Podcasts about clinical pearls

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the November 2025 Emergency Medicine Practice article, Diagnosis and Management of Emergency Department Patients With Alcohol Withdrawal SyndromeEpidemiology & Background Rising ED visits related to alcohol use. Mortality rates and spectrum of patient presentations. Importance of high suspicion and complexity of cases.Pathophysiology & Mechanisms Alcohol metabolism and neurochemical changes. Differential diagnosis: Conditions that mimic alcohol withdrawal.Prehospital & EMS Considerations Role of EMS in triage and initial management. Use of sobering centers vs. ED transport. Prehospital administration of benzodiazepines (IM midazolam).History & Risk Assessment Key questions to assess risk for alcohol withdrawal syndrome. Importance of patient history, medication use, and comorbidities. Discussion on patient honesty and rapport.Physical Exam & Scoring Systems DSM-5 criteria for alcohol withdrawal. Use of CIWA-AR, BAWS, and PAWSS scoring systems. Importance of objective measurement for monitoring and disposition.Complications & Special PresentationsComplicated alcohol withdrawal: Hallucinosis, seizures, delirium tremens. Diagnostic workup: Labs, imaging, and co-ingestions. Special populations: End-stage liver disease, pregnancy, intubated patients.Treatment Strategies Mainstay: Benzodiazepines (types, dosing, and protocols). Phenobarbital: Indications, dosing, and evidence. Adjunctive therapies: Thiamine, glucose, magnesium. Alternative/adjunct medications: Gabapentin, ketamine, dexmedetomidine, baclofen.Clinical Pearls & Practice Changes Early, aggressive therapy to prevent complications. Symptom-based vs. fixed-schedule treatment. Gabapentin as an alternative or adjunct. Anti-craving medications for relapse prevention.Disposition & Protocols Use of scoring systems for safe discharge, observation, or admission. Importance of protocolized approaches and community resources.Summary & Take-Home Points Five key practice-changing points. Clinical pathway.Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

For this week's episode of the Clinician's Corner, we've gone into the archives to pull out another clinical pearl from one of our favorite episodes - and today we discuss the powerful healing properties of sulforaphane with David Roberts & Dr. John Gildea, from Mara Labs.   This interview first aired in 2023, and the full interview can be viewed here.   Clinical pearls we extracted from the original interview: The story behind BrocElite, a stabilized sulforaphane supplement The motivation behind the research  The scientific background on sulforaphane (e.g., its development and stabilization) How sulforaphane plays a role in cancer and chemotherapy  The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/   Connect with Mara Labs: Website: https://mara-labs.com/ Instagram: https://www.instagram.com/themaralabs/?hl=en Facebook: https://www.facebook.com/themaralabs/    Speaker bios: David Roberts holds a MPH from Johns Hopkins, a Masters in BME from the UVA, and a Bachelors in EE and BME from Duke. David has more than 20 years of public health experience on three continents. In 2014 David cofounded the gut supplement, RESTORE, now called ION.    Dr. John Gildea is Cell Pathophysiologist and Molecular Geneticist with 33 years of scientific research experience at the bench in both industrial and academic labs.  A guiding principle of his work is to establish innovative optimized model systems and assays in order to robustly investigate both normal and pathological states. He has extensive expertise establishing and investigating in-vivo, ex-vivo, primary and immortalized cell culture systems, molecular biology, antibody based and nucleic acid based diagnostic assay development, electron and fluorescence microscopy and flow cytometry. Dr. Gildea has published 63 peer reviewed articles, 3 book chapters, 3 reviews, 3 patents, and has 3173 citations.    Keywords: functional health, sulforaphane, broccoli, breast cancer, oncology, chemosensitizer, glucoraphanin, myrosinase, supplement, restorative health, anti cancer, clinical skills, chronic disease, cancer models, NRF2, antioxidant system, chemotherapy, metastasis, Mara Labs, Baroque Elite, broccoli sprouts, juicing, practitioner training, case studies, gastrointestinal healing, functional medicine, curriculum, certification, clinical mastery, immune system, detoxification Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Jackie Garlich, OD, FAAO, and Jessilin Quint, OD, MS, MBA, FAAO, welcome Alfonso L. Sabater, MD, PhD, on this episode of To the Point to share his expertise on the use of autologous serum drops in the treatment of ocular surface and corneal disease. Dr. Sabater describes some of the clinical benefits and challenges, which patients may be ideal candidates, and what clinicians should know when getting started with this treatment option.

Bridge the gap between innovation and practice: are you unlocking the potential of novel agents in dialysis-dependent chronic kidney disease (CKD) anemia? Credit available for this activity expires: 10/31/26 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1003063?ecd=bdc_podcast_libsyn_mscpedu

Stubborn Candida Signs That Secretly Sabotage Your Body - Clinical Pearls Discussed

For this week's episode of the Clinician's Corner, we've gone into the archives to pull out another clinical pearl from one of our favorite episodes - and today we discuss glutathione's role in detox, inflammation, and client care with Dr. Gina Nick. This interview first aired in 2024, and the full interview can be viewed here. Clinical pearls we extracted from the original interview: Dr. Gina's personal health journey and observations of people benefiting from detox Her discovery and clinical use of glutathione (including its use during Covid and with drug addiction) The science and mechanisms of glutathione (e.g., glutathione as "master antioxidant") Dosing and timing considerations Practical uses in everyday scenarios The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/ Connect with Dr. Gina Nick: Website: www.bestdailyever.com Instagram: @bestdailyever and @drginanick Facebook: bestdailyever and drginahealing Twitter: @bestdailyever and @drginanick Timestamps: 00:00 "Glutathione: Master Antioxidant Insights" 05:56 "Mitochondrial Toxins and Cognitive Decline" 09:41 Gastrointestinal Healing Self-Study Launch 11:27 "Begin Your Restorative Health Journey" Speaker bio: Dr. Gina Nick is a world-renowned Naturopathic Physician, Researcher, and Formulator based in Newport Beach, California. With a dedication to holistic wellness, she's known for her expertise in treating a wide range of health concerns, from autoimmune diseases to addiction recovery, anxiety, and more. After graduation from medical school, she became the Director of Research for a leading supplement company, earning the company billions. She's since held the roles of Executive Healthcare Consultant to Local and Government Agencies and President Emeritus of the California Naturopathic Doctors Association. As the Founder and Director of Healthbridge in Newport Beach, California, her practice was awarded "Top Medical Practice 2017," a testament to her commitment to excellence. As a published author, entrepreneur, and certified yoga instructor, Dr. Gina is a multifaceted professional with a passion for improving the lives of others. With her unwavering commitment to nurturing health naturally, she's not just your typical medical professional. Dr. Gina is a nurturing soul, a devoted mom, and an advocate for holistic well-being. She's licensed in both California and Hawaii and is excited to share her journey with you. Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.

