Podcasts about clinicians

Episode Summary In this episode, Doc Danny shares why cash-based physical therapy entrepreneurship is entering a powerful new phase. From his upcoming presentations at CSM to the broader evolution of the profession, Danny breaks down how business models have changed, why scalability is now real, and what this means for clinicians who want more autonomy, impact, and long-term opportunity. In This Episode, You'll Learn Why distraction during documentation hurts rapport and outcomes, and how AI scribes can fix it What Doc Danny is presenting at CSM and why cash-based models are gaining momentum How starting a clinic inside a gym can lower risk and accelerate early growth Why cash-based practices are more scalable today than ever before How entrepreneurship is becoming a larger part of the physical therapy profession Why specialization and niche expertise benefit both clinicians and patients What clinicians must nail in the early phase of business to build something sustainable How non-traditional career paths are opening new doors inside and outside the clinic What's Changing in the Profession Entrepreneurship in physical therapy is still a small percentage of the profession, but it's growing fast. More clinicians are choosing self-employment, niche practices, and performance-based models that prioritize one-on-one care, long-term outcomes, and lifestyle flexibility. According to Doc Danny, this shift isn't slowing down. Why This Matters Patients want personalized care. Clinicians want autonomy and fulfillment. Cash-based models sit at the intersection of both. This episode explains why now is a unique moment for physical therapists to build meaningful businesses that create real enterprise value. Technology Spotlight Want to be fully present with your patients instead of stuck in your EMR? Try Claire free for 7 days and see how an AI scribe built specifically for physical therapists can reduce documentation time and improve patient outcomes. Key Takeaway You don't need to have your entire career figured out today. The skills you build as a clinician and business owner are transferable, powerful, and increasingly valuable. Focus on nailing the fundamentals, stay open to opportunity, and let the path evolve. Free Resource Thinking about going full-time in your cash practice? Join the free 5-Day Part-Time to Full-Time Challenge and build a clear, realistic plan to replace your income and take action. Connect Physical Therapy Biz PT Entrepreneur Podcast

Today we interviewed Bob Wachter about his book, "A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future."  You may recall we interviewed Bob in April 2024 about AI, and at that time he was on the fence about AI - more promise or more peril for healthcare?  As his book's title suggests, he's come down firmly on the promise side of the equation.  On our podcast we discuss: Why Bob wrote this book, at this time, and concerns about writing a static book about AI and Healthcare, a field that is dynamic and shifting rapidly.  He's right though - we've not had a "ChatGPT"-launch type moment recently. Top 5 or so ways in which Bob uses AI for work, from clinical care to book writing Concerns about job losses in healthcare, and will we still need doctors? AI for diagnosis, and the recent NEJM Clinical Case in which recent GeriPal guest and superstar clinician-educator Gurpreet Dhaliwal beats an AI.  UpToDate vs OpenEvidence Trust issues - should we trust AI after being let down before? Clinicians felt burned by their experience with the hype and promise of EHRs - but they've been much less a game changer and much more a soul sucking chore designed to maximize billing rather than improve patient care.  Yet early returns on AI have largely been positive. Time saved from writing notes, prior authorizations, and summarizing charts…all to the good! Sadly, we didn't have Bob on piano singing the song for this one.  He was in the office, not home.  So I made do with ChatGPT's choice, Handle With Care, which has some surprisingly pertinent lyrics about AI in healthcare, including: "Been beat up and battered aroundBeen sent up, and I've been shot downYou're the best thing that I've ever foundHandle me with care" Enjoy! -Alex Smith  

This episode of EM Pulse dives into one of the most stressful scenarios in the ED: the febrile infant in the first month of life. Traditionally, a fever in this age group has meant an automatic “full septic workup,” including the dreaded lumbar puncture (LP). But times are changing. We sit down with experts Dr. Nate Kuppermann and Dr. Brett Burstein to discuss a landmark JAMA study that suggests we might finally be able to safely skip the LP in many of our tiniest patients. The Study: A Game Changer for Neonates Our discussion centers on a massive international pooled study evaluating the PECARN Febrile Infant Rule specifically in infants aged 0–28 days. While previous guidelines were conservative due to a lack of data for this specific age bracket, this study provides the evidence we've been waiting for. The Cohort: A large pool of infants across multiple countries. The Findings: The PECARN rule demonstrated an exceptionally high negative predictive value for invasive bacterial infections. The Big Win: The rule missed zero cases of bacterial meningitis. Defining the Danger: SBI vs. IBI The experts break down why we are shifting our terminology and our clinical focus. Serious Bacterial Infection (SBI)  Historically, this was a “catch-all” term including Urinary Tract Infections (UTIs), bacteremia, and meningitis. However, UTIs are generally more common, easily identified via urinalysis, and typically less life-threatening than the other two. Invasive Bacterial Infection (IBI)  This term refers specifically to bacteremia and bacterial meningitis. These are the “high-stakes” infections the PECARN rule is designed to rule out. Dr. Kuppermann notes that we should ideally view bacteremia and meningitis as distinct entities, as the clinical implications of a missed meningitis case are far more severe. The HSV Elephant in the Room One of the primary reasons clinicians hesitate to skip an LP in a neonate is the fear of missing Herpes Simplex Virus (HSV) infection. Low Baseline Risk: While the overall risk of HSV in a febrile infant is low, the risk of “isolated” HSV (meningitis without other signs or symptoms) is even rarer. Screening Tools: Most infants with HSV appear clinically ill. Clinicians can also use ALT (liver function) testing as a secondary screen – transaminase elevation is a common marker for systemic HSV. Clinical Judgment: If the baby is well-appearing, has no maternal history of HSV, no vesicles, and no seizures, the risk of missing HSV by skipping the LP is exceptionally low. Practical Application: Shared Decision-Making This isn’t just about the numbers—it’s about the parents. “Families don’t mind their babies being admitted… They do not want the lumbar puncture. It is the single most anxiety-provoking aspect of care.” — Dr. Brett Burstein The PECARN “Low-Risk” Criteria:  (Remember, this rule applies only to infants who are not ill-appearing.) Urinalysis: Negative Absolute Neutrophil Count (ANC): ≤ 4,000/mm³ Procalcitonin (PCT): ≤ 0.5 ng/mL The Bottom Line: If an infant is well-appearing and meets these criteria, physicians can have a nuanced conversation with parents about the risks and benefits of forgoing the LP, while still admitting the child for observation (often without empiric antibiotics) while cultures brew. Key Takeaways The “Well-Appearing” Filter: If an infant looks ill, the rule does not apply. These patients require a full workup, including an LP, regardless of lab results. Meticulous Physical Exam: Assess for a strong suck, normal muscle tone, brisk capillary refill, and any rashes or vesicles. History is Key: Always ask about maternal GBS/HSV status, pregnancy or birth complications, prematurity, sick contacts, and any changes in feeding, stooling or activity. Procalcitonin: PCT is the superior inflammatory marker for this rule. If your facility only offers traditional markers like CRP, the PECARN negative predictive value cannot be strictly applied. In the words of Dr. Kuppermann: “If you don’t have it, for God’s sakes, just get it! ALT to Screen for HSV: While not part of the official PECARN rule, our experts suggest that significantly elevated liver enzymes should raise suspicion for systemic HSV. Observe, Don’t Discharge: Being “low risk” does not mean the infant goes home. All infants ≤ 28 days still require admission for 24-hour observation and blood/urine cultures. We want to hear from you! Does this change how you approach febrile neonates in the ED? How do you handle shared decision-making with parents? Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Brett Burstein, Clinician-Scientist and Pediatric Emergency Medicine Physician at Montreal Children’s Hospital, McGill University Resources: Burstein B, Waterfield T, Umana E, Xie J, Kuppermann N. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. 2026 Feb 3;335(5):425-433. doi: 10.1001/jama.2025.21454. PMID: 41359314; PMCID: PMC12687207“Hot” Off the Press: Infant Fever Rule “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? PECARN Infant Fever Update: 61-90 Days Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O’Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. ****Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.  

