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This study from Newcastle shows medical student understanding of active learning to be focused on recall. The authors recommend a student-centred, student informed, approach to improving active learning teaching. Read the accompanying article here: https://doi.org/10.1111/medu.15611
CapeTalk’s Sara-Jayne Makwala King is joined on Weekend Breakfast by Gary Viljoen, Clinical psychologist affiliated to the ManKind Project.See omnystudio.com/listener for privacy information.
After National Guard troops and the U.S. Marines were called in by President Trump over the protests in Los Angeles, the president is being criticized for his differing response to the Jan. 6 attack. During the U.S. Capitol assault, Mr. Trump waited to send troops to respond to his supporters. CBS News' Scott MacFarlane reports. A survey shows about one-in-four parents have authorized a child under 18 on their credit or debit card in an effort to give their young kids a head start on establishing their credit ratings. CBS News national consumer correspondent Ash-har Quraishi shows what parents need to know. The popular K-pop band BTS could soon be returning to the spotlight after going on a hiatus nearly three years ago to perform mandatory service in South Korea's military. Another four members recently completed their enlistments and now there's talk of new music. Nearly 40% of female travelers, surveyed by future partners, said they find solo travel appealing or very appealing, which is up 8% from the year before. Pilar Guzmán, Oprah Daily's editorial director, and Elise Loehnen, who wrote about going skiing solo, join "CBS Mornings" to discuss the trend.A high school teacher in Pennsylvania is finding that students are benefiting from turning off their digital devices and focusing on the analog world of manual typewriters. CBS News correspondent Lee Cowan shows how they become typing pen-pals with actor Tom Hanks as a result. Nearly three-quarters of kids get their first phone by 12 years old and spend, on average, more than five hours per day on their devices. Clinical psychologist Dr. Sheryl Ziegler joins "CBS Mornings" to discuss how parents can create healthy habits with their kids. Patricia Clarkson, a three-time Emmy winner and Oscar nominee, stars as equal pay activist Lilly Ledbetter in the new movie, "Lilly." Ledbetter sued her employer in 1999 for sex discrimination after learning she was being paid substantially less than her male colleagues. She lost her case at the Supreme Court, but 10 years later, then-President Obama signed the "Lilly Ledbetter Fair Pay Act." To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Episode 102 - Clinical psychologist Julia Mayer shares her 9-year caregiving journey, balancing family, work, and compassionate care for her parents and in-laws. Disclaimer: Please note that all information and content on the UK Health Radio Network, all its radio broadcasts and podcasts are provided by the authors, producers, presenters and companies themselves and is only intended as additional information to your general knowledge. As a service to our listeners/readers our programs/content are for general information and entertainment only. The UK Health Radio Network does not recommend, endorse, or object to the views, products or topics expressed or discussed by show hosts or their guests, authors and interviewees. We suggest you always consult with your own professional – personal, medical, financial or legal advisor. So please do not delay or disregard any professional – personal, medical, financial or legal advice received due to something you have heard or read on the UK Health Radio Network.
Guest: Kelsey Thompson, PhD, CCC-SLPEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/early-feedingHosted by: Michelle Dawson MS, CCC-SLP, CLC, BCS-SWelcome to an insightful conversation between Michelle Dawson and Dr. Kelsey Thompson, a renowned pediatric feeding therapist and researcher. In this episode, they delve into critical issues in pediatric feeding therapy, discuss essential strategies for supporting infants with Down syndrome and preterm infants, and explore the importance of early intervention and advocacy in speech-language pathology.
"People want to be seen, heard, and valued—for who they are and what they bring to the table. That's true in business and in life, especially after trauma." — Carrie Ricker, Author of Trauma is a Catalyst In this powerful episode of Turmeric & Tequila™, host Kristen Olson sits down with Carrie Rickert—author, trauma survivor, management consultant, and founder of Nomis Advisors. Together, they explore how personal trauma can become a profound catalyst for professional and personal transformation. Carrie shares her journey through a traumatic brain injury (TBI) and how it redefined her approach to leadership, empathy, and business strategy. From founding a consulting firm to co-authoring “Trauma to Triumph,” Carrie is proof that resilience fuels reinvention. Whether you're a leader, entrepreneur, coach, or just someone trying to navigate life after hardship, this episode will empower you with insights on post-traumatic growth, mindful leadership, and the power of authentic storytelling in both life and work. Time Stamps: 00:00 – Welcome to Turmeric & Tequila™ 01:00 – Sponsor shout-outs: Luxe Neuro & Colorado Clownfish Swim School 02:00 – Introducing Carrie Ricker: Author, Consultant, Podcaster, Trauma Survivor 04:30 – Growing up around adults: early leadership development 06:30 – Clinical psychology and curiosity: a foundation for consulting 08:30 – The rise of mental health in the workplace 10:00 – Listening with purpose: leadership through curiosity 12:00 – Authentic connection in business and healing 13:00 – Carrie's traumatic accident and its ripple effect 15:30 – Returning to work after trauma: what support is missing 18:00 – The gap in post-acute care and why it matters 20:00 – Why Carrie wrote Trauma is a Catalyst 22:00 – Empathy, listening, and leading with vulnerability 25:00 – From TBI to purpose-driven coaching and consulting 27:30 – The first team experience: how orchestra taught leadership 29:00 – Championing brain health and invisible injuries 31:00 – The universal need for empowerment and being heard 35:00 – How leaders can empower without needing all the answers 38:00 – What success means to Carrie now 39:00 – Where to connect with Carrie and grab her books Carrie Rickert is a trauma survivor, author, speaker, podcaster, and founder of Nomis Advisors, where she offers organizational consulting and trauma-informed coaching. After surviving a life-altering car accident and traumatic brain injury, she became passionate about helping others rebuild both personally and professionally. Carrie is the author of Trauma is a Catalyst and co-author of Trauma to Triumph: Stories of TBI Survivors. She helps individuals and teams find clarity, foster empowerment, and lead with authenticity. Books: Trauma is a Catalyst | Trauma to Triumph https://www.nomisadvisors.com/ https://www.facebook.com/carrie.root1/ https://www.instagram.com/nomisadvisors/?hl=en Connect with T&T: IG: @TurmericTequila Facebook: @TurmericAndTequila Website: www.TurmericAndTequila.com Host: Kristen Olson IG: @Madonnashero Tik Tok: @Madonnashero Website: www.KOAlliance.com WATCH HERE Sponsors: Colorado Clownfish Swim School – coloradoclownfish.com MORE LIKE THIS: https://youtu.be/ZCFQSpFoAgI?si=Erg8_2eH8uyEgYZF https://youtu.be/piCU9JboWuY?si=qLdhFKCGdBzuAeuI https://youtu.be/9Vs2JDzJJXk?si=dpjV31GDqTroUKWH
Continuing our series on What You May Have Missed at ATS 2025, host Amy Attaway, MD, MS, of Cleveland Clinic, dives into key topics from the Clinical Year in Review with Sara Auld, MD, MSc, Emory University. Did you miss the ATS 2025 International Conference? Or were you unable to attend some key sessions? Go to conference.thoracic.org/program/conference-highlights/ to purchase your ATS Conference Highlight Package.
In this Becker's Healthcare podcast episode, Erika Spicer Mason speaks with Dr. Eric Tobler, Chief Clinical Officer, and Christin Lisenby, Vice President of Hygiene at Dental Care Alliance, about the growing importance of clinical engagement in driving dental practice success. They explore how empowering clinicians, aligning on standards of care, and building culture across multi-site settings are critical to sustainable growth and improved outcomes. Tune in to hear real-world strategies and insights from one of the nation's leading DSOs.This episode is sponsored by Dental Care Alliance.
