics of diverse patient populations to ensure broad scalability. This technology was designed to integrate into existing clinical workflows for established screening procedures rather than making direct treatment recommendations.  Sean explains, "The origin of the company, the idea for the company, originated within Mayo Clinic in about 2020. Mayo Clinic has faced a challenge, and I think sometimes continues to face a challenge that a lot of researchers in AI have faced, which is how do you get promising AI in a clinical context from the so-called bench to the bedside? How do you get it from the lab into clinical practice? And what they realized was that while the data science and the AI part of it is really interesting, what was needed was scaffolding around the AI to facilitate integration with data and integration with workflows, a measurement and monitoring system, and so on and so forth." "We are trying to facilitate, and you're going to see us begin to expand the aperture, if you like, or open the aperture of how we position the company. Because as we've gone on, we have realized that the opportunity here is to actually help healthcare provider organizations, health systems, and so on, create really high-impact care delivery programs that have at their core or feature at their core earlier diagnosis, accelerated treatment, earlier treatment and therefore better outcomes for patients and hopefully even saved lives. So that's the generic approach that we take."  #LucemHealth #AIinHealthcare #HealthcareAI  #HealthTech #EarlyDiseaseDetection lucemhealth.com Listen to the podcast here

Sean Cassidy, CEO and Co-Founder of Lucem Health, is applying AI to identify patients at high risk of undiagnosed conditions like cancer and diabetes.  The goal is to facilitate earlier diagnosis and treatment by flagging patients that need screening based on the AI plaform's ability to analyze EHR data and demographics of diverse patient populations to ensure broad scalability. This technology was designed to integrate into existing clinical workflows for established screening procedures rather than making direct treatment recommendations.  Sean explains, "The origin of the company, the idea for the company, originated within Mayo Clinic in about 2020. Mayo Clinic has faced a challenge, and I think sometimes continues to face a challenge that a lot of researchers in AI have faced, which is how do you get promising AI in a clinical context from the so-called bench to the bedside? How do you get it from the lab into clinical practice? And what they realized was that while the data science and the AI part of it is really interesting, what was needed was scaffolding around the AI to facilitate integration with data and integration with workflows, a measurement and monitoring system, and so on and so forth." "We are trying to facilitate, and you're going to see us begin to expand the aperture, if you like, or open the aperture of how we position the company. Because as we've gone on, we have realized that the opportunity here is to actually help healthcare provider organizations, health systems, and so on, create really high-impact care delivery programs that have at their core or feature at their core earlier diagnosis, accelerated treatment, earlier treatment and therefore better outcomes for patients and hopefully even saved lives. So that's the generic approach that we take."  #LucemHealth #AIinHealthcare #HealthcareAI  #HealthTech #EarlyDiseaseDetection lucemhealth.com Download the transcript here

Ever fantasized about getting even? You're not alone — and it turns out revenge isn't just satisfying… It's literally addictive. Clinical psychologists Bill Roman & Dan Schaefer dive deep into: Why revenge triggers the same dopamine rush as cocaine How harboring resentment is a "behavioral addiction" (new brain science!) The dark reason Hollywood revenge movies (John Wick, Kill Bill, Gladiator) make billions Why "venting" your anger actually makes it worse The one thing that finally breaks the cycle: forgiveness (and it's harder than it sounds) If you've ever replayed "that moment" in your head, chopped wood while imagining someone's face, or cheered when the bad guy finally gets it — this episode is for you. Listen now wherever you get podcasts: search "GuyShrink"

skinfix began when founder Amy Gordinier discovered a 150-year-old healing balm in a small town in eastern Canada—a shockingly potent formula that outperformed many modern products. The pharmacist's family had boxes of handwritten letters from people whose skin and confidence had been transformed by it. Inspired, Amy rebuilt that legacy with a modern edge, creating skinfix: clean, clinical, barrier-first skincare powered by high-potency actives. The brand is engineered for people who've tried everything and are still searching for real results. skinfix delivers fast-acting repair now and healthier-looking skin over time, tackling stubborn concerns at the root. Their formulas pair clinical actives with moisture-locking hydrators to maximize impact while minimizing irritation. Every product is tested and recommended by unbiased dermatologists and proven to work on real, reactive, complicated skin. If your routine is crowded but your results are lacking, skinfix is the brand built to fix it.In this episode, Amy also discusses:Serving humanity by helping people heal their skin—and, in turn, their livesTackling tough skin issues, from eczema and psoriasis to rosaceaUnlocking glowing skin with the ultimate barrier repair routineThe role of clinical testing: the secret to brand loyalty and credibilityThe importance of cleansing and understanding what your skin truly needsHarnessing the power of organic love on social beyond viral momentsWe hope you enjoy this episode and gain valuable insights into Amy's journey and the growth of skinfix. Don't forget to subscribe to the Glam & Grow podcast for more in-depth conversations with the most incredible brands, founders, and more.Be sure to check out skinfix at www.skinfix.com and on Instagram at @skinfix Rated #1 Best Beauty Business Podcast on FeedPostThis episode is brought to you by WavebreakLeading direct-to-consumer brands hire Wavebreak to turn email marketing into a top revenue driver.Most eCommerce brands don't email right... and it costs them. At Wavebreak, our eCommerce email marketing agency helps qualified brands recapture 7+ figures of lost revenue each year.From abandoned cart emails to Black Friday campaigns, our best-in-class team manage the entire process: strategy, design, copywriting, coding, and testing. All aimed at driving growth, profit, brand recognition, and most importantly, ROI.Curious if Wavebreak is right for you? Reach out at Wavebreak.co

Dr. Greg Hobelmann, Co-CEO/President of Ashley Addiction Treatment alongside Alex Denstman, brings a wealth of experience to his role. Formerly serving as senior vice president and chief clinical/medical officer, Greg now oversees our entire continuum of care including Medical, Clinical, and Spiritual Care, as well as Family Services, Quality Improvement, and Health Information Management. Holding a Master of Public Health from Johns Hopkins Bloomberg School of Public Health, Greg's expertise spans psychiatry, anesthesiology, and pain medicine. With a background in interventional pain management, he focuses on substance use disorders and chronic pain, dedicated to providing innovative holistic care to patients and families at Ashley. Greg currently serves as Secretary on the Executive Committee for the National Association of Addiction Treatment Providers and is Co-Chair of the Public Policy Committee for the Maryland/DC Society of Addiction Medicine. Today on the show we discuss: the complexities of addiction and why the epidemic is so out of control, the nature of addiction and its impact on the brain, strategies for navigating early recovery and regaining control of your life, the ins and outs of the treatment industry and what great treatment actually looks like, what Dr. Hobelmann's latest research suggests about addiction recovery, his advice families and much more. WELLNESS DISCLAIMER  Please be advised; the topics related to health and mental health in my content are for informational, discussion, and entertainment purposes only. The content is not intended to be a substitute for professional advice, diagnosis, or treatment. Always seek the advice of your health or mental health professional or other qualified health provider with any questions you may have regarding your current condition. Never disregard professional advice or delay in seeking it because of something you have heard from your favorite creator, on social media, or shared within content you've consumed.If you are in crisis or you think you may have an emergency, call your doctor or 911 immediately. If you do not have a health professional who is able to assist you, use these resources to find help: Emergency Medical Services—911 If the situation is potentially life-threatening, get immediate emergency assistance by calling 911, available 24 hours a day. National Suicide Prevention Lifeline, 1-800-273-TALK (8255) or https://suicidepreventionlifeline.org. SAMHSA addiction and mental health treatment Referral Helpline, 1-877-SAMHSA7 (1-877-726-4727) and https://www.samhsa.gov Learn more about your ad choices. Visit megaphone.fm/adchoices

