POPULARITY
Categories
Some of the clinicians that are organizing the Pasifkia Mental Health Conference "Shifting Tides Anchored in Resiliance"
In this episode, Dr Elle Wadsworth talks to Patrick Kelly, a doctoral candidate at Brown University School of Public Health in the US. The interview covers Patrick's article on clinicians' and people who use drugs' perspectives on artificial intelligence in addiction medicine.What is artificial intelligence and how has artificial intelligence been used in the field of addiction so far [01:18]The importance of knowing the perspectives of clinicians and people who use drugs with regards to artificial intelligence [03:39]What aspects of addiction medicine make it difficult to build artificial intelligence tools [05:34]The setting and sample of Patrick's study [07:46]Patrick's first theme drawn out from interviews with clinicians [08:57]Patrick's second theme drawn out from interviews with clinicians [10:19]Patrick's third theme drawn out from interviews with clinicians [11:30]Patrick's fourth theme drawn out from interviews with people who use drugs [12:33]Patrick's fifth and final theme drawn out from interviews with people who use drugs [13:31]How Patrick would like the findings to contribute to the field [15:11]Being cautiously optimistic about artificial intelligence in addiction medicine [17:39]The next steps [19:35]About Elle Wadsworth: Elle is an academic fellow with the Society for the Study of Addiction. She is based at the University of Bath with the Addiction and Mental Health Group and her research interests include drug policy, cannabis legalisation, and public health. Elle holds a voluntary role at The Loop, a non-profit service provider of drug checking in the UK.About Patrick Kelly: Patrick is an addiction scientist, National Institutes of Health (NIH) pre-doctoral fellow, and a PhD Candidate at the Brown University School of Public Health. His research program focuses on measuring multilevel stigma and unregulated drug supply changes using qualitative methods and artificial intelligence tools applied to real-world datasets to design and implement interventions that reduce addiction-related morbidity and mortality.Elle and Patrick have no declarations of interest.Original article: Clinicians' and people who use drugs' perspectives on artificial intelligence in addiction medicine https://doi.org/10.1111/add.70586The opinions expressed in this podcast reflect the views of the host and interviewees and do not necessarily represent the opinions or official positions of the SSA or Addiction journal.The SSA does not endorse or guarantee the accuracy of the information in external sources or links and accepts no responsibility or liability for any consequences arising from the use of such information. Hosted on Acast. See acast.com/privacy for more information.
ChatGPT Is Inside Epic, 40 Mergers in Six Months, and 92% Bracing for StrainThree stories, one direction. Technology is accelerating, consolidation is accelerating, and the people running health systems have stopped waiting to see how it shakes out.
If you're planning to export your MedTech product to Europe, how do you decide which countries you should actually enter first?This doesn't assume they're making a mistake. It poses the central decision the episode helps them make.Europe may look like one export opportunity on a map, but the commercial reality can be very different from country to country. Reimbursement, clinician adoption, buying pathways, language, culture and routes to market can all change as you cross a border. In this episode, Hakeem speaks with Laurent Laffineur, founder of Prime MedTech, about how to build a European go-to-market strategy, prioritise the right export markets and start commercial preparation before you're ready to launch. On todays episode you'll discover:How to prioritise European export markets based on the factors that matter for your specific MedTech product rather than simply choosing the biggest countries. Why reimbursement, KOL support, clinician adoption, language, culture and available budget can dramatically change where your best European opportunities are.Why your European commercialisation and go-to-market work should begin during the regulatory process rather than waiting until you've received EU MDR approval and want to launch immediately. Listen now to learn how to choose the right European export markets for your MedTech product and build your go-to-market strategy before committing significant time and money to launch.Book a 30min Healthcare Export Accelerator discovery callMessage me via DM on LinkedinThis podcast is for clinicians and solo founders feeling stuck in turning their medical devices into real businesses, with practical insight on go to market strategy, sales strategy, product launch, sales plans, business growth, exporting, selling internationally and how to scale up their international sales in MedTech.
Are you using continuous glucose monitors to their full potential? In this episode of IRH Clinician's Corner, Margaret Floyd Barry talks with Boris Berjan, founder of Theia Health and a two-time chronic illness conqueror who turned his personal health challenges into a mission to solve metabolic health globally through innovative technology. Together, they dive into the practical and business applications of continuous glucose monitors (CGMs), revealing how these cutting-edge biosensors can revolutionize clinical practice, provide real-time data for tailored interventions, and open up powerful new revenue streams for practitioners. In this episode: Why CGMs offer a unique window into physiology How CGM data can improve client buy-in and behavior change Three ways practitioners can incorporate CGMs into their business How CGMs can help troubleshoot stubborn clinical cases How a 30-day group CGM challenge can serve as a powerful entry-point offer Why technology and AI should support—not replace—the practitioner Check out our Clinician's Corner interview with Boris from 2023 to learn more about CGMs and Theia Health: https://www.youtube.com/watch?v=-ZMzxouSeqs The Clinician's Corner is brought to you by the Institute of Restorative Health: https://instituteofrestorativehealth.com/ Follow us on IG: https://www.instagram.com/instituteofrestorativehealth/ Join our email list here: https://instituteofrestorativehealth.com/join-our-email-list/ Book a call with the admissions team to continue your training: https://instituteofrestorativehealth.com/study-with-us/?utm_source=email The CGM Challenge Toolkit is live! Want to run a challenge inside of your own practice and have a way to get clients in the door at a lower ticket level? Grab your toolkit here. Connect with Boris Berjan: Website: https://theiahealth.ai/ Instagram: https://www.instagram.com/borisberjan/ Timestamps: 00:00 Continuous glucose monitoring explained 04:31 Using objective data in health 07:45 Discussing CGM business strategies 10:25 Challenges with app-based nutrition advice 14:41 Integrating technology in healthcare 19:23 Challenges with tracking health data 20:38 Selling data solutions packages 24:03 Real-time health monitoring tech 28:54 Creating a 30-day CGM challenge 32:40 Group program and clinical work integration 34:54 Using CGMs in client packages 37:52 Starting with a single sensor 42:45 Addressing Sales and Integration Concerns 46:03 Importance of Clinician Commitment 50:13 Comparing app features and benefits 51:03 Customizing scoring for different clients 55:09 Building the CGM challenge program 57:57 Thanking production team and listeners Guest bio: Boris Berjan has battled and beat not one, but two chronic illnesses, scaled multiple companies past 7 & 8 figures (1 exit) and has ads that have reached over 1 billion people. He now runs Theia Health - a technology company helping to end metabolic health globally. Theia makes biology actionable in real-time for the first time ever. Boris feels the biggest tragedy in the history of the human species is not collectively working on body deterioration, while we gain momentum in wisdom, intellect and experience. Keywords: functional health, clinical skills, CGM, continuous glucose monitor, blood sugar monitoring, metabolic health, Theia Health, practitioner tools, glucose data, group challenge, client accountability, pricing strategy, clinical packages, group coaching, business strategies, tech integration, HIPAA compliance, lab data, client retention, marketing health services, real-time feedback, corporate health, patient-provider relationship, wearable integrations, AI nutrition, glucose trends, chronic illness, mold testing, insurance premiums, health tech 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.
Reading research and actually understanding what it means for the patient in front of you are two VERY different things.And there may be nobody in pelvic health better at bridging that gap than Taryn Hallam.Taryn has essentially made research translation her full-time job—reading the enormous amount of pelvic health research being published and asking:What does this actually mean in the clinic?Because the abstract doesn't always tell the whole story.As Taryn puts it, the abstract is like the trailer for a movie. Sometimes the trailer accurately represents the movie. And sometimes...all the best parts were in the trailer.
Episode Summary:Welcome back to the Pain Matters podcast, where Dr. Sudheer Potru, DO, alongside Dr. Mustafa Broachwala, DO, delves into crucial topics on acute low back pain guidelines. Featuring insights from Dr. Jessica Oswald, MD, MPH and Dr. Devin Kansagara, MD, FACP, this episode focuses on the implications of FDA-funded guidelines, co-sponsored by the American Academy of Pain Medicine. This expert panel discusses the nuances of managing acute low back pain, emphasizing evidence-based practices to improve patient care.Throughout the episode, Dr. Oswald and Dr. Kansagara explore the guidelines' perspectives on imaging, opioids, and alternative therapies. Discussing the common tendency to order imaging tests for low back pain, the conversation shifts to effective patient communication and strategies for reducing unnecessary imaging. They also address opioid use, highlighting its role as a third-line option and discussing the importance of evaluating individual patient needs to optimize function without escalating risks. The episode also emphasizes non-pharmacological interventions, such as early physical therapy, and overcoming challenges related to access bottlenecks.Key Takeaways:Guideline Applicability: Emphasizing the acute stage, the guidelines apply to pain lasting less than six weeks.Imaging Insights: Many clinicians still rely heavily on imaging for acute low back pain despite evidence showing limited benefit. Patient communication is crucial in managing expectations.Opioid Recommendations: Reserved as a third-line treatment, opioids are not usually recommended for acute low back pain due to risks outweighing benefits in most cases.Non-Pharmacological Therapies: Early engagement in physical therapy and alternative therapies can enhance long-term recovery, highlighting the importance of patient education and movement.Epidural Injections and Controversies: The discussion points out the limited evidence for epidural steroid injections, prompting nuances in clinical decision-making amid evidence shortages.
Making primary care more sustainable starts with giving physicians more time to care for patients. In this episode, I speak with Gadi Shenhar, Co-Founder and CEO of Droxi, about using AI to reduce the administrative workload that overwhelms primary care teams. Gadi shares how a medication error involving his grandmother led him to investigate the deeper problem of clinician burnout. He explains how Droxi brings relevant patient information directly into the EHR workflow, helping physicians manage their clinical inboxes with fewer clicks. We also discuss how listening to providers helped improve product adoption and how supporting advanced primary care management can help practices generate recurring revenue while strengthening care between visits. Tune in to learn how thoughtful AI design can reduce clinician burden and help build a more sustainable future for primary care! Resources: Connect with and follow Gadi Shenhar on LinkedIn. Follow Droxi on LinkedIn and explore their website!