Elevate your nasopharyngeal cancer (NPC) care. Top experts deliver 10 clinical pearls on new standards in immunotherapy, radiation, and surveillance. Credit available for this activity expires: 9/30/26 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/top-10-clinical-pearls-outlining-optimal-care-nasopharyngeal-2025a1000pwu?ecd=bdc_podcast_libsyn_mscpedu

For this week's episode of the Clinician's Corner, we've gone into the archives to pull out another clinical pearl from one of our favorite episodes - and today we discuss bone health with Kevin Ellis, the Bone Coach.  This interview first aired in 2024, and the full interview can be viewed here.   Clinical pearls we extracted from the original interview:   - The importance of comprehensive bone assessment (such as using the Trabecular Bone Score (TBS) as a measure of bone quality.   - Understanding osteoporosis, including categories of osteoporosis and the key factors leading to osteoporosis   - Types of bone assessment tools   - Building and maintaining bone health   - Practical guidelines for supplementation and nutrition    The Clinician's Corner is brought to you by Restorative Wellness Solutions.  Follow us: https://www.instagram.com/restorativewellnesssolutions/    Connect with Kevin Ellis: BoneCoach™ Website: https://bonecoach.com/ BoneCoach™ Facebook: https://www.facebook.com/bonecoach BoneCoach™ Youtube: https://www.youtube.com/bonecoach BoneCoach™ Instagram: https://www.instagram.com/bonecoachkevin BoneCoach™ Pinterest: https://www.pinterest.com/bonecoach BoneCoach™ TikTok: https://www.tiktok.com/@bonecoach BoneCoach™ Podcast: https://podcasts.apple.com/us/podcast/the-bone-coach-osteoporosis-bone-health-podcast/id1483975147 BoneCoach™ Linkedin:  https://www.linkedin.com/in/bonecoach    Timestamps:  00:00 Bone Health Insights for Clinicians 06:16 "Essential Vitamins for Bone Health" 08:18 "Master Gut Healing Course"   Speaker bio: Kevin Ellis, better known as Bone Coach™, is a Forbes-featured Integrative Health Coach, podcaster, and is the founder of BoneCoach.com      Through a unique 3-step process and a world-class coaching program called the Stronger Bones Solution™, he and his team have helped thousands of people with osteopenia and osteoporosis in over 1500+ cities around the world get confident in their stronger bones plan.    His mission is to help millions of people with osteoporosis build stronger bones… and to help our children and grandchildren create a strong and healthy foundation so they can lead long, active lives.    Keywords: osteoporosis, bone density, bone quality, trabecular bone score, TBS, bone strength, early screening, baseline bone scans, bone health, functional health professionals, bone formation, bone loss, fracture risk, DEXA scan, hormone balance, resistance training, calcium intake, calcium supplementation, vitamin K2, vitamin D, magnesium, digestive health, postmenopausal women, estrogen, primary osteoporosis, secondary osteoporosis, glucocorticoids, prednisone, kidney stones, cardiovascular disease risk Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/EFP865. CME/MOC/NCPD/AAPA credit will be available until August 20, 2026.Leveraging Biomarkers to Optimize Treatment Outcomes With ATTs in Early Symptomatic Alzheimer's Disease: New Data and Clinical Pearls From AAIC 2025 In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/EFP865. CME/MOC/NCPD/AAPA credit will be available until August 20, 2026.Leveraging Biomarkers to Optimize Treatment Outcomes With ATTs in Early Symptomatic Alzheimer's Disease: New Data and Clinical Pearls From AAIC 2025 In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/EFP865. CME/MOC/NCPD/AAPA credit will be available until August 20, 2026.Leveraging Biomarkers to Optimize Treatment Outcomes With ATTs in Early Symptomatic Alzheimer's Disease: New Data and Clinical Pearls From AAIC 2025 In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/EFP865. CME/MOC/NCPD/AAPA credit will be available until August 20, 2026.Leveraging Biomarkers to Optimize Treatment Outcomes With ATTs in Early Symptomatic Alzheimer's Disease: New Data and Clinical Pearls From AAIC 2025 In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/EFP865. CME/MOC/NCPD/AAPA credit will be available until August 20, 2026.Leveraging Biomarkers to Optimize Treatment Outcomes With ATTs in Early Symptomatic Alzheimer's Disease: New Data and Clinical Pearls From AAIC 2025 In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/EFP865. CME/MOC/NCPD/AAPA credit will be available until August 20, 2026.Leveraging Biomarkers to Optimize Treatment Outcomes With ATTs in Early Symptomatic Alzheimer's Disease: New Data and Clinical Pearls From AAIC 2025 In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

For this week's episode of the Clinician's Corner, we've gone into the archives to pull out another clinical pearl from one of our favorite episodes - and today we discuss the gut-brain connection with Kiran Krishnan.   This interview first aired back in 2023, and the full interview can be viewed here.   Clinical pearls we extracted from the original interview:     - The prevalence and and connection of key health issues with the gut (such as IBS, depression, and anxiety)     - The psychology behind learning to live with chronic health issues     - The science behind psychobiotics (specifically looking at Bifidobacterium longum 1714 - its anti-inflammatory properties and impact on mood & brain activity)     - Practical takeaways for clinicians (such as how to use these psychobiotics to prevent leaky-gut, modulate stress, and reduce inflammation).   The Clinician's Corner is brought to you by Restorative Wellness Solutions.  Follow us: https://www.instagram.com/restorativewellnesssolutions/    Connect with Kiran Krishnan: Website: https://microbiomelabs.com/ Instagram: https://www.instagram.com/kiranbiome/    Timestamps:  00:00 Widespread Self-Medication for Common Ailments 05:56 Brain Scan Study: Placebo vs. 1714 09:15 "Master Gut Healing for Clinicians" 10:18 "Effective Gut Health Protocols"   Speaker bio: Kiran Krishnan has been involved in the dietary supplement and nutrition market for the past 17 years. Coming from a strict research background, working for years in the product development for Amano Enzyme, USA - one of the world's largest suppliers of therapeutic enzymes - he has designed and conducted dozens of human clinical trials in human nutrition. And now he holds the title of Chief Scientific Officer at Physician's Exclusive and Microbiome Labs. Kiran has developed over 50 private label nutritional products for small to large brands in the global market, is a frequent lecturer on the Human Microbiome at Medical and Nutrition Conferences, and is currently involved in 9 novel human clinical trials on probiotics and the human microbiome.   Keywords: Restorative Wellness Solutions, functional health professionals, gut-brain connection, Kiran Krishnan, Microbiome Labs, probiotics, psychobiotic, Bifidobacterium longum 1714, gut health, brain health, inflammation, mood improvement, anxiety, depression, irritable bowel syndrome (IBS), gut inflammation, microbiome, cortisol, HPA axis, neurotransmitters, stress response, food sensitivities, gastrointestinal healing, advanced lab testing, chronic illness, constipation, diarrhea, food intolerances, sleep disorders, practitioner training, clinical protocols Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Top Takeaways from the Coccydynia Symposium (Flash Sale!)We just wrapped the Coccydynia Symposium, bringing together the world's leading experts on persistent tailbone pain.In this episode, Nicole shares her biggest takeaways from each speaker, including:

HIV treatment has evolved significantly, offering streamlined regimens and improved patient outcomes. This episode will discuss the latest antiretroviral therapy (ART) guidelines, highlighting preferred regimens, key pharmacologic considerations, and practical counseling strategies for pharmacists. Tune in to enhance your clinical knowledge and play a pivotal role in optimizing care for individuals living with HIV. Joshua Davis Kinsey, PharmDVP, EducationCEimpactRachel Maynard, PharmDLead EditorPyrlsJoshua Davis Kinsey and Rachel Maynard have no relevant financial relationships to disclose. BONUS: With this episode, you also get exclusive, free access to beautifully designed clinical charts and practice resources from our friends at Pyrls, that you can use in your everyday practice. Click the links below to access these practical tools:HIV PharmacotherapyHIV MedicationsAnd more! Pharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Identify current guideline-recommended antiretroviral therapy (ART) regimens and their key components.2. Describe important counseling points for pharmacists supporting patients on HIV treatment, including adherence, side effects, and drug interactions.0.05 CEU/0.5 HrUAN: 0107-0000-25-245-H02-PInitial release date: 7/21/2025Expiration date: 7/21/2026Additional CPE details can be found here.

HIV treatment has evolved significantly, offering streamlined regimens and improved patient outcomes. This episode will discuss the latest antiretroviral therapy (ART) guidelines, highlighting preferred regimens, key pharmacologic considerations, and practical counseling strategies for pharmacists. Tune in to enhance your clinical knowledge and play a pivotal role in optimizing care for individuals living with HIV. Joshua Davis Kinsey, PharmDVP, EducationCEimpactRachel Maynard, PharmDLead EditorPyrlsJoshua Davis Kinsey and Rachel Maynard have no relevant financial relationships to disclose. BONUS: With this episode, you also get exclusive, FREE access to beautifully designed clinical charts and practice resources from our friends at Pyrls, that you can use in your everyday practice. Click the links below to access these practical tools:HIV PharmacotherapyHIV MedicationsAnd more! Pharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE INFORMATIONLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Identify current guideline-recommended antiretroviral therapy (ART) regimens and their key components.2. Describe important counseling points for pharmacists supporting patients on HIV treatment, including adherence, side effects, and drug interactions. 0.05 CEU/0.5 HrUAN: 0107-0000-25-245-H02-PInitial release date: 7/21/2025Expiration date: 7/21/2026Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

In this episode, we explore buprenorphine management for opioid use disorder, covering induction protocols, dosing strategies, and long-term maintenance. Why do patients need to be in withdrawal before starting this life-saving medication, and how can we make this challenging process more manageable? Faculty: Smita Das, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1 CME: Pharmacologic Management of Opioid Use Disorder Buprenorphine for Managing OUD

For this week's episode of the Clinician's Corner, we've gone into the archives to pull out another clinical pearl from one of our favorite episodes - and today we discuss the world of integrative cancer care with Dr. Nasha Winters.   This interview first aired back in 2023, and the full interview can be viewed here.    Clinical pearls we extracted from the original interview:        The “cancer terrain” concept and its drivers (Dr. Nasha highlights the top 10)      Diet, nutrition, and cancer      The modern state of metabolic health - and misconceptions about metabolic markers      The role of ketosis and therapeutic diets in cancer      Testing and lab assessment for personalized nutrition       Therapeutic ketosis in pediatric cases   The Clinician's Corner is brought to you by Restorative Wellness Solutions.  Follow us: https://www.instagram.com/restorativewellnesssolutions/    Join us for a FREE 3-Part Fertility Masterclass Series: Precision Nutrition for Fertility Grab your spot now!    Connect with Dr. Nasha Winters:   Website: https://www.drnasha.com Facebook: https://www.facebook.com/drnashainc/ and https://www.facebook.com/mtih.org Instagram: https://www.instagram.com/drnashawinters/ and https://www.instagram.com/mtihorg LinkedIn: https://www.linkedin.com/in/nasha-winters-796374b6/ Twitter: https://twitter.com/drnashawinters and https://twitter.com/MTIH_Terrain YouTube: https://www.youtube.com/c/drnashainc/videos?app=desktop    For more information on the Metabolic Terrain Institute of Health: https://mtih.org Additional Resources from Dr. Nasha: Education Resources: https://www.drnasha.com/matcbook/ The Mistletoe Book: https://www.themistletoebook.com MTIH - Practitioner Terrain Network: https://terrain.network/tap/    Timestamps:  00:00 Understanding Cancer's Growing Impact 03:20 "Integrative Cancer Care: Bridging Worlds" 08:29 Toxicity, Microbiome, and Individual Sensitivity 10:55 Circadian Rhythm and Holistic Stressors 13:31 Diet's Impact on Metabolic Health 17:55 Inconsistent Blood Sugar Standards 22:12 "Reevaluating Diet Myths: Fat vs. Sugar" 24:47 Personalized Metabolic Health Strategies 28:21 Alternative Ketosis Methods Explored 32:28 Fertility Masterclass Invitation 35:00 Inaccuracies in Cell Line Studies 37:37 "Ketosis: Impact on Cancer & Epilepsy" 41:53 DIPG Support and Resource Hub 44:07 "Clinician's Corner: Join & Share" Speaker bio: Dr. Nasha Winters is a global healthcare authority and best-selling author in integrative cancer care and research consulting with physicians around the world. She has educated hundreds of professionals in the clinical use of mistletoe and has created robust educational programs for both healthcare institutions and the public on incorporating vetted integrative therapies in cancer care to enhance outcomes.  She is currently focused on opening a comprehensive metabolic oncology hospital and research institute in the U.S. where the best that standard of care has to offer and the most advanced integrative therapies will be offered. This facility will be in a residential setting on a gorgeous campus against a backdrop of regenerative farming, EMF mitigation and retreat, as well as state of the art medical technology and data collection and evaluation to improve patient outcomes.   Keywords:  cancer treatment, metabolic health, integrative medicine, functional health, ketogenic diet, therapeutic ketosis, metabolic flexibility, terrain theory, epigenetics, toxins, microbiome, immune function, inflammation, angiogenesis, blood sugar, insulin resistance, lipid profile, fasting, intermittent fasting, circadian rhythm, stress management, mental health, spiritual wellness, pediatric cancer, nutritional therapies, alternative medicine, complementary medicine, oncology, laboratory testing, diet personalization Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Podcast family, we are in process of an exciting rebrand! Dr. Chapa's Clinical Pearls will soon become our legacy show as we change names and channels to, "Dr. Chapa's OBGYN No Spin Podcast". This will allow us to better align with our mission. Listen in for details and FIND US, as Dr. Chapa's OBGYN No Spin Podcast!!

