Podcasts about clinical associate professor

In this episode of Healthy Mind, Healthy Life, host Avik Chakraborty sits down with Dr. Sarah Erdner, PhD, CMPC, to spotlight a topic often overlooked in the world of sports—coach mental health. Dr. Erdner, author of Dear Coach: What I Wish I Could Have Told You, unpacks the emotional burden coaches silently carry and how athlete well-being is often a reflection of coach well-being. Through intimate stories, powerful insights, and tangible steps, this episode challenges the sports world to reframe leadership, rethink "culture," and offer care to those expected to always lead.   About the Guest:Dr. Sarah Erdner is a Clinical Associate Professor of Kinesiology, Certified Mental Performance Consultant, and author of Dear Coach. Her groundbreaking work began with research interviews and evolved into a nationwide dialogue about emotional labor, empathy, and systemic change in sports. She advocates for psychological safety, multicultural awareness, and intrapersonal reflection among coaches.   Key Takeaways: Coaches are often viewed solely as a means to winning, which fuels burnout and poor mental health. Emotional neglect of coaches trickles down to athlete well-being and performance. Writing "Dear Coach" letters—both as a reflection and feedback tool—can start essential cultural conversations. Authentic leadership begins with acknowledging one's cultural identity and emotional limits. To create truly high-performing teams, organizations must prioritize coach support systems at par with athlete mental health.   Connect with Dr. Sarah Erdner:Visit: www.dearcoachbook.comExplore her book, request mentorship, or download the free eBook version.   Want to be a guest on Healthy Mind, Healthy Life?DM on PM – Send me a message on PodMatch DM Me Here: https://www.podmatch.com/hostdetailpreview/avik Tune to all our 15 podcasts: https://www.podbean.com/podcast-network/healthymindbyavik Subscribe To Newsletter: https://healthymindbyavik.substack.com/ Join Community: https://nas.io/healthymind   Stay Tuned And Follow Us!• YouTube – https://www.youtube.com/@healthymind-healthylife• Instagram – https://www.instagram.com/healthyminds.pod• Threads – https://www.threads.net/@healthyminds.pod• Facebook – https://www.facebook.com/podcast.healthymind• LinkedIn – https://www.linkedin.com/in/reemachatterjee/ | https://www.linkedin.com/in/avikchakrabortypodcaster #podmatch #healthymind #healthymindbyavik #wellness

Some relationships stand the test of time—others unravel. In this week's episode, both of our storytellers explore what it means to heal, let go, and move forward. Part 1: Stuck in a monsoon on Kauai, Belinda Fu unintentionally ruins a friendship with a classmate. Part 2: Matt Storrs blames a dinosaur scientist's theory for the end of his marriage. Belinda Fu, MD, (“theImprovDoc”) is a physician, educator, and performing artist based in Seattle. She travels the country teaching about medical improv, using the principles of improvisational theater to improve wellbeing, health, communication, and patient care. (medicalimprov.org) She is also a Clinical Associate Professor of Family Medicine at the University of Washington. Belinda performs and directs improv theatre, studies jazz voice, makes really good popcorn, takes naps in the sun, and would like to say hi to your dog. belindafu.com Matt Storrs is a comedian and storyteller based out of NYC and originally from Phoenix, AZ. Matt created a solo show based upon the story in the episode entitled "Jurassic Heartbreak." It will next be performed at the Harrisburg Fringe Festival in July (https://www.hbgfringe.com/). He has also been featured on NPR and PBS. Matt is known for sharp stories and his esoteric comedy. Matt Storrs is a humor person. He can be found online at @mtstorrs   Learn more about your ad choices. Visit megaphone.fm/adchoices

Do your seasonal allergies feel worse this spring? You might not be imagining it: climate change is hastening the end of winter, pushing up pollen production and intensifying winds that spread allergens around. We'll talk to doctors about the science of seasonal allergies, learn why some of us are more vulnerable to them than others and hear how to get relief from all the sniffing, scratching and sneezing. Guests: Dr. Sayantani (Tina) Sindher, Clinical Associate Professor of Allergy and Immunology, Stanford University School of Medicine Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode 72 - Embracing The Darkness, The Three Aspects of Life, and Listening to the Unwelcome; with Dr. Allan Donsky A former Pediatrician and now retired child and adolescent psychiatrist,  Allan Donsky is a Clinical Associate Professor in the Department of Psychiatry at the University of Calgary. He is a consultant psychiatrist developing mental health programs at The Canadian Institute of Natural and Integrative Medicine (Cinim.org) where he is also Board Chair. He also sat on the Core Committee of the Alberta Health Services Addiction and Mental Health Strategic Clinical Network (SCN).     Allan dedicates himself to community outreach and capacity building, facilitating workshops in academic settings, international conferences, not-for-profit agencies, and leading community groups. Allan addresses mental health challenges and languishing by encouraging deep inner transformative change to promote. His current research interests lie at the interface of psychiatry, contemplative practices, and secular spirituality. He says there is no mental health or wellbeing without spiritual health. Allan is finishing up a book about inside conversations he had with his patients and how we can all bring heart and soul to life.

Episode Overview:    In this captivating episode of the Higher Density Living Podcast, host Jason Rigby sits down with Dr. Rick Strassman, a world-renowned psychedelic researcher and author of the groundbreaking book DMT: The Spirit Molecule. Known for his pioneering clinical research on DMT and his deep explorations into altered states of consciousness, Dr. Strassman brings a unique perspective to the table as he dives into the Book of Genesis. Together, they explore the intersections of biblical narratives, Jewish tradition, and the spiritual insights gleaned from his decades of psychedelic and personal inquiry.   From the creation accounts to the Fall, the Flood, and the Tower of Babel, this episode unpacks Genesis through a lens that blends science, spirituality, and prophetic wisdom. Dr. Strassman shares his journey from Zen Buddhism to Judaism, his literal approach to interpreting biblical texts, and how his DMT research informs his understanding of human consciousness and divine interaction. Whether you're a spiritual seeker, a psychedelics enthusiast, or simply curious about the deeper meanings of Genesis, this episode offers a thought-provoking and enriching discussion.   Meet Dr. Rick Strassman   Born in 1952 in Los Angeles, California, Dr. Rick Strassman is a clinical psychiatrist, psychedelic researcher, and author whose work has reshaped our understanding of consciousness. After graduating with honors from Stanford University in biological sciences and earning his medical degree from Albert Einstein College of Medicine, he built a distinguished career in psychiatry and psychopharmacology. His groundbreaking DMT studies at the University of New Mexico in the 1990s marked the first U.S.-approved psychedelic research in over two decades, earning him global recognition.   Dr. Strassman's books, including DMT: The Spirit Molecule (a quarter-million copies sold and translated into over a dozen languages) and DMT and the Soul of Prophecy, bridge science and spirituality. His latest work, My Altered States (December 2024), is an illustrated memoir exploring his personal experiences with altered states from birth to early adulthood. Currently a Clinical Associate Professor of Psychiatry at the University of New Mexico School of Medicine, Dr. Strassman resides in Gallup, New Mexico, where he continues to write and consult for psychedelic startups.   Connect with Dr. Strassman: Website: rickstrassman.com Books: Amazon Author Page Joe Rogan Appearances: 2022 Episode | Earlier Episode   Key Topics Discussed:   1. Genesis Through a Jewish Lens   Dr. Strassman shares how his return to Jewish texts after leaving Zen Buddhism in 1996 shaped his understanding of Genesis. Raised in a conservative Jewish household, he re-engaged with the Hebrew Bible as an adult, finding parallels between the vivid experiences of his DMT volunteers and the prophetic visions of biblical figures. Two Creation Narratives: Genesis 1 offers a cosmic, orderly account, while Genesis 2 zooms into a detailed, human-focused story. Dr. Strassman views them as complementary—an overview followed by specifics—reflecting a divine act of creation from nothing. Divine Order and Cause-and-Effect: He explores how Genesis reveals God's nature through the laws of cause and effect, suggesting that nature itself mirrors divine will.   2. The Fall: Free Will and Consciousness   The conversation delves into Adam and Eve's disobedience, which Dr. Strassman frames as the first exercise of free will with explicit consequences. He challenges the notion of the fruit as a psychedelic, instead emphasizing its role in shifting human perception from truth to the duality of good and evil. Shabbat as Eternal Rest: Jason raises the idea of the Sabbath lacking an “evening and morning” close, hinting at an eternal state. Dr. Strassman connects this to emulating God's rest, though he notes the Hebrew Bible avoids afterlife specifics.   3. Cain, Abel, and the Flood: Sin as a Virus   From Cain's envy-driven murder of Abel to the violence (Hebrew: Hamas) preceding the Flood, Dr. Strassman sees these stories as literal events encoding lessons about human nature and societal decay. The Flood, he suggests, was a divine reset prompted by humanity's failure to align with God's intent. Sons of Elohim: Theories range from angels to elites interbreeding with humans, disrupting divine order. Dr. Strassman remains open but grounded in the text's ambiguity.   4. Tower of Babel: Misunderstood Ambition   Dr. Strassman offers a fresh take on the Tower of Babel, arguing it's less about hubris and more about humanity's refusal to disperse post-Flood as God commanded. The scattering, he posits, fulfilled an original divine plan, with the tower as a symbol of misdirected unity.   5. Abraham's Covenant and Monotheism   The patriarchal narratives (Genesis 12–50) shift focus to Abraham, Isaac, Jacob, and Joseph. Dr. Strassman highlights Abraham's call as a pivotal revelation of monotheism, questioning why Abraham was chosen—a mystery deepened by Midrashic tales of his iconoclastic zeal. Egypt's Role: He attributes Egypt's prominence to its cultural dominance, akin to the modern U.S., rather than mystical significance.   6. Prophecy, Psychedelics, and the Living Word   Drawing from his DMT research, Dr. Strassman theorizes that prophetic visions might stem from endogenous DMT spikes, serving as a bridge for divine communication. He views Genesis as a prophetically received text, resonating with readers through its altered-state origins. Is the Bible Living? While Jason sees it as God's living word, Dr. Strassman approaches it as a guidebook to cause and effect, enduringly relevant but not inherently “alive” beyond its influence.   7. From Zen to Judaism   Dr. Strassman reflects on his shift from Zen Buddhism—where he felt alienated by iconography—to Judaism's monotheistic grounding. This transition, sparked by personal and professional changes, led him to a more literal, grounded study of biblical texts.   Memorable Quotes On DMT and Reality: “When volunteers said it felt ‘more real than real,' I learned to take it at face value—it opened up the strangest, most fascinating parts of their experiences.” On Genesis: “If you assume it's real, you can enter its world and learn what it's like. It's complex and rich in ways you miss if you see it as just archetypes.” On Prophecy: “The Hebrew Bible's appeal lies in its prophetic state—it's like reading a text that tingles with divine resonance.” On Monotheism: “It's not about whether it's wise—it's about whether it's true.”   Why You Should Listen   This episode is a rare fusion of psychedelic science and biblical exegesis, offering fresh insights into Genesis from a thinker who's explored both the outer edges of consciousness and the depths of Jewish tradition. Dr. Strassman's literal yet open-minded approach challenges conventional interpretations, making this a must-listen for anyone interested in spirituality, human potential, or the mysteries of existence.   Resources & Links Books by Dr. Rick Strassman: DMT: The Spirit Molecule – Buy on Amazon DMT and the Soul of Prophecy – Buy on Amazon My Altered States (Dec 2024) – Buy on Amazon Joe Rogan Episodes: 2022 Interview Earlier Interview Dr. Strassman's Website: rickstrassman.com   Call to Action   Enjoyed this deep dive into Genesis with Dr. Rick Strassman? Subscribe to the Higher Density Living Podcast for more thought-provoking conversations. Share this episode with friends, leave a review, and grab Dr. Strassman's books to explore his groundbreaking work further. Let us know your thoughts in the comments—what's your take on Genesis as a living text?  