Molly and Clarissa sit down for another Clinician's Corner to dig into shadow work — what Carl Jung meant by it, why it's not just a "woo-woo" concept, and why it belongs in food addiction recovery. They talk about the parts of ourselves we learn to hide (anger, desire, ambition, even joy), how those exiled parts often drive the very behaviors we're trying to recover from, and how projection, envy, and even compliments can point us straight to what we've buried. This episode previews the Shadow Work module inside Liberation, Sweet Sobriety's brand-new 10-module program launching this fall. WHAT WE COVER Why Molly built a shadow work module into Liberation, and how it connects to the Shame module covered in a previous episode Carl Jung's quote — "Until you make the unconscious conscious, it will direct your life, and you will call it fate" and what it means in practice The iceberg metaphor: the curated 10% we show the world vs. the 90% underneath driving our behavior Where the shadow comes from (genetics loads the gun, environment pulls the trigger) and why this isn't about blaming parents How substance use, food behaviors, and other compulsive patterns often exist to manage and suppress shadow parts Recovery work doesn't make the shadow disappear — and why it can get louder, becoming a high-risk time for return to use Projection: how "accusations are often confessions," and why the people who irritate us most can be mirrors The Golden Shadow — the positive traits (confidence, joy, ambition) we also learn to suppress or deny Why receiving compliments can feel unbearable, and what that has to do with shadow work Envy and jealousy reframed as information rather than something shameful Individuation and integration — Jung's idea that the goal isn't to eliminate these parts, but to become a whole person who can hold all of them How return to use fits into this: not a moral failure, but sometimes a shadow part that hasn't been integrated A personal moment on privilege, shame, and how rejecting a part of ourselves can limit our ability to help others What to expect from the Shadow Work module inside Liberation LIBERATION — SWEET SOBRIETY'S NEW PROGRAM Liberation is the next step after Foundations — a deeper 10-module program covering shadow work, shame, anger, guilt, the inner critic, ADHD and the nervous system, trauma, highly sensitive people, and more. You do not need to have completed Foundations first. Modules release the week of September 21. Live sessions begin October 15 at 1:00–2:30 PM Eastern. Starting price: $400 USD for this first round (early participants help shape the program, same as the first Foundations cohort) Learn more and join us: https://sweetsobriety.newzenler.com/courses/sweet-sobriety-liberation RESOURCES & LINKS Catch our earlier episode on Shame: https://open.spotify.com/episode/44sTxYKeVv7r01wtSKkYtm?si=7557f537d5314ebd Sweet Sobriety Foundations Program: https://sweetsobriety.newzenler.com/courses/sweet-sobriety-foundations Sweet Sobriety website: https://www.sweetsobriety.ca/ Have a topic you want us to cover? Email us: foodjunkiespodcast@gmail.com POLAND 2027: https://fundacjabraciarodzen.pl/products/international-advanced-training-programme?variant=56860764078458 ABOUT FOOD JUNKIES PODCAST Food Junkies is hosted by Dr. Vera Tarman, Clarissa Kennedy, and Molly Painschab, exploring food addiction, ultra-processed food use disorder, and recovery from a clinical, compassionate, and lived-experience perspective. Subscribe for new episodes and hit the bell so you don't miss our Clinician's Corner series. Our show is for educational purposes only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.
Are you spending too much time telling customers about your MedTech product and not enough time talking about the problem they actually care about?When you've spent years developing a medical device, it's natural to want to talk about the technology, the clinical evidence and why you built it. But your customers haven't been on that journey with you. If you're trying to commercialise or export your MedTech product, your go-to-market strategy needs to start with the problem through the customer's eyes, the value of solving it and whether that value is strong enough to make them change what they're doing today.In todays episode you'll discover:Why the story behind your MedTech product can create interest without necessarily giving customers a reason to buy.How to understand the clinical problem through your customers' eyes and communicate it using the language and outcomes that matter to them.How to determine whether the value of your solution is strong enough to overcome the effort, disruption and behavioural change required for adoption.Listen now to discover how putting the customer's problem at the centre of your MedTech go-to-market strategy can strengthen commercialisation, support adoption and give your medical device a better chance of succeeding in export markets.Book a 30min Healthcare Export Accelerator discovery callMessage me via DM on LinkedinThis podcast is for clinicians and solo founders feeling stuck in turning their medical devices into real businesses, with practical insight on go to market strategy, sales strategy, product launch, sales plans, business growth, exporting, selling internationally and how to scale up their international sales in MedTech.
Clinician-patient Relationships Lessen Anxiety in PediatricPatientsBy Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/clinician-patient-relationships-lessen-anxiety-in-pediatric-patients/Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
Retired Navy Captain Gerard Cox, MD, built a forty-year career out of a four-year commitment. He signed with the Navy's Health Professions Scholarship Program because his parents had already stretched to pay for an expensive undergraduate education, intending to serve his obligation and return to New England as a general internist. Three months into a medicine internship at Bethesda he knew that path was wrong. A flight surgeon tour with Marine squadrons out of Cherry Point gave him time to mature as a physician and to find emergency medicine, then a new and contested specialty. By the eleven-year mark the Navy had him, and he finished at thirty. What followed is a tour of the places where military medicine meets national consequence. From 1999 to 2001 he served in the White House Medical Unit as a physician to Presidents Bill Clinton and George W. Bush, spending most of his first year on the campaign trail with Vice President Al Gore. He explains what protective medical support actually requires: a physician with a black medical bag within seconds of the president at all times, monitoring the same Secret Service frequency, positioned on the far side of the armored limousine. That doctrine was written directly out of the 1981 Hinckley shooting, when the White House physician was left behind at the scene and never got into the car. A decade later, he was Force Surgeon for U.S. Naval Forces Central Command and Fleet Surgeon for the U.S. Fifth Fleet, administratively responsible for Navy medical personnel across Afghanistan, Kuwait, and every ship in the area of responsibility. The lesson he carries from that tour and from Desert Shield and Desert Storm is the same: international agreements and host-nation relationships are what allow the United States to operate medically in that theater at all. He then spent nearly eleven years in senior Veterans Health Administration leadership, walking into the Office of the Medical Inspector three months after the 2014 access-to-care scandal broke, and later serving as Assistant Under Secretary for Health for Quality and Patient Safety and national co-lead of the VA high reliability organization rollout across more than 170 medical centers. His verdict on the word accountability is blunt. It was redefined to mean punishment, and you cannot fire your way to excellence. The episode closes on advice a Navy admiral gave him in 1997 and on the fifteen-minute walk he and his wife have taken nearly every evening since, the habit that kept a forty-year career and a marriage intact. Chapters (01:11-08:39) An Accidental Navy Career (08:40-16:41) Inside the White House Medical Unit (16:42-24:26) Fifth Fleet, CENTCOM, and the Move from Clinician to Commander (24:27-37:01) Rebuilding Trust at VA: Accountability and High Reliability (37:02-43:24) Bridging the Military Health System and the VA (43:25-52:54) The Fifteen-Minute Walk: Resilience and Legacy Chapter Summaries (01:11-08:39) An Accidental Navy Career Dr. Cox traces the decision points that turned a four-year scholarship obligation into thirty years of active duty: an HPSP flyer on a Dartmouth bulletin board, an internal medicine internship he abandoned within months, and a flight surgeon tour with Marine squadrons at Cherry Point. That tour let him practice as the sole medical expert for a deployed squadron and pointed him toward the new specialty of emergency medicine. (08:40-16:41) Inside the White House Medical Unit As physician to Presidents Clinton and George W. Bush, Dr. Cox describes protective medical support as a discipline of seconds and positioning, not of clinical complexity. He walks through the Hinckley shooting that shaped the doctrine, the advance planning that precedes a foreign trip, and the accelerated 2000 transition between administrations. (16:42-24:26) Fifth Fleet, CENTCOM, and the Move from Clinician to Commander Dual-hatted as Force Surgeon for NAVCENT and Fleet Surgeon for Fifth Fleet, CAPT (Ret) Cox was responsible for Navy medical personnel from the NATO Role 3 hospital in Kandahar to individual augmentees with Afghan units and every ship in theater. He then turns to the leap into command, where a physician stops being the team leader and becomes the leader of a team of leaders. (24:27-37:01) Rebuilding Trust at VA: Accountability and High Reliability Three months into his VA tenure, the 2014 access-to-care scandal forced out the Secretary, the Under Secretary for Health, and the Medical Inspector. Dr.Cox took the Medical Inspector role and rebuilt its investigative culture on a single rule: every whistleblower allegation has an equal chance of being true or not true. He then describes the six-year high reliability rollout and the just culture that has to underpin it. (37:02-43:24) Bridging the Military Health System and the VA Dr. Cox explains why enrollment in VA health care is still opt-in rather than automatic, and what the failed Ensuring Veterans Transition Act would have changed. He contrasts the two patient populations and argues for moving providers and patients across both systems to preserve clinical currency and use existing VA capacity. (43:25-52:54) The Fifteen-Minute Walk: Resilience and Legacy A Navy admiral told him in 1997 to turn off the computer and go home, because the work will still be there in the morning. Dr. Cox and his wife have walked the dog together for fifteen minutes nearly every evening for more than fifteen years. He closes on what he wants remembered: integrity, treating people as people, and keeping the patient at the center of every decision. Take Home Messages Protective medical support is a discipline of seconds, not of clinical complexity. Caring for a president is less about the medicine than about position, communication, and rehearsal — a physician within seconds of the principal at all times, on the same radio frequency as the protective detail, staged on the side of the vehicle away from the threat. Every one of those procedures exists because a real failure in 1981 exposed the gap. Contingency planning is what converts a bad day into a survivable one. Accountability was redefined as punishment, and the substitution did real damage. In its original meaning, accountability is an objective, independent process for determining what actually happened. Congressional pressure turned it into a body count of terminations. You cannot fire your way to excellence, and a system that tries will lose the trust it needs to surface problems early. A just culture balances system responsibility against individual responsibility. People do not set out to make mistakes, and roughly 99.9 percent of the time they do not intend to harm anyone. Human error is inevitable, so the work is building systems that stop those errors before they reach the patient. Leaders and the system they run carry as much responsibility for prevention as the individual who erred. Command turns you from the team leader into the leader of a team of leaders. A clinician promoted into command arrives fluent in credentialing and clinical operations and largely ignorant of logistics, pharmacy, laboratory, and facilities management. The response is humility and questions, not bluff. Show up in the radiology suite on a Saturday morning and talk to the technician on duty, because the risks are visible at the front line and invisible in the C-suite. Protect fifteen minutes a day and the rest of the career becomes survivable. The work will still be there in the morning, so turn off the computer, go home, and have dinner with your family. One couple made a pledge at command leadership school to walk the dog together every evening, and more than fifteen years later they still do it. Careers can be slowed by choices made in favor of family; legacies are not. Episode Keywords military medicine, WarDocs podcast, White House physician, White House Medical Unit, Navy medicine, emergency medicine, HPSP, protective medical support, Secret Service, Reagan assassination attempt, Fifth Fleet, NAVCENT, CENTCOM, Afghanistan, Veterans Health Administration, VA health care, whistleblower, patient safety, high reliability organization, just culture, military health system, veteran transition, military leadership, military medical career Hashtags #MilitaryMedicine, #WarDocs, #NavyMedicine, #VeteransHealth, #WhiteHousePhysician, #PatientSafety, #HighReliability, #MilitaryLeadership Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called “Docs” as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast
Dr. Meredith Broderick is triple board-certified sleep expert and clinician. She attended medical school at The Ohio State University, completed a neurology residency at Case Western Reserve University, and a sleep medicine and behavioral sleep medicine fellowship at Stanford Medical Center. After training, she served as an assistant professor of neurology at Case Western Reserve University before transitioning to private practice in Seattle, WA and Anchorage, AK where she has worked most of her career. She is board certified in neurology, sleep medicine, and behavioral sleep medicine. She is one of the only physicians in the country to hold this combination of board certifications. SHOWNOTES:
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
Do you have clients who react to everything? What if their symptoms, scattered as they seem, share one cause? In this episode of IRH Clinician's Corner, Margaret Floyd Barry talks with Dr. Meg Mill about mast cell activation syndrome (MCAS) and histamine intolerance, two conditions that trip up even practitioners with years of clinical experience. Dr. Mill walks through the clinical signs to watch for and makes the case for slowing down and sequencing your approach with these clients. In this episode: The difference between histamine intolerance and MCAS Symptoms that point to histamine issues but rarely get connected to them Why perimenopause can trigger new histamine symptoms How gut health and histamine-producing bacteria factor in Why common gut-healing protocols can backfire with these clients Why nervous system regulation is central to resolving these cases The Clinician's Corner is brought to you by the Institute of Restorative Health: https://instituteofrestorativehealth.com/ Upcoming Event: Margaret Floyd Barry is teaching a free session on September 15 for practitioners who want a smaller, structured offer to bring new clients in the door. She's walking through how to build a challenge-style entry point using CGM data, tested across real client volume in our own corporate wellness practice. If you've been asking too much, too soon, of new clients before they know you, this is worth an hour. Register Here! Follow us on IG: https://www.instagram.com/instituteofrestorativehealth/ Join our email list here: https://instituteofrestorativehealth.com/join-our-email-list/ Book a call with the admissions team to continue your training: https://instituteofrestorativehealth.com/study-with-us/?utm_source=email Connect with Dr. Meg Mill: Website: http://www.megmill.com Instagram: https://www.instagram.com/drmegmill/ Get Dr. Meg's FREE guide on MCAS: https://go.megmill.com/mcas And her FREE guide on Histamine Intolerance: https://go.megmill.com/histamine Timestamps: 00:00 Upcoming glucose monitor challenge 09:21 Understanding overactive mast cells 13:51 Understanding immune system triggers 18:14 Addressing severe food reactions 26:13 Understanding histamine intolerance in patients 31:30 Identifying histamine intolerance symptoms 34:35 Microdosing supplements for healing 40:14 Balancing hormones and detox pathways 47:05 Focusing on cell and hormone health 52:24 Importance of setting client expectations 54:13 Challenges with rigid health protocols 01:02:02 Guides on histamine intolerance and mast cell activation Guest bio: Dr. Meg Mill is a leading women's health expert, Doctor of Clinical Pharmacy, and Certified Functional Medicine Practitioner with over two decades of clinical experience. She helps women around the world resolve chronic symptoms like fatigue, digestive issues, migraines, hormonal imbalances, and histamine-related conditions—especially when conventional medicine has failed to connect the dots. She empowers women to rebalance their bodies, regulate their nervous systems, and reclaim their energy, clarity, and confidence. Through her virtual Functional Medicine practice, Dr. Meg has guided hundreds of women to lasting relief and transformation worldwide. A bestselling author and host of the top-rated podcast A Little Bit Healthier, she's also a sought-after speaker and summit host. Her work has been featured on Fox News, CNN, ABC, NBC, CBS, and in Forbes Health, Reader's Digest, Health Magazine and Mind Body Green. Keywords: functional health, MCAS, mast cell activation syndrome, histamine intolerance, histamine symptoms, continuous glucose monitor, CGM challenge, diamine oxidase, methylation, nervous system regulation, gut health, stool testing, histamine-producing bacteria, perimenopause, estrogen-progesterone balance, mold toxicity, immune system, detox pathways, methylation support, B vitamins, thiamine, glutathione, adrenals, hormone imbalances, thyroid health, autoimmune disease, SIBO, probiotics, low histamine diet, mast cell stabilizers, food sensitivities 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.
In this Complex Care Journal Club podcast episode, Dr. Jason Zamkoff discusses a quality-improvement cohort study of a surgical hospitalist co-management program (Surgical Hospitalist Assisted Recovery/SHARe Team, or “Pink Team”) for children with medical complexity at Children's Hospital Colorado. They describe how patients are selected using an internal complexity score and the institutional trust-building needed to launch the program, resulting in fewer post-operative emergency transfers to intensive care. Next steps include developing an externally validated complexity scoring tool and extending hospitalist involvement into the pre-operative period. SPEAKER Jason Zamkoff, MD Professor of Pediatrics University of Colorado School of Medicine Pediatric Hospitalist Children's Hospital Colorado HOST Kilby Mann, MD Associate Professor, Director of Pediatric Rehabilitation University of North Carolina School of Medicine DATE Initial publication date: September 8, 2026. JOURNAL CLUB ARTICLE Zamkoff J, Acker SN, Martin A, Anderson L, Bennett H, Thysens J, Thomas JJ, Conant M, Kurtz M, Gupta R, Scarberry J, Burke M, Koehler R, Rolison E, Whitney G, Ziniel SI, Carney KP, Wilcox D, Lockwood JM. Surgical Hospitalist Assisted REcovery (SHARe): Preventing Post-Operative Emergency Transfers. Hosp Pediatr. 2026 Jul 21:e2025008778. doi: 10.1542/hpeds.2025-008778. Epub ahead of print. PMID: 42476571. OTHER ARTICLES REFERENCED Martin A, Acker S, Hankinson TC, Zamkoff J. Perspectives on Interdisciplinary Perioperative Care for Children with Medical Complexity. Pediatr Clin North Am. 2026 Apr;73(2):513-524. doi: 10.1016/j.pcl.2025.12.003. Epub 2026 Feb 26. PMID: 42020046. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/9c5mmqqq86knpmsgss5xrm8/Zamkoff_transcript_9-1-26 Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Zamkoff J, Mann K. The Pink Team Effect: Reducing Postoperative Emergency Transfers in Complex Care. 08/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/the-pink-team-effect-reducing-postoperative-emergency-transfers-in-complex-care
What if the same performance science used to support elite athletes, military teams, and other high-stakes professionals could help healthcare clinicians thrive?Dr. Andrea Austin welcomes Joshua Blair, Head of Insights at Arena Labs, for a conversation about the intersection of performance science, neuroscience, wearable technology, and healthcare. Joshua explains how Arena Labs adapts tools from other high-stakes industries to help physicians, nurses, APPs, and other clinicians build greater physical, mental, and emotional capacity. They explore how wearables can provide useful insight into sleep, stress, recovery, and heart rate variability while emphasizing that data is most valuable when paired with context and coaching.The conversation also moves beyond individual wellbeing to examine how aggregated insights can help healthcare organizations understand team stressors, leadership challenges, scheduling issues, and other systemic factors. Andrea and Joshua discuss why supporting individuals and changing broken systems are not competing ideas, but interconnected parts of creating healthier healthcare environments. You'll hear how they:Understand what wearables can reveal about stress, recovery, sleep, and physiologyUse heart rate variability as a personalized window into nervous-system patternsTurn wearable data into meaningful behavioral insights rather than simply reacting to scoresUse coaching to connect performance science and data to the realities of clinical lifeThink about individual wellbeing and organizational change as interconnectedUse aggregated data to help leaders identify team-level stressors and opportunitiesEmbrace individualized approaches to scheduling, workload, recovery, and performanceBuild recovery practices into life outside of workPrioritize breathing, active recovery, and sleep as foundations of wellbeingCreate healthcare environments that help clinicians flourish rather than treating them like interchangeable widgetsAbout the Guest:Joshua Blair is the Head of Insights at Arena Labs and a Johns Hopkins alum with a master's degree in science and bioengineering. He has pioneered predictive performance insights for hospital leaders and brings expertise to the intersection of performance and neuroscience. His background also includes inventing a non-invasive brain-computer device designed to monitor and augment deep sleep.At Arena Labs, Joshua focuses on translating performance science, data, coaching, and insights from other high-stakes industries into practical approaches for healthcare professionals and organizations.
As a Licensed Clinical Social Worker, entrepreneur, and founder of Never Journey Alone and NJA Business Group, my journey to business ownership was not built on unlimited resources or perfect timing. It was built on faith, determination, long hours, and a commitment to creating something bigger than myself.I started my private practice while working full-time in corrections, often working overnight shifts while building my business during the day. What began as a solo practice eventually grew into a thriving group practice serving communities in need of mental health support.Today, I am passionate about helping other mental health professionals move from clinician to CEO by teaching them how to build sustainable private practices, create multiple streams of impact, and develop the confidence to pursue ownership.✔️ Building a Private Practice from the Ground Up✔️ The Transition from Clinician to CEO✔️ Trauma, Mental Health, and Emotional Wellness✔️ Leadership and Entrepreneurship for Women✔️ Business Ownership in Underserved Communities✔️ Burnout Prevention and Sustainable Success✔️ Mental Wellness vs. Mental Health✔️ Faith, Resilience, and Overcoming Obstacles in BusinessI believe ownership creates opportunities not only for ourselves but also for the communities we serve. When more mental health professionals build sustainable practices, more people gain access to quality care.