In the final episode of our five-part series on primary progressive aphasia (PPA), Dr. Rogan Magee discusses bedside testing for PPA.  Show citations:  Show citations:  Grossman M, Seeley WW, Boxer AL, et al. Frontotemporal lobar degeneration. Nat Rev Dis Primers. 2023;9(1):40. Published 2023 Aug 10. doi:10.1038/s41572-023-00447-0  Gorno-Tempini ML, Hillis AE, Weintraub S, et al. Classification of primary progressive aphasia and its variants. Neurology. 2011;76(11):1006-1014. doi:10.1212/WNL.0b013e31821103e6 Santos-Santos MA, Rabinovici GD, Iaccarino L, et al. Rates of Amyloid Imaging Positivity in Patients With Primary Progressive Aphasia. JAMA Neurol. 2018;75(3):342-352. doi:10.1001/jamaneurol.2017.4309 Mandelli ML, Lorca-Puls DL, Lukic S, et al. Network anatomy in logopenic variant of primary progressive aphasia. Hum Brain Mapp. 2023;44(11):4390-4406. doi:10.1002/hbm.26388  Putcha D, Erkkinen M, Daffner KR. Functional Neurocircuitry of Cognition and Cognitive Syndromes. In: Silbersweig DA, Safar LT, Daffner KR. eds. Neuropsychiatry and behavioral neurology: principles and practice. McGraw Hill; 2021. Accessed November 6, 2025. https://neurology.mhmedical.com/content.aspx?bookid=3007§ionid=253215676  Montembeault M, Brambati SM, Gorno-Tempini ML, Migliaccio R. Clinical, Anatomical, and Pathological Features in the Three Variants of Primary Progressive Aphasia: A Review. Front Neurol. 2018;9:692. Published 2018 Aug 21. doi:10.3389/fneur.2018.00692 Clark DG. Frontotemporal Dementia. Continuum (Minneap Minn). 2024;30(6):1642-1672. doi:10.1212/CON.0000000000001506 

Welcome to the fourth episode of our Early Clinical Learners Series, a series dedicated to fostering clinical reasoning skills and strategies in early clinical trainees. This episode focuses on the musculoskeletal (MSK) block and uses a clinical case to guide listeners through approaching joint pain, identifying key red flags, and narrowing a differential diagnosis.Hosts: Caroline Wang, Samantha Shih, Dr. Richard AbramsGuests: Christopher Song, Grant PrimerProduced By: Caroline Wang, Samantha ShihAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on Twitter:A&OA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

Feeling the heavy "grey" of the season? You don't have to force happiness today. Join Martin, your Clinical Hypnotherapist, for a gentle 5-minute morning meditation designed to soothe Seasonal Affective Disorder (SAD) and shift your mood instantly.In this episode, we move beyond toxic positivity and use the science of Polyvagal Theory to introduce you to "Glimmers"—the trending antidote to triggers. While triggers push your nervous system into fight-or-flight, glimmers are micro-moments of safety and connection that anchor you back to calm.In just 5 minutes, you will learn to:Retrain Your Brain: Overcome your mind's natural negativity bias by activating your "Glimmer radar." Soothe Winter Blues: Shift your biology from survival mode into "rest and digest" using somatic regulation. Find Magic in the Mundane: Use visualization to spot micro-joys—like the steam of coffee or a winter robin—to spark instant gratitude. Why listen? If you are struggling with seasonal depression, high-functioning anxiety, or just the weight of the dark months, this session offers a practical tool to help you feel safe, warm, and connected. Become a "hunter of glimmers" and find the light that is already there. Featured Affirmations: "I am open to seeing the magic in the mundane." "Safety and joy are available to me right now." "I choose to focus on what warms my heart."

Take a sneak peek at this month's Fertility and Sterility! Articles discussed this month are:   Articles: 1. The reproductive journey of women with obesity undergoing assisted reproductive technology: an analysis of 48,595 in vitro fertilization cycles in 31,829 women 2.  The reproductive endocrinology and infertility subspecialist: definition, training, and scope of practice in the United States 3. Clinical outcomes in patient-oriented strategies encompassing individualized oocyte number (POSEIDON) low-prognosis patients receiving in vitro fertilization / intracytoplasmic sperm injection treatment: a multi-center retrospective cohort study 4. Gonadotropin-releasing hormone antagonist protocol is associated with higher oocyte yield in young women at high risk for low oocyte retrieval: a retrospective study using three statistical methods 5. Outcomes of in vitro fertilization cycles with embryo donation compared with double gamete donation with cryopreserved donor oocytes 6. Leveraging anti-Müllerian hormone and metaphase II oocyte yield to improve counseling for oocyte cryopreservation outcomes 7. Effect of a one-step fast warming protocol on reproductive outcomes of vitrified-warmed blastocysts View the December 2025, Volume 124 Issue 6 of Fertility and Sterility at https://www.fertstert.org/issue/S0015-0282(25)X0013-3 View Fertility and Sterility at https://www.fertstert.org/  

