Podcasts about Clinical professor

You Matter! | Dr. Marc Siegel: Finding Meaning in the Moments That Matter This week on You Matter!, I'm joined by Marc Siegel, a physician, clinical professor of medicine at NYU Langone Medical Center, and Senior Medical Analyst for Fox News. Known for helping the public navigate complex health issues with clarity and compassion, Dr. Siegel has spent his career guiding people through uncertainty. In this conversation, we move beyond medicine to explore the inspiration behind his New York Times bestselling book, The Miracles Among Us, and the experiences that led him to reflect on resilience, hope, and the extraordinary moments hidden within everyday life. Together, we discuss how trauma can reshape our perspective, why meaning is often found in life's quietest moments, and how gratitude, connection, and purpose can emerge even during difficult times. Dr. Siegel shares personal insights that remind us that healing is not always measured by physical recovery alone, but also by our ability to find strength, compassion, and possibility in the face of adversity. This thoughtful conversation speaks to the very heart of You Matter!, creating space for honest dialogue about trauma, healing, and the shared human experiences that connect us all. Join us for an inspiring episode that encourages us to recognize the miracles around us and remember that even the smallest moments can have a profound impact. Dr. Siegel will be releasing a sequel to The Miracles Among Us later this year titled, The Angels Among Us: How God's Messengers Play a Role In Healing.

In this episode of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, California, USA, speaks with Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children's Hospital in Valhalla, New York, USA. Together, they discuss the science behind new therapies for vasoplegia and potential treatment algorithms to rapidly restore vascular tone and hemodynamic stability. Chapters 00:00 Growing Patient Population 03:06 Diverse, Complex Anatomy 04:53 Adult Cardiac Problems 08:13 Case Study 1, Assessment 14:11 Reaching One Diagnosis 18:03 Blood Gas Management 21:51 Ventilator Management 25:18 Case Study 2, Assessment 30:39 Assessing Shunt, Defect 32:28 Pulmonary Circulation Concerns 37:13 Fundamentals & Takeaways The discussion explores the challenges of managing adults with congenital heart disease and its unique clinical considerations. It features two detailed case studies. The first examines a patient with tetralogy of Fallot, focusing on Dr. Said's approach to managing a patient with a complex surgical history. Key topics include right ventricular function, the selection of appropriate inotropes, strategies for ventilator and blood gas management. The second case involves a 56-year-old patient with a history ventricular septal defect (VSD) patch repair and a moderate left-to-right shunt. This analysis covers methods for quantifying the magnitude and determining the direction of the shunt. Dr. Said concludes with clinical advice, emphasizing the importance of teamwork, establishing a thorough understanding of the patient's baseline, and maintaining composure in complex clinical scenarios. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode and stay tuned for part 2!   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Buprenorphine saves lives, yet it remains surrounded by myths, stigma, and misunderstanding. Is it simply replacing one opioid with another? What happens when a patient taking buprenorphine needs surgery or treatment for acute pain? And should a positive test for another substance mean treatment has failed?In this episode of Drug Diversion Insights, Jef Bratberg, PharmD, FAPhA, Clinical Professor of Pharmacy Practice at the University of Rhode Island, joins us for an evidence-based conversation about buprenorphine, opioid use disorder (OUD), harm reduction, pain management, and recovery.Jef shares his journey from infectious disease and critical care pharmacy into advocacy and policy work, and how that path led him to become a nationally recognized voice in harm reduction, naloxone access, and the treatment of opioid use disorder.From there, we tackle some of the most persistent questions surrounding buprenorphine.In this episode, we discuss:What buprenorphine is and its role in treating opioid use disorderWhy the idea that buprenorphine simply “replaces one addiction with another” misses important clinical distinctionsDependence versus addictionWhy stigma continues to limit access to medications for opioid use disorder (MOUD)Buprenorphine's role in recovery and harm reductionWhy buprenorphine remains underused for pain managementManaging acute pain in patients stabilized on buprenorphineWhat clinicians should consider when a patient taking buprenorphine needs surgeryThe use of additional opioid analgesics when clinically necessaryWhether exposure to opioids for legitimate acute pain can affect recoveryWhat a positive test for another substance should mean during treatmentWhy continued substance use doesn't automatically mean treatment has failedNaloxone access and overdose preventionThe role pharmacists can play in improving access to evidence-based treatmentOne particularly important part of the conversation focuses on hospitalization and pain management.Patients receiving buprenorphine still experience surgery, injuries, and acute painful conditions. Clinicians therefore need a plan that addresses both adequate pain control and continuity of opioid use disorder treatment.We also examine what happens when someone receiving treatment tests positive for another substance. Rather than treating a test result as the entire clinical picture, the conversation explores what that result can tell the care team and why continued engagement in treatment matters.Ultimately, this episode is about moving beyond stigma and misconceptions toward a better understanding of a treatment that can play a critical role in reducing the harms associated with opioid use disorder.Whether you're a pharmacist, physician, nurse, addiction medicine professional, pain management clinician, healthcare leader, person in recovery, or family member, this conversation offers a practical and compassionate look at what buprenorphine actually does—and the barriers that still prevent people from receiving effective care.More from Rxpert Solutions

It is my honor to recognize Dr. Jonathan Myers, PhD and the PREPARE-IT research team with the 2026 Best Walking Initiative of the Year Award through the patient-nominated Global PAD Impact Awards. Dr. Myers, Director of Cardiopulmonary Research at the VA Palo Alto Health Care System and Clinical Professor at Stanford University, is the principal investigator of PREPARE-IT: Prehabilitation and Rehabilitation in PAD, a randomized trial studying exercise therapy and cardiovascular risk management in patients with symptomatic PAD undergoing femoral-popliteal stenting. (PubMed) And I love the question this research is asking. PREPARE-IT plans to study 300 patients with symptomatic claudication and compare three approaches: a six-week exercise and risk-management program before their procedure, rehabilitation after their procedure, or a combination of both before and after. Researchers will look at outcomes including time to claudication symptoms, six-minute walk performance, exercise capacity, strength, vascular function, biomarkers and quality of life. (PubMed) Think about what that could mean for PAD care. We spend tremendous time and resources restoring blood flow. But opening an artery doesn't automatically restore someone's strength, endurance, confidence or ability to walk. What happens if we begin preparing the patient before we ever open the artery? And what happens if we don't stop when the procedure is over? That's the bigger conversation I want to have with Dr. Myers. We'll talk about why walking remains such a powerful therapy for PAD, why structured exercise continues to be underused, what decades of exercise research have taught us about intermittent claudication, and whether prehabilitation + revascularization + rehabilitation could eventually change the way we think about the entire PAD treatment journey. PREPARE-IT is also particularly meaningful to us because patients and patient advocates are involved alongside clinicians, caregivers, payers and health-system leaders in the research. (PCORI) Because ultimately, success shouldn't simply be: Did we open the artery? It should also be: Can the patient walk farther? Can they function better? Can they get back to living their life? That's why Dr. Jonathan Myers and PREPARE-IT are receiving our 2026 Best Walking Initiative of the Year Award. The purpose of the Global PAD Impact Awards is simple: to celebrate excellence, elevate education, and help patients everywhere find hope through knowledge. FOLLOW US! Subscribe to our channel: YouTube.com/@thewaytomyheart JOIN THE CONVERSATION Want to join our live studio audience? Email: info@padhelp.org for the link. THE LEG SAVER HOTLINE Need help understanding your PAD diagnosis, finding a PAD specialist, discussing another opinion, or joining our FREE PAD Walking Program? Call 1-833-PAD-LEGS (1-833-723-5347) THE PAD RESOURCE HUB Official Website: PADhelp.org Find PAD Clinical Trials: PADtrials.org Private PAD Support Community: PADsupportgroup.org Join The Great Circulation Challenge During PAD Awareness Month, we're challenging patients, physicians, healthcare professionals, families and friends around the world to help us collectively walk the 60,000 miles of the human circulatory system while learning how movement supports vascular health. TheGreatCirculationChallenge.org Disclaimer The Global PAD Impact Awards are based on patient nominations and experiences shared with the Global PAD Association. The awards recognize contributions to PAD care and are not an endorsement of any physician, healthcare organization, product, device, treatment or therapy. Exercise recommendations are individualized. People with PAD should talk with their healthcare team about what type and intensity of exercise are appropriate for their medical condition. Topics covered: Peripheral Artery Disease (PAD), intermittent claudication, walking for PAD, walking as medicine, supervised exercise therapy, PAD exercise, prehabilitation, rehabilitation, peripheral artery stenting, PREPARE-IT trial, Jonathan Myers PhD, six-minute walk test, PAD research, vascular rehabilitation, Global PAD Impact Awards. #PeripheralArteryDisease #PAD #WalkingAsMedicine #JonathanMyers #PREPAREIT #IntermittentClaudication #PADWalking #SupervisedExerciseTherapy #VascularRehabilitation #PADResearch #GlobalPADImpactAwards

Send us Fan MailIn this episode of the DO or Do Not podcast, we speak with Dr. Shawn Kerger, Chair of the Department of Osteopathic Manipulative Medicine and Clinical Professor of OMM at the Ohio University Heritage College of Osteopathic Medicine.Dr. Kerger specializes in non-surgical orthopedics and sports medicine, with a particular focus on using osteopathic manipulative medicine to support rehabilitation, performance enhancement, and wellness. He is board-certified in neuromusculoskeletal medicine, holds a Certificate of Added Qualifications in Sports Medicine, and is a Fellow of the American Osteopathic Academy of Sports Medicine.Join us as Dr. Kerger discusses his career journey, the role of OMM in sports medicine, and his advice for future osteopathic physicians.  Shout out to Suzanne Chaar, OMS-IV for bringing us this episode!

Why do we celebrate success until someone we know becomes more successful than us?Dr. Douglas Garland joins Coach Dini on Vigilantes Radio Live to explore the provocative psychology behind his book, The Tall Poppy Manifesto.After 37 years practicing orthopedic surgery, serving in medical leadership positions and teaching as a Clinical Professor of Orthopedics at the University of Southern California, Dr. Garland experienced another side of achievement: criticism, professional isolation and attempts to undermine success as his own profile grew.Those experiences led him to investigate Tall Poppy Syndrome—the tendency to criticize, diminish, isolate, ridicule or sabotage individuals who stand out through achievement.The conversation explores envy, fear of success, imposter syndrome, backhanded compliments, criticism disguised as concern, workplace competition, social media hostility and why talented people sometimes unconsciously make themselves smaller to remain accepted by the people around them.Dr. Garland also turns the lens toward those doing the cutting.What does somebody else's achievement activate inside us? And can envy become motivation rather than resentment?Ultimately, The Tall Poppy Manifesto presents a challenging proposition:Maybe being criticized for standing tall isn't always evidence that you should shrink.Sometimes it's evidence that you've grown.https://a.co/d/0ajwLYkBBecome a supporter of this podcast: https://www.spreaker.com/podcast/vigilantes-radio-live--2166168/support.Vigilantes Radio Live! by The Only One Media Group ℗©2025Episode Credits:Produced, edited, mixed, and written by Demetrius "Whodini Blak" Reynolds, Sr.Artwork designed by Demetrius "Whodini Blak" Reynolds, Sr.Show Introduction by KateSegment jingles composed & produced by Demetrius "Whodini Blak" Reynolds, Sr.Additional music licensed through 7th Sign RecordingsLinks:onlyonemediagroup.comhttps://www.instagram.com/vigilantesradio/https://www.iheart.com/podcast/966-vigilantes-radio-live-29999229/https://www.instagram.com/whodiniblakin3d/https://www.imdb.com/title/tt26009230/To support our show, please leave reviews, ratings, or you can help fuel the passion over at buymeacoffee.com/vigilantesradioEmail us at onlyonemgt@gmail.com or vradio@onlyonemediagroup.com

The 21st century, and in particular the last five years, have seen a significant increase in the use of drones in warfare. Unmanned weapons, often cheaper than many of the more complicated and advanced weapons used by major powers like the US and Russia, seem to be aiding defenders and making the battlefield more even. What can these drones do? Do they make wars more likely to break out? Or do they improve the defenders abilities and hence serve as cautionary tale against aggression? And how do they change the battlefield? [ dur: 30mins. ] Ori Swed is Associate Professor of Sociology at Texas Tech University. He is Director of the Peace, War & Social Conflict Laboratory. He is the co-author of “Emulating underdogs: Tactical drones in the Russia-Ukraine war” And “The Empirical Determinants of Violent Nonstate Actor Drone Adoption“ Roberto J. González is a professor of anthropology at San Jose State University. He is the author of The Quest to Automate Conflict, Militarize Data, and Predict the Future (2022) Hugh Gusterson is Professor of Anthropology and Public Policy at the University of British Colombia. He is the author of Drone: Remote Control Warfare and with Professor Gonzalez the co-editor of Militarization: A Reader. In response to the devastation of World War I, world leaders lead by France and the US negotiated the Kellogg-Briand Pact. This outlawed aggressive war and outlined the crime of aggression. It was the legal foundation for one of the crimes prosecuted at Nuremberg and Tokyo following World War II. And the UN Charter, specifically Article 2 (4), not only outlaws aggressive war but even threatening aggressive war. But the definition of aggressive war has been a legal and political challenge for the last 100 years. Perhaps no current scholar has been more committed, more influential, and more productive on this specific issue than our current guest. [ dur: 28mins. ] Jennifer Trahan has a new book on this precise issue. In The Crime of Aggression and Russia's Invasion of Ukraine, she uses this very current and incredibly important case to demonstrate the historical development of this crime and the need to harmonize its definition and to prosecute its violation. Jennifer Trahan is a Clinical Professor and Director of the Concentration in International Law and Human Rights at NYU's Center for Global Affairs. This program is produced by Doug Becker, Maria Armoudian, Ankine Aghassian, Anna Lapin and Sudd Dongre. Politics and Activism, War / Weapons, drones, warfare, laws on war

From today, a new pilot scheme called the ‘Health Referral Scheme' will allow first time offenders found to be in possession of drugs for personal use to be referred to the HSE by Gardaí.The Department of Health said the scheme, which came into effect at midnight today, is intended to “encourage early engagement with services, provide practical advice and reduce the potential long-term impact of a first personal possession offence”.Joining Shane to discuss is Head of Addiction Services at Saint John of God Hospital and Clinical Professor of Psychiatry at UCD, Professor Colin O'Gara.