Dr. Katrina Nguyen was just 14 months old when her family fled Vietnam by boat during the Fall of Saigon, a journey marked by near-death experiences and unimaginable courage. Now a board-certified pediatric gastroenterologist, bestselling author, and founder of the nonprofit Faithful-2-Fitness, she channels that legacy of resilience into helping families fight childhood obesity and build healthier futures. In this powerful conversation, Dr. Nguyen shares her refugee story, her path to medicine, and why compassion, gratitude, and generosity remain at the heart of everything she does.Interview recorded in Loves Park, Illinois.Key Takeaways:Dr. Nguyen's family escaped Communist Vietnam by boat in 1975, surviving multiple near-death experiencesHer upbringing as one of 10 children shaped her resilience and gratitudeShe founded Faithful-2-Fitness to provide free health education and lifestyle tools to underserved familiesCultural context and compassion are essential in addressing childhood obesityHer Catholic faith deeply informs her work in medicine, service, and philanthropyWriting Live to Give and other books helped her process grief and inspire generositySmall acts of compassion can spark long-term transformation—personally and societallyDr. Katrina Nguyen's Bio:Dr. Katrina Nguyen is a board-certified pediatric gastroenterologist, a two-time best-selling author, and founder of Faithful-2-Fitness, a nonprofit to fight childhood obesity. She was just 14 months old when her family escaped by boat from Communist Vietnam in April 1975 after the Fall of Saigon. She nearly died twice during her journey to freedom and the American Dream. She is a Clinical Associate Professor at the University of Illinois College of Medicine in Rockford. She has shared her expertise via EWTN Global Catholic Network, YMCA podcast, and the American Academy of Pediatrics.Her Christian faith drives her to serve others. She established charity funds with Raymond James and Northwestern Mutual. Her nonprofit's sponsors include Chick-fil-A and Fleet Feet.Dr. Nguyen lives in Illinois with her husband Dr. Deladisma. She enjoys being a dog mom, gardening and traveling.Connect with Katrina:https://www.instagram.com/mdkatrina/#https://www.tiktok.com/@mdkatrina#TheHumanExperiencePodcast Follow Along:Website: https://www.thehxpod.com/Instagram: https://www.instagram.com/thehxpod/Facebook: https://www.facebook.com/getthehxTikTok: https://www.tiktok.com/@thehxpodYouTube: https://www.youtube.com/@thehxpodSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Jennifer Carson joins host Ron Aaron and co-host Carol Zernial to talk about family care partnering values on this edition of Caregiver SOS.Special guest-cohost Tina Smith fills in for Carol Zernial! About Dr. Carson Jennifer Carson, PhD, is a Clinical Associate Professor and Founding Director of the Dementia Engagement, Education, and Research (DEER) Program at the University of Nevada, Reno (UNR), School of Public Health. Guided by a commitment to authentic partnerships, participatory research, and community-driven innovation, Jennifer leads efforts to inspire social change and lasting impact. Through the DEER Program, which houses Dementia Friendly Nevada, Jennifer collaborates with 9 community groups statewide to promote brain health, foster inclusive communities, and co-create innovative approaches to enhance dementia care, support, and well-being. In addition to Dementia Friendly Nevada, she and the DEER Program team partner on several other grant-funded initiatives, including Nevada’s CDC-funded BOLD Public Health Program, ACL-funded Dementia Support Specialist Program, and HRSA-funded Geriatric Workforce Enhancement Program. Jennifer’s pioneering work in transforming dementia care and support has earned her significant recognition, including the 2022 Mensa Foundation Laura Joyner Award and the 2024 UNR Foundation Established Innovator Award. Prior to joining the faculty at UNR, Jennifer worked as a professional care partner for nearly three decades and was also a family care partner—experiences that have profoundly shaped her values-driven scholarship, teaching, and approach. Hosts Ron Aaron and Carol Zernial, and their guests talk about Caregiving and how to best cope with the stresses associated with it. Learn about "Caregiver SOS" and the "Teleconnection Hotline" programs.See omnystudio.com/listener for privacy information.

In this episode we speak with Jean Bae, Clinical Associate Professor of Public Health Policy and Management. She shares her journey from Harvard Law to shaping public health policy, tackling critical issues like the impact of the Hyde Amendment and evidence-based laws on public health outcomes. Jean provides valuable insights on the intersection of law and public health, the challenges of translating legal frameworks into actionable policies, and the importance of interdisciplinary collaboration. From firearm regulations to abortion laws, she unpacks how policy shapes lives and offers advice for aspiring public health professionals. Whether you're a student, a policy enthusiast, or curious about how laws influence daily life, this episode is filled with actionable insights and inspiration. To learn more about the NYU School of Global Public Health, and how our innovative programs are training the next generation of public health leaders, visit http://www.publichealth.nyu.edu.

In this episode, Dr. Andy Cutler is joined by Dr. Jennifer Payne to discuss management of mood disorders influenced by fluctuations in reproductive hormones, particularly in women. They explore medication management during the perinatal period, emphasizing the risks associated with inadequately treated mood disorders. The conversation also addresses strategies for managing hormone-related mood disorders across reproductive stages, including premenstrual dysphoric disorder, premenstrual exacerbation, and perimenopausal depression. Jennifer L. Payne, MD is a psychiatrist specializing in reproductive psychiatry and mood disorders in women. She serves as Vice Chair of Research and Professor in the Department of Psychiatry and Neurobehavioral Sciences at the University of Virginia, directing the Reproductive Psychiatry Research Program.  Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.

In this piece we discuss perioperative medicine with Alana Flexman, an anaesthetist and researcher from Vancouver, Canada, and Maryanne Balkin, an anaesthetist and law graduate from Melbourne, Australia. We explore our guests' career journeys, and gender and equity issues, including unconscious bias and bullying, harassment, and discrimination, in the workplace. Finally we talk about the craziness and joy of continued learning and enquiry. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Dr Alana Flexman, Clinical Associate Professor, Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, and St. Paul's Hospital/Providence Health Care, Vancouver, Canada, and Dr Maryanne Balkin, Consultant Anaesthetist, Alfred Health, Melbourne, Australia.

Listen in as our expert panel discusses medications for management of opioid use disorder. They'll review strategies to optimize buprenorphine use and clarify the role of methadone and naltrexone.Special guest:Tyler J. Varisco, PharmD, PhDUniversity of Houston College of Pharmacy Assistant Professor, Department of Pharmaceutical Health Outcomes and PolicyAssistant Director, The PREMIER CenterYou'll also hear practical advice from panelists on TRC's Editorial Advisory Board:Stephen Carek, MD, CAQSM, DipABLM, Clinical Associate Professor of Family Medicine for the Prisma Health/USC School of Medicine Greenville Family Medicine Residency Program at the University of South Carolina School of Medicine, GreenvilleCraig D. Williams, PharmD, FNLA, BCPS, Clinical Professor of Pharmacy Practice at the Oregon Health and Science UniversityFor the purposes of disclosure, Dr. Varisco reports a financial relationship [cardiology, inflammatory bowel disease] with HEALIX Infusion Therapy (research consultant).The other speakers have nothing to disclose.  All relevant financial relationships have been mitigated.This podcast is an excerpt from one of TRC's monthly live CE webinars, the full webinar originally aired in March 2025.TRC Healthcare offers CE credit for this podcast. Log in to your Pharmacist's Letter, Pharmacy Technician's Letter,or Prescriber Insights account and look for the title of this podcast in the list of available CE courses.Claim CreditThe clinical resources mentioned during the podcast are part of a subscription to Pharmacist's Letter, Pharmacy Technician's Letter, and Prescriber Insights: FAQ: Management of Opioid Use DisorderChart: Treatment of Opioid WithdrawalFAQ: Treatment of Acute Pain in Opioid Use DisorderFAQ: Meds for Opioid OverdoseSend us a textIf you're not yet a subscriber, find out more about our product offerings at trchealthcare.com. Follow, rate, and review this show in your favorite podcast app. Find the show on YouTube by searching for ‘TRC Healthcare' or clicking here. You can also reach out to provide feedback or make suggestions by emailing us at ContactUs@trchealthcare.com.

Watch every episode ad-free & uncensored on Patreon: https://patreon.com/dannyjones Rick Strassman is best known for pioneering DMT research in humans and proposing that DMT could be a biological gateway to mystical or alternate realities. Currently, Dr. Strassman serves as a Clinical Associate Professor of Psychiatry at the University of New Mexico School of Medicine. His new book, "My Altered States: A Doctor's Extraordinary Account of Trauma, Psychedelics, and Spiritual Growth," is available now. SPONSORS http://morning.ver.so/danny - Use code DANNY for 15% off your first order. https://hims.com/danny - Start your FREE online visit today. https://whiterabbitenergy.com/?ref=DJP - Use code DJP for 20% off EPISODE LINKS https://x.com/rick_strassman https://www.rickstrassman.com FOLLOW DANNY JONES https://www.instagram.com/dannyjones https://twitter.com/jonesdanny OUTLINE 00:00 - Adverse effects of DMT 06:54 - Is DMT the source of human consciousness? 10:25 - Extended state DMT experiments 20:19 - DMT reveals a universal religion 29:08 - Psychedelic religion of mystical consciousness 35:10 - What Danny saw during DMT experiment 37:54 - Terrifying experience on 5-MeO DMT 41:39 - Melatonin & the pineal gland 52:43 - When DMT stops working 57:38 - DMT & NDE's 01:02:45 - Telepathic experiences on psychedelics 01:12:53 - Prophets of the bible 01:18:34 - The first anti-christ 01:31:42 - Drugs in antiquity 01:37:24 - CIA-funded LSD clinics w/ Charles Manson 01:40:13 - Rick's friendship with Joe Rogan 01:45:42 - Did ergot & psychedelics create religion? 01:53:12 - Government research on psychedelic soldiers 02:03:01 - Amphetamines & adderall 02:14:00 - Next species of humans will have telepathy 02:19:39 - John Mack's alien research vs. psychedelics 02:26:53 - Remembering previous lives 02:29:20 - Translating the book of Genesis 02:34:06 - DARPA research on buddhism Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Dr. Keith Morse, Clinical Associate Professor of Pediatrics & Medical Director of Clinical Informatics – Enterprise AI at Stanford Children's Health, shares real-world applications and future visions for generative AI (GenAI) in pediatric care. The discussion highlights how LLMs are being practically integrated into clinical workflows, reducing clinician burden and enhancing hospital operations. Dr. Morse emphasizes the importance of upskilling the workforce to fully leverage AI's potential. With limited prior exposure to tools like LLMs, clinicians and administrative staff need hands-on training. Stanford has launched initiatives including a PHI-compliant internal chatbot, prompt engineering workshops, and engaging frontline staff in pilot projects to build confidence and competence across roles. Dr. Morse sees immense promise in technologies like ambient listening and agentic AI but stresses the need for cautious adoption. In the absence of comprehensive regulation, healthcare systems must take ownership of AI oversight to ensure safety and mitigate risk. He emphasizes the importance of balancing innovation with responsibility, especially in the sensitive context of pediatric care. Take a listen.

Dr. Lillestol, who has practiced Functional Medicine for 30 years, focuses on empowering patients with tools to enhance their health. A retired Clinical Associate Professor at Arizona State University's Edson College of Nursing and Health Innovation, she directed the Family Nurse Practitioner Program and has always been dedicated to education. Dr. Dana is guided by a passion for helping our greatest generation, our elders. Now a Senior Educator and Advocate at Life is Chill, Dr. Dana supports the senior community in understanding medical marijuana, from terminology and strains to delivery methods and its effects on the brain and body. She offers personalized guidance and the latest research, helping individuals navigate their journey to improved quality of life.With seven years of experience in medical cannabis, Dr. Dana is passionate about promoting safe and effective products.The Life is Chill product line is thoughtfully designed with seniors in mind. It offers full-spectrum cannabis oil gel capsules and precision-dosed liquid drops that double as beverage enhancers. Dr. Dana serves as a knowledgeable resource, ready to address your questions and provide the latest research on how medical marijuana can support your specific health needs.https://www.lifeischill.com/NORML Endocannabinoid Article: https://norml.org/marijuana/library/recent-medical-marijuana-research/introduction-to-the-endocannabinoid-system?utm_source=chatgpt.comHarvard Endocannabinoid Study: https://www.health.harvard.edu/blog/the-endocannabinoid-system-essential-and-mysterious-202108112569?utm_source=chatgpt.comDisclaimer:The views, thoughts, and opinions expressed in this podcast are solely those of the host and guest. They do not necessarily reflect the views of any affiliated organizations, sponsors, or other individuals. The content provided is for informational and educational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition or treatment. Reliance on any information provided during this podcast is solely at your own risk. The host, guest, and producers of this podcast disclaim all liability for any direct, indirect, incidental, special, or consequential damages arising out of the use of or reliance on any content provided.

Ask Anything | April 24, 2025 | On Call with the Prairie Doc® | Prairie Doc® host, Dr. Dr. Kelly Evans-Hullinger, with guests Dr. Carolyn Gilbertson, Clinical Associate Professor at the USD Sanford School of Medicine who also practices at Sanford Family Medicine in Sioux Falls, and Dr. Arleigh Trainor from Sanford Emergency Department in Sioux Fall, SD.

Dr. Butt is a retired Clinical Associate Professor in the Department of Family Medicine at the University of Saskatchewan. He served for 24 years as a consultant in Addiction Medicine in the Saskatchewan Health Authority.