In this episode of Understanding Disordered Eating, I'm joined by Jack Heinemann for a live, supervision-style conversation that explores what's often happening beneath the surface when therapists feel stuck. Rather than focusing on what to say or do next, we slow the work down and examine how unconscious relational patterns quietly organize the therapy relationship itself, shaping both the client's experience and the clinician's emotional response, often without either person realizing it. This episode isn't about quick techniques or the perfect intervention. It's about learning how to think differently. Resources Group Training for Clinicians, led by Jack Heinemann. Details:  • 6 weekly sessions (75 minutes each) • Thursdays at 12pm EST • Begins 2/12 • $85 per session • Limited spots Looking for more information? Email jack@jackheinemanntherapy.com or info@bergenmentalhealthgroup.com    Grab my Journal Prompts Here! Looking for a speaker for an upcoming event? Let's chat! Now accepting new clients! Find out if we're a good fit!      LEAVE A REVIEW + help someone who may need this podcast by sharing this episode. Be sure to sign up for my weekly newsletter here! You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com

Research on psychedelics has shown that one of the most profound effects of the experience is how it places people in a more vulnerable, highly susceptible state. Along with creating time dilations, this powerful period is also capable of establishing new thought patterns surrounding trauma or addictions. For those who aim to support healing, this moment offers tremendous opportunities to empower individuals and help them reset temporarily or for good. Yet it's that same openness that can be exploited by individuals attempting to manipulate, control, or indoctrinate.   This tension prompted my guest Erica Siegal, a licensed clinical social worker who facilitates psychedelic sessions, to ask, “How do we as facilitators of psychedelic experiences, not create undue influence…?” Erica enrolled in my clinicians' course, a nd we subsequently crossed paths at a Harvard‑hosted psychedelic‑assisted psychotherapy program where I was a speaker. I am honored to have her as a guest on this episode of Cults, Culture & Coercion.   Erica is the founder of NEST Harm Reduction, “an organization focused on psychotherapy, psychedelic-adjacent care, drug education, and consultation for communities and organizations working in high-influence environments.” She has worked for over 15 years in the realm of psychedelic research, behavioral health, community gatherings, and spiritual care settings. She aims to help individuals and organizations reduce harm while preserving autonomy and dignity. Join us for this illuminating interview. Learn more about your ad choices. Visit megaphone.fm/adchoices

Becoming a Therapist as a First-Generation Clinician-in-Training: An Interview with Marvin Vasquez Special Series: Becoming a Therapist In this Becoming a Therapist special series episode, Curt Widhalm and Katie Vernoy welcome back Marvin Vasquez for a second-year check-in as he moves into the clinical phase of his training. Marvin reflects on beginning direct client work as a first-generation clinician-in-training, providing therapy in both English and Spanish, and supporting members of his own community during a time of heightened systemic stress. This conversation explores practicum placement, supervision, self-doubt, and the emotional realities of becoming a therapist while holding personal, cultural, and professional identities at the same time. About the Guest Marvin Vasquez is a first-generation Marriage and Family Therapy graduate student at California State University, Northridge. He is currently completing his clinical training as an intern at Phoenix House, where he works with individuals and families impacted by mental health challenges and systemic barriers, with a focus on Latinx communities. Marvin provides bilingual therapy in English and Spanish and is committed to culturally responsive, strengths-based care and community advocacy. Key Takeaways • What it's like to move from coursework into direct clinical work as a first-generation clinician • The emotional impact of serving your own community while still in training • How supportive supervision helps reduce self-doubt and “flailing” early in practice • Why bilingual and culturally responsive care can deepen trust and engagement • Navigating systemic stressors while developing confidence as a new therapist Find the full show notes and resources for this episode at https://mtsgpodcast.com Join the Modern Therapist Community Patreon https://www.patreon.com/c/mtsgpodcast Facebook Group https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

Are you giving up too soon? Throwing in the towel because it feels hard, awkward, or slow?If you're someone who usually excels quickly, it can feel deeply uncomfortable when you're not instantly good at something new. Most entrepreneurs mistake that early awkwardness for failure and instead of pushing through the discomfort, they give up too soon. But what if sucking is actually the first step toward real growth?In this Mantra Monday activation, I'll help youStop spiraling and just start doing the thing.Stay in the game long enough to actually get good.Keep showing up even when you feel embarrassed, slow, or unsure.Press play now to rewire yourself for greatness! If you enjoyed this mantra, be sure to share it with a friend so you an BOTH start your week from a place of power. If you want 2026 to be the year you make your first $100k in coaching, then Create Your Six Figure Offer is the space for you. Click here to enroll now. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit 100khealer.substack.com/subscribe

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On this week's BONUS episode of Critical Care Time, Cyrus & Nick flip the coin on sleep and discuss the importance of sleep for those of us that have to work nights. We also discuss how to find ways to still get rest even when your whole world is flipped upside down! Be prepared to keep taking excellent care of your patients using some of the tricks we review here. Give it a listen - or a watch and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

Former Top 10 Pro Athlete → Neuroscientist → Startup FounderDr. Jo Shattuck's journey is wild: from cleaning carpets while living in a camper… to becoming a world-ranked athlete, then a neuroscience PhD, and now the founder of PantherTec. In this episode, Jo breaks down how we've been teaching movement wrong — and what proprioception, kinesthetic dissonance, and wearable tech have to do with fixing it.???? Learn how PantherTec's CAT device is helping athletes, patients, and clinicians unlock real body awareness — not just motion but meaning.???? Topics Covered:What proprioception really is (and why most people don't train it)Why your “internal body model” determines performance and safetyHow kinesthetic dissonance is changing rehab and movement coachingThe limits of verbal cues and video — and why “feel” matters moreHow PantherTec's tech is creating ah-ha moments in just minutesThe true cost of wasted reps — and how to eliminate themPlus: chainsaw stories, social proprioception, black panthers, and one killer parting shot???? Clinicians, athletes, coaches — if you've ever said "they just don't get it" during a session, this episode is your wake-up call.

In this episode, Jimmy sits down with CJ Morrow—licensed PT and health tech leader—to explore the evolving role of AI in rehab. From demystifying compliance to explaining how AI can become your new thought partner, this conversation is loaded with insights for any PT navigating the future of care.Topics Covered:– The 6 Types of Working Genius and team synergy– Why tech resistance is really about billing & complexity– Compliance isn't a roadblock—it's a swim lane– How PTs are training the future of AI– First step to using AI in your clinic this week– What the rise of automation really means for PTs

Join Jay Gunkelman (500,000+ brain scans analyzed), clinicians Joy Lunt (RN, BCN; Past President ISNR; hundreds of autism cases), Dr. Mari Swingle (author of i-Minds), John Mekrut (The Balanced Brain), Joshua Moore (MA, LMHC, BCN; Alternative Behavioral Therapy), Anthony Ramos, and host Pete Jansons for a full live Q&A on neurofeedback's impact on autism spectrum disorder—from severe non-verbal kids to life-altering changes, plus broader insights on epilepsy, sensory issues, dissociation, and more.✅ Topic 1 Explained: Neurofeedback often transforms autism symptoms (behavior, communication, family life)—~95% of Joy's cases see major gains, like one child whose school forgot his diagnosis.✅ Topic 2 Deep Dive: Not too young—even 5-year-olds benefit with careful protocols; early work prevents years of struggle by gently guiding brain development.✅ Topic 3 Insights: Intake via detailed interviews > rigid QEEG; adjust real-time based on behavior—avoid disrupting compensations for best results.✅ Additional Topics:

We're thrilled to welcome back Dr. Hazel Keedle from Sydney, Australia! Dr. Keedle is a researcher, midwife, Director of Midwifery Academic Programs and Senior Lecturer at Western Sydney University back to discuss her book, A Clinician's Guide to Birth After Cesarean, released in August 2025.In this episode, Hazel shares insight from her years of research into VBAC experiences and clinical care. She talks about birth and the “Olympic coach” analogy, how providers can balance risks between VBAC and repeat cesarean, and the best ways to use research in your decision making.Hazel, Paige, and Lily also unpack the importance of removing terms like trial, fail, and success to better honor every story. Hazel also graciously offers her personal perspective on how clinicians can process difficult outcomes and still show up with compassion, empathy, and belief to help every mother birth the way she desires.The Clinician's Guide to Better Birth After CaesareanBirth After Caesarean: Your Journey to a Better Birth The Birth Experience StudyThe VBAC Link Podcast Episode 209 Dr. Keedle's Publication - Debriefing Women's Birth ExperiencesThe Perinatal Experience of Women With a History of Intimate Partner Violence The Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Clinicians and patients are in a state of prognostic uncertainty when they are unsure about the future course of an illness. By embracing uncertainty while cultivating prognostic awareness, neurologists can serve the critical role of supporting patients and families through the living and dying process. In this episode, Casey Albin, MD, speaks with Robert G. Holloway, MD, MPH, FAAN, author of the article "Managing Prognostic Uncertainty in Neurologic Disease" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Holloway is the Edward and Alma Vollertsen Rykenboer Chair and a professor of neurology in the department of neurology at the University of Rochester School of Medicine and Dentistry in Rochester, New York. Additional Resources Read the article: Managing Prognostic Uncertainty in Neurologic Disease Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Albin: Hello, this is Dr Casey Albin. Today I'm interviewing Dr Bob Holloway about his article on managing prognostic uncertainty in neurologic disease, which appears in the December 2025 Continuum issue on neuropalliative care. Welcome to the podcast, and please introduce yourself to our audience. Dr Holloway: Hi, Casey, and thank you. Again, my name is Bob Holloway. I'm a clinician and neurologist up in Rochester, New York, and I've been doing both neurology and palliative care for many years. Dr Albin: Well, that's fantastic. And I really wanted to emphasize how much I really enjoyed reading this article. I know that we're going to get into some of the pearls that you offer, but I really want to tell the listeners, like, this is a great one to read because not only does it have sort of a philosophical take, but you also really provide some pragmatic tips of how we can help our patients manage this prognostic uncertainty. But maybe just tell us a little bit, what is prognostic uncertainty? Dr Holloway: Yes, thank you. Well, I think everyone has a sense of what prognostic uncertainty is. And it's just the uncertain futures that we as clinicians and our patients face. And I would just say that a way to summarize it is just, how do we manage the "not yet" of neurologic illness? Dr Albin: I love that. In neurologic illness, there is so much "not yet" and there are so many unknowns. And what I thought was really helpful about your article is you kind of give us three buckets in which we can think about the different types of uncertainty our patients are facing. What are those? Dr Holloway: This is, I think, an area that really is of interest to me, thinking about how to organize the prognostic "not yet" or that landscape. And one way I've tried to simplify it is to think about it as data-centered. And that's the world that we mostly live in as neurologists. That's the probability distributions. We also have kind of system-level uncertainties, and that's the uncertainties that our health system affords for our patients. And then we have, also, the patient-centered uncertainties and the uncertainties that those two prior categories cause for our patients. And that's a big uncertainty that we often don't address. Dr Albin: In reading the article, I was really struck by, we spend a lot of time thinking about data uncertainty. Can we get population-based research? Can we sort of look at prognostication scoring? I live in the ICU, and so we think a lot about these, like, scoring metrics and putting patients into buckets and helping us derive their care based on where their severity index is. And I'm sure that is true in many of the divisions of neurology. But what I did not really appreciate---and I thought you did a really fantastic job of kind of drawing our attention to---is there's a lot of system-centered uncertainty. Can you give us a little bit of examples, like, what is system-based uncertainty? Dr Holloway: I think system-level uncertainties just encompass the practical information gaps that may arise during our healthcare encounter. And a lot of, I think, the uncertainty that our patients face and families, they actually describe it as they feel captive by the uncertainty. And it's just the unknowns, not just what affords from the actual information about the disease and its prognosis in the future, but actually the level of the system, like, who's going to take care of them? How do you manage arranging for nurses to come into the home or all those practical-level uncertainties that the system provides that sometimes we don't do a good job of road-mapping for patients. Dr Albin: Absolutely. Because I feel like we have a little bit of a gap in that often as physicians. Like, the family asks, what will hospice at home look like? Well, you know, that's a question for case management. I think they'll come in and they'll tell you. But it strikes me that that's a real gap of my being able to walk patients through. Will they get home health care? Will they have transportation set up? Will there be a nurse who comes in to check? How often are they available? What's the cost going to be? All of these practical aspects of dealing with an illness that are beyond sort of our scope of knowledge, but probably have a huge practical impact to the patient. Dr Holloway: Without question, every encounter patients wonder about, that kind of future wish landscape that we- all our future-oriented desires and hopes. And so much of that is the practical aspects of our health system, which is often fragmented, kind of unknown, uncertain. And that's a huge source of uncertainty for our patients and families. And then that leads to many other uncertainties that we need to address. Dr Albin: Absolutely. I think another one that we, again, maybe don't spend quite as much time thinking about is this patient-level uncertainty. What's going on there? Dr Holloway: Yeah. So, I think patient-level uncertainty is that uncertainty that they experience when confronted with the two other types of uncertainty: the actual data-centered uncertainty and the system-level uncertainty. And that's that, kind of, very huge kind of uncertainty about what it means for them and their family and their future futures. And that's a source of huge stress and anxiety, and often frankly bordering on dread and fear for our patients and families. That actually gets into very levels of uncertainty that I would call maybe over even in the existential realm. Patient-level uncertainty in the actual existential questions or the fear and the dread or the kind of just unnerving aspect of it is actually even more important to patients than the scientific or data-centered uncertainty that we focus most of our attention on. Dr Albin: Yeah, I think this is, to me, was getting towards that, like, what does the patient care about and how are they coping with what is in many times a really dramatic shift in their life expectancy or morbidity expectations and this sort of radical renegotiation about what it means to have a neurologic illness? And how does that shift their thinking about who they are and their priorities in the world? Is that right? Dr Holloway: One thousand percent, and in fact, I will say---and I think is one of the main take home messages is that, you know, managing prognostic certainty is not an end in itself. It really is to help patients and families adaptively cope to their new and often harsh new reality, that we could help them adapt to their new normal. I think that is one of our main tasks as neurologists in our care teams is to help patients find and ultimately maybe achieve existential or spiritual or well-being even in their new health states. You know, that you certainly often see in the intensive care unit, but we often always see in the outpatient realm as well, and all our other diseases. Dr Albin: I think that's really hard to do. I think those conversations are incredibly difficult and trying to navigate where patients want to be, what would bring meaning, what would bring value. I think many of us struggle to have these pretty real and intense conversations with families about what really is important. And one of the things I really liked about this article is you kind of walk us through some steps that we as clinicians can take to get a little bit more comfortable. Maybe just walk us through, what are some of the things that you have found most helpful in trying to get families and patients to open up about what brings them meaning? How are they navigating this new, really uncertain time in their life? Dr Holloway: Yeah, so I do kind of have a ten-point recommendations of how to help cultivate a more integrated awareness of an uncertain future. I mean, I think the most important thing is actually just recognizing that embracing uncertainty as an amazingly remarkable cognitive tool. I mean, let's face it, uncertainty, when it happens with neurologic illness and disease, is often fearful. It's scary. It kind of changes our world. But on the flip side of it, it's a remarkable cognitive tool that actually can help us find new ways and new paths and new creativity. And I think we can use that kind of opposites to help our patients find new meaning in very difficult situations. So, thinking about uncertainty, kind of being courageous, leaning into it and recognizing that it does create anxieties and fear, but it also can kind of help create new solutions and new ideas to help people navigate. Dr Albin: I was hoping that maybe you could give us an example of, like, how would you do that? If a patient comes in and they're dealing with, you know, a new diagnosis and they're navigating this new uncertainty, what are some of the things that you ask to help them reframe that, to kind of take some of the good about that uncertainty? How do you navigate that? Dr Holloway: One of the other recommendations is actually just resetting the timeline and expectations for these conversations. That it shouldn't be expected that patients should accept their harsh new reality immediately, that it takes time in a trusted environment. And that there's this, like, oscillating nature of hopes and fears and dread, and you've just got to work with them over time. And with time, and once you understand who the patient and family are and understand where they find meaning and where they find, actually, joy in their life, or what actually brings them meaning, you can start recasting their futures into credible narratives in their kind of future landscape in ways that I think can help them enter into their new realities within the, you know, framework of disease management that you can offer them within your healthcare team or your healthcare system or wherever you are in the world and the available resources that you have to offer patients and families. Dr Albin: So, this sounds like a lot to me like active listening and really trying to get to know what is important to the family, what is important to the patient. And I guess probably just creating that space even in that busy clinical environment. Do I have that right? Dr Holloway: You can absolutely do that, right. You know, and honestly, active listening, we are challenged in our busy healthcare system to do this, but I think with the right listening skills and the appropriate ways of paying attention, you can definitely illuminate these possible, kind of future-oriented worlds for patients and help them navigate those new terrains with them. Frankly, I think that's a real new space for us in neurology. We don't think about and train how to create credible narratives for patients and families. We do it on the fly, but I think there's so much more work to do. How do you actually keep, you know, that best-case, worst-case, most likely credible narratives for patients that can help them adapt to their new realities and support them on their new journeys? Dr Albin: I love that best-case, worst-case, most likely case. I find that framework really helpful. But you talk in your article, it's not just about using that best case or worst case or most likely, but it's actually building some forecasting into that and having some real data to kind of support what you're saying. And there's a lot of growth towards actually becoming good as a medical forecaster. Can you describe a little bit, what did you mean by that? Dr Holloway: You're absolutely right. I think, actually, one of the skillsets of becoming and managing prognostic uncertainty is actually becoming a skilled medical forecaster. And it's a really tall order. So, we've got to be both good medical forecasters as well as helping patients adaptively cope to their new reality. But the good medical forecasting is actually now going more quantitative in thinking about the data that's available to help think about the important outcomes for patients and families and then predicting what their probabilities are so you can shape those futures around. So, yes, we do have to have an open mindset. We do have to actually look at the data that's available and actually think about, what are those long-term probabilities and outcomes? And we can be honest about those and even communicate them with families. But it's a really good skill set to have. Dr Albin: Yeah. This to me was a little bit about, how do you bring in the data knowledge that we try to get over time as we develop our expertise? You're developing not just a reliance on population-based data, but in my experience, I have seen this. And that sort of ability to kind of look at the patient in front of you, think about the big picture, but also a little bit about their unique medical comorbidities or prior life experiences. So, some of that database knowledge, and then bringing in and getting to know what is important to the patient. And so, sort of marrying that data-centric/patient-centric mindset. Dr Holloway: I love it. I guess the other way of saying that, too, is we need to think with precision, but communicate in narratives. And it's okay to gently put more precise estimates on our probability predictions with patients and families, what we think is the most likely case, best and worst case. Because patients and families want us to be more precise. We often shy away from it, but- so, it's okay to think in precisions, but we've got to put those in narratives in the most likely, best-, and worst-case scenarios. And don't be afraid if you think in terms of ninety percents, ten percents, fifty percents; most patients and families don't mind that. And what they're telling us is they actually want to hear that, if you are comfortable talking in those terms. Dr Albin: Yeah, absolutely. And giving a sense of the humility to say, like, this is my best guess based on medical data and my experience, I would say, but again, none of us have a crystal ball. And I do think families, as long as you're sort of couching your expectations into the sort of imperfect, but I'm doing my best, really appreciate that. Dr Holloway: They totally do all the time. Just say, I simply don't know for certain, but these are my best estimates. That's a good way of just phrasing that. Dr Albin: Yeah. So powerful. I don't know for certain. And then I wanted to just kind of close out, because there's this one term that you use that I thought was so interesting. And I wanted you to kind of tell our listeners a little bit about what you mean here, which is that, when you're actively open-minded, you're using this, quote, "dragonfly eyes." What do you mean by that? Dr Holloway: So, the dragonfly eyes, as you know, they can look at three sixty around them and they just, they move in all directions. Being actively open minded, I guess the biggest example I would say is, I don't like the term prognostic discordance, which means that there's a difference of subjective estimates of prognosis between patients and families. Being openly minded is actually embracing the potential information that the family has about prognosis and incorporating that into your estimates. So, I wouldn't say it's discordances, per se; I think being really actively open-minded is taking that all in and utilizing that as, you know what, they know more than you do about the patient and their loved ones, and they may have insights that can inform your best estimates of prognosis. So, the true dragonfly prognosticator actually is one who embraces and doesn't consider it discord, but considers it kind of new, useful information that I just need to weigh in so I can help the family in my best professional way in terms of developing a prognosis, whatever the condition may be. Dr Albin: I can imagine this is just so challenging and something that takes a long time to sort of perfect all of this. I think you say right below that, you need a growth mindset to do this because it is hard, and it's going to take an active participation and an active desire to get better at these conversations with our families. Dr Holloway: One thousand percent. You are so right that it takes time, effort, and not feeling like you're being challenged, but that actually you are including them in your entire body of knowledge, that you're just- it's part of all you're collecting. And even, I was on service last week, and I talked to residents and students about that very issue. It's like take their prognosis. And someone who came in, we thought CJB, very sad, tragic case, but we were thinking about what the future may look like and how do we actually work with the family who had very what we thought was unrealistic expectations. I said, well, no, this is not discordance. This is just useful information that we can take understand where they're coming from and incorporate that into the ways we want to build relationships, build trust, and over time we'll get to a point where we hopefully can work with them and have them have that fully integrated awareness of their future. Dr Albin: Yeah, that's beautiful. It really is this ongoing negotiation that really requires so much listening, understanding, and then obviously information and expertise about the data that we're presenting and the likelihood outcome, recognizing that there's a lot of uncertainty in all of this. Which, you know, again, this is kind of a 360 talk. At every level there is uncertainty, and that's what makes it so hard. Dr Holloway: Yeah, you're absolutely right. And actually, even in the article I kind of used the term radical uncertainty as that, no matter how resolvable all this uncertainty is, there will always still remain that radical element of our existence which we have to actually incorporate and be prepared for. And actually, not only of ourselves, but actually for patients and families and helping manage that. Using narratives and credible narratives and kind of ranges of possibilities is the best way to do that in a personalized way. Dr Albin: Well, this has been a fantastic conversation, and I know that we are running a bit short on time. So, as we wrap up and you think about this topic, are there any key take-home messages that you hope our listeners will walk away with? Dr Holloway: I think one main emphasis is that despite all the successes we feel we have in neurology, is that we all have to recognize that prognostic uncertainty is just going to increase in the future. But this is going to be for several reasons. One is that, just, the illness uncertainty of all of our great therapies are just going to be creating more uncertainty for the future. And precision medicine is paradoxical, and that actually it creates more uncertainty. So, I think we need to be prepared that we have to manage prognostic uncertainty better, because it's definitely going to increase. And two, it's what I said earlier, is that actually managing prognostic uncertainty is not an end to itself. It's actually helping patients and families adapt to their new and sometimes harsh new reality and actually help them to ultimately get to a place where maybe either their condition is neither dreaded, but actually they can accept it as their new reality and actually achieve some sort of existential well-being and existential health. I think that we have a lot more to emphasize in this area. And for far too long, we've focused on the certainty aspect of our field and not enough on the uncertainty in the world of medicine to help our patients and families. Dr Albin: And gosh, isn't there just so much uncertainty? And I think this has been beautiful. So, thank you again for coming and sharing your expertise. Dr Holloway: Thank you very much. It's been a pleasure. Dr Albin: For all of our listeners out there, this is a truly fantastic article, and I would just like to direct you to going to read the cases because not only do the cases offer a little bit of practical advice, but there's one that's actually sort of a philosophical discussion about, what does it mean to be alive and confront death? There's some beautiful artwork that's featured as well. So this is just a really unique article, and I'm excited for our listeners to have a chance to check it out. So again, today I've been interviewing Dr Bob Holloway about his article on managing prognostic uncertainty in neurologic disease, which appears in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this and other issues. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Dysphagia in Parkinson's disease is not one-size-fits-all, and treatment decisions shouldn't be either.In this episode of Swallow Your Pride, Theresa is joined by PD Dr. Bendix Labeit, MBA, neurologist and clinician-scientist, and Jule Hofacker, MSc, speech-language pathologist and PhD student in neurogenic dysphagia, to explore how Parkinson's treatments impact swallowing. They discuss how dopaminergic medication […] The post 388 – Parkinson's, Swallowing, and Deep Brain Stimulation: What Clinicians Need to Know appeared first on Swallow Your Pride Podcast.