In this episode with Dr Andrea Mosler, we discuss some great clinical pearls when assessing and treating groin pain. We explore:Assessment tools to explore impairmentsCategorisation of groin related groin painBattery of tests for differential diagnosisTop tips for the objective examinationThis episode is closely tied to Andrea's Practical she did with us. With Practicals you can see exactly how top experts assess and treat specific conditions – so you can become a better clinician, faster.

Clinical Pearls from Dr. Dominic D'Agostino: Therapeutic Strategies and Clinical Success with the Ketogenic Diet  For this week's episode of the Clinician's Corner, we're doing something differently. We have gone into the archives and pulled out clinical pearls from some of our favorite episodes, and we're starting today with one of our most popular interviews with Dr. Dominic D'Agostino - where we unpack the ketogenic diet in all its nuances.   This interview first aired back in 2023, and the full interview can be viewed here.    Clinical pearls we extracted from the original interview: When the ketogenic diet is best used clinically; when it's contraindicated; and how to structure it for best results What the latest research is telling us about therapeutic application of this protocol - from metabolic health to neurological considerations and cancer  Exogenous ketones: when and how to use them  The intricacies of macronutrient ratios and when/how to cycle in and out of ketosis Measurement: the best forms for tracking ketosis and other key biomarkers to monitor   The Clinician's Corner is brought to you by Restorative Wellness Solutions.  Follow us: https://www.instagram.com/restorativewellnesssolutions/    Connect with Dr. D'Agostino: Website: https://drdominicdagostino.com/ Instagram:  https://www.instagram.com/dominic.dagostino.kt/    LinkedIn:  https://www.linkedin.com/in/dominic-d-agostino-156014b/ Twitter:  https://twitter.com/DominicDAgosti2      Learn more about the ketogenic diet here: https://ketonutrition.org/    Timestamps:  00:00 History and Uses of Ketogenic Diet 06:25 Liver's Role in Ketone Production 07:22 Preventing Kidney Stones on Keto 13:15 Ketogenic Diet Supplement Tips 14:58 Minimal Supplements for Ketogenic Diet 18:07 Misleading Marketing of 1,3-Butanediol 24:08 Advanced Hormone and Metabolomics Testing 27:20 Monitor Meds During Diet Changes Speaker bio:   Dr. D'Agostino is a tenured Associate Professor at the University of South Florida (USF) Morsani College of Medicine in the Department of Molecular Pharmacology and Physiology. He teaches medical neuroscience, medical physiology, nutrition and neuropharmacology. He is also a Research Scientist at the Institute for Human and Machine Cognition (IHMC) to assist with their efforts towards optimizing the safety, health and resilience of the warfighter and astronaut. His primary research focuses on developing and testing nutritional and metabolic-based therapies for a variety of disease states and advancing the use of metabolic-based therapies into human clinical applications.   Keywords:  ketogenic diet, therapeutic ketosis, blood ketone levels, exogenous ketones, metabolic therapies, epilepsy, neuroprotection, anti-seizure strategy, type 2 diabetes, weight loss, cancer, muscle wasting, Parkinson's disease, Alzheimer's disease, migraines, polycystic ovary syndrome, psychiatric disorders, bipolar disorder, anxiety, autism, traumatic brain injury, non-alcoholic fatty liver disease, stroke, GLUT1 deficiency, carnitine supplementation, kidney stones, electrolyte balance, MCT oil, creatine monohydrate, caffeine and ketone production, comprehensive blood work Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Today we give you our final discussion with Dr. Andrew Kiselica regarding aspects of neuropsychological test interpretation. In this conversation, we end with some clinical pearls about integrating knowledge of psychometrics and strategies for test interpretation into our clinical practice. Show notes are available at www.NavNeuro.com/169 _________________ If you'd like to support the show, here are a few easy ways: 1) Get CE credits for listening to select episodes: www.NavNeuro.com/INS  2) Tell your friends and colleagues about it 3) Subscribe (free) and leave an Apple Podcasts rating/review: www.NavNeuro.com/itunes 4) Check out our book Becoming a Neuropsychologist, and leave it an Amazon rating   Thanks for listening, and join us next time as we continue to navigate the brain and behavior! [Note: This podcast and all linked content is intended for general educational purposes only and does not constitute the practice of psychology or any other professional healthcare advice and services. No professional relationship is formed between hosts and listeners. All content is to be used at listeners' own risk. Users should always seek appropriate medical and psychological care from their licensed healthcare provider.]

Dr. Hector Chapa is a practicing OBGYN who is involved in education at Texas A&M University's School of Medicine. He is also the host of a fun and engaging medical podcast, "Dr. Chapa's Clinical Pearls," that focuses on women's healthcare. In this episode, Dr. Chapa shares his path through medicine touching on the importance of passion in medicine and the shifting landscape of reproductive rights and access to care in Texas.