Join Dr. Andy Cutler and Dr. Cynthia Bulik as they discuss the challenges of diagnosing and treating binge eating disorder (BED). They explore the genetics, neurobiology, and clinical course of BED that inform treatment decisions, and examine how advances in genetic research and emerging pharmacological options may improve outcomes for individuals with BED.  Cynthia Bulik, PhD, FAED is a Distinguished Professor of Eating Disorders in the Department of Psychiatry, a Professor of Nutrition in the Gillings School of Global Public Health and the Founding Director of the Center of Excellence for Eating Disorders at the University of North Carolina at Chapel Hill.    Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.    Resources  Eating Disorders Genetics Initiative (EDGI) 2 - edgi2.org  National Eating Disorders Association - nationaleatingdisorders.org  Families Empowered and Supporting the Treatment of Eating Disorders (FEAST) - feast-ed.org   

This podcast will discuss Care for Children and Youth with Cerebral Palsy (GMFCS levels III to V). This podcast was created by Juliette Eshleman a medical student at the University of Calgary with the help of Dr. Scott McLeod, a Clinical Associate Professor at the Cumming School of Medicine in the department of pediatrics, and a Child Health & Wellness Researcher for the Alberta Children's Hospital Research Institute.. This PedsCases podcast focuses on an overview of care for children and youth with cerebral palsy, with a specific focus on those who are within the Gross Motor Function Classification System (GMFCS) levels III to V

What if your next disagreement could actually bring you closer to someone instead of driving you apart? In this episode, we're diving into Conflict Resilience: Negotiating Disagreement Without Giving Up or Giving In with co-authors Bob Bordone, a conflict resolution expert from Harvard, and Joe Salinas, a behavioral neurologist and founder of Isaac Health. Together with Yael, they have a down-to-earth conversation about what it really takes to stay present in conflict and why that matters for your relationships and your brain.  You'll hear personal stories, surprising research, and powerful insights on why it's so important to get comfortable with discomfort, listen with an open heart, and know when (and how) to engage in tough conversations. Listen and Learn:  What happens when a conflict avoider and a conflict expert team up to explore how tension builds connection? Why do two people experience the same conflict so differently, and how does your brain shape that story? Is conflict really worse today, or have we just lost the resilience to stay in the heat and handle it? Why avoiding conflict rewires your brain to fear it and building resilience means facing the heat, slowly. How sharing real stories across deep divides can reshape how we see “the other” and actually spark true change. Can deeper listening to those we disagree with reshape our brains, our beliefs, and maybe even our world? Why listening grows from curiosity to open space for real connection Knowing when to engage or exit conflict starts with curiosity and protects both peace and power Resources:  Conflict Resilience: Negotiating Disagreement Without Giving Up or Giving In: http://www.conflictresiliencebook.com Joel's website: https://joelsalinasmd.com/ Bob's website: https://www.bobbordone.com/about-me#:~:text=My%20Story,served%20as%20the%20Thaddeus%20R Yael's newsletter interview with the authors of You're Not as Crazy as I Thought (But You're Still Wrong)—on the topic of moving from “me versus you” to “us versus the problem” Additional Books Referenced in the Episode  Doppelganger: A Trip into the Mirror World: https://bookshop.org/a/30734/9781250338143  The Undoing Project: A Friendship That Changed Our Minds: https://bookshop.org/a/30734/9780393354775 Rising Out of Hatred: The Awakening of a Former White Nationalist: https://bookshop.org/a/30734/9780525434955 The Klansman's Son: My Journey from White Nationalism to Antiracism: A Memoir: https://bookshop.org/a/30734/9781419764783 You're Not as Crazy as I Thought (But You're Still Wrong): https://bookshop.org/a/30734/9781612344614 About Bob Bordone:  Robert C. Bordone is a Senior Fellow at Harvard Law School, founder and former director of the Harvard Negotiation and Mediation Clinical Program, former Thaddeus R. Beal Clinical Professor of Law at Harvard Law School, and founder of The Cambridge Negotiation Institute. He is co-author of Designing Systems and Processes for Managing Disputes, and co-editor of The Handbook of Dispute Resolution. Bordone was ranked among 2025's World's Top 30 Negotiation Professionals by Global Gurus. About Joel Salinas:  Joel Salinas, M.D. is a behavioral neurologist, scientist, and Clinical Associate Professor of Neurology at the NYU Grossman School of Medicine, founder and Chief Medical Officer at Isaac Health, and former Harvard Medical School faculty. He is the author of Mirror Touch: A Memoir of Synesthesia and the Secret Life of the Brain.   Related Episodes: 51. The Psychology of Political Division with Yael and Debbie 392. Outraged with Kurt Gray 397. The Mindful Path to Intimacy with James Còrdova 276. Assertive Communication Skills with Randy Paterson 371. Uniting Toward a Better Future with Diana McLain Smith Learn more about your ad choices. Visit megaphone.fm/adchoices

Join Dr. Andy Cutler and Dr. Carla Sharp as they discuss the current conceptualization of borderline personality disorder (BPD), including diagnostic challenges, evidence-based treatments, and strategies to reduce stigma by framing BPD as a treatable condition. The conversation also covers recent updates to the APA's BPD guidelines.  Carla Sharp, PhD is a distinguished clinical psychologist specializing in developmental psychopathology, particularly borderline personality disorder (BPD). She is a professor in the Clinical Psychology Doctoral Program and serves as the Associate Dean for Faculty and Research at the University of Houston. Additionally, she directs both the Adolescent Diagnosis, Assessment, Prevention, and Treatment Center and the Developmental Psychopathology Lab at the university.   Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.   

In this episode of The Spine Pod, hosts Courtney Schutze and Brady Riesgraf sit down with Dr. Jonathan Stieber, Director of the Spine Center at both OrthoManhattan and OrthoEnglewood, Associate Professor of Orthopedic Surgery at Mount Sinai and Clinical Associate Professor at NYU Grossman School of Medicine. Practicing in the heart of New York City for more than 17 years, Dr. Stieber brings a uniquely comprehensive perspective on how spine care has evolved—and where it's headed.   Having trained during the early surge of motion preservation, Dr. Stieber shares his firsthand experience participating in some of the first clinical trials for lumbar disc replacement and, almost two decades later, clinical trials for the first lumbar total joint replacement. From the early days of the Flexicore disc to being one of the first to utilize annular closure devices, Dr. Stieber has evolved alongside the technologies that have become a mainstay in spine care today. His early exposure to the promise and limitations of these technologies helped shape a surgical philosophy rooted in function, durability, and thoughtful patient selection. And as a spine patient himself, Dr. Stieber opens up about what really matters when making treatment decisions—restoring function, durability, and giving patients treatments tailored to their specific needs.    Dr. Stieber also explores how enabling technologies like navigation, robotics, and advanced imaging are redefining precision in the OR and expanding access to motion-preserving procedures. Beyond the operating room, he discusses his latest endeavor: launching a purpose-built outpatient spine and joint surgery center just outside Manhattan, designed to deliver a more streamlined and personalized care experience for patients.   In this episode you'll learn: How motion preservation has evolved from early hype to real-world results—and why it's here to stay this time. The importance of tailoring procedures to each patient—and how pre-operative goal setting can help patients make more informed long-term decisions. How enabling technologies like robotics, navigation, minimally-invasive approaches are coalescing to provide a higher-level of treatment options to patients suffering from chronic leg and/or back pain. Where non-instrumented motion preserving alternatives fit into the care continuum and how they may provide an alternative to patients who are facing a cervical or lumbar spinal fusion. How Dr. Stieber is creating a new approach to surgical care—giving patients expanded treatment options, across the entire orthopedic spectrum, under one roof.   Whether it's cervical disc replacement, minimally invasive procedures, or lumbar total joint replacement, Dr. Stieber brings a deep understanding of the full motion preservation toolbox—and when to use each option. With a strong focus on individualized care, innovation, and surgical excellence, Dr. Stieber offers invaluable insight for surgeons, industry professionals, and patients alike.   Learn more about Dr. Stieber: LinkedIn: https://www.linkedin.com/in/jonathan-stieber-m-d-aa09494/ Jonathan Stieber: https://www.stiebermd.com/ OrthoManhattan: https://www.orthomanhattan.com/ OrthoEnglewood: https://www.orthoenglewood.com/   You can find The Spine Pod on all Podcast Streaming Platforms, including: YouTube: / @thespinepod Spotify: https://open.spotify.com/show/0DBzWfV... Apple Podcasts: https://podcasts.apple.com/us/podcast... Amazon Music: https://music.amazon.com/podcasts/98f... iHeart Radio: https://www.iheart.com/podcast/269-th...   Follow The Spine Pod on Facebook to learn more about the latest episodes and happenings in the world of motion preservation: ⁠https://www.facebook.com/profile.php?..⁠.   The information in this podcast is for educational and informational purposes only and is not intended as medical advice. It does not replace consultation with a qualified healthcare professional. Always seek the advice of your physician or another qualified healthcare provider regarding any medical condition or treatment.  

About this Episode One common struggle many face in a relationship is the challenge of getting off the emotional roller coaster. The highs and lows, misunderstandings, and unresolved conflicts can create a cycle of emotional upheaval, leaving partners feeling disconnected and frustrated. But what if we could find a way to smooth the ride and create deeper intimacy? If you've ever felt caught in a whirlwind of emotions in your relationships, you're not alone, and there are ways to navigate this complex terrain. In this episode, we delve into strategies and insights aimed at helping listeners break free from these patterns. With expert guidance, the discussion illuminates ways couples can enhance their emotional intelligence, communication skills, and conflict resolution abilities. By exploring both the individual and relational aspects of these dynamics, the conversation provides tools for transforming the way partners interact with each other. This episode offers a chance to learn how to nurture a relationship's foundation while navigating life's inevitable challenges, ultimately creating a more harmonious and enduring partnership. Susan Thau, Ph. D., Psy.D., a licensed clinical psychologist, psychoanalyst, wife, mother and grandmother treats individuals, couples and families, working intensively with emotional states. Along with Sondra Goldstein, Susan studied in a consultation group with Alan Schore, becoming interested in attachment and affect regulation. Dr Thau began as a parent educator, later Kaiser Permanente, and eventually private practice in Los Angeles where she specializes in Emotionally Focused Therapy. Sondra is a licensed clinical psychologist in private practice for many years in Los Angeles. She is a former Clinical Associate Professor, UCLA Department of Psychology. Past study with Allan Shore, PhD, enhances her understanding of neuro-psychobiology in the processing of emotion in couples. Her study of Emotionally Focused Therapy (EFT) helps in understanding emotional dynamics in couples therapy. Sondra is also a wife of 53 years, a mother, and a grandmother. Check out the transcript of this episode on Dr. Jessica Higgin's website. Episode Highlights  03:56 Understanding the framework of Emotionally Focused Therapy (EFT). 09:39 Meeting the authors: a journey of professional collaboration. 10:51 The power of vulnerability and emotional connection. 15:36 Coregulation and the impact of presence in therapy. 18:09 Navigating emotional triggers and attachment styles. 21:44 Challenges of vulnerability and the role of the therapist. 25:54 The importance of repair and building resilience. 28:30 Acknowledging individual differences in processing. 31:45 Demystifying therapy: The role of the therapist as a stranger attractor. 34:12 Developing a secure base: The journey of earned security. 39:20 Processing stress: Sensitive emotional and aggressive responses. 41:15 Dealing with differences and building a strong relationship foundation. 46:10 The role of curiosity and connection. 49:16 Resources and guidance for relationship growth. Mentioned Living Love That Lasts (Youtube) (video) The Roller Coaster of Emotion in Couples Therapy (*Amazon Affiliate link) (book) Evolve in Love (program) Connect with Drs. Susan Thau & Sondra Goldstein Websites: susanthauphd.com Connect with Dr. Jessica Higgins Facebook: facebook.com/EmpoweredRelationship  Instagram: instagram.com/drjessicahiggins  Podcast: drjessicahiggins.com/podcasts/ Pinterest: pinterest.com/EmpowerRelation  LinkedIn: linkedin.com/in/drjessicahiggins  Twitter: @DrJessHiggins  Website: drjessicahiggins.com   Email: jessica@drjessicahiggins.com If you have a topic you would like it to be discussed, please contact us by clicking on the “Ask Dr. Jessica Higgins” button here.  Thank you so much for your interest in improving your relationship.  Also, I would so appreciate your honest rating and review. Please leave a review by clicking here.  Thank you!   *With Amazon Affiliate Links, I may earn a few cents from Amazon, if you purchase the book from this link.

The path toward finding a deeper meaning in providing patient care within academic medicine and the intangibles that make us human, such as vulnerability, passion, and post-traumatic growth, is explored in this week's edition of the Faculty Factory episode with our guest, Nicole Piemonte, PhD. Dr. Piemonte serves as the Associate Dean for Faculty Leadership and is a Clinical Associate Professor of Medical Humanities at Creighton University School of Medicine-Phoenix in Arizona. She is also an author and a Certified Healthcare Leadership Coach. Through her own experiences with end-of-life care, coupled with her background in medical humanities, Dr. Piemonte shares her perspective on the ongoing challenges of how clinicians can engage authentically with vulnerability. Learn More: https://facultyfactory.org/nicole-piemonte 

