Podcasts about clinicians

Healthcare organizations spend millions on marketing — yet patients often trust a clinician with a phone more than a polished hospital commercial.In this episode, Jimmy and Andrea unpack why authenticity beats traditional healthcare marketing and how PT clinics can leverage clinician voices to build trust with patients.They also dive into one uncomfortable truth:Many clinics believe they have a marketing problem when the real issue is operations and patient experience.From the “three T's and three P's” of clinician content to the role of authenticity in healthcare communication, this conversation gives clinic owners a practical lens for thinking about marketing, retention, and patient trust.Key TakeawaysAuthentic clinician content often outperforms corporate healthcare advertising.Clinicians should be empowered to create educational content.Most clinics underestimate the operational impact on patient retention.The “three T's” for clinician content: Tools, Training, Time.The “three P's” for clinic marketing: People, Process, Product.Why This Matters for PT ClinicsIf patients trust real clinicians more than traditional marketing, clinics should focus less on polished campaigns and more on empowering clinicians to communicate directly with patients.The result can be stronger trust, better patient education, and more sustainable growth.

Pain is one of the most common reasons people seek medical care—but opioids aren't the only option. In this episode of Docs in a Pod, hosts Carmenn Miles and Rajay Seudath sit down with Robert Hernandez, NP, from WellMed's Great Northwest to discuss effective, non‑opioid approaches to pain management. Whether you're living with ongoing pain or supporting a loved one, this conversation offers clear guidance and compassionate perspective on safer ways to feel better. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities:  7:00 to 7:30 am CT:  San Antonio (930 AM The Answer)  DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth])  6:30 to 7:00 pm CT:  Austin (KLBJ 590 AM/99.7 FM)  Docs in a Pod also airs on Sundays in the following cities:  1:00-1:30 pm ET:  Tampa (860 AM/93.7FM) 

Send a textIn this Neo News episode, Ben and Eli dive into the recent controversial announcement from the state of Florida regarding heavy metals and pesticides found in infant formulas. They discuss the implications of releasing testing data without transparent methodology or clinical context, especially for unregulated or recalled brands like ByHeart and Similac Soy Isomil. How should NICU clinicians counsel parents who want to bring their own formulas from home? Tune in as they unpack the regulatory loopholes, the evolving public health initiatives, and the ongoing challenge of navigating unverified reports in neonatal care!----https://www.miamiherald.com/news/politics-government/article314266407.htmlSupport the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this short guided meditation, take a moment to slow down, breathe, and reconnect with the resilience that already lives within you. Through gentle breathing, self-compassion, and a heart-centered visualization, this practice invites you to soften self-judgment and meet yourself with kindness. Resilience isn't about pushing through or being hard on yourself—it's the quiet strength that allows you to keep showing up, learning, and moving forward at your own pace. A gentle reminder: you don't have to become resilient. You already are.   Let's connect!   Instagram:  @natasha.wilch https://www.instagram.com/natasha.wilch/ Email: hello@natashawilch.com Website: https://www.natasha-wilch.com   Join the Clinician's Edge to have Your Weekly Taste of Neuro Wisdom  here: https://www.natashawilch.com/clinicians-edge   Join the Concussion Mini School and Membership! Get the support and resources you need for concussion recovery: https://www.natashawilch.com/concussionminischool

"We are not done [as athletes], by a certain age. And we should be able to push for what we want," shares athlete, advocate, and clinician, Meghan Vogt.  Meghan is part of the Lane 9 Clinician Membership and Directory, and posted to the Lane 9 Project Substack a few months ago, as she began to collect data for her dissertation project. She's studying "The Overlooked Connection Between Perimenopause, Disordered Eating, and REDs", as both a clinician, and someone with lived experience as an athlete navigating perimenopause, through a system that wasn't, and still isn't fully, designed to support her.  Listen to hear Meghan's story, why she's passionate about researching this growing percentage of people navigating perimenopause and athletics, and where we are seeing gaps in care for this season of life.  Connect with Meghan Vogt via her Lane 9 Directory profile, at lane9project.org/directory, or by going to athletealigned.com.  Follow Lane 9 on Instagram @Lane9Project, and subscribe to our Lane 9 newsletter for weekly updates.  Lane9Project.org  

Why do so many MedTech products look brilliant on paper — yet still fail to get adopted in hospitals?A strong product alone is rarely enough to win hospital adoption. Even when the clinical idea is sound, devices often stall because they are hard to use in real workflows, lack an internal champion, or fail to show enough value to justify the cost. In this episode, Hakeem speaks with Dr. Torrie O'Daniel to unpack the three most common reasons promising MedTech products don't gain traction — and what founders can do differently to make real-world adoption far more likely.By listening, you'll:Learn the three most common reasons hospital teams do not adopt MedTech products that initially look promisingUnderstand how workflow fit, team-wide usability, and internal champions influence whether a device gets used consistentlyDiscover what founders need to prove clinically and economically to build momentum and justify adoptionPress play now to learn how to turn a promising MedTech product into one hospitals will actually use.Book a 30min Healthcare Export Accelerator discovery callMessage me via DM on LinkedinThis podcast is for clinicians turning medical devices into real businesses, with practical insight on go to market strategy, exporting, and scaling in international MedTech.

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In this throwback episode, host Shikha Jain, MD, speaks with Don Dizon, MD, about innovation throughout times of uncertainty in medicine, challenges currently facing physicians and more. ·       Welcome to another exciting episode of Oncology Overdrive 0:15 ·       About Dizon 0:25 ·       The interview 1:08 ·       How did you decide to become an oncologist and navigate a traditional academic career with many non-traditional "add-ons"? 1:46 ·       Jain and Dizon on the importance of providing humanity to physicians. 5:40 ·       Jain and Dizon on finding balance when providing patients with information.  7:45 ·       Jain and Dizon on federal funding challenges facing oncology advancements.  8:39 ·       Can you tell us more about transitioning to your new role at Tufts? 11:43 ·       Jain and Dizon on the growing amount of career shifts in medicine. 15:35 ·       How do we move forward with these new guardrails up from corporatization? 17:15 ·       Jain and Dizon on how the age of social media has changed the perception, training and demands of doctors. 22:39 ·       Dizon and Jain on the power of being able to admit "I don't know." 25:52 ·       What are some tips that you have for new attendings and people just starting in their careers? 31:13 ·       Dizon and Jain on the importance of humanizing patients during their care. 38:15 ·       If someone could only listen to the last few minutes of this episode, what would you want listeners to take away? 41:52 ·       How to contact Dizon 42:32 ·       Thanks for listening 43:26 Don Dizon, MD, is a professor of medicine at Tufts University and is the system chief of hematology and oncology for Tufts Medicine. He is also the editor in chief of CA: A Cancer Journal for Clinicians, the flagship journal of the American Cancer Society as well as the vice-chair of membership and accrual at the SWOG Cancer Research Network. We'd love to hear from you! Send your comments/questions to Dr. Jain at oncologyoverdrive@healio.com. Follow Healio on X and LinkedIn: @HemOncToday and https://www.linkedin.com/company/hemonctoday/. Follow Dr. Jain on X: @ShikhaJainMD. Dizon can be reached on Tiktok @drdonsdizon, Instagram @drdonsdizon and LinkedIn. Disclosures: Jain and Dizon report no relevant financial disclosures.

When your MedTech launch has several weak points, how do you know which one to fix first before you waste 90 days improving the wrong thing?MedTech founders rarely fail because the device is poor. More often, they stall because they improve the wrong part of their launch first. When product, proof, pathway, and people all have room for improvement, deciding where to focus becomes critical. In this episode, Hakeem breaks down a practical decision rule that helps you identify the one move most likely to unlock real contracts and meaningful revenue.By listening, you'll:Learn why the lowest-scoring weakness is not always the first problem you should solveUnderstand how commercial conversations reveal whether proof, pathway, or people is the real revenue constraintUse a simple 90-day decision filter to prioritize the move most likely to accelerate traction this quarterPress play now to identify the one change that can move your MedTech launch closer to real contracts and meaningful revenueBook a 30min Healthcare Export Accelerator discovery callMessage me via DM on LinkedinThis podcast is for clinicians turning medical devices into real businesses, with practical insight on go to market strategy, exporting, and scaling in international MedTech.

In this episode, Dr. Meyers explores what happens when the clinician becomes the patient. Anthony Gaetani, LMSW, reflects on how his own therapy has shaped the way he shows up in his professional work. This candid conversation examines therapists in therapy, countertransference and burnout in social work, offering an honest look at the emotional weight of clinical responsibility — carrying clients' stories home, the persistent feeling of “never doing enough,” and the internal pressure many helpers know all too well. Through personal therapy, he developed greater self-awareness, stronger professional boundaries and deeper compassion — for his clients and for himself — while doing work rooted in care, responsibility, and human connection.Anthony earned his Bachelor of Social Work from Molloy University and his Master of Social Work from Fordham University. He has experience working with diverse populations across inpatient and outpatient settings and currently works as an inpatient psychiatric social worker supporting individuals experiencing acute psychiatric challenges through comprehensive assessment, interdisciplinary collaboration and linkage to community-based resources that promote long-term stability. He approaches social work as both a profession and a calling, grounded in the belief that every individual deserves dignity, respect and the opportunity to thrive beyond hospitalization.

In this solocast episode of the IRH Clinician's Corner, Margaret dives into an aspect of healing that's often overlooked in the world of functional and restorative health: the role of informational and energetic toxins. While we're all familiar with the dangers of physical toxins—like mold, heavy metals, and environmental chemicals—Margaret invites us to consider how the thoughts, beliefs, and media we consume daily shape our physiology and nervous system just as powerfully. The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/ Keywords:  functional health, clinical skills, toxins, energetics of healing, restorative health, mold, heavy metals, pesticides, pollution, emotional stress, ACE scores, trauma, chronic stress, nervous system dysregulation, doomscrolling, social media, news cycles, toxic relationships, stress response, information environment, healing environment, empathy, psychological stress, physiology, hope, possibility, nervous system regulation, practitioner training, detoxification, mold remediation 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.  