Every clinic owner asks it at some point - sometimes quietly, sometimes in a full-blown crisis. Is this actually still worth it?In this episode of the Grow Your Clinic podcast, Ben Lynch sits down with Mic Rizk and Jack O'Brien to tackle one of the most important and most honest questions in clinic ownership. Mic shares the four dimensions he uses to measure whether clinic ownership is working - time, money, freedom and meaning - and the 12-month rule he gives himself before making any big decision in a trough. They get into what's really driving the current wave of clinic owners wanting to sell, why selling is rarely the solution to the actual problem, and how to use fear-setting to realise the downside isn't as catastrophic as it feels. Ben shares the story of Jenny, a member who couldn't walk into her own clinic without a panic attack - and where she is now. And Mic offers his practical treatment plan for getting out of a trough, starting with your calendar next week.If you've ever quietly wondered whether it's all worth it, this one is for you.In This Episode You'll Learn: ⚖️ The four dimensions of worthwhile - and why you probably don't need all four right now
Gout is more than just joint pain. It is a common form of arthritis that can significantly impact quality of life when left untreated. In this episode of Docs in a Pod Presented by WellMed, host Carmenn Miles sits down with Dr. Tamika Perry of WellMed at RedBird Square to discuss the causes, symptoms, and treatment options for gout. Learn what triggers gout flare-ups, who may be at greater risk, and how lifestyle changes and medical treatments can help manage this painful condition. 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)
Why do physical therapy clinics feel broken even when everyone seems to be working harder?On this episode of PT Breakfast Club, Jimmy McKay, Tony Maritato, and Dave Kittle dig into physical therapist hiring, clinician recruitment, clinic marketing, reimbursement, RTM, AI-driven efficiency, and the economics of running a PT practice.The conversation starts with a simple hiring problem: most clinics are competing for the same physical therapists using the same job boards, the same bonuses, and the same messaging. If every clinic is fishing in the same pond, is doing more of the same actually a strategy?Then the conversation turns to marketing, attention, trust, and why a local pancake shop may understand brand building better than most healthcare organizations.Finally, the guys explore a bigger question for physical therapy: when technology makes care more efficient and less expensive to deliver, who actually captures that value? The clinician? The clinic? The patient? Or the payer?Topics include:• Physical therapist hiring and recruitment• PT clinic staffing challenges• Physical therapy job marketing• Clinician retention and hiring strategy• RTM and remote therapeutic monitoring• CMS and physical therapy reimbursement• AI and healthcare efficiency• Private practice physical therapy• PT clinic marketing• The economics of physical therapy practiceThe big takeaway: you may not need more applicants, more marketing, or more of the same strategy. You may need to play a different game.
This episode highlights back-to-school vaccination priorities amid updated pediatric guidance and ongoing measles activity, new evidence linking adolescent sleep disruption and school transitions with anxiety and declining well-being, and the importance of ensuring schools are prepared to manage asthma and other chronic conditions.
If you've ever convinced yourself a headache was a brain tumor or spent hours Googling symptoms only to feel even more anxious, you're not alone. In this episode, our host sits down with former Anxiety and Depression Association of America (ADAA) president Dr. Karen Lynn Cassiday to unpack the difference between usual concern about your health and clinical health anxiety (also known as illness anxiety disorder). Dr. Cassiday shares practical, evidence-based tools to help you break free from health anxiety, know when self-help is enough, recognize when it's time for therapy, and understand why this condition is highly treatable. Listeners will learn: why more medical tests don't always create peace of mind why online searching often makes health anxiety worse practical ways to reduce health anxiety without ignoring real medical concerns Whether you're constantly worried about your own health or watching someone you love manage these fears, this conversation offers reassurance grounded in science — not endless reassurance seeking. Educational funding for this episode has been provided by the Anxiety and Depression Association of America (ADAA). Our guest, Dr. Karen Cassiday, is a lively, sought-after speaker and commentator on national media such as Nightline, The Today Show, Animal Planet, The Joy Behar Show, Huffington Post, public radio and many more. She is the host of the Moms Without Worry radio show featured on iHeart Radio. She is a TEDx speaker who shared her personal experience as a mother overcoming her own anxious perfectionism in the middle of Walt Disney World! She is the host of the Moms Without Worry radio show. She served as the President of the Anxiety and Depression Association of America and is the founder of the Anxiety Treatment Center of Greater Chicago, the longest-running clinic to first use modern exposure-based treatment for anxiety disorders in the Chicago region. She is the author of The No Worries Guide to Raising Your Anxious Child and Freedom from Health Anxiety and Helping Children and Teens with Difficult-to-Treat OCD. She has also authored numerous peer-reviewed scientific articles and media articles on overcoming anxiety. She won the Anxiety and Depression Association of America's prestigious Clinician of Distinction Award and is a Clinical Fellow of the Anxiety and Depression Association of America. She is also a Diplomate and Founding Fellow of the Academy of Cognitive Therapy, served as Chair of the Scientific Advisory Board of the Chicago OCD Foundation/Beyond OCD, and has been listed on numerous Who's Who lists. She has published numerous scientific articles and articles on parenting and managing anxiety. She also has a long history training mental health professionals throughout the world. Dr. Cassiday has five children and two friendly but not so bright dogs. She loves travel, the outdoors and mental health volunteering. She attributes her sense of humor to the challenges of being mom, stepmom, and dogmom of a crew of colorful personalities who repeatedly remind her to stay humble. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
How do you know which international markets actually give your MedTech product the best chance of success?This avoids the problem we've discussed before: it doesn't tell the listener what they're doing wrong. It opens the question the episode answers.When you're ready to export your MedTech product, it's tempting to start with the biggest healthcare markets, the fastest-growing countries or places where you already know distributors. But the right export market for one medical device could be completely wrong for another. In this episode, Hakeem explains why effective international market selection starts by understanding your product, what drives adoption and the specific commercial conditions that need to exist in each market before you decide where to expand. In todays episode you'll discover:Why the biggest or most attractive-looking international market isn't necessarily the best export opportunity for your MedTech product.How factors including clinician adoption, competition, evidence, reimbursement, pricing, buying pathways and your commercial model can change which markets you should prioritise. How to assess both market potential and your probability of successfully entering it, rather than choosing countries based on market size alone. Listen now to learn how to choose the right export markets for your MedTech product by focusing on where you have both an attractive commercial opportunity and a realistic probability of achieving adoption.Book a 30min Healthcare Export Accelerator discovery callMessage me via DM on LinkedinThis podcast is for clinicians and solo founders feeling stuck in turning their medical devices into real businesses, with practical insight on go to market strategy, sales strategy, product launch, sales plans, business growth, exporting, selling internationally and how to scale up their international sales in MedTech.
130. Psilocybin and Menopause: Two Clinicians Reframe Midlife for WomenEpisode SummaryEstrogen regulates the serotonin system, and psilocybin reaches the same receptor. That is where this Salon starts, and it is the most specific version of the psilocybin and menopause conversation I have heard in public.Kelly McGinty, a nurse practitioner, told a full room at Town Hall Seattle that the drop women feel in perimenopause is physiological rather than imagined. I asked whether that means psilocybin replaces estrogen. She said no, and that she would like more research. Her co-author, Dr. Trish Singh, added that research on menopausal women barely exists at any phase of the transition.Two clinicians describe what they see in their patients, then draw a line at the point where the evidence ends. Most people selling a reframe of midlife will not draw that line on a microphone.What sits on the other side of it: anxiety as a knock on the door rather than a malfunction, why women microdose intuitively instead of on a protocol, and the archetypes we inherit about aging women. Kelly's oldest client is 85, and she says the younger generation is watching to see how the older one heals.A woman in perimenopause deserves an explanation for what is happening in her body. Psilocybin is not what delivers that. A provider who knows the full symptom list is.
Nicotine e-cigarettes for cigarette smoking cessation: Recommendations to US-based clinicians Journal of the American Medical Association This Special Communication summarizes the evidence on the use of e-cigarettes for smoking cessation and provides recommendations for clinicians on how to engage in conversations with adult patients who currently smoke cigarettes. Specifically, advice is provided on (1) integration of e-cigarettes into patient-centered shared decision-making conversations on the risks and benefits of various pharmacologic smoking cessation treatments; and (2) practical guidance on the use of e-cigarettes for smoking cessation. The authors include one overarching recommendation: integrate e-cigarettes into conversations on the risks and benefits of all evidence-based pharmacologic treatments for smoking cessation. In support of this recommendation, specific guidance is provided regarding how to discuss potential misperceptions and suggested questions are offered to guide patient conversations. Evidence-based best practices are also provided for using e-cigarettes to quit smoking. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
Artificial intelligence is advancing rapidly in healthcare, but what could it mean for pre-hospital care? In this compilation episode, we bring together two conversations exploring how AI could support clinicians, improve decision-making, and transform the way emergency care is delivered.We begin with Zane Perkins, exploring AI-TRiPS, an AI Risk Prediction and Decision Support System for trauma care. We discuss how AI and Bayesian networks could support clinical reasoning, identify risk and reduce cognitive burden in high-pressure environments such as major trauma and air ambulance care.But with that potential comes important questions around trust, cognitive bias, human factors and clinical responsibility. What happens when clinicians disagree with an algorithm? And could we become too reliant on technology?We then broaden the discussion with Nico Preston, exploring the wider applications of AI across pre-hospital care, from dispatch and demand prediction to diagnostics, risk stratification and clinical decision support.Across both conversations, one theme becomes clear: the future of AI in emergency care is unlikely to be about replacing clinicians. Instead, the opportunity may be to create human–AI systems that combine computational power with clinical experience, judgement and contextual awareness. But getting that balance right will be critical. Can AI make us better clinicians, and how do we ensure we use it safely?This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
Welcome back to the Pear Healthcare Playbook! Every week, we'll be getting to know trailblazing healthcare leaders and diving into building a digital health and biotech business from 0 to 1.We would greatly appreciate it if you took a moment to listen to the episode on either Apple or Spotify and leave us a rating! Your support helps our guests' insights reach a larger audience!Today we're thrilled to share our interview with Vikas Sabnani, Co-founder and CEO of Marit Health, a free, AI-powered career community platform built for physicians and advanced practice providers. Clinicians share their own compensation data and in exchange get access to tens of thousands of real peer-reported salaries across every specialty and state, including the details that actually matter like base pay, bonuses, call schedules, hours worked, PTO, and benefits. Think of it as a Glassdoor for medicine. Marit also runs an AI powered jobs platform that matches clinicians to roles based on their specific preferences. In just fifteen months since launching, more than 100,000 clinicians have joined, making Marit one of the fastest growing community platforms in medicine [1]. Before Marit, Vikas spent seven years at Glassdoor and then joined Transcarent as head of product. In this conversation, Vikas walks through his path from Glassdoor to healthcare, how Marit's co-founder started the company on a Google Sheet, the anonymization architecture that protects physicians in small specialties, and how the platform is turning transparency into a business.