In this episode, Radha Gopalan, MD, Clinical Professor at University of Arizona College of Medicine - Phoenix, discusses an inpatient cardiac prehab and rehab program designed to reduce frailty, improve functional capacity and help patients become eligible for advanced heart failure therapies.

Dr. Braverman is a Clinical Professor with a joint appointment in the Department of Obstetrics and Gynecology and Psychiatry and Behavioral Medicine at Thomas Jefferson University. Dr. Braverman is the Associate Director for the Educational Core for OB/Gyn. She is a health psychologist with a specialty in medical health management, infertility counseling, and third party reproduction issues. She received her M.A., M.S. and Ph.D. in psychology from the University of Pennsylvania. Dr. Braverman has lectured internationally on treatment issues and reproductive medicine before medical and patient audiences. Dr. Braverman has published in medical journals about the psychological aspects of infertility, issues involved in the decision to end treatment, and psychological issues involved in using third-party donors. Dr. Braverman received the Timothy Jeffries Memorial award in 2011 for outstanding contributions as a health psychologist from the American Psychological Association and the 2021 Suheil J. Muasher, M.D., Distinguished Service Award from the American Society for Reproductive Medicine. CONNECT WITH DVORA ENTIN: Website: https://www.dvoraentin.com/ Instagram: https://www.instagram.com/dvoraentin YouTube: https://www.youtube.com/@misconceptionspodcast  

One program. Multiple perspectives. Real impact.What is it like to host an ISN Educational Ambassador? What does an Educational Ambassador learn from the experience? And how can these partnerships create impact that lasts beyond the visit?Listen to or watch the ISN Educational Ambassadors Program podcast and hear from the program leaders, a successful host center, an Educational Ambassador, an ISN Young Nephrologists Committee leader, and ISN staff as they share real experiences, practical advice, successes and challenges from across the Educational Ambassadors Program journey.To learn more about the ISN Educational Ambassadors Program, visit the webpage hereStill have questions? Join us live on October 15!Register here for our From Inspiration to Impact: Planning a Successful ISN Educational Ambassador Project Roundtable on October 15 at Noon (CEST), where you can bring your questions and have them answered live by the Educational Ambassadors Program panel. Whether you're considering applying, interested in becoming an Educational Ambassador, or simply want to learn more about the program, this is your opportunity to hear directly from those involved.Listen. Get inspired. Bring your questions. Join the conversation on October 15.Podcast Host:Titi ChenDeputy Chair of the ISN Educational Ambassadors Program (EAP) Committee 2026-2028. Clinical Associate Professor, Faculty of Medicine and Health, University of Sydney School of Medicine, Sydney, AustraliaPodcast Guests:Vincent LeeImmediate past Chair of the ISN Educational Ambassadors Program (EAP) Committee. Nephrologist at Westmead Hospital in Sydney. He is a Clinical Professor and Academic Lead (Medicine) of the Western Clinical School of the University of Sydney, and Medical Director of Dialysis at Norwest Private Hospital, Sydney, Australia.Ahad QayyumChair of the ISN Educational Ambassadors Program (EAP) Committee 2026-2028. Consultant Nephrologist and Medical Director at the Bahria Town International Hospital, Lahore, Pakistan.Yazied ChothiaISN Educational Ambassador. Associate Professor & Head: Division of Nephrology, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa.Kornchanock VareesangthipISN Young Nephrologists Committee Deputy Chair 2025-2027. Associate Professor and Consultant Renal Physician, Faculty of Medicine Siriraj Hospital, Mahidol University, ThailandMara RodriguesISN Grants Manager, Brussels, Belgium.

Clinical Professor & Director of the ASU Division of Real Estate and the Executive Director of the International Real Estate Society, Kimberly Winson, joins Arizona’s Morning News to talk about the Phoenix housing market being under pressure. 

Show notes: (0:00) Intro (1:37) How Dr. Howard Schubiner discovered Dr. John Sarno's mind-body approach (4:42) The five-step approach to understanding chronic pain (5:43) Why abnormal MRIs may not explain back and neck pain (10:10) The pain, fear, pain cycle and how the brain creates pain (15:11) Conditions that may involve neuroplastic symptoms (20:30) Research on unnecessary back surgery and Pain Reprocessing Therapy (22:13) Three major types of stress that can trigger symptoms (26:50) How beliefs, placebo, and nocebo effects influence the body (29:33) Signs that chronic pain may be neuroplastic (34:21) Where to find trained neuroplastic pain practitioners (37:51) Pain Reprocessing Therapy and emotional healing (42:09) A surprising post-concussion recovery story (46:14) Resources for learning more about neuroplastic pain (48:04) Outro Who is Dr. Howard Schubiner?   Dr. Howard Schubiner is a physician, researcher, author, and internationally recognized expert in chronic pain and mind-body medicine. He is board-certified in internal medicine and pediatrics and directs the Mind-Body Center of Providence in Southfield, Michigan. He is a Clinical Professor at Michigan State University College of Human Medicine and has authored more than 100 scientific publications. Dr. Schubiner has played a major role in developing and researching treatments for neuroplastic pain, including Emotional Awareness and Expression Therapy and Pain Reprocessing Therapy. His newly expanded book, Unlearn Your Pain: The Science of Recovering from Chronic Pain, Fatigue, Anxiety, and Depression, was published by The Open Field/Penguin Random House in May 2026. He is also a co-founder of the Association for the Treatment of Neuroplastic Symptoms and continues to teach clinicians and patients around the world. Connect with Dr. Howard Website: https://unlearnyourpain.com/ Nonprofit Oganization: https://neuroplastic.org/   Grab a copy: Unlearn Your Pain Links and Resources: Peak Performance Life  Peak Performance on Facebook Peak Performance on Instagram

Send us Fan MailThis season, Behind the Lines will focus primarily on the future of the profession. We start the season off by exploring current and potential future trends impacting (1) energy lawyers; (2) women in the law; (3) attorney wellness; and (4) students taking the bar exam. Segment One - What's Next for Energy Law: From the AI Data Center Gold Rush to Tomorrow's GridGuest: Joshua BelcherLength: 21 minutesBelcher, a partner a Holland & Knight who is directly involved in data center projects, delves into impact of AI data centers, addressing changes in the energy law space that are being driven by the development of large AI data centers, such as power procurement, increased demand for all types of energy sources, new business in adjacent industries, changes in permitting and interconnection policies, and increased deal complexity. As far as what the future holds, Belcher notes that AI data centers are driving massive investment in new technologies for alternative power and long-duration storage, and he anticipates a lot of development and change over the next ten years in how we power this country. Belcher also provides advice for younger lawyers and students who may be interested in his practice area and addresses how AI may impact those opportunities. Segment Two - What's Next for Women in the Law: Updating the Championship Model for Today and the Future Guest: Alissa Rubin GomezLength: 26 minutesGomez, a Clinical Professor at University of Houston Law Center, wrote an article called the “Mismeasure of Success” that considers retention of women in law firms from a “feminist” perspective, meaning through a lens that considers points of view that are often left out. Gomez discusses traditional law firm models, which often using the “championship model,” how the pandemic impacted views of this model, why law firms may want to rethink this model's view of what “success” looks like, and how the rise in generative AI impacts and in fact encourages consideration of new models. She also discusses what she'd like law firms to look like ten years from now.Segment Three - What's Next for Attorney Wellness: AI-Driven Cognitive Overloads Create Increased Wellness ConcernGuest: Wayne BasistLength: 23 minutes, 15 minutes ethicsBasist, Founder of ESQ Mental Fitness, shares his personal story of how a severe car accident derailed his legal career and led to an arduous and painful recovery journey, including dealing with addiction and intense emotional struggles related to the trauma. During recovery, Basist realized that recurring thought patterns were causing him to be overly stressed and anxious even before the accident, leading him to eventually refocus his career on wellness. Basist then addresses current statistics about lawyer wellbeing, including perfectionism, sleep disruptions, anxiety, burnout, depression, suicide ideation, and substance and alcohol abuse. He also notes concern about how the rise in AI is causing additional cognitive overloads for attorneys as we adjust to how it's changing our profession and why these pressures lead to increased ethical dilemmas. He ends with a mindfulness technique that may be helpful to attorneys who are feeling this type of stress or overload. Segment Four - What's Next for the Bar Exam: Local Law Schools Prepare for the Next Gen ExamGuests: Ronda Harrison and Megan Davis*BTL Interviewer: Anietie AkpanLength: 47 minutes, 15 minutes CLEBTL interviewer Anietie Akpan discusses the Next Gen Bar and other topics relating to preparing local law students to practice law with Ronda Harrison, Assistant Dean of Academic Success and Bar Readiness at Texas Southern University's Thurgood Marshall School of Law, and Megan Davis, Clinical Professor at University of Houston Law Center. Dean Harrison and Professor Davis also discuss ways individuals in the local community can assist in preparing students for the bar and their future profession, including best practices for those who employ student clerks or externs. *Note: The South Texas College of Law Houston representative BTL contacted about this segment but was unavailable. Music by zec53 from PixabayFor full speaker bios, visit The Houston Lawyer (hba.org/thehoustonlawyer). To read The Houston Lawyer magazine, visit The Houston Lawyer_home. For more information about the Houston Bar Association, visit Houston Bar Association (hba.org).*The views expressed in this episode do not necessarily reflect the views of The Houston Lawyer Editorial Board or the Houston Bar Association. 

Transfusion‑Associated Circulatory Overload (TACO) remains among the most serious and misunderstood adverse events in modern medicine. This podcast episode explores how clinicians can recognize TACO quickly and manage it safely, distinguish TACO from Transfusion-Related Acute Lung Injury (TRALI), and prevent TACO from future occurrences through smarter transfusion practices.About Dr. Wu:Dr. Ding Wen Wu, MD, PhD, is a Clinical Professor of Pathology at NYU Grossman School of Medicine and Medical Director of the Department of Pathology and Laboratory Medicine at NYU Langone Hospital–Brooklyn. She earned her MD from Shanghai Second Medical University and her PhD from the University of Notre Dame, followed by pathology residency training at Albert Einstein College of Medicine and a Transfusion Medicine fellowship at the New York Blood Center. Throughout her career, Dr. Wu has held leadership positions at several major academic medical centers and health systems. She is dedicated to advancing patient care, clinical research, and excellence in transfusion medicine and laboratory practice. Dr. Wu has received multiple Outstanding Teaching Awards in recognition of her passionate commitment to the education of pathology residents, an honor bestowed through resident nominations at several institutions.

EELP Senior Attorney Erika Kranz speaks with Andy Mergen, Clinical Professor and Faculty Director of the Emmett Environmental Law and Policy Clinic, and Sommer Engels, Clinical Instructor with the Clinic. They take listeners behind the scenes at the U.S. Department of Justice to explain the role of its Environment and Natural Resources Division, or ENRD. Erika, Andy, and Sommer, all ENRD alumni, describe how DOJ and ENRD fit within the federal government, what ENRD litigators do, and what it's like to represent federal agencies in court. They also discuss how ENRD works with — and sometimes has to push back on — its client agencies across the federal government. And they talk about recent shifts at the division — including new arguments made, reduced environmental enforcement, changed approaches to litigation and settlement, and a renaming of the division itself — and explain why those changes matter. For a transcript and related links see our website https://eelp.law.harvard.edu/cleanlaw-dojs-environment-and-natural-resources-division-past-and-present/