Dr. Timothy Gilligan and Dr. Calvin Chou discuss the updated guideline on patient-clinician communication in oncology. They highlight clinical recommendations and strategies on topics such as communication skills and practices that apply at every visit, principles for telehealth interactions, cross-disciplinary communication, facilitating involvement of the patient's support network, discussing prognosis, goals of care, treatment selection – including clinical trials, end-of-life discussions, overcoming barriers to communication, facilitating discussions of cost of care and financial toxicity, mitigating stigma, and setting boundaries with patients. Dr. Gilligan and Dr. Chou also share how clinicians can enhance their communication skills through skills practice opportunities and experiential learning. They discuss how fundamental communication is to optimal patient care and look to the future on how generative AI may impact healthcare communication. Read the full guideline, "Patient-Clinician Communication: ASCO Guideline Update"  TRANSCRIPT This guideline, clinical tools and resources are available at www.asco.org/supportive-care-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology,  https://ascopubs.org/doi/10.1200/JCO-26-00118       Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey, and today I am interviewing Dr. Timothy Gilligan from Taussig Cancer Institute and the Center for Excellence in Healthcare Communication at Cleveland Clinic, and Dr. Calvin Chou from the University of California and Veterans Affairs Health Care System in San Francisco, co-chairs on "Patient-Clinician Communication: ASCO Guideline Update." Thank you for being here today, Dr. Gilligan and Dr. Chou. Dr. Timothy Gilligan: Thank you for having us. Dr. Calvin Chou: Delighted to be here. Brittany Harvey: And then just before we discuss this guideline, I would like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO Conflict of Interest Policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Gilligan and Dr. Chou who have joined us here today, are available online with the publication of the guideline in the Journal of Clinical Oncology, which is linked in the show notes. So then I would like to dive into what we are here really today to talk about. So Dr. Gilligan, this guideline updates the patient-clinician communication guideline that was first published in 2017. What prompted this update and what is the scope of this updated guideline? Dr. Timothy Gilligan: So I think with the first guideline, that was the first draft of it that we published five or six, seven years ago, really we were focused on getting the content right, what was the state of the knowledge at that time, and I was very happy with what came out of that. But when I looked back on it, I thought there were ways we could make it more accessible and more practical. Because what we really would like would be for people to apply what we know and then communicate more effectively with patients and colleagues. And one of the reasons I was really excited on the membership of the panel we had this time was I thought they were very well selected to help us do that, is to really think about what are practical guidelines, practical steps we can tell people to take that will improve their own experience and the experience of patients and the quality of care. Brittany Harvey: Absolutely, thinking about operationalizing that guideline really improves the dissemination and the uptake of these recommendations. So then, Dr. Chou, I would like to review the key recommendations and strategies across the clinical questions that the guideline addressed. I realize today with our limited time we may not be able to go through every recommendation and strategy, so we will start with some of the highlights. First, let's address the highlights of the process of communication with patients and their support networks. This includes the questions that address what communication skills and practices apply at every visit across the continuum of care, principles for telehealth interactions, cross-disciplinary communication, and facilitating involvement of the patient's support network. In your view, what are the most important recommendations across these clinical questions? Dr. Calvin Chou: I think the thing that all clinicians know in their bones that they want to be able to do effectively with patients is to communicate information clearly, as well as to communicate in a way that really deepens the relationship, demonstrates empathy, and also demonstrates understanding bilaterally between the various parties. So the communication guidelines that we established in this group, they are fundamental to communication in all conversations throughout healthcare. And the first guideline talks about how clinicians and their team can communicate effectively with the patient and the patient's support network. And those include things like preparing ahead of time; getting a list of the topics that are important to the patient support network so that we can consider them in the visit; making certain that we are hearing what the patients' and the patients' support networks are saying very, very closely; responding to those empathically; and being able to have conversations about care throughout the visit that demonstrate respect and deepen the trust; and then finally, to have some kind of bidirectional understanding, usually through teach-back, that allow both sides to know that communication has occurred as opposed to just been downloaded. The guidelines also talk about applying these same communication skills throughout telehealth communication - that is both in terms of synchronous communication, audio or video, as well as asynchronous communication, i.e., through secure messaging. We also talk about how we can use these same communication skills to communicate effectively with members of our own team. Interprofessional communication is an important part of all the work that we do, and how we can use these very, very same skills in communication with colleagues, with nursing staff, with social workers, and other allied health professionals. These are all very, very important, crucial members of our healthcare team in the delivery of care to our patients. And that is something that we really need to emphasize throughout to try to bring the best of communication in every conversation that we have. Dr. Timothy Gilligan: I totally agree with that. Those are really important points. When I was looking over it in preparation for this podcast, it struck me that we have a lot of recommendations and a lot of small things that we can do either well or not well. And it reminded me of a quotation from a famous chef, Marco Pierre White, who said that perfection is a lot of little things done well. This guideline has a lot of little things that if you do them well, you get better outcomes. And I think the chef's point was that if you want a really delicious dish, you have to pay attention to all those little details. And I think if people go through the guidelines carefully and apply the skills that are along the lines of what Dr. Chou was talking about, we get better results. And those results are really important results. It is not only patient satisfaction, which is really important, but it is also quality of care and outcomes for patients. It is better medical care. It is a better day for us, we have a better day if we have better conversations. Poor communication creates endless headaches for everybody. What I see in the guidelines is it is a lot of little best practices and it requires discipline to learn those. The good news is none of them I don't think are all that hard. The bad news is doing it consistently well every day requires discipline and practice. And what I would hope for these guidelines is that people will read them carefully and think about what they can do to apply what we know more consistently. And I think the interprofessional communication piece, that was something we added this year, is really critical. Medicine has a bad history of really disrespectful behavior. It was almost normalized that different specialties would make fun of each other, that different professions would talk disrespectfully of each other. And we know now that uncivil behavior results in more healthcare errors. And it is not only bad for our teams and our culture, but it is bad for our patients if we are not communicating well with each other. So I thought it was really critical that we added that piece to the update. Brittany Harvey: Absolutely. Those fundamental principles that Dr. Chou outlined are really key across every healthcare interaction, including those interdisciplinary interactions. And as you alluded to, Dr. Gilligan, I think it will really serve clinicians well to review the details and go through every table to read the recommendations and each individual strategy to help them improve their communication in day-to-day interactions. Moving to some of those day-to-day clinical communication scenarios, Dr. Gilligan, I'd like to think through some of those key points. So what is recommended for discussion of prognosis, goals of care, treatment selection, including discussion of clinical trials, and end-of-life discussions? Dr. Timothy Gilligan: So my perspective is that there is a broad theme of flattening the hierarchy that runs through these recommendations and this part of the guideline - that the sections that Dr. Chou just talked about really have a lot to do with the details. What does good communication look like? What are best practices that we can adopt? And I think these other sections are a little bit more, they also have a lot of specific guidelines, but there is a philosophical point that we do better when we talk to the patient at their own level. And we sometimes fail to do that. I remember from about 10 years ago I was in a room with a patient and one of the other doctors said to the patient, "We're going to bronch you tomorrow." And I was trying to think, like, what do they think the patient hears when we use language like that? Like they don't understand what the word means. We are just expecting them to step up to our level. We are not accommodating them, and I think that really interferes with our ability to form effective relationships with patients and communicate clearly. So if we are going to talk about prognosis, goals of care, treatment selection, clinical trials, end of life, the first step for me is that we have to get down to the patient's level, which means listening. We have to ask them what they know, we have to get their perspective. We have to understand what their health literacy level is so that we can have a conversation that takes into account the patient's perspective. And we need to be humble and remember that the patient often has information that we do not have yet unless we ask them and listen to what they say. That is going to change what we think is the best plan of care. And so shared decision-making is really a critical piece of that. One of my favorite trainers who I follow online says, "I make suggestions, you make decisions." And I like to bring that attitude into the room when I talk to patients. It is their life, it is their body, it is their health, it is their decision. It is not my decision. I don't get to tell them what to do. I want to make sure that they make a decision that is based on the best available evidence, but also a decision that is based on who they are and what their values are. And we try to give pointers to how we can have these conversations in a way that is really fully respectful of the patient's autonomy and the importance of the patient's expertise in their own body, their own lived experience. Because there is a risk that we come in with our white coat and we overpower them with our authority, our medical authority, our medical knowledge, and no one likes to be overpowered. And I think we all have a better day if we go in and have a conversation as human beings with each other. Dr. Calvin Chou: I want to underscore this point of having the patient and their support network make the ultimate decisions. Reviewing the evidence from more general literature, it is clear that across demographics that only 10% of patients want us to make decisions for them. 90% of patients want to have at least some say, if not full say, in the decisions that they make, and this is true across age, across gender, educational status, socioeconomic status, veteran status. This is a very, very important point. I think oftentimes we go in thinking we know what's going to happen and we need to make them do that. Thinking about this as a conversation as opposed to a download is an important point. Dr. Timothy Gilligan: And one thing that I think that the guidelines are relevant for here, which is I think one way to achieve honoring the patient autonomy, is to really make a commitment to having a good process, to not be committed to an outcome. So that when we start the conversation, we're not going to say it's a good conversation based on whether it ends up where I wanted it to end up. It's a good conversation based on whether we have a good process, a fair process. And the steps of good communication that are outlined in this guideline help us to establish a good process. And I think if we have a good process, we can trust it will take us to the appropriate outcome, which may be different than the outcome we thought was going to be the appropriate outcome when we started the conversation. Brittany Harvey: Definitely. I think, as you mentioned, tailoring discussions to each individual patient and situation is really critical. And I think in every other podcast episode across guidelines we've really emphasized the importance of shared decision-making. And so talking through the process of it in this guideline will really have impacts across all of ASCO's guidelines. Moving on to the next section of the guideline, this guideline also addresses barriers in the communication process. So Dr. Gilligan, what highlights are there for overcoming barriers to communication, facilitating discussions of cost of care and financial toxicity, mitigating stigma, and setting boundaries with patients? Dr. Timothy Gilligan: Yeah, it's interesting. I want to hear Dr. Chou's perspective on this too. I thought that the communication skills are really important for these conversations, but less powerful or less effective, potentially. For instance, barriers to communication, the big one that comes to mind is language differences. If the patient and the clinician do not share the same language, that results in less good care unfortunately. It results in less good communication. Having skilled translators or interpreters there is essential, and using them with skill is essential, but it does not get us to equality. I mean the best thing for a patient is to have a clinician who speaks their language. Unfortunately, that's not possible. So the second best thing we can do is to have good interpreters or translators to help us work. And then for us to use those people effectively, because oftentimes we cut corners when working with interpreters and shortchange the patient. So it is important to do the best we can. I think it is also important to acknowledge that it's a challenge and no matter how good your communication skills are, it's not going to be the same conversation if you're talking through another person versus directly to the patient. Similarly, with financial toxicity, it is important to talk about it. We need to be open about it. We need to talk to patients about it, but financial stress from healthcare is a real problem, and however well you communicate it, it doesn't make that problem go away. You know, in oncology, our drugs are obscenely expensive, and I can't communicate my way to lower prices. So I can talk about it and legitimize it and empathize, but I feel like I have more power in the other sections to really change the outcome by communicating well than I do with these. But it is important to talk about it. Patients are hugely affected by the cost of care and we need