This episode unpacks the importance of networking for health professionals who want to pivot careers. Years spent in clinical roles often confines health professionals to a siloed environment with limited access to a broader industry network. When you're pivoting out of clinical practice, networking becomes critical as it's more than just ‘meeting people'—it's about opening doors to new ways of thinking, new opportunities, and even a new identity. Clinicians are used to structured environments where roles are clearly defined. But outside of healthcare, career paths aren't always linear, and opportunities often come from conversations rather than job postings. Networking helps you see what's possible by learning from others who've pursued different paths. It also helps you find mentors, discover roles you may never have considered, and—most importantly—start being seen as more than your job title. It's one of the most powerful tools for accelerating your pivot. In this episode You will learn: What mindset shifts are needed around networking for clinical professionals What types of networks or people health professionals should connect with outside of clinical settings How to diversify your network when pivoting out of clinical work The best networking strategies or platforms for career pivoters How to add value to a new network if you're unsure what you bring to the table Take Action Here are three simple steps you can take this week to start building your network—without overwhelm Reach out to one person you admire who has made a similar pivot Join one new community—this could be a LinkedIn group or a professional association Update your LinkedIn headline to reflect where you're headed, not just your current role. You don't need a huge network—you need a meaningful one. MORE WAYS TO CONNECT: Follow our LinkedIn page: https://www.linkedin.com/company/104404906/admin/dashboard/ Join the Movement on Instagram: @lifebeyondclinicalpractice Connect to our Private Community: https://www.facebook.com/groups/897241125152990 Rate and Review the show on Apple Podcasts https://podcasts.apple.com/us/podcast/life-beyond-clinical-practice-healthcare-careers-professional/id1713086617 Book a free Complimentary Call with Dr Diane https://calendly.com/lbcp/complimentary-call Enjoyed this episode? We think you'll enjoy this one too https://podcasts.apple.com/us/podcast/89-adaptability-skills-necessary-for-embracing-change/id1713086617?i=1000703428232
Send us a message with this link, we would love to hear from you. Standard message rates may apply.Insulin resistance often precedes diabetes by 5-10 years and serves as an early warning sign of potential damage to your cardiovascular system and other organs. We explore this common condition, its risk factors, and how simple lifestyle changes can reverse it before more serious health problems develop.• Insulin resistance occurs when muscles, liver, and fat cells fail to respond to normal levels of insulin• The pancreas compensates by producing more insulin, eventually leading to beta cell failure• Clinical signs include dark skin patches in body folds (acanthosis nigricans), elevated triglycerides, and increased waist circumference• One in three Americans have prediabetes, with many also experiencing insulin resistance• Risk factors include central obesity, sedentary lifestyle, family history, PCOS, and certain racial/ethnic backgrounds• Sleep disturbances, chronic stress, and fatty liver disease are emerging factors linked to insulin resistance• A 5-7% weight reduction improves insulin sensitivity by over 50%• Regular physical activity (150+ minutes weekly) helps glucose enter cells more efficiently• Diet modifications focusing on whole foods, limiting refined sugars, and following Mediterranean or DASH patterns show significant benefits• "The movement is the medicine, the food is the medicine" when addressing insulin resistanceSupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski
AABP Executive Director Dr. Fred Gingrich is joined by Dr. Linda Tikofsky, Senior Associate Director, Cattle Professional Services with Boehringer Ingelheim, and Dr. Amy Vasquez, Assistant Professor of Population Medicine and Diagnostic Services at Cornell University with the Quality Milk Production Services (QMPS). This podcast is sponsored by Boehringer Ingelheim as part of their sponsorship package of the 2025 AABP Recent Graduate Conference opening dinner reception. For years, common mastitis treatment decisions have focused on resolving visible inflammation rather than targeting only the infection which often leads to overtreatment. This episode explores the evolution of mastitis treatment, the latest research on protocol trends and producer decision making and the benefits of short-duration treatment. The average case of clinical mastitis lasts 4-6 days, which is beyond the labeled duration of therapy for mastitis intramammary tubes. Utilizing a protocol with a specified duration of therapy and based on pathogen profiles and culture data from the farm, can significantly decrease antibiotic use, decrease milk discard times, prevent violative residues, and be economically advantageous to the producer. Our guests also discuss steps for success in implementing short-duration therapy on farms. This includes appropriate case selection, identifying expectations, review of culture data and records, taking small steps with a culture-based treatment protocol, and ensuring compliance with the written protocol. For more information, visit https://bi-animalhealth.com/cattle/. Further information about mastitis management can be found at https://bi-animalhealth.com/cattle/dairy/mastitis-management. Learn about the Mastitis 3600 initiative from Boehringer Ingelheim at https://bi-animalhealth.com/cattle/dairy/mastitis-portfolio. Links to papers discussed in this episode:Clinical outcome comparison of immediate blanket treatment versus a delayed pathogen-based treatment protocol for clinical mastitis in a New York dairy herd https://doi.org/10.3168/jds.2016-11614Understanding the effect of producers' attitudes, perceived norms, and perceived behavioral control on intentions to use antimicrobials prudently on New York dairy farms https://doi.org/10.1371/journal.pone.0222442Perceived barriers of dairy producers to the adoption of selective antimicrobial therapies for non-severe clinical mastitis and at dry-off in dairy cattle: A focus group study in Ontario, Canada https://doi.org/10.3168/jds.2025-26491Randomized noninferiority trial comparing 2 commercial intramammary antibiotics for the treatment of nonsevere clinical mastitis in dairy cows https://doi.org/10.3168/jds.2016-11258
Send us a textIn this week's Journal Club, Ben and Daphna dive into the latest report from the American Academy of Pediatrics on the management of patent ductus arteriosus (PDA) in preterm infants. They dissect the nuances of prophylactic versus selective treatment, review recent meta-analyses, and explore why early intervention might not yield better outcomes despite effective PDA closure. They also break down new echocardiographic criteria for diagnosing a hemodynamically significant PDA and discuss the role of transcatheter procedures.The conversation then shifts to MRI timing and classification in neonatal encephalopathy, highlighting recent Canadian consensus recommendations for standardizing imaging protocols post-therapeutic hypothermia. The episode wraps up with a look at the TOHOP trial on permissive hypotension, challenging long-standing blood pressure treatment thresholds in preterm infants.Listeners will gain a pragmatic view of evolving clinical practices and research gaps in neonatal care, particularly for infants with PDA and hypoxic-ischemic encephalopathy. If you're looking to stay current on evidence-based recommendations without the fluff, this episode is for you. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Are you craving more joy, purpose, and freedom—but feeling stuck in the wrong place? Join us as author and wellness expert Emily A. Francis shares her bold story of leaving behind the familiar to start over in Malta, a Mediterranean island paradise.Discover how relocating for health, happiness, and alignment led Emily to not only rewrite her life—but to rediscover herself. From growing olive trees to working with local farmers and writing for a top tourism magazine, Emily's journey proves it's never too late to leap. If you've ever felt like you're living in the wrong geographic location, this is your sign.Learn how place can influence purpose, how to trust your inner knowing, and how to become the breakout star of your second act. Tune in to discover:How stepping outside your comfort zone can unlock happiness you never imagined possible.Why it's never too late to rewrite your life story.How your environment can profoundly influence your spiritual growth and well-being.Emily A. Francis holds a Bachelor's degree in Exercise Science and Wellness and a Master's in Kinesiology/Human Performance. As a Clinical and Neuromuscular Massage Therapist, she authored five influential healing books.In pursuit of vibrant health and happiness for her family, Emily boldly relocated from the U.S. to Malta, reinventing her life in a GMO-free Mediterranean paradise. Today, she writes passionately for Malta's tourism magazine and has a local book under contract exploring the island's farming culture, sponsored by Malta Tourism. A dedicated media host and avid learner, Emily has developed a profound love for Malta's local farms, immersing herself in the seasonal ingredients that define Mediterranean living. For Emily, eating in the Mediterranean means embracing life locally, seasonally, and mindfully—far beyond just food.Connect with Emily at ohmymalta.com.mt or on social media @emilyafrancisbooks#SmartWomenTalk, #LifeAfter50, #MidlifeReinvention, #EmilyAFrancis, #LivingInMalta, #SecondActSuccess, #WomenOver50, #RewriteYourLife, #MidlifeWellness, #MediterraneanLiving, #ExpatWomen, #MaltaDreamLife, #FindingJoy, #ChangeYourLife, #LeapOfFaith #PurposefulLiving #HolisticHappiness #InspiredLiving, #SmartWomenPodcast, #OliveTreesAndFreedom
On today's episode, the team is joined by Hamid Tabatabaie, President & CEO of CodaMetrix, a Series B HealthTech company using AI to transform clinical coding.Hamid brings deep experience from the healthcare technology space and has been at the forefront of driving operational efficiencies in some of the most complex health systems in the U.S.The conversation kicks off with a look into Hamid's background, followed by an overview of CodaMetrix, how it began, what problem it solves, and why it matters.Key Discussion Points:
✅ Learn more about the course here: https://www.agentsofchangeprep.comMeagan Mitchell, the founder of Agents of Change, is a Licensed Clinical Social Worker who has been providing individualized and group test prep for the ASWB for over 10 years. From all of this experience helping others pass their exams, she created a course to help you prepare for and pass the ASWB exam!Find more from Agents of Change here:► Agents of Change Website: https://agentsofchangeprep.com► Facebook Group: https://www.facebook.com/groups/aswbtestprep► Instagram: https://www.instagram.com/agentsofchangeprep/
Pharmacists are pivotal in disease prevention and health promotion by advocating and administering immunizations. Despite increased access of vaccines which can prevent diseases, complications, and death, many adults in the US are not up to date on their immunizations. The Centers for Disease Control and Prevention and the Advisory Committee on Immunization Practices provide annual guidance on vaccine recommendations. This podcast will cover 2025 vaccine updates for pneumococcal, respiratory syncytial virus (RSV), Hepatitis B, and Monkeypox virus (Mpox) with ASHP ambulatory care pharmacists highlighting personal perspectives and tips from their varied practice sites. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
John Murray, Ian Dennis & Ali Bruce-Ball talk football, travel & language. They look ahead to Andorra v England with John & Ian in Barcelona for the match. John gets celebrity spotted. The guys have their say on the dazzling new Premier League ball. Will the biscuit vs cookie debate reach a conclusion? Plus more Glossary chat and Ali gets a guard of honour in Clash of the Commentators.WhatsApp voicenotes to 08000 289 369 Emails to TCV@bbc.co.uk Live show tickets: crossedwires.live/fringe 01:00 John & Ian in Barcelona for Andorra v England 04:35 Interviewing Ivan Toney & Trevoh Chalobah 08:25 How much do the media mingle? 11:30 Biscuit/cookie gate 14:00 Champions League Final reflections 17:35 John gets celebrity spotted… 20:55 New ball for Premier League revealed 24:35 Reminder of the BIG NEWS 31:40 Ali gets Clash of the Commentators guard of honour 41:45 Great Glossary of Football Commentary 53:50 Season finale musical masterpieceBBC Sounds / 5 Live commentaries: Sat 1700 Andorra v England in World Cup Qualifying, Tue 1945 England v Senegal in Friendly.Glossary so far: 2-0 is a dangerous score, After you Claude, All-Premier League affair, Aplomb, Brace, Brandished, Breaking the deadlock, Bundled over the line, Champions elect / champions apparent, Clinical finish, Commentator's curse, Coupon buster, Cultured/Educated left foot, Denied by the woodwork, Draught excluder, Elimination line, Fellow countryman, Foot race, Formerly of this parish, Fox in the box, Free hit, Goalmouth scramble, Good touch for a big man, Honeymoon Period, In and around, In the shop window, Keeping ball under their spell, Languishing, Loitering with intent, Marching orders, Nestle in the bottom corner, Numbered derbies, Nutmeg, Opposite number, Park the bus, PK for penalty-kick, Postage stamp, Put their laces through it, Rasping shot, Red wine not white wine, Relegation six-pointer, Rooted at the bottom, Roy of the Rovers stuff, Sending the goalkeeper the wrong way, Sleeping giants, Slide rule pass, Small matter of, Spiders web, Stayed hit, Steepling, Stinging the palms, Stonewall penalty, Straight off the training ground, Stramash, Throw their cap on it, Thruppenny bit head / 50p head, Put it in the mixer, Towering header, Turning into a basketball match, Turning into a cricket score, Walking a disciplinary tightrope, Wand of a left foot, We've got a cup tie on our hands, Where the owl sleeps, Winger in their pocket, Wrap foot around it, Your De Bruynes, your Gundogans etc.