Join me LIVE for a FREE training on Jan 28. Own. Your. Results.Build conviction in your work so you can sell like someone who changes lives. Save your spot here Are you watching your life pass by from the sidelines—waiting for the courage to begin? You keep waiting for the right moment—when you'll feel ready, confident, fearless.But the moment never comes. Instead, you watch others show up, speak up, and take the opportunities you secretly want. You scroll past the post you were meant to publish. You rehearse the message you never send. Every day you stay on the sidelines, your vision gets blurrier, your courage quieter, and your doubt louder. And now you're waking up to the painful truth that fear is costing you the life you're meant to live.This episode will help youBuild the courage to take the first step, even when your hands are shaking.Finally show up for the vision you can't stop thinking about.Stop being the one who watches from the sidelines and become the one who steps in to the arena.Press play now to learn how to feel the fear and move forward anyways. And if you found this helpful, be sure to share it with a friend! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit 100khealer.substack.com/subscribe

In this episode, Libby Rothschild, Podcast host, CEO, and owner of Dietitian Boss, interviews Heather. Heather Caplin, founder of the Lane 9 Project, shares how she revived a dormant passion project and turned it into a thriving clinician directory serving athletes with sports-related nutrition and mental health needs. In this episode, Heather walks through the research and networking that fueled her relaunch, the business model behind Lane 9, and the lessons she's learned from running multiple ventures.