to talk about it with them. I do think for mitigating stigma and setting boundaries, then our communication skills become more powerful. We see everyone in the healthcare system, and when working with individuals who have been subject to stigma because of aspects of their identity, we can help lessen their vulnerability and fear by proactively letting them know that we will strive to avoid perpetuating that stigma, that we will treat them with respect and address them as they wish to be addressed, that we will care for them as dignified and valued human beings. That is not always their experience in the system, but we can choose to be different. We can choose to do better. And our communication skills are important because listening and curiosity are super important in that space. Because if we are talking to people who may be different from us, we need to learn about them by listening and being open and being curious, and replacing, if we have any tendency towards judgment, to replace judgment with curiosity. With setting boundaries, I think it is also really important. I don't think you can show up and be fully present with patients the way I want to, the way we want other people to, if we don't know that there are boundaries. And we know this in other aspects of our care, right? I go into the room and I do intimate physical exams and I ask about intimate aspects of the patient's life. And I'm allowed to do that because there is a non-negotiable barrier to any kind of sexual or romantic contact between me and my patients. We know there's a hard wall there that we don't cross that line, so that when I am doing an intimate exam, we know where that stops and that we're not going to cross boundaries there. But the same thing applies verbally, and I think doctors sometimes and other healthcare professionals sometimes feel like they need to accommodate the patient no matter what. I was hoping the guidelines would send a strong message that, you know, we don't need to put up with disrespectful behavior. That when you go into the room, as a clinician or as a patient, you should be treated with respect. You should feel safe, you should feel like you belong, and if patients are behaving in a way that violates that, then clinicians have a right to speak up and to set limits and to set boundaries. And if we know those boundaries are there, then I think we can lean in closer. If we don't know those boundaries are there, then we kind of have to hold back to protect ourselves. And just to give one of like a million examples you can give, I don't know a woman in healthcare who hasn't had a patient say something sexually inappropriate to them at some point. And that's not okay. I want my colleagues to know that's not okay, and it's okay to set boundaries and they don't have to put up with that. And my hope is that if we know where the boundaries are, then we can step in closer. That's my perspective on these, but Calvin, please, I'd love to hear your thoughts. Dr. Calvin Chou: I want to double-click on everything that you said, Tim. It is so important that we recognize what we have control over and what we don't have control over. And what we don't have control over, for example, language discordance or financial woes of a patient, I have no possible way of controlling that. And so the best I can do in those situations is to sit with them, empathize, and do what I can, whatever power I might have in advocacy or I often refer folks to a social worker that I work very, very closely with, because I have no agency over any of that. At the same time, when we talk about mitigating stigma in healthcare encounters, we have full control over the biases that we have. We may not be aware of them, but we do have control over them ultimately. And so it is up to us really to examine our practices, to see where we have maybe been steered in the wrong direction, where we double down on internal implicit biases that we have carried for our entire lives. And that requires that we approach all of our encounters with everybody in healthcare, with humility, and with an extra eye toward understanding how we are coming across to them, and whether or not at least some of those interactions are infused with bias that we can decrease. And then finally, with the idea of boundaries, there are boundaries in two directions, as Tim was saying a moment ago, that there are boundaries that we must place in between ourselves and patients during examinations and also during interactions. And there's also boundaries that we have to set up that require that we uphold the standards ethically of clinical medicine. And that is, there are certain things- I would never ask a patient out, for example, on a date. And that's an important proscription; that's an important boundary that we must set up between ourselves and patients. Those are clear barriers that we must not breach. There are some barriers that are a little bit less clear. For example, there are some instances where physicians are asking patients who have means to perhaps contribute to a foundation or contribute to the university or to make a large donation to an institution. In some instances, that's a much less clear boundary. For myself, I feel uncomfortable making those kinds of requests, and there are other instances where those requests are actually not just okay to do, but the patient is willing to do those kinds of things. So I think we need to consider that these boundaries are not always set in stone. Sometimes the boundaries move, sometimes the boundaries are different. Brittany Harvey: Absolutely. I think this latest question covered a lot of ground, and I think some key points here are that treating everyone with dignity is really paramount to this guideline. Recognizing the challenges even when they're not solvable is really important, such as thinking about financial issues or perhaps not speaking the same language as a patient. And then building trust and mutual respect between patients and clinicians to establish clear boundaries is really important as well. So, I want to thank you both for reviewing at a high level the recommendations and the strategies from this guideline, and I encourage listeners to review the full guideline and tables for all of the recommendations and strategies to implement these clinical recommendations. So, Dr. Chou, this guideline panel also addressed one education question. So, what are the recommendations for effective ways for clinicians to enhance their communication skills? Dr. Calvin Chou: Thanks for asking, Brittany. When we talk about all of these communication skills, Dr. Gilligan and I have talked for a long time about all these individual communication skills. These are not skills that are necessarily naturally formed within us and that we just roll out without any practice. And that's why we both feel, if I can speak for you, Tim, that we both feel that communication skills training, and high-quality communication skills training, is deeply important. This is training that is less about I'm listening to this podcast and therefore I can communicate better, it's more about skills practice opportunities, experiential learning, oftentimes using that horrifying word 'roleplay' that people don't like to think about roleplay before they're in it, but then once they've done those skills exercises they realize how important it is to actually have practiced some of these skills so that when you get into the real situation, you have an approach to it as opposed to trying to just improvise or make it up on the fly. The other aspect of communication skills training that is deeply important is not just forming the words and speaking to somebody else, it also needs to incorporate practitioner self-awareness and situational awareness that allows us to understand what's going on within us emotionally and attitudinally so that we are interacting moment by moment with patients and their support networks in a way that's authentic, that brings the appropriate amount of vulnerability and expertise to deepen trust between all of those relationships. And finally, when we talk about communication skills training, there are ways to do this kind of training that, I've used ChatGPT, for example, when I'm having some difficulty wondering how to navigate a particular situation, sometimes you can use ChatGPT to give you some suggestions on how to approach that interaction. But at the same time, the most important thing is to be able to have really meaningful practice with other people, with other human beings. Because as much as I might interact with a computer, that computer is not a human being. And what we are talking about is interpersonal communication with emphasis on 'person'. And us as human beings, we understand, in a way that ChatGPT probably will never fully understand, the nuances of the emotional reactions and the importance of human connection between people when we talk to each other. And so therefore, if we can't depend on computers to do this communication skills training, we need institutions to emphasize and invest in all of our continuing ability to communicate effectively with everybody in healthcare. This is probably one of the most important outcomes of this guideline, is not just that communication skills are important, and not just that communication skills training is important, it's that we need everybody to invest in everybody's ability to communicate with each other on the highest possible level that we can bring. Brittany Harvey: Yes, I think it's really important that the panel addressed this question, to emphasize that it's not just individual clinicians, but institutions that really need to value communication and this training to make sure that clinicians are being the most effective communicators that they can be. So, I'd like to move on to the next question, and Dr. Gilligan, ask, in your view, what is the importance of this guideline and how will it impact both clinicians and people with cancer? Dr. Timothy Gilligan: So I would build off of what Dr. Chou was just talking about, which is what we're hoping is that it will serve as a resource that will give people interested in communicating better guidance on where to go, what to do, what are the best practices, what do we know at this time. if you want to get better, what are the methods that are going to help you get better. And ideally I hope it will inspire people to want to get better. Communicating is such a fundamental part of our day-to-day work in healthcare that it needs to be something that we're very, very good at. And as professionals we should aspire to be as good as possible. A lot of this stuff is pretty basic, but we forget to do it. When I had young kids and was teaching them to ski, one of the ski instructors said to me once that there were Olympic skiers who trained at the same mountain where my kids were learning. And he said they would go down easy slopes and just practice basic techniques still. They were good enough to ski in the Olympics going at crazy speeds, but they kept going back to their fundamentals. And my son is a serious soccer player and they do role plays in soccer. They practice drills. They have scenarios they know are going to come up and they artificially recreate that scenario and they practice it over and over again. There's a famous line from a college football coach that you don't practice it until you get it right, you practice it until you can't get it wrong. And I think if people would bring that sense of professionalism to communication, it's a lifelong journey. I'm still trying to get better. It requires practice, it requires discipline. There's a lot that we know, but it doesn't happen without practice. And as Dr. Chou was saying, it's a motor skill. You don't learn it by reading about it. You don't learn it by listening to us talk about it. You learn it by practicing it. And I practice with patients. Not in the sense that I'm doing an experiment, but I work on my skills with patients. And I see how it goes. And when things don't go well, I think of what I could have done differently. And when things do go well, I think of what did I do that helped it go well that I need to make sure I do again next time. And I think I'd love to see people adopt an attitude that they want to be fantastic communicators and they want to get better. And I think the guidelines provide a lot of clues and steps to take for all of us to get better. Dr. Calvin Chou: I heard Tim, you talk about communication being a procedure and that we would never think about going into a room and sticking a central line into a patient without having practiced that over and over and over again to get it right. Not to get it right, to never get it wrong, like you were just saying. And so if we think about communication as the most common procedure in healthcare, then it behooves us all to do the best we can with it. It is a frame shift because we are communicating with each other all the time, oftentimes without thinking. And what we're advocating right now is for everyone to really bring it in terms of communication skills in all settings, because the effect of ineffective communication is not necessarily just making people feel bad. As Tim said at the top of the program, it also impinges on quality of care. It's not just the right thing to do, it's the safe thing to do. Brittany Harvey: Absolutely. And highlighting the fundamentals here and practicing them as clinicians will improve each healthcare interaction. So then, finally, to wrap us up, Dr. Chou, earlier you mentioned ChatGPT and thinking about maybe some technological advances and how those will impact in the future. What are the outstanding questions and priorities for future research for optimal patient-clinician communication? Dr. Calvin Chou: I think there's a lot we still need to learn about in this very, very nascent time of interacting with generative artificial intelligence. We won't know what things are going to be like probably even tomorrow given the vast advances that AI is allowing us to do. And also, as I was mentioning earlier, what AI can never do is to bring the human element into these interactions. And I think that's part of what, maybe that's a lot of what brings people to healthcare, is if they're in need and they have some physical issue that we need to help them solve, it's not just a physical issue, it also is a deep emotional experience. And we have heard many times now cautionary tales of when AI has led people astray to then, for example, allow them to die by suicide. And that is the last thing that we can allow to happen in healthcare. That is the ultimate low-quality item. We need to make certain that everybody is cared for with high quality and high safety. And we're definitely not there yet with AI. We hope that at some point we'll be able to work with AI in order to bring even better healthcare than we have right now, and I think that has been demonstrated to be possible. That is one major outstanding question that we're all going to have to wrestle with. Brittany Harvey: I think that's absolutely a key point. With generative AI quickly evolving, there need to be guardrails in place. And like any intervention, thinking about how to maximize the benefits of it and reduce the harms to make sure that you're preserving that human interaction and communicating effectively, and that patients can receive their health information in an appropriate way. So I want to thank you both so much for your work to update this guideline, to draft all of these recommendations and the strategies, and work with the entire panel to create this excellent product. So thank you for all that work and thank you for your time today, Dr. Chou and Dr. Gilligan. Dr. Timothy Gilligan: Thank you. Dr. Calvin Chou: Thank you, Brittany, so much. Brittany Harvey: And finally, thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/supportive-care-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app available in the Apple App Store or the Google Play Store. If you have enjoyed what you have heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.