When you're the clinician everyone else comes to for answers, who do you turn to when you need another perspective?Clinical supervisors carry a unique kind of responsibility. They support clinicians through difficult cases, ethical questions, risk, evaluation, and decisions that can have real consequences—often while feeling like they're supposed to have all the answers themselves.In this episode of Supervision Simplified, Dr. Amy Parks explores why supervisors, clinical leaders, and experienced clinicians need support, consultation, and mentorship of their own.Amy shares a personal experience involving a suicidal client and why, even though she felt confident in the decisions she had made, she still called a trusted colleague to talk through her clinical decision-making. She also shares the story of a supervisor who described working in isolation as being like “the captain of a ship in a fog without a lighthouse.”You'll hear why:Clinical supervision can become an unexpectedly lonely roleConsultation and mentorship serve different but important purposesExperienced clinicians still benefit from having trusted colleagues to callIsolation can contribute to burnout, ethical blind spots, and stalled professional growthGood supervisors don't need to have all the answersReflective practice and honest feedback make clinical leaders strongerSupporting supervisors ultimately strengthens the clinicians and clients they serveSupervision isn't about being perfect. It's about having the relationships and resources that allow you to remain reflective, ethical, supported, and sustainable in the work.Supervision Simplified brings you real conversations about the complex, messy, and meaningful world of clinical supervision—because the people supporting everyone else deserve support, too.Clinical Supervision Directory: www.clinicalsupervisiondirectory.com
What if the symptoms we associate with PMOS are actually signs of a much bigger metabolic picture? In this episode of the IRH Clinician's Corner, Margaret Floyd Barry sits down with one of IRH's most esteemed faculty members, Sara Fields, to unpack a major shift in women's health: the renaming of PCOS (Polycystic Ovarian Syndrome) to PMOS (Polyendocrine Metabolic Ovarian Syndrome). Together, they explore what this new name truly means for clinicians and clients alike, why it's a long-overdue change, and how it reflects a deeper understanding of the metabolic and endocrine complexities behind this common condition. Inside this episode, we explore: Why PCOS is becoming PMOS The symptoms practitioners may be missing Insulin resistance as a key driver The gut–hormone connection Essential testing for suspected PMOS Addressing root causes, not just androgen levels The Clinician's Corner is brought to you by the Institute of Restorative Health: https://instituteofrestorativehealth.com/ Upcoming Event: Margaret Floyd Barry is teaching a free session on September 15 for practitioners who want a smaller, structured offer to bring new clients in the door. She's walking through how to build a challenge-style entry point using CGM data, tested across real client volume in her own corporate wellness practice. If you've been asking too much, too soon, of new clients before they know you, this is worth an hour. Register Here! Follow us on IG: https://www.instagram.com/instituteofrestorativehealth/ Join our email list here: https://instituteofrestorativehealth.com/join-our-email-list/ Book a call with the admissions team to continue your training: https://instituteofrestorativehealth.com/study-with-us/?utm_source=email Connect with Sara Fields: Website: https://sarafieldswellness.com/ Instagram: https://www.instagram.com/sarafieldswellness/ Timestamps: 00:00 Expanding the conversation on diagnosis 08:48 Shifting focus to endocrine aspects 12:33 Patient involvement in global initiative 22:06 Understanding insulin resistance in PCOS 25:56 Hormonal Imbalances in PMOS 28:55 PCOS diagnosis criteria updates 34:59 Gut Health and Hormonal Balance 40:45 Importance of gut testing 48:43 Developing client treatment protocols 52:02 Addressing sleep apnea in PMOS 58:32 Connecting the dots on symptoms 01:03:26 Broadening diagnostic perspectives Guest bio: Sara Fields has been an instructor with IRH since March 2019. She teaches and mentors across all four levels—GI Healing, Hormones, Blood Chemistry, and Clinical Mastery—and has played a supportive role in the organization's leadership team. Sara has been immersed in the world of food and nutrition for over 20 years. Her journey has taken her through organic farming, sustainable agriculture, specialty food retail, and, ultimately, to certifications as a Functional Nutritional Therapy Practitioner (2014) and Restorative Health Practitioner (2015). Her passion for the tools she learned at IRH led her to become the very first intern and, eventually, a lead instructor for all of the courses. In her private practice, Sara Fields Wellness, she and her team take a gut-centric approach to supporting clients with chronic and complex health concerns, including skin conditions, autoimmunity, digestive issues, and metabolic challenges. She has also developed and taught fertility and prenatal nutrition classes for a local childbirth education organization, hosted community wellness meetups, and taught garden lessons at her children's elementary school. Keywords: functional health practitioners, polycystic ovarian syndrome, PCOS, PMOS, polyendocrine metabolic ovarian syndrome, metabolic health, endocrine system, reproductive hormones, insulin resistance, blood sugar dysregulation, testosterone, DHEAS, sex hormone binding globulin, luteinizing hormone, follicle stimulating hormone, estradiol, progesterone, ovulatory cycles, cardiometabolic health, gut health, microbiome, estrobolome, estrogen detoxification, beta-glucuronidase, visceral fat, lipid panel, hs-CRP, adrenal hormones, HPO axis, blood testing 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.
A former drug dealer turned psychologist, Dr. Adi Jaffe breaks down why addiction was never really about the drugs. We dig into his Unhooked Model, the real psychology behind shame and negative self-talk, and why most addiction treatment targets the wrong thing.From a SWAT arrest to a UCLA PhD, Adi shares the real story behind his recovery and what it actually takes to break a behavior pattern for good.Connect with Dr. Jaffe: Get the Book AdiJaffe.comIGNTDClaim Your Free Month of IGNTD!Connect with Behavior BitchesInsta: @behaviorbitchespodcastFacebook: Behavior Bitches PodcastWebsite: BehaviorBitches.comContact Us: For podcast inquiries, episode ideas, or just to say hi, email us at behaviorbitches@studynotesaba.com Leave us a 5-star review in the Apple Podcast App so we can read it to everyone during our episodes and make us super happy!Looking for BCBA Exam Prep or CEUs?• Whether you need help passing the BCBA exam or are looking to earn CEUs, Study Notes ABA has you covered. Check out our website for comprehensive exam prep materials, prep courses, and CEUs• Test Prep: StudyNotesABA.com• CEUs: CEU.StudyNotesABA.com• PairABA: PairABA.com
Detailed Show Notes Episode Overview In part one of this two-part series on Dental Digest, host Dr. Melissa Seibert sits down with dual-boarded periodontist and prosthodontist Dr. Ashley Hoders to examine the latest consensus literature on peri-implant soft tissue deficiencies, biologic bone preservation, and the biomechanics of skeletal expansion . They unpack why soft tissue recession is fundamentally a bone problem, how thin tissue starved of blood supply triggers crestal loss, and why treating skeletal arch deficiencies with dental compensation compromises cortical bone . Guest Information Guest: Dr. Ashley Hoders, DDS, MS Credentials & Affiliations: Dual board-certified diplomat and fellow of the American Board of Periodontology and the American Board of Prosthodontics; MS from UT Health Science Center at San Antonio . Clinical researcher with the McGuire Institute, co-creator of Spear Hygiene, visiting faculty at the University of Washington Graduate Periodontics Department, and active member of the American Academy of Restorative Dentistry (AARD) . Key Clinical Takeaways 1. The Reality of Peri-Implant Soft Tissue Deficiencies Recent joint consensus papers (AO/AAP) reveal that non-diseased peri-implant soft tissue deficiencies have an overall prevalence of 46.2% . These deficiencies worsen over time: 33% at 1 year and 64.5% at 5 years . Clinicians should exercise caution when planning implants in the aesthetic zone and consider alternative modalities (such as resin-bonded bridges) when appropriate . 2. Mid-Facial Margins vs. Interproximal Papilla Interproximal papilla height is dictated primarily by the bone levels on adjacent natural teeth . Mid-facial mucosal margin stability is driven by facial bone thickness (which is frequently $
In this episode Paul Krauss MA LPC explores Mindfulness Based Somatic Emotional Processing (MBSEP)with the creators Robert Weisz, PhD, and Daniel Blackwood, MA. Together they explore why feeling our emotions in the body is central to psychological health, trauma recovery, and everyday well being. The discussion continues with how emotions are not just "thoughts about feelings" but lived, somatic experiences that shape our nervous systems and sense of self. They discuss why resisting painful emotions often increases suffering, how compassionate, mindful attention can transform states like anxiety, anger, and grief, and why learning to be present with emotional sensations in the body opens a path toward integration, resilience, and more authentic living. The conversation centers on MBSEP as a simple, natural protocol that combines mindfulness and somatic perception to regulate emotions and process unprocessed traumas stored in the body. Weisz and Blackwood describe practical steps-such as breathwork, resourcing, felt-sense awareness, and remaining compassionately present with bodily sensations-that foster neuroplasticity and help create new, healing neural linkages in the brain and nervous system. They also explore how MBSEP can be integrated with other therapeutic modalities, why making room for the "struggle factor" is essential, and how this approach reveals hidden truths within our feelings so that emotions move from overwhelming states into experiences we can process, understand, and use for growth. Robert Weisz, PhD, developer of MBSEP, is a retired clinical psychologist with more than 50 years of experience whose work has been shaped by decades of learning and healing with shamans in Peru, Ecuador, and Brazil; he lives near Santa Fe, New Mexico. Daniel Blackwood, MA, has practiced MBSEP for over 10 years, is founder and director of The Evolution Group, Inc., a behavioral health organization based in Albuquerque, New Mexico, and is also the author of Integrity Recovery. Buy the book here. Clinicians and interested learners can find training workshops and events including in-person and online on the MBSEP.com site. Get involved with the National Violence Prevention Hotline: 501(c)(3) Donate Share with your network Write your congressperson Sign our Petition Preview an Online Video Course for the Parents of Young Adults (Parenting Issues) Unique and low cost learning opportunities through Shion Consulting Paul Krauss MA LPC is a Co-founder of Health for Life Counseling Grand Rapids, home of The Trauma-Informed Counseling Center of Grand Rapids. Paul is also a Private Practice Psychotherapist, an Approved EMDRIA Consultant , host of the Intentional Clinician podcast, Behavioral Health Consultant, Clinical Trainer, Counseling Supervisor, and Meditation Teacher. Paul is now offering consulting for a few individuals and organizations. Paul is the creator of the National Violence Prevention Hotline as well as the Intentional Clinician Training Program for Counselors. Paul has been quoted in the Washington Post, NBC News, Wired Magazine, Psychology Today, and Counseling Today. Questions? Call the office at 616-200-4433. If you are looking for EMDRIA consulting groups, Paul Krauss MA LPC is now hosting a weekly online group. For details, click here. For general behavioral and mental health consulting for you or your organization. Follow Health for Life Counseling- Grand Rapids: Instagram | Facebook | Youtube Original Music: ”Alright” from the album Mystic by PAWL (Spotify) “Disco Dino " from Polymood by L'Eclair (Spotify)
Getting a patient to say yes to treatment isn't the end of the sale. Every time they decide whether to book another visit, follow your recommended frequency, finish their plan of care, or continue beyond a package, they're making another decision about the value of their care. That's why one of the themes that came up in a recent Cash-Based Practice Mastermind coaching call was something that can sound a little uncomfortable in healthcare: always be selling. I'm not talking about constantly pitching patients, and I'd never recommend care they don't need… I'm talking about continually connecting what you're recommending to the goals that brought them to you in the first place. In this episode, I share two common ways clinicians stop doing this without realizing it, including 1) making assumptions about what patients can afford, especially as you get further into a plan of care, and 2) relaxing once someone has pre-paid for a package. And if you recognize that your team could get better at conversations around value, cost, and patient commitment, check out the Cash-Pay Conversion Summit on November 13–14, 2026 in Austin, Texas. You'll spend 2 days with me implementing, customizing, and practicing the systems and scripts that help your team confidently convert more prospective patients into committed Cash-Pay patients. What You'll Learn in This Episode Why if you think the "sale" ended when a patient initially said yes, you're in real trouble. How YOUR assumptions about cost can negatively influence your POC recommendations - and how that can be the ultimate disservice to your patients. What changes, for both the provider and the patient, when someone purchases a package How to keep patients focused on the outcome they're working toward USEFUL INFORMATION: Check out our Summit: CASH-PAY CONVERSION SUMMIT
In this episode, Albert Villarin, MD MBA FACEP - Vice President, Chief Medical Informatics Officer, Northwell Health, Information Technology, discusses Northwell Health's strategy for scaling ambient AI across clinical settings, reducing documentation burden and measuring its impact on clinician wellness. He also shares how ambient AI has improved patient satisfaction and his vision for AI-driven, patient-centered care.