Conflict is a part of life, whether it's in our relationships, workplaces, or even global politics, yet many of us either shy away from it or escalate it, leading to stress, resentment, and division. Today on Finding Brave, behavioral neurologist Dr. Joel Salinas joins us to discuss how we can navigate disagreement with confidence and resilience—and even turn it into a powerful tool for building stronger connections. Dr. Salinas is a Clinical Associate Professor of Neurology at NYU Grossman School of Medicine and the co-author with Robert C. Bordone, of Conflict Resilience: Negotiating Disagreement Without Giving Up or Giving In. In this fascinating book, Joel and Robert blend advanced conflict management strategies with cutting-edge neuroscience to introduce a simple yet powerful three-step framework for navigating everyday conflict. In this episode, Dr. Salinas reveals how conflict resilience rather than resolution can transform the way we engage with disagreement. He also explores the impact of social isolation, our fear of discomfort, and how avoiding conflict can ultimately weaken both personal and professional relationships, all while offering practical tools to navigate tough conversations with confidence, clarity, and compassion. Whether you struggle with difficult conversations or simply want to strengthen your relationships and your communication approach, this episode is filled with valuable insights to help you approach conflict with clarity, confidence, and bravery. Tune in now to start transforming the way you engage with disagreement.   Key Highlights From This Episode: Understanding the surprising link between connection and conflict. [04:42] How social isolation and polarization contribute to conflict avoidance. [09:14] Reasons that we often see the other person as “the problem” in a conflict. [12:47] Finding a balance between setting boundaries and engaging in difficult conversations.[15:10] Insight into the three key tenets of deep listening. [18:18] An example that illustrates how to navigate everyday conflict with resilience. [22:56] How to phrase questions in a way that invites productive conversation. [26:04] The uncertainty of conflict outcomes (and why that shouldn't stop us). [28:16] Practical strategies to help you rewire your brain to handle conflict better. [31:02] Unpacking the benefits of conflict resilience and how you can start practicing today. [38:12] For More Information: Dr. Joel Salinas Conflict Resilience: Negotiating Disagreement Without Giving Up or Giving In Dr. Joel Salinas on LinkedIn Dr. Joel Salinas on Instagram Dr. Joel Salinas on YouTube Dr. Joel Salinas on X   Links Mentioned in Today's Episode: Read Joel's book, Mirror Touch: A Memoir of Synesthesia and the Secret Life of the Brain Learn more about the co-author of Conflict Resilience, Bob Bordone Watch examples of navigating crises in the Netflix show Madam Secretary   ——————— KATHY'S DIGITAL CAREER COACHING CLONE—‘KATHY CAPRINO AI”—IS HERE!   I'm very excited to announce the release of my new Kathy Caprino AI career and leadership coaching clone! Here's more about it! >> https://kathycaprino.com/kathyai Powered by Delphi.ai, this tool brings my career growth teachings, advice, and answers to your most pressing questions directly to you, 24/7. With a subscription, you get unlimited access and can message or audio chat with my AI clone anytime you need guidance. Drawing on my 40+ years of experience—from corporate life, therapy, and coaching to writing and speaking across 6 continents—I've trained Kathy AI using over 2.5 million words of my own content, including articles, books, podcasts, interviews, and workshops seen by over 41 million people. My mission? To make Kathy Caprino AI your trusted resource for real-time career, leadership, and personal growth strategies. Get tailored answers to your toughest career challenges and practical solutions to achieve your top goals. We offer two affordable pricing tiers, with Tier 2 unlocking great bonuses like membership to my new Career Breakthrough Community, including free coaching calls with me, exclusive discounts on my courses and programs, free LinkedIn support, and so much more. It also makes a fantastic gift for friends, family, or colleagues who want to thrive professionally! Check it out and subscribe today at kathycaprino.com/kathyai. Let me know what you think— I truly hope it becomes a game-changer for you! For other career support programs, visit my Career Help page.   ——————— Order Kathy's book The Most Powerful You today! In Australia and New Zealand, click here to order, elsewhere outside North America, click here, and in the UK, click here. If you enjoy the book, we'd so appreciate your giving the book a positive rating and review on Amazon! And check out Kathy's digital companion course The Most Powerful You, to help you close the 7 most damaging power gaps in the most effective way possible. Kathy's Power Gaps Survey, Support To Build Your LinkedIn Profile To Great Success & Other Free Resources Kathy's TEDx Talk, Time To Brave Up & Free Career Path Self-Assessment Kathy's Amazing Career Project video training course & 6 Dominant Action Styles Quiz   ——————— QUOTES: “You can't have an authentic relationship with somebody unless you're coming across and sorting through the differences we have. It's impossible to have one-to-one the exact same desires, interests, and contexts.” — @JoelSalinasMD [0:07:26] “When we're in a conflict situation, – it's very common that our first reaction is to see the other person as the problem. We want to take a stance that's more about agency and empowerment, starting with what you have control over: – your own relationship with conflict.” — @JoelSalinasMD [0:14:24] “A generous question begets a generous response – [Make] sure you're asking questions with the intent of understanding, not questions to harm the other person, put them down, or be overly defensive.” — @JoelSalinasMD [0:22:18] “Our brains evolved to be fortune-telling machines. It takes all our past experiences and memories to make predictions – and uses those predictions to make choices and take action – to help us survive and avoid danger. Out in the Savannah, that could have been helpful, – but it can be tricky when your brain is telling you interacting with somebody across lines of difference is a threat.” — @JoelSalinasMD [0:29:22] “It can be helpful to find the [bigger, better offer (BBO)]: what is the consequence or risk of me not engaging in this [difficult] conversation?” — @JoelSalinasMD [0:41:35] “Part of building this mindset and skill set is a process of reprogramming and rewiring your brain.” — @JoelSalinasMD [0:44:18] “Our brains evolved to be fortune-telling machines. It takes all our past experiences and memories to make predictions – and uses those predictions to make choices and take action – to help us survive and avoid danger. Out in the Savannah, that could have been helpful, – but it can be tricky when your brain is telling you interacting with somebody across lines of difference is a threat.” — @JoelSalinasMD [0:29:22]   Watch our Finding Brave episodes on YouTube! Don't forget – you can experience each Finding Brave episode in both audio and video formats! Check out new and recent episodes on my YouTube channel at YouTube.com/kathycaprino. And please leave us a comment and a thumbs up if you like the show!

In this episode of Beauty Bosses, Dr. Lara Devgan sits down with Dr. Gail Saltz, Clinical Associate Professor of Psychiatry at The New York Presbyterian Hospital, Media expert in Mental Health, Author, and Podcast Host, to discuss the current state of the social media and mental health and the evolution of the associated stigma over time.Discover insights into how to protect and maintain your mental wellness with trusted advice from Dr. Saltz, including everyday tips that you can integrate into your daily routine. Beauty Bosses Podcast RSS

Hunter and I had the distinct pleasure of speaking with Clinical Associate Professor of Psychiatry at the University of New Mexico School of Medicine, author, and OG DMT researcher, Rick Strassman, M.D., about his latest book "My Altered States: A Doctor's Extraordinary Account of Trauma, Psychedelics, and Spiritual Growth", subjective vs. objective experience, cannabis, Hunter's DMT experience, Rick's magic carpet experience, altered states as escape, altered states as exploration, and much more. Rick's website: https://www.rickstrassman.com/ To get access to exclusive episodes, our backlog of extended episodes, and to our MELT Meet-ups consider supporting us on Patreon at https://www.patreon.com/themeltpodcast or Locals at https://themeltpodcast.locals.com where you can subscribe for a mere $5 per month.    Find The Melt on… Rumble: https://rumble.com/c/c-2365404 YouTube: https://www.youtube.com/@TheMeltPodcast Check out our merch at: https://the-melt.creator-spring.com/   Music by The Godawful Joy: https://thegodawfuljoy.bandcamp.com/releases and Matt Presti: https://www.mattpresti.com/music.html

Drug toxicity is a leading cause of death in Canada and around the world. Over the course of three episodes, we address three interrelated topics related to the toxic drug crisis. This final episode will review decriminalization policies in Portugal, British Columbia, and Oregon, and examine the mandatory treatment scheme in Alberta. Guests discuss how decriminalization is ineffective as a standalone policy and suggest additional resources that are needed to address the overdose crisis. Host Sarah Rowe discuss this issue and more with guests, internist and addiction specialist, Dr. Monty Ghosh, and criminal defence lawyer, Kyla Lee.  This series is produced in memory of Marc Alexander O'Keefe.   Guests S. Monty Ghosh, Doctor of Internal Medicine, Disaster Medicine, and Addiction Medicine; Assistant Professor, Departments of General Internal Medicine & Neurology, University of Alberta; Clinical Associate Professor, Departments of Medicine & Psychiatry, University of Calgary Kyla Lee, Vancouver Criminal Lawyer, Acumen Law Corporation Host Sarah Rowe, Articling Clerk, Legal Aid Newfoundland and Labrador   The Toxic Drug Crisis Podcast Series To further explore the discussion, listen to our previous podcasts on the subject:  The Toxic Drug Crisis Podcast Series: Is Harm Reduction Enough? — With guests Geoff Bardwell, Ph.D. and Craig Marshall. Host: Sarah Rowe The Toxic Drug Crisis Podcast Series: The Role of Safer Supply — With guests Gillian Kolla, PhD, MPH and Sukhpreet Klaire, MD CCFP (AM). Host: Sarah Rowe  

Join Dr. Andy Cutler as he speaks with Dr. Anita Clayton about one of the most common yet least discussed side effects of psychotropic medications—sexual dysfunction. They explore the different aspects of sexual dysfunction that may arise as a side effect, how to distinguish these from symptoms of psychiatric or medical disorders, and how to collaborate with patients to effectively address this challenging issue.  Anita H. Clayton, MD, Wilford W. Spradlin Professor and Chair of Psychiatry & Neurobehavioral Sciences, and Professor of Clinical Obstetrics & Gynecology at the University of Virginia School of Medicine, has focused her research on major depressive disorder, mood disorders associated with reproductive-life events in women (reproductive psychiatry), sexual dysfunction related to illness and medications, and the assessment and treatment of primary sexual disorders.    Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.    Resources  Changes in Sexual Functioning Questionnaire short- form (CSFQ-14)  Validation study for CSFQ-14   

In a world where effective health communication is more crucial than ever, storytelling emerges as a powerful tool. Join us for a conversation with Dr. Maya Adam, Director of Health Media Innovation and Clinical Associate Professor at Stanford School of Medicine. Dr. Adam reveals how weaving narratives into health education can transform complex messages into accessible messages. Discover how innovative storytelling is not only reshaping public health challenges but also paving the way for the future of health education in our rapidly evolving digital landscape. Read Transcript CME Information: https://stanford.cloud-cme.com/medcastepisode100 Claim CE and MOC: https://stanford.cloud-cme.com/Form.aspx?FormID=3253  

In this episode, listen in as our expert panel digs into identifying and treating acute bronchitis and community-acquired pneumonia. They'll discuss when antibiotics are appropriate, which antibiotics to use, and other management tips.You'll also hear practical advice from panelists on TRC's Editorial Advisory Board:Stephen Carek, MD, CAQSM, DipABLM, Program Director for the Prisma Health/USC School of Medicine Greenville Family Medicine Residency Program and Clinical Associate Professor at the University of South Carolina School of Medicine, GreenvilleAndrea Darby Stewart, MD, Associate Director, Honor Health Family Medicine Residency Program and Clinical Professor of Family, Community & Occupational Medicine at the University of Arizona College of Medicine - PhoenixCraig D. Williams, PharmD, FNLA, BCPS, Clinical Professor of Pharmacy Practice at the Oregon Health and Science UniversityNone of the speakers have anything to disclose.This podcast is an excerpt from one of TRC's monthly live CE webinars, the full webinar originally aired in January 2025.TRC Healthcare offers CE credit for this podcast. Log in to your Pharmacist's Letter, Pharmacy Technician's Letter, or Prescriber Insights account and look for the title of this podcast in the list of available CE courses.Claim CreditThe clinical resources mentioned during the podcast are part of a subscription to Pharmacist's Letter, Pharmacy Technician's Letter, and Prescriber Insights: Chart: Managing Community-Acquired Pneumonia and Aspiration Pneumonia in AdultsFAQ: Antibiotic Therapy: When Are Shorter Courses Better?Chart: Managing Cough and Cold SymptomsSend us a textCheck out our NEW podcasts. Rumor vs TruthYour trusted source for facts... where we dissect the evidence behind risky rumors and reveal clinical truths.Clinical CapsulesTRC editors break down the most impactful clinical developments - giving you clear, actionable takeaways in just minutes.If you're not yet a subscriber, find out more about our product offerings at trchealthcare.com. Follow, rate, and review this show in your favorite podcast app. Find the show on YouTube by searching for ‘TRC Healthcare' or clicking here. You can also reach out to provide feedback or make suggestions by emailing us at ContactUs@trchealthcare.com.

Arthritis affects millions worldwide. 1 in 5 adults in the U.S suffer with it and many people assume it's an inevitable part of aging. Bu what if you could reduce joint pain and inflammation through diet and lifestyle? In this episode, Dr. Tamiko Katsumoto, Clinical Associate Professor at Stanford University, unpacks the science behind arthritis. She explains the key differences between osteoarthritis, caused by wear and tear on joints, and rheumatoid arthritis, an autoimmune condition where the immune system attacks healthy tissue. While there is no cure for arthritis, Tamiko reveals why chronic inflammation plays a central role - and how the modern diet is making things worse. Tamiko shares evidence-based strategies to reduce inflammation naturally, including the best foods to support joint health and whether supplements and lifestyle changes can make a real difference. If you or someone you know suffers from joint pain, this episode is packed with insights to help you take control of your health.

Dr. Lauren Yap joins host Dr. Joel Berg to chat about the upcoming AAPD Pediatric Oral Health Advocacy Conference (POHAC) in Washington, DC. Each year, hundreds of early career pediatric dentists visit the nation's capital to advocate for the issues impacting the profession and optimal oral health of all children with congressional staff. Dr. Yap shares her experiences as a previous POHAC attendee, as well as how she encourages her peers to seize any opportunity to be a strong voice for themselves and their patients, whether it be in the operatory to the state or national level. Guest Bio: Lauren C. Yap, DMD, MPH, is a Clinical Associate Professor in the Division of Pediatric Dentistry and serves as the Assistant Program Director for the Postdoctoral Pediatric Dental Residency Program at the University of Pennsylvania School of Dental Medicine and Children's Hospital of Philadelphia. She earned her dual degree in Dentistry (DMD) and Public Health (MPH) from the Temple University Kornberg School of Dentistry and College of Public Health in 2019 and subsequently completed an Advanced Education in General Dentistry Certificate in Hawaii, followed by a Pediatric Dentistry Certificate at Geisinger Medical Center in Danville, PA. Board-certified by the American Board of Pediatric Dentistry, Dr. Yap is an active leader in the field, currently serving as the Pennsylvania Public Policy Advocate for the American Academy of Pediatric Dentistry (AAPD) and as a member of the Committee on Scientific Affairs. She is also a recent graduate of the ADA Institute for Diversity in Leadership (2024) and proudly serves as the Third District Representative for the American Dental Political Action Committee (ADPAC). Before pursuing her dental education, Dr. Yap worked as an elementary school math teacher and served as a research assistant at the National Institutes of Health (NIH) within the Center for Asian Health.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In the second episode of A Deep Dive into HRD Testing in Ovarian Cancer, a three-part podcast series sponsored by AstraZeneca, we're speaking with Dr. Erin Crane who will highlight how HRD testing provides helpful information to ovarian cancer patients.   Erin K. Crane, MD, MPH, is a gynecologic oncologist with Atrium Health Levine Cancer in Charlotte, North Carolina. A graduate of the SUNY Upstate Medical University in Syracuse, NY, Dr. Crane completed her residency at the University of Virginia and a fellowship at The University of Texas MD Anderson Cancer Center in Gynecologic Oncology. She is board certified by the American Board of Obstetrics and Gynecology in Gynecologic Oncology and Obstetrics and Gynecology. Dr. Crane is a Clinical Associate Professor of Obstetrics and Gynecology at the Wake Forest University School of Medicine.   For more information, visit https://www.azprecisionmed.com/tumor-type/ovarian-cancer/hrd-testing.html For patient resources, please visit TestForHRD.com.   This podcast does not necessarily reflect the opinions of AstraZeneca and are the spokesperson's opinions and experience.