AI is everywhere in healthcare. The challenge now facing providers is determining where it actually helps without getting in the way.In this conversation, Demetri Giannikopoulos, Chief Innovation Officer at Rad AI, unpacks why radiology has become one of the most practical proving grounds for clinical AI and how specialization changes clinician confidence in the technology.He shares his view on why radiology workflows are uniquely suited for AI support, how staffing shortages are shaping adoption, and why trust comes from AI that understands clinical context rather than adding more noise. The discussion also explores how reporting and dictation have become natural control points for AI that supports accuracy, throughput, and clinical judgment.

On today's episode, Jake Conway breaks down the evolution every dental practice owner experiences—from clinician to owner-operator to true CEO. He explains why early success often creates a dangerous reliance on the owner's production and how that pressure can lead to burnout and resentment. Jake outlines the predictable growth path of a dental practice, including how to identify bottlenecks in hygiene, when to add providers, and how to use KPIs to drive performance without obsessing over production alone.  He also tackles the "associate paradox," showing with real numbers how bringing on an associate can actually increase profitability while freeing the owner from the chair. Finally, Jake explores the long-term vision of building a leadership team, making dentistry optional, and creating a practice that generates significant income without relying on the owner's clinical time. Be sure to check out the full episode from the Dentalpreneur Podcast!  EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

What if the reasons you're not starting a private practice aren't reasons at all—they're lies?On today's episode of the Private Practice Success Stories podcast, I'm tackling the misconceptions that keep school-based clinicians stuck for years. If you're working in a school right now—if you've been thinking about private practice but haven't taken action—this episode will change how you see your path forward.I'm naming the three biggest lies that school clinicians believe about private practice. Not myths. Not misconceptions. Lies. They sound true. They feel true. And they are the only thing standing between you and the practice you could be building right now.In Today's Episode, We Discuss:Why "I need more experience" is keeping you from starting (and what you actually need instead)The truth about financial risk and why waiting is actually the most expensive decision you're makingHow to find the time when you feel like you have none (hint: you need less than you think)Starting small with a few clients, virtual sessions, or weekend hours isn't a compromise—it's a brilliant strategy. It creates financial breathing room, professional confidence, and a clear path forward on your terms.If you've been waiting for a sign to explore private practice without pressure, this is it.Ready to take your first step with clarity? Join me for a free training that walks you through everything. Visit startyourprivatepractice.com to sign up today.Whether you want to start a private practice or grow your existing practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.Where We Can Connect:Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199Follow Me on Instagram: https://www.instagram.com/independentclinician/Follow Me on Facebook: https://www.facebook.com/jena.castrocasbon/

What if the real reason your concussion rehab isn't progressing… has nothing to do with the exercises you're doing?

Ontario's expansion of online gambling and legalization of single-event sports betting were followed by a sharp rise in help-seeking for gambling problems, particularly among young men. A new CMAJ study, Help seeking for gambling problems following expansion of Ontario's online gambling market and legalization of single event sports betting, analyzes calls to Ontario's 24-hour mental health and addiction hotline before and after the 2022 policy changes. The findings suggest that increased accessibility, private-sector expansion, and in-play betting may be amplifying gambling-related harm.Dr. Daniel Myran, a family physician, research chair in family and community medicine at North York General Hospital, and co-author of the study, reports that hotline contacts among males aged 15 to 24 tripled after the market opened to private operators. By the end of the study period, more than 70% of callers cited online gambling. He describes how legalization of single-event sports betting and in-play betting reduced friction and increased immediacy, features linked to higher addiction risk. Dr. Daniela Lobo, medical lead of the Problem Gambling and Tech Use Clinic at CAMH and an assistant professor of psychiatry at the University of Toronto, describes seeing younger patients since the introduction of iGaming, including individuals in their late teens and early twenties. She explains how in-play betting mirrors other high-risk formats by offering rapid, repeated opportunities to wager. Gambling disorder shares features with substance use disorders, including tolerance, withdrawal symptoms, concealment, financial strain, and suicidal ideation. She also highlights medication-related risk, noting that dopamine agonists and certain atypical antipsychotics have been linked to new gambling behaviours.Clinicians should consider gambling when patients present with unexplained financial stress, relationship conflict, mood symptoms, or suicidality, and remain alert to medication-induced behavioural change. Resources like ConnexOntario offer anonymous referral support for patients and providers.For more information from our sponsor, go to HaleonHealthPartner.comComments or questions? Text us.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X @BlairBigham and @DrmojolaomoleX (in English): @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

What if the best thing you could bring to a complex pain case… is curiosity instead of certainty?In this episode, Mark Kargela sits down with physical therapist and pelvic health specialist Faith Stokes to explore what trauma-informed, psychologically informed care actually looks like in practice. When patients present with persistent pain, grief, trauma, or complex comorbidities, rigid clinical labels and quick solutions often fail. Faith shares how clinicians can step back, regulate themselves, and create space for the patient's story to guide care.This conversation dives into practical ways to show up more human, grounded, and effective when treating messy cases that don't fit the textbook.In this episode, you'll learn:Why you don't need to be “the expert” in the roomHow clinician nervous system regulation changes patient outcomesWhat trauma-informed care actually looks like during treatmentHow curiosity improves clinical reasoning in complex pain casesWhy acknowledging a patient's story can transform rehabilitationHow to integrate psychological awareness without abandoning physical treatmentIf you treat persistent pain, pelvic health conditions, or complex chronic cases, this conversation will change how you approach patient care.Subscribe for more conversations on modern pain care, clinical reasoning, and treating complexity.Explore the resources and programs mentioned in the links below.Link:SondermindComplex PTSD Book Holistically Treating Complex PTSD Book IG Post on Veterans  Stress and Suicide*********************************************************************

In this episode of Docs in a Pod, host Caremenn Miles welcomes Dr. Jyothi Rereddy from WellMed at Richardson for an in‑depth conversation about brain health and what we can do to protect cognitive function as we age. Dr. Rereddy breaks down the most important factors that influence brain wellness — from sleep and nutrition to physical activity, social connection, and mental stimulation. She also shares early warning signs to watch for, practical daily habits that support long‑term brain health, and how patients can work with their doctor to reduce risk for cognitive decline.   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])  Docs in a Pod also airs on Sundays in the following cities:  1:00-1:30 pm ET:  Tampa (860 AM/93.7FM) 

Should Texas Therapists Stop Treating Kids? Texas SB14, Gender-Affirming Care, and the Risks for Therapists In this episode of the Modern Therapist's Survival Guide, Curt Widhalm and Katie Vernoy discuss a new interpretation of Texas SB14 that may place therapists at risk for providing gender-affirming care to trans youth. They explore how a recent opinion from the Texas Attorney General could broaden the law's reach beyond medical providers to include mental health professionals. Curt and Katie break down what this interpretation could mean for therapists working with minors, including possible risks related to licensure, malpractice coverage, mandated reporting, and criminal liability. They also discuss the ethical tension between evidence-based care and compliance with state law, and the difficult decisions clinicians may face when considering whether to continue working with kids. Key Takeaways: A new interpretation of Texas SB14 may include mental health professionals as part of the “healthcare pipeline” facilitating gender transition for minors. The legal term “facilitating” could potentially include referrals, letters, or even supportive therapy conversations. Therapists may face risks related to licensure complaints, malpractice coverage exclusions, or legal consequences if their care is interpreted as supporting gender transition. Mandated child abuse reporting requirements could create additional legal and ethical concerns. Clinicians may need to assess their personal risk tolerance when deciding whether to continue working with minors. Full show notes and additional resources will be available at:mtsgpodcast.com Join our community: Modern Therapists Group (Facebook): https://www.facebook.com/groups/therapyreimaginedLink Tree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCannhttps://www.facebook.com/McCannDW/ Music by Crystal Grooms Manganohttps://groomsymusic.com/

Welcome to The K9PT Academy podcast, the only podcast in veterinary rehabilitation & physical therapy that focuses on helping business owners and entrepreneurs build and scale a profitable and successful canine rehabilitation business! As we move into March and head straight into tax season, it felt like the perfect time to revisit a concept I discussed a couple of years ago — The Dreaded Dumb Tax. Unlike the taxes we pay to Uncle Sam, the dumb tax is the price entrepreneurs pay for bad assumptions, incomplete thinking, or decisions made with limited information. Every business owner pays it at some point. The goal isn't to avoid it completely — that's impossible. The real goal is to pay it once, learn the lesson, and avoid repeating it. In this episode, we explore some of the most common versions of the dumb tax in the canine rehab world and how learning from them can help you build a smarter, more sustainable business. Listen to the full episode as we discuss:

How can the therapy you practice help you become a better boss? When leadership gets heavy, what beliefs or practices keep you grounded enough to keep building? How do you […] The post Managing 130+ Clinicians: Leadership Lessons from Nichiren Buddhism and Gestalt with Dr. Brad Larsen | POP 1351 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.

Have you ever left a session feeling smaller than when you walked in? In this episode of Food Junkies: Clinician's Corner, Clarissa and Molly explore one of the most important — and least talked about — dynamics in eating disorder, food addiction, and substance use treatment: what happens when the clinician's model gets in the way of the client's healing.

Send a textHow will artificial intelligence fundamentally change the way we chart, teach, and monitor patients in the NICU? Live from the NEO Conference, Ben and Daphna sit down with Dr. James Barry to explore the critical need for "AI literacy" among bedside clinicians. Dr. Barry draws parallels between driver's education and safe AI use, highlighting the hidden dangers of automation complacency with AI scribes. They also discuss the exciting potential of computer vision in respiratory monitoring and how the CONCERN early warning system is quantifying nursing intuition. Join us as we navigate the guardrails of neonatology's technological future.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Many clinicians build Medical Devices that solve real clinical problems.They secure regulatory approval.They get positive feedback from early users.They even generate interest from hospitals or distributors.And yet… adoption stalls.Not because the product is poor — but because something critical in the launch is structurally weak.In this episode, we break down the four Ps that determine whether a MedTech product gets adopted or simply admired.This is not textbook marketing theory.It's the real-world framework that reveals exactly where your go-to-market strategy is breaking down.You'll discover:Why regulatory approval and engineering perfection don't guarantee adoptionThe difference between clinical enthusiasm and commercial proofWhy hospitals buy through processes — not passionThe hidden influence of decision-making units inside healthcare systemsWhy distributors and internal teams must align around the same commercial structureIf you're a clinician trying to turn a working prototype into a scalable Medical Device business, this framework will help you quickly identify the structural weakness slowing your launch.Because technically strong MedTech products rarely fail due to innovation.They fail when one of the four Ps breaks down.In the episode, we also walk through a quick self-audit so you can score your own launch and identify the single area that could unlock momentum in the next 90 days.Listen now and see where your go-to-market strategy might be exposed.Message me via DM on LinkedinBook a 30 min discovery call for the Healthcare Export Accelerator ProgrammeThis podcast is for clinicians turning medical devices into real businesses, with practical insight on go to market strategy, exporting, and scaling in international MedTech.

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Ian Madom, MD, orthopedic spine surgeon and co-founder of Mocingbird, joins us on StartUp Health NOW to discuss how administrative friction quietly limits healthcare access and clinician capacity. Drawing from his own experience in practice, Dr. Madom explains how state-by-state licensing, certification timelines, and compliance requirements create unnecessary drag for clinicians and administrators alike. He shares how Mocingbird helps organizations manage licensing end to end, why multistate practice is essential in a post-COVID, telehealth-driven world, and how thoughtful use of AI can support, not replace, human judgment. He also reflects on the doctorpreneur journey and the role the StartUp Health community has played in Mocingbird's evolution. Are you ready to tell YOUR story? Members of our Health Moonshot Communities are leading startups with breakthrough technology-driven solutions for the world's biggest health challenges. Exposure in StartUp Health Media to our global audience of investors and partners – including our podcast, newsletters, journal, and YouTube channel – is a benefit of our Health Moonshot Membership. If you're mission-driven, collaborative, and ready to contribute as much as you gain, you might be the perfect fit. » Learn more and join today. Want more content like this? Sign up for StartUp Health Insider™ to get funding insights, news, and special updates delivered to your inbox.