On Today's episode of Transforming Healthcare with Dr. Wael Barsoum, we are thrilled to have a longtime friend and colleague Dr. Carlos Higuera to discuss his journey as a true triple threat in orthopedics: clinician, researcher, and educator. Dr. Higuera is an internationally recognized orthopedic surgeon, Chairman of the Levitetz Department of Orthopaedic Surgery at Cleveland Clinic Florida, and past president of the Musculoskeletal Infection Society. Join us as we discuss global medical training, advances in orthopedic infection care, the role of research in improving patient outcomes, and the realities of balancing an intense professional career with family life.

In this Clinician's Corner, the focus was on the small details that separate “solid” from truly sharp officiating — especially in end-of-period situations and administrative moments that can quietly swing a game. The crew emphasized mechanical discipline: confirming 2 vs. 3, holding signals an extra beat, and always completing the full sequence (stop the clock → signal → strong direction → proper spot). We also hit a sneaky area that often gets missed — throw-in violations where a player steps out and illegally tosses the ball to a teammate. Add in reminders to use your voice on held balls and scrums, acknowledge sportsmanship when players help each other up, and stay aware of the bonus, and you get a masterclass in presence and clarity.

Docs in a Pod dives deep into the world of health and wellness with real conversations from medical experts. In this episode, host Carmenn Miles sits down with Dr. Rajay Seudtah from Optum – University to explore the fascinating connection between gut health and overall well-being. From the microbiome's role in digestion to its surprising impact on immunity and mental health, you'll learn practical tips and science-backed insights to keep your gut—and your body—thriving. Whether you're curious about probiotics, diet, or the latest research, this episode is packed with knowledge you can use today. Tune in and discover why gut health is the foundation of a healthier you! Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities:  7:00 to 7:30 am CT:  San Antonio (930 AM The Answer)  DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth])  6:30 to 7:00 pm CT:  Austin (KLBJ 590 AM/99.7 FM)  Docs in a Pod also airs on Sundays in the following cities:  1:00-1:30 pm ET:  Tampa (860 AM/93.7FM) 

Send us a textThe ground under therapy keeps moving, and we're digging into why. We sit down with returning guest Marie Sloane, LPC, to trace how telehealth became the default, why insurance cuts and clawbacks are reshaping private practice, and what it really costs to keep care accessible without burning clinicians to ash. Marie shares the realities of leaving agency life, navigating panels directly versus using intermediaries, and the surprising leverage you can gain by simply asking for a rate increase. We get candid about the trade-offs of platforms like Alma and Headway, the tension between sustainability and access, and the quiet math behind student loans, healthcare, and the hours a therapist can truly carry.Then we turn to the culture shift powered by TikTok and social media. Openness is rising and stigma is falling, which can jumpstart meaningful therapy. But there's a catch: self-diagnosis trends and algorithm-friendly “advice” blur traits with disorders and can worsen compulsions. We talk about how licensed voices can step into the feed with clear, compassionate education—translating buzzwords into grounded care and helping people move from scrolls to sessions.The heart of this conversation is moral injury. Beyond burnout, it's the pain of acting against your values—or watching systems do it—because the rules demand it. Teachers triaging classrooms without aides, clinicians pushed to see nine or ten clients a day, frontline staff who lived the pandemic up close while hearing it denied. We name the guilt, shame, and betrayal that follow, and why “do more self-care” falls flat when the workload itself is inhumane. If you've felt that strain and wondered what to call it, you're not alone—and naming it is a step toward changing it.If this episode resonates, share it with a colleague, subscribe for more real talk on the future of care, and leave a review with the one shift you'd make to improve access and sustainability. Your voice helps shape the system we all rely on.For more about Marie, check out her website: Marie Sloane: counseling and consulting services – Online Therapy for People in Arizona, Texas and MinnesotaThis podcast is meant to be a resource for the general public, as well as fellow therapists/psychologists. It is NOT meant to replace the meaningful work of individual or family therapy. Please seek professional help in your area if you are struggling. #breakthestigma #makewordsmatter #thingsyoulearnintherapy #thingsyoulearnintherapypodcastIf you or someone you know is struggling with mental health concerns, please contact 988 or seek a treatment provider in your area.If you are a therapist or psychologist and want to be a guest on the show, please complete this form to apply: https://forms.gle/ooy8QirpgL2JSLhP6Feel free to share your thoughts at www.makewordsmatterforgood.com or email me at Beth@makewordsmatterforgood.comSupport the showwww.bethtrammell.com

SEASON 6 of Emetophobia Help TRIGGER WARNING: Words such as "vomit,” “throw up” and "sick" may be used. Host: Anna Christie, Psychotherapist and Emetophobia SpecialistGuest: Lorraine Leal11 Emetophobia CLASSES with Anna: www.emetophobiahelp.org/classesFacebook Group: Emetophobia NO PANICANNA & DAVID'S BOOK: Emetophobia: Understanding and Treating Fear of Vomiting in Children and Adults: Russ, David, Dr., Christie, Anna S., FOR KIDS: "Turnaround Anxiety Program" with Emetophobia supplement (McCarthy/Russ) and  Emetophobia! The Ultimate Kids' Guide eBook : Russ. PhD, DavidBuy Me a Coffeehttps://buymeacoffee.com/emethelpIntro Music: YouTube Audio Library, "Far Away (Sting)" by MK2, Used with Permission.Support the showAnna's Website: www.emetophobiahelp.orgResource site for Clinicians: www.emetophobia.netMERCH for stress, anxiety, panic: www.katralex.com

Help us improve the health of all moms and babies | March of DimesKey Takeaways:Perinatal quality collaboratives like TIPQC serve as essential engines for change by building local trust and driving clinic-by-clinic, hospital-by-hospital improvements that create momentum for state and national progress.Data-driven approaches that engage diverse stakeholders can shift harmful narratives and create more effective, compassionate policy solutions, as demonstrated by Tennessee's neonatal abstinence syndrome surveillance system.Maternity care deserts are not naturally occurring phenomena but result from deliberate policy decisions, requiring intentional policy solutions around reimbursement models and workforce development.Clinicians should leverage their expertise in policy and advocacy spaces, starting with addressing frustrations in their own practice settings and recognizing they are the experts policymakers need.The United States faces a maternal and infant health crisis with two women dying daily during pregnancy or postpartum and two babies dying hourly before their first birthday.Low-dose aspirin for preventing preeclampsia is a cost-effective intervention that remains woefully underutilized, with less than half of high-risk women receiving recommendations from providers.Progress is possible even in challenging circumstances, as Tennessee has shown statistically significant improvement in preterm birth rates through focused efforts on interventions like pregnancy smoking cessation.Effective maternal and infant health improvement requires collaboration across multiple sectors including hospitals, clinics, community health centers, Medicaid programs, community-based organizations, and retail pharmacies.Quotable Moments"Every single day we lose two women in this country either during pregnancy or labor and delivery or the year postpartum. And every hour of every day, we lose two babies in this country before their first birthday.""The solution to this crisis can't be driven solely by the federal government or by, by state governments or by a single organization.""What works in one state may not work in another. In fact, what works in Memphis may not work in Knoxville or Nashville.""I promise you, you are far and away the expert in maternal health or infant health in the room. You, you eat, sleep and breathe this every day.""Unlike those naturally occurring deserts where species have adapted over millennia to, to thrive in an, in an environment of scarcity, the deserts we're talking about are the result of deliberate policy decisions and deliberate resource allocations.""Those very basic easy questions should never be the stumbling block to a family meeting their breastfeeding goals.""We were able to show from our data collection that the majority of babies born with withdrawal were born to moms who were using at least one substance prescribed to them by a licensed prescriber in the state of Tennessee.""Start where you are. So if, if there's a, a challenge in the way, for example, your hospital approaches low dose aspirin for reducing the risk of preeclampsia, maybe you work in an outpatient clinical setting and you haven't built in the standardized screening to assess a pregnant woman's risk for preeclampsia."Show Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a...