Join Dr. Andy Cutler as he speaks with Dr. Christine Moutier about the unintended effects of the FDA boxed warnings on antidepressant use in pediatric patients—specifically, the underdiagnosis and undertreatment of depression. Their conversation highlights the importance of effectively treating depression to reduce suicide across the lifespan.  Christine Yu Moutier, MD is a leading psychiatrist and the Chief Medical Officer at the American Foundation for Suicide Prevention (AFSP). Since joining AFSP in 2013, Dr. Moutier has led a nationwide movement combining scientific research and grassroots efforts to reduce suicide rates. She has testified before Congress, presented at the White House, and frequently contributes to major media outlets on mental health issues.   Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.    Resources  American Foundation for Suicide Prevention - https://afsp.org/    Save $100 on registration for 2025 NEI Spring Congress with code NEIPOD25  Register today at nei.global/spcongress25f    Never miss an episode!

In the second episode of A Deep Dive into HRD Testing in Ovarian Cancer, a three-part podcast series sponsored by AstraZeneca, we’re speaking with Dr. Erin Crane who will highlight how HRD testing provides helpful information to ovarian cancer patients. Erin K. Crane, MD, MPH, is a gynecologic oncologist with Atrium Health Levine Cancer in Charlotte, North Carolina. A graduate of the SUNY Upstate Medical University in Syracuse, NY, Dr. Crane completed her residency at the University of Virginia and a fellowship at The University of Texas MD Anderson Cancer Center in Gynecologic Oncology. She is board certified by the American Board of Obstetrics and Gynecology in Gynecologic Oncology and Obstetrics and Gynecology. Dr. Crane is a Clinical Associate Professor of Obstetrics and Gynecology at the Wake Forest University School of Medicine. For more information, visit https://www.azprecisionmed.com/tumor-type/ovarian-cancer/hrd-testing.html For patient resources, please visit TestForHRD.com. This podcast does not necessarily reflect the opinions of AstraZeneca and are the spokesperson's opinions and experience.

In the second episode of A Deep Dive into HRD Testing in Ovarian Cancer, a three-part podcast series sponsored by AstraZeneca, we’re speaking with Dr. Erin Crane who will highlight how HRD testing provides helpful information to ovarian cancer patients. Erin K. Crane, MD, MPH, is a gynecologic oncologist with Atrium Health Levine Cancer in Charlotte, North Carolina. A graduate of the SUNY Upstate Medical University in Syracuse, NY, Dr. Crane completed her residency at the University of Virginia and a fellowship at The University of Texas MD Anderson Cancer Center in Gynecologic Oncology. She is board certified by the American Board of Obstetrics and Gynecology in Gynecologic Oncology and Obstetrics and Gynecology. Dr. Crane is a Clinical Associate Professor of Obstetrics and Gynecology at the Wake Forest University School of Medicine. For more information, visit https://www.azprecisionmed.com/tumor-type/ovarian-cancer/hrd-testing.html For patient resources, please visit TestForHRD.com. This podcast does not necessarily reflect the opinions of AstraZeneca and are the spokesperson's opinions and experience.

Medicine has long been defined by a culture that demands toughness, self-sacrifice, and emotional suppression, particularly for male physicians. In this episode, Dr. Joe Sherman shares his insights on how these expectations contribute to physician burnout, emotional isolation, and workplace toxicity.He and Dr. Amna Shabbir discuss how changing the culture around male physicians can make medicine more compassionate and inclusive. They examine why male doctors struggle to show vulnerability and how shifting medical norms can support their well-being. Dr. Sherman also shares his journey of overcoming the fear of seeking help, offering practical insights for building resilience and self-compassion.Three Actionable Takeaways:Create Safe Spaces for Vulnerability – Physicians, especially men, need environments where expressing emotions is accepted, not stigmatized. Supporting peer groups and coaching can foster this change.Reframe Asking for Help as Strength, Not Weakness – Whether through coaching, therapy, or peer support, seeking help is a sign of courage and self-awareness, not failure.Lead with Compassion – Senior physicians set the tone for medical culture. By modeling emotional intelligence and trust-building, they can create a healthier work environment for the next generation. About the Guest: Dr. Joe Sherman is a pediatrician, professional development coach, and consultant to physicians and healthcare organizations in the areas of provider well-being, leadership, and career discernment. His services include individual coaching, medical team support, retreat facilitation, and public speaking. He is a trained facilitator with the Center for Courage & Renewal and a Master Certified Physician Development Coach with the Physician Coaching Institute.Dr. Sherman has been in pediatric practice for over 35 years concentrating on healthcare delivery to underserved and medically complex children in the District of Columbia, Tacoma, Seattle, Uganda, and Bolivia. He has held numerous faculty positions and is currently a Clinical Associate Professor of Pediatrics at the University of Washington.Website: https://joeshermanmd.com/LinkedIn: https://www.linkedin.com/in/joeshermanmd/Host: Dr. Amna Shabbir is the Founder and CEO of the Early Career Physicians Institute, a Duke Certified Wellness and Life Coach, Dual Board-Certified Geriatrician-Internist and Super Mom to two young girls. She passionately supports new attending physicians in navigating post-medical training challenges, helping them to excel both professionally and personally https://www.youtube.com/@Dr.AmnaShabbirhttps://web.facebook.com/dr.amnashabbir.md?_rdc=1&_rdr#https://www.linkedin.com/in/amna-shabbir-md/   ------Did you know…You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show!Socials:@physiciansguidetodoctoring on FB@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter  Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Can people make millions with AI?Dr. Milos Bujisic is a Clinical Associate Professor of Marketing and Statistics at NYU School of Professional Studies (SPS), where he also serves as Co-Director for Faculty Research. Before joining NYU, he was a tenured Associate Professor of Consumer Sciences at The Ohio State University.Dr. Bujisic is the founder of MADintel and Brand Social Value (BSV), an AI start-up that provides marketers and PR professionals with real-time data to craft impactful brand and social media strategies. BSV utilizes a proprietary 8-minute survey to build brand personas and employs a predictive algorithm to match brands with customers. It also measures how branded social media content influences the relationship between brands and their audiences.On this episode of Some Future Day, Dr. Bujisic joins me to evaluate the most integral and practical mechanisms between AI brands and consumers from ChatGPT's impending disruption of Google's dominance in search to customizing and streamlining the shopping experience with brands like Lululemon and… toilet paper. (We cover a lot of ground here, folks!).Pay close attention to Milos's unnerving hypothesis about DeepSeek's nefarious strategy to earn billions by shorting NVIDIA. It's one of a kind, and actually possible.Tune in now for a conversation that challenges the hype and reveals where the real money in AI might be hiding.Order Marc's new book, "Some Future Day: How AI Is Going to Change Everything"Sign up for the Some Future Day Newsletter here: https://marcbeckman.substack.com/Episode Links:Milos on LinkedIn: https://www.linkedin.com/in/milosbujisic/MADIntel: https://www.madintel.com/To join the conversation, follow Marc Beckman here: YoutubeLinkedInTwitterInstagramTikTok

Is fear preventing employers from having conversations with employees diagnosed with cancer about how they can stay at work and return to work as soon as possible? Work can be part of the healing process and with new treatment approaches, many (if not most) patients survive early-stage diagnoses, explains Raghav Murali-Ganesh, MD, FRANZCR, Chief Executive Officer, Co-Founder, Osara Health, and Robin Newman, Clinical Program Consultant, Osara Health, and Clinical Associate Professor, Department of Occupational Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University. Listen in for actionable guidance.This episode includes a member-exclusive answer from Dr. Raghav Murali-Ganesh, who shares insights about barriers to creating cancer-friendly work environments and how employers can overcome them. Access is limited to DMEC members, who received this link.Get more insights in this DMEC @Work magazine article, which was referenced in this episode and we will unlock for podcast listeners:Supporting Effective Return-to-Work Practices for Employees with Cancer

Join Dr. Andy Cutler as he talks with Dr. Jeffrey Strawn about how clinicians can determine the appropriate scenarios for benzodiazepine deprescribing, best practices for benzodiazepine tapering, and how to balance patient preferences to ensure best outcomes.  Jeffrey R. Strawn, MD is a Professor and Associate Vice Chair of Research in the Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati (UC) College of Medicine, the Assistant Director of Clinical and Translational Research in the Center for Clinical & Translational Science and Training at UC, and an Associate Professor in the Department of Pediatrics at UC and Cincinnati Children's Hospital Medical Center.   Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.  Save $100 on registration for 2025 NEI Spring Congress with code NEIPOD25  Register today at nei.global/spcongress25p  Never miss an episode!

Send us a textShebani Sethi, MD, ABOM is a Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences at Stanford Health Care. She is board-certified in both Psychiatry and Obesity Medicine with additional expertise in adult eating disorders.Shebani Sethi MD, ABOM | Stanford Medicine https://med.stanford.edu/profiles/shebani-sethiLinks mentioned in the episode:https://med.stanford.edu/news/all-news/2024/12/top-scientific-advancements.htmlhttps://med.stanford.edu/news/all-news/2024/04/keto-diet-mental-illness.html“Change your food, change your life!”Dr. Eric Westman and his Adapt Your Life Academy team are on a mission to empower people around the world to transform their health through the science-backed benefits of low-carbohydrate and ketogenic diets.Dr. Westman is an obesity medicine specialist and trusted expert in the therapeutic power of carbohydrate restriction, and clinical research, and has treated patients using low-carb keto diets for over twenty-five years. He makes keto SIMPLE, so that YOU can LOSE weight, REVERSE chronic disease and GET the RESULTS you want.Get started NOW by grabbing our FREE GUIDE – 10 Tips for Starting Keto Right. 

In this episode, Dr. Marci H. Levine, Clinical Associate Professor of Oral and Maxillofacial Surgery at NYU College of Dentistry, discusses the transformative role of technology in dental education and practice. From virtual reality simulations to advancements in patient care, Dr. Levine shares her perspective on balancing innovation with the human connection in dentistry, the future of AR and VR, and the qualities healthcare leaders will need to succeed in the years ahead.

The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. As usual we are there; building on our reputation for exclusive cutting edge conversations recorded at the conference with some of the key speakers, guests and delegates. Here we discuss advancements in anesthesia research and quality improvement, focusing on intraoperative hypotension (IOH) and its impact on patient outcomes. What collaborative efforts are being made to standardize hemodynamic management practices and improve clinician awareness of factors affecting IOH in non-academic settings? The papers mentioned are here: https://pubmed.ncbi.nlm.nih.gov/38717322/ https://journals.lww.com/spinejournal/abstract/9900/impact_of_predictive_hemodynamic_monitoring_on.748.aspx Presented by Desiree Chappell and Mike Grocott with their guest Wael Saasouh, Regional Director of Research at NorthStar Anesthesia, Clinical Assistant Professor, Wayne State University, Clinical Associate Professor, Michigan State University.