In this expert-led episode, eating disorder therapists Dr. Kari Gerth, DSW, LCSW, and Emily Stein, MSW, MDiv, LCSW, break down what current research reveals about social media's impact on body image, mental health, and eating disorder recovery. Drawing on both research and clinical experience, they discuss emerging trends, key psychological theories, and the insidious ways online platforms shape how we see ourselves and the world around us. Listeners will walk away with practical strategies for improving their relationship with social media and trusted guidance from two clinicians dedicated to compassionate, evidence-based care.   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/

Strap in guys, we're taking a deep dive into the realm of want, desire, and interoception. This week on Schauer Thoughts the mind is taking a back seat to the bodies inner-workings and process - we'll be giving a voice to the beautiful being that gives us a voice. I hope you enjoy listening to me or at least yourself.  Link to my Substack post: How To Be The Type of Person Who Loves Reading and Learning Substack Post - https://substack.com/home/post/p-179871707  Make sure to check out the wonderful researcher who inspired this episode: Dr. Nai'a on Tiktok https://www.tiktok.com/@naia_papaia/video/7611265785910103310?_r=1&_t=ZT-94GFOua6P4X  Resources: Visual Thinking: The Hidden Gifts of People Who Think in Pictures, Patterns, and Abstractions - Temple Grandin Enshitification: Why Everything Suddenly Got Worse and What to Do About It - Cory Doctorow This Is What It Sounds Like - Susan Rogers and Ogi Ogas Companies Are Desperately Seeking ‘Storytellers'  https://www.wsj.com/articles/companies-are-desperately-seeking-storytellers-7b79f54e?gaa_at=eafs&gaa_n=AWEtsqemQvxYgchwXwkzI9btEgTEnCSu86tEActGU6LXgOMv_Hmjc9gknGlTvT3KbvI%3D&gaa_ts=69a75f83&gaa_sig=k0Vp1rLUO3Z7LSgPcCMAOXqD3Xwkwt6oGQR-mZgHdTaYRvYA6SwJR71JTTOmOpyQN3FLt-RNuAiAtTU1_snLAQ%3D%3D  Why the Polyvagal Theory is Untenable https://www.clinicalneuropsychiatry.org/download/why-the-polyvagal-theory-is-untenable-an-international-expert-evaluation-of-the-polyvagal-theory-and-commentary-upon-porges-s-w-2025-polyvagal-theory-current-status-clinical-applications-and/  A Clinician's Perspective on the Polyvagal Controversy https://www.psychologytoday.com/us/blog/well-connected/202602/a-clinicians-perspective-on-the-polyvagal-controversy  When Looking ‘Hot' Means Not Feeling Cold: Evidence that Self-Objectification Inhibits Feelings of Being Cold https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/bjso.12489  Objects Do Not Suffer: An Impact on Mechanistic Dehumanization on Perceptions of Women's Suffering and Lack of Justice in Domestic Assault https://pubmed.ncbi.nlm.nih.gov/37815050/  The psychological mechanism of self-objectification: the interaction between sociocultural pressures and self-esteem https://pmc.ncbi.nlm.nih.gov/articles/PMC12517067/  Body image disturbance, interoceptive sensibility and the body schema across female adulthood: a pre-registered study https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1285216/full  Interoception: A Multi-Sensory Foundation of Participation in Daily Life https://pmc.ncbi.nlm.nih.gov/articles/PMC9220286/ Why You Do the Things You Do  https://www.psychologytoday.com/us/blog/thinking-more-affectively/202512/why-you-do-the-things-you-do The Affective Side of Interoception  https://www.psychologytoday.com/us/blog/thinking-more-affectively/202512/the-affective-side-of-interoception The Affective Side of Certainty https://www.psychologytoday.com/us/blog/thinking-more-affectively/202512/the-affective-side-of-certainty/amp Learn more about your ad choices. Visit podcastchoices.com/adchoices

Tonight we strip W.E.I.R.D. down to the studs and drag your attachment style, America's shadow, and your idea of “mental health” into open court. White. European. Industrialized. Rich. Democratic. That matrix does not just sit in textbooks; it shows up in how you love, how you argue, how you brace, how you shut down. Many African Americans grow up inside a social nervous system that chronically misattunes to Blackness. Teachers misread behavior. Employers misjudge competence and emotion. Clinicians often misdiagnose or underrecognize racial stress. That repeated misattunement imprints itself into attachment patterns long before anyone says, “I love you.” Attachment theory proposes that we learn safety, worth, and trust through early bonds. So what develops when a person's largest relational field—the society around them—treats their people as problem, property, or propaganda? The body learns a brutal equation: connection carries risk, visibility attracts danger, softness can invite harm. You do not simply show anxious or avoidant tendencies with partners; you carry a global template that says, “No one reliably holds us.” Now bring in the social shadow. A nation that refuses to face its own violence, greed, terror, and guilt often projects those disowned qualities onto Black bodies, then claims the ugliness lives in you. That projection seeps into “neutral” metrics of mental health and “healthy relationship” scripts. Your vigilance gets framed as “paranoia.” Your rage gets pathologized as “instability.” Your numbness gets read as “coldness.” The culture avoids its sickness and calls your reaction the disorder. Over all of that, a voice reminds you: it makes little sense to treat full adjustment to a sick society as proof of health. So ask yourself: when you brag about how “unbothered” you feel, how “secure” you appear, how “mature” you sound, do you describe healing—or do you describe skilled adjustment to a racial reality that still injures you? Tonight's question cuts clean: if this society never formed a secure attachment to your full humanity, why treat your ability to function inside its distortion as reliable evidence of mental health or relational success?

Tonight we strip W.E.I.R.D. down to the studs and drag your attachment style, America's shadow, and your idea of “mental health” into open court. White. European. Industrialized. Rich. Democratic. That matrix does not just sit in textbooks; it shows up in how you love, how you argue, how you brace, how you shut down. Many African Americans grow up inside a social nervous system that chronically misattunes to Blackness. Teachers misread behavior. Employers misjudge competence and emotion. Clinicians often misdiagnose or underrecognize racial stress. That repeated misattunement imprints itself into attachment patterns long before anyone says, “I love you.” Attachment theory proposes that we learn safety, worth, and trust through early bonds. So what develops when a person's largest relational field—the society around them—treats their people as problem, property, or propaganda? The body learns a brutal equation: connection carries risk, visibility attracts danger, softness can invite harm. You do not simply show anxious or avoidant tendencies with partners; you carry a global template that says, “No one reliably holds us.” Now bring in the social shadow. A nation that refuses to face its own violence, greed, terror, and guilt often projects those disowned qualities onto Black bodies, then claims the ugliness lives in you. That projection seeps into “neutral” metrics of mental health and “healthy relationship” scripts. Your vigilance gets framed as “paranoia.” Your rage gets pathologized as “instability.” Your numbness gets read as “coldness.” The culture avoids its sickness and calls your reaction the disorder. Over all of that, a voice reminds you: it makes little sense to treat full adjustment to a sick society as proof of health. So ask yourself: when you brag about how “unbothered” you feel, how “secure” you appear, how “mature” you sound, do you describe healing—or do you describe skilled adjustment to a racial reality that still injures you? Tonight's question cuts clean: if this society never formed a secure attachment to your full humanity, why treat your ability to function inside its distortion as reliable evidence of mental health or relational success? 