What Blocks Brain Recovery After Stroke: The Exposures Nobody Tests For Introduction In 1987, Dr. Robert Hedaya found an office he loved. It overlooked a stream and a forest, and it had a balcony. Within about an hour of arriving each morning, he would become tired and mentally foggy, something he describes as unlike him. It took him time to work out what was happening. The building had mold. He is a Clinical Professor of Psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry. He had spent his career studying why brains underperform. And he still didn’t see it until it was affecting him personally. That story is worth sitting with, because it goes to the heart of a question most stroke survivors eventually ask: if I’m doing the therapy, the exercises, the sleep, the diet, why am I still stuck? Why this question matters more than any rehab program When Dr. Hedaya returned to Recovery After Stroke for his third conversation with Bill Gasiamis, the topic was not a new treatment. It was the opposite: the things that get in the way of treatments already working. His argument is structural. After a stroke, the brain rebuilds by growing new connections between neurons. That process is physical. It requires materials, energy, and an absence of interference. If something is interfering, no amount of repetition in a rehab gym will overcome it. So the useful question is not only what helps my brain recover but also what blocks brain recovery after stroke and whether any of it is happening in your own house, your own mouth, or your own bloodstream without anyone having looked. Dr. Hedaya raised three: mercury, mold, and Lyme. Mercury: how a metal stops neurons from branching Picture a neuron as a tree in winter: a trunk with branches extending outward. After a stroke, under the right conditions, neurons grow new branches to make new connections. To do that, the cell has to lay down a structure for the new branch to grow through. It uses a protein called tubulin, small oval molecules that link together into a tube, the way Lego pieces connect to form a ring. Mercury interrupts that linkage. Dr. Hedaya points to footage from the University of Calgary, filmed in 1999, showing the process under a microscope: the growing nerve branch shrivels and retracts within seconds of mercury exposure. It runs about two and a half minutes and is worth watching, because seeing it is more persuasive than reading about it. Where does mercury come from? Two main sources. Dental amalgam fillings, the dark grey ones, were largely phased out from roughly the 1970s onward, which means people now in their fifties and sixties are the most likely to still have them. And fish. Mercury accumulates up the food chain, so large predatory fish such as tuna and swordfish carry substantially more than small fish. Sardines, anchovies, herring, and mackerel carry very little, and bring DHA and B12 with them, the raw materials neurons need. Testing involves a baseline urine sample, then a challenge dose of DMSA (a sulfur-containing compound), then a second sample. A jump between the two indicates mercury was being stored and is now being pulled out. If you have amalgam fillings removed, Dr. Hedaya is emphatic that it should be done by a biological dentist who follows a protocol: preparation with sulfur-containing compounds beforehand, a dam in place during the procedure, and rinsing afterward. Removal done badly can expose you to more mercury than leaving it alone. Mold: the ceiling Dr. Hedaya says he has never seen broken This is his strongest claim, and he states it without hedging: he has not seen anyone fully recover from a neurological problem while living in a mold-exposed environment. His estimate of the ceiling is around fifty percent improvement. There are two separate things at work. The spores the visible organism. And the mycotoxins, which are molecular, airborne, invisible, and travel far beyond the patch you can see. They inhibit mitochondria, which is how cells produce energy, and they increase oxidation, which is hard on neurons. You cannot rule mold out by smell or by looking. Dr. Hedaya has every patient run an ERMI test Environmental Relative Mold Index. You mark ten areas in the home that don’t get cleaned, wipe them down, leave them for a month, then collect dust with a supplied cloth and send it to a lab. He uses Mycometrics. The second test asks a different question: is your immune system actually reacting? A lab such as MyMycoLab measures IgE (an immediate response, within minutes to hours) and IgG (a delayed response that can begin a day or two later and persist for weeks). You then compare which molds are in your home against which ones your immune system is responding to: Aspergillus, Cladosporium, Chaetomium, Stachybotrys, and others. In Dr. Hedaya’s experience, the two lists usually overlap. Remediation is where it becomes expensive and inconvenient. Cleaning the visible growth achieves little on its own. You have to find the water: poor grading, a roof leak, blocked downspouts, a badly installed HVAC system, damp ductwork, because if the water source remains, so does the mold. As Bill put it in the conversation: there is no point putting a year of work into a rehabilitation program and then walking out of it into a moldy house. The cost of remediation is real. So is the cost of never getting past fifty percent. Lyme disease: the great imitator Lyme is a close relative of syphilis, which was historically called the great imitator because it could present as almost any disease. Lyme behaves the same way, and a single tick can carry around twenty pathogens that affect humans, including Bartonella and Babesia, both of which drain cellular energy. Dr. Hedaya’s issue is with the testing. It relies on antibodies, and antibodies take weeks to develop, so testing soon after a bite returns a negative that means nothing. The result is also reported as a binary against an optical density threshold: above the cutoff you have it, below it you don’t. His comparison: a blood glucose of 120 is not diabetes; 121 is. The line does not reflect biology. He also rejects the common reassurance that a tick embedded for under 24 hours is safe. His word for it was “insanity.” Where to start Asked which of the three to address first, his answer was immediate: mold. Mercury needs no test to begin acting on; switch to smaller fish, eat more cruciferous vegetables, garlic, cilantro, and greens, and you are doing something useful whether or not you had a problem. Test in six to twelve months if you want to know. Lyme comes last, unless you have had a recent tick bite. And mold has to be dealt with before Lyme treatment is worth attempting. How to raise this with your doctor Dr. Hedaya’s advice here is practical, and it applies well beyond this topic. Don’t arrive with a theory. Arrive with a literature review. He suggests using SciSpace over PubMed; ask it for a literature review on the effects of mold on the human nervous system, and it will assemble one in fifteen or twenty minutes. Print it, along with a couple of the underlying papers. Then add the step most people skip: ask it for the counter-argument. Ask why mold might not be a factor in brain function. You are not there to win. You are there to have a real conversation, and a doctor is far more likely to engage with someone who has already tested their own position. If they refuse outright to order the testing? His view was blunt: find another doctor. Getting out of your own way None of this replaces rehabilitation. It removes the obstacles to it. That distinction matters, because the work you are already doing is not wasted; it may simply be running into something invisible. Checking your fillings takes a minute and someone willing to look in your mouth. Testing your house takes a month and a cloth. Neither is a treatment. Both are ways of making sure the treatment can do its job. This is the third conversation with Dr. Hedaya on this show. The first covered photobiomodulation and laser therapy (https://recoveryafterstroke.com/photobiomodulation-stroke-recovery/). The second covered hormones, thyroid function, and fatigue (https://recoveryafterstroke.com/hormones-and-stroke-recovery-dr-robert-hedaya/). Both are useful companions to this one. If you want a fuller framework for thinking about recovery, Bill’s book The Unexpected Way That A Stroke Became The Best Thing That Happened walks through ten tools for recovery and personal transformation. You can find it at https://recoveryafterstroke.com/book. And if this show has helped you, you can support it financially at https://patreon.com/recoveryafterstroke. Footer Disclaimer This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Related links: Dr. Hedaya’s practice First conversation, photobiomodulation Second conversation, hormones The mercury video, University of Calgary Background on that video ERMI mold testing lab Mould antibody blood testing Tick-borne and Lyme testing Literature reviews in minutes Research database The toxins textbook he mentions The post The Things Getting In The Way Of Your Recovery – Dr. Robert Hedaya appeared first on Recovery After Stroke.

Filling in on "Melissa in the Morning," host Paul Pacelli welcomed Quinnipiac University Sports Dietitian and Clinical Professor of Health and Exercise Dana White to discuss the newly published "National Athletic Trainers' Association Position Statement: Evaluation of Dietary Supplements for Athlete Safety and Performance."

Caitriona Ryan, Clinical Professor at UCD and Consultant Dermatologist

In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with CTSNet Associate Editor—Cardiac Andrea Steely, an Assistant Professor of Cardiac Surgery in the Division of Cardiothoracic Surgery at the University of Utah Health, Salt Lake City, Utah, USA. Together, they examine the management of acute aortic emergencies. Chapters  00:00 Intro  00:44 Emergent Conditions  04:07 Symptoms for Diagnosis  09:19 Left vs Right Arm Blood Pressure  10:37 Preop Management Quality Assurance  15:45 Intraoperative Management  20:04 At-Risk Patients  22:34 Summarizing Points  The discussion covers clinical management of emergency conditions, Type A vs Type B dissection, and imaging. Key topics included diagnostic strategies to ensure early detection, clinical symptoms for conditions, and the importance of measuring both left and right arm blood pressure. The session also addressed heart rate and blood pressure control in preoperative settings, the importance of a multidisciplinary approach, intraoperative management, and fluid management. Finally, they cover at-risk patients. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode!   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Good Morning America, The Today Show, NPR and other national media. New York Times & Wall Street Journal Best-Selling AuthorMy Guest, New York Times best-selling author Dr. Norman Rosenthal is the world renowned psychiatrist, researcher, and best-selling author, who first described seasonal affective disorder (SAD) and pioneered the use of light therapy as a treatment during his twenty years at the National Institute of Mental Health. A prolific researcher and author, he has authored or co-authored over three hundred scholarly articles and ten popular books. These include Winter Blues, Poetry Rx, the New York Times bestseller Transcendence and the L.A. Times national bestsellers, The Gift of Adversity and Super Mind.He is known for his innovative research and inspirational writings. He is currently Clinical Professor of Psychiatry at Georgetown University School of Medicine and is listed as one of the Best Doctors in America. Dr. Rosenthal has practiced psychiatry for over three decades, treating people with all manner of psychiatric and emotional health issues. He is also a motivational speaker and a personal and professional coach, working with people from all walks of life including CEOs, top athletes, and performing artists.His work & books have received international praise & interviews from CNN News Anchor Candy Crowley, film maker/television director David Lynch, Hip Hop Icon Russell Simmons, comic/actor Russell Brand, Dr. Mehmet Oz, musicians Moby, Paul McCartney, Ringo Starr & many othersRosenthal was born and raised in South Africa and did his medical training at the University of Witwatersrand, where he graduated with high honors. He immigrated to the US and did his psychiatric residency at Columbia in NYC before going to the National Institute of Health in Bethesda, Maryland, where he began his research career in earnest. His first major research contribution was to describe and name Seasonal Affective Disorder (SAD) and to develop light therapy as a treatment for this novel condition. SAD – and its milder variant, the Winter Blues – are now known to affect millions of people worldwide, many of whom have benefited from the light therapy that Dr. Rosenthal pioneered.© 2026 Building Abundant Success!!2026 All Rights ReservedJoin Me on ~ iHeart Radio @ https://tinyurl.com/iHeartBASSpot Me on Spotify: https://tinyurl.com/yxuy23baAmazon Music ~ https://tinyurl.com/AmzBASAudacy:  https://tinyurl.com/BASAud

Kimberly Winson, joins Arizona’s Morning News to talk about Millennial homeownership in Phoenix seeing a 79% increase from 2018-2023. 

Harry Kraemer is an executive partner with Madison Dearborn Partners, a private equity firm based in Chicago, and a Clinical Professor of Leadership at Northwestern University's Kellogg School of Management. He previously served as chairman and CEO of Baxter International, a $12 billion global healthcare company. He is also the author of three bestselling leadership books and a sought-after speaker. Thank you to the sponsors of The Elevate Podcast Shopify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠shopify.com/elevate⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Masterclass: ⁠⁠masterclass.com/elevate⁠⁠ Framer: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠framer.com/elevate⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Northwest Registered Agent: ⁠⁠⁠⁠⁠⁠⁠⁠northwestregisteredagent.com/elevate⁠⁠⁠⁠⁠⁠⁠⁠ Whatnot: Search "Whatnot" in the app store to download Indeed: ⁠indeed.com/elevate⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Dawn Sears is an academic professor and practicing board certified gastroenterologist/hepatologist who has focused much of her career and research into wellbeing of her colleagues. She was system-wide Chief of Wellbeing for several years and later spearheaded the Women Leaders in Medicine serving over 300 women physicians and moving the needles of engagement, retention and burnout. She has received multiple grants and awards for her work, including AMA, AMWA, TMA and a $150,000 grant from The Physicians Foundation. She has led many conferences for women physicians and APPS including WLiM, ACE and Emerge. She is an ICF certified Executive Coach who regularly works with private, institutional and medical society associated physicians and APPs. Her goal is to stop the hemorrhaging of women from healthcare. She currently proudly servers at the Veterans Administration Gastroenterology Division in North Texas as Key faculty at UT Southwestern as a Clinical Professor.Thanks for tuning in! Check out more episodes of The Well-Being Connector at www.bethejoy.org/podcast.

In this episode, Bryant Lin, MD, Clinical Professor of Medicine at Stanford, Author of Sunshine: An Exploration of Living When You Are Dying, Director of Medical Humanities and Arts, and Co-Director of the Center for Asian Health Research and Education, shares how his stage 4 lung cancer diagnosis reshaped his perspective on medicine, the importance of human-centered care, barriers like prior authorization, and why he remains hopeful about the next generation of physicians.