It's The Ranch It Up Radio Show! Join Jeff Tigger Erhardt, Rebecca Wanner AKA BEC and their crew as they hear how feeding Farmatan to bred cows now can help prevent scours this upcoming calving season.  Plus news, markets, updates, bred cow prices and lots more on this all-new episode of The Ranch It Up Radio Show.  Be sure to subscribe on your favorite podcasting app or on the Ranch It Up Radio Show YouTube Channel. How To Prevent Calf Scours: Feed Farmatan   Feed Farmatan To Prevent Scours This Upcoming Calving Season Calving season is getting ready to start for many producers and for some others it is still a ways away yet.  Regardless, we need to get a jump on scours and make sure each and every calf that hits the ground has the best chance of survival.  A simple solution… FARMATAN from Imogene Ingredients.   WHAT CAUSES SCOURS IN BEEF CATTLE/CALVES Clostridia-Enterotoxemia The most common form of Clostridium in cattle is caused by Clostridia perfringens. The gram-positive bacteria are a challenge due to its ability to form spores and lay dormant for long-periods of time. The bacteria reproduce by releasing spores into its environment (soil, feed, manure). The spores can even lay dormant in the animal's intestine until opportunity presents itself. Infection takes place either through ingestion of spores or through an open wound. The most severe cases happen within the first month of a calf's life, and can result in sudden death. Clinical Signs Diarrhea - Bloody, Mucus Present, Bubbly Dehydrated Bloat Blindness Prevention/Treatment: Prevention can be difficult due to the Clostridia spores being extremely durable and present almost everywhere. Complete cleanout and disinfection between calves is helpful, but not always effective. A good vaccination program will reduce clinical disease. The best method is to develop good gut health and the immune system of the calf. Farmatan has been shown to strengthen the intestinal wall, helping to prevent infection from taking hold. Coccidiosis Cattle are host to numerous species of Coccidia, a single-celled protozoal parasite. Infection and clinical symptoms can happen any time during a calf's life, with the most severe reaction usually occurring between 3-6 weeks of age. The life-cycle of coccidia requires time to infect the intestine causing destruction of the mucosal and epithelial lining. The oocytes mature outside the host in warm, moist environments before being consumed, causing infection of a new host. Clinical Signs Diarrhea - Watery, Bloody Depression Weight Loss Prevention/Treatment: Prevention of Coccidiosis is possible by keeping young calves separate from older animals, providing clean water and feed, and dry conditions. Isolation of infected animals is key to preventing transmission. Keeping the pen dry is the most important step a farmer/rancher can take in preventing Coccidiosis. Treatment can have a good impact on reducing secondary disease, and speeding up recovery time. Farmatan has been shown to disrupt the reproductive cycle of Coccidia; and may help strengthen the intestinal wall to prevent infection, in both the cow and calf. Coronavirus Bovine Coronavirus is a ubiquitous, envelope-viral disease, causing respiratory and enteric infection. There are many serotypes for this virus, making it difficult to test for, and create a vaccine. Coronavirus can present as either diarrhea and/or respiratory illness; transmitted through nasal discharge and/or feces. Animal reservoirs continue to spread the disease, and make eradication almost impossible. Clinical disease will likely occur between days 10-14, and present for up to 4 days. Clinical Signs Diarrhea - Watery Nasal Discharge Coughing Prevention/Treatment: Prevention is difficult due to wild animals transmitting the disease. Keeping wild animals out of animal enclosures is essential. Isolation of infected animals is critical to preventing the spread of Coronavirus. Adequate colostrum intake, along with a good vaccination program will help prevent clinical disease. Learn more about the positive effects of Farmtan's active ingredient on Coronavirus HERE. Cryptosporidium Cryptosporidium Parvum is a single-celled parasite responsible for causing infection in young calves. The infection takes place within the first four weeks of a calves' life, afterwards immunity has developed within the calf. The parasite is either passed from the cow or spread through infected water sources. Clinical Signs Diarrhea - Watery, Bloody, Mucus present Colic Depression Prevention/Treatment: Good sanitary conditions, especially clean water is essential in preventing transmission of cryptosporidium. Isolation of sick calves will help reduce the effect on the overall herd. There is some good effect of calves given adequate colostrum, however this is likely helping by reducing other pathogenic loads rather than a direct effect on Cryptosporidium, itself. Farmatan fed prior to calving has been shown to disrupt the life-cycle and reduce transmission from the cow. The direct action of Farmatan on the parasite makes it an excellent choice for treating calves. Learn more about the positive effect of Farmatan's active ingredient HERE. E-Coli Escherichia Coli is a bacterial infection that affects calves within the first week of their life. The bacteria colonize in the lower intestine and produce a toxin. The toxin causes excessive secretion of fluids. The zoonotic disease has special importance in food safety and human health. Colostrum and natural immunity are often not sufficient in preventing infection in cases of high bacterial concentrations. Clinical Signs Diarrhea - Creamy, Yellow Abdominal Pains Fever Vomiting Prevention/Treatment: The best prevention methods for E. Coli include: clean water, dry bedding/environment, isolation of infected animals, and vaccination. Treatment with antibiotics and oral fluids have great benefits in reducing clinical symptoms of the disease. Farmatan has been shown to reduce bacterial load and help prevent infection. Learn more about the positive effects of Farmatan's active ingredient HERE. Rotavirus Rotavirus in calves is caused by a virus belonging to the Reoviridae family, as a non-envelope RNA virus. Rotavirus is thought to be the most common cause of neonatal diarrhea in calves. The virus tends to affect calves between the age of 1-day-old up to a month, with most cases presenting within the first week of life. Shedding and reinfection can happen in older calves and cows. Clinical symptoms are rarely present after the first month of life; older animals tend to either be carriers or asymptomatic. The majority of herds have some level present, with transmission likely happening during or shortly after birth. Clinical Signs Diarrhea - Pale Yellow, Bloody Dehydrated Dull calves Reluctant to drink Prevention/Treatment: The ideal scenario is to prevent infection through, sanitary facilities (calving barn), outdoor calf housing, and a good vaccination program. Colostrum will provide much needed antibodies, protecting the calf before their immune system is fully developed to combat the disease. Farmatan fed prior to calving can help reduce the pathogen load of the cow, reducing the likelihood of transmission. Farmatan supplemented in the milk has been shown to decrease the virus' ability to cause infection and clinical disease. The best treatment for calves already presenting clinical disease is to administer oral fluids/electrolytes to rehydrate the calf. Learn more about the positive effect of Farmatan's active ingredient HERE. Salmonella Salmonella infection of cattle is caused by a variety of species within the family. While the disease is uncommon in cattle with little effect on calf health, it has massive implications for human health and food safety. The bacteria spreads through direct contact or contaminated feed & water. This disease is highly regulated by the USDA. The most severe cases of salmonella affect calves between the ages of 7-10 days old. Clinical Signs Diarrhea - Bloody (flakes of slough tissue), Watery, Mucus present Lethargic Fever Prevention/Treatment: Prevention is always the best option: provide clean water, feed, and bedding. Isolate infected animals, ensure adequate colostrum intake, and develop a vaccination program with your veterinarian. Treatment with antibiotics and fluids (oral or intravenous) greatly increases the survival rate of calves infected with Salmonella. Farmatan has been shown to help reduce the likelihood of infection by protecting the gut, and reduce recovery time of infected animals.  LEARN MORE ABOUT IMOGENE INGREDIENTS  PRODUCTS Paul Mitchell & Paul Martin on RFD TV Rural America Live!  WATCH: https://vimeo.com/759549430/bd063fcc1f Beef Industry News Possible Slow Beef Trend in 2026 According To Rabobank Beef production by major global producers is expected to remain sluggish next year, according to analysts at the Dutch financial services cooperative Rabobank. The recent contraction in beef production is expected to affect major producers in Brazil, Canada and the United States, with New Zealand being likely to see the sharpest percentage drop in beef production, the Rabobank report predicted. Several issues are contributing to the 2025 decline and the expected drop next year, especially in light of limited cattle herds ready for slaughter in both the United States and Brazil, the report added. The long-term contraction of available cattle is being blamed for significant price hikes for retail beef in the last few years, Rabobank noted. Canada is experiencing a tighter pattern that has resulted in a decline of 41,000 metric tons of beef available for export in 2025 versus levels in 2024, according to the report. Canadian beef output in 2026 is expected to be “more limited” compared with this year for reasons also being experienced south of the Canadian border in terms of the available cattle herd. References: https://meatingplace.com/slower-beef-production-trend-to-continue-in-2026-rabobank/?utm_source=omeda&utm_medium=email&utm_cid=1103020073&utm_campaign=MTGMCD251201004&utm_date=20251201-1300 New World Screwworm Website Tracks Parasite There's a new way for producers and other stakeholders to track the fight against the New World Screwworm — a parasite that threatens live cattle herds. The USDA has launched a dedicated website with up-to-date information on the spread of the screwworm, which so far has been confined to cattle in several Mexican states near the U.S. border. The site includes resources for livestock producers, veterinarians, animal-health officials, wildlife experts, healthcare providers, pet owners, researchers, drug manufacturers, and the general public. Reports of the pest in Mexican cattle prompted the U.S. to halt cattle imports from Mexico back in May. USDA also committed $21 million to boost sterile fly production in Mexico as part of its response. The new website pulls together information from multiple federal partners, including the FDA, the Department of Energy, Homeland Security, the EPA, and the State Department.  Reference: https://www.aphis.usda.gov/livestock-poultry-disease/stop-screwworm Nightshade In Corn Residue Could Be Toxic Have you noticed any black nightshade in your corn stalks that you are grazing or plan to graze? If these fields have too much black nightshade, be careful — it might be toxic. Black nightshade is common in many corn fields in the fall, especially those that had hail damage in the summer or any situation where the corn canopy became thin or open. It usually isn't a problem, but if the density of nightshade is very high, there is the potential that it could poison livestock. Almost all livestock, including cattle, sheep, swine, horses and poultry are susceptible.   Black nightshade plants average about two feet in height and have simple alternating leaves. In the fall, berries are green and become black as the plant matures. All plant parts contain some of the toxin and the concentration increases as plants mature, except in the berries. Freezing temperatures will not reduce the toxicity. It is very difficult to determine exactly how much black nightshade is risky. Guidelines say that a cow would need to consume three to four pounds of fresh black nightshade to be at risk of being poisoned. These guidelines, though, are considered conservative since there is little data on the actual toxicity of nightshade plants. Fortunately, even though nightshade plants remain green fairly late into the fall, cattle usually don't appear to seek out nightshade plants to graze. However, green plants of nightshade might become tempting toward the end of a field's grazing period when there is less grain, husks or leaves to consume.  References: https://www.nationalbeefwire.com/nightshade-in-corn-residue-grazing-could-be-toxic Featured Experts in the Cattle Industry Paul Mitchell – Imogene Ingredients https://www.imogeneingredients.com/ Follow on Facebook: @FarmatanUSA Kirk Donsbach – Financial Analyst at StoneX https://www.stonex.com/ Follow on Facebook: @StoneXGroupInc Shaye Wanner – Host of Casual Cattle Conversation https://www.casualcattleconversations.com/ Follow on Facebook: @cattleconvos Contact Us with Questions or Concerns Have questions or feedback? Feel free to reach out via: Call/Text: 707-RANCH20 or 707-726-2420 Email: RanchItUpShow@gmail.com Follow us: Facebook/Instagram: @RanchItUpShow YouTube: Subscribe to Ranch It Up Channel: https://www.youtube.com/c/RanchItUp Catch all episodes of the Ranch It Up Podcast available on all major podcasting platforms. Discover the Heart of Rural America with Tigger & BEC Ranching, farming, and the Western lifestyle are at the heart of everything we do. Tigger & BEC bring you exclusive insights from the world of working ranches, cattle farming, and sustainable beef production. Learn more about Jeff 'Tigger' Erhardt & Rebecca Wanner (BEC) and their mission to promote the Western way of life at Tigger and BEC. https://tiggerandbec.com/ Industry References, Partners and Resources For additional information on industry trends, products, and services, check out these trusted resources: Allied Genetic Resources: https://alliedgeneticresources.com/ American Gelbvieh Association: https://gelbvieh.org/ Axiota Animal Health: https://axiota.com/multimin-campaign-landing-page/ Imogene Ingredients: https://www.imogeneingredients.com/ Jorgensen Land & Cattle: https://jorgensenfarms.com/#/?ranchchannel=view Medora Boot: https://medoraboot.com/ RFD-TV: https://www.rfdtv.com/ Rural Radio Network: https://www.ruralradio147.com/ Superior Livestock Auctions: https://superiorlivestock.com/ Transova Genetics: https://transova.com/ Westway Feed Products: https://westwayfeed.com/ Wrangler: https://www.wrangler.com/ Wulf Cattle: https://www.wulfcattle.com/