Most clinicians don't need to work harder to earn more — they need better strategy.In this episode of The PA Is In, Tracy breaks down three proven ways clinicians can increase their income without adding more clinic hours or sacrificing their sanity.Whether you're stuck with tiny annual raises, feeling underpaid for your productivity, or craving more financial flexibility, this episode gives you practical steps you can take right now.Why negotiating where you already work is one of the most overlooked income strategiesHow to advocate for higher base pay, clearer bonus metrics, and better schedulesWhen commission-based or productivity pay can work in your favorHow to diversify income with side gigs that don't require more shiftsReal-world examples of paid surveys, advisory panels, remote work, and flexible clinical rolesWhy strategic job changes often lead to the biggest pay jumps — and how to negotiate them properlyWhat to negotiate beyond salary (spoiler: it's not just money)Free Side Gig Guide (48 ideas for clinicians): www.tracybingaman.com/gigNegotiation Consults: www.tracybingaman.com/negotiation-consultClinician Income Lab (self-paced negotiation course): www.tracybingaman.com/CILYou don't have to pick just one strategy. Many clinicians combine all three — negotiating where they are, adding flexible income streams, and making intentional career moves — to build income that actually supports their life.If you found this episode helpful, leave a review and share it with a clinician who needs to hear it.SPONSORS: ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fiSERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend CONNECT ⁠FREE 30-MINUTE COACHING CONSULT⁠ ⁠⁠https://calendly.com/the-pa-is-in/gen-call⁠ ⁠ ⁠1-ON-1 NEGOTIATION CONSULT ⁠https://calendly.com/the-pa-is-in/negotiate⁠⁠CONNECT WITH TRACY

What do HVAC techs, dentists, and high-performing PTs have in common? Turns out, they're all using AI tools to level up how they communicate, evaluate, and deliver results.In this raw, honest conversation, Jimmy, Dave, and Tony break down how PTs can reframe “sales” as clinical confidence, why recording evaluations might be the best training tool we're ignoring, and how this tech is already reshaping onboarding, CPGs, and practice growth.???? Topics Covered:Why PTs struggle with "sales" (and what to say instead)Real-time eval reviews + audio feedback loopsCPG updates driven by tech & documentationHow other industries train better, fasterGraham Sessions preview: questions that matter???? LINKS:Dave Kittle – Concierge Pain ReliefTony Maritato – YouTube ChannelPT Pintcast YouTube???? Subscribe & Follow:Apple: PT Pintcast on Apple PodcastsSpotify: PT Pintcast on SpotifyYouTube: PT Pintcast YouTubeLinkedIn: Jimmy McKayWebsite: ptpintcast.com

The Big Unlock · Chethan Sathya, MD., Vice President of Strategic Initiatives, Northwell Health In this episode, Dr. Chethan Sathya, Vice President of Strategic Initiatives at Northwell Health, unpacks why healthcare innovation only scales when clinicians, public health, and AI are designed to work together. Dr. Sathya shares his journey from surgery to journalism to public health advocacy, including leading gun violence prevention efforts. He explains why most AI pilots fail, because of poor workflow integration and clinician burden, and why ambient intelligence, tele-specialty care, and agentic AI are poised to scale. His message is clear: build technology alongside clinicians, not around them. Take a listen.

Rush's skull base surgery program brings specialists from neurosurgery, otolaryngology and other specialties together to care for patients with some of the most complex tumors and disorders of the skull base.   Clinicians review each case in a dedicated multidisciplinary setting to determine the safest and most effective surgical approach. The conversation highlights how Rush incorporates advanced endoscopic and open techniques to reduce operative time, streamline care and prioritize long-term neurologic function and quality of life.  Peter Papagiannopoulos, MD, is an ear, nose and throat doctor at Rush, specializing in rhinology and skull base surgery.  Stephan Munich, MD, is a neurosurgeon and the director of the Skull Base Neurosurgery program at Rush.  

In this episode of Rational Wellness, Dr. Ben Weitz speaks with Dr. Sanjeev Goel about the science and clinical strategies behind longevity and biohacking. They explore mechanisms of biological aging, key biomarkers that predict lifespan and healthspan, and evidence-based interventions clinicians should consider when addressing aging in their patients. Topics include metabolic health, cellular resilience, testing strategies, and integrative approaches to optimize long-term health.

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman sit down with Laura Ehlers to share a powerful, real-life story of chronic dizziness, plus the long road to obtaining answers in a healthcare system that often defaults to “it's BPPV” or “it's anxiety.”Laura walks us through how her symptoms evolved after being hit in the head and what her life looks like living with dizziness. She also shares the layered diagnoses that often show up together in complex dizziness cases—vestibular migraine, PPPD (Persistent Postural-Perceptual Dizziness), dysautonomia/POTS (Postural Tachycardia Syndrome), and hypermobility/EDS (Ehlers-Danlos Syndrome), as well as the strategies that have helped her rebuild capacity.You'll hear practical, experience-based advice on:- How to advocate for yourself when you're not being believed- Why the right healthcare provider can be a game-changer- Medication realities: from sensitivities to finding what worksGuest: Laura Ehlers Instagram: @laurasnaturallifeHosted by:

Interview with Emily Baumrin, MD, MSCE, author of Discordance in Treatment Response Assessment Between Clinicians and Patients With Skin Chronic Graft-vs-Host Disease. Hosted by Adewole S. Adamson, MD. Related Content: Discordance in Treatment Response Assessment Between Clinicians and Patients With Skin Chronic Graft-vs-Host Disease

In this episode, we discuss everything about men's health. We explore: Applications for diagnostic ultrasound in men's pelvic healthPhysiotherapy for post prostatectomy patientsRole of manual therapy in men's healthUpskilling in men's health physiotherapyWant to learn more about men's health? Dr David Cowley recently did a brilliant Masterclass with us called “Pelvic Health in Men: Practical Approaches for Physiotherapists” where he goes into further depth on this topic. 

Interview with Emily Baumrin, MD, MSCE, author of Discordance in Treatment Response Assessment Between Clinicians and Patients With Skin Chronic Graft-vs-Host Disease. Hosted by Adewole S. Adamson, MD. Related Content: Discordance in Treatment Response Assessment Between Clinicians and Patients With Skin Chronic Graft-vs-Host Disease

Firearm ownership has surged in the U.S., yet safety discussions remain uncommon in clinical care. An NEJM article supports routine, nonpolitical firearm counseling using the “3 A's” (Ask, Advise, Assist) to reduce risks such as suicide and unintentional injury. Separately, a BMJ meta-analysis shows that patients stopping GLP-1 weight-loss medications typically regain weight within 1.5–2 years, reinforcing obesity as a chronic condition requiring long-term planning. Finally, a large sham-controlled trial found no meaningful benefit of trigeminal nerve stimulation for pediatric ADHD, suggesting prior perceived effects were placebo-driven.

For this week's episode of the Clinician's Corner, we've gone into the archives to pull out another clinical pearl from one of our favorite episodes – a fascinating conversation with our beloved Medical Director, Dr. Chris Turnpaugh, where we discuss chronic infections, immune dysregulation, and detox strategies. This interview first aired early last year (2025), and the full interview can be viewed here.   Clinical pearls we extracted from the original interview: Overview of chronic infections and the immune system The role of environmental toxins on the immune system/immune response Addressing toxic burden and supporting detoxification Various therapeutic interventions Lyme disease and Long Covid (and other complex client cases) Foundational immune support    The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/   Connect with Dr. Chris Turnpaugh: Website: TurnpaughHWC.comFacebook: https://www.facebook.com/TurnpaughHWC/ Instagram: TurnpaughHealth    Timestamps:  00:00 TH1 vs. TH2 Immunity Explained 03:32 "Reducing Toxic Burden Strategies" 08:19 "NAC: The Ultimate Supplement" 11:09 "Master Clinical Skills, Transform Lives"   Speaker bio: Dr. Chris Turnpaugh is a practitioner and CEO at Turnpaugh Health, a Functional Medicine wellness center, which he founded in 1999. The center, one of the largest in the country, has grown to over 20 healthcare providers and a team of more than 50 in five locations.  Turnpaugh Health provides in-depth holistic care focusing on functional medicine, investigating the mechanisms of dysfunction in patients. The clinic also provides integrative family medicine, lifestyle medicine, and many complementary wellness services.  Over his twenty years in practice, Dr. Turnpaugh has joined ILADS and is known as a thought leader in Lyme disease and associated co-infections. He also traveled to Lake Como to participate on the PANDAS International board. He has a deep interest and extensive knowledge in pediatric neurological disorders and methods of supporting these children holistically. Dr. Turnpaugh has lectured on a broad variety of health topics, both nationally and internationally.  His application of functional medicine as it relates to the neuro/endocrine/immune systems is a unique clinical approach to non-pharmacological treatments. He is well respected among his peers and patients as a provider and functional medicine instructor. He has treated thousands of patients in his practice and mentored hundreds of practitioners. His true passion is teaching functional medicine to other practitioners and helping patients to optimize their health.   Keywords: functional health practitioners, clinical skills, chronic disease, restoring balance, chronic infections, immune system, TH1, TH2 dominance, autoimmunity, cancer, chemicals, pesticides, endocrine disrupting compounds, toxic burden, gut symptoms, liver, bile flow, digestion, nutrient supplementation, detoxification, sauna therapy, nasal spray, peptide therapy, liposomal glutathione, NAC, vitamin D, immune dysregulation, long Covid, post-treatment Lyme disease, food intolerances, chemical sensitivities, microbiome Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Interview with Katherine Majzoub Morgan, MD, MPP, author of Primary Care Clinicians Available for New Patient Visits, and Ishani Ganguli, MD, MPH, author of A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Hosted by Eve Rittenberg, MD. Related Content: Primary Care Clinicians Available for New Patient Visits A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Changes in Physician Work Hours and Implications for Workforce Capacity and Work-Life Balance, 2001-2021