Why Your Stroke May Not Be Causing Your Brain Fatigue For a long time after my brain surgery, I assumed my body worked like this: the stroke happened in my head, so whatever went wrong afterward would also happen in my head. Fatigue, brain fog, slow thinking all of it filed under “neurological,” all of it explained by the injury I already knew about. That assumption turned out to be wrong, and the way I found out was almost accidental. About eighteen months after my brain surgery, I had thyroid surgery to remove a nodule so large it had pushed my windpipe and esophagus six centimeters out of place. I had no idea it was there. No lump I could see, no difficulty swallowing or breathing that I’d noticed. It was found only because I had a chest X-ray to rule out an infection, and a doctor spotted something that had nothing to do with why I’d walked in. What followed was a slow, confusing recovery from that second surgery, and a wave of fatigue I automatically blamed on my brain, because that was the injury I already understood. It took time to realize the fatigue might be coming from somewhere else entirely: my thyroid. Hormones and Stroke Recovery: The Connection Nobody Talks About I brought this experience to Dr. Robert Hedaya, a Clinical Professor of Psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, to understand what actually happened, and to ask a bigger question: how many other stroke survivors are dealing with fatigue, brain fog, or mood changes that they’ve written off as “just the stroke,” when the real driver is a hormonal system that’s quietly stopped working properly? Hormones and stroke recovery turn out to be far more entangled than most of us are told. As Dr. Hedaya put it plainly: the brain is a hormonal organ. Thyroid hormone, cortisol, testosterone, estrogen every one of them acts directly on brain tissue, and every one of them can be knocked off balance by the stress of a major medical event. Why “Normal” Thyroid Bloodwork Can Still Mean Something’s Wrong One of the most important things Dr. Hedaya explained is that a “normal” TSH result doesn’t rule out a thyroid problem, especially after a stroke. TSH is a signal sent from the pituitary gland, and if a stroke has affected the brain’s signaling pathways, the pituitary itself may not respond the way it should. A survivor can have genuinely low thyroid hormone while their TSH sits comfortably inside the standard reference range, because the system responsible for raising that number in response to a deficiency isn’t functioning correctly. He also raised a striking data point: population studies suggest the average TSH in a healthy population is closer to 1.4, yet most labs still use an upper reference limit of 4.5, a range wide enough, statistically, to miss a real problem. His advice for survivors going into a GP appointment: ask specifically for TSH, free T4, free T3, and reverse T3, not just the standard single-marker test, and come prepared with symptoms written down if a doctor pushes back. A Nodule That Grew in Silence The brain is a hormonal organ. It’s an immune organ. It’s a neurological organ… there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. -Dr. Robert Hedaya My own nodule is a case study in exactly this kind of silent progression. Dr. Hedaya explained that because it grew inward rather than outward, it never created the visible lump most people associate with a thyroid problem, and because it didn’t press on my vocal cords or laryngeal nerve, I never developed the hoarseness that might have flagged it sooner. My body adapted gradually, and the fatigue that eventually surfaced was easy to misattribute to the injury I already knew I had. Cortisol, Stress, and the Difference Between Pain and Suffering Beyond the thyroid, Dr. Hedaya walked through the role of cortisol, the body’s primary stress hormone, and why survivors often struggle to answer a deceptively simple question: “Are you stressed?” His distinction between pain and suffering is worth sitting with: pain is often unavoidable, but suffering is shaped by the story we tell ourselves about a situation, and a stroke can compromise the very brain systems that regulate that stress response in the first place. Testosterone, Estrogen, and the Brain’s Need for Hormones to Rewire The conversation closed on sex hormones, testosterone and estrogen, relevant to both men and women, and their role in neuroplasticity. Dr. Hedaya drew a direct comparison to adolescence: the teenage brain rewires itself while hormone levels are surging, and the same principle applies after a stroke. A brain trying to rebuild pathways needs adequate hormonal support to do that work. Without it, recovery can stall in ways that have nothing to do with effort or physiotherapy. What You Can Do About It If any of this sounds familiar fatigue that doesn’t track cleanly with other recovery milestones, or symptoms a doctor has waved off as “just stress,” Dr. Hedaya’s PNIE (psycho-neuro-immuno-endocrinology) questionnaire is a useful starting point. PNIE Questionnaire download: https://drive.google.com/file/d/1S7kC5uMFgBfS-gWcUOIHp0kOjGnrzZK5/view?usp=sharing If thyroid function specifically is what you’re navigating, the earlier conversation with Dr. Elena Zinkov, “Stroke Fatigue and Thyroid,” goes deeper into that piece (https://recoveryafterstroke.com/stroke-fatigue-and-thyroid/). And for more from Dr. Hedaya, the first conversation on photobiomodulation and stroke recovery is a good companion listen (https://recoveryafterstroke.com/photobiomodulation-stroke-recovery/). Getting your body back after a stroke is rarely just about the brain. My book, The Unexpected Way That A Stroke Became The Best Thing That Happened, goes further into the mindset shifts that came out of my own recovery (recoveryafterstroke.com/book). And if this podcast has helped you, you can support its continuation at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns (Interview) A baseball-sized thyroid nodule hid in plain sight after Bill’s stroke. Dr. Hedaya explains the hormone testing every survivor should ask for. Support The Recovery After Stroke Podcast Bill’s Book: The Unexpected Way That a Stroke Became Thethe Best Thing That Happened Highlights: 01:45 Hormones and Stroke Recovery 02:11 Understanding Thyroid Function and Its Impact 17:07 Navigating Thyroid Health with Healthcare Providers 27:09 The Role of Stress and Cortisol 39:09 Nutrition’s Impact on Brain Recovery Transcript: Hormones and Stroke Recovery Bill Gasiamis (00:00) And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. that was the first sign that there was something wrong with my thyroid Bill Gasiamis (00:19) Welcome back to Recovery After Stroke. I’m Bill Garciamas, and today I’m joined again by Dr. Robert Hedeya, clinical professor of psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, whose highland approach to brain health first brought him onto the show for our conversation on episode 404, where we discussed, amongst other things, photobiomodulation, a type of transcript. cranial laser therapy helping some stroke survivors recover lost function. He’s back today for a conversation I wanted to have for a while, the hormonal side of stroke recovery. We’re going to talk about thyroid function, cortisol, and stress physiology, and sex hormones like testosterone and estrogen, and why every one of these systems can directly affect how well and how fast your brain recovers. I’ll also share my own story of a thyroid nodule that grew undetected, which was discovered after my brain surgery completely by accident. if this conversation resonates with you, my book, The Unexpected Way That a Stroke Became Thethe Best Thing That Happened goes deeper into the mindset shifts that shaped my own recovery. You can find it at recoveryafterstroke.com/book. And if you’d like to help keep this podcast going, you can support it financially at patreon.com/recoveryafterstroke. Bill Gasiamis (01:46) Robert Hedaya, welcome back to the podcast. Dr Hedaya (01:49) Thank you for having me, Bill. Understanding Thyroid Function and Its Impact Bill Gasiamis (01:51) thank you for being here. The last conversation we had was very well received. And it’s always difficult in a one hour interview to ask all the questions that we could possibly ask about the brain and stroke recovery and all the things that people go through. And… I’ve got a lot of other questions that are related to the brain and the link between other parts of the body and the brain, because we have this sense. Well, I did at least when I was first diagnosed that whatever happens in my head is kind of isolated, that it just impacts my head. But there seemed to be some other impacts and cascading effects. that were occurring, uh, that I didn’t know were linked to the brain injury, Dr Hedaya (02:45) Yeah. Bill Gasiamis (02:46) maybe indirectly, but they were perhaps. But one thing specifically that happened to me about, uh, 18 months after my brain surgery was I had thyroid surgery to remove a nodule on my thyroid. And when I was going through the recovery after that, surgery, I noticed that I had fatigue and I thought it was neurological fatigue related to my brain surgery. But it took a long time to develop an understanding that perhaps that batch of fatigue was related to my thyroid. And then that got me thinking all sorts of things. know, if the thyroid also causes the same neurological fatigue that brain injury causes, what people might be missing this in their healing from a brain injury, they might have a compromised thyroid and not know about it. So the first question is, what is a thyroid? What does it do? And why does it cause neurological fatigue? Dr Hedaya (03:54) Okay. So thyroid gland sits in the neck, right? There’s two lobes, there’s one on the right, one on the left, a little kind of island in the middle called the isthmus, and and it controls many functions, metabolism overall, energy overall, just broadly speaking. now it affects the immune system. It’s affects the nervous system. It affects the gastrointestinal system, it affects the muscles, it affects the heart, right? It affects the skin, it affects the nails, it affects the hair. You know, and I could go on and on and on. Okay? Bill Gasiamis (04:34) Wow. Dr Hedaya (04:35) Now the interesting thing about this is that this be a little technical, but the thyroid puts out a hormone called T4 or thyroxine, and this is a little molecule with four iodines in it on it, and that Gives you about 20% of the activity of your thyroid hormones in your body. But then that T4 goes all over the body to different tissues, and each tissue can has its own system to change that T4 into T3 by removing an iodine. T3 has 80% of the thyroid activity. So that means each tissue in the body can control how much thyroid it. It’s using and needs, right? And and has available to it. Okay. So that means the brain, the heart, the liver, the lungs, every tissue has its own enzyme that allows it to kind of modulate how much thyroid, right? Now, so why does that cause neurological fatigue? Well, thyroid in the brain affects neurotransmitters like adrenaline in the brain, which is called nor norepinephrine, noradrenaline. in order for that to work. The T3 has to be in the right amount for the receptors for the noradrenaline to be structurally correct so they can transmit the signal. It’s necessary for production of energy in all the brain cells. It helps the immune system in the brain. It carries molecules from here to there in the brain. it affects serotonin transmission in the brain, so mood regulation, anxiety, obsessiveness, depression. You know, those are just some of the functions of the brain, but it affects every cell in the bane in the brain. So you’re gonna, if your thyroid is off, most likely you’re gonna have some kind of brain problems, particularly, you know, when your thyroid is off, the tissues in your body that are most compromised or most stressed, that’s probably where it’s gonna show up, right? And in the case of stroke, that’s where it’ll show up. Bill Gasiamis (06:44) So it’s possible then, is it possible to overlook it? Is it very obvious that your thyroid is out of, well, is dysregulated or is not working properly? Dr Hedaya (06:56) Well, in general it’s easy to detect. And if you want, I’ll tell you how. So Bill Gasiamis (07:04) Yeah. Tell me how. Dr Hedaya (07:07) so there’s some blood tests that are simple and then s some symptoms. so for most people this holds. When your thyroid is low, you know, you’re gonna be cold easily, you’re gonna have dry skin, brittle nails, hair will fall out. Muscles will be weak, thinking will be slow, movement will be slow, getting up from a chair will be more difficult, going upstairs will be more difficult, your heart rate will slow down, you’ll be constipated. Those are the most common symptoms. If your thyroid is overactive, then you could be have palpitations, oily skin, acne, oily hair. Diarrhea, you know, kind of the opposite. The thing that’s a little confusing with the thyroid is sometimes overactive thyroid can show up and look like it’s underactive symptomatically, or vice versa. So you really need the labs. And the labs are TSH, which is thyroid stimulating hormone, and that’s tells you what the brain is doing. And then free T4. That’s the amount of T4 that’s kind of floating around free, not bound to protein, so it can actually do its job. The way I think of it is like, you know, a lot of the thyroid home is sitting on a bus. It’s not free, it’s bound to protein. Can’t do its job. But the stuff the thyroid this that’s out of the bus or not on a protein, that can do its job. That’s the free T four. And then the free T three, right, which carries eighty percent of thyroid activity. And then the last one is a reverse T3 because sometimes if your tissues in your body are making too much thyroid or getting too much thyroid, they’ll actually, instead of taking the iodine off the T4 molecule on the right side, they’ll take it off on the left side, or vice versa. So they make a fake T3 that doesn’t work. And this way they short circuited okay, you got all this T3. Well, let’s make it into a fake, fake T3 so it can’t do anything. So reverse T3 is also very important. And then you want to measure body temperature. Usually it’ll be low. And then, you know, a physical exam. Those are the ways to do it. If you wanted to go even deeper, you could do some genetic testing. There are genes that will tell you whether you’re converting the T4 to T3 in the brain. Adequately, or maybe you’re more likely to be slow in that regard. So you can have normal numbers in your blood, but your brain might be hypothyroid, right? And there are actually a lot Bill Gasiamis (10:05) Uh-huh. Dr Hedaya (10:05) of studies showing that hypermetabolic, like high doses of free T3, actually reverse treatment-resistant depression because it’s it’s thought that there’s a local in-brain. hypo-low thyroidism. You can have low thyroidism in your heart, in your muscles, but not in the other tissues, you know, because I told you every tissue can control how much it’s making. So if you have a genetic vulnerability, then you you might more be in general be more likely vulnerable to depression or to ADD or to anxiety, things like that. Bill Gasiamis (10:42) Wow. Are you blowing me away? I didn’t expect to hear any of the things that you just said. X. Um, some of the things that you described, the, uh, some of the symptoms that you described, had those intermittently in and out all the time, other than a thyroid nodule, which is what I had, which was obvious on a scan. Dr Hedaya (11:05) Yeah. Bill Gasiamis (11:06) What other things caused the thyroid to not function? correctly. So is there lifestyle factors that interfere with the thyroid gland and therefore, you know, then have the cascading effect and take off, take all those other things or some of those other things offline. Dr Hedaya (11:28) So there a number of causes, right? So first of all, let’s take someone who has had a stroke or chronic illness, right? So you’re under stress and that affects your stress hormones, your adrenal glands, cortisol, etc. Well, if your adrenals kind of poop out, then maybe your body says, Well, I can’t handle all this thyroid, even though the amount is normal, it’s like too much. I can’t handle it, so it’ll make less thyroids. Now you develop a hypothyroidism. You could develop it just because all the chemicals in the environment, the ha the hormone interrupting chemicals, there are hundreds of those. you could develop it ’cause of nutritional deficiencies like tyrosine is necessary to make thyroid hormone, copper, you know, things like that. I can’t tell you offhand which which nutritional factors, but people can look that up, what nutritional factors are important. To make thyroid hormone. and then infections like, for example, Lyme disease causes Hashimoto’s thyroiditis, which is an autoimmune where your immune system’s actually attacking your thyroid. COVID vaccination, like the Pfizer and the Moderna vaccine, if you are genetically vulnerable, can also cause your immune system to attack your thyroid. So there are many, many causes, plus there are inherited genetic vulnerabilities and it It’s not always low thyroid, sometimes it’s high thyroid, hyperthyroidism, like Graves’ disease, right? You can have antibodies Bill Gasiamis (13:01) Mm-hmm. Dr Hedaya (13:02) that are actually stimulating thyroid activity as well. Bill Gasiamis (13:06) Wow. The environmental toxins. we talking about all day, every day household use kind of environmental toxins? I imagine the external of the house, they’re kind of out of our control, right? We’ll talk about like, you know, like pollution or things that are associated to things that are caused that we don’t necessarily control, but internally inside the house or what we expose ourselves to that we can control. what would some of those environmental toxins Dr Hedaya (13:38) Well Bill Gasiamis (13:39) be? Dr Hedaya (13:40) so for example, you know, in your produce, you know, there are pesticides, or in the man made materials in your car or the man made materials in your home. Let’s say you bought a new home and you have, you know, some kind of synthetic floors or furniture with synthetic materials or materials that are natural that are treated with chemicals for various reasons. Those things all can be not everyone is, but many of them are called homes. hormone interruptors because they actually can change the way your hormones function. You know? So we’re the truth is we’re bathed in these chemicals. They’re everywhere. And very hard to escape them. The best thing you can do is kind of try to detox them using a healthy diet, a lot of crucifer vegetables and lots of vegetables, above ground vegetables that are grown in healthy soil. Without pesticides, organic preferably, right? and then there are supplements you can take, such as metagenics makes something called UltraClear Plus, which helps support the liver, and its detox functions. You know, some people are more vulnerable than others, but you know, these thyroid nodules you like you have, they’re very, very common now. Very common. And that’s you know. In large measure, I think these hormone interrupters that are interfering with how the the thyroid follicles in the thyroid gland are operating. Bill Gasiamis (15:13) Is it possible to have thyroid nodules and not know about it? I, I Dr Hedaya (15:18) Yeah. Bill Gasiamis (15:19) say that because I had nodules that were the size of a baseball, apparently in my throat that were growing inwards, that didn’t make a lump outside of my throat, which Dr Hedaya (15:33) Yeah. Bill Gasiamis (15:34) I was not aware of. And the way they found it was they did a chest X-ray after brain surgery because I wasn’t recovering well. to check my chest to see if there’s an infection. And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. Dr Hedaya (15:52) Wow. Bill Gasiamis (15:53) I’m not sure what that is in inches. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. But that was the first sign that there was something wrong with my thyroid before that. there was no sign of it. I ask that because either I’m totally oblivious or it is possible to have thyroid nodules and not know it. Dr Hedaya (16:23) Well, most people don’t know it. Now yours is so massive, but I think it’s kind of what you said is how it grew. If it grew towards your vocal cords or your laryngeal nerve or something, you would have had some pretty bad hoarseness or something like that. But it grew I guess backwards so it didn’t interfere that much. And I guess your s your body adapted gradually over time. You know, yes, it’s very possible for sure. Very common. Bill Gasiamis (16:49) And how would somebody interact with a general practitioner, for example, now to go through the process of understanding, A, their thyroid health and whether or not they have any nodules. Navigating Thyroid Health with Healthcare Providers Dr Hedaya (17:02) I mean in other words, given what we’ve talked about, how should they approach their doctor basically? Bill Gasiamis (17:07) Yeah. Dr Hedaya (17:08) I guess I would say go to AI, get a list of the symptoms of low thyroid or high thyroid or all of them, check them off. So then when you go to the doctor you have a list, check your temperature, check your pulse, although the doctor will should check that. And then you could say, look, I have these symptoms, or maybe you don’t have any. But if you do, you have these symptoms, and clearly thyroid hormone levels can affect the brain. And I’d like a TSH, a free T4, a free T3, and a reverse T3. That’s it. And if they Bill Gasiamis (17:45) Okay, perfect. Dr Hedaya (17:46) say, no, no, we don’t need to do that, you know, a lot of times what they do, they’ll just do a TSH. Or they won’t do the reverse T3. They don’t, unfortunately, look at the thyroid gland in a dynamic way. They say, the TSH is fine. If your thyroid was low, your TSH would go high. We don’t need to do the rest. But that’s not true. That’s not true at all. Because especially if you had a stroke, your pituitary function may be compromised. Your TSH may be fine or low and your low thyroid. As matter of fact, in the last interview, the case that I talked about, who referred me to you, she actually had a low TSH, but she had a very low, I think it was a free T4. Or free T3 or both, whatever it was, but she had too little thyroid hormone, and her pituitary couldn’t respond because of the stroke. Bill Gasiamis (18:37) understood. So that’s a great list of Dr Hedaya (18:37) So so be you have to be dogmatic and you say to the doctor, look Even put into even put into AI and say, look, if the doctor comes back to me and argues against these tests, what should I say? You gotta be prepared because the doctor will steamroll you. You know, that they only allow this, they only allow that, I’ll only do the free T4. Well, that doesn’t tell you how much has been converted to T3, free T3, and it doesn’t tell you, even if the free T3 is normal, that doesn’t mean you’re not overproducing thyroid and and dis you know, and neutralizing it with the reverse T three. So, you know I mean I I mean I think it’s s so important that a thorough look is is really important. If you have the symptoms, you know. Bill Gasiamis (19:22) I agree with you. That list of to-dos, I’m gonna put that on the show notes. People can go and get that list if they don’t wanna go into AI themselves or they haven’t got the time or whatever. They can just download it from there. And then they’ll be able to take that and begin a conversation with their general practitioner. What’s interesting is that I’m in Australia, you’re in the United States. My general practitioner is pushed back when a… when a patient will turn up and say, I have these tests? They’ll say, well, no, you don’t have any condition that is obvious that you need these tests. So it’s not covered. So you don’t need to do it. So my next suggestion to them is no problem. Order the tests and I’ll pay for them. Now it’s not ideal, but if you’re not going to do them for me and I need to know, cause it’s my health, I’m going to pay for them. So just tell me how much it is and I’ll find a way and I’ll make it happen and I’ll pay for it. So that’s another option. Dr Hedaya (20:17) Yeah. But if you go in with your symptom list, right, and you say, Well, that’s not true, because these are the symptoms, you know, that I have, here they are, right here. You can take a look, you know. And then the last thing I’ll say, this gets even more tricky, is the reference range, I’m sure in Australia, but certainly in the United States, the reference range basically is of the TSH, the pituitary home. Is 0.5 to 4.5, meaning you anywhere in that range and your TSH is normal. That is a bad reference range. And I know it to be a fact because I I I guess I won’t waste your time with it, but I did a study on a hundred people and with a very sensitive thyroid test called a TRH stimulation test. and I was able I hired a statistician to calculate this. And say, well, I don’t want to keep doing this test on everybody. What TSH predicts an abnormal TRH stimulation test? And he came back and said to me, Well, once the TSH is over 1.4, it starts to increase your odds of having an abnormal TRH stimulation. So I said, okay, so 1.4 TSH is my cutoff, right? That’s in my mind. I said, okay, that’s that’s my cutoff, that’s when I get suspicious. Later, several years later, a paper came out, a large, large study, called the NHANES Study, Nurses Health, and I’m not sure what it stands for. Thousands of people followed over many, many years, over decades, and they found the mean TSH in the US population is 1.4. So, right where I what right where my study found. So that means statistically, it is not. impossible to have the upper limit of the reference range being at four point five because statistically the upper limit is never more than two standard deviations. So even if your standard deviation is 1.4, which it can’t be, you you’re not going to reach 4.5, right? Unless you have a it’s called a bimodal distribution curve. If you have that, then you’d say, well, it it could be. But we don’t have that with thyroid. So that reference range is wrong. The upper limit of the reference range should be 2.5. And about half the endocrinologists in the United States believe that. And half say, no, no, no, don’t change it. So that’s another sticky point because, you know, easily people get a result and they’ll go to the doc and say, no, the reference range is 4.5. You’re normal. Then you could say, well, look, I have these symptoms, and they could do a literature search. What’s the normal reference point? What in in the N A N HANES N-H-A-N-E-S study? It’ll show you 1.4. and you could take be prepared to go to the doctor and say, Well, here’s a study that suggests that the reference range may be incorrect. and I have symptoms by the way. We don’t treat the lab, we treat the person. So could we give a trial? Just a trial, there’s no harm done, you know, trial. Let’s see let’s start at a very low dose. Let’s see how I feel. Maybe I’ll get better. I’ll come back in a month. Bill Gasiamis (23:45) Yeah, I love that. It’s really good advice, especially coming from someone who is a doctor who think is thinking on the same way as me, for example, the patient. Because that’s like a match made in heaven. And that’s so rare to be able to get that. Often, my challenge to my general practitioner was well, the reference range isn’t that average of a sick population, because it’s usually a sick population that comes to see you to get bloods. It’s It’s not the most healthiest people that come to see you to get bloods. And that’s kind of how I try to like start the conversation of convincing a general practitioner to do a test that they’re reluctant to do. And when I say they’re reluctant, I’m not in there every day. I’m not in there every week. And I’m not putting stress on the system to an extent where I’ve been over using the system. I’m not at all. in there once, twice a year, maybe, you so if I’m in once, twice a year, well, then, I’m not mucking around. Like I’ve come there to investigate something that I’m suspecting is wrong with me. It’s my body. I’m feeling something. had a bit of a look online. This is what I suspect. Don’t try and convince me out of my thinking or my instinct more better. Why don’t we just, work together to get to the bottom of it. If it is something it is, if it’s not, it’s not, and that’s okay. Not a big deal. I’m better to know. then not no, I think, you know, it’s better to be safe than sorry in my mind. Dr Hedaya (25:16) Yeah. I would I would only think only correction I would make is the reference ranges generally are made on normal populations. Now now the thing is who’s normal anymore? Number one. Number two, that’s a statistical norm that doesn’t tell you anything about your genetics. your vulnerabilities, it’s not an individualized statistic. I mean it’s it not an individualized thing. What’s your normal range? And are you out of your normal range? Nobody can answer that, right? Unless you had previous data before you were ill. And you say, well look, I’ve been running at a 1.1 for five years or 10 years and now I’m at 3.2. That’s a big change. Well, you know you’re stressed. Well yeah maybe but here are my symptoms. Always come back to your symptoms. Bill Gasiamis (26:11) Got it, got it. Dr Hedaya (26:12) No. Bill Gasiamis (26:13) You use the word stress just now and my general practitioner says, I might go in and some bloods might be out of whack or some things might be not feeling great. And he’ll say, are you stressed? And I’m like, well, I’m not stressed. like, I’m not stressed in any way that I can say is worse than normal. For example, I’m Dr Hedaya (26:35) Mm-hmm. Bill Gasiamis (26:36) just, you know, I’m attending to my clients at work. picking up the kids from school, I’m, you know, making sure the bills are paid. Like I’m just doing the normal things that I always Dr Hedaya (26:48) Right. Bill Gasiamis (26:48) do, which tend to be stressful. And somehow when we talk about stress, cortisol seems to come into the conversation. Dr Hedaya (26:57) Mm-hmm. The Role of Stress and Cortisol Bill Gasiamis (26:58) And I don’t know how to respond to a general practitioner who says to me, am I stressed? Because I’m not experiencing something extreme or dramatic. in the months before I came to see him. So can we have a conversation a little bit about stress, cortisol, what is stress, what is cortisol, are they linked? Tell me about that, give me your thoughts. Dr Hedaya (27:21) Okay. Okay, so this is a multi-layer system. Okay, it starts with your perception and your of a situation and the story you tell about you the story you tell yourself about the the situation and your need for control of a situation and as opposed to saying I’m in the flow of the universe and All right, this is you know, this is the way it is, and I’ll adapt to it. Not so easy by the way, but it’s a much healthier way because most things will not stress you. Now, pain, let’s say you stepped on a nail, you’re gonna have stress, okay? Totally stressful, etc. But there’s a a difference between pain and suffering. Most of our problem is suffering. Suffering is a result of thinking patterns. perspectives of yourself and the world and the future and blah blah blah. I could talk about that for a long time. And that is probably one of the most important places to intervene and to train yourself, etc. Now, once this thing is registered as stress, it goes through back to the hypothalamus and the pituitary where all those hormones are controlled, the hypothalamus and pituitary in the brain, now you’ve God forbid, you’ve had a stroke. Those things may be affected, therefore, those systems may not be working well. In that case, you may not be able to handle stresses that you used to handle. You may not you may not have those shock absorbers. So, how do you measure this? I think the way you measure it again are symptoms, and typically it would be low cortisol and low DHA, d DHEA, and low pregnenolone. And the symptoms would be a lot of fatigue, right? Maybe poor wound healing, muscle aches, body pains, getting sick more easily, cognitive slowing, depression, anxiety, extreme exhaustion, salt cravings, in unstable temperatures, you know, I would say yeah You know, th loss of appetite in severe cases, you know, dizziness on standing. Okay. So those are the low adrenal output things. Now how d how do you measure and again, you think you have a problem, go to an AI thing, make that list, check it off, whatever applies, and you know, work yourself up symptomatically and then ask well, okay, what what are the best tests here? What are the best test. Now the way I test it is I get morning I got a morning like eight to nine a.m fasting ACTH and cortisol. It’s gotta be in the morning around between eight and nine a.m. fasting. I also at the same time get a D, like David, H E A and a D H E A sulfate, and then I also get a pregnenolone. And if I think there’s any kind of sex hormone problem that I want to check, then I will check a free testosterone, FSH, LH, and The testosterone measures the free testosterone is very unreliable. So if it comes out low, you want to do it two more times to double check that. But the other measures are pretty reliable. And then you’ll you’ll know the other thing you can do is you could do something called a Dutch test, which is a urine test that’ll look at your cortisol through the day, or an adrenal saliva test. It’s ASI, alleval adrenal saliva index, the Dutch test. or the ASI, both good tests. and those will tell you what’s going on through the day. Like if you’re not sleeping, it could be because your cortisol high at night, you know. Wake up horrible or in pain. Could be because your cortisol is really low in the morning. Really low. You can’t even get out of bed, you know, can’t get going, right? So these are all all things that you can do to measure and then you can replace these hormones and That’s one thing to do. The other thing to do is to work on how you manage stress. There are millions of ways of doing that, right? From meditation to heart math to Bill Gasiamis (32:05) Mm-hmm. Dr Hedaya (32:06) yoga to you know, there’s just a lot a lot a lot of ways to Bill Gasiamis (32:10) Yeah, let’s go back for a moment and talk about testosterone because when I hear testosterone, I’m hearing you say to a male that I need to have testosterone in my body and at certain levels, et cetera. And sometimes it can fall out of whack and you need to get it tested. I had mine tested recently. It’s all good. But women also need testosterone. Tell me about that. Dr Hedaya (32:35) Yeah, so I was I was thinking of both male and female when I said it, Bill Gasiamis (32:38) Yeah. Dr Hedaya (32:39) because it’s it’s you know, women who are postmenopausal can have it’s much more common to have a low free testosterone loss of libido, you know. testosterone the studies which I’ve reviewed a few times, you know, there’s a debate does it affect the mind, the brain, you know. It seems to have an effect on well being, on vitality muscles, sex drive obviously, libido erectile function, brain cognitive function, some mood effects, etc. So I I think it’s important now i it it has to be managed in women as well as men. You know, in in women testosterone is a step on the way to estrogen as it is in men, right? And in the metabolism, right? So it it should certainly be assessed in everybody. Bill Gasiamis (33:39) Yeah. And estrogen, mentioned estrogen. Now, one of them in my mind, it seems to be more associated again to women, estrogen, especially. And, and then men also have estrogen, need estrogen. Dr Hedaya (33:55) Men also have estrogen. I haven’t studied it so I couldn’t tell you, but I imagine it’s doing something. it probably turns men into better leaders after they’re fifty, is my guess. Let Bill Gasiamis (34:08) more emotionally intelligent. Dr Hedaya (34:10) more emotionally intelligent, less testosterone, you know. You know, I I I Bill Gasiamis (34:15) You know what? That’s a good theory. We’ll run with that for now. I might relate to that, know, who knows. Dr Hedaya (34:22) Yeah. I I think Bill Gasiamis (34:24) Awesome, awesome, so… Dr Hedaya (34:24) Yeah, so w for for women on estrogen, it depends, you know, who are you assessing? Are you that’s a whole complex subject, you know. Is it a young woman who’s menstruating? Does she have premature ovarian failure, endometriosis, ovarian cysts, insulin resistance, they all kind of travel together, methylation problems, they travel together. is it someone who’s perimenopausal where she’s starting to lose progesterone and getting a lot of PMS? That’s pretty easy. You can replace the progesterone. Is it postmenopausal a woman who’s just kinda lost the estrogen, lost the progesterone? You know, if there’s a family history of cognitive decline or dementia or something like that, there’s great evidence that transdermal estrogen and some oral progesterone bio bioidentic, not synthetic, is great and reduces the risk for lots of disorders later in life for women. You know. So there’s a whole you know, there’s a whole way of working all that up, depending on who who you’re looking at. But very important. Now so the let me Bill Gasiamis (35:31) Yeah, I love it. Yeah. Dr Hedaya (35:34) say this. The important thing here, and this is maybe the most important thing. Someone’s had a stroke, they’re obviously tremendously stressed. You have to look at all the hormones. You can’t the brain is a hormonal organ. It’s an immune organ. It’s a neurological organ. I used to teach psycho, neuro, immuno, and the chronology at Georgetown for a number of years. Okay? And the brain and hormones, you can’t separate it. So if the brain is under stress, the hormonal axes are under stress, and there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. Okay? So you must, as part of the work of anyone who’s had stroke. You must look at the endocrine, the hormonal axis. You know, you must look at it. Why? Because if you’re trying to recover from a stroke and you don’t have adequate hormones, it’s gonna be much, much harder. Much, much harder. Right? But Bill Gasiamis (36:37) Peace. Dr Hedaya (36:38) if you have if you have the the hormones at good levels, okay, now the the brain has that. If it has its nutrients, it has that, you know, okay, now it can do something, you know. What happens, think about it this way. What happens in adolescence? The brain is being rewired, the body’s growing, brain is rew being rewired. Where are the hormones? The hormones are skyrocketing. They’re necessary for the rewiring. You had a stroke, you’re trying to rewire brain, you gotta have adequate hormones. Bill Gasiamis (37:10) I love it. This is the thing that people miss. You know, we talk about the gap in stroke recovery. Acute phase gets handled Dr Hedaya (37:19) That’s Bill Gasiamis (37:19) 99 % of the time really well. People get patched up and they get sent home in some kind of alive state, whether they are fully functional Dr Hedaya (37:27) Yeah. Bill Gasiamis (37:28) or working towards it or whether they are less functional and working towards being more functional, like some kind of stage Dr Hedaya (37:35) Mm-hmm. Bill Gasiamis (37:36) of you’re alive and you’re good enough to go home. And then there’s no information after that. So how do we assess address? How, what do we know? What do we not know that we need to know? And this is kind of what this conversation is, right? It’s like, okay, here’s Dr Hedaya (37:53) Yeah. Bill Gasiamis (37:53) a whole bunch of things we’ve just discussed. There might have been things that you heard for the first time. Don’t let that, get in the way of your curiosity and investigate the thing that pricked your ears up, whether it was a symptom that Dr. Hedaya mentioned and just do a little bit more work in understanding what that is, take that to your general practitioner and begin the conversation of taking responsibility for your recovery. And in my mind, like there’s gotta be like a foundational thing that people can do to intervene that doesn’t cost most of the time anything extra. And that helps encourage and nourish the brain in overcoming these challenges, but then has the a cascade effect of having the same positive outcome on all the other organs and hormones. And that to me is nutrition. So like, if you’re, if you would suggest to somebody how they might start thinking about their nutrition as opposed to what they might have been doing before stroke, how do you begin that conversation? And what are the two or three fundamental things that they need to consider? about nutrition. Nutrition’s Impact on Brain Recovery Dr Hedaya (39:11) Okay, so If it doesn’t grow that way, don’t eat it. I never saw a bread tree. I didn’t see an ice cream tree or a Twinkie tree. Okay. So if it doesn’t grow that way, don’t eat it. Balance your plate. Balance your plate. And actually our coach, Caroline Hade, is putting out an ebook. I don’t know, should be out at a week or two or three weeks. It’s like, I don’t know, four or five dollars or something. and that will tell you exactly how to balance your plate. and then I would say very important to have three meals and maybe, depending on your how insulin resistant you are, maybe additionally two snacks. and per day, but keep your calories you don’t want to be overweight, okay, because if you’re overweight, you know, that’s a That’s its own risk factor for brain problems, right? but you can’t lose weight in a day, you’re stressed, you’re hungry, you’re tired, you eat the carbs, you know, everybody struggles with that. But that that is one of the biggest enemies of eating eating eating these processed carbs that we all love is one of the biggest enemies of your health. One of the biggest enemies of your health for sure. Bill Gasiamis (40:35) Okay, there are some great resources that people can again look into how to eat to heal the brain. And we didn’t have to have a deep conversation about that. But I love Dr Hedaya (40:45) Mm-hmm. Bill Gasiamis (40:45) what you said about balancing the plate. And if it didn’t grow that way, don’t eat it. It’s such a simple thing. If it comes in a packet on a shelf in a supermarket with all fancy pictures Dr Hedaya (40:59) Yeah. Bill Gasiamis (41:00) and stickers and a list of ingredients, like it’s probably not nutritional. of food. It’s probably something that’s going to make inflammation worse. It’s probably something that’s going to give you the type of energy that is not helpful. It’s probably going to have a whole bunch of other things. And that’s kind of my approach to healing and recovering my brain. It’s one of the first things I did was just look at my nutrition, immediately stop smoking and drinking. mean, I know it should go without saying, but sometimes you have to have a stroke for it to actually sink in and make sense. and don’t have any alcohol at all. I’m talking about forever if you can, but I didn’t have alcohol Dr Hedaya (41:46) Yeah. Bill Gasiamis (41:47) for at least the first four or five years. And now in the next five years or so, maybe I had one glass per year, just because I was, in an event where it was, everyone was drinking and it was almost necessary to have sip or half a sip or act as if I was drinking. So with that, I think we’ll wrap up this conversation today. There’s been a lot for people to digest, go back and listen to it a second time. And a third time that we have some resources in the show notes. And Dr. Hedaya, thank you for joining me again. And I look forward to our conversation that’s coming up in a few weeks time where we’re going to talk about toxin load and neuroplasticity. Dr Hedaya (42:29) Beautiful. Thanks so much for the opportunity, Bill. I hope I hope people get something out of this and they pursue what they need to pursue. Bill Gasiamis (42:36) Well, that’s a wrap on this conversation with Dr. Robert Hedeya. If there’s one thing to take from today’s interview, it is this. The brain is a hormonal organ and recovery isn’t just about the brain healing in isolation. Thyroid, cortisol, testosterone, estrogen, all of it is connected, and all of it is worth checking if your recovery has plateaued in ways that don’t quite make sense. Dr. Hadea’s free PNIE questionnaire is linked in the show notes. Download it, work through it, and take it with you to your next GP visit. If you want to go deeper on the thyroid piece specifically, go back and listen to the earlier episode with Dr. Elena Zinkov on stroke fatigue and thyroid. And if you missed it, the first conversation with Dr. Hedeya on photobiomodulation is a great companion to this one. if this episode has helped you, share it with someone who needs to hear it. That’s genuinely the best way to help this show reach more survivors. My book, The Unexpected Way That a Stroke Became the Best Thing That Happened, is available at recoveryafterstroke.com/book. And if you’d like to support the show financially, you can do so at Patreon by going to patreon.com/recoveryafterstroke. Until next time, take care of yourself and don’t assume it’s just a stroke. The post Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns appeared first on Recovery After Stroke.