From mast cells and microplastics to bile acids and B1 - this episode is a clinical deep dive you won't want to miss. If you're a wellness practitioner who loves learning the why behind what's happening in your patients' bodies, you're going to love this one. In this solo episode, I'm recapping some of the most cutting-edge insights I gathered at a recent CellCore clinical conference - and trust me, this one's packed.   We're talking about:

Summary In this session from the 2024 SF Derm Society Annual Meeting, Dr. Lindy Fox discusses the critical topic of angioinvasive fungal infections, particularly in immunosuppressed patients. This truncated session covers the clinical presentation, diagnostic challenges, and emerging resistance patterns in fungal infections. Dr. Fox emphasizes the importance of recognizing the signs of invasive fungal infections and the need for broad coverage in treatment, especially given the rising rates of antifungal resistance. The episode concludes with key takeaways for dermatologists and a reminder of the podcast's educational purpose. Takeaways - Angioinvasive fungal infections are a significant concern for immunosuppressed patients. - Acute respiratory infections can increase the risk of invasive fungal infections. - Candida auris is a new resistant strain to be aware of. - Differentiating fungal organisms on H and E is unreliable; cultures are essential. - Antifungal resistance is on the rise, impacting treatment options. - Voreconazole does not treat mucor, leading to potential breakthrough infections. - L. prolificans is pan-resistant and often fatal. - Morphology is crucial in guiding the differential diagnosis of fungal infections. - Sweet syndrome can mimic other conditions histologically. - The podcast aims to educate and is not a substitute for medical advice. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 00:53 - Understanding Angioinvasive Fungal Infections 03:49 - Clinical Pearls for Diagnosing Fungal Infections 08:02 - Diagnostic Considerations in Fungal Infections 10:06 - Therapeutic Considerations and Resistance Patterns

Brace yourself! This week, we're learning about cerebral palsy from Dr. Matthew MacCarthy, who is both a pediatric physical medicine and rehabilitation (PM&R) specialist at Prisma Health in South Carolina AND a person with cerebral palsy. We're talking NICU, Botox, and puberty, so get ready to stretch your knowledge with a thoughtful approach to CP diagnosis and management.

In this episode, Diogo Gomes interviews internationally renowned physiotherapist and researcher Dr. Alison Grimaldi for a focused discussion on gluteal tendinopathy. They explore common myths and misconceptions surrounding the condition, clarify the current evidence base, and share valuable clinical insights for effective assessment and management. With a clear and practical approach, Dr. Grimaldi offers take-home messages that clinicians can immediately apply in practice. Whether you manage this condition regularly or are looking to refine your approach, this episode is a must-listen.

In this episode, we discuss the appropriate use of benzodiazepines, focusing on evidence-based indications and optimal medication selection. Did you know that alprazolam has unique properties that make it more addictive than other benzodiazepines? Faculty: Alexis Ritvo, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1 CME: Understanding Benzodiazepine Prescribing: A Clinician's Guide Appropriate Benzodiazepine Use: Indications and Optimal Selection

In this episode, Dr. Christine Schaffner shares key insights from her recent experience at the Desbio conference, highlighting the growing field of Quantum Coherence Medicine. She explores how homeopathy functions as an electromagnetic signature, the importance of integrating emotional and spiritual layers into healing, and offers clinical pearls from leading practitioners. Tune in to hear how community, seasonal rhythms, and innovative approaches are shaping the future of integrative medicine.   For the full show notes please visit my website: www.drchristineschaffner.com/Episode283  

We discuss the injuries sustained from smoke inhalation. Hosts: Sarah Fetterolf, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Smoke_Inhalation.mp3 Download Leave a Comment Tags: Environmental, Toxicology Show Notes Table of Contents 00:37 – Overview of Smoke Inhalation Injury 00:55 – Three Key Pathophysiologic Processes 01:41 – Physical Exam Findings to Watch For 02:12 – Airway Management and Early Intervention 03:23 – Carbon Monoxide Toxicity 04:24 – Workup and Initial Treatment of CO Poisoning 06:14 – Cyanide Toxicity 07:19 – Treatment Options for Cyanide Poisoning 09:12 – Take-Home Points and Clinical Pearls Physiological Effects of Smoke Inhalation: Thermal Injury: Direct upper airway damage from heated air or steam. Leads to swelling, inflammation, and possible airway obstruction. Chemical Irritation: Causes bronchospasm, mucus plugging, and inflammation in the lower airways. Increases capillary permeability, potentially causing pulmonary edema. Systemic Toxicity: Primarily involves carbon monoxide and cyanide poisoning.

Fresh off the heels of our immediate last episode, we bring you a perspective from the trenches! Sarah, a Clinical Pearls podcast family member, is a health professional who works with autistic individuals. Sarah has provided clear and evidence-based data which helps to explain the rise of autism in the US over the last decades. Our podcast community is Incredible! Her noted and data driven perspective are the core concepts highlighted in this episode. Listen in for details.

Summary In this episode of the Future of Dermatology podcast, we revisit the SF Derm 2024 Annual meeting and hear from Dr. Haley Naik, MD, as she discusses the management of Hidradenitis Suppurativa (HS). Dr. Naik covers the importance of controlling inflammation with medical therapies, the role of biologics in treatment, and the clinical pearls for using TNF inhibitors effectively. She emphasizes the need for early intervention to prevent permanent disfigurement and the importance of optimizing medical management before considering surgical options. Takeaways Using medical therapies to control inflammation is crucial. When to start a biologic is a common question. Preventing permanent disfigurement is a key goal. Adalimumab was the first FDA approved drug for HS. Real world goals include reducing pain and symptoms. Complete response means no pain and no new lesions. Infliximab is the best biologic for moderate to severe HS. Layering therapies is important for effective management. Optimizing medical management is essential before surgery. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:03 - Managing Hidradenitis Suppurativa (HS) with Medical Therapies 04:35 - Understanding Biologics in HS Treatment 09:17 - Clinical Pearls for TNF Inhibitors in HS 11:35 - Optimizing HS Management Before Surgery

Clinical Pearls, Pain Pod edition: Pain Pearls Part 1 (of many)! A cornucopia of pain conundrums and potential solutions and/or tools to help mitigate. All here, nicely packaged, randomly, in one episode of the Pain Pod! One of many more to come, in a miniseries titled: “Pain Pearls”, only here on the Pain Pod! Come one, come all, to the Pain Pod!!! P.S. Want to contribute or hear about a pain pearl of your own? Message Pain Guy on www.painguy.us to directly reach Mark and have your voice heard! Pain Guy • www.painguy.us DVPRS (Pain Scale) • https://www.va.gov/PAINMANAGEMENT/docs/DVPRS_2slides_and_references.pdf  Opioid Risk Screenings • www.opioidrisk.com  2022 CDC Opioid Guideline Update • Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1–95. Buprenorphine Induction Resources • Kampman K and Jarvis M. American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use. J Addict Med. Sep-Oct 2015;9(5):358-67. • Ahmed, S. Bhivandkar S, et. al. Microinduction of Buprenorphine/Naloxone: A Review of the Literature. The American Journal on Addictions, 30: 305–315, 2021. • Privia A. Randhawa, Rupinder Brar and Seonaid Nolan. Buprenorphine–naloxone “microdosing”: an alternative induction approach for the treatment of opioid use disorder in the wake of North America's increasingly potent illicit drug market CMAJ January 20, 2020 192 (3) E73. MOUD Minimum Durations Study • Michael L. Dennis, Mark A. Foss, and Christy K. Scott. An Eight-Year Perspective on the Relationship Between the Duration of Abstinence and Other Aspects of Recovery. Evaluation Review 2007 31:6, 585-612