Meet again Joe Sherman. Joe grew up in a family being the youngest of seven siblings. His parents who had not gone to college wanted their children to do better than they in part by getting a college education. Joe pretty much always wanted to go into medicine, but first obtained a bachelor's degree in engineering. As he said, in case what he really wanted to do didn't pan out he had something to fall back on.   Joe, however, did go on and obtain his MD and chose Pediatrics. He has been in the field for 35 years.   This time with Joe we talk a lot about the state of the medical industry. One of Joe's main efforts is to educate the medical profession and, in fact the rest of us, about burnout among medical personnel. Joe tells us why burnout is so high and we discuss what to do about it. Joe talks about how the medical profession needs to change to keep up with the many challenges faced by doctors and staff and he offers interesting and thought-provoking ideas. Again, I hope you will find my discussion with Joe Sherman beneficial, productive and helpful to you, especially if you are a doctor.       About the Guest:   Dr. Joe Sherman helps health professionals transform their relationship with the unrelenting demands of their jobs and discover a path toward meaning, professional fulfillment, and career longevity. He believes the key to personal and professional success lies in bringing “soul to role” in your medical practice.   Dr. Sherman is a pediatrician, coach and consultant to physicians and healthcare organizations in the areas of cross-cultural medicine, leadership, and provider well-being.  He is a facilitator with the Center for Courage & Renewal and a Master Certified Physician Development Coach with the Physician Coaching Institute.   Dr. Sherman has been in pediatric practice for over 35 years concentrating on healthcare delivery to underserved and medically complex children in the District of Columbia, Tacoma, Seattle, Uganda, and Bolivia.  He has held numerous faculty positions and is currently Clinical Associate Professor of Pediatrics at the University of Washington.   Ways to connect with Dr.Joe:   My website is: https://joeshermanmd.com/   LinkedIn: www.linkedin.com/in/joeshermanmd   Direct email connection: joe@joeshermanmd.com       About the Host:   Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog.   Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards.   https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/   accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/   https://www.facebook.com/accessibe/       Thanks for listening!   Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below!   Subscribe to the podcast   If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset .   Leave us an Apple Podcasts review   Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.       Transcription Notes:   Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us.   Michael Hingson ** 01:21 Well, hi all. This is your host, Mike hingson, and welcome to another episode of unstoppable mindset. And today we are meeting once again with Dr Joe Sherman. And if you remember our last show, Dr Sherman is a board certified pediatrician and master certified physician development coach, and I won't give any more away, because it's more fun to talk to him about all of that. But we had such an interesting discussion, it just seemed like what we ought to do is to have a continued discussion, because we didn't get to cover everything that he provided to us last time, and and I know we've probably got lots more that we can add to the discussion. So, Joe, welcome to unstoppable mindset. We're glad you're here   Dr. Joe Sherman ** 02:10 again. Thanks so much for having me. Michael, it's good to be back.   Michael Hingson ** 02:13 Well, glad you're here and all that. Do you want to start by kind of, maybe refreshing people about you a little bit life and all that, any anything that you want to give us just to start the process? Sure,   Dr. Joe Sherman ** 02:25 I currently live in Seattle, Washington with my wife. We have a few grown children that are in their early 20s, and I am a pediatrician, and now am a physician professional development coach, and I facilitate retreats for health professionals, medical teams, and most of my focus is on trying to bring who we are to what we do kind of being more authentically who we are in our workplace, trying to come to our work with a more balanced mindset, and trying to work A little bit more collegially as medical teams in today's ever changing health care environment. So now, I have practiced for about 35 years in pediatrics, and am now devoting all of my time to coaching and facilitation. You   Michael Hingson ** 03:37 know, gosh, there's so many, so many things that would be interesting to discuss, and I do want to stay away from the whole idea of politics, but at the same time, what do you think about the whole way the medical profession, you know, of course, one of the things that comes to mind is just everything that happened during COVID. But what do you think about the way the medical profession and some of the things that the profession is trying to do is being treated by politicians, and a lot of times it seems like people don't take it seriously, or it just doesn't fit into their agenda. Does that make sense?   Dr. Joe Sherman ** 04:15 You mean, as far as so as a pandemic was concerned? Well, the   Michael Hingson ** 04:20 pandemic, or, you know, there were some discussions about end of life or life discussions, and some people poo pooed, having that kind of thing and saying that isn't something that doctors should be doing. Oh,   Dr. Joe Sherman ** 04:33 I think, right now, I think that politics and healthcare are intricately entwined. Especially after the pandemic, and I think right now, the idea of the politics getting in the way of a kind of. The doctor patient relationship is, is challenging. It's challenging for healthcare workers. I think where we desperately need political courage is in trying to develop a healthcare system that works for everybody in the country. So I think that that's where the focus should be.   Michael Hingson ** 05:21 What do you think about? And I've had a number of people tell me, single pay healthcare system wouldn't be a good thing. It's too socialistic, and we'll leave that out of it just wouldn't be a good thing. It seems to me that it has been very successful in a number of places, but the kinds of arguments that people give are well, but by having competition, we have been a lot better at producing new and innovative technologies that wouldn't be produced or wouldn't be provided if we had just a single pay kind of system. I don't know whether that makes sense or I'm expressing it the best way, but it just seems like there's an interesting debate there. I   Dr. Joe Sherman ** 06:03 think there is debate because I do think there is some truth in the statement that our health care system has enabled development of technology and research in ways, perhaps that other countries have not. On the other hand, our health outcomes and our health access for people who live in this country is not very good, especially given the degree of wealth that our country has. So I used to joke, although it's not that funny, but one clinic where I worked that was a low income clinic, I used to joke that if one of our patients were to come out of their apartment To cross the street to come to the clinic. They may be turned away at the door because they don't have any insurance, or they don't have the proper insurance, or they can't pay but if they happen to be get run over by a car in the street on their way across the street, there would be no questions asked. The ambulance come pick them up. They'd be taken to the emergency room, given the best treatment to try to save their lives, admitted to the ICU and incur a huge medical bill with the greatest of technology, but they would not have been able to have gotten that primary care appointment to be in with. Yeah. So we are very kind of high tech, high intensity, high specialized in our approach to health care, whereas other countries focus much more on primary care.   Michael Hingson ** 07:54 I know in 2014 in January, my wife became ill. Started out as bronchitis, and it kept getting worse, and she didn't want to go to the hospital, but, and she was always in a wheelchair, so she she found that they didn't really know how to deal with can Well, she was congenital or always paralyzed from basically t3 from the breast down, and she so she didn't like to go, but finally, we compelled her to go to the hospital. And was on a Saturday, and the next day, the bronchitis morphed into double pneumonia and ARDS, and her lungs ended up being 90% occluded, so she had to even to get air into her lungs, they had to use a ventilator, and she had a peeps level of 39 just to get air into her lungs. Yeah, you know what that that means. And it was, it was pretty amazing. People came from all over the hospital just to watch the gages, but she had literally, just about turned 65 and we were very blessed that we didn't get any bill because Medicare, I Guess, absorbed the entire thing, and we we, we didn't know whether, whether we would get anything or not, and we didn't. And she did recover from that, although she felt that she had coded a couple times, and then her brain wasn't quite as good as it had been, but, but she did well, and so we got incredible care from Kaiser Terra Linda up in the San Rafael area, and it all went well. Of course, I we had gotten the pneumonia shots, and I complained to our physician to talk about joking. I complained to our primary care physician. I. Well, you say that these shots are supposed to keep it from happening, but we both had the shots and and, and she got double pneumonia anyway. Of course, the unfortunate thing was that that the doctor had an answer. She said, Yeah, but it would have been worse if he hadn't gotten the shot. Darn. She shot me down, but it was fun to joke.   Dr. Joe Sherman ** 10:18 Well, I'm sorry that that happened to you that that's, that's a unfortunate situation, it   Michael Hingson ** 10:26 was, but you know, things, things do happen and and we did get over it. And out of that, we ended up moving down to Southern California to be closer to to family. So it worked out okay. But we we love the and really support the medical system in any way that we can. We see both of us did, and I still, you know, and wherever she is, she must see the value of of what's done. And it just is so frustrating anytime people say doctors are crazy people. They don't, they don't really look out for people's interest, and just so many different things. It, it's unfortunate, because, you know, I can tell you from personal experiences. I just said what we saw,   Dr. Joe Sherman ** 11:16 yeah, I think that what is happening in our healthcare system now is this epidemic of burnout amongst professionals, especially amongst physicians and nurses, but and a lot of that has to do with the amount of administrative tasks and the amount of pressure that's put on physicians and other health care providers in trying to see as many patients as they can in the shortest amount of time as possible, and this is because of our system of fee for service reimbursement for medical care, the way that that health systems stay afloat is by trying to see as many patients as possible, and this unfortunately, combined with the amount of administrative work that needs to be done for each of those visits, plus the amount of communication that comes in from patients, as well as referral sources and requests for prescription refills, all of that comes in constantly through the computer of any physician that's trying to work as an outpatient or inpatient doctor, and it just becomes overwhelming,   Michael Hingson ** 12:43 yeah, how do we fix that? That's a good loaded, general question, isn't   Dr. Joe Sherman ** 12:50 it? It is it is a good question. And I I think it's a multi pronged approach. I do think that one thing that has happened is that the technology of healthcare and the business of healthcare has changed dramatically during the time that I've been a physician, a pediatrician, and the culture of healthcare, kind of, the way we do things, really hasn't changed. So that means that the business and the technology has placed more demands on us, and at the same time, we're kind of doing things pretty much the same way we've always done them, because of these extra demands that are placed on physicians and other health professionals, what's needed are experts that are in those areas of billing, administrative, administration, technology, it all of those things that now all feed into seeing patients in the office or in the hospital. So you need all of those professionals working together side by side along with the physician, allow the physician to do the work that she's been taught to do, which is actually deal with the patient and take care of the patient, and then let other people do the data entry, do the billing, take care of all of the messages and other things that are coming in around that that that provider. Do   Michael Hingson ** 14:23 you think that the same level of burnout exists in other countries that exists here?   Dr. Joe Sherman ** 14:29 You know it does. I do think that burnout exists everywhere in healthcare. I do think that it is less in low income countries, which seems kind of strange, but I've worked for many years in my life in low income countries in Africa as well as South America. And it's a different culture. It's a different culture. Culture of health care there is, there are different expectations of doctors, I think, in other countries, especially countries that are used to seeing a lot of disease and mortality, the pressure on saving lives and the pressure on having to be perfect and always get it right and knowing everything to do it each time that a patient comes in is not quite as intense as it is here. So I do think that it is different in other places. However, I will say that I have spoken to physicians in definitely in the more developed, higher income world, parts of the world that this epidemic of burnout is pretty universal   Michael Hingson ** 15:57 now, It seems to me that I've been seeing in recent years more what they're called physician assistants. Is that a growing population, or is it always been there, and I just haven't noticed it? And does that help?   Dr. Joe Sherman ** 16:14 I do think that in our country, here in the US, the future, will see many more physicians assistants and nurse practitioners, what we call Advanced Practice clinicians, or advanced practice practitioners, providers. We're going to see many more of them doing primary care, and a model that I think would would probably work very well is a team based model where the MD, who is kind of trained at a much higher level for many more years, leads a team of other providers made up of physicians assistants and nurse practitioners to do primary care, to take care of a group of patients, and perhaps that MD is there to consult, to be back up and to care for the more complex patients, while the nurse practitioners and PAs Are are getting the primary care, delivering the primary care.   Michael Hingson ** 17:23 Well, I know that the PAs that I have dealt with through the years, it seems to me, have, especially in the last 10 years, but have been very, very competent, very qualified. And I I don't, I don't know that, where I would say that they're less rushed, but I've had the opportunity to have some good conversations with them sometimes when, when the doctor just doesn't have the time. So it that's one of the reasons that prompted the question. It just seems to me that the more of that that we can do, and as you said, the more that that takes off. Perhaps some of the load from the physician itself may, over time, help the burnout issue.   Dr. Joe Sherman ** 18:10 I do think so. But I also feel like there's tremendous pressure right now on those pas and nurse practitioners, because they're under a lot of pressure too, too, and there aren't enough of them. Reduce and yes, so actually, right now, there's a movement within the the federal government to expand the number of positions in training programs for nurse practitioners and PAs. We have far too few, especially Physician Assistant schools. We don't have nearly as many as we need in this country. And if you look at the numbers, I think it's more competitive to get into PA school than it is to medical school,   18:54 really. Yeah,   Dr. Joe Sherman ** 18:58 I, you know, I that's been my experience of what I've seen from people just, you know, the number of applicants toward compared to the number of accepted, hey,   Michael Hingson ** 19:09 they wouldn't let you into a PA school, huh?   19:11 Exactly? Yeah.   Michael Hingson ** 19:15 No, I know. Well, it's, it is interesting. I know we read a few years ago that University of California Riverside actually started a program specifically, I'm trying to remember whether it was for training doctors. It was something that was supposed to be an accelerated program. Oh, some of the hospitals sponsored it. And the agreement would be, if you went to the school, you'd get the education, you wouldn't pay and at the end, and you would go to work for those hospitals like, I think Kaiser was one of the major sponsors of it. And again, it was all about trying to bring more people into the profession. Which certainly is admirable by any standard.   Dr. Joe Sherman ** 20:04 Yes, I think there are. Now, there are a few medical schools, and they're expanding the numbers that have free tuition, and they some of those schools, such as NYU Medical School has a generous donor who is given a tremendous amount of money as a donation and as an endowment. It pays for all the education of the students that go there. And there are some other schools that have the same arrangement. I think, I think if I were to be boss of the country, I would make all medical education free in in return, people would have to work in an underserved area for a certain number of years, maybe a few years, and then after that, they would be free to practice debt free, in any specialty and anywhere they would like.   Michael Hingson ** 21:10 Well, we need to do something to deal with the issue, because more and more people are going to urgent cares and other places with with different issues. I have someone who helps me a little bit. She's our housekeeper, and she also comes over once a week for dinner, and she has some sort of allergy. She just her face and her neck swelled up yesterday and had all sorts of red spots and everything. It's the second time she took not Benadryl, but something else that made it go away the first time, but it was back, and several of us insisted that she go to urgent care, and she went, and while she was there, she heard somebody say that they had been waiting four hours. So she left, you know, and which doesn't help at all. So I don't know actually whether she went back, because I talked with her later and said, Go back. So I don't know whether she did, but the waiting time is oftentimes very long, which is unfortunate. And I don't know whether more people are getting sick, or they think they're getting sick, or they're just taking ailments that are less too urgent care, but there are definitely long waiting times.   Dr. Joe Sherman ** 22:25 Yes, people, the people do not have a medical home. Many, many people don't have a medical home, a true medical home, that early in my practice pediatrician, as a general pediatrician, if there was a child that was in our practice and at night time or over a weekend, somebody would be on call. If that parent was concerned about a child in any way, they call the emergency line for the practice, the on call line, and that operator would page whoever the doctor was on call, and I would, as the doctor covering call that parent and talk directly at home, give advice over the phone, say what to do, make a decision of whether that child needed to go to the emergency room or not, or in the vast majority of cases, could give advice over the phone about what to do and then follow up when the office was open the next day or on the next week. Yeah, but nowadays, people aren't connected to offices like that. Yeah. We have call centers nurse advice lines of people that don't have access to medical records or have very strict protocols about what type of advice to give and the bottom line and the safest thing is go to the emergency room or go to urgent care. So that's unfortunately why some of the highest burnout rates are in emergency room doctors, and some of the biggest problems with understaffing are in emergency rooms right now. And   Michael Hingson ** 24:16 I can understand that, and makes perfect sense to hear that, and it's unfortunate but true. So yeah, but yeah, you're right. So many people don't really have a home. We've been blessed Karen, my now late wife, of course, was always a patient of Kaiser, and was a strong advocate for the way they did most of all of what they did. And so I eventually, when we got married and we were in a Kaiser area, then I did the same thing. And mostly I think it worked out well. I think. Kaiser is a little bit more conservative than some when it comes to perhaps some of the the newer procedures or newer sorts of things like they, you know, we see ads on TV now for the Inspire way of dealing with sleep apnea, as opposed to CPAP machines. And I don't know whether Kaiser has finally embraced that, but they didn't for the longest time. At least our doctor said that it wasn't really great to have to undergo surgery to deal with it, and the CPAP machines work fine, but I think overall it to to use your your words, definitely, if you're in that kind of an environment, it is a little bit more of a home, and you have definite places to go, which I think is valuable. And I think that more people really ought to try to figure out a way to find a home if they can.   Dr. Joe Sherman ** 26:00 Yeah, I do think that it is in the amount just society has advanced so so rapidly and so much in in how communication is instantaneous these days, through texting and through internet and through instant messaging, all these different ways that everything is sped up so people are looking for answers right away. Yeah, and it's, it's that's often puts too much pressure on the people that are trying to manage all of the patients that and all of their inquiries that they have. So I think, I think we need to make some serious changes in the way that we, that we staff hospitals, the way we staff clinics, and look and see what are the specific duties that need to be done, the specific activities and responsibilities in attending to a patient and specifically target personnel that are skilled in that activity, instead of having a physician who you know, is not the greatest typist, or is not the greatest at trying to figure out a code of billing for insurance or how to look at 100 messages that came in while she was attending to, you know, 25 patients in A clinic. It's just too much. It's overwhelming. And I mean, I now facilitate a group. It's a support group for physicians through physicians anonymous, where physicians are suffering from anxiety, depression, addiction. Suicide, ideation, and it's it's really at at scary levels right now, and I do think that the healthcare systems are starting to be aware of it. Think patients need to be aware of it, and the reason why, when you call, you're on hold forever or you never do get to speak to a real person, where it takes months to get in to see a doctor, it's because nobody's home. Yeah, everybody is many, many people have, have quit.   Michael Hingson ** 28:39 Yeah, there's such a shortage. I know at least we see ads oftentimes for nurses and encouraging people to go into the field, because there's such a shortage of nurses, just like there's a shortage of teachers. But we don't do as much with the conversation of, there's an incredible shortage of physicians. I think it's probably done in some ways, but not as publicly as like nurses and some other types of physicians.   Dr. Joe Sherman ** 29:13 Yes, I think right now, the I always feel like, I mean, this has been always true that on hospital floors, because the profit margin for hospitals is very narrow, there are only certain services that hospitals truly make profit on. So usually the staffing levels are kept to the very bare minimum, and now that just puts too much pressure on those that are remaining. And so now we're seeing many more hospitals have nurses that go out on strike or or decide to slow down, or. Or do other measures to try to get the attention of how dangerous it is to have understaffing in the hospital.   Michael Hingson ** 30:08 Have we learned anything, because of all the stuff that happened with COVID Now that we're in this somewhat post COVID world, have we have we learned a lot or any or anything, or is anything changing, and is there really ever going to be a true post COVID world? For that matter? That's a fair question.   Dr. Joe Sherman ** 30:29 That is a fair question. And I do think recent changes in policy by the CDC of of treating COVID As if it were influenza, or RSV or other type of respiratory viruses is there are many physicians that disagree with that policy, because COVID, this COVID, 19 that We've been dealing with, causes many more complications for those that have complex medical conditions, and this long COVID situation is something that we really don't have a grasp on at this point, but I believe one innovation I would see or expansion that has come about is the whole telehealth movement, now that there are many, many more video visits, I do think that's a good thing. I also believe that it can provide more flexibility for healthcare providers, which will help to decrease burnout, if providers are able to perhaps do their telehealth visits from home, or be able to spend time doing telehealth visits as opposed to having to see patients in person. I think what happens now is we need to get better organized as far as which types of visits are should be telehealth, and which types should be seen in person, so that one provider is not going back and forth from, you know, computer screen to seeing somebody in person, back and and so that gets too disorganized. Yeah, I think at times, other things, I think we learned a lot about infectious disease. I think that the general public learned a lot more about infections and infection control. I think that's all good. I think one thing that we did not learn, unfortunately, is how desperately we desperately we need to do something to try to stem the tide of burnout, because it just accelerated during COVID and then has continued to accelerate because of the economic crunch that healthcare systems find themselves in now.   Michael Hingson ** 33:10 Well, and what is, to me, a little bit scary, is all it takes is one COVID mutation that we don't expect or encounter, and we're almost in back where we were, at least for a while. And I hope the day will come when, rather than using the the mRNA type vaccine that we use now that we truly will have a vaccine like an influenza vaccine, that can really kill the virus and that we can then take, even if it's yearly, but that will truly build up the immune system in the same sort of way. Although I have no problem with the current vaccine, in fact, I'm going in for my next vaccine vaccination a week from tomorrow. And what cracks me up is I've been there a number of times, and some people talk about the conspiracies of all they're doing is injecting you with all these little things that are going to track you wherever you go. And I'm sitting there going, Fine, let them. Then if there's a problem, they're going to know about it, and they'll come and get me, you know, but what I really love to do is a nurse will come over, she'll give me the the vaccination, and she pulls the needle away, and then I reach over with my one hand and slap my hand right over where she did the shot. And I said, Wait a minute. One just got out. I had to get it, you know. And, and she says, you know, there aren't really any trackers. I said, No, I'm just messing with you, but, but you know, it will be nice when that kind of a vaccination comes, and I'm sure. Or someday it will.   Dr. Joe Sherman ** 35:02 Well, I think the vaccines it this specific, these types of respiratory viruses do mutate quite a bit. There's all kinds of variants, and they change every year. So I think no matter what kind of vaccine we get, we're still with with infections such as influenza or COVID, we're still going to end up needing to get annual vaccines, most likely, yeah,   Michael Hingson ** 35:34 and that is the issue, that even with influenza, we do get lots of variants, and I know a couple of years, as I understand it, they kind of predict what strains to immunize for based on like, when Australia gets in our middle of the year and things like that. But sometimes it doesn't work. That is they they guessed wrong when it gets to us, or it's mutated again, and it's unfortunate, but it is, it is what we have to deal with. So for me, as far as I'm concerned, anything that we can do is going to help. And I really have found the current vaccines that we do get for COVID, at least, whether it will totally keep you from getting it or not, which I gather it won't necessarily, at least it will mitigate to a large degree what could happen if you didn't take the vaccination.   Dr. Joe Sherman ** 36:34 Yes, yes, that's correct. We We are. We're seeing much less deaths as a result of COVID infection. However, in the peak of the winter time in the clients that I was that I've been coaching, who work in in hospitals and in ICUs, they were seeing still a large number of patients that were there. It's just that we've now developed better treatment and management for it and so, so then less people are dying of it. But it is, you know, we have, again, the amount of research, medical research and development that has developed these vaccines has prevented so much infection that what doctors are called on to do now and what they're called on to treat and manage has shifted much more into areas of behavioral health and lifestyle change than it is treating infections. That's dramatically different experience through my pediatric training than what type of training that a pediatrician these days gets   Michael Hingson ** 38:01 and there again, that means that the physicians have to spend the time learning a lot of that that they didn't learn before, which also takes a toll, because they can't be in front of patients while they're learning or while They're studying.   Dr. Joe Sherman ** 38:18 Yes, yeah, it's what the medical students and residents now are being called on to manage in the hospital are very, very complex, specialized conditions and very serious conditions. My experience as a resident was much more. The vast majority of people I took care of as a pediatric resident were normal, healthy children who happen to get sick, mostly with infection and sometimes very seriously sick, come in the hospital, receive treatment, and walk out as a child, a normal, healthy child again, we don't see that as often as pediatric residents, just speaking from pediatricians point of view, and I think that that has a an emotional toll on the resident physicians. I got a tremendous amount of reward from caring for patients with serious infections that received antibiotics and got completely better than patients who already have complex chronic conditions that just get worse or a complication, and they come In and the resident helps to manage them a little bit, and then sends them on their way. But really doesn't feel like they cured them contributed in the same way and that that was they don't have that same type of reward, that rewarding feeling, I think, are   Michael Hingson ** 39:59 we seeing? More of that kind of patient, significantly more than we used to in the hospital. Absolutely. Why is that? Is there really are more or   Dr. Joe Sherman ** 40:11 or what? Well, there aren't. We've taken care of most of the serious bacterial infections that used to be treated in the hospital with antibiotics, we've taken care of them with vaccines, and then we've also advanced the the quality and and variety of conditions that we can treat as an outpatient now, so that people that used to come into the hospital all the time for conditions, simple, basic things, are now treated as outpatients. And that's a good because you don't want to be in the hospital any longer than you absolutely have to. No,   Michael Hingson ** 40:58 I had, well, my father, I don't remember how old I was. It must have been in the we 1960 sometime he had to have a his gallbladder out. So it was a pretty significant operation at the time, because they he was in the hospital a couple days, and came home with a nice scar and all that. And then my brother later had the same thing. And then in 2015 suddenly I had this, really on a Thursday night, horrible stomachache. And I figured there is something going on. I hadn't had my appendix out, but this wasn't right where my appendix was, but we went to the local hospital. We called Kaiser, and they there isn't a hospital, a Kaiser hospital up here, so they sent us to another place, and they took x rays, and then we ended up going down. They they took me by ambulance on down to Kaiser, and it was a gallbladder issue. So I guess all the men in my family had it. But what happened was that when they did the surgery, and by the time we got down to Kaiser, the there was a gallstone and it passed. So I didn't want to do the surgery immediately, only because I had the following Sunday an engagement. So we did it, like a week later, the doctor thought I was crazy, waiting. And then later he said, Well, you were right. But anyway, when I had the operation, there were three little band aids, and it was almost, I guess you call it outpatient, because I went home two hours later. Wow, I was I was blessed. So they it was almost like, and I've had colonoscopies before. I didn't spend any more time doing the gallbladder operation than I did, really, with all that I spent in the hospital doing a colonoscopy, it was pretty good,   Dr. Joe Sherman ** 42:58 right? I do think that there's been again, major advances in endoscopic surgeries and robotic surgeries and minimally invasive procedures to be able to to treat patients. I mean, again, I have to say that our ability now to treat stroke and and heart attacks, myocardial infarction, our abilities to our ability to treat those acutely, do something to try to improve the outcome, has improved dramatically just recently, I would say, especially stroke management. So what we have is amazing, dramatic changes in in reducing the morbidity and mortality from stroke now, and I think that it's remarkable. Even as a physician, I didn't even realize until a recent trip I took to Bolivia with a group of neurosurgeons how stroke is treated now, and it's, it's, it's phenomenal that before you have a stroke, and it's just kind of like, well, you hope for the best. You support hope that some blood flow returns to that part of the brain. Now, if you have a stroke, and people are taught to recognize it and immediately get to the hospital, they can give a medication to melt the clot, or actually go in there with the catheter and extract the clot out of the vessel and restore you back to full function and   Michael Hingson ** 44:56 remarkable, and have a glass of red wine while you're at it. Yeah. Uh, or, or, do we still say that TPA helps some of those things a little bit? You   Dr. Joe Sherman ** 45:07 know, it's interesting. It's, you know, as far as as I think I've never seen so many articles written about the consumption of alcohol coffee, going back and forth and back and forth. You know what's helpful? What's not? Everything in moderation, I would say this point,   Michael Hingson ** 45:28 yeah, I I would not be a good poster child for the alcohol industry. I have tea every morning for well, with breakfast. And the reason I do is that I decided that that would be my hot drink of choice. I've never been a coffee drinker. The caffeine doesn't do anything for me, so it's more the tea and then a little milk in it. It is a hot drink. Ever since being in the World Trade Center, I do tend to clear my throat and cough more, so the tea helps that, and that's the reason that I drink tea. But I remember seeing old commercials about red wine. Can can help you. So if I have a choice in wine, I'll oftentimes get red just because I've heard that those commercials, and I don't know how how true it is anymore, but hey, it's as good a reason as any to have a glass of wine every other week. And that's about what it usually is.   Dr. Joe Sherman ** 46:26 Yeah, sounds like. Sounds like a good, a good plan. Yeah,   Michael Hingson ** 46:31 works. Well, it's, it's now kept me around for a while, and we'll keep doing it. It works. So what is it that healthcare workers and physicians do to kind of restore their love for what they do and work toward burnout? What can individuals do?   Dr. Joe Sherman ** 46:54 I think we're at a point now where in in approaching the issue of burnout and approaching the issue of overwhelm with the amount of work that physicians are called on to do these days is a combination of personal Changes to mindset and approach to our work, as well as structural and organizational changes to facilitate our work. And I think that the organizational structural changes, again, have to do with trying to improve specific staffing to match the activities and responsibilities that are that are called on in the medical setting, and being able to do more in the in the formation of medical teams and in teamwork And in people having a common mission, working together, appreciating what each other does, and hospital administrations and and those folks that run the business of the hospital truly value and enlist The engagement of frontline workers in policy and procedures. So those are kind of structural changes right on the personal side, yeah, I was that's I just a lot of it has to do with being more realistic. And I'm speaking to myself too. We can't do everything for everyone all the time we are human. We often have been taught that we are super human, but we're not. And if, if we try to do too much and try to do it perfectly, then our bodies will rebel and we'll get sick. So I think we need to set boundaries for ourselves. We need to be able to say, these are the hours that I'm working. I can't work any more than that. We need to say that you can't reach me three different ways, 24 hours a day, all the time, and have me respond to all of those inquiries, we have to set limits, and we have to really look at what it is that we love about medicine, what it is we love to do within medicine, and really try the best we can, I Think, with the help of coaches and other types of mentors and folks that can help us to create the types of jobs and the types of positions that help us maximize that experience of fulfillment, that experience of of. Feeling like we truly are contributing to the health and well being of our patients. Do   Michael Hingson ** 50:07 you think overall that the kind of work you do, and then others are doing to address the issue of burnout is is really helping? Are we are we making more progress, or are we still losing more than we gain.   Dr. Joe Sherman ** 50:23 I think we're making progress on an individual basis, on people that do seek help. But we need also to change the mindset of ourselves as physicians, to be willing to seek help. We need to seek help and be admit that we need that type of support, but until we get organizational commitment to trying to change the structures and the systems that we work under, then we will continue to have more physicians lost to burnout, depression and suicide.   Michael Hingson ** 51:05 Are healthcare institutions recognizing more the whole issue of burnout, and are they? Are they really starting to do more about it?   Dr. Joe Sherman ** 51:17 Some, I think some are. I think organizations are recognizing it. Associations of physicians are recognizing it. But when it comes to surviving as a health organization, healthcare institution, the bottom line is, what runs a show, and the way you make income is through billing, and the billing occurs as a result of a health care provider providing and billing for what they Do. So if there's an economic crunch, the first thing to go is anything that doesn't generate income and supports for the well being of staff does not generate direct income. What it does, though, is that it retains staff. It it results in a happier staff, a more higher professional satisfaction, and in the long run, is going to save you money,   Michael Hingson ** 52:33 yeah, which, which is another way of making some more money.   Dr. Joe Sherman ** 52:39 Yeah. I mean the total cost, the average cost for replacing a physician who has decided to quit is anywhere from about 600,000 to $2 million depending on the specialty of the physician. Yeah,   Michael Hingson ** 52:57 and then getting people to necessarily see that is, of course, a challenge, but it still is what what needs to happen, because it would seem to me that those costs are just so high, and that has to account for something that is still a fair chunk of money. Yeah, it   Dr. Joe Sherman ** 53:16 is. It's a great deal of money. And, you know, our again, our system of health care, we were headed in the right direction. And I think eventually we have to get there to population based health in looking at health outcomes and trying to look at overall health of of our our citizens and and those who live here in our country in trying to, instead of having a fee for service model, have a model that looks at reimbursement for health care based on the total health of The patient, and that is contributed to by nurses, doctors, technicians, receptionists, community health workers, all those types of health professionals.   Michael Hingson ** 54:12 What can we do to get the wider society to become more aware of all of these issues and maybe to advocate for change.   Dr. Joe Sherman ** 54:25 I think, I think avenues like this, these   Michael Hingson ** 54:29 podcasts, this podcast is one.   Dr. Joe Sherman ** 54:32 I also believe that look at your real life, lived experience of trying to access healthcare today compared to how it was 20 years ago, and are you having more trouble? Are you having is it more expensive? Are you having more challenges? This is direct result of a. System that's not functioning well.   Michael Hingson ** 55:02 Did the whole process of what we now call Obamacare, did that help in the medical process in any way? I   Dr. Joe Sherman ** 55:11 think what happened with Obamacare was well, and the bottom line answer is yes, it has helped. And the way it has helped is that more people have access to health insurance, less people are completely uninsured than ever before. So I think from that perspective, that's been helpful, but there were so many compromises, oh yeah, to insurance companies and two different lobbyists that were all looking out for their interests, that what ended up happening was a much more watered down version of what was initially proposed, but step in the right direction, And if we continue to work toward that, and we have some contribution of government sponsored health insurance, then we're going to be better off as a nation,   Michael Hingson ** 56:14 yeah, well, and anytime we can make a step forward, it does help, which is, of course, a good thing. So if there's one thing you want listeners to take away or watchers, because we are on YouTube, if there's one thing you want people to take away from this, what would it be?   Dr. Joe Sherman ** 56:33 It would be, pay attention to your own personal experience with healthcare. Pay attention to your own health and observe what's going on in the clinics, in the offices and in the hospitals where you receive your medical care. If somebody is treating you well with respect and compassion, point it out. Make it known. Thank them. Yeah, make it known that you know that they're under tremendous stress and pressure, and that anytime that they can be kind, then that means that they are very dedicated to to treating you, treating patients. And if you're finding that where you're going to receive your health care seems to be understaffed, and say something about it. If you have a health care provider who is a bit snappy, is not patient with you, doesn't seem to be listening to you, it's not because they don't want to. Yeah, they desperately want to. It's just that the conditions are such that they're not able to   Michael Hingson ** 57:44 and and it would probably be good to at least engage them in a little dialog and say, hey, hey, I'm not trying to yank your chain here and kind of try to help warm them up. I've been a firm believer that in a lot of places where I go, like in the in the airline world, the TSA people and so on, I love to do my best to make them laugh. So like when I go up to the kiosk and the TSA agent says, I need to see your ID, especially when I'm wearing a mask, I'll say, Well, what do you want to see it for? You can't tell who it is behind this mask, right? And I've had a couple people who didn't expect anything like that, but they usually laugh at it. Then the other one I love to use is they ask for my idea. I say, Well, what's wrong with yours? Did you lose yours? And I just love to try to make them laugh where I can, because I know it's a thankless job, and I know that what doctors and medical people deal with is a pretty thankless job, too. So it's fun to try to make them laugh whenever I can and get them to smile.   Dr. Joe Sherman ** 58:47 Yep, they all could use a little bit more humor. Yeah, there's always that. So   Michael Hingson ** 58:51 if people want to learn more about you and reach out and learn about your work and so on, how do they do that? Where do they find you, online or any of those things? Sure,   Dr. Joe Sherman ** 59:00 I have a website that you can go to. It's Joe Sherman md.com and you can reach me by email. Joe at Joe Sherman md.com also on LinkedIn, so you can find me there. Too Cool. Well,   Michael Hingson ** 59:20 once again, I want to thank you for being here. This has been a lot of fun and very enjoyable and in a lot of ways, but certainly educational, and I've learned a lot, and we got through all the questions this time that we didn't get through last time, which is always a good thing. So see, it was worth doing it twice.   Dr. Joe Sherman ** 59:39 Great. Thank you so much. Well, it was   Michael Hingson ** 59:42 fun, and of course, for you listening out there, reach out to Joe, and I want to hear from you. I want to hear what you think of today. So please email me. Michael, h i at accessibe, A, C, C, E, S, S, I, B, e.com, or go to our podcast page, www, dot. Michael hingson.com/podcast and Michael Hinkson is m, I, C, H, A, E, L, H, I N, G, s, O n.com/podcast, would really appreciate a five star review from you, wherever you are listening to us. We like those reviews if you can, if you know anyone that you think ought to be a good guest on unstoppable mindset. And Joe you as well. We'd love to hear from you or provide us introductions. Always looking for more folks to to meet and to chat with, and love the incredible diversity and subjects that we get to talk about. So that makes it a lot of fun, but I do want to just once more. Joe, thank you for being here. This has been enjoyable, and I really appreciate it. Thanks   Dr. Joe Sherman ** 1:00:40 so much, Michael, I enjoyed the conversation.   Michael Hingson ** 1:00:48 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

In this episode of the Brain & Life podcast, Dr. Katy Peters is joined by author, essayist, and speaker who “writes, thinks, and talks about disability” Jessica Slice. Jessica shares about her experiences as a disabled parent, what inspired her to write her books, and what hopes she has for the future. Dr. Peters is then joined by Dr. Svetlana Blitshteyn, Director and Founder of Dysautonomia Clinic and Clinical Associate Professor of Neurology at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences. Dr. Blitshteyn explains exactly what Ehlers-Danlos, POTS, and Dysautonomia are, how diagnoses are made, and what treatment options look like.  We invite you to participate in our listener survey! By participating in the brief survey, you will have the opportunity to enter your name and email address for a chance to win one of five $100 Amazon gift cards.   Additional Resources Jessica Slice Understanding the Mysteries of POTS and Other Autonomic Disorders A Swimmer Returns to the Pool After Ehlers-Danlos Syndrome Diagnosis New Research May Help People with Long-Haul COVID-19 Dysautonomia Clinic   Other Brain & Life Episodes on Similar Topics Understanding Long COVID: What We Know How Paula Carozzo is Redefining Disability and Advocating for Her Community How Disability Advocate Wesley Hamilton Became Empowered by Adversity   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 Email us at BLpodcast@brainandlife.org   Social Media:   Guests: Jessica Slice @jessicaslice; Dr. Svetlana Blitshtyen @dysclinic Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Rick Strassman is a Clinical Associate Professor of Psychiatry at the University of New Mexico School of Medicine. His new book, "My Altered States: A Doctor's Extraordinary Account of Trauma, Psychedelics, and Spiritual Growth," is available now. www.rickstrassman.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

My guest today is Dr. Britt Yamamoto.I'm also delighted to share that the host of today's conversation is my friend, Russ Watts.  This is Russ's second time hosting a conversation here and I hope you'll encourage him to do more!My only dilemma when Russ hosts is that I am slightly envious of not being in the conversation myself.  But, to counter that, I have the delight of listening and being touched and inspired and it is a very special experience.Dr. Yamamoto is an expert in designing strategies and building environments that emphasize ongoing, reciprocal learning within businesses, organizations, and educational institutions.  He is highly skilled in working with leaders to grow their self-awareness, deepen their purpose, and enhance their personal and professional wellbeing.Britt in the co-founder and CEO of Perennial, a leadership training organization that works with community leaders in Africa, Asia-Pacific, Latin America and the Middle East on how to connect to and grow their long-term leadership capacities.  He's a Clinical Associate Professor at the University of Washington Department of Global Health, and the author of the book, Soil of Leadership: Cultivating the Conditions for Transformation.  His book is newly released and is a collection of leadership practices and perspectives informed by his work as an organic farmer.On a personal note, Britt is an avid long-distance runner, a novice podcaster, and as a child of the Pacific Ocean, finds joy in warm water, navigating beach breaks, and looking out for the perfect taco!Britt, thank you for this wise, thoughtful, and stirring conversation.  Thank you for the inspiration to ‘human better together'.  May your work continue to grow deep into the heart and souls of leaders young and old and produce the fruit of transformation that our world craves.To learn more about Britt and his work, you'll find links below:The Soil of Leadership: https://thesoilofleadership.org/Connect with Britt on LinkedInFollow Britt on Instagram Make Life Less Difficult

In this podcast episode, Dr. Jonathan H. Westover talks with Sarah Adler about supporting mental health in the modern workplace. Dr. Sarah Adler is CEO/Founder of Wave Life, a mental health platform that pairs affordable and quality coaching with engaging and immersive skill-building for Gen Z. She is a licensed clinical psychologist and former hedge fund analyst obsessed with improving access to high-quality mental healthcare. Dr. Adler is a Clinical Associate Professor of Psychiatry at Stanford University. She sits on the advisory board of Redesign Health, and the Board of Directors of mpathic, using AI to improve empathic communication at scale. Previously, Sarah was CCO at a national behavioral health start-up, and Founding partner of Peninsula Behavioral Health a group practice providing evidence based-care to the San Francisco Bay Area.  Check out all of the podcasts in the HCI Podcast Network!

It's not easy to get a good night sleep when you're going through divorce, despite all the info out there on sleep hacks, sleep medicine and even gummies. We know this challenge personally, so we brought in Dr. Shelby Harris, board certified in Behavioral Sleep Medicine and a Clinical Associate Professor at Albert Einstein College of Medicine, to offer up the best tips and advice on how to get your zzz's, even under a tremendous amount of stress. (Guest: Shelby Harris, Sleep Expert) Get access to our private divorce life hacks and personal notes by signing up for our weekly newsletter at ⁠⁠⁠⁠⁠⁠⁠⁠www.exexperts.com⁠⁠⁠⁠⁠⁠⁠⁠. Follow @exEXPERTS on TikTok and Instagram

This week's guest on The CMO Podcast is one of the foremost experts in the world of Artificial Intelligence and marketing, Professor Jim Lecinski. Jim is the Clinical Associate Professor of Marketing at Northwestern Kellogg. We use the term “Renaissance man or woman” too loosely these days, but in this case it's an appropriate moniker. Consider these highlights from Professor Lecinski's curriculum vitae:Studied German and Government at Notre Dame, MBA from Illinois.Teaches seminars and blogs about Jazz for newcomers.Has written for The Journal of the International Association of Jazz Record Collectors.Twelve years at Google, left as a VP.Literally wrote the book on marketing and AI, back in 2021 before it was the “in thing.”Awarded Professor of the Year at Northwestern Kellogg in 2022.It's a double-Jim conversation, as the two dive into the hottest topic in marketing...AI.---Learn more about AI:Marketing AI Institute: https://www.marketingaiinstitute.com/Andrew Ng's Courses on Coursera: https://www.coursera.org/instructor/andrewngKeynotes to Watch:Agentforce Keynote: Build the Future with AI Agents: https://www.salesforce.com/plus/experience/dreamforce_2024/series/agentforce_&_data_cloud_at_dreamforce_2024/episode/episode-s1e27Google Cloud CEO Thomas Kurian'a Keynote: https://cloud.withgoogle.com/nextAnd pickup Jim and Raj Venkatesan's book - The AI Marketing Canvas: A Five-Stage Road Map to Implementing Artificial Intelligence in Marketing: https://a.co/d/9osop0BSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.