Prostate cancer is one of the most common cancers affecting men, but knowledge can make all the difference. In this episode of Docs in Pod Presented by WellMed, hosts Carmenn Miles and Dr. Rajay Seudath from Optum - University welcome Dr. Steven Bauer from WellMed at Division for an open and informative conversation about prostate cancer awareness. Learn who is most at risk, when screenings should begin, the latest advances in treatment, and why early detection can save lives. 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)
I used AI to generate a financial plan & life roadmap and then I gave this to 2 experts for review. Today I'm thrilled to host Mark McGrath, CFP, and Aravind Sithamparapillai, CFP, on the show.Mark McGrath is a leading Canadian voice in evidence-based finance & founded his own advice-only practice called Phynance, where he helps physicians with financial planning. He is also co-author of “Wealthier: The Investing Field Guide for Canadian Millennials.”Aravind Sithamparapillai is a financial planner and founder of AMA wealth. Last year, Aravind earned his CFP® designation with the highest exam score in the country, placing him at the top of the CFP® Exam President's List. He was also selected for FP Canada's Emerging Leader's Award.Discussion Points:Part 1 - introductions (2:24)- my AI inputs and outputs (5:18)- Mark & Aravind's initial reflections (9:25)Part 2 - Limitations (26:17)- knowing how much one will spend in retirement, stress testing, compensation strategiesPart 3 - Tax efficiency - RRSP debates (43:05)- Individual pension plan (46:01)- Home equity line of credit/HELOC (51:15)- Permanent life insurance (58:40)Part 4 - Top priorities - (1:07:32)Mark McGrath:phynance.ca https://www.linkedin.com/in/markmcgrathcfp/Aravind Sithamparapillai:https://amawealth.ca/https://www.linkedin.com/in/sithamparapillai/Yatin Chadha:Newsletter: https://www.beyondmd.ca/newsletterWebsite: https://www.beyondmd.ca/LinkedIn: https://www.linkedin.com/in/yatin-chadha/Email: yatin@beyondmd.caRadiology Courses for Clinicians:https://beyondradiology.thinkific.com/courses/ct-head-interpretation-coursehttps://beyondradiology.thinkific.com/courses/master-ct-head-interpretation-courseAmex credit card referral link:https://americanexpress.com/en-ca/referral/business-platinum?ref=yATINC4uFw&XLINK=MYCP
Eating disorders in the military are far more common than most people realize, yet the signs and symptoms often go unnoticed until the consequences become severe. In this eye-opening episode, retired Navy Senior Chief, author, and SEA WAVES founder Leah Stiles shares her lived experience with an eating disorder, including the challenges she faced seeking help. She explains how military culture can contribute to the development of eating disorders, and why so many service members struggle in silence. We discuss the impact on active-duty military members, veterans, and military families, as well as what clinicians, leaders, loved ones, and policymakers can do to better recognize and support those who are struggling. Tune in for a powerful conversation about breaking stigma, saving lives, and shining a light on a hidden crisis. If you or someone you care about is an athlete in recovery, this episode will make your recovery journey a little more hopeful. If you enjoy our show, please rate, review, subscribe, and tell your friends and colleagues! Interested in being a guest on All Bodies. All Foods.? Email podcast@renfrewcenter.com for a chance to be featured. All Bodies. All Foods. is a podcast by The Renfrew Center. Visit us at: https://renfrewcenter.com/
This week on Faisel and Friends, we are discussing What Clinicians Need to Know This Fall: Vaccines, Communication, and Trust. Faisel and Dan are talking with Dr. Gretchen LaSalle, former AAFP vaccine science fellow.Our conversation explores strategies for discussing vaccines in the clinic, the reality that immunization is one of the most powerful preventative health tools we have, and an approach for building bridges with patients through improving science communication.
Send us Fan MailThe calls that keep coming back aren't always “police problems” they're often people problems that never got solved. I'm joined by Amanda Rizzoli, clinical program coordinator with Milford Police Department in Massachusetts' Family Services Unit and Community Impact, plus Detective Cody Carneiro, to pull back the curtain on what a Family Services Unit actually does day to day and why it can change outcomes for families and first responders alike.We talk about the “merry-go-round” every officer knows: the same address, the same conflict, the same crisis, and the same short-term fix. Amanda and Cody explain how the unit focuses on root-cause work across mental health, substance use, domestic violence, runaway youth, and family instability. That means connecting people to the right behavioral health care, outpatient therapy, case management, housing applications, shelter options, and ongoing follow-up so a single incident doesn't turn into a pattern.We also get into the bigger picture of community-based policing and co-response models: how school-based relationships help kids feel safe reaching out, how clinicians and officers support each other on tough scenes, and how partnerships like Community Impact and Chris's Corner create real options when a town is trying to help someone who is homeless or stuck in a revolving door of crisis calls.Then we go where it matters most: first responder mental health stigma. We talk candidly about the fear of being seen as weak, the worry about fit-for-duty judgments, and why leadership support can make or break whether people get help. If you've ever wondered what actually works to move a “ten years on” veteran toward support, we share the simplest answer: start with a real conversation and make mental health a normal checkup, not a career risk.Support the showYouTube Channel For The Podcast
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – The larger system, she argues, is not designed to change itself but to make profit—at what cost? Attempts to bring rigorous, data-driven reform into federal agencies have been blocked at every turn. The financial incentives around liability-free products and continuous pharmaceutical development remain intact...