   This episode of WarDocs features Dr. David Tate, a clinical neuropsychologist and lead author of the 2025 Military Medicine Article of the Year. The discussion centers on a groundbreaking study utilizing the LIMBIC-CENC cohort—a massive data set of over 3,000 participants—to investigate persistent brain changes in mild traumatic brain injury (mTBI). Dr. Tate explains that traditional MRI scans often show normal results in patients with invisible symptoms because researchers often oversimplify patient groupings. By digging into more refined clinical characteristics, such as the mechanism of injury and number of exposures, his team identified unique physical signatures in the brain. Specifically, blast exposures were linked to changes in central white matter, while repetitive traumatic hits impacted more peripheral gray matter structures.    The conversation highlights the critical importance of neuroimaging techniques like diffusion tensor imaging, which is more sensitive to structural white matter changes than standard hospital sequences. Dr. Tate emphasizes that these findings provide vital validation for service members and veterans, demonstrating that their ongoing symptoms are rooted in physical, biological changes rather than purely psychological or "imagined". For clinicians, the episode serves as a call to action to move beyond simplistic interpretations of "normal" imaging and to prioritize exhaustive injury histories that include the physics of every exposure event.    By combining a deep dive into advanced neuroimaging with a focus on personalized medicine, this episode provides a comprehensive look at the future of TBI diagnosis and treatment. Listeners will learn how high-resolution volumetric data and detailed clinical info—including loss of consciousness and post-traumatic amnesia markers—are used to improve prognostic accuracy. Ultimately, Dr. Tate's work demonstrates that injury history matters even years later, pointing researchers and clinicians toward a more precise approach to studying and treating the diverse landscape of mild traumatic brain injuries in the military population. Chapters (00:00-01:30) Introduction to the 2025 Military Medicine Article of the Year (01:30-06:17) Dr. David Tate's Professional Background and Career Evolution (06:17-08:04) Understanding the LIMBIC-CENC Cohort and Consortium Research (08:04-12:44) Methodology: Advanced Neuroimaging and Detailed Clinical Variables (12:44-17:03) Key Findings: Heterogeneity of mTBI and Mechanism-Specific Signatures (17:03-22:15) The Bottom Line: Validating Veteran Experiences and Clinical Takeaways Chapter Summaries (00:00-01:30) Introduction to the 2025 Military Medicine Article of the Year   MG(R) Jeff Clark introduces guest Dr. David Tate and recognizes his team for winning the 2025 Military Medicine Article of the Year. The article focuses on persistent MRI findings unique to blast and repetitive mild traumatic brain injury within the LIMBIC-CENC cohort. (01:30-06:17) Dr. David Tate's Professional Background and Career Evolution   Dr. Tate shares his journey from growing up on a farm in Mississippi to becoming a leading researcher in academic neuropsychology. He discusses his mentorship under Erin Bigler and his favorite career experiences working directly with service members at Brooke Army Medical Center. (06:17-08:04) Understanding the LIMBIC-CENC Cohort and Consortium Research   The discussion explores the advantages of using a large consortium dataset that includes over 3,000 participants across the United States. This prospective study enables leading scientists and clinicians to collaborate on well-characterized, long-term functional outcomes following brain injury. (08:04-12:44) Methodology: Advanced Neuroimaging and Detailed Clinical Variables Dr. Tate explains the use of high-resolution volumetric MRI data and diffusion tensor imaging to map brain structural connections. Researchers combined these images with a plethora of clinical data, including lifetime exposure histories, demographics, and specific injury markers like loss of consciousness. (12:44-17:03) Key Findings: Heterogeneity of mTBI and Mechanism-Specific Signatures The study reveals that mild TBI is extremely heterogeneous and simplistic group comparisons often obscure meaningful findings. Findings showed that blast exposures leave signatures in central white matter, while repetitive traumatic injuries more specifically affect gray matter structures. (17:03-22:15) The Bottom Line: Validating Veteran Experiences and Clinical Takeaways The bottom line is that persistent brain changes can be detected if clinicians look at the right variables and mechanism of injury. This research validates the lived experiences of veterans, proving their symptoms are not imagined and emphasizing the need for detailed injury histories. Article Reference Persistent MRI Findings Unique to Blast and Repetitive Mild TBI: Analysis of the CENC/LIMBIC Cohort Injury Characteristics Open Access David F Tate, PhD , Benjamin S C Wade, PhD , Carmen S Velez, MS ,  Erin D Bigler, PhD , Nicholas D Davenport, PhD , Emily L Dennis, PhD ,  Carrie Esopenko, PhD , Sidney R Hinds, MD , Jacob Kean, PhD , Eamonn Kennedy, PhD  Military Medicine, Volume 189, Issue 9-10, September/October 2024, Pages e1938–e1946, https://doi.org/10.1093/milmed/usae031   Take Home Messages Heterogeneity of Mild TBI: Mild traumatic brain injury is not a single, uniform condition, and simplistic groupings can obscure meaningful characteristics of an injury. Clinicians must recognize that "if you've seen one mild TBI, you've seen one mild TBI," requiring a more personalized approach to diagnosis. Mechanism-Specific Signatures: The physical signature left on the brain depends heavily on the mechanism of injury, with blast exposures typically affecting central white matter and repetitive traumatic hits impacting peripheral gray matter. Understanding these distinctions helps explain why different patients experience different functional outcomes even with the same diagnosis. Sensitivity of Advanced Neuroimaging: Standard MRI sequences often fail to detect injuries in mTBI patients, but advanced techniques like diffusion tensor imaging are highly sensitive to structural white matter changes. Relying solely on basic imaging can lead to an over-simplistic interpretation that overlooks persistent brain changes. Validation of Lived Experiences: Research into persistent brain changes provides vital biological validation for veterans and service members who struggle with ongoing symptoms. These findings support the idea that invisible wounds have a physical basis and are not simply psychological or imagined. Importance of Detailed Injury Histories: For clinicians, the most critical takeaway is the necessity of capturing a detailed lifetime injury history, including the number of exposures and specific physics of each event. This detailed clinical information is essential for improving prognostic accuracy and understanding a patient's long-term health trajectory.   Episode Keywords Military Medicine, WarDocs Podcast, Traumatic Brain Injury, TBI Diagnosis, Blast Exposure, Neuropsychology, Persistent MRI Findings, Veteran Healthcare, Brain Imaging, Mild TBI, LIMBIC-CENC Cohort, Neuroimaging Research, AMSUS, Combat Injury, White Matter Change, Brain Health, Dr. David Tate, Military Health System, Invisible Injuries, Medical Podcast, Concussion Recovery, Gray Matter, MRI Scans, AMSUS Article of the Year, Veteran Support, Brain Mapping Hashtags #MilitaryMedicine, #WarDocs, #BrainHealth, #Veterans, #Neuroscience, #MildTBI, #BlastInjury, #MedicalResearch   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, 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          

How is AI actually changing the day-to-day life of a clinician? In this episode, we sit down at the Smart Bridges GmbH Digital Health Excellence Forum in Frankfurt with Dimitri Varsamis PhD, Senior Programme Manager, Central London Community Healthcare NHS Trust and Georgi Nalbantov, PhD, Chief AI Officer at Hospital Zdraveto. They covered the impact of AI on the clinical workforce:

In this episode of the IRH Clinician's Corner, Margaret Floyd Barry is joined by Dr. Anna Cabeca, who brings her expertise to unravel the complexities of female hormonal health, especially during the transition from perimenopause to menopause. Dr. Anna explains the hormonal shifts, discusses misunderstood symptoms like brain fog and mood swings, and shares her innovative Keto Green Method for metabolic and hormonal optimization.   In this interview, we discuss:   Foundational concepts for menopause and other hormonal transitions Traditional gynecological approaches vs.functional approaches Non-hormonal symptoms and the neuroendocrine connection Functional and dietary interventions (including Dr. Cabeca's Keto Green Method) Monitoring and customization of ketosis and alkalinity Hormone Replacement Therapy (HRT): When and How Dr. Anna's practitioner training program The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/   Connect with Dr. Anna Cabeca Website: http://dranna.com or https://drannacabeca.com Facebook: https://www.facebook.com/DrAnnaCabeca Instagram: https://www.instagram.com/thegirlfrienddoctor Tiktok: https://www.tiktok.com/@drannacabeca  LinkedIn: https://www.linkedin.com/in/drannacabeca/ Podcast: dranna.com/show YouTube: https://www.youtube.com/thegirlfrienddoctor   Magic Menopause Certification Course: http://dranna.com/certifyme Julva - free sample: https://drannacabeca.com/products/julva-trial-pack?uid=2&oid=1&affid=5508004   Timestamps:  00:00 Hormonal Balance for Women's Health 07:45 Early Hormonal Fluctuations Insight 13:33 "Keto Green Diet for Women" 20:06 Ketosis Testing Tools Overview 25:56 Healing Through Balanced Nutrition 30:26 Prioritizing Oxytocin for Well-Being 35:19 "Keto, Uric Acid, and Health" 39:05 "Magic Menopause Program Benefits" 43:51 Holistic Health Tools & Balance 49:59 Magic Menopause Coaching Certification 55:59 Hormone Therapy for Sexual Health 59:43 Empowering the Body to Heal Speaker bio:  Anna Cabeca, DO, OBGYN, FACOG, is best selling author of The Hormone Fix and Keto-Green 16 and MenuPause. Dr. Anna is triple-board certified and a fellow of gynecology and obstetrics, integrative medicine, and anti-aging and regenerative medicine. She holds special certifications in functional medicine, sexual health, and bioidentical hormone replacement therapy.    She lectures frequently on those topics and shares the secret behind the ebb and flow of intimacy as she demystifies the fascinating hormonal changes over time. She will help you discover how the "love hormone", Oxytocin can breathe life into your relationship, and how Cortisol can take it away - and how the delicate balancing act of those hormones can reignite your libido and support a healthy relationship, most importantly the one you have with yourself. She is sassy, blunt, speaks from the heart and has a wonderful sense of humor, and this is why we call her The Girlfriend Doctor, because everyone needs a friend like her!    She has personally developed natural products to help women balance hormones and thrive through menopause including the highly acclaimed Julva® cream for the vulva and MightyMaca® Plus, a powerful superfood blend. She lives in Dallas with her daughters, horses and dogs.   Keywords:  menopause, perimenopause, hormone replacement therapy, progesterone, estrogen, DHEA, pregnenolone, neuroendocrine symptoms, insulin resistance, inflammation, adrenal health, SSRI, PMS, brain fog, ketogenic diet, Keto Green method, alkalizing foods, intermittent fasting, functional medicine, lab testing, lipid panel, FSH, uric acid, Mighty Maca, Julva cream, oxytocin, vitamin D, cardiovascular risk markers, women's health, restorative health 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.  

Once upon a time, there was a gold-star-collecting girl who believed hard work guaranteed fulfillment — so she chose medicine.In this deeply personal episode, Tracy Bingaman shares the story behind her burnout, her breaking point, and the decision that changed everything: she didn't quit medicine — she quit martyrdom.After years of overwork, illness, exhaustion, and people-pleasing inside a system that never loved her back, she chose a different path. One where she practices clinically by choice, not obligation, and built a business that gives her autonomy, flexibility, and impact.If you've ever felt trapped in healthcare, questioned your path, or wondered whether there's another way to serve without sacrificing yourself…This episode is your permission slip.Episode HighlightsWhy high achievers burn out fastest in healthcareThe hidden cost of people-pleasing in medicineThe difference between leaving medicine and leaving the systemEarly warning signs your body is burning outHow entrepreneurship creates freedom and impact for cliniciansKeywords: physician associate burnout, PA burnout recovery, healthcare burnout story, clinician entrepreneurship, entrepreneur for healthcare providers, how to leave corporate medicine, part time physician associate, women in medicine burnout, burnout and autoimmune disease, healthcare boundaries, RVU culture, doctor burnout, PA career transition, medical entrepreneurship, income streams for cliniciansWhat You'll Learn in This EpisodeWhy high-achieving clinicians are especially vulnerable to burnout, How corporate medicine subtly reinforces people-pleasing behavior, The difference between quitting medicine and quitting martyrdom, The early warning signs of burnout that most providers ignore, How entrepreneurship can create autonomy, flexibility, and financial margin, Why practicing medicine is one way to serve — not your only way, The mindset shift from RVU-based worth to value-based impact, How to start building something outside the confines of corporate healthcareCore Themes & TopicsPhysician Associate burnout, Healthcare burnout recovery, Women in medicine, Clinician entrepreneurship, Physician Associate career transitions, Boundaries in medicine, Income diversification for clinicians, Part-time clinical practice, Corporate healthcare reform, Identity beyond medicine

When we think about loneliness, we don't associate it with risks comparable to smoking up to 15 cigarettes a day. But a growing body of research shows that loneliness significantly impairs physical and mental health. Loneliness is linked to a 29 percent higher risk of heart disease, a 32 percent increased risk of stroke, accelerated cognitive decline, and increased mortality. Chronic, profound loneliness triggers high inflammation, weakens the immune system, and contributes to depression, anxiety, and sleep disorders. Clinician researcher Alison Warren, DAOM, MSHS '17, PhD student, of the GW School of Medicine & Health Sciences, gave a wellness talk on loneliness and how it impacts your overall health–and ways to counteract it. An adjunct assistant professor in the SMHS, she specializes in the intersection of Integrative Medicine, neuroscience, and psychology. She is also an adjunct assistant professor in the Institute for Brain Health and Dementia in the GW Milken School of Public Health and an instructor with the Harvard Extension School. Dr. Warren's research, particularly in 2025-2026, focuses on loneliness as a significant, modifiable determinant of health and a driver of physiological damage. Her work explains that chronic social disconnection causes wear and tear across multiple systems, including immune, neuroendocrine, and cardiovascular systems. ◘ Related Links: Centers for Disease Control & Prevention's How Right Now (information and resources on loneliness and other emotions) https://www.cdc.gov/howrightnow/index.html; NIH Social Connection Toolkit https://www.nih.gov/health-information/your-healthiest-self-wellness-toolkits/social-wellness-toolkit; GW Resiliency & Well-being Center's resources page on loneliness https://rwc.smhs.gwu.edu/loneliness; Dr. Warren's slide presentation on loneliness https://www.dropbox.com/scl/fi/fdrc6v7kjua6y0j88og6j/UPDATED_Warren_GW-Resiliency-Center-Loneliness-1.pdf?rlkey=5fpz4h7naach2ss1anpxch7ea&st=k2k958gr&dl=0; Our Epidemic of Loneliness and Isolation 2023, The U.S. Surgeon General's Advisory on the Healing Effects of Social Connection and Community https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf; Warren, A. (2026). Loneliness as a sex-specific risk factor for cognitive aging. Frontiers in Human Neuroscience, 20, 1784613. https://doi.org/10.3389/fnhum.2026.1784613; Warren, A. (2026). Loneliness as a Vital Sign: Toward a Biopsychosocial Reframing of Social Disconnection. Journal of Primary Care & Community Health, 17, 21501319261426724. https://doi.org/10.1177/21501319261426724; Warren, A., Wynia, Z., Corr, P. G., Devin, M. F., Celikkol, Z., Gordon, L., Farah, M., Karam, M., Villarreal, D., Jackson, S. A., & Frame, L. A. (2026). The microbiota–gut–brain axis in mild cognitive impairment and Alzheimer's disease: A scoping review of human studies. Alzheimer's & Dementia, 22(1), e71023. https://doi.org/10.1002/alz.71023; Warren, A. (2025). Loneliness as a driver of allostatic load: Mechanisms linking social disconnection to physiological dysregulation and health disparities. Stress, 28(1), 2594067. https://doi.org/10.1080/10253890.2025.2594067 ◘ Transcript bit.ly/3JoA2mz ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