Welcome to another episode of the Clinical Unknown Series! Mark presented a case with a chief complaint of constipation to Debora and Mengyu, and there was an unpredictable turnover. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS
Dr. Grant Tinsley joins the discussion as the body composition expert.Myostatin is a key regulator of muscle growth.Wendy Whippete the most jacked muscled up dogThe concern of GLP-1 receptor agonists and muscle mass loss.Overview of Courage trial looking at semaglutide and trevogrumab and lean mass lossUpcoming Believe trial coming out (bimagrumab and semaglutide)Exercise remains crucial for muscle health and function.MRI data from SURPASS MRI provides new insights into muscle volume changes.The combination of medications may have varying effects on muscle mass.Caution is advised regarding the long-term effects of new drugs.Clinical benefits of medications often outweigh concerns about muscle loss.Future research will explore the synergy between exercise and medication.Other docs who lift podcasts with Dr. Grant:Tirzepatide muscle lossLean mass loss and GLP-1 meds
In this eye-opening episode, we explore the paradox of being deeply committed yet utterly drained in high-pressure professions, as well as the growing phenomenon of "quiet quitting."Clinical psychologist and leadership advisor Dan Pelton says that resilience isn't about being tough but about daily practice and self-compassion. Join him and host Dr. mOe Anderson as they delve into this captivating discussion. Discover how resilience is not an inherent trait but a skill honed through life's trials. Memorable Quotes from Dan Pelton:"Burnout stems from broken systems, not broken people.""Resilience is practice. It's not a trait. It's something we need to do every single day."Key Points:Redefining Resilience: Dan Pelton shares his journey through a serious health challenge, highlighting resilience as a daily practice, not just an innate trait.Corporate Wellness Critique: The episode challenges the superficial nature of corporate wellness programs, emphasizing the need for systemic change over temporary perks.Exhausted Engagement: Explore the paradox of being deeply committed yet utterly drained in high-pressure professions, and the silent phenomenon of "quiet quitting."Effective Leadership Communication: The importance of over-communicating, especially during uncertain times, to foster transparency and reduce employee anxiety.Chapter Breakdown:0:00:00 - Resilience and Corporate Wellness Programs0:08:54 - Corporate Wellness Program Pitfalls0:19:07 - The Exhausted Engaged0:22:35 - Effective Communication for Leadership SuccessResources Mentioned:Dan Pelton's website: danpelton.comDan Pelton's book: "Rethinking Employee Resilience"Free resilience assessment on Dan Pelton's websiteHarvard Business Review articles on leadership communicationSubscribe now and let's ignite your personal growth journey together, one empowering conversation at a time!Learn more about Dr. mOe's services and books on her website at www.drmOeAnderson.com. Follow her on social media! @drmOeandersonElevate your public speaking skills with 1x1 or online Public Speaking Coaching.Want to feature your business on this podcast or book Dr. mOe for a speaking engagement? Contact her today! info@drmoeanderson.comPlease support this indie, woman-owned, small business providing free educational and inspirational content. Use one of these secure, fee-free ways to support the production and distribution of this award-winning show: 1. Buy Me a Coffee: Click Here2. CashApp: $drmoeanderson3. Venmo: @drmoeandersonBecome a supporter of this podcast: https://www.spreaker.com/podcast/perpetual-moetion-with-dr-moe-anderson--5831364/support.
Join Drs. Michael Rosen, Benjamin T. Miller, Sara Maskal, and Ryan Ellis as they review mesh materials used in hernia repair and the general properties surgeons who perform hernia repairs should know. Hosts: - Sara Maskal, MD, Cleveland Clinic - Ryan Ellis, MD, Cleveland Clinic - Benjamin T. Miller, MD, Cleveland Clinic - Michael Rosen, MD, Cleveland Clinic Learning Objectives: - Understand common mesh materials - Review properties of the different mesh materials - Understand how to apply knowledge of the different mesh properties to different patient scenarios References: - Ellis R, Miller BT. Mesh selection in abdominal wall reconstruction: an update on biomaterials. Surgical Clinics. 2023 Oct 1;103(5):1019-28. https://pubmed.ncbi.nlm.nih.gov/37709387/ - Krpata DM, Petro CC, Prabhu AS, Tastaldi L, Zolin S, Fafaj A, Rosenblatt S, Poulose BK, Pierce RA, Warren JA, Carbonell AM. Effect of hernia mesh weights on postoperative patient-related and clinical outcomes after open ventral hernia repair: a randomized clinical trial. JAMA surgery. 2021 Dec 1;156(12):1085-92. https://pubmed.ncbi.nlm.nih.gov/34524395/ - Rosen MJ, Krpata DM, Petro CC, Carbonell A, Warren J, Poulose BK, Costanzo A, Tu C, Blatnik J, Prabhu AS. Biologic vs synthetic mesh for single-stage repair of contaminated ventral hernias: a randomized clinical trial. JAMA surgery. 2022 Apr 1;157(4):293-301. https://pubmed.ncbi.nlm.nih.gov/35044431/ - Maskal S, Miller B, Ellis R, Phillips S, Prabhu A, Beffa L, Krpata D, Rosenblatt S, Rosen M, Petro C. Mediumweight polypropylene mesh fractures after open retromuscular ventral hernia repair: incidence and associated risk factors. Surgical Endoscopy. 2023 Jul;37(7):5438-43. https://pubmed.ncbi.nlm.nih.gov/37038022/ - Harris HW, Primus F, Young C, Carter JT, Lin M, Mukhtar RA, Yeh B, Allen IE, Freise C, Kim E, Sbitany H. Preventing recurrence in clean and contaminated hernias using biologic versus synthetic mesh in ventral hernia repair: the PRICE randomized clinical trial. https://pubmed.ncbi.nlm.nih.gov/33443907/ - Olavarria OA, Bernardi K, Dhanani NH, Lyons NB, Harvin JA, Millas SG, Ko TC, Kao LS, Liang MK. Synthetic versus biologic mesh for complex open ventral hernia repair: a pilot randomized controlled trial. Surgical Infections. 2021 Jun 1;22(5):496-503. https://pubmed.ncbi.nlm.nih.gov/33259771/ 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://app.behindtheknife.org/listen
In this episode, host Dr. Sausha chats with guest Dr. Elizabeth Dy about the crucial link between airway management and dentistry, especially regarding tongue and lip ties. Dr. Dy shares her journey toward an airway-focused practice and the challenges of discussing sleep disorders with patients, highlighting the importance of proper screenings and referrals for improved patient care.
In this episode of “Answers From the Lab,” host Bobbi Pritt, M.D., chair of the Division of Clinical Microbiology at Mayo Clinic, and William Morice II, M.D., Ph.D., CEO and president of Mayo Clinic Laboratories, discuss global trends in diagnostic manufacturing and their implications for laboratory professionals. Topics include: Emerging innovations in mass spectrometry, next-generation sequencing, automation, and artificial intelligence. Fierce competition in the global manufacturing landscape as new companies enter the market. Geopolitical dynamics influencing where innovations are deployed. Why laboratory professionals need to drive innovation implementation to maximize benefits for clinicians and their patients.
In this episode, three clinical specialists discuss success stories, best practices, and strategies for motivating learners. 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.
Kyle reports sudden posterior ankle pain after jumping, describing it as feeling “kicked.” Examination reveals mild swelling, a palpable gap above the calcaneus, limited active plantarflexion, and inability to perform a single-leg heel raise. Passive range of motion is full and pain-free. Which finding BEST explains the patient's inability to perform a single-leg heel raise?A) Tear of the medial ankle stabilizer leading to decreased propulsion strengthB) Inflammation of the plantar aponeurosis causing mechanical restrictionC) Disruption of the calcaneal attachment of the posterior compartment tendonD) Strain of the posterior compartment musculature limiting force generationTEXT OUR TEAM:(727) 732-4573
Laurel Roberts-Meese, LMFT, equips therapists with practical tools and essential knowledge to foster cultural competency, navigate nuanced dynamics, and provide affirming, inclusive care to queer couples, from intake to intervention. Interview with Elizabeth Irias, LMFT. Earn CE credit for listening to this episode by joining our low-cost membership for unlimited podcast CE credits for an entire year, with some of the strongest CE approvals in the country (APA, NBCC, ASWB, and more). Learn, grow, and shine with Clearly Clinical Continuing Ed by visiting https://ClearlyClinical.com.