For primary care providers, seeing a patient presenting with atopic dermatitis (eczema) is common, yet misconceptions persist regarding its underlying cause and optimal management. This episode tackles the critical clinical dilemma: when and how should specific IgE testing for food and environmental allergens shape routine eczema care? Key topics include the evolution of pathophysiology—shifting focus from allergy-driven disease to barrier dysfunction and type 2 inflammation—plus risk stratification, differential diagnosis, the role and interpretation of specific IgE tests, evidence-based guideline updates, environmental and food allergen impacts, targeted therapeutics, and practical patient counseling. Special attention is given to environmental triggers such as dust mites and pet dander and structured elimination diets. Clinicians will gain actionable insights on refining diagnostic workups, individualizing treatment plans, and supporting long-term disease control in pediatric and adult eczema populations. References and resources: https://www.thermofisher.com/phadia/us/en/resources/immunocast/eczema-essentials-atopic-dermatitis-diagnosis-management.html?cid=0ct_3pc_05032024_9SGOV4

Interview with Katherine Majzoub Morgan, MD, MPP, author of Primary Care Clinicians Available for New Patient Visits, and Ishani Ganguli, MD, MPH, author of A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Hosted by Eve Rittenberg, MD. Related Content: Primary Care Clinicians Available for New Patient Visits A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Changes in Physician Work Hours and Implications for Workforce Capacity and Work-Life Balance, 2001-2021

In this episode, we break down how money actually moves in the insurance-based PT and OT world, why so many clinicians and clinic owners feel financially stuck, and how the landscape has quietly but dramatically changed over the last 20 years.We cover:How insurance companies make money — and why they're incentivized to pay out as little as possibleThe reality of declining reimbursement and rising administrative costsWhy clinic owners feel squeezed from both sidesWhy clinicians deserve raises — and why insurance doesn't support that realityHow this system unintentionally pushes clinics toward lower-quality care modelsMost importantly, we talk about why the rise of cash-based care isn't a trend — it's a correction.Cash-based models:Allow small, independent clinics to survive and thrive againCreate real earning upside for skilled cliniciansRestore transparency and accountability in careExist in every healthcare system — including countries with universal healthcareThis episode isn't about villainizing anyone. It's about understanding the system we're operating in — so we can make better, more informed decisions about our careers, our clinics, and our patients.

Are you still waiting to feel “ready” before you put yourself out there? Do you keep indulging spirals of self doubt that wonder“who am I to do this?”am I really good enough?This isn't “imposter syndrome”. Its just what it feels like to be in the presence of your own greatness. This mantra Monday is a wake-up call for clinicians and healers who keep putting off their dreams because of self-doubt, perfectionism, or the need for “one more” certification. If you're caught in a spiral of second-guessing and wondering if you're enough—you're not alone, but it's time to shift.You'll be reminded that:* Your people don't need you to have all the answers. They need you to be willing to lead them through the questions.* B minus work that is PUBLISHED changes more lives than A+ drafts on the computer.* Everyone is waiting for you to say YES to your purpose.Hit play now to listen to today's inner leadership activation. And if you found this helpful, be sure to share it with a friend! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit 100khealer.substack.com/subscribe

In this episode, host Alyssa Watson, DVM, welcomes Andrea C. Eriksson De Rezende, DVM, DACVIM (Cardiology), to discuss her recent Clinician's Brief article, “Hypertrophic Cardiomyopathy in a Cat.” Dr. Eriksson De Rezende covers a variety of presentations, the full list of diagnostics including NT-proBNP, the virtues of sedation, and therapies ranging from the mainstays to that new sirolimus drug. Following this case-based exercise, they go well beyond the basics when it comes to HCM and thromboembolic disease in cats.Resource:https://www.cliniciansbrief.com/article/hypertrophic-cardiomyopathy-catContact:podcast@instinct.vetWhere To Find Us:Website: CliniciansBrief.com/PodcastsYouTube: Youtube.com/@clinicians_briefFacebook: Facebook.com/CliniciansBriefLinkedIn: LinkedIn.com/showcase/CliniciansBrief/Instagram: @Clinicians.BriefX: @CliniciansBriefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist

Join host Carmenn Miles and special guest Dr. Rajay Seudath from Optum University as they explore how to rethink New Year's resolutions in your 50s and beyond. This episode dives into practical strategies for setting meaningful goals, prioritizing health, and embracing lifestyle changes that truly stick. Whether you're looking to improve your well-being or simply redefine what success looks like in this stage of life, this conversation offers expert insights and inspiration to start the year strong. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities:  7:00 to 7:30 am CT:  San Antonio (930 AM The Answer)  DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth])  6:30 to 7:00 pm CT:  Austin (KLBJ 590 AM/99.7 FM)  Docs in a Pod also airs on Sundays in the following cities:  1:00-1:30 pm ET:  Tampa (860 AM/93.7FM) 

Send us a textThe NoJetStress Podcast is a traveler wellbeing podcast for frequent business travelers covering health and peak performance on the road as well as to help business travelers maintain optimal health and avoid burnout no matter how much they travel.  Christopher Babayode, a Corporate Travel Wellness Expert shares his insights on Traveler Wellness.In this episode, Christopher talks about:Wearable Technology & Sleep Tracking (0:48 - 4:02)Dr. Garley's perspective on wearable sleep devicesThe limitations of heart rate variability (HRV) monitoringWhy clinical symptoms matter more than device readingsThe trust we place in consumer technology vs. medical expertiseAI in Healthcare (4:42 - 7:35)The risks of self-diagnosis using AI toolsWhy AI struggles with the "gray areas" of human healthThe importance of what's unsaid in medical consultationsHealthcare access disparities driving AI adoptionSleep in the Corporate World (7:55 - 13:17)The massive hidden cost of poor sleep in organizationsWhy employees don't call in sick for sleep issues (but should)Sleep's impact on productivity, innovation, and workplace accidentsRisk management and company culture considerationsThe value of anonymous sleep assessmentsWorkplace Sleep Strategy (10:58 - 13:17)Statistics: 10% of adults have chronic insomnia14 additional sick days per year for those with sleep problemsLow-hanging fruit: effective treatments that deliver resultsHow better sleep improves all aspects of employee wellbeingBetter Sleep Clinic Services (14:03 - 15:35)Doctor-led clinic with NHS consultants and sleep specialistsRange of sleep disorders treated: insomnia, sleep apnea, circadian rhythm disordersAll consultations and tests available online/remotelyGold standard treatments including CPAP and prescription optionsFree strategy consultations for organizationsMelatonin & Jet Lag (15:32 - 18:52)Melatonin as a signaling molecule, not a sleeping pillThe problem with high-dose, long-acting supplementsHow to use melatonin correctly for circadian rhythm adjustmentThe holistic approach to managing jet lag and travel fatigueYou can subscribe to this podcast by searching 'BusinessTravel360' on your favorite podcast player or visiting BusinessTravel360.comThis podcast was created by Christopher Babayode and distributed by BusinessTravel360.  For more information about NoJetStress, visit us at NoJetStress.com and check out the P.H.A.R.E Well Audit Checklist.Support the show

SEASON 6 of Emetophobia Help TRIGGER WARNING: Words such as "vomit,” “throw up” and "sick" may be used. Host: Anna Christie, Psychotherapist and Emetophobia SpecialistGuest: Jacky Adams11 Emetophobia CLASSES with Anna: www.emetophobiahelp.org/classesFacebook Group: Emetophobia NO PANICANNA & DAVID'S BOOK: Emetophobia: Understanding and Treating Fear of Vomiting in Children and Adults: Russ, David, Dr., Christie, Anna S., FOR KIDS: "Turnaround Anxiety Program" with Emetophobia supplement (McCarthy/Russ) and  Emetophobia! The Ultimate Kids' Guide eBook : Russ. PhD, DavidBuy Me a Coffeehttps://buymeacoffee.com/emethelpIntro Music: YouTube Audio Library, "Far Away (Sting)" by MK2, Used with Permission.Support the showAnna's Website: www.emetophobiahelp.orgResource site for Clinicians: www.emetophobia.netMERCH for stress, anxiety, panic: www.katralex.com