The political party Aontú are calling for VAT for sunscreen to be removed. Calling it an essential and not a luxury. Jonathan discusses this further with Consultant Dermatologist at Institute of Dermatologists, Clinical Professor at UCD.

They told us a degree was the path to a better life. Nobody mentioned the $1.7 trillion in debt that came with it.In Episode 10, We Vote Too tackles the student loan debate head-on — breaking down the cuts, the confusion, and the communities hit hardest when the government decides to play games with education funding.Featuring a powerhouse roundtable: Keanan Mims (Host & Founder, Millennials VS The World), Ashley Wynn-Grimes, MS, RN (Founder, Cannabis Nursing Solutions™), D Wingz (MAPS Media Advisor), and Jesse Hamilton McCoy II, Esq. (Clinical Professor of Law & Director of the Civil Justice Clinic, Duke University School of Law).Smart conversation. Real perspectives. No lecture.We Vote Too — Season 2, Episode 7.

Joining Bobby in the Executive Chair this week is Professor Nicola Ralph, Consultant Dermatologist and Co-founder of the Institute of Dermatologists, Surgical Institute Dublin and ID Formulas & Professor Caitriona Ryan, Consultant Dermatologist and Co-Founder at Institute of Dermatologists, ID formulas, and Surgical Institute Dublin and a Clinical Professor at University College Dublin.

Dr. Howard Schubiner is an internist and the director of the Mind Body Medicine Center at Ascension Providence Hospital in Southfield, Michigan and a Clinical Professor at the Michigan State University College of Human Medicine.He has authored more than 100 publications in scientific journals and books, and lectures regionally, nationally, and internationally. Dr. Schubiner is a senior teacher of mindfulness meditation and the author of three books: Unlearn Your Pain, Unlearn Your Anxiety and Depression, and Hidden From View, written with Dr. Allan Abbass. Dr. Schubiner lives in the Detroit area with his wife of thirty-seven years and has two adult children.Website: unlearnyourpain.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.---Thank you for listening!If you want to support the show, I've got three options and every bit helps.$5.00 PayPalhttps://www.paypal.com/ncp/payment/NPKS32G8KVSN2$10.00 PayPalhttps://www.paypal.com/ncp/payment/495AMDFXQFC3L$15.00 PayPalhttps://www.paypal.com/ncp/payment/M7V5RREUKVD8JThank you to our Sponsors: Jane App - use code GUY1MO at https://janesoftware.partnerlinks.io/ngvcwcxqt2jx-4afv8i (https://jane.app/book_a_demo)Rebound - https://hellorebound.com/ttBeducated - Complete the quiz for one month free https://beduc.at/pd2629-traumatherapist

In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest Amy Hackmann, adult cardiac surgeon at Brigham and Women's Hospital, Boston, MA, USA. Together, they explore extracorporeal membrane oxygenation (ECMO) vs emergency resternotomy for cardiac surgical arrest. Chapters  00:00 Intro  01:36 Resuscitation Algorithm  02:14 Current State of ECMO  04:25 Speed, Quality Assurance  08:28 ECMO Concerns  12:16 Performance Metrics, Decision-Makers  15:08 Prime Circuits  15:24 Non-Surgical Arrest Training  17:42 MCS Devices  18:41 Instances to Avoid ECMO  20:16 Time Targets  21:58 Avoiding Complications, VIS Score  25:09 Key Points  The discussion covers quality assurance metrics, patient-specific decisions regarding ECMO vs resternotomy, and chest compressions. The experts also review the importance of advanced preparation, common causes of cardiac arrest following cardiac surgery, and small-incision surgeries, including the use of surgical saws. Furthermore, the discussion emphasizes the importance of mock drills and team training, as well as the use of ECMO on patients who have not experienced cardiac arrest. Finally, they explore scenarios where ECMO would not be used, vasoactive-inotropic score (VIS), and lactate levels. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode!   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Global Reverberations of Palestinian Historical Trauma: A SAND Community Gathering with Dr. Samah Jabr, Dr. Gabor Maté & Dr. Jennifer Mullan, facilitated by Dr. Jess Ghannam Join us for a conversation marking the book launch of Radiance and Pain in Resilience, a powerful collection of essays by Palestinian psychiatrist, psychotherapist, and internationally respected mental health advocate Dr. Samah Jabr. We are gathering in the midst of genocide. The massive, deliberate traumatization of an entire people, cheered, funded, and shielded from accountability by Western governments, is unfolding in real time. As Israel's assault on Gaza continues to annihilate bodies, families, and entire lineages, this conversation refuses to look away. It asks what it is to tend to the psyche under conditions of systematic destruction. Drawing on decades of clinical practice, political analysis, and lived experience under occupation, Dr. Jabr examines the psychological consequences of colonization, displacement, and historical trauma on the Palestinian people. Through personal reflections, case studies, and cultural critique, she challenges dominant Western paradigms of mental health and offers a decolonial, psycho-spiritual framework rooted in dignity, collective care, resistance, and truth. Proceeds from this conversation go directly to Project Hope Palestine, supporting 500 orphaned children living at Al-Baraka orphan camp in Gaza. Guests Dr. Samah Jabr is a psychiatrist practicing in Palestine, serving communities in East Jerusalem and the West Bank. She was formerly Head of the Mental Health Unit within the Palestinian Ministry of Health and is an Associate Clinical Professor of Psychiatry and Behavioral Sciences at George Washington University. She is the author of several books including Behind the Frontlines, Sumud, Sumud in Times of Genocide, and most recently Radiance in Pain and Resilience: The Global Reverberations of Palestinian Historical Trauma. Dr. Gabor Maté is a physician, trauma expert, and bestselling author of The Myth of Normal, In the Realm of Hungry Ghosts, and When the Body Says No. Dr. Jennifer Mullan is a clinical psychologist and the author of the national bestseller Decolonizing Therapy: Oppression, Historical Trauma, and Politicizing Your Practice. She is the founder of Decolonizing Therapy®. Dr. Jess Ghannam (facilitator) is Clinical Professor of Psychiatry and Global Health Sciences at UCSF. Timestamps 00:00 — Welcome & introductions 00:04 — Dr. Jabr's path into psychiatry and writing 00:06 — Dr. Maté's journey from Zionism to Palestine solidarity 00:10 — Dr. Mullan's path & the political nature of the body 00:17 — Why PTSD doesn't capture the Palestinian experience 00:22 — The DSM, pain, and what diagnosis fails to explain 00:30 — Colonial trauma: cumulative, collective, and intentional 00:33 — Collective healing circles over individual diagnosis 00:39 — Rethinking the role of the mental health worker 00:43 — The colonial roots of Western therapy models 00:50 — Fratricide, domestic violence & the fabricated "lesser nation" 00:55 — Closing reflections: existence as resistance Resources & Links Dr. Samah Jabr Radiance in Pain and Resilience: The Global Reverberations of Palestinian Historical Trauma — Dr. Jabr's book Decolonial Mental Health Practices: Clinical and Ethical Insights From Palestine — Part 2, four-part course starting Hosted By SAND (Starting July 5, 2026) Dr. Gabor Maté The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture Dr. Jennifer Mullan Decolonizing Therapy: Oppression, Historical Trauma, and Politicizing Your Practice Center for Decolonizing Therapy® Support Project Hope Palestine — supporting 500 orphaned children at Al-Baraka orphan camp in Gaza; proceeds from this event go directly here Thinkers referenced in the conversation Frantz Fanon — referenced by Dr. Jabr in her theorization of colonial trauma Dr. Kenneth Hardy — Black psychologist referenced for the concept of the "assaulted sense of self" Dr. Na'im Akbar — author of The Psychological Chains of Slavery, referenced by Dr. Mullan Roberto and Bonnie Duran, Dr. Maria Yellow Horse Brave Heart — referenced for the concept of the "soul wound" and historical trauma Contact SAND podcast@scienceandnonduality.com Support the mission of SAND and the production of this podcast by becoming a SAND Member