Thank you for tuning in for another episode of Life's Best Medicine. Jon Engelson is a holistic health coach and the founder of “You Are What You Eat, Inc.” He is currently the Chief Strategic Officer at Joburg Air Dried Grass Fed Steak Snacks. Yuda Holtzberg is the founder of Joburg and a pioneer in the world of grass-fed, pasture-raised kosher beef snacks. In this episode, Dr. Brian, Jon, and Yuda talk about… (00:00) Intro (10:15) Why salt is demonized while sugar gets a pass (11:36) Additives in processed snack foods and why food companies are disincentivized to keep their products simple and clean (14:40) The politicization of nutrition (19:38) The South African and American Joburg flavors (24:59) ADD, nutrition, and pharmaceuticals (29:10) How, economically speaking, our country could begin shifting toward organic, real food products (33:06) Real fat versus fake vegetable fats (35:51) Clinical controlled tests versus anecdotal evidence (38:32) Cactus fiber, the carnivore diet, and blood sugar (42:28) Why you can't just hyper-focus on food when you're trying to get holistically healthy (47:59) Different fiber products (50:55) What it means when a meat product is labeled “kosher” (55:46) Plugs and Outro For more information, please see the links below. Thank you for listening! Links: Jon Engelson and Yuda Holtzberg: FB: https://www.facebook.com/JoBurgMeats IG: https://www.instagram.com/joburgmeats/ YouTube: https://www.youtube.com/@JoburgMeats-Official Website: joburgmeats.com Discount Code: joburgmeats.com/methealth Dr. Brian Lenzkes: Arizona Metabolic Health: https://arizonametabolichealth.com/ Low Carb MD Podcast: https://www.lowcarbmd.com/ HLTH Code: HLTH Code Promo Code: METHEALTH • • HLTH Code Website: https://gethlth.com
Spontaneous intracranial hypotension reflects a disruption of the normal continuous production, circulation, and reabsorption of CSF. Diagnosis requires the recognition of common and uncommon presentations, careful selection and scrutiny of brain and spine imaging, and, frequently, referral to specialist centers. In this episode, Gordon Smith, MD, FAAN speaks with Jill C. Rau, MD, PhD, author of the article “Clinical Features and Diagnosis of Spontaneous Intracranial Hypotension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Rau is an assistant professor of clinical neurology at the University of Arizona, School of Medicine-Phoenix in Phoenix, Arizona. Additional Resources Read the article: continuumjournal.com Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Interview with Jill Rau, MD Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Dr Gordon Smith. Today I'm interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension, which she wrote with Dr Jeremy Cutsworth-Gregory from the Mayo Clinic. This article appears in the 2025 Continuum issue on disorders of CSF dynamics. I'm really excited to welcome you to the Continuum podcast. Maybe you can start by just telling our listeners a little bit about yourself? Dr Rau: Hi, thanks for having me. I'm really honored to be here, and I really enjoyed writing the paper with Dr Cutsforth-Gregory. I hope you guys enjoy it. I am the director of headache medicine at the Baba Bay Neuroscience Institute at Honor Health in Scottsdale, Arizona. I'm also currently the chair of the special interest group in CSF Dynamics at the American Headache Society, and I've had a special interest in this field since I first watched Dr Linda Gray speak at a conference where she talked about spinal CSF leaks and their different presentations. And they were so different than what I had been taught in residency. They're not just the post-LP headache. They have such a wide variety of presentations and how devastating they can be, and how much impact there is on someone's life when you find it and fix it. And I've been super interested in the field and involved in research since that time. And, yeah. Love it. Dr Smith: Well, thanks for sharing your story. And as I reflected on our conversation ahead of time and have been thinking about this issue… this is a cool topic, and every time I read one of these manuscripts and have the opportunity to speak with one of the authors, I learn a ton, because this was something that wasn't even on the radar when I trained back in the 1800's. So, really looking forward to the conversation. I wonder if you could really briefly just summarize or remind for everyone the normal physiology about CSF dynamics, you know, production, absorption, and so forth? Dr Rau: So, the CSF is the fluid that surrounds the brain and the spinal cord, and it's contained by the dura, which is like a canvas or a sac that covers that whole brain and spinal cord. And within the ventricles of the brain, the choroid plexus produce CSF. It's constantly producing and then being reabsorbed by the arachnoid granulations and pushed into the venous space, the cerebral sinuses, venous sinuses. And also some absorption and push into the lymphatics that we've just learned about in the past year. This is kind of new data coming out, so always learning more and more about CSF, but we know that it bathes the brain and the spinal cord, helps keep some buoyancy of the brain as well as pushing nutrients in and pulling out metabolic waste. And it sort of keeps the brain in the state of homeostasis that's happy. And so, when there's a disruption of that flow and the amount of fluid there, that disrupts that, that can cause lots of different symptoms and problems for people. Dr Smith: One of the many new things I learned is that even the name of this---spontaneous intracranial hypotension---is misleading. And I think this is clinically relevant, as we'll probably get to in a moment, but can you talk a little bit about this? Is this really like a pressure disorder or a volume disorder? Dr Rau: Yeah. It's almost certainly a volume disorder. We do see in some people that they have low pressure, and it's still part of the diagnostic criteria. But it's there because if you have a low pressure, if you measure an opening pressure and it's below six, if you're measuring it in the spine in the right place, then you have indication that there's low volume. But there's over 50% of people's opening pressure who have a spinal CSF leak, have all the symptoms and can be fixed. So, they have normal pressure in 50% of the people. So, it is an inaccurate term, hypotension, but it was originally discovered because of the thought that it was a low-pressure situation. Some of the findings would suggest low pressure, but ultimately, we are pretty sure it's a low-volume condition. Dr Smith: Another new thing that I learned that really blew me away is how bad this can be. I did a podcast with Mark Burish about cluster, and I was reminded many cluster patients are pushed to the point of suicidal ideation or committing suicide by the severity of pain. And this sounds like for many patients it's equally severe. Can you maybe paint a picture for our listeners why this is so clinically important? Dr Rau: A large number of people, even people who are known to have leaks because they've had them before or they've releaked, they have a lot of brain fog and cognitive impairment. They often have severe headaches when they're upright. So, orthostatic headache is probably the number one most common symptom, and those headaches are one of the worst headaches out there. When people stand up, their fluid is not supporting the brain and there's an intense amount of pain. And so, they spend a large portion of their lives horizontal. And there's associated symptoms with that, it's not just headache pain and brain fog. There's neck pain. There's often subsequent disorders that accompany this, like partial orthostatic tachycardia syndrome. We don't know if that's because of deconditioning or an actual sequela of the disease, but it's a frequent comorbidity. We have patients that have extreme dizziness with their symptoms, but many patients are limited to hours, if that, upright per day, combined, total. And so they live their lives, often, just in the dark, lots of photophobia, sensitive to the light, really unable to function. It's also very hard to find and so underrecognized that a lot of patients, especially if they don't have that really clinical symptom of orthostatic headache. So, it's often missed. So, they're just debilitated. You know, treatments don't work because it's not a migraine and it's not a typical headache. It's a mechanical issue as well as a metabolic issue and not found, not a lot helps it. Dr Smith: So, you know, I have always thought about this as really primarily an orthostatic symptom. I wonder if you can talk about the complexity of this; in particular, kind of how this evolves over time, because it's not quite that simple. And maybe in doing so, you can give our listeners some pearls on when they should be thinking about this disorder? Dr Rau: A large portion of people do have headache with spinal CSF leak, in particular, spontaneous intracranial hypertension- hypotension, excuse me. And that's something to be thought about, is that there are spontaneous conditions where people have either rupture of the dural sac, or an erosion of the dural sac, or a development of a connection between the dura and the venous system. And that is taking away or allowing CSF to escape. In these instances that patients have spontaneous, there may be a different presentation than if they have, like, a postdural puncture or a chronic traumatic or iatrogenic leak. And we're not sure of that yet, but we're looking into that. Still, the largest presentation is headache, and orthostatic headache is very dominant in the headache realm. But over time, patients' brains can compensate for that lack of CSF and start overproducing---or at least we think that's probably what's happening. And you may see a reduction in the orthostatic symptoms over time, and you may see an improvement in the radiographic findings. So, there are some interesting papers that have been published that look at these changes over time, and we do see that sometimes within that first three to four months; this is the most common time to see that change. Other patients may worsen. You may actually see someone going from looking sort of normal radiographically to developing more of a SIH-type of picture on the brain. And so it's not predictable which patients have gone from orthostatic to improvement or the other way around, both radiographically and clinically. So, it can be quite difficult to tell. So, for me, if I have a patient that comes to me and they're struggling with headache… if it's orthostatic, very clearly orthostatic: I lay down, I get considerably better or my headache completely goes away. And then when I stand up, it comes on relatively quickly, within an hour. And sometimes it's a worsening-throughout-the-day type of thing, it's lowest in the morning and it worsens throughout the day. These are the times that it's most obvious to think about CSF leak. Especially if that headache onset relatively suddenly, if it onset after a small trauma. Like I've had patients that say, you know, I was doing yoga and I did some twists and I felt kind of a pop. And then I've had this headache that is horrible when I'm upright but is better when I lay down ever since, you know, since that time. That's kind of a very classic presentation of spinal CSF leak or spontaneous intracranial hypotension. Maybe a less common presentation would be someone who comes to you, they've had a persistent headache for a couple years, they kind of remember it started in March of a couple years ago, but they don't know. Maybe it's, you know, it's a little better when they lay down. It may be a little worse when they're up moving around, but so is migraine, and it's a migrainous headache. But they've tried every migraine drug you can think of. Nothing is responding, nothing helps. I'm always looking at patients who are new daily, persistent headaches and patients who aren't responding to meds even if it's not new daily, but they have just barely any response. I will always go back and examine their brain imaging and get full spine to make sure I'm not missing. And you can never be 100% sure, but it's always good to consider those patients to the best of your ability, if that- have that in the back of your mind. Dr Smith: So obviously, goes without saying, this is something people need to have on their radar and think about. And then we'll talk more about diagnostic tools here in a second. But how common is this? If you're a headache doc, you see a lot of patients who have intractable headaches. And how often do you see this in your headache practice? Now you're- this is your thing, so probably a little more than others, but, you know, how common will someone who sees a lot of headache encounter these patients? Dr Rau: If you see a lot of headache, I mean, currently the thought is it's about 5 in 100,000. That was from a study before we were finding CSF venous fistulas. I think a lot of us think it's more common than that, but it's not super common. We don't have good estimates, but I would guess between 5 and 10 for 100,000 persons, not “persons who come to