Are we addressing sexual health in clinical practice? On this episode of BackTable Women's Health, host Dr. Nicole Faulkner is joined by Dr. Christine Vaccaro, a double board-certified urogynecologist and sexual medicine specialist, to discuss the evaluation and care of women's sexual health concerns. They highlight the importance of open conversations, patient empowerment, and a multidisciplinary approach to support well-being and improve quality of life. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction04:01 - What Is Sexual Medicine07:58 - Understanding Libido, Arousal, and GSM15:54 - Clinic Visit Structure and Patient Counseling19:17 - Clitoral Exam, Adhesions, and Anatomy Education28:17 - Addressing Stigma, Patient Education, and Myths32:03 - Tools for Patient Empowerment: Apps and Self-Examination39:55 - In-Office Procedures, Pain Mapping, and Hormonal Considerations46:37 - Managing Complex Cases and Multidisciplinary Collaboration53:47 - Closing Remarks --- More about this episode The conversation explores practical strategies for evaluating and managing issues such as libido, arousal, orgasm, and sexual pain, with a focus on genitourinary syndrome of menopause (GSM) and clitoral anatomy. Dr. Vaccaro shares her approach to assessing clitoral adhesions, pelvic pain, and hormonal changes, as well as effective ways to educate patients about anatomy and self-examination. They discuss the importance of reducing stigma, addressing misconceptions, and using a multidisciplinary approach to improve patient outcomes. The episode also highlights the role of clinician training, patient-centered counseling, and collaborative care in supporting women's sexual health across the lifespan. --- Resources International Society for the Study of Women's Sexual Health: https://www.isswsh.org/ Female Orgasmic Disorder: Current Understanding and Clinical Management: https://pubmed.ncbi.nlm.nih.gov/42314165/ OMGyes: https://www.omgyes.com/join You Are Not Broken by Dr. Kelly Casperson: https://kellycaspersonmd.com/you-are-not-broken-book/ Retrospective Study of the Prevalence and Risk Factors of Clitoral Adhesions: Women's Health Providers Should Routinely Examine the Glans Clitoris - https://academic.oup.com/smoa/article/6/2/115/6956478?login=false Clitoral Adhesiolysis: Technique and Patient Selection - https://www.vjsm.info/videos/all/clitoral-adhesiolysis-technique-and-patient-selection Female Orgasmic Disorder: Current Understanding and Clinical Management - https://pubmed.ncbi.nlm.nih.gov/42314165/ --- BackTable Women's Health is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women's health. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
Navigating male sexual healing requires moving past shame and societal expectations. Certified sex educator Fran Frye joins host Dr. Timothy Hayes to unpack how men can build healthier, deeply connected relationships with their bodies and partners. They explain how cultural silence and unaddressed trauma create emotional barriers in intimacy. Fran outlines practical tools for nervous system regulation, somatic sex practices, and shifting away from performance driven expectations. You'll learn how rewriting personal narratives fosters genuine emotional competence and self compassion. Discover how redefining intimacy opens the door to lasting fulfillment inside and outside the bedroom.Love the show? Subscribe, rate, review, and share!Here's How »Join the On Your Mind Community today:journeysdream.orgTwitterInstagramFacebookYouTube
When a child has eczema, are you treating the skin or what's driving it? In this episode of the IRH Clinician's Corner, Margaret Floyd Barry welcomes back visionary functional nutritionist Deidre Bloomquist, founder of Always Growing Wellness, accomplished author of Toxic Infertility and the recently released Eczema Ends Here. Deidre Bloomquist shares her deeply personal journey uncovering the hidden root causes of pediatric eczema, drawing from her own son Jasper's experience. Together, they delve into the intricacies of gut dysfunction, immune dysregulation, environmental exposures, and toxic burden—and how these factors quietly shape children's health, often starting long before birth. Inside this episode, we explore: Why childhood eczema is often about far more than the skin The hidden role of mold, toxins, and environmental exposures in pediatric illness Why histamine can be a major missing piece in stubborn eczema cases The critical "order of operations" when working with complex pediatric cases Why drainage and detoxification support should come before aggressive protocols How to adapt functional testing and protocols for children, who are not simply "small adults" The Clinician's Corner is brought to you by the Institute of Restorative Health: https://instituteofrestorativehealth.com/ Follow us on IG: https://www.instagram.com/instituteofrestorativehealth/ Join our email list here: https://instituteofrestorativehealth.com/join-our-email-list/ Book a call with the admissions team to continue your training: https://instituteofrestorativehealth.com/study-with-us/?utm_source=email Ready to build a practice that's both profitable and aligned with your values? Join Margaret Floyd Barry for The Business Lab, a FREE live training on August 26th, where you'll learn how to create clear offers, price with confidence, and build a business that supports the work you love. There will be no public replay. The replay will only be available to IRH students, as this training is the first part of their coursework. Save your free spot using this link! Connect with Deidre Bloomquist: Website: https://www.always-growing.com/ Instagram: https://www.instagram.com/deidrebloomquist/ and https://www.instagram.com/alwaysgrowing_littles/ Facebook: https://www.facebook.com/alwaysgrowingwellness/ For Deidre's new book, Eczema Ends Here: https://www.always-growing.com/eczemaendshere *If you choose the "Instant Download" option, enter code IRH to get the digital download for FREE. Get FREE access to our Raising Resilient Kids masterclass where we share dietary, lifestyle, nutrient, herbal, and homeopathic supports for acute care. Use code: IRH https://deidre-at-always-growing.mykajabi.com/raising-resilient-kids-masterclass Timestamps: 00:00 Deidre's work and beliefs 05:19 Deciding against steroid treatment 06:46 Discussing alarming GI test results 12:36 Impact of Toxins on Health 15:44 Impact of bacteria and mold on gut health 16:46 Impact of Mold and Heavy Metals 21:46 Understanding and Managing Kid Allergies 23:36 Managing kids' sleep with dietary support 29:07 Understanding liver function phases 30:25 Detoxing and dietary foundations 35:27 Dealing with household mold issues 37:08 Children's developing immune systems 42:14 Approach to antimicrobial treatment for kids 45:03 Data for clinical decisions 46:44 Supporting breastfeeding mothers and families 50:11 Importance of Drainage and Detox 53:58 Importance of Checking Client Progress 57:19 Masterclass on acute illnesses for kids Guest bio: Deidre Bloomquist is a visionary functional nutritionist and founder of Always Growing Wellness, where her work focuses on helping families understand the root causes behind modern pediatric illness. She specializes in childhood eczema, gut dysfunction, immune dysregulation, and the environmental exposures that quietly shape children's health. Her work also extends upstream into fertility and preconception health, teaching that the foundation for resilient children begins long before pregnancy. Through this lens of generational health, her core belief remains simple: when we reduce the body's total toxic burden, we restore its innate capacity to heal, conceive, and thrive. Keywords: functional nutritionist, pediatric eczema, childhood gut health, immune dysregulation, environmental exposures children, fertility and preconception health, generational health, toxic burden, chronic disease reversal, stool testing, GI Map, food sensitivity testing, mycotoxins, mold exposure, heavy metals, mercury toxicity, allergy testing, inflammatory bowel disease, candida overgrowth, histamine intolerance, drainage pathways, liver function, kidney support, cell membrane health, nutritional deficiencies children, mitochondrial support, antimicrobial protocols, parasite overgrowth, elimination diets, family health protocols 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.
About 30% to 40% of the world's population is affected by some form of allergic disease, making allergy a routine consideration in primary care. But as interest in the microbiome grows, clinicians and patients face an important question: what does the evidence actually tell us about its role in allergic disease? This episode explores immune development, the hygiene and biodiversity hypotheses, food allergy, early-life tolerance, the gut-skin axis, atopic dermatitis, asthma, allergic rhinitis, antibiotic exposure, diagnostic testing, and early peanut introduction. The discussion separates established evidence from emerging associations and considers what, if anything, should change in clinical practice today. Clinicians will come away with practical guidance on maintaining evidence-based allergy diagnosis and management while understanding where microbiome research may shape future approaches to prevention and care. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/microbiome-and-allergy-what-primary-care-should-know.html?cid=0ct_3pc_05032024_9SGOV4
Is your practice website actually helping patients choose you, or is it just a digital brochure listing your services? In this episode, Dr. Lauryn sits down with branding strategist Alexa Torres to unpack what makes a healthcare brand connect, convert, and stand out in 2026. They explore why great marketing starts with making patients feel seen, not simply telling them how qualified you are.Alexa breaks down emotional selling, identifying your primary audience, creating a website that functions like a pre sales conversation, and designing for both quick decision makers and analytical buyers. They also dive into using AI to develop your brand voice, write better content, build websites, and even create an AI twin that helps you show up consistently without constantly being on camera.Key TakeawaysPatients buy outcomes, not services. Effective healthcare marketing speaks to the emotional problem behind what a patient is experiencing so they immediately recognize that your practice understands them.Your website should operate like a sales conversation. Strategic messaging, clear positioning, intentional calls to action, and a series of small “yeses” can pre sell prospective patients before they ever contact your practice.Your personal brand matters, but your patient should remain the focus. Establish your expertise and personality without making the homepage a résumé about your education, credentials, and accomplishments.AI works best when you give it your ideas instead of asking it to invent them. Detailed prompting, voice training, AI assisted website building, and tools like AI twins can make marketing faster while still preserving the perspective that makes your brand unique.Guest BioAlexa Torres is a creative director and branding strategist who has built more than 200 brands and websites since beginning her career in 2009. After shifting her focus exclusively to healthcare in 2016, Alexa and her team have helped more than 100 health entrepreneurs transform their ideas into magnetic brands that attract ideal patients, communicate their value clearly, and inspire action. Through her branding agency, Care Identity, and educational platform, The Clinician's Atelier, she helps healthcare entrepreneurs strengthen their branding, websites, messaging, and marketing while leveraging emerging AI tools to work more efficiently.For ways to work with Alexa, visit The Kliˈnishen's AtelierFollow Alexa on InstagramResources:Find all things Dr. Lauryn B including ways to work with herFollow Dr. Lauryn: Instagram | Facebook | LinkedInFollow She Slays on YouTubeMentioned in this episode:INSiGHT CLAThis episode is brought to you by the INSiGHT scanning system from CLA, the tool that helps chiropractors show patients objective neurological data so the value of care becomes clear, fueling conversion, retention, and growth. She Slays listeners get preferred pricing, affordable financing, and a free Getting Into Scanning guide.CLA (Current)Holistic Marketing HubThis episode is sponsored by Holistic Marketing Hub. Created by marketing strategist Molly Cahill, it's a proven Instagram system with a 500+ caption content library and a step-by-step curriculum that's helped 400+ chiropractors, acupuncturists, and other health pros fill their practices with right-fit patients. Enroll Now!Holistic Marketing HubClinic MindClinic Mind is the all-in-one EHR and practice management platform built for chiropractors — billing, documentation, scheduling, and patient follow-up in one place, whether you run a cash practice, take insurance, or are scaling to multiple locations. She Slays the Day listeners get an exclusive offer.Clinic Mind
Getting older doesn't mean the conversation about health, relationships, and connection has to stop. In this episode of Thriving after 60: Docs in a Pod, host Carmenn Miles welcomes Dr. Tamika Perry of WellMed at RedBird Square for a thoughtful and family-friendly conversation about staying healthy, confident, and connected as we age. Together, they explore intimate wellness, healthy relationships, communication, and the changes that can come with getting older. With expert insight and practical advice, this episode encourages listeners to prioritize their well-being and embrace every stage of life with confidence. 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)
In this episode of Derms and Conditions, host James Q. Del Rosso, DO, delivers a solo “Spilling the Tea” segment exploring clinical observations that may warrant a closer look. He examines dermatomyositis findings that can mimic more common conditions, nuances in prescribing language, the importance of a thorough hidradenitis suppurativa (HS) examination, and an unexpected case of rhabdomyolysis, highlighting details that can change how clinicians approach diagnosis and patient management. Dr Del Rosso begins with scalp pruritus as a potential manifestation of dermatomyositis. He reviews images showing how scalp involvement may resemble seborrheic dermatitis or psoriasis, with findings such as erythema, scaling, and hair thinning. He also examines nailfold changes, including prominent capillaries, capillary dropout, and abnormal cuticles, that can provide additional diagnostic clues. Recognizing these findings is particularly important given the potential systemic implications of dermatomyositis. The discussion then turns to limitations of use in prescribing information stating that certain therapies are “not recommended” in combination with other agents. Dr Del Rosso distinguishes this language from a formal contraindication and discusses the importance of understanding the evidence behind labeling when making treatment decisions. In HS, he emphasizes the value of a complete skin examination, including areas patients may initially be reluctant to expose. Assessing and palpating lesions can help distinguish active inflammatory findings, including abscesses, nodules, and draining tunnels, from established fibrotic or scarred disease. Finally, Dr Del Rosso shares the case of a 42-year-old woman receiving JAK inhibitor therapy who developed markedly elevated creatine kinase and rhabdomyolysis. Although her medication presented one possible explanation, further investigation revealed that she had gone several weeks without levothyroxine for hypothyroidism, another potential contributor. The case illustrates the importance of considering the full clinical picture when evaluating an unexpected finding or adverse event. Tune in to the episode for clinical observations that encourage a closer look at what may initially seem straightforward, from recognizing less familiar disease presentations and interpreting prescribing information precisely to conducting a thorough examination and considering multiple explanations for an unexpected finding.