In this episode, host Alyssa Watson, DVM, welcomes Jane E. Sykes, BVSc(Hons), PhD, MPH, MBA, FNAP, DACVIM (SAIM), to discuss her recent Clinician's Brief article, “Diagnosis & Management of Dogs With Lyme Borreliosis.” While still highly regional, Lyme is occurring in more places because the range of Ixodes ticks is expanding. Dr. Sykes explains what we should—and shouldn't—do with a positive test including treatment, vaccination, and the severe circumstance of Lyme nephritis. This episode is brought to you by Zoetis. Resources: https://www.cliniciansbrief.com/article/canine-lyme-borreliosis-diagnosis-management https://www.simparicatriodvm.com Contact: podcast@instinct.vet Where To Find Us: Website: CliniciansBrief.com/Podcasts YouTube: Youtube.com/@clinicians_brief Facebook: Facebook.com/CliniciansBrief LinkedIn: LinkedIn.com/showcase/CliniciansBrief/ Instagram: @Clinicians.Brief X: @CliniciansBrief The Team: Alyssa Watson, DVM - Host Alexis Ussery - Producer & Multimedia Specialist

Clinician and trauma therapist Tara Wallace talks about practices by Medicaid managed care organizations that harm mental health professionals, their clients and the already fragile Kansas network.

Are you trying to rehab vision, balance, or exercise tolerance… but secretly ignoring the one system that sets the ceiling for all of it? If you're a clinician piling on protocols without addressing nervous system state—or you're on a healing journey wondering why "all the right exercises" still flare your symptoms—you might be missing the foundation. Because no matter how advanced the intervention, if the nervous system feels threatened, it won't integrate change. And here's the hard truth: there is no 15-minute reset. No six-week magic switch. Nervous system regulation isn't sexy. It's consistent, daily work. But when you understand how state drives physiology, symptoms, and capacity, everything about concussion rehab starts to make more sense. In this episode, we explore how the nervous system truly sets the stage for recovery—through the lens of the Stephen Porges Polyvagal Theory—and why safety (or even just "okay-ness") must come before performance.     BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER: Why concussion often leads to sympathetic dominance—and what that actually means physiologically The difference between ventral vagal (safety), sympathetic (mobilization), and dorsal vagal (shutdown) states Why you can't rehab peripheral vision, sound sensitivity, or vestibular symptoms effectively in a threat state How shifting from "I need to feel safe" to "I can feel okay" changes the entire recovery trajectory The nervous system isn't the side quest—it's the foundation. And when you start there, everything else becomes possible.         ​​Let's connect!   Instagram:  @concussionnerds https://www.instagram.com/concussionnerds/ @natasha.wilch https://www.instagram.com/natasha.wilch/ Email: hello@natashawilch.com Website: https://www.natasha-wilch.com Learn how to connect & understand your nervous system so you can have greater outcomes in your health & healing journey: Grab a copy of the workbookhttps://www.natashawilch.com/understanding-connecting-your-nervous-system-1   Join the Clinician's Edge to have Your Weekly Taste of Neuro Wisdom  here: https://www.natashawilch.com/clinicians-edge   Join the Concussion Mini School and Membership! Get the support and resources you need for concussion recovery: Mini School: https://www.natashawilch.com/concussion-mini-school Membership: https://www.natashawilch.com/concussion-mini-school-the-membership    

On this episode of Docs in a Pod, host Caremenn Miles sits down with Dr. Sundas Ahmed from WellMed at Great Northwest in San Antonio to break down the key symptoms and signs of hypothyroidism and hyperthyroidism—two common thyroid conditions that are often overlooked or mistaken for everyday fatigue, weight changes, or mood shifts. Dr. Ahmed explains how the thyroid impacts the entire body, what red‑flag symptoms to watch for, how diagnosis works, and when it's time to talk to your doctor. Whether you're experiencing unexplained weight changes, hair loss, anxiety, brain fog, or changes in energy levels, this episode offers valuable insight into what might be going on beneath the surface. 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)   

Today's episode is all about self-care for autistic people, and joining me is return guest Dr. Megan Anna Neff of Neurodivergent Insights. Megan Anna has just published a new book called Self-Care for Autistic People: 100+ Ways to Recharge, De-Stress, and Unmask! which she wrote to help autistic people accept themselves, destigmatize autism, find community, and take care of physical and mental health. Megan Anna considers self-care to be a collective effort that includes the well-being of the community, a framework that really resonated with me. So we talk about that, along with other ideas from Megan Anna's book, including how internalized ableism can hinder self-care, considerations for navigating self-care for individuals with PDA, and insights into co-regulation, sensory considerations, and how advocacy and accommodations in the workplace can also be forms of self-care.   ABOUT DR. MEGAN ANNA NEFF Dr. Megan Anna Neff (she/they) is a neurodivergent Clinical Psychologist and founder of Neurodivergent Insights where she creates education and wellness resources for neurodivergent adults. Additionally, she is co-host of the Divergent Conversations podcast. As a late-diagnosed AuDHDer (Autistic ADHD), Dr. Neff applies their lived experiences from a cross-neurotype marriage and parenting neurodivergent children to their professional focus. They are committed to broadening the mental health field's understanding of autism and ADHD beyond traditional stereotypes. This personal-professional blend enriches their work and advocacy within neurodiversity. Dr. Neff is the author of Self-Care for Autistic People and a forthcoming book on Autistic Burnout. Additionally, she has published in several peer-reviewed journals on topics ranging from neurodivergence, place attachment, relational psychoanalysis, social psychology, and integration of spirituality into psychotherapy.   KEY TAKEAWAYS Why self-care should be approached with self-attunement and an understanding of one's own needs Why self-care is a collective effort that includes the well-being of the community How internalized ableism can hinder self-care and why it's important to address it Ideas for navigating self-care for individuals with PDA regarding autonomy, co-regulation, and sensory considerations Ways to practice self-care in the workplace, including self-disclosure, documentation, and setting realistic expectations  ADDITIONAL RESOURCES Dr. Megan Anna Neff's website Self-Care For Autistic People by Dr. Megan Anna Neff * A special bonus offer for Tilt Parenting community * Divergent Conversations Podcast Neurodivergent Insights on Instagram Neurodivergent Insights on Facebook Dr. Megan Anna Neff on LinkedIn Dr. Megan Anna Neff's Link in Bio Dr. Megan Anna Neff on Diagnoses and Misdiagnoses (Tilt Parenting Podcast) Sarah Wayland Is This Autism? A Guide for Clinicians and Everyone Else by Dr. Donna Henderson and Dr. Sarah Wayland Learn more about your ad choices. Visit podcastchoices.com/adchoices

There is a palpable mix of excitement and anxiety about the latest impending wave of Artificial Intelligence. AI tools are being developed that will fundamentally impact our jobs, our relationships, our access to knowledge and creativity, our children's lives, and our planet. But for an industry like healthcare — where fax machines and pagers are common, where people struggle to find affordable care or adequate resources, and nurses are leaving the profession due to administrative burdens and moral distress — can AI be an answer?  In this two-part feature of our AI in Play series, where we explore AI's role in transforming healthcare, host Oriana Beaudet, Vice President of Innovation at the American Nurses Association, Credentialing Center, and Foundation, talks with a nurse and a clinician helping to shape the future of AI in healthcare for one of the largest technology companies in the world.   Episode 130 features nurse Mary Varghese-Presti, Corporate VP and COO of Microsoft Health and Life Sciences, whose team built Dragon Copilot, the first commercially available ambient AI solution purpose-built for nursing workflows. We learn how Microsoft co-designed this tool directly with staff nurses, nurse managers, and nurse executives across more than 10 health systems,  and why that collaboration is essential. We'll learn about Microsoft's vision for a three-stage AI future, from co-pilots to agents to a true hybrid workforce, and what it would mean for nurses to have the ability to delegate tasks the way physicians have long been able to do. Finally, we hear the deeply personal story behind Mary's mission,  from growing up in an immigrant household surrounded by nurse "aunties," to advocating for a voiceless patient at 4 am as a young nurse at Johns Hopkins, to now leading the technology that she believes will restore humanity and dignity to the very profession that shaped her.  Episode 131 features Dominic King, former surgeon and VP of Health at Microsoft AI, where his team builds and scales consumer health tools that see more than 50 million health-related sessions a day. In this conversation, we learn about Microsoft's partnership with Harvard Medical School and how it's working to ensure that the billions of health questions people ask AI every day are met with credible, clinically sound information. We also hear how he thinks about patient safety and trust in AI, and we'll get his candid take on what AI cannot replace, why clinicians must be central to scaling these tools beyond the pilot stage, and how he believes technology is the single biggest lever for making health systems sustainable in the face of growing global demand.      For more information on the podcast bundles, visit ANA's Innovation Website at https://www.nursingworld.org/practice-policy/innovation/education.    Have questions or feedback for the SEE YOU NOW team?  Future episode ideas? Contact us at hello@seeyounowpodcast.com.       