Clinical Pearls, Pain Pod edition: Pain Pearls Part 1 (of many)! A cornucopia of pain conundrums and potential solutions and/or tools to help mitigate. All here, nicely packaged, randomly, in one episode of the Pain Pod! One of many more to come, in a miniseries titled: “Pain Pearls”, only here on the Pain Pod! Come one, come all, to the Pain Pod!!! P.S. Want to contribute or hear about a pain pearl of your own? Message Pain Guy on www.painguy.us to directly reach Mark and have your voice heard! Pain Guy • www.painguy.us DVPRS (Pain Scale) • https://www.va.gov/PAINMANAGEMENT/docs/DVPRS_2slides_and_references.pdf  Opioid Risk Screenings • www.opioidrisk.com  2022 CDC Opioid Guideline Update • Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1–95. Buprenorphine Induction Resources • Kampman K and Jarvis M. American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use. J Addict Med. Sep-Oct 2015;9(5):358-67. • Ahmed, S. Bhivandkar S, et. al. Microinduction of Buprenorphine/Naloxone: A Review of the Literature. The American Journal on Addictions, 30: 305–315, 2021. • Privia A. Randhawa, Rupinder Brar and Seonaid Nolan. Buprenorphine–naloxone “microdosing”: an alternative induction approach for the treatment of opioid use disorder in the wake of North America's increasingly potent illicit drug market CMAJ January 20, 2020 192 (3) E73. MOUD Minimum Durations Study • Michael L. Dennis, Mark A. Foss, and Christy K. Scott. An Eight-Year Perspective on the Relationship Between the Duration of Abstinence and Other Aspects of Recovery. Evaluation Review 2007 31:6, 585-612

There are many challenges when it comes to operating on a post-hysterectomy patient, especially when they have endometriosis. In this episode of BackTable OBGYN, Dr. Emad Mikhail, an associate professor of OBGYN at the University of South Florida, discusses the intricacies of treating endometriosis after a hysterectomy. --- SYNPOSIS Dr. Mikhail shares his journey from medical school in Egypt to his current expertise in deep endometriosis surgery in Tampa, Florida. The conversation covers preoperative evaluation, the importance of understanding patient history, and surgical approaches for complex cases. He emphasizes the need for multidisciplinary collaboration, advanced imaging, and specialized surgical techniques to ensure optimal patient outcomes. --- TIMESTAMPS 00:00 - Introduction 05:52 - The Role of Hysterectomy in Endometriosis 08:58 - The Role of Ovaries in Endometriosis 11:12 - Surgical Techniques and Considerations 18:11 - Evaluating Deep Endometriosis 24:32 - Post-Hysterectomy Pain and Symptoms 31:26 - Surgical Approaches Post-Hysterectomy 39:49 - The Importance of Continuous Learning 43:09 - Scar Tissue vs. Lesion 51:47 - Comprehensive Preoperative Assessment 53:59 - Conclusion and Final Thoughts

Dr. John Stenberg and Dr. Cameron Bearder sit down to recap their experience at the ASAP Conference 2024. The hosts recap their experience at the ASAP conference, which focuses on Chiari malformations and related conditions. They discuss the unique format of the conference, where patients can learn from top experts and ask questions. They emphasize the importance of understanding the different types of Chiari malformations and the need for clear communication when discussing these conditions. They also highlight the need for a thorough diagnosis, as Chiari malformations are a radiographic diagnosis that must be correlated with signs and symptoms. The hosts discuss the complexity of these cases, including the potential involvement of connective tissue disorders, inflammatory conditions, and genetics. They stress the importance of being aware of the interconnections between these conditions and considering co-management with other healthcare professionals. They also mention the need for further research and learning in this area. The conversation explores the philosophy of health from a functional perspective, emphasizing the importance of understanding why the body is not functioning properly. It delves into the chronic neuroinflammatory processes and how they remodel tissues, particularly in the cervical spine and lumbosacral spine. The discussion highlights the need for a methodical approach in treating patients with acquired hypermobility and managing their symptoms. The conversation also emphasizes the importance of imaging, particularly CBCT and MRI, in identifying structural abnormalities and CSF flow issues. It concludes with a discussion on CSF leaks and the various factors that can contribute to them. In this final part of the conversation, the speakers discuss various topics related to cranio-cervical instability, Chiari malformation, and scoliosis. They talk about the potential causes and symptoms of CSF leaks, the radiographic signs of CSF leaks on MRIs, and the importance of considering the entire spine and all the tissues when assessing CSF flow obstructions. They also touch on the challenges of conducting research in this field and the need for multidisciplinary approaches to patient care. The speakers emphasize the importance of being knowledgeable, humble, and collaborative in order to provide the best possible care for patients. Resources from this episode: ASAP YouTube Channel Comprehensive Chiari Care with Haley Fitzgerald of Global Neurosciences Institute What Happens When Two Upper Cervical Chiropractors Attend a Neurosurgery Conference

In this episode, Erica discusses the why behind shoulder problems, comparing the unique challenges faced by tennis players and non-tennis players alike. She explains why traditional shoulder treatment often fails these types of patients. A significant relationship between the shoulder and another region of the body is often missed. Erica also tells the story of one of her patients who does play tennis and the reason why he can do a full pushup but can't lift his arm over his head. For our physio listeners, oftentimes you can progress patients through a full range of CKC exercises but the OKC piece does not progress as quickly.   A glance at this episode: [0:01] Erica's Summer Vacation and Introduction to the Episode [2:30] Clinical Pearls for Tennis Players [6:15] Assessing Upper Thorax and Glenohumeral Joint Compression [12:53] Treatment Approach for Upper Thorax and Glenohumeral Joint Issues [15:54] Progressing Patients with Glenohumeral Issues [16:14] Clinical Pearls for Closed Chain Exercises [20:37] Conclusion and Encouragement for Practitioners Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