a tertiary headache clinic with intractable headaches”. So, it's hard to gauge how frequent it is, but I would say it's considerably more frequent than we currently think it is. There's still a group of people with orthostatic headaches that we can't find leaks on; that, once you treat other things that can cause or look for other things that can cause orthostatic headaches. So, there may be even still a pathophysiology out there that is still a leak type. Before 2014, we didn't even know about CSF venous fistulas. And now here we are; like, 50% of them are CSF venous fistulas. So, you know, we're still in a huge learning curve right now. Dr Smith: So, I definitely want to talk about the fistulas in a second. But before moving on, one of the things that I found really interesting is the wide spectrum of clinical phenotype. And we obviously don't have a lot of time to get into all of these different ones, but the one that I was hoping you might talk about---and there's a really great case, and you're on bunch of great case, a great case of this---is brain sagging dementia, not a term I've used before. Can you really briefly just tell our listeners about that, because that's a really interesting story and a great case in your article? Dr Rau: Yeah. So, brain sag dementia is a… almost like an extreme version of a spontaneous intracranial hypotension. Where there is clear brain sag in the imaging---so that's helpful---but the patients present kind of like a frontotemporal dementia. And when this was first started to being determined, you could turn the patient into Trendelenburg, and sometimes they would improve. There are some practitioners that have introduced fluid into the thecal sac and had temporary improvement. Patching has improvement, then they leak again, sometimes not. But the clinical changes with this have been pretty tremendous to be able to identify that that's a real thing. And in some cases, out of Cedars Sinai, you know, who does a lot of the best research in this, they've had lots of cases where they can't find the leak, but there's clear brain sag that fits with our clinical picture of CSF leaks. So, we're on a learning curve. But yeah, this- they really present. They have disinhibition and cognitive impairment that is very similar to frontotemporal dementia. Dr Smith: Well, so let's talk about what causes this. You mentioned CSF venous fistulas. I mean, that was reported now just over a decade ago, it's pretty amazing. That accounts for about half of cases, if I understand correctly. What are the other causes? And then we'll talk more about therapy in a minute, but what causes this? Dr Rau: So, within the realm of spontaneous, you know, we say it's spontaneous. But the spontaneous cases we account for, they can be tears in the dura, which are usually sort of lateral tears in the dura. They can be little places that rubbed a hole, often on an osteophyte from the spine. They can come from these spinal diverticuli. So, I always describe it to my patients like those balls that have mesh and squishy, and you squeeze them in the- through the mesh, there's the extra little bubbling out. If you think of like the dura bubbling, out in some cases, through the framing of the spine, right where the spinal nerve roots come out, they should poke out like wires from the dura. But in many cases they poke out with this extra dura surrounding them, and we call that spinal diverticuli. And if you imagine like the weakening of where you squeeze that, you know, balloon through your fingers, in those locations, that's a very common place to find a CSF leak, and you can imagine that the integrity of the dura there may be less than it would be if it were not being expanded in that direction. And that's often the most common place we see these CSF venous fistulas. So, you can get minor traumas; like I said, it can be spontaneous, like someone just develops a leak one day. It can be rubbed off, and it can be a development of a connection between the dura and the venous system. There are also iatrogenic causes, but we don't consider them spontaneous. But when you're considering your patients for spontaneous cases, you should consider if they've ever had chronic---even long, long time ago---had any spinal implementation, procedures near the spine, spinal injections, LPs in the past, and especially women who've had epidurals in pregnancy. Dr Smith: All right, so we see a patient, positional severe headache, who meets the clinical criteria. Next step, MRI scan? Dr Rau: Yeah. So, the first thing is always to get the brain MRI with and without contrast. Most places will have a SIH or a spinal CSF leak protocol, but you should get contrast because one of the most pathognomonic findings on brain MRI is that smooth diffuse dural enhancement. And that's a really fantastic thing when you find it, because it's kind of a slam dunk. If you find it, then you will see other findings. It almost never exists alone. But if you see that, it's pretty much a spinal CSF leak. But you're also looking for subdural collections, any indication of brain sag. We do have these new algorithms that have come out in the past couple of years that are helpful. They're not exclusionary---you can have negative findings on the brain and still have spinal CSF leak---but the brain MRI is extremely helpful. If it's positive for the findings, it really does help you nudge you in the direction of further investigations and treatments. Dr Smith: And what about those further investigations and treatments, right? So, you see that there's findings consistent with low pressure, and I guess I should say low intracranial CSF volume. Be that as it may, what's the next step after that? Dr Rau: Depends on where you are and what you can do. I almost always will get a full spine MRI: so, C spine, T spine, and L spine separately. Not, you know, we don't want it all in one picture, because we want to get the full view. And you want to get that with at least T2 highly- heavily T2 weighted with fat saturation in at least the sagittal and axial planes. It's really helpful if you can get it in the coronal planes, but we have to have- often have good talks with your radiologist to get the coronal plane. I spoke about the spinal diverticuli earlier, and I want to clarify a little bit of something. The coronal image will show those really nicely. It's interesting, but 44% of people have those. So just having the spinal diverticuli does not indicate that you have a leak. But if you have a lot of those, there may be more likelihood of having leak than if you don't have any of those. So, I will get all of those and I will look at them myself, but I've been looking at them myself for a long time. But a lot of radiologists in community hospitals, especially not- nonneuroradiologists, but even neuroradiologists, this isn't something that's that everybody's been educated about, and we've been learning so much about it so rapidly in the past ten years. It's not easy to do and it's often missed. And if it's not protocoled properly, the fat saturation's not there, it's very hard to see… you can have a leak and not see it. Even the best people, like- it's not always something that's visible. And these CSF venous fistulas that we talked about are never visible on normal MRI imaging. Nonetheless, I will run those because if I can find a leak---and 90% of the ones that are found on MRI imaging are in the thoracic spine. So that's where I spend the most of my time looking. But if you find it, that's another thing to take to your team to say, hey, look, here it is, let's try and do this, or, let's try and do that, or, I've got more evidence. And there are other findings on the spine; not just the leak, but other findings, sometimes, you can see on spine that maybe help you push you towards, yes, this is probably a leak versus not. Dr Smith: So, your article has a lot of great examples and detail about kind of advanced imaging to, like, find the fistula and what not. I guess I'm thinking most of our listeners are probably practicing in a location where they don't have a team that really focuses on that. So, let's say we do the imaging of the spine and you don't find a clear cause. Is the next step to just do a blood patch? Do you send them to someone like you? What's the practical next step? Dr Rau: Yeah, if your- regardless of whether you find a leak or not, if your clinical acumen is such that you think this patient has a leak or I've treated them for everything else and it's not working and I have at least a high enough suspicion that I think the risk of getting a patch is lower than the benefit that if they got a patch and it worked, I do send my patients for non-directed blood patches, because it currently does take a long time to get them to a center that can do CT myelograms or any kind of advanced imaging to look for sort of a CSF venous fistula or to get treated outside of a nondirected patch. You know, sometimes nondirected patches are beneficial for patients, and there's some good papers out there that sort of explain the low risks of doing these if done properly versus the extreme benefit for patients when it works. And, I mean, I can't tell you how many people come in and tell me how their lives are changed because they finally got a blood patch. And sometimes it works. And it's life-changing for those people. You know, they go back to work. They can interact with their kids again. Before, they didn't know what was wrong, just had this headache that started. So it's worth doing if you have a strong clinical suspicion. Dr Smith: Yeah. I mean, that was great. And, you know, to go back to where we began, this is severe. It's something like 60% of patients with this problem have thought about suicide, right? And you take this patient and cure the problem. I feel really empowered having read the article and talked to you today. And so, I'm ready to go out and look for this. Thank you so much for a really engaging conversation. This has been terrific. Dr Rau: Thank you. I appreciate it. I enjoyed being here. Dr Smith: Again, today I've been interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension---which I guess I should say hypovolemia after having talked to you---which she wrote with Dr Jeremy Cutsworth-Gregory. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Please be sure to check out Continuum Audio episodes from this really interesting issue and other interesting issues. And thank you, our listeners, again for listening to us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
In this episode of CASAT Conversations, we are honored to welcome Mary Dunn, a retired Licensed Clinical Social Worker whose decades-long career has been grounded in compassion, cultural awareness, and the power of human connection.Mary's professional path began in an unexpected place—the casinos of Lake Tahoe—where her early experiences observing human behavior planted the seeds for a lifelong career in service. With degrees in Sociology and Cultural Anthropology, she brought a deep understanding of systems and stories into her work across Nevada.Her career included vital roles in child welfare and mental health, including time in Elko working in Child Protective Services, serving as a Psychiatric Case Worker at Douglas Mental Health Clinic, and taking on leadership as the Deputy Compact Administrator for the Interstate Compact on the Placement of Children.Mary spent 2009 through 2012 as a Clinical Intern at West Hills Hospital, where she gained valuable experience but did not complete the required hours of supervision for licensure at that site. She later received her Clinical license while working at Family Counseling Service of Northern Nevada, where she provided direct care to individuals and families navigating complex challenges. She concluded her career as a Clinical Social Worker at Well Care, retiring in 2020.Throughout her journey, Mary championed the importance of destigmatizing mental illness, using laughter as a bridge, and—most of all—empowering people to make meaningful, lasting change. With warmth, humility, and hard-earned wisdom, she reflects on the moments that defined her career and the lessons she hopes to pass on to the next generation.In this episode, Mary shares:How her own personal traumatic experience sparked her interest in social workWhat she learned from her time in Elko CPSHow humor helped her build rapport and foster healingA breakthrough moment that reminded her why client empowerment mattersWhat sustained her through decades of emotionally demanding workWhy second-order change—supporting deep, systemic transformation—is the heart of the workHer advice for new mental health professionals entering the fieldJoin us for an engaging and heartfelt conversation with a social worker who never lost sight of the human being behind the diagnosis—and whose career reminds us that healing starts with empowerment, trust, and a little bit of laughter.Key words: clinical social work, mental health, social work stories, empowerment in therapy, healing through connection, human-centered healing
https://bit.ly/4mDRbKKAula de Laringoscopia: O passo a passo para fazer do jeito certo.