10 Minute Morning Meditation: Instant Calm & Focus | Positive Mindset ResetUnlock your full potential before you even leave your bed.Welcome to a powerful 10-minute morning reset designed to banish morning grogginess and replace it with clarity, confidence, and high-vibration energy. Whether you are waking up with a racing mind or simply want to start your day with intention, this guided practice is your sanctuary.Hosted by Martin, your Clinical Hypnotherapist, this session is perfect for beginners and seasoned meditators alike. We begin by grounding your energy with a visualization of golden light rising from the earth, releasing tension from your jaw and shoulders. You will then invite the warmth of the morning sun to cascade through you, clearing away mental fog and aligning you with your higher self.In this episode, you will:Oxygenate & Unwind: Use deep breathwork to release the residual heaviness of the night.Visualise Success: Seal your intention with the "Golden Light" grounding technique.Reprogram Your Mind: Use powerful affirmations to attract miracles and success effortlessly.Affirmations used in this session: To help these settle into your spirit, we focus on four key pillars of self-belief:"I am ready to rise and shine brighter than ever before.""I am capable of handling this moment.""I choose to focus on my intention today.""I attract miracles and success effortlessly."Make mindfulness part of your daily routine. If you are new here, please subscribe and hit the notification bell to prioritize your peace. Take care, smile often, and be kind.