There is a palpable mix of excitement and anxiety about the latest impending wave of Artificial Intelligence. AI tools are being developed that will fundamentally impact our jobs, our relationships, our access to knowledge and creativity, our children's lives, and our planet. But for an industry like healthcare — where fax machines and pagers are common, where people struggle to find affordable care or adequate resources, and nurses are leaving the profession due to administrative burdens and moral distress — can AI be an answer?  In this two-part feature of our AI in Play series, where we explore AI's role in transforming healthcare, host Oriana Beaudet, Vice President of Innovation at the American Nurses Association, Credentialing Center, and Foundation, talks with a nurse and a clinician helping to shape the future of AI in healthcare for one of the largest technology companies in the world.   Episode 130 features nurse Mary Varghese-Presti, Corporate VP and COO of Microsoft Health and Life Sciences, whose team built Dragon Copilot, the first commercially available ambient AI solution purpose-built for nursing workflows. We learn how Microsoft co-designed this tool directly with staff nurses, nurse managers, and nurse executives across more than 10 health systems,  and why that collaboration is essential. We'll learn about Microsoft's vision for a three-stage AI future, from co-pilots to agents to a true hybrid workforce, and what it would mean for nurses to have the ability to delegate tasks the way physicians have long been able to do. Finally, we hear the deeply personal story behind Mary's mission,  from growing up in an immigrant household surrounded by nurse "aunties," to advocating for a voiceless patient at 4 am as a young nurse at Johns Hopkins, to now leading the technology that she believes will restore humanity and dignity to the very profession that shaped her.  Episode 131 features Dominic King, former surgeon and VP of Health at Microsoft AI, where his team builds and scales consumer health tools that see more than 50 million health-related sessions a day. In this conversation, we learn about Microsoft's partnership with Harvard Medical School and how it's working to ensure that the billions of health questions people ask AI every day are met with credible, clinically sound information. We also hear how he thinks about patient safety and trust in AI, and we'll get his candid take on what AI cannot replace, why clinicians must be central to scaling these tools beyond the pilot stage, and how he believes technology is the single biggest lever for making health systems sustainable in the face of growing global demand.    For more information on the podcast bundles, visit ANA's Innovation Website at https://www.nursingworld.org/practice-policy/innovation/education.    Have questions or feedback for the SEE YOU NOW team?  Future episode ideas? Contact us at hello@seeyounowpodcast.com. 

In this quarterly review episode, Julie and Jacquie reflect on what private practice owners experienced in 2025 and what to expect in 2026. From staffing challenges and rising expenses to burnout and big leadership transitions, they share what they are seeing behind the scenes with real practices. If you want clarity, stability, and a plan for navigating uncertainty, this conversation will help you focus on what you can control and build a business that lasts.3 Reasons to ListenLearn what is actually happening in private practices right now. Get real insights from end-of-quarter reviews with dozens of practice owners. Avoid the most common financial mistakes owners are making.From lifestyle creep to overpaying clinicians to stepping back too quickly, they break down where practices are getting into trouble and how to prevent it.You will learn why emergency funds, intentional growth, and strong leadership habits matter more than ever in a changing economy.Highlights[00:01:31] Private practice is still viableSuccess remains possible across models.[00:02:43] Awareness, intention, attentionThree traits of stable practices.[00:03:23] Clinician pay expectation mismatchHigh pay, low caseload tension.[00:04:14] Benefits must match revenueSustainability over generosity alone.[00:05:35] Owner draws under pressureLifestyle creep creates hidden risk.[00:06:56] Emergency funds are essentialRisk planning protects your practice.[00:07:41] Something will always happenPlan for inevitable disruptions.[00:08:57] Ten years of steady growthSlow growth beats flashy scaling.[00:09:51] Strong foundations matter mostStructure supports long-term success.[00:10:21] The power of saying noAlignment over shiny opportunities.[00:11:23] Advisors prevent bad decisionsOutside perspective adds clarity.[00:13:47] Owners want to step backBurnout driving leadership changes.[00:14:26] Gradual clinical director transitionShift responsibilities slowly.[00:16:54] One-year transition timelineStability requires patience.[00:17:19] Never abdicate responsibilityStay engaged with your numbers.[00:18:35] Protect yourself from surprisesKeep access to key systems.[00:20:23] 2026 uncertainty aheadInsurance and intake instability.[00:21:16] Control what you canFocus on efficiency and accountability.[00:22:27] Hard conversations are necessaryActionable steps over blame.[00:23:29] You always have choicesOwnership means responsibility.Resources & LinksSchedule a free consultation with GreenOak Accounting: https://www.greenoakaccounting.com/consultationMoney for Therapists Practice Startup - https://www.greenoakaccounting.com/startupGreenOak Accounting - www.GreenOakAccounting.comTherapy For Your Money Podcast - www.TherapyForYourMoney.comProfit First for Therapists - www.ProfitFirstForTherapists.comProfit First Academy - www.ProfitFirstForTherapists.com/Academy Podcast Production, Audio Mixing, and YouTube Video Production by James Marland Get the All About Taxes Course.

Anne Walling, MB ChB, joins the Faculty Factory Podcast this week to discuss some incredible stories of resilience she uncovered while researching her new book "Women in Medicine: Stories from the Girls in White." Dr. Walling interviewed 37 women who fought for credibility, worked harder than is almost imaginable, and graduated from medical school between 1948 and 1975. She wanted to learn why they went into medicine and how their experiences unfolded throughout medical school, residency, and entry into practice. The work was conducted by Dr. Walling as formal qualitative research with IRB oversight and open-ended questions. She joined us at the Faculty Factory for her second interview on our show to share the stories and insights she gathered. You can learn more about the book here: https://www.routledge.com/Women-in-Medicine-Stories-from-the-Girls-in-White/Walling/p/book/9781032873190 Dr. Walling is Professor Emerita at the University of Kansas School of Medicine—Wichita and is also the author of "Academic Promotion for Clinicians: A Practical Guide to Promotion and Tenure in Medical Schools." Learn about that book here: https://link.springer.com/book/10.1007/978-3-031-84036-4 As mentioned, this is her second appearance on our show. You can listen to her first appearance “Episode 334 – A Deep Exploration of Academic Promotions for Clinicians with Anne Walling, MB ChB,” here: https://facultyfactory.org/anne-walling/

SEASON 6 of Emetophobia Help TRIGGER WARNING: Words such as "vomit,” “throw up” and "sick" may be used. Host: Anna Christie, Psychotherapist and Emetophobia SpecialistGuest: Anna Christie11 Emetophobia CLASSES with Anna: www.emetophobiahelp.org/classesAnna's Book: Conquer Your Emetophobia on Amazon.comhttps://www.amazon.com/Conquer-Your-Emetophobia-Therapist-Overcame/dp/1805017764/ref=sr_1_1?crid=2D36DGAWBEPJK&dib=eyJ2IjoiMSJ9.Acbit8CAfkzOBj7DL2Nv78oGS9fkzCRJb6nA4jX1gRqcVDXuvBExOO90VyrVNBi3a1Ce-L5UlF0JqC076lWTnG5_SQQBUxYy04DI5eQHzssFPIZzniNfwRgipeT2V03g1q61jEZJ_-psTQEQesEST_LgQKjS6nkysXtI0PZrdF88ADoEakdiDk3PNVX0seLHpdQq04t9FXr1LWZNt9uL4ZXzJfVFykI0dJyqA4fWeeA.o285WUSMKi7F_7CB-OF_wrCZUXTzDGjMBatV1lTfadc&dib_tag=se&keywords=conquer+your+emetophobia&qid=1772144433&sprefix=Conquer+your+emet%2Caps%2C187&sr=8-1Facebook Group: Emetophobia NO PANICANNA & DAVID'S BOOK: Emetophobia: Understanding and Treating Fear of Vomiting in Children and Adults: Russ, David, Dr., Christie, Anna S., FOR KIDS: "Turnaround Anxiety Program" with Emetophobia supplement (McCarthy/Russ) and  Emetophobia! The Ultimate Kids' Guide eBook : Russ. PhD, DavidBuy Me a Coffeehttps://buymeacoffee.com/emethelpIntro Music: YouTube Audio Library, "Far Away (Sting)" by MK2, Used with Permission.Support the showAnna's Website: www.emetophobiahelp.orgResource site for Clinicians: www.emetophobia.netMERCH for stress, anxiety, panic: www.katralex.com

Hiring is one of the most important decisions a business owner will make.And one of the riskiest.In this episode, we walk business owners step-by-step through our hiring process — the exact framework we've refined over years of building PelvicSanity and teaching those in our Rising Mentorship programs.We cover:

Clinicians saying they love your product doesn't mean hospitals will adopt it — and that gap is where clinician-led MedTech companies burn cash and lose momentum.In this episode, Hakeem is joined by Mark Tudor (20+ years in commercial leadership and advisory roles in medical devices) to break down why technically strong products stall after launch, how hospitals really decide what to buy, and how to build the commercial foundations that drive adoption, sales, and export readiness.Learn why commercial planning must run in parallel with product and regulatory workUnderstand what hospitals actually buy (risk management, simplicity, and economic clarity — not “better performance”)Get a practical lens for stakeholder mapping, validation beyond friendly opinions, and avoiding “inventor syndrome”Helping clinicians simplify their go-to-market strategy so they can stop guessing and turn their working prototypes into international MedTech businesses.Decision point scenario: You're advising a clinician founder with regulatory approval, two pilot sites, one keen-but-unproven distributor, limited runway, and 90 days before board pressure. You can only prioritise one focus — what do you choose and why? (Mark answers in the next episode.)If you tell me whether you want this episode to lean harder into adoption, hospital buying decisions, or export/distributor readiness, I'll pick the best 3 titles from above and tighten them even more.Message me via DM on LinkedinBook a 30 min discovery call for the Healthcare Export Accelerator ProgrammeThis podcast is for clinicians turning medical devices into real businesses, with practical insight on go to market strategy, exporting, and scaling in international MedTech.

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Contributor: Travis Barlock, MD Educational Pearls:  Foul-smelling urine and cloudy urine are commonly misinterpreted as indicators of a UTI. However, these findings alone are not diagnostic. Criteria for UTI: Presence of localized urinary symptoms: Suprapubic pain Dysuria Hesitancy Urgency Urinalysis with WBC > 10 Urine culture with > 100,000 CFU/mL Colonization differs from infection - many patients harbor asymptomatic bacteria but do not have a true infection. Consequences of overtreatment One review showed 45% of patients treated with antibiotics for a presumed UTI actually had asymptomatic bacteriuria and were incorrectly treated. Unnecessary antibiotic treatment can have deleterious effects on the gut microbiome, increasing the risk of multidrug-resistant infections. Another problem with overdiagnosing UTI is missing the real diagnosis by explaining symptoms away as "just a UTI." Be mindful of the risk of overtesting versus not testing at all. Clinicians must navigate a balance between moving patients efficiently through the ER and testing appropriately when a UTI is truly suspected. References: Baghdadi JD, Korenstein D, Pineles L, et al. Exploration of primary care clinician attitudes and cognitive characteristics associated with prescribing antibiotics for asymptomatic bacteriuria. JAMA Netw Open. 2022;5(5):e2214268. doi:10.1001/jamanetworkopen.2022.14268 Colgan R, Williams M. Acute uncomplicated urinary tract infections in adults. Am Fam Physician. 2024;109(2):167-174. Accessed February 21, 2026. https://www.aafp.org/pubs/afp/issues/2024/0200/acute-uncomplicated-utis-adults.html#afp20240200p167-ta1 Summarized by Ashley Lyons OMS3 | Edited by Ashley Lyons & Jorge Chalit OMS4 Donate: https://emergencymedicalminute.org/donate/ Join our mailing list: http://eepurl.com/c9ouHf