In this episode, I sit down with Gary Stapleton to unpack the complexity of small intestinal bacterial overgrowth and why it is so often overlooked in clinical practice. We discuss the true prevalence of SIBO, how it contributes to both digestive and systemic symptoms, and why accurate diagnosis is essential for meaningful treatment outcomes. Gary shares his expertise on breath testing as the cornerstone of proper SIBO diagnosis. We break down the differences between glucose, lactulose, and fructose substrates, explain when each should be used, and highlight common testing errors that can lead to confusion or misdiagnosis. This portion of the conversation brings clarity to a topic that is frequently misunderstood. We also explore how SIBO overlaps with other gastrointestinal and systemic conditions and why an individualized approach matters. This episode provides a practical framework for understanding SIBO testing and treatment and is essential listening for anyone looking to move beyond trial and error and toward precision based gut health care.   Key takeaways: SIBO is characterized by an abnormal increase of bacteria in the small intestine, often leading to digestive and systemic health issues. Accurate testing and proper preparation are crucial for a reliable diagnosis of SIBO. The choice of substrate (glucose, lactulose, fructose) plays a critical role in breath testing accuracy. Understanding the symptoms and co-occurring conditions of SIBO can guide effective treatment strategies. Collaboration between laboratories and healthcare practitioners is essential for optimal patient care and treatment outcomes.   More About Gary Stapleton:   Gary Stapleton is the founder and Chief Executive Officer of Aerodiagnostics, LLC, where he focuses on advancing diagnostic accuracy and improving clinical decision making in functional and gastrointestinal health. With decades of leadership experience in healthcare diagnostics and pharmaceuticals, Gary brings a deep understanding of how precision testing can transform patient outcomes. Prior to founding Aerodiagnostics, Gary held senior executive roles across major healthcare organizations, including Chief Operating Officer at Calloway Laboratories, Vice President of Sales and Marketing at Bausch & Lomb, and leadership positions at Caris Life Sciences and Lerner Medical Devices. Earlier in his career, he spent 14 years at AstraZeneca, where he played a key role in the launch and commercialization of multiple blockbuster therapies. A former member of the United States Marine Corps, Gary combines disciplined leadership with a passion for innovation in healthcare. He holds an undergraduate degree from Long Island University and an MBA, and founded Aerodiagnostics. Website Instagram Connect with me! Website Instagram Facebook YouTube

The food pyramid just got an update — and while there are a few changes worth applauding, there are also critical gaps that matter deeply for women's health. In this episode, I break down what the new food pyramid gets right, what it improves on, and what it still leaves out, especially when it comes to metabolism, hormones, blood sugar regulation, and real-life nourishment for women in every season of motherhood. As a clinician who works daily with women struggling with fatigue, weight gain, insulin resistance, hormone imbalance, and burnout, I want you to understand how to read these guidelines with wisdom instead of blindly following a graphic. We'll talk about: What the updated food pyramid actually changed Where it's moving in the right direction Why “eat less, move more” thinking still sneaks in What's missing for women with hormone or metabolic dysfunction Why protein, blood sugar balance, and nervous system support matter more than food categories How population-wide guidelines often fail individual women What to consider instead if you're tired of guessing with your health This episode is not about fear, food rules, or perfection. It's about discernment, context, and learning how to steward your body well — especially if you've tried “doing everything right” and still don't feel well. If you've ever looked at the food pyramid and thought, “Why doesn't this work for me?” — this episode is for you.

Chris Hughen sat down with Payne Harrison to discuss recommendations for young clinicians. We dive into navigating burnout, strategies for continued learning, creating a sustainable work-life balance, acknowledging the unknowns, and much more. Watch the full episode: https://youtu.be/2n-TVZsPy2I  Episode Resources: Payne's Instagram --- Membership: https://e3rehab.com/premium/  Mentoring: https://e3rehab.com/mentoring/ Coaching & Consultations: https://e3rehab.com/coaching/  Rehab & Performance Programs: https://e3rehab.com/programs/  Resource Guides: https://e3rehab.com/resource-guides  Newsletter: https://e3rehab.ck.page/19eae53ac1  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ X: https://x.com/E3Rehab  LinkedIn: https://www.linkedin.com/company/e3rehab/  Facebook: https://www.facebook.com/e3rehab  --- Podcast Sponsor: Vivo Barefoot: Get 20% off all shoes! - https://www.vivobarefoot.com/e3rehab --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Kody Hughes

“You don't need to be a Navy SEAL to be resilient — you just need to learn to build fire with no tools.”In this raw and wide-ranging conversation, Dr. Alex Bendersky, Head of Clinical Innovation, shares real-world lessons from complexity theory, resilience, and leadership inside modern healthcare systems.We go deep on:Why PTs must think in systems to surviveUnderstanding entropy and constant changeThe power of being "plasma" — fluid, adaptable, yet ready to solidifyGetting fired the day before turning 46 — and saying "Good."Why gratitude and self-awareness might be your sharpest toolsWhat Black Swan events mean for the future of physical therapyAlex's perspective blends deep theory with grounded clinical reality — this one's a mindset shift you didn't know you needed.⚡️ “Most of the systems that affect PTs are outside their control. But the one system you can control? The one between your ears.”???? Listen if you're a PT, clinic owner, or healthcare leader dealing with:Rapid changeDecreased reimbursementsTeam burnoutLeadership gaps???? Connect with Alex Bendersky → LinkedIn

Feeling afraid to put yourself out there? Worried about failing, being judged, or getting it wrong in your coaching business?If the voices of fear seem loud or paralyzing, this activation will remind you of the truth: you're not fragile. Like not even a little bit.You'll be reminded that:* You are not made of sugar candy- you've overcome so much already.* You are bigger and stronger than any fear standing in your way* You can handle the emotional outcome of any setback, failure or rejection.Start your week with this inner leadership activation and remember: whatever you're facing, you can handle it.It's a new style of episode called[Mantra Monday's] short sermon style activations to remind you of your power.Listen on repeat. Share it with your friends. Create Your Six Figure Offer is open for enrollment (prices increase Jan 18): Learn more This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit spirituallyambitious.substack.com/subscribe

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Embedding trusted clinical evidence directly into everyday workflows is becoming critical to reducing burnout and improving clinical decision-making. In this episode, Christopher Sullivan, Vice President and General Manager of Pharmacy and Health Technology Solutions for Wolters Kluwer, discusses how the company is transforming from a traditional publishing company into a software-driven healthcare intelligence partner. He explains how products like UpToDate, Medi-Span, and Sentri7 function as an insight layer across retail pharmacies, hospitals, and the broader digital health ecosystem. A significant focus is UpToDate Connect, an API-based solution that embeds trusted clinical evidence directly into third-party platforms, keeping clinicians in workflow while reducing context switching. Christopher also shares early market feedback, highlighting efficiency gains, clinician confidence, and the importance of trusted content in an AI-driven world. Finally, he examines the future of agentic AI, non-clinical workflows, and the expanding role of partnerships in driving innovation.  Tune in and discover how evidence-based insights are shaping faster, more innovative, and more sustainable healthcare! Resources Connect with and follow Christopher Sullivan on LinkedIn.Follow Wolters Kluwer Health on LinkedIn and visit their website!

Fundraising isn't a pitch deck moment—it's a process. And if you treat it like a last-minute sprint, you'll lose more than equity.In this 5 in 5 episode, Hakeem Adebiyi shares five hard-earned lessons every founder needs when raising capital, especially at pre-seed, seed, or early Series A. From avoiding diluted equity to knowing what investors actually care about, this episode helps clinician-founders and MedTech entrepreneurs approach funding with strategy—not desperation.You'll learn how to:Approach fundraising as a structured process, not a one-off eventGet in front of investors without relying on warm introductionsLead with the problem—not the tech—when pitchingAvoid damaging credibility by targeting the wrong investorsUnderstand what investors look for right after they say “yes”Use preparation as your best defence against unnecessary dilutionWhether you're building a medical device, a healthtech platform, or preparing to scale internationally, this episode gives you the mindset and tactics to raise smarter and protect what you've built.