In this practical Q&A episode with Dr. Jonathan Shedler, the psychodynamic psychotherapy cohort explores working with transference in real time, focusing on timing, technique, and the here-and-now. Shedler addresses how to recognize meaningful transference patterns, decide when an interpretation will open growth versus overwhelm the patient, and adapt the work across levels of personality organization (neurotic versus borderline). The discussion covers handling negative and erotic transference, protecting the therapeutic frame, triangulation, idealization and splitting, devaluation, projection, and projective identification. Clinicians will also learn to use their own countertransference as essential clinical data, the ongoing value of consultation and supervision, and how to respond to chronic reassurance-seeking without colluding. Link to blog Link to YouTube video
CardioNerds (Dr. Apoorva Gangavelli, Dr. Cory Sejo, and Dr. Joseph Kassab), discuss tricuspid regurgitation evaluation and management with Dr. Sunil Mankad. This episode was produced as part of the CardioNerds Academy curriculum by House Einthoven under the guidance of House Chief, Dr. Apoorva Gangavelli and Academy Program Director, Dr. Gurleen Kaur. A matching review article will be published in US Cardiology Review, the official journal of CardioNerds. This discussion was planned in collaboration with the Mayo Clinic Cardiovascular Board Review Course. Audio editing by CardioNerds intern Emma Winakur. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Key Points: Tricuspid regurgitation is common and associated with increased mortality at every stage, regardless of etiology. Outcomes are worse with worsening severity, so accurate grading is critical. Etiology is critical to guide treatment decisions. Etiology includes primary vs secondary (atrial or ventricular) vs CIED-related TR. 3D echocardiography can be very helpful in determining TR etiology, especially in CIED-related TR. Diuresis with the goal of euvolemia is step one. Additionally, underlying contributory conditions (eg. pulmonary HTN, HFrEF, atrial fibrillation) should be addressed, if appropriate, and then TR severity reassessed. The choice between T-TEER and TTVR hinges on anatomy, RV function, pulmonary hypertension, and the ability to tolerate anticoagulation. T-TEER is generally first line in atrial functional TR with appropriate anatomy, in patients with poor RV function who cannot tolerate a sudden increase in RV afterload, or in patients who cannot tolerate the necessary anticoagulation with TTVR. TTVR is preferred with wide coaptation gaps and CIED-related TR. This is a team sport. Multidisciplinary discussions utilizing imaging (TTE/TEE, CT), risk scores (TRI-SCORE or TRIO), patient preference, and prior institutional experience are essential for the effective treatment of severe TR. Notes: What is the clinical importance of tricuspid regurgitation? TR is very common with approximately 4% of people over 75 having moderate or greater severity. TR (even mild) is associated with increased mortality. Those outcomes worsen as the TR severity worsens, and this phenomenon is independent of the mechanism of regurgitation. What is unique about the tricuspid valve compared to the other cardiac valves? It is at an anterior location which allows it to be imaged well with transthoracic echocardiography It is the largest valve and composed generally of 3 leaflets (but very often can have 4+ leaflets). Importantly, the RV is compliant and changes size and shape readily based on loading conditions. The TV annulus similarly changes size and shape based on hemodynamic conditions such as preload. What is a good framework for approaching the causes of tricuspid regurgitation? Determine the presence and define the severity of TR. Using TTE, we want to measure the right atrial size, the RV size, and any other concomitant valvular lesions. Use TTE (2D and 3D) to characterize leaflet anatomy and characteristics. Subtypes of TR mechanisms (many times etiology is mixed). Primary: primary leaflet abnormality, occurs in ~10% of cases. Look for prolapse, flail, endocarditis, etc. Secondary/functional: leaflets normal but surrounding structures are abnormal. Atrial: RA and tricuspid annular dilation but normal RV size/shape, and can be related to arrhythmias like atrial fibrillation. Ventricular: RV dilated and/or dysfunctional with leaflet tethering. Can be related to pulmonary hypertension or primary RV disease. Cardiac implantable electronic device (CIED): Related to device (usually pacemakers or ICD) interaction with TV leaflets. Includes perforation, entanglement in subvalvular apparatus, impingement, etc. 3D TTE particularly helpful to evaluate How do we grade TR severity? It is very important to grade the severity of TR, and this is generally done with echocardiography. There are both quantitative and qualitative methods which use Doppler and various equations to estimate TR severity. Current recommendations have expanded TR severity beyond mild/moderate/severe to include “massive” and “torrential” categories. The most important parameters measured/calculated are vena contracta width, regurgitant volume, regurgitant fraction, and effective regurgitant orifice area. Helpful qualitative metrics include hepatic venous flow reversal. When should additional studies beyond transthoracic echocardiography, such as transesophageal echocardiography (TEE), cardiac computed tomography (CT), and cardiac magnetic resonance imaging (MRI) be pursued? TEE is particularly helpful if TTE views are poor. Since TEE is used during transcatheter intervention, a pre-procedure TEE to define anatomy, determine procedure candidacy, and plan for the procedure is critical. CT is also helpful for procedure planning and has particular strengths in defining annulus size and geometry. A CT is required prior to transcatheter tricuspid valve replacement (TTVR). MRI is helpful for measuring RV volumes and function, but is not generally used to assess TR severity. What is the approach to the treatment for severe tricuspid regurgitation? The first step is to try to determine the etiology. For secondary TR, treating the underlying condition is indicated. For example, pulmonary vasodilators for pulmonary HTN or guideline therapy for heart failure with reduced ejection fraction. Diuretics are the mainstay for treatment, with the goal to obtain euvolemia. This may require inpatient admission to optimize volume status and medication regimen. Once reversible etiologies are addressed, if the patient is still symptomatic from TR, additional therapies can be considered. What is the role of right heart catheterizations (RHC) in patients with severe TR? RHC is very helpful for many reasons. We use it in TR to help determine volume status, cardiac output, and RV function. Additionally, identifying and characterizing pulmonary hypertension (with pulmonary artery pressures and calculating pulmonary vascular resistance) is an important factor when choosing future therapies. With severe tricuspid regurgitation, when should we refer for intervention (either with surgery or transcatheter repair or replacement)? Once reversible etiologies are addressed and euvolemia has been achieved, if the patient is still symptomatic from TR despite aggressive medical optimization, additional therapies can be considered. Once euvolemic, a repeat TTE should be ordered to reassess the severity of the TR. Use calculators (for example, either the TRI-SCORE or TRIO score) to predict operative mortality for isolated TR surgery. What are our transcatheter treatment options in severe tricuspid regurgitation, and how do we choose between them? The primary approved transcatheter treatment options for severe TR include transcatheter tricuspid edge-to-edge repair (T-TEER) and transcatheter tricuspid valve replacement (TTVR), of which the Edwards EVOQUE valve is the only one currently approved by the FDA. There are other TTVR device under investigation. These decisions should be made with a multi-disciplinary team including representation from cardiac imaging, interventional cardiology, and cardiothoracic surgery. Factors that go into the decision between T-TEER and TTVR include anatomy (annulus width, coaptation gap, leaflet length), RV reserve, pulmonary hypertension presence, ability to tolerate anticoagulation, patient preference, and institutional experience. T-TEER is generally the first line with atrial functional and suitable anatomy. It is successful at reducing TR but does not generally eliminate it. TTVR with EVOQUE is preferred in certain anatomic considerations like a large coaptation gap or when there is CIED-related TR (as this was excluded in T-TEER trials). Patients must be suitable for anticoagulation to receive TTVR as there is risk of leaflet thrombosis without it. If moderate/severe pulmonary hypertension is present, or there is poor RV function, TTVR may be avoided as the sudden elimination of TR causes a sudden increase in RV afterload which may not be tolerated. What is the role in advanced metrics for evaluating RV function? Advanced metrics like RV/PA coupling are under investigation but have not made it into the guidelines. The clinical utility is not yet known. Assessing the RV function is important as stated above. Dr. Mankad prefers using 3D TTE to calculate an RVEF, or tracking RV longitudinal free wall strain. If you do encounter CIED-related TR, how do you treat it? Evaluate with TTE or TEE. 3D is very helpful to identify relative anatomy and leaflet-device interactions. There is no clear consensus about treatment if CIED-related TR is the primary mechanism of severe TR. If recently implanted, repositioning may be a valid option, but requires discussions with multiple teams including electrophysiology, advanced cardiac imaging, CT surgery, and interventional cardiology. References O’Gara PT, Lindenfeld J, Hahn RT, et al. 10 Issues for the Clinician in Tricuspid Regurgitation Evaluation and Management: 2025 ACC Expert Consensus Decision Pathway. J Am Coll Cardiol. 2025;S0735-1097(25)07047-0. O’Gara PT, Little SH, Badhwar V, et al. Operator and Institutional Recommendations and Requirements for Tricuspid Interventions: 2026 ACC/AHA/ASE/HRS/STS Expert Consensus Systems of Care Document. J Am Coll Cardiol. 2026;S0735-1097(26)05481-1. Hahn RT. Tricuspid Regurgitation. N Engl J Med. 2023;388(20):1876-1891. Davidson LJ, Tang GHL, Ho EC, et al. The Tricuspid Valve: A Review of Pathology, Imaging, and Current Treatment Options: A Scientific Statement From the American Heart Association. Circulation. 2024;149(22):e1223-e1238.