Today, I sit down with Dr. Nick Fabiano, MD, a resident psychiatrist, to explore the powerful connection between creatine supplementation and depression. We dive deep into current scientific evidence discussing how creatine, typically known for its athletic performance benefits, might significantly improve mental health and depressive symptoms. Dr. Fabiano provides an overview of how creatine impacts brain chemistry, energy metabolism, and mood regulation. Whether you're a clinician looking for novel therapeutic approaches, someone battling depressive symptoms, or simply interested in cutting-edge mental health research, this episode offers valuable insights. Don't miss this fascinating conversation on creatine's potential role in mental health!Key Topics:What is creatine and how does it affect the brain?Clinical evidence linking creatine supplementation to improved depressive symptomsOptimal creatine dosing for mental health benefitsPotential mechanisms underlying creatine's antidepressant effectsFind Nick here: https://x.com/NTFabiano SponsorsA huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts:BonCharge- Get 15% off any product when you visit https://boncharge.com/Fatty15 - Get 15% off your 90-day Starter Kit when you visit fatty15.com/neuro and use the code NEURO at checkoutThe Neuro Athletics Newsletter Instagram: @louisanicola_Twitter : @louisanicola_YouTube: @Louisa NicolaThe Neuro Experience Podcast is proud to have hosted: Dr Andrew Huberman, Dr Gabrielle Lyon, Dr Layne Norton, Thomas DeLauer, Shawn Stevenson, Dr. Rocio Salas-Whalen, Saad Alam, Uma Naidoo, Dr. Lanna Cheuck, Angela Lee Pucci, Jillian Turecki, Dr. Jordan Feigenbaum, Dr. Darren Candow, Dr. Sue Varma, Evy Poumpouras, Dr Casey Means, Renee Deehan, Dr Chris Palmer, Dr Charles Brenner, Dr Joe Zundell, Dr Ray Dorsy, Dr Dale Bredeson, Dr. Ben Bikman
This throwback episode features Dr. Kris Aadland joining Kevin and Zach from the Voices of Dentistry 2023 event in Scottsdale, Arizona! They discuss the myth that in-house CAD/CAM crowns are inferior to lab crowns, with Kris sharing insights from her extensive experience. The conversation covers various aspects of dental technology, including the efficiency of using multiple milling machines, digital designs, and standard operating procedures (SOPs) for running a smooth dental practice. Additionally Kris offers practical tips on using dental tools like dry shields and isolites to enhance productivity in the face of staffing shortages. Some links from the show: The Pathway (where Kris teaches) Dryshield Isolite Optragate Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization. The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence. Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA Book a call with Kate: Reserve a Call Ready to upscale your team? Explore Zirc's solutions today: zirc.com
Part TwoWhat if the body wasn't a fixed map, but a living, improvisational landscape?In this conversation with Lan Li, a historian, filmmaker, and rhythm-savvy thinker at the crossroads of medicine and imagination, we explore how anatomy is more than skin and sinew—it's a set of metaphors, shaped as much by culture as by scalpels. Lan brings insight from her work in neuroscience, film, and Chinese medicine to help us consider how maps of the body aren't just drawn—they're felt, narrated, and revised in real time.Listen into this discussion as we explore the improvisational nature of clinical work, the metaphoric structure of anatomy, the interplay between nerves and meridians, the persistence of imagination in medical history, and why ancient images might still be some of our most useful tools.This episode invites a reimagining of what it means to know, feel, and practice medicine. Especially when inquiry is more like music than math.
Part OneWhat if the body wasn't a fixed map, but a living, improvisational landscape?In this conversation with Lan Li, a historian, filmmaker, and rhythm-savvy thinker at the crossroads of medicine and imagination, we explore how anatomy is more than skin and sinew—it's a set of metaphors, shaped as much by culture as by scalpels. Lan brings insight from her work in neuroscience, film, and Chinese medicine to help us consider how maps of the body aren't just drawn—they're felt, narrated, and revised in real time.Listen into this discussion as we explore the improvisational nature of clinical work, the metaphoric structure of anatomy, the interplay between nerves and meridians, the persistence of imagination in medical history, and why ancient images might still be some of our most useful tools.This episode invites a reimagining of what it means to know, feel, and practice medicine. Especially when inquiry is more like music than math.
In this comprehensive deep dive, Dr. Tony Ebel explores PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) and PANS from a neurologically-focused perspective. Drawing from his extensive clinical experience treating hundreds of PANDAS cases, Dr. Ebel reveals why traditional biomedical and functional medicine approaches, while important, often fall short when not properly sequenced with nervous system care.This episode challenges the conventional understanding that PANDAS begins in the gut, instead presenting compelling evidence that nervous system dysfunction is the root cause that then triggers the cascade of gut dysbiosis, immune dysfunction, and neuroinflammation. Dr. Ebel provides a detailed clinical protocol for healing, emphasizing the critical importance of addressing nervous system regulation first before implementing intensive biomedical interventions.Key Topics & TimestampsIntroduction & PANDAS Overview [00:00:00 - 00:06:00]Definition and why PANDAS cases spike during seasonal transitionsThe "perfect storm" nature of PANDAS requiring deep understandingDr. Ebel's Background & The PANDAS Rollercoaster [00:06:00 - 00:16:00]Clinical experience with hundreds of PANDAS casesPersonal story with his daughter's toxic exposureSetting realistic expectations: peaks, valleys, and signs of true healingWhy Current Approaches Fall Short [00:16:00 - 00:25:00]Traditional medicine limitationsFunctional medicine gets "one or two layers deep" but misses root causeWhy families feel stuck despite "doing everything right"The Root Cause: Nervous System First [00:25:00 - 00:36:00]Why gut-focused approaches miss the deeper issueNervous system → gut → immune → inflammation cycleThe reality of supplement overload and extreme restrictionsFinding the Right Practitioners & Protocol [00:36:00 - 00:50:00]Importance of expert-level care from neurologically-focused providersWhy "full send" biomedical approaches too early make kids worseThe 90-180 day nervous system stabilization periodClinical Implementation: The Reset Approach [00:50:00 - 01:01:00]Pausing 80% of supplements while keeping basicsUsing INSiGHT scans to achieve neurological stabilityRealistic timeline: 1-3 year healing journey with proper sequencing-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click HereSubscribe, share, and stay tuned for more incredible episodes unpacking the power of Nervous System focused care for children!
Navigating a toxic work environment? In this insightful and practical episode, Laurel tackles the complex challenges of dealing with narcissistic bosses, colleagues, and subordinates. Drawing on biblical wisdom, clinical experience, and her own personal journey, Laurel explores the difference between healthy and unhealthy narcissism in the workplace—and the profound impact toxic individuals can have on organizations and those who work with them. You'll learn: - How to identify narcissistic behaviors and red flags at work - The psychological and emotional toll workplace narcissists inflict - Strategies to set healthy boundaries, document interactions, and protect your well-being - The importance of recognizing your own vulnerabilities and codependent tendencies - When and how to involve HR or seek organizational accountability - Biblical principles and practical steps for confronting, coping, or determining when it's time to move on This episode includes powerful scripture reflections, a healing activity to help you review your career path, and a closing prayer for all who face toxic work dynamics. -----
In this solo episode, Brad dives deep into Johne's disease (paratuberculosis), a chronic intestinal illness affecting ruminants, with a particular focus on dairy cattle. Prompted by recent whole-herd milk ELISA testing at the University of Minnesota's Morris dairy, Brad shares results, trends, and lessons learned from managing Johne's over the years.Key topics include:Clinical signs and long-term impact of Johne's on milk production and cow longevityInterpretation of milk ELISA results and testing protocolsManagement decisions around culling, beef breeding, and calf-rearing practicesSurprising trends in calf infection sources—including group housing and dam-rearingInsights from genetic studies showing heritability of Johne's susceptibilityPractical prevention strategies and the importance of annual testingWhether you're dealing with Johne's in your own herd or want to improve your disease prevention approach, this episode is packed with data, reflections, and takeaways to help guide on-farm decisions.Johnes Disease - APHISMN DHIA Johnes TestingDHIA Laboratories - Johnes TestingCentral Star Johnes TestingQuestions, comments, scathing rebuttals? -> themoosroom@umn.edu or call 612-624-3610 and leave us a message!Linkedin -> The Moos RoomTwitter -> @UMNmoosroom and @UMNFarmSafetyFacebook -> @UMNDairyYouTube -> UMN Beef and Dairy and UMN Farm Safety and HealthInstagram -> @UMNWCROCDairyExtension WebsiteAgriAmerica Podcast Directory
Clinical investigators discuss available data guiding the management of systemic mastocytosis and myelofibrosis. CME information and select publications here.