0:30 - Maoist Christopher Winston, DSA Red Rabbits Security Commission: “We’re going to execute you after the revolution.” 14:56 - The Caitlin Clark experience isn’t fun anymore — and that’s the WNBA’s biggest problem 31:26 - SCOTUS rules mail-in ballots don't have to be received before Election Day; Barrett sides with libs 50:25 - William Jacobson is a Clinical Professor of Law and Director of the Securities Law Clinic at Cornell Law School. Founder of LegalInsurrection.com and president of the Legal Insurrection Foundation. He joined Dan with reaction to this week’s SCOTUS decisions 01:07:09 - In Depth History w/ Frank From Arlington Heights 01:10:35 - Scott Greer is an award-winning journalist & host of the “Highly Respected” podcast. and author of the new book: Whitepill: The Online Right and the Making of Trump’s America. He joined Dan Proft to talk about the rise of the Democratic Socialists 01:28:33 - Mark Glennon is the Founder of Wirepoints. He joined Dan Proft to talk Illinois politics. 01:43:08 - Peter Berkowitz is a senior fellow at the Hoover Institution and former Director of Policy Planning at the U.S. State Department and Author of Explaining Israel: The Jewish State, the Middle East, and America. He joined Dan Proft with reaction to the ongoing negotiations with Iran. 01:57:37 - Dan Proft Is Single: Marriage as a tool to stop the "genocide" in GazaSee omnystudio.com/listener for privacy information.

Send us Fan MailWhen Dr. Maheen Musoof Adamson watched her father lose his ability to speak after a stroke, her life's work became deeply personal. In this episode, she shares how that experience led her to build Soof Solutions, an AI-enabled communication platform helping stroke, ALS, and non-speaking patients express their needs through eye movement, while challenging what healthcare innovation can look like when science, empathy, and access lead the way.Show NotesThis conversation is about building technology that serves real human need, not just market excitement. Dr. Adamson shares how she moved from neuroscience, Stanford, and government research into entrepreneurship, and why responsible healthcare innovation requires clinical rigor, emotional conviction, global access, and the courage to lead without abandoning your values.How her father's stroke became the catalyst for building Soof Solutions.Why eye-tracking technology can help patients communicate needs like water, comfort, pain, or connection.What it takes to raise capital and build trust as a Pakistani American Muslim woman in healthcare innovation.Why mentorship, women's networks, and support systems matter when founders can no longer “white knuckle” their way through leadership.Guest Contact & ConnectDr. Maheen Musoof Adamson is a Clinical Professor of Neurosurgery at Stanford School of Medicine, Research Director for a national women Veterans center, Senior Scientist at VA Palo Alto Healthcare System, and CEO and Founder of Soof Solutions.Website: https://soofsolutions.com/LinkedIn: https://www.linkedin.com/in/maheenmadamson/Instagram: https://www.instagram.com/soofsolutions_/X: https://x.com/soofsupportJoin the proveHER community and read the companion blogcast for more insight into the founder story, leadership lessons, and human-centered innovation behind this episode.---Subscribe and ReviewIf you loved this episode, drop us a review, share it with a badass woman in your life, and subscribe to Badass Women in Business wherever you get your podcasts.Stay badass. Stay bold. Build it your way.Keep up with more content from Aggie and Cristy here:Facebook: Empowered Women Leaders  Instagram: @badass_women_in_businessLinkedIn: ProveHer - Badass Women in BusinessWebsite: Badasswomeninbusinesspodcast.comAthena: athenaac.com

"Coca is to cocaine what potatoes are to vodka" — Dr. Andrew Weil and Wade Davis on the health benefits, sacred history, and unjust prohibition of the most misunderstood plant on Earth.Dr. Andrew Weil is a pioneer in integrative medicine and founder of the Andrew Weil Center for Integrative Medicine at the University of Arizona, where he holds the Lovell-Jones Endowed Chair and serves as Clinical Professor of Medicine and Professor of Public Health.Wade Davis is an ethnographer, writer, photographer, and filmmaker. From 2014 to 2024 he served as Professor of Anthropology and BC Leadership Chair in Cultures and Ecosystems at Risk at the University of British Columbia, and from 2000 to 2013 as Explorer-in-Residence at the National Geographic Society.Connect with the Beneficial Plant Research Association (BPRA): Website (scroll down to donate) | Coca Leaf Research | Coca Leaf Documentary | Coca Leaf RetreatThis episode is brought to you by:Incogni, which automatically removes your personal data from the web, helping shield you from fraud, scams, and identity theft: Incogni.com/Tim (use code TIM at checkout and get 60% off an annual plan)Maui Nui Venison​ delicious, nutrient-dense, and responsible red meat: https://mauinuivenison.com/tim5-Bullet Friday, my very own free email newsletter: https://tim.blog/fridayTimestamps:[00:00:00] Start.[00:02:38] When coca tea cured my brutal altitude sickness in Chile.[00:04:01] Andy meets coca, 1965: the Andes' master medicine for gut, energy, mood, metabolism.[00:06:20] 14 alkaloids, one scapegoat.[00:07:11] The paradox: one remedy for both diarrhea and constipation.[00:11:37] 8,000 years, zero addiction — and the 1975 study no one wanted to run.[00:13:11] Eradication began 60 years before there was a cocaine problem.[00:16:27] Two nations inside Peru: alcohol versus coca.[00:17:05] The 1950 UN commission that dictated coca policy by pseudoscience, fear, and racism.[00:18:10] Filed beside fentanyl and heroin; 250,000 families and the price of peace.[00:20:03] What coca actually feels like: milder than half a coffee, no crash, no withdrawal.[00:24:19] Decoupling the leaf from the cartels; why crop substitution is a fantasy.[00:25:54] Domesticated three times; the accident of Schedule II.[00:27:49] The sacred leaf: k'intu, cruceta, Pachamama, runakuna.[00:31:11] Hayo in the Sierra Nevada, and Latin America's most-denied gift.[00:32:53] The wedge in the door: demand, the FDA, and an entrepreneur's gold mine.[00:40:22] The story coca deserves — a film, green powders, and one good study.[00:43:12] Monkey mind, the tax of consciousness, and an 84th birthday on coca.[00:47:35] Who to fund: McCurdy and the hunt for legal leaves.[00:49:17] Could coca treat cocaine addiction? Cost, and NIDA's timing.[00:53:18] "Green cocaine" at the airport: coca is to cocaine as potatoes are to vodka.[00:56:58] A 24-hour ritual run powered entirely by coca.[00:59:07] Why two men gave their careers to one leaf — and the pharmaceutical body count.[01:06:22] America's legal cocaine capital, and Coke's secret recipe.[01:09:08] No accident: the hideous prose behind laws we still obey.[01:15:42] Parting thoughts.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Today, Hunter was joined by Professor Deborah Lolai to discuss her law review article, Out of the Closet, in on Bail. In the article, Deborah details the systemic issues within the bail system, especially as they relate to LGBTQ+ individuals. She explores how pretrial detention disproportionately impacts queer and trans people and how Public Defenders can help get their clients the individualized considerations they deserve.   Guest: Deborah Lolai, Clinical Professor and Lecturer, Harvard Law     Resource: Read the Paper Here https://papers.ssrn.com/sol3/papers.cfm?abstract_id=5172965   Contact Deborah Here https://hls.harvard.edu/faculty/deborah-lolai/     Contact Hunter Parnell:      Publicdefenseless@gmail.com  Instagram @PublicDefenselessPodcast Twitter                                                                 @PDefenselessPod www.publicdefenseless.com  Subscribe to the Patreon www.patreon.com/PublicDefenselessPodcast  Donate on PayPal https://www.paypal.com/donate/?hosted_button_id=5KW7WMJWEXTAJ Donate on Stripe https://donate.stripe.com/7sI01tb2v3dwaM8cMN Trying to find a specific part of an episode? Use this link to search transcripts of every episode of the show! https://app.reduct.video/o/eca54fbf9f/p/d543070e6a/share/c34e85194394723d4131/home **** ALL OPINONS SHARED BY HOST HUNTER PARNELL DO NOT REFLECT THE THOUGHTS OR OPINIONS OF THE AURORA MUNICIPAL PUBLIC DEFENDER****  

Kimberly Winson-Geideman, Clinical Professor & Director of the ASU Division of Real Estate and the Executive Director of the International Real Estate Society, joined Arizona's Morning News  to talk about the Senate passing a bill to lower housing costs and restrict Wall Street from buying homes.

 In this episode of Onc Now, Stephen Chan, Clinical Professor in the Department of Clinical Oncology at The Chinese University of Hong Kong, explores the evolving landscape of hepatobiliary and pancreatic cancers. From advances in translational science and precision therapies to the challenges of neuroendocrine tumour care, Chan reflects on the progress made in oncology and the breakthroughs still needed. He also discusses his work with the Hand-in-Hand Cancer Foundation, highlighting the importance of education, compassion, and holistic support for patients and their families.  Timestamps:    00:00 – Introduction    01:18 - Current Hepatobiliary and Pancreatic Landscape   03:23 - Translational Science and Patient Outcomes   05:06 - Founding the Hand-in-Hand Cancer Foundation   06:53 - Advances in Precision Cancer Therapies   08:54 – Rising Incidence of Pancreatic Cancer Post COVID-19  10:45 - President of the International Liver Cancer Association  12:46 - Challenges in Neuroendocrine Tumour Care   14:32 - Future Breakthroughs in Cancer Care   16:02 - Three Wishes for Oncology's Future 

Get Dr. Vonda's insights Want to understand what's happening in your body — and what to do next? Each week, Dr. Vonda shares science-backed guidance on strength, bone health, muscle, and longevity — the same way she speaks to her patients. Clear. Practical. No noise. Join the newsletter: https://manage.kmail-lists.com/subscriptions/subscribe?a=YqJKtR&g=Ww3gx3&   I sit down with Dr. Doris Day, board-certified dermatologist and clinical associate professor at NYU, to explore what perimenopause and menopause are really doing to your skin and what you can do about it from the inside out.   What We Explore:   - Why skin is the first organ to feel estrogen loss, sometimes years before other symptoms appear. - How collagen collapse accelerates around menopause, with up to 30% lost in the first five years. - Why facial bone resorption changes your orbital structure and jawline as you age. - How simple facial posture exercises can preserve muscle tone without surgery. - Why sugar and alcohol accelerate skin aging and how diet supports skin from the inside out. - What hydrolyzed collagen supplements actually do in the body. - How hormone therapy, retinoids, and topicals work together as a nighttime protocol. - Why deep sleep and REM are among the most underrated factors in how your skin heals.   About Dr. Doris Day: Dr. Doris Day, MD, is a board-certified dermatologist specializing in cosmetic and longevity dermatology. She is a Clinical Professor of Dermatology at NYU Langone Health, where she has been recognized with the Award for Dedication and Excellence in the Teaching of Dermatology. Her leadership in aesthetic dermatology has earned her the AAD Presidential Citation and the American Skin Association Award for leadership in dermatology.   Connect with Dr. Doris Day: Website: https://dorisdaymd.com/ Instagram: https://www.instagram.com/drdorisday/ LinkedIn: https://www.linkedin.com/in/drdorisday YouTube: https://www.youtube.com/c/DorisDayMDCosmeticDermatology Timestamps   Intro (00:00) Why Skin Is Your Most Important Organ (01:46) Skin Loses Estrogen Before Your Brain Does (05:21) How to Stop 30% Collagen Loss After Menopause (07:10) Why Your Face Sinks: The Bone Changes Explained (09:34) Stop Chasing Your 20s Face (11:25) The Ear-Lift Trick That Replaces Forehead Botox (17:00) What Hyaluronic Acid Actually Does (And What It Can't) (22:24) Why One Treatment Will Never Be Enough (26:01) Sugar Is Poison for Your Skin, Here's the Fix (28:33) The mTOR Switch Making Your Skin Age Faster (36:23) The 3 Ingredients Every Woman Over 45 Needs (44:07) The Sleep Metric That's Aging Your Face (47:35) What Women Who Age Powerfully All Have in Common (49:38)  

In this episode, we discuss the promising results of intravitreal gene therapy for neovascular AMD with 4D-150 with Dr. Arshad Khanani of Sierra Eye Associates and Clinical Professor of Ophthalmology at the University of Nevada Medical School, Reno.

In the final weeks of the 2025-2026 term, the Supreme Court will issue over two dozen decisions in key cases.  Before this final stretch, we return to ACS's Supreme Court Preview event to refresh our collective memories on those cases still outstanding and as an opportunity to reflect on what the term has yielded thus far.Join the Progressive Legal Movement Today: ACSLaw.orgHost: Valerie Nannery, Senior Director of Policy and ProgramGuest: Mark Joseph Stern, Senior Writer, Slate MagazineGuest: Carlos A. Ball, Distinguished Professor of Law and Judge Frederick Lacey Scholar, Rutgers Law SchoolGuest: Alexis Hoag-Fordjour, David Dinkins '56 Professor of Law and Co-Director of the Center for Criminal Justice, Brooklyn Law SchoolGuest: Pamela S. Karlan, Kenneth and Harle Montgomery Professor of Public Interest Law and Co-Director of the Supreme Court Litigation Clinic, Stanford Law SchoolGuest: Shoba Sivaprasad Wadhia, Samuel Weiss Faculty Scholar, Director of the Center for Immigrants' Rights Clinic, and Clinical Professor of Law, Penn State Dickinson LawLink:  ACS National Supreme Court Preview 2025-2026Link: Supreme Court Term in Review, Georgetown Law on July 1Visit the Podcast Website: Broken Law PodcastEmail the Show: Podcast@ACSLaw.orgFollow ACS on Social Media: Facebook | Instagram | Bluesky | LinkedIn | YouTube-----------------Broken Law: About the law, who it serves, and who it doesn't.-----------------Production House: Flint Stone MediaCopyright of American Constitution Society 2025.