In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss the positive side effect of the shingles vaccine on dementia outcomes and how one dose of the HPV vaccine is non-inferior to two doses, but are dismayed about the FDA's secrecy around the inflammatory statement that the COVID-19 vaccine is linked to the death of 10 children. Dr. Griffin then deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, effectiveness of maternal administration of the RVS vaccine or the COVID vaccine for neonates, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, where to go for answers to your long COVID questions, how celiac plexus blocks improves gastrointestinal long COVID symptoms, brain alterations and neurodegenerative processes in long COVID cognitive impairment 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 The effect of shingles vaccination at different stages of the dementia disease course (Cell) FDA links 10 children's deaths to COVID-19 vaccines. Doctors want proof (ABC News) Subject: Deaths in children due to COVID-19 vaccines and CBER's path forward Dear Team CBER,(Washington Post) Noninferiority of One HPV Vaccine Dose to Two Doses(NEJM) Marburg Outbreak in Ethiopia: Current Situation (CDC: Marburg Virus Disease) Washington state resident believed to be the first to die from a rare strain of bird flu (AP News) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) 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) Measles (CDC Measles (Rubeola)) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: cliff notes (CDC FluView) ACIP Recommendations Summary (CDC: Influenza) Types of Influenza Viruses (CDC: Influenza (flu)) Influenza Vaccine Composition for the 2025-2026 U.S. Influenza Season(FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Maternal and Neonatal Outcomes After Respiratory Syncytial Virus Prefusion F Protein Vaccination During Pregnancy (Obstetrics & Gynecology) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) Effectiveness of COVID-19 vaccines against post-COVID-19 condition/long COVID: systematic review and meta-analysis (CMI: Clinical Microbiology and Infection) SARS-CoV-2Infection Versus Vaccination During Pregnancy: Implications for Placental Antibody Transfer (The Pediatric Infectious Disease Journal) 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 Case Report: Celiac plexus block improves gastrointestinal Long COVID symptoms (Frontiers Neuroscience) Distinct brain alterations and neurodegenerative processes in cognitive impairment associated with post-acute sequelae of COVID-19 (Nature Communications) Reaching out to US house representative Letters read on TWiV 1276 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.

John Murray, Ali Bruce-Ball & Ian Dennis talk travels, football and commentary. They reflect on a dramatic weekend of Premier League football and look ahead to the weekend's fixtures. John is across the pond for the FIFA World Cup draw. Plus a glut of unintended pub names, heads up for Clash of the Commentators and which commentary phrases will end up in our Great Glossary? Suggestions welcome on WhatsApp voicenotes to 08000 289 369 & emails to TCV@bbc.co.uk00:25 John in Washington DC for World Cup draw 04:50 Dramatic week of Premier League football 09:25 5 Live commentaries this weekend 14:00 Unintended pub names from sport commentary 26:00 Potential twist on the theme? 28:45 Clash of the Commentators 34:50 Great Glossary of Football Commentary5 Live / BBC Sounds Premier League commentaries: Sat 1500 Bournemouth v Chelsea, Sat 1500 Tottenham v Brentford on Sports Extra, Sat 1730 Leeds v Liverpool, Sun 1400 Brighton v West Ham, Sun 1400 Fulham v Crystal Palace.All Clash of the Commentators correct answers: Acheamponh, Alderete, Ballard, Barkley, Bergvall, Beto, Bijol, Bowen, Brobbey, Bruno Guimarães, Calafiori, Calvert-Lewin, Casemiro, Chalobah, De Cuyper, de Ligt, Fernández, Flemming, Foden, Gabriel, Gibbs-White, Gusto, Gyökeres, Haaland, Igor Jesus, Igor Thiago. Isidor, Jiménez, João Pedro, Keane, Kostoulas, Kroupi, Lukic, Maguire, Mateta, Mateus Fernandes, Mayenda, Mbeumo, Merino, Mitoma, Munetsi, Muñoz, Ndoye, Onana, Pedro Neto, Rice, Richarlison, Rodon, Romero, Sarr, Sarr, Schade, Smith Rowe, Thiaw, Timber, Ugochukwu, van de Ven, van Hecke, Welbeck, Wilson, Woltemade, Zubimendi.Glossary so far (in alphabetical order):DIVISION ONE Bosman, Couldn't sort their feet out, Cruyff Turn, Dead-ball specialist, Fox in the box, Giving the goalkeeper the eyes, Head tennis, Hibs it, In a good moment, The Maradona, Off their line, Olimpico, Onion bag, Panenka, Points to the spot, Rabona, Schmeichel-style, Scorpion kick, Spursy, Tiki-taka, Where the kookaburra sleeps, Where the owl sleeps, Where the spiders sleep. DIVISION TWO Ball stays hit, Business end, Came down with snow on it, Catching practice, Cauldron atmosphere Coat is on a shoogly peg, Come back to haunt them, Corridor of uncertainty, Easy tap-in, Daisy-cutter, First cab off the rank, Good leave, Half-turn, Has that in his locker, High wide and not very handsome, Hospital pass, Howler, Johnny on the spot, Leading the line, Nutmeg, One for the cameras, One for the purists, Played us off the park, Purple patch, Put their laces through it, Rolls Royce, Root and branch review, Row Z, Screamer, Seats on the plane, Show across the bows, Slide-rule pass, Steal a march, Stramash, Taking one for the team, That's great… (football), Thunderous strike, Walk it in. UNSORTED 2-0 is a dangerous score, After you Claude, All-Premier League affair, Aplomb, Bag/box of tricks, Brace, Brandished, Bread and butter, Breaking the deadlock, Bundled over the line, Champions elect / champions apparent, Clinical finish, Commentator's curse, Coupon buster, Cultured/Educated left foot, Denied by the woodwork, Draught excluder, Elimination line, Fellow countryman, Foot race, Formerly of this parish, Free hit, Goalkeepers' Union, Goalmouth scramble, Good touch for a big man, Honeymoon Period, In and around, In the shop window, Keeping ball under their spell, Keystone Cops defending, Languishing, Loitering with intent, Marching orders, Nestle in the bottom corner, Numbered derbies, Opposite number, Park the bus, PK for penalty-kick, Postage stamp, Put it in the mixer, Rasping shot, Red wine not white wine, Relegation six-pointer, Rooted at the bottom, Route One, Roy of the Rovers stuff, Sending the goalkeeper the wrong way, Shooting boots, Sleeping giants, Slide rule pass, Small matter of, Spiders web, Stayed hit, Steepling, Stinging the palms, Stonewall penalty, Straight off the training ground, Taking one for the team, Team that likes to play football, Throw their cap on it, Thruppenny bit head / 50p head, Towering header, Two good feet, Turning into a basketball match, Turning into a cricket score, Usher/Shepherd the ball out of play, Walking a disciplinary tightrope, Wand of a left foot, We've got a cup tie on our hands, Winger in their pocket, Wrap foot around it, Your De Bruynes, your Gundogans etc.