In episode 10, we break down the solutions to infertility and maximizing childbearing potential.MAHA starts with making America fertile again. God's plan to expand the kingdom is built on fruitful families.Clinical nutritionist in training, homesteader and father of 8, Caleb Lange joins this episode to give the play-by-play formula with Cam for recovering maximal fertility & longevity.Our wives deserve the purest nourishment as our glory. Children survive and thrive on available nutrients from the moment of conception onward. Being the head of your household necessitates proactive health reliant upon God's Farmacy, protecting our arrows and our help-meets from enemies seen and unseen, and nourishing them as we do our own bodies.FIXING INFERTILITYFIXING INFERTILITYExternal environment: home, clothing, cookware, cleaners, personal care and technology (EMF/EMR), etc.Detoxification: the food nutrients & supplements to remove toxicants that inhibit.Replacement: replacing bad ingredients & destructors with regenerating inputs.Internal environment: high antioxidant & high protein mediterranean diet.Christians should be leading the way to make America healthy again, since we have God's regenerative blueprint.Let's return to the Biblical blueprint and promise of fertility, as we seek God's provision and blessing on our desire to be fruitful & multiply.SUBSCRIBE on Substack for exclusive bonus content, Q&As & discounts with companies who share Biblical values:https://bregenerated.substack.com/ Schedule a free regenerative nutrition discovery call:https://tidycal.com/beregeneratedJoin the Brotherhood & take dominion of your nutrition, fitness & vitality:BeRegenerated.com/brotherhoodNutrition individual & group coaching:https://beregenerated.com/fertility/ FOLLOW: Instagram - instagram.com/beregeneratedYouTube youtube.com/beregeneratedX – x.com/cameronwedel
In his weekly clinical update, Dr. Griffin with Vincent Racaniello discusses vaccination trends, the changes COVID-19 vaccine recommendations for children and pregnant women, easing of vaccination exemptions in Texas, the ongoing measles outbreak globally before Dr. Griffin reviews recent statistics on RSV, influenza and SARS-CoV-2 infections the Wasterwater Scan dashboard, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines and concern as confirmed diagnosis of COVID-19 rise here and in China, different mechanisms by which to reduce transmission of respiratory pathogens, the May 22 VRBPAC COVID-19 vaccine meeting, where to find PEMGARDA, prolonged steroid and antibiotic therapies, provides information for Columbia University Irving Medical Center's long COVID treatment center, where to go for answers to your long COVID questions, how spike protein may alter mast cells and the immune response 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 Vaccination trends (CDC: Respiratory Illnesses) Weekly COVID-19 Vaccination Dashboard (CDC: COVIDVaxView) RFK Jr ends coronavirus shot recommendation for healthy children and pregnant women (Washington Post) Characteristics of Children Ages 1–17 Who Died of COVID-19 in 2020–2022 in the United States (American Academy of Pediatrics) RFK Jr.'s War on Children (Paul Offit: Beyond the Noise) AAP analyzes pediatric COVID-19 hospitalizations from 2020-'24 (American Academy of Pediatrics) COVID-19–Associated Hospitalizations among Children and Adults — COVID-NET (CDC: National Center for Immunizations and Respiratory Diseases) COVID-19–Associated Hospitalizations among Children and Adults — COVID-NET (CDC: National Center for Immunizations and Respiratory Diseases) Long COVID in Children (CDC: NCHS) Long COVID Prevalence and Associated Activity Limitation in US Children (JAMA Pediatrics) The C.D.C. Now Says Healthy Kids Don't Need Covid Shots. Is That True? (NY Times) U.S. Will No Longer Recommend Covid Shots for Children and Pregnant Women (NY TImes) Gregg Abbott (AP News) US school-entry vaccination rates fall as exemptions keep rising (AP News) Whooping cough cases are rising again in the US (AP News) Amid measles outbreak, Texas is poised to make vaccine exemptions for kids easier (AP News) Cardiac Events in Adults Hospitalized for Respiratory Syncytial Virus vs COVID-19 or Influenza (JAMA Network Open) USDA reported H5N1 bird flu detection in wild birds (CDC: Avian Influenza) USDA reported H5N1 in poultry (CDC: Avian Influenza) HPAI Confirmed Cases in Livestock (USDA Animal and Plant Health Inspections Service) H5 bird flu: current situation (CDC: Avian Influenza) Bird flu (CDC: Avian Influenza) Measles cases and outbreaks (CDC Rubeola) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Measles vaccine recommendations from NYP (jpg) 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) Weekly surveillance report: clift notes (CDC FluView) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Respiratory syncytial virus: an under-recognized healthcare-associated infection (Infection Control & Hospital Epidemiology) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (biRxiV) New Covid variant NB.1.8.1 detected at US airports amid rise in cases U.S. reports cases of new COVID variant NB.1.8.1 behind surge in China (CBS News) WHO TAG-VE Risk Evaluation for SARS-CoV-2 Variant Under Monitoring: NB.1.8.1 (WHO) New COVID variant NB.1.8.1 detected at US airports amid rise in cases (The Economic Times: News) Infection Control Guidance: SARS-CoV-2 (CDC: COVID-19) Isolating the burden of transmission-based precautions for COVID-19 (Infection Control & Hospital Epidemiology) A pilot study of coughing into the shirt to disrupt respiratory pathogen transmission (International Journal of Emergency Medicine) Hybrid B- and T-Cell Immunity Associates With Protection Against Breakthrough Infection After Severe Acute Respiratory Syndrome Coronavirus 2 Vaccination in Avon Longitudinal Study of Parents and Children (ALSPAC) Participants (JID) FDA panel is split on updates to COVID shots as questions loom for fall vaccinations(AP News) COVID-19 Vaccines (2025-2026 Formula) for Use in the United States Beginning in Fall 2025(FDA) Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States (CDC: COVID-19) 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) Clinical effectiveness of oral antiviral treatment for non-hospitalized high-risk patients with COVID-19 during Omicron JN.1 subvariant wave(Pneumonia) Drug interaction checker (University of Liverpool) Infectious Disease Society guidelines for treatment and management (ID Society) A Systematic Review and Meta-analysis of the Effectiveness of Remdesivir to Treat Severe Acute Respiratory Syndrome Coronavirus 2 in Hospitalized Patients (CID) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Steroids,dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Tocilizumab, sarilumab and anakinra in critically ill patients with COVID-19 (Thorax) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Spike proteins of coronaviruses activate mast cells for degranulation via stimulating Src/PI3K/AKT/Ca2+ intracellular signaling cascade (Journal of Virology) Reaching out to US house representative Letters read on TWiV 1222 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.
Middle childhood (between toddlerhood and the teenage years) often gets overlooked. But for kids ages 6-12, the pressures of adolescence are arriving earlier. Puberty is happening earlier, social media has led to emotional turbulence, and kids today are facing different challenges than the previous generation. Clinical psychological Dr. Sheryl Gonzalez Ziegler talks about her new book The Crucial Years: The Essential Guide to Mental Health and Modern Puberty in Middle Childhood (ages 6-12) and takes listeners' calls.
In this episode of the Becker's Healthcare Podcast, Brian Zimmerman speaks with Dr. Mindy Nye, Vice President at Labcorp, about the evolving role of diagnostic laboratory science and how innovation is transforming patient care. Dr. Nye explores the meaning of “diagnostic innovation,” the technologies reshaping lab capabilities, and how these advancements are creating new value for health systems. Tune in for expert insights on why the clinical lab is becoming an increasingly strategic asset in modern healthcare.This episode is sponsored by labcorp.
The Psychology of Self-Injury: Exploring Self-Harm & Mental Health
Just how prevalent is self-injury among older adults, specifically those ages 60 and over? Do the types and methods they use differ from those who self-injure at other ages? What about the reasons they give for self-injuring? In this episode, Dr. Lisa Van Hove from Vrije Universiteit Brussel (Brussels University) is the first to reveal the prevalence of self-injury and self-harm among older adults.To see Dr. Van Hove's publications, including those about self-injury among older adults, click here. Connect with Dr. Van Hove on LinkedIn here. Below is some of her research and that of others referenced in this episode:Van Hove, L., Baetens, I., Hamza, C., Dierckx, E., Haekens, A., Fieremans, L., & Vanderstichelen, S. (2023). NSSI in older adults. In E.E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 572-592). Oxford University Press.Van Hove, L., Baetens, I., & Vanderstichelen, S. (2025). Psychogeriatric experts' experiences with risk factors of suicidal and non-suicidal self-injury in older adults: A qualitative study. Qualitative Research in Medicine and Healthcare, 8(1). Van Hove, L., Baetens, I., & Vanderstichelen, S. (2024). Conceptualizing self-harm through the experiences of psychogeriatric experts. Psychopathology, 57(4), 277-285.Van Hove, L., Nieuwenhuijs, B. M., Vanderstichelen, S., De Witte, N., Gorus, E., Stas, L., & Baetens, I. (2025). Biopsychosocial profile of community-dwelling older adults at risk for direct and indirect self-harm. Clinical Gerontologist, 1–12.Van Hove, L., Facon M., Baetens, I., Vanderstichelen, S., Dierckx, E., Van Alphen, S.P.J., Stas, L., & Rossi, G. (in press). Development of an at-risk personality profile for (in)direct self-harm engagement in older age. Journal of Personality Disorders.Murphy, E., Kapur, N., Webb, R., Purandare, N., Hawton, K., Bergen, H., Waters, K., & Cooper, J. (2012). Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study. British Journal of Psychiatry, 200(5), 399-404.Martin, G., & Swannell, S. (2016). Non-suicidal self-injury in the over 40s: Results from a large national epidemiological survey. Epidemiology (Sunnyvale), 6(5), 266.Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2016). Nonsuicidal self-injury and suicide attempts among ED patients older than 50 years: comparison of risk factors and ED visit outcomes. The American Journal of Emergency Medicine, 34(6), 1016-1021.Ose, S. O., Tveit, T., & Mehlum, L. (2021). Non-suicidal self-injury (NSSI) in adult psychiatric outpatients – A nationwide study. Journal of Psychiatric Research, 133, 1-9.Wiktorsson, S., Strömsten, L., Renberg, E. S., Runeson, B., & Waern, M. (2022). Clinical characteristics in older, middle-aged and young adults who present with suicide attempts at psychiatric emergency departments: A multisite study. The American Journal of Geriatric Psychiatry, 30(3), 342-351.Gratz, K. L., & Tull, M. T. (2025). Acceptance-based emotion regulation therapy: A clinician's guide to treating emotion dysregulation & self-destructive behaviors using an evidence-based therapy drawn from ACT & DBT. Context Press.Want to have a bigger role on the podcast?:Should you or someone you know be interviewed on the podcast? We want to know! Please fill out this Google doc form, and we will be in touch with more details if it's a good fit.Want to hear your question and have it answered on the podcast? Please send an audio clip of your question (60 seconds or less) to @DocWesters on Instagram or Twitter/X, or email us at thepsychologyofselfinjury@gmail.comWant to be involved in research? Send us a message at thepsychologyofselfinjury@gmail.com and we will see if we can match you to an active study.Want to interact with us through comments and polls? You can on Spotify!Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."