In this episode, Curtiss T. Stinis, MD, FACC, FSCAI, Clinical Professor of Medicine, Director of Peripheral Interventions, Interventional Cardiology, Scripps Clinic, joins the Becker's Healthcare Podcast to discuss the latest TAVR durability data, key differences between leading valve platforms, and what health system leaders need to understand about lifetime valve management.This episode is sponsored by Edwards Lifesciences.

In this episode of PsychopharmaPearls, Dr. Andy Cutler talks with Dr. Leslie Citrome about akathisia, a common but often misdiagnosed antipsychotic side effect that can look like agitation, anxiety, irritability, or worsening psychiatric symptoms. They discuss how to recognize akathisia in clinical practice, distinguish it from true agitation, identify key timing and symptom clues, and avoid common treatment mistakes, including why benztropine is not an appropriate treatment for akathisia.  Leslie Citrome, MD, MPH, is Clinical Professor of Psychiatry and Behavioral Sciences at New York Medical College and an internationally recognized expert in psychopharmacology and clinical trial interpretation. He has authored more than 600 scientific publications and frequently lectures on applying research findings to real-world psychiatric practice.  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 EMA Wellness. He is a Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.   Fall Congress   Get $100 off NEI Fall Congress registration with code POD26. Go to https://nei.global/fall to sign up today!   Never miss an episode!

Dr. Howard Schubiner is an internist and pediatrician, who attained the rank of full Professor at Wayne State University School of Medicine in 1999. He is an internist and the director of the Mind Body Medicine Center at Ascension Providence Hospital in Southfield, Michigan. Dr. Schubiner is a Clinical Professor at the Michigan State University College of Human Medicine and is a fellow in the American College of Physicians, and the American Academy of Pediatrics. He has authored more than 100 publications in scientific journals and books, and lectures regionally, nationally, and internationally. Dr. Schubiner is the author of three books: Unlearn Your Pain, Unlearn Your Anxiety and Depression, and Hidden From View, written with Allan Abbass, MD, a Professor of Psychiatry at Dalhousie University in Halifax, Nova Scotia. Today, we have a fascinating conversation on Mind Body Syndrome a condition where the brain generates very real physical pain or symptoms in response to unresolved emotional stress, trauma, or repressed feelings like anger and anxiety. Learn more about your ad choices. Visit megaphone.fm/adchoices

If Part 1 was about the field of sexual medicine, Part 2 is about the marriage at the center of it. Dr. Jenni Skyler and Daniel Lebowitz return to their conversation with Dr. Irwin and Sue Goldstein, and this time, the questions get more personal. How do you stay married for fifty years? What does great sex actually look like across the decades? And what happens when a woman who has spent her career in sexual medicine starts experiencing low desire herself? Sue Goldstein opens up about her own journey through peri-menopause and the slow erosion of her libido- what she calls "duty sex", and the medications that brought not just her sex drive back, but a playfulness in her marriage she hadn't realized had gone missing. She walks listeners through her menopause toolbox of five treatments, explains why she's "76 and feels like she's in her 50s", and dismantles the lingering fears from the Women's Health Initiative that have kept generations of women in what she calls hormone prison. Dr. Irwin shares his own daily protocols for sexual health, why he believes most older men are leaving capacity on the table, and the surprising data from their own clinic- that more than half the Vyleesi prescriptions they write are off-label for men. They explore why dopamine is dopamine, regardless of gender. The reality of persistent genital arousal disorder. And a remarkable story of a teenage horseback rider whose chronic arousal turned out to be a herniated disc. This episode is full of practical wisdom, clinical innovation, and one of the most real conversations about long-term love you'll hear all year. The Goldsteins' secret to fifty years of marriage? Best friends, good sex, and the willingness to keep trying new things — including a chocolate sauce on the day before you change the sheets. Irwin Goldstein, MD, IF (he/him/his). Director, San Diego Sexual Medicine 5555 Reservoir Drive, Suite 300, San Diego, CA 92120, Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CA. Clinical Professor of Urology, University of California at San Diego. Voluntary Clinical Professor of Obstetrics, Gynecology and Reproductive Services Past President, International Society for the Study of Women’s Sexual Health. Past President, Sexual Medicine Society of North America. Editor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Research. Phone: 619 265-8865 - Mobile: 619 987-7432. Email: dr.irwingoldstein@gmail.com. http://www.sandiegosexualmedicine.com. Like us on Facebook: https://www.facebook.com/SDSexMed. X: http://twitter.com/SDSexualMedSee omnystudio.com/listener for privacy information.

En este episodio de Caminos a Ítaca en Soltar las trabas, converso con Eva Vázquez, Clinical Professor en Thunderbird School of Global Management de Arizona State University. Una conversación profunda sobre lo que realmente implica construir empresas en contextos de alta complejidad. Exploramos las brechas entre lo que los ecosistemas ofrecen y lo que las empresas necesitan, el rol crítico del crecimiento personal del emprendedor y por qué el acceso a conocimiento, acompañamiento y redes puede resultar más determinante que el capital mismo. Eva comparte una mirada provocadora: no todos los caminos pasan por Silicon Valley ni por la obsesión con los “unicornios”. En América Latina, existe también un enorme potencial en fortalecer miles de empresas que ya operan y que pueden transformar nuestras economías desde dentro. Reflexionamos sobre liderazgo, internacionalización, aprendizaje en aceleradoras y las condiciones que harían posible un ecosistema más justo, conectado y efectivo hacia el futuro. Si lideras, emprendes o acompañas procesos de crecimiento, este episodio te invita a repensar lo que significa realmente avanzar. Este episodio se presenta en español e incluye subtítulos en inglés generados por inteligencia artificial y revisados ligeramente para facilitar el acceso a audiencias no hispanohablantes.

On Food Talk with Dani Nierenberg, Dani speaks with Dana Gunders, President of ReFED, and Emily Broad Leib, Clinical Professor of Law and Director of Harvard Law School Center for Health Law and Policy Innovation. They discuss how the adoption of GLP-1 drugs is impacting food waste at the household and retail levels, how grocers and restaurants can respond to shifting eating habits, and what's happening at the state and federal level to keep food out of landfills. Plus, the dismantlement of USAID continues to impact global communities, Ebola cases rise in the Democratic Republic of Congo and Uganda, the fuel crisis in Cuba becomes a food systems crisis, the U.S. House advances legislation to allow the year-round sale of E15 ethanol blend, China restores trade for U.S. agriculture products, and the undamming of the Klamath river restores salmon populations, reconnects ecosystems, and returns river access to Indigenous communities.  While you're listening, subscribe, rate, and review the show; it would mean the world to us to have your feedback. You can listen to "Food Talk with Dani Nierenberg" wherever you consume your podcasts.

In this episode of BRAVE COMMERCE, Rachel Tipograph and Sarah Hofstetter speak with Jim Lecinski, the marketer behind the “Zero Moment of Truth” framework during his time at Google and now Clinical Professor of Marketing at Northwestern University's Kellogg School of Management, about how AI is reshaping consumer discovery. From search and social to retail media networks and AI assistants, Jim explains why brands must rethink how they influence decision-making before the point of purchase.The conversation also explores how AI is influencing both consumers and marketers, and what CMOs should prioritize as discovery becomes increasingly fragmented across platforms and channels.Key takeaways:The “Zero Moment of Truth” is expanding across AI, social, retail media, influencers, and search-driven discovery.Brands should start with understanding consumer questions and behaviors before determining where to invest media dollars.AI is reshaping both consumer decision-making and how marketing organizations structure teams, strategies, and customer insights. Hosted on Acast. See acast.com/privacy for more information.

Today, I have the honor of interviewing Dr. Doris Day, a board-certified dermatologist who specializes in cosmetic and longevity dermatology. She is also a clinical professor of dermatology at NYU, recognized for her dedication and excellence in teaching, and is widely regarded as a leader in the aesthetic dermatology field. In addition to her clinical work, Dr. Day is a medical journalist and a prominent media figure. In our discussion, we examine the basics of perimenopause and menopause from a pathophysiology perspective, including the 30% decline in collagen synthesis that occurs during the first five years of menopause. We explore the skin microbiome, inflammation, and inflammaging, and why hydration, electrolytes, reducing processed sugars, and eating a nutrient-dense diet can have such a visible impact on skin health. Dr. Day also explains her approach to facial balancing and how our bones, fascia, muscles, and fat pads age. We discuss topical agents, advanced interventions including lasers, microneedling, PRF, PRP, stem cells, and growth factors, and even touch on emerging research suggesting that certain laser treatments may help reduce the risk of skin cancer. Throughout the conversation, I also openly shared what I have done to support my skin. Stay tuned for today's fascinating conversation about menopause, skin health, collagen loss, and the evolving science behind modern aesthetic dermatology. IN THIS EPISODE, YOU WILL LEARN: The sudden skin changes many women experience during early perimenopause Dr. Day explains how she personalizes skincare routines for each patient How collagen synthesis rapidly declines during the menopause transition How hydration, sleep, and nutrition can visibly improve skin tone and puffiness How inflammation, blood sugar issues, and poor metabolic health contribute to inflammaging and visible skin aging Why facial balance is more important than trying to erase every wrinkle or line Dr. Day shares how she combines lasers, topicals, and recovery protocols to support skin healing and collagen production How fillers and other cosmetic procedures can create an unnatural appearance when used incorrectly Bio: Dr. Doris Day, MD, is a board-certified dermatologist specializing in cosmetic and longevity dermatology. She is a Clinical Professor of Dermatology at NYU Langone Health, where she has been recognized with the Award for Dedication and Excellence in the Teaching of Dermatology. Her leadership in aesthetic dermatology has earned her the AAD Presidential Citation and the American Skin Association Award for leadership in dermatology. Ranked #3 in the United States and #1 in New York by Newsweek as a Top Cosmetic Dermatologist, Dr. Day is a recognized authority in her field. Her work has been cited in leading publications, including The New York Times and Castle Connolly's NY Magazine Top Doctors listings, for over 20 consecutive years. Dr. Day is also a medical journalist and a prominent media figure, providing expert commentary on major television programs and podcasts. Her insights are regularly featured in top magazines, and she is a sought-after speaker, delivering numerous lectures every year on cutting-edge aesthetic techniques at both national and international conferences. Dr. Day has over 100 publications in the medical literature, and she has written four best-selling books: "Rebooting the Biome" (2023), "Beyond Beautiful" (2018), "Forget the Facelift," and "100 Questions and Answers about Acne." She also hosts a popular dermatology show on SiriusXM's Doctor Radio, a platform where she has been educating the public for over 15 years, earning the AAD's Golden Triangle Award for Media Excellence. Her professional affiliations include the American Society for Dermatologic Surgery, where she has served on the board of directors; the American Academy of Dermatology, where she was recently elected to the nominating committee; the New York State Dermatology Society; and the American Honors Society of Dental and Facial Aesthetics. Dr. Day earned her BA in English from Columbia University, an MA in Journalism and Science Writing/Medical Reporting from New York University, and her MD from SUNY Downstate College of Medicine. She completed her dermatology residency at Cornell University College of Medicine, where she served as Chief Resident. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Cynthia's Menopause Gut Book is on presale now! Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Doris Day On her website Instagram, Facebook, and TikTok

For a lot of people, the idea of negotiating feels uncomfortable—something to avoid if possible. It can feel confrontational, awkward, or even risky. But what if negotiating didn't have to be that way? What if it wasn't about pushing harder or being more aggressive—but simply about asking better questions? It turns out that the most effective negotiators don't rely on pressure or persuasion nearly as much as you might think. Instead, they guide conversations in a way that uncovers what really matters to the other person—and to themselves. And that shift can completely change the outcome. Alexandra Carter, Clinical Professor of Law and Director of the Mediation Clinic at Columbia Law School, has spent years teaching people how to negotiate more effectively. In her book Ask for More: 10 Questions to Negotiate Anything (https://amzn.to/2T6WaY8), she outlines a simple but powerful framework built around asking the right questions at the right time. In our conversation, she explains how this approach works, why it's often more effective than traditional negotiating tactics, and how you can use it in everyday situations—from work conversations to personal decisions—without feeling uncomfortable or confrontational. PLEASE SUPPORT OUR SPONSORS AQUA TRU: Take the guesswork out of pure, great-tasting water. Head to ⁠https://AquaTru.com⁠ now and get 20% off your purifier using promo code SYSK. AquaTru even comes with a 30-day best-tasting water guarantee or your money back. POCKET HOSE: For a limited time, when you purchase a new Pocket Hose Ballistic, you'll get a FREE 360 degree rotating pocket pivot and a FREE thumb drive nozzle! Just text SYSK to 64000 RULA: This Mental Health Awareness Month, don't just think about your mental health - actually take the step to take care of it. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://Rula.com/sysk⁠⁠⁠⁠⁠⁠⁠⁠⁠ to get started. QUINCE: Refresh your everyday with luxury you will actual use! Go to ⁠⁠⁠https://Quince.com/sysk⁠⁠⁠ for free shipping on your order and 365-day returns. Now available in Canada, too! SHOPIFY: It's time to turn those "what ifs" into CHA CHING with Shopify Today! Sign up for your $1 per month trail and start selling today at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://Shopify.com/sysk⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ PLANET VISIONARIES : We love the Planet Visionaries podcast! In partnership with The Rolex Perpetual Planet Initiative. Listen or watch on Apple, Spotify, YouTube or wherever you are listening to this podcast. Learn more about your ad choices. Visit megaphone.fm/adchoices