In this Thoracic Surgery episode of Behind the Knife we enjoy a conversation with world-renowned thoracic surgeon and educator, Dr. Stephen Yang, as he takes us through 30 years of experience divulging his personal tips, tricks, and pitfalls to avoid when tackling the technical nuances of mastering robotic segmentectomies. Hosts:  Dr. Stephen C. Yang, MD -  professor of surgery and medical oncology The Johns Hopkins Hospital Dr. Kyla D. Rakoczy, MD - PGY3 General Surgery Resident at The Johns Hopkins Hospital Learning Objectives: Understand the utility of segmentectomies for peripheral T1N0 non-small-cell-lung cancer  How to prepare for robotic segmentectomy using CT scans and 3D reconstructions  Learn where to place your ports and how to optimize intra-operative techniques to minimize complications after robotic segmentectomy  References: Kang MW. Evolution of Lung Cancer Surgery: Historical Milestones, Current Strategy, and Future Innovations. J Chest Surg. 2025 May 5;58(3):79-84. doi: 10.5090/jcs.25.025. Epub 2025 Apr 15. PMID: 40230346; PMCID: PMC12066400. https://pubmed.ncbi.nlm.nih.gov/40230346/ Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg. 1995 Sep;60(3):615-22; discussion 622-3. doi: 10.1016/0003-4975(95)00537-u. PMID: 7677489. https://pubmed.ncbi.nlm.nih.gov/7677489/ Pastorino U, Valente M, Bedini V, Infante M, Tavecchio L, Ravasi G. Limited resection for Stage I lung cancer. Eur J Surg Oncol. 1991 Feb;17(1):42-6. PMID: 1995356. https://pubmed.ncbi.nlm.nih.gov/1995356/ Liu L, Aokage K, Chen C, Chen C, Chen L, Kim YH, Lee CY, Liu C, Liu CC, Nishio W, Suzuki K, Tan L, Tseng YL, Yotsukura M, Watanabe SI. Asia expert consensus on segmentectomy in non-small cell lung cancer: A modified Delphi study. JTCVS Open. 2023 Apr 7;14:483-501. doi: 10.1016/j.xjon.2023.03.013. PMID: 37425437; PMCID: PMC10328970. https://pubmed.ncbi.nlm.nih.gov/37425437/ Galvez C, Bolufer S, Lirio F, Recuero JL, Córcoles JM, Socci L, Cabañero A, López I, Sánchez D, Figueroa S, Salcedo JG, Campo-Cañaveral JL, Genovés M, Hernando F, Moldes M, Blanco A, Azcarate L, Rivo E, Viti A, Mongil R. "Complex segmentectomies: Comparison with simple and effect of experience on postoperative outcomes". Eur J Surg Oncol. 2025 Jul;51(7):109748. doi: 10.1016/j.ejso.2025.109748. Epub 2025 Mar 5. PMID: 40064065. https://pubmed.ncbi.nlm.nih.gov/40064065/ Perroni G, Veronesi G. Robotic segmentectomy: indication and technique. J Thorac Dis. 2020 Jun;12(6):3404-3410. doi: 10.21037/jtd.2020.02.53. PMID: 32642266; PMCID: PMC7330783. https://pubmed.ncbi.nlm.nih.gov/32642266/ Montagne, F., Dhainaut, C., & Benhamed, L. M. (n.d.). Pre-operative 3D reconstruction—let's first anticipate the surgical procedure. Video-Assisted Thoracic Surgery. Retrieved November 13, 2025, from https://vats.amegroups.org/article/view/7889/html Shimizu K, Nakazawa S, Nagashima T, Kuwano H, Mogi A. 3D-CT anatomy for VATS segmentectomy. J Vis Surg. 2017 Jul 1;3:88. doi: 10.21037/jovs.2017.05.10. PMID: 29078650; PMCID: PMC5637987. https://pubmed.ncbi.nlm.nih.gov/29078650/ Zhang O, Alzul R, Carelli M, Melfi F, Tian D, Cao C. Complications of Robotic Video-Assisted Thoracoscopic Surgery Compared to Open Thoracotomy for Resectable Non-Small Cell Lung Cancer. J Pers Med. 2022 Aug 12;12(8):1311. doi: 10.3390/jpm12081311. PMID: 36013260; PMCID: PMC9410342. https://pubmed.ncbi.nlm.nih.gov/36013260/ Lee BE, Altorki N. Sub-Lobar Resection: The New Standard of Care for Early-Stage Lung Cancer. Cancers (Basel). 2023 May 25;15(11):2914. doi: 10.3390/cancers15112914. PMID: 37296877; PMCID: PMC10251869. https://pubmed.ncbi.nlm.nih.gov/37296877/ Zhang Y, Liu S, Han Y, Xiang J, Cerfolio RJ, Li H. Robotic Anatomical Segmentectomy: An Analysis of the Learning Curve. Ann Thorac Surg. 2019 May;107(5):1515-1522. doi: 10.1016/j.athoracsur.2018.11.041. Epub 2018 Dec 19. PMID: 30578780. https://pubmed.ncbi.nlm.nih.gov/30578780/ Peeters M, Jansen Y, Daemen JHT, van Roozendaal LM, De Leyn P, Hulsewé KWE, Vissers YLJ, de Loos ER. The use of intravenous indocyanine green in minimally invasive segmental lung resections: a systematic review. Transl Lung Cancer Res. 2024 Mar 29;13(3):612-622. doi: 10.21037/tlcr-23-807. Epub 2024 Mar 27. PMID: 38601441; PMCID: PMC11002498. https://pubmed.ncbi.nlm.nih.gov/38601441/ Altorki N, Wang X, Damman B, Mentlick J, Landreneau R, Wigle D, Jones DR, Conti M, Ashrafi AS, Liberman M, de Perrot M, Mitchell JD, Keenan R, Bauer T, Miller D, Stinchcombe TE. Lobectomy, segmentectomy, or wedge resection for peripheral clinical T1aN0 non-small cell lung cancer: A post hoc analysis of CALGB 140503 (Alliance). J Thorac Cardiovasc Surg. 2024 Jan;167(1):338-347.e1. doi: 10.1016/j.jtcvs.2023.07.008. Epub 2023 Jul 18. Erratum in: J Thorac Cardiovasc Surg. 2025 Apr;169(4):1181. doi: 10.1016/j.jtcvs.2024.12.011. PMID: 37473998; PMCID: PMC10794519. https://pubmed.ncbi.nlm.nih.gov/37473998/ 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/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate 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-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

The Bulletproof Dental Podcast Episode 417 HOSTS: Kyle Bergman and Colin Ambler GUEST: Dr. Peter Boulden DESCRIPTION In this episode of The Extraction podcast, Dr. Peter Bolden shares his insights on dental practice growth, focusing on staff engagement, effective systems, and the transition from clinical work to business management. He emphasizes the importance of clarity in career goals, the need for robust systems in practice management, and the value of gamification in team engagement. Dr. Bolden also discusses the significance of delegation and finding one's zone of genius to achieve a successful dental practice. TAKEAWAYS Dr. Peter Bolden emphasizes the importance of staff engagement in practice growth. Identifying the right dental model is crucial for success in a new city. Transitioning from clinical work to business requires effective systems. Clarity in career goals can prevent a 'lost decade' in dentistry. Systems should be dynamic and regularly updated to avoid chaos. Gamification can enhance team engagement and accountability. Delegation is key to freeing up time for business development. Understanding your zone of genius helps in effective delegation. Revenue growth can facilitate the transition away from clinical work. Regular audits of daily activities can help identify bottlenecks. CHAPTERS 00:00 Introduction to Dental Practice Growth 02:25 Starting a Dental Practice in a New City 06:50 Transitioning from Clinical to Business 10:31 Building Effective Systems in Dentistry 20:22 Gamification and Team Engagement in Dental Practices 21:16 Hygiene Reactivation Strategies and Metrics REFERENCES Bulletproof Summit Bulletproof Mastermind  

Not gonna give much of an introduction here because this is a short bonus level set, but I did just wanna call everyone's attention to the "arms race" created by our status quo purchasing and selling of many things, pharmaceuticals included. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. For example, raise the list price of a drug to maximize rebates, because the higher the list, the bigger the discount you can give, which then exacerbates patient affordability because coinsurance is often based on list price. But then Pharma starts offering co-pay cards, which messes up the whole PBM (pharmacy benefit manager) plan to drive patients to their highest-rebate products (ie, the most profitable products). So then maximizers and accumulators enter the chat, and prior auths ramp up because plans start having to raise premiums after enough 340B drugs with high lists and no rebates, and then there's no cost containment and raise deductibles and around and around we go. Meanwhile, is this drug fundamentally worth the list price or even the net price? Is it an effective drug? What's the right price to be paying for this drug? Should be the operative question, right? Just like what's the quality and appropriateness of any medical service? Maybe we should just quit it and just pay for value. And with that, let me introduce Sarah Emond, CEO of ICER (Institute for Clinical and Economic Review), and I will let Sarah tell the rest of the story. Also mentioned in this episode are Institute for Clinical and Economic Review (ICER); Cora Opsahl; 32 BJ Health Fund; Payerset; Aventria Health Group; Dea Belazi, PharmD, MPH; and Tom Nash. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more at ICER.org and follow Sarah on LinkedIn.   Sarah K. Emond, MPP, is president and chief executive officer of the Institute for Clinical and Economic Review (ICER), a leading nonprofit health policy research organization, with 25 years of experience in the business and policy of healthcare. She joined ICER in 2009 as its first chief operating officer and third employee and has worked to grow the organization's approach, scope, and impact over the years. Prior to joining ICER, Sarah spent time as a communications consultant, with six years in the corporate communications and investor relations department at a commercial-stage biopharmaceutical company and several years with a healthcare communications firm. Sarah began her healthcare career in clinical research at Beth Israel Deaconess Medical Center in Boston. A graduate of the Heller School for Social Policy and Management at Brandeis University, Sarah holds a Master of Public Policy degree with a concentration in health policy. Sarah also received a bachelor's degree in biological sciences from Smith College. Sarah speaks frequently at national conferences on the topics of prescription drug pricing policy, comparative effectiveness research, and value-based healthcare.   02:28 What is ICER? 02:47 What does the Institute for Clinical and Economic Review do? 05:09 The importance of still showing up, even when others don't understand or disagree. 06:51 EP293 ("Game Theory Gone Wild") with Dea Belazi, PharmD, MPH. 09:04 Why it's important to think about population health and how our choices impact affordability for everyone.   You can learn more at ICER.org and follow Sarah on LinkedIn.   @sarahkemond discusses #ICER and the status quo of #pharmaceuticaldrug #pricing on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW43), Olivia Ross (Take Two: EP240), John Quinn, Dr Sam Flanders and Shane Cerone (EP492), Elizabeth Mitchell (EP491), Shane Cerone and Dr Sam Flanders (Part 1), Dan Greenleaf (Part 2), Dan Greenleaf (Part 1), Mark Cuban and Cora Opsahl  

I was out drinking martinis with Cora Opsahl, director of 32BJ Health Fund, and Cora said, "Look, most plan sponsors' biggest expense is health system spend, hospital spend." I know this is an unexpected start to an episode about pharmaceutical pricing and value featuring Sarah Emond, CEO of ICER (Institute for Clinical and Economic Review). But yeah, 50% of most plan sponsors' spend these days goes to health systems. Fifty percent! One half! For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. So, if a patient who is adherent to a drug and that drug keeps that patient out of the hospital, why do I want to make a patient have excessive skin in the game to get that drug, which everybody knows at this point this "skin in the game" can cause said patient to not be adherent in many cases, cost being a very big reason patients give for not taking medications as prescribed. So then we have this not adherent patient who winds up in the hospital, via the ER often enough. The core issue here that surfaced, bottom line—and I'm not sure if this was in spite of the martinis or as a result of them—but while hospital spend is the largest health expense, high-value drugs that prevent hospitalization often face patient cost sharing and access restrictions, which leads to poor patient adherence and ultimately higher system cost potentially. So then Cora and I spent the next half hour debating when the statement is empirically true and when it's not. And you know what it all boils down to? What's the value of the drug? Do we even know what that means to start? But if it's determined that the drug is relatively high value, then the plan desperately should want to do everything possible to keep that patient on that medication, and cost sharing is a huge barrier to adherence. Today, as I said, I'm speaking with Sarah Emond, CEO over at ICER, and we get into all of this in the conversation that follows. In fact, most of the conversation that follows explores the tensions that exist in the current way that we sell and buy pharmaceutical products. I'm just gonna sum up these tensions in a list here at the top of this show. There's six of them that Sarah Emond and I discussed today by my counting, and each of these we explore in some depth. So, here's the list. Tension 1: The value of any given drug (in other words, what is the fair price for that drug considering the health gains that it delivers) versus the total cost to the plan for the total population taking that drug. GLP-1s have entered the chat. GLP-1s (by ICER's analysis, at least) are super high-value drugs that also can bankrupt plans due to the number of folks who may benefit from taking the drug. Definitely a tense tension to kick off our list here. Tension 2: The list or net price of a drug versus patient access and affordability. Again, this can be tense in an area of much misalignment. You can have a great well-priced drug with huge patient affordability and access challenges because drug net price and coinsurance amounts often have nothing to do with each other. Tension 3: Lifetime value of a drug versus a 3-, 2.5-year, whatever time horizon that many plan sponsor actuaries use in their value assessment. We discussed this today, but there's a Summer Short (SUMS7) on actuarial value horizons with Keith Passwater and JR Clark if you wanna dig in on this further. Tension 4: The tension between the societal value of a drug or even the patient's perceived value of a drug versus what an employer plan sponsor might perceive as the value. What is the formula used to determine value? What's in and what's out? So, that's a bigger conversation just beyond the time horizon for what's included in this calculation. Tension 5: Exacerbating the what's included in the value contemplation beyond just what you include in there is the tension between what is hypothetically of value and what is possible to measure. If you have pharma datasets and medical datasets separate in silos, who knows how many hospital readmissions were prevented by whatever drug? And how much presenteeism or absenteeism exists. I mean, it is an outlier, again, if anyone even knows the net price they paid for a drug, just to level set context here. Tension 6: Lowering financial barriers for patients to take drugs that are of value versus status quo goals and incentives. Like, for example, PBMs (pharmacy benefit managers) are often told that their goal is to reduce drug spend. Okay … so, how do I do that? Oh, reduce access either by prior auths or delay tactics or really high coinsurance, which is gonna reduce adherence by design. And it's someone else's problem—if I'm just thinking like a status quo PBM—if medical spend goes up, right? So, that's our last and not insignificant tension. And look, who comes out the loser in all of these tensions when they get tense? Patients. Not pricing based on value and not buying and setting up cost sharing based on value punishes patients and also plan sponsors or any other ultimate purchaser in the long term, given that the plan is but a population of patients if you start thinking about it in that context. Here is Sarah's advice in a nutshell: Pharma, sell. Pick your price based on something other than market power. And some pharma companies are actually dipping their toe into these waters and doing it. But then PBMs and plan sponsors have to hold up their end of the bargain here and buy drugs based on their value, not just the size of their rebates or some other discounting promise. And then we gotta continue the through line through to member affordability and access. High-value drugs should get preferred. So, right, do a high-value formulary. Listen to the show with Nina Lathia, RPh, MSc, PhD (EP426) on high-value formularies and then listen (after you're done with that one) to episode 435 with Dan Mendelson entitled "Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care." Also, as I said, GLP-1s come up in this conversation, so … yeah, buckle up. One last thing, besides my normal thank you to Aventria Health Group for sponsoring this episode, I am so pleased to thank Payerset for donating to help Relentless Health Value stay on the air. Payerset is a price transparency company with a mission to create fair and equitable healthcare for everyone. Love that. Payerset empowers healthcare organizations, employers, and patients with the most complete set of healthcare price transparency data. They benchmark every negotiated rate and claim and delivering the actionable insights needed for smarter contract negotiations and a more transparent healthcare system. As I have said several times today, my conversation is with Sarah Emond, CEO of ICER. Also mentioned in this episode are Institute for Clinical and Economic Review (ICER); Cora Opsahl; 32 BJ Health Fund; Keith Passwater; JR Clark; Nina Lathia, RPh, MSc, PhD; Dan Mendelson; Aventria Health Group; Payerset; Antonio Ciaccia; Elizabeth Mitchell; Purchaser Business Group on Health (PBGH); Shane Cerone; Sam Flanders, MD; Mark Cuban; Morgan Health; and Tom Nash. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at ICER.org and follow Sarah on LinkedIn.   Sarah K. Emond, MPP, is president and chief executive officer of the Institute for Clinical and Economic Review (ICER), a leading nonprofit health policy research organization, with 25 years of experience in the business and policy of healthcare. She joined ICER in 2009 as its first chief operating officer and third employee and has worked to grow the organization's approach, scope, and impact over the years. Prior to joining ICER, Sarah spent time as a communications consultant, with six years in the corporate communications and investor relations department at a commercial-stage biopharmaceutical company and several years with a healthcare communications firm. Sarah began her healthcare career in clinical research at Beth Israel Deaconess Medical Center in Boston. A graduate of the Heller School for Social Policy and Management at Brandeis University, Sarah holds a Master of Public Policy degree with a concentration in health policy. Sarah also received a bachelor's degree in biological sciences from Smith College. Sarah speaks frequently at national conferences on the topics of prescription drug pricing policy, comparative effectiveness research, and value-based healthcare.   08:18 Why list prices are a lie. 10:59 How does the rebate model sometimes get in the way of paying for value? 12:50 Bonus clip with Sarah Emond. 13:14 EP491 with Elizabeth Mitchell. 13:20 EP490 and EP492 with Shane Cerone and Sam Flanders, MD. 14:37 The tension that is created between affordability and adherence. 15:03 When cost sharing makes sense in pharmaceutical drug pricing. 17:26 INBW42 with Stacey on moral hazard. 18:53 How GLP-1s are "wildly cost effective." 21:32 Why the sticker shock on cost-effective drugs is a failure in the system for paying for value. 22:38 ICER's report on GLP-1s. 26:59 EP385 with Dan Mendelson. 28:57 How employers and payers can have a value assessment approach and a health insurance system that allows access to cost-effective drugs. 29:48 How cost-effective prices are calculated. 31:55 One of the core value underpinnings for value assessment of drugs. 34:54 Why manufacturers and pharmacy benefit managers should work together more by referencing something like an ICER report. 36:55 EP426 with Nina Lathia, RPh, MSc, PhD. 38:21 "We can make different choices."   You can learn more at ICER.org and follow Sarah on LinkedIn.   @sarahkemond discusses #pharmaceutical #drugpricing on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW43), Olivia Ross (Take Two: EP240), John Quinn, Dr Sam Flanders and Shane Cerone (EP492), Elizabeth Mitchell (EP491), Shane Cerone and Dr Sam Flanders (Part 1), Dan Greenleaf (Part 2), Dan Greenleaf (Part 1), Mark Cuban and Cora Opsahl

In this episode, Matthew W. Johnson, PhD returns to discuss how psychedelics can be leveraged to catalyze human agency. Dr. Johnson has been at the forefront of psychedelic research for 21 years, having conducted seminal research on the effects of psilocybin on mystical experience, personality, and treatment of cancer distress, major depressive disorder, and tobacco addiction. His work with tobacco addiction received the first federal funding for a classic psychedelic in the modern era of research. In this conversation, Dr. Johnson explores psychedelics as powerful enhancers of human agency—the felt capacity to steer one's own life, make meaningful choices, and act from a place of inner autonomy. Drawing from two decades of research across depression, cancer distress, addiction, and healthy volunteer studies, he argues that increases in agency may be a core, yet under-recognized, mechanism behind therapeutic change. Dr. Johnson discusses agency as a "meta-executive" function intertwined with free will, mental flexibility, and meaning-making, and suggests that psychedelics may uniquely illuminate and strengthen this capacity. In closing, he shares thoughts on how individuals can better take advantage of psychedelic-induced neuroplasticity to increase agency in their own lives.   In this episode, you'll hear: What Dr. Johnson means by "agency" and why he sees it as central to psychedelic healing Clinical examples of participants who rediscovered autonomy, changed behaviors, or reframed their suffering after psilocybin sessions Why psychedelics may enhance big-picture psychological flexibility, not just moment-to-moment cognitive flexibility How increased agency may help people with depression, addiction, and cancer distress shift entrenched patterns of thinking and behavior Potential future research directions for studying the neuroscience of agency   Quotes: "It's not just that enhancing agency is the elephant in the room of why psychedelics are working, it's also that I think psychedelics can be a tool for finally understanding this thing of human agency." [4:31] "Even if you think the sense of free will is an illusion, it has to be an evolutionarily advantageous illusion. Why else would it be seemingly universal?" [12:30] "When someone really has one of these 'ah-ha' experiences, they can really come to this perspective of 'no, no, no, no, no, I really am choosing how I'm thinking about myself.' In cancer [patients] it happened a lot." [21:51]   Links: Previous episode: The Latest Research on Psilocybin for Depression with Matthew Johnson, PhD Previous episode: Exploring DMT Entities with Matthew Johnson, PhD Previous episode: Avoiding the Pitfalls of Psychedelic Medicine with Matthew Johnson, PhD Dr. Johnson on X Dr. Johnson on InstagramDr. Johnson on LinkedIn Psychedelic Medicine Association Porangui