In the newest episode of the Becoming HeadStrong Podcast, Coach Amanda finishes her May podcast series with a conversation on the "cognitive triad". While directly applicable to the clinical psychology side of things in relation to mood disorders, this can be useful for us on a day-to-day basis. Listen along with Coach Amanda to learn what this triad is, how it helps us on the clinical side of psychology, and also how it relates to sport psychology.
Ultra-processed foods now make up over half of what many of us eat - and the health consequences are only just coming into focus. In this episode, we reveal what's really happening inside your body when you eat these foods daily. Our guest is Dr. Andy Chan, a Harvard professor and leading expert on gut health and cancer prevention. He heads the Clinical and Translational Epidemiology Unit at Massachusetts General Hospital and has published over 400 scientific papers. Dr. Chan breaks down the hidden links between UPFs, inflammation, and diseases like obesity, diabetes, and colorectal cancer. You'll hear why some foods that look healthy on the shelf may be doing long-term damage - and how the gut microbiome plays a crucial role in the process. This is the research big food companies don't want you to hear. If you care about what you and your family are eating, don't miss this conversation. Unwrap the truth about your food
Dr. Greg Cooper and Dr. David A. Wolk discuss limbic predominant age-related TDP-43 encephalopathy (LATE), covering its clinical features, diagnostic criteria, and more. Show reference: https://alz-journals.onlinelibrary.wiley.com/doi/full/10.1002/alz.14202
Today's throwback episode features an in person interview with Dr. Brian Baliwas...the one and only @sfdentalnerd! Zach and Kevin were asking about dental myths and Brian delivered! The discussion navigated through occlusion myths and explores contemporary approaches to occlusion. Brian shares insights from his education at the Kois Center, advocating for an 'outside in' approach to checking occlusion. The conversation further delves into the importance of orthodontics in setting up a stable bite for long-term restorative success. Brian also touches upon practical tips to avoid issues with veneers and crowns, emphasizing the significance of clearing the pathway for a more functional bite. Some links from the show: Brian's Instagram handle Kois Center Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization. The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence. Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA Book a call with Kate: Reserve a Call Ready to upscale your team? Explore Zirc's solutions today: zirc.com
*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, maternal loss, mature and stressful themes.*Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Center for Black Maternal Health & Reproductive Justice:https://blackmaternalhealth.tufts.edu/Center for Black Maternal Health & Reproductive Justice Instagram:https://www.instagram.com/cbmhrj_tufts/Center for Black Maternal Health & Reproductive Justice Facebook:https://www.facebook.com/CBMHRJTufts/Center for Black Maternal Health & Reproductive Justice LinkedIn:https://www.linkedin.com/company/cbmhrjtufts/Sources: Addressing Transportation Barriers to Improve Healthcare Access in Arizonahttps://repository.arizona.edu/handle/10150/674794 Advancing Health Equity and Value-Based Care: A Mobile Approachhttps://info.primarycare.hms.harvard.edu/perspectives/articles/mobile-clinics-in-the-us-health-system#:~:text=Mobileclinicsareaproven,thecriticalweeksafterbirth American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Birth Centers in Massachusettshttps://baystatebirth.org/birth-centers A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america Clinical outcomes improve when patient's and surgeon's ethnicity match, study showshttps://www.uclahealth.org/news/article/clinical-outcomes-patients-surgeons-concordanceThe Controversial Birth of American Gynecologyhttps://researchblog.duke.edu/2023/10/27/the-controversial-birth-of-american-gynecology/ 'Father Of Gynecology,' Who Experimented On Slaves, No Longer On Pedestal In NYChttps://www.npr.org/sections/thetwo-way/2018/04/17/603163394/-father-of-gynecology-who-experimented-on-slaves-no-longer-on-pedestal-in-nyc Governor Healey Signs Maternal Health Bill, Expanding Access to Midwifery, Birth Centers and Doulas in Massachusettshttps://www.mass.gov/news/governor-healey-signs-maternal-health-bill-expanding-access-to-midwifery-birth-centers-and-doulas-in-massachusetts#:~:text=GovernorHealeySignsMaternalHealthBillCExpanding,ExecutiveOfficeofHealthandHumanServices Governor Murphy Signs Bill Establishing Maternal and Infant Health Innovation Centerhttps://www.nj.gov/governor/news/news/562023/approved/20230717a.shtml Helping Mothers and Children Thrive: Rethinking CMS's Transforming Maternal Health (TMaH) Modelhttps://www.milbank.org/quarterly/opinions/helping-mothers-and-children-thrive-rethinking-cmss-transforming-maternal-health-tmah-model/#:~:text=TheTransformingMaternalHealth(TMaH)Model&text=TheTMaHModelfocuseson,midwiferyservicesanddoulacare The Historical Significance of Doulas and Midwiveshttps://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwivesInfant Health and Mortality and Black/African Americanhttps://minorityhealth.hhs.gov/infant-health-and-mortality-and-blackafrican-americans#:~:text=In2022%2Ctheinfantmortality,Figure2 Legislature Passes Comprehensive Maternal Health Billhttps://malegislature.gov/PressRoom/Detail?pressReleaseId=136Life Story: Anarcha, Betsy, and Lucyhttps://wams.nyhistory.org/a-nation-divided/antebellum/anarcha-betsy-lucy/Management of Postpartum Hemorrhage in Low- and Middle-Income Countries: Emergency Need for Updated Approach Due to Specific Circumstances, Resources, and Availabilitieshttps://pmc.ncbi.nlm.nih.gov/articles/PMC11643001/#:~:text=EtiologyandRiskFactorsof,insufficienttreatment%E2%80%9D%5B50%5D March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternity Care Deserthttps://www.marchofdimes.org/peristats/data?top=23 Maternal deaths and mortality rates by state, 2018-2022https://www.cdc.gov/nchs/maternal-mortality/mmr-2018-2022-state-data.pdf Maternal Mortality in the United States After Abortion Banshttps://thegepi.org/maternal-mortality-abortion-bans/#:~:text=In2023%2CTexas'smaternalmortality,suffermaternaldeathin2023 Maternal Mortality in the U.S Declined, though Disparities in the Black Population Persisthttps://policycentermmh.org/maternal-mortality-in-the-u-s-a-declining-trend-with-persistent-racial-disparities-in-the-black-population/Maternal Mortality Is on the Rise: 8 Things To Knowhttps://www.yalemedicine.org/news/maternal-mortality-on-the-rise Maternal Mortality: How the U.S. Compares to Other Rich Countrieshttps://www.usnews.com/news/best-countries/articles/2024-06-04/how-the-u-s-compares-to-other-rich-countries-in-maternal-mortalityMaternal Mortality Rates in the United States, 2021https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2021/maternal-mortality-rates-2021.htm#:~:text=In2021%2C1%2C205womendied,20.1in2019(Table) Medical Exploitation of Black Womenhttps://eji.org/news/history-racial-injustice-medical-exploitation-of-black-women/National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery National Counsel of State Boards of Nursinghttps://www.ncsbn.org/North American Registry of Midwives (NARM)https://narm.org/ Outcome of subsequent pregnancies in women with complete uterine rupture: A population-based case–control studyhttps://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.14338#:~:text=outcomesarerare.-,1INTRODUCTION,experienceacompleteuterinerupture.&text=Completeuterineruptureisdefined,completeruptureofthemyometrium Pregnancy-Related Deaths: Data From Maternal Mortality Review Committees in 36 U.S. States, 2017–2019https://www.cdc.gov/maternal-mortality/php/data-research/mmrc-2017-2019.html Preterm Birthhttps://www.cdc.gov/maternal-infant-health/preterm-birth/index.html#:~:text=Pretermbirthrates&text=In2022%2Cpretermbirthamong,orHispanicwomen(10.1%25) Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Themhttps://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/The Racist History of Abortion and Midwifery Banshttps://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans Reducing Disparities in Severe Maternal Morbidity and Mortalityhttps://pmc.ncbi.nlm.nih.gov/articles/PMC5915910/#:~:text=Severemorbidityposesanenormous,ofseverematernalmorbidityevents State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef The State of Telehealth Before and After the COVID-19 Pandemichttps://pmc.ncbi.nlm.nih.gov/articles/PMC9035352/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ U.S. maternal death rate increasing at an alarming ratehttps://news.northwestern.edu/stories/2024/03/u-s-maternal-death-rate-increasing-at-an-alarming-rate/Which states have the highest maternal mortality rates?https://usafacts.org/articles/which-states-have-the-highest-maternal-mortality-rates/ Why Equitable Access to Vaginal Birth Requires Abolition of Race-Based Medicinehttps://journalofethics.ama-assn.org/article/why-equitable-access-vaginal-birth-requires-abolition-race-based-medicine/2022-03 Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.