What is the cause of bilateral calf pain in this young fencer? From start to finish, it shows the power of a thorough evaluation, a specific exercise progression, and a return to the sport she loves. When it comes to exercise progression in persistent pain, think about context. How can you improve optimal movement patterning by changing the context? Think about this one. You can intervene via the visual system, eyes open, eyes closed. How about changing their base of support? Wide to narrow. And why not have them do their exercises to their favorite music? These are just some examples. Look at your patients through a different lens and then you'll see positive change.   A glance at this episode: [0:01] Diaphragm function, GI dysfunction, and postural control [7:51] GI dysfunction and its impact on abdominal wall muscles and posture [13:39] Abdominal dysfunction and diaphragm movement in relation to chronic low back pain [20:36] Treating chronic low back pain through abdominal wall retraining [25:09] Abdominal wall deficit and diaphragm dysfunction in chronic low back pain patients [32:07] Treating gas and bloating through diaphragm therapy 36:32] Treating GI dysfunction through breathwork and positioning Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? Carefully and specifically! This episode highlights the beauty of a specific exercise progression tailored to the patient's meaningful movement. Listen as we go through the clinical reasoning process to determine what types of movement patterns will work and what ones won't.  Doing the right thing at the right time is clinical expertise.   A glance at this episode: [5:13] Hypermobility and pain management for a 24-year-old woman [11:26] Hypermobility, muscle imbalances, and control issues in a patient with back pain [19:00] Shoulder subluxation and its relation to past injuries and yoga practice [23:57] Diaphragm recruitment in back pain patients [27:47] Addressing short girl syndrome in a dancer [32:03] Using tape and Pilates equipment to improve abdominal strength and stability for a hypermobile patient [35:51] Improving posture and flexibility through exercises on a reformer machine [39:23] Exercises for a spin instructor with tight hip flexors [43:34] Exercises for hypermobile individuals to improve motor control and recruitment   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

In this episode, we explore the assessment of hip dysplasia, focusing on the condition's definition, the differences between extension and flexion-based movements, and both subjective and objective assessment techniques. We discuss the importance of observing gait, head of femur translation, single leg stance, and various special tests, including apprehension testing, to diagnose and understand hip dysplasia. Andrew is an APA Sports and Manipulative Physiotherapist who is currently employed at St. Kilda Football Club (since 2007) and works privately at Melbourne Orthopaedic Group Sports Medicine. Over the last 20 years, Andrew has worked in both a clinical setting and within the elite sporting environment at Melbourne Victory, Adelaide Thunderbirds, SACA Redbacks, V8 Supercars, triathlon and athletics.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network

If you are interested in joining a Gulf War Illness (GWI) trial, please complete the Recruitment Registry Form. https://redcap.nova.edu/redcap/surveys/?s=Y9YF8JJWJRK8HEKL%20&_gl=1*1fipp18*_gcl_aw*R0NMLjE3MDc5MTgwMzIuRUFJYUlRb2JDaE1JeWNyUXVfcXFoQU1WU1pCYUJSM3AyQWRBRUFBWUFTQUFFZ0s1NWZEX0J3RQ..*_gcl_au*MTg2NjgwMDQ4Ni4xNzA3MTQwNzgx   In this week's episode, Haylie Pomroy is joined by Dr. Nancy Klimas, Director at NSU's Institute for Neuro Immune Medicine and the Miami VA. Together, they discuss post-viral chronic fatigue, ME/CFS, long COVID, and how to get the right diagnosis. Dr. Klimas shares her journey and the motivation behind her work, emphasizing the importance of validating women's experiences with these conditions. She offers practical advice on managing symptoms, highlighting the significance of sleep, nutrition, and understanding the body's responses.  Haylie and Dr. Klimas share their expertise and express their hope and help for those dealing with the challenges of post-viral illnesses.   National Institutes of Health (NIH): https://www.nih.gov/mecfs/mecfs-resources   Centers for Disease Control and Prevention (CDC) - https://www.cdc.gov/me-cfs/toolkit/index.html   Health Rising: https://www.healthrising.org/about-chronic-fatigue-syndrome-mecfs/facts/   U.S. ME/CFS Clinician Coalition: https://mecfscliniciancoalition.org   Sign up for the COVID-UPP Study: https://redcap.nova.edu/redcap/surveys/?s=RMEDJ7LKCX&_gl=1*1h830h7*_gcl_au*MTM2NDA0MTQyOS4xNzE1MDA0ODAy Donate to ME/CFS Research: https://givecampus.com/b3yrwb   Learn more about INIM's Research Studies: https://www.nova.edu/nim/research-studies/index.html   Dr. Nancy Klimas, M.D., is the Director of the Institute for Neuro-Immune Medicine where she directs a group of remarkable interdisciplinary scientists and clinicians. They collaborate to discover innovative strategies for treating and preventing chronic illnesses, while also focusing on training the next generation of clinicians and scientists. With 40 years of professional experience, Dr. Nancy Klimas is internationally recognized for her work in multi-symptom disorders, including ME/CFS, GWI, fibromyalgia, and Long COVID.   LinkedIn: https://www.linkedin.com/in/nancy-klimas-49255178/   -------------------------------------------------------------------------------------------------   Enjoy our show? Please leave us a 5-star review so we can bring hope and help to others.   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d   This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.    Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM   #PostViralIllness #Diagnosis #ChronicIllness #MECFS #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #ChronicFatigue #LongCOVID #PostCOVIDSyndrome #WomensHealth #HealthEducation #ChronicIllnessTreatment  

What do you do when a client presents with a myriad of LQ symptoms without a clear regional driver? Look to the history and keep asking questions even further back than the recent onset or episodic flare. Join us as we discuss complex neurology of a visceral driver that has signs of dysfunction and a somatic pain presentation. Once again, the history is so important!   A glance at this episode: [0:01] Left lower quadrant pain, nociceptive input from visceral driver [2:23] Pelvic pain and potential visceral driver [8:05] Bladder issues and pelvic floor tension [10:49] Bladder irritants and pelvic health with a patient [16:49] Lower back pain and posture with a physical therapist [20:04] Pelvic floor exercises and visceral manipulation for pelvic pain relief [24:34] Pelvic floor exercises and core strength for bladder control [26:45] Improving driving skills and addressing bladder issues [32:49] Visceral mobilization and pelvic floor issues Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

Golf is a sport of weight shifts and a narrow base of support. What happens when your knee can't adapt to an altered base of support? This is what exactly happened here with this case. This young golfer, in standing (and standing is VERY relevant for the golf swing) had an 80/20 load, R/L in this position. And it stayed that way throughout the golf swing. This begs the question: Did you know that right knee pain can be caused by an imbalance in your center of mass? If you continuously load your painful side, that has some serious implications for loading. Erica and Susan discuss in this episode how treating the left hip as well as the left side of the low back, got rid of this young golfer's knee pain. He needed options for movement to his left side. A functional and interactive evaluation really hones in on where the true source of his knee pain lies. Remember: for persistent, unsolved problems, correlate the patient's history with your objective assessment. Hint: this patient had a history of concussion. You think that would alter his BOS?   A glance at this episode: [0:01] Chronic knee pain in a junior golfer, analyzing the cause and treatment options [4:48] Golf injury treatment and diagnosis [12:19] Golf swing mechanics and potential issues with a young golfer [17:03] Assessing a 12-year-old golf player with knee pain using a thorough history and clinical reasoning [23:49] Using visual aids and manual therapy to help a golfer improve his swing by shifting weight to the left leg [31:33] Using mirror therapy for knee rehabilitation [39:25] Rehabilitating knee injuries via changing the center of mass [43:34] Rehabilitation program for golfers with variance in exercises to improve adaptability [47:36] Physical therapy for a young golfer with a focus on listening and meeting clients where they are   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

More clinical pearls from ACP #IM2024, including emerging infectious diseases in the US (malaria, dengue, super gonorrhea, and a resurgence of syphilis), new C. diff treatments, coagulopathy and cirrhosis, fatty liver disease, HFpEF, peripheral arterial disease, Lp(a) and ApoB, CAR T-cells for autoimmune disease, SGLT2i for gout, and hematology updates. Paul and Watto are joined by Drs. Nora Taranto, Beth Garbitelli, and of course Chris “The Chiu Man” Chiu. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Tropical Diseases: Resurgence of Malaria and Dengue Fever 03:44 Infectious Diseases: Syphilis Rates and New Treatments for C. diff 08:28 Coagulopathy and Cirrhosis: Managing Hemostasis and Portal Vein Thrombosis 11:34 Fatty Liver Disease: Risk Stratification and Treatment 14:59 Cardiology Updates: Cardiovascular Kidney Metabolic Syndrome 31:03 New Medications for Hypertension 32:54 Renal Denervation and Hypertension 33:51 Lp(a) Drugs and Their Potential 36:01 Peripheral Arterial Disease and Claudication 38:10 SGLT2 Inhibitors and Gout 41:50 APO-B and LDL Cholesterol 42:45 Secondary Hypogonadism and Head and Neck Radiation 45:30 VEXAS: A Genetic Autoimmune Condition 49:08 Obesity-Induced Leukocytosis 52:49 CAR T-Cell Therapy in Rheumatologic Diseases Credits Producers/Writers/Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD, Chris Chiu MD, Beth Garbitelli MD CME, Cover Art: Beth Garbitelli MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Nora Taranto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Litter Robot Go to stopscooping.com/CURB and enter promocode CURB to save an EXTRA $50 on any Litter-Robot bundle. Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Beginly Visit beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice

Are you a pediatric care provider feeling overwhelmed by complex mental health cases? Discover a solution that's transforming pediatric care in Michigan and beyond! In the latest episode of Pediatric Meltdown, Alyssa Wealty and Dr. Nasuh Malas teach us about the MC3 program (Michigan Child Collaborative Care) and how it's making waves by providing tools like the Clinical Pearls educational series, that's proving to be a lifeline for primary care providers who are grappling with mental health issues in young patients. From leveraging expert consultations to utilizing targeted educational resources, and handling cases of anxiety, aggression, or substance use, this episode is a gold mine for those on the front lines of pediatric health care. At the center of MC3's offerings is the power of connection and education. Like addressing urgent mental health needs in pediatric settings or providing accessible educational tools like the Clinical Pearls video series. No matter where you are in your healthcare journey, the MC3 resources offer concise, expert-driven advice that can dramatically improve your care strategies. Interested in enhancing your clinical skills with quick, impactful lessons? Get your pen and paper ready. This episode is packed with information.PRO Tip: These resources aren't limited to healthcare professionals; parents and educators can gain insights too! [03:47 -09:04] Integrating Mental Health Education in Primary CareDesigned to deliver concise insights on common pediatric mental health conditions for primary care providers.The program's educational component underscores the importance of mental health knowledge in primary care.Enhances primary care providers' ability to diagnose and manage pediatric mental health.Program grows to support schools and perinatal care providers for integrated mental health.[09:05- 21:28] Clinical Pearls Series - A Resource for Pediatric Mental Health Education"Clinical Pearls" features key learning videos on fundamental mental health topics.The series includes a resource list and self-assessment for provider education.It enriches learning with extra materials alongside the main videos.The series is accessible globally, benefiting clinicians in Michigan and worldwide.[19:18 -29:30] Advancing Primary Care through Educational Support and TeleconsultationPrimary care providers get guidance on conducting thorough evaluations with fellow mental health professionals.Feedback from participants in the MC3 program informs the creation of practice-enhancing content.Merging mental health and primary care responds to the need for increased support in managing pediatric cases.The MC3 teleconsultation service outreach includes critical care points,like emergency rooms and schools.[29:31 - 33:11] Closing segment TakeawayLinks to resources mentioned on the showMC3: https://mc3michigan.org MC3 Clinical Pearls: https://mc3michigan.org/clinical-pearls-video-series/Other episodes you may like:For all episodes, go to Episodes - Pediatric MeltdownEp #139 School Based Health: Literally Meeting Kids Where They Are!Ep #128 Trauma and Resilience: “Connect Before You...

In this solo episode, I share my clinical pearls and insights from the recent Cellcore ECO Conference I attended. I discuss various topics covered by different speakers, including breathing techniques, trauma healing, toxin exposure, mold remediation, blood work, and more. I am beyond excited to share my thoughts with you all and can't wait to put this information to use! For the full show notes please visit my website: www.drchristineschaffner.com/Episode238  

We cover angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, step counts for health,  new drugs, the RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, antimicrobial resistance, office-based allergy testing and more! The Curbsiders review highlights, clinical pearls, and practice-changing updates from the American College of Physician Internal Medicine Meeting #IM2024!  No CME for this episode due to rapid turnaround, but claim CME for most episodes at  curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro ACP Pearls Outro Credits Producers: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer:Matthew Watto MD FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Beginly Health Visit https://beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

In this episode, Erica speaks about prescribing specific exercises based on the difficulty level relative to the region of the body driving the patient's symptoms.  NOT the pain generator.  NOT the area of symptoms.    If someone has knee pain, and their driver is their foot, then the exercise program is geared towards the foot, NOT the knee. SLR's and quad sets won't work here.    She also explores the significance of personalized exercise prescriptions in optimizing recovery outcomes. There are many clinical pearls in this episode, one of which is, "Why would a side-to-side deep squat be harder for the foot than the thorax?" Both are lateral movement patterns.    She also discusses the clinical reasoning behind a well-thought-out exercise plan. Remember: we are trying to give our patients options for movement and variability across many activities. Building volume of exercise at low levels is key to this outcome as is challenging the driver across many planes.   A glance at this episode: [3:38] Prescribing specific exercises based on the patient's main driver, not the symptom [8:02] Identifying the level of difficulty for a specific exercise using regional analysis [14:02] How to dose exercise based on what is meaningful for the patient [17:58] Exercises for improving lower body control and center of mass   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript